Statement of Problem: Composite reins have recently become popular for posterior teeth restorations. Gap formation and subsequent microleakage are of the complications resulting from such restorations. One of the techniques to overcome polymerization shrinkage of composite resins is sandwich technique (application of glass ionomer as a base beneath the composite resin). Since polymerization patterns in two types of composite resins (light cure and self cure) differ from each other, various effects on the bond strength between glass ionomer and dentin are expected.
Purpose: The aim of this in vitro study was to evaluate the effects of self- cure and light- cure composite resins in sandwich technique on the bond strength of light cure glass ionomer and dentin.
Materials and Methods: 40 extracted human premolars were selected and divided into four groups:Group 1: Light cure glass ionomer of 1mm thickness was placed on dentin.Group 2: 1mm thickness of light cure glass ionomer plus a mass of self cure composite resin of 2mm thickness were placed.Group 3: 1mm thickness of light cure glass ionomer plus light cure composite resin as two separate 1mm layer were placed.Group 4: 1mm thickness of light cure glass ionomer with 37% phosphoric acid etching followed by two separate layers of light cure composite resin of 1 mm thickness were placed.SEM was used to determine gap size ai Gl- dentin and Gi- composite interlaces. The findings were analyzed by ANOVA and t-student tests.
Results: Groups 1 and 2 showed no gap at Gl-dentm interface and also cracks were not observed in all these specimens. In group 3, there was gap between light cure GI and light cure composite resin and cracks were seen in GI, too. Group 4 showed gap at both interfaces and more cracks were seen in GI. Groups I and 2 showed the least gap formation and group 4 showed the most. Statistically significant difference was found between groups 3, 4 and group 1 (control), 2.
Conclusion: Base on this study, the application of self-cure composite resin on light cure GI showed no gap and crack formation on Gl-dentin and Gl-composite interfaces and GI itself. However, light cure composite resins and glass ionomer etching aggregated crack and gap formation.
Statement of Problem: Nowadays economical issues on high gold alloys have changed the practice of metal-ceramic restorations toward base-metal alloys. Minalux is one of the base-metal alloys produced in Iran. Marginal fitness is of high importance to be evaluated in dental alloys.
Purpose: The aim of the present study was to compare the marginal adaptation of two base-metal alloys, Minalux (Mavadkaran Co. Iran) and VeraBond2 (Aibadent Co. USA ) during firing cycles of porcelain.
Materials and Methods: In an experimental study 24 standard brass dies, with 135° chamfer finishing line were fabricated by Computer Numeric Controlled (CNC) milling machine. The samples were randomly divided in two groups, A and B, 12 in each. Following wax-up, the samples were equally cast with two mentioned alloys. In each group, there were 4 controlled samples, which proceeded to firing cycle without veneering porcelain. Scanning electron microscope (SEM) measurements of marginal gap from buccal and lingual aspects were performed after 4 stages of casting, degassing, porcelain application and glazing. The data were analyzed using Four-way ANOVA and multiple comparative test based on Tukey criteria.
Results: The findings of this study revealed that there was no significant difference in the marginal gap of Minalux (31.10±7.8u.m) and VeraBond2 (30.27±6.96u.m) with confidence level at 0.95 (P=0.43). For both alloys the greatest gap was observed after degassing stage (P<0.05). Porcelain and porcelain veneering proximity caused significant changes in the marginal gap of Minalux castings (P<0.05), however, such changes did not occur in VeraBond2 (PO.05).
Conclusion: Based on the findings of this study, the marginal gaps of two base metal alloys, Minalux and VeraBond2, were proved to be identical and that of the Minalux alloy existed in the range of acceptable clinical application. It was also concluded that Minalux dental alloys could provide proper marginal adaptation.
Statement of Problem: One of the problems associated with the treatment of periodontal diseases is caused through the extension of disease toward furcation area. Several techniques in Conservative, Resective and Regenerative categories have been suggested for the treatment of furcation involvement.
Purpose: The aim of this study was to compare the results of the treatment of grade II furcation involvement in mandibular molars using an allograft material named 'Dynagraft' (a type of demineralized bone matrix) and the coronally positioned flap.
