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Sealing ability of three materials in the orifice of root canal systems obturated with gutta-percha.

There were 130 single roots randomly assigned to one of 12 experimental or two control groups. Forty specimens each were sealed with 1, 2, 3, or 4 mm of Cavit, ProRoot MTA, or Tetric. After creation of a uniform orifice diameter, the smear layer was removed and the canal systems obturated using warm lateral compaction of gutta-percha (GP). GP was removed to the experimental depth, experimental materials placed in the orifice, and roots submerged in India ink in a vacuum flask. Specimens were demineralized and leakage measured using a 10x stereomicroscope and graded for depth of leakage by one calibrated, blinded rater. There was no significant interaction (p > 0.05) between test materials and orifice depths, nor main effect of orifice depth (p > 0.05). However, there was a statistically significant main effect of test materials with Tetric demonstrating a significantly better seal than Pro Root or Cavit (p < 0.0001) irrespective of orifice depth.

Aluminum Compounds↗

Cytogenetic evaluation of di-(2-ethylhexyl)phthalate and its major metabolites in Fischer 344 rats.

Di-(2-ethylhexyl)phthalate (DEHP) and its two major metabolites, mono-(2-ethylhexyl)phthalate (MEHP) and 2-ethylhexanol (EH), were evaluated for their ability to induce chromosomal damage in male Fischer 344 rats after oral administration. Dose levels, the highest of which represents one-tenth of the five-day LD50, were based on a preliminary five-day dose-finding study for each test material. The dose levels selected were 5.0, 1.7, and 0.5 ml/kg/day for DEHP; 0.14, 0.05 and 0.01 ml/kg/day for MEHP; and 0.21, 0.07 and 0.02 ml/kg/day for EH. All test materials and vehicle control (corn oil) were administered by gavage for five consecutive days. A triethylenemelamine (TEM)-positive control group received a single intraperitoneal injection of 0.5 mg/kg TEM one day prior to sacrifice. Of the 50 metaphase bone marrow cells examined from each animal, no significant increase in chromatid and chromosome breaks or structural rearrangements were noted for DEHP, MEHP, and EH. In addition, the mitotic index, determined from 100 cells per animal, was unaffected by DEHP, MEHP, or EH. The results of this investigation indicate that DEHP, MEHP, and EH, at these dose levels, did not induce detectable chromosomal aberrations after oral administration.

Animals↗

The predictive value of quantitative computed tomography for vertebral body compressive strength and ash density.

Whole lumbar vertebral sections (L2 and L3) were obtained from 30 elderly individuals aged 43-95 years, mean 81 years (13 females, 17 males). None of the subjects had had malignant diseases. Quantitative computed tomography (QCT) was performed on an EMI 7070 scanner. One 8 mm slice parallel to the end-plates was obtained from the center of each vertebral body. The trabecular bone mass in each slice was outlined interactively by means of a tracer-ball. A CT-histogram was recorded inside this area, and average CT-values were expressed in Hounsfield Units (HU). The whole vertebral body (L2) was compressed in a materials testing machine. From the central part of L3, vertical cylindrical pure trabecular bone specimens were obtained. The biomechanical competence of these specimens was also assessed by means of a materials testing machine. Finally, all bone specimens were incinerated for determination of apparent ash-density. Highly significant positive correlations were found between average CT-values and (a) stress values of the trabecular bone (r = 0.81, p less than 0.001) and (b) ash-density of the pure trabecular bone (r = 0.81, p less than 0.001). Furthermore, a significant positive correlation was found between CT-values and (a) total vertebral body load (r = 0.72, p less than 0.001), (b) total vertebral body stress (load/cross-sectional area) (r = 0.55, p less than 0.001) and (c) ash-density of the whole vertebral body (r = 0.76, p less than 0.001). It is concluded that quantitative computed tomography gives valid predictions of both vertebral trabecular bone mass and mechanical competence.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

[Osteo-conductive materials: animal experiments and instrumental analysis II].

