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Biomedical subjects

G Ravnholt

Publications and source records attributed to G Ravnholt.

16 recordsLinked to original sources

Resistance to cyclic loading of teeth restored with posts.

This in vitro study evaluated the effect of presence of post, presence of core, and of shape, type, and surface treatment of posts on resistance to cyclic loading of crowned human teeth. For all teeth, crowns designed without ferrule were cast in sterling silver and luted with resin cement (Panavia F). Each tooth underwent cyclic loading of 600 N at two loads per second until failure. Teeth that had only been crowned showed significantly higher resistance to cyclic loading than teeth with cores or with post and cores. No significant differences were found between teeth restored with cores only or with post and cores, irrespective of surface-treatment of the posts. Teeth restored with parallel-sided cast post (ParaPost XP) and cores showed significantly higher resistance to cyclic loading than teeth with either tapered cast posts or untreated prefabricated posts of titanium alloy (ParaPost XH) or glass fiber composite (ParaPost Fiber White). No significant difference was found between teeth restored with parallel-sided cast post and cores and teeth restored with untreated prefabricated posts of zirconia (Cerapost). Surface treatment of posts significantly increased the resistance to cyclic loading compared with untreated posts. When posts are used, surface treatment is recommended.

Alloys↗

Frictional forces related to self-ligating brackets.

Orthodontic tooth movement can be regarded as teeth sliding on a wire like pearls on a string, the force being supplied by springs or elastics. The movement implies friction between wire and bracket, taking up part of the force and leaving an uncontrolled amount to act on the teeth. The friction is likely to depend on bracket construction and wire material. Therefore, in this investigation the friction of self-ligating brackets and beta-titanium wires was evaluated, as opposed to more conventional configurations. Carried by low-friction linear ball bearings, a bracket was made to slide along an out-stretched archwire with minimal (and known) basic friction, either parallel or at an angle to the wire. Two self-ligating brackets were used in their closed position without any normal force. Friction was tested against four wires: stainless steel and beta-titanium, both in round and rectangular cross-sections. The force used to overcome friction and to move the bracket was measured on a testing machine at 10 mm/min, and the basic friction was subtracted. The results show that round wires had a lower friction than rectangular wires, the beta-titanium wires had a markedly higher friction than stainless steel wires, and friction increased with angulation for all bracket/wire combinations. The self-ligating brackets had a markedly lower friction than conventional brackets at all angulations, and self-ligating brackets, closed by the capping of a conventional design, exhibited a significantly lower friction than self-ligating brackets closed by a spring. The selection of bracket design, wire material, and wire cross-section significantly influences the forces acting in a continuous arch system.

Analog-Digital Conversion↗

Dissolution of powdered human enamel suspended in acid solutions at a high solid/solution ratio under a 5% CO2 atmosphere at 20 degrees C.

The aim was to examine the nature of enamel dissolution in aqueous suspensions with a high solid/solution ratio and in a CO2-rich atmosphere. Before experimentation, a water-saturated mixture of 95% N2-5% CO2 was passed through the acid solutions for 24 hr. Samples of 2 g of powdered enamel were suspended in 7 ml of either 5 or 10 mmol/l HClO4, with or without 2 parts/10(6) fluoride and kept gently agitated for 24 hr in the above atmosphere. The same enamel samples were repeatedly exposed to fresh acid for 26 runs. All experiments were duplicated. The aqueous phase was analysed after 20 min and 24 hr for calcium, phosphate, fluoride, chloride, sodium and magnesium. It was found that after 20 min the fluoride was invariably taken up in the enamel and the solution was supersaturated with respect to hydroxyapatite with pH ranging 6.7-5.6. During the following 24 hr pH increased further, the supersaturation remained unchanged and the concentrations of calcium and phosphate in solution decreased. In contrast, sodium, magnesium and chloride were released from enamel during the entire period. In the later runs, the supersaturation with respect to hydroxyapatite was only modest and the decrease of calcium and phosphate concentrations limited, as were the release of sodium, magnesium and chloride. It is concluded that despite a CO2-rich atmosphere, calcium, phosphate and carbonate were released from enamel and quickly established a supersaturation with respect to hydroxyapatite with a secondary reprecipitation of mineral. It indicates that within the dental caries lesion in vivo, lesion fluid cannot exist undersaturated with respect to enamel apatite.

