Comparative Evaluation of Sorption and Solubility of Core Buildup Materials in Different pH Media: An In-Vitro Study.

AIM: To evaluate and compare the sorption and solubility of two different core buildup materials in different pH media for periods of one day, one week, and one month. MATERIALS AND METHOD: Sixty samples were prepared and divided into Group A (30 resin-based samples) and Group B (30 glass ionomer cement (GIC)-based samples). The sorption and solubility of the different materials were calculated by weighing the samples before and after desiccation and media immersion for periods of one day, one week, and one month. Groups were compared using the Mann-Whitney U test, and for different media, the intragroup significance of the mean difference was performed using the Friedmann test and Wilcoxon signed rank test at a significance level of p<0.05. RESULTS: After immersion for different time periods, the resin-based core buildup material (Core X flow) showed less sorption and solubility as compared to the glass ionomer-based core buildup material (Secure Core Z) for all time periods, with a significant difference seen for a time period of one week and one month and being nonsignificant for a time period of one day. CONCLUSION: Core X flow had lower sorption and solubility values when compared to Secure Core Z, as per the International Organization for Standardization (ISO) 4049 standards, except for a one-month time period in alkaline media.

New optimization strategies for SWMM modeling of stormwater quality applications in urban area.

Build-up/wash-off models were originally developed for small-scale laboratory facilities with uniform properties. The effective translation of these models to catchment scale necessitates the meticulous calibration of model parameters. The present study combines the Mat-SWMM tool with a genetic algorithm (GA) to improve the calibration of build-up and wash-off parameters. For this purpose, Mat-SWMM was modified to equip it with the capacity to provide comprehensive water quality analysis outcomes. Additionally, this research also conducts a comparative examination of two distinct types of objective functions in the optimization. Rather than depending on previous literature, this study undertook a numerical campaign to ascertain an appropriate range for the relevant parameters within the case study, thereby ensuring the optimization algorithm's efficient functionality. This research also implements an integrated event calibration approach, i.e., a novel method that calibrates all rainfall events collectively, thus improving systemic interaction representation and model robustness. The findings indicate that employing this methodology significantly enhances the reliability of the outcomes, thereby establishing a more robust procedure. The first objective function (TSS instantaneous less squared difference function, OF 1), which is widely employed in the literature, was designed to minimize the difference between observed and predicted instantaneous Total Suspended Solids (TSS) concentrations. In contrast, the second function (mass and mass peak consistency function, OF 2) considers integral model outputs, i.e., the overall mass balance, the time of the peak mass flow rate, and its intensity. The analysis of the outputs revealed that both objective functions demonstrated sufficient performance. OF 1 provided slightly better performance in predicting the TSS concentrations, whereas OF 2 demonstrated superior ability in capturing global event characteristics. Notably, the optimal parameter set identified through OF 2 aligned with the physically plausible ranges traditionally recommended in technical manuals for urban catchments. In contrast, OF 1's optimal set necessitated an expansion in the acceptable parameter ranges. Finally, from a computational burden viewpoint, OF 1 demanded a significantly higher number of function evaluations, thus implying an escalating computational cost as the range expands. Conversely, OF 2 necessitated fewer evaluations to converge toward the optimal solution.

Mechanical properties and degree of conversion of resin-based core build-up materials and short fiber-reinforced flowable resin-based composite.

To evaluate the degree of conversion (DC), surface hardness (SH), and flexural strength (FS) of resin-based core build-up materials. Core build-up materials used were: MultiCore Flow (MCF); Activa (ACT); Core-X Flow (CXF); and everX flow (EVX), and DC, SH and FS were measured. An increase of DC was identified for all materials post-cure, except for EVX. The DC change percentage ranged from 5%-33%, and EVX was displayed the greatest DC rate. All materials displayed an SH increase after 30 days and the greatest increase was observed in ACT. At 1 h, the SH of EVX and CXF was different from the other materials. At 30 days, MCF displayed the greatest SH. All materials displayed an increase in their FS after 30 days except for EVX, and ranging 3%-36% were noticed. Differences observed between materials, thus clinician should be acquainted mechanical properties of these materials to ensure the success of the restorations.

Parameterization of nutrients and sediment build-up/wash-off processes for simulating stormwater quality from specific land uses.

