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Comparative evaluation of four trityl-type amidomethyl polystyrene resins in Fmoc solid phase peptide synthesis.

Four trityl-type (i.e. non-substituted trityl-, o-Cl-trityl-, o-F-trityl- and p-CN-trityl-) amidomethyl polystyrene resins were evaluated comparatively, in terms of the stability of the trityl-ester bond in slightly acidic dichloromethane solutions, and the p-CN-trityl-amidomethyl polystyrene resin was found to be the most stable of them. The above resins were applied, in parallel with Wang benzyl-type resin, well known for its stability in mild acidic conditions, to the Fmoc solid phase synthesis of the 43-amino acid residue long bioactive peptide thymosin beta-4. Independent of their differences in acid sensitivity, the resins seemed to function equally well under the conditions used, since pure thymosin beta-4 was obtained with a final yield of approximately 30% from each resin. The trityl-type amidomethyl polystyrene resins were also applied, in parallel with the Wang resin, to the Fmoc solid phase synthesis of a bioactive peptide containing proline at its C-terminus, i.e. the N-terminal tetrapeptide of thymosin beta-4, AcSDKP. In this case, the best yield (87%) was obtained with the o-Cl-trityl-amidomethyl polystyrene resin, which may be the resin of choice, of those studied, for the Fmoc solid phase peptide synthesis.

Molecular Structure↗

Effect of three laxatives and a cation exchange resin on fecal sodium and potassium excretion.

BACKGROUND/AIMS: The treatment of hyperkalemia in patients with renal insufficiency often includes the ingestion of sorbitol and a cation exchange resin. Sorbitol alone may be used to remove sodium and water from overloaded patients. The efficacy of these regimens has never been compared with other laxative or laxative-resin combinations. The aim of the study was to compare the relative effect of three laxatives with different mechanisms of action, alone and in combination with resin, on fecal sodium and potassium excretion. METHODS: Sodium, potassium, and water excretion in 12-hour stool collections were analyzed after various laxative-resin combinations in normal subjects. RESULTS: Correctol (yellow phenolphthalein) (Schering Plough Health Care Products, Memphis, TN) was more effective than sorbitol or sodium sulfate in causing fecal sodium and potassium loss. Resin recovery in stool was much greater with phenolphthalein than with other laxatives, and more potassium was excreted in stool with phenolphthalein-resin than with phenolphthalein alone or other laxative-resin combinations. Sorbitol caused more undesirable gastrointestinal symptoms than did sodium sulfate or phenolphthalein. CONCLUSIONS: In normal people, phenolphthalein (1) is preferable to other laxatives in causing fecal sodium and potassium excretion, (2) hastens resin transit through the intestine compared with other laxatives, and (3) produces greater fecal potassium excretion when combined with resin than phenolphthalein alone or other laxative-resin combinations.

Cathartics↗

Effects of laboratory disinfecting agents on color stability of denture acrylic resins.

This study determined the effects of chemical disinfecting agents on denture acrylic resins. Tested resins included the products CH Lucitone, Triad VLC, and Truliner. The disinfecting agents were sodium hypochlorite, Exspor, Cidex, and Wescodyne-D. Acrylic resin samples were placed in the various disinfecting agents and then evaluated for color changes at time intervals ranging from 15 minutes to 72 hours. No observable color change of any acrylic resin was seen before 2 hours. Both 1% sodium hypochlorite and 2% Cidex disinfectants produced the least discoloration of the acrylic resins, and Wescodyne-D disinfectant produced the most acrylic resin discoloration. Truliner resin discolored more than Triad VLC resin, and both underwent more color change than CH Lucitone resin. If manufacturers' recommended disinfecting times are followed, clinical and laboratory disinfection of acrylic resin dentures should cause no observable color change.

Acrylic Resins↗

Involvement of oxidative stress in mutagenicity and apoptosis caused by dental resin monomers in cell cultures.