Acids↗

Tensile bond strength of resin luting cement to glass infiltrated porous aluminium oxide cores (In-Ceram).

The effect of various methods of surface treatment of glass infiltrated aluminium oxide (In-Ceram) on tensile bond strength was evaluated. Test specimens were formed as bars. After surface treatment of the flat ends, two bars were bonded together with either a dual curing resin (Twinlook) or a chemical curing resin with a phosphate monomer (Panavia Ex). After cementation the specimens were stored in humid conditions for 1 week and then thermocycled 1,000 times between 15 degrees C and 60 degrees C. The highest median tensile bond strengths were obtained with the Silicoater MD-method without the Opaquer and Twinlook as luting agent (23.9 MPa) or with sandblasting with 250 micrometers Al2O3 particles and Panavia Ex as luting agent (22.0 MPa).

Aluminum Oxide↗

The effectiveness of bone char in the defluoridation of water in relation to its crystallinity, carbon content and dissolution pattern.

The procedure for charring bone has been found to influence the nature of its mineral phase, and also affects the defluoridation capacity of the char. The aim of this study was to examine the efficiency of defluoridation by char produced from various parts of bones and charred for various lengths of time at various temperatures, relating the preparation of the char to its X-ray diffraction pattern, its content of pyrophosphate and its capacity for defluoridation. Bone was charred for 1 and 4 h at 400 degrees C and 30 min, 4 h and 48 h at 550 degrees C. Batches of the chars were suspended in amounts of 0.25 g in 100 ml of distilled water containing 0.53 mmol/l fluoride for up to 6 days under gentle agitation. At intervals, the pH and concentrations of fluoride, calcium and phosphate in the water were determined and the degree of saturation with respect to the calcium phosphate salts calculated. The charring procedure reduced the organic content of the bone from the 44-26% in intact bone to 3.4% in bone charred at 400 degrees C and to almost zero when charred at 550 degrees C for 48 h. When charred at 400 degrees C for up to 4 h the X-ray diffraction pattern of the bone showed a poorly crystallized apatite similar to that of untreated bone. Heating for 48 h or more at 550 degrees C led to considerably sharper apatite reflections, indicative of a well-crystallized salt.(ABSTRACT TRUNCATED AT 250 WORDS)

Absorption↗

Surface roughness of oral mucosa and its reproduction in dental materials.

An even fitting surface is essential to obtain and maintain a healthy oral mucosa in denture wearers. The present study was designed to clarify the relationship between the surface roughness of oral mucosa and its reproduction in the corresponding fitting surface of acrylic dentures. A silicone elastomer/epoxy replica technique was used for rendering the oral mucosal surface accessible to measurements with a stylus-type profile recorder. The method's ability to reproduce roughness with good traceability was tested and verified. Acrylic fitting surfaces made by standard denture-making technique demonstrated roughness values substantially higher than those of the mucosa, stemming from a high inherent surface roughness of dental stone models. To compensate for this, various separating media for stone models were tested as to their ability of reducing surface roughness. One silicone varnish (Silisol, Dreve AG, Germany) produced an acrylic surface with a roughness value comparable to that of the oral mucosa.

Acrylic Resins↗

Dissolution of various calcium fluoride preparations in inorganic solutions and in stimulated human saliva.

The aim of the present study was to examine the dissolution of various preparations of calcium fluoride in inorganic solutions and in human saliva. Calcium fluoride was prepared by mixing either 0.25 or 0.02 mol/l calcium chloride with 0.5 or 0.04 mol/l sodium fluoride. After preparation, the salts were washed in 1 mmol/l calcium chloride solution and in distilled water. A commercial product, calcium fluoride Suprapur (Merck), was used for comparison. The solubility of the salts was examined in distilled water, in a 2-mmol/l sodium phosphate solution, and in whole human saliva, produced by chewing paraffin. It was found that the calcium fluoride ion product after suspension for 1-3 h in distilled water ranged closely around 10(-10.7) for all salts. In the phosphate solution, the commercial product dissolved slowly, the ratio between dissolved fluoride and calcium ranged from 4 to 7, in buffered solutions approaching 2. The supernatant was not saturated by the salt. Our two calcium fluoride salts dissolved quickly and made the phosphate-containing solutions supersaturated with respect to fluorapatite, leading to fluorapatite formation, and because of compensating calcium fluoride dissolution, this led to increasing fluoride concentrations in saliva of up to around 85-95 ppm. The results of this study indicate that calcium fluoride of less than Suprapur standard may dissolve quickly in saliva, unless the dissolution is retarded by a physical barrier, like a forming pellicle.

