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Recovery of reinnervating rat muscle after cast immobilization.

We evaluated the recovery of the reinnervating rat plantar flexor muscles after different periods of casting and then decasting the lower extremities. Four groups of 4-month-old, female Wistar rats underwent bilateral crush-denervation of the sciatic nerve at the sciatic notch. Two weeks after nerve crush, the hind legs of three groups of rats were immobilized with bilateral casts at the knee and ankle joints and the fourth group was a control group. Of the three casted groups, one was mobilized after 1 week and another group after 3 weeks of casting. The third experimental group remained casted until the end of 6 weeks. Six weeks after the nerve crush, all groups were evaluated for muscle weights of the soleus, plantaris, and gastrocnemius; absolute amounts of the myofibrillar, sarcoplasmic, and stromal proteins in the gastrocnemius; the fiber diameters and percent composition of type I and type II fibers in the soleus and plantaris; and the isometric contractile properties of the soleus muscle. Compared with the denervated control group, the experimental groups revealed the following: (i) Four weeks of casting caused a reduction in wet weight (range 30.6 to 40.4%, P less than 0.01) in the soleus, plantaris, and gastrocnemius muscles. Decasting led to an earlier recovery of the soleus than of the plantaris and gastrocnemius muscles. (ii) The myofibrillar protein returned to control values with 3 weeks of decasting but the stromal protein remained significantly elevated and the sarcoplasmic protein significantly depressed regardless of the period of mobilization. (iii) Except for the type I fibers in the plantaris, the remainder of the muscle fibers in the soleus and plantaris decreased in size due to casting. Only the type I muscle fibers of the soleus increased in size with longer periods of mobilization. (iv) Four weeks of casting significantly altered the maximum isometric twitch tension (-42.3%), contraction time (+17.1%), maximum tetanic tension (-38.1%), and half-fatigue time (+40.5%) in the soleus. The reinnervating soleus muscle appears to recover from the effects of casting sooner than the plantaris or gastrocnemius muscles.

Animals↗

Perception of motion trajectory of object from the moving cast shadow in infants.

A moving cast shadow of the object affects the perception of the object's trajectory in adults [Kersten, D., Mamassian, P., & Knill, D. C. (1997). Moving cast shadow induce apparent motion in depth. Perception, 26, 171-192]. In the present study, we investigated by using a habituation-dishabituation procedure whether infants at 4- to 7-months old discriminate the motion trajectory of a ball from the moving shadow it casts. In Experiment 1, 4- to 5-month-old and 6- to 7-month-old were tested for ability to discriminate between a "depth" display containing a ball and a cast shadow with a diagonal trajectory and an "up" display containing a ball with a diagonal trajectory and a cast shadow with a horizontal trajectory. Six- and 7-month-old, but not 4- and 5-month-old, infants looked significantly longer at the "up" display than at the "depth" display. In Experiment 2, we tested whether 4- to 5-month-old and 6- to 7-month-old infants would perceive "up" motion as categorically different from "depth" depending on the object's 3-D trajectory. We used displays containing a ball and a cast shadow with the same trajectories as those in Experiment 1 except that the cast shadows appeared above the ball. These displays did not produce 3-D impressions in adults. Neither age group of infants exhibited significant differences between "up" and "depth" displays. When the results from the two experiments are considered, 6- and 7-month-old infants discriminated the motion trajectory of the ball from the moving cast shadows. This developmental emergence of depth perception from a moving cast shadow at 6 months of age is consistent with that of other pictorial depth cues.

Aging↗

Consanguinity, caste and deaf-mutism in Punjab, 1921.

