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Coronal Level (coronal + level)
Selected AbstractsAnalysis of the gutta-percha filled area in C-shaped mandibular molars obturated with a modified MicroSeal techniqueINTERNATIONAL ENDODONTIC JOURNAL, Issue 3 2009R. Ordinola-Zapata Abstract Aim, To analyse the gutta-percha filled area of C-shaped molar teeth root filled with the modified MicroSeal technique with reference to the radiographic features and the C-shaped canal configuration. Methodology, Twenty-three mandibular second molar teeth with C-shaped roots were classified according to their radiographic features as: type I , merging, type II , symmetrical and type III , asymmetrical. The canals were root filled using a modified technique of the MicroSeal system. Horizontal sections at intervals of 600 ,m were made 1 mm from the apex to the subpulpal floor level. The percentage of gutta-percha area from the apical, middle and coronal levels of the radiographic types was analysed using the Kruskal,Wallis test. Complementary analysis of the C-shaped canal configurations (C1, C2 and C3) determined from cross-sections from the apical third was performed in a similar way. Results, No significant differences were found between the radiographic types in terms of the percentage of gutta-percha area at any level (P > 0.05): apical third, type I: 77.04%, II: 70.48% and III: 77.13%, middle third, type I: 95.72%, II: 93.17%, III: 91.13% and coronal level, type I: 98.30%, II: 98.25%, III: 97.14%. Overall, the percentage of the filling material was lower in the apical third (P < 0.05). No significant differences were found between the C-shaped canal configurations apically; C1: 72.64%, C2: 79.62%, C3: 73.51% (P > 0.05). Conclusions, The percentage of area filled with gutta-percha was similar in the three radiographic types and canal configuration categories of C-shaped molars. These results show the difficulty of achieving predictable filling of the root canal system when this anatomical variation exists. In general, the apical third was less completely filled. [source] Stability of crestal bone level at platform-switched non-submerged titanium implants: a histomorphometrical study in dogsJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 6 2009Jürgen Becker Abstract Objectives: To investigate the influence of platform switching on crestal bone level changes at non-submerged titanium implants over a period of 6 months. Material and Methods: Titanium implants (n=72) were placed at 0.4 mm above the alveolar crest in the lower jaws of 12 dogs and randomly assigned to either matching or non-matching (circumferential horizontal mismatch of 0.3 mm) healing abutments. At 4, 8, 12, and 24 weeks, dissected blocks were processed for histomorphometrical analysis. Measurements were made between the implant shoulder (IS) and the apical extension of the long junctional epithelium (aJE), the most coronal level of bone in contact with the implant (CLB), and the level of the alveolar bone crest (BC). Results: At 24 weeks, differences in the mean IS,aJE, IS,CLB, and IS,BC values were 0.2 ± 1.2, 0.3 ± 0.7, and 0.3 ± 0.8 mm at the buccal aspect, and 0.2 ± 0.9, 0.3 ± 0.5, and 0.3 ± 0.8 mm at the lingual aspect, respectively. Comparisons between groups revealed no significant differences at either the buccal or the lingual aspects. Conclusions: It was concluded that (i) bone remodelling was minimal in both groups and (ii) platform switching may not be of crucial importance for maintenance of the crestal bone level. [source] Periodontal conditions in patients with coronary heart disease: a case,control studyJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 3 2008Carin Starkhammar Johansson Abstract Aim: This study examined periodontal conditions in patients with coronary heart disease (CHD) and subjects with no history of CHD. Material and Methods: Participants were 161 patients (40,75) with severe angina pectoris (diagnosed as CHD by coronary angiography) who subsequently underwent percutaneous coronary intervention and 162 control subjects with no history of CHD. Periodontal status was recorded. Bone loss was determined on radiographs. Periodontal disease experience was classified into five groups according to Hugoson & Jordan. Results: Periodontal disease experience groups 4 and 5 were more common in the CHD group (25%) compared with the control group (8%). The mean bone level (the distance from the CEJ to the most coronal level of the alveolar bone) was 3.0±1.0 mm in CHD subjects and 2.6±0.8 mm in controls. CHD patients had significantly lower numbers of natural teeth, higher numbers of periodontal pockets 4,6-mm and higher bleeding on probing (%). In a stepwise regression analysis, the factor periodontal disease experience groups 4+5 gave an odds ratio of 5.74 (2.07,15.90) for having CHD after controlling for smoking and