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Sample records for atraumatic restorative treatment

  1. Atraumatic restorative treatment in atypical cavities

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    Letícia Simino Carvalho

    2009-10-01

    Full Text Available The atraumatic restorative treatment has been widely divulged among professionals in the area of Pediatric Dentistry. This restorative technique is included in the philosophy of Minimal Intervention and is considered one of the most conservative treatments, because only the layer of infected dentin caries is removed. Moreover, the atraumatic restorative treatment has been shown to be less painful than conventional approaches, and local anesthesia is rarely required. After the removal of the infected dentin, the cavities are filled with glass ionomer cement, a material that has antimicrobial capacity, good marginal sealing and constant fluorine release and recharge. In spite of the increasing number of studies about atraumatic restorative treatment, only studies related to restorations in occlusal cavities have shown scientific evidences about the technique. The aim of this study was to evaluate the feasibility of atraumatic restorative treatment in cavities with 3 or more surfaces involved, by means of a clinical case report of a patient with extensive dstruction in primary teeth, who was submitted to atraumatic restorative treatment, and observe the result of the treatment after one year of clinical and radiographic control.

  2. ATRAUMATIC RESTORATIVE TREATMENT – A REVIEW

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    Sangameshwar

    2013-01-01

    Full Text Available ABASTRACT: Atraumatic Restorative Treatment (ART was origina lly developed in field settings in African subcontinent (Tanzania by Univ ersity of Dar el Salaam in 1980s; subsequently World Health Organization (WHO promote s the use of ART especially with children. As the name indicates Atraumatic Restorat ive Treatment (ART is basically a minimally invasive procedure that involves removing of softened carious dentine using hand instruments and then restoring the cavity with an a dhesive material usually the Glass Ionomer Cement [1]. ART is based on the maximum preservation of sound tooth tissue and the minimum feeling of discomfort and pain, since there is use o f hand instruments it perhaps also reduces pain due to reduced vibrations as occurs while use o f rotary dental instruments. This technique is gaining popularity and acceptability especially in c hildren, elderly and with those individuals who have fear and anxiety about dental treatment [2 , 3]. ART requires use of very minimal portable dental equipment and was designed to use in field/community settings. It was developed for use in less developed countries of the world, where art was seen as an affordable option for patents who can’t afford to pay for more s ophisticated treatments, but with improved technique and use of improved restorative materials its use has considerable expanded to developed countries as well [4-6]. This article give s a brief overview of ART and its uses in the present scenario. KEY WORDS: ART = Atraumatic Restorative Technique, GIC = Glas s Ionomer Cement

  3. Acceptance and discomfort from atraumatic restorative treatment in secondary school students in Egypt.

    NARCIS (Netherlands)

    Farag, A.; Frencken, J.E.F.M.

    2009-01-01

    OBJECTIVES: To assess the level of acceptance and discomfort experienced by secondary school students when undergoing an atraumatic restorative treatment (ART) restoration. SUBJECTS AND METHODS: Ninety secondary school students, aged 14 and 15 years, were included in the study. The ART restorations

  4. Atraumatic restorative treatment and dental anxiety in outpatients attending public oral health clinics in South Africa.

    NARCIS (Netherlands)

    Mickenautsch, S.; Frencken, J.E.F.M.; Hof, M.A. van 't

    2007-01-01

    OBJECTIVES: This study was undertaken to test the hypotheses that using the atraumatic restorative treatment (ART) approach results in lower patient anxiety and that lower anxiety leads to higher restoration/extraction ratios. METHODS: The test group of dental operators (n = 9) was trained in ART Th

  5. Twenty-five-year atraumatic restorative treatment (ART) approach: a comprehensive overview

    NARCIS (Netherlands)

    Frencken, J.E.; Leal, S.C.; Navarro, M.F.

    2012-01-01

    BACKGROUND: The atraumatic restorative treatment (ART) approach was born 25 years ago in Tanzania. It has evolved into an essential caries management concept for improving quality and access to oral care globally. RESULTS: Meta-analyses and systematic reviews have indicated that the high effectivene

  6. Caries experience of Egyptian adolescents: does the atraumatic restorative treatment approach offer a solution?

    NARCIS (Netherlands)

    Mobarak, E.H.; Shabayek, M.M.; Mulder, J.; Reda, A.H.; Frencken, J.E.F.M.

    2011-01-01

    OBJECTIVES: To assess the prevalence and severity of dental caries amongst Egyptian adolescents and the prevalence of carious lesions treatable through the atraumatic restorative treatment (ART) approach. SUBJECTS AND METHODS: Using a convenient sample procedure, two secondary schools with a dental

  7. Two-year evaluation of the atraumatic restorative treatment approach in primary molars class I and II restorations

    NARCIS (Netherlands)

    da Franca, C.; Colares, V.; van Amerongen, E.

    2011-01-01

    Background.  Atraumatic restorative treatment (ART) has the advantages of reducing pain and fear and of being more cost-effective than the traditional approach. Aim.  The aim of this study was to investigate the survival of ART class I and II restorations in primary molars at 2 years. Design.  The s

  8. The atraumatic restorative treatment (ART) approach for the management of dental caries.

    Science.gov (United States)

    Smales, Roger J; Yip, Hak-Kong

    2002-06-01

    There is worldwide interest in and increasing usage of the conservative atraumatic restorative treatment technique or approach for the restoration of primary and permanent teeth. However, most published data on the clinical performance of the newer, high-strength esthetic conventional glass-ionomer restorative cements marketed for the procedure have been derived from short-term studies. There have been very few reports comparing different types of restorative materials and methods of cavity preparation. In primary teeth, after 1 year, success rates have been approximately 80% to 95% for Class I and Class V single-surface restorations, 55% to 75% for Class II multisurface restorations, and 35% to 55% for Class III and Class IV restorations. In permanent teeth, after 2 to 3 years, success rates have been approximately 90% for Class I and Class V single-surface restorations, but little data have been reported for other restoration classes. Failures usually result from restoration losses, fractures, and wear. Further improvements in the design of hand instruments and in the mechanical properties of the newer glass-ionomer cements are required. Currently, use of the atraumatic restorative treatment approach should be restricted to restoration of single-surface caries lesions, especially in permanent teeth, and to sealing of occlusal fissures in selected teeth.

  9. Twenty-five-year atraumatic restorative treatment (ART) approach: a comprehensive overview

    OpenAIRE

    Frencken, Jo E.; Leal, Soraya Coelho; Navarro,Maria Fidela

    2012-01-01

    Background The atraumatic restorative treatment (ART) approach was born 25 years ago in Tanzania. It has evolved into an essential caries management concept for improving quality and access to oral care globally. Results Meta-analyses and systematic reviews have indicated that the high effectiveness of ART sealants using high-viscosity glass ionomers in carious lesion development prevention is not different from that of resin fissure sealants. ART using high-viscosity glass ionomer can safely...

  10. Survival rate of Atraumatic Restorative Treatment (ART) restorations using a glass ionomer bilayer technique with a nanofilled coating: a bi-center randomized clinical trial

    NARCIS (Netherlands)

    Hesse, D.; Bonifácio, C.C.; Bönecker, M.; A.B. Guglielmi, C. de; da Franca, C.; van Amerongen, W.E.; Colares, V.; Raggio, D.P.

    2016-01-01

    Purpose: The high-viscosity consistency of glass ionomer cement (GIC) contributes to its inappropriate adaptation, while the material's premature exposure to humidity decreases its mechanical properties. This study's purposes were to: (1) investigate approximal atraumatic restorative treatment (ART)

  11. Two-year survival rates of proximal atraumatic restorative treatment restorations in relation to glass ionomer cements and postrestoration meals consumed

    NARCIS (Netherlands)

    Kemoli, A.M.; Opinya, G.N.; van Amerongen, W.E.; Mwalili, S.M.

    2011-01-01

    Purpose: The purpose of this study was to investigate the influence of 3 glass ionomer cement (GIC) brands and the postrestoration meal consumed on the survival rate of proximal atraumatic restorative treatment (ART) restorations. Methods: A total of 804 proximal restorations were placed in primary

  12. A field-trial of two restorative materials used with atraumatic restorative treatment in rural Turkey: 24-month results

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    Ertugrul Ercan

    2009-08-01

    Full Text Available OBJECTIVE: The purpose of this study was to investigate the clinical performance of high-strength glass ionomer cement (HSGIC and resin-modified glass ionomer (RMGIC in single and multiple surface carious cavities in the field conditions. MATERIAL AND METHODS: A split-mouth design, including ninety-one fillings placed on contra lateral molar pairs of 37 children, was used in permanent dentition. As filling materials, a HSGIC (Ketac Molar/3M ESPE and a RMGIC (Vitremer/ 3M ESPE were used with the Atraumatic Restorative Treatment (ART. Baseline and 6, 12 and 24-month evaluations of the fillings were made with standard-ART and USPHS criteria by two examiners with kappa values of 0.92 and 0.87 for both criteria. RESULTS: According to the USPHS criteria, the retention rates of RMGIC and HSGIC restorations were 100% and 80.9% for single surface, and 100% and 41.2% for multiple surface restorations after 24 months, respectively. Irrespective of surface number, RMGIC was significantly superior to HSGIC (p= 0.004, according to both standard-ART and USPHS criteria. CONCLUSION: The results indicate that RMGIC may be an alternative restorative technique in comparison to high-strength GIC applications in ART-field-trials. However, further clinical and field trials are needed to support this conclusion.

  13. Mutans streptococci strains prevalence before and after cavity preparation during Atraumatic Restorative Treatment.

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    Toi, C S; Bönecker, M; Cleaton-Jones, P E

    2003-06-01

    Critics argue that all carious dentine is not removed from the hand-prepared cavity during the Atraumatic Restorative Treatment (ART) procedure, and that the caries process is soon resumed. The aim of this study was to determine the effectiveness of ART in removing carious tissue, by investigating the numbers of mutans streptococci and lactobacilli, with emphasis on the prevalence of Streptococcus mutans and Streptococcus sobrinus strains before, and after ART treatment of dental caries. Two microbiology samples were collected. The first sample was removed from the centre of the carious lesion at the enamel-dentine junction, and the second was collected from the centre of the hard cavity wall above the pulp, after the soft infected dentine had been manually removed. A total of 71 mutans streptococci isolates from 31 children and 40 carious teeth were subcultured, biochemically characterised and genotyped by the arbitrarily primed polymerase chain reaction (AP-PCR). Results showed a significant decrease in TVC (Ppreparation. AP-PCR identified S. mutans strains that were undetectable during biotyping, and divided clinical isolates into two main clusters. In all, 63% (45/71) of isolates from the carious lesions comprised S. mutans strains. After cavity preparation, this was reduced to 35% (25/71), of which 30% (21/71) were S. mutans and the remaining 6% (4/71) S. sobrinus strains. The number of mutans streptococci strains was below detectable levels in 19 of the prepared cavities. The significant decrease in bacteria after manual cavity preparation demonstrates the reliability of a standardized ART technique, yet the presence of S. mutans strains shows that the effectiveness of the ART procedure can vary during treatment and between dental practitioners.

  14. Acceptability, feasibility and perceived satisfaction of the use of the Atraumatic Restorative Treatment approach for people with disability.

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    Molina, Gustavo Fabián; Faulks, Denise; Frencken, Joannes

    2015-01-01

    Unmet caries treatment need is prevalent among people with disability, partly due to difficulties cooperating with conventional dental treatment. This study compared Atraumatic Restorative Treatment (ART) with conventional restorative treatment (CRT) in the clinic and under general anaesthesia (GA), in terms of feasibility, acceptability and respondent satisfaction in patients referred for special care dentistry. Patients referred for dental restorative care were treated using either ART or CRT approach. Acceptance, feasibility and level of satisfaction with the treatment provided were assessed. ANOVA with Bonferroni correction and Chi-square tests investigated differences in age, gender and Visual Analogue Scale satisfaction scores. A total of 66 patients (mean 13.6 ± 7.8 years) were included and 43 respondents chose ART. ART was feasible for 47 patients, with optimal placement of restorations for 79% of all patients receiving ART. CRT in the clinic was chosen by 15 respondents and was feasible for 5 (33%). Local anaesthesia was required for 4 of the 47 patients receiving ART and for 3 of the 5 patients receiving CRT in the clinic. Neither ART nor CRT could be performed in the clinic for 14 patients who were treated under GA (21%). Respondent satisfaction was higher for those receiving ART than CRT (in the clinic and under GA). It was concluded that ART is a satisfactory, feasible, acceptable and effective approach to restorative dental treatment in patients with disability who have difficulty coping with conventional treatment. More research is now required to confirm these results in a larger study population.

