scholarly journals Evaluation of internal adaptation of flowable and bulk-fill resin-based composites

2021 ◽  
Vol 28 ◽  
pp. 23-31
Author(s):  
Ros Anita Omar ◽  
Noor Azlin Yahya ◽  
Christina Maria Noel ◽  
Nor Suhana Azni Satapa
Keyword(s):  
Adhesive System ◽  
Adhesive Failure ◽  
Cohesive Failure ◽  
Sem Images ◽  
Occlusal Surfaces ◽  
Significant Difference ◽  
Group A ◽  
Internal Adaptation ◽  
Group B ◽  
Self Etch

This study aimed to evaluate and compare the internal adaptation of bulk-fill resin-based composite restorative materials with flowable composites as lining materials using self-etch adhesive system. Class I cavities (2mmx4mm) were prepared on flattened occlusal surfaces of fifty extracted human premolars and randomly assigned into five groups (n=10) according to the materials used: Beautifil Bulk-fill Restorative (BR); Beautifil Bulk-fill Flowable (BF); Beautifil Flow Flowable F10 (BF10); and Self-etch adhesive (SEA). Group A: SEA+BR; Group B: SEA+BF10+BR; Group C: SEA+BF+BR; Group D: SEA+BF10+SEA+BR and Group E: SEA+BF+SEA+BR. The samples were thermocycled for 500 cycles, then sectioned mesiodistally, polished and pre-treated prior to scanning electron microscopy (SEM) evaluation. From SEM images, measurement of adhesive and cohesive adaptation failures was recorded at multiple sites of the pulpal floor and in between materials. Data were analysed using one-way ANOVA and post-hoc Tukey tests (p<0.05). Cohesive failure in SEA was observed at the pulpal floor with the lowest percentage in Group A (5.14%), and highest in Group C and E (>16%). However, there were no significant difference among all groups. Adhesive failure was seen at the pulpal floor between SEA+BF/BF10/BR and between SEA+dentine with the highest percentage of gaps formed in Group A between SEA+dentine (6.62%) and SEA+BR (5.30%). Nonetheless, no significant differences were observed among all groups with p=0.89 and p=0.70, respectively. With the use of BF/BF10 at the pulpal floor, adhesive failure was reduced but resulted in increased of cohesive failure. However, both adaptation failures were absent between materials (BF/BF10 and BR) regardless with or without application of SEA.

scholarly journals Influence of irrigating agents on fiber postpush-out bond strength to radicular dentin sections with the different adhesive system

2017 ◽  
Vol 11 (03) ◽  
pp. 380-384 ◽  
Author(s):  
Satheesh B. Haralur ◽  
Asim Nasser A. Alasabi ◽  
Sultan A. Abohathrah Al Qahtani ◽  
Saeed Musleh S. Alqahtani
Keyword(s):  
Bond Strength ◽  
Ethylenediaminetetraacetic Acid ◽  
Adhesive System ◽  
Negative Influence ◽  
Significant Difference ◽  
Group A ◽  
Coronal Section ◽  
Group B ◽  
Self Etch ◽  
Push Out

ABSTRACT Objective: The objective of this study is to evaluate the effect of irrigating agents on push-out bond strength of resin postcemented with various adhesive systems at different radicular dentin sections. Materials and Methods:Sixty single-rooted premolar teeth were root canal treated, subsequently decorated at cementoenamel junction. The endodontic postspace was irrigated with 5.25% sodium hypochlorite (NaOCl) and 17% ethylenediaminetetraacetic acid (EDTA) for Group A (n = 30) and Group B (n = 30), respectively. The sample from each group was subdivided into three groups (10) according to luting protocol of etch-wash, self-etch, and self-adhesive. Individual teeth with cemented resin postsamples were sectioned into coronal, middle, and apical segments. Subsequently, subjected for pushout bond strength test by applying a load at 0.5 mm/min speed. The data were analyzed by three-way analysis of variance and Tukey comparison test at a significant difference level of 0.05.Results: The coronal section with 5.25% NaOCl irrigation and self-etch luting protocol provided the highest push out strength at 16.282 Mpa. The etch-wash luting protocol in both irrigations showed the lesser bond strength at 8.273 and 8.493 MPa, respectively, in coronal section.Conclusions: The self-etch adhesive system showed better push out bond strength and 17% EDTA had a negative influence on self-etch bond strength. The coronal sections had highest bond strength in comparison with apical radicular dentin sections.

