scholarly journals Efficacy of Composite Restorative Techniques in Marginal Sealing of Extended Class V Cavities

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Salwa Khier ◽  
Khamis Hassan
Keyword(s):  
Digital Camera ◽  
Blue Dye ◽  
Class V ◽  
Group Iii ◽  
Dye Penetration ◽  
Group I ◽  
Multiple Comparison Test ◽  
Significant Difference ◽  
Light Curing ◽  
Group Ii

Objectives. To compare the efficacy of three placement techniques in marginal sealing of Class V composite restorations extending onto the root. Materials and Methods. Class V cavities were prepared on buccal surfaces of 30 extracted human molars, with gingival margins 1.5 mm on the root. Prepared teeth were randomly assigned into 3 groups of 10 each and restored with Single Bond/Filtek Supreme using following techniques; Group I: oblique; Group II: occlusogingival; and Group III: split-increment. After restoration finishing, teeth were thermocycled, and immersed in 2% methylene blue dye for 24 h. Teeth were sectioned buccolingually. Digital photographs were made of sectioned surfaces using digital camera fitted on stereomicroscope. Microleakage was scored at occlusal and gingival margins using 0–3 scale. Dye penetration depth (DPD) at both margins was also measured using AnalySIS software. Data were analyzed using one-way ANOVA and Bonferroni multiple comparison test. Results. 5% of occlusal margins in Groups I and III had 50  average (DPD). In Group II, only 10% of occlusal margins showed dye penetration, with 60  average depth. For gingival margins, Groups I and III presented dye penetration in 55% of specimens, with 220 and 150  average (DPD), respectively. Group II had 60% of gingival margins, with 230  average (DPD). There was no significant difference in microleakage at occlusal and gingival margins in all groups. Dye penetration was larger at gingival than at occlusal margins (). Conclusion. None of placement techniques produced gap-free margins. Oblique and occlusogingival techniques exhibited higher degrees of microleakage at occlusal and gingival margins, as compared to that of split-increment technique. Splitting flat composite increment by diagonal cut, prior to light-curing, preserved bonded gingival margin integrity and reduced microleakage.

FISSURE SEALANT INTERFACE MICROLEAKAGE USING ONE STEP ADHESIVES

2014 ◽  
Vol 1 (1) ◽  
pp. 49
Author(s):  
Sandy Christiono
Keyword(s):  
Blue Dye ◽  
Fissure Sealant ◽  
Whitney Test ◽  
Dye Penetration ◽  
Mann Whitney Test ◽  
Group I ◽  
Significant Difference ◽  
One Step ◽  
Group Ii

Background:This study evaluated the efficacy of a one step adhesives in reducing microleakage after water storage and thermocycling. Method: eighteen freshly extracted caries-free human premolars were used. The teeth were randomly divided into two groups; Group I: control etch adhesive (GC),Group II: G Bond One step adhesive (GC) The teeth were restored using helioseal Vivadent. Group II Each layer was cured using the Spectrum 800 curing light (Dentsply/Caulk) for 20 seconds at 600mW/cm2. The teeth were stored in artifisial saliva for 7 days in incubator. Samples were thermocycled 250x between 5°C and 55°C with a dwell of 30 seconds, then placed in a 0.5% methylene blue dye solution for 24 hours at 37°C. Samples were sectioned longitudinally and evaluated for microleakage at the occlusal and gingival margins under a microscope at 40x magnification. Dye penetration was scored: 0: no microleakage visible, score 1: microleakage up to half of the fissure, score 2: microleakage more than half of the fissure. Result: Mann-Whitney test was used to demonstrate significantly more dye penetration in Group I and Group II. When comparing the scores for two group, the Mann Whitney test showed no significant difference in dye penetration for etch and One step adhesive (p>0.05). Conclusion: Based on the results of this study, it can be concluded that etch and one step adhesive in the fissure sealant no significant difference to reduce of microleakage in study in vitro.

scholarly journals Evaluation of Microleakage in Posterior Nanocomposite Restorations with Adhesive Liners