BACKGROUND: In daily dental surgery practice, when it is not possible to obtain-enough autogenous bone graft to fill bone defects, bone substitutes can be useful for bone regeneration. MATERIALS AND METHODS: After a preliminary microscopic examination of histologic samples obtained from semithin sections of the tibias of rats showing no major differences in the results both for the single material and implant time, further studies on five different osteoconductive materials used in oral clinical practice were carried out with microradiography, SEM and X-ray microanalysis. In experimental animals (rats) bone defects 3 mm large were surgically induced in both tibias: one of the defects was filled by bone substitutes and on the other side the bone defect healed naturally. RESULTS AND CONCLUSIONS: The findings obtained were studied in depth, and allowed to conclude that the materials tested are suitable for the purpose for which they are marketed. Non-demineralized bovine bone showed the best results with a high degree of osteointegration. However, the results also show that not all the materials tested offer healing advantages over controls.

Animals↗

Regional quality control of coagulation assay procedures (normotest, simplastin-a and thrombotest).

The report is based on the first 8 months' operation of an extended regional quality control program involving 20 hospital laboratories in the Stockholm area. The test material was commercially available lyophilized human reference plasma containing uniformly reduced levels of factors II, VII and X, and optimal concentrations of fibrinogen and factor V. Each participant received 2 batches of the test material with different activity at each 4-week period. Participants were requested to analyze the specimens, independently and in duplicates, along with ordinary patient samples three times weekly during each period. The levels of the factors in the batches were changed in each period. The total number of reported results was 3113. The statistical analysis of values included the calculation of means and variances within and between different thromboplastins (Normotest, Simplastin-A, Thrombotest), different techniques (venous and capillary blood, automatic and manual end-point determination), and laboratories classified according to the category and number of personnel and of performed coagulation tests. Systematic differences between thromboplastins, techniques and laboratories, even using the same type of thromboplastin, contributed a significantly greater amount than within-laboratory random variation to the total variation of determinations. The obtained results indicate the urgency of the quality control of coagulation activity tests.

Analysis of Variance↗

Antibacterial activity of 10% carbamide peroxide bleaching agents.

The antibacterial activity of three commercial 10% carbamide peroxide bleaching agents (Nite White, Karisma, and Opalescence) on Streptococcus mutans, Streptococcus mitis, Streptococcus sanguis, Lactobacillus casei, and Lactobacillus acidophilus was examined. Chlorhexidine (0.2%) was used as a positive control. Test materials and control solution were inserted in wells punched on the surface of disk sensitivity agars seeded with bacteria. After incubation of 24 to 48 h, zones of inhibition were measured. All three of the test materials displayed greater inhibition than the control. The pH of the solutions did not effect the bacterial inhibition.

Anti-Infective Agents, Local↗

Particle generation by ultraviolet-laser ablation during surface decontamination.

A novel photonic decontamination method was developed for removal of pollutants from material surfaces. Such a method relies on the ability of a high-energy laser beam to ablate materials from a contaminated surface layer, thus producing airborne particles. In this paper, the authors presented the results obtained using a scanning mobility particle sizer (SMPS) system and an aerosol particle sizer (APS). Particles generated by laser ablation from the surfaces of cement, chromium-embedded cement, and alumina were experimentally investigated. Broad particle distributions from nanometer to micrometer in size were measured. For stainless steel, virtually no particle > 500 nm in aerodynamic size was detected. The generated particle number concentrations of all three of the materials were increased as the 266-nm laser fluence (millijoules per square centimeter) increased. Among the three materials tested, cement was found to be the most favorable for particle removal, alumina next, and stainless steel the least. Chromium (dropped in cement) showed almost no effects on particle production. For all of the materials tested except for stainless steel, bimodal size distributions were observed; a smaller mode peaked at approximately 50-70 nm was detected by SMPS and a larger mode (peaked at approximately 0.70-0.85 microm) by APS. Based on transmission electron microscopy observations, the authors concluded that particles in the range of 50-70 nm were aggregates of primary particles, and those of size larger than a few hundred nanometers were produced by different mechanisms, for example, massive object ejection from the material surfaces.

Aluminum Oxide↗

Thermoplastic composites for veneering posterior teeth-a feasibility study.