Comparison of successful outcome of pit and fissure sealants bonded with etch-and-rinse adhesive and self-etch adhesive system

2021 ◽  
pp. 1-7
Author(s):  
Jiand Malik Baloch ◽  
Muhammad Adeel Ahmed ◽  
Azeem Ul Yaqin Syed ◽  
Muhammad Zohaib Younus ◽  
Muhammad Owais Nasim ◽  
...  
Keyword(s):  
Adhesive System ◽  
Successful Outcome ◽  
Fissure Sealants ◽  
Pit And Fissure Sealants ◽  
Etch And Rinse ◽  
Molar Teeth ◽  
Group A ◽  
Group B ◽  
Self Etch

BACKGROUND: Dental caries is one of the most common diseases around the world. The newly erupted permanent posterior teeth are at great risk due to the complex occlusal morphology of pits and fissures, infraocclusion and incomplete maturation of enamel. Pit and fissure sealants are the treatment of choice in such conditions. OBJECTIVES: To compare the successful outcome of pit and fissure sealants bonded with etch-and-rinse adhesive system and self-etch adhesive systems in newly erupted permanent first molars. METHODS: This randomized clinical trial was conducted at the Fatimah Jinnah Dental Hospital from June 2017 to May 2019. Children aged between 6 to 9 years who fulfilled the inclusion criteria were recruited for this study after parents’ consent. Patients were randomly divided into two groups by the lottery method. Thirty patients with 60 first molar teeth in Group A were treated with etch-and-rinse adhesive system, while the other thirty patients with 60 first molar teeth in Group B were treated with self-etch adhesive system. After adhesive placement, all children received the same fissure sealants in newly erupted maxillary and mandibular permanent first molar. Each group was clinically evaluated at 6 and 12 months follow-up visit. Modified United States Public Health Service (USPHS) criteria were used for direct clinical evaluation of successful outcomes such as sealant retention and marginal discoloration. RESULTS: Successful outcome was statistically significant in Group B compared to Group A (60% vs. 30% p= 0.020) at 12 months follow-up. Stratification analysis was performed with respect to age in which a successful outcome was not significant (p= 0.43) between groups for 6 to 7 years of age, while it was significant (p= 0.012) between groups in 8 to 9 years of age children. CONCLUSION: Self-etch adhesive system is better than etch-and-rinse adhesive system in terms of long-term sealant retention. In addition, the bonding procedure is simple with relatively short clinical application time therefore it would offer great benefit to clinicians in treating pediatric patients.

scholarly journals Comparison between one-step self-etch adhesive and along with additional hydrophobic layer in the retention of giomer at non-carious cervical lesion

2017 ◽  
Vol 10 (3) ◽  
pp. 140
Author(s):  
Sultana Parveen ◽  
Mozammal Hossain ◽  
Md. Mujibur Rahman Howlader ◽  
Md. Abdul Hannan Sheikh ◽  
Md. Shamsul Alam ◽  
...  
Keyword(s):  
Adhesive Layer ◽  
Cervical Lesion ◽  
Cervical Lesions ◽  
Significant Difference ◽  
Group A ◽  
One Step ◽  
Maxillary Premolars ◽  
The One ◽  
Group B ◽  
Self Etch

<p>The purpose of the present study was to assess the giomer retention following application of one step self etch adhesive and one-step self-etch adhesive plus an extra hydrophobic adhesive layer in non-carious cervical lesion. Twenty four participants having bilateral cervical lesion at the maxillary premolars teeth were selected. Following cleaning of the cervical lesions, 24 left premolar teeth were restored with giomer by using the one-step self-etch system (Group A) and 24 right premolar teeth were restored with giomer by using one-step self-etching plus extra hydrophobic adhesive layer (Group B). Participants were recalled at 6 and 15 months for evaluating the clinical outcome. The results showed that at 15 months, 18 giomer restorations in Group A and 21 in Group B were intact inside the cavity and no significant difference was found between the two groups. It can be concluded that giomer restoration used with one-step self- etching plus additional adhesive layer slightly improved the retention of the material.</p>

scholarly journals Sodium Hypochlorite as Fluorotic Dentin Pretreatment of Two-Step Self-Etch Adhesive with Silver Nanoparticle: Atomic Force Microscope and Adhesive Microtensile Bond Strength Evaluation

2017 ◽  
Vol 2017 ◽  
pp. 1-14 ◽  
Author(s):  
Ana-Josefina Monjarás-Ávila ◽  
Norma-Verónica Zavala-Alonso ◽  
Gabriel Alejandro Martínez-Castañón ◽  
Nuria Patiño-Marín ◽  
Daniel Silva-Herzog Flores ◽  
...  
Keyword(s):  
Sodium Hypochlorite ◽  
Adhesive System ◽  
Layer Formation ◽  
Hybrid Layer ◽  
Microtensile Bond Strength ◽  
Sem Images ◽  
Atomic Force ◽  
Significant Difference ◽  
Post Hoc ◽  
Self Etch

