Effect of silver nitrate on some mechanical properties of heat polymerizing acrylic resins

Aim: The aimed study was to evaluate the influence of silver nitrate on surfacehardness and tensile strength of acrylic resins.Materials and methods: A total of 60 specimens were made from heat polymerizingresins. Two mechanical tests were utilized (surface hardness and tensile strength)and 4 experimental groups according to the concentration of silver nitrate used.The specimens without the use of silver nitrate were considered as control. Fortensile strength, all specimens were subjected to force till fracture. For surfacehardness, the specimens were tested via a durometer hardness tester. Allspecimens data were analyzed via ANOVA and Tukey tests.Results: The addition of silver nitrate to acrylic resins reduced significantly thetensile strength. Statistically, highly significant differences were found among allgroups (P≤0.001). Also, the difference between control and experimental groupswas highly significant (P≤0.001). For surface hardness, the silver nitrate improvedthe surface hardness of acrylics. Highly significant differences were statisticallyobserved between control and 900 ppm group (P≤0.001); and among all groups(P≤0.001)with exception that no significant differences between control and150ppm; and between 150ppm and 900ppm groups(P>0.05).Conclusion: The addition of silver nitrate to acrylics reduced significantly the tensilestrength and improved slightly the surface hardness.

The role of intracanal medicaments in inhibition of bacteria isolated from root canals of infected primary molars

Microbes are considered as the primary etiologic agents in endodontic diseases.Disinfection of the root canal is obtained by the combined effect of biomechanicalpreparation, irrigation and intra canal medicament. The aim of the present study wasto assess the antimicrobial activity of intracanal medicaments (formocresol andEndosepton) against two micro organisms (Streptococcus mutans and staphylococcusaureus) isolated from 15 necrotic pulps of primary molars indicated for pulpectomyprocedure. The samples were cultured, and purified using microbiological evaluation.Broth dilution test was performed in our study by preparing test tubes containing10 ml of BHI broth (pH. 7) which then inoculated with strains of the tested bacteriaand incubated at 37 C° for 24 h. After over night incubaction, ten fold dilution weremade in test tubes containing 9 ml of normal saline by adding 1 ml of the inoculum tothe first tube . Then from dilution 10-1 , 0.1 ml of cell suspension was added to 9.9 mlof formocresol and endosepton, then 0.1 ml was taken and spread on duplicates ofBHI agar plates at different intervals and incubated aerobically for 24 h. at 37 C°.Colonies on the plates were counted after incubation and CFU/mL (colony formingunit) was calculated. Our results indicating that there were no significant differencesbetween the intracanal medicaments, but there were high significant differencesbetween the intervals time of the study. We concluded that both materials had greatantibacterial effect against the pathogens commonly isolated from necrotic pulpaltissue of primary teeth.

Oral Health Status in Relation to Nutritional Status among 9 years old school Children in Dewanyiah City/Iraq

Background: Although they are not life threatening, dental caries and periodontaldisease are the most predominant and widely spread oral diseases throughout theworld. The aims of the study included the investigation of the prevalence andseverity of dental caries, gingivitis and dental plaque in relation to gender,furthermore, nutritional status was assessed in relation to oral health condition(dental caries).Materials and Methods: This oral health survey was conducted among primaryschool children aged 9 years old in Dewanyiah city in Iraq. The total samplecomposed of 600 child (320 males and 280 females) selected randomly fromdifferent school in Dewanyiah city. Diagnosis of dental caries was according tothe criteria described by WHO (1987). Plaque index of Silness and Loe (1964)was used for plaque assessment, gingival index of Loe and Silness (1963) wasfollowed for recording gingival health condition. Nutritional status was assessedaccording to body mass index (BMI) indicator using anthropometric measurement(height and weight).Results: Results showed that the prevalence of dental caries was 85% for 9 year-oldschool children. Regarding primary and permanent dentition, dental caries washigher among females compared to males with statistically significant difference(P<0.05) for primary dentition, on the other hand, males showed higher values offilled surfaces compared to females with statistically significant difference(P<0.05) for primary dentition and highly significant difference (P<0.01) forpermanent dentition. Finding of this study revealed that 100% of the children hadgingival inflammation. Furthermore, the values of plaque and gingival indiceswere higher among males compared to females with statistically highly significantdifferences (P<0.01). In current study, the prevalence of malnutrition described bythe BMI indicator was 5.3%. For total samples no significant difference wasrecorded in dmfs /DMFS values among wasting and well nourished children(P>0.05).Conclusion: A high prevalence of dental caries and gingivitis were recorded.Improvement in the prevention educational programs is needed among schoolchildren.

