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1.
Journal of Dentistry-Shiraz University of Medical Sciences. 2016; 17 (4): 301-308
in English | IMEMR | ID: emr-183375

ABSTRACT

Statement of the Problem: Marginal fitness is the most important criteria for evaluation of the clinical acceptability of a cast restoration. Marginal gap which is due to cement solubility and plaque retention is potentially detrimental to both tooth and periodontal tissues


Purpose: This in vitro study aimed to evaluate the marginal and internal fit of cobaltchromium [Co-Cr] copings fabricated by two different CAD/CAM systems: [CAD/milling and CAD/ Ceramill Sintron]


Materials and Method: We prepared one machined standard stainless steel master model with following dimensions: 7 mm height, 5mm diameter, 90[degree] shoulder marginal finish line with 1 mm width, 10[degree] convergence angle and anti-rotational surface on the buccal aspect of the die. There were 10 copings produced from hard presintered Co-Cr blocks according to CAD/ Milling technique and ten copings from soft non- presintered Co-Cr blocks according to CAD/ Ceramill Sintron technique. Marginal and internal accuracies of copings were documented by the replica technique. Replicas were examined at ten reference points under a digital microscope [230X]. The Student's ttest was used for statistical analysis. p< 0.001 was considered significant


Results: Statistically significant differences existed between the groups [p< 0.001]. The CAD/milling group [hard copings] had a mean marginal discrepancy [MD] of 104 micro m, axial discrepancy [AD] of 23 micro m and occlusal discrepancy of 130 micro m. For CAD/Ceramill Sintron group, these values were 195 micro m [MD], 46 micro m [AD], and 232 micro m [OD]. Internal total discrepancy [ITD] for the CAD/milling group was 77 micro m, whereas for the CAD/Ceramill Sintron group was 143 micro m


Conclusion: Hard presintered Co-Cr copings had significantly higher marginal and internal accuracies compared to the soft non-presintered copings

2.
Journal of Dentistry-Shiraz University of Medical Sciences. 2015; 16 (2): 93-99
in English | IMEMR | ID: emr-177104

ABSTRACT

Statement of the Problem: Cardiovascular disease and osteoporosis are major health dilemmas. Osteoporotic patients frequently display vascular calcification that consequently increases the cardiovascular morbidity and mortality


Purpose: This study aimed to investigate the relation of osteoporosis, vascular calcification [atheroma, intima-media thickness [IMT]] and elongated styloid process [ESP] in a sample of osteoporotic and normal female individuals


Materials and Method: This study recruited 78 women who were assessed for bone mass density [BMD]. Sample included individuals with normal BMD [n=13, 17%], osteopenia [n=36, 46%], and osteoporosis [n=29, 37%]. The presence of atheroma and IMT was examined using color Doppler ultrasonography [CD-US]. In addition, digital panoramic radiographs [PRs] were obtained to assess ESP


Results: In this study, 55 subjects [70%] with low BMD exhibited at least one side ESP. Femoral BMD decreased significantly in subjects with ESP [p= 0.03]. Bilateral ESP was correlated with the presence of atheroma [p= 0.029]. The CIMT was greater in patients with ESP, although the relation was not significant


Conclusion: The obtained data suggest referring the aged individuals with ESP for BMD assessment and individuals with low bone mass and ESP for more cardiovascular risk assessment

3.
Journal of Dentistry-Shiraz University of Medical Sciences. 2015; 16 (2): 129-133
in English | IMEMR | ID: emr-177109

ABSTRACT

Statement of the Problem: By introducing the coloring liquids, it is claimed that it is possible to make the color of frameworks fabricated from zirconium oxide extremely close to the natural tooth color.


Purpose: The purpose of this research was to evaluate the effect of two staining techniques on value changing in zirconia crowns.


Materials and Method: Three groups A, B, and C, each containing ten zirconia crowns, were used. The zirconium cores samples were fabricated by a CAD/CAM device. Group A was left uncolored, Groups B was submerged for two minutes in A2 coloring liquid and Group C was stained with brush. Then all cores were sintered and the porcelain was applied by using the layering technique. Ultimately, the crowns color was determined using a spectrophotometer. Their color changing [Delta E] and value changing [Delta L] in relation to A2 color were also assessed. The data were analyzed with one-sample t-test, post-hoc Tukey, and one-way ANOVA tests with significant level set at 0.05


Results: The mean value in all groups was higher than the value obtained from A2 color samples [p= 0.001]. The highest mean value was 78.31 +/- 1.22 belonging to group C [staining with brush] and the lowest mean value was 76.99 +/- 0.65 belonging to group B [submerging]. The results of post-hoc Tukey regarding both Delta E and Delta L variables showed a significant difference between groups A [uncolored] and C [staining with brush] with P Delta E=0.006 and P Delta L=0.039, respectively. A significant difference between group B [submerging technique] and C [staining with brush] were shown when these two variables were compared [P Delta E=0.001, P Delta L=0.015]


Conclusion: Due to the higher value increase in surface staining [brush], it is recommended to use the submerging technique for staining zirconia cores

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