The use of composite restorative materials is established due to continuing improvements in the materials and restorative techniques. Composite resins are widely used for the restoration of cervical lesions because of esthetics, good physical properties and working time. There are several types of cavity design for class V composite resin filling, but inappropriate cavity form may affect bonding failure, microleakage and fracture during mastication. Cavity preparations for composite materials should be as conservative as possible. The extent of the preparation is usually determined by the size, shape, and location of the defect. The design of the cavity preparation to receive a composite restoration may vary depending on several factors. In this study, 5 types of class V cavity were prepared on each maxillary central incisor. The types are; 1) V-shape, 2) round(U) shape, 3) box form, 4) box form with incisal bevel and 5) box form with incisal bevel and grooves for axial line angles. After restoration, in order to observe the concentration of stress at bonding surfaces of teeth and restorations, developing a 2-dimensional finite element model of labiopalatal section in tooth, surrounding bone, periodontal ligament and gingiva, based on the measurements by Wheeler, loading force from direction of 45 degrees from lingual side near the incisal edge was applied. This study analysed Von Mises stress with SuperSap finite element analysis program(Algor Interactive System, Inc.). The results were as follows : 1. Stress concentration was prevalent at tooth-resin bonding surface of cervical side on each model. 2. In model 2 without line angle, stress was distributed evenly. 3. Preparing bevel eliminated stress concentration much or less at line angle. 4. Model with round-shape distributed stress concentration more evenly than box-type model with sharp line angle, therefore decreased possibility of fracture. 5. Adding grooves to line angles had no effect of decreasing stress concentration to the area.
The resistance to fracture of the restored tooth may be influenced by many factors, among these are the cavity dimension and the physical properties of the restorative material. The placement of direct composite resin restorations has generally been found to have a strengthening effect on the prepared teeth. It is the purpose of this investigation to study the relationship between the cavity isthmus and the fracture resistance of a tooth in composite resin restorations. In this study, MO cavity was prepared on the maxillary left first molar and then filled with composite resin. Three dimentional model with 3049 nodes and 2450 8-node blick elements was made by the serial photographic method and isthmus (1/4, 1/3, 1/2 and 2/3 of intercusplal distance between mesiobuccal cusp tip and mesiolingual cusp tip) was varied. Two types of model(B and R model) were developed. B model was assumed perfect bonding between the restoration and cavity wall and R model was left unfilled. A load of 1500N was applied vertically on the node from the lingual slope of the mesiobuccal cusp. The results were as follows : 1. There was a significant decrease of stress resulting in increase of fracture resistance in B model when compared with R model. 2. When it comes to stress distribution, the stress was concentrated in the facio-gingival line angle and the buccal side of the distal margin of the cavity in both Band R model. 3. With the increase of the isthmus width, the stress decreased in the area of the facio-gingival line angle, and increased in the area of facio-gingival line angle as well as the buccal side of the distal margin of the cavity in B model. In R model, the stress increased both in the area of facio-gingival line angle and the buccal side of the distal margin of the cavity, therefore the possibility of crack increased. 4. As the width of cavity increased, in B model, the direction of crack moved from horizontal to vertical on the facio-gingival line angle and the facio-pulpal line angle. In R model, the direction of the crack was horizontal on the facio-gingival line angle and moved from horizontal to the $45^{\circ}$ direction on the facio-pulpal line angle.
Although several techniques have been proposed to remove fiber-reinforced composite (FRC) post, no safe and efficient technique has been established. Recently, a guided endodontics technique has been introduced in cases of pulp canal obliteration. This study describes 2 cases of FRC post removal from maxillary anterior teeth using this guided endodontics technique with a dental operating microscope. Optically scanned data set from plaster cast model was superimposed with the data set of cone-beam computed tomography. By implant planning software, the path of a guide drill was selected. Based on them, a customized stent was fabricated and utilized to remove the FRC post. Employing guided endodontics, the FRC post was removed quickly and safely with minimizing the loss of the remaining tooth structure. The guided endodontics was a useful option for FRC post removal.