Oral health status in relation to nutritional status among kindergarten children aged (4-5) years old in Karbala city / Iraq

Back ground: Dental caries and periodontal disease were the most common andwidely spread diseases affecting children. The nutrition may be one of the factorsaffecting the severity of the oral diseases. The Aims of this study was theassessment of the following oral diseases (dental caries, gingivitis) in addition toassessment of oral hygiene among 4-5 years old children in Karbala city –Iraq.Furthermore, nutritional status was assessed in relation to oral diseases.Materials and methods: A sample of 658 children (350 males, 308 females) agedfour and five years old was selected randomly from the fourteenth kindergartensin Karbala city. Diagnosis and recording of dental caries was followed the criteriaof WHO 1987. Dental plaque was assessed using plaque index of Silness and Loe,1964. Gingival health condition was assessed using gingival index of Loe andSilness, 1963. The assessment of nutritional status was performed usinganthropometric measurement (height and weight) according to Body mass indexindicator with -2SD cutoff point.Results: Caries prevalence was found to be (83%) of the total sample the mean rankvalue of dmfs was higher among boys in comparison to girls with statistically nosignificant difference (P>0.05). The value of dmfs increased with age withstatistically highly significant difference (p<0.01).The mean rank values of dentalplaque and gingival indices for total boys were found to be higher than total girlswith statistically highly significant differences (P<0.01). Recording of this studydemonstrated that 100% of children had dental plaque and gingival inflammation.Positive highly significant correlations were recorded between dental caries withdental plaque and gingival indices. The prevalence of malnutrition described byBody mass index indicator was (3.2%). According to nutritional status indicatorBody mass index-for-age, it was found that the wasted children had higher valueof dmfs than well nourished children with statistically no significant differences(P>0.05). The plaque and gingival indices were higher among well nourishedchildren than among wasted children with statistically highly significantdifferences (P<0.01).The correlation coefficient between body mass index withdental caries, plaque index and gingival index were very weak and statistically notsignificant (p>0.05).Conclusions: High prevalence of dental caries and gingivitis was recorded indicatingthe need of public and preventive programs among kindergarten children.

The effect of Ramadan fasting on plaque count of Streptococcus Mutans in patients wearing fixed orthodontic appliance. A clinical study

Aim: This clinical study is to investigate the effect of fasting (Sawm) Ramadan on thecount of streptococcus mutans in plaque surrounding fixed orthodontic appliances.Materials and Methods: Fifteen patients with orthodontic appliances wereparticipated in this study. Plaque specimens were collected from those patients attwo occasions, during Rmadan fasting (Sawm) and after they break there fastingafter Ramadan. The plaque Streptococcus mutans number of colony-formingunits (CFU) was analyzed by using Dentocult SM Strip mutans test.Results: This study demonstrated highly significant difference in Streptococcusmutans (CFU) counts in plaque between the values obtained from fasting patientsduring Ramadan and when they are breaking the fast after Ramadan.Conclusions: during Ramadan fasting, persons change timing and types of their foodand beverages consuming as well as teeth cleaning habits. Therefore orthodontistshould be aware of their patients’ oral hygiene during Ramadan by promoting andmaintaining satisfactory teeth cleaning during fasting (Sawm) and Iftar hours.

The Influence of Silica Dioxide and Aluminum Oxide Nano Fillers Reinforced Heat Cured Acrylic Denture Base Material and Thermocycling on Tensile and Shear Bond to Denture Soft Lining Material

Background: Soft lining materials play an important role in modern prosthodonticstreatment because of their capability to restore the inflamed and distorted mucosa.The purpose of the research was to estimate the influence of acrylic denture basereinforcement with silanted nano fillers (Al2O3 and Sio2) separately on tensile andshear bond strength of soft lining material and studying effect of thermo cyclingon bonding strength.Materials and methods: Total 120 specimens were prepared; it divided into 60Specimens for shear bond strength test and 6o specimens for tensile bond strengthtest. Specimens were sub grouped into 30 Specimens without thermo cycling and30 specimens with thermo cycling. Each sub group is consisted from: 10Specimens control, 10 specimens were reinforced with 2 wt% of Al2O3 nano fillersand 10 specimens were reinforced with 5 wt% of SiO2 nano fillers. Samples wereprocessed depending on test applied. Soft lining material was applied for eachtesting group. Samples were immersed in distal water for 24 hours at 37°C beforetesting. For thermo cycling test, specimen were thermo cycled in thermo cyclingdevice. Bonding strength test was done using INSTRON universal testingmachine.Results: reinforcement of acrylic denture base with nano-fillers was significantlyincrease both tensile and shear bonding of lining material and thermo cyclingdecreases both bonding strength.Conclusion: reinforcement of acrylic denture base with nano fillers could improvebonding strength of lining material, while thermo cycling had a deleterious effecton bonding strength.

