Nondestructive evaluation of microleakage in restored primary teeth using CP-OCT.

BACKGROUND: Although the demand for esthetic filling of primary teeth with resin composite is increasing, there is no enough data on the adhesive performance of composite restorations in primary teeth. Despite the improvements in resin composites, interfacial gap is still a disadvantage as it may cause marginal staining, secondary caries, and restoration failure. Previous studies have validated the efficiency of optical coherence tomography (OCT) in the evaluation of adhesive interface in permanent teeth, but not in primary teeth. AIMS: The aim of this study was to assess microleakage upon composite restorations in primary teeth using cross-polarization OCT (CP-OCT). METHODOLOGY: Cylindrical class-V cavities were prepared in extracted human primary second molars and divided into four groups randomly. In groups 1 and 2, cavities were restored using Tetric N-Universal adhesive in the self-etch mode followed by IPS Impress Direct Composite and Ceram.x One Universal composite, respectively. In groups 3 and 4, one-step self-etch Prime and Bond Elect adhesive was used followed by ID composite and CX composite in groups 3 and 4, respectively. The specimens were then immersed in a contrasting solution followed by interfacial microleakage examination under CP-OCT. The recorded images were analyzed to quantify the mean gap percentages. RESULTS: All tested groups showed variable degree of interfacial microleakage under composite restorations. Two-way ANOVA showed the composite factor was significantly influencing the results, unlike the adhesive. Group 1 and 2 had the lowest and highest mean gap percentage, respectively, which were significantly different from the other groups. Groups 3 and 4 were not significantly different. CONCLUSION: Based on the current finding, a polymeric restorative system from the same manufacturer reduces the risk of interfacial microleakage in primary teeth.

Is the atopic march related to confounding by genetics and early-life environment? A systematic review of sibship and twin data.

A popular hypothesis known as the atopic march proposes a set of sequential allergy and respiratory disorders in early childhood contributes enormously to the burden of disease in developed countries. Although the concept of the atopic march has been refined and strengthened by many cross-sectional and longitudinal studies linking eczema as the initial manifestation with progression to hay fever and then asthma, there is yet no definitive proof that the atopic march is the primary causal factor in childhood allergic disease. This debate is mainly related to the controversy around potential confounding of these associations by genetic and environmental factors. Family studies are ideally suited to unravelling the role of these factors. While multiple reviews have synthesized evidence from studies investigating this question, no review to date has explored specific evidence generated by twin and sibling studies to understand the aetiology of atopic march diseases. Our aim was to conduct a systematic review of twin and sibling studies that examine the allergic phenotypes that form the atopic march, to determine whether such analyses of data from these studies attempt to control for the effect confounding by shared factors, and to report estimates of the magnitude of associations between multiple phenotypes. Our review suggests that (1) genetics play a bigger role predisposing eczema to hay fever and eczema to asthma than environmental factors, and (2) the link between eczema and asthma and hay fever is independent of shared early-life environmental factors.

Enantioselective analysis and fate of polycyclic musks in a water recycling plant in Sydney (Australia).

Synthetic polycyclic musks (PCMs) Galaxolide (HHCB), Tonalide (AHTN), Phantolide (AHDI), Traseolide (ATII) and Cashmeran (DPMI) are chiral chemicals that are commonly used in washing product industries as racemic mixtures. The major source of PCMs in municipal wastewater is from personal care and household products. Recent studies have shown that PCMs may enhance the relative toxicity of other environmental chemicals by inhibiting cellular xenobiotic defence systems. High sensitivity enantioselective analysis of these compounds enables improved characterisation of the environmental persistence and fate of PCMs, distinguishing between individual enantiomers so that a more complete understanding of environmental risks tributed by individual enantiomers may be obtained. Concentrations of PCMs through the various treatment stages of an advanced water recycling plant in Sydney were investigated to assess the removal of these chemicals. Average concentrations of HHCB, AHTN, AHDI, ATII and DPMI in influent were: 2,545, 301, 2, 5 and 33 ng L(-1), respectively. In the final effluent, AHDI, ATII and DPMI were not detected, while HHCB and AHTN were still measured at concentrations of 21 and 2 ng L(-1). No significant enantioselective transformation was detected during biological or advanced treatment processes.

