Perception of Patient Cooperation Among Dentist, Guardian, and Child

Purpose: Evaluate behavior assessment and agreement among dentist, guardian, and child. Evaluate child behavior by appointment type. Methods: Patients recruited from the pediatric dental department at Virginia Commonwealth University for this convenience sample. Inclusion criteria: patients presenting for clinical exams and/or restorative treatment without the use of advanced behavior guidance between August 29, 2018, and March 7, 2019; ages 4-12-years-old; and scheduled with a single clinician. Appointments were stratified by difficulty. Behavior was assessed by dentist and caregiver using the Frankl Scale. Patient self-assessed cooperation using an age-appropriate modified Frankl Scale, developed for this study. Agreement assessed among the 3 scores at each appointment using descriptive statistics and Cohen’s Kappa. Behavior trends across appointment type assessed using Kruskal-Wallis test. SAS software (2013, Cary, NC). P-value \u3c 0.05. Results: Forty-one patient-guardian dyads enrolled in the study. Five dyads experienced multiple encounters. Demographics for the patients enrolled: 59% male; 44% Caucasian, 29% African American, 5% Asian, 2% Hispanic, 20% other/multiracial. Average patient age: 7.6 (range: 4- 12). Most patients had 1 encounter (n=36, 88%). Frankl Score agreement for provider/guardian was 79% (k=0.335), provider/child was 70% (k=0.248), and guardian/child was 81% (k=0.314). In disagreements, guardians rated behavior better than provider. Disagreement was split for provider/child and guardian/child, with the child tending to rate themselves higher, and the guardian tending to rate the child higher respectively. Marginal evidence that hard appointments resulted in poorer behaviors. Conclusion: There is fair agreement between child, guardian, and provider. In disagreements, guardians tend to rate the child’s behavior better compared to the provider and child self-assessment. Dental providers tend to be more critical of patient behavior. Marginal evidence to support harder appointments result in poorer behaviors

SHEAR BOND STRENGTHS BETWEEN CERAMIC CORES AND VENEERING CERAMICS OF DENTAL BI-LAYERED CERAMIC SYSTEMS AND THE SENSITIVITY TO THERMOCYCLING

The purpose of this study was to investigate the bond strength between various commercial ceramic core materials and veneering ceramics of dental bi-layered ceramic combinations and the effect of thermocycling. The shear bond strength of four dental bi-layered ceramic combinations (white Cercon, yellow Cercon, white Lava, yellow Lava, IPS E.max) were tested. Metal ceramic combinations were conducted as a control group. Half of each group was subjected to thermocycling. All specimens were thereafter subjected to a shear force. The initial mean shear bond strength values in MPa ± S.D were 28.02 ± 3.04 for White Cercon Base/Cercon Ceram Kiss, 27.54 ± 2.20 for Yellow Cercon Base/Cercon Ceram Kiss, 28.43 ± 2.13for White Lava Frame/Lava Ceram, 27.36 ± 2.25 for Yellow Lava Frame/Lava Ceram, 47.10 ± 3.77 for IPS E.max Press/IPS E.max Ceram and 30.11 ± 2.15 for metal ceramic control. The highest shear strength was recorded for IPS E.max Press/IPS E.max Ceram before and after thermocycling. The mean shear bond strength values of five other combinations were not significantly different (P < 0.05). Lithium-disilicate based combinations produced the highest core-veneer bonds that overwhelmed the metal ceramic combinations. Thermocycling had no effect on the core-veneer bonds. The core-veneer bonds of zirconia based combinations were not weakened by the addition of coloring pigments

Managing Patient Expectations with Implant Treatment

This patient came to University of the Pacific, Arthur A. Dugoni School of Dentistry to get implants and implant crowns to improve his smile, replacing his upper partial denture. Different approaches were made by the faculty to arrive at best outcomes, which took four years for the patient to receive the treatment he wanted. This abstract will further detail how the treatment was conducted and the results afterwards

Influence of orthodontic treatment on changes in the maxillary sinus dimensions

This study aimed to investigate the correlation of craniofacial morphology with maxillary sinus morphology and to evaluate whether orthodontic treatment facilitates maxillary sinus enlargement in adults