OBJECTIVE: This investigation studied the possibility that apoptosis as well as mutagenicity induced by resin monomers are mediated by oxidative stress. METHODS: A range of dilutions of three resin monomers (GMA, TEGDMA, and HEMA) was added to culture medium (DMEM/10% FBS), of V79-4 fibroblasts and RPC-C2A pulp cells for 24 h. Their cytotoxic effects were measured by a colorimetric functional assay (MTT). Chromosomal aberration induced by the resin monomers was investigated by counting micronuclei in V79-4 cells. The effects of the resin monomers on DNA fragmentation were viewed by agarose gel electrophoresis of DNA, isolated from RPC-C2A pulp cells that were treated by resin compounds. Resin monomer-induced apoptosis was further confirmed by flow cytometry (staining with both annexin V-FITC and PI). RESULTS: All monomers exhibited a dose-dependent cytotoxic effect, and the ranking of the cytotoxicity based on TC50 was GMA > TEGDMA > HEMA. The resin monomer-induced cytotoxicity was significantly decreased by co-treatment with N-acetylcystein (NAC), an antioxidant. The authors also confirmed a dose-dependent genotoxicity of the resin monomers that had induced micronucleated cells in V79-4 fibroblasts. Similar to the effects on cytotoxicity, NAC reduced the numbers of micronuclei in comparison with those generated by the resin monomers. The preventive effects of NAC were also observed in monomer-induced apoptosis in RPC-C2A cells. A DNA ladder pattern, characteristic of apoptosis, was shown at cytotoxic concentrations, but NAC blocked the resin monomer-mediated DNA fragmentation. The preventive effects of NAC on apoptosis were confirmed by Annexin V staining. Cells exposed to 300 microM GMA, 7 mM TEGDMA, or 14 mM HEMA for 24 h showed a significant increase in apoptotic cells, while NAC co-treatment caused a reduction in apoptotic cells compared to controls. SIGNIFICANCE: These findings suggest that glutathione depletion and oxidative stress are responsible for GMA, TEGDMA, and HEMA-induced mutagenicity and apoptosis.

Animals↗

Metameric effect between dental porcelain and porcelain repairing resin composite.

OBJECTIVES: The objectives were to evaluate the metameric color and hue angle (degrees) changes between dental porcelain and porcelain repairing resin composites. METHODS: Color of three shades (A2, A3, A3.5) of one brand of dental porcelain and three original shades (A2, A3, A3.5) and three combinations (A2-A3, A3-3.5, A2-A3.5) of three brands of porcelain repairing resin composites (ABT, FSP, TCR) were measured relative to the three standard illuminants (D65, A and F2). Specimen was 2mm in thickness, and 1mm of each shade was layered to make combined shades. Color differences (DeltaEab*) between each shade of dental porcelain and repairing resin composites relative to the three illuminants were calculated, and the ratios of color difference (modified metamerism index) by the change of illuminant were calculated. The ratios of hue angle changes were also compared. RESULTS: Differences in modified metamerism index and the ratio of hue angle changes were influenced by the porcelain shade, brand of resin composites and shade of resin composites. In all three brands of resin composites, A3.5 shade showed the smallest values in modified metamerism index regardless of the shade of porcelain. The average ratio of hue angle changes between each porcelain shade and all the shades of each resin composites showed similar trend when illuminant was changed from D65 to F2. SIGNIFICANCE: Metameric effect between dental porcelain and repairing resin composites varied depending on the shade of porcelain, brand of resin composite and the illuminant. Therefore, shade matching between porcelain and repairing resin composite should be performed carefully. This study confirmed that shades should be matched under the light corresponding to that of use.

Analysis of Variance↗

Chromate (CrO(4)(2-)) and copper (Cu2+) adsorption by dual-functional ion exchange resins made from agricultural by-products.

