Evaluation of the Milled and Three-Dimensional Digital Manufacturing, 10-Degree and 20-Degree Preparation Taper, Groove and Box Auxiliary Retentive Features, and Conventional and Resin-Based Provisional Cement Type on the Adhesive Failure Stress of 3 mm Short Provisional Crowns.

BACKGROUND This study evaluated the effects of milling (CADCAM), 3D printing, preparation taper angles (10-degree and 20-degree), auxiliary retentive features (groove and box), and provisional cement types (conventional and resin-based) on the adhesive failure stress of 3-mm short provisional crowns (PC). The research was motivated by the need to understand how digital dentistry technologies impact the retention and durability of provisional crowns. MATERIAL AND METHODS A total of 160 working models (3D-printed) and PCs [80 milled (CopraTemp)/80 printed (Asiga)] were fabricated from two 10- and 20-degree typodont master models and two 20-degree 3D-printed master models (groove and box), simulating a 3 mm high all-ceramic short PC. After provisional cementation with conventional (Kerr TempBond) and resin-based (ProviTemp) cements, 16 subgroups (n=10 each) underwent thermocycling (10 000 cycles; 5-55°C) and pull-off tests on a universal testing machine. Statistical analysis was performed using one-way ANOVA and post hoc Tukey test. RESULTS Conventional cement failed at lower stress for milled (47.68 to 73.54) and printed (48.40 to 77.91) as compared to resin cement for milled (104.2 to 137.27) and printed (184.85 to 328.84), respectively, with significant differences. Increased taper and groove decreased failure load except for the printed PC/resin cement combination. Use of proximal box preparation increased retention significantly. Except for 20-degree taper cemented with conventional cement, the differences in auxiliary retentive features for milled and printed provisional crowns were statistically significant at P≤0.05. CONCLUSIONS 3D-printed PC, resin-based cement, 10-degree taper, and proximal box preparation were associated with higher retention than milled, conventional cements, 20-degree taper, and vertical groove.

The Impact of Repeated Steam Sterilization Cycles on the Efficacy of Chairside Adjustment Kits for Polishing Monolithic Multi-Layered Zirconia Dental Restoration Material.

BACKGROUND Before insertion, chairside adjustment kits are heat sterilized for positioning and polishing dental restorations. This study aimed to evaluate the effects of 2 steam sterilization cycles on the efficacy of polishing highly translucent monolithic zirconia (HTMLZ) dental restoration material. MATERIAL AND METHODS 100 HTMLZ disc-shaped specimens were adjusted (grinding, finishing, polishing) with EVE Diacera kit. Two steam sterilization techniques [standard (Gp S), immediate/flash (Gp (F)] of CAK were further subgrouped based on number of sterilization cycles [cycle 1 (control), cycle 5, 10, 15, and 20 (experimental)] (n=10 each). Each subgroup accordingly was evaluated for average surface roughness (Ra) and root mean square roughness (Rq) using a profilometer. Mean and standard deviation of 5 subgroups were statistically analyzed using one-way ANOVA/post hoc Tukey's test. Scanning electron microscopy complemented Ra, Rq measurements. Statistical differences of P≤0.05 were considered significant. RESULTS HTMLZ specimens in both groups showed increased (Ra/Rq) values after repeated sterilization of EVE Diacera kit, with Gp F showing lesser increase than Gp S (20 cycles). Gp F at 10 cycles and Gp S at 15 cycles showed clinically unacceptable roughness threshold (0.25 µm). Differences between subgroups for Ra and Rq values were significant (P≤0.05) with less differences within groups observed in early cycles (1, 10). Results validate the manufacturer's recommendations of using flash sterilization/10 cycles for EVE Diacera kit. CONCLUSIONS Repeated sterilization reduces efficacy of chairside adjustment kit to produce smooth surfaces on HTMLZ. This study recommends flash sterilization to a maximum of 10 times to get the clinically acceptable results of Ra and Rq.

Influence of Chairside Simulated Adjustment (Finishing and Polishing) Protocol and Chlorhexidine Mouthwash Immersion on Color Stability and Translucency of 2 and 3 Preshaded Multilayered Monolithic Zirconia.