2015 ◽  
Vol 03 (02) ◽  
pp. 097-102
Author(s):  
Sandeep Reyal ◽  
Ashu Gupta ◽  
Bhanu Singh
Keyword(s):  
Class Ii ◽  
Blue Dye ◽  
Glass Ionomer ◽  
Significant Group ◽  
Group Iii ◽  
Flowable Composite ◽  
Group I ◽  
Significant Difference ◽  
Resin Modified Glass Ionomer ◽  
Group Ii

AbstractMicroleakage is the clinically detectable passage of bacteria, fluids, molecules or ions between a cavity wall and the restorative materials applied to it. This study was conducted to evaluate and compare the microleakage in Class II nanocomposite restorations, with resin-modified glass ionomer liner(group I), nanofilled flowable composite liner(group II) & without liner(group III). Thirty six non carious upper premolar teeth extracted for orthodontic purposes were selected. Standard class II cavities were prepared. The teeth were then randomly & equally divided into three groups with 12 teeth in each group. The teeth were subjected to thermocycling. After that apex of each tooth was sealed with acrylic resin and the teeth were painted with two coats of nail varnish, except for the area of 2 mm from the periphery of the restorations. The coated teeth were immersed in buffered (Ph 7) 0.5% methylene blue dye for 48 hours. Teeth were sectioned & observed under stereomicroscope of 10X magnification. At gingival level, Group I exhibited slightly lesser microleakage than group II but was not statistically significant. Group I showed no significant difference between microleakage at occlusal and gingival level (Z=1.732; P=0.083). However, in Group II and Group III, there was significantly greater microleakage at the gingival level (Z= 2.162 and 3.162; P=0.002 and 0.002, respectively). Both resin-modified glass ionomer and flowable composite can be used as liners under nano composite restorations as reduction in microleakage was comparable.

scholarly journals Effect of Multiple Consecutive Adhesive Coatings on Microleakage of Class V Cavities

2009 ◽  
Vol 03 (03) ◽  
pp. 178-184 ◽  
Author(s):  
Hacer Deniz Arisu ◽  
Evrim Eliguzeloglu ◽  
Mine Betul Uctasli ◽  
Huma Omurlu ◽  
Emin Turkoz
Keyword(s):  
In Vitro Study ◽  
Adhesive Resin ◽  
Class V ◽  
Group Iii ◽  
Group I ◽  
Significant Difference ◽  
One Step ◽  
Group Ii ◽  
Self Etch

ABSTRACTObjectives: The purpose of this in vitro study was to evaluate the effect of multiple consecutive adhesive coatings of a one-step self-etch adhesive on microleakage of Class V cavities.Methods: Standardized box shaped Class V cavities were prepared onto the buccal side of forty five non-carious human premolar teeth. The teeth were randomly divided into three groups of fifteen teeth in each and restored as: Group I- one-step self-etch adhesive resin (Clearfil S3, Kuraray Co. Ltd., Osaka, Japan) was applied according to the manufacturer�s instructions, Group II- two consecutive same one-step self-etch adhesive application was performed, and Group III- three consecutive same one-step self-etch adhesive application was performed. After the adhesive applications light curing unit was activated for 20 seconds and the cavities were restored with a composite resin. The restorations were finished with aluminum oxide discs and the specimens were stored in water at room temperature for 24 hours before they were immersed in 2% methylene blue for 48 hours. The dye penetration was examined under a stereomicroscope and the asymtotic significance were analysed with Kruskall Wallis and Mann Whitney U tests and dentin-enamel margins were compared with each other with Wilcoxon Signed Rank test.Results: The microleakage at the dentinal margins of Class V cavities were significantly decreased with two (Group II) and three (Group III) consecutive adhesive applications (P<.05). There was no significant difference between Group I, Group II and Group III at the enamel margins (P<.05). The microleakage at the dentinal margins were significantly higher than the enamel margins in Group I and Group II but in Group III there was no statistically significant difference (P<.05).Conclusions: Within the limitations of this in vitro study, it may be concluded that three consecutive applications of the one-step self-etch adhesive resin provided better sealing than the one coat of adhesive resin at the dentinal margins of Class V cavities. (Eur J Dent 2009;3:178-184)

scholarly journals Comparison of the coronal marginal microleakage of tooth colored restorative materials.

