Oral Sciences PhD Program Enrollment, Graduates, and Placement: 1994 to 2016.

For decades, dental schools in the United States have endured a significant faculty shortage. Studies have determined that the top 2 sources of dental faculty are advanced education programs and private practice. Those who have completed both DDS and PhD training are considered prime candidates for dental faculty positions. However, there is no national database to track those trainees and no evidence to indicate that they entered academia upon graduation. The objective of this study was to assess outcomes of dental school-affiliated oral sciences PhD program enrollment, graduates, and placement between 1994 and 2016. Using the American Dental Association annual survey of advanced dental education programs not accredited by the Commission on Dental Accreditation and data obtained from 22 oral sciences PhD programs, we assessed student demographics, enrollment, graduation, and placement. Based on the data provided by program directors, the average new enrollment was 33, and graduation was 26 per year. A total of 605 graduated; 39 did not complete; and 168 were still in training. Among those 605 graduates, 211 were faculty in U.S. academic institutions, and 77 were faculty in foreign institutions. Given that vacant budgeted full-time faculty positions averaged 257 per year during this period, graduates from those oral sciences PhD programs who entered academia in the United States would have filled 9 (3.6%) vacant faculty positions per year. Therefore, PhD programs have consistently generated only a small pipeline of dental school faculty. Better mentoring to retain talent in academia is necessary. Stronger support and creative funding plans are essential to sustain the PhD program. Furthermore, the oral sciences PhD program database should be established and maintained by dental professional organizations to allow assessments of training models, trends of enrollment, graduation, and placement outcomes.

Effect of light-cure initiation time on polymerization efficiency and orthodontic bond strength with a resin-modified glass-ionomer.

OBJECTIVES: The polymerization and acid-base reactions in resin-modified glass-ionomers (RMGI) are thought to compete with and inhibit one another. To examine the effect of visible light-cure (VLC) delay on the polymerization efficiency and orthodontic bond strength of a dual-cured RMGI. SETTING AND SAMPLE POPULATION: The Orthodontics Graduate Program at Marquette University. An in vitro study utilizing 72 freshly extracted human bicuspid teeth. MATERIALS AND METHODS: A RMGI light-cured immediately, 2.5, 5, or 10 min after mixing comprised the experimental groups. Isothermal and dynamic temperature scan differential scanning calorimetry (DSC) analysis of the RMGI was performed to determine extents of VLC polymerization and acid-base reaction exotherms. Human premolars (n = 18/group) were bonded with the RMGI. Shear bond strength and adhesive remnant index (ARI) scores were determined. RESULTS: Differential scanning calorimetry results showed the 10-min-delay RMGI group experienced significantly (p < 0.05) lower VLC polymerization compared with the other groups. Acid-base reaction exotherms were undetected in all groups except the 10-min delay group. No significant differences (p > 0.05) were noted among the groups for mean shear bond strength. A chi-square test showed no significant difference (p = 0.428) in ARI scores between groups. CONCLUSIONS: Delay in light-curing may reduce polymerization efficiency and alter the structure of the RMGI, but orthodontic shear bond strength does not appear to be compromised.

A differential scanning calorimetry study of the setting reaction of MTA.

AIM: To evaluate the setting of mineral trioxide aggregate (MTA) at various time intervals using differential scanning calorimetry (DSC). METHODOLOGY: Hydrated MTA and Portland cement were examined with DSC at the following intervals: immediate (0 h), 2 h, 4 h, 12 h, 24 h, 1 week, 1 month, 3 months and 1 year. DSC analysis consisted of a temperature scan from 37 to 640 degrees C, resulting in thermograms with reaction product decomposition endotherms. The thermogram peak attributed to calcium hydroxide product formation was identified and quantified to serve as an indicator of reaction product formation over time. Unmixed powders of both cements and individual components of MTA were also studied using DSC. The results were analysed with repeated measures anova between time intervals and a t-test between cements. RESULTS: A low temperature endotherm attributed to various calcium silicate hydrates showed continual maturation of MTA up to 1 year. The rate of calcium hydroxide formation was greatest between 4 and 24 h after mixing with maximum amounts present at 7 days. Specimens aged greater than 1 month showed a decrease in calcium hydroxide content, presumably because of carbonation reactions. Portland cement had similar thermogram peaks, although the amount of calcium hydroxide formed was generally smaller compared to MTA. The endothermic peaks from the various powders and components were helpful in corroborating the peaks formed in the hydrated cements. CONCLUSIONS: Hydration reactions and structure maturation in MTA continue well beyond clinically observed setting times.

