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Biomedical subjects

Callum C Youngson

Publications and source records attributed to Callum C Youngson.

5 recordsLinked to original sources

The use of confocal microscopy to assess surface roughness of two milled CAD-CAM ceramics following two polishing techniques.

OBJECTIVE: To assess the effects of two polishing techniques on the surface roughness of a commercial and experimental dental ceramic for use in a chairside CAD-CAM system. METHODS: A standard onlay was reproduced fifteen times in each of the two materials. Each stub was retained and examined using confocal microscopy in reflection mode. Five random samples of each were polished with Sof-Lex aluminium oxide discs, five polished with diamond impregnated polishing wheels and five left in the as-machined state. Surface roughness parameters were measured for each material group in each condition and statistical analyses carried out to determine the efficacy of the polishing techniques for each material. RESULTS: The as-machined surfaces of both materials had a statistically similar surface finish. Polishing with Sof-Lex discs was effective at reducing surface roughness of both materials. Whilst the polishing wheels were effective in reducing surface roughness for the commercial material, there was no statistically significant difference in the surface roughness of the experimental material in the as-machined or wheel polished states. SIGNIFICANCE: Although Sof-Lex discs were effective in reducing surface roughness of the two materials examined in this study, wheel polishing should not be used to reduce surface roughness of the experimental material. This will need to be taken into consideration in any future clinical studies of this material.

Aluminum Oxide↗

An investigation of the constituent elements and modes of fracture of in vivo fractured metallic posts.

OBJECTIVES: The objective of this investigation was to determine the materials used in metallic post and core construction and investigate and the modes of failure that occurred resulting in post fracture. METHODS: Eighty-five fractured metal posts were clinically retrieved over a 5-year period. The tooth with the fractured post, and relevant clinical details were recorded. Investigation of the fractured posts was undertaken to determine their constituent elements and modes of fracture using scanning electron microscopy (SEM) and energy-dispersive X-ray analysis (EDX). RESULTS: The results showed that 77% of the posts were cast and 23% wrought. The modes of fracture were ductile (67%) or brittle (52%) although some posts exhibited both within the same specimen. In addition, evidence of fatigue was present in 20% of posts and porosity in 48%. CONCLUSIONS: A large variety of materials were used in the construction of post and cores although low-gold silver-palladium alloy most commonly encountered. Their failure was predominantly ductile in nature although a significant amount of brittle fracture was also noted. Porosity within castings also appeared to be a contributory factor in some cases and this was particularly evident in high-palladium castings. Evidence of fatigue was noted in a minority of posts.

Dental Alloys↗

Thermal conductivity through various restorative lining materials.

OBJECTIVES: Traditional teaching has advocated the placement of insulating materials under restorations to protect against 'thermal shock'. Often this involves placement of a thick zinc-oxide eugenol cement lining. The purpose of this in vitro study was to assess the heat transfer through four lining materials and dentine and to relate these findings to the temperature exposures that may be experienced in the oral environment. METHODS: Two 'traditional' linings, zinc oxide eugenol cement (ZNOE) and calcium hydroxide paste (CAOH), and two more contemporary materials, a resin modified glass polyalkenoate (RMGP) and dentine bonding system (DBS) were studied in addition to dentine itself. Seven samples of each material were tested by utilising a Lees' Disc apparatus. Incorporation of thermocouples allowed heat transfer through the sample to be recorded. Thermal conductivity (J/m/s/ degrees C) was calculated for individual samples and a mean value obtained for each material. One way ANOVA and post hoc Tukey's tests were applied to the data obtained. RESULTS: In ascending order of thermal conductivity, DBS<CAOH<RMGP<DENTINE<ZNOE. Statistical analysis revealed that the thermal conductivity of DBS was significantly less than RMGP, DENTINE and ZNOE (p<0.05); CAOH was significantly less than DENTINE and ZNOE (p<0.05); RMGP was significantly higher than DBS and significantly less than DENTINE and ZNOE (p<0.05). CONCLUSIONS: Thermal insulation is not a major consideration in cavity lining and therefore other criteria for selection of a lining material should be applied.

Analysis of Variance↗

Tooth surface loss: does recreational drug use contribute?

OBJECTIVE: This pilot study was designed to measure tooth wear in a sample of 13 subjects who regularly use amphetamine-like drugs (Ecstasy, amphetamines) and compare the observed wear with a matched sample of nondrug users. DESIGN: The two groups, both composed of 13 undergraduate students, were matched for age and sex. Other factors influencing tooth wear were controlled by matching the groups on their responses to a questionnaire asking about recognised common causes of tooth wear. The participants teeth were examined and the degree of wear scored according to a tooth wear index. RESULTS: Severity of occlusal tooth wear of the lower first molar teeth was significantly greater in the drug user group than in the control group (P<0.05). No other statistically significant differences between the groups were found. CONCLUSION: Regular use of amphetamine-like drugs could be associated with increased posterior tooth wear.

Adolescent↗

An in vitro study of dentin exposure during resin-bonded fixed partial denture preparation.

OBJECTIVES: The aim of this in vitro study was to investigate whether dentin is exposed during tooth preparation for resin-bonded fixed partial dentures and, if so, to quantify the amount of dentin exposure. METHOD AND MATERIALS: Twenty extracted premolars were prepared in the following manner: The palatolingual and proximal axial surfaces were reduced by 0.50 mm. Mesial and distal grooves, 1.00 mm in depth, and mesial and distal occlusal rest seats, measuring 2.00 mm buccolingually x 1.50 mm mesiodistally x 1.00 mm deep, were prepared. The specimens were stained with a modified van Gieson's stain to identify dentin exposure, mounted on a jig to allow standardization, and photographed after 30-degree rotation to create a panoramic image of each tooth. The image was modified and analyzed to measure the percentage of the preparation area that exhibited dentin exposure. RESULTS: Dentin exposure was noted in all specimens. The mean area of dentin exposure was 11.06 mm2 (16.15% of the preparation area). The minimum and maximum areas of dentin exposure were 4.07 mm2 (7.03%) and 19.73 mm2 (27.28%), respectively. CONCLUSION: Dentin is exposed during resin-bonded fixed partial denture preparation if current tooth preparation guidelines are followed, despite the commonly made recommendation that the preparation remain within enamel. The region of the grooves consistently exhibited exposed dentin; exposure at the cervical margin was variable.

Bicuspid↗