Ion exchange resins commonly have a single functionality for either cations or anions. Resins that have a dual functionality for both cations and anions are uncommon. The objective of this study was to create dual-functional ion exchange resins derived from soybean hulls, sugarcane bagasse and corn stover. Dual-functional resins were prepared by two separate two-step processes. In the first two-step process, by-products were reacted with a solution of citric acid in order to impart additional negative charge, and then reacted with the cross-linking reagent dimethyloldihydroxyethylene urea (DMDHEU) and a quaternary amine (choline chloride) to add positive charge to the lignocellulosic material. In the second two-step process, the order of reaction was reversed, with positive charge added first, followed by the addition of negative charge. These combined reactions added both cationic and anionic character to the by-products as evidenced by the increased removal from solution of copper (Cu(2+)) cation and the chromate (CrO(4)(2-)) anion compared to unmodified by-products. The order of reaction appeared to slightly favor the functionality that was added last. That is, if negative charge was added last, the resulting resin sequestered more copper ion than a comparable resin where the negative charge was added first and vice-versa. Cu(2+) and CrO(4)(2-) were used as marker ions in a solution that contained both competing cations and anions. The dual-functional resins adsorbed as much as or more of the marker ions compared to commercial cation or anion exchange resins used for comparison. None of the commercial resins exhibited dual-functional properties to the same extent as the by-product-based resins.

Adsorption↗

Retention of metal ceramic crowns cemented with resin cements: effects of preparation taper and height.

This study investigated the effect of varying crown preparation taper and height on the retention of metal ceramic crowns cemented with resin cements. In part 1, 32 extracted molars were divided into four groups. All groups received complete-veneer crown preparations, two with a 12-degree wall angle and two with a 35-degree wall angle. Crowns were cemented with zinc phosphate and dentin-bonded resin cements. After 24 hour water storage at 37 degrees C, the crowns were separated in tension. Crowns cemented with zinc phosphate were cleaned and recemented with another dentin-bonded resin cement and after similar storage, the crowns were separated. Mean separation forces of resin-cemented crowns were higher than those of crowns cemented with zinc phosphate cement. Mean separation force of 35-degree crowns cemented with one dentin-bonded resin cement was found to be significantly higher than for the 12-degree crowns cemented with zinc phosphate cement. In part II, 32 extracted molars were divided into two groups of complete-veneer crown preparations (group I preparations were 3 mm high and group II were 5 mm high). Crowns for all teeth were cast and cemented with zinc phosphate. After 48 hours' water storage at 37 degrees C, the crowns were separated in tension. Crowns and teeth were then cleaned and each group was subdivided into 2 equal subgroups. In one subgroup of teeth with 3 mm and in one with 5 mm high preparations, the crowns were recemented with one of the two resin cement systems and the other two subgroups were recemented with the other resin cement. After 48-hour water storage, the crowns were separated. Mean separation forces of the resin-cemented crowns were greater than those of crowns cemented with zinc phosphate. Also, mean separation force of 3 mm crowns cemented with one resin cement was significantly greater than the 5 mm crowns cemented with zinc phosphate. Cohesive dentin fracture on separation was observed with some resin-cemented crowns but never with crowns cemented with zinc phosphate.

Analysis of Variance↗

Clinical performance of resin-bonded fixed partial dentures and extracoronal attachments for removable prostheses.

STATEMENT OF PROBLEM: It is important to evaluate the long-term clinical performance of resin-bonded fixed partial dentures and extracoronal attachments for removable prostheses. PURPOSE: A prospective, long-term clinical study was conducted to evaluate the success of resin-bonded fixed partial dentures since 1985 and of resin-bonded extracoronal attachments from 1987. METHODS: Until 1993, a total of 130 resin-bonded fixed partial dentures had been seated in 101 patients, as well as 12 removable partial dentures (RPDs) with 24 extracoronal retainers in 10 patients. The clinical treatment protocol and the laboratory procedures were standardized. By the end of 1993, it was possible to reexamine 98 patients with a total of 127 resin-bonded fixed partial dentures and all 10 patients with removable partial dentures. The average time in function for the resin-bonded fixed partial dentures at the time of examination was 3.4 years and 2.3 years for the removable restorations. RESULTS: During the period of observation, one retainer failed on six of the resin-bonded fixed partial dentures, which represents a failure rate of 4.7%. Debonding of extracoronal attachments was recorded for 8.3% of the total number of retainers. CONCLUSION: The resin-bonded fixed partial denture technique can be considered to be a clinically reliable method of treatment, and permits the expansion of indications beyond a classical three-unit resin-bonded fixed partial denture. Long-term clinical success of removable partial dentures with resin-bonded extracoronal retainers warrants additional clinical studies.