Objectives: This study was conducted to compare the post-fracture survival rate of endodontically treated molar endodontically treated teeth (molar ETT) restored with resin composites or crowns and to identify potential risk factors, using a retrospective cohort design. Materials and Methods: Dental records of molar ETT with crowns or composite restorations (recall period, 2015-2019) were collected based on inclusion and exclusion criteria. The incidence of unrestorable fractures was identified, and molar ETT were classified according to survival. Information on potential risk factors was collected. Survival rates and potential risk factors were analyzed using the Kaplan-Meier log-rank test and Cox regression model. Results: The overall survival rate of molar ETT was 87% (mean recall period, 31.73 ± 17.56 months). The survival rates of molar ETT restored with composites and crowns were 81.6% and 92.7%, reflecting a significant difference (p < 0.05). However, ETT restored with composites showed a 100% survival rate if only 1 surface was lost, which was comparable to the survival rate of ETT with crowns. The survival rates of ETT with composites and crowns were significantly different (97.6% vs. 83.7%) in the short-term (12-24 months), but not in the long-term (> 24 months) (87.8% vs. 79.5%). Conclusions: The survival rate from fracture was higher for molar ETT restored with crowns was higher than for ETT restored with composites, especially in the first 2 years after restoration. Molar ETT with limited tooth structure loss only on the occlusal surface could be successfully restored with composite restorations.
Many dental composites are Bis-GMA based resin which diluted with the more fluid monomer triethylenglycol dimethacrylate(TEGDMA). TEGDMA is often present in exess so that some quantity remains unreacted following photo-initiated polymerization. TEGDMA is a component of some resin composites which contributes to their cytotoxicity. The presence of dentin between resin composite and pulp space reduce the cytotoxicity in vitro. The root system from extrcted human third molar was removed and then a circular occlusal cavity 4mm in diameter was prepared, leaving a remaining dentinal thickness to the roof of the pulpal chamber within the range 1.0-1.5mm. Dentine was treated with 37% phosphoric acid prior to Z 100 placement without using bonding resin(group 1). In group 2, SMP(Scotchbond Multi Purpose) primer, bonding resin prior to Z 100 placement were applied sequently. In group 3, moulds with internal dimensions 4mm diameter by 2mm depth were used to contain the composite alone with an equvalent mass on tooth model, and then they were immersed directly into water. The purpose of this study is to evaluate the release rate and quantity of TEGDMA with or without the application of bonding resin. Both release rate and total cumulative amount of TEGDMA for the three groups were determined using reversed-phase HPLC at times up to 10 days. The results were as follows: 1. All experimental groups showed the highest rate of release was in the first sample period(0-4.32 min) and the rate of release declined exponentially thereafter. 2. The maximum release rate and total cumulative account of TEGDMA in the tooth model of group 1 and group 2 with the use of SMP bonding resin were reduced however ther were no significant differences between these groups(P>0.05). 3. In the first sample period(0-4.32 min), the rate of release of TEGDMA from composite resin in group 3 immersed directly into water was significantly higher than that in group 1 and group 2 of tooth model(P<0.05). Conclusively, TEGDMA diffusion from Z 100 resin was not effectively prevented by the presence of dentin in spite of using the SMP bonding resin.
The purpose of this study was to investigate the curing effect of visible light through tooth substance, 0.5mm, 1.0mm thickness of enamel and dentin were prepared. Experimental specimen were made by Bisfil M & Silux packing into cylindrical brass mold 6.0mm in diameter, 2.0mm and 3.0mm, in height. All specimen were irradiated by visible light (Grip type) model No. SDL-50 Shofu Co.) for 30 seconds through tooth substance. Experimental groups were classified into enamel group (group 1) and dentin group (group 2) according to the thickness of tooth materials and then were divided into 2 subgroups (0.5mm group and 1.0mm group). In experimental groups, visible light irradiated to the specimen through either 0.5mm in thick or 1.0mm in think of tooth material. In Control group specimen were prepared by direct irradiation on the specimen surface of visible light without through tooth substance. The hardness was measured with a Barcol hardness tester (Barber-Colman Co. U.S.A.) for each prepared specimen. The results were as follows: 1. In control group, there were higher hardness values than those of in experimental group. 2. In experimental groups, 0.5mm groups had higher hardness values than 1.0mm groups did. 3. The hardness value at top surface of the specimen were higher than the hardness of bottom surface in each group. 4. Bisfil M had higher hardness values than Silux. 5. In all specimen of 3.0mm height polymerization effect was not occurred at bottom surface except Bisfil M in control group.
