Biomedical subjects

G J Fleming

Publications and source records attributed to G J Fleming.

6 recordsLinked to original sources

PubMed1999

The influence of clinically induced variability on the bi-axial fracture strength of cemented aluminous core porcelain discs.

OBJECTIVES: Zinc phosphate cements are supplied in powder/liquid form so that a range of mixing ratios are naturally generated in clinical practice. However, these cements are known to have a deleterious effect on dental ceramics and the impact of variations in cement mixing on the strength of dental porcelain was investigated in the present study. METHODS: Vitadur-N core porcelain was fabricated into discs (15 mm diameter and 2 mm thickness), zinc phosphate cements of different mixing ratios were applied to the discs to produce a luting cement thickness and the samples were stored for 24 h prior to testing in a water-bath at 37 +/- 1 degrees C. The mean fracture strength, standard deviation and associated Weibull moduli (m) of the coated porcelain discs were determined as a function of mixing ratio using bi-axial flexure (ball-on-ring) by fracturing sets of 30 specimens coated with cements manipulated at different mixing ratios. RESULTS: The strength data for the coated porcelain discs showed little variation in magnitude and consistency ranging from 108 +/- 8.3 MPa (m = 14.0 +/- 2.6) at 1.7 g/ml to 112 +/- 8.5 MPa (m = 14.6 +/- 2.7) at 2.6 g/ml and 108 +/- 8.1 MPa (m = 14.4 +/- 2.6) at 3.2 g/ml. However, the plots of survival probability against strength for coated specimens prepared using mixing ratios below that recommended by the manufacturers' for luting purposes (2.6 g/ml), appeared to develop an asymmetry at the lower values of strength. SIGNIFICANCE: It was proposed that the increased corrosive acidic environment for cements prepared at mixing ratios below 2.6 g/ml may have extended pre-existing flaws in the porcelain discs thereby possibly producing the asymmetry in the survival distributions.

Aluminum Oxide↗

PubMed1999

The influence of clinically induced variability on the distribution of compressive fracture strengths of a hand-mixed zinc phosphate dental cement.

OBJECTIVES: Conventional approaches to comparing dental cements use standard property tests under manufacturers' specified conditions. Zinc phosphate cements are supplied in powder/liquid form and manipulation frequently involves mixing the components by eye so a range of mixing ratios will inevitably occur in practice. Unfortunately, the physical, chemical, biological and mechanical properties of cements are known to be dependent on the mixing ratio. METHODS: Forty dental nurses prepared a series of three cement samples to a luting consistency they considered acceptable for use in practice. RESULTS: It was found that each dental nurse produced consistent cement mixes, although, the mixing ratios varied from 1.7 to 3.2 g/ml between nurses. The mean compressive strength, standard deviation and associated Weibull Moduli (m) of the cements were determined as a function of this mixing ratio range and showed considerable variation ranging from 33.5 +/- 3.2 MPa (m = 11.0) at 1.7 g/ml to 71.4 +/- 8.4 MPa (m = 8.6) at 2.6 g/ml and 42.5 +/- 10.0 MPa (m = 5.0) at 3.2 g/ml. SIGNIFICANCE: An analytical approach was adopted which facilitated an integrated analysis of the mixing ratio variability with the strength data. It was found for the test group of dental nurses that 25% of cement mixes produced would have achieved strengths below 40 MPa whilst strengths below the standard value were produced in at least 70% of mixes. These results indicate that a simple analysis of the properties of cements manipulated under optimum conditions, provides little information on the material characteristics obtained in practice because of clinically induced variability.

Analysis of Variance↗

PubMed1999

Encapsulated verses hand-mixed zinc phosphate dental cement.

Zinc phosphate cements are commonly supplied as two components, powder and liquid, and the proportions of the constituents are determined by operator experience. A capsulated system which is mechanically mixed has been marketed and this study investigated the performance of the encapsulated cement system. The mean fracture strength, standard deviation and associated Weibull Moduli (m) of encapsulated cements were determined by compressive fracturing 20 cement specimens filled directly from the mixing syringe or from narrower cement tubes. Pore distribution within the cylindrical specimens was determined using image analysis to assess the influence of the method of mould filling with the cement. The strength data showed variation in magnitude and consistency ranging from 44.6+/-13.7 MPa (m = 3.18+/-0.71) for cements filled directly from the syringe to 61.0+/-7.8 MPa (m = 8.35+/-1.87) for cements filled from cement tubes. Larger pores were found in specimens consolidated directly from the cement syringe. Mechanical mixing of the encapsulated cement resulted in air entrapment in the cement mix which manifested itself as large pores (over 200 microm diameter) within the cylindrical specimens. The smaller orifice of the cement tube compared with the syringe was considered to be responsible for eliminating the majority of the air entrapped in the cement mass during mixing. Whilst mechanical mixing of encapsulated cements is quicker and more convenient, the encapsulated specimens consolidated according to the manufacturers instructions from the syringe offered no significant advantage in terms of reliability or strength over hand-mixed cements in this investigation.

Biocompatible Materials↗

PubMed1999

The influence of clinically induced variability on the bi-axial fracture strength of aluminous core porcelain discs.

OBJECTIVE: The proportions of the constituents required to produce a porcelain slurry used in crown construction are assessed by experience so that variability is inevitable. The present study investigated the strength dependence of porcelain specimens on slurry consistency. METHODS: Vitadur-N core porcelain was formed into discs and the mean fracture strength, standard deviation and associated Weibull Moduli (m) determined as a function of slurry consistency using bi-axial flexure (ball-on-ring) by fracturing sets of 30 specimens prepared to different powder contents for a constant 0.4 ml of liquid. RESULTS: The strength data for the porcelain discs showed variation in magnitude and consistency ranging from 145 +/- 16.5 MPa (m = 9.7 +/- 1.8) at 1.2 g to 155 +/- 13.8 MPa (m = 12.3 +/- 2.2) at 1.4 g and 142 +/- 13.7 MPa (m = 11.7 +/- 2.1) at 1.6 g of powder. Increasing or decreasing the powder content of the slurry (related to specimens condensed using 1.4 g of powder) resulted in an increase in the apparent porosity and a decrease in the apparent solid density. CONCLUSIONS: There was no significant decrease in the mean bi-axial flexure strengths for the slurry consistencies investigated. However, the reliability of the fracture strength data did vary significantly. The results suggested that an optimum consistency exists (wherein consistent reproducibility of test results was achieved) and appears to have implications for laboratory testing of materials since a comparison between materials can only be achieved if specimen preparation occurs consistently between test centres for all the materials under investigation.

Aluminum Oxide↗

PubMed1993

Practice management--warts and all.

A recent survey, part of a Practice Management Study, asked 100 doctors how their businesses were going. From the responses, it was evident that there were many areas of concern, including working long hours looking after patients; no time for the family; the accountant does the tax, but that's all; and accountants, solicitors and consultants are too expensive. This article sets out some of the issues raised in the survey.

Australia↗

PubMed1993

Curing the warts.

Explore the source record for details and available documents.

Practice Management, Medical↗