This study investigated the bonding mechanisms of glass-ionomer cement to dentin. The approaches included mechanical determination of bond strengths, analysis of surface morphology by means of scanning electron microscopy (SEM) and confocal microscopy, and measurement of chemical changes of fracture bond sites by means of x-ray photoelectron spectroscopy (XPS) and secondary ion mass spectrometry (SIMS). The highest bond strengths were obtained with light-cured glass-ionomer cement. SEM and confocal images showed evidence of mechanical interlocking of cement in dentinal tubules. SIMS depth profiles confirmed the ion-exchange process between the light-cured glass-ionomer cement and the dentin surface. From corresponding XPS results, it was clear that the adhesion characteristics were significantly affected by light-curing and the chemical structure of the polymer.
Oxidation is the most common surface modification of polymers. This paper presents a comparison of five gas-phase surface oxidation processes: corona discharge, flame, remote air plasma, ozone, and combined UV/ozone treatments. Well-characterized biaxially oriented films of polypropylene and poly(ethylene terephthalate) were treated by each of the five techniques. The surface-treated films were then analyzed by X-ray photoelectron spectroscopy (XPS or ESCA), contact-angle measurements, and Fourier-transform IR (FTIR) spectroscopy.Corona, flame, and remote-plasma processes rapidly oxidize polymer surfaces, attaining XPS O/C atomic ratios on polypropylene of greater than 0.10 in less than 0.5 s. In contrast, the various UV/ozone treatments require orders of magnitude greater exposure time to reach the same levels of surface oxidation. While corona treatment and flame treatment are well known as efficient means of oxidizing polymer surfaces, the ability of plasma treatments to rapidly oxidize polymers is not as widely appreciated.Of the treatments studied, flame treatment appears to be the 'shallowest'; that is, the oxygen incorporated by the treatment is most concentrated near the outer surface of the film. Corona and plasma treatments appear to penetrate somewhat deeper into the polymers. At the other extreme, the UV/ozone treatments reach farther into the bulk of the polymers.
IgG4-related disease (IgG4-RD) is a multi-organ chronic inflammatory process caused by infiltration of IgG4-positive plasma cells in one or more organs. Intracranial involvement has only recently become better recognized. Our case series adds to the growing literature on the varying presentations of intracranial IgG4 by describing the clinical and imaging findings of three patients who presented to our institution with intracranial involvement. Our first patient presented with a mass-forming IgG4 pachymeningitis mimicking a sphenoid wing meningioma, which is to our knowledge the largest mass-forming pachymeningitis published in the literature. Our second case depicts another presentation of extensive IgG4 pachymeningitis involving both cavernous sinuses and surrounding Meckel's caves. The third case describes a patient with presumed lymphocytic hypophysitis, which was later determined to be IgG4-related hypophysitis with concomitant pachymeningitis and perineural spread along the optic nerves. The delayed diagnoses in our cases illustrates the diagnostic challenge that clinicians face in differentiating intracranial IgG4-RD from other infiltrative diseases such as sarcoidosis, granulomatous disease, tuberculosis and lymphoma. Earlier consideration of IgG4-related hypophysitis and hypertrophic pachymeningitis in the differential diagnosis can prevent significant morbidity including unnecessary surgical intervention and organ failure secondary to extensive fibrosis.
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