Urbanization changes land cover through the expansion of impermeable surfaces, leading to a significant rise in runoff, sediment, and nutrient loading. The quality of stormwater is related to land use and is highly variable. Currently, stormwater is predominantly described through watershed models that rely minimally, if at all, on field monitoring data. The simple event mean concentration (EMC) wash-off approach by land use is a common method for estimating urban runoff loads. However, a major drawback of the EMC approach is it assumes concentration remains constant across events for a specific land use. Build-up/wash-off equations have been formulated to consider variations in concentration between events. However, several equation parameters are challenging to estimate, making them difficult to use. We conducted a monitoring and modeling study and investigated the impact of land use on stormwater quantity and quality and optimized and investigated the build-up/wash-off parameters for three homogenous urban land uses to estimate nutrients (nitrogen and phosphorus) and sediment loads. Stormwater from commercial, medium-density residential, and transportation land uses was sampled using automatic samplers during storm events, and water quality was characterized for a variety of them for 14 months. Analysis of stormwater samples included assessments for total nitrogen, total phosphorus, and total suspended solids. Results showed that medium-density residential land use had the highest median total nitrogen and total phosphorus event mean concentrations and commercial had the highest median total suspended solids EMCs. Water quality parameters (or build-up/wash-off parameters) exhibited significant variation between land uses, confirming that land use is a key determinant of stormwater quality. The median particle size for each land use was less than 150 µm, indicating that the most common particle size in stormwater was a very fine sand or smaller. This small size should be considered by stakeholders in the design of stormwater treatment systems.

The effect of electron backscatter and charge build up in media on beam current transformer signal for ultra-high dose rate (FLASH) electron beam monitoring.

Objective.Beam current transformers (BCT) are promising detectors for real-time beam monitoring in ultra-high dose rate (UHDR) electron radiotherapy. However, previous studies have reported a significant sensitivity of the BCT signal to changes in source-to-surface distance (SSD), field size, and phantom material which have until now been attributed to the fluctuating levels of electrons backscattered within the BCT. The purpose of this study is to evaluate this hypothesis, with the goal of understanding and mitigating the variations in BCT signal due to changes in irradiation conditions.Approach.Monte Carlo simulations and experimental measurements were conducted with a UHDR-capable intra-operative electron linear accelerator to analyze the impact of backscattered electrons on BCT signal. The potential influence of charge accumulation in media as a mechanism affecting BCT signal perturbation was further investigated by examining the effects of phantom conductivity and electrical grounding. Finally, the effectiveness of Faraday shielding to mitigate BCT signal variations is evaluated.Main Results.Monte Carlo simulations indicated that the fraction of electrons backscattered in water and on the collimator plastic at 6 and 9 MeV is lower than 1%, suggesting that backscattered electrons alone cannot account for the observed BCT signal variations. However, our experimental measurements confirmed previous findings of BCT response variation up to 15% for different field diameters. A significant impact of phantom type on BCT response was also observed, with variations in BCT signal as high as 14.1% when comparing measurements in water and solid water. The introduction of a Faraday shield to our applicators effectively mitigated the dependencies of BCT signal on SSD, field size, and phantom material.Significance.Our results indicate that variations in BCT signal as a function of SSD, field size, and phantom material are likely driven by an electric field originating in dielectric materials exposed to the UHDR electron beam. Strategies such as Faraday shielding were shown to effectively prevent these electric fields from affecting BCT signal, enabling reliable BCT-based electron UHDR beam monitoring.

Comparative Evaluation of Fracture Toughness and Flexural Strength of Four Different Core Build-up Materials: An In Vitro Study.

