438 research outputs found

    Update On Nonsurgical, Ultraconservative Approaches To Treat Effectively Non-cavitated Caries Lesions In Permanent Teeth

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    Dental caries on tooth surfaces is still a problem in many industrialized countries. For many years, dentistry was influenced by a mechanical approach characterized by the use of high-speed rotary cutting instruments, and dentists predominantly used surgical methods to address caries. This included radical removal of diseased portions of the tooth, along with material-driven geometric extensions to areas that were assumed to be caries-resistant. This concept of extension for prevention was introduced by G. V. Black and influenced dentists for more than 120 years. Recently, a new paradigm of operative conservatism, sometimes referred to as "minimally invasive dentistry," has gained popularity. This paradigm is designed to promote maximum preservation of healthy dental structures over a lifetime. The aim of this review is to discuss the efficacy of current nonsurgical treatments for non-cavitated caries lesions in permanent teeth. Based on results obtained from clinical trials, this review evaluates treatments such as consumption of CPP-ACP added gums, resin infiltration and fissure sealing. Although in a few cases an invasive approach is needed to arrest caries progression, the non-surgical approach generally provides potential benefits that include conserving structure by delaying intervention or minimizing the operative procedure. All current non-invasive methods are effective in treating non-cavitated caries lesions. The adoption of non-invasive approaches in the management of these lesions can preserve dental tissues, thus increasing tooth longevity.52229236Bader, J.D., Shugars, D.A., The evidence supporting alternative management strategies for early occlusal caries and suspected occlusal dentinal caries (2006) J Evid Base Dent Pract, 6, pp. 91-100Beauchamp, J., Caufield, P.W., Crall, J.J., Evidence-based clinical recommendations for the use of pit-and-fissure sealants: a report of the America Dental Association council on scientific affairs (2009) Dent Clin N Am, 53, pp. 131-147Paris, S., Meyer-Lueckel, H., Kielbassa, A.M., Resin infiltration of natural caries lesions (2007) J Dent Res, 86, pp. 662-666Morgan, M.V., Adams, G.G., Bailey, D.L., The anticariogenic effect of sugar-free gum containing CPP-ACP nanocomplexes on approximal caries determined using digital bitewing radiography (2008) Caries Res, 42, pp. 171-184Kuisch, V.K., Dental caries: a new look at an old disease (2009) Inside Dent, 5, pp. 60-65Feacherstone, J.D., Dental caries: a dynamic disease process (2008) Aust Dent J, 53, pp. 286-291Diefenderfer, K.E., Stahl, J., Caries remineralization therapy: implications for dental readiness (2008) Mil Med, 173, pp. 48-50Maltz, M., Jardim, J.J., Alves, L.R., Health promotion and dental caries (2010) Braz Oral Res, 24 (SPEC ISSUE 1), pp. 18-25Sharma, S., Kugel, G., Amorphous calcium phosphate sealants - the potential to remineralize (2009) Inside Dent, 5Bartlett, D.W., Bureau, G.P., Anggiansah, A., Evaluation of the pH of a new carbonated soft drink beverage: an in vivo investigation (2003) J Prosthodont, 12, pp. 21-25Khan, A.A., Jain, S.K., Shrivastav, A., Prevalence of dental caries among the population of Gwalior (India) in relation of different associated factors (2008) Eur J Dent, 2, pp. 81-85Kugel, G., Arsenault, P., Papas, A., Treatment modalities for caries management, including a new resin infiltration system (2009) Compend Contin Educ Dent, 30 (SPEC ISSUE 3), pp. 1-10Kidd, E.A., Fejerskov, O., What Constitutes Dental Caries? Histopathology of carious enamel and dentin related to the action of cariogenic biofilms (2004) J Dent Res, 83 (SPEC ISSUE C), pp. C35-C38Mount, G.J., A new paradigm for operative dentistry (2007), 52, pp. 264-270Black, G.V., Operative Dentistry (1908) Chicago: Medico-Dental Publishing, 121Massler, M., Changing concepts in the treatment of carious lesions (1967) Br Dent J, 123, pp. 547-548ten Cate, J.M., Duijsters, P.P., Alternating demineralization and remineralization of artificial enamel lesions (1982) Caries Res, 16, pp. 201-210Featherstone, J.B., The continuum of dental caries - evidence for a dynamic disease process (2004) J Dent Res, 83 (SPEC ISSUE C), pp. 39-42Featherstone, J.B., Clinical aspects of the de/remineralization of teeth (1995) Adv Dent Res, 9, pp. 1-340. , edBrÀnnström, M., (1982) Dentin and pulp in restorative