Temperature ofthe pulp chamber during impression taking of full crown preparations with modelling compound.

Temperature elevations were measured in the pulp chamber of full cast crown preparations during impression taking with modelling compound in copper bands. Uncontrolled flaming, controlled flaming, and water heating of the bands produced temperatures of 53, 44, and 41.5 C, respectively. The time involved in restoring the temperature in the pulp to 37 C was determined. The implications of delayed chilling are discussed.

Linings and caries in retrieved permanent teeth with amalgam restorations.

Possible correlations between the presence or position of cavity linings and the incidence of caries were studied in a sample of 57 extracted permanent teeth with amalgam fillings. Linings could be detected if their thickness was greater than approximately 20 microns, and if they were observed on 74% of the teeth. On 53% of the teeth caries were found adjacent to the restorations, and on 11% not adjacent to the restorations. The incidence of adjacent caries on the teeth with lined cavities was not lower than on the unlined ones. In 36% of the teeth with linings, evidence was found for washout of linings which had been present at the cavosurface margin. These teeth showed a significantly higher incidence of adjacent caries than the unlined ones. Carious sites associated with washout of linings were found in 31% of the lined specimens.

Clinical, radiographic, SEM evaluation and assessment of microleakage of Class II composite restorations.

The influence of incremental or bulk filling techniques, and reapplication of unfilled resin (impregnation) to the margins with an enamel bonding agent, on marginal adaptation was evaluated in Class II composite restorations by clinical, radiographic, scanning electron microscope (SEM) and dye penetration techniques. Cavities were prepared in 80 extracted permanent posterior teeth. All cavity walls were treated with polyacrylic acid for 10 seconds. The enamel was etched for 1 minute, rinsed, dried, and lined with Scotchbond. Forty cavities were filled by increments of P30 and 40 cavities in bulk. The margins of the restorations of 20 teeth in each group were re-etched for 30 seconds and Concise Enamel Bond reapplied. The clinical scores were excellent for all restorations. Radiographic examination showed twice as many bubbles in the incrementally filled restoration than in the group filled in bulk. In 53 teeth, a radiolucent area between the dentin and the restorative material was found. After sectioning, this area was found to correspond to a hard material. The SEM revealed excellent margins in the groups of teeth that were impregnated with an unfilled resin, whereas 13 teeth without impregnation showed defective margins. The dye penetration, as a test for marginal leakage, was minimal at the occlusal surface of all teeth. At the cervical surface, 10.5% of the impregnated teeth showed severe dye penetration compared to 18% of the nonimpregnated teeth. No correlation was found between dye penetration at the cervical surface and the thickness of the residual enamel in this area.(ABSTRACT TRUNCATED AT 250 WORDS)

The amalgam margin angle, marginal breakdown and adjacent caries in occlusal enamel, a pilot study on extracted teeth.

The object of this study was to determine for amalgam restorations the relationship between marginal breakdown and (i) over- or undercarving; (ii) the amalgam margin angle (AMA); and (iii) the incidence of carious occlusal enamel adjacent to the restoration. Fifty-two extracted human teeth with occlusal amalgam fillings from the Chicago (C) area and forty-three teeth from the Jerusalem (J) area, were examined with a probe. Employing common clinical criteria, it was found that replacement of the fillings was indicated due to extensive marginal defects, in 45% of the C teeth, and 41% of the J teeth. The occlusal amalgam margins and the incidence of caries adjacent to these margins were studied on facio-lingual sections. The incidence and the average AMA values for six margin types were measured on random sections and were found to be: all margins (100%, 67 degrees); intact flush margins (31%, 69 degrees); fractured flush margins (21%, 56 degrees); undercarved margins which fractured (22%, 74 degrees), or did not fracture (9%, 80 degrees) near the cavity margin; margins with amalgam deficiencies (12%, 62 degrees); and margins with separation between enamel and amalgam by remnants of linings (5%). Marginal breakdown was found in 42% of the margins and was associated mainly with flush carving at low AMAs, and with broken flashes resulting from undercarving. Occlusal carious enamel was detected on 19% of the J teeth and none of the C teeth. Sixty-three per cent of these lesions were associated with fractured undercarved margins.

The transverse strength of acrylic resin strips and of repaired acrylic samples.

A method was developed for measuring the transverse strength of repaired acrylic samples at a single butt joint. The strength was determined for samples prepared from two types of heat polymerizing resins and two types of repair resins. The temperature elevation during curing of the repair resins was determined. Cross-linking of the resins was evaluated by immersion of samples in solvents. The appearance of the bead microstructure after various treatments was considered to indicate relaxation at the sample surface. Repaired samples of the heat polymerizing resin which exhibited relaxation after immersion in monomer, had a lower strength than samples prepared from the resin for which relaxation was not observed, although both resins were cross-linked to a similar extent. The application of pressure during curing increased the strength of the samples repaired with the rapid curing, cross-linked, repair resin. The strength of the samples repaired with the uncross-linked, slow curing, repair resin was affected by pressure only if the insertion of the repair resin between the sample parts was delayed after mixing. Variations in the powder to liquid ratio of the uncross-linked repair resin did not affect the sample strength. Wetting of the sample parts with monomer before repair, and variations in the curing temperature did not affect the sample strength for the investigated resin combinations.

