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Biomedical subjects

Peter C Moon

Publications and source records attributed to Peter C Moon.

9 recordsLinked to original sources

The effect of operational speed on the fracture of nickel-titanium rotary instruments.

The purpose of this study was to compare the number of rotations to fracture of nickel-titanium (NiTi) rotary files operated at different speeds and different angles. We used 60 Profile NiTi rotary files, size 25 (30 each of 0.04 and 0.06 taper), operated at speeds of 350 or 600 rpm at angles of 25, 28, and 33.5 degrees. The time to fracture and number of rotations to fracture were recorded and calculated. A significant (p < 0.001) difference was found in the number of rotations to fracture according to taper and angle. Files of 0.06 taper fractured more readily than files of 0.04 taper. Increasing the angle at which the file was rotated decreased the number of rotations to fracture for both tapers; 0.04-taper files were more affected by an increase in the angle than the 0.06-taper files. However, the number of rotations to fracture was not related to the speed at which the files were operated.

Dental High-Speed Equipment↗

A quantitative comparison of the fill density of MTA produced by two placement techniques.

This study compared the fill density of mineral trioxide aggregate (MTA) produced by hand condensation with that produced by hand condensation with indirect ultrasonic (US) activation. Sixty acrylic blocks with straight or curved canals were instrumented to an apical size 45, and weighed with a digital electronic balance. In 30 randomly chosen specimens, the canal was filled with MTA by hand condensation and weighed. The MTA was removed; the canal was rinsed and dried, and refilled using hand condensation with indirect US activation. In the other 30 specimens, the procedure was carried out identically but in reverse order. The blocks were then reweighed. The weight of the MTA fill produced by the two placement methods in the two canal configurations was analyzed by a two-way ANOVA. Hand condensation with indirect US activation resulted in an MTA fill that was statistically significantly heavier, and thus denser, than that accomplished by hand condensation alone in both curved and straight canals (p < 0.0001).

Aluminum Compounds↗

Comparative tensile strengths of preceramic and postceramic solder connectors using high-palladium alloy.

STATEMENT OF PROBLEM: It is not known whether different high-palladium alloys of similar composition possess comparable tensile strength properties associated with connector soldering. PURPOSE: The purpose of this study was to evaluate the tensile strength properties of 2 high-palladium alloys on soldered connectors under simulated pre-ceramic and post-ceramic soldering conditions. MATERIAL AND METHODS: Eighty cylindrical castings were fabricated (Rx Naturelle Plus alloy and Option alloy). The 40 castings for each alloy were subdivided into 2 groups of 20 each. In the first group, castings for each alloy were randomly paired and soldered with presolder (SMG2) to produce 10 preceramic test connector specimens for each alloy. In the second group, castings were similarly paired and soldered with postsolder (490 fine) to produce 10 postceramic test connector specimens for each alloy. Each soldered connector was subjected to tensile force until failure in a universal testing machine. Statistical analysis using a Wilcoxon rank sums test was performed (alpha=.05) RESULTS: No significant difference was found between the mean tensile failure stress for Rx Naturelle Plus preceramic solder (344.7 +/- 77.6 MPa) compared to Option preceramic solder (411.5 +/- 112.8 MPa) (P =.1202). However, the mean tensile failure stress for Rx Naturelle Plus postceramic solder (260.8 +/- 223.7 MPa) was significantly lower than the Option postceramic solder (312.6 +/- 120.8 MPa) (P =.0407). Not only did Rx Naturelle Plus postceramic solder connectors show evidence of lower strength, but also an increased variation among specimens. CONCLUSIONS: Rx Naturelle Plus solder connectors provided better strength with the preceramic as opposed with the postceramic connectors. For postsolder connectors, Rx Naturelle Plus alloy had less acceptable strength and a wider variation, suggesting it is more technique sensitive than Option alloy connectors.

Dental Alloys↗

Influence of a 3-step tooth disinfection procedure on dentin bond strength.

STATEMENT OF PROBLEM: Clinicians have used disinfection materials to remove surface contaminants during cavity preparation. It has been postulated that disinfection materials may negatively affect shear bond strength of restorative materials. If so, large numbers of restorations may be predestined for early failure with the use of a disinfection protocol. PURPOSE: The purpose of this study was to determine whether there is a difference in the bond strength between dentin and resin composite with a 3-step disinfection technique compared to a conventional bonding technique without the additional disinfection protocol. MATERIAL AND METHODS: Sixty human molar teeth were sectioned parallel to the occlusal surface to expose mid-coronal dentin and mounted parallel to a bond shearing device on a universal testing machine and divided into 2 groups. In the 3-step disinfection group (n = 30), specimens were treated with chlorhexidine, Tubulicid red, and sodium hypochlorite before dentin bonding, following the manufacturer's instructions for All Bond 2. In the control group (n = 30), specimens were treated only with the bonding protocol of All Bond 2. To ensure a uniform bond surface area, core paste was syringed into a cylindrical mold (2.38-mm diameter and 2.00-mm height) that was in contact with the dentin bonding surface of each specimen and allowed to polymerize under constant force. All specimens were subjected to fracture by shear loading in a universal testing machine at a uniform crosshead speed of 0.05 mm per minute and expressed as MPa. Statistical analysis was performed using the Student t test (alpha = .05). The mode of failure was noted after a visual examination using a light microscope under x30 magnification. Failures were recorded as adhesive, cohesive or mixed, and statistical analysis was performed using a chi-square of homogeneity (alpha = .05). RESULTS: A significantly higher shear bond strength was found for the 3-step disinfection group (mean shear bond strength, 25.3 +/- 4.6 MPa) compared to the control group (mean shear bond strength, 20.5 +/- 3.4 MPa) (P < .0001). Most failures were adhesive for the control group, but the fracture modes were evenly divided for the 3-step disinfection protocol group. A chi-square test of homogeneity showed a value of 12.3, df = 2, P = .0012. CONCLUSIONS: The 3-step disinfection technique group showed a significantly stronger dentin shear bond strength compared to the conventional bonding technique without disinfection.

