PubMed · 15195737
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John S Blalock. A Tofflemire time saving tip.. https://pubmed.ncbi.nlm.nih.gov/15195737/
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The aim of this study was to evaluate the mechanical properties, such as Young's moduli, fracture strengths (FS), and flexural fatigue limits of todays resin composite dental restoratives. All materials have been subdivided into flowable, aesthetic hybrid and nano-filled hybrid composites as marketed by dental manufacturers and analyzed in terms of the actual filler configurations. Specimen bars have been manufactured in reference to ISO 4049 standard, light-cured for 20 s, and stored in distilled water before testing. The elastic moduli (EM), FS, and flexural fatigue limits (FFL) were measured after 14 days storage by using the four-point bending test. The FFL was determined for 10(4) cycles. The fatigue data were analyzed by using the "staircase" approach and statistically treated by ANOVA analysis. Flowable materials with a reduced filler content exhibited the lowest Young's moduli, compared with those measured for higher filled materials. A linear relationship has been found between elastic moduli and filler loading (r(2) = 0.798). Correlations of FS and fatigue data to different filler fractions could not be proved. FS ranged between 61.3 and 124.9 MPa. After 10(4) cycles of fatigue loading, the FS suffered from a decrease between 45.2 and 61.7%. However, materials providing high initial strengths do not obviously reveal the best fatigue resistance. A marketing-based grouping of direct restorative materials has no meaning toward laboratory testing of mechanical properties.
Gold foil is the most underused restorative material in dentistry, and contrary to popular belief, it is still being used in many dental practices. As demonstrated, it can be used more easily than years ago and give the patient a restoration that may last a lifetime. Reasons for not using it have been addressed, and a simplified method of restoration has been explained in detail. It is the hope of the authors and the American Academy of Gold Foil Operators that this paper may stimulate some readers to investigate the use of gold foil as a restorative material. More information and educational opportunities may be obtained by contacting the authors or the Academy of Gold Foil Operators (goldfoil.org).
The Dahl appliance was described nearly 30 years ago. This removable metal bite platform was used to create inter-occlusal space, in a localised part of the mouth, to facilitate the placement of restorations on worn anterior teeth. The Dahl concept is traditionally associated with the management of worn teeth. However, the same principles can be successfully and safely applied to a variety of clinical situations. This has simplified the management of historically complex problems. The advantages are the preservation of tooth tissue and the long-term benefits that brings. This paper reviews the literature related to the Dahl concept and how the concept has developed. There is a discussion regarding possible future applications and research.