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Significance
Kinds of Significance Terms modified by Significance Selected AbstractsTHE SIGNIFICANCE OF SOCIAL CONNECTEDNESS: COMMENT ON SLOMKOWSKI ET AL.ADDICTION, Issue 4 2005No abstract is available for this article. [source] THE ADAPTIVE SIGNIFICANCE OF TEMPERATURE-DEPENDENT SEX DETERMINATION: EXPERIMENTAL TESTS WITH A SHORT-LIVED LIZARDEVOLUTION, Issue 10 2005Daniel A. Warner Abstract Why is the sex of many reptiles determined by the temperatures that these animals experience during embryogenesis, rather than by their genes? The Charnov-Bull model suggests that temperature-dependent sex determination (TSD) can enhance maternal fitness relative to genotypic sex determination (GSD) if offspring traits affect fitness differently for sons versus daughters and nest temperatures either determine or predict those offspring traits. Although potential pathways for such effects have attracted much speculation, empirical tests largely have been precluded by logistical constraints (i.e., long life spans and late maturation of most TSD reptiles). We experimentally tested four differential fitness models within the Charnov-Bull framework, using a short-lived, early-maturing Australian lizard (Amphibolurus muricatus) with TSD. Eggs from wild-caught females were incubated at a range of thermal regimes, and the resultant hatchlings raised in large outdoor enclosures. We applied an aromatase inhibitor to half the eggs to override thermal effects on sex determination, thus decoupling sex and incubation temperature. Based on relationships between incubation temperatures, hatching dates, morphology, growth, and survival of hatchlings in their first season, we were able to reject three of the four differential fitness models. First, matching offspring sex to egg size was not plausible because the relationship between egg (offspring) size and fitness was similar in the two sexes. Second, sex differences in optimal incubation temperatures were not evident, because (1) although incubation temperature influenced offspring phenotypes and growth, it did so in similar ways in sons versus daughters, and (2) the relationship between phenotypic traits and fitness was similar in the two sexes, at least during preadult life. We were unable to reject a fourth model, in which TSD enhances offspring fitness by generating seasonal shifts in offspring sex ratio: that is, TSD allows overproduction of daughters (the sex likely to benefit most from early hatching) early in the nesting season. In keeping with this model, hatching early in the season massively enhanced body size at the beginning of the first winter, albeit with a significant decline in probability of survival. Thus, the timing of hatching is likely to influence reproductive success in this short-lived, early maturing species; and this effect may well differ between the sexes. [source] THE ENVIRONMENTAL AND GENETIC CONTROL OF SEASONAL POLYPHENISM IN LARVAL COLOR AND ITS ADAPTIVE SIGNIFICANCE IN A SWALLOWTAIL BUTTERFLYEVOLUTION, Issue 2 2002Wade N. Hazel Abstract Seasonal polyphenism, in which different forms of a species are produced at different times of the year, is a common form of phenotypic plasticity among insects. Here I show that the production of dark fifth-instar caterpillars of the eastern black swallowtail butterfly, Papilio polyxenes, is a seasonal polyphenism, with larvae reared on autumnal conditions being significantly darker than larvae reared on midsummer conditions. Both rearing photoperiod and temperature were found to have individual and synergistic effects on larval darkness. Genetic analysis of variation among full-sibling families reared on combinations of two different temperatures and photoperiods is consistent with the hypothesis that variation in darkness is heritable. In addition, the genetic correlation in larval darkness across midsummer and autumnal environments is not different from zero, suggesting that differential gene expression is responsible for the increase in larval darkness in the autumn. The relatively dark autumnal form was found to have a higher body temperature in sunlight than did the lighter midsummer form, and small differences in temperature were found to increase larval growth rate. These results suggest that this genetically based seasonal polyphenism in larval color has evolved in part to increase larval growth rates in the autumn. [source] SIGNIFICANCE OF PASSIVE MIGRATION IN EVOLUTION OF INSECTICIDE RESISTANCE IN THE MOSQUITO CULEX PIPIENS (DIPTERA: CULICIDAE)INSECT SCIENCE, Issue 4 2003Ke Zhang Abstract In order to determine the combined effects of migration and gene flow on evolution of insecticide resistance in the mosquito Culex pipiens, four samples were collected in China, among which two were collected along the railway from Beijing to Guangzhou. Bioassay data showed that the resistance levels of the four populations to dichlorvos were high and to parathion moderate as compared with the susceptible strain and there was no significant difference among the four populations to the same organophosphate (OP) insecticide. Starch electrophoresis was done to identify the frequency of known overproduced esterases and to analyze genetic diversity among various populations by electrophoretic polymorphism of five presumably neutral loci. The results indicated that the gene flow between populations existed and the number of effective migrants (Nm) was related to collection geography (Nm from 1.67 to 40.07). In contrast with lower genetic differentiation between two nearby populations (between GZ and ZS, ZZ and SQ) and higher genetic differentiation between two distant populations (between GZ and ZZ), there was a significant and inconsistent difference in the distribution of resistance alleles, A2-B2 when explained only with active migration. This divergent situation could be straightened out when considering passive migration (such as railway transport) which increased the spread of A2-B2 along the railway, i.e., in GZ and ZZ. The resistance alleles, A2-B2, dispersing to around areas by active migration suffered from the limitation of gene flow and the speed of invasion. [source] THE SIGNIFICANCE OF THE AFRICAN CHRISTIAN DIASPORA IN EUROPEINTERNATIONAL REVIEW OF MISSION, Issue 354 2000Selected Bibliography First page of article [source] Bond Strength of Two Resin Cements on Dentin Using Different Cementation StrategiesJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 4 2010RENATA MARQUES MELO MS ABSTRACT Purpose:, This study evaluated the microtensile bond strength of two resin cements to dentin either with their corresponding self-etching adhesives or employing the three-step "etch-and-rinse" technique. The null hypothesis was that the "etch-and-rinse" adhesive system would generate higher bond strengths than the self-etching adhesives. Materials and Methods:, Thirty-two human molars were randomly divided into four groups (N = 32, n = 8/per group): G1) ED Primer