Noncarious cervical lesions: Morphology and progression, prevalence, etiology, pathophysiology, and clinical guidelines for restoration.

PURPOSE: To synthesize the literature regarding noncarious cervical lesions (NCCLs) and propose clinical guidelines when lesion restoration is indicated. MATERIAL AND METHODS: A PubMed search was performed related to NCCL morphology, progression, prevalence, etiology, pathophysiology, and restoration. RESULTS: NCCLs form as either rounded (saucerlike) depressions with smooth, featureless surfaces that progress mainly in height or as V-shaped indentations that increase in both height and depth. Prevalence ranges from less than 10% to over 90% and increases with age. Common locations are the facial surfaces of maxillary premolars. They have a multifactorial etiology due to personal habits such as excessive horizontal toothbrushing and consumption of acidic foods and drinks. Occlusal factors have been identified as contributing to the prevalence of NCCLs in some studies, whereas other studies indicate there is no relationship. The concept of abfraction has been proposed whereby mechanical stress from occlusal loading plays a role in the development and progression of NCCLs with publications supporting the concept and others indicating it lacks the required clinical documentation. Regardless of the development mechanism, demineralization occurs and they are one of the most common demineralization diseases in the body. Treatment should be managed conservatively through preventive intervention with restorative treatment delayed until it becomes necessary due to factors such as lesion progression, impact on patient's quality of life, sensitivity, poor esthetics, and food collection may necessitate restoration. Composite resins are commonly used to restore NCCLs although other materials such as glass ionomer and resin-modified glass ionomer are also used. Sclerotic dentin does not etch like normal dentin and therefore it has been recommended to texture the dentin surface with a fine rotary diamond instrument to improve restoration retention. Some clinicians use mechanical retention to increase retention. Beveling of enamel is used to increase the bonding area and retention as well as enhance the esthetic result by gradually creating a color change between the restoration and tooth. Both multistep and single-step adhesives have been used. Dentin etching should be increased to 30 seconds due to the sclerotic dentin with the adhesive agent applied using a light scrubbing motion for 20 seconds but without excessive force that induces substantial bending of a disposable applicator. Both flowable and sculptable composite resins have been successfully used with some clinicians applying and polymerizing a layer of flowable composite resin and then adding an external layer of sculptable composite resin to provide enhanced resistance to wear. When caries is present, silver diamine fluoride has been used to arrest the caries rather than restore the lesion. CONCLUSIONS: Noncarious cervical lesions (NCCLs) form as smooth saucerlike depressions or as V-shaped notches. Prevalence values as high as 90% and as low as 10% have been reported due to habits such as excessive toothbrushing and an acidic diet. Occlusal factors have been proposed as contributing to their presence but it remains controversial. Publications have both supported and challenged the concept of abfraction. They are one of the most common demineralization diseases in the body. Conservative treatment through prevention is recommended with restorative treatment delayed as long as possible. When treatment is needed, composite resins are commonly used with proposed restorative guidelines including texturing the sclerotic dentin, beveling the enamel, potential use of mechanical retention, 30 seconds of acid etching, and use of either multistep or single-step adhesives in conjunction with a light scrubbing motion for 20 seconds without excessive force placed on disposable applicators.

Validity of the ROX index in predicting invasive mechanical ventilation requirement in pneumonia.

