Description of a new laboratory evaluation method of interdental brush abrasion as a clinical hazard

Objectives To simulate the abrasive potential of an interdental brush when applied with toothpastes and prophylactic gels/solutions in a novel laboratory brushing simulation set‐up. Methods A brushing device was customized to treat dentin samples mimicking a simplified interdental space with an interdental brush (ISO 2). The brushing, that is, 7200 strokes for 1 h, was performed with artificial saliva (control), a povidone‐iodine solution, and slurries of chlorhexidine and fluoride gels as well as three toothpastes with different RDA values ranging from 29 to 100, respectively. The loss of dentin was profilometrically assessed and compared with ANOVA and Fishers LSD. Results While artificial saliva as control, the solution and the gel slurries showed no measurable dentin loss, toothpastes resulted in a measurable linear surface damage with respect to the actual intrinsic RDA values and ranged from 12.6 to 26.5 μm (p < 0.001). Conclusions Any interdental cleaning product should be tailored and carefully instructed. Any over‐ and misuse should be avoided, which applies especially to the use of interdental brushes in combination with abrasive toothpastes

Results of the August 1977 Soviet and American meterological rocketsonde intercomparison held at Wallops Island, Virginia

A coordinated program of rocketsonde investigations along about 60 deg E and 70 deg W between the United States and U.S.S.R. is discussed. The rocketsonde instruments used by the U.S. and U.S.S.R. were compared and the results are presented. The U.S. Super Loki Datasonde and the U.S.S.R. M100B rocketsonde are discussed. Results indicate that the U.S/U.S.S.R. rocketsonde measurement agreement improved since the 1973 intercomparisons. It was learned that the mean of the differences of the temperatures compare to within 6 C at about 60 km and to within 2 C near 50 km. Wind measurements were also found to agree

Gingival epitheses: forgotten craft or technology with a future? - Case report of a epithesis fabricated with CAD/CAM

The case in this report presents an alternative, partially CAD/CAM-based fabrication of a gingival epithesis in a 48-years-old female patient. The patient suffered from a periodontits stage III, grade C. After a non-surgical periodontal treatment with adjunctive systemic antibiotics, the patient developed severe circumferential gingival recessions on the upper frontal teeth. Due to social discomfort and esthetic concerns, the indication for a gingival epithesis was made. After taking a conventional impression from the upper jaw, the cast model was scanned and the gingival epithesis was designed virtually at the laboratory. The epithesis was then milled from a block of high performance polymer. Minor adjustments of surface details were added manually. The result was a esthetically sufficient and by the patient well-accepted treatment modality. Further research is necessary to prove the feasibility of a full digital workflow and the long-term stability of CAD/CAMbased gingival epitheses

Enamel Matrix Derivatives as an Adjunct to Alveolar Ridge Preservation-A Systematic Review

PURPOSE To systematically assess the current evidence regarding the adjunctive application of enamel matrix derivatives (EMDs) during alveolar ridge preservation (ARP) following tooth extraction. METHODS A comprehensive literature search was conducted in MEDLINE, Cochrane Library, PsycINFO, Web of Science, Google Scholar, and Scopus to identify relevant randomized controlled clinical trials (RCTs). The primary outcome parameters of this systematic review were histomorphometric and radiographic data; secondary outcomes were the feasibility of implant placement after ARP as well as patient-related outcomes such as postoperative discomfort. RESULTS The search identified 436 eligible articles published from 2011 to 2022, but only five were ultimately included for data extraction (146 patients). Given the substantial heterogeneity among the included studies, no meta-analysis could be performed. The authors' qualitative analysis showed marginally improved outcomes regarding an increased percentage of new bone formation after tooth extraction and a reduction in postoperative discomfort. CONCLUSIONS Given the potential value of EMDs in other fields of regenerative dentistry, more consideration should be given to EMDs as an adjunctive treatment option in ARP. However, more well-controlled randomized clinical trials are necessary to evaluate the exact potential and impacts of EMDs

Radiographic results of osteotome-driven maxillary sinus floor elevation without grafting materials after 17.5 years radiographic evaluation of minimally-invasive sinus grafting

BACKGROUND There is growing evidence that minimally invasive sinus augmentation works without the use of filler materials. This study assessed the bone integration and sinus projection of single-unit implants in the maxilla, which were placed approximately 18 years ago using a modified filler-free osteotome technique. METHODS Sixteen of the 24 treated patients of a former publication (treatment was performed between 2001 and 2004) were reassessed after a mean implant loading period of 17.5 years. The treated posterior areas were evaluated using cone-beam computed tomography (CBCT), and as a primary outcome parameter, sinus projection was determined in sectional views at the mesial, distal, buccal, and oral sites. Additionally, the percentage of alveolar bone contact was determined with respect to the implant length. Conventional radiographs were used to determine marginal bone levels. Additionally, plaque, bleeding on probing, and probing pocket depth were measured. The reconstructions were checked for chipping and other technical complications such as loss of retention, screw loosening, and screw fracture. RESULTS The mean age of the included patients was 72.8 ± 8.5 years. Two implants were lost. Therefore, fourteen implants were available for CBCT evaluation. The highest sinus projection of 2.1 ± 1.7 mm was observed in the distal aspect, while it was 1.1 ± 1.5, 0.9 ± 1.2, and 0.9 ± 1.1 mm at the mesial, buccal, and oral sites, respectively. The maximal sinus projection in one case was 6.7 mm. The percentage calculation of osseous implant integration (in mm ± standard deviations) with respect to the selected implant length at the mesial, distal, buccal, and oral sites showed values ranging from, 87.9 ± 16.0, 78.4 ± 20.3, 91.0 ± 12.5, and 90.5 ± 11.1%, respectively. Five implants displayed probing pocket depths of more than 4 mm with bleeding; all implants had less than 1 mm of bone loss in the observation period, that is, implants had mucositis. Six of 14 crowns showed small chippings within the ceramic veneering. One case of screw loosening was reported in medical history. DISCUSSION This study showed that implant placement in non-augmented sinuses resulted in good clinical results. The sinus projection, even if persistent and present, leads to no functional impairments. Given adequate maintenance, marginal bone levels remain constant and peri‑implant health can be observed. Moreover, these results represent only a small cohort; and therefore, should be interpreted with caution. However, in view of the existing literature, these highly promising results are in line with other findings. CLINICAL SIGNIFICANCE To the best of our knowledge, this dataset is the report with the longest follow-up. Overall, implants placed in the sinus without fillers represent a valuable alternative for tooth replacement in a minimally interventional manner

