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1.
Am J Dent ; 37(2): 85-90, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38704851

RESUMO

PURPOSE: To evaluate clinical performances of two lithium disilicate systems (Initial LiSi press vs Initial LiSi Block, GC Co.) using modified United States Public Health Service (USPHS) evaluation criteria and survival rates after 4 years of clinical service. METHODS: Partial adhesive crowns on natural abutment posterior teeth were made on 60 subjects who were randomly divided into two groups: Group 1: Initial LiSi press and Group 2: Initial LiSi Block. Fabrication of partial crowns was made with full analog and digital procedure in Groups 1 and 2 respectively. The restorations were followed-up for 1 and 4 years, and the modified USPHS evaluation was performed at baseline and each recall together with periodontal evaluation. Contingency tables to assess for significant differences of success over time in each group and time-dependent Cox regression to test for differences between the two groups were used and the level of significance was set at P< 0.05. RESULTS: Regarding modified USPHS scores, all evaluated parameters showed Alpha or Bravo and no Charlie was recorded. No statistically significant difference emerged between the two groups in any of the assessed variables (P> 0.05). No statistically significant difference between scores recorded at the baseline and each recall. All modified USPHS scores were compatible with the outcome of clinical success and no one restoration was replaced or repaired, and the survival rate was 100% after 4 years of clinical service. No difference was found between traditional and digital procedure to fabricate the crowns. The two lithium disilicate materials showed similar results after 4 years of clinical service. CLINICAL SIGNIFICANCE: The crowns made with the two tested lithium disilicate materials with analog and digital procedures showed 100% survival after 4 years of clinical service with no statistically significant difference using the modified USPHS scores.


Assuntos
Coroas , Porcelana Dentária , Humanos , Porcelana Dentária/química , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Planejamento de Prótese Dentária , Falha de Restauração Dentária , Seguimentos
2.
J Dent ; 144: 104943, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38494043

RESUMO

OBJECTIVES: This study aimed to evaluate the accuracy of an intraoral scanner (IOS - Medit i700) on tooth abutments with vertical preparations at 2 depths below the free gingival margin, and to determine if the IOS can reproduce the area beyond the finish surface of the tested preparation geometry. METHODS: Two abutments for a maxillary first molar were designed by means of CAD software, with vertical preparations set at 1 and 2 mm below the gingiva. These abutments were subsequently printed in resin and placed on a reference model. The reference files consisted of scans made using a metrological machine on these abutments. Ten scans were made with the tested IOS on each sample, resulting in two study groups. The scans from the experimental groups were labeled "V-1″ for vertical preparation at 1 mm below the gingival margin and "V-2″ for 2 mm below. The analysis of these scans was performed using Geomagic Control X (3D SYSTEMS) to assess their trueness and precision in µm. Descriptive statistics with a 95 % confidence interval were employed, alongside independent sample tests, to ascertain any differences between the groups (α=0.05). RESULTS: Statistically significant differences were not found both for trueness (p=.104) and precision (p=.409), between the tested geometries. The mean values for trueness were V-1 = 37.5[31.4-43.6]; V-2 = 32.6[30.6-34.6]. About the precision, the mean values were V-1 = 20.5[8.4-32.5]; V-2 = 18.4[8.2-28.5]. In both the study groups, it was possible to detect the surface beyond the finish area. CONCLUSIONS: Within the limitations of this study, vertical preparation design allows for registration of the tooth anatomy beyond the finish area with IOS. Moreover, the mean accuracy values were clinically acceptable at both 1 and 2 mm below the gingival margin.


Assuntos
Desenho Assistido por Computador , Dente Suporte , Gengiva , Humanos , Gengiva/diagnóstico por imagem , Gengiva/anatomia & histologia , Dente Molar/diagnóstico por imagem , Técnicas In Vitro , Planejamento de Prótese Dentária/métodos , Reprodutibilidade dos Testes , Software , Imageamento Tridimensional/métodos
3.
J Prosthet Dent ; 2023 Nov 03.
Artigo em Inglês | MEDLINE | ID: mdl-37926619

