On the adsorption and reactivity of element 114, flerovium.

Flerovium (Fl, element 114) is the heaviest element chemically studied so far. To date, its interaction with gold was investigated in two gas-solid chromatography experiments, which reported two different types of interaction, however, each based on the level of a few registered atoms only. Whereas noble-gas-like properties were suggested from the first experiment, the second one pointed at a volatile-metal-like character. Here, we present further experimental data on adsorption studies of Fl on silicon oxide and gold surfaces, accounting for the inhomogeneous nature of the surface, as it was used in the experiment and analyzed as part of the reported studies. We confirm that Fl is highly volatile and the least reactive member of group 14. Our experimental observations suggest that Fl exhibits lower reactivity towards Au than the volatile metal Hg, but higher reactivity than the noble gas Rn.

First Study on Nihonium (Nh, Element 113) Chemistry at TASCA.

Nihonium (Nh, element 113) and flerovium (Fl, element 114) are the first superheavy elements in which the 7p shell is occupied. High volatility and inertness were predicted for Fl due to the strong relativistic stabilization of the closed 7p 1/2 sub-shell, which originates from a large spin-orbit splitting between the 7p 1/2 and 7p 3/2 orbitals. One unpaired electron in the outermost 7p 1/2 sub-shell in Nh is expected to give rise to a higher chemical reactivity. Theoretical predictions of Nh reactivity are discussed, along with results of the first experimental attempts to study Nh chemistry in the gas phase. The experimental observations verify a higher chemical reactivity of Nh atoms compared to its neighbor Fl and call for the development of advanced setups. First tests of a newly developed detection device miniCOMPACT with highly reactive Fr isotopes assure that effective chemical studies of Nh are within reach.

Measurement of the first ionization potential of lawrencium, element 103.

The chemical properties of an element are primarily governed by the configuration of electrons in the valence shell. Relativistic effects influence the electronic structure of heavy elements in the sixth row of the periodic table, and these effects increase dramatically in the seventh row--including the actinides--even affecting ground-state configurations. Atomic s and p1/2 orbitals are stabilized by relativistic effects, whereas p3/2, d and f orbitals are destabilized, so that ground-state configurations of heavy elements may differ from those of lighter elements in the same group. The first ionization potential (IP1) is a measure of the energy required to remove one valence electron from a neutral atom, and is an atomic property that reflects the outermost electronic configuration. Precise and accurate experimental determination of IP1 gives information on the binding energy of valence electrons, and also, therefore, on the degree of relativistic stabilization. However, such measurements are hampered by the difficulty in obtaining the heaviest elements on scales of more than one atom at a time. Here we report that the experimentally obtained IP1 of the heaviest actinide, lawrencium (Lr, atomic number 103), is 4.96(+0.08)(-0.07) electronvolts. The IP1 of Lr was measured with (256)Lr (half-life 27 seconds) using an efficient surface ion-source and a radioisotope detection system coupled to a mass separator. The measured IP1 is in excellent agreement with the value of 4.963(15) electronvolts predicted here by state-of-the-art relativistic calculations. The present work provides a reliable benchmark for theoretical calculations and also opens the way for IP1 measurements of superheavy elements (that is, transactinides) on an atom-at-a-time scale.

Management of shortened dental arches and periodontal health: 5-year results of a randomised trial.

In a multicentre randomised trial (German Research Association, grants DFG WA 831/2-1 to 2-6, WO 677/2-1.1 to 2-2.1.; controlled-trials.com ISRCTN97265367), patients with complete molar loss in one jaw received either a partial removable dental prosthesis (PRDP) with precision attachments or treatment according to the SDA concept aiming at pre-molar occlusion. The objective of this current analysis was to evaluate the influence of different treatments on periodontal health. Linear mixed regression models were fitted to quantify the differences between the treatment groups. The assessment at 5 years encompassed 59 patients (PRDP group) and 46 patients (SDA group). For the distal measuring sites of the posterior-most teeth of the study jaw, significant differences were found for the plaque index according to Silness and Löe, vertical clinical attachment loss (CAL-V), probing pocket depth (PPD) and bleeding on probing. These differences were small and showed a slightly more unfavourable course in the PRDP group. With CAL-V and PPD, significant differences were also found for the study jaw as a whole. For CAL-V, the estimated group differences over 5 years amounted to 0.27 mm (95% CI 0.05; 0.48; P = 0.016) for the study jaw and 0.25 mm (95% CI 0.05; 0.45; P = 0.014) for the distal sites of the posterior-most teeth. The respective values for PPD were 0.22 mm (95% CI 0.03; 0.41; P = 0.023) and 0.32 mm (95% CI 0.13; 0.5; P = 0.001). It can be concluded that even in a well-maintained.patient group statistically significant although minor detrimental effects of PRDPs on periodontal health are measurable.

