Cosleeping (bedsharing) among infants and toddlers

This study was designed to investigate the effect of retaining coronal tooth substance on the performance of post-retained core materials, and to compare the fracture resistance of the system with an intact tooth prepared to similar dimensions. Ten teeth restored with post-retained silver amalgam, and 10 teeth restored with silver-glass cermet, all with a retained single wall of coronal tooth substance, were compared with 10 unrestored teeth prepared to similar dimensions when subjected to a shearing load. The results showed no statistically significant difference between the unrestored teeth and those restored with a silver-glass cermet. Whilst the teeth restored with silver amalgam had a significantly higher fracture resistance (P > 0.01) there was greater tendency to root fracture.     

A fiber composite laminate endodontic post and core

The goals of endodontic post and core procedures are to provide maximum retention of the post and resistance to fracture of the roots. Presented is a recently developed fiber composite laminate (FCL) post and core technique which results in a bonded structure that is conservative, morphologic, retentive, versatile, esthetic, and helps resist root fracture. To ascertain the durability of FCL posts and cores, an in vitro pilot study with stress testing is included. The results of the study are compared to other post and core materials to show how well this technique approaches the ideal characteristics for endodontic post and cores.     

Fracture resistance of endodontically treated roots after restoration

This study evaluated the shear strength resistance of endodontically treated roots that were restored by two different techniques. Twenty-seven recently extracted single-rooted teeth with similar anatomic characteristics were sectioned to obtain the same length for all specimens. Group I (GI) consisted of 14 roots restored with cast post-core (nickel-chromium alloy) and cemented using zinc phosphate cement; group II (GII) consisted of 13 roots restored with steel prefabricated posts (FKG) cemented with zinc phosphate cement and rotated with caution for anchorage. The crown portion of this group was made using a hybrid composite resin (Prisma APH). Results showed that on all specimens of GI the fracture occurred in the cervical root structure while in GII the composite resin fractured in all specimens. Statistical analysis showed a significantly higher resistance to fracture for GI than GII. The specimens were sectioned longitudinally for stereoscopic microscope analysis (63x) and did not show fracture lines in the dentin anchorage post area for any of the specimens.     

Effects of designs of Class 2 preparations on resistance of teeth to fracture

This study was designed to evaluate the effect of isthmus width on the strength of the remaining tooth structure in maxillary first premolars restored with class 2 silver amalgam restorations. One hundred ten sound maxillary first premolars freshly extracted as a part of orthodontic treatment were collected. The teeth were then divided into 10 groups of 11 teeth each. Ideal class 2 mesio-occlusal, disto-occlusal and mesio-occlusodistal cavities with different isthmus widths i.e. one half the intercuspal distance, one third the intercuspal distance and one fourth the intercuspal distance and one fourth the intercuspal distance were prepared. Compressive forces were applied using a Universal Testing Machine and load to the point of fracture was determined. Intact teeth produced the best tooth fracture resistance i.e. 105.4 MPa, followed by preparations with isthmus width of one fourth, one third and one half intercuspal distance in the order.     

Effect of restored and unrestored non-carious cervical lesions on the fracture resistance of previously restored maxillary premolar teeth

OBJECTIVES: The effect of non-carious cervical lesions (NCCL) on tooth fracture resistance has not previously been investigated. The aims of this in vitro study were to examine the fracture resistance of a group of extracted maxillary premolar teeth with mesio-occlusal-distal (MOD) restorations of amalgam, and restored or unrestored simulated NCCL. METHOD: Forty sound maxillary, premolar teeth were divided at random into four groups, each of 10 teeth, which were fixed crown uppermost and long axis vertical in stainless steel moulds. Groups 1,2,3 and 4 were prepared with standardized parallel-sided MOD cavities, then restored with amalgam. Groups 1, 2 and 3 were further prepared with standardized NCCL. The NCCL in Group 1 were restored using a resin-modified polyalkenoate (glass-ionomer) cement, and the NCCL in Group 2 were restored with an adhesive composite resin system. The NCCL in Group 3 were left unrestored. The specimens were loaded compressively at 1 mm min-1 using a universal testing machine. RESULTS: Mean fracture loads (KN) of 1.08, 1.03, 0.98 and 1.14, respectively, were recorded for Groups 1, 2, 3 and 4. Two-way ANOVA and Scheffe's Multiple Range Test showed no statistically significant difference between the groups. CONCLUSIONS: It is concluded that the presence of a standardized NCCL in an extracted maxillary premolar tooth does not reduce the fracture resistance of the tooth when loaded compressively at 1 mm min-1. The restoration of NCCL with the materials tested did not result in an increase in the fracture resistance of the previously restored premolar teeth, when loaded compressively at 1 mm min-1.     

