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At least 721 records · Page 40Linked to original sources

Carbon, a promising material in endoprosthetics. Part 1: the carbon materials and their mechanical properties.

Progress in endoprosthetics depends to a large extent on the availability of materials. Carbon is known for its excellent biocompatibility. Carbon materials can also be manufactured with a great variety of properties. The application of carbon materials has been restricted to some special cases like heart valves or tooth roots. Construction of high-loaded endoprosthetic joints has been impossible due to insufficient mechanical strength or manufacturable size of the materials. Three new carbon materials have been developed which seem to offer new possibilities: (1) a high strength isotropic carbon, (2) a silicon carbide/carbon composite (SiC/C) and (3) a carbon fibre reinforced carbon (CFRC). The mechanical properties of these materials were investigated including size effects (length / to thickness d ratio of samples) and manufactured parameters (final heat treatment temperature, fibre volume content and fibre orientation). Flexural strength of the first two materials, which are both isotropic, increases with decreasing l/d ratio, whereas the CFRC behaves contrarily. In the latter case, failure at low l/d ratios is caused by shear failure. The Wöhler diagram of all three materials demonstrates limits of fatigue even after only 10(3) to 10(4) cycles. The fatigue strength of the isotropic C and the SiC/C is between 70 and 80% of the static strength, even in Ringer's solution. The Young's modulus of the isotropic C is comparable to that of femoral bone. The modulus of the SiC/C is still appreciably low. It follows that both isotropic materials are applicable for sliding parts like ball and socket. Their tribological properties are described in a following paper. The CFRC finally combines high fatigue strength (approximately 400 MN/m2) with a moderate Young's modulus (approximately 150 X 10(3) MN/m2). These properties indicate application for shafts and pins.

Biomechanical Phenomena↗

Response of odontoblast-like cells to hydroxyapatite ceramic granules.

In this study the inductive influence of hydroxyapatite ceramic (HAC) granules on preodontoblast differentiation was investigated. Dental papilla cells harvested from upper molar tooth germs were implanted intramuscularly in a pouch created for this purpose. Six months after surgery tooth-root-like bodies had developed with pulp-like cavities in the specimens in which dental papilla cells had been implanted with and without HAC. These bodies consisted of regular tubular dentine in the central part, fibrodentine peripherally and sometimes osteodentine. HAC was haphazardly enclosed in these root-like bodies, whereas the implantation of HAC alone had no effect.

Animals↗

The radiological prediction of inferior alveolar nerve injury during third molar surgery.

The surgical removal of an impacted mandibular third molar may result in damage to the inferior alveolar nerve and may cause disabling anaesthesia of the lip; anaesthesia of the lower gingivae and anterior teeth may also result. Assessing the likelihood of injury depends to a great extent on preoperative radiographic examination. Seven radiological diagnostic signs have been mentioned in the literature; the reliability of these signs as predictors of likely nerve injury have been evaluated through retrospective and prospective surveys. Three signs were found to be significantly related to nerve injury and a further two were probably important clinically.

Alveolar Process↗

Autogenic tooth transplantation: a report of ten cases.

Modifications in the surgical procedure for transplantation of the unerupted mandibular third molar to the first molar socket are presented, and the clinical and radiographic data on ten cases with a 3-year follow-up are described. The proposed method of treatment makes it possible to stabilize the transplant without a splint by using a suture crossed over the occlusal surface of the tooth.

Adolescent↗

Computed tomography in the evaluation of postoperative maxillary cysts.

Twenty-two cases (34 sides) of postoperative maxillary cysts evaluated with axial and coronal computed tomograms were reviewed. Precise characteristics pertaining to the extent of maxillary sinus involvement, loculation, presence of septae, bony perforation, and associated cystic projection or extension into adjacent structures were determined. Of the 34 sides, 13 cysts involved the sinus completely. Twelve were multilocular. Thirteen exhibited incomplete septae. Perforations were most frequent in the anterolateral and medial bony walls (28 and 27, respectively); however, the 14 posterolateral wall perforations showed a higher percentage of cystic projection into adjacent structures. Ethmoid extension was seen on two sides, orbital extension on one. Nine sides showed tooth roots communicating with the cyst. The routine use of computed tomography in the evaluation of this type of cyst is proposed.

