Evaluation of titanium brackets for orthodontic treatment: part I. The passive configuration

The static and kinetic frictional coefficients of commercially pure titanium brackets were evaluated in the passive configuration in the dry and wet states against stainless steel, nickel-titanium, and beta-titanium arch wires. For comparison, stainless steel brackets were evaluated under identical conditions. Titanium brackets were grayer in color and rougher in texture than the stainless steel brackets. Bracket slots were up to 0.002 inch greater than the nominally stated values. Remarkably, the static and kinetic frictional coefficients of the couples formed by titanium and stainless steel brackets were comparable. When evaluated against stainless steel and nickel-titanium arch wires in the dry state at 34 degrees C, the static coefficient averaged.12 and.20, respectively, independent of bracket alloy. When evaluated against stainless steel and nickel-titanium wires in the wet state at 34 degrees C using human saliva, the static coefficient averaged.15 and.20, respectively, independent of bracket alloy. Only the beta-titanium arch wires increased by about 15%, when tested in either the dry or the wet state against titanium versus stainless steel brackets. Noteworthy, too, was the decrease of both coefficients in the beta-titanium wire couples from their previously reported values. Analyses of electron spectroscopy for chemical analysis spectra and depth profiles show that these new brackets are titanium only in the bulk. Indeed the immediate surfaces are composed of, at least, 80 atomic percent (at.%) carbon and oxygen; whereas, the titanium that is present (>11 at.%) is mostly in the form of titanium dioxide. The presence of this quite thin passivating layer, which resides on top of an oxygen-hardened titanium substrate, reduces the galling and fretting that would normally be expected in such materials. Pending the outcome of future angulation tests, these frictional measurements show that titanium brackets are not only comparable to stainless steel brackets but also are more biocompatible with nickel having been eliminated from their constitution.     

External cervical resorption: a case study using orthodontic extrusion

A case is presented of external cervical resorption detected on routine 6-monthly examination. Following root canal therapy orthodontic extrusion and pericision, the tooth was restored using a radicular retained post and core supporting a porcelain bonded to gold full coverage crown.     

A review of the treatment of primary headaches. Part I: Migraine

Finding the best treatment for a patient's migraine is often a problem in clinical practice since the condition is very common, often debilitating and may prove refractory to therapy. Over recent years, more effective migraine treatments have been found and validated, and the traditional remedies have undergone controlled testing. This article reviews the various therapies available for both the acute treatment and prevention of migraine. Treatments often effective against migraine attacks are: aspirin, analgesics, non steroid anti-inflammatory drugs (NSAIDs), ergot derivatives and sumatriptan. Five main classes of prophylactic drug are currently used: beta-blockers, calcium antagonists, serotonin modulators, NSAIDs and ergot compounds. Biofeedback, one of the most efficacious non-pharmacological preventive treatments of migraine, is also discussed. The variables influencing the choice of acute and preventive treatments, including contraindications and drug availability, are also described in order to provide a practical and up-to-date guide to migraine therapy.     

Human C-peptide. Part I: Radioimmunoassay

Synthetic human C-peptide bearing a Tyrosine group at its amino end is labelled with 125iodine using chloramin T or hydrogen peroxide and lactoperoxidase. The results are compared applying both methods. Antiserum to synthetic human C-peptide (without Tyrosine) which was partially compared to rabbit albumin, is raised in guinea pigs and goats. Goats show to be superior to guinea pigs concerning antibody production. The so-called "hook effect" phenomenon is observed in setting up the standard curves for the radioimmunoassay. Monotonically decreasing standard curves are obtained on dilution of antiserum with a high antibody titer which was produced by repeated immunization in goats. Free C-peptide and C-peptide bound to antiserum are separated with the anxion exchange resin Amberlite. Using this separation technique we excluded unspecific binding of labelled C-peptide to protein fractions in serum of diabetics. The sensitivity of our radioimmunoassay is approx. 0.3 ng C-peptide/ml serum. Intra- and interassay variability are below 10%. Human proinsulin is the only substance found to crossreact with the antiserum.     

Precipitate effects on the mechanical behavior of aluminum copper alloys: Part I. Experiments

This article focuses on understanding the mechanical behavior of precipitation-hardened alloys by studying single and polycrystalline deformation behavior with various heat treatments. Aluminumcopper alloys are the focus in this work and their changing stress-strain behavior is demonstrated resulting from the different hardening mechanisms brought about by the various precipitates. Extensive transmission electron microscopy investigations facilitated the interpretation of the stress-strain behavior and the work hardening characteristics. The use of both single and polycrystals proved valuable in understanding the role of anisotropy due to crystal orientation vs precipitate-induced anisotropy. The experiments show that precipitation-induced anisotropy could offset the crystal orientation anisotropy depending on the orientation. This is clearly demonstrated with similar [111] and [123] behaviors under 190 °C and 260 °C aging temperatures. Experiments on pure aluminum crystals are also provided for comparison and understanding the crystal anisotropy in the absence of precipitates. Part I of this article will focus on experiments, and part II will describe the modeling of the effect of different metastable phases in the matrix acting as barriers to dislocation motion.     

