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Biomedical subjects

S J Marshall

Publications and source records attributed to S J Marshall.

At least 19 recordsLinked to original sources
PubMed1992

Gamma-1 to beta-1 phase transformation in retrieved clinical amalgam restorations.

A number of important reactions occur in clinical amalgam restorations. This investigation examined the extent of the gamma-1 to beta-1 transformation in a variety of amalgam restorations retrieved from clinical trials. Sixteen restorations of five brands of low Cu amalgams, 28 restorations of four brands of high Cu blended amalgams, and eight restorations of three brands of high Cu single particle amalgams were studied. The extent of the gamma-1 to beta-1 transformation was determined by the ratio of the integrated intensity of the 002 beta-1 peak to the 330 gamma-1 peak in x-ray diffraction patterns. These values were correlated with age, marginal deterioration grade, and residual Hg content. Restorations consistently contained more beta-1 than comparable laboratory controls. Blended high Cu amalgams generally contained more beta-1, which was correlated with better marginal grades. Beta-1 content was inversely related to residual Hg content. No other associations could be established. A model of the complex interactions between corrosion and transformations was developed.

Corrosion↗
PubMed1992

A new light-activated adhesive composite: shear bond strength and microleakage.

A new light-activated adhesive composite has been formulated. Its shear bond strength and marginal microleakage were compared with glass ionomer cements: Fuji Ionomer Type II, Ketac-Fil and Ketac-Bond. The new material showed significantly (p < 0.05) higher bond strength to non-etched enamel (7.9 MPa) and dentin (7.3 MPa) than commercially available materials. It also performed significantly better (p < 0.05) in the microleakage test. Ease of use and the excellent marginal sealing ability of the new material are expected to allow considerable innovation in restorations of root caries, cervical erosion and other conditions where the marginal seal of the gingival cavosurface is difficult.

Aluminum Silicates↗
PubMed1992

A new light-activated adhesive cavity liner: an in vitro bond strength and microleakage study.

A new formulation of a light-activated calcium hydroxide-based cavity liner was developed for this study. Its shear bond strength and marginal microleakage in a Class V cavity preparation were compared to those of commercially available light-activated liners and conventional glass ionomer liners: GC Lining Cement (GC), Ketac-Bond (ESPE), Time Line (Caulk), Vitrabond (3M), XR lonomer (Kerr), and Zionomer (DenMat). The new formulation had significantly higher shear bond strength to dentin than the commercially available materials. Its microleakage along gingival (cemento-dentin) walls was statistically equivalent to one of the other materials and significantly better than all the others.

Analysis of Variance↗
PubMed1992

Dental amalgam: the materials.

The goal of this presentation is to describe the material as it is used clinically, explain why small quantities of Hg can be released, and suggest ideas for amalgams that do not release mercury. A set amalgam is a dynamic material that undergoes many microstructural changes during clinical use, related to both the elevated temperature and corrosion-prone environment in the mouth and mechanical forces applied to the restoration. Amalgams can be divided roughly into two groups by their copper content: low Cu (traditional) and high Cu. High-Cu amalgams generally perform better clinically, but all amalgams corrode to some extent in the mouth. Some corrosion is deemed to be a positive factor, because corrosion product deposition reduces leakage at the margins of restorations; that is, the restorations are partly self-sealing. One of the reasons cited for the improved clinical performance of high-Cu amalgams over low-Cu amalgams is that the corrosion-prone phase, gamma 2, is nearly eliminated in high-Cu amalgams. Future research should involve improvements in the clinical performance of dental amalgams, studies of the mercury release from various types of amalgams and the toxic potential of this exposure, and the development of new amalgam systems that reduce the mercury exposure. Although the longevity of modern amalgams is impressive, it is important for their stability to be increased both clinically and microstructurally. An amalgam should be developed with a stable microstructure that, once set, would not change during clinical use. Microstructural changes lead to clinical deterioration. A stable system would not corrode, and the matrix transformation gamma 1 to beta 1 would be prohibited.(ABSTRACT TRUNCATED AT 250 WORDS)

Copper↗
PubMed1992

Surface analysis of an original Brånemark implant and three related clones.

Selected surface characteristics of screw-type titanium dental implants from four different manufacturers were evaluated. Considerable differences in surface and near-surface contaminants were demonstrated. The fixture treated with radiofrequency glow discharge (plasma) demonstrated the thinnest titanium oxide layer and the cleanest surface.

Dental Implants↗
PubMed1990

Metal ceramic compatibility: a review of the literature.

Metal ceramic restorations are popular in restorative dentistry. Although bonding mechanisms are understood, defining compatibility of alloy and porcelain has been illusive. Chemical compatibility implies a chemical bond between ceramic and alloy that resists stresses resulting from thermal and mechanical incompatibility without compromising esthetics. Research has attempted to predict and test compatibility with varying degrees of success. Despite the success of metal ceramic restorations over the years, compatibility remains undefined without standardized testing procedures. For optimal results, the dentist should communicate with experienced laboratory personnel to meet the specific needs of the patient.

