An in vitro examination of fluoride ions release from selected materials - resin-modified glass-ionomer cement (Vitremer) and nanohybrid composite material (Tetric EvoCeram).

The aim of this study was to examine a short-term fluoride ions release from selected materials - resin-modified glass ionomer -Vitremer (3M ESPE) and nanohybrid universal composite - Tetric EvoCeram (IvoclarVivadent). Release of fluoride ions [µg/mm2 /h] from Tetric EvoCeram and Vitremer into nine environments (artificial saliva - AS, deionized water and 0.9% NaCl) differing in composition of the solution and pH was determined. Six samples were prepared for each solution. In the short-term study, the measurements were taken after 1, 3, 24, 48, 72 and 168 hours. The cumulative values as well as levels of fluoride ions released at concrete time intervals were compared. Within 7 days (168 hours), both materials showed variable levels of fluoride ions release. The highest value of fluoride ions release from nanohybrid Tetric EvoCeram material was reported in deionized water (8) after 24 hours (1.550 ± 0.014 [µg/mm2/h]) and the lowest value was read in the artificial saliva AS pH 7.5 (5) after 1 hour (0.022 ± 0.001 [µg/mm2/h]). What's more, the highest value of F- release from Vitremer was found in deionized water (8) after 168 hours of immersion (24.021 ± 2.280 [µg/mm2/h]) and the lowest value was in the artificial saliva AS (without Ca2+) pH 4.5 (6) (0.303 ± 0.249 [µg/mm2/h]) after 168 hours. Cumulated release of F- after 7 days was notably higher from resin- modified glass ionomer material - Vitremer in all artificial saliva solutions (1-7) which imitated the environment of oral cavity. Therefore, we can assume that Vitremer has better remineralization potential and it may constitute a more effective method of tooth decay prevention.

Preliminary In Vitro Study of Fluoride Release from Selected Ormocer Materials.

The purpose of the in vitro study presented in this paper was to determine the long-term release of fluoride ions from selected ormocer materials (Admira (A), Admira Flow (AF), Admira Seal (AS)). The release of fluoride ions from these materials into a saline solution (0.9% NaCl) and deionized water was tested for 14 weeks. In a long-term study the measurements were taken after 1 and 3 h, then 1, 2, and 3 days and then at weekly intervals for 14 weeks. In a short-term study the measurements were made after 3, 24, 48, 72, 69, 168 h, i.e., within 7 days. All materials used in the test showed a constant level of fluoride release. The highest level of cumulative release of fluoride ions into deionized water was found in the AS material (23.95 ± 4.30 µg/mm2), slightly lower in the A material (23.26 ± 4.16 µg/mm2) and the lowest in the AF material (16.79 ± 2.26 µg/mm2). The highest level of cumulative release into saline solution was found in AF (8.08 ± 1.30 µg/mm2), slightly lower in AS (7.36 ± 0.30 µg/mm2) and the lowest in A (6.73 ± 1.10 µg /mm2). After 1 h of immersion of the samples in the saline solution, the highest level of fluoride was released by AF (0.57 ± 0.06 µg/mm2) followed by A (0.20 ± 0.03 µg/mm2) and AS (0.19 ± 0.02 µg/mm2). Moreover, in the 14-week study, the total amount of fluoride release into the saline, which imitates the environment of the oral cavity, was observed as the highest in the AF sample.

The assessment of temperature amplitude arising during the implant bed formation in relation to variable preparation parameters - in vitro study.

The main purpose of this study was to analyse the temperatures generated during the bone bed preparation, given the internal structure of the bone bed, the geometry of the hole, and the treatment parameters such as the type of cooling and the rotational speed of the drill. The investigated material was domestic pig ribs, in which holes were drilled three times using two drill bit systems used for Hiossen® and Paltop® dental implantation. The ThermaCAM® P640 thermal imaging camera was used for measurement of drilling temperatures. After the holes were drilled, each rib was examined using the 1172 SkyScan microtomograph, Bruker®, to compare the geometry of the machined holes. The presented study proved that larger diameter drill bits (Hiossen® drill bits) generate more heat during the machining process, as evidenced by higher temperatures obtained for the Hiossen system in each case. It was proved that rotational speed, drill bit diameter and cooling system have a significant effect on the amount of heat generated during bone tissue preparation. The density and type of bone tissue in which the hole is prepared are significant factors affecting the amount of heat generated.

Study of Surface Structure Changes for Selected Ceramics Used in the CAD/CAM System on the Degree of Microbial Colonization, In Vitro Tests.

