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An example of measurement and reporting of periodontal loss of attachment (LOA) in epidemiological studies: smoking and periodontal tissue destruction 1999 Department of Oral Rehabilitation, School of Dentistry, University of Otago, Dunedin.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The New Zealand dental journal
Periodical, Abbrev.
N.Z.Dent.J.
Pub Date Free Form
Dec
Volume
95
Issue
422
Start Page
118
Other Pages
123
Notes
LR: 20061115; JID: 0401065; ppublish
Place of Publication
NEW ZEALAND
ISSN/ISBN
0028-8047; 0028-8047
Accession Number
PMID: 10687377
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; D; IM
DOI
Output Language
Unknown(0)
PMID
10687377
Abstract
The measurement and reporting of periodontal disease in epidemiological studies can be complex, with the common indices having well-recognised shortcomings. The aim of this study was to illustrate the use of the periodontal loss of attachment (LOA) approach in investigating the association between cigarette smoking and loss of periodontal attachment in a convenience sample of adults, in order to determine whether or not smoking was a risk indicator for periodontal disease. All participants were given a detailed periodontal clinical examination in two randomly assigned contralateral diagonal quadrants, with LOA measurements made at six sites per tooth. Information was also collected on participants' socio-demographic characteristics, oral hygiene practices, smoking history, and attitudes towards smoking. The 240 participants examined comprised 81 current smokers (CS), 79 former smokers (FS) and 80 nonsmokers (NS). Substantial differences and a gradient in disease existed for LOA among the three groups. CS exhibited the greatest (and NS the least) prevalence, extent, and severity of LOA. CS had more plaque and calculus than either of the other two groups, but the groups did not differ with respect to bleeding on probing. Overall, smoking was associated with the disease outcome, and this persisted after potential confounders were controlled using multivariate analysis. Although the observed differences may have been due to the self-selected nature of the sample, the gradient evident across the three smoking exposure groups suggests that smoking cessation can slow the progression of the disease. The LOA approach appears to be a versatile and informative method for recording, analysing, and presenting data on periodontitis in epidemiological studies.
Descriptors
Adult, Analysis of Variance, Attitude to Health, Chi-Square Distribution, Confounding Factors (Epidemiology), Dental Calculus/epidemiology, Dental Plaque/epidemiology, Disease Progression, Epidemiologic Studies, Female, Gingival Hemorrhage/epidemiology, Humans, Logistic Models, Male, Middle Aged, Multivariate Analysis, New Zealand/epidemiology, Oral Hygiene/statistics & numerical data, Periodontal Attachment Loss/epidemiology, Periodontal Index, Periodontitis/epidemiology, Prevalence, Risk Factors, Smoking/epidemiology, Smoking Cessation, Social Class
Links
Book Title
Database
Publisher
Data Source
Authors
Paidi,S., Pack,A. R., Thomson,W. M.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Prospective evaluation of the prevalence of gastric Helicobacter pylori infection in patients with GERD, Barrett's esophagus, Barrett's dysplasia, and Barrett's adenocarcinoma 2000 Veterans Administration Medical Center, Kansas City, Missouri, 64128, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The American Journal of Gastroenterology
Periodical, Abbrev.
Am.J.Gastroenterol.