Apatites↗

Corrosion investigation of two materials for implant supraconstructions coupled to a titanium implant.

The corrosion of two materials for implant supraconstructions, a carbon fiber/PMMA composite and a silver-palladium alloy, was investigated in vitro, the materials being galvanically coupled to a titanium implant. Corrosion current and pH of the electrolyte were monitored, and corrosion products were identified by powder X-ray diffraction. The carbon composite and the silver-palladium per se did not corrode, whereas a silver-palladium specimen brazed with the recommended brazing alloy corroded unmistakably, yielding copper-containing corrosion products. The action of local corrosion cells around the brazed joint is considered, and it is concluded that the two materials seem well suited for implant supraconstructions, provided that brazing the silver-palladium can be avoided. Considering the clinical relevance of the experimental model used, it is concluded that the model is likely to predict a lower corrosion susceptibility than the one found in vivo.

Carbon↗

Corrosion current and pH rise around titanium coupled to dental alloys.

Corrosion reactions around titanium, usually considered biologically inert, might be provoked by coupling it galvanically with more corrodible dental alloys. Experiments in vitro simulating the conditions of a titanium dental implant or root canal post coupled to an amalgam filling, demonstrated corrosion current densities up to 31 microA/cm2, anodic pH values around the amalgam down to 2, and cathodic pH values around the titanium up to 10. The amounts of tin released by the enhanced corrosion of amalgam might contribute measurably to the daily intake of this element; the corrosion current generated reached values known to cause taste sensations. If the buffer systems of adjacent tissues in vivo are not able to cope with the high pH generated around the titanium, local tissue damage may ensue; this relationship is liable to be overlooked, as it leaves no evidence in the form of corrosion products.

Corrosion↗

Corrosion of dental alloys in vitro by differential oxygen concentration.

The corrosion of a conventional and a high Cu dental amalgam, a Cu-Zn dental alloy, and pure silver (control) were studied in vitro under conditions of differential oxygenation, resembling a partially covered dental filling. The experimental method enabled the simultaneous recording of separate pH changes at anordic and cathodic areas and of the corrosion current generated; the corrosion products formed and the corroded alloys were examined by powder X-ray diffraction, optical and scanning electron microscopy, and EDAX elemental analysis. Marked anodic pH drops and cathodic pH rises were seen which, with the total electric change integrated from the recordings, formed the basis for a qualitative evaluation (electrochemical reaction schemes) and a quantitative evaluation (amounts of metal corroded) of the progress of corrosion. The corrosion products found were SnO2, ZnSn(OH)6, and Cu2O of the amalgams, and Zn5(OH)8Cl2 of the Cu-Zn alloy; twice as much tin corroded from the conventional as from the high Cu amalgam, and zinc corroded selectively from the Cu-Zn alloy. These findings were substantiated by the microscopic and EDAX observations.

Corrosion↗

Accelerated corrosion analysis of dental amalgams.

The corrosion of powdered conventional and high Cu dental amalgam was studied in vitro under fixed conditions (100% oxygen, pH 4, and constant weak mechanical action). Results were retrieved from X-ray diffraction of samples of amalgam and solid corrosion products formed, in combination with recording of the HCl consumed to maintain the fixed pH. In the conventional amalgam no corrosion of gamma 1 occurred until all gamma 2 had corroded, whereas in the high Cu amalgam corrosion of gamma 1 occurred from the beginning, concurrent with corrosion of epsilon and eta'. Corrosion products found were AgCl, Hg2Cl2, CuCl2 X 3Cu(OH)2, and SnO2. The results may be interpreted as follows: in the conventional amalgam the matrix phase gamma 1 is anodically protected against corrosion as long as any gamma 2 remains; in the high Cu amalgam the least noble phases epsilon and eta' do not protect gamma 1 in a similar way.