Materials and Methods: In this randomized controlled clinical trial study, twelve patients (9 females and 3 males), aged 25 to 40, suffering from bilaterally grade II furcation involvement of mandibular molars who referred to dental faculty Tehran University of medical Sciences, were investigated. The molars of one side were treated by Dynagraft whereas those of the opposite side underwent the CPF method. Measurements of the probing pocket depth (PPD), clinical attachment level (CAL), keratinized gingiva (KG) and horizontal probing depth (HPD) were recorded at baseline, 3 and 6 months after surgery. In order to investigate the bone radiographic changes, radiovisiography at the mentioned periods in addition to clinical investigation, were performed. For statistical analysis, Paired West was used.
Results: The mean PPD reduction three months and six months after the operation were 1.75 mm and 2.25mm, respectively in the Dynagraft (test) group whereas 1.26mm and 1.27mm in the CPF (control) group (P<0.005). The mean attachment gain three months and six months after the operation were 1.1 mm and 1.5mm respectively in the test group, and 0.2mm and 0.3mm in the control group (P<0.005). The mean KG reduction three months and six months after the operation were 0.5mm and 0.6mm respectively in the test group and those of the control group were 1.1mm and 1.1mm. The mean HPD reduction three months and six months after the operation were 1.55mm and 2mm respectively in the test group (P<0.005) and 0.55mm and 0.55mm in the control group (PO.01). Radiovisiography of the mentioned areas three months and six months after the operation confirmed the changes obtained from clinical measurements, showing appreciable reconstructive results (Bone filling) in the test group as compared with the control group. Moreover, root resorption was not observed.
Conclusion: Based on the results of this study, Dynagraft can be used as an appropriate material in the treatment of grade II furcation involvement in mandibular molars. However, for a through evaluation of such regenerative techniques in furcation involvement, further studies with larger population and long term follow up in addition to histologic studies are suggested.
Statement of Problem: Different temperature and moisture around Iran and wide usage of stone type IV in dental laboratories in our country were the reasons for us for doing this study.
Purpose: In this survey the effect of temperature, moisture and time on dimensional change of dental stone type IV (Velmix) were investigated.
Materials and Methods: In this experimental study cube shape Metal models (10×10×10mm) was made for Taking impression. We used special tray, which has ten holes (15×20×25mm) and made impression with condensational silicone in two-step procedure, and poured it with stone type IV. stone cubes were divided to different groups. 3 groups holed in fix moisture and variable tempraure and 5 groups in fix temperature and variable moisture. After 2 hours, 24 hours and one-week dimension of stone cubes were measured. Then analysis was done with ANOVA and dauncan.
Results: The following conclusions were achieved: 1-Time has no effect on dimensional changes. 2-Tempreture and moisture has some effect on dimensional changes in stone IV. Increasing of temperature result in stone contraction and increasing in moisture result in stone expansion.
Conclusion: The best temperature for least dimensional change is 20C and the best moisture for a least dimensional change is 30 %.
Statement of Problem: One of the dental lesions which is mainly diagnosed by periapical radiography is apical root resorption Diagnosis of the presence and extension of this lesion can put some effects on its treatment plan and prognosis.
Purpose: The aim of the present study was to evaluate the efficacy of periapical radiography on apical root resorption diagnosis. Materials and Methods: In this experimental study, sixty extracted teeth were examined radiographic and histological regarding the presence and extension of apical root resorption. It should be noted that periapical radiographs were taken before extraction of all mentioned teeth. The results were analyzed by Fisher’s exact test.
Results: The results of this study showed significant differences between radiological and histological examinations (P=0.0003). Significant correlation between these two observations was seen only in 53.33% of cases comprising 23% of teeth with root resouption. Non-correlation was found in 46% of samples. Moreover, there was no significant difference in the prevalence of apical root resorption between maxillary and mandibular teeth (P=0.233). Sensitivity of periapical radiographs in apical root resorption diagnosis was determined 57.3%. Conclusion: According to the findings of the present study, it seems that periapical radiography technique does not possess desirable efficacy in diagnosis of apical root resorption and its limitation should be considered by clinicians.
Statement of Problem: In recent years, the prevalence of temporomandibular disorders among children and adolescents has increased, however, no study on the correlation between occlusal relations and temporomandibular disorders, in Mashhad adolescents, has been conducted yet.
Purpose: The aim of this study was to survey the relationship between occlusal indices and temporomandibular disorders (TMD) among Mashhad adolescents, with the age range of 11-14 years old.
