Placement of multiple and different stent types for very long dissections during coronary angioplasty

A coordinate measurement machine with laser probe was used to measure the vertical distortion of the casts produced by use of three types of impression materials (irreversible hydrocolloid, condensation silicone, and addition silicone) and two types of trays (stock and custom trays). Results indicated that all impression groups showed positive vertical distortion (ranging from 0.00566 to 0.30299 mm) at the edentulous ridges and palatal area. The amount of the vertical distortion was greatest at the palatal area and was followed by the high edentulous ridge and the low edentulous ridge. Addition silicone, with either custom tray or stock tray, was the most accurate impression material. Condensation silicone was more accurate than irreversible hydrocolloid in custom tray impression. However, in stock tray impression the irreversible hydrocolloid was more accurate than the condensation silicone. The results suggest that, with careful manipulation, irreversible hydrocolloid with stock tray impression may provide a satisfactory cast for fabricating the framework of a distal extension removable partial denture.     

The influence of the impression tray on the accuracy of impressions for crown and bridge work--an investigation and review

OBJECTIVE: To evaluate the accuracy of working casts for crown and bridge restorations made from twin mix putty/wash silicone elastomeric impression materials using different types of stock tray. DESIGN: A master cast was made from ivorine teeth in a mandibular model. Three teeth were prepared for full crown restorations to simulate a single unit and a three unit bridge. Impressions were taken using four different types of impression tray and two different viscosities of silicone putty, together with a wash. Full metal crowns were constructed and seated on duplicate master casts and measurements made of the marginal discrepancies. SETTING: The work was carried out in a dental technology laboratory in a university department of restorative dentistry in 1995/1996. RESULTS: Metal and rigid plastic impression trays showed the least discrepancy (about 50 microns), the latter slightly greater with the normal putty than the soft one. Impressions taken with flexible plastic trays produced considerable discrepancy with both putties, approximately 210 microns and 180 microns respectively. CONCLUSIONS: Metal and rigid plastic stock trays give greater accuracy in the putty/wash silicone twin mix impression technique compared with flexible plastic ones for crown and bridge work. Those using the latter should be aware of their shortcoming in this respect.     

Interleukin-2 regulates monoamine and opioid peptide release from the hypothalamus

The purpose of this investigation was to evaluate the tensile bond strength of one type of impression material adhesive to three different custom tray materials: one autopolymerizing (Fastray) and two light-polymerizing (Triad and Extoral). The effect of different surface treatments was evaluated for each of the materials. No significant difference in impression material adhesive mean tensile bond strengths was exhibited for any of the materials as the result of variations in the surface treatment. It was observed that the Triad tray material groups, with different surface treatments, exhibited significantly higher impression material adhesive mean tensile bond strengths than the autopolymerizing tray resin and the Extoral light-polymerizing material.     

A modified occlusal registration and implant transfer technique

The technique for the transfer of implant and abutment position to a working cast has been hindered by multiple transfers and record reproductions. These serve only to delay completion of the patient's prosthetic requirements. A transfer technique that uses custom impression trays fabricated from surgical templates allows for a single-visit transfer of centric occlusion, vertical dimension, tooth position, and implant or abutment location in one procedure. This streamlines treatment and allows for quicker delivery of final prostheses.     

Dentistry''s role in obstructive sleep apnoea. Review and case report

Percentage dose at the surface and at 1 mm depth for megavoltage photon beams are increased through the influence of block trays. This represents a decrease in skin sparing properties for both the epidermal and dermal layers. The increase in percentage dose varies with type and thickness of block tray material. At 6MVp, 20cm x 20cm field size, the percentage surface dose is 26%, 26.5%, 33% and 35% for open, steel honeycomb tray, 6mm perspex and 10 mm perspex block trays respectively. At 1 mm depth these values are 52%, 52.5%, 61%, 60% respectively. A similar effect is seen at higher energies. Results show that care should be taken when selecting an appropriate block tray if skin sparing is of importance.     