BACKGROUND Preshaded monolithic zirconia (MLZ) is reported to have high translucency. This study aimed to assess the effect of chlorhexidine gluconate (ChG) mouthwash on color and translucency parameter (TP) of 2 different preshaded MLZ dental ceramics after clinical adjustment. MATERIAL AND METHODS Two MLZ disk-shaped specimens [NPM (Nacera Pearl Multi-Shade) (n=72) and CZM (Ceramill Zolid FX Multilayer)] (n=72) were simulated for clinical adjustment, finished, and polished using 2 adjustment kits [recommended kit, third-party kit: Diasynt Plus and SUN (n=12 each)] and later immersed in ChG mouthwash (Avohex) for 2 weeks. Difference in color (ΔE) and TP (Y) were calculated using the CIELab formula after measuring the coordinates (Lab) with a colorimeter. Individual changes in color and TP were assessed on the Clinical acceptance (perceptible) threshold (CAT/CPT) and Translucency perception threshold (TPT), respectively. Differences between the 2 ceramics were assessed using one-way ANOVA and post hoc tests, with all differences considered significant at P<0.05. RESULTS NPM and CZM differed in color at baseline despite having the same Vita shade combination. Between the 2 preshaded MLZ ceramics, NPM showed significant changes in color when adjusted with a third-party kit. Chlorhexidine produced changes in color and TP that were designated as clinically perceptible (ΔE=1.0 to 3.3) on the CAT/CPT and TPT scales, irrespective of the adjustment kit used. ChG produced the least or no changes in glazed MLZ specimens. CONCLUSIONS ChG mouthwash, whenever prescribed for preshaded MLZ restoration, should be adjusted prior to final glazing to avoid clinical adjustments that adversely affects color and translucency of the restoration.

ZnSe and ZnTe as tunnel barriers for Fe-based spin valves.

Owing to their use in the optoelectronic industry, we investigate whether ZnSe and ZnTe can be utilised as tunnel barrier materials in magnetic spin valves. We perform ab initio electronic structure and linear response transport calculations based on self-interaction-corrected density functional theory for both Fe/ZnSe/Fe and Fe/ZnTe/Fe junctions. In the Fe/ZnSe/Fe junction the transport is tunneling-like and a symmetry-filtering mechanism is at play, implying that only the majority spin electrons with Δ1 symmetry are transmitted with large probability, resulting in a potentially large tunneling magnetoresistance (TMR) ratio. As such, the transport characteristics are similar to those of the Fe/MgO/Fe junction, although the TMR ratio is lower for tunnel barriers of similar thickness due to the smaller bandgap of ZnSe as compared to that of MgO. In the Fe/ZnTe/Fe junction the Fermi level is pinned at the bottom of the conduction band of ZnTe and only a giant magnetoresistance effect is found. Our results provide evidence that chalcogenide-based tunnel barriers can be utilised in spintronics devices.

Radiographic Evaluation of the Gap between Cemented Post and Remaining Gutta-Percha in Endodontically Treated Teeth Performed by Undergraduate Students: A Retrospective Cross-Sectional Study.

The coronal seal in root canal-treated teeth may be compromised depending on the accuracy of post space preparation and post cementation along with remaining gutta-percha. Root canal treatment can be compromised by endotoxins released by the coronal bacteria as a result of microleakage. The study was conducted by undergraduate students to measure the gap between the cemented post and residual gutta-percha. In total, 217 endodontically treated teeth were evaluated with intraoral peri-apical radiographs. Based on the intraoral periapical radiographic examination in the CS-R4 program, Group I had no gap, Group II had a gap of >0 to 2 mm, and Group III had a gap of more than 2 mm between the end of the cemented post and the remaining gutta-percha. In total, 40% (n = 87) of the teeth had no gap, 59% (127) had a gap of >0 to 2 mm, and 1% (n = 3) had a gap of more than 2 mm between the cemented post end and remaining gutta. Chi square test revealed a significant difference in the gap between the post and remaining gutta-percha between males and females students (p < 0.001). In terms of the gap between the cemented post end and the residual gutta-percha, the root canal treated teeth with post and core by undergraduates were clinically acceptable.

