scholarly journals Sectional matrix solutions: the distorted truth

BDJ ◽  
2021 ◽  
Vol 231 (9) ◽  
pp. 547-555
Author(s):  
Oliver Bailey

AbstractSectional matrix techniques offer more predictable solutions to achieving contact areas when placing direct interproximal posterior composites than circumferential matrix techniques, resulting in reduced reported complaints of food packing from patients. Despite this, a large majority of UK dentists and therapists don't currently use them. Sectional matrix systems are technique-sensitive to use, which can be a barrier to implementation for inexperienced users. The matrices can easily distort during their placement and stabilisation and when placing the restorative material. This can result in unwanted, clinically relevant problems in the resulting restorations, some of which may not be discernible once they have occurred. This paper explores the advantages and disadvantages of sectional matrices and the processes and techniques involved in their use, before discussing the potential for distortion at each step. It offers solutions to some of the commonly seen problems which will provide more predictable outcomes for those already using these techniques and encourage non-users to add them to their armamentarium.

2021 ◽  
Vol 6 (1) ◽  
pp. 85
Author(s):  
Rahmi Khairani Aulia

ABSTRACT:Composite resins are currently the most popular restorative material in dentistry. This is due to good aesthetics and maximum conservation ability. Behind these advantages, there are disbenefits of composite resin materials, such as polymerization shrinkage, which can lead to restoration failure. Various attempts have been investigated to reduce the shrinkage incidence of composite resins, one of which is the technique of placing the restorative material into the cavity. The restoration filling technique is recognized as a significant factor in shrinkage stress. By using a special filling technique, the polymerization shrinkage damage stress can be reduced. There are several techniques in performing composite resin fillings, including bulk and incremental techniques. These techniques have their respective advantages and disadvantages. The aim of this literature review was to compare the physical properties of composite resin restorations with bulk filling and incremental techniques. Physical properties that being studied include polymerization shrinkage, stress shrinkage, degree of conversion, bonding strength, water resorption, color stability, and temperature increase. Comparing the two techniques, composite resin with incremental filling technique has superior physical properties compared to bulk technique. From the comparison of the two techniques, the composite resin with incremental filling technique has superior physical properties compared to the bulk technique, especially in higher conversion which causes lower shrinkage stress. This situation makes the incremental technique provide better bond strength, water resorption, color stability, and lower temperature rise.Keywords: Bulk, Composite Resin, Incremental,  Physical Properties, Restoration, Restoration Technique


Dental Update ◽  
2021 ◽  
Vol 48 (8) ◽  
pp. 607-618
Author(s):  
Louis Mackenzie

Historically, dental amalgam is the world's most commonly used restorative material. Its use is declining due to patient and professional demand for tooth-coloured restorations that are adhesive and promote minimally invasive tooth preparation techniques. Significant reduction has also resulted from environmental concerns relating to dental amalgam's ~50% mercury content. This paper provides a comprehensive review of the status of dental amalgam including its advantages and disadvantages, amalgam safety, regulations and legislation and a comparison with alternative restorative materials. As the undergraduate teaching of amalgam procedures has progressively declined, this paper also provides an illustrated step-by-step revision guide to the materials, equipment and clinical techniques that will optimize the restoration of challenging, complex cavities, where amalgam is still considered by many to be the material of choice. CPD/Clinical Relevance: Amalgam remains an excellent restorative material for long-lasting restorations in large/complex cavities and where moisture control presents challenges.


1994 ◽  
Vol 56 (1-4) ◽  
pp. 21-27 ◽  
Author(s):  
D.B. Henschel (INVITED)

Abstract This paper reviews the full range of techniques that have been installed in existing US houses for the purpose of reducing indoor radon concentrations resulting from soil gas entry. The review addresses the performance, installation and operating costs, applicability, mechanisms, advantages, and disadvantages of each radon mitigation technique. Active soil depressurisation (ASD) techniques are the measures most widely used by mitigation contractors. ASD techniques consistently and reliably provide the highest radon reductions, at costs often competitive with the less effective alternatives. The large majority of existing US houses having elevated radon can be effectively treated using ASD. Various other techniques can be used in houses where ASD is difficult or impractical to apply, or where lesser radon reductions are acceptable. However, these other techniques are always less effective, less reliable, or less well demonstrated than ADS.