The effects of religion, population sub-division and geography on the prevalence of deaf-mutism were investigated using information collected in the 1921 Census of Punjab. The total sample size was 9.36 million, and comprised data on thirteen Hindu castes, seventeen Muslim biraderis and two Sikh castes. A two-way analysis of variance comparing males in Hindu castes in which consanguineous marriage was prohibited, with males in Muslim biraderis which favoured first cousin marriage, indicated major differences with respect to the patterns of deaf-mutism within each religion. In the Muslim population 9.1% of the relative variation in the prevalence of deaf-mutism was inter-biraderi, 36.8% between geographical regions, and 48.8% an interaction between biraderi and region, whereas among Hindus 46.8% of the observed variation was inter-caste, 12.8% inter-region and 33.6% due to caste region interaction. From a wider disease perspective the results obtained with the Hindu community indicate the significant genetic differentiation associated with caste endogamy. As the overwhelming majority of Hindu marriages continue to be within-caste, it can be predicted that similar levels of inter-caste differences in disease frequency currently exist. By comparison, the lower level of inter-biraderi variation among Muslims is probably indicative of the dissolution of pre-existing caste boundaries and the resultant gene pool mixing that followed the large-scale conversion of Hindus to Islam during Muslim rule in North India from the 13th to the 19th centuries.

Catchment Area, Health↗

Numerical study of porosity in titanium dental castings.

A commercial software package, MAGMASOFT (MAGMA Giessereitechnologie GmbH, Aachen, Germany), was used to study shrinkage and gas porosity in titanium dental castings. A geometrical model for two simplified tooth crowns connected by a connector bar was created. Both mold filling and solidification of this casting model were numerically simulated. Shrinkage porosity was quantitatively predicted by means of a built-in feeding criterion. The risk of gas pore formation was investigated using the numerical filling and solidification results. The results of the numerical simulations were compared with experiments, which were carried out on a centrifugal casting machine with an investment block mold. The block mold was made of SiO2 based slurry with a 1 mm thick Zr2 face coat to reduce metal-mold reactions. Both melting and casting were carried out under protective argon (40 kPa). The finished castings were sectioned and the shrinkage porosity determined. The experimentally determined shrinkage porosity coincided with the predicted numerical simulation results. No apparent gas porosity was found in these model castings. Several running and gating systems for the above model casting were numerically simulated. An optimized running and gating system design was then experimentally cast, which resulted in porosity-free castings.

Journal Article↗

Genetic profile based upon 15 microsatellites of four caste groups of the eastern Indian state, Bihar.

BACKGROUND: The formation of caste groups among the Hindu community and the practice of endogamy exert a great impact on the genetic structure and diversity of the Indian population. Allele frequency data of 15 microsatellite loci clearly portray the genetic diversity and relatedness among four socio-culturally advanced caste groups: Brahmin, Bhumihar, Rajput and Kayasth of Caucasoid ethnicity of Bihar. AIM: The study seeks to understand the impact of the man-made caste system on the genetic profile of the four major caste groups of Bihar. METHODS AND PROCEDURE: Computation of average heterozygosity, most frequent allele, allele diversity and coefficient of gene differentiation (Gst), along with genetic distance (DA)and principal coordinate analysis were performed to assess intra-population and inter-population diversity. MAIN OUTCOMES AND RESULTS: The average Gst value for all the loci was 0.012 +/- 0.0033, and the level of average heterozygosity was approximately 75.5%, indicating genetic similarity and intra-population diversity. Genetic distance (DA) values and the phylogenetic tree along with other higher caste groups of India indicate the relative distance between them. CONCLUSION: The present study clearly depicts the genetic profile of these caste groups, their inherent closeness in the past, and the impact of the imposed caste system that later restricted the gene flow. The study highlights the status of Bhumihar and Kayasth in the Hindu caste system. The former was found clustering with the Brahmin group (as expected, since Bhumihar is known to be a subclass of Brahmin), whereas the distance between the Brahmin and Kayasth caste groups was found to be large. North-eastern Indian Mongoloids form a separate cluster.

Alleles↗

Reproductive skew and the origin of sterile castes.