BACKGROUND: The ROX index (Respiratory rate-OXygenation) has been described as a prediction tool to identify the need for invasive mechanical ventilation (IMV) in community-acquired pneumonia (CAP) with acute hypoxaemic respiratory failure treated with high-flow nasal cannula in order to avoid delay of a necessary intubation. However, its use in predicting the need for ventilatory support in hospitalised patients with CAP has not been validated. METHODS: This is a retrospective cohort study including subjects with CAP treated in the general ward, emergency service or intensive care unit of a third-level centre in Cundinamarca, Colombia, between January 2001 and February 2020. The ROX index was estimated as the ratio of oxygen saturation/fraction of inspired oxygen to respiratory rate. RESULTS: A total of 895 patients were included, of whom 93 (10%) required IMV. The ROX index proved to be a good predictor, presenting an area under the curve of receiver operating characteristics (AUROC) of 0.733 (95% CI 0.671 to 0.795, p<0.001) when determined by pulse oximetry and an AUROC of 0.779 (95% CI 0.699 to 0.859, p<0.001) when estimated by arterial blood gas (ABG) parameters, with an intraclass correlation of 0.894. The estimated cut-off point was 14.8; a score less than 14.8 indicates high risk of requiring IMV. CONCLUSION: The ROX index is a good predictor of IMV in hospitalised patients with CAP. It presents good performance when calculated through pulse oximetry and can replace the one calculated by ABG.

Prediction of protein assemblies, the next frontier: The CASP14-CAPRI experiment.

We present the results for CAPRI Round 50, the fourth joint CASP-CAPRI protein assembly prediction challenge. The Round comprised a total of twelve targets, including six dimers, three trimers, and three higher-order oligomers. Four of these were easy targets, for which good structural templates were available either for the full assembly, or for the main interfaces (of the higher-order oligomers). Eight were difficult targets for which only distantly related templates were found for the individual subunits. Twenty-five CAPRI groups including eight automatic servers submitted ~1250 models per target. Twenty groups including six servers participated in the CAPRI scoring challenge submitted ~190 models per target. The accuracy of the predicted models was evaluated using the classical CAPRI criteria. The prediction performance was measured by a weighted scoring scheme that takes into account the number of models of acceptable quality or higher submitted by each group as part of their five top-ranking models. Compared to the previous CASP-CAPRI challenge, top performing groups submitted such models for a larger fraction (70-75%) of the targets in this Round, but fewer of these models were of high accuracy. Scorer groups achieved stronger performance with more groups submitting correct models for 70-80% of the targets or achieving high accuracy predictions. Servers performed less well in general, except for the MDOCKPP and LZERD servers, who performed on par with human groups. In addition to these results, major advances in methodology are discussed, providing an informative overview of where the prediction of protein assemblies currently stands.

On the correct authorship, spelling, and type species of genus Dasongius (Pauropoda: Pauropodidae).

The genus Songius Sun Guo in Guo et al., 2010 (Pauropoda: Pauropodidae) was established for two new species from China: Songius rugosus Sun Guo in Guo et al., 2010 and Songius bicruris Guo Sun in Guo et al., 2010. The manuscript was received by the journal Zoological Science on 7th April 2010 and the article is displayed on the BioOne platform with the publication date of 1st November 2010. In the same year, Yin et al. (2010) established the genus Songius Yin Li in Yin et al., 2010 (Coleoptera: Staphylinidae: Pselaphinae).

First record of the invasive Lagria villosa (Fabricius, 1781) (Coleoptera: Tenebrionidae: Lagriinae) in Europe.

The lagriid beetle Lagria villosa (Fabricius, 1781), an invasive species of African origin, is recorded for the first time in Europe. A single specimen was found in November 2020 in Turku (Finland) inside a box of table grapes from a local supermarket. This species, included in the EPPO Global Database and in the CABI Invasive Species Compendium, is widely recognized as a significant pest of crops.

In vitro shear bond strength of two self-adhesive resin cements to zirconia.

