Shear bond strength between conventional composite resin and alkasite-based restoration used in sandwich technique: An in vitro study.

Aim: The success of layered restorations necessitates the utilization of an improved restorative material compatible with composite restorations. Therefore, in this line of research, the strength of adhesion of conventional resin-based dental composite to different filling materials was tested. Materials and Methods: Conventional composite resin was bonded to four restorative materials (Group I: conventional glass ionomer cement (GIC), Group II: resin-modified glass ionomer cement, Group III: flowable composite, and Group IV: Cention-N) received no surface treatment (Subgroup A: control), sandblasting using 50-µm aluminum oxide particles (Subgroup B), sandblasting and resin adhesive (Subgroup C), acid etch and resin adhesive (Subgroup D), or self-etch resin adhesive (Subgroup E). After 24 h, the strength of adhesion between the conventional composite resin and the other tested filling materials was estimated by using a universal testing machine and compared using one-factor analysis of variance and Tukey's method. Results: The conventional GIC had the minimum values of adhesion strength while the flowable composite and Cention-N had the maximum values of adhesion strength (P < 0.05). The treatment of the used restorative materials with sandblasting and resin adhesive boosted the adhesion strength (P < 0.05). The surface treatment of GIC-based materials with either acid etch and resin bonding agent or self-etch resin bonding agent boosted the adhesion strength (P < 0.05). Conclusion: Cention-N sandblasted and coated with resin adhesive before the application of conventional composite resin in layered restorations is a potential alternative to GIC-based restorations and flowable composite.

Endoscopic extraction of vascular embolization coils that have migrated into the biliary tract in a liver transplant recipient.

Hepatic artery pseudoaneurysm (HAA) is a rare vascular complication of liver transplantation. Minimally invasive radiological interventions are generally considered before seeking surgical treatment of HAA. Coil embolization of the aneurysmal sac and or exclusion of pseudoaneurysm by deploying a stent over the aneurysm are effective interventions to control hemobilia arising from the HAA. Migration of coils inside the bile duct is a rarely reported complication in post-hepatic transplantation. Treatment options remain largely unexplored due to the rarity of its occurrence. Endoscopic retrograde cholangiographic removal of migrated vascular coils in the common bile duct following embolization of HAA has not been described in a liver transplant setting. We report a liver transplant recipient who underwent uneventful and successful endoscopic removal of migrated coils into the bile duct.

The effect of adding nanoparticles to dental porcelain on the fracture resistance and bond strength to zirconia core.

Background: Porcelain combined with zirconia core substructure has low fracture toughness. Nanoparticles are incorporated into the porcelain to boost its mechanical properties. Aims: To evaluate the effect of the incorporation of silver oxide and titanium oxide nanoparticles into porcelain powder on the bond strength of porcelain veneer to zirconia core. The flexural strength of nanoparticles-modified porcelain was also evaluated. Materials and Methods: The flexural strength of feldspathic porcelain was measured (according to ISO specifications number 6872) after the incorporation of silver and titanium oxide nanoparticles. For measuring the bond strength at the porcelain-zirconia interface, 70 bars (4 × 4 × 12 mm) of zirconia were cut and fired in a furnace. The control and nanoparticles-modified porcelain powders were built up on the zirconia bars and fired to create veneers of 3 mm height, 4 mm width and 4 mm thickness. The porcelain veneers were de-attached from the zirconia core by the universal testing machine. The failure load was recorded to calculate the bond strength. Statistical Analysis: The data were analysed with one-way analysis of variance followed by Tukey's test. Results: The addition of 0.5-1.5% silver oxide nanoparticles to feldspathic porcelain increased the flexural strength. The addition of 1.0-4.0% titanium oxide nanoparticles to feldspathic porcelain increased the flexural strength. Either 0.5-1.0% silver oxide or 3.0-4.0% titanium oxide nanoparticles in feldspathic porcelain increased the shear bond strength to zirconia core. Conclusion: The flexural strength of porcelain veneer and the bond strength at porcelain-zirconia interface can be improved by adding either 0.5% silver oxide nanoparticles or 4% titanium oxide nanoparticles to porcelain powder.