The objective of this work was to evaluate the effect of pretreatment with commercial sodium hypochlorite, 5.25%, with a self-etch adhesive (Optibond Versa) in its original formula and with the incorporation of silver nanoparticles (NaAg) on fluorotic dentin. 240 human molars were classified according to fluorosis severity with Thylstrup-Fejerskov Index (TFI) and subdivided into three study subgroups according to the adhesive technique: (1) self-etch (SE) control subgroup; (2) NaOCl/SE subgroup; (3) NaOCl/SE + NaAg subgroup. The nanostructural characteristics were observed by AFM, μTBS was tested, and hybrid layer formation was observed by SEM. One-way analyses of variance (ANOVA) and Tukey-Kramer post hoc tests were used. No statistically significant differences were found in roughness values in any of the subgroups and subgroups studied. Remnants of smear layer were detected in areas devoid of resin tags in SEM images of samples bonded with subgroup 2, in contrast to subgroup 3. No statistically significant difference between any of the results was found in μTBS and a greater number of adhesive failures were observed. The results show that the pretreatment technique of 5.25% NaOCl and the incorporation of NaAg to the self-adhesive system do not produce a surface more adequate for a better adhesion.

Comparison between effectiveness of dentine desensitizer and one bottle self-etch adhesive on dentine hypersensitivity

2021 ◽  
pp. 1-7
Author(s):  
Muhammad Zohaib Younus ◽  
Muhammad Adeel Ahmed ◽  
Azeem Ul Yaqin Syed ◽  
Jiand Malik Baloch ◽  
Muhammad Ali ◽  
...  
Keyword(s):  
Dentin Hypersensitivity ◽  
Chi Square ◽  
Dentine Hypersensitivity ◽  
Significant Difference ◽  
Chief Complaints ◽  
Chi Square Test ◽  
Group A ◽  
Group B ◽  
Self Etch ◽  
Internal Scale

BACKGROUND: Dentine hypersensitivity is one of the most common chief complaints of patients observed by dentists in their practice. However, there is lack of universal consensus over the selection of reliable treatment modality. OBJECTIVES: To compare the effectiveness between dentine desensitizer and self-etch adhesive in patients complaining of moderate to severe dentine hypersensitivity pain. METHODS: A total 254 patients were randomly divided into Group A (Single Bond Universal Agent) and Group B (Seal & Protect Agent) according to the treatment provided. Sensitivity was assessed by means of mechanical (probing) and evaporative (air blast) stimuli. Discomfort Internal Scale (DIS) was explained to patients. DIS scores were recorded after one minute and one month following the application of both agents. Descriptive statistics were calculated. Stratification was done to control confounder and post stratification chi-square test was also applied. RESULT: The statistically significant difference (p= 0.000) in effectiveness between the two groups was observed. The mean discomfort internal scale score at baseline, after 1 minute and after 1 month in Group A was 3.65 ± 0.60, 2.33 ± 0.64 and 0.41 ± 0.71 respectively, while in Group B, it was 3.55 ± 0.58, 2.40 ± 0.62 and 0.72 ± 0.92 respectively. Overall, 86.6% patients observed improvement in dentinal sensitivity in Group A while in Group B only 67.7% patients reported reduction in sensitivity. CONCLUSION: Self-etch adhesive significantly reduces dentin hypersensitivity, immediately after one minute of its application and is effective for a period of one month when compared to desensitizing agent.

DeVega versus ring annuloplasty in severe functional tricuspid insufficiency and their impact on the right ventricle

2019 ◽  
Vol 1 (4) ◽  
pp. 133-139
Author(s):  
Yasser Hamdy ◽  
Mohammed Mahmoud Mostafa ◽  
Ahmed Elminshawy
Keyword(s):  
Right Ventricular ◽  
Tricuspid Valve ◽  
Tricuspid Regurgitation ◽  
Early Postoperative Period ◽  
Tricuspid Valve Repair ◽  
Ring Annuloplasty ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
The Right

