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Biomedical subjects

Joel M White

Publications and source records attributed to Joel M White.

4 recordsLinked to original sources

Study of the colors and retention of over-the-counter cosmetic veneers.

The purpose of this study was to observe the tooth colors and retention of a cosmetic veneer Fiche Pearl On containing shellac and five experimental formulations containing benzoin gum and ethyl cellulose. Tooth color was measured with a spectrophotometer before and after application of the veneers to the buccal or labial surface of experimental teeth. Through both in vitro and in vivo studies, the retention rates of veneers were assessed. In terms of color difference (deltaE*ab) between before and after veneer application, it ranged from 4.3 (Fiche Pearl On) to 15.0 (experimental formulation White Plus). In terms of retention rate, in vitro test found the retention rate of experimental formulation White Plus was significantly higher than that of Fiche Pearl On. In in vivo test where subjects were permitted to drink water and tea, it was found that the retention rate after two hours ranged from 94.0 to 98.5%. In conclusion, teeth applied with the experimental cosmetic veneer formulations showed better color and retention than teeth with Fiche.

Analysis of Variance↗

Selective ablation of surface enamel caries with a pulsed Nd:YAG dental laser.

BACKGROUND AND OBJECTIVE: High intensity infrared light from the pulsed Nd:YAG dental laser is absorbed by carious enamel and not absorbed by healthy enamel. Consequently, this system has potential for selective removal of surface enamel caries. Safety and efficacy of the clinical procedure was evaluated in two sets of clinical trials at three dental schools. Selective ablation was evaluated with FTIR spectroscopy. STUDY DESIGN/MATERIALS AND METHODS: Carious lesions were randomized to drill or laser treatment. Pulp diagnosis, enamel surface condition, preparations, and restorations were evaluated by blinded evaluators. In Study I, surface caries were removed from 104 third molars scheduled for extraction. One-week post-treatment teeth were evaluated clinically, extracted, and the pulp was examined histologically. In Study II, 90 patients with 462 lesions on 374 teeth were randomized to laser or drill and followed for 6 months. RESULTS: Pulsed Nd:YAG laser removal of surface enamel caries was demonstrated to be both safe and effective. Caries were removed in all conditions. There were no adverse events and both clinical and histological evaluations of pulp vitality showed no abnormalities. A significantly greater number of preparations in the drill groups vs. laser groups entered dentin (drill = 11, laser = 1, P = 0.007). CONCLUSION: The more conservative laser treatment removed the caries but not the sound enamel below the lesion. The pulsed Nd:YAG dental laser was found to be both safe and effective for surface caries removal.

Adult↗