In the article has been presented an analysis of susceptibility of selected dental materials, made in the CAD/CAM technology. The morphology and structural properties of selected dental materials and their composites were determined by using XRPD (X-ray powder diffraction) techniques, as well as the IR (infrared) spectroscopy. Moreover, an adhesion as well as development of biofilm by oral microorganisms has been studied. It has been shown that a degree of the biofilm development on the tested dental materials depended on microorganism genus and species. Streptococcus mutans has demonstrated the best adhesion to the tested materials in comparison with Candida albicans and Lactobacillus rhamnosus. However, the sintered materials such as IPS e.max® and the polished IPS e.max® have showed the best "anti-adhesive properties" in relation to S. mutans and L. rhamnosus that have not formed the biofilm on the polished IPS e.max® sample. Furthermore, S. mutans have not formed the biofilm on both surfaces. On the contrary to S. mutans and L. rhamnosus, C. albicans has demonstrated the adhesive properties in relation to the above-mentioned surfaces. Moreover, in contrast to S. mutans and C. albicans, L. rhamnosus has not formed the biofilm on the polished IPS Empress material.

Craniofacial and Dental Manifestations of Melnick-Needles Syndrome: Literature Review and Orthodontic Management.

The aim of this article was to present a characteristic clinical image of Melnick-Needles syndrome using an example of an 11.5-year-old female patient treated at the Facial Congenital Disorders Outpatient Clinic as well as to present the actual literature review of the surgical treatment. The patient was diagnosed with several characteristics typical for Melnick-Needles syndrome: single-sided hearing loss, malocclusion, and facial dysmorphism, among others. Due to malocclusion and facial dysmorphism, the patient with Melnick-Needles syndrome requires orthodontic treatment with surgical intervention. Mandibular distraction with fixed appliance treatment is a recommended treatment protocol.

Bite Reconstruction in the Aesthetic Zone Using One-Piece Bicortical Screw Implants.

The aim of this article was to present the clinical application of a new, smooth surfaced one-piece bicortical screw implant with immediate loading protocol. An 18-year-old, healthy male patient with a history of total dislocation and replantation of teeth 11 and 21 in early childhood was admitted to the clinic. Teeth 11 and 21 were extracted, and two long one-piece implants were inserted at extraction sockets in one surgical session under local anesthesia. Temporary composite crowns were placed in the patient on the same day. After 3 months, the single-phase two-layer impression was made and the composite crowns were replaced with metal-ceramic crowns. After 12 months, satisfactory aesthetic and functional results were obtained.

Long-term release of fluoride from fissure sealants-In vitro study.

The intensity of the cariostatic activity of fluoride ions can be attributed to their multidirectional influence on the caries process. They are an irreplaceable factor that helps sustain mineral balance of dental tissues, simultaneously demonstrating antibacterial properties. As a consequence, many manufacturers of fissure sealants include fluoride ions in their products. The aim of this in vitro study was to determine long-term fluoride release from four fissure sealants (Conseal F, Fissurit FX, Delton Fs+, Admira Seal). During a 14-week-long observation, all the materials showed a relatively constant level of F- release; however, it is crucial to mention that within the first 48h, the most significant increase in fluoride release was found for Fissurit and Delton sealants. Based on the overall assessment, the highest total amount of the released fluoride ions was observed for Delton, and the lowest level was reported for Admira Seal.

Assessment of Heat Hazard during the Polymerization of Selected Light-Sensitive Dental Materials.

Introduction. Polymerization of light-cured dental materials used for restoration of hard tooth tissue may lead to an increase in temperature that may have negative consequence for pulp vitality. Aim. The aim of this study was to determine maximum temperatures reached during the polymerization of selected dental materials, as well as the time that is needed for samples of sizes similar to those used in clinical practice to reach these temperatures. Materials and Methods. The study involved four composite restorative materials, one lining material and a dentine bonding agent. The polymerization was conducted with the use of a diode light-curing unit. The measurements of the external surface temperature of the samples were carried out using the Thermovision®550 thermal camera. Results. The examined materials significantly differed in terms of the maximum temperatures values they reached, as well as the time required for reaching the temperatures. A statistically significant positive correlation of the maximum temperature and the sample weight was observed. Conclusions. In clinical practice, it is crucial to bear in mind the risk of thermal damage involved in the application of light-cured materials. It can be reduced by using thin increments of composite materials.

The Effect of File Size and Type and Irrigation Solutions on the Accuracy of Electronic Apex Locators: An In Vitro Study on Canine Teeth.