Pub Date Free Form
Feb
Volume
95
Issue
2
Start Page
387
Other Pages
394
Notes
LR: 20131121; JID: 0421030; 0 (Coloring Agents); 0 (Enzyme Inhibitors); 0 (Proton Pump Inhibitors); ppublish
Place of Publication
UNITED STATES
ISSN/ISBN
0002-9270; 0002-9270
Accession Number
PMID: 10685740
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; IM
DOI
S0002-9270(99)00817-5 [pii]
Output Language
Unknown(0)
PMID
10685740
Abstract
OBJECTIVE: This study was undertaken to prospectively determine the prevalence of gastric H. pylori infection in Barrett's esophagus and Barrett's complicated by dysplasia or adenocarcinoma. METHODS: The prevalence of H. pylori was determined in Barrett's esophagus patients compared to a control population of patients with gastroesophageal reflux disease (GERD) only. All patients had a minimum of 10 gastric surveillance biopsies obtained. H. pylori colonization was determined upon the basis of hematoxylin and eosin and use of a modified Giemsa and or Steiner's silver stain of all gastric biopsy specimens. RESULTS: Two hundred and eighty-nine Barrett's patients and 217 GERD control patients were included in the study. H. pylori was found in 95/289 (32.9%) of the Barrett's patients, compared with 96/217 (44.2%) of the GERD controls (NS). Forty-seven of the Barrett's patients had low-grade dysplasia/indefinite dysplasia, 14 high-grade dysplasia, and 20 Barrett's adenocarcinoma. When Barrett's was subgrouped according to absence of dysplasia, and presence of low-grade dysplasia, high-grade dysplasia, or adenocarcinoma, H. pylori prevalence was found to be significantly less for patients with Barrett's high-grade dysplasia (14.3%) and adenocarcinoma (15.0%) versus patients with GERD alone (44.2%), Barrett's alone (35.1%), or Barrett's with low-grade dysplasia (36.2%) (p = 0.016). This difference could not be explained by differences between Barrett's esophagus patients infected with H. pylori and those who were not with respect to gender, smoking history, alcohol consumption, use of proton pump inhibitor, or length of Barrett's mucosa. CONCLUSIONS: Barrett's high-grade dysplasia and adenocarcinoma are significantly more prevalent in patients who are not infected with H. pylori. H. pylori appears to have a protective effect against the development of Barrett's adenocarcinoma.
Descriptors
Adenocarcinoma/epidemiology/microbiology, Alcohol Drinking/epidemiology, Analysis of Variance, Barrett Esophagus/epidemiology/microbiology/pathology, Biopsy, Chi-Square Distribution, Coloring Agents, Enzyme Inhibitors/therapeutic use, Esophageal Neoplasms/epidemiology/microbiology, Esophagoscopy, Female, Follow-Up Studies, Gastroesophageal Reflux/drug therapy/epidemiology/microbiology, Helicobacter Infections/epidemiology, Helicobacter pylori/growth & development, Humans, Kansas/epidemiology, Male, Middle Aged, Prevalence, Prospective Studies, Proton Pump Inhibitors, Smoking/epidemiology, Stomach Diseases/epidemiology/microbiology
Links
Book Title
Database
Publisher
Data Source
Authors
Weston,A. P., Badr,A. S., Topalovski,M., Cherian,R., Dixon,A., Hassanein,R. S.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
A trial to determine the risk of decompression sickness after a 40 feet of sea water for 200 minute no-stop air dive 2000 Naval Medical Research Institute, Bethesda, MD, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Aviation, Space, and Environmental Medicine
Periodical, Abbrev.
Aviat.Space Environ.Med.
Pub Date Free Form
Feb
Volume
71
Issue
2
Start Page
102
Other Pages
108
Notes
LR: 20061115; JID: 7501714; ppublish
Place of Publication
UNITED STATES
ISSN/ISBN
0095-6562; 0095-6562
Accession Number
PMID: 10685581
Language
eng
SubFile
Case Reports; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; IM; S
DOI
Output Language
Unknown(0)
PMID
10685581
Abstract
BACKGROUND: The USN93 probabilistic model of decompression sickness (DCS) predicts a DCS risk of 3.9% after a 40 ft of seawater (fsw) for 200 min no-stop air dive, although little data is available to evaluate the accuracy of this prediction. Based on an analysis of Navy Safety Center data from diving on U.S. Navy standard air decompression tables, the observed incidence of DCS for this type of dive is 0.11%. Knowing the true incidence of the dive is important for deciding whether or not to adopt proposed probability based decompression procedures for U.S. Navy diving. HYPOTHESIS: The risk of DCS after a 40 fsw for 200 min no-stop air dive is 3.9%. METHODS: We conducted a closed sequential trial to determine the DCS incidence on this dive. RESULTS: Of 30 military divers who completed 91 dives, there were 2 cases of DCS (2.2%, 95% CI: 0.27 7.7%). The study was terminated early after the second DCS case because of the presence of neurological symptoms and signs. CONCLUSIONS: This study demonstrates that the incidence of DCS in a laboratory setting is higher than observed in fleet diving. Use of the 40 fsw for 200 min schedule in a decompression computer is likely to result in DCS incidence 2.5- to 70-fold greater than that observed in U.S. Navy diving using table-based procedures.
