PubMed Health⌕ Search

Biomedical subjects

M Pagnillo

Publications and source records attributed to M Pagnillo.

9 recordsLinked to original sources
PubMed1999

Comparison of the retentive and photoelastic properties of two prefabricated endodontic post systems.

This in vitro study compared the retention and photoelastic stress patterns from two loading conditions, vertical (133.2 N, 30 pounds) and oblique at a 26 degrees angle (133.2 N, 30 pounds) for two prefabricated post systems. The post studied were: (1) Flexi-Post (a split-shank threaded post) and (2) C-Post (a carbon fibre bound in an epoxy resin, passive double taper tier post). Two groups with 10 specimens per group were subjected to retentive forces with a universal testing machine (MTS 810 Material Testing Machine). In addition, two photoelastic test blocks were prepared with simulated root canals for each post studied. After cementation the photoelastic blocks were photographed before vertical and oblique loading and after loading. One-way analysis of variance (ANOVA) for retention data revealed a highly significant difference (P<0.0001) between groups. The Flexi-Post had a statistically higher mean retention force of 1180.6 N (265.9 pounds), while the C-Post had a mean of 171.8 N (38.7 pounds). Photoelastic analysis indicated minimal stresses for both the Flexi-Post and C-Post in the unloaded state. The C-Post showed asymmetrical apically stress patterns, while loaded in both states. The multi-tiered system of the Flexi-Post clearly distributes stress symmetrically, while the C-Post distributes stresses asymmetrically. The symmetric, even stresses and statistically higher retentive strength for Flexi-Post are more favourable than the asymmetric, uneven stresses and relatively low retentive strength for the C-Post.

Analysis of Variance↗
PubMed1996

Comparative study of two precision overdenture attachment designs.

In this study two precision overdenture attachment designs were tested for retention--a nylon overdenture cap system and a new cap and keeper system. The new cap and keeper system was designed to reduce the time involved in replacing a cap worn by the conditions of the oral environment. Six groups were tested at two different angles and retentive failure was examined at two different angles (26 and 0 degrees). Failure was measured in pounds with a force gauge over a 2000 pull cycle. The amount of force required to remove caps for two overdenture caps and a replaced cap for the metal keeper system was determined. Two dependent variables were absolute force and relative force. Repeated measures analysis of variance (RMANOVA) was used to compare the between-subjects effects of cap and angle, and the within-subjects effect of pull. The results indicated a significant difference between cap types (p < 0.0001) with respect to the relative force required to remove the cap. There was no effect of angle. For absolute force, RMANOVA revealed a highly significant interaction between pull and cap (p < 0.0001). Thus, the way that force changed over pulls depended on which cap was used (no effect of angle). For relative force, RMANOVA revealed no interaction between pull and cap, but there was a main effect of cap type (p < 0.0001) (no effect of angle). The nylon cap design required less force for removal but showed more consistency in the force required over the course of the 2000 pulls when compared with the keeper with cap insert. The results obtained in this study were consistent with similar studies in literature.

Analysis of Variance↗
PubMed1996

Comparison of the fractural strength for three combination cast post systems.

This study compared the fractural strength measured on a 45 degree angle for three combination cast post systems (Parapost, ExactaCast and Luminex 2000). A force applied at a 45 degree angle on the bench was used to simulate the clinical situation. Many similar studies are found in literature. The experiment was divided into three groups made up of 10 samples each. Castings were fabricated in semi-precious metal from: Parapost burnout post / Duralay patterns (group 1), ExactaCast / a new butyl methacrylate acrylic (AccuSet) patterns (group 2) and Luminex 2000 / Lumin-X light cured gel patterns (group 3). The fractural strength [tests] were performed using a MTS testing machine and failure was measure in pounds. Statistical analysis including a student's test were performed to ensure complete significance between groups. The ExactaCast system had the highest mean (283.9 pounds), while the Luminex 2000 system had the lowest (255.1 pounds). There was no statistical difference in the fractural strength for all three groups studied. It seemed that the fractural strength of tooth structure represents the highest level of failure obtained regarding this experimental test constraint.

Bicuspid↗
PubMed1995

Comparison of the torsional forces at failure for seven endodontic post systems.