self-etching adhesive + Panavia F; G2) All-Bond 2 "etch-and-rinse" adhesive + Panavia F; G3) Multilink primer A/B self-etching adhesive + Multilink resin cement; G4) All-Bond 2 + Multilink. After cementation of composite resin blocks (5 × 5 × 4 mm), the specimens were stored in water (37°C, 24 hours), and sectioned to obtain beams (±1 mm2 of adhesive area) to be submitted to microtensile test. The data were analyzed using 2-way analysis of variance and Tukey's test (, = 0.05). Results:, Although the cement type did not significantly affect the results (p = 0.35), a significant effect of the adhesive system (p = 0.0001) was found on the bond strength results. Interaction terms were not significant (p = 0.88751). The "etch-and-rinse" adhesive provided significantly higher bond strength values (MPa) with both resin cements (G2: 34.4 ± 10.6; G4: 33.0 ± 8.9) compared to the self-etching adhesive systems (G1: 19.8 ± 6.6; G3: 17.8 ± 7.2) (p < 0.0001). Pretest failures were more frequent in the groups where self-etching systems were used. Conclusion:, Although the cement type did not affect the results, there was a significant effect of changing the bonding strategy. The use of the three-step "etch-and-rinse" adhesive resulted in significantly higher bond strength for both resin cements on dentin. CLINICAL SIGNIFICANCE Dual polymerized resin cements tested could deliver higher bond strength to dentin in combination with "etch-and-rinse" adhesive systems as opposed to their use in combination with self-etching adhesives. (J Esthet Restor Dent 22:262,269, 2010) [source] Irradiance Uniformity and Distribution from Dental Light Curing UnitsJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 2 2010FDS RCS (Edin), FRCD(c), RICHARD B. T. PRICE BDS ABSTRACT Problem:, The irradiance from dental light-curing units (LCUs) is commonly reported as a single number, but this number does not properly describe the light output. Purpose:, This study examined the irradiance uniformity and distribution from a variety of LCUs as well as the effect of different light guides. Materials and Methods:, Five LCUs representing quartz-tungsten-halogen, plasma arc, and light emitting diode units were evaluated. One LCU was evaluated using two different light guides (Standard or Turbo style). The total power emitted from each LCU was measured and the irradiance calculated using conventional methods (ICM). In addition, a beam profiler was used to determine the optically active emitting area, the mean irradiance (IBP), the irradiance distribution, and the Top Hat Factor (THF). Five replications were performed for each test and compared using analysis of variance with Fisher's PLSD tests at a pre-set alpha of 0.05. Results:, The spatial distribution of the irradiance from LCUs was neither universally symmetrical nor was it uniformly distributed across the tip end. Significant differences in both the emitted power and THF were found among the LCUs. The THF values ranged from a high of 0.74 ± 0.01 to a low of 0.32 ± 0.01. Changing from a standard to a turbo light guide increased the irradiance, but significantly reduced beam homogeneity, reduced the total emitted power, and reduced the optical tip area by 60%. Conclusions:, Using different light guides on the same LCU significantly affected the power output, irradiance values, and beam homogeneity. For all LCUs, irradiance values calculated using conventional methods (ICM) did not represent the irradiance distribution across the tip end of the LCU. CLINICAL SIGNIFICANCE Irradiance values calculated using conventional methods assume power uniformity within the beam and do not validly characterize the distribution of the irradiance delivered from dental light curing units. (J Esthet Restor Dent 22:86,103, 2010) [source] Spectrophotometric Analysis of Tooth Color Reproduction on Anterior All-Ceramic Crowns: Part 2: Color Reproduction and Its Transfer from In Vitro to In VivoJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 1 2010AKI YOSHIDA RDT ABSTRACT Color reproduction of an anterior tooth requires advanced laboratory techniques, talent, and artistic skills. Color matching in a laboratory requires the successful transfer from in vivo with careful considerations. The purpose of this study was to monitor and verify the color reproduction process for an anterior all-ceramic crown in a laboratory through spectrophotometric measurements. Furthermore, a crown insertion process using composite luting cements was assessed, and the final color match was measured and confirmed. An all-ceramic crown with a zirconia ceramic coping for the maxillary right central incisor was fabricated. There was a significant color difference between the prepared tooth and the die material. The die material selected was the closest match available. The ceramic coping filled with die material indicated a large color difference from the target tooth in both lightness and chromaticity. During the first bake, three different approaches were intentionally used corresponding with three different tooth regions (cervical, body, and incisal). The first bake created the fundamental color of the crown that allowed some color shifts in the enamel layer, which was added later. The color of the completed crown demonstrated an excellent color match, with ,E 1.27 in the incisal and 1.71 in the body. In the cervical area, color match with ,E 2.37 was fabricated with the expectation of a color effect from the underlying prepared tooth. The optimal use of composite luting cement adjusted the effect from the underlying prepared tooth color, and the color match fabricated at a laboratory was successfully transferred to the clinical setting. The precise color measurement system leads to an accurate verification of color reproduction and its transfer. CLINICAL SIGNIFICANCE The use of a dedicated dental spectrophotometer during the fabrication of an all-ceramic crown allows the dentist and the laboratory technician to accurately communicate important information to one another about the shade of the tooth preparation, the shade of the contralateral target tooth, and the influence of luting cement on the final restoration, thereby allowing the technician better control over the outcome of their tooth color matching efforts and the final color match of an all-ceramic restoration. (J Esthet Restor Dent 22:53,65, 2010) [source] Clinical Trial Assessing Light Enhancement of In-office Tooth WhiteningJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 5 2009GERARD KUGEL DMD ABSTRACT Objective:, Evaluate a light-enhanced in-office tooth whitening system in order to assess tooth color and safety. Methods:, Thirty-three adults were randomly assigned to one of three treatment groups. Professional treatment involved application of a 25% H2O2 gel (Discus Dental ZOOM!) with light enhancement, H2O2 gel alone, or the light alone with no peroxide. The 12 anterior teeth were treated three times for 20 minutes each. Efficacy was measured objectively as