Evaluation of shear bond strength of orthodontic brackets using trans-illumination technique with different curing profiles of LED light-curing unit in posterior teeth.

BackgroundAlthough using light-cured composites for bonding orthodontic brackets has become increasingly popular, curing light cannot penetrate the metallic bulk of brackets and polymerization of composites is limited to the edges. Limited access and poor direct sight may be a problem in the posterior teeth. Meanwhile, effectiveness of the trans-illumination technique is questionable due to increased bucco-lingual thickness of the posterior teeth. Light-emitting diode (LED) light-curing units cause less temperature rise and lower risk to the pulpal tissue. The purpose of this study was to evaluate the clinical effectiveness of trans-illumination technique in bonding metallic brackets to premolars, using different light intensities and curing times of an LED light-curing unit.MethodsSixty premolars were randomly divided into six groups. Bonding of brackets was done with 40- and 80-s light curing from the buccal or lingual aspect with different intensities. Shear bond strengths of brackets were measured using a universal testing machine. Data were analyzed by one-way analysis of variance test and Duncan's post hoc test.ResultsThe highest shear bond belonged to group 2 (high intensity, 40 s, buccal) and the lowest belonged to group 3 (low intensity, 40 s, lingual). Bond strength means in control groups were significantly higher than those in experimental groups.ConclusionsIn all experimental groups except group 6 (80 s, high intensity, lingual), shear bond strength was below the clinically accepted values. In clinical limitations where light curing from the same side of the bracket is not possible, doubling the curing time and increasing the light intensity during trans-illumination are recommended for achieving acceptable bond strengths

Evaluation of shear bond strength of orthodontic brackets using trans-illumination technique with different curing profiles of LED light-curing unit in posterior teeth

BACKGROUND: Although using light-cured composites for bonding orthodontic brackets has become increasingly popular, curing light cannot penetrate the metallic bulk of brackets and polymerization of composites is limited to the edges. Limited access and poor direct sight may be a problem in the posterior teeth. Meanwhile, effectiveness of the trans-illumination technique is questionable due to increased bucco-lingual thickness of the posterior teeth. Light-emitting diode (LED) light-curing units cause less temperature rise and lower risk to the pulpal tissue. The purpose of this study was to evaluate the clinical effectiveness of trans-illumination technique in bonding metallic brackets to premolars, using different light intensities and curing times of an LED light-curing unit. METHODS: Sixty premolars were randomly divided into six groups. Bonding of brackets was done with 40- and 80-s light curing from the buccal or lingual aspect with different intensities. Shear bond strengths of brackets were measured using a universal testing machine. Data were analyzed by one-way analysis of variance test and Duncan's post hoc test. RESULTS: The highest shear bond belonged to group 2 (high intensity, 40 s, buccal) and the lowest belonged to group 3 (low intensity, 40 s, lingual). Bond strength means in control groups were significantly higher than those in experimental groups. CONCLUSIONS: In all experimental groups except group 6 (80 s, high intensity, lingual), shear bond strength was below the clinically accepted values. In clinical limitations where light curing from the same side of the bracket is not possible, doubling the curing time and increasing the light intensity during trans-illumination are recommended for achieving acceptable bond strengths

Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

Background: Understanding the health consequences associated with exposure to risk factors is necessary to inform public health policy and practice. To systematically quantify the contributions of risk factor exposures to specific health outcomes, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 aims to provide comprehensive estimates of exposure levels, relative health risks, and attributable burden of disease for 88 risk factors in 204 countries and territories and 811 subnational locations, from 1990 to 2021. Methods: The GBD 2021 risk factor analysis used data from 54 561 total distinct sources to produce epidemiological estimates for 88 risk factors and their associated health outcomes for a total of 631 risk–outcome pairs. Pairs were included on the basis of data-driven determination of a risk–outcome association. Age-sex-location-year-specific estimates were generated at global, regional, and national levels. Our approach followed the comparative risk assessment framework predicated on a causal web of hierarchically organised, potentially combinative, modifiable risks. Relative risks (RRs) of a given outcome occurring as a function of risk factor exposure were estimated separately for each risk–outcome pair, and summary exposure values (SEVs), representing risk-weighted exposure prevalence, and theoretical minimum risk exposure levels (TMRELs) were estimated for each risk factor. These estimates were used to calculate the population attributable fraction (PAF; ie, the proportional change in health risk that would occur if exposure to a risk factor were reduced to the TMREL). The product of PAFs and disease burden associated with a given outcome, measured in disability-adjusted life-years (DALYs), yielded measures of attributable burden (ie, the proportion of total disease burden attributable to a particular risk factor or combination of risk factors). Adjustments for mediation were applied to account for relationships involving risk factors that act indirectly on outcomes via intermediate risks. Attributable burden estimates were stratified by Socio-demographic Index (SDI) quintile and presented as counts, age-standardised rates, and rankings. To complement estimates of RR and attributable burden, newly developed burden of proof risk function (BPRF) methods were applied to yield supplementary, conservative interpretations of risk–outcome associations based on the consistency of underlying evidence, accounting for unexplained heterogeneity between input data from different studies. Estimates reported represent the mean value across 500 draws from the estimate's distribution, with 95% uncertainty intervals (UIs) calculated as the 2·5th and 97·5th percentile values across the draws. Findings: Among the specific risk factors analysed for this study, particulate matter air pollution was the leading contributor to the global disease burden in 2021, contributing 8·0% (95% UI 6·7–9·4) of total DALYs, followed by high systolic blood pressure (SBP; 7·8% [6·4–9·2]), smoking (5·7% [4·7–6·8]), low birthweight and short gestation (5·6% [4·8–6·3]), and high fasting plasma glucose (FPG; 5·4% [4·8–6·0]). For younger demographics (ie, those aged 0–4 years and 5–14 years), risks such as low birthweight and short gestation and unsafe water, sanitation, and handwashing (WaSH) were among the leading risk factors, while for older age groups, metabolic risks such as high SBP, high body-mass index (BMI), high FPG, and high LDL cholesterol had a greater impact. From 2000 to 2021, there was an observable shift in global health challenges, marked by a decline in the number of all-age DALYs broadly attributable to behavioural risks (decrease of 20·7% [13·9–27·7]) and environmental and occupational risks (decrease of 22·0% [15·5–28·8]), coupled with a 49·4% (42·3–56·9) increase in DALYs attributable to metabolic risks, all reflecting ageing populations and changing lifestyles on a global scale. Age-standardised global DALY rates attributable to high BMI and high FPG rose considerably (15·7% [9·9–21·7] for high BMI and 7·9% [3·3–12·9] for high FPG) over this period, with exposure to these risks increasing annually at rates of 1·8% (1·6–1·9) for high BMI and 1·3% (1·1–1·5) for high FPG. By contrast, the global risk-attributable burden and exposure to many other risk factors declined, notably for risks such as child growth failure and unsafe water source, with age-standardised attributable DALYs decreasing by 71·5% (64·4–78·8) for child growth failure and 66·3% (60·2–72·0) for unsafe water source. We separated risk factors into three groups according to trajectory over time: those with a decreasing attributable burden, due largely to declining risk exposure (eg, diet high in trans-fat and household air pollution) but also to proportionally smaller child and youth populations (eg, child and maternal malnutrition); those for which the burden increased moderately in spite of declining risk exposure, due largely to population ageing (eg, smoking); and those for which the burden increased considerably due to both increasing risk exposure and population ageing (eg, ambient particulate matter air pollution, high BMI, high FPG, and high SBP). Interpretation: Substantial progress has been made in reducing the global disease burden attributable to a range of risk factors, particularly those related to maternal and child health, WaSH, and household air pollution. Maintaining efforts to minimise the impact of these risk factors, especially in low SDI locations, is necessary to sustain progress. Successes in moderating the smoking-related burden by reducing risk exposure highlight the need to advance policies that reduce exposure to other leading risk factors such as ambient particulate matter air pollution and high SBP. Troubling increases in high FPG, high BMI, and other risk factors related to obesity and metabolic syndrome indicate an urgent need to identify and implement interventions