Resistance to torsional forces is critical in restoration of endodontically treated teeth. Seven post designs (Flexi-Post, Flexi-Flange, Para-Post, AccessPost, World Post, Vlock, and Dentatus posts) were cemented in roots of natural teeth with zinc phosphate and Flexi-Flow cements, which resulted in 11 different groupings that were subjected to torsional forces in a clockwise direction. In addition, clockwise and counterclockwise torque was applied to the Flexi-Post and Flexi-Flange systems cemented with zinc phosphate and Flexi-Flow cements. A total of 150 samples were prepared, and groups for this study were: group 1, Flexi-Post/zinc phosphate clockwise and counterclockwise; group 2, Flexi-Post/Flexi-Flow clockwise and counterclockwise; group 3, Flexi-Flange/zinc phosphate clockwise and counterclockwise; group 4, Flexi-Flange/Flexi-Flow clockwise and counterclockwise; group 5, Para-Post/zinc phosphate clockwise; group 6, AccessPost/zinc phosphate clockwise; group 7, AccessPost/Flexi-Flow with grooved dentin clockwise; group 8, World Post/zinc phosphate clockwise; group 9, World Post/Flexi-Flow with grooved dentin clockwise; group 10, Vlock Post/zinc phosphate clockwise; and group 11, Dentatus post/zinc phosphate clockwise. Torsional forces for the groups ranged from 17 ounce-inches (Dentatus/zinc phosphate) to 81 ounce-inches (Flexi-Post/zinc phosphate). Flexi-Post and Flexi-Flange threaded posts exhibited statistically greater resistance to torsional forces. Analyses were computed with one-way and three-way analysis of variance followed by Duncan's multiple range test. Duncan's multiple range test indicated that Flexi-Post/zinc phosphate/clockwise was similar to Flexi-Post/Flexi-Flow/clockwise and that both had significantly higher torque levels than the other treatment conditions in the clockwise direction (p 0.0001). Dentatus/zinc phosphate/clockwise had significantly lower torque levels than the other treatment conditions (p 0.031).

Analysis of Variance↗
PubMed1995

Dimensional accuracy of three different alginate impression materials.

PURPOSE: The purpose of this study was to evaluate the dimensional stability of three different alginate impression materials (Jeltrate [Caulk Dentsply, LD Caulk Division, Dentsply International, Milford, DE], Hydrogum [Zhermack, Padoua, Italy], and a new hydrophilic alginate material [Essential Dental Systems, South Hackensack, NJ] under five different storage conditions. MATERIALS AND METHODS: The study was divided into four groups with at least eight samples in each group. The five storage conditions were as follows: immediate, 10 minutes with a wet towel, 30 minutes without a wet towel, 1 hour with a wet towel, and 24 hours with a wet towel. A 4 X 5 factorial two-way analysis of variance (P<.05) was used on each dependent variable. Dunnett's test was used to compare each alginate with Jeltrate. RESULTS: The new hydrophilic alginate (group 4, 2:2) showed smaller measurements in the buccolingual and diagonal dimensions compared with Jeltrate (control). CONCLUSIONS: The immediate method (measured buccolingually and diagonally) produced more accurate casts for the alginate materials studied. All other materials studied were similar statistically. The new hydrophilic alginate in group 3 resulted in similar dimensional accuracy compared with Jeltrate and Hydrogum and incorporated 25% less water.

Alginates↗
PubMed1995

Comparison of the photoelastic stress properties for two combination prefabricated cast post systems.

The reason for a post and core preparation is to provide an anchoring system for a final restoration to the tooth root. This experiment was divided into two groups with the following systems; ExactaCast and Parapost. Casts for these systems were fabricated in photoelastic plastic and cemented with zinc phosphate cement. These photoelastic blocks were placed in a special jig on a universal testing machine. The experiment compared the photoelastic stresses generated for these two systems in two different stress modes; vertically at 30 pounds and obliquely (at a 26 degree angle) at 20 and 30 pounds. Specimens were then photographed after cementation in the unloaded and loaded states. Minimal stresses were observed for the ExactaCast in the unloaded state, while symmetric, even patterns of stresses concentrated coronally were present in the loaded vertical and oblique states. Minimal stresses were observed for the Parapost in the unloaded state, while asymmetric, uneven patterns of stresses concentrated apically were present in the loaded vertical and oblique states. The presence of the multiple tiered system for the Exacta-Cast clearly directs stresses in a symmetric pattern, while the single tiered Parapost system directs stresses in asymmetrical pattern. The symmetric even stresses for the ExactaCast are more favorable than the asymmetric, uneven stresses for the Parapost.

Birefringence↗
PubMed1994

Post removal using a thick-walled hollow tube post design.

PURPOSE: The retention of a post into the root is critical for the successful restoration of an endodontically treated tooth. A total of 80 Access Posts (Nos. 0, 1, 2, and 3) comprising eight groups were cemented in root canals with two different luting agents, Flexi-Flow cem with titanium and zinc phosphate cement. MATERIALS AND METHODS: Removal of these Access Posts was then performed with the corresponding retreatment drills. RESULTS: None of the samples for the No. 0 Access Posts were removed by extraction with the retreatment drills. None of the samples for the No. 1 Access Posts cemented with zinc phosphate were removed by extraction with the retreatment drills. All these posts were removed by hand with a hemostat, after breakage of the cement seal. 60% (group 3) and 40% (group 7) of the samples for the No. 2 Access Posts were removed by extraction with the corresponding retreatment drills. 80% (group 4) and 70% (group 8) of samples for the No. 3 Access Posts were removed by extraction with the corresponding retreatment drills. On an average removal of each Access Post Nos. 0 and 1 took between 1 and 2 minutes. On an average removal of each Access Post (Nos. 2 and 3) took between 2 and 3 minutes. CONCLUSION: No root fractures were observed for any sample with either technique. This was confirmed by visual and radiographic analysis.

Composite Resins↗