Methods and Material: In this descriptive cross-sectional study, 1066 students (533 males and 533 females), age ranging from 11-14 years old (12.620.96 years), from seven Mashhad educational regions, were selected. Temporomandibular joints were thoroughly examined for all subjects. All occlusal indices including dentition system, angles classification, types of malooclusion such as cross-bite, deep-bite as well as types of lateral occlusion, premature contacts in lateral and protrusive movements were investigated. Data were analyzed statistically using, Chi-Square and logestic regression tests.
Results: The prevalence of TMD was 23.5%. There was no significant relation between TMD and type of dentition, angles classification and type of occlusion in lateral movements, however, statistically significant relation was found between TMD and deep over bite (P<0.05). Premature contacts in lateral movements at balancing side were proved to be significant etiologic factors of TMD (P=0.003).
Conclusion: In the present study, premature contacts at balancing side and secondary deepbite malocclusion were considered to be the most important etiologic factors of TMD.
Statement of Problem: Parafunctional habits are the most important factor in the creation of non-carious cervical lesions and correcting of these habits may affect cervical lesions.
Purpose: The goal of this study was to survey the effects of one-year occlusal adjustment on clinical success of non- carious cervical restorations.
Materials and Methods: In this clinical study, sixty tooth-colored cervical restorations on canines and premolars in patients with parafunctional habits (bruxism and clenching) were studied. The teeth, according to the type of restorative material, were randomly divided into two groups: One group with a composite resin (Tetric Flow Group A: n=30) and the other group with a compomer (Compoglass Flow Group B: n=30). After restoration, each group was divided into two subgroups: (A1, B1) with occlusal adjustment (case group), (A2, B2) without occlusal adjustment (control group). The evaluation was perfumed single blind at 6 and 12 months after restorative operations according to Us Public Health Service (USPHS) classification. Assessment criteria included: marginal integrity, marginal discoloration, recurrent caries, postoperative sensitivity and loss of filling. Statistical analysis was completed using Fisher’s exact test.
Results: In 12 month period between two groups of compoglass Flow restorations, group B1 showed superior results than group B2, however, no significant difference was found between both groups of tetric flow restorations (A1 and A2). There was also no difference in clinical conditions between A2 and B2 groups.
Conclusion: Considering the results of this study, it can be concluded that occlusal adjustment puts a considerable effect on clinical success of compoglass non- carious cervical restorations. However, it should be mentioned that such and effect was not found among Tetric flow restoration.
Statement of Problem: Tooth extraction is a common technique in orthodontics and most of the specialists believe that this technique is able to change the facial appearance.
Purpose: The aim of this study was to investigate facial vertical changes in orthodontic patients following tooth extraction.
Materials and Methods: Thirty patients, after their growth spurt, with CLI malocclusion all treated by a specific orthodontist through Edgewise technique along with the extraction of four first premolars were chosen. Lateral cephalograms of patients, before and after treatment were compared and facial vertical changes and teeth were studied.
Results: Anterior and posterior facial heights were increased during treatment. Despite the limited use of intermaxillary elastics, teeth were extruded. The most increase in facial heights was observed in the lower third of face. Patients with longer faces before treatment showed more extrusion of mandibular molars as well as more increase of mandibular slope.
Conclusion: Tooth extraction in orthodontic treatments can not guarantee the decrease or even non-increase of facial height. Among patients with long faces, it is particularly suggested to refrain from the application of extrusive orthodontic forces.
Statement of Problem: In the treatment of edentulous patients with implant supported fixed partial dentures several factors such as implant numbers, implant position, superstructure pattern and cantilever length must be considered. Mandibular flexture in function exerts forces in peri-implant bone, however this phenomenon has received little attention.
Purpose: The goal of this finite element analysis (FEA) study was to evaluate the effect of mandibular dimensional changes on peri-implant bone stress in different prosthesis and implant treatment plans.
Materials and Methods: In this experimental study, three dimensional finite element computer model of mandible was simulated according to data from CT-Scan in 0.5 mm sections. The model of 4.110 mm ITI implant, measured by profile projector, was simulated in solid works 2003 software. Implant models were inserted, in two different patterns, on mandible and three different superstructures were placed on implants. Two clenching tasks were modeled (incisal clench and right molar clench).