Descriptors
Adult, Algorithms, Body Height, Body Weight, Decompression Sickness/etiology, Diving/adverse effects, Humans, Incidence, Male, Military Personnel, Models, Biological, Monte Carlo Method, Naval Medicine, Predictive Value of Tests, Reproducibility of Results, Risk Factors, Seawater, Time Factors, United States
Links
Book Title
Database
Publisher
Data Source
Authors
Ball,R., Parker,E. C.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Determination of polycyclic aromatic hydrocarbons in sediment using solid-phase microextraction with gas chromatography-mass spectrometry 2000 Environmental Research Center Montecatini, Marina di Ravenna, Italy.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of chromatographic science
Periodical, Abbrev.
J.Chromatogr.Sci.
Pub Date Free Form
Feb
Volume
38
Issue
2
Start Page
55
Other Pages
60
Notes
LR: 20061115; JID: 0173225; 0 (Indicators and Reagents); 0 (Polycyclic Hydrocarbons, Aromatic); 0 (Solutions); 0 (Water Pollutants, Chemical); ppublish
Place of Publication
UNITED STATES
ISSN/ISBN
0021-9665; 0021-9665
Accession Number
PMID: 10677833
Language
eng
SubFile
Journal Article; IM
DOI
Output Language
Unknown(0)
PMID
10677833
Abstract
Manual solid-phase microextraction (SPME) coupled with gas chromatography-mass spectrometry (GC-MS) is applied for the determination of polycyclic aromatic hydrocarbons (PAHs) from natural matrix through a distilled water medium. Seven of the 16 PAH standards (naphthalene, acenaphthene, fluorene, anthracene, fluoranthene, pyrene, benzo[a]anthracene) are spiked on a marine muddy sediment. The samples, containing PAHs in the range of 10-20 ppm, are then aged at room temperature more than 10 days before analysis. The influence of the matrix, SPME adsorption time, pH, salt content, and SPME adsorption temperature are investigated. The reproducibility of the technique is less than 13% (RDS) for the first 6 considered PAHs and 28% (RDS) for benzo(a)anthracene with a fiber containing a 100-micron poly dimethylsiloxane coating. Linearity extended in the range of 5-50 picograms for PAHs direct injection, 5-70 picograms for PAHs in water, and 1-170 picograms for PAHs in sediment. The detection limit is estimated less than 1 microgram/kg of dry sample for the first 6 considered PAHs in sediment and 1.5 micrograms/kg of dry sample for benzo(a)anthracene using the selected ion monitoring mode in GC-MS. The recoveries of the considered PAHs are evaluated.
Descriptors
Adsorption, Calibration, Gas Chromatography-Mass Spectrometry, Hydrogen-Ion Concentration, Indicators and Reagents, Italy, Polycyclic Hydrocarbons, Aromatic/analysis, Solutions, Temperature, Water Pollutants, Chemical/analysis
Links
Book Title
Database
Publisher
Data Source
Authors
Cam,D., Gagni,S., Meldolesi,L., Galletti,G.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
In vitro shear bond strength of adhesive to normal and fluoridated enamel under various contaminated conditions 1999 Department of Conservative Dentistry, Istanbul University, Faculty of Dentistry, Capa, Turkey. benderli@istanbul.edu.tr
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Quintessence international (Berlin, Germany : 1985)
Periodical, Abbrev.
Quintessence Int.
