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Analysis of edge-losses in reflectance measurements of pigmented maxillofacial elastomer.

Edge-losses occur during reflectance measurements of pigmented maxillofacial elastomer when light is scattered within a sample beyond that part of the surface exposed to the observation system of the optical device. A custom sample-holder is presented which redirects light that would not be measured during conventional reflectance measurement back into the sample. The amount of edge-loss occurring within thin layers of maxillofacial elastomer with tan pigment on black-and-white backings was found to depend on sample thickness, the backing, the beam size used during conventional reflectance measurement, and the optical term bS = (2KS + K2)1/2. Data analysis revealed a significant interaction among these four factors. Additionally, the edge-loss occurring during the tristimulus reflectance measurement of thick samples of maxillofacial elastomer with various concentrations of tan and black pigment was found to be linearly related to bS up to a limiting value, with no additional edge-loss occurring for bS values above this limiting value. Edge-loss is an important consideration during the matching of the optical characteristics of pigmented maxillofacial material to those of human skin.

Absorption↗

Evaluation of various reinforcements for maxillofacial silicone elastomers.

Various reinforcements have been evaluated according to their effect on the mechanical properties of a silicone elastomer used for the preparation of maxillofacial prosthetic compositions. Emphasis was given to silica reinforcing fillers since fibrillar reinforcements [e.g., short aramid, glass or high modulus polyethylene (UHMPE)] seemed not to improve mechanical properties. An optimal behaviour at filler concentration 35% was determined. As a measure of the crosslinking density, the swelling of specimens immersed in various solvents, at 25 degrees C, was also investigated.

Chemical Phenomena↗

Properties of maxillofacial silicone elastomers reinforced with silica powder.

Compounds of a silicone elastomer suitable for preparing maxillofacial prostheses, reinforced with various amounts of silica powder, have been studied for their mechanical response and wetting properties in terms of contact angle. Tensile strength and elongation at break showed an increase with increasing silica volume fraction up to 35%, whereas the Young modulus displayed small dependence on the silica content and the resistance to tear increased continuously with filler volume fraction (Vf). The wetting properties assessed via the contact angle, seemed to degrade with increasing silica Vf, but a dependence on the elastomer network density has also been recorded.

Elasticity↗

The dental team--PCDs. Where are we now?

Professionals Complementary to Dentistry (PCDs) have varying roles within the dental team, from chairside assisting to the actual provision of clinical treatment. These tasks are closely proscribed at present, but this may change in the future. The modernization of dentistry, the introduction of registration for PCDs, the introduction of workforce development confederations responsible for funding and commissioning training of dentists and PCDs, and a workforce review looking at the whole dental team will all impact upon the working lives of dentists and their teams. These current changes represent an opportunity to improve the functioning and composition of the dental team, which should not be missed.

Dental Assistants↗

A removable oral prosthetic appliance for Bell's palsy: report of case.

An intra-extraoral removable prosthetic appliance permitted the patient, a victim of Bell's palsy, to carry on daily activities with a minimum of facial distortion, pain, speech difficulty, and emotional trauma. Perhaps thousands of other victims of Bell's palsy and strokes would benefit from such a device.

Adult↗

Effect of water storage on tooth displacement in maxillary complete dentures.

The purpose of this study was to investigate the effect of water storage at 37 degrees C (1 week, 1 month and 3 months) on tooth displacement in maxillary complete dentures. Ten maxillary dentures were constructed with Clássico acrylic resin using the conventional method of packing in metallic flasks. Metallic reference pins were placed in the incisal border of the central incisors (I), labial cusp of the first premolars (PM), and mesiolabial cusp of the second molars (M). Twelve hours after final flask closure, the acrylic resin was cured in water at 74 degrees C for 9 h. The flasks were removed from the thermo-polymerizing unit after water-cooling and the dentures were deflasked, finished and stored in water at a temperature of 37 degrees C for 1 week, 1 month and 3 months. At deflasking and at the water storage intervals, the I-I (incisor to incisor), PM-PM (pre-molar to pre-molar), and M-M (molar to molar) transversal distances, and LI-LM (left incisor to left molar) and RI-RM (right incisor to right molar) anteroposterior distances were measured using an optical microscope with 0.0005 mm accuracy. Data were submitted to ANOVA and Tukey's test (5%). Comparing the evaluation periods for each individual transversal and anteroposterior reference point, no statistically significant differences were observed among deflasking and the water storage intervals for I-I, PM-PM, M-M and RI-RM distances (p>0.05). For LI-LM, however, deflasking values were statistically different from those of 1-week, 1-month and 3-month water storage intervals (p<0.05), which, in turn, did not differ statistically to each other (p>0.05). These results confirm the complexity of tooth displacement in complete dentures. From a clinical standpoint, the difference observed in LI-LM distance after water storage would not be detected by the patients during clinical use.

Dentures↗