bluuebunny/crossref_metadata_2025_split huggingface dataset:
Do different bleaching protocols affect the enamel microhardness?
Authors: Mondelli Rafael Francisco Lia , Gabriel Taisa R. Conti Garrido , Rizzante Fabio Antonio Piola , Magalhães Ana Carolina , Bombonatti Juliana Fraga Soares , Ishikiriama Sérgio Kiyoshi 
Published: January 2015

ABSTRACT
Objective: Tooth bleaching tends to increase enamel roughness and porosity, in addition to reducing surface microhardness. The aim of this in vitro study was to evaluate the effects of bleaching treatments using different hydrogen peroxide (HP) concentrations, with and without light activation on bovine enamel microhardness. Materials and Methods: The buccal surfaces of sixty bovine incisors were flattened and polished and the enamel specimens were divided into six groups: G1: Control, exposed to artificial saliva; G2: 35% HP applied in two sessions (45’ each); G3: 35% HP applied in two sessions (3 × 15’ each); G4: 35% HP applied in one session (3 × 7’30”) plus hybrid light (HL); G5: 25% HP applied in one session (3 × 7’30”) plus HL; and G6: 15% HP applied in one session (3 × 7’30”) plus HL. After the treatment, the enamel specimens were stored in artificial saliva. The surface microhardness (Knoop) was measured at the baseline, 24 h and 7 days after bleaching. The data was analyzed using the ANOVA test, followed by the Tukey–Krummer test (P < 0.05). Results: All bleaching procedures lead to a decrease in surface microhardness when compared with the control group after 24 h. The lowest change in surface microhardness was found in the specimens treated with 15% HP plus HL. However, 35% HP plus HL induced the highest decrease in surface microhardness. After 7 days of remineralization, the surface microhardness returned to normal levels for all bleached specimens. Conclusion: Therefore, it can be concluded that the bleaching protocols caused a slight enamel surface alteration. However, the remineralization process minimized these effects.
Impact of metronidazole and amoxicillin combination on matrix metalloproteinases-1 and tissue inhibitors of matrix metalloproteinases balance in generalized aggressive periodontitis
Authors: Cifcibasi Emine , Kantarci Alpdogan , Badur Selim , Issever Halim , Cintan Serdar 
Published: January 2015

ABSTRACT
Objective: Generalized aggressive periodontitis (GAgP) is a complex periodontal disease affecting the entire dentition with a rapid destruction of the periodontium and resulting in loss of teeth. We hypothesized that better clinical healing of adjunctive use of amoxicillin plus metronidazole combination may be related to the effect of this combination therapy to restore imbalance between matrix metalloproteinases (MMP) and their tissue inhibitors (TIMP) which is associated with connective tissue and alveolar bone destruction in patients with GAgP. Materials and Methods: Twenty-eight subjects diagnosed with GAgP were recruited. Patients were randomly assigned to test or control groups. MMP-1/TIMP-1 ratio was compared between groups receiving scaling and root planning (SRP) alone (control) or in combination with amoxicillin plus metronidazole (test). Clinical periodontal variables were measured. Gingival crevicular fluid samples were obtained and analyzed for MMP-1 and TIMP-1. Measurements were taken at baseline and repeated at 3 and 6 months after therapy. Results: Total MMP-1 levels were significantly decreased in both groups (P < 0.05) at 3 and 6 months. MMP-1 concentration levels showed a similar pattern to MMP-1 total levels decreasing significantly at 3 months (P < 0.05). TIMP-1 concentration levels increased in the test group throughout the study period, while the difference did not reach statistical significance (P > 0.05). TIMP-1/MMP-1 balance was restored in test group at 6 months significantly better than the control group (P < 0.05). Conclusion: The results of this study suggest that metronidazole and amoxicillin combination as an adjunct to SRP results in better clinical healing through restoring TIMP-1/MMP-1 balance.
Effect of ultraviolet light irradiation on bond strength of fiber post: Evaluation of surface characteristic and bonded area of fiber post with resin cement
Authors: Reza Fazal , Ibrahim Nur Sukainah 
Published: January 2015

