Paediatric endodontics. Part. 1: Portland Cements Apical Plug

Treatment of necrotic immature permanent anterior teeth with Portland cements apical plug. The long-term success of endodontic treatment depends on the quality of the apical and coronal seal. In necrotic immature teeth the treatment can be challenging for the clinician as the endodontic anatomy and the presence of bacterial infection need to be addressed with special techniques and materials in order to obtain an effective and biocompatible apical seal. Unfortunately, despite the best treatments, immature permanent teeth have a reduced resistance to fracture due to the arrest of root walls development

SEM Evaluation of the Hybrid Layer of Two Universal Adhesives on Sound and DI Type II Affected Dentin

Universal nanofilled adhesives were recently introduced in restorative dentistry to simplify clinical procedures and improve adhesion in different clinical situation. This study investigated the effectiveness of two universal adhesives on both sound and dentinogenesis imperfecta type II (DI-II)-affected teeth. To evaluate the effectiveness of adhesion on both sound and DI-II-affected teeth, four samples, two sound extracted molars and two extracted molars affected by DI-II were selected. Coronal enamel and dentin were exposed, and the samples were used for testing two different universal adhesives, Universal Bond (Tokuyama) and All-Bond Universal (Bisco). After the adhesive procedures, the samples were stored in saline at room temperature for one week prior to SEM investigation for the interfacial bonding layer. The samples were longitudinally sectioned into two parts, obtaining two sections for the evaluation of the adhesive interface to the SEM. The SEM-morphology of the hybrid layer on the enamel was similar for the two universal adhesives tested. The study of the hybrid layer on sound dentin confirmed the great versatility of All-Bond Universal and Universal Bond adhesives in managing adhesion even on pathological dental substrates. Both universal adhesives tested showed encouraging results on DI-II-affected dentin, creating an effective hybrid layer even on the atubular and less mineralized altered dentin

Comparison of mandibular arch expansion by the schwartz appliance using two activation protocols: A preliminary retrospective clinical study

Background and objectives: Dental crowding is more pronounced in the mandible than in the maxilla. When exceeding a significant amount, the creation of new space is required. The mandibular expansion devices prove to be useful even if the increase in the lower arch perimeter seems to be just ascribed to the vestibular inclination of teeth. The aim of the study was to compare two activation protocols of the Schwartz appliance in terms of effectiveness, particularly with regard to how quickly crowding is solved and how smaller is the increasing of vestibular inclination of the mandibular molars. Materials and methods: We compared two groups of patients treated with different activation's protocols of the lower Schwartz appliance (Group 1 protocol consisted in turning the expansion screw half a turn twice every two weeks and replacing the device every four months; Group 2 was treated by using the classic activation protocol-1/4 turn every week, never replacing the device). The measurements of parameters such as intercanine distance (IC), interpremolar distance (IPM), intermolar distance (IM), arch perimeter(AP), curve of Wilson (COW), and crowding (CR) were made on dental casts at the beginning and at the end of the treatment. Results: A significant difference between protocol groups was observed in the variation of COWL between time 0 and time 1 with protocol 1 with protocol 1 subjects showing a smaller increase in the parameter than protocol 2 subjects. The same trend was observed also for COWR, but the difference between protocol groups was slightly smaller and the interaction protocol-by-time did not reach the statistical significance. Finally, treatment duration in protocol 1 was significantly lower than in protocol 2. Conclusion: The results of our study suggest that the new activation protocol would seem more effective as it allows to achieve the objective of the therapy more quickly, and likely leading to greater bodily expansion

Efectos del fósforo de un efluente cloacal sobre la morfología interna y externa de Eichhornia crassipes (Mart. Solms) en un humedal artificial