dentistry, , London: Wolfe Medical Publications LtdReynolds, E.C., Walsh, I.J., Additional aids to the remineralization of tooth structure (2005) Preservation and restoration of tooth structure, pp. 111-118. , Mount GJ, Hume WR, eds., 2 nd edn. Brisbane: Knowledge Books and SoftwareNgo, H.C., Mount, G.J., McIntyre, J., Chemical exchange between glass-ionomer restorations and residual carious dentine in permanent molar: an in vivo study (2006) J Dent, 34, pp. 608-613Pitts, N.B., Modern concepts of caries measurement (2004) J Dent Res, 83 (SPEC ISSUE C), pp. 43-47McComb, D., Systematic review of conservative operative caries management strategies (2001) J Dent Educ, 65, pp. 1154-1161Zero, D.T., Dentifrices, mouthwashes, and remineralization/ caries arrestment strategies (2006) BMC Oral Health, 6, pp. S9Mjör, I.A., Holst, D., Eriksen, H.M., Caries and restoration prevention (2008) J Am Dent Assoc, 139, pp. 565-570Reynolds, E.C., Cain, C.J., Shen, P., Retention in plaque and remineralization of enamel lesions by various forms of calcium in a mouthrinse or sugar-free chewing gum (2003) J Dent Res, 82, pp. 206-211Manton, D.J., Walker, G.D., Cai, F., Cochrane, N.J., Shen, P., Reynolds, E.C., Remineralization of enamel subsurface lesions in situ by the use of three commercially available sugar-free gums (2008) Int J Paediatr Dent, 18, pp. 284-290Walker, G.D., Cai, F., Shen, P., Casein phosphopeptideamorphous calcium phosphate incorporated into sugar confections inhibit the progression of enamel subsurface lesions in situ (2010) Caries Res, 44, pp. 33-40Paris, S., Meyer-Lueckel, H., Inhibition of caries progression by resin infiltration in situ (2010) Caries Res, 44, pp. 47-54Paris, S., Meyer-Lueckel, H., Colfen, H., Resin infiltration of artificial enamel caries lesions with experimental light curing resins (2007) Dent Mater J, 26, pp. 582-588Paris, S., Hopfenmuller, W., Meyer-Lueckel, H., Resin infiltration of caries lesion: an efficacy randomized trial (2010) J Dent Res, , doi: 10. 1177/0022034510369289Martignon, S., Ekstrand, K.R., Ellwood, R., Efficacy of sealing proximal early active lesions: an 18-month clinical study evaluated by conventional and subtraction radiography (2006) Caries Res, 40, pp. 382-388Phark, J.H., Duarte Jr., S., Meyer-Lueckel, H., Caries infiltration with resins: a novel treatment option for interproximal caries (2009) Compend Contin Educ Dent, 30 (SPES ISSUE 3), pp. 13-17ten Cate, J.M., Remineralization of deep enamel dentin caries lesions (2008) Aust Dent J, 53, pp. 281-285Doméjean-Orliaguet, S., Tubert-Jeannin, S., Riordan, P.J., French dentists' restorative treatment decisions (2004) Oral Health Prev Dent, 2, pp. 125-131Traebert, J., Wesoloski, C.I., Lacerda, J.T., Threshold of restorative decision in dental caries treatment among dentists from small Brazilian cities (2007) Oral Health Prev Dent, 5, pp. 131-135Mertz-Fairhurst, E.J., Curtis-Jr., J.W., Ergle, J.W., Ultraconservative and cariostatic sealed restorations: results at year 10 (1998) J Am Dent Assoc, 129, pp. 55-66Alves, L.S., Fontanella, V., Damo, A.C., Qualitative and quantitative radiographic assessment of sealed carious dentin: a 10-year prospective study (2010) Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 109, pp. 135-141Maltz, M., Oliveira, E.F., Fontanella, V., A clinical, microbiologic, and radiographic study of deep lesions, after incomplete caries removal (2002) Quintessence Int, 33, pp. 151-159Weerheijm, K.L., van Amerongen, W.E., Eggink, C.O., The clinical diagnosis of occlusal caries: a problem (1989) ASDC J Dent Child, 56, pp. 196-200Murdoch-Kinck, C., McLean, M., Minimally invasive dentistry (2003) J Am Dent Assoc, 134, pp. 87-95Brostck, A., Early diagnosis and minimally invasive treatment of occlusal caries - a clinical approach (2004) Oral Health Prev Dent, 2 (SUPPL. 1), pp. 313-319Borges, B.C., Campos, G.B., da Silveira, A.D., de Lima, K.C., Pinheiro, I.V., Efficacy of a pit and fissure sealant in arresting dentin non-cavitated caries: a 1-year follow-up, randomized, single-blind, controlled clinical trial (2010) Am J Dent, 23, pp. 311-316Silveira, A.D., Borges, B.C., Varela, H.A., Progression of non-cavitated lesions in dentin through a nonsurgical approach: a preliminary 12-month clinical observation (2010) Eur J Dent, , in pressUysal, T., Amasyali, M., Koyuturk, A.E., Efficiency of amorphous calcium phosphate-containing orthodontic composite and resin modified glass ionomer cement on demineralization evaluated by a new laser fluorescence device (2009) Eur J Dent, 3, pp. 127-13