Object sorting in chimpanzees (Pan troglodytes): Classification based on physical identity, complementarity, and familiarity.

In 3 experiments, 5 chimpanzees (Pan troglodytes) were tested in an object-sorting task. In Exp. 1, a triad of objects and 2 trays were presented, and the subjects were trained to place 2 identical objects onto the same tray and an odd object onto the other tray. All of the subjects were able to learn this type of sorting. In Exp. 2, the 2 complementary parts of 2-part objects were presented along with 1 neutral object. The frequency of placing the complementary parts onto the same tray significantly increased after the subjects had learned to assemble the 2 parts into 1 object. In Exp. 3, test triads consisted of familiar objects and objects there were novel to the subjects. Each subject showed a significantly high frequency of placing 2 familiar objects on the same tray although all the subjects had learned to place the same objects on separate trays in Exp. 1. The object-sorting tasks may be effective for studies of classification abilities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Influence of various impression procedures for removable partial denture on displacement of soft mucosal tissue

In the impression-taking procedure for the distal extension removable partial denture, the pressure produced at the interface of the soft mucosal tissue and the impression material is the most important factor for the stability of the saddle under functional load. However, a review of the literature revealed little information about the displacement of the soft tissue caused by the impression pressure. In the present study, to investigate the influence of various impression procedures on the magnitude of the soft tissue displacement more precisely, a new three-dimensional deformation measurement system was devised. Compared to the previous studies, the greatest advantage of the system is that the hardened impression material can be surveyed directly without substituting a dental stone. It was found that, in the investigation using a partially edentulous simulated model, the amount of the subsidence in the soft tissue was increased as the thickness of the spacer of the impression tray was reduced or the seating speed of the tray was fast. Especially in the buccal area, a large amount of vertical displacement was present compared to the midridge and lingual area. Thus it was suggested that many factors are associated with the form of soft tissue under impression loading.     

Toxicity of metal mixtures to chick embryos

A method of incorporating vertical and horizontal tissues in an obturator impression using an open palate impression tray is presented. The laboratory technique of obturator construction from this impression allows for a definitive (heat-cured) or interim (cold-cured) prosthesis for an edentulous or dentulous patient.     

Reconstruction of mandibular continuity defects in dogs using poly (L-lactide) mesh and autogenic particulate cancellous bone and marrow: preliminary report

PURPOSE: This study evaluated the reconstruction of continuity defects in the canine mandible using a poly [L-lactide] (PLLA) mesh tray and particulate cancellous bone and marrow (PCBM). MATERIALS AND METHODS: Eight adult dogs were divided into two groups of four dogs each. In group A, each dog had a tray fixed with stainless steel wires on each side of the mandibular stumps with the concave surface of the tray attached to the inferior border of the mandible (U-fixation). In group B, the concave surface was attached to the superior border (inverted U-fixation). Each tray was filled with PCBM from the ilium. After the operation, the dogs were radiographed, and specimens were examined histologically at 3-, 6-, and 12-month intervals. RESULTS: All of group A showed good clinical healing and the continuity of the mandibular bone was regained within 3 months postoperatively. However, fibrous tissue had invaded through the area above the tray, resulting in a poorly shaped alveolar ridges. In group B, the dogs showed good bony regeneration with well-shaped alveolar ridges. However, two animals in this group had partial exposure of the PLLA mesh tray into the oral cavity. CONCLUSION: It is suggested that a combination of the PLLA mesh and PCBM grafts might be a useful technique for functional reconstruction of the jaw bone, specifically using method A (U-fixation) as a technique to reconstruct continuity defects of the mandible, and method B (inverted, U-fixation) as a promising method for alveolar reconstruction to make wearing dentures possible.     

Pressure control for complete denture impressions

Pressures produced during a final impression have been discussed from the standpoint of where they should be applied and where they should be reduced. Areas of the edentulous mouth requiring little pressure are: the palate, residual ridges, and areas of easily displaced gingiva. More pressure is needed in the border seal, on the buccal shelf, and against the retromylohyoid fossa. A clear processed acrylic resin tray with escape holes has been shown to meet the requirements for selective pressure application. Zinc oxide paste is the final impression material of choice in most instances.     

