The collision-and-abrasion test was performed to reproduce the change of the surface structures of posterior composite resins by the stress of mastication and occlusion. Also the effect of the stress on wear and marginal fracture of composites was estimated qualitatively and quantitatively between the cavities with round bevel, straight bevel and butt joint. Extracted human posterior teeth were used as materials, and round or straight bevels were prepared along the margin of the standardized cavities using the bevel-preparing burs which had been designed by us. Light cured posterior composite resin (Occlusin/ICI Co.) was used as the restoration material. Also the surface structures were examined before and after the collision-and-abrasion test with the scanning electron microscope and laser measuring device for the surface morphology. The following results were obtained. 1. The collision-and-abrasion test with use of the slurry of polymethyl methacrylate (PMMA) powder as abrasive showed better reproducing ability of the in vivo change of the posterior composite restorations. 2. The collision stress was found to be one of the main causes for the wear and marginal fracture of composites. 3. It was found that the measurement for wear and marginal fracture of restorations could be performed three-dimensionally with high precision and in shorter time by using a laser device. 4. Marginal fracture resistance of composite resins is influenced by the adhesion with tooth structure and the marginal thickness. Therefore, the best marginal shape for posterior composite restoration is the round bevel.
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Int J Paediatr Dent
January 2025
Pediatric Dentistry Department, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Background: The growing demand for esthetic restorative materials highlights the need to evaluate their marginal accuracy and fracture resistance to ensure optimal clinical outcomes for primary molars.
Aim: The aim was to assess the vertical marginal gap distance and fracture resistance of esthetic restorative materials after cyclic loading.
Design: Forty extracted primary molars were randomly divided into four groups: Group I, stainless steel veneered crowns with tooth-colored material; Group II, prefabricated monolithic zirconia crowns; Group III, yttria-partially stabilized zirconia computer-aided design/computer-aided manufacturing (CAD/CAM) crowns; and Group IV, hybrid ceramic CAD/CAM crowns.
Clin Exp Dent Res
February 2025
Department of Prosthodontics, Faculty of Dentistry, Ibb University, Yemen.
Objective: The use of vertical margin design in all-ceramic restoration has generated inquiries regarding its clinical efficacy under diverse dynamic oral conditions. This research aims to assess the marginal fit and fracture resistance of monolithic zirconia crowns featuring vertical margin design as opposed to those with conventional horizontal margin design.
Materials And Methods: Two metal dies were employed to generate replicated resin dies mimicking mandibular first molar preparation.
: Vertical atrophy of the maxilla has traditionally been treated with sinus lift procedures and implant placement, performed in one or two surgical stages. Subsequently, the transcrestal sinus lift technique was introduced, offering distinct advantages in terms of indications and reduced morbidity. Most recently, short implants have emerged as a valid alternative to these procedures, even in cases of severe horizontal resorption, allowing for direct placement in many cases.
View Article and Find Full Text PDFBone Joint Res
January 2025
Department of Orthopaedics, Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden.
Aims: While cementless fixation offers potential advantages over cemented fixation, such as a shorter operating time, concerns linger over its higher cost and increased risk of periprosthetic fractures. If the risk of fracture can be forecasted, it would aid the shared decision-making process related to cementless stems. Our study aimed to develop and validate predictive models of periprosthetic femoral fracture (PPFF) necessitating revision and reoperation after elective total hip arthroplasty (THA).
View Article and Find Full Text PDFJAMA Surg
January 2025
Vanderbilt University Medical Center, Nashville, Tennessee.
Importance: Fracture-related infection (FRI) is a serious complication following fracture fixation surgery. Current treatment of FRIs entails debridement and 6 weeks of intravenous (IV) antibiotics. Lab data and retrospective clinical studies support use of oral antibiotics, which are less expensive and may have fewer complications than IV antibiotics.
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