Dental Alloys↗
PubMed1989

Shear bond strength of visible-light-cured resin relative to heat-cured resin.

One promising clinical application of visible-light-cured (VLC) denture resin is for relining complete and partial dentures. Typically, a VLC resin would be used to reline an existing prosthesis fabricated from heat-cured resin (HCR). This study measured the shear bond strength of a VLC resin bonded to HCR specimens by different bonding agents. For comparison, we measured the shear bond strengths of VLC resin bonded to VLC resin specimens and of autopolymerizing resin (APR) to HCR specimens. Cylindrical specimens of HCR (n = 126) and VLC (n = 24) were thermocycled to simulate aging, and the bonding surfaces were prepared by being sanded to approximate clinical roughness. The specimens were divided into seven groups of approximately 20 each, and test materials were bonded by different bonding agents. Statistical analysis by ANOVA and the Student-Newman-Keuls test showed significant differences (p less than 0.05) among all groups except APR to HCR/no bonding agent, VLC to HCR/VLC bonding agent, or VLC to HCR/VLC and HCR bonding agent. The traditional bond of APR to HCR with HCR bonding agent was significantly stronger (p less than 0.05) than the strongest bond of VLC to HCR with HCR and VLC bonding agents.

Acrylic Resins↗
PubMed1989

A controlled clinical study of amalgam restorations: survival, failures, and causes of failure.

The survival and modes of failure of amalgam restorations were investigated retrospectively. 2660 Class I or II lesions were restored and evaluated yearly or half-yearly for failures during the 30- to 84-month follow-up. Restorations with unacceptable margins were not counted as failures if no traces of secondary caries could be seen. 8% of the restorations were lost because of patient drop-out. Of the remaining restorations, 1% was replaced due to primary caries. Of the remaining number (2431), 9% failed because of all other reasons. The leading mode of failure was bulk fracture (4.6%), followed by tooth fracture (1.9%), and marginal ridge fracture (1.3%). For all other reasons, 0.8% of the restorations failed. Only two restorations were replaced because of secondary caries. The alloy selection in both conventional and high-copper categories significantly influenced the survival of the restorations for reasons directly related to the restoration.

Dental Amalgam↗
PubMed1989

Comparison of backscattered scanning electron microscopy and microradiography of secondary caries.

Carious lesions are usually studied using light microscopy and/or microradiography which require preparation of thin sections. Backscattered scanning electron microscopy (BSEM) has received little attention although it provides information similar to that obtained with microradiographs, with the potential for higher resolution. Recently, microscopes have been introduced that can be used to study wet or nonconducting specimens, offering techniques for studying specimens without desiccation or preparation of thin sections. This investigation sought to determine if secondary carious lesions have the same characteristics when studied by microradiography as when using the "wet" BSEM mode. Microradiographs were made of thin sections from restored teeth with secondary caries induced in an artificial caries system. The thin sections were also studied by BSEM with a partial pressure in the specimen chamber to prevent specimen charging. Comparisons of the lesion size and shape were made using the two methods. Lesion depth measurements in enamel were the same; lesions that penetrated into dentin appeared to be of similar size and shape, but lesion depths measured by BSEM were slightly greater (paired t-test, p less than .05). This was a result of cracks at the carious enamel-dentin interface that probably developed during storage of the samples. Variations in the surface enamel rod structure and the development of subsurface lesions were apparent. Several zones were also apparent in the carious dentin, demonstrating loss of dentinal tubule detail in the depth of the lesion, collapse of tubules, and hypermineralized regions near the advancing front of the lesion. Several additional samples of natural carious teeth were examined. They demonstrated the characteristic structural features of the carious process.(ABSTRACT TRUNCATED AT 250 WORDS)

Dental Caries↗
PubMed1988

Differential sensitivity of the insulin receptor to proteolysis after beta-adrenergic stimulation.

The cellular mechanism by which the specific binding of [125I]insulin to intact rat adipocytes is inhibited by isoproterenol has been studied. By exposing control and isoproterenol-treated cells to trypsin (0-150 micrograms/ml for 20 min at 4 degrees C) and measuring the intact insulin receptor pool following detergent solubilization, a differential sensitivity to proteolysis of the cell membrane receptor was observed. At low trypsin concentration (less than 30 micrograms/ml), approximately 40% of the specific insulin binding in isoproterenol-treated cells was insensitive to proteolysis as compared to control cells. At higher levels of trypsin (50-150 micrograms/ml) both groups displayed similar levels of trypsin-insensitive receptors which, at the highest trypsin concentration, accounted for 10% of the total receptors in intact cells. Detergent-solubilized receptors from isoproterenol-treated cells, on the other hand, exhibited the same sensitivity to trypsin proteolysis as solubilized receptors from control cells. The time course of the onset and reversal of the isoproterenol-induced binding alteration in intact adipocytes has been analyzed by mild trypsinization (20 micrograms/ml). Results indicated that insulin receptors resistant to trypsin under these conditions mediated the decreased surface binding and were re-expressed on the cell surface upon removal of isoproterenol. Experiments in which adipocytes were fractionated into plasma membrane and Golgi-enriched fractions indicated that the loss of surface insulin binding was not accompanied by a decrease in the proportion of receptors in the adipocyte plasma membrane.(ABSTRACT TRUNCATED AT 250 WORDS)

Adipose Tissue↗
PubMed1988

Restorative dental materials: scanning electron microscopy and x-ray microanalysis.

