Conservative preparation designs for Class II amalgam restorations.
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Biomedical subjects
Publications and source records attributed to D F Taylor.
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The authors in this article describe a 12-week primary care elective for third-year medical students. The administrative and teaching resources of the Boston University School of Medicine, clinical sites at three Boston community health centers, and federal/state and private foundation funding are coordinated to provide a longitudinal, integrated experience in ambulatory pediatrics and medicine. A literature review revealed no prior medical student programs combining psychiatric, pediatric, and internal medicine teaching in a community setting. Case vignettes and questionnaire results indicate that the program has been a success at introducing students to primary care and the biopsychosocial model. The implications of bridging disciplines as well as academic and community health centers and providing funding resources are discussed. The authors recommend this integrative model for enhancing the development of future primary care physicians.
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Machined steel dies were used to study the effects of three die modifications on seating full coverage castings during cementation. The die modifications consisted of occlusal channels, occlusal surface relief, and axial channels. Fourteen specimens having one or more forms of die modification were compared with two control specimens having no die modifications. Statistical analysis of the data revealed that the addition of four axial channels to the simulated preparation on the steel die produced a significant reduction in the mean marginal discrepancy during cementation. Occlusal modifications alone failed to produce significant reductions in marginal discrepancies when compared with the control specimens. Occlusal modifications in conjunction with axial channels failed to produce further significant reductions in marginal discrepancies when compared with those reductions observed in specimens having only axial channels.
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The relationships between composition, heat treatment, hardness, and microstructure have been investigated for a number of commercial dental casting alloys and for several series of experimental gold-silver-copper compositions. The hardnesses and typical microstructures found are reported. The results indicate that at least two distinct hardening mechanisms must occur in these alloys. The ternary alloys outside the two-phasr region of the gold-silver-copper system harden by ordering. The commercial alloys and those within the two-phase region may harden in part by ordering, but some other mechanism in required to explain the observed hardening. This mechanism is not due to the observed grain boundary precipitates. It may be associated with the intragranular needlelike structures seen, but reasons exist to question the sufficiency of that structure as an explantation of the hardening.
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Permeability of various gypsum- and phosphate-bonded investments was measured during conventional burn-out procedures. Porosity determinations were made on specimens cooled to room temperature after burn-out. As a group, the gypsum-bonded investments were found to be more permeable than the phosphate-bonded investments. Two phosphate-bonded investments were determined to be relatively impermeable to gas flow, while another exhibited permeability comparable to that of the gypsum-bonded investments. In spite of differences in permeability, the porosity of each type of investment was nearly constant. The porosity of the phosphate-bonded investment was approximately three-fourths that of the gypsum investments. These investments were modified by the addition of varying amounts of acrylic polymer for the purpose of altering permeability. The addition of acrylic polymer increased porosity and permeability of all of the materials included in this investigation. The acrylic additives, however, had no effect on the permeability of relatively impermeable investments unless used in high concentration. The results of this investigation would tend to substantiate the need for special spruing and venting procedures.
It was hoped that it might be possible to establish some standard or starting point which could be used by future investigators to judge adequate levels of radiopacity of radiopaque denture-base materials. Aluminum and copper were used to define a suitable radiopacity scale. The scale was represented by two sets of specimens--one of regular outline and uniform thickness, the other of irregular shape and tapering thickness. Radiographs of the chest and abdominal regions of a cadaver were exposed, with the specimens placed on the film side and then on the opposite side of the cadaver. The results showed that it was more difficult to locate the beveled irregular specimens, that there was little difference between the chest and the abdomen with respect to ease of locating the same objects, and that the closer an object is to the film the easier it is to locate. For 95 per cent observability, an object should have a level of radiopacity at least equal to that produced by 0.20 mm. of copper.
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