Bonding of brackets using a caries-protective adhesive patch

OBJECTIVES: The purpose of this study was to assess the shear bond strength (SBS) of metal brackets when placed with a caries protective adhesive patch. METHODS: Forty stainless steel brackets (Ormco) were bonded to 40 bovine enamel samples according to the following conditioning/bonding procedures using a resin-based orthodontic luting material (Heliosit Orthodontic, N=10 per group): (A) 35% phosphoric acid (30s), rinse and dry; (B) as in A but additional placement of a prototype adhesive patch (Ivoclar Vivadent) using a bonding agent (Heliobond); (C) application of a two-step self-etch adhesive (AdheSE); (D) as in C but additional patch placement. Samples were stored at 37 degrees C for 24h. SBS was measured with a universal testing machine with a crosshead speed of 0.5mm/min and the adhesive remnant index (ARI) was determined under a stereomicroscope (16x). RESULTS: Mean SBS (standard deviation) values were as follows: (A) 16.6 (6.4)MPa; (B) 12.2 (5.8); (C) 12.9 (5.0); and (D) 10.5 (4.7). Analysis of variance followed by Bonferroni correction revealed no statistically significant differences. In 2 (B) and 4 (D) specimens, complete retention of the adhesive patch was observed. CONCLUSIONS: All treatment groups showed adequate bond strength values. The adhesive patch could therefore be applied in combination with orthodontic brackets and seal the enamel adjacent to the bracket

In Situ and Satellite Measured Temperature Comparability

Following the International Geophysical Year in the late 1950's, small meteorological rockets caught the interest of scientists as a potentially inexpensive method to obtain meteorological information (density, temperature, wind) above balloon-borne radiosonde altitudes. These small rocketsondes have served many important observational roles in terms of studies conducted of atmospheric structure and processes, enabling many new ideas about the atmosphere to emerge. Although no longer manufactured a small residual inventory of meteorological rocketsondes exist for specific research projects. The value of data from meteorological rocketsondes is without question but with their disappearance data from many different satellites are filling the need, some able to resolve high-altitude temperatures quite well. However, the rocketsonde vertical profile is more localized to the launch site whereas satellites move several kilometers per second. The objective of this presentation is to compare in situ temperature data with remotely measured/retrieved temperature data. There have been a number of U.S. conducted missions utilizing the passive falling sphere data that we use to verify the comparability of retrieved temperatures from these satellites. Missions, some as early as 1991, were conducted in polar, equatorial, and mid-latitude locations. An important aspect is that a single satellite profile compared to a falling sphere profile often does not agree while high density satellite measurements when averaged over an area near the rocketsonde data area seems to be in better agreement. Radiosonde temperature data are used in the analysis when appropriat

In vitro tooth cleaning efficacy of manual toothbrushes around brackets

The purpose of this laboratory study was to assess the potential cleaning efficacy of nine different toothbrushes around brackets in vitro. Standard and Mini Diamond™ brackets were fixed on coloured teeth in a special model, coated with white titanium oxide, brushed in a machine with different manual toothbrushes (three different types: planar, staged, and v-shaped bristle field), and tested with a horizontal motion for 1 minute. After brushing, the teeth were scanned and the black surfaces were planimetrically assessed using a grey scale. Tooth areas which were black again after brushing indicated tooth surface contact of the filaments. The remaining white tooth areas around the brackets indicated ‘plaque-retentive' niches. Statistical analysis was carried out using the Kruskal-Wallis one-way test of variance for individual comparison. Bonferroni adjustment was used for multiple testing, and comparison of bracket size with Wilcoxon signed rank test. In the most critical area of 2 mm around the brackets, there was no statistically significant difference between the different toothbrushes evaluated. The untouched area ranged from 11 to 26 per cent of the initially whitened tooth surface. By pooling the toothbrushes according to their design, the median cleaning efficacy of the v-shaped (73.1 per cent) and staged (75.6 per cent) toothbrushes resulted in significantly superior cleaning efficacy than planar toothbrushes (60.7 per cent) for standard brackets. For mini bracket type, staged toothbrushes showed a significantly better mean cleaning efficacy (77.8 per cent) than planar (65 per cent) and v-shaped (72.4 per cent) toothbrushes. Staged and v-shaped brush designs resulted in superior cleaning efficacy of teeth with fixed orthodontic attachments than toothbrushes with a planar bristle field. None of the tested toothbrushes showed a consistent, significantly higher cleaning efficacy than the others in this in vitro experimen