Measurements of the root canal during endodontic treatment have a significant influence on the course of the therapeutic process as well as on its final result in both human and veterinary medicine. The apical constriction should be the termination point for the preparation and filling of the root canal. This research was conducted with the use of a Septodont kit consisting of a small chamber filled with the examined solution in which a healthy second incisor was placed. The step back method was applied for the root canal preparation and master apical file of 30 was used. The working length was 22 mm. The examination was conducted with the use of steel as well as nickel titanium hand instruments. Different irrigation solutions and two types of apex locators were used. Measurements of the working length of the root canal showed dependence on the size of the instrument. Examinations carried out in various environments showed that analogical measurements were obtained only for sodium hypochlorite solutions. In other environments the measured sections were shortened. Comparative examinations with the use of steel instruments demonstrated insignificant measurement differences. Compared to these results, the measurements in nickel titanium group were characterized by more considerable deviations.

Infrared Thermographic Assessment of Cooling Effectiveness in Selected Dental Implant Systems.

The excessive temperature fluctuations during dental implant site preparation may affect the process of bone-implant osseointegration. In the presented studies, we aimed to assess the quality of cooling during the use of 3 different dental implant systems (BEGO®, NEO BIOTECH®, and BIOMET 3i®). The swine rib was chosen as a study model. The preparation of dental implant site was performed with the use of 3 different speeds of rotation (800, 1,200, and 1,500 rpm) and three types of cooling: with saline solution at room temperature, with saline solution cooled down to 3°C, and without cooling. A statistically significant difference in temperature fluctuations was observed between BEGO and NEO BIOTECH dental systems when cooling with saline solution at 3°C was used (22.3°C versus 21.8°C). In case of all three evaluated dental implant systems, the highest temperature fluctuations occurred when pilot drills were used for implant site preparation. The critical temperature, defined in the available literature, was exceeded only in case of pilot drills (of all 3 systems) used at rotation speed of 1,500 rpm without cooling.

The evaluation of knee bone mineral density following open-wedge high tibial osteotomy.

Examinations of bone density changes in selected knee bone ends were evaluated prospectively in a randomized group of 28 patients, aged from 41 to 65 (mean: 55.3 years), who had varus deformations of their mechanic limb axes, mean 8 degrees. The examinations were conducted during the preoperative period, 10 days, 3, 6, and 12 weeks, as well as 6 and 12 months after the procedure. A statistically significant increase in bone density was observed in the medial tibial condyle area, while a statistically insignificant decrease of bone density was noted in the medial femoral condyles. Bone density increased in the lateral tibial condyle area, whereas there were no density changes in the area of the lateral femoral condyles. The research results demonstrate that the relief achieved in ailments after high tibial osteotomies does not directly correspond to the bone density of the affected areas.

[Long term release of fluoride from selected glass-ionomer cements--in vitro study]. / Dlugoterminowe uwalnianie jonów fluorkowych z wybranych cementów szklo-jonomerowych - badania in vitro.

INTRODUCTION: Conventional and resin modified glass-ionomer cements according to their physico-chemical properties are widely used in dental treatment. The main advantages of these materials are chemical bonding to hard dental tissues and high level of fluoride release. The aim of this study was to compare the fluoride release of selected glass-ionomer cements in vitro conditions. MATERIAL AND METHODS: Conventional glass-ionomer cement Ionofil Molar and resin modified glass ionomer cement - Vitremer were examined. Samples of the materials were placed in saline and deionised water. Fluoride concentration measurements were carried out using ORION 9609 electrode, after 1, 3, 24, 48, 72, 168 hours and next every 168 hours (7 days) until 2352 hour (98 days). RESULTS: Significantly higher concentration level of fluoride released from resin modified cement (Vitremer) was obtained for saline and deionized water than conventional cement Ionofil Molar. Cumulative fluoride release in saline after 14 weeks for Vitremer was 256.87+/-15.77 microg F/mm(2) and for Ionofil Molar 206.61+/-20.01 microg F/mm(2). For both materials the dynamics of fluoride release was the highest within the first 24 hours, and sharply decreased in next intervals. CONCLUSIONS: Resin modified glass-ionomer cement Vitremer released highest amount of fluoride than conventional glass-ionomer cement Ionofil Molar. Similar level of fluoride emission into deionised water and saline was observed.

[Short-term fluoride release from conseal F fissure sealant in some media--an in vitro study]. / Krotóoterminowe uwalnianie jonów fluorkowych z laku szczelinowego conseal f do róznych srodowisk - badania in vitro.