Accuracy Comparison between Robot-Assisted Dental Implant Placement and Static/Dynamic Computer-Assisted Implant Surgery: A Systematic Review and Meta-Analysis of In Vitro Studies.

Background and Objectives: The present systematic review and meta-analysis undertake a comparison of studies that examine the accuracy of robot-assisted dental implant placement in relation to static computer-assisted implant surgery (SCAIS), dynamic computer-assisted implant surgery (DCAIS), and freehand procedures. This study aims to provide a comprehensive understanding of the precision of robot-assisted dental implant placement and its comparative efficacy in relation to other placement techniques. Methods: The guidelines recommended by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) were used to organize and compose this review. Four electronic databases (PubMed, Web of Science, Scopus, and Cochrane) were systematically searched for pertinent articles. Articles were selected following the inclusion and exclusion criteria. Qualitative and quantitative analyses of the selected articles were performed. Results: The initial electronic search resulted in 1087 hits. Based on the inclusion and exclusion criteria, five articles were selected for qualitative analysis, out of which three were considered for quantitative analysis. Three parameters were considered for accuracy evaluation (angular, coronal, and apical deviation). The mean angular deviation was -1.22 degrees (95% CI, -1.06--1.39), the mean coronal deviation was -0.15 mm (95% CI, -0.24--0.07), and the mean apical deviation was -0.19 mm (95% CI, -0.27--0.10). Conclusions: The robotic implant system was found to have significantly lower angular deviations and insignificantly lower coronal and apical deviations compared to DCAIS. Within the limitations of this review, it can be concluded that robot-assisted implant placement in resin models permits higher accuracy compared to DCAIS and SCAIS systems. However, due to the limited number of comparative studies with high heterogeneity, the findings of this review should be interpreted with caution. Further research is necessary to confirm the clinical application of robotics in implant surgery.

Encountering Covid-19 and perceived stress and the role of a health climate among medical workers.

Due to the outbreak of Covid-19 epidemic, work stress among health sector employees has risen too high. The study aims at determining the effect of the current coronavirus epidemic in the form of stress perceived among the medical workers in Pakistan and to discover the moderating role played by a healthy climate in offsetting it. The data was collected from 255 medical workers through a self-administered online questionnaire. Multiple Hierarchical Regression was used as a tool to test the hypotheses of the study. The results obtained indicate a correlation between the pandemic and the stress caused by it among the health workers, whereas, the role of a wholesome climate in the reduction of stress among them was found lacking. Sub-hypotheses indicate that the healthy environment provided by supervisors is effective in reducing the impact of workers' handling of the Covid-19 epidemic and perceived stress, while the healthy environment provided by hospitals in general or by workgroups fails to cause such positive change. This revelation necessitates the adoption of compulsory precautionary measures on the part of relevant authorities, because increase in stress caused by the pandemic can prove more lethal than the pandemic itself. The threat of the coronavirus pandemic has emerged as a massive socio-economic challenge for the global community, especially for the developing countries like Pakistan which faces serious socio-economic challenges in the current scenario. On account of the similarity of situations, the results obtained through this study can be safely generalized to other developing countries, particularly from the South Asian region.

Changes of Land Use and Land Cover with the Diversity of Fishes, Aquatic Plants, and Bird's Species at Wetland Ecosystem.