Reproductive skew theory has not heretofore formally addressed one of the most important questions in evolutionary biology: How can whole-life sterile castes evolve? We construct a transactional skew model investigating under what conditions a subordinate in a multimember group is favored to develop into a morphologically specialized worker caste. Our model demonstrates that, contrary to former expectations, the ecological and genetic conditions favoring caste differentiation are far more restrictive than those favoring high skew. Caste differentiation cannot be selected in saturated, symmetrical relatedness groups unless the genetic relatedness among group members is extremely high. In contrast, it can be selected in the saturated, asymmetrical relatedness (parent-offspring) groups with complete skew. If we also consider the future reproduction of subordinates, caste differentiation is possible only after the group size reaches a certain critical point. Most importantly, caste differentiation in a parent-offspring group increases its saturated group size. The positive feedback between group size and the degree of caste differentiation can continue in principle until completely sterile worker castes emerge. Thus, at least in the case of parent-offspring groups, group size but not the degree of reproductive skew may be a better index of the level of social complexity. A scheme for the evolution of sterile worker castes that integrates the role of group size into the framework of reproductive skew theory is proposed.

Animals↗

The urinary myeloma cast. Frequency of detection and clinical correlations in 30 patients with multiple myeloma.

The authors examined urine specimens from 30 patients with multiple myeloma (MM) to determine the usefulness of cytodiagnostic urinalysis in evaluating such patients. Nine patients had clinical evidence of renal failure. In six of these nine patients (67%), or 20% of all patients, the urine sediment contained unique "MM-casts." These were characterized by a waxy to granular matrix surrounded by reactive, syncytial, giant cells with occasional renal cells embedded in the cast matrix. These casts were not observed in urine specimens from patients with normal renal function. Renal biopsy in two patients with MM-casts confirmed that cytologic diagnosis of "MM-kidney." The patient groups with or without MM-casts were comparable with respect to age, sex, and clinical stage of disease. In contrast, those with MM-casts were more likely to have clinical evidence of renal disease (100% vs. 13%), Bence Jones proteinuria (100% vs. 35%), hypercalcemia (50% vs. 8%), and hyperuricemia (50% vs. 4%). The two groups could not be distinguished reliably by urine physicochemical determinations. However, there were marked differences in the frequency of microscopic abnormalities. All patients with MM-cast formation excreted other pathologic casts as well and had evidence of tubular injury, while five of six had evidence of ischemic necrosis. This compared with 17%, 13%, and 21%, respectively, of those without MM-casts. Thus, cytodiagnostic urinalysis is of value in distinguishing MM-kidney from the numerous other causes of renal failure in patients with MM.

Acute Kidney Injury↗

Immunofluorescent studies of urinary casts.

Immunofluorescent staining of urinary casts of patients with chronic glomerulonephritis or with acute renal failure was performed. Urinary and cast Tamm-Horsfall mucoproteins were purified by a modified McQueen's method. Rabbits were immunized by both of these materials to obtain antisera. The antigenic specificity of the prepared material was examined by Ouchterlony gel diffusion method and immunoelectrophoresis. Indirect and direct immunofluorescent staining methods were done using Tamm-Horsfall mucoprotein antiserum and FITC-GARG, FITC-labelled IgG, IgA, IgM, C3 and albumin. Hyaline casts of both chronic glomerulonephritis and acute renal failure demonstrated fluorescence with Tamm-Horsfall mucoprotein antiserum. The nature of the granular casts of chronic glomerulonephritis seemed to be different from those of acute renal failure because the granules of the former fluoresced for some serum protein fractions, but the latter fluoresced only for Tamm-Horsfall mucoprotein. The absence of fluorescence with epithelial casts for any serum protein fractions implied a different pathogenesis for epithelial casts as compared to granular casts, contrary to Lippman's assumption. A routine technique of immunofluorescent staining of urinary casts was developed. The interpretation of urinary casts should be more specific by this new technique.

Acute Kidney Injury↗

Interaction of baseline characteristics with the hazard of encainide, flecainide, and moricizine therapy in patients with myocardial infarction. A possible explanation for increased mortality in the Cardiac Arrhythmia Suppression Trial (CAST).