Spectroscopy of element 115 decay chains.

A high-resolution α, x-ray, and γ-ray coincidence spectroscopy experiment was conducted at the GSI Helmholtzzentrum für Schwerionenforschung. Thirty correlated α-decay chains were detected following the fusion-evaporation reaction 48Ca + 243Am. The observations are consistent with previous assignments of similar decay chains to originate from element Z=115. For the first time, precise spectroscopy allows the derivation of excitation schemes of isotopes along the decay chains starting with elements Z>112. Comprehensive Monte Carlo simulations accompany the data analysis. Nuclear structure models provide a first level interpretation.

The randomized shortened dental arch study: tooth loss over five years.

OBJECTIVES: The study was designed to provide clinical outcome data for two treatments of the shortened dental arch (SDA). MATERIAL AND METHODS: In a multicenter randomized controlled clinical trial, patients with complete molar loss in one jaw were provided with either a partial removable dental prosthesis (PRDP) retained with precision attachments or treated according to the SDA concept preserving or restoring a premolar occlusion. No implants were placed. The primary outcome was tooth loss. RESULTS: Of 152 treated patients, 132 patients reached the 5-year examination. Over 5 years, 38 patients experienced tooth loss. For the primary outcome tooth loss, the Kaplan-Meier survival rates at 5 years were 0.74 (95% CI 0.64, 0.84) in the PRDP group and 0.74 (95% CI 0.63, 0.85) in the SDA group. For tooth loss in the study jaw, the survival rates at 5 years were 0.88 (95% CI 0.80, 0.95) in the PRDP group and 0.84 (95% CI 0.74, 0.93) in the SDA group. The differences were not significant. No Cox regression models of appropriate fit explaining tooth loss on the patient level could be found. CONCLUSIONS: The overall treatment goals of a sustainable oral rehabilitation and the avoidance of further tooth loss over longer periods were not reliably achievable. The influence of the type of prosthetic treatment on tooth loss might have been overestimated. CLINICAL RELEVANCE: Regarding our results, the patient's view will gain even more importance in the clinical decision between removable and fixed restorations in SDAs.

The randomized shortened dental arch study: 5-year maintenance.

The scientific evidence concerning prosthodontic care for the shortened dental arch (SDA) is sparse. This randomized multicenter study aimed to compare two common treatment options: removable partial dental prostheses (RPDPs) for molar replacement vs. no replacement (SDA). One of the hypotheses was that the follow-up treatment differs between patients with RPDPs and patients with SDAs during the 5-year follow-up period. Two hundred and fifteen patients with complete molar loss in one jaw were included in the study. Molars were either replaced by RPDPs or not replaced according to the SDA concept. A mean number of 4.2 (RPDP) and 2.8 (SDA) treatments for biological or technical reasons occurred during the 5-year observation time per patient. Concerning the biological aspect, no significant differences between the groups could be shown, whereas treatment arising from technical reasons was significantly more frequent for the RPDP group. When the severity of treatment was analyzed, a change over time was evident. When, at baseline, only follow-up treatment with minimal effort is required, over time there is a continuous increase to moderate and extensive effort observed for both groups (Controlled-trials.com number ISRCTN97265367).

Production and decay of element 114: high cross sections and the new nucleus 277Hs.