Precipitate effects on the mechanical behavior of aluminum copper alloys: Part I. Experiments

This article focuses on understanding the mechanical behavior of precipitation-hardened alloys by studying single and polycrystalline deformation behavior with various heat treatments. Aluminumcopper alloys are the focus in this work and their changing stress-strain behavior is demonstrated resulting from the different hardening mechanisms brought about by the various precipitates. Extensive transmission electron microscopy investigations facilitated the interpretation of the stress-strain behavior and the work hardening characteristics. The use of both single and polycrystals proved valuable in understanding the role of anisotropy due to crystal orientation vs precipitate-induced anisotropy. The experiments show that precipitation-induced anisotropy could offset the crystal orientation anisotropy depending on the orientation. This is clearly demonstrated with similar [111] and [123] behaviors under 190 °C and 260 °C aging temperatures. Experiments on pure aluminum crystals are also provided for comparison and understanding the crystal anisotropy in the absence of precipitates. Part I of this article will focus on experiments, and part II will describe the modeling of the effect of different metastable phases in the matrix acting as barriers to dislocation motion. FOGLESONG for-merly with the Department of Mechanical and Industrial Engineering, University of Illinois, Urbana, IL 61801     

Root resorption of dental and traumatic origin: classification based on etiology

Tumor necrosis factor (TNF)-alpha is postulated to play a major role in the pathogenesis of obesity-linked insulin resistance, probably resulting from an interaction with insulin signaling pathways. This cross talk has now been investigated in human adipocytes at the level of phosphatidylinositol (PI) 3-kinase, and the TNF receptors (TNFRs) mediating these processes have been identified. Equilibrium binding studies using human adipocytes from mammary tissue indicated the presence of two populations of TNFR with apparent affinity constants of 13 pmol/l and 1.6 nmol/l, respectively. Interaction of TNF-alpha with insulin signaling was determined by quantification of insulin receptor substrate (IRS)-1-associated PI 3-kinase activity. Under control conditions, PI 3-kinase was activated about 10-fold in response to insulin (10[-7] mol/l, 5 min). Preincubation of adipocytes with 5 nmol/l TNF-alpha for 15 min resulted in a 60-70% reduction of insulin action, reaching a stable inhibition (40%) after longer incubation with the cytokine. The inhibitory action of TNF-alpha was dose-dependent, already detectable at 10 pmol/l, and was correlated to inhibition of tyrosine phosphorylation of IRS-1 with an unaltered autophosphorylation of the insulin receptor beta-subunit. The modulation of insulin signaling by TNF-alpha was found to be paralleled by a comparable inhibition of insulin-stimulated glucose transport. An agonistic TNFR1 antibody completely mimicked the inhibitory action of TNF-alpha on insulin signaling, whereas at 100 pmol/l TNF-alpha, a nonagonistic p80 TNFR antibody, was shown to ameliorate the inhibitory action of the cytokine. These findings indicate that in human adipocytes, low concentrations of TNF-alpha induce a rapid inhibition of insulin signaling at the level of PI 3-kinase. We suggest that under these conditions, the p80 TNFR is essential for initiating the intracellular cross talk that involves signaling by the p60 TNFR.     

Mechanism of ultrasound enhanced porphyrin cytotoxicity. Part I: A search for free radical effects

Intense ultrasound beams may have the potential to treat malignant tumours when combined with sensitizers, often called sonodynamic agents. Some of these agents, e.g., the porphyrins, are currently used for photodynamic therapy. However, the experimental evidence for ultrasound activation of sensitizers is inconsistent. This paper attempts to discover whether they yield of free radicals such as .OH and .H, which are produced by transient cavitation, could explain the killing of Chinese hamster ovary (CHO) cells in vitro with and without sonodynamic agents. CHO cells were irradiated with ultrasound beams in phosphate-buffered saline or in growth medium, and the immediate cell lysis and loss of cell colony forming ability were measured. Under our specific conditions, in which the standing wave patterns were minimized, a general correlation was observed between the transient cavitation, free radical production, and cytotoxicity. However, the yield of free radicals was much too small to explain the cell killing observed. We conclude that cytotoxicity is not linked to attack from free radicals formed outside the cells. In our experiments, immediate cell lysis is closely linked to the transient cavitation, which is known to produce shear forces that disrupt cellular membranes. We hypothesize that the loss of cell colony forming ability is also linked to damage of cellular membranes.     

Pain and discomfort during orthodontic treatment: causative factors and effects on compliance

Orthodontic patients experience pain and discomfort to a varying degree during the course of treatment. The aims of the present investigation were to follow the progress of adaptation after insertion of new appliances and to study the relationships between the type of appliance worn and pain or discomfort experienced, between pain sensations and attitude toward the treatment and their effects on patients' compliance. Pain and discomfort experienced by 84 patients undergoing orthodontic treatment, their attitude toward the treatment, and compliance were assessed 7 days, 14 days, 6 weeks, 3 months, and 6 months after appliance insertion, using specially designed protocols, questionnaires, and rating scales. Evaluation of the results showed that an adaptation to pain and discomfort occurred during the first 3 to 5 days after placement of the appliance. The severity of pain and discomfort experienced by the patients wearing functional or fixed appliances was significantly higher than by those treated with upper and/or lower removable plates. Patients who had higher personal perception of the severity of their malocclusion and displayed attitudes characteristic for internal control orientation according to the so-called locus of control theory, seemed to adapt faster and have less pain. The results of this study also indicate that acceptance of orthodontic appliances and treatment in general may be predicted by the amount of initial pain and discomfort experienced.     

