Influence of finishing/polishing procedures on the surface texture of two resin composites.

This study compared surface roughness and gloss produced by different finishing/polishing procedures for two resin composites, Clearfil AP-X (AP-X) and Estelite Sigma (ES). A total of 70 composite discs (n=35 for each resin composite) were prepared and divided at random into seven finishing/polishing groups (n=5): glass-pressed control; using a super-fine-grit diamond bur (SF); using CompoMaster (CM) after SF-finishing (SF+CM); using White Point (WP) after SF-finishing (SF+WP); using CM after SF+WP-finishing (SF+WP+CM); using Stainbuster (SB) after SF-finishing (SF+SB); and using CM after SF+SB-finishing (SF+SB+CM). After the finishing/polishing procedures, average surface roughness (R(a)) and surface gloss (Gs(60( degrees ))) of all specimens were assessed with a surface profilometer and specimen gloss meter, respectively. Glass-pressed controls for both AP-X and ES composites showed the best surface finish in terms of both R(a) and Gs(60( degrees )). SF-finishing produced the roughest surface and led to almost complete loss of gloss. While additional polishing with CM reduced R(a) and increased Gs(60( degrees )), the additional finishing effect of WP or SB between SF-finishing and CM-polishing was not found for either AP-X or ES.

Clinical training in department of general dentistry at Tokyo Dental College Chiba Hospital.

A compulsory postgraduate clinical training program was established in April 2006 in Japan, and an applicants-only postgraduate training program 9 years ago at Tokyo Dental College. In addition, a training program was also established in the Department of General Dentistry at Tokyo Dental College Chiba Hospital in April 2002. The curriculum consists of training in the outpatient clinic and the following: 1) clinical training (preparation of written treatment plans, simulation practice, submission of evaluation sheets, and submission of training journals), 2) tutorials, and 3) case reports. In 1), trainees write treatment plans for new patients, discuss them with their instructor, perform simulation practice using dummies based on those discussions, submit evaluation sheets and training journals concerning treatment, and receive their instructor's assessment. In 2), trainees are divided into small groups, independently study themes they have chosen, and present the results. In 3), they orally report cases they have treated and receive evaluation by other trainees and instructors in general discussion meetings. In addition, a course was also established at the Department of General Dentistry, Tokyo Dental College Chiba Hospital in April 2002. We report the training curriculum of this course.

An experimental pathologic study of gingivectomy using dual-wavelength laser equipment with OPO.

BACKGROUND AND OBJECTIVES: This study was conducted to evaluate how soft tissues respond to treatment by a tunable laser with an optical parametric oscillating (OPO) mechanism capable of simultaneously emitting two wavelengths. MATERIALS AND METHODS: Marginal gingiva of dogs was incised by a prototype laser oscillator. The oscillator was set at two wavelengths known to effectively incise tissue and arrest hemorrhage with minimal invasiveness. Four laser irradiation conditions were set based on different combinations of the 1.67 and 2.94 microm wavelengths. The animals were sacrificed immediately after surgery, 7 days after surgery, and 28 days after surgery for histological examination. RESULTS: When irradiation at 1.67 and 2.94 microm wavelengths was simultaneously applied, the former conferred an observable hemostatic effect and the latter incised the tissue. Wound healing was similar to that in conventional methods and no serious inflammation was observed. CONCLUSION: Simultaneous irradiation at wavelengths of 1.67 and 2.94 microm can be an effective method in soft tissue surgery.

Criteria for a diagnosis of caries through the DIAGNOdent.

OBJECTIVE: The aim of this study was to investigate the correlation between the demineralization depth measured by dental computed tomography (CT) and the measured value from a non-destructive dental caries diagnosis with a laser. METHODS: Optimal cut-off points were obtained for enamel and dentin caries, from the measured levels from a dental caries diagnosis with a laser, to investigate the clinical usefulness of a diagnosis using a laser. Using human teeth, the demineralization depth was measured and the caries were diagnosed by a dental caries diagnosis with a laser. RESULTS: The optimal cut-off point was investigated for accuracy, sensibility, and specificity, which were calculated from the results. These results demonstrated the correlation between the measured values and demineralization depth in both the pit and fissure caries and smooth surface caries. The optimal cut-off points were found to be 16-21 in the fissure caries and 9-11 in the smooth surface caries.