Author(s):  
K. A. Fisher ◽  
M. G. L. Gustafsson ◽  
M. B. Shattuck ◽  
J. Clarke

The atomic force microscope (AFM) is capable of imaging electrically conductive and non-conductive surfaces at atomic resolution. When used to image biological samples, however, lateral resolution is often limited to nanometer levels, due primarily to AFM tip/sample interactions. Several approaches to immobilize and stabilize soft or flexible molecules for AFM have been examined, notably, tethering coating, and freezing. Although each approach has its advantages and disadvantages, rapid freezing techniques have the special advantage of avoiding chemical perturbation, and minimizing physical disruption of the sample. Scanning with an AFM at cryogenic temperatures has the potential to image frozen biomolecules at high resolution. We have constructed a force microscope capable of operating immersed in liquid n-pentane and have tested its performance at room temperature with carbon and metal-coated samples, and at 143° K with uncoated ferritin and purple membrane (PM).


Author(s):  
John G. Sheehan

The goal is to examine with high resolution cryo-SEM aqueous particulate suspensions used in coatings for printable paper. A metal-coating chamber for cryo-preparation of such suspensions was described previously. Here, a new conduction-cooling system for the stage and cold-trap in an SEM specimen chamber is described. Its advantages and disadvantages are compared to a convection-cooling system made by Hexland (model CT1000A) and its mechanical stability is demonstrated by examining a sample of styrene-butadiene latex.In recent high resolution cryo-SEM, some stages are cooled by conduction, others by convection. In the latter, heat is convected from the specimen stage by cold nitrogen gas from a liquid-nitrogen cooled evaporative heat exchanger. The advantage is the fast cooling: the Hexland CT1000A cools the stage from ambient temperature to 88 K in about 20 min. However it consumes huge amounts of liquid-nitrogen and nitrogen gas: about 1 ℓ/h of liquid-nitrogen and 400 gm/h of nitrogen gas. Its liquid-nitrogen vessel must be re-filled at least every 40 min.


Author(s):  
Vladimir Yu. Kolosov ◽  
Anders R. Thölén

In this paper we give a short overview of two TEM applications utilizing the extinction bend contour technique (BC) giving the advantages and disadvantages; especially we consider two areas in which the BC technique remains unique. Special attention is given to an approach including computer simulations of TEM micrographs.BC patterns are often observed in TEM studies but are rarely exploited in a serious way. However, this type of diffraction contrast was one of the first to be used for analysis of imperfections in crystalline foils, but since then only some groups have utilized the BC technique. The most extensive studies were performed by Steeds, Eades and colleagues. They were the first to demonstrate the unique possibilities of the BC method and named it real space crystallography, which developed later into the somewhat similar but more powerful convergent beam method. Maybe, due to the difficulties in analysis, BCs have seldom been used in TEM, and then mainly to visualize different imperfections and transformations.


2013 ◽  
Vol 23 (2) ◽  
pp. 49-61 ◽  
Author(s):  
Jamie Perry ◽  
Graham Schenck

Despite advances in surgical management, it is estimated that 20–30% of children with repaired cleft palate will continue to have hypernasal speech and require a second surgery to create normal velopharyngeal function (Bricknell, McFadden, & Curran, 2002; Härtel, Karsten, & Gundlach, 1994; McWilliams, 1990). A qualitative perceptual assessment by a speech-language pathologist is considered the most important step of the evaluation for children with resonance disorders (Peterson-Falzone, Hardin-Jones, & Karnell, 2010). Direct and indirect instrumental analyses should be used to confirm or validate the perceptual evaluation of an experienced speech-language pathologist (Paal, Reulbach, Strobel-Schwarthoff, Nkenke, & Schuster, 2005). The purpose of this article is to provide an overview of current instrumental assessment methods used in cleft palate care. Both direct and indirect instrumental procedures will be reviewed with descriptions of the advantages and disadvantages of each. Lastly, new developments for evaluating velopharyngeal structures and function will be provided.


VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 188-198 ◽  
Author(s):  
Reinhold ◽  
Haage ◽  
Hollenbeck ◽  
Mickley ◽  
Ranft

In February 2008 a multidisciplinary study group was established in Germany to improve the treatment of patients with potential vascular access problems. As one of the first results of their work interdisciplinary recommendations for the management of vascular access were provided, from the creation of the initial access to the treatment of complications. As a rule the wrist arteriovenous fistula (AVF) is the access of choice due to its lower complication rate when compared to other types of access. The AVF should be created 3 months prior to the expected start of haemodialysis to allow for sufficient maturation. Second and third choice accesses are arteriovenous grafts (AVG) and central venous catheters (CVC). Ultrasound is a reliable tool for vessel selection before access creation, and also for the diagnosis of complications in AVF and grafts. Access stenosis and thrombosis can be treated surgically and interventionally. The comparison of both methods reveals advantages and disadvantages for each. The therapeutic decision should be based on the individual patients’ constitution, and also on the availability and experience of the involved specialists.


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