Objectives To analyse prescription of antibodies in emergency dental service according to antibiotic type, working diagnosis, patient visit time and patient demographic characteristics. Additionally, prescription practices among individual dentists were analysed. Methods The data in this retrospective cohort study were collected from electronic medical records and analyzed using descriptive statistics. Statistical analyses were conducted using the chi‐square test and the Z‐test with post‐hoc Bonferroni adjustment (α =0.05). Results The study covered 20,879 patient visits during a 1.5‐year period (from 1 June 2015 to 1 December 2016). Antibiotics were prescribed in 10,188 (48.8%) visits. In 6,202 (29.7%) visits, no dental treatment was performed and only an antibiotic was prescribed. The antibiotics most frequently prescribed were from the penicillin group and also contained clavulanic acid (70.5%); the second most frequently prescribed antibiotic was clindamycin (15.0%). The most common diagnoses for which an antibiotic was prescribed were acute apical abscess, pericoronitis and retained root; for these diagnoses, an antibiotic was prescribed in 79.8%, 64.3% and 63.3% of visits, respectively. Prescription of an antibiotic was significantly more frequent during Sundays and holidays (55.6% of visits) than during working days (33.2% of visits). Prescription of an antibiotic increased from the age of 1 towards the age of 75 and decreased thereafter. Female dentists prescribed antibiotics slightly but significantly (P < 0.001) more frequently than male dentists (50.8% and 46.8% of visits, respectively). High heterogeneity was observed among dentists regarding their criteria for prescribing antibiotics; individual dentists prescribed antibiotics in 15.0%–72.1% of the total number of visits. Conclusion Multiple possible issues in the prescription of antibiotics were observed, ranging from administration for inappropriate indications to noncritical and excessive prescription.
This study aimed to investigate polymerization kinetics and curing light transmittance of two series of experimental dental resin composites filled with 0–40 wt% of either 45S5 bioactive glass (BG) or a customized low-Na F-containing BG. Polymerization kinetics in 0.1-mm and 2-mm thick layers were investigated through real-time degree of conversion measurements using a Fourier transform infrared (FTIR) spectrometer. FTIR spectra were continuously collected at a rate of 2 s−1 during light-curing (1340 mW/cm2). Light transmittance through 2-mm thick composite specimens was measured using a UV–Vis spectrometer at a rate of 20 s−1. Unlike BG 45S5, which led to a dose-dependent reduction in the rate and extent of polymerization, the customized low-Na F-containing BG showed a negligible influence on polymerization. The reduction in light transmittance of experimental composites due to the addition of the low-Na F-containing BG did not translate into impaired polymerization kinetics. Additionally, the comparison of polymerization kinetics between 0.1-mm and 2-mm thick layers revealed that polymerization inhibition identified for BG 45S5 was not mediated by an impaired light transmittance, indicating a direct effect of BG 45S5 on polymerization reaction. A customized low-Na F-containing BG showed favourable behaviour for being used as a functional filler in light-curing dental resin composites.
Objective This study evaluated the effects of curing modes on surface microhardness of visible light-cured resin-modified glass ionomer cements (VLC RMGIC) and a giomer after different storage periods in comparison to auto-cured resin-modified glass ionomer cements (AC RMGIC). Materials and Methods The following materials were used: VLC RMIC: Fuji II LC Improved, Photac Fil Quick Aplicap, AC RMGIC: Fuji Plus, Fuji VIII and Giomer: Beautifil II. The measurements of microhardness were performed using a Vickers test (100 g loads were applied for 10 s) in the following time intervals: immediately after the recommended cure and after 1, 7 and 14 days of immersion in distilled water. Five samples (d=4 mm, h=2 mm) were prepared for each combination of curing mode and tested material. Results After 14 days, an improvement of microhardness was evident in all tested materials. The full factorial ANOVA identified a highly significant (p<0.001) effect of the factors “material”, “time” and “curing mode (“low”, “soft“, „high”) for the light-cured materials Beautifil II, Fuji II LC and Photac Fil Quick. There was a statistically significant difference in the microhardness between different material types (Beautifil II˃Fuji II LC˃Photac Fil Quick˃Fuji Plus˃Fuji VIII) and curing modes (low ˂soft ˂high). Conclusions Material type had the greatest impact on microhardness, followed by the factor of time, while curing modes showed a considerably smaller influence on microhardness of the light-cured materials.
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