OBJECTIVES: This pilot study was conducted to explore selected commercially-available thermoplastic composites that potentially had physical properties superior to currently available dental systems for restoring esthetic posterior crowns. METHODS: Polyurethane, polycarbonate, and poly(ethylene/tetrafluoroethylene) (ETFE) composites and unfilled polyurethane specimens were injection molded to produce shapes adaptive to five standardized mechanical tests. The mechanical testing included abrasive wear rate, yield strength, apparent fracture toughness (strength ratio), flexural strength, and compressive strength. RESULTS: Compared to commercially available dental composites, abrasion wear rates were lower for all materials tested, yield strength was greater for the filled polycarbonates and filled polyurethane resins, fracture toughness testing was invalid (strength ratios were calculated for comparison of the pilot test materials), flexural strength was roughly similar except for the filled ETFE which was significantly greater, and compressive strength was lower. SIGNIFICANCE: Commercially available thermoplastic resin composites, such as polyurethane, demonstrate the potential for development of an artificial crown material which exceeds the mechanical properties of currently available esthetic systems, if compressive strength can be improved.

Analysis of Variance↗

Dermal absorption and pharmacokinetics of isopropanol in the male and female F-344 rat.

Isopropanol (IPA), as a 70% aqueous solution, was applied under occluded conditions to the shaved backs of male and female Fischer F-344 rats for a period of 4 hr. Maximum analyzed blood concentrations of IPA were attained at 4 hr and decreased steadily following removal of the test material. Blood concentrations were below the limit of quantification at 8 hr. Acetone (ACE) blood levels rose steadily during the 4-hr exposures and continued to rise following removal of the test material, reaching peak analyzed levels at 4.5 hr (male) and 5 hr (females). ACE blood concentrations were below the limit of quantification at 24 hr. Basic pharmacokinetic parameters were similar for male and female rats with mean, first-order elimination half-lives for IPA and ACE of 0.8 to 0.9 hr and 2.1 to 2.2 hr, respectively. Following iv administration of [14C]IPA, 50-55% of the dose was eliminated as 14CO2 with lesser amounts recovered as expired volatiles or in urine. Total recoveries following iv administration were 83% for both males and females. Following a 4-hr dermal exposure to [14C]IPA (70% aqueous solution), 84-86% of the dose was recovered from the application site. Dermal absorption rates were calculated by two independent methods. The values obtained were 0.78 +/- 0.03 and 0.85 +/- 0.04 mg/cm2/hr for males and 0.77 +/- 0.13 and 0.78 +/- 0.16 mg/cm2/hr for females. Calculated permeability coefficients of 1.37 to 1.50 x 10(-3) cm/hr for males and 1.35 to 1.37 x 10(-3) cm/hr for females indicate that in the rat, IPA is rapidly absorbed dermally when applied under occluded conditions.

2-Propanol↗

Fluoride release from orthodontic bonding agents: a comparison of three in vitro models.

The aim of this in vitro study was to compare fluoride release from two cement disc models (partially varnished and unvarnished) of three orthodontic bonding materials with fluoride release from the same materials when used to bond an orthodontic bracket onto a tooth surface. A resin-modified glass ionomer cement (Vitremer) and a compomer material (Dyract Ortho) were compared with a conventional resin adhesive (Right-On). Ten discs (3.0 mm diameter and 1.5 mm thick) of each material were manufactured in a silicone mould and ten premolar teeth were bonded with orthodontic brackets using each material. All the premolar teeth were covered with nail varnish up to the bracket periphery and five of the discs for each material were coated with nail varnish on both upper and lower surfaces which halved the surface area. The fluoride released into 2 ml of deionised water, from each tooth or disc, was measured at regular intervals over 60 days. At 60 days, cumulative fluoride release was highest from the unvarnished discs, less for the varnished discs and least from the tooth-bracket model for both test materials. Despite having twice the surface area, the unvarnished disc model released only 1.2 to 1.5 times more fluoride than the varnished disc model. Compared with the tooth-bracket model, the unvarnished discs released 3.0 to 4.5 times more fluoride, whereas the varnished discs released only 2.2 to 3.7 times more fluoride. For the materials tested in this study, halving the surface of the discs did not reduce the cumulative fluoride release by half. The tooth/bracket model with minimal bonding material demonstrated substantial cumulative fluoride release. The pattern of fluoride release was similar for all models tested.