Se compararon las variaciones morfológicas que presentó Eichhornia crassipes (Mart. Solms) a la entrada y salida de un humedal construido para tratar un efluente cloacal. Se determinó la concentración de fósforo en el agua y en las plantas. Se midió la altura de las plantas, la longitud de las raíces y la biomasa. Para estudiar la morfología interna de la raíz se calculó el área transversal de la raíz (ATR), de la médula (ATM) y de los vasos metaxilemáticos tardíos (ATV) y el área total del metaxilema (ATVt) por sección. Las diferentes concentraciones de fósforo presentes en el efluente cloacal, a la entrada y salida del humedal, produjeron variaciones en la morfología externa e interna de E. crassipes. La concentración de fósforo en los tejidos mostró una relación directa con la concentración de fósforo en el agua. En las plantas de la entrada se observó una mayor altura, menor longitud y biomasa de las raíces en comparación con las plantas de la salida. En las plantas de la entrada se observó un aumento de los valores de ATM y ATV y ATVt, comparadas con las plantas de la salida. La variación en los parámetros morfológicos internos se debió probablemente al aumento del área transversal de la raíz.The present study compares the morphological variation of Eichhornia crassipes (Mart. Solms) between the inlet and outlet zones of a wetland constructed for the treatment of a sewage effluent. The phosphorus concentration in water and plants was determined. Plant height, root length and dry biomass were measured. The areas of cross-sectional whole root (ATR), stele (ATM), large metaxylematic vessels (ATV) and the total metaxylematic vessels (ATVt) were calculated. The different phosphorus concentrations registered at the inlet and outlet zones of the constructed wetland, induced internal and external morphological changes in E. crassipes. Phosphorus concentration in tissues was positively correlated with phosphorus concentrations in water. The inlet zone plants were taller and they had shorter roots and less proportion of root dry weight in comparison with the outlet zone plants. The inlet zone plants increased the ATM, ATV and ATVt values, in comparison with the outlet zone plants. The variation in the internal morphological parameters was probably due to the increase of the cross-sectional whole root

Shock waves in laser-induced plasmas

The production of a plasma by a pulsed laser beam in solids, liquids or gas is often associated with the generation of a strong shock wave, which can be studied and interpreted in the framework of the theory of strong explosion. In this review, we will briefly present a theoretical interpretation of the physical mechanisms of laser-generated shock waves. After that, we will discuss how the study of the dynamics of the laser-induced shock wave can be used for obtaining useful information about the laser-target interaction (for example, the energy delivered by the laser on the target material) or on the physical properties of the target itself (hardness). Finally, we will focus the discussion on how the laser-induced shock wave can be exploited in analytical applications of Laser-Induced Plasmas as, for example, in Double-Pulse Laser-Induced Breakdown Spectroscopy experiments

Is dental amalgam a higher risk factor rather than resin‐based restorations for systemic conditions? A systematic review

Objective: The aim of this study was to confirm the hypothesis that patients with one or more amalgam restorations have an increased risk for systemic diseases rather than patients with resin-based restorations. Data: The data search produced an initial 3568 total number of records. All titles and abstract were reviewed by five independent examiners, and only 36 records were selected for full text in depth examination. Out of these, only nine publications matched the inclusion criteria and were included in this systematic review. Sources: Electronic databases (MEDLINE, Scopus, Embase, and Web of Knowledge) were searched up to June 2019. In addition, a manual search was carried out on journals related to this topic. Study selection: All selected human clinical studies compared patients with dental amalgam restorations to patients with non-amalgam restorations on restorative material related diseases/health conditions with at least 50 patients and a reasonable follow up. The systemic effects of dental restorations were analyzed. As for any systemic effects, there was no difference between amalgam and composite restoration. Conclusions: With the limitations of the few available randomized controlled trials (RCTs) on the matter, amalgam restorations, similarly to other modern resin-based materials, were not related to an increased risk of systemic diseases or conditions. Clinical significance: On the basis of the available RCTs, amalgam restorations, if compared with resin-based fillings, do not show an increased risk for systemic diseases. There is still insufficient evidence to exclude or demonstrate any direct influence on general health. The removal of old amalgam restorations and their substitution with more modern adhesive restorations should be performed only when clinically necessary and not just for material concerns. In order to better evaluate the safety of dental amalgam compared to other more modern restorative materials, further RCTs that consider important parameters such as long and uniform follow up periods, number of restorations per patient, and sample populations representative of chronic or degenerative diseases are needed

Durability of adhesion between an adhesive and post-space dentin: Push-out evaluation at one and six months.