Adult↗

Preliminary study of the anaerobic bacteria isolated from subgingival plaque from sheep.

A preliminary study was made to determine the genera of cultivable anaerobic bacteria which could be isolated from subgingival plaque of sheep. Samples were taken from 10 sheep on farms with a known record of broken mouth periodontitis. For assessment of the sampling technique, samples were also taken from freshly exposed tooth roots in killed sheep. The bacteria isolated on several selective and non-selective media were identified to genus level by a combination of Gram reaction, colony morphology and gas chromatographic analysis of volatile and non-volatile fatty acid metabolic end products. At least 10 different genera were isolated and these findings are discussed in relation to the bacteriology of human periodontitis and recent studies of sheep broken mouth periodontitis.

Animals↗

Surgical repositioning of impacted mandibular second molar teeth.

Impacted second molars refractory to orthodontic treatment are frequent problems. The family dentist and the orthodontist should be on the alert for them. A philosophy for their management and the authors' experience over the past 13 years are presented. The proper time for definitive treatment of these impactions is during early adolescence, generally in the 11- to 14-year range. Impaction of the second molar is usually a problem of arch length deficiency. There may be an associated problem with a third molar impaction. The alternatives for impacted second molar treatments are surgical repositioning with or without adjacent third molar removal, removal of the second molar allowing the third molar to erupt, and transplantation of the third molar to the second molar socket. In the authors' experience, surgical repositioning has provided the most promising results of the three choices. Technical aspects of surgical repositioning are discussed along with case selection criteria. Six cases are presented to demonstrate typical problems and their management. With proper timing and intervention, the prognosis is excellent for repositioning second molar impactions.

Adolescent↗

The effects of infraocclusion: Part 2. The type of movement of the adjacent teeth and their vertical development.

This second article discusses how the inclusion of a vertical component (the infraocclusion of the deciduous molar) into the otherwise horizontal band of transseptal fibers affects the vertical development of the two adjacent teeth. From the hypothesis proposed in the first article of this series, it seemed logical to assume that the occlusal heights of the teeth adjacent to the affected tooth would themselves be lowered, when measured to the inferior border of the mandible and compared with the height of the occlusal table of the control side. Secondly, since the vertical component affects only one side of each adjacent tooth, these teeth would be tilted about a center of rotation which is much higher (coronal) than is seen in a tooth that merely tips forward as the result of available space in the immediate vicinity in the arch. In this study, both these assumptions were confirmed, with a very high degree of statistical significance.

Bicuspid↗

Changes in lower third molar position in the young adult.

Changes in position of unerupted lower third molars between 18 and 21 years were examined in a group of 17 men and 24 women with intact lower arches. Mesiodistal third molar angulation, molar space, molar space condition, and buccolingual third molar angulation and the changes in these dimensions were measured on 60 degree cephalograms taken at 18 and 21 years. At 18 years molar space was inadequate by an average of 5.0 mm. Average changes in dimensions were statistically nonsignificant except for an increase in molar space of 0.7 mm. Changes in third molar position ranged from 39 degrees to -46 degrees in the mesiodistal and from 24 degrees to -24 degrees in the buccolingual dimension. Only 10 third molars did not change their mesiodistal angulation. Four third molars erupted fully during the observation period.

Adolescent↗

Focal hyalinization during experimental tooth movement in beagle dogs.