STATEMENT OF PROBLEM: Although the use of anatomic-contour zirconia restorations has expanded in the recent past, disagreement still exists as to reliable cementation techniques and materials. PURPOSE: The purpose of this in vitro study was to compare the immediate and artificially aged shear bond strength of 2 commercially available self-adhesive resin cements to zirconia: one with silica coating and silanation as a zirconia surface treatment and the other contained a phosphate monomer, which eliminated the need for a separate primer. MATERIAL AND METHODS: Sixty composite resin rods (2.5 mm in diameter and 3 mm in length) were fabricated from a nano-optimized composite resin by using a polypropylene mold, then light polymerized with a light-emitting diode. zirconia plates (10×10×4mm) were sectioned from an yttrium-stabilized zirconia puck, sintered, and then mounted in autopolymerizing acrylic resin custom tray material. Composite resin rods were cemented to the zirconia plates with 2 different cements. The surface treatment of zirconia followed the manufacturers' instructions for each cement. The specimens were tested for shear bond strength at 3 aging conditions: immediate, after 24 hours of moist storage, and after 30 days of moist storage with 10000 thermocycles. Specimens were loaded to failure in a universal testing machine, and the data were analyzed with 2-way ANOVA (α=.05). Weibull parameters (modulus and characteristic strength) also were calculated for each group. RESULTS: Two-way ANOVA revealed that only the aging condition significantly affected the bond strength to zirconia. The cement and the interaction of the cement and aging did not significantly affect the shear bond strength to zirconia. The highest bond strength for both cements was achieved at 24 hours, whereas the lowest bond strength values were recorded in the immediate groups. CONCLUSIONS: No significant differences in bond strength to zirconia were observed between a cement with a silane priming step and an methacryloxydecyl dihydrogen phosphate-containing cement without a separate primer. Aging had a significant effect on the shear bond strength of the 2 self-adhesive resin cements to zirconia.

A clinical study to evaluate denture adhesive use in well-fitting dentures.

PURPOSE: The objective of this study was the assessment of retention and stability and functional benefits of denture adhesive applied to well-fitting and well-made dentures. MATERIALS AND METHODS: This was a randomized, crossover study to compare two marketed denture adhesives (test cream, Super Poligrip® Free, and test strip, Super Poligrip® Comfort Seal Strips) and an unmarketed cream adhesive (GlaxoSmith Kline Consumer Healthcare) with no adhesive as the negative control. Thirty-six subjects completed the study. One hour after the application of denture adhesive, retention and stability were measured using the Kapur Index and maxillary incisal bite force. Two hours after application, functional tests were used to assess denture movement and peanut particle migration under the denture. Subjects also rated confidence, comfort, satisfaction with dentures, and denture wobble in conjunction with the functional tests. RESULTS: Denture adhesives significantly (p < 0.05) improved retention and stability of well-fitting dentures. Subjects experienced significantly (p < 0.05) fewer dislodgements while eating an apple after adhesive was applied to dentures. Significant (p < 0.05) increases in subjective ratings of confidence and comfort as well as decreases in denture wobble were associated with the use of adhesive. There was significant (p < 0.05) improvement in satisfaction ratings for cream adhesives. A single application of each denture adhesive was well tolerated. CONCLUSION: The results of this study provide evidence that use of Super Poligrip® denture adhesives can enhance aspects of performance of complete well-fitting dentures as well as provide increased comfort, confidence, and satisfaction with dentures.

The effect of zirconia surface treatment on flexural strength and shear bond strength to a resin cement.