Pub Date Free Form
Aug
Volume
30
Issue
8
Start Page
570
Other Pages
575
Notes
LR: 20131121; JID: 0342677; 0 (Composite Resins); 0 (Dentin-Bonding Agents); 0 (Maleates); 0 (Phosphoric Acids); 0 (Resin Cements); 0 (Saliva, Artificial); 0 (Scotchbond Multi-Purpose); 0 (Z100 composite resin); 059QF0KO0R (Water); 7631-86-9 (Silicon Diox
Place of Publication
ENGLAND
ISSN/ISBN
0033-6572; 0033-6572
Accession Number
PMID: 10635272
Language
eng
SubFile
Comparative Study; Journal Article; D
DOI
Output Language
Unknown(0)
PMID
10635272
Abstract
OBJECTIVE: This study examined the shear bond strength of bonding agents to normal or fluoridated enamel following use of weak or strong acids to prepare enamel surfaces and after contamination with a measured amount of saliva at various stages of the bonding procedure. METHOD AND MATERIALS: One hundred extracted human third molar teeth were randomly separated into 2 basic groups (normal or fluoridated teeth), then divided into 5 subgroups. Group A specimens were not contaminated. After etching, enamel surfaces were dry and clean. Group B was left with wet surfaces after etching. Group C specimens were contaminated with artificial saliva and then dried. Group D specimens were contaminated with artificial saliva, rinsed, and then dried. In group E, all enamel surfaces were left contaminated with saliva after the etching procedures (with maleic acid or phosphoric acids). Adhesive resins were applied to all enamel surfaces according to the manufacturer's instructions. The specimens were then mounted and tested to determine shear bond strength. RESULTS: If normal enamel surfaces were rinsed and dried immediately after contamination, there was no significant reduction of shear bond strength of adhesive to enamel. Specimens in group E and group C had significantly lower bond strengths than did control specimens (group A). In the fluoridated groups etched with the phosphoric acid, statistically significant reductions in bond strengths were obtained in all contamination groups and in the control group. In the fluoridated specimens, there were no statistically significant differences between any of the contamination groups and the control group when maleic acid was used. CONCLUSION: Saliva contamination may not be a risk factor for successful bonding between bonding agent and dental tissues for normal or fluoridated enamel surfaces if they are rinsed and dried immediately after contamination. Etching of normal enamel surfaces with phosphoric acid in the presence of contamination may provide higher shear bond strength than etching with maleic acid.
Descriptors
Acid Etching, Dental/methods, Composite Resins, Dental Bonding, Dental Enamel/chemistry, Dentin-Bonding Agents, Desiccation, Fluorides/chemistry, Humans, Maleates, Materials Testing, Molar, Phosphoric Acids, Random Allocation, Resin Cements, Saliva, Artificial, Silicon Dioxide, Statistics, Nonparametric, Tensile Strength, Water/chemistry, Zirconium
Links
Book Title
Database
Publisher
Data Source
Authors
Benderli,Y., Gokce,K., Buyukgokcesu,S.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Polyphasic study of the spatial distribution of microorganisms in Mexican pozol, a fermented maize dough, demonstrates the need for cultivation-independent methods to investigate traditional fermentations 1999 Laboratoire de Biotechnologie Microbienne Tropicale, Institut de Recherche pour le Developpement, F-34032 Montpellier cedex 1, France. Frederic.Ampe@mpl.ird.fr
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Applied and Environmental Microbiology
Periodical, Abbrev.
Appl.Environ.Microbiol.
Pub Date Free Form
Dec
Volume
65
Issue
12
Start Page
5464
Other Pages
5473
Notes
LR: 20140615; GENBANK/AF138777; GENBANK/AF138778; GENBANK/AF138779; GENBANK/AF138780; GENBANK/AF138781; GENBANK/AF138782; GENBANK/AF138783; GENBANK/AF138784; GENBANK/AF138785; GENBANK/AF138786; GENBANK/AF138787; GENBANK/AF138788; JID: 7605801; 0 (DNA, Bac
Place of Publication
UNITED STATES
ISSN/ISBN
0099-2240; 0099-2240
Accession Number
PMID: 10584005
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
Output Language
Unknown(0)
PMID
10584005
Abstract
The distribution of microorganisms in pozol balls, a fermented maize dough, was investigated by a polyphasic approach in which we used both culture-dependent and culture-independent methods, including microbial enumeration, fermentation product analysis, quantification of microbial taxa with 16S rRNA-targeted oligonucleotide probes, determination of microbial fingerprints by denaturing gradient gel electrophoresis (DGGE), and 16S ribosomal DNA gene sequencing. Our results demonstrate that DGGE fingerprinting and rRNA quantification should allow workers to precisely and rapidly characterize the microbial assemblage in a spontaneous lactic acid fermented food. Lactic acid bacteria (LAB) accounted for 90 to 97% of the total active microflora; no streptococci were isolated, although members of the genus Streptococcus accounted for 25 to 50% of the microflora. Lactobacillus plantarum and Lactobacillus fermentum, together with members of the genera Leuconostoc and Weissella, were the other dominant organisms. The overall activity was more important at the periphery of a ball, where eucaryotes, enterobacteria, and bacterial exopolysacharide producers developed. Our results also showed that the metabolism of heterofermentative LAB was influenced in situ by the distribution of the LAB in the pozol ball, whereas homolactic fermentation was controlled primarily by sugar limitation. We propose that starch is first degraded by amylases from LAB and that the resulting sugars, together with the lactate produced, allow a secondary flora to develop in the presence of oxygen. Our results strongly suggest that cultivation-independent methods should be used to study traditional fermented foods.