RESUMO

STATEMENT OF PROBLEM: Manufacturers of several intraoral scanners have recommended a 2-step strategy for scanning the edentulous mandible. The 2-step technique requires scanning one side first and then moving to the other side. However, whether inconsistency in stitching occurs that results in loss of accuracy or distortion is unclear. PURPOSE: The purpose of this clinical study was to measure the potential distortion of intraoral scans of edentulous mandibular arches made with a 2-step scanning strategy and to assess their differences with conventional impressions. MATERIAL AND METHODS: Twenty mandibular edentulous arches were scanned by 1 investigator with an intraoral scanner using a 2-step scanning strategy, and a corresponding polysulfide conventional impression was obtained. The conventional impression was then immediately scanned with the same intraoral scanner. The obtained standard tessellation language (STL) files were superimposed with a surface-matching software program. After a preliminary alignment, the STL meshes were trimmed and reoriented; then, the final alignment was carried out and meshes moved to a metrology software program where their mean distance was measured. In addition, a surface curve (SIOS) was traced on the intraoral scan from the right to left retromolar pad along the residual ridge and automatically projected onto to the conventional impression scan to obtain a new curve (SC). The mean distance between SIOS and SC was measured and recorded as an indicator of the distortion by considering the X-, Y-, and Z-axes and the overall 3-dimensional (3D) deviation. The analysis was performed for the full curve length and after dividing it into 6 regions of interest. Univariate and multivariate statistical analyses were used to investigate the significance of the extent of the mean 3D distance, as well as the effects of measurement positions (side and region) between and within patients on differences along the X-, Y-, and Z-axes (α=.05). RESULTS: The mean (-0.08 mm; standard error: 0.025) 3D distance between the intraoral scan and conventional impression was significantly different from zero (P=.003). No significant effect of the factor "side" was found by using generalized estimated equation models for the X-, Y-, and Z-axes, and global 3D deviations between SIOS and SC (P>.05), which appeared to exclude distortion. Conversely, a significant effect was found for the factor "region" (P<.05), with no significant differences (P>.05) between corresponding regions on the 2 sides. CONCLUSIONS: Intraoral scans of the edentulous mandibular arch made in a 2-step procedure did not exhibit significant distortion in comparison with conventional impressions.

4.
Dent Mater ; 39(12): 1085-1094, 2023 12.
Artigo em Inglês | MEDLINE | ID: mdl-37827872

RESUMO

OBJECTIVES: To answer the PICO(S) question: Is there a difference in clinical longevity between direct and indirect resin composite restorations placed on permanent posterior teeth? DATA: Randomized controlled clinical trials (RCTs) investigating direct and indirect resin composite restorations in posterior permanent teeth were considered. SOURCES: Several electronic databases were searched, with no language or date restrictions. The revised Cochrane Collaboration's tool for assessing risk of bias (RoB-2) was used to analyze the studies; meta-analyses were run and the certainty of evidence was assessed by the GRADE tool. A subgroup meta-analysis was performed for resin composite restorations placed on posterior worn dentition. STUDY SELECTION: Twenty-three articles were included in qualitative synthesis, while 8 studies were used for meta-analyses. According to the RoB-2 tool, 5 studies were ranked as "low risk", 7 had "some concerns", while 11 papers were rated as "high risk" of bias. There were no statistically significant differences in short-term (p = 0.27; RR=1.54, 95% CI [0.72, 3.33]), medium-term (p = 0.27; RR=1.87, 95% CI [0.61, 5.72]) and long-term longevity (p = 0.86; RR=0.95, 95% CI [0.57, 1.59]). The choice of restorative technique had no influence on short-term survival of resin composite restorations placed on worn dentition (p = 0.13; RR=0.46, 95% CI [0.17, 1.25]). The certainty of evidence was rated as "very low". CONCLUSIONS: Direct and indirect resin composite restorations may show similar clinical longevity in posterior region, regardless of the observation period or substrate (wear-affected and non-affected dentition). The very low quality of evidence suggests that more long-term RCTs are needed to confirm our results.


Assuntos
Resinas Compostas , Restauração Dentária Permanente , Restauração Dentária Permanente/métodos , Resinas Compostas/uso terapêutico , Dente Molar
5.
Plant Dis ; 2022 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-36324207

RESUMO

In the years 2020-2021 as part of the activity of the Campania region hemp fiber project, variety comparison trials were carried out on 7 hemp varieties among those relevant for bast fiber production. During the trials, in particular on the cv. Fibrante, a consistent problem was noted: a noticeable germination failure (80-90%) occurred during the emergence of seedlings. Therefore, experiments were conducted to ascertain the possible presence of seed-borne pathogens. Tests were carried out on 100 seeds that were surface disinfected with 2% sodium hypochlorite solution for 3 min, rinsed in sterile distilled water three times and dried on sterile filter paper. The seeds were plated on potato dextrose agar (PDA Oxoid™) amended with 100 mg L-1 of streptomycin sulphate, kept at 24°C in the dark and observed daily. Growing colonies were subcultured on PDA for 10 days and, subsequently, twenty purified fungal isolates were obtained by single spore isolation. Colonies of these isolates on PDA were initially grayish-white and then turned dark olive green with abundant cotton-like aerial hyphae. On potato carrot agar (PCA) medium, these isolates produced light brown and solitary conidiophore with septum. Conidia were obclavate or pyriform, brown, with 1-3 transverse septa and 0-3 longitudinal septa, and measured 12.5 to 28.5 × 5 to 15 µm (n=50). The morphological characteristics observed under the light microscope were consistent with that of Alternaria spp. (Simmons 2007). In order to characterize the representative isolate, total DNA was extracted using the DNeasy Plant Mini Kit (Qiagen, Hilden, Germany) and 3 genes were PCR-amplified: the ITS spacer using the primer pair ITS1-ITS4 (White et al., 1990), the transcription elongation factor 1- using the primer pair EF1-983F/ EF1-2218R (Rehner and Buckley., 2005) and the RNA polymerase II second largest subunit (RPB2) using the primer pair RPB2-5F2/fRPB2-7cR (Sung et al 2007; Liu et al 1999). The size-expected amplicons were purified and sequenced at the BMR Genomics (Padova, Italy) and the resulting sequences were deposited in GenBank under the accession numbers ON556507, ON601003, ON601004. BLAST-n analysis revealed 98 to 99% nucleotide identity with some representative isolates of Alternaria rosae E.G. Simmons & C.F. Hill (KU375630.1, XM_046169884.1, XM_046168987.1). To fulfill Koch's postulates, 100 hemp-certified seed were disinfected as mentioned above, left to germinate on the water-agar to discard potentially infected seeds and finally sowed in sterile peat-soil mix (1:1 v/v). The inoculum consisted of 10 mL of 105 conidial suspension obtained by the representative isolate (Ar_H1). Negative control seeds were inoculated with sterile water. After 5-7 days 100% of inoculated seedlings showed weak germinative vigor with yellowing of the epicotyls and dark areas on the root. The tissue narrowed and turned necrotic with abundant white mycelium covering the entire seedling. Small pieces of necrotic roots were plated on PDA and the same Alternaria-like colonies grew in 10 days. DNA sequencing confirmed the presence of A. rosae. Alternaria spp. are fungi that produce a wide range of toxic metabolites, harmful to food safety in the food uses of the seed. This finding further highlights that the quality of the hemp seed must be considered as a priority aspect in the entire hemp supply chain. To the best of our knowledge, this is the first report of A. rosae as seed-borne fungus on hemp.

