E-Glass Fiber Reinforced Composites in Dental Applications

Fiber reinforced composites (FRCs) are more and more widely applied in dentistry to substitute for metallic restorations: periodontal splints, fixed partial dentures, endodontic posts, orthodontic appliances, and some other indirect restorations. In general in FRCs, the fiber reinforcement provides the composite structure with better biomechanical performance due to their superior properties in tension and flexure. Nowadays, the E-glass fiber is most frequently used because of its chemical resistance and relatively low cost. Growing interest is being paid to enhance its clinical performance. Moreover, various techniques are utilized to reinforce the adhesion between the fiber and the matrix. Oral conditions set special requirements and challenges for the clinical applications of FRCs. The biomechanical properties of dental materials are of high importance in dentistry, and given this, there is on-going scientific interest to develop E-glass fiber reinforced composite systems. FRCs are generally biocompatible and their toxicity is not a concern. © 2011 The Author(s).published_or_final_versionSpringer Open Choice, 21 Feb 201

Immediate natural tooth bridges

This article describes four cases in which immediate natural tooth bridges have been provided. Four different techniques are described for creating these. The four different retainer types discussed are silanated glass fibres impregnated with PMMA and bis-GMA, laboratory-made metal wings, metal mesh and mesh-type titanium wire. With the support of photographs and diagrams, the techniques for each retainer type are described. The final section of this article discusses the factors that affect the prognosis of immediate natural tooth bridges. Providing information on prognosis is an important part of the consent process; this includes patient factors and clinician factors

Using Climate Models to Estimate Urban Vulnerability to Flash Floods

Climate change will impact urban infrastructure networks by changing precipitation patterns in a region. This study presents a novel vulnerability assessment framework for infrastructure networks against extreme rainfall-induced flash floods, with a specific application to transportation. The framework combines climate models, network science, geographical information systems (GIS), and stochastic modeling to compile a vulnerability surface (VS). Daily precipitation simulations for 2006-2100 from the Community Climate System Model, version 4 (CCSM4), are used to produce a stochastic simulation of extreme flash flood events in five U.S. cities-that is, Boston, Massachusetts; Houston, Texas; Miami, Florida; Oklahoma City, Oklahoma; and Philadelphia, Pennsylvania-under two different climate scenarios (RCP4.5 and RCP8.5). To assess the impact of these events, percentage drops in static (i.e., overall properties and robustness topological indicators) and dynamic (i.e., GIS accessibility and travel demand metrics) network properties are measured before and after simulated extreme events. The results of these metrics are inputs on a radar diagram to form a VS. Overall, the results show that changes in flash flood frequency due to climate change can have a significant impact on road networks, as was demonstrated recently in Houston, Texas. The magnitude of these impacts is chiefly associated with the geographic location of the cities and the size of the networks. The proposed framework can be reproduced in any city around the world, and researchers can use the results as guidelines for infrastructure design and planning purposes. Moreover, sensitivity analysis to varying greenhouse gas concentration trajectories can help local and national authorities to prioritize strategies for adaptation to climate change in more vulnerable regions

Effect of flowable composite on microleakage of condensable composite restorations

"nBackground and Aim: Because of polymerization shrinkage and high viscosity of posterior composites, there are some difficulties in using them in posterior restorations. Several methods have been represented to reduce the effect of shrinkage. The aim of this study was to investigate the effect of curing flowable composites under condensable ones in adaptation and microleakage reduction of posterior composite restorations. "nMaterials and Methods: In this experimental in vitro study, forty class II MO cavities were prepared on extracted intact molar and premolar human teeth. Gingival margins were placed 1 mm apical to CEJ. The teeth were divided into two groups. In group 1, flowable composite (Filek Flow, 3M, ESPE, USA) with 0.5-1 mm thickness was applied and cured following application of bonding agent (Single Bond, 3M, ESPE, USA). The rest of the cavity was filled by condensable composite (p60, 3M, ESPE, USA). In group 2 the flowable composite was not cured, and the condensable composite was applied in two increments. After light curing of composites, all the specimens were thermocycled and then immersed in 0.3% basic fuschin. Specimens were sectioned and evaluated for degree of dye penetration under a stereomicroscope. Data were analyzed by Mann-Whitney test with p<0.05 as the level of significance. "nResults:. There was no significant difference between the two studied groups regarding microleakage. "nConclusion: Based on the results of this study, neither cured nor uncured flowable composite under condensable composite can omit microleakage in posterior composite restorations

Evaluation of bond strength of D.T.Light- post to root canal using dual-cure and self-cure resin cements after irrigation with various solutions

"nBackground and Aim: Nonmetallic tooth- colored posts adhere to canal walls by dentin bonding agents and resin cements. Better retention and proper distribution of stress result from enough and proper bonding. The purpose of this study was to evaluate bond strength of D.T. Light - post with two different resin cements (self-cure & dual-cure) and to investigate the effect of irrigating solutions applied in root canal on bond strength of the resin cements and D.T.Light- post to root canal wall. "nMaterials and Methods: In this experimental study 40 single root teeth (maxillary canine & central) were selected and stored in 0.1% thymol solution for one week and transferred to distilled water. The teeth were decoronated 2mm above CEJ. The canal space was mechanically enlarged using k-files (up to # 70). The teeth were randomly divided into two groups. The first group was irrigated with 2.6% NaOCl, and the second was irrigated with normal saline. After drying, the teeth were filled with gutta percha cones using lateral condensing method. After two weeks the post space was prepared and D.T.Light- post was inserted in each subgroup using self or dual-cure cements according to manufacturer's instructions. After thermocycling, the apical part was cut 1cm below CEJ. The remained length was divided into 9 equal sequential sections. Each section was submitted to shear push-out test in universal testing machine. Statistical analysis of the bond strength data was performed using ANOVA and post hoc tests with p<0.05 as the level of significance. All failed specimens were examined under stereomicroscope. Degrees of conversion of the cements were determined by FTIR. "nResults: Significant difference in bond strength values were found among sites (P=0.001) and cements (P=0.03). With increasing in depth, bond strength decreased. The mean bond strength value in dual-cure resin cement was higher than self-cure cement. The irrigating solutions caused no significant difference in bond strength (P=0.46). DC% had significant difference in various depths. "nConclusion: According to the results of this investigation, bond strength of dual-cure cement is higher than self-cure one in D.T Light- post because of post's translucency. 2.6% sodium hypochlorite does not affect the bond strength