Anti-Infective Agents, Local↗

The effect of endodontic solutions on resorcinol-formalin paste in teeth.

This study determined if any of six endodontic solutions would have a softening effect on resorcinol-formalin paste in extracted teeth, and if there were any differences in the solvent action between these solutions. Forty-nine single-rooted extracted teeth were decoronated 2 mm coronal to the CEJ, and the roots sectioned apically to a standard length of 15 mm. Canals were prepared to a 12 mm WL and a uniform size with a #7 Parapost drill. Teeth were then mounted in a cylinder ring with acrylic. The resorcinol-formalin mixture was placed into the canals and was allowed to set for 60 days in a humidor. The solutions tested were 0.9% sodium chloride, 5.25% sodium hypochlorite, chloroform, Endosolv R (Endosolv R), 3% hydrogen peroxide, and 70% isopropyl alcohol. Seven samples per solution were tested and seven samples using water served as controls. One drop of the solution was placed over the set mixture in the canal, and the depth of penetration of a 1.5-mm probe was measured at 2, 5, 10, and 20 min using a dial micrometer gauge. A repeated-measures ANOVA showed a difference in penetration between the solutions at 10 min (p = 0.04) and at 20 min (p = 0.0004). At 20 min, Endosolv R, had significantly greater penetration than 5.25% sodium hypochlorite (p = 0.0033) and chloroform (p = 0.0018); however, it was not significantly better than the control (p = 0.0812). Although Endosolv R, had statistically superior probe penetration at 20 min, the softening effect could not be detected clinically at this time.

2-Propanol↗

The effect of endodontic solutions on resorcinol-formalin paste.

This study determined if any of four endodontic solutions would have a softening effect on resorcinol-formalin paste and if there were any differences in the solvent action between these solutions. Resorcinol, formalin, and zinc oxide were mixed and allowed to set for 30 days. The solutions tested were 0.9% sodium chloride, 5.25% sodium hypochlorite, chloroform, and Endosolv R. Seven samples per solution were tested and an additional seven samples served as controls. Each sample was saturated with one of the solutions and the depth of penetration was tested at 1, 2, 5, 10, and 20 min using a dial strain gauge. At 2 min, sodium hypochlorite and sodium chloride had significantly greater penetration than the other groups (p < 0.0010). Sodium hypochlorite was superior to all other groups after 5 min. This study showed that both sodium chloride and sodium hypochlorite exhibited a significant softening effect within 2 min.

Analysis of Variance↗

Placement of mineral trioxide aggregate using two different techniques.

The purpose of this study was to determine if the adaptation of mineral trioxide aggregate (MTA) would differ when placed into simulated root canals of varying length when using two different placement and condensation methods. Hand condensation was compared to ultrasonic condensation. Eighty polyethylene tubes were divided into four groups of 20 tubes each. The tubes in the four groups were prepared to receive 3-, 5-, 7-, and 10-mm lengths of MTA respectively. Each group of 20 tubes was subdivided; 10 samples of each length had MTA placed and condensed by the hand method and the other 10 by the ultrasonic method. After condensation the samples were evaluated with a light microscope and radiographs for the degree of adaptation of the MTA to the tube walls and for the presence of voids within the MTA material itself. The results demonstrated an 80% agreement for findings between the light microscopy and radiographic evaluation. Hand condensation resulted in better adaptation to the tube walls and less voids than the ultrasonic method. There was no significant difference in the results for any of the four lengths of MTA placed by the hand method (p > 0.9). At this time hand condensation should be considered the preferred method for placement of MTA.

Aluminum Compounds↗

Flow characteristics and film thickness of flowable resin composites.

Flowable resin composites have been recommended for many clinical uses and have been formulated in a variety of compositions and viscosities to meet various uses. This study compared the variation in viscosity of flowable resin composites using the ADA Flow Test and measured film thickness with a test to simulate flow during cementation. The film thickness test for the flowable resin composites was performed at three different seating pressures to simulate pressure variation during seating of porcelain veneers, one of the potential uses of flowable resin composites that may favor a lower viscosity. The following flowable resin composites were evaluated: Revolution, StarFlow, Aeliteflo LV, Aelite, Flow-It, FloRestore, Versaflo, Durafill Flow and Tetric Flow, with Nexus2, a composite luting resin used as a control. Flow characteristic measurements suggest that resin composites may be divided into high flow (StarFlow, Revolution, Aeliteflo LV), medium flow (FloRestore, Durafill Flow, Flow-It) and low flow (Tetric Flow, Versaflo, Nexus2, Aelite) groupings. The film thickness measurements agreed with the ADA flow test, except for two exceptions. Durafill Flow resin composite had a higher film thickness than expected based on the ADA flow test. Also, Aeliteflo unexpectedly had a lower film thickness. At the lowest seating pressure (.016MPa) tested, eight out of the nine resin composites tested as well as the control luting resin had a film thickness greater than the 25 microns used as the clinical standard for cement film thickness. However, at the highest seating pressure (.038 MPa) tested, only two and the control, Versaflo, Durafill Flow and Nexus2, had film thicknesses significantly greater than 25 microns. The highly filled Nexus2 luting resin had the highest film thickness at all seating pressures.

Analysis of Variance↗