BACKGROUND: The Cardiac Arrhythmia Suppression Trial (CAST) was designed to test the hypothesis that suppression of ventricular ectopy with antiarrhythmic drugs after a myocardial infarction reduces the incidence of sudden arrhythmic death. Patients in whom ventricular ectopy could be suppressed with encainide, flecainide, or moricizine were randomly assigned to receive either active drug or placebo. The encainide and flecainide arms of the study were discontinued in 1989 (CAST-I) and the moricizine arm in 1991 (CAST-II) because of excess mortality. To explore the mechanisms of these adverse outcomes, we examined the interaction of baseline characteristics with the hazard of therapy with encainide, flecainide, or moricizine compared with their respective placebos. METHODS AND RESULTS: CAST-I comprised 755 patients assigned to flecainide or encainide and 743 patients assigned to placebo, whereas in CAST-II, 502 patients received moricizine and 491 patients received placebo. Clinical and laboratory baseline variables of patients receiving active drug and those receiving placebo were similar. In CAST-I patients, there was a significant interaction of active therapy with both all-cause death/cardiac arrest and arrhythmic death/cardiac arrest for non-Q-wave myocardial infarction (total mortality hazard ratios, 1.8 versus 7.9 for Q-wave versus non-Q-wave infarction, P = .03). Ventricular premature depolarization (VPD) frequency > or = 50/h and heart rate > or = 74 beats per minute each interacted significantly with total mortality/cardiac arrest only. In the sicker CAST-II patients (ejection fraction < or = 40%), only diuretic use at baseline interacted significantly with moricizine use for both all-cause death/cardiac arrest and arrhythmic death/cardiac arrest (total mortality hazard ratios, 1.9 versus 0.7 for diuretic use versus no use, P = .01). CONCLUSIONS: Although active treatment in CAST-I was associated with greater mortality than placebo with respect to almost all baseline variables, the therapeutic hazard was more than expected in patients with non-Q-wave myocardial infarction and (for total mortality) frequent premature VPDs and higher heart rates, suggesting that the adverse effect of encainide or flecainide therapy is greater when ischemic and electrical instability are present. The relative hazard of therapy with moricizine in the sicker CAST-II population was greater in those using diuretics. Thus, although these drugs have the common ability to suppress ventricular ectopy after myocardial infarction, their detrimental effects on survival may be mediated by different mechanisms in different populations, emphasizing the complex, poorly understood hazards associated with antiarrhythmic drug treatment.

Arrhythmias, Cardiac↗

Casting for the person with spasticity.

Casting is a fairly well-established option for the reduction of contractures due to spasticity, as well as a method for reducing tone. Some research suggests that casting is more effective than traditional therapy techniques in reducing contracture and is inconsistently better at decreasing hypertonicity. Traumatic brain injury and cerebral palsy are the most common diagnostic groups that are identified in the literature as benefiting from casting, but severe spasticity resulting from a stroke may also be positively affected by this technique. Several forms of casting are mentioned in the literature, including serial casting, inhibitive casting, drop-out casts, and bivalve casts. The purpose of this article is to review the differences and similarities between these kinds of casting and offer guidelines for their use in individuals who have suffered a stroke.

Journal Article↗

Myeloma cast nephropathy: immunohistochemical and lectin studies.

Renal disease is a common cause of morbidity and mortality in patients with plasma cell dyscrasia (PCD). We have conducted a systematic study of the formalin-fixed, paraffin-embedded renal tissues from 53 patients with plasma cell dyscrasia, 24 of whom had Bence Jones cast nephropathy (with large casts, often associated with giant cells and polymorphonuclear leukocytes). A battery of 5 immunocytochemical and lectin markers for various segments of the nephron was used [Tetragonolobus lotus, Arachis hypogaea (AH), Tamm-Horsfall protein (THP), epithelial membrane antigen (EMA), and cytokeratin (AE1/AE3)]. In particular, we sought to determine the nature of the intratubular multinucleated giant cells in Bence Jones myeloma cast nephropathy with a variety of epithelial and hematopoietic cell markers. Although tubular epithelial cells stain with their respective markers (whether inflamed, thinned, detached, or adjacent to and lining casts), true intratubular giant cells in PCD were never positive for these tubular markers. In approximately one-third of the cases studied, intratubular and extratubular giant cells stained for several of the seven hematopoietic cell markers employed [i.e., alpha 1-antitrypsin (A1AT), alpha 1-antichymotrypsin (A1ACT), vimentin, and lysozyme], suggesting that giant cells are of hematopoietic origin. The majority of the casts are present in the distal nephron, although some casts were noted in more proximal sites of the nephron. Some larger casts did not stain for THP; smaller casts often showed lamination or stratification of THP staining. Finally, in one-half of the cases, Tamm Horsfall protein (THP) and other distal tubular markers (AH, EMA, AE1/AE3) were found in Bowman's space, almost always in association with interstitial deposits of THP; these markers were virtually never noted in Bowman's spaces of PCD patients without numerous large casts. This suggests that there are communications between distal and proximal nephron, most likely by intraluminal reflux but possibly also through breaks in the tubules and via the interstitium.