  15. Acceptability, feasibility and perceived satisfaction of the use of the Atraumatic Restorative Treatment approach for people with disability

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    Gustavo Fabián MOLINA

    2015-01-01

    Full Text Available Unmet caries treatment need is prevalent among people with disability, partly due to difficulties cooperating with conventional dental treatment. This study compared Atraumatic Restorative Treatment (ART with conventional restorative treatment (CRT in the clinic and under general anaesthesia (GA, in terms of feasibility, acceptability and respondent satisfaction in patients referred for special care dentistry. Patients referred for dental restorative care were treated using either ART or CRT approach. Acceptance, feasibility and level of satisfaction with the treatment provided were assessed. ANOVA with Bonferroni correction and Chi-square tests investigated differences in age, gender and Visual Analogue Scale satisfaction scores. A total of 66 patients (mean 13.6 ± 7.8 years were included and 43 respondents chose ART. ART was feasible for 47 patients, with optimal placement of restorations for 79% of all patients receiving ART. CRT in the clinic was chosen by 15 respondents and was feasible for 5 (33%. Local anaesthesia was required for 4 of the 47 patients receiving ART and for 3 of the 5 patients receiving CRT in the clinic. Neither ART nor CRT could be performed in the clinic for 14 patients who were treated under GA (21%. Respondent satisfaction was higher for those receiving ART than CRT (in the clinic and under GA. It was concluded that ART is a satisfactory, feasible, acceptable and effective approach to restorative dental treatment in patients with disability who have difficulty coping with conventional treatment. More research is now required to confirm these results in a larger study population.

  16. Teaching atraumatic restorative treatment in U.S. dental schools: a survey of predoctoral pediatric dentistry program directors.

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    Kateeb, Elham T; Warren, John J; Damiano, Peter; Momany, Elizabeth; Kanellis, Michael; Weber-Gasparoni, Karin; Ansley, Tim

    2013-10-01

    The International Dental Federation and World Health Organization have promoted the use of Atraumatic Restorative Treatment (ART) in modern clinical settings worldwide. In the United States, the practice of ART is not believed to be widely used, which may be a result of little attention given to ART training in predoctoral pediatric dentistry curricula in U.S. dental schools. This study investigated the extent of clinical and didactic instruction on ART provided in U.S. dental schools by surveying the predoctoral pediatric dentistry programs in 2010. Of the fifty-seven directors asked to complete the survey, forty-four responded for a response rate of 77 percent. Of these forty-four programs, 66 percent reported providing clinical training on ART, though only 14 percent provide this training often or very often. The types of ART training provided often or very often included interim treatment (18 percent) and single-surface cavities (14 percent) in primary teeth. However, ART was said to be rarely taught as a definitive treatment in permanent teeth (2 percent). Attitude was a major predictor, for clinical training provided and using professional guidelines in treatment decisions were associated with a positive attitude towards ART. These predoctoral pediatric dentistry programs used ART mainly in primary, anterior, and single-surface cavities and as interim treatment. As ART increases access of children to dental care, the incorporation of the ART approach into the curricula of U.S. dental schools should be facilitated by professional organizations.

  17. Atraumatic restorative treatment - glass ionomer sealants survival after a postgraduate training program in Ecuador: 2-year follow-up

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    Edisson Lopez Rios

    2015-02-01

    Full Text Available This study aimed to evaluate the survival of atraumatic restorative treatment high-viscosity glass ionomer sealants (ART-hvGIS and its relationship with carious lesions incidence in underserved communities of Ecuador. A total of 483 first permanent molars with ART-hvGIS were included after treatment, in which fifteen students of the First Preventive Dentistry Post Graduate Program of Universidad Central del Ecuador assisted 176 schoolchildren, from 5 to 12 year-old. All the students had previously participated in a training course in ART approach. After one and two years follow-up, schoolchildren were reevaluated in relation to sealants retention and new carious lesions development. After first year of evaluation ART-hvGIS retention rate was about 30% and after second year 20%. Incidence of carious lesions was 4.0 and 3.4% after first and second periods, respectively. Although there was an extensive ART-hvGIS loss, carious lesions incidence was low in both the periods of evaluation. ART-hvGIS might be an important key to prevent tooth decay in underserved communities.

  18. The atraumatic restorative treatment (ART) strategy in Mexico: two-years follow up of ART sealants and restorations

    NARCIS (Netherlands)

    Luengas-Quintero, E.; Frencken, J.E.F.M.; Munuzuri-Hernandez, J.A.; Mulder, J.

    2013-01-01

    BACKGROUND: The massive use of preventive measures in Mexico has resulted in a large decline in dental caries over the past two decades. There does however remain a largely unmet need for restorative treatment. This paper describes the steps leading up to the adoption of a strategy, as part of gener

  19. Minimal intervention dentistry: part 5. Atraumatic restorative treatment (ART)--a minimum intervention and minimally invasive approach for the management of dental caries.

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    Holmgren, C J; Roux, D; Doméjean, S

    2013-01-01

    While originally developed in response to a need to provide effective restorative and preventive treatment in underserved communities where running water and electricity might not always be available, over the past two decades, the atraumatic restorative treatment (ART) approach has become a worldwide phenomenon; used not only in some of the poorest developing countries but also in some of the most wealthy. The ART approach involves the removal of infected dentine with hand-instruments followed by the placement of a restoration where the adjacent pits and fissures are sealed simultaneously using high viscosity glass-ionomer inserted under finger pressure. Reliable results can only be obtained if the treatment protocol, as described in this article, is closely followed. ART should be considered as a therapeutic option especially in children, anxious patients and those with special needs.

  20. Chemical and structural characterization of glass ionomer cements indicated for atraumatic restorative treatment.

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    Guedes, Orlando Aguirre; Borges, Álvaro Henrique; Bandeca, Matheus Coelho; Nakatani, Mariana Kyosen; de Araújo Estrela, Cyntia Rodrigues; de Alencar, Ana Helena Gonçalves; Estrela, Carlos

    2015-01-01

    Glass ionomer cements (GICs) are restorative materials, which clinical use has increased significantly during the last decade. The aim of the present study was to analyze the chemical constitution and surface morphology of four glass ionomer cements: Maxxion R, VitroFill, Vidrion R and Vitremer. Twelve polyethylene tubes with an internal diameter of 3 and 3 mm in length were prepared, filled and then transferred to a chamber with 95% relative humidity and a temperature of 37°C. The surface morphology of the tested materials was examined by scanning electron microscopy (SEM) and main components were investigated by energy-dispersive X-ray microanalysis (EDX). Scanning electron microscopy revealed irregular and rough external surface. Cracking was not observed. The main constituents were found to be aluminum, silicon, calcium, sodium and fluoride. Phosphorus, sulfur and barium were only observed in Vidrion R, while chlorine were only observed in Maxxion R. Elemental mapping of the outer surface revealed high concentration of aluminum and silicon. Significant irregularities on the surface of the tested materials were observed. The chemical constitution of all GIC was similar.

  1. Changes in oral health related knowledge, attitudes and behaviours following school based oral health education and atraumatic restorative treatment in rural Tanzania

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    Anne Nordrehaug Åstrøm

    2012-05-01

    Full Text Available Objectives: The following questions were addressed; to what extent is sugar consumption, tooth brushing, and oral health related attitudes and knowledge subject to change following a combined atraumatic restorative treatment (ART /oral health education (OHE program? Are changes in intended sugar avoidance associated with changes in cognitions as specified by the Theory of Planned Behaviour (TPB? Are changes in oral health related knowledge associated with changes in attitudes and oral health behaviour?Method: A total of 1306 (follow-up prevalence 73.8% primary school students in Kilwa, Tanzania completed interviews before and after a combined ART/OHE program. Post intervention at 6 months follow-up assessed changes in oral health related knowledge, attitudes, and behaviours. Complete baseline and follow-up interviews were obtained from 221 and 1085 students who received ART/OHE and OHE only at schools, respectively.Results: Improvement was obtained with attitudes towards sugar avoidance, knowledge, and tooth brushing (effect sizes in the range 0.1-0.3. Within individual changes did not differ significantly between students receiving ART/ OHE and OHE only. Change scores of intended sugar avoidance associated in the expected direction with changes in sugar consumption. Attitudes and norms with respect to sugar avoidance deteriorated and improved among subjects who respectively decreased and increased intended sugar avoidance. Tooth brushing increased in students who improved oral knowledge.Conclusion: School based ART/OHE improved pupils’ tooth brushing, knowledge, and attitudes, but had no effect on sugar consumption. This study provided support for the validity of the TPB in predicting changes in intended sugar avoidance and reported sugar intake.

  2. Atraumatic Restoration of Vertical Food Impaction with an Open Contact Using Flowable Composite Resin Aided by Cerclage Wire under Tension.

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    Li, Quan-Li; Ying Cao, Chris; Xu, Qiang-Jian; Xu, Xiao-Hua; Yin, Jia-Li

    2016-01-01

    To date, treating vertical food impaction with open contact effectively, especially with an atraumatic therapy, remains a challenge. In this study, we developed a simple, atraumatic, and economic therapeutic measure to treat vertical food impaction. The scientific rationale of our therapeutic technique is to restore an intact and firm proximal contact with proper location and form relationships to prevent forceful interproximal wedging of food, which in turn protects interdental papilla. We performed the procedure using flowable composite resin or composite resin cement with the aid of a cerclage wire under tension to rebuild the contact area. The reported method is especially useful for some challenging clinical cases, such as food impaction after crown and inlay on onlay restoration, and some conventional treatment methods, such as contouring the marginal ridge and developmental grooves, are ineffective.

  3. Atraumatic Restoration of Vertical Food Impaction with an Open Contact Using Flowable Composite Resin Aided by Cerclage Wire under Tension

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    Quan-Li Li

    2016-01-01

    Full Text Available To date, treating vertical food impaction with open contact effectively, especially with an atraumatic therapy, remains a challenge. In this study, we developed a simple, atraumatic, and economic therapeutic measure to treat vertical food impaction. The scientific rationale of our therapeutic technique is to restore an intact and firm proximal contact with proper location and form relationships to prevent forceful interproximal wedging of food, which in turn protects interdental papilla. We performed the procedure using flowable composite resin or composite resin cement with the aid of a cerclage wire under tension to rebuild the contact area. The reported method is especially useful for some challenging clinical cases, such as food impaction after crown and inlay on onlay restoration, and some conventional treatment methods, such as contouring the marginal ridge and developmental grooves, are ineffective.

  4. Atraumatic Restoration of Vertical Food Impaction with an Open Contact Using Flowable Composite Resin Aided by Cerclage Wire under Tension

    Science.gov (United States)

    Ying Cao, Chris; Xu, Qiang-Jian; Xu, Xiao-Hua; Yin, Jia-Li

    2016-01-01

    To date, treating vertical food impaction with open contact effectively, especially with an atraumatic therapy, remains a challenge. In this study, we developed a simple, atraumatic, and economic therapeutic measure to treat vertical food impaction. The scientific rationale of our therapeutic technique is to restore an intact and firm proximal contact with proper location and form relationships to prevent forceful interproximal wedging of food, which in turn protects interdental papilla. We performed the procedure using flowable composite resin or composite resin cement with the aid of a cerclage wire under tension to rebuild the contact area. The reported method is especially useful for some challenging clinical cases, such as food impaction after crown and inlay on onlay restoration, and some conventional treatment methods, such as contouring the marginal ridge and developmental grooves, are ineffective. PMID:27579217

  5. 无创伤修复技术在儿童乳牙龋治疗中的应用%Application of Atraumatic Restorative Treatment on Children Milk Teeth Caries Treatment

    Institute of Scientific and Technical Information of China (English)

    施乐; 袁爽; 吕进; 蒋炼宏

    2011-01-01

    Objective:To investigate the atraumatic restorative treatment application effect on children milk teeth caries. Methods: A total of 120 children with dental caries (227 dental caries) from June 2008 to June 2010 in our hospital were enrolled and randomly divided into observation group (60 cases, 107 dental caries) and the control group (60 cases, 110 dental caries). The observation group were treated with atraumatic restorative treatment (ART), the control group were treated with high-speed turbine drill. Cooperation and repair success rate of children were compared between the two groups. Results: Cooperation rate of the observation group (91. 7%) was significantly higher than the control group(65. 0%), the difference was statistically significant (P0. 05). Conclusions; ART operate convenient, has little damage to the tooth structure is a safe, effective treatment, worthy of further clinical application.%目的:探讨无创伤修复技术在儿童乳牙龋治疗中的应用效果.方法:选取2008年6月-2010年6月收治的乳牙龋患儿120例(227颗龋齿),按随机数字表法分为观察组(60例,107颗龋齿)和对照组(60例,110颗龋齿).观察组采用无创修复技术(ART),对照组采用高速涡轮钻.比较2组患儿治疗合作情况和修复成功率.结果:观察组合作率(91.7%)显著高于对照组(65.0%),差异有统计学意义(P<0.01);术后6个月时,观察组成功率为95.1%(97/102),对照组成功率为86.4%(89/103),两者差异有统计学意义(P<0.05);术后12个月时,观察组成功率为87.6%(85/97),对照组成功率为73.5%(72/98),两者差异有统计学意义(P<0.05);ART修复成功率:单面洞龋(97.1%)>双面洞龋(90.9%)>复面洞龋(85.7%),但3者并无显著差异(P>0.05).结论:无创伤修复技术操作方便,损伤小,患儿合作率高.

