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Biomedical subjects

T K Vaidyanathan

Publications and source records attributed to T K Vaidyanathan.

At least 19 recordsLinked to original sources

Collagen-ligand interaction in dentinal adhesion: computer visualization and analysis.

The objective of this study was to characterize the interactions of selected ligand molecules with collagen structure through computer visualization of the reacting molecules and the resulting complexes. Five ligand molecules were studied. They were 2-Hydroxyethyl methacrylate, Glutaraldehyde-HEMA adduct, Glyceryl dimethacrylate, Methacryloyloxyethyl maleate and Acryloyloxyethyl citraconate. These ligands were selected with oxygen as a common heteroatom for a reactive or functional site. Energy minimized 3-D structures of the molecules were generated by Sybyl molecular modeling software. The structures were subjected to a systematic conformational search, yielding conformations of the molecules with a common recognition site with both steric and electrostatic complementarity to appropriate receptor sites in a type I collagen molecular structure. The ligands were also docked to collagen receptor by autodock procedures and the receptor sites where docking occurred were evaluated. The energy of the molecules and their complexes with collagen was evaluated and compared. The computer visualization results reveal that steric complementarity between receptor sites in collagen and optimally configured ligands may be the basis of micromechanical bonding between collagen and the ligands. Typically, ligands docked on the cavities of collagen molecular surface and wrapped around the cavities which follow the helical turns of the collagen macromolecule. In addition, analysis of electrostatic potential features revealed electrostatic complementarity as an additional source of interaction. Hydrogen bonds between ligands and collagen molecule were detected in the complexes of several of the conformations of all the ligands. Thus computer simulation studies show that steric and electrostatic complementarity and consequent interactions form the potential basis of binding between dentin adhesive ligands and type I collagen.

Adhesiveness↗

Flexural creep deformation and recovery in dental composites.

OBJECTIVES: Three different popular composite resin systems for dental restorative applications are microfilled, minifilled and midifilled types in which deformation under stress and recovery after stress removal may be strongly influenced by filler parameters and resin formulation. The purpose of this in vitro study was to evaluate these differences in selected composite resins. MATERIALS: Three composites, Clearfil (midifill), Charisma (minifill) and Durafill (microfill), were evaluated. Elastic, viscoelastic and viscous deformation of the composites under a constant stress and the subsequent recovery on removal of stress were measured. Dynamical mechanical properties of these materials were also characterized. RESULTS: The mean values (and SD) of elastic, viscoelastic and viscous components of overall deformation (mm), respectively, under a constant stress of 45(5)KPa were as follows: Clearfil, 0.17(0.03), 0.06(0.02), 0.03(0.05); Charisma, 0.34(0.1), 0.09(0.04), 0.14(0.03); Durafill, 0.68(0.06), 0.14(0.03), 0.23(0.03) The results show that there are significant differences (P<0.0001) between the different composite resins in the elastic, viscoelastic and viscous segments of deformation. The microfilled system deformed significantly more than the minifilled, and the minifilled system more than the midifilled. Storage modulus values evaluated by dynamic mechanical analysis were also significantly different (P<0.0001). The observed differences were readily explained by the differences in the type and volume fraction of the filler content in the composites. CONCLUSIONS: Differences in time dependent deformation and recovery as well as dynamic mechanical properties of dental composites were strongly influenced by filler parameter differences. The clinical performance of restorations may be strongly influenced by the observed differences.

Analysis of Variance↗

Microleakage of compomer class V restorations: effect of load cycling, thermal cycling, and cavity shape differences.

STATEMENT OF PROBLEM: Microleakage is an important problem with direct filling restorations and an understanding of the factors that contribute to it is of critical importance. PURPOSE: This study investigated the effect of thermal and occlusal load cycling, and limited cavity preparation on microleakage of compomer Class V restorations in vitro. MATERIAL AND METHODS: Class V cavities were randomly prepared on the buccal and lingual surfaces of 32 recently extracted molars and premolars and restored with Dyract compomer restorative system as per the manufacturer's directions. Teeth were randomly assigned to 1 of 4 treatment groups with 8 teeth in each group: (I) thermocycling only; (II) load cycling only; (III) both thermocycling and load cycling; and (IV) no treatment. All teeth were then immersed in 2% basic fuchsin solution for 24 hours. Dye penetration was measured linearly using color photographic prints. ANOVA, comparisons between means, and correlation were used to analyze the results. RESULTS: Thermocycling and cavity preparation had a significant effect on microleakage, but load cycling did not. Occlusal margins leaked more than the gingival margins. CONCLUSION: Class V restorations demonstrated increased microleakage under the conditions of thermal cycling and nonretentive cavity design. More microleakage occurred at occlusal margins than at gingival margins. The effect of load cycling is complicated by considerations of the types of stresses applied and the restorative material response to such stresses.