Antigens, Differentiation↗

Microvascular casting of the lung: vascular lavage.

Corrosion casting is an important tool for the study of microvascular structure, but unlike tissue preparation for light and electron microscopy, few controlled studies of the methods for preparation of microvascular casts for scanning electron microscopy have been reported. Most vascular casting begins with rinsing cells from the lumen of the blood vessels, but the necessity of this has not been shown. Because of a report of successful casting without rinsing and light microscopic evidence of edema with complete rinsing prior to casting, this preparation procedure was examined. Casts of lung vasculature that were thoroughly rinsed were compared to those that were not. Of the six rats that were not lavaged, only one gave a completely filled cast, but of the six animals that were well rinsed, only one did not fill. Except for the filling and mild periarterial edema, no significant difference in cast quality or features was detected. Rinsing improves the frequency of obtaining completely filled casts. The edema does not greatly interfere with the capillary image and its location gives insight into this process in the lung.

Animals↗

Conservative indirect restorations for posterior teeth. Cast versus bonded ceramic.

The practitioner today has a number of alternative restorative modalities from which to chose when faced with the necessity of restoring posterior teeth. The primary options with extensively broken down posterior teeth are cast gold and bonded ceramic inlays, onlays, and partial veneer restorations. The dentist and informed patient should make the choice of which modality is appropriate based on a number of criteria. Certainly, based on the criteria of basic physical properties, potential for marginal integrity and stability of that integrity, cast gold is the material of choice. In terms of conservation of tooth structure and systemic biocompatibility, both restoration types are excellent. With regard to effects on long-term pulpal health, much remains unknown with many of the materials used with bonded restorations at the present time. Conservative cast gold restorations have proved to be very successful in this regard over the long term. The potential for tooth strengthening with bonded restorations is certainly an exciting, but as yet, unproven, clinical reality. Thus, until those clinical data are available, the most predictable means of restoration of extensively broken down posterior teeth is with partial-coverage cast gold, protecting cusps at risk as required (Fig. 9). As mentioned previously, cast gold inlays are also a very conservative and predictable restoration (Fig. 10). Both cast gold and bonded ceramic restorations are technically demanding, but the details required to produce excellent gold castings are well defined, and can be learned readily. Much remains to be learned regarding the materials and the techniques used to fabricate bonded ceramic restorations. Priority issues would seem to be reaching a consensus regarding the details of tooth preparation and the development of improved luting resins with improved wear resistance. Simplified techniques to improve the quality of the fit of these types of restoration also are of paramount importance. The requirement for an esthetic, or, more properly, use of a tooth-colored restoration in a posterior tooth, should be evaluated carefully for each individual restoration. Often it is possible to restore a tooth with cast gold with minimal or no display of metal. The patient will then receive the long-term benefit of cast gold and not compromise on esthetics. It is our obligation as diagnosticians to educate our patients so that they are in a position to choose, when indicated, this most cost effective of restorative options.

Bicuspid↗

mtDNA variation in caste populations of Andhra Pradesh, India.