age. Conclusion: Severe periodontal disease expressed by several clinical and radiographic parameters was more prevalent among subjects with CHD than among controls. Analysis, the factor periodontal disease experience groups 4+5 gave an odds ratio of 5.74 (2.07,15.90) for having CHD after controlling for smoking and age. [source] Influence of platform switching on crestal bone changes at non-submerged titanium implants: a histomorphometrical study in dogsJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 12 2007Jürgen Becker Abstract Objectives: The aim of the present study was to investigate histomorphometrically the influence of platform switching on crestal bone changes at non-submerged wide-body titanium implants in a dog model. Material and Methods: One-stage insertion of sand-blasted and acid-etched screw-type implants with either matching (CAM) or smaller-diameter healing abutments (CPS) were randomly assigned to the lower jaws of nine beagle dogs. The animals were killed after 7, 14, and 28 days of non-submerged healing. Dissected blocks were processed for histomorphometrical analysis. Measurements were made between the implant shoulder (IS) and: , the apical extension of the long junctional epithelium (aJE), , the most coronal level of bone in contact with the implant (CLB), and , the level of the alveolar bone crest (BC). Results: At 7, 14, and 28 days, the mean IS,aJE values were significantly the lowest at CPS implants. However, after 28 days of healing, both groups revealed significantly increased mean IS,BC values at the buccal aspect of the alveolar bone. The difference in IS,CLB and IS,BC between groups was not significant. Conclusions: Within the limits of the present study, it was concluded that both CAM and CPS implants revealed crestal bone-level changes after 28 days of healing. [source] The Effect of Dowel Space on the Bond Strengths of Fiber PostsJOURNAL OF PROSTHODONTICS, Issue 3 2007Jorge Perdigão DMD Purpose: The purpose of this study was to evaluate the effect of the degree of mismatch between post space and post diameters on the bond strength of a fiber-reinforced resin post. Materials and Methods: Thirty-two extracted human maxillary central incisors and canines were endodontically treated and assigned to four groups: Group 1 - Canal prepared with a D.T. Light Post #1 drill (control); Group 2 - Canal prepared with a D.T. Light Post #2 drill; Group 3 - Canal prepared with a D.T. Light Post #3 drill; Group 4 - Canal prepared with a Gates Glidden #6 drill. A D.T. Light Post size 1 was then luted into the canal using One-Step Adhesive and Post Cement Hi-X. A push-out test was performed on three sections of each root to measure push-out bond strengths. Data were analyzed with ANOVA and Bonferroni's test at p < 0.05. Two extra teeth for each group were restored in the same fashion and processed for SEM observation. Results: (in MPa): Group 1: 15.7 ± 6.9; Group 2: 14.7 ± 6.5; Group 3: 14.0 ± 5.0; Group 4: 14.0 ± 5.1. The variable "post space" resulted in no statistically significant difference in mean bond strengths (p > 0.05). For the variable "root region," the coronal third (17.5 ± 6.0) resulted in statistically greater mean bond strengths than the apical third (12.3 ± 6.0) at p < 0.008. The middle third (14.0 ± 5.3) resulted in no statistically significant different mean bond strengths from the coronal third at p > 0.119 and from the apical third at p > 0.999. Under the SEM, some areas of the canal system still displayed residual gutta-percha, which resulted in debonding of the interface between the resin cement and dentin. Areas with incomplete dentin hybridization were observed in localized areas of all groups. Conclusions: The diameter of the post space did not affect the push-out bond strengths. Bonding at the coronal level of the root canal is more reliable than bonding at the apical level. The presence of residual gutta-percha and the deficient dentin hybridization may result in deficient seal of the resin,dentin interface. [source] Tissue reaction to orthodontic tooth movement in different bone turnover conditionsORTHODONTICS & CRANIOFACIAL RESEARCH, Issue 3 2003C. Verna Structured Abstract Authors , Verna C, Melsen B Objectives , To study the tissue reaction to orthodontic load in normal, high, and low bone turnover states. Design , ,Split mouth' design performing orthodontic tooth movement in 52, 6-month-old male rats with: normal (n = 19), high (n = 16), and low bone turnover (n = 17), the latter two being obtained by induction of hyperthyroidism and hypothyroidism, respectively. Performed at the Department of Orthodontics at Aarhus University. Experimental Variable , The upper left first molar was moved for 21 days. Bone markers were administered 7 and 2 days before killing. Histological sections were cut at the coronal and apical levels. Outcome Measure , Alveolar socket