ABSTRACTObjective: Fiber post is cemented to a root canal to restore coronal tooth structure. This research aims to evaluate the effect of ultraviolet (UV) irradiation on bond strength of fiber post with resin cement. Materials and Methods: A total of 40 of the two types of fiber posts, namely, FRC Prostec (FRC) and Fiber KOR (KOR), were used for the experiment. UV irradiation was applied on top of the fiber post surface for 0, 15, 20, and 30 min. The irradiated surface of the fiber posts (n = 5) were immediately bonded with resin cement (Rely X U200) after UV irradiation. Shear bond strength (SBS) MPa was measured, and the dislodged area of post surfaces was examined with scanning electron microscopes. Changes in surface roughness (Ra) of the FRC group after UV irradiation were observed (n = 3) using atomic force microscopy. Data of SBS were statistically analyzed using one-way analysis of variance, followed by multiple comparisons (P < 0.05). Results: SBS was significantly higher for 20 min of UV irradiation of the FRC group while significantly higher SBS was observed with 15 min of UV irradiation of the KOR group. Resin cement was more evident (cohesive failure) on the dislodged post surface of the UV treated groups compared with the control. The surface roughness of the FRC post was Ra = 175.1 nm and Ra = 929.2 nm for the control and the 20 min group, respectively. Conclusions: Higher surface roughness of the UV irradiated group indicated formation of mechanical retention on the fiber post surface. Evidence of cohesive failure was observed which indicated higher SBS of fiber post with the UV irradiated group.
Resin composite repair: Quantitative microleakage evaluation of resin-resin and resin-tooth interfaces with different surface treatments
Authors: Celik Cigdem , Cehreli Sevi Burcak , Arhun Neslihan 
Published: January 2015

ABSTRACT
Objective: The aim was to evaluate the effect of different adhesive systems and surface treatments on the integrity of resin-resin and resin-tooth interfaces after partial removal of preexisting resin composites using quantitative image analysis for microleakage testing protocol. Materials and Methods: A total of 80 human molar teeth were restored with either of the resin composites (Filtek Z250/GrandioSO) occlusally. The teeth were thermocycled (1000×). Mesial and distal 1/3 parts of the restorations were removed out leaving only middle part. One side of the cavity was finished with course diamond bur and the other was air-abraded with 50 μm Al2O3. They were randomly divided into four groups (n = 10) to receive: Group 1: Adper Single Bond 2; Group 2: All Bond 3; Group 3: ClearfilSE; Group 4: BeautiBond, before being repaired with the same resin composite (Filtek Z250). The specimens were re-thermocycled (1000×), sealed with nail varnish, stained with 0.5% basic fuchsin, sectioned mesiodistally and photographed digitally. The extent of dye penetration was measured by image analysis software (ImageJ) for both bur-finished and air-abraded surfaces at resin-tooth and resin-resin interfaces. The data were analyzed statistically. Results: BeautiBond exhibited the most microleakage at every site. Irrespective of adhesive and initial composite type, air-abrasion showed less microleakage except for BeautiBond. The type of initial repaired restorative material did not affect the microleakage. BeautiBond adhesive may not be preferred in resin composite repair in terms of microleakage prevention. Conclusions: Surface treatment with air-abrasion produced the lowest microleakage scores, independent of the adhesive systems and the pre-existing resin composite type. Pre-existing composite type does not affect the microleakage issue. All-in-one adhesive resin (BeautiBond) may not be preferred in resin composite repair in terms of microleakage prevention.
Evaluation of intrabony defects treated with platelet-rich fibrin or autogenous bone graft: A comparative analysis
Authors: Mathur Ashish , Bains Vivek Kumar , Gupta Vivek , Jhingran Rajesh , Singh G. P. 
Published: January 2015