The aim was to study morphological differences between the periodontal structures of beagle dogs showing different rates of tooth movement under identical experimental conditions. An orthodontic appliance was placed on the mandibular second premolar and the first molar to exert a continuous and constant reciprocal force of 25 cN. Tooth movement was recorded weekly. The dogs were killed after 1, 4, 20, 40, and 80 days for histological evaluation. Haematoxylin and eosin staining was used for tissue survey, alkaline phosphatase staining was used as a marker for active osteoblasts, and tartrate resistant acid phosphatase staining was used for osteoclasts. After 24 hours, osteoclastic and osteoblastic activity had already increased at the pressure and tension sides, respectively, and, in some samples, hyalinization was found. In case of fast-moving teeth, areas of direct bone resorption at the pressure side and deposition of trabecular bone at the tension side were found throughout the experimental period. In the periodontal ligaments of teeth showing little movement, small patches of hyalinization were found at the pressure side, mostly located buccally or lingually of the mesiodistal plane. These phenomena were found in both molars and premolars and at all time points. It is concluded that small focal hyalinizations might be a factor that could explain individual differences in the rate of tooth movement.

Acid Phosphatase↗

Implant-retained maxillary overdentures.

Overdentures supported by osseointegrated implants overcome many of the complications observed with overdentures supported by natural teeth. Dental implants are free of biologic consequences associated with natural teeth, such as dental caries and periodontal disease. Bone undercuts adjacent to implants do not mimic those found adjacent to natural tooth roots. Implants are used to provide predictable retention, support, and stability for overdenture prostheses. When lip or facial support is required, the overdenture is the treatment of choice. Likewise the overdenture may improve phonetic deficiencies associated with alveolar bone loss.

Dental Implants↗

Reinforcement effect of adhesively luted fiber reinforced composite versus titanium posts.

OBJECTIVE: The aim of the present study was to investigate the influence of the rigidity of different post materials (titanium versus glass fiber reinforced composite [FRC]) on the fracture resistance of endodontically treated teeth (ETT). METHOD: Forty-eight caries-free maxillary central incisors were randomly assigned to six groups (n=8). After endodontic treatment, teeth of four groups were flattened 2mm above and two groups at the cemento-enamel junction (CEJ). As control, specimens of one group received neither composite build-up nor post, and teeth were left empty (E). In another group only a resin composite build-up was placed (C). In two groups, both titanium and FRC posts were inserted. One group with titanium (2/T) and FRC (2/FRC) post received a 2mm deep ferrule preparation. For one group with titanium (0/T) and FRC (0/FRC) post no ferrule design was provided. All-ceramic crowns were adhesively luted on all specimens. Specimens were exposed to thermomechanical loading and finally statically loaded until failure. RESULTS: The median fracture load values (min-max) were: E=317 (242-404); C=387 (335-475); 0/FRC=352 (0-440); 2/FRC=502 (326-561); 0/T=420 (0-548), 2/T=517 (416-653). Statistically significant differences were computed between E, C, 2/FRC, 0/T and 2/T; between C, 2/FRC and 2/T; between 0/FRC, 2/FRC and 2/T; between 0/T and 2/T regarding maximum fracture load. SIGNIFICANCE: Fracture resistance of ETT is not influenced by the rigidity of the post material. The combination of ferrule preparation and endodontic post results in higher load resistance after TML than any other build-up design.

Composite Resins↗

Effect of composite temperature on in vitro intrapulpal temperature rise.

OBJECTIVES: To measure in vitro intrapulpal temperature when placing and restoring with either room-temperature or pre-heated (54 and 60 degrees C) composite. METHODS: A K-type thermocouple was placed in the pulpal chamber of an extracted, human bifurcated upper premolar which had a Class V preparation (1 mm remaining dentin thickness) on the facial surface. Tooth roots were immersed in a thermostatically controlled water bath and perfused with water at 1.25 microl/min to simulate physiological circulation in the pulp chamber. The thermocouple was connected to an analog-to-digital converter. The preparation was filled using composite either at room-temperature, or pre-heated to 54 or 60 degrees C with a commercial compule heater (Calset), using standard clinical procedures by one person while continuously monitoring intrapulpal temperature (n=5). Temperature rise over baseline values were determined at various stages during the restoration process: composite placement, contouring, prior to light-curing, and immediately after light-curing (20s, Optilux 501). At each measurement interval, intrapulpal temperature values were compared using ANOVA and the Tukey-Kramer post hoc test (alpha=0.05). RESULTS: Significant differences were found in intrapulpal temperature when comparing pre-heated and room-temperature composite treatments with respect to baseline among the stages of the restorative process. However, the extent of this increase with heated composite was only 0.8 degrees C. A 5 degrees C intrapulpal temperature rise was seen for all groups during photopolymerization. SIGNIFICANCE: Use of pre-heated composite only mildly increased intrapulpal temperature values when compared to composite delivered at room-temperature in an in vitro test environment. The largest temperature change occurred with application of the curing light.