2020 ◽  
Vol 27 (01) ◽  
pp. 11-15
Author(s):  
Syed Muhammad Awais ◽  
Muhammad Raza ◽  
Syed Umer Farooq ◽  
Sana Ahmad
Keyword(s):  
Glass Ionomer Cement ◽  
Control Group ◽  
Blue Dye ◽  
Glass Ionomer ◽  
Group Iii ◽  
Depth Measurement ◽  
Group I ◽  
Significant Difference ◽  
Restorative Materials ◽  
Group Ii

Objectives: To compare the coronal marginal microleakage three types of available tooth colored restorative materials. Study Design: This in vitro comparative experimental study. Setting: Department of Science of Dental Materials, Sardar Begum Dental College. Period: July 2017 to November 2017. Material & Methods: Marginal micro-leakage of three tooth colored dental restorative materials were evaluated. In this study 55 specimens were divided into five groups, three experimental and two control groups. For experimental groups (I, II, III), 15 specimens each were allocated while five specimens each were allocated to positive control and negative control group. Standard Class I cavities were restored using Self-cured Glass Ionomer (Shofu Inc Japan), Resin Modified Glass Ionomer Cement (Kavitan LC; Spofa Dental Kerr Company) and Posterior Composites (Filtek P60; 3M ESPE). After thermo cycling and immersion in 2% methylene blue dye solution, the teeth were sectioned and the dye penetration depth measurement was done for each specimen with a periodontal probe in mm with the aid of magnifying lens. Analysis of variance (ANOVA) was used to assess the significant difference in coronal marginal microleakage of different materials by using SPSS. Results: It was found that there was a statistically significant difference (p < 0.05) in the micro-leakage of Group II and Group III when compared with group I but no statistically significant difference in the micro-leakage values of Group II and Group III was observed. Conclusion: All the restorative materials were unable to prevent the microleakage completely. Filtek P60 displayed minimum mean microleakage followed by Kavitan LC while the mean microleakage of Self-cured shofu Glass Ionomer was found to be maximum.

Role of Cord Blood Carboxyhemoglobin in Detecting Significant Hyperbilirubinemia in Term Neonates with ABO Alloimmunization

2021 ◽  
Author(s):  
Mahir Tıraş ◽  
Emrah Can ◽  
Şahin Hamilçıkan
Keyword(s):  
Cord Blood ◽  
Total Serum ◽  
Healthy Controls ◽  
Term Neonates ◽  
Group Iii ◽  
Group I ◽  
Significant Difference ◽  
Group Ii ◽  
Positive Direct ◽  
Severe Hyperbilirubinemia

Objective This study aimed to assess whether cord blood carboxyhemoglobin (COHb) levels in jaundiced term neonates with and without a positive direct Coombs test (DCT) and in healthy controls could be used as a predictor of severe hyperbilirubinemia. The percentage of cord blood COHb should be higher among neonates with Coombs-positive ABO hemolytic disease than among those with Coombs-negative ABO incompatibility and higher than that of ABO-compatible control neonates. Study Design This cross-sectional descriptive study of 198 term neonates comprised three subgroups: group I featured 68 DCT-positive ABO-incompatible neonates (ABO + DCT), group II featured 60 DCT-negative ABO-incompatible neonates with hyperbilirubinemia (ABO–DCT), and group III featured 70 healthy controls. COHb was determined by an OSM3 hemoximeter. Results Group I differed from groups II and III for cord blood bilirubin, cord blood hemoglobin, and cord blood hematocrit. Groups I and II had higher mean total serum bilirubin (TSB) levels than group III, while there was no difference in the mean TSB levels between groups I and II. There was no significant difference between the COHb group means for groups I, II, and III (p = 0.98). The area under the receiver operating characteristic curve calculated for group I/group III and group II/group III were found to be 0.62 and 0.54, respectively. Conclusion COHb levels did not prove to be superior to the DCT for predicting the risk of developing severe hyperbilirubinemia in term neonates. Key Points

scholarly journals Comparative Analysis of Acid-base Status Parameters in Newborn with Congenital Surgical Malformations During Perioperative Care Based on Types of Anesthesia