Compomers↗

Effects of occlusal loading and thermocycling on the marginal gaps of light-polymerized and autopolymerized resin provisional crowns.

STATEMENT OF PROBLEM: Resin crowns appear to be increasingly at risk for increases in marginal gap size as a result of thermocycling and occlusal loading. PURPOSE: This in vitro study compared the effects of occlusal loading and thermocycling on the margins of provisional crowns made from a conventional autopolymerized provisional acrylic resin (Jet) to those made from a light-polymerized resin (Unifast LC). METHODS AND MATERIAL: Crowns made from the 2 materials were thermocycled and loaded on custom dies to simulate 6 to 8 weeks of oral function. Gap sizes were measured before and after thermocycling and occlusal loading. RESULTS: Provisional crowns made from light-polymerized resin exhibited smaller changes in marginal gap size than did those made from conventional autopolymerized resin. CONCLUSIONS: The improved characteristics of the light-polymerized material may prove useful for provisional crowns that must remain for long periods in the oral environment.

Acrylic Resins↗

Measurement of submucosal forces transmitted to dental implants.

Early loading of dental implants after placement is believed to be a major cause for premature implant failure. If a transitional denture or partial denture is used during the healing period, occlusal forces may be transmitted to the submerged implant, leading to poorly differentiated growth of bone cells and/or potential inhibition of osseointegration at the bone-implant interface. The objective of this study was to develop an experimental model to measure the force transmission and to characterize the effect of selected loading conditions and relief methods on the forces transmitted to the implant. The loading conditions studied included unilateral and bilateral loading of the prosthesis. Forces were measured at two different relief conditions (relief with and without soft liner) and were compared against a control with no relief. The results show that fabrication of the prosthesis with a proper relief at the implant-denture junction can eliminate the submucosal force transmission to the implant on loading the denture both under unilateral and bilateral loading conditions. When a soft liner is used at the relief site, the transmitted force is small, but a finite value is reproducibly recorded. With no relief, the submucosal force transmission is high and may adversely affect the healing process or osseointegration. The experimental model is valuable in measuring and understanding the submucosal forces that are transmitted to the implant by loading the transitional prosthesis, and such measurement may assist in the proper design of the prosthesis for improved clinical durability and for other uses.

Alveolar Process↗

Color stability of dental composites as a function of shade.

STATEMENT OF PROBLEM: The selection of shade of composites for restorative applications may have a significant effect on color degradation through environmental exposure. PURPOSE: This study characterized the color changes in composites as a function of shade through environmental effects such as ultraviolet light exposure. MATERIAL AND METHODS: Five shades of two composites were subjected to ultraviolet light exposure at 37 degrees C for 24 hours after initial storage for 24 hours in distilled water at 37 degrees C. The lightness and chromaticity values of color were measured both before and after ultraviolet light exposure with a Minolta Chromameter. The total color change as well as changes in the lightness and chromaticity values were measured in the CIE L*a*b* scale and analyzed to monitor color degradation, if any. RESULTS: Color degradation was a significant function of shade and occurred primarily as an increase in yellowness. Color changes increased with the lightness of the shade in both composite systems. CONCLUSION: The lighter shades of composites were likely to be subject to higher color degradation through environmental effects of ultraviolet light exposure.

Analysis of Variance↗

Castability optimization of palladium based alloys.

Poor or inconsistent castability often necessitates costly laboratory remakes of cast restorations. This study investigated the effects of burnout temperature and alloy investment compatibility on the castability of selected alloys. In part A nine alloy investment combinations were compared. In part B two alloy-investment combinations at four burnout temperatures were evaluated. Differences in investment, alloy, and/or burnout temperature significantly affected castability. Castability with a poorer casting investment improved with a hotter propane/oxygen fuel source compared with natural (city) gas/oxygen.

Analysis of Variance↗

Development and evaluation of a new 3-D digitization and computer graphic system to study the anatomic tissue and restoration surfaces.