  6. 非创伤性充填技术治疗儿童龋齿的临床研究%A Clinical Study of Atraumatic Restorative Treatment(ART) in Children with Dental Caries

    Institute of Scientific and Technical Information of China (English)

    陈保兴; 康洁; 郭宁; 张少丽

    2006-01-01

    目的探讨非创伤性充填(Atraumatic restorative treatment,ART)技术充填儿童龋齿的临床操作特点、患儿的合作程度及其疗效.方法在门诊选择240例儿童患者,随机分为两组.试验组120例,男74例,女46例,总计患牙240颗,根据ART技术、用玻璃离子进行充填;对照组120例,男65例,女55例,总计患牙240颗,常规方法用银汞合金充填.上述两组患者均在治疗后1、2、3年分别进行复查,对其在治疗中的操作特点、患儿的合作程度、疗效以及患者的满意度进行评价.结果试验组临床操作简单,患儿易于接受、合作良好.试验组的1、2、3年成功率(86.25%、70.83%、65.83%)与对照组(87.92%、71.67%、66.67%)相比没有明显的差异,P>0.05.结论 ART技术临床操作简单、经济成本低、患儿易于接受、治疗效果好,是儿童龋齿充填治疗的有效方法.

  7. Compressive strength of two newly developed glass-ionomer materials for use with the Atraumatic Restorative Treatment (ART) approach in class II cavities.

    NARCIS (Netherlands)

    Koenraads, H.; Kroon, G. Van der; Frencken, J.E.F.M.

    2009-01-01

    OBJECTIVES: The null-hypotheses tested were that no difference in compressive strength of ART class II cavities exists between those restored with (1) glass-carbomer and a commonly used glass-ionomer; (2) KMEM and the commonly used glass-ionomer and; (3) glass-carbomer and KMEM. METHODS: 100 molar t

  8. EFFECT OF DAILY FLUORIDE EXPOSURE ON FLUORIDE RELEASE BY HIGH STRENGTH GLASS IONOMER RESTORATIVE MATERIAL USED WITH ATRAUMATIC RESTORATIVE TECHNIQUE: AN IN VITRO STUDY

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    Hegde Mithra N.

    2012-04-01

    Full Text Available An in-vitro study was done to evaluate the effect of fluoride exposure, fluoride release and recharging capability by High strength Glass Ionomer restorative material used with Atraumatic restorative technique. 20 specimens were divided into four groups of five specimens each. The results showed that High strength Glass ionomer cements (Fuji IX release fluoride, the greatest release takes place between 24- 48 hours.High viscous High Strength Glass ionomer cements have the ability to recharge by external sources like fluoridated dentifrices and varnishes and thus acts as a fluoride reservoir. The recommendation that individuals with a high caries rate and glass ionomer restoration should have fluoride treatment with dentifrice and varnish seems appropriate.

  9. Glass ionomer with atraumatic restorative treatment and light-cured resin sealant to the pit and fissure of deciduous teeth%玻璃离子非创伤性充填技术与光固化树脂封闭乳牙窝沟的效果观察

    Institute of Scientific and Technical Information of China (English)

    任飞; 刘建平; 黄少宏; 章锦才; 范卫华; 陈清

    2012-01-01

    目的 比较玻璃离子联合非创伤性充填技术(atraumatic restorative treatment,ART)进行窝沟封闭和光固化树脂窝沟封闭两种方法应用于幼儿乳牙的效果.方法 按自身半口随机对照的方法,采用于预试验对89名3岁幼儿左或右半口符合条件的乳磨牙进行玻璃离子联合ART窝沟封闭(ART玻璃离子组),对侧半口符合封闭条件的乳磨牙进行树脂窝沟封闭(树脂组).ART玻璃离子组共188颗牙齿,树脂组共168颗牙齿.术后记录两组的术中不适发生情况.封闭后6个月、18个月检查窝沟封闭剂的保留情况和新发龋齿情况.对结果进行统计学分析.结果 术中不适ART玻璃离子组1例,树脂组8例,两组比较差异无统计学意义(P =0.160).封闭后6个月、18个月,ART玻璃离子组的封闭物脱落率分别为5.85%、21.81%,树脂组的封闭物脱落率分别为21.43%、38.10%,6个月及18个月时,两组差异均有统计学意义(P<0.05).6个月、18个月时复查患龋率,ART玻璃离子组分别为1.60%、3.19%,树脂组分别为5.95%、5.95%.6个月时两组差异有统计学意义(P=0.029),18个月时差异无统计学意义(P =0.209).结论 玻璃离子联合ART窝沟封闭应用于幼儿乳牙时,封闭物脱落率低,术中不适少,防龋效果肯定,可在低龄幼儿防龋工作中推广.%Objective To observe the effects of traditional resin sealant and atraumatic restorative treatment (ART) , glass ionomer-based pit and fissure sealant by interference experiments for primary molars. Methods Randomized comparison method was used to compare ART glass ionomer-based pit on primary molars of one side with resin sealant on the opposite side. Results Defulvium rates; The defulvium rates of ART glass ionomer sealant after 6 and 18 months were significantly lower than those of resin sealant ( P < 0.05 ). Caries rates: The caries rate of ART glass ionomer sealant was significantly lower than that of resin sealant (P =0

  10. 高强度玻璃离子材料结合非创伤性充填技术应用于乳牙封闭防龋%High-strength glass ionomer with atraumatic restorative treatment for prevention of deciduous caries

    Institute of Scientific and Technical Information of China (English)

    任飞; 刘建平; 黄少宏; 范卫华; 陈晓春; 陈清; 李艳容

    2011-01-01

    BACKGROUND: It has been reported that glass ionomer sealants have a poor wear resistance and low rupture strength that are easy to fall off on the occlusal surfaces. OBJECTIVE: To observe the effects of high-strength glass ionomer via the atraumatic restorative treatment (ART) on the pit and fissure of deciduous teeth in the young children. METHODS: A self-controlled method was used to compare ART glass ionomer-based pit and fissure seal on unilateral molars with resin sealant on the contralateral side in 89 children aged 3 years. RESULTS AND CONCLUSION: The retention rates of ART glass ionomer sealant after 6 and 18 months were 94.15% and 77.72%, respectively. At 6 months after treatment, ART gliass ionomer sealant was more caducous in mandibular second deciduous molars > mandibular first deciduous molars > maxillary second deciduous molars > maxillary first deciduous molars; at 18 months after treatment, the rank was mandibular second deciduous molars > maxillary second deciduous molars > mandibular first deciduous molars > maxillary first deciduous molars. The second deciduous molar of the lower mandible, but the caducous position of resin sealant was the second deciduous molar of the upper mandible. The caries prevalence rate of the deciduous teeth treated with ART glass ionomer sealant was significantly lower than that without sealant at 6 and 18 months (P 下颌第一乳磨牙>上颌第二乳磨牙>上颌第一乳磨牙,18个月时牙位脱落率:下颌第二乳磨牙>上颌第二乳磨牙>下颌第一乳磨牙>上颌第一乳磨牙.非创伤性充填技术下玻璃离子封闭的乳牙患龋率远低于未作封闭的乳牙,6,18个月时差异均有显著性意义(P < 0.01).提示非创伤性充填技术下高强度玻璃离子窝沟封闭在幼儿乳牙中的脱落率低,操作简单,防龋效果肯定.

  11. 乳磨牙龋非创伤性修复技术应用%Application of Milk Teeth Caries Atraumatic Restorative Technique

    Institute of Scientific and Technical Information of China (English)

    王萍

    2015-01-01

    目的:探讨乳磨牙龋非创伤性修复技术应用。方法随机选取2012年1月~2014年12月我院收治的双侧同名乳磨牙龋患儿50例,共100颗牙齿,根据患儿就诊时间先后,分为对照组与观察组,每组25例,给予观察组患儿乳磨牙龋非创伤性修复技术治疗,给予对照组患儿纳米树脂填充治疗,随访比较两组患儿6个月后、1年及2年后治疗的成功率。结果观察组患儿6个月、1年及2年成功率分别为96%、88%及84%高于对照组6个月、1年及2年后成功率88%、72%及68%,存在差异(P<0.05),具有统计学意义。结论给予乳磨牙龋患儿ART技术治疗,临床疗效显著。%Objective To explore carious primary molars atraumatic restorative technique.Methods Randomly selected period January 2012~December 2014 bilateral namesake milk teeth caries in our hospital, 50 cases of children, a total of 100 teeth, according to the chronological treatment of children, divided into a control group and the observation group, each 25 patients given observation group of children in primary molars caries atraumatic restorative treatment of given group of children routine nano resin iflling treatment, follow-up between the two groups of children 6 months, 1 year and 2 years after treatment success rate.Results The study group of children 6 months, 1 year and 2 harvest power were 96%, 88% and 84% was signiifcantly higher than 6 months, 1 year and 2 years after the success rate was 88%, 72% and 68%, the difference was significantly (P<0.05), with statistical significance.Conclusion To give children with milk teeth caries (ART) treatment, signiifcant clinical effect.

  12. Microperforation prolotherapy: a novel method for successful nonsurgical treatment of atraumatic spontaneous anterior sternoclavicular subluxation, with an illustrative case

    Directory of Open Access Journals (Sweden)

    Stein A

    2011-06-01

    Full Text Available Alvin Stein1, Scott McAleer2, Marty Hinz31Stein Orthopedic Associates, PA, Plantation, FL, USA; 2University of Central Florida, Orlando, FL, USA; 3Clinical Research, Neuroresearch Clinics, Inc, Cape Coral, FL, USABackground: Surgical repair of an atraumatic spontaneous anterior subluxation of the sternoclavicular joint (herein referred to as the “SCJ” is often associated with poor outcome expectations. With traditional treatment, successful conservative therapy usually incorporates major lifestyle alterations. This manuscript discusses a novel approach known as “microperforation prolotherapy”. To illustrate the technique, the care of a patient who benefitted from this treatment is reviewed.Purpose: To present a novel form of treatment with an illustrative case that demonstrates the potential efficacy of microperforation prolotherapy of the SCJ.Patient and methods: A novel approach to treatment of bilateral subluxation of the sternoclavicular joint with microperforation prolotherapy is discussed. The clinical course of a 21-year-old male with bilateral subluxation of the SCJ, which seriously hampered the patient's athletic and daily living activities, is used as a backdrop to the discussion.Results: Following microperforation prolotherapy, the instability of the SCJ was replaced by full stability, complete range of motion, and the opportunity to engage in all of the athletic endeavors previously pursued. There is no scar or other cosmetic defect resulting from the treatment received.Conclusion: Anterior sternoclavicular joint subluxation has a poor record of complete recovery with surgical procedures or conservative measures with regard to providing restoration of full lifestyle function. This manuscript documents a novel microperforation prolotherapy treatment that induced healing and restored full stability to the ligament structures responsible for the condition in a completely safe and effective fashion, allowing the patient to resume

  13. Atraumatic intracapsular neck of femur fractures after prolonged bisphosphonate treatment: a new atypical variant?

    Science.gov (United States)

    Khan, Sameer Khalid; Savaridas, Terence; Hemers, Jennifer S.; Maarouf, Zouheir; Orgee, Jane M.; Orr, Michael M.

    2016-01-01

    Summary We present 2 cases of elderly females presenting with atraumatic, near-vertical (Pauwells grade 3), intracapsular neck of femur fractures. Following diagnosis of osteoporosis on DEXA scans, they had received alendronic acid for 7 and 10 years respectively. Routine blood tests and serum estimations of calcium, vitamin-D and thyroid-stimulating hormone, done at admission, were within the normal ranges. These patients were managed with a hemiarthroplasty and a dynamic hip screw (DHS) respectively, following discontinuation of bisphosphonates. We present these 2 cases in light of emerging evidence that associates long-term bisphosphonate use with atypical low energy femoral fractures. Only subtrochanteric/diaphyseal fractures have been reported to date. We present a new variant of atypical femoral neck fractures in metaphyseal bone related to prolonged bisphosphonate therapy. PMID:27252743

  14. Atraumatic First Rib Fracture

    Directory of Open Access Journals (Sweden)

    Koray Aydogdu

    2014-12-01

    Full Text Available Rib fractures are usually seen after a trauma, while atraumatic spontaneous rib fractures are quite rare. A first rib fracture identified in our 17 years old female patient who had not a history of trauma except lifting a heavy weight was examined in details in terms of the potential complications and followed-up for a long time. We presented our experience on this case with atraumatic first rib fracture that has different views for the etiology in light of the literature.

  15. Amalgam and ART restorations in children: a controlled clinical trial

    NARCIS (Netherlands)

    Amorim, R.G. de; Leal, S.C.; Mulder, J.; Creugers, N.H.J.; Frencken, J.E.F.M.

    2014-01-01

    OBJECTIVES: The aims of this study were to compare 2-year cumulative survival rates of amalgam and atraumatic restorative treatment (ART) restorations in primary molars and to investigate the determinants of the survival rate of restorations. MATERIALS AND METHODS: A controlled clinical trial using

  16. Adequacy of the Oral Environment Through the Atraumatic Restoration Treatment in HIV Infected Pediatric Patients

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    Pierangelo Ruffier PAGANI

    2007-03-01

    Full Text Available Objective: To describe the procedures done in children infected with the HIV and to assess the effectiveness of care of the oral cavity by comparison of the levels of Streptococcus mutans and Lactobacillus. Method: Consisted of the sealing of cavities, instructing oral hygiene, supervising and improving the brushing techniques already in use, nutritional counseling for children and their caretakers, and fluoride therapy. Outpatient children from de immunology department of the University Hospital Gafrée e Guinle (UNI-RIO were selected for this study. Children had different levels of immunosupression categorized as severe (50.0%, moderate (33.0% and none (17.0%. Results: The results demonstrated that all children had salivary flow below 0,7ml/min. As for the counting of S. mutans and Lactobacillus, 33.0% kept the same numbers found in the first colonies/ml count. This was due to the presence of radicular remains which constitute an ideal medium for the proliferation of such organisms. There was a decrease in the number of colonies/ml in 67.0% of the children when the second count was made. Conclusion: The procedures carried out were effective in diminishing the number of colonies/ml of S. Mutans and Lactobacilli in the mouths of the target population, thus improving their health. This research intends to present with a protocol description in the odontological care of pediatric patients infected with the HIV and suggests that new studies with a larger population in order to confirm the findings.

