EFFECT OF ER:YAG LASER AND VARIOUS SURFACE TREATMENT PROTOCOLS ON SURFACE TOPOGRAPHY AND MECHANICAL PROPERTIES OF GLASS FIBER POSTS

Dina M. El Gedawi, Mostafa E. Gheith And Abdelrahman Mh,

ABSTRACT
Objective: The Aim Of This Study Was To Evaluate Morphology, Surface Roughness And Mechanical Properties Of Glass Fiber Posts (GFPs) After Different Surface Treatment Protocols.

Materials and Methods: A Total Of Forty GFPs With Maximum Diameter Were Be Divided Into Four Groups (n=10): GC- No Surface Treatment (control), GSB- Sandblasted, GHF- Hydrofluoric Acid Etched, GE- Er:YAG Laser Irradiated. The GFPs Surface Morphology Was Evaluated Through Scanning Electron Microscope (SEM), Surface Roughness Was Measured Using Surface Profilometer And The 3-points Bending Flexural Test Measured Flexural Strength And Elastic Modulus.

Results: SEM Showed Alternation Of Post Surfaces After All Surface Treatments. Analysis Of Surface Roughness Demonstrated Significant Difference Between The Tested Groups At P?0.001. GSB (5.5�0.6) Showed The Highest Roughness Followed By GHF (3.9�0.3), GE (3.2�0.2), Then GC (2.1�0.4). The 3 Points Bending Test Results Were Calculated And Recorded Insignificant Difference Between The Tested Groups At P=0.481 For Maximum Flexure Load (N) As For The Flexure Stress At The Maximum Flexure Load (MPa) It Was Shown Significant Difference Between The Tested Groups At P=0.009. GSB (697.1�96.9N) Showed The Highest Flexure Stress (MPa) Compared To GE (548�112.7N) And GHF (572.9�102.6N). Modulus Of Elasticity (GPa) Showed Significant Difference Between The Tested Groups At P=0.003. GSB (28.9�2.9 MPa) Showed The Highest Modulus Of Elasticity (GPa) Compared To GE (23�4.6 MPa) And GHF (23.6�4 MPa). GC Showed Insignificant Difference With All Tested Treatments. Conclusion: The Different Surface Treatments Used In This Study Showed Alternations Of GFPs Surfaces. They Had No Influence On The Mechanical Properties Of GFPs.

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CLINICAL EFFECT OF CALCIUM HYDROXIDE INTRA-CANAL MEDICAMENT FOR THE ENDODONTIC TREATMENT OF NECROTIC PULP: A SYSTEMATIC REVIEW AND META-ANALYSIS

Ahmed Mohamed Ali, Siza Yacoub Zakhary And Suzan Abdul Wanis Amin,

ABSTRACT

Objectives: To Systematically Review And Provide A Pooled Effect Estimate For The Clinical Effects Of Calcium Hydroxide Intracanal Medication In Non-vital Mature Teeth. Data Sources: Electronic-databases Searching, For Published And Grey Literature, And Manual Searching Were Conducted. Study Eligibility Criteria: Only Randomized Clinical Trials Were Included That Compared Calcium Hydroxide To Other Intracanal Medications In Non-vital Immature Teeth. Study Appraisal & Synthesis Methods: The Risk Of Bias Was Assessed Using The RoB 2.0 Cochrane Tool. The Main Outcomes Were Clinical Healing And Analgesic Intake. Risk Ratio Was Calculated For Dichotomous Data With Their 95% Confidence Intervals.

Results: Five Articles Reported In 4 Studies (N=285) Were Included In This Systematic Review. Calcium Hydroxide Was Compared To 6 Other Intracanal Medications. Calcium Hydroxide Had Similar Clinical Healing Effectiveness As Calcium Hydroxide Mixed With Iodoform And Povidine Iodine Paper Points (P-value >0.05) And Similar Effects On Analgesic Intake As Calcium Hydroxide Mixed With Chlorhexidine (P-value >0.05). Conclusion: Calcium Hydroxide Intracanal Medication Alone May Have Similar Clinical Effectiveness Compared To Calcium Hydroxide Mixed With Iodoform And Similar Effects On Analgesic Intake As Calcium Hydroxide Mixed With Chlorhexidine.