L*a*b* color change using digital images, tooth shade was measured, and safety was evaluated immediately after treatment and at posttreatment days 7 and 30. Results:, After adjusting for baseline and age, immediate (end-of-treatment) means (SE) for ,b* (yellowness) were ,3.1 (0.25) for the gel + light, ,2.0 (0.25) for the gel-only group, and ,2.4 (0.25) for the light-only group. Significant (p < 0.05) color rebound was evident at posttreatment day 7. By day 30, adjusted means (SE)for ,b* were ,1.7 (0.20) for the gel + light group, ,1.1 (0.20) for the gel-only group, and ,0.5 (0.20) for the light-only group. Both peroxide groups differed significantly (p < 0.05) from light alone on ,b* and ,L*. In the gel + light group, 91% of subjects experienced tooth sensitivity, the majority of which was moderate or severe. Adverse events were low in the light-only group. Conclusion:, Use of light enhancement for in-office whitening leads to immediate color change, after which there was significant color and shade rebound within 7 days as well as moderate-to-severe tooth sensitivity during and after treatment. CLINICAL SIGNIFICANCE Increased tooth sensitivity during treatment and appreciable short-term color rebound after treatment may impact the utility of in-office tooth whitening with peroxide and light as a stand-alone esthetic procedure. [source] Hardness of Three Resin-Modified Glass-Ionomer Restorative Materials as a Function of Depth and TimeJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 4 2009HOWARD W. ROBERTS DMD ABSTRACT Statement of the Problem:, The polymerization of bulk-placed resin-modified glass-ionomer (RMGI) restoratives is compromised when penetration of the curing light is limited because of the materials' thickness. It is unknown if additional post light-curing resin polymerization and/or glass-ionomer setting occurs over time to ensure adequate polymerization. Purpose:, The primary objective was to evaluate the depth of cure of various thicknesses of RMGI restorative products over 1 year using Knoop hardness (KH) testing. Materials and Methods:, The materials were placed in Delrin molds having an internal diameter of 5.0 mm and heights of 2, 3, 4, and 5 mm and were photopolymerized with a halogen light-curing unit. Five specimens of each depth were prepared for each time period evaluated. Specimens were stored in darkness at 37 ± 2°C and 98 ± 2% humidity until being tested at 24 hours, 1 week, and 1, 3, 6, 9, and 12 months after fabrication. Mean KH values were calculated for the bottom and top surfaces of each thickness group and used to determine bottom/top hardness ratios. Data were compared using two-way analysis of variance (factors of time, thickness) at a 0.05 significance level with Scheffé's post hoc analysis, where required. Results:, The materials had relatively stable top surface KH, which permitted valid assessment of changes in bottom surface KH over time. The bottom surface KH of some RMGIs changed significantly over time (p < 0.001), but degrees of change were material dependent. Certain RMGIs demonstrated a potential for statistically significant post light-activation hardening; however, that too was material dependent. As compared with top surface KH, deeper layers of the thicker RMGI specimens consistently failed to achieve an adequate degree of polymerization. Conclusion:, Although certain RMGI materials demonstrate a potential for post light-activation chemically initiated resin polymerization and/or polyalkenoate acid/base reaction, these reactions may not be sufficient to ensure that the material is adequately polymerized for long-term success. This is particularly true when RMGI materials are placed in thicker layers where curing light penetration may be compromised. CLINICAL SIGNIFICANCE RMGI materials should not be placed in bulk but photopolymerized in layers to ensure adequate light activation. The results of this study suggest that Photac-Fil Quick be placed in layers no thicker than 2 mm while Fuji II LC and Vitremer may be placed in layers up to 3 mm in thickness. [source] Correlation between the Individual and the Combined Width of the Six Maxillary Anterior TeethJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 3 2009LUIZ CARLOS GONÇALVES DMD ABSTRACT Purpose:, There is a consensus in the community of dental research that the selection of undersized artificial maxillary anterior teeth offers an unnatural appearance to the denture. Several methods to select the adequate width of these teeth are of questionable validity, and many dentures have an obviously artificial appearance. This article assessed the relationship between the individual and the combined width of maxillary anterior teeth. Materials and Methods:, Impressions were made of the anterior dentition of 69 dentate undergraduate students with rubber impression silicon, and casts were formed. The individual widths of the maxillary anterior teeth were measured by using a digital caliper (SC-6 digital caliper, Mitutoyo Corporation, Tokyo, Japan), and the combined width was registered by both adding the individual width and using a flexible millimeter ruler. Results:, Student's t -test showed significant differences between the analogous teeth and different sides of the maxillary dental arch (p = 0.001), with the exception of the central incisor (p = 0.984). Pearson's product moment correlation coefficient showed significant positive correlation between all the measurements compared (p = 0.000). Linear regression analysis concluded three mathematical equations to obtain the individual tooth width after measuring the combined width of the six maxillary anterior teeth by using a flexible millimeter ruler. Conclusions:, The individual tooth width can be determined if the combined width of the maxillary anterior teeth is obtained by using a flexible millimeter ruler. CLINICAL SIGNIFICANCE The adequate selection of each maxillary anterior tooth width can offer variance and individuality to the denture, particularly for partially dentate patients. By offering an adequate tooth-to-tooth relationship, the esthetic result of the oral rehabilitation treatment can be improved. [source] Gingival Zenith Positions and Levels of the Maxillary Anterior DentitionJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 2 2009STEPHEN J. CHU DMD ABSTRACT Purpose:, The location of the gingival zenith in a medial-lateral position relative to the vertical tooth axis of the maxillary anterior teeth remains to be clearly defined. In addition, the apex of the free gingival margin of the lateral incisor teeth relative to the gingival zeniths of the adjacent proximal teeth remains undetermined. Therefore, this investigation evaluated two clinical parameters: (1) the gingival zenith position (GZP) from the vertical bisected midline (VBM) along the long axis of each individual maxillary anterior tooth; and (2) the gingival zenith level (GZL) of the lateral incisors in an apical-coronal direction relative to the gingival line