The Effect of COVID-19 On Antibiotic Resistance

Over three years have passed since the beginning of the COVID-19 pandemic. During these times we have experienced significant changes in all areas of our life. In healthcare, more attention was focused on COVID-19 than other concerns. An unexpected consequence of the pandemic was a silent progression of an increased spread of multi-resistant pathogens. While antibiotic use during the pandemic varied across healthcare settings, antibiotics were prescribed for COVID-19 patients, even though antibiotics are known not to be effective against viruses.1 In dentistry, antibiotics were prescribed to prevent potential dental infections, since many dental offices were not open. Antimicrobial resistance was one of our greatest public health concerns prior to the COVID-19 pandemic, and it remains so

Microbial Evaluation of the Calamus Heated Gutta-Percha Delivery System

If gutta-percha cartridges are contaminated with bacteria prior to obturation then contamination of the root canal system may result. Successful treatment not only depends on bacterial elimination but also depends on prevention of recontamination. This study was motivated by the observation that endodontists frequently use single use gutta-percha cartridges on multiple patients. The goal of this study was to determine if cross contamination occurred when a single gutta-percha cartridge in the Calamus™ Flow System was used on multiple patients. An effective recovery method was established during a pilot study using Enterococcus faecalis as a sample bacterium. Microbial recovery was obtained using standard media. The Calamus™ heated gutta-percha delivery system was evaluated to determine the percentage of cartridges with recoverable microorganism under four conditions. Results showed that for cartridges tested immediately after removal from manufacturer’s packaging, the observed negative outcome was 0/10 (0%). For cartridges used on a single patient with an alcohol wipe after use, the negative outcome was 0/20 (0%). For cartridges used on a single patient with no alcohol wipe after use, the negative outcome was 1/20 (5%). For cartridges used on three patients with an alcohol wipe after each use, the number of observed negative outcomes was 0/20 (0%). Using 95% score confidence intervals, the results indicate that the percentage of cartridges with recoverable microorganism under the four conditions is below 27.8% for cartridges sampled from manufacturer’s packaging, 16.1% for cartridges used on a single patient with a alcohol wipe after use, 23.6% for cartridges used on a single patient with no alcohol wipe after use, and 16.1% for cartridges used on three patients with an alcohol wipe after each use. Evidence from this study indicates using Calamus™ flow cartridges on multiple patients vs. single patient does not lead to an increased contamination risk

The Effect of Bevel on Fracture Resistance of GIC Restorations in Primary Molars: In Vitro Study Rôle du Biseau dans la Résistance à la Fracture des Restaurations aux Ciments Verres-Ionomères des Molaires Temporaires : Étude In Vitro