Background: Functional tricuspid valve regurgitation secondary to left-sided valve disease is common. DeVega repair is simple, but residual regurgitation with subsequent impairment of the right ventricular function is a concern. This study aims to compare tricuspid valve repair using DeVega vs. ring annuloplasty and their impact on the right ventricle in the early postoperative period and after six months. Methods: This is a prospective cohort study of 51 patients with rheumatic heart disease who underwent tricuspid valve repair for secondary severe tricuspid regurgitation. Patients were divided into two groups: group A; DeVega repair (n=34) and group B; ring annuloplasty repair (n=17). Patients were assessed clinically and by echocardiography before discharge and after six months for the degree of tricuspid regurgitation, right ventricular diameter and tricuspid annular plane systolic excursion (TAPSE). Results: Preoperative echocardiographic assessment showed no difference in left ventricular end-systolic diameter, end-diastolic diameter, ejection fraction and right ventricular diameter, however; group A had significantly better preoperative right ventricular function measured by TAPSE (1.96 ± 0.27 vs1.75 ± 0.31 cm; p=0.02). Group B had significantly longer cardiopulmonary bypass time (127.65 ± 13.56 vs. 111.74 ± 18.74 minutes; p= 0.003) and ischemic time (99.06 ± 11.80 vs. 87.15 ± 16.01 minutes; p= 0.009). Pre-discharge, there was no statistically significant difference in the degree of tricuspid regurgitation, but the right ventricular diameter was significantly lower in group B (2.66 ± 0.41 and 2.40 ± 0.48 cm; p=0.049). After six months of follow up, the degree of tricuspid regurgitation (p= 0.029) and the right ventricular diameter were significantly lower in the ring annuloplasty group (2.56 ± 0.39 and 2.29 ± 0.44 cm; p=0.029). Although there was a statistically significant difference in preoperative TAPSE, this difference disappeared after six months. Conclusion: Both DeVega and ring annuloplasty techniques were effective in the early postoperative period, ring annuloplasty was associated with lesser residual regurgitation and better right ventricular remodeling in severe functional tricuspid regurgitation than DeVega procedure after 6-months of follow up.

Effect of short-term use of oral contraceptive pills on intraocular pressure

2020 ◽  
Vol 35 (3) ◽  
Author(s):  
Tayyaba Gul Malik ◽  
Hina Nadeem ◽  
Eiman Ayesha ◽  
Rabail Alam
Keyword(s):  
Oral Contraceptive ◽  
Childbearing Age ◽  
Short Term ◽  
Oral Contraceptive Pills ◽  
Contraceptive Pills ◽  
Time Period ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Short Time

Objective: To study the effect of short-term use of oral contraceptive pills on intra-ocular pressures of women of childbearing age.   Methods: It was a comparative observational study, conducted at Arif memorial teaching hospital and Allied hospital Faisalabad for a period of six months. Hundred female subjects were divided into two groups of 50 each. Group A, included females, who had been taking oral contraceptive pills (OCP) for more than 6 months and less than 36 months. Group B, included 50 age-matched controls, who had never used OCP. Ophthalmic and systemic history was taken. Careful Slit lamp examination was performed and intraocular pressures (IOP) were measured using Goldman Applanation tonometer. Fundus examination was done to rule out any posterior segment disease. After collection of data, we analyzed and compared the intra ocular pressures between the two groups by using ANOVA in SPSS version 21.   Results: Average duration of using OCP was 14.9 months. There was no significant difference of Cup to Disc ratios between the two groups (p= 0.109). However, significant difference was noted between the IOP of OCP group and controls. (p=0.000). Conclusion: OCP significantly increase IOP even when used for short time period.

Comparative Clinical study of Jatyadi Taila and Jatyadi Ghrita in the management of Dushta Vrana

2018 ◽  
Vol 3 (3) ◽  
Author(s):  
Rajendra Joshi ◽  
N. B. Mashetti ◽  
Rakesh Kumar Gujar
Keyword(s):  
Clinical Study ◽  
Burning Sensation ◽  
Normal Process ◽  
Surgical Practice ◽  
Local Factors ◽  
Significant Difference ◽  
Comparative Clinical Study ◽  
Group A ◽  
Contaminated Wound ◽  
Group B