Analysis of Variance↗

Antibacterial effects of some root end filling materials.

In addition to having good sealing ability, root end filling materials should "ideally" have some antibacterial activity to prevent bacterial growth. This investigation compared the antibacterial effects of amalgam, zinc oxide-eugenol, Super EBA and a mineral trioxide aggregate on nine facultative bacteria Streptococcus fecalis, Streptococcus mitis, Streptococcus mutans, Streptococcus salivarius, Lactobacillus species, Staphylococcus aureus, Staphylococcus epidermidis, Bacillus subtilis, and Escherichia coli B and seven strict anaerobic bacteria, Prevotella (Bacteroides) buccae, Bacteroides fragilis, Prevotella (Bacteroides) intermedia, Prevotella (Bacteroides) melaninogenica, Fusobacterium necrophorum, Fusobacterium nucleatum, and Peptostreptococcus anaerobius. After growing these bacteria on solid media, freshly mixed and 24-h set test materials were placed on the surface of these inoculated media and incubated in the appropriate atmosphere for 24 to 48 h at 37 degrees C. Impregnated discs with the Super EBA liquid were used as positive controls. The antibacterial effects of each material were measured in millimeters and the data were analyzed using one-way and two-way analysis of variance and Scheffé tests to determine the statistical differences between the antibacterial effects of the test materials. Impregnated discs with Super EBA liquid caused varying degrees of growth inhibition for both facultative and strict anaerobic bacteria. Both types of amalgam had no antibacterial effect against any of the bacteria tested in this study. Mineral trioxide aggregate had an antibacterial effect on some of the facultative bacteria and no effect on any of the strict anaerobic bacteria. Zinc oxide-eugenol and Super EBA pastes had some antibacterial effects on both types of bacteria tested.(ABSTRACT TRUNCATED AT 250 WORDS)

Aluminum Compounds↗

Cumulative irritancy potential of adapalene cream 0.1% compared with adapalene gel 0.1% and several tretinoin formulations.

Thirty-one subjects (8 males and 23 females; mean age, 49.8 years) were enrolled in a single-center study to assess the irritancy potential of adapalene (Differin cream 0.1% and Differin gel 0.1%) and tretinoin (Avita cream 0.025%, Retin-A cream 0.025%, Retin-A cream 0.05%, Retin-A Micro gel 0.1%, and generic cream 0.025%) as compared with white petrolatum when applied under occlusive conditions. All test materials were applied randomly under occlusion to sites located on the upper area of the subject's back under protective patches. All patches were applied to the same sites unless the degree of reaction to a test product or the adhesive necessitated removal (grade 3). Each test material was applied daily, Monday through Friday, for approximately 24 hours, with the Friday patches left in place over the weekend. Twenty-six of the 31 subjects (84%) completed the study. No subject discontinued because of an adverse event. Five subjects voluntarily discontinued the study early for reasons unrelated to study treatment (4 subject request and 1 lost to follow-up). In the statistical comparison of the 7 test products, the mean cumulative irritancy index of both adapalene cream 0.1% and gel 0.1% was statistically significantly (P<.05) lower than for all of the tretinoin products used and was not significantly higher than the negative control product (white petrolatum).

Adapalene↗

The RDH bandage: hemostasis and survival in a lethal aortotomy hemorrhage model.