Adolescent↗

Phosphate ion exchange resin used in the liquid preservation of baboon red cells.

Baboon whole blood, collected in 14 percent citrate-phosphate-dextrose anticoagulant solution in plastic bags was stored in 100-ml aliquots at 4 degrees C for 28 days in the presence or absence of 0.75 grams of phosphate anion exchange resin. In vitro and in vivo measurements after autologous transfusions were made to determine whether the phosphate anion exchange resin had any beneficial effect on the blood during storage. The in vitro measurements of red cell 2,3-diphosphoglycerate and P50 were higher throughout the 28 days of storage at 4 degrees C in the blood stored in the phosphate anion exchange resin. After autologous transfusions in six baboons of red cells prepared from whole blood stored at 4 degrees C for 21 days, the 24-hour posttransfusion survival values were 86 +/- 6 percent (mean +/- SD) in the presence of resin and 83 +/- 6 percent in the absence of resin. In five other baboons, red cells prepared from 28-day-old blood showed a mean 24-hour posttransfusion survival of 82 +/- 4 percent in the presence of resin and 75 +/- 4 percent in the absence of resin. The addition of a phosphate anion exchange resin to the citrate-phosphate-dextrose anticoagulant provided better maintenance of red cell 2,3-diphosphoglycerate concentrations and P50 levels during storage of whole blood at 4 degrees C, and red cells prepared from whole blood stored in this solution had better oxygen transport function than red cells prepared from blood stored without resin. Red cell adenosine triphosphate concentrations and 24-hour posttransfusion survival values were similar whether or not the anticoagulant contained resin.

Animals↗

Effect of water temperature during polymerization on strength of autopolymerizing resin.

STATEMENT OF PROBLEM: Breakage is a potential problem of provisional resin restorations. A method that effectively increases the strength of the resin is desirable. PURPOSE: This study examined the effects of the curing environment, air or water, and water temperature during polymerization on the mechanical properties of autopolymerizing resin. MATERIAL AND METHODS: After mixing the autopolymerizing methyl methacrylate resin for 10 seconds, it was placed in a stainless steel mold (2 x 2 x 25 mm). One minute and 50 seconds after the start of mixing, the mold containing the resin was placed under the following conditions: in air at 23 degrees C; or in water at 10 degrees C, 23 degrees C, 30 degrees C, 40 degrees C, 60 degrees C, and 80 degrees C. Six minutes after mixing began, the resin specimen was removed from the mold and the transverse test (3-point flexural test) was performed. RESULTS: Alteration of conditions during polymerization revealed a significant effect on both the transverse strength and modulus of the resin (P <.0001). Both increased with an increase in water temperature. Water conditions of 60 degrees C to 80 degrees C produced more than 2 times greater transverse strength and modulus of the resin compared with polymerization in 23 degrees C air (P <.0001). CONCLUSION: Polymerization of the resin in hot water greatly increased its mechanical properties. The method of placing resin restorations in hot water during polymerization may be useful for improving mechanical requirements and obtaining long-lasting performance.

Acrylic Resins↗

Tensile bond strength of acrylic resin denture teeth to a microwave- or heat-processed denture base.

STATEMENT OF PROBLEM: Fracture of acrylic resin prosthetic teeth from acrylic resin denture bases can be a problem for some patients. The optimal combination of acrylic resin denture tooth, denture base material, and processing method is not known. Purpose. The objective of this study was to compare the tensile bond strengths of heat- and microwave-polymerized acrylic resins among 4 types of acrylic resin denture teeth. MATERIAL AND METHODS: Heat-polymerized (Lucitone 199) and microwave-polymerized (Acron MC) acrylic resins were used. Four types of acrylic resin denture teeth (IPN, SLM, Vitapan, and SR-Orthotyp-PE) were milled to a fixed diameter according to ADA specification no. 15. Ten specimens of each tooth type were processed to each of the denture base materials according to the manufacturers' instructions. Ten additional resin control specimens without teeth also were fabricated. Specimens were thermocycled and tested for strength until fracture with a custom alignment device. Data were analyzed with analysis of variance and Duncan's multiple range test. A scanning electron microscope was used to identify adhesive and cohesive failures within debonded specimens. RESULTS: The mean force required to fracture the specimens ranged from 5.3 +/- 3.01 to 21.6 +/- 5.2 MPa for the microwave-polymerized base and 11.2 +/- 3.0 to 39.1 +/- 5.1 MPa for the heat-polymerized base. The most common failure was cohesive within the denture tooth. With each base material, Orthotyp and IPN teeth exhibited the highest bond strengths; SLM and Orthotyp bond strengths were similar. In general, heat-polymerized groups failed cohesively within the denture base resin or the tooth, and microwave-polymerized groups failed adhesively at either the ridge lap or occlusal surface of the denture tooth. CONCLUSION: Within the limitations of this study, the results suggest that the type of denture base material and denture tooth selected for use may influence the tensile bond strength of the tooth to the base. Selection of more compatible combinations of base and resin teeth may reduce the number of prosthesis fractures and resultant repairs.