Summation in the chimpanzee (Pan troglodytes).

In this research, we asked whether 2 chimpanzee (Pan troglodytes) subjects could reliably sum across pairs of quantities to select the greater total. Subjects were allowed to choose between two trays of chocolates. Each tray contained two food wells. To select the tray containing the greater number of chocolates, it was necessary to sum the contents of the food wells on each tray. In experiments where food wells contained from zero to four chocolates, the chimpanzees chose the greater value of the summed wells on more than 90% of the trials. In the final experiment, the maximum number of chocolates assigned to a food well was increased to five. Choice of the tray containing the greater sum still remained above 90%. In all experiments, subjects reliably chose the greater sum, even though on many trials a food well on the "incorrect" tray held more chocolates than either single well on the "correct" tray. It was concluded that without any known ability to count, these chimpanzees used some process of summation to combine spatially separated quantities. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Reconstruction of residual alveolar cleft defects with one-stage mandibular bone grafts and osseointegrated implants

PURPOSE: This study evaluates a treatment regimen for reconstruction of residual maxillary alveolar cleft defects consisting of mandibular bone grafting and immediate implant installation. PATIENTS AND METHODS: Sixteen cleft patients (five female and 11 male) had residual cleft defects of the alveolar ridge reconstructed with bone grafts from the mandibular symphyseal region. The bone graft was pretapped at the donor site before fixation in the residual ridge with Br?nemark implants. Twenty implants were installed according to this concept. The period of observation ranged from 36 to 69 months, with a mean of 48 months after implant installation. RESULTS: Five patients developed wound dehiscenses that resulted in total or partial bone graft sequestration. Two implants were lost, one due to sequestration and the other due to mobility at the abutment procedure; 18 implants were still well functioning at the end of the observation period. However, all patients showed significant periimplant bone resorption after this one-stage treatment. CONCLUSION: Because of the observed complication rate, the one-stage procedure may not be optimal for reconstructing residual cleft defects.     

Patellar tracking after total knee arthroplasty. The effect of tibial tray malrotation and articular surface configuration

The effect of total knee arthroplasty (TKA) with neutrally aligned and malrotated tibial trays was studied in five fresh anatomic specimen knees. Patellar shift, tilt, and rotation, and the rotational position of the tibia were measured in normal knees and after TKA with the Ortholoc Modular knee system. Both semiconstrained and unconstrained articular surfaces were assessed in the neutral position and at anatomic, 15 degrees internal, and 15 degrees external rotation of the tibial tray. After TKA, the patellae shifted slightly medially in the early phase of knee flexion because the anterior lateral flange of the femoral component was longer than the lateral trochlea of the femur and because the tibia rotated internally. The raised lateral flange on the femoral component tilted the patella medially at full extension after TKA. The semiconstrained tray allowed minimal tibial rotation because of its articular configuration. As much as 15 degrees malrotation of the unconstrained tibial tray did not affect patellar tracking. The semiconstrained tibial tray in the neutral position had almost the same patellar tracking as the unconstrained tray, but at 15 degrees external rotation, the semiconstrained tray internally rotated the tibia, leading to medial shift of the patella. Although 15 degrees internal rotation caused external rotation of the tibia, the patella did not shift as much laterally, despite the increase in the Q angle.     

Infectious complications after OKT3 induction in liver transplantation

TEN PATIENTS WHO REQUIRED two or more anterior teeth extractions were utilized in this study. Extraction procedures were carried out with a full thickness surgical flap approach. After flap reflection, teeth were removed with a minimum of trauma to the surrounding bone. Following extraction silicone-based impression techniques were used to produce a model of the alveolar process and small metal pins were placed in the alveolus to be used as fixed points to make measurements of ridge dimensions. One socket was covered with an expanded polytetrafluoroethylene (ePTFE) barrier membrane (experimental site); the other socket was a conventional control. The soft tissue flaps were then mobilized using periosteal releasing incision and the wound closed with ePTFE mattress sutures. Six months following extraction, patients were treated with flap surgery to expose both extractions sites to remove the ePTFE membranes and to measure ridge dimensions using the pins as fixed points. Clinical and model measurements have shown statistically significant better ridge dimensions at experimental sites than at control (P < or = 0.05). Three patients with exposed membranes had similar dimensional changes as controls. Results from this study suggested that this improved technique offers a predictable alveolar ridge maintenance enhancing the bone quality for dental implant procedures and esthetic restorative dentistry.     

