Survival rate, load to fracture, and finite element analysis of incisors and canines restored with ceramic veneers having varied preparation design.

PURPOSE: To evaluate the survival rate, success rate, load to fracture, and finite element analysis (FEA) of maxillary central incisors and canines restored using ceramic veneers and varying preparation designs. METHODS AND MATERIALS: Thirty human maxillary central incisors and 30 canines were allocated to the following four groups (n=15) based on the preparation design and type of tooth: Gr1 = central incisor with a conservative preparation; Gr2 = central incisor with a conventional preparation with palatal chamfer; Gr3 = canine with a conservative preparation; Gr4 = canine with a conventional preparation with palatal chamfer. Ceramic veneers (lithium disilicate) were fabricated and adhesively cemented (Variolink Veneer). The specimens were subjected to 4 × 10(6) mechanical cycles and evaluated at every 500,000 cycles to detect failures. Specimens that survived were subjected to a load to fracture test. Bidimensional models were modeled (Rhinoceros 4.0) and evaluated (MSC.Patrans 2005r2 and MSC.Marc 2005r2) on the basis of their maximum principal stress (MPS) values. Survival rate values were analyzed using the Kaplan-Meier test (α = 0.05) and load to fracture values were analyzed using the Student t-test (α = 0.05). RESULTS: All groups showed 100% survival rates. The Student t-test did not show any difference between the groups for load to fracture. FEA showed higher MPS values in the specimens restored using veneers with conventional preparation design with palatal chamfer. CONCLUSION: Preparation design did not affect the fracture load of canines and central incisors, but the veneers with conventional preparation design with palatal chamfer exhibited a tendency to generate higher MPS values.

Understanding contradictory data in contraction stress tests.

The literature shows contradictory results regarding the role of composite shrinkage and elastic modulus as determinants of polymerization stress. The present study aimed at a better understanding of the test mechanics that could explain such divergences among studies. The hypothesis was that the effects of composite shrinkage and elastic modulus on stress depend upon the compliance of the testing system. A commonly used test apparatus was simulated by finite element analysis, with different compliance levels defined by the bonding substrate (steel, glass, composite, or acrylic). Composites with moduli between 1 and 12 GPa and shrinkage values between 0.5% and 6% were modeled. Shrinkage was simulated by thermal analogy. The hypothesis was confirmed. When shrinkage and modulus increased simultaneously, stress increased regardless of the substrate. However, if shrinkage and modulus were inversely related, their magnitudes and interaction with rod material determined the stress response.

Can fiber posts increase root stresses and reduce fracture?

The clinical success of fiber posts has been attributed to their lower elastic modulus. The tested hypothesis was that fiber posts could lead to lower risk of post debonding and lower risk of root fracture, despite an increase in root stresses. Stress analyses were carried out with a 3D finite element model of a premolar restored with a metallic or a fiber post. Bonded and non-bonded post/cement interface conditions were simulated. We calculated risk-of-fracture indices by determining the highest principal stress values divided by the tensile strength. Shear stresses along the post/cement interface were analyzed for the bonded models. Compared with the premolar restored with a metallic post, the fiber post generated lower stresses along the interface and higher stresses in the root. However, with the fiber post, fracture was less likely to occur in the root, since its core and post fracture indices were higher.

Absentismo por enfermidade-sugestao para seu controle. / Absentecism by disease-suggestions for its control

O autor, responsavel pelo Servico Medico de uma industria quimica, realca a importancia do absentismo por enfermidade, citando causas e sugerindo controle criterioso do fenomeno. Enumera algumas medidas de controle e mostra a evolucao registrada nos ultimos doze anos, na qual se verifica apos um crescimento acentuado, uma tendencia a certa estabilidade. Descreve, em seguida, um estudo implantado a partir de 1977, atraves de computacao, o qual permite a emissao de relatorios detalhados e acessiveis para analise e demonstra as possibilidades do novo sistema. Com base nos resultados observados nesse periodo, tece comentarios sobre a necessidade de uniformizacao dos dados referentes ao absentismo para obtencao de estatistica confiavel e passivel de comparacao

Occupational acro-osteolysis.

Occupational acro-osteolysis is a serious disease definitely related to the inhalation of agents involved in the polymerization of vinyl chloride. After variable periods of latency, the more or less characteristic clinical picture appears. A Raynaud's phenomenon is usually a premonitory sign indicating that alterations in bone will probably ensue. Scleroderma-like skin lesions and systemic involvement of variable degree occur frequently. The pathophysiology of the disease is unknown, but obstructive lesions of small peripheral arteries are thought to cause osteolysis of the distal phalanges of the fingers.