Resin-modified glass-ionomer setting reaction competition.

Resin-modified glass ionomers (RMGI) set by at least 2 mechanisms dependent upon reactant diffusion prior to gelation. Each reaction's kinetics and setting mechanism may rely on and/or compete with the other. In this study, we investigated RMGI setting reaction interactions using differential scanning calorimetry (DSC) by varying light-cure initiation times. A RMGI was analyzed with isothermal and dynamic temperature scan DSC with light-curing occurring immediately, or at 5 or 10 minutes after mixing as well as without light-activation. Results show that as time allowed for the acid-base reaction increased, the light-activation polymerization exotherm decreased. Conversely, analysis of DSC data suggests that earlier light-activation may limit the acid-base reaction and result in a different structured material. During early RMGI development, acid-base and light-polymerization reactions compete with and inhibit one another.

Heat treatment effects on electrochemical corrosion parameters of high-Pd alloys.

This research determined the effect oxidation, as that occurs during porcelain firing, has upon the corrosion parameters of Pd-based ceramic alloys and how it may relate to Pd allergy. The 20 h open circuit potential (OCP), 20 h corrosion rate (Icorr), and anodic polarization (E-i) curves of 11 commercial Pd alloys were measured in a phosphate buffered saline solution. The alloys were divided into the following four groups based upon composition: PdGa(Ag), PdCu, PdAg, and AuPd and tested in both as-cast and oxidized conditions. In both the as-cast and oxidized conditions, the OCP of Ag-containing Pd alloys is significantly lower than non Ag-containing high-Pd alloys. The OCP of all alloys increased after oxidation. With regard to corrosion rate, the Ag-containing alloys showed a decrease in Icorr with oxidation. In contrast, three of the four non Ag-containing high-Pd (>or=74 wt%) alloys exhibited a higher Icorr. A comparison of the anodic polarization curves showed only the alloys containing larger amounts (>or=16 wt%) of Ag displayed a notable difference between as-cast and oxidized states. Oxidation as required during porcelain-fused-to-metal device preparation alters the electrochemical characteristics of the alloys studied. This alteration may be of importance with regard to their potential for Pd allergy.

Bioaccumulation of lead in Xenopus laevis tadpoles from water and sediment.

The overall objective of this research was to monitor the uptake kinetics of lead in an amphibian model and correlate metal content with embryo development. Based upon the concentration of lead found in the water and sediment of a Louisiana swamp adjacent to a Superfund site, a controlled laboratory experiment exploring lead uptake from water and sediment by Xenopus laevis tadpoles was conducted. For 5 weeks, tadpoles were exposed to water and a simulated sediment, kaolin, spiked with 1, 5, or 10 times the concentration of lead found in field water and sediment samples. Additionally, organisms were exposed to the 5 x condition for 3 and 6 weeks. The experimental controls consisted of unexposed tadpoles and ones exposed to lead originating from water or sediment exclusively. At the end of the exposure periods, developmental data, i.e., body weight and developmental stage, were recorded, and the tadpoles were analyzed for whole body lead concentration. Lead extraction was accomplished by dry ashing, and its amount was quantified polarographically. Results showed that lead inhibited the normal development of these amphibians, in a manner that generally was more severe as exposure level increased. The hindrance of tadpole development also coincided with an increase in whole body lead concentration at higher exposures. Temporally, at the 5 x exposure concentration, the mean lead level increased with time, but this difference was not statistically significant (P<.05). Additionally, control animals exposed to lead (either in water or in sediment) showed no statistical difference with regard to weight and lead uptake, indicating that lead originating from both water and sediment is incorporated into the tadpole. The controlled laboratory experimental protocol used here is thus capable of investigating the uptake of a single metal (Pb in this case) and determining its effect on the development of tadpoles while differentiating the significance of multiple sources of exposure.

