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Biomedical subjects

E C Kao

Publications and source records attributed to E C Kao.

11 recordsLinked to original sources
PubMed1996

Preparation of glass ionomer cement using N-acryloyl-substituted amino acid monomers--evaluation of physical properties.

OBJECTIVES: The objectives of this study were (1) to develop polyacid formulations through the incorporation of amino acid-derived monomers with carboxylic acid groups at various distances away from the polymer backbone to allow for greater flexibility, less rigid ionic cluster formation and improved solubility, and (2) to test selected physical and handling properties of experimental ionomers with a conventional glass ionomer as a control. METHODS: The polycarboxylic acids prepared and used in glass ionomer formulation in this study included N-acryloylglutamic acid (AGA) and N-acryloyl-6-aminocaproic acid (AACA)- modified acrylic acid- ++itaconic acid copolymers, where the acrylic acid:itaconic acid:amino acid monomers were combined in different proportions. The characterization and purity of the monomers were determined by FTIR and their melting points. The characterization of synthesized polymers included molecular weight and relative viscosity determinations. The compressive strengths, diametral tensile strengths, flexural strengths and fracture toughness of the experimental ionomers and a commercially available ionomer (control) were measured after storage in water, at 37 degrees C for 1 h or 7 d. The working times and setting times of the experimental ionomers were compared to the control specimens. Separate analysis of variance and Tukey's tests were used to study the statistical significance of the physical strength parameters as a function of materials and storage times. RESULTS: Significant increases (p< 0.001) in diametral tensile, compressive, flexural strengths and fracture toughness were observed in the AGA co-polymers, while significant increases were observed in diametral and flexural strengths in the AACA co-polymers compared to the control Fuji II. The working and setting times of all except one experimental ionomer studied were comparable to the controls. SIGNIFICANCE: The use of amino acid-modified acrylic monomers to produce water soluble copolymers of acrylic-itaconic acid offers a new route of discovery to produce chemical-cured glass ionomers with improved physical properties. The spacer chain length, the hydrophobicity of the chains, the molecular weight and viscosity of the polymer all played important roles in determining the physical properties of the material.

Acrylates↗
PubMed1995

Torsional bond strength and failure pattern of ceramic brackets bonded to composite resin laminate veneers.

The objectives of this study were to investigate the torsional bond strength of ceramic brackets bonded to composite resin veneer laminates and to human enamel. Microfilled resin veneers were bonded directly to prepared, etched bovine teeth embedded in epoxy resin. Brackets [Allure IV (NSB), Fascination, Starfire TMB, and Transcend 2000] were bonded to abraded, acid-etched resin veneers with a light-cured or a chemically-cured adhesive. Brackets were also bonded to human teeth with light-cured and chemically-cured adhesives for comparison purposes. After 24 hours storage in water, specimens were subjected to torsional stress and the maximum shear stress tau max, was calculated. The debonded brackets, the veneer, and enamel surfaces were examined under a stereomicroscope and a SEM to study the failure modes. Three-way ANOVA with a Tukey multiple comparisons test revealed significant differences in bond strengths among bracket types and bonding substrate at P = 0.05 level. Highest bond strength was observed in brackets with a combination of micromechanical retention and chemical adhesion. Significant interactions among bracket, substrate (enamel or resin) and mode of cure of adhesive were observed. Analysis of the failure pattern of brackets revealed adhesive and/or cohesive resin failures in all brackets studied, while cohesive bracket failures occurred in the single-crystal Starfire TMB bracket and the polycrystalline Transcend 2000 bracket. Debonding ceramic brackets under a steady torsional load caused no substrate surface alterations regardless of adhesive used.

Analysis of Variance↗
PubMed1991

Fracture incidence on debonding of orthodontic brackets from porcelain veneer laminates.

The bonding force and the incidence of porcelain fracture for two porcelain systems, on removal of orthodontic brackets bonded to porcelain veneer laminates after thermocycling, were determined. A factorial design with a total sample size of 256 was used. The factors tested were (1) porcelain type (feldspathic [porcelain CE] or high alumina [porcelain VI]), (2) surface treatment (glazed or roughened), (3) priming agent (silane or alcohol), (4) bonding resin (macrofilled or microfilled), and (5) debonding time (30 minutes or 24 hours). An analysis of variance revealed that surface treatment, primer, resin type, and debonding time each contributed significantly to the debonding force. The probability of porcelain fracture was dependent on the porcelain type and the debonding force, with porcelain VI exhibiting a significantly higher probability of fracture than porcelain CE at the same debonding force. The etched surface of porcelain CE exhibited a more retentive microstructure than porcelain VI. The success of using bonded orthodontic brackets on porcelain veneer laminates depends on both the bond of resin to porcelain and the resistance of porcelain to fracture during debonding. For a given porcelain veneer, factors that provide a higher debonding force result in a higher probability of porcelain veneer fracture.

Acrylic Resins↗
PubMed1991

Fracture resistance of pin-retained amalgam, composite resin, and alloy-reinforced glass ionomer core materials.

