These case reports describe a new treatment method for complete vertical root fractures. This method is composed of two steps. First, the fractured tooth is intentionally extracted atraumatically, and then the separated fragments are bonded with an adhesive resin cement. The restored tooth is replanted by rotating approximately 180 degrees into the original socket and fixing with an orthodontic wire. For both cases reported here, bone regeneration was observed at the 3-year follow-up. Since this modality adopts the respective advantages of both intentional replantation and adhesive treatment, it might be the treatment of choice in cases of vertical root fracture.
The aim of our study was to investigate the effect of resin composite components on glucan synthesis by glucosyltransferase (GTase) derived from a cariogenic bacterium, Streptococcus sobrinus B13. The eluates from cured composites stored in 0.05 mol/L potassium phosphate buffer (KPB) (pH 6.8) for 2 weeks at 37 degrees C stimulated the formation of water-insoluble glucan, whereas those from amalgam inhibited it. This finding suggests that the eluates from the resin composites enhance GTase activity and contribute to plaque formation. In the individual resin components, a diglycidyl methacrylate and triethylene glycol dimethacrylate significantly enhanced GTase activity. However, most polymerization inhibitors and accelerators were potent inhibitors of enzyme activity. Thus, GTase stimulation by eluates from resin composites is hypothesized to be heavily dependent on the effect of the eluated resin monomers, even though the other eluting components had inhibitory effects on GTase.
The purpose of this study was to compare the toothbrush abrasion resistance of seven different experimental resins which were made by changing the composition of resin monomers. The experimental resins were made by mixing four kinds of dental resin monomers (Bis-GMA, UDMA, TMPT and TEGDMA), camphorquinone (1 wt%), dimethylaminoethyl methacrylate (2 wt%) and 2,6-di-tert-butyl-p-cresol (0.05 wt%). The resin specimens were stored in air for 2 weeks, and then put on a toothbrush abrasion testing machine. After 100000 strokes, the wear loss of each specimen was determined by weight change during the wear test. TMPT-TEGDMA resin showed the most wear resistance, while Bis-GMA- and UDMA-based resins showed increased wear resistance with an increased content of TEGDMA. Also, a inverse relationship between the microhardness number and the amount of wear of the respective resins was confirmed.
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