STATEMENT OF PROBLEM: Despite the expanded applications for zirconia in restorative dentistry, there is no clear recommendation in the literature regarding surface treatment before bonding. PURPOSE: The purpose of this study was to evaluate the effect of mechanical surface treatment of yttria-partially stabilized zirconia on its flexural strength and the effect of mechanical and chemical surface treatments on its bond strength to a resin cement. MATERIAL AND METHODS: For flexural strength evaluation, zirconia bars (4 x 5 x 40 mm) were prepared from zirconia blocks, finished using a diamond rotary cutting instrument, sintered, then assigned into 4 groups: (1) control (no treatment), (2) airborne-particle abrasion, (3) silicoating, and (4) wet hand grinding. After storage for 24 hours at 37 degrees C, flexural strength was determined using a 3-point bending test, and the results were analyzed using 1-way ANOVA (alpha=.05). For shear bond strength evaluation, zirconia rods (2.5 x 3 mm) were prepared from zirconia blocks, sintered, and assigned into 16 groups. Each group underwent a combination of the following mechanical and chemical treatments. Mechanical treatment included: (1) control (no treatment), (2) airborne-particle abrasion, (3) silicoating, or (4) wet hand grinding. Chemical treatment included: (1) control (no treatment), (2) acid etching followed by silanation, (3) silanation only, or (4) application of zirconia primer. Dentin specimens were prepared from extracted molars stored in 0.5% chloramine-T. Zirconia rods were bonded to dentin using a resin cement (Multilink Automix), then light polymerized. After storage, the specimens were loaded to failure with the notched shear bond test method in a universal loading apparatus. For artificial aging analysis, the groups that achieved the highest bond strength values were duplicated, stored at 37 degrees C and 100% humidity for 90 days, and thermal cycled before being loaded to failure. Results were analyzed using 2-way ANOVA (alpha=.05). RESULTS: Airborne-particle abrasion and hand grinding significantly increased flexural strength. The highest shear bond strength values were achieved for the following groups: silicoated + silanated > hand ground + zirconia primer > airborne-particle abraded + silanated > zirconia primer > airborne-particle abraded + zirconia primer. Artificial aging resulted in significantly lower shear bond strength for the silicoated/silanated and the zirconia primer groups. CONCLUSIONS: Mechanical modification of the surface increased the flexural strength of Y-TZP. The resin bond to Y-TZP was improved by surface treatment. A combination of mechanical and chemical conditioning of the zirconia surface was essential to develop a durable resin bond to zirconia.

Effect of pre-heating on depth of cure and surface hardness of light-polymerized resin composites.

PURPOSE: To evaluate the depth of cure and surface hardness of two resin composites when subjected to three preheating temperatures, three polymerization times and two types of curing lights. METHODS: Two resin composites were used in this study (Esthet-X and TPH), three polymerization times (10, 20, 40 seconds), three preheating temperatures (70, 100, 140 degrees F/21.1, 37.7 and 60 degrees C), and two curing lights (halogen and LED). For depth of cure measurements, 180 specimens (4 mm in diameter and 2 mm in depth) were made for 36 combinations of variables. Four Knoop hardness measurements were obtained from both the top and bottom surfaces. For the surface hardness, another 180 (4 x 6 mm) cylindrical specimens were fabricated. Each specimen was sectioned in half and hardness measurements were made at 0.5 mm intervals. Statistical analyses were performed using the multifactor ANOVA at a level of significance of alpha = 0.05. RESULTS: For depth of cure, there was a statistical difference among all the main effects (time, temperature and curing light) for both composites (P > 0.001) when the % difference from the top was analyzed. Results indicate that there was an increase in hardness as the temperature of the composite was increased from 70 to 140 degrees F for both composites for either the top or the bottom. The percent difference in hardness was greater when the LED curing light was used compared to the halogen curing light. Overall there was a greater change in hardness when the resin composite was polymerized at 140 degrees F. Although the ISO standard was not met in many cases, there was a significant increase in hardness on both the top and bottom as temperature and curing time increased (P < 0.001). Results for the surface hardness showed that there was a significant statistical difference (P < 0.001) in hardness when the surface hardness at 0.5 and 3.5 mm were analyzed separately. There was a general increase in surface hardness for both the hybrid and microhybrid as time and temperature increased. For both hybrid and microhybrid groups, as the temperature increased, there was an increase in hardness and it was statistically different (P < 0.001). When the percent difference between 70 and 100 degrees F or 70 and 140 degrees F was evaluated, the greatest increase occurred between the 70 and 140 degrees F and minimal increase between 100 and 140 degrees F. Overall, the LED curing light provided a greater surface hardness for the hybrid at both depths than the halogen curing light. For the microhybrid, the halogen curing light provided the greatest surface hardness when the resin was polymerized for 40 seconds.

Effect of prolonged exposition to pulp mill effluents on the invasive aquatic plant Egeria densa and other primary producers: a mesocosm approach.