Acrylic Resins↗

Dimensional stability and dehydration of a thermoplastic polycarbonate-based and two PMMA-based denture resins.

This study compared the dimensional stability and dehydration of a thermoplastic polycarbonate denture base resin with two conventional polymethyl methacrylate denture base resins. Maxillary complete dentures were fabricated from the three denture materials and the accuracy of fit along the posterior palatal border of the cast used in processing was measured. Measurements were conducted at five palatal locations immediately after processing and at 7 and 30 days during immersion in water (23 degrees C) and at 7 and 30 days during dehydration (23 degrees C, 65-75% relative humidity). Percentage mass loss during dehydration was determined with an electronic balance. The thermoplastic material was separately compared with each of the conventional resins using a modified Welch two-sample t-test, with a Bonferroni correction for P values. For mean palatal dimensional change, the thermoplastic resin was generally not statistically different from the conventional resins after processing and during immersion (P > or = 0.06), but was generally less than the conventional resins during dehydration (P < or = 0.02). For mean percentage mass loss, the thermoplastic resin consistently showed much smaller, statistically significant values compared with the conventional resins (P < 0.001). It was concluded that the thermoplastic resin should show dimensional changes in service comparable with the conventional resins, but less dimensional change caused by dehydration.

Acrylic Resins↗

Synthesis of the protected tridecapeptide (56-68) of the VH domain of mouse myeloma immunoglobulin M603 and its reattachment to resin supports.

A protected tridecapeptide, representing a new peptide corresponding to residues 56-68 of the VH domain in the mouse M603 myeloma protein, has been prepared by solid phase peptide synthesis. The protected tridecapeptide was prepared using the photolabile 4-bromomethyl-(3-nitro)-benzamidomethyl-resin and the multidetachable 2-[4-bromomethyl)phenylacetoxy]propionyl-resin as solid supports. The synthetic protocol and protecting groups were the same for both syntheses. The protected tridecapeptide was removed photolytically from both supports and the sequence integrity was determined by preview analysis using the solid phase Edman degradation procedure. The protected tridecapeptide-OMPA was purified to homogeneity by DMF/H2O precipitation and LH-60 chromatography. The purity of the protected peptide was further demonstrated by high pressure liquid chromatography on the free peptide after HF deprotection. The protected tridecapeptide was reattached to 4-bromomethyl-(3-nitro)-benzamidomethyl-resin to give the photolabile Boc-(protected)peptidyl-4-oxymethyl-(3-nitro)benzamidomethyl-resin in 25% yield. The protected tridecapeptide-oxymethylphenylacetic acid derivative was reattached to aminomethyl-resin to give Boc-(protected)peptidyl-2-[4-oxymethyl)phenyl]acetamidomethyl-resin in 45% yield and to 2-bromopropionyl-resin generating the multidetachable Boc-(protected)peptidyl-2-[(4-oxymethyl)phenylacetoxy] propionyl-resin in 80% yield. The reactivity of these reattached peptides was demonstrated by the quantitative coupling of Boc-leucine to the protected peptide-resin. The advantages and disadvantages of the different resins with respect to solid phase fragment synthesis are discussed.

