Edge strength of powdered gold fillings.
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Biomedical subjects
Publications and source records attributed to T Fusayama.
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Two layers of carious dentin from extracted human teeth were observed with an electron microscope. The first layer, which is superficial and fuchsin-stainable, showed degenerated collagen fibers and granular or leaflike inorganic crystals irregularly scattered. The second layer, which is profound and fuchsinunstainable, showed expanded odontoblastic processes, sound collagen fibers, and apatite crystals bound to the fibers like fringes.
A 0.5% basic fuchsin-propylene glycol solution was applied to the carious dentin of extracted and vital human teeth, and the depths of the fuchsin-stained dentin and the bacterial invasion were compared on histological sections. Excavation guided by this staining method was always deeper than the bacterial invasion, with differences between the depths being greater in acute decay than in chronic decay. This staining is considered to be a reliable clinical guide for the complete removal of deteriorated dentin without causing failure to remove the infection completely. The depths of the images of dentin caries on the radiographs before treatment and after excavation guided by the fuchsin staining method were also compared. The image on the radiograph was always shallower than the excavated cavity. Dentists must expect to excavate caries cavities somewhat deeper than radiographic images.
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