Effects of argon laser curing on dentin shear bond strengths

Previous studies have demonstrated the ability of the argon laser to polymerize light-activated materials and improve enamel shear bond strengths. This study was conducted to evaluate the effects of the argon laser on dentin shear bond strengths of current dentin bonding systems. Argon laser (HGM Model 8) at 231 and 280 mW, 5 sec bonding agent, 10 sec composite, and a conventional curing light (Translux EC/Kulzer) at 10 sec bonding agent, 20 sec composite were used to polymerize samples of dentin bonding systems [Scotchbond Multi-Purpose Plus (3M) and Prime Bond (Dentsply/Caulk), both with TPH (Dentsply/Caulk) composite]. A flat dentin bonding site (600 grit) was prepared on the buccal surface of extracted human teeth. Twelve samples were made for each set of parameters for both laser and conventional light totaling 48 samples. Samples were stored in distilled water in light-proof containers for 24 h at 37 degrees C. Shear bond strengths (MPa) were determined for each sample on the Instron testing machine. Mean values were calculated for each set of data and ANOVA with Fisher PLSD were used for statistical analysis. The argon laser provided bond strengths that were 21-24% greater than those of the conventional curing light system.     

Dobutamine maintains intestinal villus blood flow during normotensive endotoxemia: an intravital microscopic study in the rat

OBJECTIVE: This in vitro investigation compared the amount of linear shrinkage that occurs when a light-cured composite resin is cured with a visible light source, and also with an argon laser. SUMMARY BACKGROUND DATA: When composite resins are light-cured, they undergo a certain degree of polymerization shrinkage, which can be clinically significant and affect the efficacy of the restoration. A new protocol utilizes laser curing instead of conventional visible light. METHODS: Two hybrid composite resins were used, Z100 and TPH-Spectrum. Dimensional change was measured in a linear direction, using a calibrated light-microscope. A total of 40 samples of composite resin was tested using two curing lights, and two hybrid composite resins, resulting in four groups of 10 samples (n = 10) each. According to manufacturer instructions, curing time for the laser was 10 sec, and for visible light was 40 sec. RESULTS: With TPH-Spectrum, the mean shrinkage with visible light was 0.583% compared to that with laser light which was 0.591%. With Z100, the mean shrinkage with visible light was 0.565%, compared to that with laser light which was 0.551%. CONCLUSIONS: There was no significant difference in amount of shrinkage of hybrid composite resins between using visible light or laser light. There was also no significant difference in shrinkage between the two hybrid composites for either light source.     

Strength of secondary-cured resin composite inlay repairs

A study was designed to simulate the repair of an indirect resin composite restoration with conventionally cured resin composite. Two-part specimens were prepared to test the diametral tensile strength of the repair interface between the base material of an indirectly cured resin composite (Herculite XRV) and repairs carried out with three directly cured materials (Herculite XRV, TPH, and Charisma). The repairs were carried out with and without use of the bonding resin for the repair material. The diametral tensile strengths of all repaired specimens were significantly less than those of bulk unrepaired specimens. There were no significant differences between the diametral tensile strengths of repaired blocks when the repair materials were used without bonding resin. The use of an intermediate layer of bonding resin significantly increased the bond strengths obtained when Herculite XRV and TPH were used for repair. There was no significant difference between the strength values of Herculite XRV and TPH, but Charisma exhibited the lowest strengths of repaired specimens.     

Environmental health implications of heavy metal pollution from car tires

OBJECTIVE: To determine the effect of retinoic acid on wound healing of laser burns to explants of porcine retinal pigment epithelium (RPE). DESIGN: With the help of a mirrored attachment to a Coherent argon laser, laser burns (spot size 100 mu, power 500 mW, duration 0.2 seconds) were performed in 12 explants. The explants were then cultured in the presence (six explants) or absence (six explants) of 1 microM retinoic acid. Two explants in either group were recovered 4, 8 and 12 days after treatment for histologic study and scanning electron microscopy. OUTCOME MEASURE: Mean burn area remaining after culture. RESULTS: The area of wound remaining unhealed in the presence of retinoic acid was significantly larger than the area of wound remaining unhealed in the absence of retinoic acid at each time point. CONCLUSIONS: Retinoic acid inhibited wound healing of laser burns to porcine RPE. This effect may illustrate a role for retinoic acid in the pharmacotherapy of proliferative disorders.     

