Application of the Logistic Model to the COVID-19 Pandemic in South Africa and the United States: Correlations and Predictions

We apply the simple logistic model to the four waves of COVID-19 taking place in South Africa over the period 2020~January~1 through 2022 January 11. We show that this model provides an excellent fit to the time history of three of the four waves. We then derive a theoretical correlation between the growth rate of each wave and its duration, and demonstrate that it is well obeyed by the South Africa data. We then turn to the data for the United States. As shown by Roberts (2020a, 2020b), the basic logistic model provides only a marginal fit to the early data. Here we break the data into six "waves," and treat each one separately. For four of the six the logistic model is useful, and we present full results. We then ask if these data provide a way to predict the length of the ongoing Omicron wave in the US (commonly called "wave 4," but the sixth wave as we have broken the data up). Comparison of these data to those from South Arica, and internal comparison of the US data, suggests that this last wave will die out by about 2022-January-20.

Does Resin Cement Type and Cement Preheating Influence the Marginal and Internal Fit of Lithium Disilicate Single Crowns?

This paper assesses the effect of cement type and cement preheating on the marginal and internal fit of lithium disilicate single crown. Methods: 40 maxillary premolars were selected, restored with lithium disilicate single crowns. Teeth were randomly assigned into four groups (n = 10) based on cement type (Panavia SA or LinkForce) and preheating temperature (25 °C or 54 °C). After fabrication of the restoration, cements were incubated at 25 °C or 54 °C for 24 h, and each crown was cemented to its corresponding tooth. After 24 h, all specimens were thermally aged to (10,000 thermal cycles between 5 °C and 55 °C), then load cycled for 240,000 cycles. Each specimen was then sectioned in bucco-palatal direction and inspected under a stereomicroscope at x45 magnification for marginal and internal fit evaluation. The data were statistically analyzed (significance at p ≤ 0.05 level). Results: At the mid-buccal finish line, mid-buccal wall, palatal cusp, mid-palatal wall, mid-palatal finish line, and palatal margin measuring points, there was a significant difference (p ≤ 0.05) between the lithium disilicate group cemented with Panavia SA at 25 °C and the group cemented with LinkForce at 25 °C, while there was no significant difference (p > 0.05) at the other points. At all measuring points, except at the palatal cusp tip (p = 0.948) and palatal margin (p = 0.103), there was a statistically significant difference (p ≤ 0.05) between the lithium disilicate group cemented with Panavia SA at 54 °C and the group cemented with LinkForce at 54 °C. Regardless of cement preheating, statistically significant differences were found in the buccal cusp tip, central groove, palatal cusp tip, and mid-palatal wall (p ≤ 0.05) in the lithium disilicate group cemented with Panavia SA at 25 °C and 54 °C, as well as the mid-palatal chamfer finish line and palatal margin in the LinkForce group cemented with Panavia SA at 25 °C and 54 °C. At the other measurement points, however, there was no significant difference (p > 0.05). Conclusions: The type of resin cement affects the internal and marginal fit of lithium disilicate crowns. At most measuring points, the cement preheating does not improve the internal and marginal fit of all lithium disilicate crowns.

Laboratory studies of heated Bulk Fill composite in the tooth cavity during filling of teeth with carious defects

Aim. To study with the help of a microscope the marginal fit of Bulk-Fill group composite materials to the hard tissues of the tooth. Optimize the method of heating the composite in the cavity.Materials and methods. The marginal fit of the composite material of the Bulk-Fill group, sealed in 30 teeth of chewing anatomical and functional accessories extracted according to various indications, was studied. Materials used in the laboratory experiment: 3M ESPE Filtek posterior restorative Bulk Fill, SDR (Dentsply Sirona), Sonic Fill (Kerr). According to the manufacturers, the materials are used with the method of single-portion sealing. The research was conducted at the Department of General Dentistry of the S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation.Results. 30 teeth extracted according to various indications of chewing anatomical and functional accessories were indicators were shown by the Sonic Fill (Kerr) system, due to heating and changing the viscosity of the material.Conclusions. It was proved in the laboratory that the heated composites of the Bulk-Fill group had the best edge fit during sealing than composites at normal room temperature. A nozzle was developed for heating the composite in the tooth cavity (priority application No. 2021120658 dated 12.07.2021).

Marginal Fit of Temporary Restorations Fabricated by the Conventional Chairside Method, 3D Printing, and Milling

Objectives: This study aimed to compare the marginal fit of temporary restorations fabricated by the conventional chairside method, 3D printing, and milling. Materials and Methods: In this in vitro, experimental study, 14 temporary restorations were conventionally fabricated over an implant abutment and analog that had been mounted in a phantom model at the site of canine tooth, using auto-polymerizing acrylic resin and putty index. In digital manufacturing, the original model was scanned, and the final restoration was designed. Fourteen temporary restorations were milled out of polymethyl methacrylate (PMMA) blocks, and 14 others were printed by a 3D printer. Temporary crowns were placed on the abutment, and images were obtained from specific areas under a stereomicroscope at x100 magnification to measure the amount of marginal gap. Data were analyzed using one-way ANOVA and Tukey’s test (α=0.05). Results: The mean marginal gap values for the temporary crowns in the 3D printing, milling, and chairside groups were 91.40, 75.28 and 51.23 µm, respectively. The crowns that were conventionally fabricated chairside exhibited the lowest marginal gap, and the difference in this respect was significant among the three groups (P<0.05). Conclusion: Temporary crowns fabricated by the chairside method showed significantly smaller marginal gap; however, the marginal gap of all three groups was within the clinically acceptable range.

Accuracy of the Provisional Prosthesis Scanning Techniqueversus a Conventional Impression Technique on Completely Edentulous Arches

Purpose: In this study, we aimed to compare the marginal fit of fixed dental restorations fabricated with the provisional prosthesis scanning technique versus a conventional impression technique and to determine the effect of both variables on the accuracy outcome. Materials and Methods: Twelve identical polyurethane edentulous maxillary models were equally divided into two groups: control (conventional impression group) and test (provisional prosthesis scanning group). After obtaining the impression using the above-mentioned methods and further preparing the final prosthesis, the passivity of the metal framework prosthesis was checked using a single screw test, i.e., only one screw was fixed on the terminal right abutment, and all others were empty. The marginal fit of the final prosthetic frameworks screwed onto the implants on the terminal left abutment was measured at the terminal right sight by periapical radiographs obtained immediately after metal framework placements in both groups. The medians derived from the two groups were compared using the Mann–Whitney test. In all tests, a p-value < 0.05 indicated statistical significance. Results: In the provisional prosthesis scanning group, the median marginal fit discrepancy was 170 µm (range 120–190). In the conventional impression group, the median marginal fit discrepancy was 1080 µm (range 1040–1100). There was a significant difference in the implant-framework marginal gap fit discrepancy between these two groups. Conclusion: Prostheses fabricated with the provisional prosthesis scanning technique are significantly more accurate than those fabricated with conventional impression techniques.