Synthesis of Fe₂O₃/Mn₂O₃ Nanocomposites and Impregnated Porous Silicates for Dye Removal: Insights into Treatment Mechanisms

Fe2O3/Mn2O3 nanocomposites and impregnated porous silicates (Fe2O3/Mn2O3@SiO2 [FMS]) were prepared and investigated as catalytic adsorbents. The catalysts were applied for cationic and anionic dye pollutants in the adsorption, Fenton reaction, and photocatalysis processes at a pH of 7. Fe2O3/Mn2O3 nanoparticles (FM-NPs) were prepared using the co-precipitation method and were impregnated in SiO2 by the sol–gel process. The synthesized materials were characterized using various sophisticated techniques. Results indicated that the impregnation of bi-metallic NPs in SiO2 increased the surface area, and the function of the adsorbent also improved. FMS showed a significant adsorption effect, with 79.2% rhodamine B removal within 15 min. Fenton and photocatalyst reaction showed removal rates of 85.3% and 97.9%, respectively, indicating that negatively charged porous silicate attracts cationic pollutants. In the case of the anionic pollutant, Congo red, the adsorption reaction of FMS did not occur, and the removal rate of the photocatalyst reaction was 79%, indicating the repulsive force between the negatively charged silica and the anionic dye. Simultaneously, bi-metal-bonded FM-NPs facilitated the photocatalytic reaction, reducing the recombination of electron-hole pairs. This study provides new insights into the synthesis of FM-NPs and FMS as photocatalytic adsorbents and their photocatalytic mechanisms based on reaction conditions and contaminant characteristics. The developed materials have potential applications for environmental mitigation

Evaluation of shear bond strength of orthodontic brackets using trans-illumination technique with different curing profiles of LED light-curing unit in posterior teeth.

BackgroundAlthough using light-cured composites for bonding orthodontic brackets has become increasingly popular, curing light cannot penetrate the metallic bulk of brackets and polymerization of composites is limited to the edges. Limited access and poor direct sight may be a problem in the posterior teeth. Meanwhile, effectiveness of the trans-illumination technique is questionable due to increased bucco-lingual thickness of the posterior teeth. Light-emitting diode (LED) light-curing units cause less temperature rise and lower risk to the pulpal tissue. The purpose of this study was to evaluate the clinical effectiveness of trans-illumination technique in bonding metallic brackets to premolars, using different light intensities and curing times of an LED light-curing unit.MethodsSixty premolars were randomly divided into six groups. Bonding of brackets was done with 40- and 80-s light curing from the buccal or lingual aspect with different intensities. Shear bond strengths of brackets were measured using a universal testing machine. Data were analyzed by one-way analysis of variance test and Duncan's post hoc test.ResultsThe highest shear bond belonged to group 2 (high intensity, 40 s, buccal) and the lowest belonged to group 3 (low intensity, 40 s, lingual). Bond strength means in control groups were significantly higher than those in experimental groups.ConclusionsIn all experimental groups except group 6 (80 s, high intensity, lingual), shear bond strength was below the clinically accepted values. In clinical limitations where light curing from the same side of the bracket is not possible, doubling the curing time and increasing the light intensity during trans-illumination are recommended for achieving acceptable bond strengths

Effect of UV Irradiation on the Structural Variation of Metal Oxide-Silica Nanocomposites for Enhanced Removal of Erythromycin at Neutral pH