The fusion-evaporation reaction 244Pu(48Ca,3-4n){288,289}114 was studied at the new gas-filled recoil separator TASCA. Thirteen correlated decay chains were observed and assigned to the production and decay of {288,289}114. At a compound nucleus excitation energy of E{*}=39.8-43.9 MeV, the 4n evaporation channel cross section was 9.8{-3.1}{+3.9} pb. At E^{*}=36.1-39.5 MeV, that of the 3n evaporation channel was 8.0{-4.5}{+7.4} pb. In one of the 3n evaporation channel decay chains, a previously unobserved α branch in 281Ds was observed (probability to be of random origin from background: 0.1%). This α decay populated the new nucleus 277Hs, which decayed by spontaneous fission after a lifetime of 4.5 ms.

The randomized shortened dental arch study: tooth loss.

The evidence concerning the management of shortened dental arch (SDA) cases is sparse. This multi-center study was aimed at generating data on outcomes and survival rates for two common treatments, removable dental prostheses (RDP) for molar replacement or no replacement (SDA). The hypothesis was that the treatments lead to different incidences of tooth loss. We included 215 patients with complete molar loss in one jaw. Molars were either replaced by RDP or not replaced, according to the SDA concept. First tooth loss after treatment was the primary outcome measure. This event occurred in 13 patients in the RDP group and nine patients in the SDA group. The respective Kaplan-Meier survival rates at 38 months were 0.83 (95% CI: 0.74-0.91) in the RDP group and 0.86 (95% CI: 0.78-0.95) in the SDA group, the difference being non-significant.

Effect of surface treatment on the initial bond strength of different luting cements to zirconium oxide ceramic.

The objective of this study was to compare the shear bond strength to zirconium oxide ceramic of adhesive-phosphate-monomer-containing (APM) and non-APM-containing (nAPM) luting cements after different surface treatments. nAPM cements: Bifix QM, Dual Cement, Duo Cement Plus, Multilink Automix, ParaCem Universal DC, PermaCem Smartmix, RelyX ARC, Variolink Ultra, and Variolink II; APM cements: Panavia EX, Panavia F2.0, and RelyX UniCem. Groups of ten test specimens were each prepared by layering luting cement, using cylindrical Teflon molds, onto differently treated zirconium dioxide discs. The surface treatments were airborne-particle abrasion with 110 mum alumina particles, silica coating (SC) using 30 mum alumina particles modified by silica (Rocatec System) or SC and silanization. Bifix QM and Multilink Automix were used in combination with an additional bonding/priming agent recommended by the manufacturers. After 48 h of water storage, each specimen was subjected to a shear test. Combinations involving APM-containing cements (14.41-23.88 MPa) generally exhibited higher shear bond strength than those without APM (4.29-17.34 MPa). Exceptions were Bifix QM (14.20-25.11 MPa) and Multilink Automix (19.14-23.09 MPa) in combination with system-specific silane or priming agent, which were on the upper end of shear bond strength values. With the use of the Rocatec system, a partially significant increase in shear bond strength could be achieved in nAPM cement. Modified surface treatment modalities increased the bond strength to zirconium oxide, although the most important factor in achieving a strong bond was the selection of a suitable cement. System-specific priming or bonding agents lead to further improvement.

Influence of fatigue testing and cementation mode on the load-bearing capability of bovine incisors restored with crowns and zirconium dioxide posts.

The aim of the study was to evaluate the influence of fatigue and cementation mode on the fracture behavior of endodontically treated bovine incisors restored with zirconium dioxide posts and crowns. Forty-eight endodontically treated bovine primary incisors were restored with zirconium dioxide posts (Cerapost, Brasseler), composite build-ups, and crowns cast from a chromium cobalt alloy. In 16 teeth, each of the posts was cemented conventionally with KetacCem (3M ESPE) or adhesively with Panavia F (Kuraray) or RelyX UniCem (3M ESPE). One-half of the specimens in each group were subjected to thermocycling with 10,000 cycles at 5-55 degrees C and mechanical aging, loading the specimens at an angle of 45 degrees in 1,200,000 cycles with 50 N. Fracture resistance was determined by loading the specimens until fracture at an angle of 45 degrees to the long axis of the teeth. The loading test showed that neither cementation mode nor fatigue testing had an influence on the load bearing capability. Most specimens fractured in a favorable way, independent from the type of cementation.

