Biomedical subjects

Stephen F Rosenstiel

Publications and source records attributed to Stephen F Rosenstiel.

9 recordsLinked to original sources

PubMed2006

Effect of esthetic core shades on the final color of IPS Empress all-ceramic crowns.

STATEMENT OF PROBLEM: Clinically relevant assessment of all-ceramic crowns supported by esthetic composite resin foundations has not been evaluated with regard to color reproducibility. PURPOSE: This in vitro study quantitatively evaluated the influence of different shades of composite resin foundations and resin cement on the final color of a leucite-reinforced all-ceramic material. MATERIAL AND METHODS: A total of 128 disks were fabricated; 64 (20 x 1 mm) were made of all-ceramic material (IPS Empress) and 64 (20 x 4 mm) of 4 different shades composite resin (Tetric Ceram). The ceramic and composite resin disks were luted using 2 shades (A3 and Transparent) of resin cement (Variolink II). Color was measured using a colorimeter configured with a diffuse illumination/0-degree viewing geometry, and Commission Internationale de l'Eclairage (CIE) L( *)a( *)b( *) values were directly calculated. Descriptive statistical analysis was performed, and color differences (DeltaE) for the average L( *), a( *) and b( *) color parameters were calculated. Repeated measures analysis of variance (ANOVA) was used to compare mean values and SDs between the different color combinations (alpha=.05). RESULTS: The CIE L( *)a( *)b( *) color coordinate values showed no significant differences for variation in color parameters due to the effect of the different composite resin shades (P=.24) or cement shades (P=.12). The mean color difference (DeltaE) value between the groups was 0.8. CONCLUSION: Within the limitations of this study, the use of different shades for composite resin cores and resin cements presented no statistically significant effect on the final color of IPS Empress all-ceramic material.

Acrylic Resins↗

PubMed2005

Assessment of convergence angles of tooth preparations for complete crowns among dental students.

OBJECTIVES: Convergence angles for complete crown preparations have been recommended at 4-12 degrees . However, practitioners have difficulty meeting these recommendations. This study measured and compared the convergence angles of tooth preparations for complete crowns prepared at three Colleges of Dentistry: the University of Tanta, Egypt, King Abdulaziz University, Saudi Arabia, and The Ohio State University, Columbus, Ohio. METHODS: The convergence angles of 499 tooth preparations for complete crowns were evaluated. These comprised of a random sample of 262 teeth prepared by third-year dental students at the University of Tanta on extracted molars under normal preclinical conditions, 37 preparations on molar teeth on typodonts done by first-year dental students. The Ohio State University and 200 molar typodont complete crown preparations done by fourth-year dental students at King Abdulaziz University, Saudi Arabia. The bucco-lingual and mesio-distal convergence angles of each preparation were measured with a goniometer microscope. Mean convergence angles were calculated, and differences between groups were tested for statistical significance with analysis of variance (ANOVA) at 5% level of confidence. RESULTS: Convergence angle measurements were significantly different between the groups and the dimensions (P<0.001). The greatest convergence value (19.8+/-10.0) was for bucco-lingual measurements prepared by Egyptian dental students. The smallest convergence value (14.1+/-3.8) was for mesio-distal measurements prepared by Saudi dental students. CONCLUSIONS: This study emphasized the difference between what is taught at dental schools (what is theoretically possible) and the school results of actual practice. There was a considerable disparity between the convergent angles recorded in this study and the ideal configurations recommended in fixed prosthodontic textbooks and the dental literature.

Crowns↗

PubMed2005

The effect of a layer of resin luting agent on the biaxial flexure strength of two all-ceramic systems.

STATEMENT OF PROBLEM: The influence of a layer of resin luting agent on the longevity of glass-ceramic crowns has been demonstrated in some laboratory and clinical studies. The mechanisms of glass-ceramic crown failure and the influence of the resin luting agent layer are still not clearly understood. PURPOSE: The objectives of this study were to examine the difference in biaxial flexure strength between 2 glass-ceramic dental materials and to examine the influence of a layer of resin luting agent on the characteristic strength of these materials. MATERIAL AND METHODS: Thirty-seven disks, 15 mm x 1.5 mm, each of IPS Empress and IPS Empress2, were fabricated according to the manufacturer's recommendations. The surface of each disk underwent acid etching and silanation. The disks from each group were arbitrarily divided into 2 subgroups. One subgroup of each material type was selected to receive a thin (approximately 0.1 mm) layer of resin luting agent (Nexus 2), whereas the other subgroups remained unaltered. Each disk was loaded, with the treated surface down, using a ball-on-ring biaxial configuration in a universal testing machine. The failure loads (N) were recorded, and the biaxial flexure strength for each disk was calculated. Characteristic Weibull parameters and a +/-95% confidence interval were determined. A 2-way analysis of variance (alpha=.05) on transformed fracture strength data was used to determine significant differences between groups. RESULTS: The Weibull characteristic strength of IPS Empress2 (213 MPa) was 75% higher than IPS Empress (122 MPa). The results also show that the application of a thin layer of resin luting agent significantly increased (P <.001) the characteristic strength of both IPS Empress and IPS Empress2 by 45.6% and 47.6%, respectively. The higher strength of the resin-coated specimens cannot be explained in terms of standard fracture mechanics alone. CONCLUSION: Results suggested that IPS Empress had significantly lower characteristic strength than IPS Empress2. A relatively thin layer of resin luting agent bonded to both IPS Empress and IPS Empress2 significantly increased the characteristic strength of the ceramics.