Background: Glass ionomer cements (GICs) are commonly used for restorations in primary molars due to their adhesive, hydrophilic, and bioactive properties. However, their low mechanical resistance may limit their use in proximal cavities. Recent advancements in GICs, such as the high viscosity GIC EQUIA Forte®, have improved their mechanical properties. The effect of a Cavo superficial bevel on the mechanical strength of GIC restorations has been previously studied. Objectives: To investigate the effect of a Cavo superficial bevel on fracture resistance and the type of fracture (adhesive, cohesive, or catastrophic) in EQUIA Forte® GIC restorations in primary molars. Methods: 56 standardized proximal cavities were created on 51 temporary molars. The cavities were randomly divided into two groups: group I without a Cavo superficial bevel (n=28) and group II with a 45° Cavo superficial bevel (n=28). The cavities were restored with EQUIA Forte®. The samples were subjected to thermocycling and artificial aging, then, an axial speed loading of 1 mm/min was applied until fracture. Fracture toughness was recorded, and the type of fracture was observed under an optical microscope. A Mann-Whitney U test was used to compare the average fracture resistance between the groups. All tests were two-tailed and the level of significance was set at 5%. Results: The average fracture resistance for group I was (237.57 ± 139.97 N) and for group II was (294.89 ± 171.07 N). There was no statistically significant difference in fracture resistance between the two groups (p\u3e0.05). Mixed fractures were observed in all samples, with adhesive fractures only present in group I and cohesive fractures only present in group II. Conclusion: The Cavo superficial bevel does not significantly affect the fracture resistance of GIC restorations in primary molars. However, the bevel design may prevent adhesive and catastrophic fractures. Contexte : Les ciments verres-Ionomères (CVI) sont couramment utilisés pour les restaurations des molaires temporaires grâce à leurs propriétés adhésives, hydrophiles et bioactives. Cependant, leur faible résistance mécanique limite leur utilisation dans les cavités proximales. Avec les récents progrès de cette classe de matériaux, un CVI à haute viscosité a été introduit : EQUIA Forte®, visant à améliorer leurs propriétés mécaniques. Le rôle du biseau cavo-superficiel sur la résistance mécanique des restaurations au CVI a déjà été étudié. Objectifs : Tester le rôle du biseau dans l’amélioration de la résistance à la fracture et d’étudier la nature du trait de fracture adhésif, cohésif, ou catastrophique des restaurations aux CVI EQUIA Forte® des molaires temporaires. Méthodes : 56 cavités proximales standardisées ont été réalisées sur 51 molaires temporaires. Ces cavités ont été divisées aléatoirement en deux groupes : groupe I sans biseau cavo-superficiel (n=28) et groupe II avec biseau cavo-superficiel de 45° (n=28). Les cavités ont été restaurées par EQUIA Forte®. Les échantillons ont été soumis à un thermocyclage et à un vieillissement artificiel, puis une vitesse axiale de chargement de 1 mm/min a été appliquée jusqu\u27à la fracture. La résistance à la fracture a été enregistrée et le type de fracture a été observé au microscope optique. Le test de Mann-Whitney U a été utilisé pour comparer la résistance moyenne à la fracture entre les groupes. Tous les tests étaient bilatéraux et le niveau de signification a été fixé à 5 %. Résultats : La résistance moyenne à la fracture pour le groupe I était de (237,57 ± 139,97 N) et pour le groupe II était de (294,89 ± 171,07 N). Il n\u27y avait pas de différence statistiquement significative en termes de résistance à la fracture entre les deux groupes (p \u3e 0,05). Cependant, des fractures mixtes ont été observées dans tous les échantillons, les fractures adhésives étant uniquement présentes dans le groupe I et les fractures cohésives présentes uniquement dans le groupe II. Conclusion : Le biseau cavo-superficiel n\u27influence pas de manière significative la résistance à la fracture des restaurations CVI des molaires temporaires. Cependant, il s’est avéré que la conception du biseau empêche les fractures adhésives et catastrophiques d’avoir lieu. Mots clés : Biseau, CVI, Classe II, Molaires Temporaires, Restauration, Type de fractur

Characteristics of Hydroxypropyl Starch of Sorghum Mutant Line ZH-30 and its Potential use in Paper Industry

Sorghum mutant line Zh-30 is a breeding line developed at the Center for the Application of Isotope and Radiation Technology, BATAN by using mutation techniques. Gamma irradiation with the dose of 300 Gy was used to induced plant genetic variability. Through selection processes in several generations, the mutant line Zh-30 was identified to have better agronomic characteristics, better grain quality and higher yield than the original variety. Research on starch quality of this mutant line was done to identify its potential use in a paper industry. Hydroxypropyl starch derivatives of this sorghum lines were prepared by varying alkalinity of the reaction mixtures using propylene oxide to reach Molar of Substitution (MS) of 0–0.180. Its pasting behavior, paste properties and application in wet end paper processing were evaluated. The optimal amount of addition of hydroxypropyl starch was 1-2 %. At this level, drainage time was lower, so that it decreased paper machine speed. At higher level, it did not improve the burst and tensile strengths but tended to decrease the tear strength of handsheets. The properties of lower pasting temperature, higher water holding capacity lower retrogradation susceptibility, increased viscosity and stability of pastes suggested that hydroxypropyl starch of sorghum ZH-30 was suitable for use in wet end paper processing. Comparing to the original starch, the hydroxypropyl starch of sorghum Zh-30 could significantly improve the strength of handsheets

MS069 Guide to the Harold S. Skjonsby, DDS Papers, 1967-1987

The Harold S. Skjonsby, DDS, papers (MS069) contains reports, committee notes, curriculum and modules for teaching, grant information, faculty workshop programs, and student handbooks that document Harold S. Skjonsby’s time as faculty the University of Texas Dental Branch at Houston. The collection is 2 cubic feet and materials are in good condition