Objective: To assess the surface roughness resulting after application of currently available interproximal polishing. Materials and Methods: The analysis was carried out by means of digital subtraction radiography, profilometry, and scanning electron microscopy. The roughness of natural untreated enamel served as the reference. Five enamel reduction methods were tested (Profin, New Metal Strips, O-Drive D30, Air Rotor, and the Ortho-Strips) and were applied in accordance with their manufacturers' recommendations. Fifty-five teeth were treated by randomly chosen methods, all of which were applied by one person. One proximal surface was only ground and left unpolished while the other received the finishing and polish recommended by the manufacturer. Results: Loss of tooth substance, as measured by subtraction radiography, was significantly lower (P Ͻ .05) for the group treated with Ortho-Strips. Profilometric analysis of enamel roughness showed that the use of Ortho-Strips, O-Drive D30, and New Metal Strips in the grinding mode produced equally rough surfaces (P Ͼ .05). The Air Rotor and Profin system in the grinding mode produced the significantly (P Ͻ .05) roughest surfaces. A significant (P Ͻ .05) reduction of the mean roughness values was registered in all groups when treatment was followed by polishing. The Profin system and Ortho-Strips achieved the significantly smoothest surfaces (P Ͻ .05) with polishing. Conclusions: In general, interproximal enamel reduction should be followed by thorough polishing. Furthermore, oscillating systems seem to be advantageous.
BackgroundHyperbaric oxygen (HBO) therapy is an effective adjunct treatment for ischemic disorders such as chronic infection or chronic wounds. It combines hyperoxic effects with the stimulating potential of post-therapeutic reactive hypoxia. As its crucial effects, stimulation of fibroblast growth, induction of collagen synthesis and the initiation of angiogenesis are discussed. Angiogenesis is a multistage process resulting in the growth of blood vessels. It includes degradation of extracellular matrix, proliferation and migration of different cell populations and finally formation of new vessel structures. This complex chain of procedures is orchestrated by different cytokines and growth factors. Crucial mediators of angiogenesis are basic fibroblast growth factor (bFGF) and vascular endothelial growth factor (VEGF); their in-vivo function is still not fully understood.MethodsForty-three patients suffering from sudden sensorineural hearing loss or tinnitus were treated with HBO. The therapy included 10 sessions of 90 minutes each, one session a day. Serological levels of bFGF and VEGF were assessed by enzyme-linked immunosorbent assays performed according to the manufacturer's instructions on day 1, 2, 5 and 10 of HBO therapy and were compared to mean values of the control group, related to the patient's age and sex, and their development observed over the ten days of HBO.ResultsThere was no sex- or age dependency of bFGF observed in the present study, whereas under HBO our results showed a significant mitigation of the bFGF concentration. In the present data, there was no connection between the VEGF concentration and the patients' ages. Women showed significantly higher levels of VEGF. There was no significant change of VEGF concentration or the VEGF/bFGF ratio during HBO. All scored results varied within the range of standard values as described in the current literature.ConclusionsA significant effect of HBO on serum concentrations of bFGF and VEGF was not verified in the present study. Additional application of exogenous growth factors in conjunction with HBO was not obviously linked by a coherent cause-and-effect chain as far as wound healing is concerned.
Our results demonstrate that the light-cured resins-with the exception of Acrylight -easily match and even exceed the material properties of the cold-polymerized resins regarding flexural strength, flexural modulus, water adsorption and polymerization shrinkage. The light-cured resins examined thus seem suitable for use as splint material.
BackgroundTo identify insertion procedure and force application related complications in Jet Screw (JS) type mini-implants when inserted in the palatal slope.MethodsSetting and Sample Population: The Department of Orthodontics, the University Hospital Münster. Forty-one consecutively started patients treated using mini-implants in the palatal slope. In this retrospective study, 66 JS were evaluated. Patient records were used to obtain data on the mode of utilization and complications. Standardized photographs overlayed with a virtual grid served to test the hypothesis that deviations from the recommended insertion site or the type of mechanics applied might be related to complications regarding bleeding, gingival overgrowth or implant failure.ResultsTwo implants (3%) were lost, and two implants (3%), both loaded with a laterally directed force, exhibited loosening while still serving for anchorage. Complications that required treatment did not occur, the most severe problem observed being gingival proliferation which was attributable neither to patients’ age nor to applied mechanics or deviations from the ideal implant position.ConclusionsThe JS mini-implant is reliable for sagittal and vertical movements or anchorage purposes. Laterally directed forces might be unfavorable. The selection of implant length as well as the insertion procedure should account for the possibility of gingival overgrowth.
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