Descriptors
Agriculture/methods, Bacteria/classification/genetics/isolation & purification, DNA Fingerprinting, DNA, Bacterial/genetics, DNA, Ribosomal/genetics, Fermentation, Mexico, Polymerase Chain Reaction, RNA, Bacterial/genetics, RNA, Ribosomal, 16S/genetics, Zea mays/microbiology
Links
Book Title
Database
Publisher
Data Source
Authors
Ampe,F., ben Omar,N., Moizan,C., Wacher,C., Guyot,J. P.
Original/Translated Title
URL
Date of Electronic
PMCID
PMC91745
Editors
The diagnosis and management of Barrett's esophagus 1999 University of Southern California School of Medicine, Los Angeles, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Advances in Surgery
Periodical, Abbrev.
Adv.Surg.
Pub Date Free Form
Volume
33
Issue
Start Page
29
Other Pages
68
Notes
LR: 20091111; JID: 0045335; RF: 93; ppublish
Place of Publication
UNITED STATES
ISSN/ISBN
0065-3411; 0065-3411
Accession Number
PMID: 10572561
Language
eng
SubFile
Journal Article; Review; IM
DOI
Output Language
Unknown(0)
PMID
10572561
Abstract
Since its description in the 1950s, the definition of Barrett's esophagus has evolved from the macroscopic visualization of gastric-appearing mucosa in the esophagus to the histologic identification of goblet cells confirming the presence of intestinal metaplasia within the esophagus. The length of intestinal metaplasia necessary to be classified as Barrett's, and the relationship between intestinal metaplasia of the esophagus and that limited to the cardia are all areas currently being evaluated. However, any segment of intestinal metaplasia is capable of undergoing dysplastic change and ultimately of becoming a focus of adenocarcinoma. It is logical to expect the degree of risk for developing cancer to be proportional to the amount of intestinal metaplasia present; however, within a population, the low risk to any individual is balanced by the relative frequency of the process. Thus, given the large numbers of people in America with CIM, even a small risk of progression to cancer will result in a large number of patients with adenocarcinoma of the cardia. This is exactly what is occurring today, with the incidence of adenocarcinoma of the cardia and esophagus currently rising faster than any other cancer in the United States. A major risk factor for adenocarcinoma of the esophagus is intestinal metaplasia, which occurs as a consequence of GERD. Patients with Barrett's esophagus usually have more severe reflux disease with significant impairment of LES function and esophageal body motility compared with patients without Barrett's. Furthermore, in patients with Barrett's, the composition of the refluxed juice is different. Patients who reflux both gastric and duodenal juice have a higher prevalence of Barrett's than do those who reflux gastric juice alone. Among patients with Barrett's, a significantly greater esophageal bilirubin exposure has been demonstrated in those with dysplasia. The mechanically defective sphincter and impaired esophageal body function in many patients with Barrett's makes their disease difficult to control medically. In addition, symptoms are unreliable as a guide to successful control of reflux. The hardest symptom to control is regurgitation, and there is concern that this and continued reflux of pharmacologically altered gastric contents, particularly bile acids in their nonpolar form, may contribute to progression of Barrett's. Both medical therapy and failed antireflux surgery are associated with progression of Barrett's to dysplasia and adenocarcinoma. On the other hand, a functioning fundoplication seems to be associated with protection from progression of Barrett's. Intestinal metaplasia of the esophagus is unlikely to regress after antireflux surgery; however, intestinal metaplasia limited to the cardia is perhaps more dynamic and able to regress. Furthermore, low-grade dysplasia frequently regresses after an antireflux procedure. Antireflux surgery is safe, effective, and durable, and often can be performed using minimally invasive techniques. Thus, antireflux surgery should be strongly considered in any patient with intestinal metaplasia of the esophagus or cardia. The possibility of mucosal ablation after an antireflux repair should be considered in patients with