AIM: To evaluate and compare the fracture toughness and flexural strength of four different core build-up materials. MATERIALS AND METHODS: A total of 60 samples were divided into four groups (n = 15) group I: dual cure composite resin reinforced with zirconia particles (Luxacore Z), group II: light cure composite resin (Lumiglass DeepCure), group III: zirconia reinforced glass ionomer cement (GIC) (Zirconomer Improved), and group IV: chemically cure composite resin (Self Comp) respectively. All the core build-up materials were manipulated according to the manufacturer's instructions and poured into the mold. A universal testing machine applied a central load to the specimen in a 3-point bending mode. Fracture of the specimen was identified and the reading was recorded by the universal testing machine. The data were analyzed statistically using one-way analysis of variance (ANOVA) and then compared. RESULTS: Group I showed the highest flexural strength (48.65 MPa) among all the groups while group IV showed the lowest flexural strength (17.90 MPa). Group I showed the highest fracture toughness (99.12 MPa) among all the groups while group IV showed the lowest fracture toughness (36.41 MPa.cm-0.5). When mean flexural strength and fracture toughness values of all four groups were compared by using one-way ANOVA, the compared data was highly significant. CONCLUSION: Based on the findings of this study, dual cure composite resin was the material of choice in terms of flexural strength and fracture toughness for core build-up material followed by light cure composite resin. CLINICAL SIGNIFICANCE: The core buildup material serves to strengthen the tooth structure, allowing it to withstand the forces of chewing and preventing the risk of tooth fractures. This material is essential in restoring damaged or decayed teeth, as it provides a stable foundation for further dental work. By reinforcing the tooth structure, the core buildup material ensures that the tooth can function properly and remain healthy for years to come. How to cite this article: Nakade P, Thaore S, Bangar B, et al. Comparative Evaluation of Fracture Toughness and Flexural Strength of Four Different Core Build-up Materials: An In Vitro Study. J Contemp Dent Pract 2024;25(2):191-195.

Bypassing the build-up phase for oral immunotherapy in shrimp-allergic children.

Background: Oral immunotherapy is an effective treatment for food allergies; however, its use in clinical practice is limited by resources and lack of standardized protocols for foods other than peanut. Previous studies have suggested that shrimp has a higher threshold for reaction than other allergenic foods, suggesting it may be safe to directly administer maintenance doses of immunotherapy. Methods: Children aged 3-17 years who had 1) skin prick test ≥3 mm and/or specific IgE level ≥0.35 kU/L and convincing objective IgE-mediated reaction to shrimp, or 2) no ingestion history and specific IgE level ≥5 kU/L, underwent a low-dose oral food challenge to 300 mg shrimp protein, with the goal of continuing daily ingestion of the 300 mg maintenance dose as oral immunotherapy. Results: Between January 2020 and April 2023, 17 children completed the low-dose oral food challenge. Nine (53%) tolerated this amount with no reaction, and 8 (47%) had a mild reaction (isolated oral pruritis or redness on chin). Sixteen (94%) continued maintenance low-dose oral immunotherapy eating 300 mg shrimp protein daily. None of the patients developed anaphylaxis related to the immunotherapy. Conclusion: Our case series suggests that some shrimp allergic patients being considered for oral immunotherapy should be offered a low-dose oral food challenge, to potentially bypass the build-up phase of immunotherapy.

Structurally compromised teeth. Part II: A novel approach to peripheral build up procedures.

OBJECTIVE: To introduce the "Peripheral Build-Up technique - PBUt" as a foundation restoration strategy for structurally compromised teeth (SCT). CLINICAL CONSIDERATIONS: Several strategies have been proposed over time (cervical marginal relocation, doughnut, and preformed ring techniques) to enable the management of restorative procedures in challenging situations such as the presence of deep subgingival defects. The PBUt is a versatile, completely additive direct technique that share some strategical concepts with these techniques to approach critical clinical situations while supplying a wider field of application thanks to distinct operative expedients. The clamp insertion modality, the extension of the proximal wall and the matrix customization/stabilization strategies adopted in PBUt endorse the possibility to manage the most apical and peripheral border of the residual tooth structure when located up to >1.5 mm above the bone crest. The periodontal response has to be then monitored over time. Moreover, thanks to the peripheral and apically-extended addictive approach, it allows a massive preservation of residual sound tooth structure and improves the resistance and retentive physical/geometrical features of the abutment tooth. The PBUt operative workflow is herein explained. CLINICAL SIGNIFICANCE: The Peripheral-Build-Up technique (PBUt) advocates some innovative clinical restorative steps for the management of SCT with coronal and deep subgingival defects.

Expanded porous-starch matrix as an alternative to porous starch granule: Present status, challenges, and future prospects.

