Comparison of Stain Effects of Nicotine and Beverages on Different Cad-Cam Materials

Purpose: This study aimed to compare the effect of smoking cigarettes and drinking beverages and also polishing procedures on the discoloration of CAD/CAM materials. Materials and Methods: Resin nanoceramic (Lava Ultimate-RN), feldspar ceramic (CEREC Blocs Ceramics-FC) and lithium disilicate glass-ceramic (IPS e.max® CAD-LDC) specimens (5X5 X2 mm) were used for this study. Initially, baseline surface roughness (Ra) and color values (L*, a*, b*) of the specimens were measured with profilometer and chroma meter. Then the specimens were exposure nicotine, coffee and red wine. The first discoloration values of each specimen were measured. Then, all of the specimens were subjected to re-polishing procedures. Than, the surface roughness and color values of each specimen were measured. The specimens were subjected to the same staining process again. After exposure of the specimens to the staining agents, the second staining value was measured. Two-way analysis of variance (ANOVA) was used for normally distributed groups, and the Kruskal-Wallis test was used for non-normally distributed groups. Results: Statistically significant ΔE* values were observed for RN (8.26±1.55) and FC (7.69±1.52) for nicotine in the first staining group. The maximum total color changes were observed in the nicotine group for all of the material specimens. Nicotine caused the highest color changes on the test materials than coffee and wine. Surface roughness did not show a statistically significant difference based on the staining agents for any of the materials within a group (p lt;0.05). Conclusions: It was observed that nicotine staining is far stronger than beverage staining

Comparison of SYNTAX score II efficacy with SYNTAX score and TIMI risk score for predicting in-hospital and long-term mortality in patients with ST segment elevation myocardial infarction

WOS: 000439342900001PubMed ID: 29541904SYNTAX score II (SS-II) has a powerful prognostic accuracy in patients with stable complex coronary artery disease who have undergone revascularization; however, there is limited data regarding the prognosis of patients with ST segment elevation myocardial infarction (STEMI). The aim of this study is to examine both the predictive performance of SS-II in determining in-hospital and long term mortality of STEMI patients and to compare SYNTAX score (SS) and TIMI risk score (TRS). Consecutive 1912 STEMI patients treated with primary percutaneous coronary intervention (p-PCI) retrospectively reviewed, and the remaining 1708 patients constituted the study population after exclusion. The patients were divided into three groups according to increased SS-II value: low (n:562; SS-II = 34.4). In-hospital and long term mortality rate from all causes (0 vs. 0.5 vs. 10.6% and 1.8 vs. 3.2 vs. 18.1% respectively, p <= 0.001) were significantly increased with SS-II tertiles and SS-II was found to be independent predictor of in-hospital and long term mortality (HR: 1.076 95% CI 1.060-1.092, p <0.001) and (HR: 1.070 95% CI 1.050-1.090, p <0.0001). The predictive power of SS-II, SS, and TRS were compared by ROC curve and decision curve analysis. SS-II surpassed SS and TRS in long-term and in-hospital mortality prediction. SS-II is a powerful tool to predict in-hospital and long-term mortality from all causes in STEMI patients treated with p-PCI