Various anthropological analyses have documented extensive regional variation among populations on the subcontinent of India using morphological, protein, blood group, and nuclear DNA polymorphisms. These patterns are the product of complex population structure (genetic drift, gene flow) and a population history noted for numerous branching events. As a result, the interpretation of relationships among caste populations of South India and between Indians and continental populations remains controversial. The Hindu caste system is a general model of genetic differentiation among endogamous populations stratified by social forces (e.g., religion and occupation). The mitochondrial DNA (mtDNA) molecule has unique properties that facilitate the exploration of population structure. We analyzed 36 Hindu men born in Andhra Pradesh who were unrelated matrilineally through at least 3 generations and who represent 4 caste populations: Brahmin (9), Yadava (10), Kapu (7), and Relli (10). Individuals from Africa (36), Asia (36), and Europe (36) were sampled for comparison. A 200-base-pair segment of hypervariable segment 2 (HVS2) of the mtDNA control region was sequenced in all individuals. In the Indian castes 25 distinct haplotypes are identified. Aside from the Cambridge reference sequence, only two haplotypes are shared between caste populations. Middle castes form a highly supported cluster in a neighbor-joining network. Mean nucleotide diversity within each caste is 0.015, 0.012, 0.011, and 0.012 for the Brahmin, Yadava, Kapu, and Relli, respectively. mtDNA variation is highly structured between castes (GST = 0.17; p < 0.002). The effects of social structure on mtDNA variation are much greater than those on variation measured by traditional markers. Explanations for this discordance include (1) the higher resolving power of mtDNA, (2) sex-dependent gene flow, (3) differences in male and female effective population sizes, and (4) elements of the kinship structure. Thirty distinct haplotypes are found in Africans, 17 in Asians, and 13 in Europeans. Mean nucleotide diversity is 0.019, 0.014, 0.009, and 0.007 for Africans, Indians, Asians, and Europeans, respectively. These populations are highly structured geographically (GST = 0.15; p < 0.001). The caste populations of Andhra Pradesh cluster more often with Africans than with Asians or Europeans. This is suggestive of admixture with African populations.

Base Sequence↗

[Children of Alcoholics Screening Test (CAST) and influence of parent's drinking on their children].

The Children of Alcoholics Screening Test (CAST) is a 30-item screening instrument developed to identify children who are either living with or have lived with alcoholic parents. The Japanese edition of CAST and a questionnaire on parent's drinking were administered; 572 samples of high school students and 44 samples of advanced nursing school students were obtained. The following observations were made. 1) The CAST exhibited a high level of reliability (Cronbach's alpha coefficient of internal consistency reliability = .92, reliability coefficient theta computed on principle component analysis = .92, test-retest reliability coefficient p = .96). 2) All of the 30 questions of CAST elicited affirmative responses of varying degrees, and none of the questions were found to be incongruous. 3) Factor analysis was performed to detect the potential structure model of the CAST 30 items. It revealed that the CAST is composed of and able to check, in order of relative weight, the cognitive > emotional > behavioral experiences. 4) 17.7% of the total CAST sample scored six and over, which is the score that serves as the cutoff point to identify the children of alcoholics. 5) The average CAST score of female students was found to be significantly greater than that of male students (p = 0.008). On each of the 30 items, female students had a higher rate of answering affirmatively than male students, and on 13 items (item number 2, 3, 4, 8, 9, 10, 12, 16, 19, 20, 22, 23, 28) were found to differ significantly. 6) The CAST score of the sample was found to be significantly related to the frequency of the father's drinking, and compared to male students, female students were more sensitive to and affected more seriously by their father's drinking.

Adolescent↗

Button versus buttonless castings for removable partial denture frameworks.

Casting removable partial dentures (RPDs) without completely filling the sprue channels and generating casting buttons would result in saving metal and making more defect-free castings. This investigation tested whether a complete and sound RPD casting can be obtained when a minimal amount of metal is used. A factorial experimental design, three spruing methods, two metal feeding directions, and two different weights of metal were used to cast 60 Kennedy class II, modification 1 RPDs. The metal used to cast each framework was either enough to result in a full button or in no button. Visual and radiographic examinations and counting of defects were made by two independent operators who were unaware of the spruing method, feeding direction, or amount of metal used to make the framework. The completeness of the casting and the presence of porosities were evaluated for clasps, major connectors, and meshworks. The use of minimal metal to cast RPDs was equally as successful as using enough for a full button, provided that the appropriate spruing arrangement and metal feeding direction were chosen. Indirect metal feeding for maxillary RPDs was successful with the proper spruing arrangement.

