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Biomedical subjects

C Gorfil

Publications and source records attributed to C Gorfil.

At least 19 recordsLinked to original sources
PubMed2005

Treatment policies among Israeli specialists in paediatric dentistry.

AIM: This was to evaluate some suggested diagnostic procedures, treatment policies and professional attitudes of specialists in paediatric dentistry, in light of the periodically published guidelines by The American Academy of Pediatric Dentistry, The European Academy of Paediatric Dentistry and The British Society of Paediatric Dentistry. METHODS: Using a structured questionnaire, 67% of the Israeli specialists in paediatric dentistry, who agreed to participate in this study, were personally interviewed. RESULTS: Only 7.5% of the participants reported that they carry out pulp capping of primary teeth in cases of pulp exposure. Over 50% reported restoring teeth after pulpotomy with preformed crowns. Most indicated sealing pit and fissures after considering depth and morphology of the fissures and correlation with the patient's risk to caries. Cleaning teeth after eruption of the first tooth was suggested by 75.5% of the participants. A striking majority (96%) claimed that they restored permanent anterior teeth with composite resins and most used these materials for occlusal restoration in both primary and permanent posterior teeth. Most specialists advocated the use of amalgam in proximal posterior restorations. The presence of a parent in the operatory/surgery was preferred by 85% of the dentists. CONCLUSIONS: Israeli specialists in paediatric dentistry mostly comply with the mentioned guidelines. Further studies of this nature should also be encouraged in other countries to emphasize the importance of monitoring compliance with established and evidence based guidelines.

Adult↗
PubMed1999

Stiffness of different designs and cross-sections of maxillary and mandibular major connectors of removable partial dentures.

STATEMENT OF PROBLEM: Major connectors of removable partial dentures must distribute forces bilaterally without damaging the supporting tissues. PURPOSE: This study investigated which design and cross-sectional shape of major connectors most favorably influence rigidity and flexibility. METHODS AND MATERIAL: Five designs for maxillary removable partial denture major connectors and 5 lingual bar major connectors of different cross-sectional forms were cast in chrome cobalt alloy on a master cast. Points M and P, which represented the position of the first premolar and second molar teeth, were positioned 20 mm apart on the casting. Vertical and horizontal forces were applied to each point while the opposite side was gripped in an Instron testing machine. A force-deflection curve was obtained for each loading point. Mean stiffness values were obtained for loading in compression and torsion. RESULTS: Values for torsional loading simulating vertical forces were lower when compared with values obtained for compression loading that simulated horizontal occlusal forces. Differences in stiffness were greater in mandibular major connectors loaded at M and P. The half pear-shaped cross section was the stiffest. CONCLUSIONS: In the maxillary arch, the most rigid major connector was the anteroposterior palatal bar combination placed on different horizontal and vertical planes. The most flexible was the U-shaped design. In the mandibular arch, the most important factor in achieving rigidity was the cross-sectional shape of the major connector. The half pear-shaped cross section proved to be the most rigid.

Bicuspid↗
PubMed1999

Further aspects of design for distal extension removable partial dentures based on the Kennedy classification.

A supplement to the Kennedy classification of partially edentulous arches for restoration with removable partial dentures has been suggested. Factors affecting denture design relating to the position of the abutment teeth, the symmetry of the edentulous distal extensions, the arch form and the cross-sectional shape of the residual ridges have been discussed and classified. An understanding of the movement of the denture bases in relation to the influence of these factors makes for a rational approach to removable partial denture design and the treatment of complications observed clinically in removable partial denture wearers.

Alveolar Process↗
PubMed1996

Reduction of microleakage in class II composite resin restorations using retentive pins.

The effect on microleakage of Bondent parapulpal pins used in class II composite resin restorations was evaluated in vitro. Bulk and incremental packing and polymerization techniques were compared, using pins anchored at the gingival cavity walls. Evaluation of microleakage was carried out following cyclic load application and an extended thermocycling procedure by the assessment of dye penetration. The results showed that the use of pins at the gingival wall of class II composite resin restorations provided significantly improved marginal sealing. The procedure should, therefore, be regarded as an effective clinical practice.

Composite Resins↗
PubMed1996

Anterior implant-supported overdentures.

Retention of complete mandibular dentures can be successfully achieved by means of an implant-retained or natural tooth-retained bar and clip system in the anterior segment of the mandible. The same design principles hold true for both methods of anchoring the retentive bar. These retentive elements must be constructed to allow some freedom of movement around a fulcrum line designed to be perpendicular to the sagittal plane.