  17. Spontaneous Atraumatic Mediastinal Hemorrhage

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    Morkos Iskander BSc, BMBS, MRCS, PGCertMedEd

    2013-04-01

    Full Text Available Spontaneous atraumatic mediastinal hematomas are rare. We present a case of a previously fit and well middle-aged lady who presented with acute breathlessness and an increasing neck swelling and spontaneous neck bruising. On plain chest radiograph, widening of the mediastinum was noted. The bruising was later confirmed to be secondary to mediastinal hematoma. This life-threatening diagnostic conundrum was managed conservatively with a multidisciplinary team approach involving upper gastrointestinal and thoracic surgeons, gastroenterologists, radiologists, intensivists, and hematologists along with a variety of diagnostic modalities. A review of literature is also presented to help surgeons manage such challenging and complicated cases.

  18. Effectiveness of single-surface ART restorations in the permanent dentition: a meta-analysis.

    NARCIS (Netherlands)

    Frencken, J.E.F.M.; Hof, M.A. van 't; Amerongen, W.E. van; Holmgren, C.J.

    2004-01-01

    Over the past few years, there has been an increase in the number of studies reporting on various aspects of the Atraumatic Restorative Treatment (ART) approach. Five randomized clinical trials in which ART restorations with glass ionomers were compared with amalgam restorations in permanent teeth f

  19. Influence of the cavity-size on the survival rate of proximal ART restorations in primary molars

    NARCIS (Netherlands)

    A.M. Kemoli; W.E. van Amerongen

    2009-01-01

    Aim.  To evaluate the influence of the size of proximal cavities on the survival rate of the atraumatic restorative treatment (ART) restorations. Design.  A total of 804 children, aged 6-8 years, from a low socio-economic community, with an ART restorable proximal carious lesion in their primary mol

  20. Two years survival rate of class II composite resin restorations prepared by ART with and without a chemomechanical caries removal gel in primary molars.

    NARCIS (Netherlands)

    Topaloglu-Ak, A.; Eden, E.; Frencken, J.E.F.M.; Oncag, O.

    2009-01-01

    The aim was to test the null hypotheses that there is no difference: (1) in carious lesion development at the restoration margin between class II composite resin restorations in primary molars produced through the atraumatic restorative treatment (ART) with and without a chemomechanical caries remov

  1. Survival of ART and amalgam restorations in permanent teeth of children after 6.3 years.

    NARCIS (Netherlands)

    Frencken, J.E.F.M.; Taifour, D.; Hof, M.A. van 't

    2006-01-01

    The null hypothesis tested was that there is no difference in the survival percentages of all restorations placed through the Atraumatic Restorative Treatment (ART) approach, with high-viscosity glass ionomer, and those produced through the traditional approach, with amalgam (TA), in the permanent d

  2. The dilemma of selecting suitable proximal carious lesions in primary molars for restoration using ART technique

    NARCIS (Netherlands)

    Kemoli, A.M.; van Amerongen, W.E.

    2011-01-01

    OBJECTIVE: To determine the examiner's accuracy in selecting proximal carious lesions in primary molars for restoration using the atraumatic restorative treatment (ART) approach. BASIC RESEARCH DESIGN: Intervention study. CLINICAL SETTING AND PARTICIPANTS: A total of 804 six to eight year-olds from

  3. Restoration of primary anterior teeth: review of the literature.

    Science.gov (United States)

    Lee, Jacob K

    2002-01-01

    This paper reviews the published data on restorations of primary anterior teeth. The discussion includes Class III restorations, Class V restorations, various forms of full coronal restorations, atraumatic restorative technique (ART) and recommendations for future research.

  4. Pulp response in primary teeth with deep residual caries treated with silver fluoride and glass ionomer cement ('atraumatic' technique)

    Science.gov (United States)

    Gotjamanos, T

    1996-10-01

    Histological assessment of the dental pulps of 55 carious primary teeth was carried out 3 to 58 months after treatment by the 'atraumatic' technique involving application of 40 per cent silver fluoride to residual caries followed by restoration with glass ionomer cement. Fifty of the 55 teeth examined showed a favourable pulpal response, inducing presence of abundant reparative dentine and a wide odontoblast layer. Histological comparisons were made between these teeth and others not treated with silver fluoride but restored with glass ionomer cement, amalgam or zinc oxide and eugenol. Possible mechanisms of the action of silver fluoride in arresting residual caries are discussed. The question of whether or not treatment of carious dentine with silver fluoride represents a biologically acceptable clinical procedure cannot be answered on the basis of pulpal histology alone. The very high concentration of fluoride in commercial preparations of silver fluoride raises several questions concerning its clinical safety.

  5. Oral environment control before restorative treatment

    Directory of Open Access Journals (Sweden)

    Ian Matos Vieira

    2008-01-01

    Full Text Available The aim of the present study was to describe caries disease treatment, by means of a clinical case report, with a view to promoting the patient’s health before definitive restorative treatments, considering that treatment should include changes in the patient’s dietary and hygiene habits, and not be restricted only to restoring lesions, as well as the establishment of an individualized treatment plan for each patient. Iodine-based antimicrobial solution was applied, instructions about oral hygiene and dietary habit changes were provided. The stepwise excavation technique was performed in tooth 15, mass excavation followed by the application of glass ionomer cement in the other teeth that presented carious lesions. White stain lesions were remineralized, and cicatrizes and fissures in the posterior teeth were sealed. After health was reestablished, the temporary restorations were replaced by definitive restorations. Changes in the treatment philosophy of caries disease, based on changes in the patient’s habits and removal of foci of infection have been presented with the object of producing an effective change in this paradigm, in order to increase the longevity of teeth with less operative intervention.

  6. Application of Laser Irradiation for Restorative Treatments

    Science.gov (United States)

    Davoudi, Amin; Sanei, Maryam; Badrian, Hamid

    2016-01-01

    Nowadays, lasers are widely used in many fields of medicine. Also, they can be applied at many branches of dental practice such as diagnosis, preventive procedures, restorative treatments, and endodontic therapies. Procedures like caries removal, re-mineralization, and vital pulp therapy are the most noticeable effects of laser irradiation which has gained much attention among clinicians. With controlled and appropriate wavelength, they can help stimulating dentinogenesis, controlling pulpal hemorrhage, sterilization, healing of collagenic proteins, formation of a fibrous matrix, and inducing hard tissue barrier. Nevertheless, there are many controversies in literatures regarding their effects on the quality of bonded restorations. It hampered a wide application of lasers in some aspects of restorative dentistry and requirements to identify the best way to use this technology. The aim of this mini review is to explain special characteristics of laser therapy and to introduce the possible applications of laser devices for dental purposes. PMID:27990188

  7. The impact of the ART approach on the treatment pattern in a public oral health service in South Africa

    NARCIS (Netherlands)

    Mickenautsch, S.

    2007-01-01

    The Atraumatic Restorative Treatment (ART) approach stands for restoring and preventing carious lesions in tooth surfaces without the use of the drill. It was introduced in South Africa in 1996 and adopted by all dental schools. However, no information was available on the introduction of ART into p

  8. Enamel hypoplasia: challenges of esthetic restorative treatment.

    Science.gov (United States)

    Ruschel, Vanessa Carla; Araújo, Élito; Bernardon, Jussara Karina; Lopes, Guilherme Carpena

    2016-01-01

    Enamel defects, such as white or yellow-brown spots, usually cause problems that are more esthetic than functional. Enamel hypoplasia may be the result of hereditary, systemic, or local factors. Dental trauma is a local etiologic factor. It is relatively common in the primary dentition and can cause defects on the surface of permanent successors. Treatment for such defects can differ, depending on the depth of the spots. For deeper white-spot lesions, a composite resin restoration may be necessary. This is an excellent mode of treatment, due to both its low cost and its conservation of healthy tooth structure. The objective of this case report is to describe composite resin restoration of a maxillary central incisor affected by enamel hypoplasia.

  9. EFEKTIFITAS PENCEGAHAN KARIES DENGAN A TRAUMATIC RESTORATIVE TREATMENT DAN TUMPATAN GLASS IONOMER CEMENT DALAM PENGENDALIAN KARIES DI BEBERAPA NEGARA

    Directory of Open Access Journals (Sweden)

    Magdarina Destri Agtini

    2012-12-01

    Full Text Available Worldwide caries is still mainly problem in oral and dental diseases. In developing countries 30%-90% of 12-years old children do not get oral and dental treatment. In Indonesia, several programs have been implemented to improve oral and dental health status for all age groups. How over, a few reports/National dental health profile showed that mean DMF-T tend to increase, year 1970 DMF-T=0,70, 1980 DMF-T= 2,30, 1990 DMF-T=2,70, and National Health Research (Riskesdas 2007 DMFT=4,8. In National Health Research 2007, it was revealed 29,8% of active caries found in 12-years old children. If the active caries are not managed further complication will occure that may cause teeth extraction. An early teeth extraction can influence mastication and general health. Atraumatic Restorative Treatment (ART is a preventive and restorative approach for managing carious lesions ofthe teeth. It constitutes of hand instruments only (no electric drills used for widening cavity openings and for excavating soft decayed tissue from within the cavity, followed by the application of an adhesive dental material, usually a high-viscosity glass-ionomer (GIC filling material, into the cavity and over the adjacent pits and fissures. ART-GIC consepts are minimally invasive, inhibit further progression ofdental caries., preventive, as well as curative. Effectiveness of ART-GIC can be determined by successrate of ART-GIC fillings (F and effect of ART-GIC on both Decayed (D and Performance Treatment Index (PTI. Several studies showed that success rate ART-GIC are varies, around 71%-85%. There is no significant difference of success rate ART-GIC between dentis and dental nurses. The highest rate of Fluor release occurred on the first day after ART-GIC filling. Further more ART-GIC also inhibit new caries, as well as inhibit increased DMF-T. The increasing of F, may influence improvement of PTI (PTI around 50%-52%. Additional can improve dental health services. It is suggested

  10. ATRAUMATIC SURGICAL EXTRUSION OF COMPLETE CROWN FRACTURED TOOTH USING PERIOTOME IN ESTHETIC ZONE: REPORT OF THREE CASES

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    Prashant

    2014-06-01

    Full Text Available BACKGROUND: Restoring traumatically injured teeth is a clinical challenge and often requires a multidisciplinary approach for predictable esthetic outcome. Although a number of techniques have been proposed for clinical crown lengthening procedures, all have some limitations in terms of function and esthetic. AIM: This report presents the clinical and radiographic results of surgical extrusion technique for clinical crown lengthening. MATERIAL & METHODS: Atraumatic surgical extrusion using a specially designed instrument (Periotome was performed in three cases in which it was expected that extensive respective osseous surgery would have to be used for crown lengthening. After luxation the teeth were extruded to the desired position and stabilized with sutures without rigid splinting. Two months after stabilization the teeth were treated by root canal treatment and firmly restored after 4months. RESULTS: Clinical examination performed after 6 months revealed probing depth ≤3mm around the teeth at all sites without bleeding on probing. Radiographs showed normal periodontal contour with new bone formation in periapical region without any evidence of root or crestal bone resorption or endodontic problems. CONCLUSION: The outcome of the treatment within a short duration has very good results without any esthetic and functional deformities.

  11. Sealing occlusal caries lesions in adults referred for restorative treatment

    DEFF Research Database (Denmark)

    Bakhshandeh, Azam; Qvist, Vibeke; Ekstrand, Kim R

    2012-01-01

    treatment by senior lecturers at School of Dentistry, Copenhagen, Denmark were included. In case the patient had more than one occlusal caries lesion, randomization between sealing and restoration was made; otherwise, the lesion was sealed. In total, 60 resin sealants and 12 composite restorations were made...

  12. Sonosurgery for atraumatic tooth extraction: a clinical report.

    Science.gov (United States)

    Papadimitriou, Dimitrios E V; Geminiani, Alessandro; Zahavi, Thomas; Ercoli, Carlo

    2012-12-01

    The preservation of an intact labial plate during tooth extraction is a critical determinant of whether an immediate implant can be placed and is also an important predictor of the esthetic result. The purpose of this clinical report was to present a method for atraumatic tooth extraction by using an air-driven sonic instrument with specially designed inserts. This surgical technique provides the clinician with an efficient method for atraumatic tooth extraction and preservation of an intact labial plate.