Exposing the hydrated-soft-starch matrix of intact grain or reconstituted flour dough to a high-temperature-short-time (HTST) leads to rapid vapor generation that facilitates high-pressure build-up in its elastic matrix linked to large deformation and expansion. The expanded starch matrix at high temperatures dries up quickly by flash vaporization of water, which causes loss of its structural flexibility and imparts a porous and rigid structure of the expanded porous starch matrix (EPSM). EPSM, with abundant pores in its construction, offers adsorptive effectiveness, solubility, swelling ability, mechanical strength, and thermal stability. It can be a sustainable and easy-to-construct alternative to porous starch (PS) in food and pharmaceutical applications. This review is a comparative study of PS and EPSM on their preparation methods, structure, and physicochemical properties, finding compatibility and addressing challenges in recommending EPSM as an alternative to PS in adsorbing, dispersing, stabilizing, and delivering active ingredients in a controlled and efficient way.

Predicting stormwater nitrogen loads from a cold-region urban catchment in year 2050 under the impacts of climate change and urban densification.

Urban stormwater is a primary source of pollution for receiving water, but there is a shortage of studies on pollutant loads from urban catchments in cold regions. In this study, we coupled a build-up and wash-off model (in Mike Urban) with a climate change model to assess the impacts of climate change and urban densification on stormwater nitrogen loads (TN, TKN, NOx-N, and TAN) in an urban catchment in Canada. We calibrated and validated the Mike Urban model against observed event mean concentrations and nitrogen loads from 2010 to 2016. Results show that the nitrogen loads were mainly governed by rainfall intensity, rainfall duration, and antecedent dry days. Future precipitation data were downscaled using the Global Climate Models (GCMs), and three different Representative Concentration Pathways (RCP 2.5, RCP 4.5, and RCP 8.5) were used. Modeling results show that the TN, TKN, NOx-N, and TAN loads in 2050 will increase by 28.5 - 45.2% from May to September under RCP 2.5 compared to those from 2010 to 2016, by 34.6 - 49.9% under RCP 4.5, and by 39.4 - 53.5% under RCP 8.5. The increase of our projected TN load (from 1.33 to 2.93 kg·N/ha) is similar or slightly higher than the limited studies in other urban catchments. This study provides a reference for predicting stormwater nitrogen loads in urban catchments in cold regions.

Gamma-ray, fast neutron and ion shielding characteristics of low-density and high-entropy Mg-Al-Ti-V-Cr-Fe-Zr-Nb alloy systems using Phy-X/PSD and SRIM programs.

This study aimed to assess the radiation shielding properties of ten low-density high-entropy alloys (LWHEAs) using Phy-X/PSD software to analyze various shielding parameters, such as attenuation coefficients (µm and µ), mean free path (λ), effective atomic number (Zeff), and removal cross-section (ΣR), in the energy range of Image 1 to Image 2. A comprehensive evaluation was performed to compare the attenuation outcomes provided by HEAs with a range of shielding materials documented in the literature. The study also calculated the build-up factors (BUFs) of the alloys by using the GP-fitting interpolation method. The stopping power of the alloys against H1/He+2 ions was analyzed using the SRIM Monte Carlo code, considering total stopping power (TSP) and projected range (PR). The results indicated that HEA8 (Al3.88Cr14.95Mo27.58Nb26.71Ti13.76Zr13.11) had the best performance in terms of shielding against γ-rays, fast neutrons, and H1/He+2 ions, as it achieved the highest values of parameters such as µm, µ, Zeff, and ΣR, along with the lowest values of HVL, TVL, λ, BUFs (Image 3 Image 4), TSP, and PR. On the other hand, HEA10 (Mg10.77Al11.96Mn24.35Fe24.75Cu28.17) had the lowest BUFs in both lower (Image 5 Image 4) and higher (Image 6 Image 4) energy regions. The order of µm for the alloys was found to be HEA5

Evaluation of Compressive and Flexural Strengths of Two Resin-based Core Materials with an Alkasite Material: An In Vitro Study.