Interdendritic Spacing: Part I. Experimental Studies

Directional solidification experiments have been carried out in a succinonitrile-5.5 mol pct acetone system to characterize dendrite tip radius and interdendrite spacings as functions of growth rate and temperature gradient in the liquid. A maximum in primary dendrite spacing as a function of growth rate is observed, and this maximum is found to occur at the dendrite-cellular transition velocity. A scaling law is shown to exist between the secondary dendrite arm spacing, λ₂, near the tip and the dendrite tip radius, p, which is λ₂/ρ = 2.2 ± 0.3. Experimental results on ρ have been found to agree with the theoretical model based on the marginal stability criterion. This paper is based on a presentation made at the symposium “Establishment of Microstructural Spacing during Dendritic and Cooperative Growth” held at the annual meeting of the AIME in Atlanta, Georgia on March 7, 1983 under the joint sponsorship of the ASM-MSD Phase Transformations Committee and the TMS-AIME Solidification Committee.     

Oxidation of cobaltite: Part I. process mineralogy

The control of arsenic is important in oxidation roasting and leaching of cobaltite. Oxidation roasting below 823 K did not show any crystal structural change in cobaltite, but heating to 923 K yielded Co-As-oxide, whose composition is varied. Direct oxidation of cobaltite to cobalt oxides with traces of arsenic was observed by roasting at 1023 K or above. The distribution of arsenic within the particles gradually decreased from the outer region to the center of the particles. The arsenic concentration within the particles decreased with the increase of temperature, suggesting temperature dependence on arsenic removal from the lattice of cobaltite. In this article, the process mineralogy of the oxidation of cobaltite is presented at various temperatures. The results from X-ray diffraction (XRD) analysis, reflected light microscopic analysis, and scanning electron microscopic analysis of the roasted cobaltite concentrates together with a rationalized thermodynamic analysis are presented.     

Simulation of flow in a continuous galvanizing bath: Part I. Thermal effects of ingot addition

A numerical analysis has been developed to simulate the velocity and temperature fields in an industrial galvanizing bath for the continuous coating of steel strip. Operating variables such as ingot addition, line speed, and inductor mixing were evaluated in order to determine their effect on the velocity and temperature distribution in the bath. The simulations were carried out using high-performance computational fluid-dynamics software developed at the Industrial Materials Institute of the National Research Council Canada (IMI-NRC) in solving the incompressible Navier-Stokes equations for steady-state and transient turbulent flow using the k-ε model. Cases with and without temperature-dependent density conditions were considered. It was found that the strip velocity does not alter the global flow pattern but modifies the velocities in the snout, near the strip, and near the sink and guide rolls. At a low inductor capacity, the effect of induced mixing is small but is considerably increased at the maximum inductor capacities used during ingot-melting periods. When considering the thermal effects, the flow is affected by variations in density especially near the inductors and the ingot, while little effect is observed near the sheet-and-roller region. Thermal effects are also amplified when the inductor operates at high capacity during ingot melting. The simulations allow visualization of regions of varying velocity and temperature fields and clearly illustrate the mixed and stagnant zones for different operating conditions.     

Tensile properties of short fiber-reinforced SiC/Ai composites: Part I. effects of matrix precipitates

The tensile behavior of aluminum matrix composites reinforced with 8 and 20 pet SiC whiskers or paniculate was characterized. Two matrix alloys were employed, a solution-hardened Al-Mg alloy (5456) and a precipitation-hardened Al-Cu-Mg alloy (2124). The precipitation-hardened alloy was aged to develop a variety of precipitate microstructures. It was found that additions of SiC caused monotonie increases in the elastic modulus, 0.2 pct offset yield stress, work-hardening rate, and ultimate tensile stress. The proportional limit, however, was found to first decrease and then increase with SiC content. Whiskers caused a greater increase in the longitudinal elastic modulus than particles. For the 2124 alloy, it was found that the proportional limit could be varied between 60 and 650 MPa by changing the precipitate microstructure, while changes in the SiC content had much smaller effects. These observations are discussed in relation to current theories of the strengthening of short fiber composites, with primary emphasis being placed on the effects of SiC additions on the elastic modulus and the work-hardening rate.     

Subattachment inflammatory root resorption: treatment strategies

Attempts have been made to classify root resorption according to its etiology in order to develop more efficient strategies for its treatment. This condition has been identified as resulting from damage to the protective attachment layer (predentin or precementum) of the root combined with inflammation adjacent to the root surface. This article demonstrates a series of treatment strategies focused on the reversal of each manifestation of subattachment root resorption, specifically emphasizing defects that extend apically and localized defects.