6.
Polymers (Basel) ; 14(8)2022 Apr 13.
Artigo em Inglês | MEDLINE | ID: mdl-35458337

RESUMO

We synthetized a new rod-coil block copolymer (BCP) based on the semiconducting polymerpoly({4,8-bis[(2-ethylhexyl)oxy]benzo[1,2-b:4,5-b']dithiophene-2,6-diyl}{3-fluoro-2-[(2-ethylhexyl)carbonyl]thieno[3,4-b]thiophenediyl}) (PTB7) and poly-4-vinylpyridine (P4VP), tailored to produce water-processable nanoparticles (WPNPs) in blend with phenyl-C71-butyric acid methyl ester (PC71BM). The copolymer PTB7-b-P4VP was completely characterized by means of two-dimensional nuclear magnetic resonance (2D-NMR), matrix-assisted laser desorption/ionization-time of flight (MALDI-TOF) mass spectrometry (MS), size-exclusion chromatography (SEC), and differential scanning calorimetry (DSC) to confirm the molecular structure. The WPNPs were prepared through an adapted miniemulsion approach without any surfactants. Transmission electron microscopy (TEM) images reveal the nano-segregation of two active materials inside the WPNPs. The nanostructures appear spherical with a Janus-like inner morphology. PTB7 segregated to one side of the nanoparticle, while PC71BM segregated to the other side. This morphology was consistent with the value of the surface energy obtained for the two active materials PTB7-b-P4VP and PC71BM. The WPNPs obtained were deposited as an active layer of organic solar cells (OSCs). The films obtained were characterized by UV-Visible Spectroscopy (UV-vis), atomic force microscopy (AFM), and grazing incidence X-ray diffraction (GIXRD). J-V characteristics of the WPNP-based devices were measured by obtaining a power conversion efficiency of 0.85%. Noticeably, the efficiency of the WPNP-based devices was higher than that achieved for the devices fabricated with the PTB7-based BCP dissolved in chlorinated organic solvent.

7.
Materials (Basel) ; 15(5)2022 Feb 26.
Artigo em Inglês | MEDLINE | ID: mdl-35268994

RESUMO

Background: To assess the quantity of dentin exposure detected by 3 operators with different clinical expertise for 2 designs of tooth preparation for laminate veneers: window (WI) and butt joint (BJ). Methods: 20 intact maxillary central incisors were collected and then prepared for laminate veneers to a depth of 0.6 mm, with a cervical mini-chamfer finish line of 0.3 mm. Each prepared tooth was analyzed by 3 operators with different expertise: undergraduate student (ST), general practitioner (GP), and prosthodontist (PR), at sight under magnification. Besides descriptive statistics (CI 95%), 2-way ANOVA and Games−Howell tests were used to analyze differences among groups (α = 0.05). Results: The means of percentage and area of detected dentin exposure were WI = 30.48%, 21.57 mm2; BJ = 30.99%, 21.97 mm2; ST/WI = 22.82%, 16.44 mm2; GP/WI = 58.05%, 40.64 mm2; PR/WI = 10.55%, 7.63 mm2; ST/BJ = 28.99%, 20.83 mm2; GP/BJ = 40.56%, 28.32 mm2; PR/BJ = 23.42%, 16.75 mm2. Significant differences were found between ST/WI vs. GP/WI (p = 0.005) and GP/WI vs. PR/WI (p < 0.001). Conclusions: There was no difference in detection of exposed dentin among operators with different expertise for BJ preparation, whereas differences were found between the general practitioner and the other 2 operators in WI. Moreover, the quantity of exposed dentin was not related to different tooth preparation designs.

