Practical Implementation of Evidence-Based Dentistry Into Daily Dental Practice Through a Short Time Dependent Searching Method

INTRODUCTION:Despite the fact that the benefits of implementation of Evidence-Based Dentistry (EBD) into clinical practice is increasingly being highlighted, there are still clear limitations in its implementation into daily dental practice. One potentially important barrier to effective implementation into practice is the perception of EBD as a time-consuming process. The aim of the present study is to increase the familiarity of dental practitioners with the benefits of different time-dependent 'practical' search strategies important to EBD using a clinical question from the field of dental implantology as an example. MATERIALS AND METHODS:The PICO (population, intervention, comparison, outcome) question used in this study was: "In young adults with anterior single-tooth implant what is the effect of immediate or delayed loading on success?" A bibliographic search according to the Haynes 5S pyramid, together with 3 different time-dependent strategies (5-min, 30-min and more than 60-min), were applied. RESULTS:Both the Haynes 5S Pyramid and time-dependent search strategies revealed promising results for enhancing decision-making for determining the feasibility of immediate or conventional loading of anterior single dental implants. Results clearly showed that selection of the loading protocol would be case (patient)-specific and also indicated high primary implant stability and bone quality as the most important prerequisites for a successful immediate/early loading. From among the 3 different time-dependent strategies (5 min, 30 min and more than 60 min), the 60+ min search results were quite comparable with the Haynes pyramid search results. CONCLUSION:It is likely that the different time-dependent search strategies may have the potential to support the clinical decision making process and may improve the implementation of EBD into daily dental practice. Increased time spent searching naturally seems to increase the extent of this support. However, even with short time-dependent searches, busy dental clinicians may get an improved idea/opinion regarding a clinical question

Recognition of Cigarette Brand Names and Logos by Primary Schoolchildren in Ankara, Turkey

Objective-To assess the smoking behaviour of primary schoolchildren and their ability to recognise brand names and logos of widely advertised cigarettes, compared with other commercial products intended for children. Design-Cross-sectional survey in classroom settings using a questionnaire designed to measure attitudes towards smoking and the recognition of brand names and logos for 16 food, beverage, cigarette, and toothpaste products. Setting-Ankara, Turkey. Subjects-1093 children (54.6% boys, 44.4% girls) aged 7-13 years (mean = 10, SD = 1), from grades 2-5. The student sample was taken from three primary schools-one school in each of three residential districts representing high, middle, and low income populations. Main outcome measures- Prevalence of ever-smoking, recognition of brand names and logos. Results-Prevalence of ever-smoking was 11.7% overall (13.9% among boys and 9.1% among girls; p<0.05). Children aged eight years or less had a higher prevalence of ever-smoking (19.6%) than older children (p<0.002). Ever-smoking prevalence did not differ significantly across the three school districts. Ever-smoking prevalence was higher among children with at least one parent who smoked (15.3%) than among those whose parents did not (4.8%) (p<0.001). Brand recognition rates ranged from 58.1% for Chee-tos (a food product) to 95.2% for Samsun (a Turkish cigarette brand). Recognition rates for cigarette brand names and logos were 95.2% and 80.8%, respectively, for Samsun; 84.0% and 90.5%, respectively, for Camel; and 92.1% and 69.5%, respectively, for Marlboro. The Camel logo and the Samsun and Marlboro brand names were the most highly recognised of all product logos and brand names tested. Conclusions-The high recognition of cigarette brand names and logos is most likely the result of tobacco advertising and promotion. Our results indicate the need to implement comprehensive tobacco control measures in Turkey.WoSScopu

Fracture strength of CAD/CAM fabricated lithium disilicate and resin nano ceramic restorations used for endodontically treated teeth

The purpose of the present study was to evaluate and compare the fracture strength and failure modes of endocrowns, zirconia post, and fiber post supported restorations and predict the clinical outcomes of six different prostheses used for endodontically treated teeth. Sixty (n=10) maxillary central incisors were restored with zirconia post/resin-nano-ceramic crown (ZrRNC), fiber post/resinnano-ceramic crown (FbRNC), zirconia post/lithium disilicate ceramic crown (ZrLDS), fiber post/lithium disilicate ceramic crown (FbLDS), resin-nano-ceramic endocrown (EndoRNC), and lithium disilicate ceramic endocrown (EndoLDS). Fracture strength test was performed. Fracture loads and modes were determined. The EndoLDS group had the highest fracture strength, followed by ZrRNC and EndoRNC group. However the results were not significantly different among groups (p>0.05). The failure modes of the restorations changed according to the restorative materials. Endodontically treated anterior teeth might be restored with endocrowns as well as other post-core restorations, however tooth fracture failures should be considered that affect reliability of endocrowns

Reducing tidal volume does not affect oxygenation in ASA I-II patients during anesthesia

The aim of this study was to evaluate the need of high tidal volumes for mechanical ventilation during general anesthesia

Effect of plasma treatment on the peel bond strength between maxillofacial silicones and resins

The study aimed to investigate the effects of surface treatments, including plasma, on the peel bond strength between two maxillofacial silicones and two resins with and without thermocycling. Forty-eight experimental groups (n=10) were generated incorporating the two different resins (auto-polymerizing acrylic resin and light-curing urethane dimethacrylate resin {[}AR and LR, respectively]), two different silicones (M511 and Z004), aging (thermocycled/no thermocycling), and six different surface treatments, including polishing, grinding, polishing+argon plasma, polishing+oxygen plasma, grinding+argon plasma, and grinding+oxygen plasma. Surface topography of a specimen from each surface treatment group was examined by atomic force microscopy. After surface treatments, silicones were polymerized. The peel bond strength values of the control and thermocycled groups were determined. Atomic force microscopy showed that surface topographies of the ground specimens were irregular. Polished specimens showed higher peel bond strength than ground specimens. Plasma application appeared to have improved the bond strength between the resins and silicones

Byssinosis and Copd Rates Among Factory Workers Manufacturing Hemp and Jute

Objectives: Prior studies have been performed on cotton textile plants throughout the world. This study was planned to identify the rate of byssinosis and chronic obstructive pulmonary disease (COPD) in hemp and jute workers and those who worked with both of them. Material and Methods: The study was realized in a factory which consecutively processed hemp and jute. The study enrollment included 266 people, 164 of whom were active workers and 102 were retired. A questionnaire, plain chest X-rays, physical examination and pulmonary function tests were performed. Dust levels were measured in various sections of the factory during 8 h work shifts. Endotoxin levels of various quality hemp fibers and dusts were measured. Results: The rate of byssinosis (28.2%) was higher among the workers that who exposed to both jute and hemp dust. The frequency of chronic bronchitis in retired workers who previously smoked was higher (20%) as compared to currently smoking workers (17%). High dust levels were measured in some parts of the factory (mean (M) = 2.69 mg/m(3)). Working in dense dust areas, active smoking, being older than 40 years of age, being an ex-smoker, and working in the factory for a period exceeding 15 years were significantly associated with bronchitis and emphysema development. High endotoxin levels were determined for fine hemp dust (605 EU/mg), coarse hemp dust (336 EU/mg) and poor quality hemp fibers (114 EU/mg), whereas in fresh hemp stalks the level of endotoxin was determined to be lower (0.27 EU/mg). Conclusions: Because of high exposures to jute and hemp dusts that are associated with high byssinosis rates, personal protection and environmental hygiene is crucial to prevention of byssinosis