The recent disappearance of the aquatic plant Egeria densa, a Brazilian native invasive species, from a wetland in southern Chile prompted several efforts to unveil the origin of this phenomenon. Because these changes occurred by the time a newly built pulp mill started its operations in the area, a reasonable doubt for a cause-effect relationship is plausible. We implemented a mesocosm approach to directly evaluate the effect of treated pulp mill effluents (PMEs) on several growth-related parameters of E. densa as well as other primary producers. We hypothesize that effluent, at a dilution similar to that detected in the zone of the wetland where the negative environmental impacts were evident, has a significant negative effect on this aquatic plant as well as on other primary producers inside a mesocosm system. After a prolonged (months) exposure to both 0% PME with pure river water and a 4 to 5% (v/v) dilution of treated PME, no effect on E. densa was measured. Furthermore, plants exposed to effluent exhibited a significantly greater general growth rate. Coincidently, chlorophyll a concentration in the water column and periphyton biomass also changed over time, but without any pattern attributable to the effluent. Values of the autotrophic index obtained from the periphyton growth pattern did not suggest enrichment of the system with organic matter. Our results only refer to the direct effect of mill effluents on several biotic responses, but they represent an important advance toward generation of the scientific knowledge necessary to understand how the ecosystem functions while receiving this and other unquantified sources of water.

El Bocavirus humano: un nuevo virus respiratorio / Human bocavirus: a new respiratory virus

Las infecciones respiratorias agudas son una causa muy importante de morbimortalidad, especialmente en los niños y en los países en desarrollo. Con los métodos de laboratorio actuales, aproximadamente una tercera parte estas infecciones se queda sin diagnóstico. Se acepta que los virus juegan un papel cardinal y que más de 200 virus, pertenecientes a 6 familias virales están implicados en la génesis de este problema. La Familia Parvoviridae se conoce desde mediados del Siglo XX, cuando algunos de sus miembros fueron identificados en felinos, visones y caninos. El Parvovirus Humano B19, identificado en 1980 y causante de enfermedades febriles y exantemáticas fue considerado por muchos años como el único miembro de esta familia capaz de afectar la especie humana. Sin embargo, un grupo de investigadores suecos comandado por Tobías Allander informó en agosto de 2005 el hallazgo de un nuevo parvovirus, denominado provisionalmente Bocavirus humano, relacionado con infección respiratoria aguda en niños. En este artículo se resumen las características de este nuevo agente, se resalta la importancia de este hallazgo y de la técnica de investigación empleada.

Cytotoxicity of a new toothpaste based on an ion exchange resin mixture.

PURPOSE: To evaluate the effects for cytotoxicity of two dentifrices: a toothpaste commercially available (Crest Extra-Whitening toothpaste) and a new experimental toothpaste based on a mixture of ion-exchange resins (named NMTD) that supplies calcium, fluoride, phosphate and zinc ions. METHODS: Cultures of mouse fibroblasts cells L929 were used in a MTT assay for in vitro cytotoxicity of the dentifrices. Cells were cultured in Eagle's minimal essential medium supplemented with 10% fetal bovine serum. Cultures were incubated at 37 degrees C in a humidified atmosphere of 5% CO2 and collected by tripsinization (0.05% trypsin/0.5mM EDTA). A 96-well microplate method was employed for the MTT colorimetric assay. Positive control consisted of 10 microl of phenol in 5 ml of 6% media, a dose that produces zero percent cell survival. Negative control was prepared by adding 0.5 ml of HBSS to 4.5 ml of 6% media. The plates were incubated for 24 and 48 hours at 37 degrees C in a 5% CO2 atmosphere. RESULTS: Means and standard deviations of absorbance values for each group and percentage inhibitory dosage (%ID) for each test material were calculated. None of the dentifrices resulted in a percentage of inhibition higher than 50% and did not observe marked increases in cytotoxicity with time of incubation. The positive control gave almost zero percent cell survival, whereas the negative control gave a hundred percent cell survival. Analysis of the results indicated that test dentifrice dose had no significant effect towards the cell viability (P<0.05).