INTRODUCTION: Low fluoride concentrations constantly maintained in the oral cavity are important for caries prevention. Application of fissure sealants containing fluoride improves protection and reinforces caries prophylaxis. The aim of this study was to assess the level of fluoride release from Conseal F fissure sealant in different media. MATERIAL AND METHODS: Sealant samples were placed in (a) artificial saliva without calcium ions (C++) at pH of 4.5, 5.5, 6.0, 7.0, and 7.5, (b) artificial saliva with calcium ions (Ca") at pH 4.5, and 5.5, (c) saline, and (d) deionized water. Fluoride concentration in solution was measured after 1, 3, 24, 48, 72, and 168 hours from the start of the experiment. RESULTS: The highest cumulative fluoride concentration was found in saline (9.39 +/- 2.17 microg F/mm(2)), the lowest in artificial saliva at pH of 7.0 (0.45+/-0.14 microg F/mm(2)). The highest fluoride emission was observed during the first three hours which then decreased to a low but relatively stable level. CONCLUSION: The level of fluoride release from Conseal F fissure sealant depends on composition and pH of the medium. Decrease in pH increased fluoride release. This property is essential for patients with low salivary pH and high risk of caries.

Clinical and radiological evaluation of Smith's fractures with buttress plate stabilization.

Background. This study was a retrospective follow-up evaluation of clinical and radiological outcome in Smith's fractures in 38 patients treated in the Orthopedics and Traumatology Department at the Skubiszewski University Medical School in the years 1986-2005. Material and methods. The group consisted of 24 women and 14 men 15 to 74 years of age (ave. 48). All patients were treated with open reduction and distal fragment stabilization with buttress plate. There were 9 transverse type 1 fractures, 14 palmar lip type 2 fractures, and 15 type 3 fractures with oblique fracture line, according to the Thomas classification. Results. Follow-up examinations were performed on 32 patients. There were: 10 excellent outcomes, 10 good, and 12 fair according to the Gartland score. Post-traumatic osteoarthritis developed in all patients with inadequate intraarticalar fracture reduction. Conclusions. Volar displaced fractures of the distal radius need preoperative examination and operative planning. Stabilization of the distal fragment with buttress plate is reliable and gives fracture healing without loss of reduction.

Perilunar carpal dislocations treatment outcome.

Background. The aim of the study was to analyze late outcomes of perilunar carpal dislocations, depending on the type of the injury, time of the diagnosis and the treatment methods. Material and methods. The material is constituted by 37 patients treated in our department between 1981-2004 because of perilunar dislocation. In group were 2 women and 35 men, aged 19-56 (mean 31 years). All patients were asked for control visit. DASH and Mayo score were used to evaluate the outcome. Range of wrist motion, its stability, grip strength and X-ray pictures were analyzed. Results. Better follow-up results were observed in persons with early diagnosed dislocations of the wrist. The best outcomes were observed in group with perilunar early diagnosed dislocations, which were treated by open reduction. Posttraumatic wrist instability often was diagnosed in patients with dislocation of lunar bone and late-diagnosed transscaphoid perilunar carpal dislocations. Conclusions. The data we obtained show, that the consequences of late-diagnosed and late-treated injuries of the wrist are instability, pain, decrease in range of motion and hand skills.

[Release of fluoride ions into saliva from some dental materials]. / Uwalnianie jonów fluorkowych do sliny z wybranych materialów stomatologicznych.

The aim of the study was to evaluate fluoride release from dental materials: resin composites--Tetric Ceram and Degufill Mineral, fissure sealants--Conseal F and Admira seal, compomer--Freedom and glass-ionomer cement--Vitremer. Release to the patient's unstimulated mixed saliva was studied after treatment with the material. The study group comprised 72 patients and fluoride concentrations were measured with an ion-selective electrode (Orion). The following release of fluoride in decreasing order was found: Vitremer (6.03 microM), Degufill Mineral (2.79 microM), Teric Ceram (2.54 microM), Freedom (2.52 microM), Admira seal (1.85 microM) and Conseal F (1.80 microM).

[Effect in vitro of environmental parameters on the release of fluoride ions from some materials used in dentistry]. / Wplyw parametrów srodowiska na uwalnianie jonów fluorkowych z wybranych materialów stomatologicznych--badania in vitro.

The aim of this in vitro study was to evaluate the influence of calcium ions and pH on fluoride release from selected dental materials. The materials studied included a resin composite (Te-Econom), fissure sealant (Conseal F) and compomer (Freedom). Samples were placed for 7 days in artificial saliva with or without calcium ions and pH ranging from 4.5 to 7.5. Fluoride release from the studied materials was measured with an ion-selective electrode (Orion). The results demonstrate differing effects of calcium concentration and pH on fluoride release. The highest cumulative fluoride release was observed from Freedom and the lowest from Te-Econom. Addition of calcium ions to the medium reduced the release of fluoride.