This study investigated the influence of pins on the fracture resistance of three core materials. Two or four stainless steel pins were incorporated in either amalgam, composite resin, or alloy-reinforced glass ionomer specimens. Half of the pins were surface-treated with mercury, Panavia EX resin, or hydrochloric acid before they were incorporated in the respective materials. The pins were oriented in a direction relative to the tensile stress/axis of the specimen: parallel/perpendicular (PL/PR), perpendicular/parallel (PR/PL), or perpendicular/perpendicular (PR/PR). ANOVA tested significant differences in diametral tensile strength among materials, in number of pins, in pin orientations, in surface treatments, and in other interactions. Incorporation of pins weakened amalgam the most, followed by composite resin. Pins did not weaken amalgam-reinforced glass ionomer. Pin orientation improved the fracture resistance of some specimens by two times that of the controls. Orientation of pins parallel to the tensile stress was most favorable. As the number of pins increased, the fracture resistance of amalgam significantly decreased. Acid treatment of the pin surface enhanced the bond with composite resin. Both treatments resulted in significant improvement in fracture resistance.

Analysis of Variance↗
PubMed1990

Wire-bending test as a predictor of preclinical performance by dental students.

Traditional Dental Aptitude Test and academic grade point average have been shown to be poor predictors of clinical performance by dental students. To refine predictors of psychomotor skills, a wire-bending test was given to 105 freshmen at the beginning of their dental education. Grades from seven restorative preclinical courses in their freshman and sophomore years were compared to scores on wire bending and the three traditional predictors: GPA, academic aptitude, and perceptual aptitude scores. Wire-bending scores correlated significantly with six out of seven preclinical restorative courses. The predictive power for preclinical performance was doubled when wire bending was added to traditional predictors in stepwise multiple regression analysis. Wire-bending scores identified students of low performance. These preliminary results suggest that the wire-bending test shows some potential as a screening test for identifying students who may hae psychomotor difficulties, early in their dental education.

Adult↗
PubMed1989

Influence of food-simulating solvents on resin composites and glass-ionomer restorative cement.

The specific aim of the study was to determine the effect that food-stimulating solvents have on varyingly constituted resin composites and glass ionomer. Samples were stored in food-simulating liquids (FSL) (in increasing order of solubility parameter): Heptane, 100%, 75%, 50%, 25%, and 0% aqueous ethanol solutions for 0, 1, 3, 7, 18, and 30 days at 37 degrees C prior to Knoop Hardness measurements. Measurements were made on both the unpolished matrix-rich surface and the polished filler-rich surface. Multifactorial analysis of variance revealed significant differences in hardness among materials, surface finish, solution, storage time, and all of their interactions. The average hardness of the polished surface was higher than that of the unpolished surface. Resin composites with similar matrix chemistry tended to behave similarly in FSL. Resin with Urethane DMA matrix were found to be significantly more susceptible to FSL than were those with the BisGMA matrix. Glass ionomer behaved differently in FSL compared with composites, due to differences in matrix chemistry, the nature of the bond between filler and matrix, and its susceptibility to dehydration.

Composite Resins↗
PubMed1989

Assessment of appearance match by visual observation and clinical colorimetry.

Judgments of appearance matching by means of the visual criteria established by the United States Public Health Service (USPHS) and by means of an extended visual rating scale were determined for composite resin veneer restorations and their comparison teeth. Using a colorimeter of 45 degrees/0 degrees geometry and the CIELAB color order system we used the color of the restorations and comparison teeth to calculate a color difference for every visual rating. Statistically significant relationships were found between each of the two visual rating systems and the color differences. The average CIELAB color difference of those ratings judged a match by the USPHS criteria was found to be 3.7. However, the overlap in ranges of the color differences for those comparisons rated matches and mismatches indicates the importance of other factors in appearance matching, such as translucency and the effects of other surrounding visual stimuli. The extended visual rating scale offers no advantages to the more broadly defined criteria established by the USPHS.

Color↗
PubMed1988

Direct bonding of orthodontic brackets to porcelain veneer laminates.

The forces required to debond orthodontic attachments from porcelain veneer laminates were studied in vitro. Brackets were bonded to 160 veneered bovine incisor teeth before the determination of the debond force. The independent variables studied were resin type, priming agent, porcelain surface preparation, and debonding time. The average debond forces were compared with those obtained by debonding brackets bonded to natural teeth by means of the acid-etch technique. The bond between the resin and the porcelain surface was found to be satisfactory for direct bonding of orthodontic attachments. Roughening the porcelain surface and using a silane primer required an average debond force comparable to that of the acid-etched enamel bond at 24 hours. However, it increased the risk for porcelain fracture during debonding. Roughened surfaces and surfaces with micro-fractures could be satisfactorily finished and polished with either a series of graded Ceramiste points or a diamond-impregnated polishing wheel followed by a diamond polishing paste.

Acrylic Resins↗
PubMedDate not supplied

Fracture resistance of four core materials with incorporated pins.

This study investigated the influences of pin type (stainless steel or titanium), number of pins (0, 2, or 4), and pin orientation (parallel or perpendicular to tensile forces) on the fracture resistance of four core materials: amalgam, composite resin, and two alloy-reinforced glass-ionomer cements. Analysis of variance revealed significant differences among materials, number of pins, and pin orientation. The fracture resistance of amalgam was reduced most by pins, followed by composite resin. The least strength reduction was found in alloy-reinforced glass ionomers, and in some pin orientations, fracture resistance was doubled compared to the controls. The most favorable pin orientation was parallel to tensile stresses. As the number of pins incorporated in amalgam was increased, fracture resistance decreased.

Analysis of Variance↗