Relating algal-derived extracellular and intracellular dissolved organic nitrogen with nitrogenous disinfection by-product formation.

The dissolved organic nitrogen (DON) pool from algal-derived extracellular and intracellular organic matter (EOM and IOM) comprises proteins, peptides, free amino acids and carbohydrates, of which, proteins can contribute up to 100% of the DON. Previous reports of algal-derived DON character have focused on bulk properties including concentration, molecular weight and hydrophobicity. However, these can be similar between algal species and between the EOM and IOM even when the inherent molecular structures vary. A focus on bulk character presents challenges to the research on algal-derived nitrogenous-disinfection by-product (N-DBP) formation as N-DBP formation is sensitive to the changes in molecular structure. Hence, the main aim of this study was to characterize algal EOM and IOM-derived DON, specifically proteinaceous-DON, using a combination of bulk and molecular characterization techniques to enable a more detailed exploration of the relationship between the character of algal-derived proteins and the N-DBP formation potential. DON from the EOM and IOM of four commonly found algae and cyanobacteria in natural waters were evaluated, namely Chlorella vulgaris, Microcystis aeruginosa, Dolichospermum circinale, and Cylindrospermopsis raciborskii. It was observed that 77-96% of total DON in all EOM and IOM samples was of proteinaceous origin. In the proteins, DON concentrations were highest in the high molecular weight fraction of IOM-derived bulk proteins (0.13-0.75 mg N L-1) and low to medium molecular weight fraction of EOM-derived bulk proteins (0.15-0.63 mg N L-1) in all species. Similar observations were also made via sodium dodecyl sulphate polyacrylamide gel electrophoresis and liquid chromatography-high resolution mass spectrometry. Solid-state 15N nuclear magnetic resonance (NMR) spectroscopy of the EOM and IOM revealed the existence of common aliphatic and heterocyclic N-groups in all samples, including a dominant 2° amide peak. Species dependent variability was also observed in the spectra, particularly in the EOM; e.g. nitro signals were found only in the Cylindrospermopsis raciborskii EOM. Dichloroacetonitrile (DCAN) and N-nitrosamine concentrations from the EOM of the species evaluated in this study were lower than the guideline limits set by regulatory agencies. It is proposed that the dominant 2° amide in all samples decreased N-DBP formation upon chlorination. For chloramination, the presence of nitro groups and aliphatic and heterocyclic N-DBP precursors could cause variable N-nitrosamine formation. Compared to non-algal impacted waters, algae-laden waters are characterised by low organic carbon: organic nitrogen ratios of ∼7-14 and elevated DON and protein concentrations. Hence, relying only on bulk characterization increases the perceived risk of N-DBP formation from algae-laden waters.

Removal of hydrophilic, hydrophobic, and charged xenobiotic organic compounds from greywater using green wall media.

Green walls offer a novel on-site approach for greywater treatment and reuse in densely build urban environments. However, they need to be engineered for effective removal of a wide range of emerging contaminants such as xenobiotic organic compounds (XOCs), which may be present in greywater due to extensive use of personal care products and household chemicals. This study used laboratory column design and batch experiments to investigate the performance of three lightweight green wall media (coco coir, zeolite, and perlite) and their mixture in three different combinations for the removal of twelve XOCs, covering wide range of hydrophilic, hydrophobic, and charged pollutants in greywater. The experiments were designed to assess the removal of targeted XOCs under different operational condition (i.e., hydraulic loading, infiltration rate, drying) and uncover the dominant mechanisms of their removal. Results showed excellent removal (>90%) of all XOCs in coco coir and media mix columns at the start of the experiment (i.e., fresh media and initial 2 pore volume (PV) of greywater dosing). The removal of highly hydrophobic and positively charged XOCs remained high (>90%) under all operational conditions, while hydrophilic and negatively charged XOCs exhibited significant reduction in removal after 25 PV and 50 PV, possibly due to their low adsorption affinity and electrostatic repulsion from negatively charged media. The effect of infiltration rate on the removal of XOCs was not significant; however, higher removal was achieved after 2-weeks of drying in coco coir and media mix columns. The dominant removal mechanism for most XOCs was found to be adsorption, however, a few hydrophilic XOCs (i.e., acetaminophen and atrazine) exhibited both adsorption and biodegradation removal processes. While findings showed promising prospects of unvegetated media for removing XOCs from greywater, long term studies on vegetated green wall systems are needed to understand any synergetic contribution of plants and media in removing these XOCs.

