Shear bond strength of three self-adhesive resin cements to dentin.

Context: The result of the studies concerning the bonding of self-adhesive resin cements to dentin is controversial. Aims: To assess in vitro shear bond strength (SBS) of three self-adhesive dual-cured resin cements to dentin compared to a currently used dual-cured resin cement, using SBS test. Settings and Design: The extant study is an experimental in vitro one on extracted human third molars dentin. Material and Methods: 40 intact human third molars were selected and randomly divided into 4 groups of 10. Buccal dentin surfaces were exposed perpendicular to the long axis and prepared with SiC papers. A translucent plastic ring, was placed over the dentin surfaces. Group I (Control group): After 15 s of etching and application of Excite DSC Bond (Ex), Variolink II (Var II) resin cement was injected into the plastic ring and was light cured for 40 s. Group II: RelyX Unicem (RX) was injected into the plastic ring and after 30 s, was light cured for 40 s. Group III: Maxcem (Mc) was injected into the plastic ring and after 30 s, was light cured for 40 s. Group IV: Multilink Sprint (MS) was injected into the plastic ring and after 30 s, was light cured for 40 s. After thermal cycling, SBS were measured with a universal testing machine. Statistical Analysis Used: Statistical computations were conducted according to Student's t-test. Results: The mean SBS and standard deviations (in parentheses) for groups I, II, III, and IV were 12.95 (2.64), 6.73 (0.79), 3.01 (0.90), 4.60 (0.75) MPa, respectively. Statistical analysis, revealed that: (1) the mean SBS of Var II were significantly higher than the other groups (P<0.05). (2) The mean SBS of Mc and MS were significantly lower than RX (P<0.05). (3) The mean SBS of Mc and MS did not show significant difference (P>0.05). Conclusion: Bond strength of three self-adhesive resin cements was significantly lower than the conventional total-etch resin cement. RX significantly performed better SBS than Mc and MS to dentin.

Calcifying odontogenic cyst with complex odontoma: histological and immunohistochemical features

The calcifying odontogenic cyst [COC] is a rare odontogenic cyst. Only 2% of all odontogenic cysts and tumors are COC. COC associated with odontoma [COCaO] reported in 24% of COCs. COCaO presents a greater incidence in female, with a ratio of 2 to 1. The highest incidence of COCaO occurs during the second decade with a mean age of 16 years, most frequently occurring in the maxilla [61.5%]. Here, we describe a classic case of COCaO of the maxillary incisor-canine region in 17-year-old girl, and discuss the clinicopathological features and immunohistochemical finding of this tumor

Mast cells density in fibrotic capsule of enchondroma and well-differentiated chondrosarcoma: a method for histopathologic differentiation

An enchondroma is a benign and a well-differentiated chondrosarcoma is an invasive chondroid tumor with high recurrence potential. In spite of biologic differences, these two tumors have very similar histopathologic appearance. It has been shown that the biologic nature of the connective tissue around benign and malignant tumors varies in the number of mast cells. The aim of this study was to study the histopathologic distinction of enchondroma and well-differentiated chondrosarcoma using the density of the mast cells in fibrotic capsule. Twelve enchondroma and 15 well-differentiated chondrosarcoma were collected from Pathology department of Cancer Institute and Central Pathology department of Imam Khomeini Hospital in Tehran. 3 micron paraffin embedded tissue sections were stained by toluidine blue for mast cells counting. Mast cells were counted in fibrous capsule of all cases. Mast cells counts were accomplished in 10 high power fields .The average number of mast cells in 10HPF was determined as an index for each lesion. Mann-Whitney U test was used for statistical analysis. Mean index in enchondroma and well-differentiated chondrosarcoma groups were 0.1 +/- 0.12 and 0.31 +/- 0.33 respectively, showing a significant difference between number of mast cells in the fibrotic capsule in these two lesions [p=0.028]. Comparison of the corresponding points in ROC curve, showed a cut-off point = 0.15, with positive predictive value of 61%, negative predictive value 71%, specificity of 33.3% and sensitivity of 66.7%, [p=0.025]. Average density of the mast cells in the surrounding fibrotic capsules of enchondroma and well-differentiated chondrosarcoma along with other criterions, could be a beneficial factor for histologically differentiation between these two lesions