ABSTRACT
Objective: The primary objective of this study was to compare clinically and radiographically the efficacy of autologous platelet rich fibrin (PRF) and autogenous bone graft (ABG) obtained using bone scrapper in the treatment of intrabony periodontal defects. Materials and Methods: Thirty-eight intrabony defects (IBDs) were treated with either open flap debridement (OFD) with PRF or OFD with ABG. Clinical parameters were recorded at baseline and 6 months postoperatively. The defect-fill and defect resolution at baseline and 6 months were calculated radiographically (intraoral periapical radiographs [IOPA] and orthopantomogram [OPG]). Results: Significant probing pocket depth (PPD) reduction, clinical attachment level (CAL) gain, defect fill and defect resolution at both PRF and ABG treated sites with OFD was observed. However, inter-group comparison was non-significant (P > 0.05). The bivariate correlation results revealed that any of the two radiographic techniques (IOPA and OPG) can be used for analysis of the regenerative therapy in IBDs. Conclusion: The use of either PRF or ABG were effective in the treatment of three wall IBDs with an uneventful healing of the sites.
Microleakage under orthodontic brackets bonded with different adhesive systems
Authors: Alkis Huseyin , Turkkahraman Hakan , Adanir Necdet 
Published: January 2015

ABSTRACT
Objective: This in vitro study aimed to compare the microleakage of orthodontic brackets between enamel-adhesive and adhesive-bracket interfaces at the occlusal and gingival margins bonded with different adhesive systems. Materials and Methods: A total of 144 human maxillary premolar teeth extracted for orthodontic reasons was randomly divided into four groups. Each group was then further divided into three sub-groups. Three total-etching bonding systems (Transbond XT, Greengloo and Kurasper F), three one-step self-etching bonding systems (Transbond Plus SEP, Bond Force and Clearfil S3), three two-step self-etching bonding systems (Clearfil SE Bond, Clearfil Protectbond and Clearfil Liner Bond), and three self-adhesive resin cements (Maxcem Elite, Relyx U 100 and Clearfil SA Cement) were used to bond the brackets to the teeth. After bonding, all teeth were sealed with nail varnish and stained with 0.5% basic fuchsine for 24 h. All samples were sectioned and examined under a stereomicroscope to score for microleakage at the adhesive–enamel and adhesive–bracket interfaces from both occlusal and gingival margins. Statistical Analysis Used: Statistical analyses were performed with Kruskal–Wallis and Wilcoxon signed-rank tests. Results: The results indicate no statistically significant differences between the microleakage scores of the adhesives; microleakage was detected in all groups. Comparison of the average values of the microleakage scores in the enamel–adhesive and adhesive–bracket interfaces indicated statistically significant differences (P < 0.05). The amount of the microleakage was higher at the enamel–adhesive interface than at the bracket-adhesive interface. Conclusions: All of the brackets exhibited some amount of microleakage. This result means that microleakage does not depend on the type of adhesive used.
Root canal morphology of South Asian Indian maxillary molar teeth
Authors: Singh Shishir , Pawar Mansing 
Published: January 2015

ABSTRACT
Objective: The objective was to study the root canal morphology of South Asian Indian Maxillary molars using a tooth clearing technique. Materials and Methods: Hundred teeth each comprising of first, second, and third molars collected from different dental schools and clinics in India were subjected to standard dye penetration, decalcification and clearing procedure before being studied. Results: The first molar mesiobuccal roots exhibited 69% Type I, 24% Type II, 4% Type IV, 2% Type V, and 1% exhibited a Vertuccis Type VIII canal anatomy. In the group with three separate roots the second molar mesiobuccal roots in exhibited 80.6% Type I, 15.3% Type II, 2.7% Type IV, and 1.4% Type V canal anatomy while the third molars mesiobuccal roots exhibited 57.4% Type I, 32% Type II, 2.1% Type III, 8.5% Type IV, 1% had a Type V canal anatomy in the similar group. Conclusion: A varied root canal anatomy was seen in the mesiobuccal root canal of the maxillary molars.
Genetic background of supernumerary teeth
Authors: Subasioglu Aslı , Savas Selcuk , Kucukyilmaz Ebru , Kesim Servet , Yagci Ahmet , Dundar Munis 
Published: January 2015