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ROLE OF ALOE VERA VERSUS FLUORIDE TOOTHPASTE IN CHANGING HIGH TO LOW SALIVARY BACTERIAL COUNT: RANDOMIZED CONTROLLED TRIAL

Neven Ahmed, Amira Farid Elzoghbi And Rasha Raafat Hassan,

ABSTRACT


Aim: This Study Was Conducted To Evaluate The Role Of Aloe Vera Toothpaste Compared To Fluoride Toothpaste In Changing High To Low Salivary Bacterial Count.

Materials and Methods: Participants Were Divided Into Two Main Groups, ,Group A1: With Fluoride Toothpaste (Signal Cavity Fighter) And Group A2: With Aloe Vera Herbal Toothpaste (AloeDent Triple Action). The Study Took Place Over A Period Of 30 Days .Saliva Collection (to Assess The Bacterial Count) Was Performed At Baseline, After15 Days, And After 30 Days. The Saliva Samples Were Cultured In Plates Contained Mitis Salivarius Bacitracin Agar Selective For�streptococcus Mutans For Determining Streptococcus Mutans�count And Kept At 37�C For 48 Hours In An Incubator. The Bacterial Colonies On The Plates Were Expressed As Number Of Colony Forming Units Per Milliliter (CFU/ml) Of Saliva.

Results: The Results Revealed That, In Aloe Vera Group, The Mean Bacterial Count Was The Highest At Baseline, Significantly Decreased After15 Days, Then Becomes Nearly Constant, With No Significant Difference Between The Mean Values After 15 Days And After 30 Days. In Fluoride Group, The Mean Bacterial Count Was Highest At Baseline, And Then Significantly Decreased Gradually After15 Days And After 30 Days. Conclusion: Both Fluoride And Aloe Vera Are Efficient In Decreasing The Streptococcus Mutans Count In Saliva. Aloe Vera Can Be Used As An Alternative For Fluoride Toothpaste

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EVALUATION OF FREQUENCY OF ROOT FENESTRATION AND DEHISCENCE IN A SAMPLE OF ADULT EGYPTIAN POPULATION USING CBCT (HOSPITAL BASED STUDY)

Samar Seif El Nasr Mohamed, Enas Anter Abd El Ghafar And Nashwa Salah Mohamed,

ABSTRACT
Background: This Study Aimed To Evaluate The Frequency Of Root Fenestration And Dehiscence In A Sample Of Adult Egyptian Population Using CBCT.

Materials and Methods: 100 CBCT Scans Showing Both Maxillary And Mandibular Dentation �with Total Number Of 2576 Teeth� Were Selected From The Database Of OMFR Department, Faculty Of Dentistry, Cairo University, Based On Certain Eligibility Criteria. Identification Of Fenestration And Dehiscence On CBCT Scans Was Done Using The Identification Criteria First Mentioned By Davies Et Al 1974.

Results: Fenestration Was Found In 17 % Of The Population With A Total Of 26 Affected Teeth (representing 1% Of The Involved Teeth) While Dehiscence Was Found In 50% Of The Population With A Total Of 194 Affected Teeth (representing 7.5% Of The Involved Teeth). Upper 2nd Molars Showed The Highest Prevalence Of Fenestration While Lower Central Incisors Showed The Highest Prevalence Of Dehiscence. Gender Was Found Not Significantly Affecting The Incidence Of Both Defects, While Age Was Significantly Affecting The Incidence Of Dehiscence, Where Older Subjects Were Found To Be 11.5 Times More Prone To Develop Dehiscence Than Younger Subjects.

Conclusions: The Relative Common Finding (50%) Of Dehiscence And To Lesser Extent (17%) Fenestrations Supports The Need For CBCT Examination Before Any Surgical &/or Implant Treatment Procedures Even In Areas Believed Previously To Be Safe Zones �lower Anterior Region� To Avoid Complications Related To The Initial Presence Of Fenestrations And Dehiscence.

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PREVALENCE OF C-SHAPED ROOT MORPHOLOGY IN THE MANDIBULAR FIRST AND SECOND MOLARS OF EGYPTIAN SUB POPULATION USING CBCT

Nada Ashraf Kamal , Farid Medhat Farid And Yara Rabia Helaly,

ABSTRACT

Objectives: The Study Aimed To Assess The Prevalence Of C-shaped Root Morphology In The Mandibular First And Second Molars Of Egyptian Sub Population Using CBCT.