joining the tangents of the GZP of the adjacent central incisor and canine teeth under healthy conditions. Materials and Methods:, A total of 240 sites in 20 healthy patients (13 females, 7 males) with an average age of 27.7 years were evaluated. The inclusion patient criteria were absence of periodontal disease, gingival recession, or gingival hypertrophy as well as teeth without loss of interdental papillae, spacing, crowding, existing restorations, and incisal attrition. GZP dimensions were measured with calibrated digital calipers for each individual tooth and within each tooth group in a medial-lateral direction from the VBM. GZLs were measured in an apical-coronal direction from a tangent line drawn on the diagnostic casts from the GZPs of the adjacent teeth. Results:, This study demonstrated that all central incisors displayed a distal GZP from the VBM, with a mean average of 1 mm. Lateral incisors showed a deviation of the gingival zenith by a mean of 0.4 mm. In 97.5% of the canine population, the GZP was centralized along the long axis of the canine. The mean distance of the contour of the gingival margin in an apical-coronal direction of the lateral incisors (GZL) relative to gingival line joining the tangent of the adjacent central and canine GZPs was approximately 1 mm. Conclusion:, This investigation revealed a GZP mean value of 1 mm distal from the VBM for the central incisor tooth group. The lateral incisors showed a mean average of 0.4 mm. Thecanine tooth group demonstrated almost no deviations of the GZP from the VBM. The GZL of the lateral incisors relative to the adjacent central incisor and canine teeth were more coronal by approximately 1 mm. These data could be used as reference points during esthetic anterior oral rehabilitation. CLINICAL SIGNIFICANCE The information presented in this article can be clinically applied to reestablish the proper intratooth GZPs of the maxillary anterior teeth during periodontal crown lengthening or root coverage procedures. In addition, the intra-arch gingival level of the lateral incisor gingival zenith relative to the adjacent central and canine teeth can be appropriately established. [source] Concurrence Between the Maxillary Midline and Bisector to the Interpupillary LineJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 1 2009EVANIA ESKELSEN DDS ABSTRACT Purpose:, Symmetry is one of the factors that contributes to facial harmony, and in oral rehabilitation it determines the success of esthetic treatment. Therefore, the aim of the present study was to analyze the axial symmetry between the bipupillar midline and maxillary central incisors midline of 102 dental students (both genders) distributed across five Brazilian dental schools. Materials and Methods:, Students with no teeth missing and who had never been subjected to any dental treatment were selected. Photographs were taken with a Dental Eye III camera with a 100-mm macro objective and ratio of 1 : 10 from natural size, recorded on an Ektachrome ASA/ISO 100 film. The images were developed and applied to Microsoft Office Power Point 2007 software. The results were analyzed by analysis of variance and Student's t -test (, = 0.05). Results:, There was no significant correlation between bipupillar midline and the maxillary dental midline, irrespective of gender. Conclusion:, No significant coincidence was observed between the interpupillary and dental midline. However, the interpupillar distance and its relationship with other anatomic structures may be used as a reference in treatment, but measurements must be assessed individually. CLINICAL SIGNIFICANCE Anatomic measurements and facial proportions can be helpful during the planning of esthetic oral rehabilitation. [source] Bleaching Agents with Varying Concentrations of Carbamide and/or Hydrogen Peroxides: Effect on Dental Microhardness and RoughnessJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 6 2008JULIANA JENDIROBA FARAONI-ROMANO DDS ABSTRACT Purpose:, To evaluate the effect of low and highly concentrated bleaching agents on microhardness and surface roughness of bovine enamel and root dentin. Methods:, According to a randomized complete block design, 100 specimens of each substrate were assigned into five groups to be treated with bleaching agents containing carbamide peroxide (CP) at 10% (CP10); hydrogen peroxide (HP) at 7.5% (HP7.5) or 38% (HP38), or the combination of 18% of HP and 22% of CP (HP18/CP22), for 3 weeks. The control group was left untreated. Specimens were immersed in artificial saliva between bleaching treatments. Knoop surface microhardness (SMH) and average surface roughness (Ra) were measured at baseline and post-bleaching conditions. Results:, For enamel, there were differences between bleaching treatments for both SMH and Ra measurements (p = 0.4009 and p = 0.7650, respectively). SMH significantly increased (p < 0.0001), whereas Ra decreased (p = 0.0207) from baseline to post-bleaching condition. For root dentin, the group treated with CP10 exhibited the significantly highest SMH value differing from those groups bleached with HP18/CP22, HP7.5, which did not differ from each other. Application of HP38 resulted in intermediate SMH values. No significant differences were found for Ra (p = 0.5975). Comparing the baseline and post-bleaching conditions, a decrease was observed in SMH (p < 0.0001) and an increase in Ra (p = 0.0063). Conclusion:, Bleaching agents with varying concentrations of CP and/or HP are capable of causing mineral loss in root dentin. Enamel does not perform in such bleaching agent-dependent fashion when one considers either hardness or surface roughness evaluations. CLINICAL SIGNIFICANCE Bleaching did not alter the enamel microhardness and surface roughness, but in root dentin, microhardness seems to be dependent on the bleaching agent used. [source] Direct Dentin Bonding Technique Sensitivity When Using Air/Suction Drying StepsJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 2 2008PASCAL MAGNE DMD ABSTRACT Statement of Problem:, Moisture control before and after application of the primer/adhesive components of etch-and-rinse dentin bonding agents is usually achieved using a stream of air delivered by an air syringe. Suction drying with a suction tip is a common alternative for moisture control, but data about the use of suction drying instead of the air syringe is scarce or nonexistent. Purpose:, The purpose of this study was to compare the dentin microtensile bond strength (MTBS) using either the air syringe or the suction tip to control the amount of moisture. Materials and Methods:, Fifteen freshly extracted human molars were divided randomly into three groups of five. A three-step etch-and-rinse dentin bonding agent (OptiBond FL) was used. Group 1 was the control group and utilized air drying alone (with an air syringe) during the placement of the dentin adhesive on the ground-flat occlusal dentin surface. Group 2 also used air drying alone, but teeth were prepared with