Removal of trace organic chemical contaminants by a membrane bioreactor.

Emerging wastewater treatment processes such as membrane bioreactors (MBRs) have attracted a significant amount of interest internationally due to their ability to produce high quality effluent suitable for water recycling. It is therefore important that their efficiency in removing hazardous trace organic contaminants be assessed. Accordingly, this study investigated the removal of trace organic chemical contaminants through a full-scale, package MBR in New South Wales, Australia. This study was unique in the context of MBR research because it characterised the removal of 48 trace organic chemical contaminants, which included steroidal hormones, xenoestrogens, pesticides, caffeine, pharmaceuticals and personal care products (PPCPs). Results showed that the removal of most trace organic chemical contaminants through the MBR was high (above 90%). However, amitriptyline, carbamazepine, diazepam, diclofenac, fluoxetine, gemfibrozil, omeprazole, sulphamethoxazole and trimethoprim were only partially removed through the MBR with the removal efficiencies of 24-68%. These are potential indicators for assessing MBR performance as these chemicals are usually sensitive to changes in the treatment systems. The trace organic chemical contaminants detected in the MBR permeate were 1 to 6 orders of magnitude lower than guideline values reported in the Australian Guidelines for Water Recycling. The outcomes of this study enhanced our understanding of the levels and removal of trace organic contaminants by MBRs.

Chemical monitoring strategy for the assessment of advanced water treatment plant performance.

A pilot-scale plant was employed to validate the performance of a proposed full-scale advanced water treatment plant (AWTP) in Sydney, Australia. The primary aim of this study was to develop a chemical monitoring program that can demonstrate proper plant operation resulting in the removal of priority chemical constituents in the product water. The feed water quality to the pilot plant was tertiary-treated effluent from a wastewater treatment plant. The unit processes of the AWTP were comprised of an integrated membrane system (ultrafiltration, reverse osmosis) followed by final chlorination generating a water quality that does not present a source of human or environmental health concern. The chemical monitoring program was undertaken over 6 weeks during pilot plant operation and involved the quantitative analysis of pharmaceuticals and personal care products, steroidal hormones, industrial chemicals, pesticides, N-nitrosamines and halomethanes. The first phase consisted of baseline monitoring of target compounds to quantify influent concentrations in feed waters to the plant. This was followed by a period of validation monitoring utilising indicator chemicals and surrogate measures suitable to assess proper process performance at various stages of the AWTP. This effort was supported by challenge testing experiments to further validate removal of a series of indicator chemicals by reverse osmosis. This pilot-scale study demonstrated a simplified analytical approach that can be employed to assure proper operation of advanced water treatment processes and the absence of trace organic chemicals.

Quantifying human exposure to contaminants for multiple-barrier water reuse systems.

Reliance upon advanced water treatment processes to provide safe drinking water from relatively compromised sources is rapidly increasing in Australia and other parts of the world. Advanced treatment processes such as reverse osmosis have the ability to provide very effective treatment for a wide range of chemicals when operated under optimal conditions. However, techniques are required to comprehensively validate the performance of these treatment processes in the field. This paper provides a discussion and demonstration of some effective statistical techniques for the assessment and description of advanced water treatment plant performance. New data is provided, focusing on disinfection byproducts including trihalomethanes and N-nitrosamines from a recent comprehensive quantitative exposure assessment for an advanced water recycling scheme in Australia.

Demonstrating ultra-filtration and reverse osmosis performance using size exclusion chromatography.