Materials and Methods: 169 CBCT Scans Including 384 Mandibular First And Second Molars Were Examined Using Planmeca Romexis��Viewer Software. Scans Were Analyzed In The Three Planes Axial, Coronal And Sagittal By Two Oral Radiologists Detecting The Presence Of C-shaped Root Morphology. Qualitative Data Were Presented As Frequencies And Percentages. Inter- And Intra-observer Agreement Was Assessed Using Kappa Statistic For Qualitative Data.

Results: C-shaped Root Was Found In 36 Second Molars Comprising 17.1% Of Second Molars, And No C-root Was Found In First Molars. Conclusion: C-shaped Root Is Not Rare In The Mandibular Second Molars Of The Egyptians Needing The Clinicians To Learn How To Manage Such Cases.

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THE EFFECTIVENESS OF SEALANTS IN MANAGING SMOOTH SURFACE LESIONS: AN IN VITRO STUDY

Amani Ahmad Al Tuwirqi,

ABSTRACT
Background/Purpose : Prevention And Management Of Proximal Caries In Primary Teeth Remains A Challenge. This In Vitro Study Aimed To Evaluate The Enamel-protective Potential Of A New Adhesive Agent (G-Coat Plus�) When Used As A Smooth Surface Sealant. Materials And Methods : Twenty Extracted Bovine Permanent Incisors Were Chosen, Then Randomly Distributed Into Two Equal Groups According To The Sealant Material Used: Group I, G-Coat Plus�; And Group II, Clinpro�. The Baseline Surface Microhardness (B-SMH) Of Each Tooth Was Measured In The Area Of The Centralized Working Window With A Vickers Microhardness Testing Machine. The Mean Microhardness Values Were Calculated From The Measurements Taken From Three Indentations Created On Each Tooth. The Teeth Were Then Immersed In Demineralizing Solution For 96 H And Incubated At 37�C To Produce Artificial Carious Lesions. The Calcium (Ca) And Phosphorus (P) Concentrations Of The Demineralizing Solutions Were Analyzed Before And After Tooth Immersion.

Results: The Mean Microhardness Values For Groups I And II Were Statistically Significant At Baseline And After Demineralization (p = 0.007 And P < 0.001, Respectively). No Significant Difference In Mean Microhardness Was Observed Between The Groups At Baseline (p = 0.055) Indicating That Both Materials Had Comparable Results. However, The Difference In Mean Microhardness Between The Groups Was Statistically Significant After Demineralization (p = 0.001), Indicating Changes In The Mineralization Of The Tooth Samples. Statistical Analyses Demonstrated Significant Differences Among The Two Groups Regarding The Mean Ca And P Concentration Values (Ca:, P = 0.028; P, P < 0.001). Conclusion: G-Coat Plus Exhibited Higher Surface Microhardness Than Clinpro. Both Sealant Materials Released Ca And P Ions, Suggesting That Additional Preventive Measures Are Necessary When Using These Materials As Proximal Sealants.

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IN VITRO EVALUATION OF FLUORIDE RELEASE OF A NEW BIOACTIVE RESTORATIVE MATERIAL (ACTIVA)

Rasha Saad Zaghlool, Mona Ismail Riadand Mohamed Mostafa,

ABSTRACT


Purpose: The Aim Of This Study Was To Evaluate The Fluoride Release Of New Bioactive Composite Restorative Material (Activa) In Comparison To Two Fluoride Releasing Materials In Vitro At Different Time Intervals.

Materials and Methods: Thirty Specimens Were Prepared 10 Of Each Tested Material (n = 10/group), Activa Bioactive Composite (A1), FUJI II LC Capsules (A2) And Fuji IX Extra Capsules (A3). Specimens Were Prepared According To Manufacturers� Specifications For Each Group Using A Teflon Mold (10mm Diameter By 2mm Depth). Specimens Of Each Material Were Immersed Separately In Deionized Water. Fluoride Release Measurements (?g/cm /day) Were Made1 Day, 1 Week, 1 Month, 2 Months And3 Months. One-way And Repeated Measures Analysis Of Variance Tests Were Used.