The custom implant impression coping: technical note

Unsupported soft tissue can collapse around a submerged implant or abutment head during the time interval between removal of the provisional prosthesis and placement of the impression material. A technique is described for accurately recording the implant or abutment position as well as the position of the soft tissue for a single tooth restoration using the provisional prosthesis as a custom implant impression coping.     

Factors affecting the precision of TLD dose measurements using an automatic TLD reader

An increase in the variability of TLD dose measurements prompted a study of the precision of dose measurements with a Rialto automatic TLD reader. It was found that readings with the same chip measured using two different trays could differ by as much as 7%. In order to overcome this problem it was necessary to ensure that individual chips were correctly identified. Marking the chips with a hard graphite pencil was found to be a satisfactory method of identifying them, which, although it reduced the light output by approximately 3%, had no effect on the reproducibility of readings. Using marked chips and an individual tray for each chip, the reproducibility of a reading was reduced to a typical value of 1%. A system of quality assurance based on these findings is described.     

Analysis of T cell receptor Vbeta gene usage during the course of disease in patients with chronic hepatitis B

Polyvinyl siloxane impression materials have applications in a variety of indirect procedures in prosthodontics and restorative dentistry. Favourable handling properties, good patient acceptance and excellent physical properties have resulted in their popularity in today's practice. In this review, the chemistry and important physical properties of polyvinyl siloxanes are summarized, and recent clinical questions of improved hydrophilics, tray adhesives, disinfection, and glove-induced polymerization inhibition are addressed.     

Prevalence of Giardiasis: a study at upper-gastrointestinal endoscopy

The prevalence of giardiasis was assessed in 1000 consecutive adult patients undergoing upper-gastrointestinal endoscopy for the usually accepted indications. Patients with upper-gastrointestinal bleeding were excluded. The diagnosis was established by examination of duodenal aspirate and duodenal mucosal impression smears. In 21 patients (2.1%) trophozoites were detected both in the duodenal juice and stained mucosal impression smears. All were treated with metronidazole or tinidazole. In 14 of 16 patients who had subsequent duodenal intubation, eradication of the parasite was confirmed. In five patients previously existent abdominal pain disappeared with clearing of the parasite, and no other cause for their abdominal pain was discovered. A search for Giardia lamblia infestation may be a worthwhile additional procedure at the time of endoscopy when no other cause for abdominal pain is found.     

Auditory canal hemorrhage as a symptom of mandibular trauma

Auditory canal hemorrhage is usually a sign of a basal skull fracture. It is commonly unknown that this sign can also be a symptom of combined fracture of the external auditory canal and the mandibular condyle. In our investigations of patients with maxillofacial injuries we found in 15% of 197 fractures of the mandibular condyle within 3 years this combination. In sequence of these results there is a differential diagnostic need for an exact investigation to clear up these various causes in each case as first step toward an accurate therapy. The mechanism of these fractures, their etiology, and therapy are discussed with special reference to possible complications.20     

Being "Clinical"--Positively.

This column provides comments on David Lynn's letter in the May "American Psychologist" (1956). Most clinicians will agree heartily with Lynn's opinion that caution should be exercised in communicating "clinical" impressions to others. Irresponsible or "wild" interpretation is usually harmful and rarely harmless, in any setting. One gets the impression that Lynn feels that being "clinical" usually involves communication of one's inferences to others and that such inferences are predominantly negative and destructive. (PsycINFO Database Record (c) 2010 APA, all rights reserved)