a standardized MOD cavity. Group 3 utilized suction drying alone in the standardized MOD cavity. All teeth were restored with 1.5-mm-thick horizontal increments of composite resin (Filtek Z100). Specimens were stored in water for 24 hours, then prepared for a nontrimming MTBS test. Bond strength data were analyzed with a Kruskal,Wallis test at p < 0.05. Specimens were also evaluated for mode of fracture and interface characterization using scanning electron microscope (SEM) analysis. Results:, The mean MTBSs were not statistically different from one another (p = 0.54) at 54.0 MPa (air-drying, flat dentin), 53.4 MPa (air-drying, MOD), and 49.2 MPa (suction drying, MOD). Microscopic evaluation of failure modes indicated that most failures were interfacial. Failed interfaces, when analyzed under SEM, appeared typically mixed with areas of failed adhesive resin and areas of cohesively failed dentin. Conclusions:, There are no differences in MTBS to human dentin using either the air syringe or the suction tip to control the amount of moisture. The conventional three-step dentin bonding agent used in the present study not only proved insensitive to the moisture-control method but also to the effect of increased polymerization shrinkage stress (ground-flat versus MOD preparation). CLINICAL SIGNIFICANCE Although the effect of common errors on the performance of total-etch adhesives has been investigated, data about the use of suction drying instead of an air syringe is scarce or nonexistent. The present study demonstrated that both the air syringe and the suction tip can be used to control moisture when using etch-and-rinse dentin bonding agents. The conventional three-step dentin bonding agent tested, OptiBond FL, demonstrated low technique sensitivity. [source] Evaluation of Side Effects and Patients' Perceptions during Tooth BleachingJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 6 2007RALPH H. LEONARD JR. DDS ABSTRACT Objective:, The objective of this nightguard vital bleaching (NGVB) study was to compare tooth sensitivity (TS), gingival irritation (GIr), and other side effects, as well as patients' perceptions during tooth bleaching, from treatment with experimental 5 and 7% hydrogen peroxide (HP) bleaching solutions with those of a commercially available 10% carbamide peroxide (CP) product. Materials and Methods:, Sixty-one participants completed the study wearing a scalloped maxillary treatment tray without reservoirs with the different concentrations of bleaching gels for 30 minutes twice a day for 7 days. Parameters evaluated were changes in gingival index (GI), nonmarginal gingival index, nongingival oral mucosal index, and tooth vitality. Participants were seen pretreatment, after 7 treatment days, and 1 week post-treatment. A daily log form to record TS and GIr was completed by each participant as well as a sensitivity questionnaire at each appointment. Additionally, at 10 months post-treatment, a questionnaire was sent to the participants concerning TS and GIr relative to the treatment process. Results:, Data from end-of-treatment questionnaires, daily log forms, and clinical examination revealed a statistical difference (p, 0.05) in the patients' ranking of and days of TS and GIr between group S (7% HP) and group T (10% CP, control group) at the end of active treatment. There also existed a statistical clinical change in the GI levels for groups R and S compared with the control group T. There was no statistical difference (p > 0.05) in any of the parameters evaluated among the three products at 7 days or 10 months post-treatment. Conclusions:, Participants in group S reported significantly more TS, GIr, and days of each compared with the control. There also existed a significant clinical change in the GI levels for groups R and S compared with the control group T. There was no significant difference among the three products at 7 days post-treatment. After ending treatment, TS/GIr was resolved in 2 to 3 days and did not recur during the 10 months post-treatment. CLINICAL SIGNIFICANCE The experimental HP bleaching solutions, as described in this study, can be used in NGVB with no long-term side effects as evaluated in this study for up to 10 months post-treatment. (J Esthet Restor Dent 19:355,366, 2007) [source] New Shade Guide for Evaluation of Tooth Whitening,Colorimetric StudyJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 5 2007RADE D. PARAVINA DDS ABSTRACT Statement of the Problem:, Available shade guides lack colorimetric uniformity, which compromises the validity of visual evaluation of tooth whitening efficacy. Purpose:, The objective of this study was to perform a colorimetric analysis of a new shade guide designed primarily for the visual evaluation of tooth whitening efficacy and to compare this shade guide with two commercial shade guides. Materials and Methods:, Color ranges and color distribution of three shade guides (prototype of the new Vita Bleachedguide 3D-Master [BG, Vita Zahnfabrik, Bad Säckingen, Germany], value scale of Vitapan Classical [VC, Vita], and color-ordered Trubyte Bioform porcelain shade guide [TB, Dentsply International, York, PA, USA]) were analyzed (N=3). A circular area (d=1.7 mm) on the middle of the labial surface of the tab, excluding the cervical portion, was measured with a spectroradiometer (D65, 2). Whiteness and yellowness indices were computed. Data were analyzed by analysis of variance and Fisher's PLSD test at a 0.05 level of significance. Results:, The range of color difference (,E*) from the lightest to the darkest tab was 33.8 (BG), 17.1 (VC), and 23.2 (TB). Mean values of ,E* among pairs of adjacent tabs were 3.0 (BG), 4.2 (VC), and 3.3 (TB). BG exhibited the highest R2 values between color coordinate pairs and between whiteness and yellowness indices with the respective color coordinates. Conclusions:, BG exhibited the widest color range and had the most consistent color distribution as compared with the two commercial products. Extension of the lightness range of BG toward higher L* values (bleach shades) was confirmed. CLINICAL SIGNIFICANCE A dental shade guide that is colorimetrically uniform might increase the reliability of visual comparisons of tooth whitening efficacy, whereas the inclusion of realistic bleaching shades in the shade guide will complement contemporary esthetic dentistry. (J Esthet Restor Dent 19:276,283, 2007) [source] The Influence of Time Interval between Bleaching and Enamel BondingJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 2 2007Jéfferson Da Silva Machado dds ABSTRACT Objectives:, The purpose of this study was to investigate the penetration of a conventional adhesive material into enamel bleached with 16% carbamide peroxide and 38% hydrogen peroxide using optical light microscopy. Methods:, Extracted human teeth were randomly divided into eight experimental groups with six specimens each, according to the bleaching material and time interval after bleaching and before the bonding procedure. Groups