Influence of human tooth cryopreservation on dentin bond strength.

OBJECTIVES: The goal of this study was to evaluate the effects of cryopreservation of teeth on dentin bond strength as a function of remaining dentin thickness. METHODS: Flat occlusal surfaces of human dentin were prepared in 54 freshly extracted teeth and 54 thawed, cryopreserved teeth. In each group, 18 bonds were performed in superficial dentin, 18 in mid-coronal, and 18 in deep dentin. A resin composite cylinder, 3 mm in diameter and in height, was bonded orthogonally to the surface. After storage in distilled water at room temperature for 1 wk, the bonded cylinders underwent shear testing at a crosshead speed of 0.5 mm min-1. The mean remaining dentin thickness was calculated after longitudinally sectioning the debonded samples through the center of the bonded area. Non-parametric statistical analyses were used to correlate the shear bond strength with the remaining dentin thickness among the storage modes and within the different dentin regions. RESULTS: The lowest shear bond strength values were found in the deep dentin of both fresh and cryopreserved dentin, while the values in deep and mid-coronal dentin were not significantly different in fresh and cryopreserved dentin. In the superficial and mid-coronal dentin of cryopreserved samples, the shear bond strength values were identical. There was a significant difference between the shear bond strength values in the superficial dentin of fresh teeth compared to the values for cryopreserved teeth. SIGNIFICANCE: According to the experimental conditions, tooth cryopreservation shows some promise as a substitute for freshly extracted teeth, provided that the experiments are performed in midcoronal and deep dentin.

Evaluation of temporary restorations' microleakage by means of electrochemical impedance measurements.

The aim of this study was to quantify the changes in the watertightness of three temporary filling materials over 1 wk with a new electrochemical technique: the impedance a measurement technique. Forty sound extracted human maxillary teeth were selected and prepared for the measurements. They were divided into three groups in addition to positive and negative controls. The resistance, and therefore the watertightness, of the intact crown and the resistance after preparation of an endodontic access cavity were registered. After a randomization procedure, 12 teeth were obturated with Cavit G, 12 teeth with Fermit-N, and 12 teeth with Intermediate Restorative Material (IRM). The changes in the resistance were measured first just after obturation (time 0), then after days 1, 2, 3, 4, and 7. The results showed that the IRM group was significantly more watertight than the Fermit-N group (p < 0.05) and much more than the Cavit G group (p < 0.005).

Microleakage of Cavit, CavitW, CavitG and IRM by impedance spectroscopy.

The aim of this study was to quantify the sealing ability of four temporary filling materials over 9 days using a new electrochemical technique. Fifty-two extracted human maxillary bicuspids were selected and prepared for the measurements. They were divided into four groups of 12 teeth each, in addition to two positive and two negative controls. After preparation of the endodontic access cavity the sealing ability was registered. After a randomization procedure one group was obturated with IRM, another group with Cavit, a third group with CavitW and the last group with CavitG. The sealability was measured just after obturation (time 0) and after days 1, 2, 3, 4, 7 and 9. The results showed that the IRM group was significantly more watertight than the different Cavit formulations. Throughout the experiment no significant difference was noticed between the Cavit and CavitW groups (P > 0.05). The CavitG group was significantly less watertight throughout the measurements (P < 0.05).

Finite element determination of the forces exerted by endotracheal tubes on the upper airways.

Accidents occurring during intubations often originate in the mechanical interaction between the tube and the upper airways. A review of these accidents, including their possible complications, shows that they are mainly due to the forces exerted by the tube on the anatomical structures during the long intubation periods. The structural design of currently available tubes is presented, and the viscoelastic properties of the constituent PVC materials are analysed. It is shown how the long-term viscoelastic behaviour of the polymer can be assessed from accelerated relaxation tests in uniaxial tension at temperatures higher than the body temperature and how the variation in the relaxation modulus can be modelled through a simple constitutive equation with a minimum number of parameters. From these data, the mechanical interaction of the tubes with the trachea are computed by means of the finite element method. The relative efficiency of different types of endotracheal tubes is thus discussed and operational criteria are eventually defined for the choice of tubes in clinical situations.

Effect of the tooth microstructure on the shear bond strength of a dental composite.

Plane human enamel and dentin surfaces were used for microstructural investigation and shear bond testing. The dental tissue microstructure was characterized through the surface topology, the concentration in mineral elements (determined by electron microprobe analysis), and the Vickers microhardness for the same dental tissue. The etched prismatic enamel presents a surface roughness of about 200% of the apparent area, while the intertubular surface fraction of the dentin is, on the average, equal to 75%. The calcium concentration lies between 23.2 and 37.8% of the enamel total mineral content, and 18.5 and 28.2% of the dentin. The microhardness varies from 205 to 378 Hv for the enamel and from 37 to 98 Hv for the dentin. Also, the shear bond strength to a chemosetting adhesive/composite system varies from 10.4 to 23.9 MPa for the enamel and from 0.0 to 5.0 MPa for the dentin. It is shown that the shear bond strength is strongly correlated to the microhardness through a simple linear equation valid for both enamel and dentin surfaces. In turn, the microhardness is correlated to the calcium concentration through two distinct linear relations. These correlations lead to the intrinsic dependence of the shear bond strength on the calcium concentration of the dental tissue, providing that corrections are applied to the bond strength data in order to take into consideration the effective solid area of the adherend and the polymerization retraction stress. Consequently, it is proposed that the adhesion mechanisms for the both enamel and the dentin are controlled, to a major extent, by the mineral content and the surface topology of the tooth.

Influence of calcium concentration on the dentin wettability by an adhesive.

Plane dentin surfaces were abraded perpendicular to the radicular axis of sound human molars. They were cleaned to reveal the tubules, and the morphological features of each surface were studied microscopically. For a first series of teeth, the Vickers microhardness of the dentin surfaces was measured and the calcium and phosphorus composition was determined by electron microprobe analysis. For a second series, the microhardness and wettability of the surface by the Scotchbond adhesive were compared. Positive correlations were found between the following parameters: degree of minerality, dentin compactness, hardness, and spreading capability of the adhesive.

[Study of loosening and wear of total hip prosthesis. Apropos of a series followed-up over 10 years]. / Etude des descellements et de l'usure des prothèses totales de hanche. A propos d'une série de plus de dix ans de recul.

After reviewing 30 cases of patients having had a total hip arthroplasty by the Charnley's technique between 1970 and 1978, the authors study the radiographic parameters of the cup and of the femoral stem, using geometric buildings described by Sutherland. On the acetabulum, the inclinaition angle, the medialisation and the wear of the cup were calculated. The varisation of the stem and its migration were looked for on the femur. The presence of a radiolucent line, prosthesis--bone or cement--bone and the importance of peri-articular calcifications, was also noted. The verticalisation of the cup and its anteversion were a pejorative factor. The medialisation was disquieting only if it was associated with a verticalisation. The wear more than 2 mm was noted only in 5 cases; the radiolucent line was pejorative only if it was type cement--bone; the type cement--cup, rare, was of less bad prognostic. On the femur, the most failing was the varus of the stem which determined a loosening most often when it was present. The disquieting radiolucent line was always type cement--bone and was always associated with a bicortical reaction showing a mobility of the stem. In a last part, the authors studied the wear of expanted cups in polyethylene which was different of the fluage. A distinction between the theoretical wear and the clinical wear was made. Photographs in scanning electron microscopy which permit to describe the different types of wear are presented.