Terlipressin significantly attenuates the hyperdynamic circulation in portal hypertensive patients without a further contraction of the central and arterial blood volume. The systemic haemodynamic response to terlipressin is moreover associated with the decrease in portal pressure. Terlipressin may therefore have potentially beneficial effects on the hyperdynamic circulation in cirrhosis in addition to its effects on portal pressure.

The cumulative survival rate (retention of both cusps) and the fracture pattern of 1639 endodontically treated posterior teeth were assessed in a retrospective study. All teeth had an MO/DO or an MOD cavity restored with amalgam without cuspal overlays. The 20-year survival rate of teeth with an MO/DO cavity was markedly higher than that of teeth with an MOD cavity. The lowest survival rate was found for the upper premolars with an MOD cavity: 28% of these teeth fractured within 3 years after endodontic therapy, 57% were lost after 10 years, and 73% after 20 years. Generally, the cusp most prone to fracture was the lingual one, and lingual fractures caused significantly more damage to the periodontal tissues than did facial or total crown fractures. The severity of periodontal damage increased with posterior location of the tooth. By far the most serious failures, irrespective of the cavity type, were found for the upper second molar, as 10 of 29 fractures led to extraction. It is concluded that amalgam, especially in MOD cavities, is an unacceptable material for restoration of endodontically treated posterior teeth if used without cuspal overlays.

— Restorative resins are susceptible to softening caused by organic acids produced in plaque. Consequently, plaque‐covered resin restorations may be liable to pronounced surface staining. In the clinical part of the study a relationship between surface staining and local oral hygiene was demonstrated. This may be explained by the results from the laboratory part of the study, in which a relationship between surface staining and softening was found.

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Study 1) The depth of proximal cavities was measured on previously taken bitewing radiographs. Study 2) By means of a scrape test, the relationship between depth of cure and irradiation distance was examined with four different curing units and two different restorative resins. Study 3) The microhardness of one of the polymerized resins was measured 0.5 mm below the free surface of the filling and then at 1.0 mm, 1.5 mm, 2.0 mm, and so forth until the resin became so soft that no hardness could be recorded. The hardness at each 0.5-mm level was recorded in relation to irradiation distance. 1) The cavity depth was most often 4-5 mm in lower premolars, 5 6 mm in upper premolars and lower molars, and 5-7 mm in upper molars. In the latter teeth, 15% of the cavities were > or =8 mm deep. 2 and 3) The depth of cure decreased moderately and in a linear manner with increasing irradiation distance. An irradiation distance of 12 mm reduced the depth of well-cured resin only by about 1 mm as compared with close contact between exit window and surface of resin.

– The wall‐to‐wall polymerization contraction and hygroscopic expansion of Durafill®, Heliosit®, Silux® and Visio‐Dispers® were examined in dendn cavities in extracted human teeth. The linear shrinkage varied from 0.24% to 0.63% and only two of the tested materials were able to close the marginal gap owing to water absorption. The gaps were nearly always broadest in the apical part of the fillings. Measurements of the marginal gaps were made at different levels between 100 and 1200 um below the free surface of the fillings and the wall‐to‐wall polymerization contraction was found to increase markedly from the level of 100 urn down to 800 um. The contraction pattern of the four light‐cured resins differed significantly from the one found in a chemically‐cured material.

– Dentin cavities, prepared in extracted human teeth, were filled with a dry mixture of zinc oxide‐eugenol (ZOE) or a commercial temporary filling cement without eugenol (Cavit). The ZOE was removed 3 h later while the Cavit was removed after 7 days. The cavity wall and the surrounding dentin were then treated with a dentin‐bonding agent before application of a restorative resin. The width and the extent of the marginal contraction gap were measured, using a light microscope, approximately 0.1 mm below the original free surface of the filling. It was found that the contraction gap was markedly increased in cavities previously filled with ZOE while the non‐eugenol cement had no influence on the effect of the two dentin‐bonding agents tested. The short‐term test applied in the present study indicates that ZOE should not be used in cavities later to be restored with dentin‐bonding agent and resin.

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