The fracture behavior of premolar teeth with class II cavities restored by both direct composite restorations and endodontic post systems.

PURPOSE: The aim of the study was to evaluate the influence of different posts on the fracture load and fracture mode of endodontically treated premolars with class II cavities and direct composite restorations in an ex vivo setting. METHODS: Forty-eight single-rooted human premolars were endodontically treated and prepared with standardized MO (mesio-occlusal) cavities. Eight teeth each received either no posts or were restored with titanium screws (BKS), glass fiber posts (DentinPost), or quartz fiber posts (DT Light SL). Sixteen teeth were restored with zirconium dioxide posts (CeraPost). BKS-screws and eight zirconium dioxide posts were cemented conventionally with glass ionomer cement; Panavia F resin cement was used for all others. The specimens were restored with direct composite restorations. Eight sound premolars served as the controls. After thermomechanical fatigue testing, the samples were loaded until fracture occurred at an angle of 45 degrees . All specimens were evaluated for fracture lines. RESULTS: The sound teeth showed the significant highest fracture load (792.50+/-210.01 N). The group restored with quartz fiber posts differed not significantly from the control. In the groups with fiber posts and titanium screws significant higher fracture load values occurred as in the group with direct composite restorations without posts. The groups with fiber posts did not show a more favorable fracture mode than the other groups. CLINICAL SIGNIFICANCE: The use of an intraradicular post in premolars with class II cavities can significantly increase the resistance towards extra-axial forces.

Influence of endodontic posts on the fracture behavior of crowned premolars with Class II cavities.

AIM: The aim of the study was to evaluate the influence of different posts and types of cementation on the fracture load and fracture mode of crowned, endodontically treated premolars with class II cavities in an ex vivo setting. METHODS: Forty-eight single-rooted human premolars were endodontically treated and prepared with standardized MO (mesio-occlusal) cavities and a circular chamfer preparation. Eight teeth each received either no posts or were restored with screws (BKS), glass fiber posts (DentinPost), or quartz fiber posts (DT Light SL). Sixteen teeth were restored with zirconium dioxide posts (CeraPost). BKS-screws and eight zirconium dioxide posts were cemented conventionally with glass ionomer cement; Panavia F was used for all others. The specimens were restored with composite cores and crowns cast from a non-precious metal. Eight sound premolars served as the controls. After thermomechanical fatigue testing, the samples were loaded until fracture occurred at an angle of 45 degrees. All specimens were evaluated for fracture lines. RESULTS: The sound teeth showed the significant highest fracture load (792.50+/-210.01 N). Conventionally cemented zirconium dioxide posts showed the lowest fracture load (327.00+/-45.84 N); the highest fracture load occurred with quartz fiber posts (421.75+/-90.19 N). Only the difference between these two groups was statistically significant. With glass fiber posts and conventionally cemented zirconia posts, restored teeth failed mostly in an "unfavourable" mode. CONCLUSIONS: With respect to the fracture load, there was no statistical difference between the restoration of non-vital premolars with class II cavities with crowns and posts or crowns alone.

Effects of prosthetic treatment for shortened dental arches on oral health-related quality of life, self-reports of pain and jaw disability: results from the pilot-phase of a randomized multicentre trial.