AIM: To compare and evaluate the compressive and flexural strengths of two resin-based core build-up materials with an alkasite material. MATERIALS AND METHODS: ParaCore, Tetric N ceram Bulk-fill composite, and Cention N were used. A total of 90 specimens were prepared. Customized cylindrical split molds of dimension 6 ± 1 mm (height) × 4 ± 1 mm (diameter) were used to fabricate 15 samples of each core material for testing the compressive strength and rectangular split metal molds of dimensions 25 ± 1 mm (length) × 2 ± 1 mm (width) × 2 ± 1 mm (height) were used to fabricate 15 samples of each core material for testing the flexural strength. Then the samples were tested using a Universal testing machine (UTM). RESULTS: The compressive and flexural strengths of Cention N were significantly less than ParaCore® but higher than Tetric® N-CeramTM Bulk-fill core build-up material. CONCLUSION: Within the limitations of this study, it was concluded that Cention N may be used as an alternative to other core build-up materials after further in-vitro and in-vivo studies. CLINICAL SIGNIFICANCE: Cention N had the added advantage that self-cure polymerization alone was sufficient to achieve good physical properties when compared to the other two resin-based core build-up materials.

Assessing the impact of urbanization on groundwater quality of lahore region, Pakistan.

Land use land cover (LULC) dynamics is an important aspect of environmental studies. Lahore is one of the wide-ranging urban cities in the world experiencing rapid development in the form of unplanned urban growth and industrialization, which leads to many adverse consequences. This research focuses on the study of spatio-temporal variability of urbanization and its impact on the water quality index (WQI) in Lahore city using remote sensing (RS) and geographical information systems (GIS). Landsat images (Landsat 7 ETM+, Landsat 8 OLI) between 2005 to 2021 were used to observe the changes in urban growth over seventeen years. GIS is used to create the LULC, normalized difference vegetation index (NDVI), and normalized difference built-up index (NDBI) maps, to study the urbanization impact on the WQI. The results of this study indicate that the groundwater quality of metropolitan Lahore city has significantly dropped within 17 years. The extent of the built-up area has been expanded from 22.4% to 953.04% with an increase in the poor WQI area from 1.95% to 37.89%, reveals a general decline in groundwater quality with urbanization. Indeed, the trends observed by the linear regression modelling showed a positive and negative correlation (R2 = 0.67 and -0.74) of WQI with % of urban and vegetation areas respectively. GIS and RS tools have been found effective in assessing spatio-temporal phenomena of urbanization and its impact on groundwater quality. Furthermore, this research would be very helpful in making decisions for managing groundwater resources and illegal urban expansion in Lahore city.

Low-density 3D-printed boluses with honeycomb infill in radiotherapy.

PURPOSE: Dosimetric characteristics of 3D-printed plates using different infill percentage and materials was the purpose of our study. METHODS: Test plates with 5%, 10%, 15% and 20% honeycomb structure infill were fabricated using TPU and PLA polymers. The Hounsfield unit distribution was determined using a Python script. Percentage Depth Dose (PDD) distribution in the build-up region was measured with the Markus plane-parallel ionization chamber for an open 10x10 cm2 field of 6 MV. PDD was measured at a depth of 1 mm, 5 mm, 10 mm and 15 mm. Measurements were compared with Eclipse treatment planning system calculations using AAA and Acuros XB algorithms. RESULTS: The mean HU for CT scans of 3D-printed TPU plates increased with percentage infill increase from -739 HU for 5% to -399 HU for 20%. Differences between the average HU for TPU and PLA did not exceed 2% for all percentage infills. Even using a plate with the lowest infill PDD at 1 mm depth increase from 44.7% (without a plate) to 76.9% for TPU and 76.6% for PLA. Infill percentage did not affect the dose at depths greater than 5 mm. Differences between measurements and TPS calculations were less than 4.1% for both materials, regardless of the infill percentage and depth. CONCLUSIONS: The use of 3D-printed light boluses increases the dose in the build-up region, which was shown based on the dosimetric measurements and TPS calculations.

Comparative evaluation of shear bond strength at the interface of monolithic zirconia with two distinct core build-up materials: An in vitro study.

