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Pulpal and periodontal effects of electrosurgery involving cervical metallic restorations.

The pulpal and periodontal effects of electrosurgery involving teeth restored with Class V cervical amalgams and nonrestored teeth were evaluated in three cynomolgus monkeys. Electrosurgical current was delivered for 1 second with a fully rectified unit at an output intensity consistent with normal clinical usage. Experimental conditions included electrosurgery involving restored teeth, electrosurgery involving unrestored enamel, restored teeth not subjected to electrosurgery, and teeth which were neither restored nor subjected to electrosurgery. No pulpal or periodontal tissue changes were observed in the latter three groups of teeth. Electrosurgery involving cervical restorations consistently resulted in coagulation necrosis of the pulp and extensive resorption of cementum, dentin, and interradicular bone in the furcation area of multirooted teeth. The results suggest that inadvertent contact with cervical restorations during electrosurgical procedures may endanger both the pulp and the periodontal attachment apparatus.

Animals↗

Thermoforming polymethyl methacrylate.

This study characterized a range of commercially available polymethyl methacrylate sheets with respect to molecular weight, residual monomer content, and glass transition temperature and then developed a thermoforming procedure that produced visually satisfactory thermoformed polymethyl methacrylate specimens. Molecular weight values of Perspex material were considerably greater than those of the other materials. All materials but Diakon had residual monomer concentrations of less than 1% and glass transition temperature values greater than 100 degrees C. Perspex material was selected for further investigation. It was necessary to preheat Perspex sheets in an oven at 160 degrees C for at least 30 minutes before heating and forming on the thermoforming apparatus to obtain acceptable specimens.

Acrylic Resins↗

A new method of recording the elastic recovery of dental impression materials.

Assessments of the elastic recovery of elastic impression materials have so far been carried out only to a limited degree because of lack of adequate measuring instruments. A method is described which enables measurement and recording electronically of the creep properties, including the elastic recovery time and the permanent deformation, of elastic impression materials in relation to their degree of setting and to the size and time of the induced deformation. The apparatus and the experimental and mathematical methods described can easily be handled by a reasonably skillful laboratory assistant.

Dental Impression Materials↗

Electron-optical microscopic study of incipient dental microdamage from experimental seed and bone crushing.

No living analogue exists for the hypothetical early hominid hard/tough-seed, coarse-root-eating, and bone-crushing masticatory adaptation. To investigate possible microdamage/microwear to dental enamel caused by such usage, puncture-crushing experiments were carried out on single human teeth, using an Instron compression apparatus on the following six test materials: Makapansgat Limeworks chert (e.g., taphonomy), fresh steer longbone, mongongo nuts, Grewia berries, Carob beans, and wild-onion bulbs. Pairs of extracted unworn third molars were utilized, with one tooth acting as the control. The teeth were mounted, ultrasonically cleaned, and two-stage replicas made with a vinyl polysiloxane elastomer and araldite epoxy resin. After Instron loading and materials failure (1.2-395.0 kg) the test items and the crowns were prepared for comparison with scanning electron microscopy and dispersive x-ray elemental analysis and mapping. The results revealed that although grit adhering to food item surfaces caused microscratches (0.1-1.0 micron wide) similar in appearance to those caused by opal phytoliths in grasses, the dicotyledonous seed coats per se were unable to score enamel. This suggests microscratch morphology alone may not provide a reliable indication of food type. In some cases puncture-crushing of bone and hard legumes produced a localized microfracture pattern (crazing with cracks less than or equal to 0.1-1.0 micron wide) that was readily distinguishable from the simulated taphonomic damage caused by chert fragments, suggesting only analysis of enamel mistaphonomic damage caused by chart fragments, suggesting analysis of enamel microfracture patterns may provide clues as to early hominid dietary adaptations.

Bone and Bones↗

Congenital absence of the lacrimal puncta associated with alacrima and aptyalism.

A 9-year-old girl had no lacrimal puncta, tearing (alacrima), or salivation (aptyalism). The lack of salivation caused florid dental caries. The same condition was found in the proband's father and paternal grandfather. Inheritance of this previously unreported trait appears to be autosomal dominant with variable expressivity.

Abnormalities, Multiple↗

Surgical and implantation reconstruction in a patient with giant-cell central reparative granuloma.

The giant-cell central reparative granuloma, unlike other giant-cell neoplasias, is mainly found in maxillary bones, particularly in the mandible. We report a patient study of giant-cell central reparative granuloma in the mandible extending from dental elements 34 to 44. The patient underwent excision of a neoplasm and reconstruction of the mandible via an autologous bone graft of the iliac crest. To restore fully, functionally, and aesthetically the masticatory apparatus after verification of graft stability, four osseointegrated implants were fixed, and an "overdenture" prosthesis was then applied, thus finally solving the problem.

Adult↗

CPITN application in regular dental practice.

The periodontal status of 8862 dentulous and partially dentulous inhabitants of the Federal Republic of Germany was investigated in various dental practices, using the CPITN, developed by the World Health Organization. The results show that a total of only 4.3% of those examined have a healthy periodontal apparatus and thus require no periodontal treatment. At least detailed oral hygiene instruction needs to be given to 95.7% of all subjects. Furthermore, 80% patients with periodontal disease require scaling or root planing, and 10% of them require periodontal surgery. The treatment of shallow gingival pocketing (CPITN 3) is predominant in every age group, and every fifth patient aged 35 years or more is need of periodontal surgery. This high frequency rate of periodontal disease illustrates the urgent necessity in regular dental practice for each and every patient to undergo periodontal screening. Such screening, based on the time saving CPITN, is to be recommended as it ensures fast, reliable determination of the periodontal status of each individual patient and the treatment needs involved.

Age Factors↗

[The prosthetic saddle in physiognomic reconstruction of the dental-alveolar arches].

The investigation of 2087 patients with partially extended, subtotal and total edentations who presented to the Clinic of Dental Gnathoprosthetics of Iaşi made possible the assessment of the role and importance of prosthetic saddle in the physiognomic restoration in such patients. By applying the modern clinical and technical methods of designing and making the gnathoprosthetic apparatus, the physiognomy of dento-alveolar arches according to actual exigencies and observing the dento-facial harmony can be achieved.

Alveolar Process↗

Cusp fracture resistance in composite-amalgam combined restorations.

OBJECTIVE: To evaluate the in vitro resistance to fracture and microleakage in composite-amalgam combined restorations. METHODS: Seventeen Class I cavities with unsupported enamel walls prepared in extracted permanent molar teeth were treated with a bonding agent (Scotchbond MP, 3M Dental), the buccal cusps were reinforced with a composite resin (Z-100, 3M Dental) and the cavities were then restored with amalgam (Permite, Oral B). All teeth were load tested using a special fatigue-stress apparatus, immersed in a dye solution and then sectioned for examination by stereomicroscopy and scanning electron microscopy (SEM). RESULTS: Fractures in enamel supported by composite were present in 11 cases while 12 specimens included fractures in enamel supported by bonded amalgam. Microleakage was observed in 16% of the enamel-amalgam interfaces, 10% of the dentin-amalgam interfaces, 7% of the amalgam-composite interfaces, 4% of the composite-enamel interfaces and 11% of the composite-dentin interfaces. CONCLUSIONS: Bonded amalgam appears to be as effective as bonded composite in supporting undermined enamel in terms of resistance to fracture, but composite may have better marginal adaptation to enamel compared to bonded amalgam. Good marginal adaptation may be observed between amalgam and composite in composite-amalgam restorations.

Adult↗