Dealloying and electroformation in high-Pd dental alloys.

OBJECTIVE: The corrosion of high-Pd dental alloys, depending on their composition, is postulated to be associated with dealloying and electroformation. The aim of this study was to obtain additional information to support these postulations. METHODS: The corrosion characteristics of two commercial high-Pd alloys, Naturelle (79Pd-10Cu-2Au-9Ga wt%) and Rx 91 (54Pd-37Ag-9Sn), and their elemental components were evaluated in a phosphated buffer saline (PBS) solution. Indium, a common element in high-Pd alloys, was also included. The corrosion characteristics measured for each material were the 24 h open circuit potential (OCP) and the potentiodynamic anodic polarization curve. Additionally, the surface composition of the two alloys, before and after immersion corrosion in PBS for 2 months, was analyzed by X-ray photo electron spectroscopy (XPS). RESULTS: Of the pure metals, Ga had the most electroactive OCP followed in order by In, Sn, Cu, Ag, Au, and Pd. The anodic polarization data showed all base metals to be unstable in PBS. The electroformation of AgCl was evidenced in the polarization curve of pure Ag. Both electrochemical characteristics of the PdCu-based alloy were very similar to that of pure Pd. The PdAg-based alloy displayed corrosion behavior resembling that of Ag. XPS data showed that the corrosion of the PdCu-based alloy was associated with a decrease in surface content of Cu and Ga but an increase in Pd and Au. The PdAg-based alloy surface during corrosion showed a decrease in Sn, an increase in Ag, and an unaltered Pd content. The behavior of the PdCu-based alloy is attributed to the operation of a galvanic interaction that causes dissolution of base metals and surface enrichment with primarily Pd. Dealloying, Ag-enrichment, and AgCl formation are thought to have contributed to the observed behavior of the PdAg-based alloy. These mechanisms are consistent with data from published ion release studies. SIGNIFICANCE: The allergenic potential of any Pd alloy is dependent on its propensity to develop a Pd-rich surface and thus release Pd+2 ions. The present study, though limited, has shown that electrochemical characteristics, namely OCP and polarization curves, can be used to identify such alloys. Further studies are warranted to evaluate the widespread applicability of these characteristics in distinguishing between Pd alloys that are biologically safe and those that are not.

Electrochemical characteristics of high-Pd alloys in relation to Pd-allergy.

OBJECTIVE: The aim of this study was to determine whether the Pd-Cu-based dental ceramic alloys possess any electrochemical characteristics distinguishable from that of other Pd-containing alloys. Of all Pd-containing alloys, this particular alloy group has been linked to frequent incidence of allergy and hypersensitivity reactions. Electrochemical corrosion may instigate these reactions. METHODS: Four groups of alloys, Pd-Cu, Pd-Ga-(with and without Ag), Pd-Ag, and Au-Pd, were evaluated by traditional corrosion measurement techniques in a phosphated buffer saline solution at 20 degrees C. The electrochemical characteristics measured were: (1) 20 h open circuit potential (OCP); (2) 20 h corrosion rate (Icorr); and (3) anodic polarization (E-i) curves. RESULTS: The OCP values (232 +/- 25 mV) of the Ag-free Pd-Ga and Pd-Cu-based alloys were higher than and distinctly different from that (144 +/- 52 mV) of the Ag-containing alloys. The Icorr values of different alloys, despite varied compositions, were indistinguishable from one another. The E-i curves of all alloys were essentially similar, with the Ag-containing (> 5 wt%) alloys showing a subtle difference in their anodic slope within 100 mV above their corrosion potentials. SIGNIFICANCE: The OCP values of Pd-Cu alloys and the Ag-free Pd-Ga alloy are comparable to that reported for pure Pd (239 +/- 21 mV), which indicates that during corrosion these alloys undergo dealloying and consequent Pd-enrichment on their surface. Such a condition is conducive to the release of allergenic Pd++ ions and offers a plausible explanation for the frequent incidence of hypersensitivity reactions associated with the Pd-Cu alloys. The OCP values in other alloys are attributed to dealloying followed by surface enrichment with Ag and/or Au and the possible formation of an insoluble AgCl surface film on the respective alloy surfaces. These events have the potential to suppress or prevent Pd++ ion release. Alloys showing these characteristics have seldom been linked to allergic reactions.