area, periodontal ligament width, the relative extension of alveolar wall with erosion surfaces, and the mineralizing surfaces were measured and compared in the three groups. Results , Alveolar socket, periodontal ligament width, and erosion surface were larger on the treated than on the control side in the three groups. The normal and hypothyroid groups showed a wider periodontal ligament at the bucco-distal site at the coronal level, while the hyperthyroid group showed a widening which was not spatially oriented. The normal and hyperthyroid groups showed higher erosion at the corono-mesial site. The mineralizing surfaces were larger on the treated than on the control side in the normal and hypothyroid groups, but not in the hyperthyroid group. Conclusion , In the hyperthyroid group, the widening of the periodontal ligament was not spatially oriented and the increased erosion was not accompanied by increased formation, as observed in the normal and hypothyroid groups. [source] Long-term effects of magnetron-sputtered calcium phosphate coating on osseointegration of dental implants in non-human primatesCLINICAL ORAL IMPLANTS RESEARCH, Issue 2 2009Fügl Alexander Abstract Objectives: To determine the effect of magnetron-sputtered calcium phosphate coating of implants on the later stages of osseointegration in a non-human primate model. Material and methods: Eighteen and 20 implants with a 0.1 ,m amorphous calcium phosphate coating and a turned surface, respectively, were inserted in the anterior upper and lower jaw of adult non-human primates. Following a 7.5 months healing period, one part of the implants remained in the submerged position. The other part of implants was connected to healing abutments to allow peri-implant inflammation to occur. After another 20 months, histologic and histomorphometric analysis of the peri-implant area was performed. Results: Submerged implants with a calcium phosphate coating and a turned surface showed no signs of an inflammatory reaction. The histomorphometric parameters ,bone volume per tissue volume' (BV/TV) and ,bone-to-implant contacts' (BIC) were not affected by calcium phosphate coating. Non-submerged implants of both groups showed occasionally signs of inflammation at the implant,abutment junction. Histomorphometric analysis revealed that the distance between the implant,abutment junction and the most coronal level (where bone was attached to the implant) as well as BV/TV and BIC were independent from the surface modification. Conclusion: Our results show that dental implants with calcium phosphate coating behave similar to turned implants independently whether they are connected to healing abutments or remain submerged. Ultra-thin calcium phosphate coating can combine the positive effects of calcium phosphate during the early stage of osseointegration without causing impairment of the later stages. [source] Analysis of the gutta-percha filled area in C-shaped mandibular molars obturated with a modified MicroSeal techniqueINTERNATIONAL ENDODONTIC JOURNAL, Issue 3 2009R. Ordinola-Zapata Abstract Aim, To analyse the gutta-percha filled area of C-shaped molar teeth root filled with the modified MicroSeal technique with reference to the radiographic features and the C-shaped canal configuration. Methodology, Twenty-three mandibular second molar teeth with C-shaped roots were classified according to their radiographic features as: type I , merging, type II , symmetrical and type III , asymmetrical. The canals were root filled using a modified technique of the MicroSeal system. Horizontal sections at intervals of 600 ,m were made 1 mm from the apex to the subpulpal floor level. The percentage of gutta-percha area from the apical, middle and coronal levels of the radiographic types was analysed using the Kruskal,Wallis test. Complementary analysis of the C-shaped canal configurations (C1, C2 and C3) determined from cross-sections from the apical third was performed in a similar way. Results, No significant differences were found between the radiographic types in terms of the percentage of gutta-percha area at any level (P > 0.05): apical third, type I: 77.04%, II: 70.48% and III: 77.13%, middle third, type I: 95.72%, II: 93.17%, III: 91.13% and coronal level, type I: 98.30%, II: 98.25%, III: 97.14%. Overall, the percentage of the filling material was lower in the apical third (P < 0.05). No significant differences were found between the C-shaped canal configurations apically; C1: 72.64%, C2: 79.62%, C3: 73.51% (P > 0.05). Conclusions, The percentage of area filled with gutta-percha was similar in the three radiographic types and canal configuration categories of C-shaped molars. These results show the difficulty of achieving predictable filling of the root canal system when this anatomical variation exists. In general, the apical third was less completely filled. [source] |