Visual and digital comparative tooth colour assessment methods and atomic force microscopy surface roughness.

This study compared digital and visual colour tooth colour assessment methods in a sample of 99 teeth consisting of incisors, canines and pre-molars. The teeth were equally divided between Control, Ozicure Oxygen Activator bleach and Opalescence Quick bleach and subjected to three treatments. Colour readings were recorded at nine intervals by two assessment methods, VITA Easyshade and VITAPAN 3D MASTER TOOTH GUIDE, giving a total of 1782 colour readings. Descriptive and statistical analysis was undertaken using a GLM test for Analysis of Variance for a Fractional Design set at a significance of P < 0.05. Atomic force micros copy was used to examine treated ename surfaces and establish surface roughness. Visual tooth colour assessment showed significance for the independent variables of treatment, number of treatments, tooth type and the combination tooth type and treatment. Digital colour assessment indicated treatment and tooth type to be of significance in tooth colour change. Poor agreement was found between visual and digital colour assessment methods for Control and Ozicure Oxygen Activator treatments. Surface roughness values increased two-fold for Opalescence Quick specimens over the two other treatments, implying that increased light scattering improved digital colour reading. Both digital and visual colour matching methods should be used in tooth bleaching studies to complement each other and to compensate for deficiencies.

Tooth colour change with Ozicure Oxygen Activator: a comparative in vitro tooth bleaching study.

INTRODUCTION: This in vitro study compared a new tooth bleaching product, Ozicure Oxygen Activator (O3, RSA) with Opalescence Quick (Ultradent, USA) using a randomised block design to assess tooth colour change. AIM: Colour change, stability and relapse in canine, incisor and premolar teeth was assessed following three bleach treatments and subsequent tooth colour assessment. METHODS: Ninety nine teeth (canines, incisors and premolars), which were caries free, had no surface defects and were within the colour range 1M2 and 5M3 were selected. Teeth were randomly divided into the three experimental groups: Opalescence Quick, Ozicure Oxygen Activator and control. The three experimental groups received three treatments of one hour each over three consecutive days. Tooth colour was assessed using the Vitapan 3D Master Tooth Guide (VITA, Germany). A General Linear Models test for analysis of variance for a fractional design with significance set at P < 0.05 was used to test for significance. RESULTS: Both bleaching methods significantly lightened the teeth (P < 0.0001). Tooth colour change was mainly after the first hour of tooth bleaching. The tooth type was significant in tooth colour change (P = 0.0416). Tooth colour relapse and resistance to colour change were observed. CONCLUSIONS: Ozicure Oxygen Activator bleached teeth in a manner and to an extent similar to Opalescence Quick.

WO3 nano-spheres into W18O49 one-dimensional nano-structures through thermal annealing.

We elaborate the size controlled synthesis of nano-spheres and nano-crystals of WO3 by ultrasonic spray pyrolysis. The as-deposited particles are predominantly spherical in shape and tend to exhibit less agglomeration and a decrease in diameter as the process temperature is increased. Characterization was carried out using transmission (TEM) and scanning (SEM) electron microscopy, energy dispersive X-ray spectroscopy (EDS) and X-ray diffraction (XRD). One-dimensional nano-structures with the highest yield of WOx nano-wires were observed in a sample synthesized at 500 degrees C but only after thermal annealing of this sample at 500 degrees C for 17 hour in flowing argon. XRD revealed a high deficiency in oxygen in all samples suggesting that the nano-structures are transformed to sub-oxides of tungsten. Micro-diffraction patterns of a typical nano-wire reveal the monoclinic phase of W18O49.

Fabrication of a nanostructured gold-polymer composite material.

A facile synthesis route is described for the preparation of a poly-(o-aminophenol)-gold nanoparticle composite material by polymerization of o-aminophenol (AP) monomer using HAuCl(4) as the oxidant. The synthesis was carried out in a methanol medium so that it could serve a dual solvent role, a solvent for both the AP and the water solution of HAuCl(4). It was found that oxidative polymerization of AP leads to the formation of poly-AP with a diameter of 50+/-10nm, while the reduction of AuCl(4) (-) results in the formation of gold nanoparticles ( approximately 2nm). The gold nanoparticles were uniformly dispersed and highly stabilized throughout the macromolecular chain that formed a uniform metal-polymer composite material. The resultant composite material was characterized by means of different techniques, such as UV-vis, IR and Raman spectroscopy, which offered the information about the chemical structure of polymer, whereas electron microscopy images provided information regarding the morphology of the composite material and the distribution of the metal particles in the composite material.

Formation of palladium nanoparticles in poly (o-methoxyaniline) macromolecule fibers: an in-situ chemical synthesis method.

