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[Fluorescence of dental porcelain: material and methods].

Dental porcelain emits some fluorescence under the action of ultra-violet rays. This emission may be at the origin of errors in the choice of the colour of a crown. In order to study this fluorescence phenomenon, the following experimental protocol has been developed: 363.8 nm exciting radiation isolated from the emission by an Argon laser; Fluorescence emitted by the sample and dispersed via a spectrometer, protected by a stop-U.V. filter; Influx collected by a photomultiplier, then directed, after passage in a picoamperemeter, toward a mini-computer programmed to print the spectra; Correction of the spectra by a tungsten lamp used at the 2,600 K colour temperature; Use of reference spectra. On the same graph, the sample spectra are represented in solid lines, while the spectrum of the enamel used as a reference is shown as a dotted line. The results show that: Enamel has a fluorescence spectrum which has the shape of a wide band, with a maximum of 450 nm (characteristic of a blue-green shade) and a slow decrease up to 680 nm. The enamel fluorescence does not depend on the colour of the tooth; Dentine has a distribution spectrum which is similar to that of enamel but is three times fuller; The spectra of the ceramic samples reveal: a wide band due to transition metals, fine lines due to rare earth (terbium and europium). When the saturation degree of the ceramic increases, its fluorescence colour varies due to the relative increase in the amplitude of the lines in relation to the bands. Thus, when the sample colour progresses from B1 to B4, its fluorescence colour becomes greener.(ABSTRACT TRUNCATED AT 250 WORDS)

Color↗

[Preparations for anterior composites].

This paper sets forth and discusses the various preparations used in aesthetic restoration of anterior teeth with composite resins. The clinical description of contours involves treatment of class III and IV carious lesions and correction of aesthetic imperfections which justify resorting to direct techniques of cosmetic dentistry.

Composite Resins↗

[Statistical analyses of clinical observations made on outpatients visiting the Department of Oral Diagnosis, Meikai University School of Dentistry Hospital, for the past 16 years].

Statistical analyses of clinical observations made on outpatients visiting the Department of Oral Diagnosis, Meikai University School of Dentistry Hospital from June, 1970, to August 1986 were carried out. The total number of new outpatients during this period was 73,708. The results were as follows: 1) The largest number of patients was found in 1978. 2) There was a tendency for the number of new patients to increase in March, June, and August of every year. The smallest number of patients came in December. 3) The greatest number of new patients visiting the hospital was in the 0-9 age category, followed by those in the 20-29 and 30-39 age categories. 4) The greatest chief complaint of patients visiting the hospital was pain, followed by masticatory disturbance and swelling. 5) The number of outpatients coming to the hospital for cosmetic and temporomandibular joint problems has been increasing on a yearly basis over the past 16 years.

Adult↗

[Follow-up studies on 15-month-old adhesive fillings].

Clinically, 450 Adhesive Restorations have been reexamined 15 months after insertion. Several of these restorations were also evaluated by SEM. The principles of cavity preparation for adhesive fillings deviate from those postulated by G.V. Black. They aim at a micromethanical retention of the restorative material to the tooth structure. A considerable amount of sound tooth structure can be saved. The combination of cavity design with enamel conditioning and the use of a low viscosity sealant prior to the insertion of the composite (Caulk Nuva System) resulted in restorations showing no microleakage and a perfect marginal adaptation. Their retentive strength seems to be sufficient as well as the durability of their excellent marginal properties. Pulpal responses to the application of etching agents were avoided by covering the dentin with an acid resistant base. Splinting of teeth using a strictly adhesive method without cavity preparations failed in more than 50%. The high rate of composite discoloration (43%) was probably due to factors inherent in the restorative material itself.

Adhesiveness↗