Effect of application technique and dentin bonding agent interaction on shear bond strength

This study evaluated the interaction of five clinical application techniques and the shear bond strength of four DBAs (OptiBond FL, Clearfil SE Bond, PQ1 and Prime & Bond NT). A hybrid resin composite (Herculite XRV restorative resin) was attached to human dentin surfaces using five application techniques: Group A--adhesive spread with a 3M brush for 30 seconds, followed by compressed air 0.5 cm from the surface for one second to remove the excess adhesive. Group B--adhesive spread with a 3M brush for 30 seconds, followed by compressed air 0.5 cm from the surface for three seconds to remove the excess adhesive. Group C--adhesive spread with 3M brush for 30 seconds, excess adhesive removed with a clean brush, two strokes side by side, no compressed air. Group D--adhesive spread with a Micro-applicator brush for 30 seconds followed by compressed air 0.5 cm from the surface for one second to remove the excess adhesive. Group E--adhesive spread with a Micro-applicator brush for 30 seconds, the excess adhesive removed with a clean brush, two strokes side by side and no compressed air. The specimens were stored in distilled water at 37 degrees C for 24 hours, followed by thermocycling between 5 degrees C and 55 degrees C for 1,000 cycles. The shear bond strengths were determined on a universal testing machine operating with a crosshead speed of 5 mm/minute. The fracture sites were examined by 20x stereo microscope to determine the type of failure that occurred during the debonding procedure. Bond strength data were compared with analysis of variance at a significance level of p<0.05. Post hoc comparisons of means were performed with t-tests with p-values adjusted for multiple comparisons. This in vitro study concluded that there was an interaction between the application technique and bonding agent tested. All DBAs utilized the one-second compressed air technique, which yielded the highest bond strengths.     

The influence of ultraviolet radiation intensity on curing depth of photo-activated composite veneering materials

Light intensity and wavelength distribution affect post-cure properties of photo-activated composite materials. This study examined curing depth of composite veneering materials polymerized with a laboratory photo-curing unit for the purpose of evaluating the influence of ultraviolet radiation (UV) intensity on depth of cure. Three microfilled composite materials designed for prosthetic veneer were assessed. Two materials (Axis and Thermoresin LC II) were activated by both UV and visible radiation, whereas the other material (Dentacolor) was activated substantially by visible light. The light source of the photo-curing unit was a metal-halide lamp that radiates both UV and visible light. The unit was equipped with a removable UV-elimination filter capable of reducing the UV intensity from 1014.0 mW/cm2 to 574.0 mW/cm2. Each of the three materials was cured with the photo-curing unit for durations of 20, 30, 60 and 90 s both with and without the filter. The depth of cure of the materials was determined using a scraping technique described by the International Organization for Standardization (ISO 4049). Three-factor analysis of variance revealed that the depth of cure was influenced by the type of composite material, by the exposure period and also by the use of the filter (P < 0.01). Curing depth of one material (Thermoresin LC II) was significantly greater when the material was exposed without the filter than when the material was exposed through the filter. Among the three materials, the Axis composite demonstrated the greatest depth of cure regardless of exposure time period or filter use.     

Pulsed blue laser curing of hybrid composite resins

Clinical performance of light-curing composite restorations is greatly influenced by the quality of the curing-light. Currently used photopolymerization units have some important drawbacks, such as decreasing light output with time and distance, which results in a relatively low degree of conversion and shallow depth of cure, particularly of darker shades. Experiments with continuous argon laser polymerization showed overheating of the composite sample, as well as increased shrinkage of the material. In this study a pulsed laser, set at 468 nm (the maximum of the camphorquinone absorption coefficient), with 20-ns pulse duration, repetition rate of 10 Hz and energy of 10 mJ per pulse, was used as a light source. The aim of the study was to evaluate the effect of polymerization of light and dark shades of three different hybrid composites cured by pulsed laser at the surface and at 3.0 mm depth. The degree of conversion was measured by Fourier transform infrared spectroscopy (FTIR). Applying pulsed blue laser, significantly better results were obtained for both shades compared to standard polymerization values. Very weak dependence of the degree of conversion, between the surface measurements and those at 3.0 mm, were observed in the case of pulsed laser polymerization due to the piercing nanopulses and the monochromatic light at 468 nm.     