were designated as follows: control group, restorations in unbleached teeth; restorations performed immediately after bleaching; restorations performed 7 days after bleaching; restorations performed 14 days after bleaching; and restorations performed 30 days after bleaching. The length of resin tags was measured with an Axiophot photomicroscope at 400× magnification for the calculation of the proportion of tags of study groups compared to the respective control groups. Analysis of variance was applied for comparison between groups; data were transformed into arcsine (p < 0.05). Results:, The specimens of experimental groups, in which restorations were performed 7, 14, and 30 days after bleaching, showed better penetration of adhesive material into enamel than specimens restored immediately after bleaching. There was no statistically significant difference between the bleaching materials employed or in the interaction between bleaching agent and time interval. Conclusions:, This suggests that a time interval of at least 7 days should be allowed between enamel bleaching and placement of adhesive bonding agents for accomplishment of composite resin restorations. CLINICAL SIGNIFICANCE Establishment of adequate time after bleaching is fundamental to allow the normal penetration of a one-bottle conventional adhesive onto the enamel surface. [source] Accuracy of LED and Halogen Radiometers Using Different Light SourcesJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 4 2006Howard W. Roberts dmd ABSTRACT Purpose:, To determine the accuracy of commercially available, handheld light-emitting diode (LED) and halogen-based radiometers using LED and quartz-tungsten-halogen (QTH) curing lights with light guides of various diameters. Methods:, The irradiance of an LED curing light (L.E.Demetron 1, SDS/Kerr, Orange, CA, USA) and a QTH curing light (Optilux 501, SDS/Kerr) were measured using multiple units of an LED (Demetron L.E.D. Radiometer, SDS/Kerr) and a halogen radiometer (Demetron 100, SDS/Kerr) and compared with each other and to a laboratory-grade power meter (control). Measurements were made using five light guides with distal light guide diameters of 4, 7, 8, 10, and 12.5 mm. For each light guide, five readings were made with each of three radiometers of each radiometer type. Data were analyzed with two-way analysis of variance/Tukey; ,=0.05. Results:, In general, both handheld radiometer types exhibited significantly different irradiance readings compared with the control meter. Additionally, readings between radiometer types were found to differ slightly, but were correlated. In general, the LED radiometer provided slightly lower irradiance readings than the halogen radiometer, irrespective of light source. With both types of handheld radiometers, the use of the larger-diameter light guides tended to overestimate the irradiance values as seen in the control, while smaller-diameter light guides tended to underestimate. CLINICAL SIGNIFICANCE The evaluated LED or halogen handheld radiometers may be used interchangeably to determine the irradiance of both LED and QTH visible-light-curing units. Measured differences between the two radiometer types were small and probably not clinically significant. However, the diameter of light guides may affect the accuracy of the radiometers, with larger-diameter light guides overestimating and smaller-diameter guides underestimating the irradiance value measured by the control instrument. [source] Use of Shade Guides for Color Measurement in Tooth-Bleaching StudiesJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 2003WILLIAM D. BROWNING DDS ABSTRACT Several different methods are used to measure tooth color in bleaching studies. The ADA Acceptance Program Guidelines for Home Use Tooth Whitening Products specify the use of a value-oriented shade guide and/or electronic color measurement devices. Since people perceive color differently, shade guides are a subjective measure. Differences between raters and by the same rater are well documented in the dental literature. The purposes of this article will be to discuss the advantages and disadvantages using shade guides to measure color change related to tooth whitening, and to evaluate the correlation of data gathered from the use of shade guides to electronic color measurement devices. Using an order published by the manufacturer, both the TRUBYTE® Bioform and Vita Classical guides can be arranged by value. A study by O'Brien demonstrated however, that the order is flawed and the change in brightness from tab to tab varies greatly. Despite these disadvantages, a review of data from several clinical trials demonstrates that Vita Classical shade guide data is consistent with data gathered using electronic color measurements. Furthermore, the O'Brien data can be used to make both these guides better measurement systems. The ADA Certification program standards define the degree of overall color change that should be considered clinically important. This issue is as critical as the measurement system used. Reporting color changes that are neither detectable to the human eye nor considered by the public to be important offers the profession little usable information. Given that any standard for color change during bleaching must relate to the abilities of the human eye, it is the conclusion of the author that shade guides should remain a critical element of any bleaching study. CLINICAL SIGNIFICANCE Clinicians are frequently exposed to reports of bleaching agents that have been shown to result in a change of 6, 7, 8, etc., tabs. Without understanding the limitations of the shade guide used, reports of a specific shade tab change are of little use and may actually be misleading. [source] Digital Photography and the Assessment of Therapeutic Results after Bleaching ProceduresJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 2003WOLFGANG M. BENGEL DR MED DENT ABSTRACT The therapeutic outcome of tooth-bleaching procedures can be assessed by different methods, one of them being digital photography. However, none of the methods seems to be perfect. In this overview factors are discussed that have an influence on color rendition and image brightness in (digital) photography. A photographic procedure is proposed that results in comparable images. Beginning with a short description of some digital cameras currently used in dental photography, the article discusses the influence of light and camera technology on image brightness and color rendition in detail. Even if a highly standardized procedure is performed, there remain factors that affect color and brightness that cannot be excluded completely. Therefore, a photographic procedure is proposed that includes a piece of gray card in the picture as a neutral reference object. In this way, color casts can be eliminated and image brightness can be fine tuned using a standard image-editing program (Adobe Photoshop®, Adobe Systems Incorporated, San Jose, CA, USA) before