Dental Prosthesis, Implant-Supported↗
PubMed1995

Effect of mouthguard bleaching on enamel surface.

PURPOSE: To evaluate in vitro the effect of 10% carbamide peroxide in a mouthguard on the shear bond strength of resin composite to bleached enamel surfaces and morphological changes in these surfaces. MATERIALS AND METHODS: Thirty anterior extracted were divided into a control and a test group. Plastic trays were made for each tooth and the test group treated with Opalescence bleaching gel and incubated at 37 degrees C humid environment for 8 hours. The bleaching agent was washed and the trays replaced with water-soaked cotton wool for another 16 hours in the incubator. This procedure was repeated every day for 21 days. The control group was just treated with the water-soaked cotton wool. Selected teeth from both groups were evaluated with the SEM and 72 hours after the bleaching treatment, Scotchbond 2/Silux Plus rings were bonded to the enamel surfaces in both groups and sher bond strength testing performed. RESULTS: Bleaching created some enamel porosity and significant reduction in the resin composite shear bond strength.

Carbamide Peroxide↗
PubMed1994

Biomechanical considerations in restoring endodontically treated teeth.

Various concepts for dental treatment have been established without appropriate documentation, such as restoration of endodontically treated teeth. Some researchers and dentists strongly recommend including a post with the restoration to strengthen the root. Other studies have indicated that posts may substantially weaken the roots and should be avoided. An additional approach suggested that the post did not improve the resistance to fracture during occlusion and did not support the restoration. Biomechanical problems are analyzed, and a recommended clinical approach is presented.

Biomechanical Phenomena↗
PubMed1992

The degree of zinc phosphate cement coverage of complete crown preparations and its effect on crown retention.

This investigation examined the amount of retentive area covered by cement under complete coverage crowns and its effect on retention. Sixty crowns of self-cured acrylic resin were prepared on 60 identical brass dies and were divided into six groups of 10 crowns each according to different cement applications. The results showed that retention was dependent on the amount of retentive area covered by the cement. The amount of cement in the occlusal part of the cementation space did not affect retention.

Acrylic Resins↗
PubMed1991

Microleakage in three designs of glass ionomer under composite resin restorations.

Three Class V cavity configurations with walls above and below the cemento-enamel junction were compared when 'sandwich' technique restorations with glass ionomer and composite resin were used. No dye penetration occurred at the occlusal cavosurface margin when the latter was bevelled and light-cured Scotchbond was applied to the etched enamel before restoration with Durafil composite resin. The least dye penetration at the gingival margin was observed when Ketac bond glass ionomer covered the entire non-bevelled wall. No configuration entirely eliminated dye penetration at the gingival margin.

Acid Etching, Dental↗
PubMed1989

The effect of ultrasonic cleaning and air polishing on the marginal integrity of radicular amalgam and composite resin restorations. An in vitro study.

This study attempts to put at ease some uncertainty of a possible damaging effect of ultrasonic scaling and air polishing procedures on dental restorations (amalgam and composite resin). Under optimal in vitro conditions, the margins of 120 restorations were subject to thorough ultrasonic and air polishing instrumentation in order to mimic those extensively used in periodontal treatments. Light-cure composite resin and Dispersalloy amalgam alloy were used to restore class V cavities at the CEJ. After being exposed to ultrasonic scaling and air polishing, cleaning, and thermocycling, clinical evaluation of the cavity margins and microleakage examination showed no detrimental effects of these procedures.

Air↗
PubMed1989

Amalgam restoration completion. Objectives, methods and armamentarium.

The success of an amalgam restoration is multifactorial. Attention must be paid to the manipulation and condensation of the alloy, the final contouring, and the finishing procedures. A discussion of current amalgam alloy, including the goals and sequence of the restorative procedure, are presented with emphasis on the instruments and methods.

Dental Amalgam↗
PubMed1987

Examination of tooth pulp following laser beam irradiation.

An attempt was made to determine the maximum amount of laser energy which could be utilized without impairing pulpal vitality. Forty rat molar teeth were irradiated in vivo; the Sharplan CO2 laser modality, focused to a 0.2-mm-diameter spot size was used. The energy output was varied by changing the power and/or the pulse duration. Subsequent histological examination of the irradiated teeth showed that the duration of exposure was more significant than the power. A pulse of 0.2 sec/10 W appears to be the safety limit in preserving pulpal vitality.

Animals↗