8.
Artigo em Inglês | MEDLINE | ID: mdl-35055612

RESUMO

BACKGROUND: Pediatric dentists could play a key role in the prevention of human papilloma virus (HPV)-related oropharyngeal cancer (OP-cancer). The aim of this study was to assess knowledge, perception, and attitude on HPV-related OP-cancer, HPV infection, and HPV vaccination among Italian pediatric dentists. METHODS: A cross-sectional study was conducted. Pediatric dentists received, by email, a link to participate in the questionnaire online. The questionnaire comprised four parts: (i) demographic information, (ii) knowledge on HPV-related OP-cancer, HPV infection, and HPV vaccine, (iii-iiii) perceptions and attitude on HPV-related OP-cancer, HPV infection, and HPV vaccine. Data were statistically analyzed with Kruskal-Wallis and Mann-Whitney test and Pearson's chi-square test. RESULTS: A total of 271 pediatric dentists completed the questionnaire. Results showed a good overall knowledge; a positive perception of their role in HPV disease prevention; a good attitude in discussing sensitive topics; a need for acquiring more information about HPV's connection to cancer, HPV infection, and HPV vaccine. CONCLUSIONS: Improving educational training programs, as well as informing about prevention of HPV-related OP-cancer, will place pediatric dentists in the front line of HPV diseases primary prevention.


Assuntos
Neoplasias Orofaríngeas , Infecções por Papillomavirus , Vacinas contra Papillomavirus , Criança , Estudos Transversais , Odontólogos , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Neoplasias Orofaríngeas/prevenção & controle , Papillomaviridae , Infecções por Papillomavirus/prevenção & controle , Percepção , Inquéritos e Questionários , Vacinação
9.
Foods ; 12(1)2022 Dec 22.
Artigo em Inglês | MEDLINE | ID: mdl-36613273

RESUMO

The new perspective of using waste biomass to cultivate mushrooms as a source of protein for human nutrition, in line with the circular economy principles, is receiving increasing attention in the scientific community and represents great wealth in terms of environmental sustainability. Pleurotus eryngii is a mushroom also known as cardunculus mushroom due to its ability to grow on this plant. This study explores the potential intrinsic properties of cardunculus (for example, the presence of inulin in the roots) as raw material for the growth of cardunculus mushrooms, and the influence on heteroglycan content and nutrition parameters of the fruiting bodies. Both mycelium and fruiting bodies were used to determine the heteroglycan content in the presence of inulin or cardunculus roots rich in inulin. To produce heteroglycans from P. eryngii in greater quantities and shorter times without having to wait for the formation of the fruiting bodies, the mycelium could be used. The results showed that the presence of cardunculus biomass positively influences the heteroglycan content of P. eryngii. In terms of nutritional parameters, higher contents of polyphenols, flavonoids, anthocyanins, and antioxidant activity were detected in P. eryngii grown on the cardunculus stem and root substrate. In conclusion, recycling cardunculus biomass to generate growth blocks for edible mushrooms is a winning choice due to the opportunity to use this biomass waste, which is gaining more and more attention due to the increase in cultivated areas and the use of fruiting bodies of P. eryngii as a functional food and source of molecules with potential biological activities.

10.
Artigo em Inglês | MEDLINE | ID: mdl-34818401

RESUMO

The emergence profile is a crucial factor in facilitating favorable esthetic outcomes and maintaining peri-implant health and stability. It should be evaluated not simply in terms of morphology but as a clinical variable closely related to material properties and clinical approaches; in this way, this critical factor-which can significantly influence the integration, stability, and preservation of bone and soft tissues-can be comprehensively planned. Soft tissue integration and adherence to prosthetic components are paramount elements in the preservation and protection of bone from contamination and infection. The present narrative paper presents a prosthetic concept suggested as an operative strategy to preserve peri-implant hard and soft tissues and achieve predictable prosthetic outcomes, optimizing soft tissue integration. Achieving an ideal soft tissue seal around implants is paramount in achieving stable restorations and protecting the bone interface from possible contamination and infection.


Assuntos
Implantes Dentários , Implantação Dentária Endóssea , Estética Dentária , Humanos
11.
Dalton Trans ; 50(26): 9208-9214, 2021 Jul 06.
Artigo em Inglês | MEDLINE | ID: mdl-34125122

RESUMO

Colloidal semiconductor nanoplatelets (NPLs) are a subgroup of quantum confined materials that have recently emerged as promising active materials for solution processed light-emitting diodes (LEDs) thanks to their peculiar structural and electronic properties as well as their reduced dimensionality. Nowadays, the conventional structure for NPL-based LEDs makes use of poly(3,4-ethylenedioxythiophene) polystyrene sulfonate (PEDOT:PSS) as a hole transporting layer (HTL). This is a well-known conjugated conductive polymer because it leads to high LED efficiency, though it has limited stability in air due to its intrinsic acidity and hygroscopicity. Here, we develop a nanocomposite aqueous ink, obtained by blending commercial PEDOT:PSS with water-based, stable and highly concentrated molybdenum disulfide (MoS2) nanosheets, obtained via liquid phase exfoliation (LPE), which is suitable as a HTL for solution processed NPL-based LEDs. We demonstrate that the MoS2 additive effectively works as a performance booster in unpackaged devices, thereby prolonging the lifetime up to 1000 hours under ambient conditions. Moreover, the addition of MoS2 induces a modification of the anode interface properties, including a change in the work function and a significant enhancement of the permittivity of the HTL.