Corneal neovascularization treated with argon laser

The argon laser set at 50 mum, 100-150 mW, o-2 s occluded corneal blood vessels in pigmented Dutch rabbits provided the corneal responsible for inducing vascularization was inactive. After arterial treatment with the argon laser retrograde flow in untreated veins was demonstrated by fluorescein angiography. Therefore all corneal new vessels should be treated, not just arteries. Minimal iris damage complicated the laser therapy, but this was not thought necessarily to contraindicate the use of the argon laser to treat corneal blood vessels in man. The iris damage was associated with outpouring of aqueous from the ciliary processes, and it took up to a week for the blood-aqueous barrier to return to its normal state.     

Historical development of whiteners: clinical safety and efficacy

Trimming composite restorations includes gross removal of excess material, contouring, and finishing. Many surfaces such as the lingual surface of anterior teeth or the occlusal surfaces of posterior teeth require the use of rigid rotating instruments. The purpose of our study was to assess the suitability of eight finishing diamonds, five tungsten carbide finishing burs, and one ceramically coated finishing instrument for trimming a small-particle hybrid composite material. A total of 70 specimens of Herculite XRV were treated with the different finishing instruments under simulated practice conditions, and surface roughness was recorded quantitatively using an optical laser pick-up. The resulting surfaces were examined qualitatively with the help of scanning electron microscopy (SEM). Cutting efficiency of the diamonds and burs was evaluated at a constant pressure of 2.5 N using 42 additional specimens of Herculite XRV. Significant differences were calculated using one-way ANOVA and pairwise contrasts by Tukey's multiple range test. The results showed that finishing diamonds were characterized by high cutting efficiency and relatively rough corresponding composite surfaces, whereas tungsten carbide finishing burs led to smooth composite surfaces but had little cutting efficiency. For gross removal and contouring of composite restorations, a 15-40 microns finishing diamond is recommended followed by a tungsten carbide bur for finishing the restoration.     

Infrared transient-liquid-phase joining of SCS-6/β21S titanium matrix composite

Fiber-reinforced titanium matrix composites (TMCs) are among the advanced materials being considered for use in the aerospace industry due to their light weight, high strength, and high modulus. A rapid infrared joining process has been developed for the joining of composites and advanced materials. Rapid infrared joining has been shown not to have many of the problems associated with conventional joining methods. Two models were utilized to predict the joint evolution and fiber reaction zone growth. Titanium matrix composite, 16-ply SCS-6/β21S, has been successfully joined with total processing times of approximately 2 minutes, utilizing the rapid infrared joining technique. The process utilizes a 50 °C/s ramping rate, 17-μm Ti-15Cu-15Ni wt pct filler material between the faying surfaces; a joining temperature of 1100 °C; and 120 seconds of time to join the composite material. Joint shear-strength testing of the rapid infrared joints at temperatures as high as 800 °C has revealed no joint failures. Also, due to the rapid cooling of the process, no poststabilization of the matrix material is necessary to prevent the formation of a brittle omega phase during subsequent use of the TMC at intermediate temperatures, 270 °C to 430 °C, for up to 20 hours.     

Bridging temporal gaps between CS and US in autoshaping: Insertion of other stimuli before, during, and after CS.

In 4 experiments, female White Carneaux pigeons were exposed to key-light illuminations separated from food delivery by 12–60 sec. Approach to the key light did not develop on conventional trace-conditioning arrangements but occurred consistently whenever some auditory or visual stimulus filled the CS–UCS gap (serial conditioning) or was always present except during the gap. The CS approach was strong only when the stimulus present during the intertrial interval remained on until the termination of CS; if the stimulus ended at CS onset, conditioning did not occur. Although discriminability of CS–UCS gaps from intertrial periods seemed necessary for conditioning to occur in the absence of close CS–UCS contiguity, the outcome of the final experiment indicates that such discriminability was not sufficient for conditioning. Results are discussed in terms of possible 2nd-order conditioning effects and the changes in the associative strength of the "local context" existing when the CS appears, which may lead to superconditioning of CS. (35 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Types of medical lasers