Acrylic Resins↗

Interspecific and intraspecific relationships between tooth size and jaw size in primates.

The association between mandibular robusticity, postcanine megadontia, and canine reduction in hominins has led to speculation that large and robust jaws might be required to spatially accommodate large canine and molar teeth in hominins and other primates. If so, then variations in mandibular form that are generally regarded as biomechanical adaptations to masticatory demands might instead be incidental effects of functional requirements of tooth support. While the association between large teeth and deep, robust jaws in hominins is well known, the relationship between tooth size and jaw size has not been systematically evaluated in a comparative sample of primates. We evaluate the relationships between molar tooth size, canine tooth size, and mandibular corpus and symphyseal dimensions in a sample of adult anthropoids in interspecific (n=84 species) and intraspecific (n=36 species) contexts. For intraspecific comparisons, tooth size and jaw size are correlated, but for a majority of species this is a function of sexual size dimorphism. Interspecific comparisons lend little direct support to the hypothesis that jaw breadth directly covaries with molar tooth breadth, but they do support the hypothesis that mandibular depth is associated with canine tooth size in males. The latter observation suggests that if there is a causal association between canine size and mandibular depth, it is subject to a threshold effect. In contrast, neither corpus nor symphyseal robusticity, measured as a shape index of breadth/height, are correlated with tooth size. Our results suggest that further studies of the relationship between tooth size and corpus morphology should focus on tooth root size and corpus bony architecture, and that species-specific factors should have a strong impact on such relationships.

Animals↗

Unusual variant of type 3 dens invaginatus in a maxillary canine: a rare case report.

A 13-year-old boy presented with clinical symptoms of periapical inflammation related to the right maxillary canine. A bizarre radiographic appearance of the root was considered suggestive of a compound odontome. Histological examination of the surgically extracted canine revealed a very rare variant of Oehlers' type 3 invagination. The invagination originated in a pit above the cingulum as a narrow coronal channel that opened into a large cavity inside the dilated root. The radicular part of the invagination contained all components of the attachment apparatus. The root canal and its apical foramen were slit-like and circular. Radiographic appearance of two roots separated by a wide interradicular area in a normally single-rooted tooth is indicative of this variant of type 3 invagination. Timely prophylactic treatment and follow-up or early endodontic treatment confined to the coronal channel are crucial to prevent pulp necrosis and consequent loss of the tooth.

Adolescent↗

Intraoral piezosurgery: preliminary results of a new technique.

The piezosurgery instrument, developed in 1988, uses a modulated ultrasonic frequency that permits highly precise and safe cutting of hard tissue. Nerves, vessels, and soft tissue are not injured by the microvibrations (60 to 200 mm/sec), which are optimally adjusted to target only mineralized tissue. The selective and thermally harmless nature of the piezosurgery instrument results in a low bleeding tendency. In addition, the instrument can be used in operations requiring either local or general anesthesia. The precise nature of the instrument allows exact, clean, and smooth cut geometries during surgery. The difference in time requirement for surgical procedures using the piezosurgery instrument in comparison with the conventional drill is negligible. Postoperatively, excellent wound healing, with no nerve and soft tissue injuries, is observed. It is apparent that the range of application of piezosurgery is not limited to minor operations. Because of its highly selective and accurate nature, with its cutting effect exclusively targeting hard tissue, its use may be extended to more complex oral surgery cases, as well as to other interdisciplinary problems.

Adolescent↗