Aluminum Silicates↗

PubMed2004

The effect of fiber reinforcement on the fracture toughness and flexural strength of provisional restorative resins.

STATEMENT OF PROBLEM: Fracture of provisional restorations is of concern, especially with long-span fixed partial dentures or areas of heavy occlusal stress. A number of different techniques for reinforcement of provisional restorations have been suggested; however, the effect of these techniques is largely unclear. PURPOSE: The aim of this study was to determine the fracture toughness and flexural strength of different types of provisional restoration resins reinforced with different commercially available fibers. MATERIAL AND METHODS: A total of 105 specimens were prepared in this study for each test; compact tensile specimens for the fracture toughness test and rectangular specimens for the flexural strength test. The specimens were divided into 3 groups according to the type of resin used, Jet, Trim, or Temphase (n=35), and then each group was divided into 7 subgroups (n=5) according to the type of fiber reinforcement, Construct, Fibrestick, Ribbond normal, Ribbond THM, Ribbond triaxial, or Fibrenet. Unreinforced specimens served as the control. Specimens were loaded in a universal testing machine until fracture. The mean fracture toughness (MPa.m(1/2)) and mean flexural strength (MPa) were compared by 1-way analysis of variance, followed by the Tukey standardized range test (alpha=.05). RESULTS: Fibrestick and Construct reinforcements showed a significant increase (P<.0001) in mean fracture toughness over unreinforced controls for all resins tested. Fibrestick increased the polymethyl methacrylate from 1.25+/-0.06 MPa.m(1/2) to 2.74+/-0.12 MPa.m(1/2); polyethyl methacrylate from 0.67+/-0.07 MPa.m(1/2) to 1.64+/-0.13 MPa.m(1/2); and bis-acryl from 0.87+/-0.05 MPa.m(1/2) to 1.39+/-0.11 MPa.m(1/2). Construct increased polymethyl methacrylate to 2.59+/-0.28 MPa.m(1/2); polyethyl methacrylate to 1.53+/-0.22 MPa.m(1/2); and bis-acryl to 1.30+/-0.13 MPa.m(1/2); however, there was no significant difference between Fibrestick and Construct reinforcements in the degree of reinforcement. Similarly the mean flexural strength values were significantly increased by different combinations of fiber and resin (P<.0001). CONCLUSION: The addition of fibers to provisional resin increased both fracture toughness and flexural strength.

Analysis of Variance↗

PubMed2004

Dentists' molar restoration choices and longevity: a web-based survey.

STATEMENT OF PROBLEM: The increasing trend toward esthetics has led to controversy as to the longevity of esthetic restorations and the wisdom of having traditional restorations replaced for esthetic reasons. With the assumption that the way dentists treat their own teeth may be a good indication of the accumulated wisdom of the profession, knowledge of dentists' own restorative choices may provide guidance in selecting the most appropriate restorations. PURPOSE: The purpose of this article was to determine restorative choices of dentists for personal molars and estimate restoration longevity. MATERIAL AND METHODS: Information about dentists' molars was obtained from a Web-based survey designed to receive dentists' demographic data and charting of 8 molar teeth with estimated longevity. Approximately 12,000 e-mails asking to access the website were sent to dentists' addresses randomly selected from a commercial database. Nonrespondents received 1 reminder. The responses were statistically analyzed with a chi-square analysis (alpha=.05). RESULTS: Seven hundred fifty-seven valid replies provided information for 6,034 teeth (22% unrestored, 75% restored, 2% missing). Restorations reported included amalgam (36%), gold inlay/onlay (13%), complete veneer crown (CVC) (10%), metal-ceramic crown (MCC) (8%), and composite (7%). Other esthetic options accounted for less than 3%. Restorations with more than 20 years longevity included amalgam restorations (58%), gold inlays/onlays (48%) and crowns (23%). Fifty-six percent of esthetic restorations and 5% of amalgams were placed in the last 5 years. The following restorations were placed in the last year (n=186): 38% esthetic, 29% crowns (18% MCC; 11% CVC), and 17% gold inlay/onlay or amalgam. Significant differences (P<.001) were identified for dentist's gender, year of graduation and practice location. CONCLUSIONS: Most dentists have not replaced traditional metallic restorations with esthetic alternatives. Dentists still choose nonesthetic options for significant numbers of their own restorations.