Bangladesh is rich in wetland biodiversity with aquatic plants, fishes, and birds. Mohanganj Upazila is known as the capital of lower Bangladesh. The present study focuses on the changes of land use and land cover (LULC) with a diversity of species that are being least concerned (LC), vulnerable (VU), and endangered (EN). Over the last two decades, the wetland species of Mohanganj were gradually declined. Our results showed that 19 fish, 4 aquatic plants, and 7 bird species were LC in 2015. Among the fish and aquatic plant species, 6 fish species (Wallago attu, Ompok pabda, Channa punctate, Chitala chitala, Salmostoma phulo, and Corica soborna) and 2 aquatic plant species (Nymphaea nouchali and Nymphaea lotus) were VU during the dry and rainy season of 2017 and 2019, respectively. In the dry season of 2019, 4 fish species (W. attu, O. pabda, C. punctate, and Ch. chitala), 2 aquatic plant species (N. nouchali and N. lotus), and 7 bird species (Anas platyrhynchos, Ardeola grayii, Gyps bengalensis, Alcedo atthis, Phalacrocorax fuscicollis, Porphyrio porphyria, and Larus ridibundus) were EN. Among the species, W. attu, N. nouchaii, G. bengalensis, P. porphyria, and L. ridibundus were extremely endangered categories. Changes in LULC, the establishment of settlements for the increasing population, indiscriminate use of pesticides, environmental pollutions, and climate change are the potential reasons for declining trends of wetland biodiversity. Stern actions on land use policy, expansion of organic agriculture, bioremediation of industrial effluents, and adoption of sustainable environmental policies should be taken by the Government of Bangladesh for immediate conservation of wetland biodiversity.

Effect of neat and binary vehicle systems on the solubility and cutaneous delivery of piperine.

Vitiligo is a skin disease characterized by depigmentation disorders due to lack of melanin production. Piperine, an alkaloid extracted from black piper, is active in melanocytes proliferation. To achieve this, the drug has to reach the melanocytes which exist in the deep layer of the epidermis. Higher drug concentration can be obtained after application of optimized formulation to skin. Accordingly, the aim of this work is to investigate the effect of vehicles on skin penetration of piperine as the first step in development of optimized formulation. The tested vehicles include ethanol (Eth), propylene glycol (PG), polyethylene glycol 400 (PEG), and oleic acid (OA) and their combinations. Water was used as the control and skin permeation was monitored using rabbit ear model skin. The highest piperine solubility (48.6 mg/ml) and flux (40.8 µg/cm2 h) was achieved by Eth and the lowest piperine flux (1.17 µg/cm2 h) was reported for PEG. PG and OA showed piperine flux values comparable to that of the control. Among different combination systems, Eth-OA (75:25) binary system had the highest piperine flux (59.3 µg/cm2 h) followed by Eth-OA (50:50) (32.3 µg/cm2 h) and PG-OA (90:10) (22.7 µg/cm2 h). The study thus introduced a vehicle system as the first step in the development of topical formulation of piperine.

Exploring standardized precipitation evapotranspiration index for drought assessment in Bangladesh.

Drought is a critical issue, and it has a pressing, negative impact on agriculture, ecosystems, livelihoods, food security, and sustainability. The problem has been studied globally, but its regional or even local dimension is sometimes overlooked. Local-level drought assessment is necessary for developing adaptation and mitigation strategies for that particular region. Keeping this in understanding, an attempt was made to create a detailed assessment of drought characteristics at the local scale in Bangladesh. Standardized precipitation evapotranspiration (SPEI) is a new drought index that mainly considers the rainfall and evapotranspiration data set. Globally, SPEI has become a useful drought index, but its local scale application is not common. SPEIbase (0.5° grid data) for 110 years (1901-2011) was utilized to overcome the lack of long-term climate data in Bangladesh. Available weather data (1955-2011) from Bangladesh Meteorology Department (BMD) were analyzed to calculate SPEIweather station using the SPEI calculator. The drivers for climate change-induced droughts were characterized by residual temperature and residual rainfall data from different BMD stations. Grid data (SPEIbase) of 26 stations of BMD were used for drought mapping. The findings revealed that the frequency and intensity of drought are higher in the northwestern part of the country which makes it vulnerable to both extreme and severe droughts. Based on the results, the SPEI-based drought intensity and frequency analyses were carried out, emphasizing Rangpur (northwest region) as a hot spot, to get an insight of drought assessment in Bangladesh. The findings of this study revealed that SPEI could be a valuable tool to understand the evolution and evaluation of the drought induced by climate change in the country. The study also justified the immediate need for drought risk reduction strategies that should lead to relevant policy formulations and agricultural innovations for developing drought adaptation, mitigation, and resilience mechanisms in Bangladesh.