Results: The Results Of The Tested Materials Were Collected, Statistically Analyzed Using The ANOVA Test To Determine The Amount Of Fluoride Release Between Different Tested Materials (p<0.001).The Results Indicate That Fuji IX Had The Highest Fluoride Release In Comparison To The Other Activa Bioactive Materials And Fuji II LC Conclusion: All Three Different Restorative Materials Released Fluoride In Deionized Water But Fuji IX Glass-ionomer Showed The Highest Fluoride Release Followed By Fuji II LC And Activa Bioactive Restorative Materials.

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THE INFLUENCE OF CERAMIC TYPE AND THICKNESS ON MICRO HARDNESS AND DEGREE OF POLYMERIZATION OF DUAL CURE RESIN CEMENT

Abdelrahman G. Ahmed , Cherif A. Mohsen And Shams W. Amgad,

ABSTRACT
Objective The Purpose Of This Study Was To Evaluate The Effect Of Ceramic Type And Thickness On The Microhardness And Degree Of Polymerization Of Dual Cure Resin Cement.

Materials and Methods: - Ninety Resin Cement Disc Shaped Samples (5 Mm In Diameter And 0.5 Mm In Thickness) Were Fabricated, Samples Were Divided According To Type Of Ceramic Plate That Was Used Into Three Groups (each Group N = 30), Group I : Resin Cement Discs Cured Through Lithium Disilicate Plate. �IPS E.max Cad�, Group II : Resin Cement Discs Cured Through Hybrid Ceramic Plate �Vita Enamic� And Group III : Resin Cement Discs Cured Through Zirconia Reinforced Lithium Silicate Plate �Celtra Duo� . Each Group Was Subdivided Into 3 Sub Groups According To Ceramic Plate Thickness (each Subgroup N = 10), Sub Group I (0.5 Mm Thickness), Sub Group II (1 Mm Thickness) And Sub Group III (2 Mm Thickness) . Then Each Subgroup Was Divided Into Two Other Classes (5 Samples Each) According To Type Of Test (Microhardness, Degree Of Conversion (DC)) Test.samples Which Will Have Being Tested For Microhardness ,mounted In Wilson Micro-Hardness Tester Machine And Will Be Subjected To Static Load Of 50 G For 10 S By Means Of Indenter , A Calibrated Microscope (�50 Magnification) Will Be Used To Measure The Square Indentation. While For Degree Of Conversion Test, The Samples Were Examined By VERTEX 70v FTIR Spectrometer Equipment Operating At 16 Scans At 4cm-1 Resolution . By Using The Change In The Ratio Of The Aliphatic C=C To The Aromatic C=C Before And After Curing, DC Of Resin Was Calculated. The Data Was Collected, Tabulated And Statistically Analyzed. Result: It Was Found That The The Highest Microhardness Mean Value Was Recorded For Emax Groups (22.15�5.04) While The Lowest Microhardness Mean Value Was Recorded For Celtra Duo Groups Which Recorded (16.79�3.62). Besides, It Was Found That The Highest Microhardness Mean Value Was Recorded For Thickness 0.5 Mm Groups (23.62�2.94) While The Lowest Microhardness Mean Value Was Recorded For 2 Mm Groups Which Recorded (13.87�1.56). The Difference Between Groups Was Statistically Significant As Indicated By One Way ANOVA Test P Value < 0.05. For DC Test It Was Found That The Highest (DC) Mean Values Recorded For E-max (36.30�8.84) And The Lowest For Celtra Duo (21.44�8.61) And The Highest DC Mean Value Was Recorded For Thickness 0.5 Mm Groups (38.33�5.91) While The Lowest DC Mean Value Was Recorded For 2 Mm Groups Which Recorded (19.27�5.90).The Difference Between Groups Was Statistically Significant As Indicated By One Way ANOVA Test (P Value < 0.05) Conclusion: Ceramic Composition Affects Polymerization Of Dual?cured Resin Cement Due To Attenuation Of Light Reaching Cement. In This Study, Microhardness And Degree Of Polymerization Of Resin Cement Discs Cured Through Emax Plate Was Significantly Greater Than Vita Enamic Followed By Celtra Duo Plates. Ceramic Thickness Has A High Significant Effect On The Underlying Dual Cure Resin Cement MicroHardness Of The Dual Cure Resin Cement Are More Affected By The Thickness Of Ceramic Than By The Type Of Ceramic Used.