low-grade dysplasia. Patients with Barrett's and high-grade dysplasia are at high risk for having a focus of adenocarcinoma present. Even with multiple biopsies, a degree of sampling error exists. Also, adenocarcinoma can develop within the space of several months; and if the cancer is allowed to invade into the submucosa, 50% of these patients will have lymphatic metastases, thereby negating the purpose of surveillance. Although patients with high-grade dysplasia and intramucosal adenocarcinoma on biopsy who do not have an endoscopically visible lesion are unlikely to have lymphatic metastases, 7% do have submucosal invasion. Thus, even in these very early tumors, treatment directed
Descriptors
Adenocarcinoma/diagnosis/pathology/surgery, Barrett Esophagus/diagnosis/pathology/surgery, Cell Transformation, Neoplastic/pathology, Esophageal Neoplasms/diagnosis/pathology/surgery, Esophagus/pathology/surgery, Humans, Precancerous Conditions/diagnosis/pathology/surgery, Prognosis
Links
Book Title
Database
Publisher
Data Source
Authors
DeMeester,S. R., DeMeester,T. R.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Self-etching primer vs phosphoric acid: an alternative concept for composite-to-enamel bonding 1999 University of Kiel, Clinic of Operative Dentistry and Periodontology, Germany.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Operative dentistry
Periodical, Abbrev.
Oper.Dent.
Pub Date Free Form
May-Jun
Volume
24
Issue
3
Start Page
172
Other Pages
180
Notes
LR: 20131121; JID: 7605679; 0 (Clearfil Liner Bond 2); 0 (Composite Resins); 0 (Dental Cements); 0 (Dentin-Bonding Agents); 0 (Diphosphates); 0 (Etch&Prime); 0 (Methacrylates); 0 (Monobond S); 0 (Phosphoric Acids); 0 (Polymers); 3K9958V90M (Ethanol);
Place of Publication
UNITED STATES
ISSN/ISBN
0361-7734; 0361-7734
Accession Number
PMID: 10530279
Language
eng
SubFile
Comparative Study; Journal Article; D
DOI
Output Language
Unknown(0)
PMID
10530279
Abstract
The purpose of this in vitro study was (1) to investigate the composite-to-enamel bond strength and (2) to analyze the marginal adaptation of resin composite restorations in class 2 cavities using three self-etching priming agents in comparison to conventional phosphoric acid etching and bonding application. In the first part of the study 24 extracted bovine incisors were embedded in acrylic resin and ground flat with 800-grit paper. The following three self-etching priming agents/composite resins were applied to the enamel surfaces of six teeth each: Clearfil Liner Bond 2/Clearfil AP-X (Group I), Etch & Prime 3.0/Degufill mineral (Group II), Resulcin AquaPrime + MonoBond/Ecusit (Group III). In Group IV Ecusit-Mono/Ecusit was used after enamel etching with phosphoric acid (37%). Shear bond strength values measured on a T22 K testing machine at a crosshead speed of 1 mm/min were: 24.2 +/- 3.0 MPa (Group I), 21.9 +/- 1.4 MPa (II), 34.0 +/- 3.6 MPa (III), and 26.3 +/- 1.8 MPa (IV). ANOVA revealed significant (P < 0.05) differences in shear bond strength between groups, except comparison of Group I and II, and Group I and IV. In the second part of the study 24 standardized class 2 cavity preparations with the approximal box extending 1 mm above the CEJ were prepared in extracted human molars. Enamel margins were beveled and the teeth were divided into four groups of six teeth each. Cavities were restored using the self-etching priming agents Clearfil Liner Bond 2 (Group I), Etch & Prime 3.0 (Group II), and Resulcin AquaPrime + MonoBond (Group III). In Group IV composite resin restorations were placed after 37% phosphoric acid etching and bonding application (Ecusit-Mono). Quantitative SEM analysis of the marginal adaptation of the restorations after thermocycling (5-55 degrees C, 2500 cycles) and mechanical loading (100 N, 500,000 cycles) revealed excellent, gap-free margins in 91.2% (Group I), 93.0% (Group II), 92.0% (Group III), and 92.5% (Group IV) of the restorations' approximal area. There were no statistically significant differences between the four groups (P < 0.05). In conclusion, results of the present in vitro study indicate that use of self-etching primers may be an alternative to conventional phosphoric acid pre-treatment in composite-to-enamel bonding restorative techniques.