  13. Atraumatic femoral neck fracture secondary to prolonged lactation induced osteomalacia

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    Dhammapal Sahebrao Bhamare

    2013-01-01

    Full Text Available Presenting a case of atraumatic fracture neck femur secondary to 2 years of prolonged lactation. A 26-year-old lactating mother presented with pain in left hip from last 12 months. She was apparently alright before and during pregnancy. Plain radiograph showed a complete undisplaced fracture of femoral neck. Osteomalacia was diagnosed by radiological and serological investigations. The fracture was fixed using AO type cannulated cancellous screws. The fracture showed good clinical and radiological union at 3 months. Literature review shows that this is a first case of atraumatic fracture of neck femur due to prolonged lactational osteomalacia. It showed that even apparently healthy Indians are susceptible to osteomalacia, more so during pregnancy and lactation and can be presented as atraumatic fracture. Although considered relatively stable, a compression type incomplete fracture neck femur may progress to a complete fracture if not treated in time.

  14. Orthodontic treatment in adults: restoring smile esthetics

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    Leopoldino Capelozza Filho

    2012-10-01

    Full Text Available INTRODUCTION: The search for orthodontic treatment by adult patients is increasing. This demand may be explained by many reasons, but the most important was the change in the concept of normality, allowing the selection of simpler and more conservative and consistent therapeutic objectives. This conceptual evolution, combined with the technological advances allowed an improvement in orthodontic management, making it more effective, fast and comfortable. The promotion of awareness of the society on the advantages of this treatment and the increase in esthetic demands, with an increasingly longer and active social, affective and professional life, creates a context in which the need for Orthodontics is absolutely established for the adult individuals. OBJECTIVE: The objective of this article is to report the nuances in diagnosis and orthodontic treatment of an adult patient, in a different perspective. Within this approach, the objective is to recover the shape, i.e. to establish occlusal conditions that would probably be present if the patient had been assisted at the proper time, namely during growth and tooth irruption.INTRODUÇÃO: a procura de tratamento ortodôntico por pacientes adultos é cada vez maior. Essa demanda pode ser justificada por vários fatores, mas o mais relevante foi a mudança do conceito de normal, permitindo a opção por metas terapêuticas mais conservadoras, simples e consistentes. Essa evolução conceitual, mais os avanços tecnológicos, permitiram melhora no manejo ortodôntico, tornando-o mais efetivo, rápido e confortável. A conscientização, por parte da sociedade, das vantagens desse tratamento e o aumento da exigência estética entre os adultos, com uma vida social, afetiva e profissional cada vez mais longa e ativa, cria um contexto onde fica absolutamente estabelecida a necessidade de uma Ortodontia para os indivíduos adultos. OBJETIVO: o objetivo desse artigo foi relatar as nuances de diagnóstico e

  15. The influence of hyperthyroidism on implant restoration treatment outcome

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    Suhandi Sidjaja

    2006-09-01

    Full Text Available There is limited information about bone implant restoration treatment on edentulous patient with hyperthyroidism. This clinical report is presenting the making of dental bone implant restoration on patient with hyperthyroidism history. A 60 years old male patient with hyperthyroidism came to Prosthodontic Clinic Faculty of Dentistry University of Indonesia to improve his ailing denture. After comprehensive evaluation we treated the patient with Implant-Tissue-Supported Overdenture (4 Implants for rehabilitating upper edentulous jaw, and 2 Implant-Tooth-Supported Fixed Partial Denturesfor rehabilitating Kennedy class II lower edentulous jaw respectively. Short term clinical and radiographic evaluation based on Buser’s criteria showed positive result. (Med J Indones 2006; 15:191-5Keywords: Hyperthyroidsm, implant restoration

  16. The impact of restorative treatment on tooth loss prevention

    Directory of Open Access Journals (Sweden)

    Caldas Junior Arnaldo de França

    2003-01-01

    Full Text Available A cross-sectional study was carried out to analyze tooth loss resulting from caries in relation to the number of times the extracted tooth had been restored, the type of caries diagnosed (primary or secondary, and socioeconomic indicators of patients from the city of Recife, Brazil. Ten public health centres and ten centres associated with health insurance companies were randomly selected. The size of the sample was calculated using a standard error of 2.5%. A confidence interval of 95% and a 50% prevalence of reasons for extractions were used for calculating the sample. The minimum size of the sample for meeting these requirements was 381 patients. Patients were randomly selected from the list of adults registered at each centre. A total of 410 patients were invited to take part in the study. The response rate was 100%, but 6 patients were excluded due to incompleteness of data in the questionnaire applied. An assessment was made to obtain the number of decayed, missing or filled teeth (DMFT index and the reasons for extraction. The results showed a highly significant (p < 0.001 relationship between the number of times the tooth indicated for extraction had been restored and the reason for extraction being caries. Furthermore, the majority of teeth extracted due to caries had been restored two or more times. A highly statistically significant association was also observed between one indicator of use of dental services (F/DMFT and extraction due to caries (p < 0.001. The findings questioned the belief that tooth loss can be prevented in the general population by merely providing restorative treatment.

  17. Crown lengthening and restorative treatment in mutilated molars.

    Science.gov (United States)

    Parashis, A; Tripodakis, A

    1994-03-01

    Crown lengthening has been advocated as a treatment modality to restore teeth with a clinical crown reduced subsequent to different kinds of trauma. Multirooted teeth, however, present certain anatomic features, such as the furcation area and corresponding interradicular bone, the retromolar area, and the external oblique ridge, that may limit the possibility for soft tissue and bone reduction and minimize the effectiveness of crown-lengthening procedures. This article describes surgical modifications to overcome the anatomic difficulties that multirooted teeth present when crown lengthening is required. Furthermore, root resection is discussed as an alternative to conventional surgery when the latter is not possible.

  18. Treatment of "non-restorable" teeth. A case report.

    Science.gov (United States)

    Donly, K J

    1991-08-01

    The purpose of this article is to present a case report of the dental care for permanent teeth that were originally considered "non-restorable". The temporary placement of stainless steel crowns was completed, followed by traditional endodontic therapy. The crowns were used as build-up matrices, access being prepared in the occlusal of the crown. Glass ionomer silver was then placed, followed by marginal finishing. Although this report is an isolated case, and is considered as temporary treatment, there may be indications to consider this technique for clinical care, on an individual basis.

  19. Spontaneous atraumatic dislocation of sternoclavicular joint in Reiter's syndrome

    Institute of Scientific and Technical Information of China (English)

    Vijay Kumar Digge; Sanjay Meena; Sheh Alam Khan; Ravi Mittal

    2012-01-01

    Reactive arthritis or Reiter's syndrome characteristically affects the joint of the lower limb in an asymmetrical pattern.Usually it does not affect the axial skeleton or upper limbs.Although cases of atraumatic atlantoaxial subluxations have been reported,no case of spontaneous sternoclavicular dislocation in Reiter's syndrome has been reported.This paper describes a case of a 26 year old male patient who developed a spontaneous posterior sternoclavicular joint dislocation.No attempt of reduction was made and the patient was managed conservatively with good results.

  20. Surgical ventricular restoration for the treatment of heart failure.

    Science.gov (United States)

    Buckberg, Gerald; Athanasuleas, Constantine; Conte, John

    2012-12-01

    Heart failure (HF) is an emerging epidemic affecting 15 million people in the USA and Europe. HF-related mortality was unchanged between 1995 and 2009, despite a decrease in the incidence of cardiovascular disease. Conventional explanations include an aging population and improved treatment of acute myocardial infarction and HF. An adverse relationship between structure and function is the central theme in patients with systolic dysfunction. The normal elliptical ventricular shape becomes spherical in ischemic, valvular, and nonischemic dilated cardiomyopathy. Therapeutic decisions should be made on the basis of ventricular volume rather than ejection fraction. When left ventricular end-systolic volume index exceeds 60 ml/m², medical therapy, CABG surgery, and mitral repair have limited benefit. This form-function relationship can be corrected by surgical ventricular restoration (SVR), which returns the ventricle to a normal volume and shape. Consistent early and late benefits in the treatment of ischemic dilated cardiomyopathy with SVR have been reported in >5,000 patients from various international centers. The prospective, randomized STICH trial did not confirm these findings and the reasons for this discrepancy are examined in detail. Future surgical options for SVR in nonischemic and valvular dilated cardiomyopathy, and its integration with left ventricular assist devices and cell therapy, are described.

  1. Dentin Pre-Treatment to Suppress Microleakage of Amalgam Restorations

    Directory of Open Access Journals (Sweden)

    Yosi Kusuma Eriwati Arianto

    2015-10-01

    Full Text Available Diminished microleakage of amalgam-to-dentin preparations would benefit large populations in public health facilities. Prior studies demonstrated less microleakage for bonded amalgams than similarly bonded advanced composites among 30 different composite/bonding agent/storage conditions, Haller et al. showed that a combination of formaldehyde pre-treatment and glutaraldehyde-containing Syntac adhesive minimized microleakage. In the current study, CLass V restorations (groups of 10 formaldehyde-treated non carious human molars were filled with Valiant (Ivoclar NA amalgam after application of one of three liners: Copalite varnish; Amalagambond Plus with microfiber; and Syntac/Variolink. The control group used no liner material. After 24 hours at 37°C/100% RH, samples were thermocycled (1000 eyeles in water at 5°C and 60°C (15 second dwell time in each. Samples were immersed in 5% methylene blue solution (4 hrs and observed under a stereomicroscope; interfaces also were examined by SEM. Krsukal Wallis ANOVA by ranks (P<0.01 and Mann Whitney U Tests (P<0.05 of the data indicate improvements (equivalent among the 3 different liners tested here over unlined amalgam preparations. Liner/aldehyde-crosslinked dentin interphases, without technique-sensitive composites, may minimize microleakage by improving amalgam contact (physical bonding.

  2. Restoration treatments in urban park forests drive long-term changes in vegetation trajectories.

    Science.gov (United States)

    Johnson, Lea R; Handel, Steven N

    2016-04-01

    Municipalities are turning to ecological restoration of urban forests as a measure to improve air quality, ameliorate urban heat island effects, improve storm water infiltration, and provide other social and ecological benefits. However, community dynamics following urban forest restoration treatments are poorly documented. This study examines the long-term effects of ecological restoration undertaken in New York City, New York, USA, to restore native forest in urban park natural areas invaded by woody non-native plants that are regional problems. In 2009 and 2010, we sampled vegetation in 30 invaded sites in three large public parks that were restored 1988-1993, and 30 sites in three large parks that were similarly invaded but had not been restored. Data from these matched plots reveal that the restoration treatment achieved its central goals. After 15-20 years, invasive species removal followed by native tree planting resulted in persistent structural and compositional shifts, significantly lower invasive species abundance, a more complex forest structure, and greater native tree recruitment. Together, these findings indicate that successional trajectories of vegetation dynamics have diverged between restored forests and invaded forests that were not restored. In addition, the data suggest that future composition of these urban forest patches will be novel assemblages. Restored and untreated sites shared a suite of shade-intolerant, quickly-growing tree species that colonize disturbed sites, indicating that restoration treatments created sites hospitable for germination and growth of species adapted to high light conditions and disturbed soils. These findings yield an urban perspective on the use of succession theory in ecological restoration. Models of ecological restoration developed in more pristine environments must be modified for use in cities. By anticipating both urban disturbances and ecological succession, management of urban forest patches can be

  3. Tualatin River - Chicken Creek Pre-Restoration Invasive Plant Treatment

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Tualatin River NWR’s CCP identifies a preferred alternative for site restoration on a 160-acre segment of floodplain located on the Atfalat’I Unit that is...

  4. Treatment of 1 500 cases of peripheral facial paralysis with constant magnetic aerobic atraumatic method along meridian%恒磁有氧循经无创治疗周围性面神经麻痹1500例

    Institute of Scientific and Technical Information of China (English)

    李平; 袁杰; 杨亚宁

    2005-01-01

    BACKGROUND: Peripheral facial paralysis is treated at present only with traditional traumatic methods, such as acupuncture, moxibustion,needling with physical therapy, point-injection, thread burial therapy,scraping therapy, etc. Those methods do not act directly on the lesion of facial nerve and they are long in duration of treatment and low in curative rate. The constant magnetic aerobic atruamatic method along meridian just makes up the shortcoming of the traditional therapies.OBJECTIVE: To observe the therapeutic effects of constant magnetic aerobic atruamatic method along meridian on treatment of peripheral facial paralysis.DESIGN: Case analysis.SETTING: Department of Facial Paralysis, College of Stomatology, Fourth Military Medical University of Chinese PLA.PARTICIPANTS: Totally 1 500 cases of first diagnosed peripheral facial paralysis were employrd in 18 provinces and autonomic regions in China from June 1998 to June 2004, of which, 935 cases were male and 565 cases female. Of 103 cases were aged varied from 1.5 to 19 years, 1 105 cases from 20 to 50 years and 292 cases from 51 to 74 years. Of 672 cases were left palsy and 828 cases were right palsy. The duration of sickness was varied from 1 day to 40 years.METHODS: Constant magnetic aerobic therapy for 20 minutes was applied on facial-palsy effective points for all of cases [No.1 point: in the depression inferior to mastoid process behind ear lobe on the affected side,corresponding to the mastoid foramen, from which, the facial nerve emerges. No.2 point: on the arch top of mastoid process behind ear lobe on the affected side. No.3 point: about 3.33 cm (1 cun) above No.1 point. No.4: in the conjunction between the point about 0.5 cm posterior to the external auricular tract and the one 0.5 cm inferior to helix cms. No.5 point:about 1 cun anterior to ear apex. No.6 point: on the top of the upper border of helix on the affected side] and supplementary points [Qianzheng (Extra),Dicong (ST 4), bilateral Hegu

  5. Cleidocranial Dysplasia Case Report: Remodeling of Teeth as Aesthetic Restorative Treatment

    OpenAIRE

    Leonardo Fernandes da Cunha; Isabela Maria Caetano; Fernando Dalitz; Carla Castiglia Gonzaga; José Mondelli

    2014-01-01

    Cleidocranial dysplasia (CCD), is an autosomal dominant disorder with a prevalence of 1 in 1,000,000 individuals. It is generally characterized by orofacial manifestations, including enamel hypoplasia, retained primary teeth, and impacted permanent and supernumerary teeth. The successful treatment involving a timing intervention (orthodontic-maxillofacial surgeons-restorative) is already described. However, the restorative treatment might improve the aesthetic final result in dentistry manage...