The bending strength of acrylic resin samples repaired under pressure.

The bending strength of heat-cured resin samples was found to be 49% higher than that of autopolymerizing resin samples cured under room conditions. Curing the latter resin in a pressure vessel at 32psi and 30 degrees C increased its strength by 4.5%. For this reason and because a less porous material is obtained, pressure-curing may be employed with advantage for the preparation of various appliances from S.C. resin. The effect of pressure-curing in increasing the strength of the repaired samples was not significant. It would also appear that pressure affects the porosity of small quantities of repair material less than when appliances are made from S.C. resins only. The increase in strength achieved by pressure-curing repairs, in which only small quantities of S.C. resin are used, is therefore questionable.

Tooth preparation for full coverage-basic principles and rationalized clinical procedures.

The basic principles of tooth preparation for full coverage are discussed and an efficient method is described for the operative procedure. The purpose of each of the four stages in this technique and of the five different diamond instruments which are used in their performance, is discussed. Modifications of the procedure are given for posterior and anterior teeth as well as for teeth with periodontal involvement. Comparing the relative merit of different types of finishing lines, the chamfer type was found most suitable for the majority of preparations.

Effect of manipulative variables on the accuracy of crown wax patterns.

An instrument was developed to carve wax patterns in a reproducible manner. The methods of wax application to the die and wax removal during carving were similar to routine laboratory procedures. The wax patterns were invested in stone with the dies on which they were prepared, and sectioned to allow the determination of their adaptation on sectioned samples. Shrinkage of wax patterns on dies was found to create a marginal gap at shoulders and bevels. Further shrinkage observed after removal from the die was attributed to relaxation of elastic stresses in the wax. Carving of bevels improved adaptation to the die for samples with large gaps at the shoulder. This improved adaptation can be attributed to plastic deformation in the wax bevel. Remodeling of pattern margins was found to improve adaptation to the die, especially if carried out after the pattern was removed and replaced on the die. Remodeling the margin should involve heating with a spatula of a narrow band of wax around the margin up to the axial die wall over the entire shoulder width.

A mathematical treatise on the fit of crown castings.

A mathematical analysis was given to calculate the marginal cement thickness, Dm, of a cemented crown casting as a function of the minimum cement film thickness, F; the width, W, of the base of the tapered region; the width, W', at the bevel (if present) of the tooth preparation; the taper angle, theta; the marginal angle, beta; and the compensatory expansion, X, of the metal investment system: Dm = [F/sin theta - 0.5(X - 1) (W cot theta - W' cot beta)] sin beta. The elevation of the cemented casting, delta H, above the tooth preparation may also be obtained from this equation by substituting beta = 90 degrees, in which case Dm = delta H. The effect of the preparation of a chamfer margin or bevel on the marginal film thickness may be calculated from this equation. An additional analysis showed that the minimum marginal cement thickness, Dm = F, can be obtained for a shoulder preparation and X values of common metal-investment systems by applying a spacer of appropriate thickness on the entire occlusal and axial walls of the die. This renders the preparation of bevels superfluous. The thickness of the spacer should allow for the cement film thickness, roughness of the tooth and casting surfaces, dimensional inaccuracies of the die, and distortions of the wax pattern. If the spacer is thicker than required, a minimum value of Dm is still obtained for preparations without bevels. If the horizontal part of the die shoulder is covered as well with the spacer, a greater spacer thickness is required to obtain a minimum value of Dm than if the spacer extends to the end of the axial walls. In this case the spacer thickness should be greater on the occlusal die wall than on other regions of the die for values of X smaller than 1. The spacer should also be thicker in the occlusal region if restriction of the investment setting expansion by the wax pattern occurs mainly in this region.

Dycal: physical properties and resistance to amalgam condensation.

Simulated clinical experiments showed that the hand condensation of amalgam on single or multiple layers of Dycal in Class II cavities does not cause significant fracture or displacement of the liner. Cyclic loading experiments demonstrated that the plastic deformation of Dycal decreases and its stiffness increases with each additional load cycle. This indicates that minor displacement of Dycal during amalgam condensation occurs mainly during the first thrusts with the condenser, and that its mechanical properties are improved by repeated condensation with heavy pressure. Cyclic loading tests may be of considerable value in the evaluation of the performance of liners during amalgam condensation.

Observations on a calcium hydroxide lining in retrieved deciduous teeth, with proximal amalgam fillings.

The integrity and thickness of Dycal linings were determined on exfoliated deciduous teeth in which proximal fillings had been placed in vivo. The teeth remained in the oral cavity for more than 18 months after placement of the restorations. The average lining thickness was found to be 114 microns. One-third of the samples showed evidence for the presence of Dycal at the gingival floor, up to the proximal tooth wall. Wash-out of the lining was observed for most teeth in which Dycal had been present near the proximal tooth wall. Incipient caries formation, associated with wash-out of the lining, was noted in a few samples. Contact between amalgam and dentine was frequently observed at the line angle, pulpal floor and axial wall.