the relevant color values are metered by the same software. CLINICAL SIGNIFICANCE A photographic procedure using digital cameras is proposed that is relatively simple and sufficiently precise to allow the assessment of the therapeutic outcome of tooth-bleaching procedures. [source] Using Opaquers under Direct Composite Resin Veneers: An Illustrated Review of the TechniqueJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 6 2003LUÍS ANTÔNIO FELIPPE DDS ABSTRACT In restorative dentistry direct composite resin materials can be used to conservatively resolve many esthetic problems. Opaque resins are often necessary to mask discolorations and/or dark backgrounds when restoring anterior teeth. This article presents a direct composite resin veneer technique using opaquers. Potential problems with the tone of restorations after the use of opaquers are discussed. Advantages, limitations, and the clinical technique are presented. Training, as well as attention to the technique, contributes to an acceptable result. CLINICAL SIGNIFICANCE Resinous opaquers can be used as a valid adjunct to the direct composite resin veneer technique when conservatively restoring dark teeth. [source] Ceramic Inlays and Onlays: Clinical Procedures for Predictable ResultsJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 6 2003ALFREDO MEYER FILHO DDS ABSTRACT The use of ceramics as restorative materials has increased substantially in the past two decades. This trend can be attributed to the greater interest of patients and dentists in this esthetic and long-lasting material, and to the ability to effectively bond metal-free ceramic restorations to tooth structure using acid-etch techniques and adhesive cements. The purpose of this article is to review the pertinent literature on ceramic systems, direct internal buildup materials, and adhesive cements. Current clinical procedures for the planning, preparation, impression, and bonding of ceramic inlays and onlays are also briefly reviewed. A representative clinical case is presented, illustrating the technique. CLINICAL SIGNIFICANCE When posterior teeth are weakened owing to the need for wide cavity preparations, the success of direct resin-based composites is compromised. In these clinical situations, ceramic inlays/onlays can be used to achieve esthetic, durable, and biologically compatible posterior restorations. [source] Abfraction Lesions: Myth or Reality?JOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 5 2003J.S. REES BDS ABSTRACT Loss of tooth substance in the cervical region is usually attributed to toothbrush abrasion, erosion, or a combination of both factors. Recently the role of occlusal loading has become increasingly prominent. It is suggested that high occlusal loads cause large cervical stress concentrations, resulting in a disruption of the bonds between the hydroxyapatite crystals and the eventual loss of cervical enamel. This process has been called noncarious cervical tooth loss or abfraction. This article reviews the available evidence to support the thesis that occlusal loading can contribute to the process of abfraction. It also reviews the potential interactions between occlusal loading and erosion that may contribute to abfraction lesion formation. CLINICAL SIGNIFICANCE It is important to recognize the potential role of occlusal loading in the loss of cervical tooth tissue so that management of the occlusion can be incorporated into a treatment plan for a patient with abfraction lesions. [source] Maxillary Sinus Elevation Surgery: An OverviewJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 5 2003ELIAZ KAUFMAN DDS ABSTRACT Maxillary sinus elevation surgery was developed to increase the height of bone available for implant placement in the posterior maxilla. The efficacy and predictability of this procedure have been determined in numerous studies. The basic approach to the sinus (Caldwell-Luc operation) involves an osteotomy performed on the lateral maxillary wall, elevation of the sinus membrane, and placement of bone graft material. The graft materials can be categorized into four groups: autogenous bone, allografts (harvested from human cadavers), alloplasts (synthetic materials), and xenografts (grafts from a nonhuman species). These graft materials can be used alone or in combination with each other. Implant placement can occur at the same surgical procedure (immediate placement) or following a healing period of 6 to 9 months (delayed placement). A more conservative approach to the sinus, the osteotome technique, has been described as well. CLINICAL SIGNIFICANCE This article provides an overview of the surgical technique, with emphasis on anatomic considerations, preoperative patient evaluation (clinical and radiographic), indications and contraindications to the procedure, and possible risks and complications. [source] Nightguard Vital Bleaching of Tetracycline-Stained Teeth: 90 Months Post TreatmentJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 3 2003RALPH H. LEONARD JR DDS ABSTRACT Purpose: The purpose of this longitudinal whitening study was to determine the stability, post-treatment side effects, and patient satisfaction at 90 months post treatment after 6 months of active treatment of tetracycline-stained teeth with 10% carbamide peroxide. Materials and Methods: Fifteen of 21 participants enrolled in the study (71%) were contacted and asked to participate in a survey concerning their whitening experience. Participants were asked whether there had been any change in the shade of their teeth after treatment and if they had experienced any side effects that they believed were treatment related. Eight of the 15 participated in a clinical examination. Results: Nine participants (60%) reported no obvious shade change or only a slight darkening not noticed by others. None reported darkening back to the original shade; however, four had re-treated their teeth. Examiners were in agreement with the participants' perception of shade change upon comparing pretreatment and post-treatment photographs and Vita® shade (Vita Zahnfabrik D-79713, Bad Sackingen, Germany) values. The degree of improvement over the pretreatment shade was significant for the 90-month post-treatment shade (p < .01). All respondents (n = 15) denied having to have a crown or root canal or tooth sensitivity that they believed was treatment related. CLINICAL SIGNIFICANCE The results of this study of nightguard vital bleaching indicate that tetracycline-stained teeth can be whitened successfully using extended treatment time and that shade stability may last at least 90 months post treatment (range 84,100 mo). Patients participating in this study were over-whelmingly positive about the procedure in terms of shade retention and lack of post-treatment side effects. [source] Scanning Electron Microscopy Study of Dental Enamel Surface Exposed to 35% Hydrogen Peroxide: Alone, With Saliva, and With 10% Carbamide PeroxideJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 