  6. Two years survival rate of class II composite resin restorations prepared by ART with and without a chemomechanical caries removal gel in primary molars.

    Science.gov (United States)

    Topaloglu-Ak, Asli; Eden, Ece; Frencken, Jo E; Oncag, Ozant

    2009-09-01

    The aim was to test the null hypotheses that there is no difference: (1) in carious lesion development at the restoration margin between class II composite resin restorations in primary molars produced through the atraumatic restorative treatment (ART) with and without a chemomechanical caries removal gel and (2) in the survival rate of class II composite resin restorations between two treatment groups after 2 years. Three hundred twenty-seven children with 568 class II cavitated lesions were included in a parallel mouth study design. Four operators placed resin composite (Filtek Z 250) restorations bonded with a self-etch adhesive (Adper prompt L pop). Two independent examiners evaluated the restorations after 0.5, 1, and 2 years using the modified Ryge criteria. The Kaplan-Meier survival method was applied to estimate survival percentages. A high proportion of restorations were lost during the study period. Therefore, the first hypothesis could not be tested. No statistically significant difference was observed between the cumulative survival percentages of restorations produced by the two treatment approaches over the 2-year period (ART, 54.1 +/- 3.4%; ART with Carisolv, 46.0 +/- 3.4%). This hypothesis was accepted. ART with chemomechanical gel might not provide an added benefit increasing the survival percentages of ART class II composite resin restorations in primary teeth.

  7. Treatment of the caries of deciduous teeth with atraumatic restorative therapy%非创伤性修复治疗用于乳牙龋病的临床研究

    Institute of Scientific and Technical Information of China (English)

    张黎; 赵春晖

    2001-01-01

    目的评估非创伤性修复治疗(ART)治疗乳牙龋病的疗效.方法选择门诊乳牙龋病病人,年龄3~9岁,龋齿共114颗,随机分ART组和对照组,分别用ART法和常规法进行窝洞制备,两组均用同种玻璃离子粘固粉充填,记录治疗中患儿合作情况及一年后的充填保留率.结果 ART组患儿与对照组比较更愿接受治疗(P<0.05),单面洞修复中ART组和对照组比较保存率差异无显著意义(P>0.05),而多面洞ART组较对照组保存率低(P<0.05).结论 ART是治疗乳牙龋病有效而简便的方法之一,对紧张型儿童尤其有帮助.

  8. Clinic effect of atraumatic restorative treatment on deciduous tooth decay%非创伤性修复技术治疗儿童乳牙龋的临床效果评价

    Institute of Scientific and Technical Information of China (English)

    周香

    2009-01-01

    目的 探讨非创伤性修复技术治疗儿童乳牙龋的临床疗效. 方法 选择2005-2007年在迪庆州医院口腔科就诊的48例儿童的176颗乳牙龋齿,分单面洞龋、双面洞龋和复面洞龋,用非创伤性修复技术进行治疗,评价术后3个月、6个月的临床疗效. 结果 3个月的修复成功率为97%,6个月的为95%.单面洞修复成功率大于双面洞,复面洞的修复成功率最低. 结论 ART治疗乳牙龋有较高的成功率,是治疗乳牙龋有效可行的方法.

  9. The Effect of Restoration Treatments on the Spatial Variability of Soil Processes under Longleaf Pine Trees

    OpenAIRE

    John K. Hiers; Scott Pokswinski; Mack, Michelle C; Martin Lavoie

    2012-01-01

    The objectives of this study were to (1) characterize tree-based spatial patterning of soil properties and understory vegetation in frequently burned (“reference state”) and fire-suppressed longleaf pine forests; and (2) determine how restoration treatments affected patterning. To attain these objectives, we used an experimental manipulation of management types implemented 15 years ago in Florida. We randomly located six mature longleaf pine trees in one reference and four restoration treatme...

  10. Molar incisor hypomineralization (MIH: conservative treatment management to restore affected teeth

    Directory of Open Access Journals (Sweden)

    Camila Maria Bullio FRAGELLI

    2015-01-01

    Full Text Available The purpose of this study was to evaluate the 12-month clinical performance of glass ionomer restorations in teeth with MIH. First permanent molars affected by MIH (48 were restored with glass ionomer cement (GIC and evaluated at baseline, at 6 and at 12 months, by assessing tooth enamel breakdown, GIC breakdown and caries lesion associations. The data were analyzed using the chi-square test and actuarial survival analysis. The likelihood of a restored tooth remaining unchanged at the end of 12 months was 78%. No statistically significant difference was observed in the association between increased MIH severity and caries at baseline (p > 0.05 for a 6-month period, or between increased MIH severity and previous unsatisfactory treatment at baseline (p > 0.05 for both a 6- and 12-month period. A statistically significant difference was observed in the association between increased MIH severity and extension of the restoration, involving 2 or more surfaces (p < 0.05 at both periods, and between increased MIH severity and caries at baseline (p < 0.05 at a 12-month period. Because the likelihood of maintaining the tooth structures with GIC restorations is high, invasive treatment should be postponed until the child is sufficiently mature to cooperate with the treatment, mainly of teeth affected on just one face.

  11. Molar incisor hypomineralization (MIH): conservative treatment management to restore affected teeth.

    Science.gov (United States)

    Fragelli, Camila Maria Bullio; Souza, Juliana Feltrin de; Jeremias, Fabiano; Cordeiro, Rita de Cássia Loiola; Santos-Pinto, Lourdes

    2015-01-01

    The purpose of this study was to evaluate the 12-month clinical performance of glass ionomer restorations in teeth with MIH. First permanent molars affected by MIH (48) were restored with glass ionomer cement (GIC) and evaluated at baseline, at 6 and at 12 months, by assessing tooth enamel breakdown, GIC breakdown and caries lesion associations. The data were analyzed using the chi-square test and actuarial survival analysis. The likelihood of a restored tooth remaining unchanged at the end of 12 months was 78%. No statistically significant difference was observed in the association between increased MIH severity and caries at baseline (p > 0.05) for a 6-month period, or between increased MIH severity and previous unsatisfactory treatment at baseline (p > 0.05) for both a 6- and 12-month period. A statistically significant difference was observed in the association between increased MIH severity and extension of the restoration, involving 2 or more surfaces (p < 0.05) at both periods, and between increased MIH severity and caries at baseline (p < 0.05) at a 12-month period. Because the likelihood of maintaining the tooth structures with GIC restorations is high, invasive treatment should be postponed until the child is sufficiently mature to cooperate with the treatment, mainly of teeth affected on just one face.

  12. The effect of baking soda when applied to bleached enamel prior to restorative treatment.

    Science.gov (United States)

    Tostes, Bhenya Ottoni; Mondelli, Rafael Francisco Lia; Lima-Arsati, Ynara Bosco de Oliveira; Rodrigues, Jose Augusto; Costa, Leonardo Cesar

    2013-08-01

    This in vitro study evaluated the effect of 10% baking soda solution and sodium bicarbonate powder (applied with jets) when applied to bleached enamel prior to restorative treatment. The surfaces of 40 bovine incisors were flattened and divided into 5 groups (n = 8): Group B (bleached and restored, negative control), Group W (bleached, stored in distilled water for 7 days, and restored), Group BSJ (bleached, abraded with baking soda jet for 1 min, and restored), Group BSS (bleached, application of 10% baking soda solution for 5 min, and restored), and Group R (restored, without bleaching, positive control). The samples were bleached in 1 session with 3 applications of 35% HP-based gel and activated with a LED appliance for 9 min each. Resin composite cylinders (2 mm height and 0.8 mm diameter) were made on the enamel surface after the acid etching and a conventional 1-step single vial adhesive application was performed. After storage in distilled water (37 ± 1°C, 24 hr), the microshear bond test was performed (1 mm/min). ANOVA and Tukey tests were applied to compare the results. The mean results of these tests showed that Groups W, BBS, and R were not statistically different. These groups also indicated a higher bond strength when compared with Groups B and BSJ. The application of 10% baking soda solution for 5 min may be an alternative pre-restorative treatment for bleached enamel, but further studies are needed to consider whether or not this treatment may be effectively used in clinical practice.

  13. Dentist and practice characteristics associated with restorative treatment of enamel caries in permanent teeth

    DEFF Research Database (Denmark)

    Fellows, Jeffrey L; Gordan, Valeria V; Gilbert, Gregg H

    2014-01-01

    PURPOSE: Current evidence in dentistry recommends non-surgical treatment to manage enamel caries lesions. However, surveyed practitioners report they would restore enamel lesions that are confined to the enamel. Actual clinical data were used to evaluate patient, dentist, and practice characteris...

  14. Anuric renal failure after same-session bilateral atraumatic flexible ureteroscopy

    Directory of Open Access Journals (Sweden)

    Gaurav Bandi

    2007-04-01

    Full Text Available We report the first known case of anuric renal failure after same-session bilateral atraumatic flexible ureteroscopy for renal calculi. Although, there is no consensus about stenting patients who undergo same-session bilateral ureteroscopy due to the lack of prospective randomized studies; strong consideration should be given to stenting the ureter at least one side to avoid this complication.

  15. Orthodontic-restorative treatment of maxillary midline diastema

    Directory of Open Access Journals (Sweden)

    Mahboobe Dehghani

    2014-01-01

    Full Text Available Introduction: Maxillary midline diastema in adults is an esthetic problem that alters the appearance of smile. This paper describes treatment of a large diastema in a middle-aged patient. Case Report: The case was a 52-year-old woman with a large median diastema and congenitally missing maxillary lateral incisors. A combined orthodontic and prosthetic approach was used to close the diastema and open up space for substitution of missing laterals by implants. Discussion: Despite the slow rate of tooth movement in adults, a large diastema was closed. This interdisciplinary approach improved the esthetic aspect greatly. The patient was satisfied even after four-years of follow-up period.

  16. The Effect of Restoration Treatments on the Spatial Variability of Soil Processes under Longleaf Pine Trees

    Directory of Open Access Journals (Sweden)

    John K. Hiers

    2012-08-01

    Full Text Available The objectives of this study were to (1 characterize tree-based spatial patterning of soil properties and understory vegetation in frequently burned (“reference state” and fire-suppressed longleaf pine forests; and (2 determine how restoration treatments affected patterning. To attain these objectives, we used an experimental manipulation of management types implemented 15 years ago in Florida. We randomly located six mature longleaf pine trees in one reference and four restoration treatments (i.e., burn, control, herbicide, and mechanical, for a total of 36 trees. In addition to the original treatments and as part of a monitoring program, all plots were subjected to several prescribed fires during these 15 years. Under each tree, we sampled mineral soil and understory vegetation at 1 m, 2 m, 3 m and 4 m (vegetation only away from the tree. At these sites, soil carbon and nitrogen were higher near the trunk while graminoids, forbs and saw palmetto covers showed an opposite trend. Our results confirmed that longleaf pine trees affect the spatial patterning of soil and understory vegetation, and this patterning was mostly limited to the restoration sites. We suggest frequent burning as a probable cause for a lack of spatial structure in the “reference state”. We attribute the presence of spatial patterning in the restoration sites to accumulation of organic materials near the base of mature trees.

  17. Competency restoration treatment: differences between defendants declared competent or incompetent to stand trial.

    Science.gov (United States)

    Advokat, Claire D; Guidry, Devan; Burnett, Darla M R; Manguno-Mire, Gina; Thompson, John W

    2012-01-01

    Archival data of inpatient defendants referred for competency restoration were used to make comparisons between those who were restored to competency (CST; n = 43) and those who remained incompetent (IST; n = 15). The groups did not differ on demographic variables, intellectual capacity, type of offense (violent versus nonviolent), clinical diagnoses, substance abuse, or psychotic symptomatology, as measured by the Brief Psychiatric Rating Scale. However, the CST group performed significantly better than the IST group on both the initial and final Georgia Court Competency Test and Global Assessment of Functioning scale. Psychotic symptom severity decreased significantly only in the CST group, and the CST group was discharged significantly sooner (7.7 ± 8.6 months) than the IST group (17.9 ± 7.0 months). While consistent with prior research, this is the first study to compare both psycholegal comprehension and specific clinical symptoms in defendants before and after competency restoration treatment.