Climate-smart rice (Oryza sativa L.) genotypes identification using stability analysis, multi-trait selection index, and genotype-environment interaction at different irrigation regimes with adaptation to universal warming.

Climate change has brought an alarming situation in the scarcity of fresh water for irrigation due to the present global water crisis, climate variability, drought, increasing demands of water from the industrial sectors, and contamination of water resources. Accurately evaluating the potential of future rice genotypes in large-scale, multi-environment experiments may be challenging. A key component of the accurate assessment is the examination of stability in growth contexts and genotype-environment interaction. Using a split-plot design with three replications, the study was carried out in nine locations with five genotypes under continuous flooding (CF) and alternate wet and dry (AWD) conditions. Utilizing the web-based warehouse inventory search tool (WIST), the water status was determined. To evaluate yield performance for stability and adaptability, AMMI and GGE biplots were used. The genotypes clearly reacted inversely to the various environments, and substantial interactions were identified. Out of all the environments, G3 (BRRI dhan29) had the greatest grain production, whereas G2 (Binadhan-8) had the lowest. The range between the greatest and lowest mean values of rice grain output (4.95 to 4.62 t ha-1) was consistent across five distinct rice genotypes. The genotype means varied from 5.03 to 4.73 t ha-1 depending on the environment. In AWD, all genotypes out performed in the CF system. With just a little interaction effect, the score was almost zero for several genotypes (E1, E2, E6, and E7 for the AWD technique, and E5, E6, E8, and E9 for the CF method) because they performed better in particular settings. The GGE biplot provided more evidence in support of the AMMI study results. The study's findings made it clear that the AMMI model provides a substantial amount of information when evaluating varietal performance across many environments. Out of the five accessions that were analyzed, one was found to be top-ranking by the multi-trait genotype ideotype distance index, meaning that it may be investigated for validation stability measures. The study's findings provide helpful information on the variety selection for the settings in which BRRI dhan47 and BRRI dhan29, respectively, performed effectively in AWD and CF systems. Plant breeders might use this knowledge to choose newer kinds and to design breeding initiatives. In conclusion, intermittent irrigation could be an effective adaptation technique for simultaneously saving water and mitigating GHG while maintaining high rice grain yields in rice cultivation systems.

Corrigendum: The role of microtubules in pancreatic cancer: therapeutic progress.

[This corrects the article DOI: 10.3389/fonc.2021.640863.].

Monitoring the drastic growth of ship breaking yards in Sitakunda: a threat to the coastal environment of Bangladesh.

The vast coastal and marine resources that occur along the southern edge of Bangladesh make it one of the most productive areas of the world. However, due to growing anthropogenic impacts, this area is under considerable environmental pressure from both physical and chemical stress factors. Ship breaking, or the dismantling and demolition of out-of-service ocean-going vessels, has become increasingly common in many coastal areas. To investigate the extent of ship breaking activities in Bangladesh along the Sitakunda coast, various spatial and non-spatial data were obtained, including remote sensing imagery, statistical records and published reports. Impacts to coastal and marine life were documented. Available data show that ship breaking activities cause significant physical disturbance and release toxic materials into the environment, resulting in adverse effects to numerous marine taxonomic groups such as fish, mammals, birds, reptiles, plants, phytoplankton, zooplankton and benthic invertebrates. Landsat imagery illustrates that the negatively impacted coastal area has grown 308.7 % from 367 ha in 1989 to 1,133 ha in 2010. Physicochemical and biological properties of coastal soil and water indicate substantially elevated pollution that poses a risk of local, regional and even global contamination through sea water and atmospheric transport. While damage to the coastal environment of Bangladesh is a recognized hazard that must be addressed, the economic benefits of ship breaking through job creation and fulfilling the domestic demand for recycled steel must be considered. Rather than an outright ban on beach breaking of ships, the enterprise must be recognized as a true and influential industry that should be held responsible for developing an economically viable and environmentally proactive growth strategy. Evolution of the industry toward a sustainable system can be aided through reasonable and enforceable legislative and judicial action that takes a balanced approach, but does not diminish the value of coastal conservation.