Aims The aim of this study was to investigate, by means of the push-out test, the bond of Prime & Bond NT at various post-space dentin locations and the influence of time of water storage on bond strength values. Methods 30 single-rooted teeth were used for the bond strength measurement. In each tooth fiber posts were cemented with the commercial bonding system “Prime & Bond NT” in combination with the resin-based filling material “Opticore Cure Core Composite”. After 24 h (group A: 10 roots), 1 month (group B: 10 roots), and 6 months (group C: 10 roots) of water storage, the specimens were sectioned in 1 mm-thick slices for the push-out test. The data were divided into three regions (coronal/middle/apical) and analyzed using Kruskal-Wallis Test and Mann-Whitney U Test (p<0.05). Results The bond strength values registered did not show statistically significant differences within group A and C; within group B statistically significant differences were found between the coronal and the middle thirds and between the coronal and the apical third. The apical bond strength values did not show any statistically significant difference among the three groups (Kruskal-Wallis test); in the middle thirds a statistically significant difference was found at 6 months when compared with the 24 h and 1-month samples. In the coronal thirds was found a statistically significant difference between 1 month and 6 months. Analysis of the specimens under optical microscope revealed a prevalence of adhesive failures between fiber post and root dentin. Conclusions Bond strength values are lower at the apical third. Over time the adhesion of the fiberpost/luting cement/post-space dentin does not remain stable

A new approach to non-linear multivariate calibration in laser-induced breakdown spectroscopy analysis of silicate rocks

In this paper a new approach to quantitative Laser-Induced Breakdown Spectroscopy (LIBS) analysis of silicate rocks is presented. The method is adapted from the Franzini and Leoni algorithm, a method widely used in X-Ray Fluorescence analysis for correcting the matrix effects in the determination of the composition of geological materials. To illustrate the features of the new method proposed, nine elements were quantified in 19 geological standards by building linear univariate calibration curves, linear multivariate calibration surfaces (PLS) and using Artificial Neural Networks. The results were then compared with the predictions derived from the application of the algorithm here proposed. It was found that the Franzini and Leoni approach gives results much more precise than linear uni- and multivariate approaches, and comparable with the ones derived from the application of Artificial Neural Networks. A definite advantage of the proposed approach is the possibility of building multivariate non-linear calibration surfaces using linear optimization algorithms, a feature which makes the application of the Franzini and Leoni method in LIBS analysis much simpler (and controllable) with respect to the algorithms based on Artificial Neural Networks

Improvement of the performances of a commercial hand-held laser-induced breakdown spectroscopy instrument for steel analysis using multiple artificial neural networks.

In this article, we present a study on the optimization of the analytical performance of a commercial hand-held laser-induced breakdown spectroscopy instrument for steel analysis. We show how the performances of the instrument can be substantially improved using a non-linear calibration approach based on a set of Artificial Neural Networks (ANNs), one optimized for the determination of the major elements of the alloy, and the others specialized for the analysis of minor components. Tests of the instrument on steel samples used for instrument internal calibration demonstrate a comparable accuracy with the results of the ANNs, while the latter are considerably more accurate when unknown samples, not used for calibration/training, are tested

Oral health status among migrants from middle-and low-income countries to europe: A systematic review

Introduction. Economic inequality, political instability and globalization have contributed to the constant growth of the migration phenomenon in recent years. In particular, a total of 4.2 million people migrated to Europe during 2019 and most of them settled in Germany, France and Italy. Objectives. The objective of this study was to conduct a systematic review of studies analyzing the oral health condition among migrants from middle-and low-income countries to Europe and assessing the eventual association between their sociodemographic and socioeconomic characteristics and oral health status. Materials and Methods. A systematic review was conducted in PubMed, Cochrane Library, Scopus and Science Direct databases. After titles, abstracts and full-text exami-nation, only 27 articles were selected on the basis of inclusion criteria and consequently included for quality assessments and data extraction. Results. Most of the studies reported a higher prevalence of caries experience, a poorer periodontal health and more difficulties in accessing dentalcare services among migrant groups compared with the non-migrant population. Inequalities were mostly associated with ethnic background, economic condition and social grade. Conclusion. Our review demonstrates the lack of dental health among migrants, underlining that their cultural beliefs and their social and economic living conditions could influence their oral health