Descriptors
Acid Etching, Dental, Animals, Cattle, Composite Resins, Dental Bonding/methods, Dental Cements, Dental Enamel, Dental Marginal Adaptation, Dental Restoration, Permanent/methods, Dentin-Bonding Agents, Diphosphates, Ethanol, Humans, Materials Testing, Methacrylates, Microscopy, Electron, Scanning, Phosphoric Acids, Polymers/chemistry, Tensile Strength
Links
Book Title
Database
Publisher
Data Source
Authors
Hannig,M., Reinhardt,K. J., Bott,B.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Topographical characteristics and shear bond strength of tooth surfaces cut with a laser-powered hydrokinetic system 1999 Department of Biomaterials Science, University of the Pacific School of Dentistry, San Francisco, CA 94115, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
The Journal of prosthetic dentistry
Periodical, Abbrev.
J.Prosthet.Dent.
Pub Date Free Form
Oct
Volume
82
Issue
4
Start Page
451
Other Pages
455
Notes
LR: 20141120; JID: 0376364; 0 (Composite Resins); ppublish
Place of Publication
UNITED STATES
ISSN/ISBN
0022-3913; 0022-3913
Accession Number
PMID: 10512965
Language
eng
SubFile
Comparative Study; Journal Article; D; IM; S
DOI
S0022391399002486 [pii]
Output Language
Unknown(0)
PMID
10512965
Abstract
STATEMENT OF PROBLEM: Erbium lasers, specifically Er;YAG and Er, Cr;YSGG that emit in the near red wavelengths, cut both enamel and dentine. Bonding to these cut surfaces with composites has not been assessed for all laser systems. PURPOSE: This investigation assessed the shear bond strength of composite bonded to tooth structure treated with an Er,Cr;YSGG-powered hydrokinetic system (HKS, Millennium system) and then was compared with surfaces treated with a carbide bur. MATERIAL AND METHODS: Extracted human molars were cut into enamel and dentin with both systems. Nonetched and acid-etched subgroups were evaluated. Shear bond strength was measured with an Instron test machine with a knife-edge loading head. In addition, SEMs were evaluated. RESULTS: There were no significant differences in shear bond strength between etched bur cut (23.3 +/- 2.5 MPa), etched laser-cut enamel (23.7 +/- 4.5 MPa), and nonetched laser-cut enamel (20.5 +/- 2.8 MPa). For nonetched enamel, bond strength values for laser-cut surfaces were significantly higher than the bur-cut surfaces (8.7 +/- 4.3 MPa). Bond strength differences for dentin between bur (14.3 +/- 1.7 MPa) and laser cuts (11.5 +/- 4.3 MPa) were not significant (P =.03). SEM revealed that laser cutting of enamel did not cause formation of a smear layer. CONCLUSION: There were no significant differences in shear bond strength between etched bur-cut, etched laser-cut, and nonetched laser-cut enamel. With nonetched enamel, bond strength values for nonetched laser-cut surfaces were significantly higher than for the bur-cut surfaces. No bond strength differences between bur and laser cutting existed for dentin. Similar topography was observed for bur and laser prepared surfaces of etched enamel and nonetched dentin.