ABSTRACTSupernumerary teeth (ST) are odontostomatologic anomaly characterized by as the existence excessive number of teeth in relation to the normal dental formula. This condition is commonly seen with several congenital genetic disorders such as Gardner's syndrome, cleidocranial dysostosis and cleft lip and palate. Less common syndromes that are associated with ST are; Fabry Disease, Ellis-van Creveld syndrome, Nance-Horan syndrome, Rubinstein-Taybi Syndrome and Trico–Rhino–Phalangeal syndrome. ST can be an important component of a distinctive disorder and an important clue for early diagnosis. Certainly early detecting the abnormalities gives us to make correct management of the patient and also it is important for making well-informed decisions about long-term medical care and treatment. In this review, the genetic syndromes that are related with ST were discussed.
Effect of radiotherapy on the sealing ability of temporary filling materials
Authors: Bodrumlu Ebru Hazar , Bodrumlu Emre , Avşar Aysun , Meydan Ahmet Deniz 
Published: January 2015

Abstract
Objective: The purpose of this study was to assess the sealing ability of three different temporary restorative materials on endodontic access cavities as compared to radiated and nonirradiated teeth. Materials and Methods: All teeth were randomly divided into two main groups according to the presence or absence of the radiotherapy. The specimens in these groups were then divided into three subgroups of 12 teeth each, and into two control groups of eight teeth each as negative and positive control groups. In radiotherapy groups, radiotherapy (1.8 Gy) was applied daily over 35 days resulting in a total application of 63 Gy. Standardized occlusal endodontic access cavities were prepared in all groups. A cotton pellet was placed on the pulp chamber. The access cavities were restored with three temporary filling materials; first fill, Cavit-G and Cavisol. The specimens were immersed in 2% methylene blue solution and centrifuged at 3000 rpm for 5 min. Results: Although there was no statistical difference among the three materials for the groups in which radiotherapy was not applied (P > 0.05), it was found that the sealing abilities of Cavit-G and Cavisol were not affected by radiotherapy (P > 0.05). However, the leakage values of the light-cured polymerized temporary filling material, first fill, were increased when radiotherapy was performed (P < 0.05). Conclusion: The radiotherapy application reduces the sealing ability of the light-cured temporary filling material, first fill.
Ridge expansion with motor driven bone expanders: A clinical case report
Authors: Rodriguez-Martinez Juan B. , Munoz-Soto Esther , Peres Maria F. S. , Chaves Eros S. 
Published: January 2015

AbstractImplant placement often requires bone augmentation procedures due to the presence of bone defects on the future implant site. The aim of the present case report is to describe a ridge expansion technique using sequential motor driven bone expanders to allow the implant placement in an atrophic maxillary ridge. The use of the motorized expanders avoided a bone augmentation surgical procedure prior to implant placement and, as a result, reduced the overall treatment time. The results were followed-up for 2 years after the implant supported the crown delivery.
Endodontic management of maxillary first molar with three mesiobuccal root canals using cone beam computerized tomography
Authors: Chalkar Aaditya , Bhagwat Sumita , Mandke Lalitagauri 
Published: January 2015

AbstractEndodontic treatment of maxillary first molar with three canals in mesiobuccal root using cone beam computerized tomography (CBCT). This case report presents a maxillary first molar with three mesiobuccal canals. Missing a canal during root canal therapy is one of the main causes of endodontic failure. The frequency of detection of extra canals has increased with better techniques in instrumentation, magnification and illumination. The present case shows three canals in the mesiobuccal root, which is an aberrant and rare anatomical presentation. CBCT proved to be an important tool in confirming the presence and location of the extra canals.
Management of C-shaped root canal configuration with three different obturation systems
Authors: Elumalai Deenadayalan , Kumar Ashok , Tewari Rajendra Kumar , Mishra Surendra Kumar , Andrabi Syed Mukhtar-Un-Nisar , Iftekhar Huma , Alam Sharique 
Published: January 2015

AbstractUnusual root canal anatomy always poses a diagnostic and treatment challenge. Identification of such variation is important for the success of the root canal treatment outcome. The C-shaped root canal configuration is one of the aberrant morphology of molar teeth, commonly the mandibular second molar. In this configuration, the canals are connected by slit or web. The presence of fin, slit and web makes through debridement obstacle for the clinician. This case reports present successful management of C-shaped mandibular molars with three different obturation systems.
Histology of Failed Metal-on-Metal Hip Arthroplasty; Three Distinct Sub-Types
Authors: Berstock James R. , Baker Richard P. , Bannister Gordon C. , Case C. Patrick 
Published: January 2015