Potential of AlP and GaN as barriers in magnetic tunnel junctions.

AlP and GaN are wide band gap semiconductors used industrially in light emitting diodes. We investigate their potential as tunnel barriers in magnetic tunnel junctions, employing density functional theory and the non-equilibrium Green's function method for ground state and quantum transport calculations, respectively. We show that the valence band edges are dominated by pz orbitals and the conduction band edges are dominated by s orbitals. Both materials filter Bloch states of Δ1 symmetry at the Γ-point of the Brillouin zone. In the zero bias limit, we find for the Co/AlP/Co junction a high tunnel magnetoresistance of ∼200% at the Fermi energy and for the Co/GaN/Co junction a tunnel magnetoresistance of even ∼300% about 1.4 eV below the Fermi energy.

BananaLSD: A banana leaf images dataset for classification of banana leaf diseases using machine learning.

Bananas, one of the most widely consumed fruits globally, are highly susceptible to various leaf spot diseases, leading to significant economic losses in banana production. In this article, we present the Banana Leaf Spot Diseases (BananaLSD) dataset, an extensive collection of images showcasing three prevalent diseases affecting banana leaves: Sigatoka, Cordana, and Pestalotiopsis. The dataset was used to develop the BananaSqueezeNet model [1]. The BananaLSD dataset contains 937 images of banana leaves collected from banana fields, which were then further augmented to generate another 1600 images. The images were acquired using three smartphone cameras in diverse real-world conditions. The dataset has potential for reuse in the development of machine learning models that can help farmers identify symptoms early. It can be useful for researchers working on leaf spot diseases and serve as motivation for further researches.

Understanding Phakopsora pachyrhizi in soybean: comprehensive insights, threats, and interventions from the Asian perspective.

Soybean (Glycine max L.) is an important crop in Asia, accounting for 17% of global soybean cultivation. However, this crop faces formidable challenges from the devastating foliar disease, Asian Soybean Rust (ASR), caused by Phakopsora pachyrhizi, a biotrophic fungus with a broad host range, causing substantial yield losses (10-100%) in Asia. This comprehensive review consolidates knowledge on ASR, encompassing its impact, historical perspectives, genetic diversity, epidemic drivers, early detection, risk assessment, and sustainable management strategies of ASR in the region. ASR has expanded globally from Asia, reaching Africa and Americas, driven by wind-dispersed urediniospores. Genetic diversity studies reveal the complexity of P. pachyrhizi, with distinct populations exhibiting varying virulence patterns. Factors affecting ASR epidemics in Asia include host susceptibility, landscape connectivity, climate, and environmental conditions. Understanding the interplay of these factors is essential for early intervention and control of ASR in soybean fields. Effectively managing ASR can exploit the utilization of diverse intervention strategies, encompassing disease forecasting, automated early detection, disease resistance, fungicide application, and biological control. A pivotal aspect of successful, sustainable disease management lies in reducing the ASR pathogen virulence and preventing it from developing fungicide resistance, while the highpoint of effectiveness in disease control is attained through a synergistic approach, integrating various strategies. In summary, this comprehensive review provides insights into multifaceted approaches that contribute to the development of sustainable and economically impactful soybean production in the face of the persistent threat of ASR in Asia.

Five Years' Single-center Experience of a Modified Approach to Divided Sigmoid Colostomy for Anorectal Malformation.

BACKGROUND: In patients with anorectal malformation (ARM), a divided descending colostomy is associated with high complication rates, including wound infection, dehiscence, and prolapse, and it places a significant burden on caregivers. To decrease the chances of such complications, we modified our approach for colostomy fashioning by keeping an intact skin bridge between the colostomy and mucous fistula. The objective was to compare the rate of complications among patients diagnosed with ARM who underwent a modified divided descending colostomy and classical descending colostomy. METHODS: We included all the patients diagnosed with ARM who underwent a divided colostomy with modified (group A) or classical technique (group B) in the last 5 years. The type of approach used to fashion the stoma was based on the surgeon's preference than on patients' selection criteria. All patients were followed and monitored for postoperative complications. SPSS version 26 was used to analyze the data. RESULTS: A total of 62 patients with ARM underwent the colostomy creation; 27 in group A and 35 in group B. Males were more in both groups and other demographic variables were comparable. The most common associated anomalies were cardiac (58%). The mean duration of surgery was 72.2 ± 18.26 min in group A while 91.25 ± 21.43 min in group B (P = 0.000). The mean hospital stay was 4.28 ± 3.63 days in group A while 7.97 ± 6.12 days in group B (P = 0.007). The overall complication rate was 14.8% in group A and 34.2% in group B (P = 0.082). CONCLUSION: The modified approach to fashioning a divided colostomy is easily reproducible and carries a low risk of postoperative complications. LEVEL OF EVIDENCE: IV.