Strength of core build-up materials in endodontically treated teeth

PURPOSE: To compare the in vitro strength of a reinforced glass ionomer and a light-cured glass ionomer used as an alternative to amalgam in core construction to restore endodontically treated mandibular molar teeth. MATERIALS AND METHODS: The root canals of 120 extracted human mandibular molar teeth were prepared chemomechanically and obturated with laterally condensed cold gutta-percha. The crown of each tooth was sectioned leaving only one cusp standing. Gutta-percha was removed from the pulp chamber in all teeth. The volume of the pulp chamber was measured and the teeth ranked in ascending order of chamber volume. The specimens were divided into six groups of 20, allocating teeth with similar chamber volumes into each group. In three of the groups, gutta-percha was removed from the coronal 3-4 mm of each root canal. The teeth were restored with one of three materials, a cermet cement (Ketac-Silver), a resin-reinforced glass ionomer (Vitremer), or amalgam (Contour). Core preparation was carried out after 48 hours, reducing each core height to 6 mm. The specimens were thermocycled for 24 hours and then mounted in dental stone. A control group of 20 unrestored human mandibular molars was mounted in cold cure acrylic. Each tooth was tested in a Nene machine with a compressive load applied at 90 degrees to the occlusal surface at a crosshead speed of 5 mm/minute. RESULTS: There was no statistically significant difference between the experimental groups (P > 0.05), but the control group was significantly stronger (P < 0.001). Extension of core material into the coronal root canal system did not increase the fracture resistance of any of the experimental materials. Regression analysis of the results revealed no correlation between the volume of the pulp chamber and the load to fracture.     

Anatomical variations in the dentition of the domestic cat

Skulls (n = 155) of adult domestic cats were examined macroscopically and anatomical variations were documented. The maxillary second premolar tooth was absent in 7.9% of cases, and was found to have a single root in 27.7%, partly fused roots in 55.1% and two fully formed roots in 9.2% of cases. The maxillary first molar tooth was absent in 2.3% of cases; a single root was present in 35.0%, a partly fused root in 34.7%, and two roots in 28.0% of cases. Supernumerary roots were found on the maxillary third premolar teeth in 10.3% of cases. Other variations were found to be extremely rare.     

Definitive injuries to the teeth. Lesions of hard tissue and pulp

Tooth infraction and enamel fracture are the most simple traumatic crown lesions. When necessary the lesions can be covered with composite material. Follow-up of the traumatized tooth is necessary since pulp necrosis and obliteration can develop. In case of an uncomplicated fracture involving enamel and dentine immediate protection of the dentinal wound is important for the preservation of tooth vitality. In case of a negative vitality test, an endodontic treatment will be performed in case of a tooth with open apex only when supplemental clinical and or radiological signs of pulp necrosis are present. When a complicated enamel-dentine fracture is present, an endodontic treatment will be performed when root formation is complete. In case of a wide open apex, a pulp capping, partial pulpotomy or cervical pulpotomy will be performed in order to preserve vitality of pulpal tissues at the level of the root. Crown root fractures can be superficial, deep or vertical. In case of a superficial localisation of the fracture line, restoration with composite material or with the fractured tooth segment is indicated. Deep crown-root fractures can only be restored when the fracture line is localized not deeper than at 1/3 of the length of the root. In case of a vertical fracture, extraction is the only possibility. Root fractures on immature teeth are in most cases unilateral and have a good prognosis. In teeth with completed root formation, fractures at the level of the cervix have a poor prognosis. The fractured segment will be removed. Only when the remaining root segment is long enough, this part can be maintained. In case of a fracture at the mid-root level, repositioning and rigid splinting for a period of 8 weeks is necessary. When the tooth becomes non-vital, endodontic treatment is performed on the coronal part. Root fracture in the apical part does not necessary result in enhanced tooth mobility and immobilisation is not always necessary. Healing of a root fracture is only possible when the tooth is immobilized for a sufficiently long period. Regular control of tooth vitality is necessary since pulp necrosis can lead to an inflammatory reaction at the level of the fracture line.     