Advanced water treatment plants employing ultrafiltration (UF) and reverse osmosis (RO) membrane processes are frequently implemented for the production of high-quality recycled water. It is important that process performance is able to be quantified and assessed to ensure it is fit for purpose. This research utilizes size exclusion chromatography with organic carbon, organic nitrogen and UV(254) detection to determine the change in both DOC concentration and character through a UF/3 stage-RO pilot plant. It was determined that 97% of the influent DOC was removed on average to produce a water of less than 0.5 mg L(-1) as C. The UF process removed more than half of the biopolymer fraction, equating to 4.5% DOC removal, while the RO process generally removed all DOC except a small proportion of the low MW humics and acids and low MW neutral fraction. While not changing significantly in concentration, the Stage 3 RO permeate typically contained low concentrations of humic fraction, indicating a change in character and therefore a change in rejection mechanism. Overall, it was determined that while TOC monitoring is important in advanced water treatment systems, improved understanding of the character of the TOC present lends greater insight into the assessment of process performance.

Fluorescence monitoring for cross-connection detection in water reuse systems: Australian case studies.

A rapid, highly sensitive method for detection of cross-connections between recycled and potable water in dual reticulation systems is required. The aim of this research was to determine the potential of fluorescence spectroscopy as a monitoring tool at three Australian dual distribution (drinking and recycled water) systems. Weekly grab samples of recycled and potable water were obtained over 12 weeks at each site and analysed for fluorescence excitation-emission matrix (EEM) spectroscopy, UV(254), dissolved organic carbon (DOC), electrical conductivity and pH. Fluorescence EEM spectroscopy was able to differentiate between recycled and potable water at each site by monitoring the protein-like fluorescence at peak T-an excitation-emission wavelength pair of lambda(ex/em) = 300/350 nm. While electrical conductivity was also able to distinguish between recycled and potable water, the differentiation was greatest when using fluorescence. For example, the peak T fluorescence in recycled water was up to 10 times that of potable water in comparison with electrical conductivity that had a maximum 5 times differentiation. Furthermore, by comparing the protein-like fluorescence at peak T and humic-like fluorescence at peak A (lambda(ex/em) = 235/426 nm), the three different recycled water systems were able to be differentiated. Overall, fluorescence shows promise as a monitoring tool for detecting cross-connections.

Probabilistic analysis of fluorescence signals for monitoring dual reticulation water recycling schemes.

Improved techniques are required for the detection of inadvertent cross-connections between recycled water and potable water systems in dual reticulation schemes. The aim of this research was to assess the potential for fluorescence spectroscopy to be developed as a tool to distinguish recycled water from potable water. Weekly grab samples of recycled and potable water were obtained over 12 weeks from within an Australian dual reticulation site and analysed for fluorescence excitation-emission matrix (EEM), dissolved organic carbon (DOC), electrical conductivity (EC), and pH. Probabilistic techniques including distribution function fitting and Monte Carlo simulation were used to assess the ability to distinguish between recycled water and potable water sample pairs and the reliability of doing so. Fluorescence EEM spectroscopy was determined to be the most effective for the reliable differentiation by monitoring the protein-like fluorescence at peak T(1)--an excitation-emission wavelength pair of λ(ex/em)=300/350 nm. While EC could distinguish between recycled and potable water, it was shown to be less sensitive and less reliable than peak T(1) fluorescence.

The application of membrane bioreactors as decentralised systems for removal of endocrine disrupting chemicals and pharmaceuticals.

The concentrations of some important endocrine disrupting chemicals and pharmaceuticals after various stages of wastewater treatment were investigated. The endocrine disrupting chemicals included natural and synthetic estrogenic and androgenic steroids. The pharmaceuticals included a series of sulfonamide antibiotics and trimethoprim. The removal efficiency of a membrane bioreactor (MBR) was investigated and compared with a conventional activated sludge (CAS) system. Samples were analysed by liquid chromatography tandem mass spectrometry. Results showed that the MBR and CAS systems effectively removed steroidal estrogens and androgens, but only partially eliminated the target antibiotics from wastewater. The MBR was shown to be more effective than the CAS system which was possibly attributed to the high solid retention time and concentration of biosolids in the MBR. The results highlight the potential wider application of MBRs for the removal of trace chemical contaminants in wastewater and their potential for use as decentralised wastewater treatment systems.

Fate and levels of steroid oestrogens and androgens in waste stabilisation ponds: quantification by liquid chromatography-tandem mass spectrometry.