Effect of flexural load cycling on microleakage of extended root caries restorations.

This study evaluated the microleakage of resin-modified glass ionomer, flowable compomer and flowable resin composite restorations on a Class V cavity of simulated advanced root caries under a flexural load cycling condition. Thirty-six non-carious human maxillary premolars were mounted in cylindrical acrylic resin molds. The cavities were prepared in the proximal root surface, from the middle of the buccal surface to the middle of the lingual surface, approximately 1 mm below the cemento-enamel junction, 2 mm axial width and 1.2 mm in depth. The teeth were randomly assigned to one of three groups with 12 teeth in each group: Group 1: Cavity conditioner and Fuji II LC (GC America), Group 2: Prime & Bond NT and Dyract Flow (Caulk-Dentsply), Group 3: Excite and Tetric flow (Ivoclar/Vivadent). Specimens were settled laterally on a fatigue-testing machine that was adjusted to deliver a force of 60N. The specimens were load cycled at 1 Hz for 5000 cycles, placed in a staining solution and sectioned to evaluate microleakage penetration. Results indicate that the coronal and gingival margins showed significant microleakage differences among the three restorations (p<0.05). At the coronal margin, there was no significant difference between Groups 2 and 3. At the gingival margin, there was no significant difference between Groups 1 and 2. It was concluded that the marginal sealing ability of a flowable resin composite under a flexural cycling load was better than in other selected materials and that flowable resin composite with dentin adhesive was a desirable alternative for root caries restorations extended to the proximal surface.

Cleaning power and abrasivity of a new toothpaste based on ion-exchange resins.

PURPOSE: To compare the stain removal efficacy and enamel abrasivity of a new experimental dentifrice based on an ion-exchange resin mixture that releases calcium, fluoride, phosphate and zinc ions (named NMTD1), to four commercially available dentifrices: Crest Extra-whitening toothpaste, Crest Tartar Protection toothpaste, Crest Cavity Protection toothpaste and Colgate Fluoride Cavity Protection toothpaste. Calcium pyrophosphate was used as a control for the efficacy of the staining removal experiment. METHODS: Cleaning power evaluation was made following the method developed by Stookey et al. The abrasion of the toothpastes was determined by means of a brushing machine, using 2000, 4000 and 8000 strokes and a 250g toothbrush load. Bovine specimens were prepared and abrasion was measured by a surface profilometer system. RESULTS: The new experimental dentifrice did not remove stains whereas Crest Extra-whitening and Crest Cavity Protection dentifrices produced statistically significant stain removal when compared with the calcium pyrophosphate control. Abrasion studies demonstrated that abrasion was linearly correlated to the number of strokes and the abrasion rates proved to be non significant for Colgate and the new experimental dentifrices, but significant for Crest Extra-whitening, Crest Tartar Protection and Crest Cavity Protection. CLINICAL SIGNIFICANCE: This study demonstrated that the use of a dentifrice based on an ion-exchange mixture was not effective at removing stains and abrasion was most insignificant when compared to other commercially available toothpastes.

Remineralization potential of a new toothpaste formulation: an in vitro study.

The aim of the present study was to determine the ability of a dentifrice containing a mixture of ion-exchange resins (named NMTD), which supplies calcium, fluoride, phosphate, and zinc ions, to promote remineralization and/or inhibit demineralization of dental human enamel in a pH cycling model in vitro. A fluoride toothpaste was used as the control. The enamel specimens were tested for microhardness before and after 10 days and 16 days of the demineralizing and remineralizing treatments. The results of this study showed both dentifrices were effective in limiting in vitro enamel demineralization although the effects were not significantly different from each other. Inclusion of calcium and phosphate ion-exchange resins in the dentifrice containing a fluoride ion-exchange resin maintained a similar net outcome of the conventional dentifrice in the demineralization/remineralization process under the experimental conditions employed.

Clinical efficacy evaluation of calcium, phosphate, and sodium bicarbonate on surface-enamel smoothness and gloss.