Fracture resistance in conservative Class II cavity preparation: box vs tunnel

A total of 40 extracted human maxillary premolar teeth were used in this study. Teeth were randomly distributed between two main groups. In group A conservative class II Box preparations were cut in each tooth. In group B the proximal cavity was prepared through the occlusal surface and the proximal marginal ridge was left intact (tunnel preparation). Group A and group B were randomly subdivided into two subgroups (a & b). In groups Aa and Bb a posterior composite resin material was used to restore the prepared cavities (no base was used). While in groups Aa & Bb the posterior composite resin was used with a glass ionomer cement base. The teeth were tested on an Instron testing machine for their resistance to fracture, force being applied equally to buccal and lingual cusps. Mean fractures values were: Gp. Aa 285 LB.: Gr. Bb 245 lb. Bb 240 lb. One way analysis of variance showed no statistical difference between the four groups. The tunnel preparation did not increase the resistance to fracture of the restored tooth compared to a box preparation.     

Treatment of root fracture by CO2 and Nd:YAG lasers: an in vitro study

The purpose of this in vitro study was to use scanning electron microscopy and polarized light microscopy to evaluate the feasibility of using either the CO2 laser or an Nd:YAG laser in combination with air/water surface cooling to effect fusion of fractured tooth roots. The experimental unit consisted of 81 single-rooted teeth, each with an induced root fracture. Fifty-six teeth that had been reapproximated in dental stone and 25 teeth that had been reapproximated with C-clamps were assigned to untreated control groups or groups for treatment using CO2 and Nd:YAG lasers. Laser treatment consisted of multiple passes along the line of fracture, which was inspected using a dissecting microscope after each pass until a visual indication of fusion or irreparable damage resulted. Scanning electron microscopy evaluation of the treated lines revealed heat-induced fissures and cracks, areas of cementum meltdown and resolidification, crater formation, and separation of cementum from underlying dentin. In no instance-regardless of reapproximation technique, laser type, energy, and other parameters-did the treatment effect fusion of the fractured root halves.     

Electronic nose for microbial quality classification of grains

A subgingival crown-root fracture presents the clinician with a difficult restorative problem, including reaching the fracture line, and is complicated by the need to maintain the periodontal tissues in good health. The treatment options up to now have usually been limited to extrusion of the remaining root with a conventional orthodontic appliance, surgical intraalveolar transplantation of the root or extraction with bridge replacement. In this report, a new method of orthodontic extrusion with attractive magnets is presented. One or two neodymium-iron-boron magnets were attached to the remaining root and a second, larger neodymium-iron-boron magnet was incorporated in a removable appliance. The roots were extruded 2 to 3 mm with a force range from 50 to 240 cN during a treatment period of 9 to 11 weeks. Good force control at short distances, no friction, and no material fatigue of permanent rare earth magnets resulted in successful rapid extrusion. No evidence of soft tissue dehiscences, aberrant tooth mobility, or root resorption was found.     

Post and core reconstruction for fixed prosthodontic restoration

If the previous restorative therapy or dental caries has resulted in substantial loss of tooth structure, the abutment teeth for fixed prosthodontic restorations require a core reconstruction or a post and core. Small dentin defects can be restored with bonded cores; more extensive dentin defects that are often accompanied by previous endodontic treatment generally require additional support for the core material. A direct procedure with a bonded post is a viable treatment method. The decision to use either light-conducting all-ceramic zirconium or titanium as a post material depends on the aesthetic requirements present. The indications for a cast post and core as an indirect procedure for prosthodontic reconstructions appear to be decreasing. The learning objective of this article is to review the past and current post and core materials and techniques. Indications for core reconstruction with vital teeth and posts and cores for pulpless teeth are discussed.     