2021 ◽  
Vol 2 ◽  
pp. 14-22
Author(s):  
Oleksii Vlasov
Keyword(s):  
Regional Anesthesia ◽  
Oxygen Mixture ◽  
Acid Base ◽  
Group Iii ◽  
Group I ◽  
Anesthesia Group ◽  
Significant Difference ◽  
Combined Anesthesia ◽  
Acid Base Status ◽  
Group Ii

Introduction: Congenital malformations (CM) are most common in newborns and infants in the first year of life and require surgical correction in the first hours, days, months of life. Surgical interventions in severely ill babies with malformations can lead to catabolic stress, circulatory and respiratory disorders, metabolism shifts, water-electrolyte, protein, and acid-base status disorders. This study aimed to compare acid-base status in newborns and infants with congenital surgical pathology under different types of combined anesthesia.  Materials and methods: This retrospective study included 150 newborns and infants with CM who required surgery. The patients were divided into three groups based on types of provided anesthesia: inhalation by Sevoran (sevoflurane) and regional anesthesia (group I); inhalation of Sevoran and intravenous anesthesia by Fentanyl (group II); and intravenous combination of Fentanyl and 20% Sodium Oxybutyrate (group III). The analysis included: acid-base status, peripheral oximetry, and the need for an oxygen mixture inhaled by the patient. Results In group I, there was a significant reduction in partial tension of CO2 and increased pH from the pre-surgical status, at the time of induction of anesthesia, during the most painful, traumatic stage, and after surgery compared to group II and III. Peripheral O2 saturation was not critically reduced at all stages of observation except in babies of group I compared to group III at the stage of induction of anesthesia (97.79 ± 2.45 vs. 98.79 ± 1.63, p = 0.0194) and at the most painful period of surgery (96.29 ± 3.47 vs. 98.10 ± 2.47, p = 0.0368). In group I, newborns and infants required higher oxygen concentrations in the inhalation mixture. There was a significant difference in FiO2 between groups I and III during the most painful stage of surgery (0.47 ± 0.29 and 0.33 ± 0.2, p = 0.0071), and immediately after surgery (0.34 ± 0, 19 and 0.26 ± 0.13, p = 0.0246). Conclusion: Among the newborns and infants with CM requiring surgical intervention and combined anesthesia, the most substantial acid-base status changes were observed in the group where anesthesia was provided by Sevoran (sevoflurane) and regional anesthesia (Group I).

scholarly journals Assessment of Outcome of Intrathecal Analgesia in Multiparous Women Undergoing Vaginal Delivery

2020 ◽  
Vol 5 (1) ◽  
pp. 153-155
Author(s):  
Sanjay Melville Masih ◽  
Rakesh Kumar Gupta
Keyword(s):  
Vaginal Delivery ◽  
Group Iv ◽  
Normal Vaginal Delivery ◽  
Secondary Outcome ◽  
Group Iii ◽  
Group I ◽  
Significant Difference ◽  
Multiparous Women ◽  
Group Ii ◽  
Intrathecal Analgesia