3 2003MARIANNE SPALDING MS ABSTRACT Several vital bleaching systems have been introduced in response to the demand in esthetic dentistry. The active agents are commonly hydrogen peroxide or carbamide peroxide used in at-home or in-office techniques. Although generally positive results have been reported concerning the whitening ability of these agents, concerns still remain as to their effects on dental tissues. The purpose of this investigation was to evaluate the effect of these bleaching agents on the enamel surface morphology. Twelve extracted teeth were used according to three experimental protocols. In experimental protocol 1, specimens were treated with 35% hydrogen peroxide. In experimental protocol 2, after treatment with 35% hydrogen peroxide the specimens were immersed in natural saliva for 1 week. In experimental protocol 3, 35% hydrogen peroxide was applied once and 10% carbamide peroxide was applied for 1 week (12 h of 10% carbamide peroxide alternating with 12 h saliva). Scanning electron microscopy evaluation revealed that regional variation in tooth morphology surface sometimes exceeded the effects of the peroxide used according to experimental protocols. Thirty-five percent hydrogen peroxide had a tendency to promote an increase in density of pits. Precipitates were observed on specimen surfaces immersed in natural saliva according to protocol 2. A smooth and shiny surface was observed in specimens treated according to protocol 3. The potential relationship between surface alterations and differences in enamel permeability is currently under investigation. CLINICAL SIGNIFICANCE The differences in various articles written on the subject cannot be reconciled because of the lack of standardization of baseline data regarding factors such as location on the tooth, type of tooth, eruption or noneruption, and age in the oral cavity. This article demonstrates that, despite changes observed in the enamel surface after bleaching, normal variation in tooth morphology may exceed the effects of 35% hydrogen peroxide and 10% carbamide peroxide on the teeth. Hence, considering the morphologic features of the tooth surface, bleaching, as described in this study, can be considered safe for enamel. [source] The ZiReal Post: A New Ceramic Implant AbutmentJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 1 2003URS BRODBECK DMD ABSTRACT Restorations in the anterior esthetic zone present significant challenges in both the surgical and prosthetic phases of implant dentistry. Titanium has been established as the material of choice for endosseous implants, resulting in a high degree of predictability. Many types of implants require transmucosal abutments to retain implant restorations. Ceramics may be the ideal material to replace natural teeth, but most transmucosal abutments are made of titanium. However, ceramics may also be used as abutments in implant restorations. This combination of ceramics for abutment and crown provides better translucency for the implant restoration than is available with metal abutments and porcelain-fused-to-metal crowns. Ceramic abutments and implant restorations also minimize the gray color associated with metal components that is transmitted through the peri-implant tissues. Customized emergence profiles also may be obtained with ceramic abutments; this generally improves the predictability and consistency of the esthetics obtainable in implant restorations. Zirconia as a ceramic material offers not only outstanding material properties but also a well-documented biocompatibility. CLINICAL SIGNIFICANCE This article discusses the clinical and laboratory features of a new ceramic abutment, ZiRealÔ Post (Implant Innovations, Inc., Palm Beach Gardens, Florida). [source] Fracture Resistance of Endodontically Treated Teeth Restored with Three Different Prefabricated Esthetic PostsJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 1 2003PAULO C. A. MACCARI DDS ABSTRACT Purpose: This study was undertaken to evaluate the role of composition of prefabricated esthetic posts in fracture resistance of endodontically treated teeth in vitro. Materials and Methods: Thirty human, single-rooted teeth (maxillary central incisors and canines) with similar root dimensions, extracted for therapeutic reasons, were used in this study. The crowns were removed below the cementoenamel junction to obtain a standard root length of 17 mm. The roots were endodontically treated following the conventional manual technique and randomly assigned to three groups (n = 10) according to the post used: Aestheti-Post, Bisco, Schaumberg, Illinois; FibreKor Post, Jeneric/Pentron, Wallingford, Connecticut; and CosmoPost, Ivoclar Vivadent, Schaan, Liechtenstein. The root canals were rendered patent, and the root preparations were standardized through flaring with the manufacturers' drills included in the respective kits. The posts were cemented with an adhesive system and a resin cement (All-Bond 2 and C & B, Bisco, respectively), according to the manufacturers' directions. Composite resin (Tetric Ceram, Ivoclar Vivadent) crowns were built up using a preformed polyester matrix, and the specimens were mounted in metallic rings with cold-cure acrylic resin and kept in saline solution at 4°C for 24 hours. Fracture resistance was then determined using an EMIC DL-2000 universal testing machine. The crosshead speed was 0.5 mm/min with the 45-degree compressing load at the middle third of the crown. Data were analyzed using one-way analysis of variance and Tukey'stest (p<.001). Results: Mean fracture resistance was as follows: Aestheti-Post, 83.5 kgf; FibreKor Post, 85.7 kgf; and CosmoPost, 36.5 kgf. The fracture strength of CosmoPost was significantly lower than that of the other posts. Teeth restored with CosmoPost had post fractures, and in three specimens, those were associated with root fractures. Teeth restored with the other two posts presented fractures on the composite crowns. CLINICAL SIGNIFICANCE Compared with ceramic posts, carbon-fiber and glass-fiber prefabricated esthetic posts provide endodontically treated teeth higher fracture resistance. [source] Esthetic Restoration of the Traumatized and Surgically Reconstructed Anterior MaxillaJOURNAL OF ESTHETIC AND RESTORATIVE DENTISTRY, Issue 5 2002DGDP(UK), PAUL A. TIPTON BDS ABSTRACT: A car accident victim can lose not only anterior teeth but also the soft- and hard-tissue support for these teeth. This article describes a step-by-step approach to the treatment protocol for an accident victim in whom anterior teeth and the supporting tissues have been lost. The protocol is systematic and can be used for most accident cases, where the functional and esthetic demands are very high. CLINICAL SIGNIFICANCE: This article demonstrates how excellent teamwork among the dentist, implant surgeon, and laboratory technician can result in a well-conceived and successful restoration following traumatic injury of the dentition. [source] | |||||||||||||||||||||||||||||||