12.
J Dent ; 112: 103722, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34118284

RESUMO

OBJECTIVES: The present narrative review was focused on the optical properties, surface treatment, adhesion, and clinical indications of zirconia-reinforced lithium silicate ceramics (ZLS) for Computer-aided design / Computer-aided manufacturing (CAD/CAM) technologies. DATA/SOURCES: A literature search was performed by 3 calibrated independent researchers on PubMed, Scopus, Embase, Google Scholar, Dynamed, and Open Grey. The criteria for inclusion were: 1) papers addressing at least one of the following variables about ZLS: optical properties, surface treatment, adhesion, and clinical indications; 2) in vitro, in silico, or in vivo studies; 3) case reports; 4) systematic reviews. The exclusion criteria were: 1) animal studies; 2) non-dental studies; 3) studies only focusing on ZLS used in the heat-pressed process. STUDY SELECTION: 98 records among in vitro studies and case reports were included. CONCLUSIONS: Despite the promising microstructure characteristics of ZLS, increased translucency compared to lithium disilicate ceramics (LS2) was not proven, but acceptable color changes and stability were reported. Mechanical polishing was the most effective method to reduce surface roughness. Moreover, machinability and handling of ZLS resulted harder than LS2. Conventional acid etching procedures seemed effective in conditioning ZLS surface, but no protocol has been established yet. Besides, silane-coupling and dual-curing resin cements were recommended. CLINICAL SIGNIFICANCE: ZLSs can be used for anterior and posterior fixed single-unit CAD/CAM restorations onto both natural teeth and implants, but do not seem to represent a viable treatment option for endocrowns onto posterior teeth or fixed dental prostheses.


Assuntos
Porcelana Dentária , Lítio , Cerâmica , Desenho Assistido por Computador , Teste de Materiais , Silicatos , Propriedades de Superfície , Zircônio
13.
J Dent ; 109: 103661, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33864886

RESUMO

OBJECTIVES: This paper aimed to provide a literature review of the mechanical and biological properties of zirconia-reinforced lithium silicate glass-ceramics (ZLS) in Computer-aided design / Computer-aided manufacturing (CAD/CAM) systems. DATA/SOURCES: An extensive search of the literature for papers related to ZLS was made on the databases of PubMed/Medline, Scopus, Embase, Google Scholar, Dynamed, and Open Grey. The papers were selected by 3 independent calibrated reviewers. STUDY SELECTION: The search strategy produced 937 records. After the removal of duplicates and the exclusion of papers that did not meet the inclusion criteria, 71 papers were included. CONCLUSIONS: After reviewing the included records, it was found that two types of ZLS (Vita Suprinity PC; Vita Zahnfabrik and Celtra Duo; Dentsply Sirona) are nowadays available on the market for CAD/CAM systems, similar in their chemical composition, microstructure, and biological-mechanical properties. ZLS is reported to be a biocompatible material, whose fracture resistance can withstand physiological chewing loads. The firing process influences the improvements of strength and fatigue failure load, with a volumetric shrinkage. To date, ZLS can be considered a viable alternative to other glass-ceramics for fixed single restorations. CLINICAL SIGNIFICANCE: . As to biocompatibility and mechanical properties of ZLS, data are still scarce, often controversial and limited to short-term observational periods. These promising ceramics require further in vitro/in vivo studies to accurately define mechanical and biological properties, mainly in the long-term performance of restorations produced with such materials.


Assuntos
Cerâmica , Lítio , Desenho Assistido por Computador , Porcelana Dentária , Análise do Estresse Dentário , Teste de Materiais , Silicatos , Propriedades de Superfície , Zircônio
14.
Artigo em Inglês | MEDLINE | ID: mdl-33922752

RESUMO

OSCC remain a global health problem. Lack of awareness leads to inadequate watchfulness regarding early signs/symptoms despite the ease of visual oral inspection. What clinicians know and feel, and how they behave on OSCC is crucial to understand the feasibility and effectiveness of screening programs. The aim of this systematic review was to assess knowledge, attitudes, and practice (KAP) regarding OSCC among health care providers (HCPs). Therefore, a systematic review was conducted with SPIDER and PICO as major tools. A meta-analysis was structured through common items in two comparison groups of medical and dental practitioners. Descriptive statistics and a Mantel-Haenszel test were used to validate data. Sixty-six studies were selected for systematic review, eight of which are useful for meta-analysis. A statistically significant difference was recorded between dentists and medical practitioners for questions regarding: Alcohol (p < 0.001); Elderly (p < 0.012); Sun exposure (p < 0.0001); Erythroplakia (p < 0.019); Red patch (p < 0.010); White patch (p < 0.020); Tobacco consultation (p < 0.0001); Intraoral examination (p < 0.0001) and Up-to-date knowledge (p < 0.002). Overall, the incidence of OSCC screening is low. Most HCPs feel the need to increase KAP. Data confirmed gaps in KAP, highlighting the need for a more efficient pre- and post-graduation training, necessary to increase competence worldwide.