Effects of heat treatment on wear resistance and fracture toughness of duo-cast materials composed of high-chromium white cast iron and low-chromium steel

The objective of this study is to investigate effects of heat treatment on wear resistance and fracture toughness in duo-cast materials composed of a high-chromium white cast iron and a low-chromium steel as a wear-resistant part and a ductile part, respectively. Different size, volume fraction, and distribution of M₇C₃ carbides were employed in the wear-resistant part by changing the amount of chromium, and the volume fraction of martensite in the austenitic matrix was varied by the heat treatment. In the alloys containing a small amount of chromium, an interdendritic structure of eutectic M₇C₃ carbides was formed, and led to the improvement of wear resistance and fracture toughness. After the heat treatment, the selective wear of the matrix and the cracking or spalled-off carbides were considerably reduced since the hardness difference between carbides and matrix decreased by the increase in the matrix hardness, thereby leading to the improvement of the wear resistance. However, the fracture toughness of the heat-treated alloys was lower than that of the as-cast alloys because the matrix containing a considerable amount of martensite did not effectively prevent the crack propagation.     

82B盘条断口典型形貌及产生原因分析

利用扫描电镜和光学显微镜对82B盘条典型断口样的形貌及夹杂物进行观测和对用4%(质量分数)硝酸酒精侵蚀的金相样的表面质量和心部组织进行分析。结果表明,造成黑心白点断口异常断裂的原因是熔渣卷入形成的大颗粒夹杂;脆性平齐断口断裂主要是由心部马氏体、网状渗碳体及边部增碳组织等不良组织和夹杂物造成的;斜茬状横裂纹断口断裂主要是由于组织存在马氏体和铸坯中存在有缩孔;劈裂断口主要是由于碳偏析造成的;而笔尖断口主要是由于组织中的人字微裂纹和网状渗碳体组织造成的。     

风电用行星轮轮齿开裂原因分析

某风电齿轮箱在运行3年6个月后监测到运行异常,拆解后发现其中一个行星轮发生断齿失效。实验通过对行星轮断口宏微观形貌分析、化学成分分析、力学性能分析、金相组织分析、残余应力分析和晶粒分布分析等,确定了行星轮轮齿的断裂原因。分析结果表明,行星轮材料母材各化学元素含量及轮齿表面碳元素含量均满足标准规范要求。行星轮轮齿力学性能满足标准规范要求,轮齿渗碳层金相组织和行星轮母材金相组织均未见异常,表明行星轮渗碳工艺和热处理工艺均满足材料使用要求。轮齿断口起裂源区存在大尺寸非金属夹杂物的聚集是运行过程中在该处萌生裂纹并扩展的主要原因。     

Comparative study of two filling techniques using glass-ionomer (Ketac-endo) root canal cement on fracture resistance of endodontically treated roots (in vitro)

Forty freshly single rooted teeth were selected for this study. The coronal part of teeth were decapitated and the root canals were prepared by modified step-back technique with K-flex files to size 35# at the apex, five ml of 5.25% NaOCl was used as irrigating solution. According to the dentin thickness at the mesio-distal direction of the prepared roots, roots were divided into two groups: Group (I), dentin and cementum thickness from 1.5-2 mm, and Group (II), dentin and cementum thickness 1 mm. According to the filling technique used the teeth were subdivided into four subgroups each of five teeth; Subgroup (A) single gutta-percha cone and Ketac-endo root canal sealer, Subgroup (B) lateral condensation technique with gutta-percha and Ketac-endo sealer, Subgroup (C) laterally condensed gutta-percha with Roth 801 cement and Subgroup (D) teeth left unfilled as negative controls. The prepared roots were placed into acrylic resin so that 10 mm of the root was exposed. A slowly increasing force was applied vertically using a blunt punch with 1 mm tip thickness attached to Instron testing machine. The results showed that group (I) with 1.5-2mm dentin thickness required greater force to fracture in all experimental groups, than that of group (II) with 1 mm dentin thickness. So the amount of remaining dentin thickness significantly affected the resistance to fracture of the prepared roots.     