The capacity for removing wastewater-borne endocrine disrupting chemicals (EDCs) was investigated for two wastewater treatment plants (WWTPs) incorporating waste stabilisation ponds (WSPs) as the principal treatment technology. Samples were analysed for a number of steroidal oestrogens and androgens using liquid chromatography-tandem mass spectrometry (LC/MS/MS). Removal efficiency for steroid androgens was high for both WWTPs (93-100%) but WSP treatment was observed to be less effective for removing steroid oestrogens, particularly oestriol.

Enantiomeric fraction as an indicator of pharmaceutical biotransformation during wastewater treatment and in the environment--a review.

Enantioselective analysis of some pharmaceuticals during wastewater treatment has the potential to reveal significant insights regarding the effectiveness of biotransformation processes. Furthermore, enantioselective analysis of chiral pharmaceuticals in the aquatic environment may provide a useful historical record revealing the dominant source of (treated or untreated) wastewater contamination. This review of the recent scientific literature has identified only a handful of studies that have directly investigated these promising applications. However, a range of enantioselective analytical techniques are likely to be adaptable from those which have been developed within the pharmaceutical industry. These include direct enantioseparations of enantiomers on chiral stationary phases as well as indirect separations by achiral stationary phases after chiral derivatization to form pairs of physically distinguishable diastereomers. Further investigations of the patterns of enantiomeric fractionation of pharmaceuticals in wastewater and environmental samples will provide an increasingly solid understanding of the relationship between biotransformation processes and the often overlooked parameter of enantiomeric fraction.

Fluorescence as a potential monitoring tool for recycled water systems: a review.

A rapid, highly sensitive and selective detector is urgently required to detect contamination events in recycled water systems - for example, cross-connection events in dual reticulation pipes that recycle advanced treated sewage effluent - as existing technologies, including total organic carbon and conductivity monitoring, cannot always provide the sensitivity required. Fluorescence spectroscopy has been suggested as a potential monitoring tool given its high sensitivity and selectivity. A review of recent literature demonstrates that by monitoring the fluorescence of dissolved organic matter (DOM), the ratios of humic-like (Peak C) and protein-like (Peak T) fluorescence peaks can be used to identify trace sewage contamination in river waters and estuaries, a situation analogous to contamination detection in recycled water systems. Additionally, strong correlations have been shown between Peak T and biochemical oxygen demand (BOD) in rivers, which is indicative of water impacted by microbial activity and therefore of sewage impacted systems. Hence, this review concludes that the sensitive detection of contamination events in recycled water systems may be achieved by monitoring Peak T and/or Peak C fluorescence. However, in such systems, effluent is treated to a high standard resulting in much lower DOM concentrations and the impact of these advanced treatment processes on Peaks T and C fluorescence is largely unknown and requires investigation. This review has highlighted that further work is also required to determine (a) the stability and distinctiveness of recycled water fluorescence in relation to the treatment processes utilised, (b) the impact of matrix effects, particularly the impact of oxidation, (c) calibration issues for online monitoring, and (d) the advanced data analytical techniques required, if any, to improve detection of contamination events.

Distinguishing Stage 1 and 2 reverse osmosis permeates using fluorescence spectroscopy.

Fluorescence excitation-emission matrix (EEM) spectroscopy was used to distinguish between two stages of reverse osmosis (RO) permeates as the first step towards investigating the potential application of fluorescence as a monitoring tool for membrane performance. The signal response of several fluorescence peaks present in Stage 1 and Stage 2 RO permeates of an advanced water treatment plant were compared. The humic-like fluorescence region was found to have the largest percentage difference between stages and therefore was the most appropriate for enabling differentiation. Increases in humic-like fluorescence did not correlate with increases in conductivity or dissolved organic carbon measurements. This suggests that fluorescence is a more selective and sensitive method for monitoring the organic composition of RO permeates than established methods. Fluorescence is therefore a promising tool for improved water quality monitoring of RO permeates.

Chemical contaminants in feedlot wastes: concentrations, effects and attenuation.