Aim: The study aimed to evaluate and compare the shear bond strength (SBS) at the interface of monolithic zirconia with zirconomer (Zr) core build-up, a new type of glass ionomer cement to monolithic zirconia with composite resin core build-up material. Setting and Design: In vitro a comparative study. Materials and Methods: A total of 32 disk-shaped samples of monolithic zirconia and two distinct core build-up materials: Zr (n = 16) and composite resin (n = 16) were used. The two components, monolithic zirconia with Zr core build-up and monolithic zirconia with composite resin core build-up, were bonded using zirconia primer and self-adhesive, dual-cure cement. The samples were subsequently thermocycled, and the SBS was tested at their interfaces. The failure modes were determined using a stereomicroscope. Data were evaluated using the descriptive analysis for mean, standard deviation, confidence interval, and independent t-test for intergroup comparison. Statistical Analysis Used: Descriptive analysis, independent t-test, Chi-square test. Results: The mean SBS (megapascals) of monolithic zirconia to Zr core build-up (0.74) was statistically significant when compared to monolithic zirconia with composite resin core build-up material (7.25) (P ≤ 0.001). Zirconomer core build-up showed 100% adhesive failure; composite resin core build-up had 43.8% cohesive, 31.2% mixed, and 25.0% adhesive failures. Conclusion: When evaluating the two core build-up materials' bindings to monolithic zirconia, Zr and composite resin core build-up showed statistically significant differences. Although Zr has been demonstrated to be the optimal core build-up material; however, additional investigation is required to determine how it bonds to monolithic zirconia more effectively.

Finite Element Analysis of the Mechanical Performance of Non-Restorable Crownless Primary Molars Restored with Intracoronal Core-Supported Crowns: A Proposed Treatment Alternative to Extraction for Severe Early Childhood Caries.

Early childhood caries (ECC) involve extensive coronal tooth structure loss, and tooth reconstruction remains highly challenging. To fulfill preclinical assessment, the present study investigated the biomechanics of non-restorable crownless primary molars that were restored by stainless steel crowns (SSC) using different composite core build-up materials. Computer-aided design-integrated 3D finite element and modified Goodman fatigue analyses were performed to determine stress distribution, risk of failure, fatigue life and dentine-material interfacial strength for the restored crownless primary molars. A dual-cured resin composite (MultiCore Flow), a light-cured bulk-fill resin composite (Filtek Bulk Fill posterior), a resin-modified glass-ionomer cement (Fuji II LC) and a nano-filled resin-modified glass-ionomer cement (NRMGIC; Ketac N100) were used as core build-up composite materials in the simulated models. The finite element analysis showed that types of core build-up materials affected the maximum von Mises stress only in the core materials (p-value = 0.0339). NRMGIC demonstrated the lowest von Mises stresses and revealed the highest minimum safety factor. The weakest sites were along the central grooves regardless of type of material, and the ratio of shear bond strength to maximum shear stress at the core-dentine interface of the NRMGIC group was lowest among the tested composite cores. However, all groups provided lifetime longevity from the fatigue analysis. In conclusion, core build-up materials differentially influenced the von Mises stress (magnitude and distribution) and the safety factor in crownless primary molars restored with core-supported SSC. However, all materials and the remaining dentine of crownless primary molars provided lifetime longevity. The reconstruction by core-supported SSC, as an alternative to tooth extraction, may successfully restore non-restorable crownless primary molars without unfavorable failures throughout their lifespan. Further clinical studies are required to evaluate the clinical performance and suitability of this proposed method.

Clinical Application of a Customized 3D-Printed Bolus in Radiation Therapy for Distal Extremities.

In radiation therapy (RT) for skin cancer, tissue-equivalent substances called boluses are widely used to ensure the delivery of an adequate dose to the skin surface and to provide a radioprotective effect for normal tissue. The aim of this study was to develop a new type of three-dimensional (3D) bolus for RT involving body parts with irregular geometries and to evaluate its clinical feasibility. Two 3D-printed boluses were designed for two patients with squamous cell carcinoma (SCC) of their distal extremities based on computed tomography (CT) images and printed with polylactic acid (PLA). The clinical feasibility of the boluses was evaluated by measuring the in vivo skin dose at the tumor site with optically stimulated luminescence detectors (OSLDs) and comparing the results with the prescribed and calculated doses from the Eclipse treatment planning system (TPS). The average measured dose distribution for the two patients was 94.75% of the prescribed dose and 98.8% of the calculated dose. In addition, the average measured dose during repeated treatments was 189.5 ± 3.7 cGy, thus demonstrating the excellent reproducibility of the proposed approach. Overall, the customized 3D-printed boluses for the RT of distal extremities accurately delivered doses to skin tumors with improved reproducibility.