Descriptors
Acid Etching, Dental, Composite Resins, Dental Enamel/physiology/surgery/ultrastructure, Dental High-Speed Equipment, Dentin/physiology/surgery/ultrastructure, Humans, In Vitro Techniques, Laser Therapy/instrumentation/methods, Microscopy, Electron, Scanning, Molar, Stress, Mechanical, Surface Properties, Tooth/physiology/surgery/ultrastructure
Links
Book Title
Database
Publisher
Data Source
Authors
Lin,S., Caputo,A. A., Eversole,L. R., Rizoiu,I.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
Barrett&#39;s esophagus: a surgical disease 1999 Department of Surgery, University of California, San Francisco, San Francisco, California 94143-0788, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract
Periodical, Abbrev.
J.Gastrointest.Surg.
Pub Date Free Form
Jul-Aug
Volume
3
Issue
4
Start Page
397
Other Pages
403; discussion 403-4
Notes
LR: 20041117; JID: 9706084; ppublish
Place of Publication
UNITED STATES
ISSN/ISBN
1091-255X; 1091-255X
Accession Number
PMID: 10482692
Language
eng
SubFile
Journal Article; IM
DOI
S1091255X99800560 [pii]
Output Language
Unknown(0)
PMID
10482692
Abstract
Barrett's metaplasia can develop in patients with gastroesophageal reflux disease (GERD), and metaplasia can evolve into dysplasia and adenocarcinoma. The optimal treatment for Barrett's metaplasia and dysplasia is still being debated. The study reported herein was designed to assess the following: (1) the incidence of Barrett's metaplasia among patients with GERD; (2) the ability of laparoscopic fundoplication to control symptoms in patients with Barrett's metaplasia; (3) the results of esophagectomy in patients with high-grade dysplasia; and (4) the character of endoscopic follow-up programs of patients with Barrett's disease being managed by physicians throughout a large geographic region (northern California). Five-hundred thirty-five patients evaluated between October 1989 and February 1997 at the University of California San Francisco Swallowing Center had a diagnosis of GERD established by upper gastrointestinal series, endoscopy, manometry, and pH monitoring. Thirty-eight symptomatic patients with GERD and Barrett's metaplasia underwent laparoscopic fundoplication. Eleven other consecutive patients with high-grade dysplasia underwent transhiatal esophagectomies. Barrett's metaplasia was present in 72 (13%) of the 535 patients with GERD. The following results were achieved in patients who underwent laparoscopic fundoplication (n = 38): Heartburn resolved in 95% of patients, regurgitation in 93% of patients, and cough in 100% of patients. With regard to transhiatal esophagectomy (n = 11), the average duration of the operation was 339 +/- 89 minutes. The only significant complications were two esophageal anastomotic leaks, both of which resolved without sequelae. Mean hospital stay was 14 +/- 5 days. There were no deaths. The specimens showed high-grade dysplasia in seven patients and invasive adenocarcinoma (undiagnosed preoperatively) in four (36%). These results can be summarized as follows: (1) Barrett's metaplasia was present in 13% of patients with GERD being evaluated at a busy diagnostic center; (2) laparoscopic fundoplication was highly successful in controlling symptoms of GERD in patients with Barrett's metaplasia; (3) in patients with high-grade dysplasia esophagectomy was performed safely (invasive cancer had eluded preoperative endoscopic biopsies in one third of these patients); and (4) even though periodic endoscopic examination of Barrett's disease is universally recommended, this was actually done in fewer than two thirds of patients being managed by a large number of independent physicians in this geographic area.
Descriptors
Adenocarcinoma/pathology, Adult, Aged, Aged, 80 and over, Anastomosis, Surgical/adverse effects, Barrett Esophagus/etiology/pathology/surgery, California, Cough/therapy, Esophageal Neoplasms/pathology, Esophagectomy/adverse effects, Esophagoscopy, Esophagus/pathology, Female, Follow-Up Studies, Fundoplication, Gastroesophageal Reflux/complications, Heartburn/therapy, Humans, Hydrogen-Ion Concentration, Incidence, Laparoscopy, Length of Stay, Male, Manometry, Metaplasia, Middle Aged, Monitoring, Ambulatory, Time Factors
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Patti,M. G., Arcerito,M., Feo,C. V., Worth,S., De Pinto,M., Gibbs,V. C., Gantert,W., Tyrrell,D., Ferrell,L. F., Way,L. W.
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