Copper↗

The influence of post length and crown ferrule length on the resistance to cyclic loading of bovine teeth with prefabricated titanium posts.

PURPOSE: The purpose of this in vitro study was to evaluate the influence of post and ferrule length on the resistance to cyclic (fatigue) loading of teeth with prefabricated titanium posts (ParaPost) and crowns. MATERIALS AND METHODS: Ninety bovine teeth with similar dimensions were mounted in acrylic blocks with artificial silicone periodontal ligaments. Combinations of post lengths of 5 mm, 7.5 mm, and 10 mm, and ferrule lengths (i.e., the vertical dentinal overlap of the crown) of 0 mm, 1.25 mm, and 2.5 mm made up 9 different groups consisting of 10 teeth each. The posts were cemented with zinc phosphate cement. Composite-resin cores were made and crowns were cemented. Each test specimen underwent cyclic loading of 400 N with a frequency of 1 load per second at an angulation of 45 degrees to the long axis of the tooth. RESULTS: All but 2 specimens failed with a root fracture; in the remaining 2 specimens the core lost retention. A large variation in the results between the various groups was observed. A nonparametric 2-way analysis for groups with a natural order revealed that the fracture resistance to cyclic loading increased statistically significantly with increasing ferrule length (P < 0.01), whereas increasing post length did not increase fracture resistance (P = 0.44). CONCLUSION: Ferrule length was more important than post length in increasing fracture resistance to cyclic loading of crowned teeth.

Animals↗

Tensile bond strength of two ceramic and three resin composite inlay materials placed using a resin luting agent.

The tensile bond strength of inlay materials to dentin was evaluated. Five materials, two direct resin composite inlay products, one hybrid resin composite, a preformed ceramic block, and a conventional porcelain material were bonded to bovine dentin and bonded together using a dual-polymerizing resin luting agent. Specimens were tested with and without thermocycling. Some bar-to-bar bonding groups fractured through the bar. Significantly higher (P < .05) bar-to-bar bonds were recorded than the bar-dentin bonds, irrespective of the inlay materials. VitaDur N showed the lowest bar-to-bar failure values (7.6 MPa) compared to the four other inlay materials (14.4 MPa to 22.2 MPa), but had the highest dentin bond strength (4.5 MPa). Unexpectedly, thermal loading increased the bond strength to bovine dentin, although this was only statistically significant for VitaDur N. The dentin bond strength of Charisma (1.4 MPa) was inferior (P < .02) to all other materials (2.6 MPa to 4.5 MPa) when thermocycled before testing.

Aluminum Oxide↗

Tensile bond strength of resin luting cement to a porcelain-fusing noble alloy.

This study evaluated the tensile bond strength of resin composites to a noble alloy for ceramic bonding after various surface treatments. The flat end of bars cast in the alloy were used as test specimens. Eighteen clinically relevant combinations of luting agent, airborne particle abrasion, and surface treatment were applied. After surface treatment, two bars were bonded together. Resin cement, either dual-polymerizing (Twinlook) or chemically polymerizing (Panavia EX, Panavia 21, or RBBC), was used as a luting agent. The specimens were subjected to 1,000 thermal cycles between 15 degrees C and 60 degrees C before tensile bond strength testing. The highest median bond strengths were obtained using the Silicoater MD method/Twinlook (20.6 to 26.1 MPa) or with tin-plating/ Panavia EX (24.0 MPa), but more low values were recorded among the latter specimens. Tin-plating/Panavia 21 gave median tensile bond strengths (18.1 MPa) similar to tin-plating/Panavia EX. The Silicoater MD method resulted in similar bond strengths with or without the addition of a layer of Opaquer. The traditional Silicoater method (8.0 to 12.4 MPa) gave significantly lower median tensile bond strength values, and the lost sugar crystals method resulted in a tensile bond strength of 15.4 MPa.

Aluminum Oxide↗