Effect of ultrasonic vibration on the presence of voids in core build-up materials.

The core build-up procedure is utilized to restore teeth with limited remaining coronal tooth structure. However, voids have been observed radiographically within composite resin- and glass ionomer-based core build-ups, potentially compromising the mechanical strength of a fully restored tooth and requiring build-up replacement before a final restoration can be delivered. The purpose of this in vitro study was to determine whether applying ultrasonic vibration during core build-up placement reduces the presence of radiographically detectable voids. A total of 120 acrylic resin mandibular premolar analogs were fabricated using a 3-dimensional printer and randomly allocated into 4 groups (n = 30). Dual-cured composite resin or glass ionomer core build-ups were placed with or without vibration. The final build-ups were assessed radiographically and rated by 3 independent calibrated clinicians based on a 4-category scale for the severity of voids. In an ordinal logistic regression model with the void severity rating as the outcome, a significant interaction was found for glass ionomer, composite resin, and the use of ultrasonic vibration (P = 0.03). Vibration was associated with worse void severity ratings in glass ionomer specimens (P < 0.01). No effect of vibration was found in the composite resin specimens. The Fleiss kappa score (κ = 0.36) indicated fair agreement in all severity ratings among the 3 raters. These results suggest that the application of ultrasonic vibration during core build-up placement may not be clinically advantageous for improving restorative outcomes.

A composite resin core with a new zirconia tube reduces the surface strain at the cervical area of a mandibular molar: A model tooth study.

PURPOSE: This study aimed to evaluate the surface strain at the cervical area of endodontically treated molars with a large pulp chamber restored using a composite resin core with three different types of core build-up systems. METHODS: Reproduction models of human mandibular molars with prepared post spaces were used in this study. Roots duplicated with a composite resin were used as the experimental teeth. Three types of core build-up systems were used: composite resin core(RC), composite resin core with fiber posts (FC), and composite resin core with a prefabricated zirconia tube (ZC). Each group comprised eight specimens. Crowns made of yttria partially stabilized zirconia were cemented with dual-cure resin cement. Four strain gauges were attached to the surfaces of each specimen: the cervical area of the root and crown, on the buccal and lingual sides. The surface strain at each cervical area was measured using a static loading test and statistically analyzed. RESULTS: In the case of static loading to the buccal cusp inner slope, ZC showed a significantly lower strain than RC in the crown on the buccal side and in the root and FC in the root. In the central fossa, ZC showed a significantly lower strain than FC in the root on the lingual side. CONCLUSIONS: The prefabricated zirconia tube reduced the surface strain at the cervical area of the buccal/lingual root in molars; however, the effect was small in the cervical area of the crown.

A study for gamma-ray attenuation performances of barite filled polymer composites.

In this study, radiation protection efficiency (RPE) for the coded as UP-Ba0, UP-Ba25, UP-Ba50, UP-Ba75 and UP-Ba100 at different sample thicknesses, total mass attenuation coefficient (µ/ρ), linear attenuation coefficients (µ), half value layers (HVL), tenth value layers (TVL), mean free paths (MFP), effective atomic numbers (Zeff) and effective electron densities (NE) were determined at various gamma energies between 59.5 and 1408.0 keV. With the help of the geometric progression (G-P) fitting method, the energy absorption build-up factor (EABF) and exposure build-up factor (EBF) values were calculated in the energy range from 0.015 MeV to 15 MeV for the produced composites. HPGe detector and eight radioactive sources (241Am, 152Eu, 137Cs, 133Ba, 60Co, 57Co, 54Mn and 22Na) were utilized in the experiment. Experimental results were compared with theoretical calculations and it has been observed that there is a good agreement between theoretical and experimental results. It was observed that RPE, µ/ρ, µ, Zeff and NE parameters increased with increasing barite amount and decreased with increasing energy, while the opposite situation was observed in HVL, TVL and MFP parameters. EABF and EBF values increase with increasing penetration depth. As a result, UP-Ba100 is a good radiation absorber according to the other studied barite filled polymer composites.