The knowledge about different types of lasers and their potential use in medicine is presented. A very rapid development of laser technology in the world imposes a need for up-to-date information about the characteristics of different laser instruments. Without this kind of information it would be difficult to keep in touch with the latest developments in the world's technology. Different types of lasers have different indication range in the medical practice. An inquiry into the fundamental principles of lasers physics is an important prerequisite for successful application of this technology in medicine. Laser as a surgical knife has shown certain advantages over scalpel, electrocautery and cryosurgery, as the laser surgery is a noncontact method, bloodless, precise, with better visualization, minimal postoperative edema, painless healing, without complications. Although laser cannot entirely replace conventional surgical instruments, it is still the instrument of choice for treatment of numerous pathological conditions. The carbon dioxide laser is a highly precise, bloodless light scalpel used for incising and excising tissues and sealing small blood vessels. The infrared beam at 10,600 nm wavelength is absorbed by water and tissue destruction is due to the instantaneous vaporization at relatively low temperature of 100 degrees C. The beam seals blood vessels of up to 0.5 mm in diameter and if the beam is defocused, larger vessels may be controlled. The beam also seals lymphatics, possibly reducing the spread of tumour cells by this route, and seals nerve endings: there is no incidence of neuroma formation. Carbon dioxide laser has shown a great efficiency in otorhinolaryngology, in maxillo-facial surgery and plastic surgery, in urology and gynecology. Provides true "no touch" surgery, and is used increasingly in neurosurgery for the precise atraumatic removal of tissue and for creation of precise lesions for the control of pain. The carbon dioxide laser beam cannot, at present, be transmitted via a flexible fibre, although a number of fibres are being investigated. Delivery of laser energy to microscope, colposcope or handpiece is via an articulated arm which is a hollow tube with mirrors at the articulations. The argon laser produces blue-green coherent light at a number of wavelengts but 80% of the energy is at wavelengths of 488 and 514 nm. This laser was first used in ophtalmology to treat diabetic retinopathy through, and without damage to, the clear anterior parts of the eye. The argon laser is used for blood vessel coagulation but can be used to perform slow, thermal tissue destruction at higher power levels. Argon laser is most commonly used in ophthalmology for otological micro-surgery, particularly in the treatment of otosclerosis and tympanosclerosis. Very good results have been achieved in the argon laser treatment of gastrointestinal bleeding ulcers, vascular lesions and polyps. Dermatology is another field where argon laser has shown great efficiency: hemangyomas, telangiectasias, tattoos, small benign and malignant tumours are amenable to argon laser treatment. In neurosurgery it is used to control both normal and abnormal blood vessels but at present much work on treatment of arteriovenous malformations and aneurysms is experimental. Both the argon laser energy can be transmitted via flexible fibre optic delivery system which can then be attached to an operating microscope, slit lamp, endoscope delivery fibre or handpiece. The Neodymium-YAG laser is used both for tissue destruction with good haemostasis and for the control of normal and abnormal blood vessels. This laser produces infrared coherent light at 1060 nm wavelength, which is deeply absorbed in the tissues without colour or tissue specificity. Neodymium-YAG laser is mostly used in tracheobronchial, gastrointestinal and urologic pathology in the treatment of stenoses, granulomas, benign tumours, and for reduction of malignant tumours. (ABSTRACT TRUN     

Laser welding of fascial grafts and its potential application in tympanoplasty: an animal model

This study evaluates the welding effect of argon laser on fascial grafts and its potential application in tympanoplasty. An animal model was designed so that surgically induced perforations of the lumbar fascia of the animals were grafted in an underlay fashion. Each graft was "spot welded" around the circumference of the perforation using a hand-held argon laser. Various lasing parameters were used on different grafts. Control perforations were grafted but not welded. A total of 96 perforations was studied. Weld sites were evaluated both histologically and by tensile strength measurement at the end of surgery, and at 7, 14, and 21 days postoperatively. Comparison with controls showed a higher tensile strength for welded grafts, which was most significant in the early postoperative period (p < 0.001). Histologically, it seems that the basic mechanism of fascial welding involves liquification and denaturation of extravasated proteins at the weld sites. Correlation between the extent of thermal damage on the tissues and the various lasing parameters is described. Based on the well-documented safety of argon laser in otologic surgery, and the successful welding of fascial grafts in this study, argon laser may prove beneficial in welding temporalis fascia grafts in tympanoplasty.     