This clinical study evaluated the effectiveness of a fluoride dentifrice containing calcium, phosphate, and sodium bicarbonate for improving surface-enamel smoothness and gloss relative to a commercially available fluoride and silica-containing dentifrice. Balancing for baseline surface-enamel roughness and gloss, 113 healthy adult volunteers who met the inclusion criterion for daily acidic drink consumption were randomized to receive 1 of the 2 products. Subjects brushed their teeth using the assigned dentifrice and a soft-bristled adult toothbrush for 1 minute twice daily for 3 months. Surface-enamel roughness and gloss were evaluated at baseline and after 1 and 3 months of brushing twice daily. Within-treatment comparisons showed longitudinal improvement by the test dentifrice in tooth-surface roughness and gloss at the 1-month and 3-month examinations. After 3 months of use, the test dentifrice exhibited a highly significant improvement in gloss (23.4%, P < .0001) and surface roughness (13.7%, P < .0001) over baseline. The control dentifrice showed no significant improvement longitudinally in either parameter. Between-group comparisons adjusted for baseline demonstrated a significantly (P < .0001) greater improvement in tooth-surface roughness and gloss for the test dentifrice. The results indicate that the fluoride dentifrice containing calcium, phosphate, and sodium bicarbonate is effective in improving tooth-surface smoothness and gloss with regular use.

Effect of MTAD on flexural strength and modulus of elasticity of dentin.

The purpose of this study was to evaluate the effect of MTAD on the flexural strength and modulus of elasticity of dentin. Dentin bars were randomly assigned to eight groups treated with various concentrations of NaOCl (5.25%, 2.65%, 1.31%, 0.66%), 17% EDTA, MTAD, saline, or according to a clinical protocol with 1.3% NaOCl and then 5 min of MTAD. Specimens were subjected to flexural strength and modulus of elasticity tests. Two-sample t test (alpha = 0.05) showed no statistically significant differences between various groups except for a reduction in flexural strength for the 2-h MTAD group (p = 0.002) and the EDTA group (p = 0.002). A significant reduction of modulus of elasticity for the 2-h MTAD group (p < 0.001), EDTA group (p < 0.001), and 0.6% NaOCl (p < 0.002) also was noted. There was no significant difference in flexural strength and modulus of elasticity between the dentin bars exposed to saline or MTAD when applied according to the clinical protocol (p > 0.05). These results indicate that MTAD can be used as prescribed for clinical use without affecting the physical properties of the dentin.

Effect of MTAD on the bond strength to enamel and dentin.

The purpose of this study was to compare the effect of MTAD (a mixture of a tetracycline isomer [doxycycline], an acid [citric acid], and a detergent [Tween 80]) and phosphoric acid on the bond strength to enamel and dentin using a conventional OptiBond Solo Plus dentin adhesive system. One hundred flat surfaces (50 enamel/50 dentin) were prepared for bonding. Specimens were embedded in acrylic with the flat surface exposed. One of the following surface treatments was applied before bonding composite with Optibond Solo Plus (Kerr Corp): 1 min NaOCl/1 min EDTA; 1 min NaOCl/1 min MTAD; 30 s etch with H3PO4 (positive control), 2 min saline (negative control), or 20 min NaOCl/5 min MTAD (clinical protocol for MTAD). Shear bond strength was tested 30 min after bonding. Data were analyzed using a one-way ANOVA followed by the Student-Newman-Keuls multiple comparison method. Surface pretreatment with acid etch resulted in the greatest enamel bond strengths (p < 0.05). All surface pretreatments were superior to saline for dentinal bonding (p < 0.05). On the basis of our findings, it appears that teeth endodontically treated with the MTAD protocol for clinical use (20 min 1.3% NaOCl/5 min MTAD) may not need any additional dentin conditioning before the application of the dental adhesive.

The effects of abutment taper, length and cement type on resistance to dislodgement of cement-retained, implant-supported restorations.