Commercial feedlots for beef cattle finishing are potential sources of a range of trace chemicals which have human health or environmental significance. To ensure adequate protection of human and environmental health from exposure to these chemicals, the application of effective manure and effluent management practices is warranted. The Australian meat and livestock industry has adopted a proactive approach to the identification of best management practices. Accordingly, this review was undertaken to identify key chemical species that may require consideration in the development of guidelines for feedlot manure and effluent management practices in Australia. Important classes of trace chemicals identified include steroidal hormones, antibiotics, ectoparasiticides, mycotoxins, heavy metals and dioxins. These are described in terms of their likely sources, expected concentrations and public health or environmental significance based on international data and research. Androgenic hormones such as testosterone and trenbolone are significantly active in feedlot wastes, but they are poorly understood in terms of fate and environmental implications. The careful management of residues of antibiotics including virginiamycin, tylosin and oxytetracycline appears prudent in terms of minimising the risk of potential public health impacts from resistant strains of bacteria. Good management of ectoparasiticides including synthetic pyrethroids, macrocyclic lactones, fluazuron, and amitraz is important for the prevention of potential ecological implications, particularly towards dung beetles. Very few of these individual chemical contaminants have been thoroughly investigated in terms of concentrations, effects and attenuation in Australian feedlot wastes.

Fate and analysis of endocrine disrupting chemicals in some sewage treatment plants in Australia.

There are limited studies on the fate and levels of endocrine disrupting chemicals in sewage treatment plants in Australia. Research undertaken in Europe and North America has shown biologically significant levels of both oestrogenic and androgenic chemicals in sewage effluent. The aim of this work was to determine the oestrogenic and androgenic activities of raw and treated sewage from sewage treatment plants run by MidCoast Water, New South Wales, Australia. Oestrogenic and androgenic activities were measured using a yeast screen bioassay. Results showed that the raw effluent contained biologically significant levels of both oestrogenic (0.58-2.91 ng/l) and androgenic (216-480 ng/l) activities. Androgenic activity was significantly higher than oestrogenic activity, which was consistent with other Australian studies and was attributed to the higher levels of androgens in domestic waste from human excretion compared to oestrogens. Secondary treatment (using activated sludge) removed the majority of the oestrogenic and androgenic activity (up to 99%). Tertiary treatment by UV removed varying levels of oestrogenic (19-69%) and androgenic (5-55%) activities. A Membrane Bioreactor (MBR) at one of the STPs, which consists of an MBR followed by electrochlorination removed over 87% of the oestrogenic activity and over 98% of androgenic activity from raw sewage samples. However, levels which could be biologically significant still remained after secondary and tertiary treatment (>0.1 ng/l oestrogenic activity and >1 ng/l androgenic activity).

Predicting fate of the contraceptive pill in wastewater treatment and discharge.

The risk of endocrine disrupters to humans and wildlife is to date poorly understood, although evidence of effects is now widespread. In understanding the risk, an important step is the determination of the partitioning, as well as chemical and biochemical transformation, of compounds in the environment, the water cycle and the food chain. This is a complex task and this paper is a first step towards estimating some of these factors from a largely theoretical approach. A chemical fate model is used to predict the fate of the contraceptive drug 17alpha-ethinylestradiol (EE2). The example of the contraceptive pill is chosen to follow the journey of the drug from human ingestion and excretion to treatment in a sewage treatment plant (STP) using fugacity-based fate models, followed by discharge into a receiving river and eventually into the estuary/sea. The model predicts how EE2 will partition into the different compartments during each stage of this journey and thereby infiltrate into the food chain. The results suggest that a person would have to ingest more than 30,000 portions of fish to consume an equivalent to a single average dose of the contraceptive pill. While this scenario is highly unlikely, the biochemical consequence of the contraceptive pill is greatly significant. Furthermore, there are many identified similarly estrogenic compounds in the environment while this study only considers one. Cumulative effects of such compounds as well as degradation into other potent compounds may be anticipated. An important message in this paper is the interrelation of wastewater effluent discharge and eventual human exposure of marginally degradable and lipophilic chemicals. While at present the main concerns regarding endocrine disrupters appear to be the fear of their occurrence in drinking water sources, it is clear that the domains of wastewater treatment and discharge, water supply and contamination of food should not be treated as separate issues. The model suggests that exposure from food (contaminated by effluent) may be much more significant than from drinking water.