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PubMed · 10363500

Necessity is...

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S B Wallach. 1999. Necessity is.... https://pubmed.ncbi.nlm.nih.gov/10363500/

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Impact of torsional and bending inertia on root canal instruments.

The laws of applied mechanics can be used to analyze and predict the behavior of mechanical parts subjected to strain and distortion, such as endodontic instruments. Simple mathematical formulas can be used to represent the impact of torsional and bending inertias on stresses in endodontic instruments being used in root canals. The boundary integral method was applied to two theoretical models with the same diameters but different cross-sections to evaluate quantitatively and qualitatively the stresses produced in orthogonal cross-sections. The results confirmed the mathematical deduction concerning the impact of torsional and bending stresses. The results indicate that clinical protocols based on the torsional and bending properties of endodontic instruments must be strictly followed, and endodontic instrument manufacturers must adopt standardized criteria for describing these properties.

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[Sterilization of dental instruments].

Instruments used by dentists are often sterilized with steam sterilization. At this moment three types of processes are described in the European norms: Type N, S and B. According to the norms type N can be used for non-wrapped non-hollow instruments and non-porous instruments, type S can be used for instruments specified by the manufacturer and type B can be used for wrapped, hollow and porous instruments. The principles on which the sterilizors are based are described. It is concluded that before purchasing the sterilizor the method of working and instruments to be sterilized must specified. In most cases a type B process is preferable in order to gaurantee to be certain to have an effective and reproducible process.

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Tooth preparation techniques for porcelain laminate veneers.

OBJECTIVE: The purpose of this study was to determine the effect that two guides to tooth preparation had on an operator's ability to appropriately and consistently prepare teeth for porcelain laminate veneers. STUDY DESIGN: In-vitro study. MATERIALS AND METHODS: Thirty typodont central incisor teeth were randomly allocated into three groups and a general dental practitioner was asked to prepare the teeth for porcelain laminate veneers. Group A were prepared freehand while Groups B and C were prepared with the assistance of a silicone index and depth preparation bur respectively. Images of the prepared teeth were used to calculate the mean labial depth of preparation and incisal reduction of teeth in each group. RESULTS: The mean labial reduction for Groups A, B and C was 0.37 mm (SD 0.13), 0.62 mm (SD 0.17) and 0.61 mm (SD 0.15) and the mean incisal reduction for Groups A, B and C was 1.0 mm (SD 0.28), 1.0 mm (SD 0.38) and 1.03 mm (SD 0.26) respectively. CONCLUSION: It is suggested that consideration be given to the use of a silicone index or depth gauge bur when teeth are prepared for porcelain laminate veneers.

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