BACKGROUND: The Rapid Deployment Hemostat (RDH) Bandage has been designed in collaboration with the Office of Naval Research for the treatment of bleeding because of extremity trauma. It is intended as both a battlefield and civilian severe trauma wound dressing. It consists of a specific formulation of Marine Polymer Technologies' proprietary hemostatic polymer poly-N-acetyl glucosamine, and has received FDA clearance. This study compares the hemostatic capabilities of the RDH Bandage with the standard U.S Army First Aid Field Bandage (AFAFB), utilizing a controlled lethal aortotomy model of hemorrhage. MATERIALS AND METHODS: Aortic punch wounds 4 mm in diameter were made in the abdominal aortas of female Yorkshire White swine, and were allowed to bleed for 5 s before application of test materials. Test hemostats were applied to the wound with manual compression for 10 min. Total loss of blood was determined in each experiment. Bandages were removed at the end of 2 h, for those animals that survived, and the onset of re-bleeding was observed. Animals were monitored for an additional 30 min to assess survival following bandage removal. Hemostatic efficacy was judged by the total loss of blood, and the survival of the animals. RESULTS: Eighty percent of the animals treated with the RDH Bandage survived the study through the entire protocol, whereas only 40% of those treated with the Army First Aid Field Bandage survived the removal of manual compression step, and none survived following the removal of bandage after the 2 h observation/monitoring period. The average blood loss for the RDH Bandage treated animals was 234 ml, and the average blood loss for the Army First Aid Field Bandage treated animals was 1071 ml, through the observation/monitoring period. CONCLUSIONS: The RDH Bandage is significantly superior to the standard issue U.S. Army First Aid Field Bandage in the control of hemorrhage in a lethal swine abdominal aortotomy hemorrhage model, resulting in decreased blood loss and increased survival.

Animals↗

Long-term survival of retinal cell cultures on retinal implant materials.

The aim of the present study was to evaluate cell adhesion and cell survival of mammalian retinal neurons on different materials used for the production of multi-photodiode arrays (MPDAs) intended for implantation in the subretinal space of patients suffering from progressive photoreceptor cell loss. The survival rates of different types of retinal neurons and glia cells were monitored by conventional histochemical techniques and immunocytochemistry up to 4 weeks. Whereas most of the materials tested showed good biocompatibility, cell survival of retinal glia and neurons was markedly reduced on titanium nitride (TiN), especially for culturing periods longer than 2 weeks. The effect was not mediated by diffusible factors released from TiN material. In conclusion, most of the materials tested in this study are suitable for the production of functional MPDAs and no complications are to be expected from long-term implantations of them in the subretinal space.

Animals↗

Color changes of denture base materials after disinfection and sterilization immersion.

This study evaluated the effects of chemical disinfectants on the color of denture base materials. Materials tested included Paladon 65 (Kulzer, Friedrichdorf, Germany), Triad VLC (Dentsply Int, York, PA), and ProBase Cold (Ivoclar, Schaan, Liechtenstein). The disinfectants were Klinex (Lever Hellas, Athens, Greece), Cidex-7 (Johnson & Johnson, East Windsor, NJ), Hibitane (Imperial Chemical, Macclesfield, UK), and Cabadol (Detax Karl Huber, Ettlingen, Germany). Denture material samples were placed in the various disinfectants and evaluated for color changes (delta E*) at intervals of 10 minutes, 10 hours, and 7 days. Changes in color were measured using a tristimulus colorimeter on 10 samples for each denture material and disinfectant combination. It was concluded that if the recommended disinfecting times are followed, no observable color changes should be anticipated for the denture materials tested. Even the long-term (7-day) immersion caused observable color changes only with Cabadol, a phenol-based disinfectant, and ProBase and Triad denture materials.

Acrylic Resins↗

Tissue reactions after intraosseous implantation of three retrofilling materials.

Bone tissue reactions to EBA, IRM, and cyanoacrylate cement (Base Liner) were studied in the rat mandible using an intraosseous implant method. Osseous cavities (1.4 mm in diameter) were surgically created in the mandibles, and materials were implanted in 60 male Wistar rats. Each specimen was evaluated histologically after 4 and 8 weeks. The development of fibrous connective tissue in direct apposition to the material was observed in the EBA and IRM groups at 4 weeks. A slight degree of macrophage infiltration was seen in the EBA group. After the 8-week observation period, IRM and EBA were frequently separated from the bone cavity by a fibrous connective tissue layer (p < 0.01). The Base Liner appeared to be in direct apposition to the osseous tissue in several areas (p < 0.01). These findings indicate that Base Liner reacts favorably with osseous tissue, compared with the EBA and IRM materials tested and seems to be a biocompatible material.