PURPOSE: The purpose of this study was to compare the effect of 20 degrees and 30 degrees of total occlusal convergence (TOC), the occlusocervical dimension, and the type of cement on the tensile resistance to dislodgement of cement-retained, implant-supported restorations. MATERIALS AND METHODS: Cylindrical preparations with TOC angles of 20 degrees and 30 degrees and occlusocervical dimensions of 4 mm (S) and 8 mm (L) were made through a machining process. The cylinders had a shoulder finish line of 1.0 mm in depth. Eight impressions were made of each machined cylinder and poured in type IV dental stone, for a total of 32 dies. Die spacer was applied to each die. A master wax pattern was designed, and the 32 wax patterns were marginated, invested, and cast in type IV gold alloy (n = 8). The gold crowns were cemented with Fleck's cement (zinc phosphate cement), Temp-Bond (zinc oxide eugenol cement), Temp-Bond plus Vaseline (30% by weight), and IMProv temporary cement (acrylic/urethane cement) under a 10-kg load and placed in a humidor at 37 degrees C for 1 hour before testing. A uniaxial tensile force was applied to the crown using an Instron machine with a crosshead speed of 5 mm/min until cement failure occurred. Analysis of variance models were fit to determine the effect of TOC, occlusocervical dimension, and cement type of the restorations on the mean tensile strength. RESULTS: For each type of cement, the mean tensile strengths were significantly higher at 20 degrees of TOC and 8 mm of occlusocervical dimension compared with the other preparations. At this preparation, IMProv had the highest mean tensile resistance to dislodgement (47.7 +/- 8.4 kg), followed by Fleck's (38.2 +/- 8.8 kg), Temp-Bond (35.9 +/- 4.4 kg), and Temp-Bond plus Vaseline (8.2 +/- 2.2 kg). No statistically significant difference was observed between Temp-Bond and Fleck's zinc phosphate cement when 20 degrees of TOC and 8 mm of occlusocervical dimension was used. There was no statistical difference in the mean tensile resistance to dislodgement for Temp-Bond plus Vaseline with different preparation designs (p > 0.05) except when 20 degrees of TOC and 8 mm of occlusocervical dimension was used. The mean tensile strength was significantly different between Temp-Bond and Temp-Bond plus Vaseline for each of the 4 preparation designs (p < 0.05). Among the cements tested, IMProv exhibited higher values, which were statistically different (p < 0.05). Restorations with greater occlusocervical dimension and less TOC exhibited higher tensile resistance to dislodgement. CONCLUSIONS: Preparations with 20 degrees of TOC and 8 mm of occlusocervical dimension had significantly higher mean retentive values for all of the cements tested. Significant differences in mean tensile strength were observed, with the highest tensile resistance seen with IMProv, followed by Fleck's cement, and the lowest tensile resistance seen with Temp-Bond plus Vaseline.

Docking unbound proteins with MIAX: a novel algorithm for protein-protein soft docking.

We propose a new methodology for "soft'' docking unbound protein molecules (reported at the isolated state). The methodology is characterized by its simplicity and easiness of embedment in any rigid body docking process based on point complementarity. It is oriented to allow limited free but not unrealistic interpenetration of the side chains of protein surface amino acid residues. The central step to the technique is a filtering process similar to those in image processing. The methodology assists in deletion of atomic-scale details on the surface of the interacting monomers, leading to the extraction of the most characteristic flattened shape for the molecule as well as the definition of a soft layer of atoms to allow smooth interpenetration of the interacting molecules during the docking process. Although the methodology does not perform structural or conformational rearrangements in the interacting monomers, results output by the algorithm are in fair agreement with the relative position of the monomer in experimentally reported complexes. The algorithm performs especially well in cases where the complexity of the protein surfaces is high, that is in hetero dimmer complex prediction. The algorithm is oriented to play the role of a fast screening engine for proteins known to interact but for which no information other than that of the structures at the isolated state is available. Consequently the importance of the methodology will increase in structural-function studies of thousand of proteins derived from large scale genome sequencing projects being executed all around the globe.