Neonatal screening for congenital cytomegalovirus infection in preterm and small for gestational age infants.

Congenital cytomegalovirus (CMV) infection affects many organs: reticuloendothelial and central nervous system are particularly involved. Congenital CMV infection is the leading cause of non-genetic sensorineural hearing loss. Hearing impairment can be present at birth or it can occur months or even years after birth. It is as well an important risk factor for antenatal stillbirth, preterm birth and small for gestational age (SGA) condition. For these reasons we should early identify congenital CMV infection investigating at least at risk newborns such as preterm or SGA babies given that a simple and standardized method for a large scale screening program is lacking. In our study, we found an association between congenital CMV infection and preterm births (3.03%) and with SGA condition (3.7%). Consequently, routine CMV urine detection should be performed at least in all babies born before 37 weeks of gestational age and in term SGA newborns.

Evaluation of bone response to various anorganic bovine bone xenografts: an experimental calvaria defect study.

This in vivo study investigated the in vivo performance of two newly developed synthetic bone substitutes and compared them to commercially available xenografts (Bio-Oss, Geistlich Pharma AG, Switzerland; OsteoGraf, Dentsply, USA). The materials were tested in a rabbit calvaria model, and the bone forming properties were observed at 4 and 8 weeks after implantation by means of histomorphometry and micro computed tomography (micro-CT). Defects without any graft material were used as negative controls. Micro-CT showed that all materials tested presented new bone formation that filled the defects at both time points, whereas the negative control presented less bone formation, with soft tissue infiltration into the defects. Comparable bone fill percentages were observed for histomorphometric and micro-CT results. Even though no statistically significant difference was found quantitatively between all of the bone graft substitute groups, a higher mean decrease in graft material filling the defects, along with higher remodelling activity, was evident for the experimental materials compared to the commercially available xenografts at 8 weeks. The results indicate that the experimental materials possess high degradability, along with osteoconduction comparable to commercially available xenografts.

Evaluation of push-out bond strength of four luting agents and SEM observation of the dentine/fibreglass bond interface.

AIM: To assess the dentine/fibreglass-bonded interface by scanning electron microscopy and the push-out bond strength of four luting cements. METHODOLOGY: Forty root-filled human canines, with similar root lengths, were restored with fibreglass posts and randomly divided into four groups according to the cements employed (CG Gold Label I, RelyX ARC, BisCem and RelyX U100). After standardized post-space preparation, the root dentine was pre-treated for dual-polymerizing resin cements and untreated for the other cements. The mixed luting cement paste was inserted into root canals with a spiral filler and applied to the post-surface that was seated into the root canal. After 7 days, the teeth were sectioned perpendicular to their long axis into 1-mm-thick sections and submitted to a push-out test (1 mm min(-1)). Statistical analyses were carried out by two-way anova and Tukey's tests (P < 0.05). RESULTS: The bond strength was significantly affected by the type of cement (P < 0.001) and by the longitudinal region of the root canal (P < 0.031). All cements exhibited gaps at the dentine/cement interface. CONCLUSIONS: The self-adhesive materials and the glass ionomer cements had the highest push-out bond strength values when compared with the dual-curing resin cement.

Evaluation of chemical treatment on zirconia surface with two primer agents and an alkaline solution on bond strength.

OBJECTIVES: This study evaluated the effect of an alkaline solution and two 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-based primer agents on bond strength to zirconia (yttria-stabilized tetragonal zirconium polycrystal [Y-TZP]) through the shear bond strength (SBS) test. MATERIALS AND METHODS: Sixty square-shaped Y-TZP samples were embedded in an acrylic resin mold, polished, and randomly assigned to one of six groups (n=10) according to treatment surface: group CR, no treatment (control); group NaOH, 0.5 M NaOH; group AP, Alloy Primer; group ZP, Z-Primer Plus; group NaOH-AP, 0.5 M NaOH + Alloy Primer; and group NaOH-ZP, 0.5 M NaOH + Z-Primer Plus. The resin cement (Rely X U100) was applied inside a matrix directly onto the Y-TZP surface, and it was light-cured for 40 seconds. The samples were stored in distilled water at 37°C for 24 hours prior to the test, which was performed in a universal machine at a crosshead-speed of 0.5 mm/min. The data were analyzed by one-way analysis of variance and Tukey tests (p<0.05). Light stereomicroscopy and scanning electron microscopy were used to assess the surface topography and failure mode. RESULTS: The SBS was significantly affected by the chemical treatment (p<0.0001). The AP group displayed the best results, and the use of NaOH did not improve SBS results relative to either AP or ZP. The samples treated with Alloy Primer displayed mainly mixed failures, whereas those conditioned with Z-Primer Plus or with 0.5 M NaOH presented a balanced distribution of adhesive and mixed failure modes. CONCLUSIONS: The use of a NaOH solution may have modified the reactivity of the Y-TZP surface, whereas the employment of a MDP/6-4-vinylbenzyl-n-propyl amino-1,3,5-triazine-2,4-dithione-based primer enhanced the Y-TZP bond strength.