  18. Community occupancy responses of small mammals to restoration treatments in ponderosa pine forests, northern Arizona, USA.

    Science.gov (United States)

    Kalies, E L; Dickson, B G; Chambers, C L; Covington, W W

    2012-01-01

    In western North American conifer forests, wildfires are increasing in frequency and severity due to heavy fuel loads that have accumulated after a century of fire suppression. Forest restoration treatments (e.g., thinning and/or burning) are being designed and implemented at large spatial and temporal scales in an effort to reduce fire risk and restore forest structure and function. In ponderosa pine (Pinus ponderosa) forests, predominantly open forest structure and a frequent, low-severity fire regime constituted the evolutionary environment for wildlife that persisted for thousands of years. Small mammals are important in forest ecosystems as prey and in affecting primary production and decomposition. During 2006-2009, we trapped eight species of small mammals at 294 sites in northern Arizona and used occupancy modeling to determine community responses to thinning and habitat features. The most important covariates in predicting small mammal occupancy were understory vegetation cover, large snags, and treatment. Our analysis identified two generalist species found at relatively high occupancy rates across all sites, four open-forest species that responded positively to treatment, and two dense-forest species that responded negatively to treatment unless specific habitat features were retained. Our results indicate that all eight small mammal species can benefit from restoration treatments, particularly if aspects of their evolutionary environment (e.g., large trees, snags, woody debris) are restored. The occupancy modeling approach we used resulted in precise species-level estimates of occupancy in response to habitat attributes for a greater number of small mammal species than in other comparable studies. We recommend our approach for other studies faced with high variability and broad spatial and temporal scales in assessing impacts of treatments or habitat alteration on wildlife species. Moreover, since forest planning efforts are increasingly focusing on

  19. Integrated monitoring and assessment of soil restoration treatments in the Lake Tahoe Basin.

    Science.gov (United States)

    Grismer, M E; Schnurrenberger, C; Arst, R; Hogan, M P

    2009-03-01

    Revegetation and soil restoration efforts, often associated with erosion control measures on disturbed soils, are rarely monitored or otherwise evaluated in terms of improved hydrologic, much less, ecologic function and longer term sustainability. As in many watersheds, sediment is a key parameter of concern in the Tahoe Basin, particularly fine sediments less than about ten microns. Numerous erosion control measures deployed in the Basin during the past several decades have under-performed, or simply failed after a few years and new soil restoration methods of erosion control are under investigation. We outline a comprehensive, integrated field-based evaluation and assessment of the hydrologic function associated with these soil restoration methods with the hypothesis that restoration of sustainable function will result in longer term erosion control benefits than that currently achieved with more commonly used surface treatment methods (e.g. straw/mulch covers and hydroseeding). The monitoring includes cover-point and ocular assessments of plant cover, species type and diversity; soil sampling for nutrient status; rainfall simulation measurement of infiltration and runoff rates; cone penetrometer measurements of soil compaction and thickness of mulch layer depths. Through multi-year hydrologic and vegetation monitoring at ten sites and 120 plots, we illustrate the results obtained from the integrated monitoring program and describe how it might guide future restoration efforts and monitoring assessments.

  20. Rubber dam may increase the survival time of dental restorations.

    Science.gov (United States)

    Keys, William; Carson, Susan J

    2017-03-01

    Data sourcesCochrane Oral Health's Trials Register, Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase, LILACS, SciELO, Chinese BioMedical Literature Database, VIP, China National Knowledge Infrastructure, ClinicalTrials.gov, World Health Organization International Clinical Trials Registry Platform, OpenGrey and Sciencepaper Online databases. Handsearches in a number of journals.Study selectionRandomised controlled trials, including split-mouth studies assessing the effects of rubber dam isolation for restorative treatments in dental patients.Data extraction and synthesisTwo review authors independently screened the results of the electronic searches, extracted data and assessed the risk of bias of the included studies.ResultsFour studies involving a total of 1,270 patients were included. The studies were at high risk of bias. One trial was excluded from the analysis due to inconsistencies in the presented data. Restorations had a significantly higher survival rate in the rubber dam isolation group compared to the cotton roll isolation group at six months in participants receiving composite restorative treatment of non-carious cervical lesions (risk ratio (RR) 1.19, 95% confidence interval (CI) 1.04 to 1.37, very low-quality evidence). The rubber dam group had a lower risk of failure at two years in children undergoing proximal atraumatic restorative treatment in primary molars (hazard ratio (HR) 0.80, 95% CI 0.66 to 0.97, very low-quality evidence). One trial reported limited data showing that rubber dam usage during fissure sealing might shorten the treatment time. None of the included studies mentioned adverse effects or reported the direct cost of the treatment, or the level of patient acceptance/satisfaction. There was also no evidence evaluating the effects of rubber dam usage on the quality of the restorations.ConclusionsWe found some very low-quality evidence, from single studies, suggesting that rubber dam usage in dental direct

  1. Cleidocranial Dysplasia Case Report: Remodeling of Teeth as Aesthetic Restorative Treatment

    Directory of Open Access Journals (Sweden)

    Leonardo Fernandes da Cunha

    2014-01-01

    Full Text Available Cleidocranial dysplasia (CCD, is an autosomal dominant disorder with a prevalence of 1 in 1,000,000 individuals. It is generally characterized by orofacial manifestations, including enamel hypoplasia, retained primary teeth, and impacted permanent and supernumerary teeth. The successful treatment involving a timing intervention (orthodontic-maxillofacial surgeons-restorative is already described. However, the restorative treatment might improve the aesthetic final result in dentistry management for patients with cleidocranial dysplasia. Objective. Therefore, this clinical report presents a conservative restorative management (enamel microabrasion, dental bleaching, and direct composite resin for aesthetic solution for a patient with CCD. Clinical Considerations. The cosmetic remodeling is a conservative, secure, and low cost therapy that can be associated with other procedures such as enamel microabrasion and dental bleaching to achieve optimal outcome. Additionally, the Golden Proportion can be used to guide dental remodeling to improve the harmony of the smile and the facial composition. Conclusions. Thus, dentists must know and be able to treat dental aesthetic problems in cleidocranial dysplasia patients. The intention of this paper is to describe a restorative approach with the cosmetic remodeling teeth (by grinding or addicting material associated with enamel microabrasion and dental bleaching to reestablish the form, shape, and color of smile for patients with cleidocranial dysplasia.

  2. Copper treatment during storage reduces Phytophthora and Halophytophthora infection of Zostera marina seeds used for restoration

    Science.gov (United States)

    Govers, Laura L.; van der Zee, Els M.; Meffert, Johan P.; van Rijswick, Patricia C. J.; Man in ‘t Veld, Willem A.; Heusinkveld, Jannes H. T.; van der Heide, Tjisse

    2017-01-01

    Restoration is increasingly considered an essential tool to halt and reverse the rapid decline of vital coastal ecosystems dominated by habitat-forming foundation species such as seagrasses. However, two recently discovered pathogens of marine plants, Phytophthora gemini and Halophytophthora sp. Zostera, can seriously hamper restoration efforts by dramatically reducing seed germination. Here, we report on a novel method that strongly reduces Phytophthora and Halophytophthora infection of eelgrass (Zostera marina) seeds. Seeds were stored in seawater with three different copper sulphate concentrations (0.0, 0.2, 2.0 ppm) crossed with three salinities (0.5, 10.0, 25.0 ppt). Next to reducing seed germination, infection significantly affected cotyledon colour: 90% of the germinated infected seeds displayed a brown cotyledon upon germination that did not continue development into the seedling stage, in contrast to only 13% of the germinated non-infected seeds. Copper successfully reduced infection up to 86% and the 0.2 ppm copper sulphate treatment was just as successful as the 2.0 ppm treatment. Infection was completely eliminated at low salinities, but green seed germination was also dramatically lowered by 10 times. We conclude that copper sulphate treatment is a suitable treatment for disinfecting Phytophthora or Halophytophthora infected eelgrass seeds, thereby potentially enhancing seed-based restoration success. PMID:28225072

  3. Importance of orthodontic movement in interdisciplinary treatment for restoring esthetics and functional occlusion

    Directory of Open Access Journals (Sweden)

    Carlos Henrique Guimarães

    2015-01-01

    Full Text Available This article describes interdisciplinary treatment conducted in adult patients, 49-year-old, with periodontal problems, losses and dental inclination, occlusal trauma, localized bone loss, and necessity of rehabilitation with dental implants. Alignment and leveling of the teeth, the molars uprighting with cantilever, and space closure were performed the treatment was facilitated by periodic periodontal control. The resultant occlusion was stable throughout a 5-year retention period. In conclusion, interdisciplinary treatment combined with periodontics, orthodontics, implantodontist, and restorative dentistry was useful for improving the patient′s oral health, function, and esthetics.

  4. In vitro comparison of coronal microleakage of four temporary restorative materials used in endodontic treatment

    Directory of Open Access Journals (Sweden)

    Shahi Sh.

    2008-10-01

    Full Text Available "nBackground and Aim: The use of proper temporary restorative materials between appointments is critical in successful root canal treatment. The purpose of this study was to compare the coronal microleakage of four temporary restorative materials including Zonalin, Zamherir, Coltosol and IRM. "nMaterials and Methods: In this in vitro study, standard access cavities were prepared in 120 intact extracted maxillary and mandibular human first molars. Canal preparation was carried out by the step-back technique, and obturation was performed with gutta-percha and AH26 sealer using the lateral condensation technique. Teeth were randomly divided into 4 experimental groups of 25 teeth each and two positive and negative control groups, each containing 10 teeth. In each experimental group the access cavity was restored with one of the tested materials (Zamherir, Zonalin, IRM and Coltosol. In the negative control group the access cavity was filled entirely with sticky wax and in the positive control group no restorative material was applied. Dye penetration technique was used to evaluate microleakage which was measured under a stereomicroscope. Data were analyzed with one way ANOVA and post hoc Tukey tests. P<0.05 was considered as the limit of significance. "nResults: Dye penetration was observed in all groups. Zonalin and Coltosol had the highest and the lowest dye penetration respectively, with a statistically significant difference (p<0.001. There was no significant difference in dye penetration between IRM, and either Coltosol or Zamherir (p>0.05. "nConclusion: The results of this study showed that using Coltosol as a temporary restorative material can provide a better coronal seal in endodontic treatments

  5. Crown lengthening to facilitate restorative treatment in the presence of incomplete passive eruption.

    Science.gov (United States)

    Hempton, T J; Esrason, F

    2000-04-01

    Crown-lengthening surgery can be utilized to expose subgingival caries. In this clinical case, a patient presented with incomplete passive eruption in the maxillary anterior sextant. This case illustrates that when incomplete passive eruption is present and restorative treatment is necessary in the maxillary anterior sextant, crown-lengthening surgery not only provides exposure of subgingival caries but can also result in a more esthetic therapeutic outcome.

  6. Effects of alpha-tocopherol on fracture resistance after endodontic treatment, bleaching and restoration

    Directory of Open Access Journals (Sweden)

    Keren Cristina Fagundes JORDÃO-BASSO

    2016-01-01

    Full Text Available Abstract This study evaluated the effects of 10% alphatocopherol on the fracture resistance of endodontically treated teeth subjected to tooth bleaching with hydrogen peroxide and immediately restored with composite resin. Fifty bovine incisors were selected, including 10 sound teeth that constituted the control group (G1 (C. The remaining 40 teeth, which were endodontically treated, were divided into four groups (n = 10: G2 (CR, consisting of teeth immediately restored with composite resin; G3 (HP + CR, consisting of teeth subjected to tooth bleaching with 38% hydrogen peroxide and immediately restored with composite resin; G4 (HP + SA + CR, which received treatment similar to that used for G3, but with 10% sodium ascorbate gel applied after the bleaching protocol; and G5 (HP + AT + CR, which was similar to G4 but included 10% alphatocopherol gel as an antioxidant. After 24 h, composite restorations were performed, and teeth were subjected to a fracture resistance test at a speed of 0.5 mm/min in an electromechanical testing machine. The axial force was applied with an angle of incidence of 135° relative to the long axis of the root. Data were subjected to ANOVA and Tukey tests (p = 0.05. G1 exhibited the highest fracture resistance (p < 0.05. No significant differences among the other experimental groups were observed. The 10% sodium ascorbate and 10% alphatocopherol gels did not improve the fracture resistance of endodontically treated teeth subjected to bleaching with 38% hydrogen peroxide.

  7. Atraumatic splenic rupture as a complication of acute exacerbation of chronic pancreatitis, an unusual disease.

    Science.gov (United States)

    Moya Sánchez, Elena; Medina Benítez, Antonio

    2017-02-27

    We report the case of a patient with acute exacerbation of chronic pancreatitis and he suffered an atraumatic splenic rupture. Splenic rupture not associated with trauma is a rare entity that can occurs in normal spleen (spontaneous) or damaged spleen (pathological). This entity may be associated with local inflammatory processes, such as pancreatitis. Ultrasound is a non-invasive technique which is used in unstable patients. CT is useful for making a diagnosis of extension in patients with hemodynamic stability. Atraumatic splenic rupture as a complication of chronic pancreatitis is an unusual disease that requires a high index of suspicion which allows us an early diagnosis because it is a treatable entity that compromises the patient's life.