Animals↗

Bioassay of chlordane for possible carcinogenicity.

A bioassay of analytical-grade chlordane for possible carcinogenicity was conducted by administering the test material in feed to Osborne-Mendel rats and B6C3F1 mice. Groups of 50 rats of each sex were administered low or high concentrations of the chlordane for 80 weeks, then observed for 29 weeks. Because of toxic effects, doses were reduced for both male and female rats during the course of the tests. Time-weighted average doses used for the male rats were 203.5 and 407.0 ppm; for the females, 120.8 and 241.5 ppm. Matched controls consisted of groups of 10 untreated rats of each sex; pooled controls consisted of the matched-control groups combined with 50 untreated male and 50 untreated female rats from similar bioassays of five other compounds. All surviving rats were killed at 109 weeks. Groups of 50 mice of each sex were administered the test material at low or high concentrations for 80 weeks, then observed for 10 weeks. The low- and high-dose groups were tested at different calendar times, but each of the treated groups was tested along with a concurrent control. Because of toxic effects, doses were reduced for female mice during the course of the tests; however, it was possible to increase the doses for the male mice. The time-weighted average doses used for the male mice were 29.9 and 56.2 ppm; for the females, 30.1 and 63.8 ppm. Matched controls consisted of groups of 10 untreated mice of each sex; pooled controls consisted of the matched-control groups combined with 70 untreated male and 80 untreated female mice from similar bioassays of five other compounds. All surviving mice were killed at 90-91 weeks. The effects of chlordane on body weights and other clinical signs in rats and mice indicated that the dosages used were near the maximum permissible. This was evident in that the average body weights of the high-dose male and female rats were consistently lower than those of the untreated controls, while differences between the low-dose and control rats were negligible. Body weights of mice given either low or high doses showed little or no effect of the chlordane; however, other adverse clinical signs were seen with greater frequency than in control mice. The effects of chlordane on survival rates indicated that mortality was dose-related for female rats and for male mice. However, a substantial proportion of most groups of animals survived to an age at which tumors could be expected to appear; male control rats, for unknown reasons, showed an abnormally low survival rate. Hepatocellular carcinoma showed a highly significant dose-related trend for mice, using either matched controls (for males, controls 2/18, low dose 16/48, high dose 43/49, P<0.0001; for females, controls 0/19, low dose 3/47, high dose 34/49, P<0.0001) or pooled controls (for males, controls 17/92, P<0.0001; for females, controls 3/78, P<0.0001). These high levels of significance were maintained when hepatocellular carcinoma was combined with nodular hyperplasia or when the data were subjected to life-table adjustment. No other tumors were found in mice in sufficient numbers to justify analysis. In contrast to findings with mice, hepatocellular carcinoma failed to appear at a significant rate of incidence in rats administered chlordane. Further, the number of lesions of the liver in rats did not become significant with the addition of nodular neoplasia or with the application of life-table adjustment to the data. There was significant statistical evidence for the induction in treated male rats of proliferative lesions of follicular cells of the thyroid and of malignant fibrous histiocytoma, but these findings were discounted because the rates of incidence were comparatively low and/or are known to be variable in control rat populations. It is concluded that under the conditions of this bioassay chlordane is carcinogenic for the liver in mice.

Journal Article↗

Evaluation of the surface roughness of compomer by laser scanning microscopy.

The purpose of this study was to evaluate the effect of alcoholic and low pH soft drinks on the surface roughness of compomer restorative materials. There were five tested materials and four immersion media. Specimens were immersed in test solutions for a 10-day period at a temperature of 37 degrees C. Measurement of the surface texture was carried out using a laser scanning microscope (a non-contact laser stylus tracing method). This was also used to produce the Laser Scanning Microscope Image (LSM Image). Specimens immersed in orange juice and whisky displayed higher values for Ra & Rz than specimens immersed in soft drinks and deionized water. LSM Image showed a difference between the control and the examined side, especially for specimens immersed in low pH soft drinks this could be due to the erosive effect of the media. Alcoholic and low pH soft drinks caused deterioration of the materials surface, which may lead to a clinically detectable rough and dull surface.

Alcoholic Beverages↗