In this study, the effect of UV treatment on the physicochemical properties and structural variation of metal oxide-silica nanocomposites (Mn2O3-Fe2O3@SiO2) has been investigated. Based on the results, UV irradiation significantly affects the nanocomposite structure, where SiO2 network reconfiguration, change in surface OH group density, and surface area were observed. Erythromycin (ERY) has been chosen as a module pollutant to compare the performance of the pristine and UV-treated nanocomposites. The pristine nanocomposite had a high adsorption efficiency (99.47%) and photocatalytic activity (99.57%) at neutral pH for ERY in the first cycle, and this efficiency decreased significantly for the multiple cycles. However, different results have been observed for the UV-treated nanocomposite, where it retained its performance for ten consecutive cycles. This enhanced performance is attributed to the structural modifications after UV exposure, where increased surface area, pore volume, and OH group density resulted in an increased number of the possible mechanisms responsible for the adsorption/oxidation of ERY. Moreover, oxidation of adsorbed molecules by UV light after each cycle can also be another reason for enhanced removal. For the first time, the fate of ERY is studied using regenerated nanocomposites after the last cycle. LC/MS/MS results showed that ERY degraded in 20 min, and the produced reaction by-products were adsorbed by nanocomposites. This study could be a foundation research for the practical approaches for the regeneration of nanomaterials and the successful removal of organic pollutants from aquatic environments

Effect of UV Irradiation on the Structural Variation of Metal Oxide-Silica Nanocomposites for Enhanced Removal of Erythromycin at Neutral pH

In this study, the effect of UV treatment on the physicochemical properties and structural variation of metal oxide-silica nanocomposites (Mn2O3-Fe2O3@SiO2) has been investigated. Based on the results, UV irradiation significantly affects the nanocomposite structure, where SiO2 network reconfiguration, change in surface OH group density, and surface area were observed. Erythromycin (ERY) has been chosen as a module pollutant to compare the performance of the pristine and UV-treated nanocomposites. The pristine nanocomposite had a high adsorption efficiency (99.47%) and photocatalytic activity (99.57%) at neutral pH for ERY in the first cycle, and this efficiency decreased significantly for the multiple cycles. However, different results have been observed for the UV-treated nanocomposite, where it retained its performance for ten consecutive cycles. This enhanced performance is attributed to the structural modifications after UV exposure, where increased surface area, pore volume, and OH group density resulted in an increased number of the possible mechanisms responsible for the adsorption/oxidation of ERY. Moreover, oxidation of adsorbed molecules by UV light after each cycle can also be another reason for enhanced removal. For the first time, the fate of ERY is studied using regenerated nanocomposites after the last cycle. LC/MS/MS results showed that ERY degraded in 20 min, and the produced reaction by-products were adsorbed by nanocomposites. This study could be a foundation research for the practical approaches for the regeneration of nanomaterials and the successful removal of organic pollutants from aquatic environments

Sustainable Removal of BTEX Gas Using Regenerated Metal Containing SiO2

In the last decades, the removal of benzene, toluene, ethylbenzene, and xylene (BTEX) has been considered a major environmental crisis. In this study, two novel nanocomposite materials (Fe2O3/SiO2 and Fe2O3-Mn2O3/SiO2) that have regeneration ability by UV irradiation have been fabricated to remove BTEX at ambient temperature. This research revealed that both nanocomposites could remove more than 85% of the BTEX in the first cycle. The adsorption capacities followed the order of ethylbenzene > m-xylene > toluene > benzene as in the molecular weight order. The reusability test using UV irradiation showed that the performance of Fe2O3/SiO2 decreased drastically after the fifth cycle for benzene. On the other hand, when Mn is located in the nanocomposite structure, Fe2O3-Mn2O3/SiO2 could maintain its adsorption performance with more than 80% removal efficiency for all the BTEX for ten consecutive cycles. The difference in the reusability of the two nanocomposites is that the electron energy (from the valence band to the conduction band) for BTEX decomposition is changed due to the presence of manganese. This study provides a promising approach for designing an economical reusable nanomaterial, which can be used for VOC-contaminated indoor air