Assuntos
Odontólogos , Conhecimentos, Atitudes e Prática em Saúde , Idoso , Atitude do Pessoal de Saúde , Estudos Transversais , Pessoal de Saúde , Humanos , Papel Profissional , Inquéritos e Questionários
15.
Plant Dis ; 2021 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-33792404

RESUMO

Industrial hemp (Cannabis sativa L.) was cultivated in Italy until the end of the Second World War. Since then, it has been abandoned and substituted with other crops mainly due to legal restrictions and public concerns. Public legislation passed in 2016, has allowed for the production of hemp seeds, flowers and fibers (law n. 242/2016). During a 2019 survey on hemp sanitary status in the province of Naples (40°57'6"12 N, 14°22'37"56 E), hemp 'Kompolty' with symptoms of root rot were observed at a private farm and collected for further analysis at the phytosanitary laboratory of CREA in Caserta. Death generally occurred within 2-3 weeks after the appearance of the first symptoms, occurring on ca. 10% of plants, consisting of yellowing, canopy wilt and signs of roots covered with white mycelium and fan-like mycelium under the bark. The causal agent, was isolated from small root segments, excised from symptomatic plants, the surface was disinfected with 2% sodium hypochlorite, placed on potato dextrose agar (PDA) amended with streptomycin sulphate (100mg/L) and incubated in the dark at 25°C for 5 days. Small pieces (2-3 mm) at the edge of the resulting colonies were sub-cultured onto PDA and incubated at 25°C in the dark for one week. The mycelia from 15 isolates showed pear-shaped swellings adjacent to the septa. The conidia were aseptate, hyaline, ellipsoid to ovoid, and 3-5 × 2.5-3 µm (n=50). Based on the morphological characteristics, the fungus was identified as Rosellinia necatrix Berl. ex Prill. (Singleton et al., 1992) a fungus taxonomically revised to Dematophora necatrix R. Hartig (Wittstein et al., 2020). To confirm the identification, total DNA was extracted from five isolates using a DNeasy Plant Mini Kit (Qiagen, Hilden, Germany) and the ITS spacer was PCR-amplified with primers ITS1-ITS4 (White et al., 1990). The size-expected amplicons of 536 bp were purified and sequenced, the resulting sequence was trimmed and deposited in GenBank under the accession number MK937913. BLAST-n analysis revealed 98.83% nucleotide identity with some representative isolates of D. necatrix (MK888684.1; KT343972.1). To fulfill Koch's postulates, the pathogenicity tests were carried out on fifteen 4-weeks-old potted hemp plants 'Kompolty'. The inoculation was performed by adding 3 g of millet seeds inoculated with ten mycelial plugs, taken from the margins of a D. necatrix actively growing colony, per liter of sterile peat and perlite substrate in single pots. Moreover, ten hemp plants were inoculated with sterilized millet seed and served as negative controls. All plants were incubated at 25°C. After three weeks, inoculated plants exhibited foliar chlorosis, apical wilting, and death in two weeks, similar to what was observed in the field. Control plants did not show any symptoms. The fungus was isolated from the roots in all fifteen inoculated plants and confirmed to be D. necatrix based on morphological and molecular analysis, carried out with a second primer pair EF1-983F/ EF1-2218R targeting the transcription elongation factor 1- (Rehner and Buckley., 2005) (MW541068) that showed 99.67% nt in BLAST-n analysis. To our knowledge, this is the first report of D. necatrix infecting hemp in Europe. The farm where the problem arose has a history of cultivation for the production of apples for over 30 years. Therefore, an adaptation of D. necatrix to the new host is hypothesized. An in-depth knowledge on the diseases of hemp will be needed to relaunch hemp cultivation in this area.

16.
Molecules ; 26(3)2021 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-33540730

RESUMO

Conjugated polymers with ionic pendant groups (CPEs) are receiving increasing attention as solution-processed interfacial materials for organic solar cells (OSCs). Various anionic CPEs have been successfully used, on top of ITO (Indium Tin Oxide) electrodes, as solution-processed anode interlayers (AILs) for conventional devices with direct geometry. However, the development of CPE AILs for OSC devices with inverted geometry is an important topic that still needs to be addressed. Here, we have designed three anionic CPEs bearing alkyl-potassium-sulfonate side chains. Their functional behavior as anode interlayers has been investigated in P3HT:PC61BM (poly(3-hexylthiophene): [6,6]-phenyl C61 butyric acid methyl ester) devices with an inverted geometry, using a hole collecting silver electrode evaporated on top. Our results reveal that to obtain effective anode modification, the CPEs' conjugated backbone has to be tailored to grant self-doping and to have a good energy-level match with the photoactive layer. Furthermore, the sulfonate moieties not only ensure the solubility in polar orthogonal solvents, induce self-doping via a right choice of the conjugated backbone, but also play a role in the gaining of hole selectivity of the top silver electrode.