A multi-centre randomized clinical trial is under way at 14 university dental schools in Germany to compare prosthodontic treatments for the shortened dental arch (SDA). One of the aims of this pilot-study was to measure the effect of two treatment options of the SDA on oral health-related quality of life and on the Research Diagnostic Criteria (RDC) for temporomandibular disorders (TMD). Thirty-four patients participated in the pilot-study. Inclusion criteria were: all molars were missing and the presence of at least both canines and one premolar in each quadrant. Participants were randomly assigned to receive either removable partial dentures including molar replacement (RPD_group) or retain a premolar occlusion (PROC_group). The Oral Health Impact Profile (OHIP-49) and the RDC for TMD were completed by participants before treatment (pre-treatment), 6 weeks (6 wks), 6 months (6m) and 12 months (12 m) after treatment. At the 12-month follow up, data of 10 women and 11 men (mean age: 62 +/- 10 years) were available. Medians of the OHIP total-scores were as follows: RPD (n = 10), 43.5 (pre-treatment), 18.2 (6 wks), 13.3 (6m), 14.7 (12 m). PROC (n = 11): 31.8 (pre-treatment), 27.1 (6 wks), 8.8 (6m), 8.3 (12 m). Significant differences were shown for RPD_group between pre-treatment and 6m/12 m and for PROC_group between pre-treatment and 6m. There were no significant differences between treatment groups at any time. Within each group, an improvement of life-quality was observed. No significant difference could be reported between the two therapy concepts. This may be due to the low sample size within the pilot study.

Fracture resistance of posterior metal-free polymer crowns.

STATEMENT OF PROBLEM: Improved mechanical properties of contemporary composites has resulted in the extended use of composites for the restoration of posterior teeth. Although the indication of polymers was extended to metal-free individual crowns, the influence of tooth preparation design and cementation methods on the stability of these artificial crowns remains unknown. PURPOSE: This in vitro study evaluated the effect of axial tooth preparation design, occlusal dimension, and cementation technique on the fracture resistance of metal-free posterior Artglass crowns. MATERIAL AND METHODS: Seventy-two extracted human third molars, assigned to experimental groups by size, received standardized tooth preparation. Axial tooth preparation included an invasive approach with 1-mm deep shoulder and a less invasive 0.5-mm chamfer preparation, whereas occlusal reduction was either 0.5 mm or 1.3 mm. Artglass crowns that restored the original tooth contour were cemented with 3 cements: zinc phosphate cement (ZnP), glass ionomer cement (GIC), or a resinous cement in combination with a dentinal bonding agent. After 10,000 thermal cycles between 5 degrees C and 55 degrees C, artificial crowns were vertically loaded until compression to failure. Significant differences of fracture loads between experimental groups were assessed by paired Mann-Whitney U tests. RESULTS: Minimal fracture resistance for all combinations excluded 500 N. However, 9 of 24 Artglass crowns cemented with ZnP loosened after thermocycling. Adhesive cementation resulted in a significantly greater fracture resistance compared with GIC and ZnP (P=.02). Increased occlusal thickness (0.5 to 1.3 mm) resulted in greater stability, whereas a 1-mm deep shoulder tooth preparation did not improve durability compared with a 0.5-mm chamfer finishing line. CONCLUSION: A minimally invasive 0.5-mm axial chamfer tooth preparation combined with sufficient occlusal reduction and adhesive cementation recorded the greatest stability for posterior metal-free Artglass crowns.

Variability of disk position in asymptomatic volunteers and patients with internal derangements of the TMJ.

This study determined the variability of temporomandibular joint (TMJ) disk position in medial, central, and lateral aspects of the joint using magnetic resonance imaging (MRI). Subjects had clinical evidence of reciprocal TMJ clicking (N = 123) or restricted mandibular motion (N = 52). Eighty-nine asymptomatic volunteers provided a control group. Disk position was quantified on MRI by measuring the angle formed by a line through the middle of the condyle and perpendicular to the Frankfort plane and a line through the same midpoint of the condyle and tangential to the posterior-most aspect of the disk. The disk position in asymptomatic TMJs varied considerably with a tendency toward farther anterior placement in more lateral images. In 47 TMJs from a total of 52 TMJ5 (90%), restricted mobility was associated with anterior disk displacement (ADD) without reduction. The disk position demonstrated a mean displacement of 77 degrees without significant differences at the medial and lateral aspects of the condyle. One hundred TMJs from a total of 123 TMJs (81%) with reciprocal clicking demonstrated ADD with reduction. Tomograms revealed larger lateral displacements or rotational displacements in these joints, whereas medial images frequently showed similar ranges of disk positions as compared with asymptomatic TMJs. The results suggest that disk positions of up to +15 degrees on medial tomograms and +30 degrees on lateral tomograms should be regarded as normal variations. Furthermore, multisection analysis of all parasagittal images improved the separation between disk displacement and asymptomatic TMJs.