Dushta Vrana is a common and frequently encountered problem faced in surgical practice. The presence of Dushta Vrana worsens the condition of the patient with different complications and may become fatal. Local factors on wound like slough, infection and foreign body, affect the normal process of healing. A healthy wound in a normal body heals earlier with a minimum scar as compared to a contaminated wound. Therefore in this study all the efforts are made to make a Dushta Vrana into a Shuddha Vrana. Once the Vrana becomes Shuddha, Ropana of the Vrana will start. The objective of the study was to evaluate the clinical efficacy of Jatyadi Taila and Jatyadi Ghrita in Dushta Vrana. Clinically diagnosed 60 Patients of Dushta Vrana were randomly divided into two groups, each consisting of 30 Patients. Group A were treated with the Jatyadi Taila and Group B was treated by Jatyadi Ghrita. The results observed was based on the relief obtained on the subjective and objective parameters taken for consideration for this study viz, size of ulcer, discharge, smell, pain, burning sensation, itching and granulation were found significant (P Lass Than 0.05). On the basis of assessment criteria and overall result of treatment, the patients of Jatyadi Taila group showed better results when compared to Jatyadi Ghrita group. Even though statistically there is no much significant difference between the two groups, but by seeing the effect on individual parameters (subjective and objective) and over all response, Jatyadi Taila seems to be effective when compared to Jatyadi Ghrita. It is having more Ropana qualities when compared to Shodhana.

Clinical effect of Suvarna Bindu Prashan

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Patil Aniket ◽  
Dindore Pallavi ◽  
Arbar Aziz ◽  
Kadam Avinash ◽  
Saroch Vikas
Keyword(s):  
Physical Health ◽  
Eating Habits ◽  
Control Group ◽  
Inform Consent ◽  
Significant Difference ◽  
Group A ◽  
Group B ◽  
Immune Booster ◽  
Mental And Physical Health ◽  
Apparently Healthy

The quest for excellence in mental and physical health is not new. We find various references and formulations in Ayurvedic classics meant for promoting mental and physical health of a child. Suvarna Prashan is one of the formulations explained in age old Ayurvedic classic Kashyap Samhita. This formulation is very widely used now days as a memory and immune booster for children. But there is very little systematic documented study which can be used to evaluate the efficacy of the formulation. Suvarna Bhasma was prepared in Ayurved Rasayani Pharmacy, Pune. Madhu and Ghrita were collected from KLE Ayurveda Pharmacy, Belgaum. Suvarna Bindu Prashan was prepared in KLE Ayurved pharmacy, Belgaum. It contains Suvarna Bhasma, Ghrita and Madhu. Twenty apparently healthy male and female children with age group of three to four years were ready to sign inform consent form were selected into two groups each. Subjects in Group A received Suvarna Bindu Prashan where as Group B (Control group) did not receive any treatment. Both the groups were observed for six months. Children in Suvarna Bindu Prashan group showed significant reduction in the scores of eating habits, behavior, mood, temperament and scores of event of illness. However there was no significant difference in the score of sleeping habit. There was significant increase in IQ percentage.

scholarly journals Microsurgical unilateral laminotomy for bilateral decompression of degenerative lumbar canal stenosis: a comparative study

2019 ◽  
Vol 55 (1) ◽  
Author(s):  
Mohamed I. Refaat ◽  
Amr K. Elsamman ◽  
Adham Rabea ◽  
Mohamed I. A. Hewaidy
Keyword(s):  
Patient Satisfaction ◽  
Blood Loss ◽  
Minimally Invasive ◽  
Invasive Technique ◽  
Decompression Surgery ◽  
Microsurgical Decompression ◽  
Significant Difference ◽  
Duration Of Surgery ◽  
Group A ◽  
Group B

Abstract Background The quest for better patient outcomes is driving to the development of minimally invasive spine surgical techniques. There are several evidences on the use of microsurgical decompression surgery for degenerative lumbar spine stenosis; however, few of these studies compared their outcomes with the traditional laminectomy technique. Objectives The aim of our study was to compare outcomes following microsurgical decompression via unilateral laminotomy for bilateral decompression (ULBD) of the spinal canal to the standard open laminectomy for cases with lumbar spinal stenosis. Subjects and methods Cases were divided in two groups. Group (A) cases were operated by conventional full laminectomy; Group (B) cases were operated by (ULBD) technique. Results from both groups were compared regarding duration of surgery, blood loss, perioperative complication, and postoperative outcome and patient satisfaction. Results There was no statistically significant difference between both groups regarding the improvement of visual pain analogue, while improvement of neurogenic claudication outcome score was significant in group (B) than group (A). Seventy-three percent of group (A) cases and 80% of group (B) stated that surgery met their expectations and were satisfied from the outcome. Conclusion Comparing ULBD with traditional laminectomy showed the efficacy of the minimally invasive technique in obtaining good surgical outcome and patient satisfaction. There was no statistically significant difference between both groups regarding the occurrence of complications The ULBD technique was found to respect the posterior spinal integrity and musculature, accompanied with less blood loss, shorter hospital stays, and shorter recovery periods than the open laminectomy technique.

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