Evaluation of the Effects of Digital Manufacturing, Preparation Taper, Cement Type, and Aging on the Color Stability of Anterior Provisional Crowns Using Colorimetry.

BACKGROUND Replicating the 3-dimensional (3D) color of natural teeth in artificial substitutes is challenging. Fixed dental prosthodontics require aesthetic, color-stable provisional restorations. Recent milling and 3D printing digital manufacturing techniques offer improved outcomes. This study assesses color stability in various digital manufacturing methods, tapers, and aging effects on anterior provisional resin restorations. MATERIAL AND METHODS Two all-ceramic tooth preparations on typodont teeth with 10° and 20° tapers were converted into experimental dies. Forty temporary crowns were manufactured using 3D printing and computer-aided design/computer-aided manufacturing (milling). Within these 2 groups, 10 crowns were cemented using a regular and clear provisional cement. All samples were thermocycled to simulate clinical use of 6 months. Color difference formula (CIEDE2000) indicated changes between before and after cementation (ΔE00) and between after cementation and after thermocycling (ΔE00[II]). The color change was considered significant in terms of clinically perceptible (ΔE00 ≤0.62) and acceptable (ΔE00 ≤2.62) changes. One-way ANOVA (P value of less than 0.05) calculated overall differences, which were established using a Fisher post hoc test. RESULTS Crowns cemented with clear cement showed fewer color changes irrespective of the manufacturing technique or taper. Notably, only the 10° 3D-printed crown with clear cement had an imperceptible color change at the pre-/post-cementation phase. Meanwhile, the 10° and 20° milled crowns with regular cement exhibited unacceptable color changes after thermocycling. CONCLUSIONS For long­term temporization in the aesthetic zone, properly optimized 3D-printed provisional restorations cemented with clear cement had better color stability.

The Effect of a Digital Manufacturing Technique, Preparation Taper, and Finish Line Design on the Marginal Fit of Temporary Molar Crowns: An In-Vitro Study.

The aim of this study is to investigate the combined effect of a digital manufacturing technique (subtractive vs. additive), preparation taper (10° vs. 20° TOC), and finish line (chamfer vs. shoulder) on the marginal adaptation of temporary crowns following cementation with a compatible temporary cement. Four mandibular first molar typodont teeth were prepared for full coverage crowns with standard 4 mm preparation height as follows: 10° TOC with the chamfer finish line, 10° TOC with the shoulder finish line, 20° TOC with the chamfer finish line and 20° TOC with the shoulder finish line. Each of the four preparation designs were subdivided into two subgroups to receive CAD/CAM milled and 3D-printed crowns (n = 10). A total of 80 temporary crowns (40 CAD/CAM milled and 40 3D-printed) were cemented to their respective die using clear temporary recement in the standard cementation technique. The samples were examined under a stereomicroscope at ×100 magnification following calibration. Linear measurements were performed at seven equidistant points on each axial surface and five equidistant points on each proximal surface. One-way ANOVA analysis and Tukey HSD (Honestly Significance Difference) were performed. The best marginal fit was seen in group 8, while the poorest fit was noted in group 2. Shoulder finish lines and 10° TOC resulted in higher marginal gaps, especially in CAD/CAM milled group. The selection of 3D-printed crowns may provide a better marginal fit within the range of clinical acceptability. Marginal gaps were within clinical acceptability (50 and 120 µm) in all groups except group 2.