We report here a novel in-situ synthetic method for the preparation of poly (o-methoxyaniline) and palladium nanoparticle composite material. Ortho-Methoxyaniline and palladium acetate were used as the precursors; during the reaction o-methoxyaniline was oxidized and forms poly (o-methoxyaniline) and palladium acetate is reduced forming palladium nanoparticles. IR and Raman spectra provide information on the structure of the polymer. The TEM and SEM analysis are used to determine the size of the nanoparticles and the morphology of the polymer respectively.

Do junior doctors take sick leave?

Nosocomial infections place a heavy burden on overstretched health services. An audit of junior doctors' sick leave behaviour was undertaken in 1993 and again in 2001. The object was to ascertain the level of common infectious illness and to investigate whether junior doctors were remaining at work inappropriately. The doctors were asked if any factors had influenced their decision to take sick leave or not. Between the two audits several initiatives have been introduced to improve the working conditions of junior doctors, including the New Deal to reduce hours of work. Eighty one junior doctors in a large teaching hospital participated in 1993 and 110 in 2001. The number reporting an infectious illness in the previous six months was similar (61.7% in 1993, 68.2% in 2001). There had been a significant increase in the percentage of infectious illness episodes for which the doctors took sick leave (15.1% in 1993, 36.8% in 2001, p < 0.001). The most common reason for taking less sick leave than was felt necessary was concern about colleagues having to do extra work (72% in 1993, 68% in 2001). Consultant pressure was cited by 26% (1993) and 20% (2001). Use of the staff occupational health unit was minimal, with none of the ill doctors contacting the department in 1993 and only three in 2001. Overall, despite the reduction in the number of infectious doctors not taking sick leave, the majority remained at work. Fundamental changes are needed if potentially infected doctors are not to present a risk of iatrogenic infection.

Marginal seal composition in amalgam restored teeth of varying marginal leakage.

An in vitro study was performed to ascertain the marginal seal elemental composition of amalgam restored extracted teeth of known marginal leakage. Occlusal cavities were cut in 400 caries free extracted teeth and left unlined or lined with one of 5 bases. A varnish was applied to half the cavities followed by restoration with a low copper or high copper amalgam to produce 20 restoration combinations. The teeth were stored in 1 per cent NaCl and thymol for 3 and 12 months at 20 degrees C whereafter a standard fluorescent dye marginal leakage test was performed on 320 specimens (eight teeth per treatment). Restoration combinations were grouped into 4 seal classes depending on percentage marginal seal achieved for each combination: 0-25 per cent; 26-50 per cent; 51-75 per cent and 76-100 per cent. The 80 remaining teeth (2 teeth per treatment) were fractured to expose the restoration and cavity surface, covered with marginal seal material and this was analysed by energy dispersive X-ray analysis. Elemental seal composition was compared to percentage marginal seal achieved using ANOVA and Tukey's test with significance set at p < 0.05. Numbers of elemental analysis specimens falling into each marginal seal class was 0-25 per cent = 48; 26-50 per cent = 18; 51-75 per cent = 10; 76-100 per cent = 4. Of the 16 elements detected, nine were significantly linked to sealing/leakage: Ca, Cl, Cu, Mg, Hg, P, Ag, Sn and Zn. The findings have a bearing on the improved longevity of amalgam restorations.

Method for jet polishing two-phase materials.

A two-stage jet polishing technique is described which, utilising the effects of the characteristic current-voltage behaviour of electropolishing solutions, can produce excellent TEM foils of relatively coarse two-phase materials.

Influence of amalgams, bases, and varnish on seal composition at restoration tooth interfaces.

Eighty extracted, noncarious premolars were restored with one of 20 different combinations of restorative materials: a high- or low-copper amalgam, unlined or lined with one of five bases, and varnished or unvarnished. The teeth were aged in 1% NaCl and after 3 months and 1 year the seal material deposited on the cut tooth cavity surface and the surface of the amalgam restoration was analyzed by use of energy dispersive x-ray analysis. Atomic weight percentages of marginal seal elements were statistically examined with ANOVA and Tukey's test with significance set at p < 0.05. The results indicated that only one type of seal was formed centered around tin. More marginal seal material was present in the 1-year specimens. Restoration materials used affected the deposition rate of marginal seal material. Low-copper amalgam-restored teeth formed more seal material with significantly greater amounts of chlorine and tin. Less marginal seal material was found in varnished cavities. A calcium hydroxide base produced a thick marginal seal with a significantly different composition of elements compared with the unlined and zinc-based specimens. Tin in Poly-F Plus polycarboxylate cement did not significantly increase the tin content of the marginal seal. Base materials can play a role in determining crevice pH. The findings have bearing on improved longevity of amalgam restorations.

Antibiotic sensitivity of Pasteurella haemolytica isolated by means of a fibreoptic endoscope from cases of pneumonic pasteurellosis in cattle.