Design of Composite Surrogate Mirror Support Structure

Three multimaterial support structures were designed and built to support 200 mm (8 in.) diameter “surrogate” mirrors for the deployable optical telescope (DOT) ground experiment at the Air Force Research Laboratory (AFRL∕VS). A “spider-truss” structure was selected for its stiffness. Materials used included “Invar” alloy and AS4-epoxy composite rods manufactured by the “pultrusion” process, for their low thermal expansion coefficients, and aluminum for its machinability and low density. The composite rods were pultruded at AFRL∕VS, and their coefficients of thermal expansion (CTE) were determined by a laser interferometry method. Finite-element method (FEM) analysis of the vibration modes of the structure was conducted to determine the optimum selection of materials. FEM analyses were also used to determine the mirror surface figure errors caused by ±5°C temperature fluctuation, as a function of the materials chosen. The paper discusses the rationale for the materials selection and design issues.     

Fiberoptic argon laser stapedotomy: is it safe?

The history of otosclerosis surgery has been marked by major advances in both surgical technique and instrumentation. Fenestration, stapes mobilization, total stapedectomy, and stapedotomy were important advances in technique. Loupes, binocular microscopy, speculum holders, and microdrills similarly advanced instrumentation. What about fiberoptic argon laser handpieces for use in laser stapedotomy? Do they represent a significant advance in instrumentation, or are they merely another gimmick? Are fiberoptic argon laser handpieces safe? Experimentally, the thermal effects of argon laser, delivered via fiberoptic handpieces to a cadaver stapes and model vestibule, were studied. No significant temperature elevations within a model vestibule were observed during stapedotomy. There were significant temperature elevations within the laser plume at the level of the facial nerve. These findings are consistent with our experience in over 2200 primary and revision stapedotomies. To date, there have been no cases of significant hearing loss or permanent facial paralysis related to the use of these fiberoptic handpieces. We believe fiberoptic argon laser handpieces are as safe as conventional microsurgical instruments in stapes surgery.     

Isoenzymes of the cytochrome P450 system: an accident or a physiologically significant concept?

The purpose of this study was to compare the Vickers Hardness (HV) of composite resin which was light-cured by 3 different light guides, either through or without a transparent polyester matrix band. The 3 light guides, standard Demetron (SG), Turbo Tip (TT) and a standard Demetron, with obvious accidental damage (DL) were tested with both Model 100 and Cure Rite radiometers. HV tests were done on all samples both immediately and one hour after light-curing. Results were analysed using the Anova and Student t-test. The light intensity readings in mW/cm2 were SG 600 and TT 850 with both radiometers and DL tested 350 and 380. Composite resin surfaces undergo significant surface hardening in the first hour after light-curing. A 350-380 mW/cm2 intensity gives significantly lower HV than 600 + mW/cm2 but 800 mW/cm2 does not produce significantly greater HV than 600 mW/cm2. Curing through a transparent polyester matrix gives marginally greater HV than curing directly. The output of light guides is a significant factor in the surface hardness of cured composite resin.     

Fast aging kinetics of the AA6016 Al-Mg-Si alloy and the application in forming process

Preaging treatment of AA6000 alloys has been a focus of alloy development for automotive applications. A much better bake-hardening response can be achieved with preaged materials compared to those in the naturally aged state. Recently, fast aging kinetics have been found in preaged AA6016 alloys. A heat treatment at 230 °C to 260 °C for over 60 seconds can increase the strength of the material, in particular, the yield strength, significantly. Observations of high-resolution transmission electron microscopy (HRTEM) indicate that relatively large clusters exist in the preaged state; they can grow rapidly into needle-shaped semicoherent precipitates at 230 °C for over 60 seconds, leading to the rapid changes in the mechanical properties. During heat treatment at higher temperatures, the preaged material behaved in a similar manner as the naturally aged material. The fast aging kinetics have been applied in making thermal-treated blanks with microstructural gradients. The blanks were treated locally at 230 °C for approximately 90 seconds to increase the strength of the local region. A heat treatment at temperatures higher than 350 °C for approximately 10 seconds can effectively reduce the strength. A combination of these two treatments applied to different locations of a blank, introducing strong gradients in the mechanical properties, can improve the forming performance of the material significantly, relative to the homogeneous blanks in the original condition.     

