54 research outputs found

    On an inverse problem for anisotropic conductivity in the plane

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    Let Ω^R2\hat \Omega \subset \mathbb R^2 be a bounded domain with smooth boundary and σ^\hat \sigma a smooth anisotropic conductivity on Ω^\hat \Omega. Starting from the Dirichlet-to-Neumann operator Λσ^\Lambda_{\hat \sigma} on Ω^\partial \hat \Omega, we give an explicit procedure to find a unique domain Ω\Omega, an isotropic conductivity σ\sigma on Ω\Omega and the boundary values of a quasiconformal diffeomorphism F:Ω^ΩF:\hat \Omega \to \Omega which transforms σ^\hat \sigma into σ\sigma.Comment: 9 pages, no figur

    Temperature changes during ultrasonic irrigation with different inserts and modes of activation

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    This study evaluated temperature changes during passive ultrasonic irrigation. Root canals of three extracted maxillary canines were enlarged to size #45. Thermocouples were mounted 3, 6, and 9 mm from the apical foramen. Teeth were placed in a water bath at 37 degrees C. Distilled water (20 degrees C) was continuously delivered through an ultrasonic unit (group 1) or deposited into the root canal before ultrasonic activation (group 2); for activation, noncutting nickel-titanium (NiTi) inserts or stainless steel K-files #15, #25, and #35 were used. Before and during ultrasonic activation, temperatures were continuously measured for 210 seconds. Statistical analysis was performed using analysis of variance and Scheffé post hoc tests. Temperatures initially decreased by up to 7.4 degrees C; these drops were significantly smaller in group 1 than in group 2 (p < 0.001) in the middle and apical root canal third. The decreases were followed by temperature rises for all inserts in group 2. However, in group 1, temperatures just reached baseline values in middle and apical thirds; in the coronal root canal third, lower temperatures were measured. In group 2, mean temperature rises were 7.7 degrees , 7.5 degrees , and 4.2 degrees C in coronal, middle, and apical root canal thirds. Here, K-file type inserts size #35 generated highest and inserts size #15 the lowest temperatures rises; NiTi inserts were more effective than size #15 K-files and less effective than #35 K-files. Continuous flow negated the potential of ultrasonic activation to heat irrigation solutions. Noncutting NiTi instruments and large K-files were more effective than small K-files in warming deposited irrigants

    Regenerative endodontics - Biologically-based treatment for immature permanent teeth: A case report and review of the literature

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    A paradigm shift in the treatment of immature, necrotic teeth has occurred with biologically-based principles and regenerative endodontic protocols replacing traditional 'apexification' procedures. Preliminary research suggests that stem and progenitor cells from the pulp and/or periodontium contribute to continued root development when regenerative procedures are followed.A mandibular premolar tooth with a chronic periapical abscess was irrigated with sodium hypochlorite with minimal instrumentation and then dressed with tri-antibiotic paste consisting of ciprofloxacin, metronidazole and amoxicillin. At a subsequent visit a blood clot was evoked in the canal by irritating periapical tissues and the canal sealed with mineral trioxide aggregate, glass ionomer cement and composite resin.Resolution of apical periodontitis and the draining sinus, continued root maturation and apical closure occurred over an 18-month period. The tooth became responsive to pulp sensibility testing.It is important that dentists recognize the potential of regenerative endodontics in the treatment of necrotic, immature teeth. Initial management should involve irrigation with sodium hypochlorite only. Intra-canal medicaments, such as calcium hydroxide, are contraindicated as they inhibit further root growth. This report uses a variation of the tri-antibiotic paste currently recommended for regenerative procedures that avoided the discolouration of the crown associated with current protocols. Regenerative endodontics with continued root growth may reduce the risk of fracture and premature tooth loss associated with traditional 'apexification' procedures where the root remains thin and weak
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