A new design for all-ceramic resin-bonded fixed partial dentures.

After 7 years of clinical experience, the alumina ceramic, In-Ceram, can be regarded as a well-proven material for all-ceramic crowns. Because of its high strength, this material can also be used for small all-ceramic fixed partial dentures. First attempts at using this material for resin-bonded prostheses revealed a high failure rate. The aim of this article is to present a new preparation design for all-ceramic resin-bonded fixed partial dentures that allows fabrication of highly esthetic and also tooth-saving adhesive prostheses. Clinical results over a period of 4 years revealed that they are strong enough to replace anterior teeth. Nevertheless, positive long-term clinical results are necessary before a general recommendation can be given for this kind of prosthesis.

Evaluation of diagnostic criteria from computerized axiography to detect internal derangements of the TMJ.

Objective of this study was to evaluate the diagnostic value of 3-D computed axiography to detect anterior disk displacements (ADD) of the TMJ. 65 patients with MRI confirmed ADD with reduction and 27 patients with ADD without reduction were examined by 3-D computed axiography. 44 healthy volunteers with normal disk position and joint function served as controls. A descriptive analysis of the axiographic opening/closing cycle revealed significantly higher rates of abrupt deviations, accelerations/decelerations, and crossings for ADD with reduction compared to healthy volunteers. A new axiographic index reduced the number of false positive to 10% and false negative to 14% of the diagnosis. ADD without reduction was characterized by significantly shorter opening curves. The optimum split point at 11 mm, resulted in 10% false positive and 20% false negative diagnosis. However, the diagnostic value of computed axiography was reduced by the significant influence of the clicking or limited joint on the contralateral TMJ.

All-ceramic resin-bonded bridges. A 3-dimensional finite-element analysis study.

Resin-bonded fixed partial dentures (FPD) with a metal framework have some disadvantages: a grey shimmer of the metal wings through the abutment teeth, a higher corrosion rate, and an allergenic potential of the non-precious alloys used. The Al2O3 ceramic In-Ceram seems to be strong enough to serve as a framework for resinbonded all-ceramic FPDs. Because of the fact that ceramic wings often don't have enough inter-occlusal space, a new preparation design was developed. The objective of this study was to determine the influence of load orientation (45 degrees and 60 degrees) and the design of the interproximal connector on the stress distribution in the bridges. A 3-dimensional finite-element model was developed to simulate the anatomical situation. The biting force was assumed as 250 N and oriented in oro-buccal direction. The loading-point was palatal 1.5 mm beneath the incisal edge. It was found that stress generally increased with an angle of the biting force of 60 degrees. A small interdental connector (3 mm height) and/or strong interdental separation resulted in stresses of up to 455 MPa (45 degrees) or 534 MPa (60 degrees). Less separation with rounded edges and a higher connector (4 mm) reduced the stress to 122 MPa (45 degrees) and 143 MPa (60 degrees). Due to an average tensile strength of In-Ceram at 340-400 MPa, an all-ceramic resin-bonded FPD may only be recommended if the height of the connector could be minimum 4 mm. Rounded edges and little interdental separation are significant for stress reduction.

Clinical factors affecting adhesive fixed partial dentures: a 6-year study.

One hundred forty-one adhesive fixed partial dentures were placed under controlled conditions for a 6-year longitudinal study. The influence of location (anterior/posterior, maxilla/mandible), tooth preparation techniques (retentive/less invasive), and four different methods of metal conditioning (sandblasting/electrolytic etching and/or pyrolytic/tribochemical silane coating) on the survival rate was investigated. Failures (23 of 24) were caused by loss of adhesion at the metal-cement interface. The retentive tooth preparation reduced the risk of failure to almost one twentieth, but the intraoral location did not influence survival time. The effect of silane-coating on longevity was extremely positive and was not reflected by successful retainers.