Purpose: The emergence profile concept of an implant restoration is one of the most important factors for the esthetics and health of peri-implant soft tissue. This paper reports on two cases of gingival recontouring by the fabrication of a provisional implant restoration to produce an optimal emergence profile of a definitive implant restoration. Methods: After the second surgery, a preliminary impression was taken to make a soft tissue working cast. A provisional crown was fabricated on the model. The soft tissue around the implant fixture on the model was trimmed with a laboratory scalpel to produce the scalloped gingival form. Light curing composite resin was added to fill the space between the provisional crown base and trimmed gingiva. After 4 to 6 weeks, the final impression was taken to make a definitive implant restoration, where the soft tissue and tooth form were in harmony with the adjacent tooth. Results: At the first insertion of the provisional restoration, gum bleaching revealed gingival pressure. Four to six weeks after placing the provisional restoration, the gum reformed with harmony between the peri-implant gingiva and adjacent dentition. Conclusions: Gingival recontouring with a provisional implant restoration is a non-surgical and non-procedure-sensitive method. The implant restoration with the optimal emergence profile is expected to provide superior esthetic and functional results.
The color of an esthetic restorative material is controlled primarily by thickness of the material and background color. Although the effects of the two factors on the color coordinates of esthetic dental materials have been reported, the mechanism has not been clarified well enough to explain the effects quantitatively. The purpose of this study was to evaluate the effect of thickness and background color on the color of tooth colored restorative materials quantitatively. One hundred sixty samples were fabricated from two commercial light-cured composite resins and two commercial compomers. The color characteristics and changes in the color coordinates were measured by a tristimulus colorimeter (Model TC-6FX, Tokyo Denshoku Co. Japan) using the CIELAB system. The results were as follows: 1. As thickness increased from 1.0 to 4.0mm, values of $L^*$$a^*$$b^*$ changed irregulary for white and dentin color background, but showed no obvious difference in color for black background. 2. The colors of composite resins and compomers were significantly influenced by background color. 3. The color difference was recognized even the same shade name in four representative kinds of composite resins and compomers. 4. As thickness changed, values of color difference for same products and same background color showed constancy, but showed difference for different background color.
The purpose of this study was to asses the shear bond strengths of 3 types of glass ionomer cement and 1 type of composite resin to dentinal surface with or without ZOE pretreatment. 80 extracted tooth specimens are divided into two groups; the control group (40 specimens) is not treated with ZOE and the other(40 specimens) is ZOE pretreated during 24 hours before bonding procedure. Shear bond strengths were measured with universal testing machine (Instron, Model 4301) and statistically processed by ANOVA and t-test. The results were as follows: 1. Bond strength of the ZOE treated experimental group showed lower than the control group, except chemical cured glass ionomer cement(p<0.05). 2. After ZOE surface treatment, the bond strength of composite resin was superior than glass ionomer cement and all experimental group was decreased (p<0.05). 3. It has nothing to do with ZOE surface treatment, that chemical curing glass ionomer cement was showed lowest bond strength.
Inductance is an important parameter determining the characteristics of current waveform in electric motors. There are many kinds of inductances, however, self and mutual inductances are the major components. These inductances are changed under the variation of the magnetic circuit, current, frequency etc., even in the same winding distribution. Therefore this paper deals with the characteristics of inductance according to the shape of stator tooth. The analysis model is newly developed motor made of SMC(Soft Magnetic Composite) to reduce the core loss in high speed. the result of this paper gives the basic understandings of inductance to extend the applications of the motors.
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