Attitude of Health Personnel↗

PubMed2003

Postcementation hypersensitivity: scientific data versus dentists' perceptions.

PURPOSE: The purpose of this article was to obtain dentists' opinions via an Internet survey as to the prevalence, causes, and prevention of postcementation sensitivity and compare their responses with published data on the problem. MATERIALS AND METHODS: Information as to respondents opinions of postcementation sensitivity was obtained from an Internet survey asking about their experience and for a ranking of the importance of each of 15 factors. RESULTS: A total of 466 valid responses were received. The incidence of postcementation sensitivity was estimated to be less than 2% by more than 2/3 of the dentists. The factors considered "very important" in reducing sensitivity by more than 50% of the respondents were desiccation, luting agent, occlusion, provisional, and water spray. CONCLUSIONS: Comparing respondents' opinions with published clinical studies, the incidence of postcementation sensitivity appears to be underestimated. There is little published evidence to support the importance of antimicrobials, desensitizing, or bonding agents, although these are considered effective by some dentists. Many respondents consider luting agent to be an important variable.

Adult↗

PubMed2002

Public preferences for anterior tooth variations: a web-based study.

PURPOSE: This study was undertaken to determine the public's preferences for five esthetic variations, with the goal of linking preferences to demographic data such as age, gender, country of residence, and race. MATERIALS AND METHODS: Using photo-editing software, five pairs of images with anterior tooth variations were put on a Web page with forms to collect demographic data and ranking of the image pairs. Opinions were solicited by sending out a large number of e-mails with a short study description and an invitation to access the Web page. The responses were tabulated and analyzed with logistic regression (alpha = 0.05). RESULTS: Valid responses were received from 2185 computer users in 45 countries. Because of the small number of respondents from most countries, only the responses from the United States and Canada (n = 1934) were analyzed. Variables collected were birth date, gender, race or ethnic background, and last dental visit. Analysis indicated that different variables were significant for different questions. Last dental visit and the interaction of gender and race were not significant in any of the models. Strongest preferences concerned diastema and midline shift and the weakest concerned whiteness and proportion. The largest minority view was the straight embrasures. Statistically significant differences were attributable to age, gender, and race. Females had stronger preferences in all conditions. Respondents younger than 40 years of age had stronger preferences for whiteness and against diastema, and whites strongly rejected the diastema. CLINICAL SIGNIFICANCE: This study provides guidelines about the public's preferences concerning some commonly encountered conditions in esthetic dentistry.

Adult↗

PubMed2002

Goals, costs, and outcomes of a predoctoral student research program.

The aims of this work were to describe the goals and costs of a predoctoral student research program and compare the career choice and school donations of dental alumni who received student research experience to those without the experience. The identity of participants in the student research program was obtained from college records, and outcomes data on the student researchers from the years 1991 to 1994 were obtained with a telephone survey. Survey responses were compared to recent alumni surveys of the classes of 1992 and 1994, mathematically corrected to provide an estimate for non-research participants. A student research program that involves about one-fourth of the class currently costs in excess of $100,000. However, the benefits were found to be considerable. Compared to the class as a whole, after seven to ten years student researchers were 3.5 times more likely to complete specialty training, nearly five times more likely to become full-time faculty members, and 32 percent more likely to be donors.

Career Choice↗

PubMedDate not supplied

Fracture resistance of fiber-reinforced PMMA interim fixed partial dentures.

PURPOSE: To compare different fiber reinforcements on fracture toughness of interim polymethyl methacrylate materials and then use the best combination to determine the optimal position for fiber placement in an interim 3-unit fixed partial denture (FPD). MATERIALS AND METHODS: In the first stage of the study, five groups of notched fracture toughness specimens were fabricated and loaded to failure (Instron): (1) unreinforced (control); (2) reinforced with pre-impregnated silanized E-glass fibers (Fibrestick); (3) cold plasma-treated woven polyethylene fibers (Ribbond triaxial); (4) pre-impregnated silanized plasma-treated woven polyethylene fibers (Construct); and (5) 1.0-mm-diameter stainless steel wire. In the second stage, the optimal position (occlusal, middle, or cervical third of pontic) for reinforcement with glass fibers (regimen 2) was tested by loading a 3-unit FPD to failure. All groups were compared with analysis of variance (alpha < 0.05). RESULTS: The fracture toughness (in MPam(1/2)) for each reinforced group (Fibrestick 2.74 +/- 0.12, Construct fibers 2.59 +/- 0.28, Ribbond triaxial 2.13 +/- 0.20, and orthodontic wire 1.66 +/- 0.09) was statistically greater (p< 0.05) than for the unreinforced group (control = 1.25 +/- 0.006). Fracture loads for FPDs were greatest when the fiber reinforcements were placed in the cervical third (cervical = 1165 N). CONCLUSIONS: The use of fiber and, to a lesser extent, orthodontic wire is an effective method to reinforce interim restoration resins.

Analysis of Variance↗