PubMed · 14626270
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A Joseph Ecker. 2003. Extractions.. https://doi.org/10.1016/j.ajodo.2003.09.018
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Tooth transpositions present at a relatively low incidence in the world population and primarily affect maxillary canines and premolars. Treatment of this disturbance should take into account aspects such as facial pattern, age, malocclusion, tooth-size discrepancy, stage of eruption, and magnitude of the transposition. Mechanics for correction should be entirely individualized, reducing the risks and adverse effects. Practitioners often select simpler options, indicating extraction of permanent teeth, which is an irreversible procedure that may bring about damages to the patient. This study presents a case report and treatment of unilateral transposition of maxillary canine and premolar with repositioning of affected teeth to their respective normal positions.
The demineralization of enamel that is associated with early caries formation affects the optical properties of the enamel. Polarized Raman spectroscopy and optical coherence tomography have been used to detect these changes and potentially offer a means to detect and monitor early caries development. The total optical attenuation coefficient as measured by optical coherence tomography and the polarization anisotropy of the Raman peak arising from the symmetric nu(1) vibration of PO4(3-) at approximately 959 cm(-1) have been demonstrated as being sensitive markers of early caries. This ex vivo study on extracted human teeth demonstrates that these measurements can be made with reasonable precision with concomitantly good repeatability and reproducibility in sound enamel. Such reliability is crucial for these techniques to have a practical clinical value.
AIM: The purpose of this study was to investigate the effect of polishing systems on the microleakage of a nanofill, a nanohybrid, and a microhybrid composite in Class V cavities. METHODS AND MATERIALS: Preparations were made at the cemento-enamel junction (CEJ) of 36 extracted human premolars. The teeth were randomly divided into three groups and restored with new resin composites according to the manufacturers' instructions as follows: Group 1, Filtek Supreme & Single Bond; Group 2, Grandio & Solobond; and Group 3, Artemis & Excite. The restorations were finished with diamond finishing burs. The restored/finished teeth were randomly divided into two groups and polished using the following systems: Super-Snap (Al2O2 coated, abrasive disc system, fine grit, and extra fine grit) and Astropol/Astrobrush (silicon-based abrasive polisher point and polisher brush). All specimens were thermocycled 1000 times with a 10 second dwell time. They were immersed in 0.5% aqueous basic fuchsin dye for 24 hours and then sectioned buccal-lingual-longitudinally through the center of both restorations of each tooth and evaluated under a stereomicroscope at 30X magnification. The degree of dye penetration was quantified. RESULT: No significant difference in leakage scores was observed in enamel margins (p=0.456, Kruskall Wallis test), but dentin margins were significantly affected by the different polishing systems (p=0.037, Kruskall Wallis test). The lower leakage scores were recorded for Astropol/Astrobrush polishing systems. The nanofill composite showed the least leakage among the test groups in this study. The most leakage was observed in nanohybrid composite resin (p<0.05, Mann Whitney U test). CONCLUSIONS: Under the conditions of this in vitro study: the microleakage resistance of composites at enamel margins is not significantly affected by the different polishing systems; the lowest leakage scores were recorded for Astropol/Astrobrush polishing techniques in different types of composites; and the ranking of the composite materials from most to least leakage at the dentin margins according to polishing techniques was Grandio >Artemis > Filtek Supreme.