Background: The present study was conducted to assess the outcome of intrathecal analgesia in multiparous women undergoing vaginal delivery. Subjects and Methods: The present study was conducted among 80 multiparous women ages ranged 18- 40 years. All patients received 0.5 ml of intrathecal injection of 2.5 mg bupivacaine 0.5% and 1 ml dexamethasone 4 mg plus a 0.5 ml adjuvant. The adjuvants in group I patients were 100 μg morphine, 25 μg fentanyl in group II, 5 μg dexmedetomidine in group III and normal saline in group IV (control group). The primary and secondary outcome was the duration of pain relief, the analgesia onset time, the maximum level of sensory block, the visual analogue scale (VAS) was recorded. Results: The mean duration of analgesia in group I was 182.4 minutes, in group II was 170.5 minutes, in group III was 200.4 minutes and in group, IV was 140.2 minutes. The onset of analgesia was 3.9 minutes, 2.8 minutes, 2.7 minutes and 4.5 minutes in group I, II, III and IV respectively. S1 sensory regression time (minutes) was 181.4, 157.4, 185.3 and 130.6 in group I, II, III and IV respectively. Modified Bromage scale 5 minutes, 15 minutes and 30 minutes after IT in all groups was 0.0. VAS was 1.3, 1.6, 1.6 and 3.1 with significant differences in all groups (P< 0.05). There was non- significant difference in mean age, weight, height and gestational age between all groups (P> 0.05). There was a non- significant difference in APGAR 1, 5, umbilical pH immediately after delivery, neonatal HR after 5minute, 15 minutes and 30 minutes in all groups (P> 0.05). Conclusion: The authors found that dexmedetomidine is a safe and effective adjuvant to intrathecal bupivacaine-dexamethasone in multiparous women undergoing normal vaginal delivery.

Is there a difference in prevalence of anxiety and depression symptoms among patients with different stages of hypertension?

2017 ◽  
Vol 41 (S1) ◽  
pp. S414-S414 ◽  
Author(s):  
A. Mermerelis ◽  
S.M. Kyvelou ◽  
V. Akke ◽  
C. Papageorgiou ◽  
C. Stefanadis ◽  
...  
Keyword(s):  
Depression Scale ◽  
Group Iv ◽  
Anxiety And Depression ◽  
Depression Symptoms ◽  
Study Cohort ◽  
Hypertensive Patients ◽  
Group Iii ◽  
Group I ◽  
Significant Difference ◽  
Group Ii

IntroductionWhether anxiety and depression are associated with hypertension and to what extent is not clear.AimsThe aim of the present study was to assess any differences in the prevalence of anxiety and depression among different groups of hypertensive patients.MethodsThe study cohort comprised of 127 patients (75 male, mean age 54 ± 14) who underwent assessment of their blood pressure levels and were divided in four groups: group I (normotensives, n = 34), group II (stage 1 HTN, n = 33), group III (stage 2 HTN, n = 30) and group IV (stage 3 HTN, n = 30). The evaluation of anxiety disorder was made by means of Hospital Anxiety Depression Scale (HADS), while the evaluation of depression was made with the Beck Depression Inventory (BDI). Statistical analysis was done with SPSS for windows. P-value was set at 0.05 for differences to be considered significant.ResultsComparing the four groups of patients there was a significant difference both in BDI (8.6 ± 7.0 vs. 11.6 ± 10.4 vs. 27.1 ± 5.8 vs. 32.4 ± 3.9, P < 0.0001) and HADS (10.2 ± 7.2 vs. 9.7 ± 7.0 vs. 16 ± 4.7 vs. 27 ± 5.1, P < 0.0001). We proceeded to comparison among the 4 groups and there was a significant rise in the BDI and HADS in three of the four groups group II > group III > group IV, P < 0.0001.ConclusionThese data suggest that there is a clear burden of anxiety and depression as the levels of BP increase. This finding is of important clinical significance as it could contribute to a different approach of hypertensive patients. A larger cohort study could enlightened the mechanisms involved.Disclosure of interestThe authors have not supplied their declaration of competing interest.

