Purpose: Gingival recession is a major esthetic concern and may lead to root sensitivity during periodontal treatment. Coronally advanced flaps (CAFs) with and without acellular dermal matrix (ADM) are widely used in root coverage procedures. The aim of this study was to analyze the efficacy of CAF in combination with ADM in the treatment of gingival recession. Methods: PubMed, The Cochrane Library, and Embase were used to identify relevant articles. The articles were screened, data were extracted, and the quality of the studies was assessed by three reviewers with expertise in clinical practice, trials, statistics, and biomedical editing. The clinical endpoints of interest included changes in recession, probing depth (PD), clinical attachment level (CAL), and keratinized tissue (KT). Results: Ten randomized controlled trials were identified, including six studies that compared CAFs with ADM and CAFs using connective tissue grafting (CTG) and four studies that compared CAFs with or without ADM. No statistically significant differences were found between the use of ADM and CTG, whereas statistically significant differences were found between groups in which ADM and CAF were combined and groups that underwent CAF alone with regard to recession coverage, CAL, and KT. The combination of CAF with an ADM allograft achieved more favorable recession coverage and recovery of CAL and KT than CAF alone.
Conclusions:The results from the ADM and CTG groups suggest that both procedures may be equally effective in clinical practice. Given the limitations of this study, further investigation is needed to clarify the effectiveness of ADM and CAF in clinical practice.
Polyethylene glycol (PEG)/ expanded vermiculite (EVMT) shape-stabilized composite phase change material (ss-CPCM) was prepared by a facile vacuum impregnation method. The maximum mass percentage for PEG retained in ss-CPCM was 75.1 wt.% due to specific non-uniform flat layers pore structure of EVMT. The scanning electron microscope (SEM) and Fourier transform infrared spectroscopy (FT-IR) analysis results indicated that the melted PEG was adsorbed on the surface and completely dispersed into the pores of EVMT and no chemical changes took place during the heating and cooling processes. X-ray diffraction (XRD) results showed that the crystal structure of PEG was not destroyed after impregnation whereas the crystallization process of PEG was greatly restrained. Differential scanning calorimetry (DSC) results indicated that ss-CPCM melted at 57.61°C with a latent heat of 103.1 J/g and solidified at 33.19°C with a latent heat of 88.29 J/g. In addition, the thermal conductivity of ss-CPCM reached 0.418W/m K. The ss-CPCM can be considered as promising candidate materials for building applications due to their suitable phase change temperature, large latent heat and excellent chemical compatibility.
Numerical modeling of iron loss considering the pinning and skin effect in silicon steel sheets is approached in this work. The pinning and skin effect are considered as the main factors of anomalous eddy current loss in silicon steel plates. The pinning is considered by implementing an initial flux distribution in the nonlinear eddy current finite element analysis, which includes the skin effect of flux. Thus the mutual coherence between pinning and skin effect can be achieved in the proposed numerical method. The hysteresis loss and eddy current loss are calculated using the obtained flux and eddy current distribution, while anomalous eddy current loss is spontaneously included in the calculation. The proposed method is applied to different grade non-oriented materials, and the calculated iron losses are compared with the measured data under various frequency.
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