Amino Acid Sequence↗

An evaluation of microwave-polymerized resin bases for removable partial dentures.

PURPOSE: The hardness, porosity, and adaptation of removable partial dentures fabricated with one heat-polymerized denture base resin and two resins designed for microwave polymerization were evaluated. MATERIALS AND METHODS: Five prostheses were evaluated for each resin. Adaptation of the denture bases to the master cast was evaluated by spatial orientation and mean weight of residual impression material. The prostheses were than embedded in epoxy resin and sectioned for evaluation of resin hardness (Knoop hardness) and microporosity. RESULTS: There were no significant differences in the adaptation of the acrylic resin bases for Acron MC and Ch Lucitone. There was no significant difference in the mean Knoop hardness values for any of the resin bases near and away from the metal. None of the denture bases showed porosity greater than 100 microns. CONCLUSIONS: Both resin bases formulated for microwave polymerization were effectively polymerized around metal frameworks without adverse effects on resin hardness or porosity. Justi Denture Base material had poorer base adaptation than the other two resins.

Acrylic Resins↗

Identification through X-ray fluorescence analysis of dental restorative resin materials: a comprehensive study of noncremated, cremated, and processed-cremated individuals.

Tooth-colored restorative materials are increasingly being placed in the practice of modern dentistry, replacing traditional materials such as amalgam. Many restorative resins have distinct elemental compositions that allow identification of brand. Not only are resins classifiable by elemental content, but they also survive extreme conditions such as cremation. This is of significance to the forensic odontologist because resin uniqueness adds another level of certainty in victim identification, especially when traditional means are exhausted. In this three-part study, unique combinations of resins were placed in six human cadavers (total 70 restorations). Simulated ante-mortem dental records were created. In a blind experiment, a portable X-ray fluorescence (XRF) unit was used to locate and identify the resin brands placed in the dentition. The technique was successful in location and brand identification of 53 of the restorations, which was sufficient to enable positive victim identification among the study group. This part of the experiment demonstrated the utility of portable XRF in detection and analysis of restorative materials for victim identification in field or morgue settings. Identification of individuals after cremation is a more difficult task, as the dentition is altered by shrinkage and fragmentation, and may not be comparable with a dental chart. Identification of processed cremains is a much greater challenge, as comminution obliterates all structural relationships. Under both circumstances, it is the nonbiological artifacts that aid in identification. Restorative resin fillings can survive these conditions, and can still be named by brand utilizing elemental analysis. In a continuation of the study, the cadavers were cremated in a cremation retort under standard mortuary conditions. XRF was again used to analyze retrieved resins and to identify the individuals based on restorative materials known to exist from dental records. The cremains were then processed and the analysis was repeated to determine whether restorative resins could be found under this extreme condition. Under both circumstances, sufficient surviving resin material was found to distinguish positively each individual in the study group. This study showed the utility of XRF as an analytical tool for forensic odontology and also the significance of the role of restorative resins in victim identification, even after cremation.

Bone and Bones↗

Depth of cure and microleakage with high-intensity and ramped resin-based composite curing lights.

BACKGROUND: The authors conducted a study to determine whether high-intensity curing lights in high and ramped intensity modes affect microleakage of resin-based composite restorations and whether different types of resin-based composites meet American National Standards Institute/American Dental Association Specification no. 27 (1993): 7.7 for depth of cure when polymerized using these lights. METHODS: The authors compared five high-intensity lights, three plasma arc lights and two quartz-tungsten-halogen lights in their regular and ramped intensity modes with a quartz-tungsten-halogen 40-second light. The parameters tested were microleakage one month after bonding and curing depth for different resin-based composite types. The authors measured curing depth using a scratch test. RESULTS: Light curing with Optilux 501 (Kerr/Demetron, Orange, Calif.) for 10 seconds and ADT Power PAC (American Dental Technologies, Corpus Christi, Texas) for 10 seconds resulted in higher microleakage values than light curing with other lights (P < .05). The microhybrid resin-based composite was the only material that met the specification when light cured with all of the lights tested. The flowable resin-based composite did not meet the specification when light cured with all lights tested. Microhybrid resin-based composite had the greatest depth of cure, and flowable resin-based composite had the least depth of cure. CONCLUSIONS: Microhybrid resin-based composite microleakage is affected by some light-curing modes. Different categories of resin-based composites are cured to different depths using high-intensity lights. CLINICAL IMPLICATIONS: Light curing with some high-intensity lights compared with halogen lights may result in higher microleakage values. Use caution when light curing flowable resin-based composite with the high-intensity lights. Place increments less than 2 millimeters in depth when using this material.