Effect of pressure difference on the quality of titanium casting

In casting titanium using a two-compartment casting machine, Her? et al. (1993) reported that the pressure difference between the melting chamber and the mold chamber affected the soundness of the castings. This study tested the hypothesis that differences in pressure produce castings with various amounts of porosity and different mechanical properties values. Plastic dumbbell-shaped patterns were invested with an alumina-based, phosphate-bonded investment material. Both chambers of the casting machine were evacuated to 6 x 10(-2) torr; the argon pressure difference was then adjusted to either 50, 150, 300, or 450 torr. The porosity of the cast specimens was determined by x-ray radiography and quantitative image analysis. Tensile strength and elongation were measured by means of a universal testing machine at a strain rate of 1.7 x 10(-4)/s. The fractured surfaces were examined by SEM. Changes in Vickers hardness with depth from the cast surface were measured on polished cross-sections of the specimens. Raising the argon pressure difference to 300 and 450 torr caused a significant increase in internal porosity and a resultant decrease in the engineering tensile strength and elongation. The highest tensile strength (approximately 540 MPa), elongation (approximately 10%), bulk hardness (HV50g 209), and lowest porosity level (approximately 0.8%) occurred in the specimens cast at 150 torr. Turbulence of the metal during casting was thought to be responsible for the increase in porosity levels with the increase in argon pressure difference. By choosing an argon pressure difference (around 150 torr) suitable for this geometry, we could produce castings which have adequate mechanical properties and low porosity levels.     

Effect of etchant, etching period, and silane priming on bond strength to porcelain of composite resin

The purpose of this study was to evaluate the effect of etching and silane priming on bond strength to a feldspathic porcelain (VMK 68) of a composite resin (Clearfil APX). Two hydrofluoric acid etchants (2.5% and 5%) and seven different etching times (0, 30, 60, 90, 120, 150, and 180 seconds) were used to etch the porcelain specimens respectively. A self-curing bonding agent containing a silane coupler (Clearfil Porcelain Bond) was used on both etched and unetched porcelain surfaces. Etched relief patterns were observed by means of a scanning electron microscope, and the bond strengths between the photocured composite resin and the porcelain were determined. Scanning electron micrographs revealed complicated etching patterns with increased etching time periods. Shear testing results showed that the bond strength to the unetched porcelain of the composite resin was very low, and that etching periods for more than 30 seconds effectively enhanced the bond strength. Of the two etching agents applied to the unsilanated porcelain, the buffered 2.5% etchant produced higher bond strengths than the 5% etchant for all etching time periods except for 180 seconds. Silane priming was effective and critical for improving bond strength to the porcelain. Application of the silane bonding agent to the porcelain after hydrofluoric acid etching appeared to be suitable for achieving consistent bonding between the composite resin and the porcelain.     

Electrophoresis of DNA sequencing fragments at elevated temperature in capillaries filled with poly(N-acryloylaminopropanol) gels

The performance of poly(N-acryloylaminopropanol) (poly AAP) gel columns, proved to be stable during electrophoresis at elevated temperature, was investigated. The column manufacturing procedure included the preparation of a coating of the inner wall of the fused silica capillary column with linear poly(AAP). Then, a mixture of the AAP monomer, the cross-linker dihydroxyethylenebisacrylamide (DHEBA) and linear poly(AAP) was introduced into the column and in situ polymerized (for preparation of linear gel columns, the addition of DHEBA was omitted). The poly(AAP) columns were first evaluated by electrophoresis of oligonucleotides at room temperature and at 50 degrees C, utilizing 260 nm UV-absorbance detection. In a further evaluation of column performance, samples of T-terminated DNA Sanger fragments from the bacteria Moraxella were separated at 200 V/cm electrical field strength, utilizing a 488 nm argon ion laser and a confocal optical setup for laser-induced fluorescence (LIF) detection. A temperature increase from 25 degrees C to 50 degrees C effectively released a compression of DNA bands. However, for cross-linked poly(AAP) gel columns, the elevated temperature resulted in a considerable reduction of the DNA sequence reading length. When a linear poly(AAP) column was utilized, no detrimental effect of elevated temperature on the separation could be observed.