Restorative dental materials include the materials used to repair damaged teeth and/or replace missing teeth. The definition could be extended to include a much broader group of dental materials, but this paper concentrates only on those materials used to restore the crown portion of damaged teeth. Auxiliary materials, materials for removable denture prostheses, and root canal materials are excluded. Progress and recent research utilizing SEM (Scanning Electron Microscopy), EDS (Energy Dispersive Spectroscopy), and some related methods are presented for the following dental materials: dental amalgam, enamel and dentin bonding agents, dental composites, dental cements, casting alloys for crowns and bridges, and ceramic-metal and ceramic restorative materials. In addition to the basic characterization of these materials by SEM/EDS techniques, examples of replication methods for SEM study of restorative materials in situ are discussed. Some examples are also presented in the direct use of SEM/EDS for characterization of changes and degradation of restorative materials which occur during clinical use.

Dental Materials↗
PubMed1987

Effect of chronic isoproterenol exposure on insulin binding and insulin-stimulated hexose transport in isolated rat adipocytes.

The effect of chronic exposure of isolated rat adipocytes to the beta-adrenergic agonist isoproterenol has been studied with respect to insulin binding and insulin-stimulated hexose uptake. Isoproterenol exposure led to a progressive decrease in both the number of surface insulin receptors and the stimulation of hexose uptake. The effect on insulin binding was reversible by removal of the beta-agonist within an hour of its addition. Later exposures of adipocytes to isoproterenol resulted in an irreversible cellular defect by leading to a progressive inability of the cells to regain their normal level of insulin-stimulated hexose uptake and insulin binding.

Adipose Tissue↗
PubMed1987

Effect of time at 37 degrees C on the creep and metallurgical characteristics of amalgam.

When aged at 37 degrees C for six months, dental amalgam exhibits a marked decrease in the property of creep. The objective of this study was to investigate the relationship between this decrease in creep and selected metallurgical characteristics. The formation of beta 1 (Ag-Hg), the grain size of gamma 1 (Ag-Hg), and the composition of gamma 1 were chosen for investigation. Creep was determined according to ADA Specification test No. 1, beta 1 was measured by x-ray diffraction, and gamma 1 grain size and gamma 1 composition were determined by electron-probe microanalysis. The results showed that the decrease in creep was related to beta 1 formation and not to changes in either gamma 1 grain size or gamma 1 composition.

Chemical Phenomena↗
PubMed1986

The relationship between antepartum fetal heart rate, intrapartum fetal heart rate, and fetal acid-base status.

The relationships between antepartum baseline fetal heart rate, baseline variability, accelerations, decelerations, and fetal movement and intrapartum fetal heart rate, fetal acid-base assessment at delivery, and Apgar scores 1 and 5 minutes after delivery were studied in 290 mature pregnancies. There was a significant relationship between antepartum and intrapartum baseline fetal heart rate and baseline variability. There was no relationship between antepartum and intrapartum accelerations or decelerations. There was no correlation between antepartum fetal heart rate or fetal movement and fetal acid-base status at delivery or Apgar scores 1 and 5 minutes after delivery. There was a trend for decreased accelerations and decreased fetal movements to be associated with a low Apgar score 1 minute after delivery.

Acid-Base Equilibrium↗
PubMed1986

Arachidonic acid inhibition of insulin action and phosphoinositide turnover in fat cells.

Incubation of isolated rat adipocytes with 1 microM arachidonic acid (20:4) coupled to equimolar amounts of bovine serum albumin (BSA) results in the cellular uptake of the fatty acid and a subsequent inhibition of insulin-stimulated antilipolysis and lipogenesis without altering glucose transport. These effects are apparently not mediated at the insulin receptor level since insulin binding is not altered in arachidonate-enriched fat cells. In addition, effects on antilipolytic and lipogenic are not specific for arachidonic acid. Oleic or palmitic acid can mimic these effects in both insulin-stimulated and PGE2-stimulated cells. Adipocyte enrichment with 20:4, however, specifically inhibits the insulin-stimulated turnover of phosphoinositides. The latter can be specifically prevented by preincubation with ibuprofen. These results suggest that the level of intracellular arachidonate may play a major role in modulating insulin-stimulated phosphoinositide turnover and thereby indirectly regulate certain aspects of insulin action which involve lipid metabolism.

Adipose Tissue↗