The Role of sFas in the Immune Escape Mechanism and Progression of Cancer Larynx

2009 ◽  
Vol 2 ◽  
pp. CMENT.S2565
Author(s):  
Amr A El Badry ◽  
Ismail Elmofty ◽  
Amira Helmy
Keyword(s):  
Serum Level ◽  
Buffy Coat ◽  
Control Group ◽  
Group Iii ◽  
Soluble Fas ◽  
Group I ◽  
Significant Difference ◽  
Cancer Larynx ◽  
The Mean ◽  
Group Ii

This work assess serum levels of soluble Fas form (sFas) in patients with different stages of laryngeal squamous cell carcinoma(LSCC) to investigate its prognostic significance. We correlate its levels with the morphological changes of peripheral blood cells via buffy coat examinatin. The study population included 70 patients clinically diagnosed and pathohistologically confirmed LSCC in addition to 20 healthy controls. According to TNM classification 33(47.1%) patients were in stage I (group I) and 24(34.3%) in stage II (group II), 13(18.5%) in stage III (group III). The results revealed that the mean serum level of sFas (pg/ml) in the control group was 51.2, in group I was 66.33, in group II was 81.33 and in group III was 112.45. Statistical analysis of the mean of sFas by ELISA test in the patients' groups in comparison to the control revealed a significant increase of both group II and III in comparison to the control group (P < 0.01) but there was no significant difference (P > 0.05) between group I in comparison to either the control or group II. There was a significant difference (P < 0.05) between group I in comparison to group III. LM examination revealed massive extent of the apoptotic cells in group III when compared to both group I and group II. EM examination of the buffy coat revealed apoptotic changes, mainly in the peripheral blood mononuclear cells (PBMNCs), represented by surface membrane ruffles and blebs with clumped nuclear chromatin and vacuolated cytoplasm. In conclusion, this study may help us to better understand one of the escape mechanisms in cancer larynx. This mechanism is represented by the significant increase in both the serum level of sFas and the morphological apoptotic changes that detected in PBMNCs. Soluble Fas may contribute to the progression of laryngeal cancer. It can be used as an attractive target for anticancer therapy and may be considered as a marker of disease progression and poor prognosis in laryngeal cancer.

scholarly journals Different Bleeding Patterns with the Use of Levonorgestrel Intrauterine System: Are They Associated with Changes in Uterine Artery Blood Flow?

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Carlo Bastianelli ◽  
Manuela Farris ◽  
Stefania Rapiti ◽  
Roberta Bruno Vecchio ◽  
Giuseppe Benagiano
Keyword(s):  
Blood Flow ◽  
Uterine Artery ◽  
Endometrial Thickness ◽  
Power Doppler ◽  
Artery Blood Flow ◽  
Group Iii ◽  
Group I ◽  
Significant Difference ◽  
Before And After ◽  
Group Ii

Objective. Evaluate if different bleeding patterns associated with the use of the levonorgestrel intrauterine system (LNG-IUS) are associated with different uterine and endometrial vascularization patterns, as evidenced by ultrasound power Doppler analysis.Methodology. A longitudinal study, with each subject acting as its own control was conducted between January 2010 and December 2012. Healthy volunteers with a history of heavy but cyclic and regular menstrual cycles were enrolled in the study. Ultrasonographic examination was performed before and after six months of LNG-IUS placement: uterine volume, endometrial thickness, and subendometrial and myometrial Doppler blood flow patterns have been evaluated.Results. A total of 32 women were enrolled out of 186 initially screened. At six months of follow-up, all subjects showed a reduction in menstrual blood loss; for analysis, they were retrospectively divided into 3 groups: normal cycling women (Group I), amenorrheic women (Group II), and women with prolonged bleedings (Group III). Intergroup analysis documented a statistically significant difference in endometrial thickness among the three groups; in addition, mean pulsatility index (PI) and resistance index (RI) in the spiral arteries were significantly lower in Group I and Group III compared to Group II. This difference persisted also when comparing—within subjects of Group III—mean PI and RI mean values before and after insertion.Conclusions. The LNG-IUS not only altered endometrial thickness, but—in women with prolonged bleedings—also significantly changed uterine artery blood flow. Further studies are needed to confirm these results and enable gynecologists to properly counsel women, improving initial continuation rates.

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