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THE EFFECT OF TEMPERATURE ON THE BOND STRENGTH AND ADAPTABILITY OF TOTALFILL BC SEALER TO ROOT DENTIN IN COMPARISON TO AH PLUS SEALER DURING ROOT CANAL OBTURATION USING CONTINUOUS WAVE COMPACTION TECHNIQUE (AN IN VITRO STUDY)

Mustafa Mahmoud Shalaby Ahmed, Wafaa Ahmed Omar And Marwa Mahmoud Ali Bedier,

ABSTRACT


Aim: This In Vitro Study Was Carried Out To Evaluate The Effect Of Lowering The Temperature Used With Continuous Wave Compaction (CWC) From 200�C To 150�C On The Push-out Bond Strength And Interfacial Adaptation Of TotalFill BC Sealer In Relation To AH Plus Sealer.

Materials and Methods: A Total Of Eighty-eight Extracted Human Single-rooted Teeth With Single Straight Root Canals Were Selected For This Study. The Samples Were Randomly Allocated Into Four Groups (n=22) According To The Type Of Sealer Used And The Temperature Of Warming Gutta-percha; (AH Plus/ 150�C), (AH Plus/200�C), (TotalFill BC/150�C) And (TotalFill BC/200�C) Groups. The Roots Were Sectioned Horizontally Into 2 Mm. Thick Slices, And The Bond Strengths Were Measured Using A Standardized Push-out Test. The Mode Of Failure Was Examined By Visual Inspection Under Stereomicroscope. Before The Push-out Test, Five Representative Samples From Each Group Were Randomly Selected To Qualitatively Assess The Interfacial Adaptation Using Environmental Scanning Electron Microscopy (ESEM).

Results: The Mean Push-out Bond Strength Values Of The Two Sealers Recorded Significant Lower Values At 150�C Than At 200�C. The Predominant Mode Of Failure Among Groups Was Adhesive Failure, Except For TotalFill BC/200�C Group That Showed Mostly Mixed Failure. Regarding The Interfacial Adaptation, The Mean Gap Width Measurement At 150�C Was Wider Than That At 200�C For Both Sealers.

Conclusions: Using 150�C During CWC Technique Compared To 200�C Significantly Decrease The Bond Strength Values And The Interfacial Adaptation Of TotalFill BC Sealer As Well As AH Plus Sealer.

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SHEAR BOND STRENGTH OF PRESSED AND RE-PRESSED LITHIUM DISILICATE CERAMICS WITH TWO SURFACE TREATMENTS (IN-VITRO STUDY)

Osama Jaber Sabri Alshanti, Amr Saleh El-Etreby And Gihan El-Naggar,

ABSTRACT
Objective: The Aim Of The Present Study Is To Evaluate The Effect Of Two Surface Treatments (acid Etching And Sandblasting) On The Shear Bond Strength Of Composite Resin Cement To Pressed And Repressed Lithium Di Silicate Ceramics. Patients And Methods: Fifty Two Lithium Disilicate Discs Were Constructed Of 10mm Diameter And 2mm Thickness And Were Divided Into 2 Groups. Group (P) Composed Of 26 Discs Constructed From Newly Introduced Lithium Disilicate Ingots While Group (R) Composed Of 26 Discs Constructed From Left Over Material That Was Shaped To Resemble An Ingot.

Results: The Discs Were Thermo-cycled In An Attempt To Simulate The Intra-oral Conditions And Its Detrimental Effect On Bond Strength For 5,000 Cycles Which Is Equivalent To 6 Months Of Intra-oral Service And Then The Shear Bond Strength Test Was Initiated. Then The Mode Of Failure Was Examined And All Data Were Collected, Tabulated And Statistically Analyzed To Detect Any Significant Values Among The Tested Groups. Conclusion: The Re-use Of E.max Press Left Over Buttons For Construction Of All Ceramic Restoration Could Be Considered For Socio-economic Reasons. The Type Of Surface Treatment Adopted Greatly Affects The Shear Bond Strength Of Pressed And Repressed Ceramics And Hence The Durability Of Resin Cement Bonded To Ceramics. Sandblasting Cannot Be Considered As A Reliable Surface Treatment When Bonding To Pressed And Repressed Glass Ceramic.

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