Results: Analysis of Von Misses stress for peri-implant bone revealed the lowest stress values in three-piece superstructure.
Conclusion: According to this study, additional placement of implants in order to fabricate independent prostheses and to achieve the freedom of mandibular flexture are recommended.
Statement of Problem: Because dental amalgam does not adhere to tooth structure, using adhesive cements in amalgam-bonded restorations have been increased.
Purpose: The goal of this in-vitro study was to compare the effects of three types of glass ionomer as adhesive liners as well as varnish liner in increasing fracture resistance of teeth restored with amalgam.
Materials and Methods: Seventy extracted human maxillary premolars were selected and MOD cavities were prepared on them excluding ten intact teeth as positive control group and ten cavity prepared teeth without restoration as negative control group. All the prepared teeth were then restored with spherical amalgam (gs.80) with one of the following liners silver alloy glass ionomer liner, conventional glass ionomer liner, varnish liner, resin-modified glass ionomer and resin-modified glass ionomer with delayed light curing. The teeth were stored in 37C distilled water for 7 days and were then loaded under compressive strength using an Instron testing machine. The force required to fracture teeth were recorded and the data were analyzed statistically using ANOVA and Tukey HSD tests.
Results: Statistically significant differences were observed in fracture resistance between restored and non-restored samples. Comparisons between groups attributed significant effects to resin-modified glass ionomer in increasing fracture resistance of amalgam restored teeth (P<0.05). In most specimens, one cusp was separated from tooth structure whereas amalgam remained bonded to the intact cusp. Conclusion: According to these findings, resin-modified glass ionomer put a statistically significant effect in fracture resistance of amalgam-restored teeth.
Statement of Problem: Considerable response to functional orthopedic appliances treatment in class II skeletal patients occurs during pubertal growth spurt. Therefore, it seems necessary to investigate indices indicating mandibular growth pattern. It has been proved that analyzing cervical vertebral maturation stage is a more valid index than that of hand wrist.
Purpose: The aim of this study was to evaluate the time status of functional orthopedic treatment in class II skeletal patients using CVMS index.
Materials and Methods: In this descriptive-inferential study, lateral cephalometric radiographs of 153 class II skeletal patients with mandibular deficiency, before treatment, were studied by an oral and maxillofacial radiologist using the index of cervical vertebral maturation stage (CVMS) and were categorized in three phases: CVMS I (desirable phase of treatment), CVMS II (ideal phase), and CVMS III (undesirable phase of treatment).
Results: Statistical analysis ranked the prevalence of treatment phases as: 41.8% in desirable phase (CVMS I), 28.1% in ideal phase (CVMA II) and 30% in undesirable phase (CVMS III). No significant differences were found between the three phases using Chi-square analysis. Time status of functional orthopedic treatment was also evaluated based on age and sex. The results showed significant differences between two sexes (P=0.032).
Conclusion: The present study suggests the analysis of CVMS index, along with clinical criteria, in the determination of an ideal time for functional orthopedic treatment to prevent patients’ exhaustion during treatment Period.
Statement of Problem: Choosing an appropriate tooth for edentulous patients is a very important step in dentistry.
Purpose: This research has been done for determination of proper procedure for tooth selection in edentulous patients.
Methods and Materials: In this cross- sectional study 100 student and people who have come to a medical
center (range 20-30 years old) were collected randomly and the size of their anterior teeth were determined. A gauge with 0.01 mm accuracy and flexible plastic millimeter was used in order for measurement of anatomic landmark. For achieving the relation between the sizes of teeth statistical analysis was done.
Results: 50% of patients were female and the other 50% were male. We found a relationship between mesiodistal width of six maxillary anterior teeth and mesiodistal width of six mandibuMary teeth that can be shown as follow In men: six mandibular anterior teeth width= 0.S3 * width of six maxillary anterior teeth -2.008 In women: six mandibular anterior teeth width- 0.56 * width of six maxillary anterior teeth + 9.53 Also strong meaningful relationships between width of six anterior maxillary teeth and the width between corners of the lip in curve position have been noticed only in men which can be show' as follow:width of Six mandibular anterior tceth= 39.63 + 0.21+ the width between corners of lip in curve position for men
Conclusion: Although there are different ways for prediction of teeth size, it seems these findings can be
helpful in determining and prediction of it.
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