Evaluation of shade matching in the repair of indirect restorative materials with universal shade composites.

Purpose: To evaluate color differences in repair of indirect ceramic and resin nanoceramic CAD/CAM blocks with two universal shade composites after different surface preparations. Materials and methods: 120 samples were prepared from IPS Empress and GC Cerasmart270 CAD/ CAM blocks and thermocycled (5000 cycles, 5°C-55°C). Initial colors of sample surfaces were measured using a spectrophotometer. Rectangular prism-shaped cavities were prepared and repaired with Tokuyama Universal Bond/Omnichroma and G-Multiprimer/G-Premio/Essentia Universal following surface preparation with aluminum oxide, Cojet, and bioactive glass (Sylc). Repaired samples were thermocycled (5000 cycles) and color measurement was performed. Color coordinates L*a*b* were recorded, and color differences were calculated using the CIELab formula. Color differences between pre-and post-repair (ΔE1) and between post-repair and post-aging (ΔE2) were determined. Data were analyzed using Three-way ANOVA with a significance level set at p<0.05. Results: ΔE1 values in all subgroups exceeded the threshold of 3.3. No significant difference was found between the surface preparation processes regarding ΔE1 values. There was no significant difference between the composites and bonding agents in ΔE1 values, except for Cerasmart/Sylc and Empress/Sylc groups. No statistically significant difference was detected in ΔE2 values between the surface preparation treatments in all groups. (p >0.05). Conclusion: Color match of the universal shade composites, which are preferred to increase the esthetic satisfaction and to simplify repair procedures, were found above the acceptable threshold. Post-aging color stability of universal shade composites was below the acceptable threshold.

Effects of direct therapeutic radiation on pulpal surface of root dentin: an in vitro study.

The aims of the study were to analyze the effects of therapeutic radiation on human root dentin samples from the aspect of possible alterations in crystallinity, micro-morphology, and composition. Fifty-six root dentin specimens were divided into seven groups (0, 10, 20, 30, 40, 50, and 60 Gy). Scanning electron microscope (SEM), energy-dispersive X-ray spectroscopy (EDX) and X-ray diffraction (XRD) analyses were performed on pulpal surfaces of root dentin after being irradiated by 6MV photon energy. Mineral compositions, Ca/P, P/N, Ca/N ratios, and hydroxyapatite pikes were calculated. Some deuteriations on the dentin surface were observed in SEM images after 30 Gy and subsequent doses. One-way ANOVA revealed that there was no significant alteration in weight percentages of C, O, Mg, Ca, P, and N between groups. Radiation did not influence stoichiometric Ca/P, Ca/N, and P/N molar ratios. XRD analysis did not show a remarkable decline in hydroxyapatite pikes by the increasing doses. Radiotherapy changes the micromorphology of circumpulpal dentin but does not affect elemental composition and crystallinity.

The predictive factors for perceived social support among cancer patients and caregiver burden of their family caregivers in Turkish population.

OBJECTIVES: We aimed to identify the predictive factors for the perceived family social support among cancer patients and caregiver burden of their family caregivers. METHODS: Participants were 302 cancer patients and their family caregivers. Family social support scale was used for cancer patients, burden interview was used for family caregivers.All subjects also completed Beck depression invantery. The related socio-demographical factors with perceived social support (PSS) and caregiver burden were evaluated by correlation analysis. To find independent factors predicting caregiver burden and PSS, logistic regression analysis were conducted. RESULTS: Depression scores was higher among patients than their family caregivers (12.5 vs. 8). PSS was lower in depressed patients (p < .001). Family caregiver burden were also higher in depressive groups (p < .001). Among patients only the depression was negatively correlated with PSS (p < .001, r = -2.97). Presence of depression (p < .001, r = 0.381) was positively correlated and family caregiver role was negatively correlated (p < .001, r = -0.208) with caregiver burden. Presence of depression was the independent predictor for both, lower PSS for patients and higher burden for caregivers. CONCLUSIONS: The results of this study is noteworthy because it may help for planning any supportive care program not only for patients but together with their caregiver at the same time during chemotherapy period in Turkish population.