Assuntos
Fontes de Energia Elétrica , Polieletrólitos/química , Ácidos Sulfônicos/química , Luz Solar , Eletroquímica , Eletrodos
17.
J Prosthet Dent ; 124(6): 761.e1-761.e7, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33289647

RESUMO

STATEMENT OF PROBLEM: Intraoral scanners are promising options for removable prosthodontics. However, analog aids, including occlusion rims, are still used, as a completely digital workflow is challenging and scientific evidence on the topic is scarce. PURPOSE: The purpose of this in vitro study was to assess and compare the trueness and precision of scans obtained from a reference typodont of a completely edentulous maxilla by using an intraoral scanner (TRIOS 3 Pod; 3Shape A/S) with scans obtained by using a laboratory scanner (DScan 3; EGS S.R.L.) from both Type IV stone casts and polysulfide impressions. MATERIAL AND METHODS: The polyurethane resin reference typodont was replicated from a clinical cast and was scanned with a metrological machine to obtain a reference scan. Ten digital casts were obtained by applying standardized scanning strategies to the reference typodont with the intraoral scanner. A device was created to make 10 consistent polysulfide impressions, and a scan of each impression was made with the laboratory scanner and then digitally reversed to obtain 10 digital reversed casts. Ten Type IV stone casts were poured and then scanned with the laboratory scanner to obtain 10 digital extraoral scanner casts. The scans in standard tessellation language (STL) format were imported into a dedicated software program, and the trueness and precision were calculated in µm. In addition to descriptive statistics (confidence interval 95%), 1-way ANOVA followed by the Bonferroni test or the Kruskal-Wallis and the Dunn tests were used to analyze differences among groups (α=.05). RESULTS: The trueness values (95% confidence interval) were digital intraoral scanner cast=48.7 (37.8-59.5), digital reversed cast=249.9 (121.3-378.5), and digital extraoral scanner cast=308.8 (186.6-430.9); significant differences were detected between digital intraoral scanner cast and digital reversed cast (P<.001) and between digital IOS casts and digital extraoral scanner cast (P<.001). The precision values (95% confidence interval) were digital intraoral scanner cast=46.7 (29.7-63.7), digital reversed cast=271.2 (94.6-447.8), and digital extraoral scanner cast=341.4 (175.5-507.3); significant differences were detected between digital intraoral scanner cast and digital reversed cast (P=.003) and between digital intraoral scanner cast and digital extraoral scanner cast (P=.001). CONCLUSIONS: Directly scanning a solid typodont of a completely edentulous maxilla with the intraoral scanner produced better trueness and precision than scanning the polysulfide impressions or the stone casts with a laboratory scanner.


Assuntos
Técnica de Moldagem Odontológica , Modelos Dentários , Desenho Assistido por Computador , Imageamento Tridimensional , Laboratórios , Maxila/diagnóstico por imagem
18.
J Prosthet Dent ; 124(6): 762.e1-762.e8, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33289648