Bacterial isolations from tracheal and bronchial washes obtained with the aid of a fibreoptic endoscope were carried out over a 7 month period in a feedlot on calves suffering from acute pneumonic pasteurellosis. Pasteurella haemolytica and Pseudomonas aeruginosa represented the majority of isolates. Antibiotic sensitivities of the Pasteurella isolates are reported on.

The use of extraction replicas in scanning electron microscopy for the elemental analysis of marginal seals.

Elemental analysis of marginal seal material on 20 bulk samples of occlusally restored teeth have shown that, generally, more elements were detected in the seal material analyzed on the bulk restoration or fractured tooth surfaces than when such material was extracted using a nitrocellulose replica prior to analysis. No mercury was detected in any of the extracted seal material and only three of the replica specimens contained silver. This implies that the technique of using extraction replicas to remove material from the amalgam-tooth interface for subsequent x-ray microanalysis can provide an accurate elemental composition. The details of fabrication and the advantages of using high resolution nitrocellulose replicas for extracting marginal seal material from teeth for subsequent x-ray microanalysis are described.

Antibiotic serum activities against bacterial isolations from cases of bovine pneumonic pasteurellosis in feedlot calves.

The serum bactericidal activity test was carried out in two groups of 7 calves each suspected to be suffering from pneumonic pasteurellosis. The diagnosis was based on clinical signs, endoscopic examination and bacteriological investigations. The first group of seven calves received oxytetracycline at a dosage rate of 10 mg kg-1 once a day. A second similar group received penicillin at 30,000 IU kg-1 once a day. Results showed that the correlation between antibiograms, serum bactericidal activity and clinical response may be good for oxytetracyclines and poor for penicillin. The serum bactericidal activity test may be a good method to establish effective dosages for certain antibiotics in the treatment of pneumonic pasteurellosis.

Elements in marginal seals at amalgam-tooth interfaces.

X-ray micro-analysis was used to determine the elemental composition of the tooth, amalgam, and base material of ten aged, amalgam-restored, posterior teeth after they had been fractured across the amalgam-tooth interface. Subsequently, replicas were used to remove marginal seal material from each interface for examination by x-ray micro-analysis. The results show that P and Sn were present in all marginal seal material analyzed. Ca, Cl, Cu, Fe, S, and Zn were present in the marginal seals of various numbers of specimens.

Successful transfer of embryos recovered from a cow with chronic cervicitis of mixed aerobic and anaerobic bacterial aetiology a case report.

An imported 13-year-old Simmentaler cow was presented with severe purulent cervicitis and endometritis from which Corynebacterium pyogenes , Fusobacterium necrophorum , Bacteroides melaninogenicus and an untyped Clostridium perfringens were isolated. The endometritis responded to treatment but the cervix did not and remained fibrous, continuously patent and purulent. Natural pregnancy was considered unlikely and the cow was prepared as an embryo transfer donor. Eight embryos were recovered and six transferred, resulting in five confirmed pregnancies and four live births.

The suitability of various adhesives as mounting media for scanning electron microscopy. I. Epoxies, sprays and tapes.

Fifty-six relatively commonly used epoxies, sprays and tapes have been tested with respect to properties that are, or may be, important if they were to be used as scanning electron microscopy sample mounting adhesives. Recommendations are made as to the most appropriate adhesive for each type of mounting media.

Emergence of multiply resistant pneumococci.

Multiple antimicrobial resistance in pneumococci was detected in Johannesburg in July, 1977, and prompted an investigation of the prevalence of resistant strains in two hospitals. Carriers of Types 6A and 19A penicillin-resistant pneumococci, resistant to antibiotic concentrations ranging between 0.12 and 4 microgram per milliliter were found in 29 per cent of 543 pediatric patients and 2 per cent of 434 hospital staff members. Multiply resistant Type 19A strains, resistant to beta-lactam antibiotics, erythromycin, clindamycin, tetracycline and chloramphenicol, were isolated from 128 carriers, and were responsible for bacteremia in four patients. Isolates from 40 other carriers were resistant to penicillin alone or to penicillin and chloramphenicol or to penicillin, chloramphenicol and tetracycline. Pneumococci can be screened for penicillin resistance with a modified Kirby--Bauer technic; the strains with zones of less than 35 mm around 6-microgram penicillin disks or less than 25 mm around 5-microgram methicillin disks should be tested for sensitivity to penicillin by measurements of minimum inhibitory concentration.

Epidemic listeriosis. Report of 14 cases detected in 9 months.

During the period August 1977 to April 1978, 14 Black patients in Johannesburg area had systemic infections caused by Listeria monocytogenes. Nine of these patients were neonates who presented with septicaemia (5 cases) or septicaemia and meningitis (4 cases) and 5 were adults, all of whom had meningitis. The mortality rate was 43% (6/14), with 4 neonatal and 2 adult deaths. All isolates of L. monocytogenes were type 4b. Only sporadic cases of human listeriosis have previously been reported in South Africa, and the cases reported here constitute the first epidemic in this country.