Selected salivary antioxidants and gingival health condition among a group of obese females aged 20-22 years in Baghdad, Iraq

Background: Obesity and periodontal disease are diseases of multifactorial etiologyclosely related to dietary habits and sociodemographic background of theindividuals. The aim of this study was the assessment of selected salivaryantioxidants and gingival health condition among a group of obese females aged20-22 years in comparison with normal weight females.Materials and methods: The study group included 40 obese females, with an agerange 20-22 years old. The control group included 40 normal weight females ofthe same age. Body weight was assessed by using the Body Mass Index (BMI).Collection of unstimulated salivary samples was carried out under standardizedconditions. Plaque and gingival indices were used for recording the oral hygieneand gingivitis. Salivary flow rate was measured then salivary samples wereanalyzed to determine the concentration of salivary antioxidants (total protein anduric acid).Results: The data analysis of the present study found that the level of salivary totalprotein was lower among the obese females compared to the normal weightfemales with statistically highly significant difference (p<0.01), while salivaryuric acid was statistically highly significantly higher among the obese than thenormal weight females (p<0.01). Salivary analysis demonstrated that the salivaryflow rate was statistically highly significantly higher among the obese females(p<0.01).The mean values of plaque index and gingival index were lower among obesefemales compared to the normal weight females with statistically highlysignificant difference for plaque index (p<0.01).Conclusions: The result of this research revealed that salivary antioxidant (uric acid)and salivary flow rate were higher among obese females than normal weightfemales which may play a role in protection oral tissue from oral diseases inaddition to the oral cleanliness effect.

SAF file: It's really three dimensional file

The biological objectives of root canal treatment have not changed over the recentdecades, but the methods to attain these goals have been greatly modified. Theintroduction of NiTi rotary files represents a major leap in the development ofendodontic instruments, with a wide variety of sophisticated instruments presentlyavailable (1, 2).Whatever their modification or improvement, all of these instruments have onething in common: they consist of a metal core with some type of rotating blade thatmachines the canal with a circular motion using flutes to carry the dentin chips anddebris coronally. Consequently, all rotary NiTi files will machine the root canal to acylindrical bore with a circular cross-section if the clinician applies them in a strictboring manner

Management of Traumatized Permanent Maxillary Immature Incisor with Oblique Subgingival Crownroot Fracture

Background: Trauma to the anterior teeth is a common injury in young children. Themaxillary incisors being the most affected. Although root fractures are rare, theydo occur and were previously and often considered hopeless and were extracted.The time between the injury and the initiation of treatment, level of the fractureline, and stage of root development are some criteria to be considered whenchoosing a treatment approach for a complicated tooth fracture. This case reportdescribes the management of a traumatized immature maxillary central incisorwith Elise class IV fracture with vertical oblique subgingival fracture of the root.Materials and method: Apexification was carried out using biodentine followed byremoval of the fractured segment. A fiber post was cemented in the root canalwith resin cement. The coronal portion of the tooth was restored using anteriorlight cured composite material. The tooth was examined and evaluated after 1week and after 2 months by clinical examination and radiographical evaluation ofroot development.Results: The follow up evaluation revealed clinical and radiographical success.Radiographic view showed continued development in the apex of the root andshowed normal periodontal ligament space and dense lamina dura.Conclusion: Extraction should not be the first choice of treatment for extensivelydamaged young permanent teeth in the anterior region; instead, alternativetreatment modalities must be considered. The traumatized immature tooth wassaved and restored.

Comparative evaluation of compressive strength of esthetic restorative materials

The present study was aimed to evaluate and compare the compressive strength ofconventional glass ionomer cement with resin modified glass ionomer, compomer andmicrohybrid composite. A total of 40 specimens of esthetic restorative materials werefabricated using customized cylindrical teflon mould measuring 6mm height and 4mmdiameter and were grouped with ten specimens in each group, Group I: Conventionalglass ionomer cement (Fuji II). Group II: Resin modified glass ionomer (Fuji II LC).Group III: Compomer (Dyract AP) and Group IV: Microhybrid composite resin(Tetric Ceram).They were covered with Mylar strip and were cured using LED lightcuring unit. Compressive strength was evaluated using Universal testing machine. Theresult showed that there were a significant difference among the groups in whichTetric Ceram showed highest compressive strength and Fuji II showed the leastcompressive strength