It is necessary to visualize and reconstruct tissue anatomic surfaces accurately for a variety of oral rehabilitation applications such as surface wear characterization and automated fabrication of dental restorations, accuracy of reproduction of impression and die materials, etc. In this investigation, a 3-D digitization and computer-graphic system was developed for surface characterization. The hardware consists of a profiler assembly for digitization in an MTS biomechanical test system with an artificial mouth, an IBM PS/2 computer model 70 for data processing and a Hewlett-Packard laser printer for hardcopy outputs. The software used includes a commercially available Surfer 3-D graphics package, a public domain data-fitting alignment software and an inhouse Pascal program for intercommunication plus some other limited tasks. Surfaces were digitized before and after rotation by angular displacement, the digital data were interpolated by Surfer to provide a data grid and the surfaces were computer graphically reconstructed: Misaligned surfaces were aligned by the data-fitting alignment software under different choices of parameters. The effect of different interpolation parameters (e.g. grid size, method of interpolation) and extent of rotation on the alignment accuracy was determined. The results indicate that improved alignment accuracy results from optimization of interpolation parameters and minimization of the initial misorientation between the digitized surfaces. The method provides important advantages for surface reconstruction and visualization, such as overlay of sequentially generated surfaces and accurate alignment of pairs of surfaces with small misalignment.

Computer Communication Networks↗

Effects of relining on long-term marginal stability of provisional crowns.

Provisional resins crowns are commonly placed to protect prepared teeth, but the marginal adaptation of interim crowns has always been a problem. These experiments examined the effects of thermocycling and occlusal loading on relined and unrelined polymethyl methacrylate resin transitional crowns. Three groups of interim crowns were made on a cast metal die tooth preparation; unrelined, relined correction, and paint-on correction. After thermocycling and occlusal loading of the specimens, the change in mean marginal gap was significantly greater for the unrelined group. Axial changes were greatest for relined group and least for the unrelined group. These results suggested that relining of polymethyl methacrylate interim crowns can be useful to prevent increases in marginal gap width during extended intraoral periods.

Analysis of Variance↗

Mercury release from dental amalgams: an in vitro study under controlled chewing and brushing in an artificial mouth.

The release of mercury vapor from class I amalgam restorations prepared in human molar teeth was studied during chewing simulations in an artificial mouth of a bi-axial servo-hydraulic mechanical test system. So that the total mercury released from the restoration over a fixed time could be determined, a closed chamber surrounded the envelope of chewing motion. In addition, the influence of sampling frequency on mercury release was corrected by the use of different sampling frequencies over a fixed time interval of mercury release measurement and extrapolation to zero sampling time. Thus, a combination of a closed environment and an extrapolation method to determine the mercury release under continuous sampling was used to determine the mercury released under normal breathing conditions. The measured mercury release rate data were used to calculate the potential daily mercury dose in a patient due to a single amalgam restoration, following the method previously outlined by Berglund. The mercury release from both a conventional and a high-copper amalgam was evaluated at different age intervals after the restoration was placed in the teeth. The results show that while the age of the amalgam and the amalgam type influence the extent of mercury release during the initial non-steady-state conditions, the steady-state value of mercury daily dose due to a single amalgam filling is 0.03 micrograms/day, which is well below the calculated threshold-limiting value (TLV) of 82.29 micrograms/day considered dangerous for occupational exposure in the United States.

Air Pollution, Indoor↗

Effects of thermocycling and occlusal force on the margins of provisional acrylic resin crowns.

Transitional acrylic crowns were examined for changes in axial contour and increases in marginal gap width after simultaneous thermocycling and occlusal loading. Two groups of 10 crowns--one with a shoulder finish line and another with a chamfer finish line--were treated with 3400 thermocycles and 50,000 load cycles simultaneously within an artificial oral environment chamber in an MTS Dental Materials Testing System. The marginal gaps were increased for both groups after treatment. However, the group of crowns with the shoulder finish lines demonstrated a smaller gap width (x = 90 microns) after treatment than the crowns with chamfer finish lines (x = 210 microns). A statistical comparison identified a significant difference in gap width between groups (p < 0.01). Changes in the axial profile of the groups were similar, but one crown with a chamfer finish line exhibited a cracked margin.

Acrylic Resins↗

Evaluation of erbium:YAG laser radiation of hard dental tissues: analysis of temperature changes, depth of cuts and structural effects.

Temperature elevations, depths of cuts and structural changes produced by 2.94 micron pulsed Erbium:YAG laser radiation of hard dental tissues, at different power levels and exposure times of the laser, were studied. The depth of cut produced was found to vary significantly as a function of power level and exposure time on dry teeth. The mean temperature rise with laser radiation was also influenced both by power level and time of exposure. The effect of water flow on the teeth during laser exposure was evaluated; the results indicate that the ablation efficiency was better, temperature elevations lower and structural changes minimal to absent in the presence of water as compared to teeth that were dry during laser radiation.