Chromium Alloys↗

Influence of investment type and sprue number on the casting accuracy of titanium crown margins.

STATEMENT OF PROBLEM: Titanium offers biocompatibility and adequate mechanical properties for fabricating dental prostheses; however, casting difficulties can compromise the accuracy of titanium crown margins. PURPOSE: The aim of this study was to evaluate the influence of investment type and number of sprues on accuracy of crown castings made with commercially pure titanium. MATERIAL AND METHODS: The casting accuracy was evaluated indirectly by determining the deficiency of titanium crown margins cast using the lost-wax technique. Crown margins were recorded in a silicone impression material. The degree of marginal rounding was measured and margin deficiencies were calculated. Seventy-five acrylic resin crown patterns with wax margins were prepared on a stainless steel stylized crown die having a 30-degree beveled finish line. Fifteen patterns were selected for the control group, and the degree of wax margin rounding was determined (group W, control). The remaining 60 were divided into 4 groups of 15 each, and cast using 2 different titanium investments: a monoammonium dihydrogenphosphate-bonded investment (Rematitan Plus; groups PI and PII), and a magnesium oxide-bonded investment (Rematitan Ultra; groups UI and UII). Each pattern was cast with either 1 (groups PI and UI) or 2 (groups PII and UII) sprues. Margin configurations for both wax pattern and cast specimens were measured and recorded with the same method, using silicone impressions of the margins. After polymerization, the silicone material was sectioned precisely in 8 locations through the margin area so that cross-sections of the margins could be observed. Marginal deficiency was determined using microscopic measurements from the silicone patterns and calculations. Data were subjected to 2-way analysis of variance (alpha=.05). RESULTS: Specimens from group W presented a mean marginal deficiency of 19 +/- 6 microm. The analysis of variance indicated a significant difference for the main factors, investment (P<.01) (P=91 +/- 28 microm and U=78 +/- 17 microm) and sprue number (P<.001) (I=97 +/- 23 microm and II=72 +/- 16 microm), as well as for interaction (P<.05) (PI=109 +/- 25 microm; PII=73 +/- 17 microm; UI=85 +/- 15 microm; and UII=71 +/- 16 microm). CONCLUSION: Within the limitations of this study, investment U provided better casting accuracy than investment P. Two sprues provided more accurate results than 1 sprue; however, this effect was more notable for investment P, as it produced similar results between groups PII and UII.

Analysis of Variance↗

Marginal fit and surface roughness of crowns made with an accelerated casting technique.

STATEMENT OF PROBLEM: Conventional investing and casting techniques following the manufactures' recommendations are time-consuming. Accelerated casting techniques have been reported, but their accuracy has not been adequately studied for complete crown castings. PURPOSE: This study evaluated the marginal fit and surface roughness of complete crowns made with a conventional and an accelerated casting technique. MATERIALS AND METHODS: Part I of the study determined the mean time interval required for each investment to reach its maximum exothermic setting reaction temperature. Part II determined the marginal discrepancy of standardized complete crowns cast in a high noble metal ceramic alloy, with the use of four phosphate-bonded investments. A conventional technique (as recommended by the manufacturer) was compared with an accelerated technique that used 13- to 17-minute bench set time (as determined in part 1 for each investment)_ and 15-minute wax elimination cycle in a 815 degrees C (1500 degrees F) preheated furnace. Part III evaluated the surface roughness of castings made with the same techniques as in part II. RESULTS: For the marginal discrepancy and surface roughness, crowns fabricated with the accelerated casting technique were not significantly (P > 0.05) different from those fabricated with the conventional technique. CONCLUSION: The accelerated casting technique described in this study could be a vital alternative to the time-consuming conventional techniques.

Crowns↗