Analysis of Variance↗

Influence of activation modes on diametral tensile strength of dual-curing resin cements.

In metallic restorations, the polymerization of dual-curing resin cements depends exclusively on chemical activation. The effect of the lack of photoactivation on the strength of these cements has been rarely studied. This study evaluated the influence of activation modes on the diametral tensile strength (DTS) of dual-curing resin cements. Base and catalyst pastes of Panavia F, Variolink II, Scotchbond Resin Cement, Rely X and Enforce were mixed and inserted into cylindrical metal moulds (4 x 2 mm). Cements were either: 1) not exposed to light (chemical activation = self-cured groups) or 2) photoactivated through mylar strips (chemical and photo-activation = dual-cured groups) (n = 10). After a 24 h storage in 37 masculineC distilled water, specimens were subjected to compressive load in a testing machine. A self-curing resin cement (Cement-It) and a zinc phosphate cement served as controls. Comparative analyses were performed: 1) between the activation modes for each dual-curing resin cement, using Students t test; 2) among the self-cured groups of the dual-curing resin cements and the control groups, using one-way ANOVA and Tukeys test (alpha = 0.05). The dual-cured groups of Scotchbond Resin Cement (53.3 MPa), Variolink II (48.4 MPa) and Rely X (51.6 MPa) showed higher DTS than that of self-cured groups (44.6, 40.4 and 44.5 MPa respectively) (p < 0.05). For Enforce (48.5 and 47.8 MPa) and Panavia F (44.0 and 43.3 MPa), no significant difference was found between the activation modes (p > 0.05). The self-cured groups of all the dual-curing resin cements presented statistically the same DTS as that of Cement-It (44.1 MPa) (p > 0.05), and higher DTS than that of zinc phosphate (4.2 MPa). Scotchbond Resin Cement, Variolink II and Rely X depended on photoactivation to achieve maximum DTS. In the absence of light, all the dual-curing resin cements presented higher DTS than that of zinc phosphate and statistically the same as that of Cement-It (p > 0.05).

Analysis of Variance↗

Effect of single dose resin-cathartic therapy on serum potassium concentration in patients with end-stage renal disease.

Hyperkalemia in patients with renal failure is frequently treated with a cation exchange resin (sodium polystyrene sulfonate, hereafter referred to as resin) in combination with a cathartic, but the effect of such therapy on serum potassium concentration has not been established. This study evaluates the effect of four single-dose resin-cathartic regimens and placebo on 5 different test days in six patients with chronic renal failure. Dietary intake was controlled. Fecal potassium output and serum potassium concentration were measured for 12 h. Phenolphthalein alone caused an average fecal potassium output of 54 mEq. The addition of resin caused an increase in insoluble potassium output but a decrease in soluble potassium output; therefore, there was no significant effect of resin on total potassium output. Sorbitol plus resin caused less potassium output than phenolphthalein plus resin. On placebo therapy, the average serum potassium concentration increased slightly (0.4 mEq/L) during the 12-h experiment. This rise was apparently abrogated by some of the regimens that included resin; this may have been due in part to extracellular volume expansion caused by absorption of sodium released from resin. Phenolphthalein regimens were associated with a slight rise in serum potassium concentrations (similar to placebo); this may have been due to extracellular volume contraction produced by high volume and sodium-rich diarrhea and acidosis secondary to bicarbonate losses. None of the regimens reduced serum potassium concentrations, compared with baseline levels. Because single-dose resin-cathartic therapy produces no or only trivial reductions in serum potassium concentration, and because this therapy is unpleasant and occasionally is associated with serious complications, this study questions the wisdom of its use in the management of acute hyperkalemic episodes.

Analysis of Variance↗