    Search for direct production of charginos and neutralinos in events with three leptons and missing transverse momentum in √s = 7 TeV pp collisions with the ATLAS detector

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    A search for the direct production of charginos and neutralinos in final states with three electrons or muons and missing transverse momentum is presented. The analysis is based on 4.7 fb−1 of proton–proton collision data delivered by the Large Hadron Collider and recorded with the ATLAS detector. Observations are consistent with Standard Model expectations in three signal regions that are either depleted or enriched in Z-boson decays. Upper limits at 95% confidence level are set in R-parity conserving phenomenological minimal supersymmetric models and in simplified models, significantly extending previous results

    Jet size dependence of single jet suppression in lead-lead collisions at sqrt(s(NN)) = 2.76 TeV with the ATLAS detector at the LHC

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    Measurements of inclusive jet suppression in heavy ion collisions at the LHC provide direct sensitivity to the physics of jet quenching. In a sample of lead-lead collisions at sqrt(s) = 2.76 TeV corresponding to an integrated luminosity of approximately 7 inverse microbarns, ATLAS has measured jets with a calorimeter over the pseudorapidity interval |eta| < 2.1 and over the transverse momentum range 38 < pT < 210 GeV. Jets were reconstructed using the anti-kt algorithm with values for the distance parameter that determines the nominal jet radius of R = 0.2, 0.3, 0.4 and 0.5. The centrality dependence of the jet yield is characterized by the jet "central-to-peripheral ratio," Rcp. Jet production is found to be suppressed by approximately a factor of two in the 10% most central collisions relative to peripheral collisions. Rcp varies smoothly with centrality as characterized by the number of participating nucleons. The observed suppression is only weakly dependent on jet radius and transverse momentum. These results provide the first direct measurement of inclusive jet suppression in heavy ion collisions and complement previous measurements of dijet transverse energy imbalance at the LHC.Comment: 15 pages plus author list (30 pages total), 8 figures, 2 tables, submitted to Physics Letters B. All figures including auxiliary figures are available at http://atlas.web.cern.ch/Atlas/GROUPS/PHYSICS/PAPERS/HION-2011-02

    Search for displaced vertices arising from decays of new heavy particles in 7 TeV pp collisions at ATLAS

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    We present the results of a search for new, heavy particles that decay at a significant distance from their production point into a final state containing charged hadrons in association with a high-momentum muon. The search is conducted in a pp-collision data sample with a center-of-mass energy of 7 TeV and an integrated luminosity of 33 pb^-1 collected in 2010 by the ATLAS detector operating at the Large Hadron Collider. Production of such particles is expected in various scenarios of physics beyond the standard model. We observe no signal and place limits on the production cross-section of supersymmetric particles in an R-parity-violating scenario as a function of the neutralino lifetime. Limits are presented for different squark and neutralino masses, enabling extension of the limits to a variety of other models.Comment: 8 pages plus author list (20 pages total), 8 figures, 1 table, final version to appear in Physics Letters

    Measurement of the polarisation of W bosons produced with large transverse momentum in pp collisions at sqrt(s) = 7 TeV with the ATLAS experiment

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    This paper describes an analysis of the angular distribution of W->enu and W->munu decays, using data from pp collisions at sqrt(s) = 7 TeV recorded with the ATLAS detector at the LHC in 2010, corresponding to an integrated luminosity of about 35 pb^-1. Using the decay lepton transverse momentum and the missing transverse energy, the W decay angular distribution projected onto the transverse plane is obtained and analysed in terms of helicity fractions f0, fL and fR over two ranges of W transverse momentum (ptw): 35 < ptw < 50 GeV and ptw > 50 GeV. Good agreement is found with theoretical predictions. For ptw > 50 GeV, the values of f0 and fL-fR, averaged over charge and lepton flavour, are measured to be : f0 = 0.127 +/- 0.030 +/- 0.108 and fL-fR = 0.252 +/- 0.017 +/- 0.030, where the first uncertainties are statistical, and the second include all systematic effects.Comment: 19 pages plus author list (34 pages total), 9 figures, 11 tables, revised author list, matches European Journal of Physics C versio
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