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Biomedical subjects

B H Gettleman

Publications and source records attributed to B H Gettleman.

6 recordsLinked to original sources

In vivo evaluation of root canal sealer distribution.

The effectiveness of sealer placement and its distribution in the prepared root canal system by an energized ultrasonic file was evaluated in vivo. One hundred patients had sealer placed into prepared root canals with either the master gutta-percha cone or an ultrasonic file. Before placement of sealer with the file, canals were irrigated, debrided, and flushed with water for 10 s and an energized #20 ultrasonic file at 1.0 mm from the working length. Canals were obturated with gutta-percha using lateral condensation, and evaluations were based on the presence or absence of sealer-filled accessory canals. Chi-square analysis showed that a statistically significant difference existed in the number of radiographically visible accessory canals filled when the ultrasonic file was used to place the sealer.

Chi-Square Distribution↗

Removal of canal obstructions with the Endo Extractor.

This report describes a series of clinical cases demonstrating the use of the Endo Extractor to remove canal obstructions. Each of the obstructions was removed with the new technique after conventional methods had failed. Preoperative, working, and postoperative radiographs are shown.

Adult↗

Adhesion of sealer cements to dentin with and without the smear layer.

The influence of a smear layer on the adhesion of sealer cements to dentin was assessed in recently extracted human anterior teeth. A total of 120 samples was tested, 40 per sealer; 20 each with and without the smear layer. The teeth were split longitudinally, and the internal surfaces were ground flat. One-half of each tooth was left with the smear layer intact, while the other half had the smear removed by washing for 3 min with 17% EDTA followed by 5.25% NaOCl. Evidence of the ability to remove the smear layer was verified by scanning electron microscopy. Using a specially designed jig, the sealer was placed into a 4-mm wide x 4-mm deep well which was then set onto the tooth at a 90-degree angle and allowed to set for 7 days in 100% humidity at 37 degrees C. This set-up was then placed into a mounting jig which was designed for the Instron Universal Testing Machine so that only a tensile load was applied without shearing or applying preloading forces. The set-up was subjected to a tensile load at a crosshead speed of 1 mm per min. The results show significant differences (p less than 0.001) among AH26, Sultan, and Sealapex, with AH26 being the strongest and Sealapex being the weakest. The only significant difference with regard to the presence or absence of the smear layer was found with AH26, which had a stronger bond when the smear layer was removed.

Adhesiveness↗

[Adhesion of sealer cements to dentin with and without smear layer].

The influence of a smear layer on the adhesion of sealer cements to dentin was assessed in recently extracted human anterior teeth. A total of 120 samples was tested, 40 per sealer; 20 each with and without the smear layer. The teeth were split longitudinally, and the internal surfaces were ground flat. One-half of each tooth was left with the smear layer intact, while the other half had the smear removed by washing for 3 min with 17% EDTA followed by 5.25% NaOCI. Evidence of the ability to remove the smear layer was verified by scanning electron microscopy. Using a specially designed jig, the sealer was placed into a 4-mm wide x 4 mm deep well which was then set onto the tooth.

Adhesiveness↗