The histological specimens from 29 failed metal-on-metal (MoM) hip arthroplasties treated at our institution were reviewed. Five patients had a failed MoM total hip arthroplasty (THA), and 24 patients a failed hip resurfacing. Clinical and radiographic features of each hip were correlated with the histological findings. We report three major histological subtypes. Patients either have a macrophage response to metal debris, a lymphocytic response (ALVAL) or a mixed picture of both. In addition we observe that the ALVAL response is located deep within tissue specimens, and can occur in environments of low wear debris. The macrophage response is limited to the surface of tissue specimens, with normal underlying tissue. Patients with subsequently confirmed ALVAL underwent revision surgery sooner than patients whose histology confirms a macrophage response (3.8 vs. 6.9 years p<0.05). Both histological subtypes (ALVAL and macrophage dominant) are responsible for abnormal soft tissue swellings.
Acetabular Component Orientation in Total Hip Arthroplasty: The Impact of Obesity
Authors: McArthur Benjamin A. , Vulcano Ettore , Cross Michael , Nguyen Joseph , Della Valle Alejandro G. , Salvati Eduardo 
Published: January 2015

Introduction Acetabular component position can be an important determinant of joint stability and bearing surface wear after THA. Nonetheless, the incidence of malpositioning is high. Patient obesity, low surgeon volume, and minimally invasive approaches are known risk factors for malposition. As the incidence of obesity continues to increase, it is important to recognise its effect on intraoperative component positioning in THA. Objectives Our goal was to assess the impact of obesity on component position for a high-volume surgeon using a standard postero-lateral approach. Methods A consecutive series of 120 obese (BMI >30, mean BMI 34.4) and 120 non-obese patients (mean BMI 25.4), who had undergone primary THA by a single surgeon, were included in our retrospective study. AP pelvis and cross-table radiographs obtained at the first postoperative visit were analysed using EBRA software to determine inclination and anteversion angles. Optimal position was defined as 30-45° of inclination and 5-25° of anteversion. Results Mean inclination and anteversion were 40.6 (+/-5.4°) and 16.6 (+/-5.5°) respectively, in the obese group and 39° (+/-5.0°) and 16.2° (+/-7.5°) in the non-obese group. In the obese group 89 (74%) patients were within the desired range for both measurements, 31 (26%) were out of range in at least one, compared to 91 (76%) and 29 (24%) in the non-obese group, respectively. The overall incidence of malpositioning was 25% for both groups. Among outliers, mean deviation from the optimal range was ≤3.8° in both groups. Conclusions The risk of component malpositioning in THA may be reduced when surgery is performed by an experienced, high volume surgeon utilising a standard posterolateral approach. In this setting the deleterious effect of obesity may be overcome.
Functional Treatment of Developmental Hip Dysplasia with the Tübingen Hip Flexion Splint
Authors: Atalar Hakan , Gunay Cuneyd , Komurcu Mahmut 
Published: January 2015

Objective Developmental dysplasia of the hip (DDH) is a deformity that may cause to serious disability. Early diagnosis and early treatment are very important. Our aim is to report the outcomes of infants with DDH who were treated with the Tübingen hip flexion splint. Materials and methods Retrospectively, 49 patients (45 female, four male; 60 hips) diagnosed with DDH were included in the study. For diagnosis, all patients underwent ultrasonography of the hip performed according to the Graf method. Infants whose hips were Graf type 2b or worse underwent orthotic treatment. Treatment success was defined as development into a mature hip (Graf type 1 on ultrasonography and no acetabular dysplasia apparent on the latest radiograph). Results Overall median age at the start of treatment was 18 weeks (14-25). Median total treatment time (from initial application of the splint to the end of weaning) was 17 weeks (14-20). Median duration of follow up was 13.5 months (8.5-31.5). Treatment was successful in 56/60 hips (93.3%). Of the 56 successfully treated patients, acetabular dysplasia was present early in follow up but later resolved in 4 patients. No complications were encountered in any patients in the study. Conclusion The Tübingen splint provides abduction, but due to its different design it offers the advantages of preventing hip adduction and leaving the knee and ankle joints free. Our findings suggest that in infants with DDH, the Tübingen hip flexion splint is an effective form of treatment.