Dental Cavity Preparation↗

Digital imaging techniques for dental alloy castability quantification.

In this study, mesh monitors cast from experimental compositions of a Ni-Cr-Be alloy are evaluated by the application of image analysis techniques. Castability values obtained by this method are then contrasted with those from three commonly employed manual counting procedures. While castability values obtained by all methods reflect the effect of compositional variations, a comparison of results with respect to evaluation method indicates that the image analysis technique consistently yields higher castability values, especially evident in the poorly casting groups. The apparent explanation for these observed differences is that with imaging, segments that are partially cast to varying degrees are not arbitrarily eliminated from the data, as is the usual practice in manual counting methods; therefore, castability values obtained by using the imaging technique will very closely reflect an actual alloy volume of each cast monitor.

Beryllium↗

Thermoanalytical characterization of visible light cure dental composites.

Selected commercial and experimental composites and resin systems have been evaluated by thermal analysis techniques of Differential Scanning Calorimetry, Thermogravimetric Analysis and Thermomechanical Analysis. Important thermal data such as heat of cure, coefficient of thermal expansion, dimensional changes over selected temperature ranges, filler weight percent, onset temperature of decomposition, etc. have been determined. Heat of cure, thermal expansion coefficient and dimensional changes appear to follow an inverse linear regression fit with filler fraction in the composite. Thermal expansion changes and exothermic reactions with temperature indicate secondary cure during postcure heating. The thermally-induced decomposition occurs in multiple stages indicating presence of different structural species in the resin matrix.

Bisphenol A-Glycidyl Methacrylate↗

Tarnish of dental alloys by oral microorganisms.

Five dental alloys, on exposure to blood and chocolate media with and without inoculated microorganisms, showed varying degrees of tarnish. The results indicated a composition-dependent tarnish behavior of alloys in microorganism-inoculated media, indicating a potential role for the oral microorganisms in inducing clinically observed tarnish of dental alloys. Actinomyces viscosus and periodontal pocket specimens show a similarity in their activity to induce tarnish in base metal-containing dental alloys.

Actinomyces viscosus↗

Computer-controlled differential scanning calorimetry of dental composites.

In this paper, computer-controlled differential scanning calorimetry has been used to evaluate the heat liberated and the temperature rise associated with the light cure of selected dental composites. In addition, the effect of postcure heating and increased ambient temperature of light cure are examined in terms of potential secondary cure. The results indicate significant differences between the mean heats of cure of different composites, primarily reflecting the filler fraction variations of the composites. In addition, increased cure activity appears to result from both postcure heating as well as thermal activation due to higher ambient temperature of light cure. The results are analyzed and attributed to variations in resin phase composition and resin content per unit weight of composite as well as thermally induced enhancement of cure.

Calorimetry, Differential Scanning↗

Interactive effects of etching and pre-oxidation on porcelain adherence to non-precious alloys: a guided planar shear test study.

Interactive effects of etching and pre-oxidation on porcelain adherence to non-precious alloys were studied by a guided planar shear bond test under non-cantilever conditions. The results indicated that electrolytic etching decreases bond strength, but that oxidation of etched surfaces restores the bond strength level. The results are explained by a hypothesis that depletion of critical elemental species occurs during etching. Potential replenishment of the lost elements during subsequent oxidation, although not confirmed, may assist in improving bond strength.

Acid Etching, Dental↗

Hearing-damage risk and communication interference in dental practice.

The use of high-speed air-turbine handpieces, operated at 300,000 to 400,000 revolutions per minute, has led to concern over the possibility of noise-induced hearing loss. Sound levels were measured in clinical settings and in a pre-clinical laboratory for estimation of hearing-damage risk among dentists, and the extent of communication interference. Octave-band sound pressure levels were obtained with use of a Fast-Fourier-Transform analyzer and associated instrumentation. The results of this study indicate that the sound energy contribution of a typical dental practice is about 8% to 12% of the dentist's average 24-hour noise exposure. However, noise levels during dental procedures result in an articulation index of 0.21 to 0.37, corresponding to understanding of about 18% to 48% of nonsense syllables and 52% to 90% of sentences. It appears that hearing-damage risk is slight among dentists using modern equipment. However, further noise control in handpieces is necessary so that error-free communication during dental procedures can be ensured.

Dental High-Speed Equipment↗