Long-term corrosion of a Ga-containing restorative material.

OBJECTIVE: The aim was to simulate and characterize the long-term corrosion of a Ga-containing alloy (Galloy, SDI). METHODS: To induce corrosion, cylindrical specimens, 8 x 4 mm, of the material were subject to potentiostatic polarization at -0.1 V (SCE) in a phosphated buffered saline (PBS) solution at 20 degrees C for d. The current-time transients during polarization were recorded and the corresponding anodic charge, Q, was calculated. Parallel potentiostatic corrosion tests in a Cl-free PBS solution were also conducted to demonstrate the significance of the Cl- ion in corrosion. In addition, potentiodynamic anodic polarization tests were performed to characterize the overall corrosion behavior of the alloy in both electrolytes. The external and internal corroded layers, formed during potentiostatic corrosion in PBS, were measured by optical microscopy. SEM and EDXA were used to characterize the morphology and composition of the potentiostatically polarized surfaces. RESULTS: Galloy was passive in Cl-free PBS. The Cl- ion in PBS destroyed passivity and initiated a "dissolution-precipitation" type reaction during potentiostatic corrosion. The latter led to circumferential internal corrosion and growth of a layer of external corrosion products. The thickness of the internal and external corrosion layers was 0.77 +/- 0.07 and 0.86 +/- 0.37 mm, respectively. The Q value (89.3 +/- 13.7 C/cm2) in PBS was about two orders of magnitude higher than that (0.66 +/- 0.24 C/cm2) in Cl-free PBS. The corrosion products contained Sn, Ga, In, Cu, O and Cl. SIGNIFICANCE: Massive internal and external corrosion in a Cl-containing medium as in saliva, accumulation of corrosion products at the cavity wall, and the consequent stress build-up contribute to post-operative pain, tooth straining, marginal breakdown and fractured teeth reported with the clinical use of Galloy.

Corrosion of three experimental AgMn-based casting alloys.

OBJECTIVE: Alloys based on AgMn are being evaluated in our laboratory for their possible use as an alternative to Type III dental alloys. They respond to heat treatment and develop hardness values comparable to that of Type III alloys. The objective of the present research was to evaluate their corrosion characteristics. METHODS: The three experimental silver-based alloys of the following composition (at%): (1) 63Ag37Mn, (2) 60Ag35Mn5Au and (3) 60Ag35Mn5Pd, were tested in their peak-hardened condition. Following 0.5 h open-circuit potential (OCP) measurement of each alloy in a phosphated buffer saline (PBS) solution, its current-potential profile was generated by the cyclic voltammetry technique within -1300 and +200 mV (SCE) at 1 mV s-1. In a separate test, the OCP of each alloy was monitored over a 24 h period. RESULTS: Each of the three alloys showed ennoblement of their OCP over time due to dissolution of Mn and consequent enrichment with Ag (Au or Pd). At 24 h, the two ternary alloys were the most noble followed by the binary alloy. With respect to the cyclic voltammetry, oxidation of Ag was noted during forward scans at around 0 mV. The reverse scan was associated with a reduction current peak between -37 and -128 mV. The values for this peak, which is a measure of Ag oxidation, were highest (11.5 mA cm-2) for the binary alloy followed by the Au- (2.9 mA cm-2) and Pd-containing (0.04 mA cm-2) alloys, respectively. This indicates that, for equivalent concentration, Pd is more effective in reducing Ag corrosion than Au. SIGNIFICANCE: Alloys based on the AgMn system are as hard as Type III dental alloys. Information on the corrosion characteristics of the AgMn-based alloys presented here is of value in further development of this alloy system.