RESUMO

STATEMENT OF PROBLEM: Information about the accuracy of intraoral scanners for the edentulous maxilla is lacking. PURPOSE: The purpose of this in vitro study was to compare the accuracy of 3 different intraoral scanner techniques on a completely edentulous maxilla typodont. MATERIAL AND METHODS: Two completely edentulous maxillary typodonts with (wrinkled typodont) and without (smooth typodont) palatal rugae were used as reference and were scanned by using an industrial metrological machine to obtain 2 digital reference scans in standard tessellation language (STL) format (dWT and dST). Three different scanning techniques were investigated: in the buccopalatal technique, the buccal vestibule was scanned with a longitudinal movement ending on the palatal vault with a posteroanterior direction; the S-shaped technique was based on an alternate palatobuccal and buccopalatal scan along the ridge; in the palatobuccal technique, the palate was scanned with a circular movement and then with a longitudinal one along the buccal vestibule. Consecutively, 6 types of scans were obtained (n=10), namely wrinkled typodont/buccopalatal technique, wrinkled typodont/S-shaped technique, wrinkled typodont/palatobuccal technique (wrinkled typodont), smooth typodont/buccopalatal technique, smooth typodont/S-shaped technique, and smooth typodont/palatobuccal technique (smooth typodont). Scans in STL format were imported into a dedicated software program, and trueness and precision were evaluated in µm. In addition to descriptive statistics (95% confidence interval), a 2-factor ANOVA on the data ranks, the Kruskal-Wallis, and the Dunn tests were performed to analyze differences among groups (α=.05). RESULTS: Mean values for trueness (95% confidence interval) were wrinkled typodont/buccopalatal technique=48.7 (37.8-59.5); wrinkled typodont/S-shaped technique=65.9 (54.9-77.4); wrinkled typodont/palatobuccal technique=109.7 (96.1-123.4); smooth typodont/buccopalatal technique=48.1 (42.4-53.7); smooth typodont/S-shaped technique=56.4 (43.9-68.9); smooth typodont/palatobuccal technique=61.1 (53.3-69), with statistically significant differences for wrinkled typodont/buccopalatal technique versus wrinkled typodont/palatobuccal technique (P<.001), buccopalatal technique versus palatobuccal technique (P<.001), and wrinkled typodont versus smooth typodont (P=.002). Mean values for precision (95% confidence interval) were wrinkled typodont/buccopalatal technique=46.7 (29.7-63.7); wrinkled typodont/S-shaped technique=53.6 (37.6-69.7); wrinkled typodont/palatobuccal technique=90 (59.1-120.9); smooth typodont/buccopalatal technique=46 (39.7-52.3); smooth typodont/S-shaped technique=76 (55.5-96.6); smooth typodont/palatobuccal technique=52.9 (41.9-63.8); with statistically significant differences for buccopalatal technique versus palatobuccal technique (P=.032) and wrinkled typodont/buccopalatal technique versus wrinkled typodont/palatobuccal technique (P=.012). CONCLUSIONS: Smooth typodont scans showed better trueness than wrinkled typodont scans. Buccopalatal technique showed better mean values for trueness and precision than palatobuccal technique only in the wrinkled typodont scenario, while the other scanning approaches did not show significant differences in either tested configuration.


Assuntos
Técnica de Moldagem Odontológica , Modelos Dentários , Desenho Assistido por Computador , Imageamento Tridimensional , Maxila/diagnóstico por imagem
19.
J Phys Chem Lett ; 11(20): 8893-8900, 2020 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-32996314

RESUMO

Emphasis was recently placed on the Cs2AgBiBr6 double perovskite as a possible candidate to substitute toxic lead in metal halide perovskites. However, its poor light-emissive features currently make it unsuitable for solid-state lighting. Lanthanide doping is an established strategy to implement luminescence in poorly emissive materials, with the additional advantage of fine-tuning the emission wavelength. We discuss here the impact of Eu and Yb doping on the optical properties of Cs2AgBiBr6 thin films, obtained from the solution processing of hydrothermally synthesized bulk crystalline powders, by combining experiments and density functional theory calculations. Eu(III) incorporation does not lead to the characteristic 5D0 → 7F2 emission feature at 2 eV, while only a weak trap-assisted sub-band gap radiative emission is reported. Oppositely, we demonstrate that incorporated Yb(III) leads to an intense and exclusive photoluminescence emission in the near-infrared as a result of the efficient sensitization of the lanthanide 2F5/2 → 2F7/2 transition.

20.
J Dent ; 101: 103419, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32619571

RESUMO

OBJECTIVES: the purpose of the present prospective trial was to evaluate the clinical performance of posterior 3-unit zirconia-based fixed dental prostheses (FDPs) after 14 years of clinical function. METHODS: thirty-seven patients needing to replace either premolars or molars were involved and 48 FDPs were fabricated (Procera Zirconia, Nobel Biocare AB). Frameworks with a9 mm2 cross section of the connectors and 0.6 mm minimum thickness of the retainers were made by means of Procera Forte CAD-CAM System (Nobel Biocare AB). The patients were recalled after 6 and 12 months and then yearly up to a total follow-up of 14 years. Two independent survival curves for patients wearing 1 or 2 FDPs were calculated by means of Kaplan-Meier analysis and a log-rank test was performed in order to compare these curves. The United States Public Health Service criteria were used to examine technical and esthetic outcomes. The biological examination was performed evaluating plaque control, pocket depth, attachment level, bleeding on probing at both abutments and contralateral teeth and evaluated by means of the Wilcoxon test (p < 0.05) between the baseline and the 14-year follow-up. RESULTS: descriptive statistics resulted in 91 % and 99 % cumulative survival rates for patients wearing 1 and 2 FDPs, respectively. There were no significant differences in periodontal parameters between control and test teeth. Both function and esthetic results were successful for FDPs over a 14-year follow-up period. CONCLUSIONS: the results of this prospective clinical study confirmed the effectiveness of zirconia as a clinical option to fabricate short-span posterior FDPs. CLINICAL SIGNIFICANCE: within the limitations of the present prospective clinical study, zirconia-based three-unit fixed dental prostheses perform satisfactorily on long term, in posterior areas and in patients with standard biomechanical conditions.


Assuntos
Implantes Dentários , Prótese Parcial Fixa , Cerâmica , Porcelana Dentária , Planejamento de Prótese Dentária , Falha de Restauração Dentária , Estética Dentária , Humanos , Estudos Prospectivos , Zircônio
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