Pulp remains viable following vital amputation of the mesio-buccal root of the maxillary fourth premolar in dogs

Vital amputation of the mesio-buccal root of the maxillary fourth premolar (P4) was performed bilaterally in 8 dogs. Histopathologic evaluation of the tooth structure revealed normal pulp in the remaining mesio-buccal, mesio-palatal, and distal roots and crown during a mean follow-up period of 3.5 +/- 1.9 months. Amputation site healing was characterized by a reparative dentin bridge produced by odontoid cells. Tunnel defects were observed in 13 of 16 (81%) dentin bridges. It is concluded that the pulp of a tri-rooted, periodontal disease-free tooth remains viable during a 6-month period following vital root amputation. These results point to the intriguing possibility that this may also occur in humans, however, this needs to be directly tested in man.     

Defective expression of early activation genes in cartilage-hair hypoplasia (CHH) with severe combined immunodeficiency (SCID)

PURPOSE OF STUDY: To examine factors which may predispose to tooth fracture, and to assess the compressive strengths of foods and sweets which are associated with tooth fracture in vivo. POPULATION STUDIED: Consecutive dental patients presenting with one or more fractured posterior teeth at the surgeries of three general dental practitioners, over a four-month period. METHOD: A pro forma was designed to elicit information on the factors associated with tooth fracture and the nature and extent of such fractures. Three general dental practitioners were requested to complete a pro forma for each patient presenting with a fractured posterior tooth over a four-month period. Foods and sweets considered to be associated with tooth fracture were identified and their compressive strengths tested. FINDINGS: A total of 129 cases of fractured posterior teeth were recorded, of which 48% occurred in the mandibular arch and 52% in the maxillary arch. In the mandible, 75% of tooth fractures occurred in molars while in the maxillary arch 50% occurred in molars. In 57% of cases assessed, no identifiable causative item was noted. Forty-five per cent of fractures were in teeth which had been restored on three or more surfaces. Compressive forces of 0.16KN to 2.2KN were obtained for food items implicated in tooth fractures. CONCLUSION: As mesio-occlusodistal restorations were identified as a major predisposing factor to tooth fracture in this study, with mandibular first molar teeth particularly affected, placement of cuspal coverage restorations may be considered to be a justifiable preventative measure in teeth identified as being at risk.     

Correlation of microstructure with the wear resistance and fracture toughness of hardfacing alloys reinforced with complex carbides

A correlation was made of the microstructure, wear resistance, and fracture toughness of hardfacing alloys reinforced with complex carbides. The hardfacing alloys were deposited twice on a low-carbon steel substrate by a submerged arc welding (SAW) method. In order to investigate the effect of complex carbides, different fractions of complex carbide powders included inside hardfacing electrodes were employed. Microstructural analysis of the hardfaced layer showed that cuboidal carbides, in which a TiC carbide core was encircled by a WC carbide, and rod-type carbides, in which W and Ti were mixed, were homogeneously distributed in the bainitic matrix. In the surface layer hardfaced with FeWTiC powders, more complex carbides were formed, because of the efficient melting and solidification during hardfacing, than in the case of hardfacing with WTiC powders. As the volume fraction of complex carbides, particularly that of cuboidal carbides, increased, the hardness and wear resistance increased. In-situ observation of the fracture process showed that microcracks were initiated at complex carbides and that shear bands were formed between them, leading to ductile fracture. The hardness, wear resistance, and fracture toughness of the hardfacing alloys reinforced with complex carbides were improved in comparison with high-chromium white-iron hardfacing alloys, because of the homogeneous distribution of hard and fine complex carbides in the bainitic matrix.     

Structure, properties, and fracture of a low-alloy steel in the submicrocrystalline state

Experimental data on the structure and properties of 09G2S low-alloy steel with a submicrocrystalline (SMC) structure has been obtained; the structure was formed under various regimes of severe plastic deformation by equal-channel angular pressing. The possibility of increasing the strength characteristics and cold resistance of a ferrite-pearlite steel with a SMC structure is shown. The factors responsible for the increase in the brittle fracture resistance of an SMC material are found by studying fracture micromechanisms and fracture-surface micromorphological parameters as functions of the structure.