  8. Atraumatic extraction and immediate implant installation: The importance of maintaining the contour gingival tissues

    Science.gov (United States)

    Tavarez, Rudys Rodolfo De Jesus; dos Reis, Washigton Luís Machado; Rocha, Adrycila Teixeira; Firoozmand, Leily Macedo; Bandéca, Matheus Coêlho; Tonetto, Mateus Rodrigues; Malheiros, Adriana Santos

    2013-01-01

    There is an accelerated resorption in the first six months after the extraction of the dental element, both horizontally and vertically. These clinical changes normally undertake the aesthetic result of prosthetic rehabilitation, and implant installation after the extraction can be a resource to decrease resorption. The clinical case described in this paper demonstrates a sequence of clinical atraumatic extraction, and then the Immediate installation provisionalization. It is concluded that when carefully indicated and planned, this technique can provide an immediate result promising with maintaining the tooth gingival contour. How to cite this article: Tavarez RR, Machado dos Reis WL, Rocha AT, Firoozmand LM, Bandéca MC, Tonetto MR, Malheiros AS. Atraumatic extraction and immediate implant installation: The importance of maintaining the contour gingival tissues. J Int Oral Health 2013; 5(6):113-8 . PMID:24453455

  9. Quick, painless, and atraumatic gingival retraction: An overview of advanced materials.

    Science.gov (United States)

    Rajambigai, M Aarti; Raja, S Ramesh; Soundar, S I Joephin; Kandasamy, M

    2016-10-01

    The success of any fixed prosthesis depends on the accuracy of impressions. Finish line exposure has to be adequate during impression making. The goal of gingival retraction is to atraumatically displace gingival tissues to allow access for impression material to record the finish line and provide sufficient thickness of gingival sulcus so that the impression does not tear off during removal. Numerous advanced materials are available for gingival retraction. This article describes the different advanced materials available.

  10. Quick, painless, and atraumatic gingival retraction: An overview of advanced materials

    OpenAIRE

    M Aarti Rajambigai; S Ramesh Raja; S I. Joephin Soundar; Kandasamy, M

    2016-01-01

    The success of any fixed prosthesis depends on the accuracy of impressions. Finish line exposure has to be adequate during impression making. The goal of gingival retraction is to atraumatically displace gingival tissues to allow access for impression material to record the finish line and provide sufficient thickness of gingival sulcus so that the impression does not tear off during removal. Numerous advanced materials are available for gingival retraction. This article describes the differe...

  11. Treatment and restoration of adult dentoalveolar trauma: A clinical case report

    Science.gov (United States)

    Penarrocha-Diago, Miguel; Penarrocha-Diago, María; Agustín-Panadero, Rubén

    2016-01-01

    Adult dentoalveolar trauma most often occurs in the context of sports activities and traffic accidents. Coronal fractures are the most common type of lesion, followed by tooth luxation. We present the case of a 25-year-old woman who suffered alveolar bone damage and coronal fractures of the upper incisors, with extrusive luxation of the right central incisor, as the result of a fall. On the first visit, manual reduction of the buccal plate was carried out under local anesthesia, with repositioning of the right central incisor and splinting to the neighboring teeth. Composites were used to restore the coronal fractures. After one month, both upper central incisors and the right lateral incisor were subjected to endodontic treatment. Internal bleaching of the right lateral incisor was also carried out, due to pigmentation secondary to pulp necrosis. At follow-up 5 months later, the alveolar bone fracture was seen to have healed. Definitive anterior restorative treatment with porcelain veneers was therefore carried out. After two years the patient remains asymptomatic and in good dental condition. Key words:Dental trauma, extrusive luxation, dento-alveolar fracture, esthetic restoration. PMID:27957283

  12. Long-term insulin treatment restores cardioprotection induced by sufentanil postconditioning in diabetic rat heart.

    Science.gov (United States)

    Zhang, Yuwen; Zhang, Lei; Gu, Erwei; Zhu, Bingqing; Zhao, Xianya; Chen, Jingjing

    2016-03-01

    Sufentanil, a commonly used opioid analgesic, could mimic ischemia postconditioning to attenuate ischemia reperfusion injury, but this effect might be hindered in diabetic animals by inhibition of glycogen synthase kinase-3β phosphorylation. Also, diabetes can abrogate the cardioprotection of sevoflurane (an inhaled anesthetic) against ischemia reperfusion injury, and short-term insulin treatment does not restore protection by sevoflurane postconditioning. We hypothesized that long-term insulin treatment might restore the cardioprotective effect of sufentanil postconditioning in diabetic rats via phosphorylation of glycogen synthase kinase-3β. Streptozotocin (55 mg/kg)-induced diabetic rats received insulin (Novolin N, 6-8 u/d) for two days or two weeks, then were exposed to 30-min ischemia and 120-min reperfusion. Sufentanil postconditioning was performed 5 min before the onset of reperfusion. Controls included non-diabetic rats, sham surgery for ischemia/reperfusion, and sufentanil vehicle. Infarct size, cardiac troponin I, and phosphorylated glycogen synthase kinase-3β were examined. Sufentanil postconditioning reduced infarct size by 46% in non-diabetic rats (P insulin treatment was not effective, but two-week treatment reduced infarct size by 45% (P insulin treatment. The underlying mechanism may be increased phosphorylation of glycogen synthase kinase-3β.

  13. Combined periodontal and restorative approach to the treatment of gingival recessions with noncarious cervical lesions: a case treated with acellular dermal matrix allograft and compomer restorations.

    Science.gov (United States)

    Efeoğlu, Ahmet; Hanzade, Mete; Sari, Esra; Alpay, Hande; Karakaş, Ozan; Koray, Fatma

    2012-08-01

    Treatment of gingival recessions has become one of the most challenging procedures in periodontal plastic surgery. Various surgical options with predictable outcomes are available, but in cases with cervical lesions or restorations, optimal functional and esthetic results may require the combination of periodontal and restorative procedures. In this case report, one patient treated with acellular dermal matrix allograft and a coronally positioned flap in combination with compomer cervical restorations is presented. Clinical parameters were recorded immediately prior to surgery and after 12 months. Postoperatively, significant root coverage, reductions in probing depths, and gains in clinical attachment were observed. The final clinical results, esthetics, color match, and tissue contours were acceptable to both the patient and clinicians.

  14. The effect of surface treatment and position of the dental restoration on amalgam corrosion behavior

    Energy Technology Data Exchange (ETDEWEB)

    Mortazavi, V. [Isfahan Univ. of Medical Sciences, Faculty of Dentistry, Isfahan (Iran, Islamic Republic of); Fathi, M.H. [Isfahan Univ. of Technology, Materials Engineering Dept., Isfahan (Iran, Islamic Republic of)

    2003-07-01

    The aim of this research was to evaluate the effect of surface treatment, clinical operations and the condition and position of the dental restoration on amalgam corrosion behavior. Commercial amalgam alloy namely Oralloy was selected. Twenty-one amalgam samples were prepared. After triturating and condensation, the samples were divided into three groups and each group was finished by using one of three surface clinical procedures; carving, carving-burnishing, carving-burnishing-polishing. A special cylindrical mold was used in order to simulation of the interproximal areas and proximal surfaces of the dental restorations. Stainless steel matrix band was laid on the internal mold surfaces and amalgam paste was compacted in the mold. Electrochemical potentiodynamic tests were performed at a temperature of 37{+-}1 {sup o}C in physiological solution in order to determine and compare the corrosion behavior of dental amalgam samples, as an indication of biocompatibility. The results showed statistically significant differences between the mean corrosion current density values of three different groups of dental amalgam (P<0.05). The polished group possesses the lowest and the carved group shows the highest corrosion current density. The carved group shows more corrosion resistance in compare with the sample near the matrix band as an index of the proximal surfaces of restorations. It was concluded that even a simple clinical operation could effect on dental amalgam corrosion resistance. The proximal surfaces of the class II restorations are not only susceptible to concentration cell corrosion but also possess less corrosion resistance because dentist could perform no clinical surface treatment. (author)

  15. Relationship between periodontics and restorative procedures: surgical treatment of the restorative alveolar interface (rai)--case series.

    Science.gov (United States)

    Almeida, A L P F; Esper, L A; Sbrana, M C; Cunha, M J S; Greghi, S L A; Carrilho, G P B; Pegoraro, L F

    2013-12-01

    Maintenance of a healthy periodontium is fundamental for the long term success of prosthetic restorations. Thus, prosthetic procedures with subgingival margins may affect the periodontal health if the distances between the junctional epithelium and supracrestal connective tissue attachment aren't respected, or if there is insufficient space to maintain the health of the interproximal tissues, leading to gingival inflammation, connective tissue attachment loss and bone resorption. The restorative alveolar interface (RAI) technique was described as the portion of the root surface extending from the alveolar crest apically to the restorative margin coronally. RAI consists of modifying the restorative margin position into a healthier environment, respecting the biological width and therefore allowing effective plaque control. This paper describes four clinical cases with indication for the RAI technique for maintenance of periodontal health. The cases were associated with prostheses. All cases were evaluated at 90 days and exhibited a healthy periodontal tissue. Successful outcomes were observed in the different indications for the RAI technique.

  16. Children's stress during a restorative dental treatment: assessment using salivary cortisol measurements.

    Science.gov (United States)

    Akyuz, S; Pince, S; Hekin, N

    1996-01-01

    Dental environment may be a source of stress for the young patient. Such stressful conditions may provoke fear in anxious children. It is well known that stress produces an activation adrenal steroid secretion. Among the methods for assessing child dental fear, measurement of salivary cortisol level is a simple method, because especially in children, sampling of saliva is easy, and cortisol levels in saliva closely mirror serum free cortisol levels, independent of salivary flow rate. For this study, the salivary cortisol levels of 8 children (mean age 5.6 yr) were measured receiving initial dental treatment. Saliva samples were collected via cotton rolls placed to the floor of the mouth at four stages; prior to treatment, during cavitation, placement of the liner and the restoration. Statistical comparison of the results were done by Student-t test. The increase in salivary cortisol levels during cavitation at the first and secondary appointments were significant (p0.05). The results of this study suggest that in restorative procedures, mostly it is the cavitation step that creates stress and anxiety in children. Knowledge of the most stressful condition may be helpful for the dentist to prepare the child to treatment steps.

  17. Wax-up and mock-up. A guide for anterior periodontal and restorative treatments.

    Science.gov (United States)

    Gurrea, Jon; Bruguera, August

    2014-01-01

    When starting a case, having the end result in mind is the basis in any kind of treatment, even more so in those where the anterior teeth morphology, size and proportion will be changed. Here is where a good treatment plan based on a diagnostic wax-up that is tried in with a mock-up and approved by the patient becomes crucial. This case report exemplifies how transferring the information from the diagnostic wax up to the patient's mouth is of help not only to the restorative dentist and the laboratory technician, but also to the surgeon when performing the crown lengthening. This treatment plan cannot be seen as a sequence of isolated procedures but as a single workflow. The wax-up/mock-up binomial is a guide even for the periodontist in a novel approach to surgical crown lengthening.

  18. Collaborative multi-species monitoring in the Southern Rockies LCC: Impacts of forest restoration treatments on ponderosa pine ecosystems in Colorado

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The project will expand the scope of forest restoration treatment monitoring for Collaborative Forest Landscape Restoration projects in 3 key ways: 1) augment...

  19. Growing season soil moisture following restoration treatments of varying intensity in semi-arid ponderosa pine forests

    Science.gov (United States)

    O'Donnell, F. C.; Springer, A. E.; Sankey, T.; Masek Lopez, S.

    2014-12-01

    Forest restoration projects are being planned for large areas of overgrown semi-arid ponderosa pine forests of the Southwestern US. Restoration involves the thinning of smaller trees and prescribed or managed fire to reduce tree density, restore a more natural fire regime, and decrease the risk of catastrophic wildfire. The stated goals of these projects generally reduced plant water stress and improvements in hydrologic function. However, little is known about how to design restoration treatments to best meet these goals. As part of a larger project on snow cover, soil moisture, and groundwater recharge, we measured soil moisture, an indicator of plant water status, in four pairs of control and restored sites near Flagstaff, Arizona. The restoration strategies used at the sites range in both amount of open space created and degree of clustering of the remaining trees. We measured soil moisture using 30 cm vertical time domain reflectometry probes installed on 100 m transects at 5 m intervals so it would be possible to analyze the spatial pattern of soil moisture. Soil moisture was higher and more spatially variable in the restored sites than the control sites with differences in spatial pattern among the restoration types. Soil moisture monitoring will continue until the first snow fall, at which point measurements of snow depth and snow water equivalent will be made at the same locations.

  20. Concordance between Responses to Questionnaire Scenarios and Actual Treatment to Repair or Replace Dental Restorations in the National Dental PBRN

    Science.gov (United States)

    Heaven, Tim J.; Gordan, Valeria V.; Litaker, Mark S.; Fellows, Jeffrey L.; Rindal, D. Brad; Gilbert, Gregg H.

    2015-01-01

    Objective To quantify the agreement between treatment recommended during hypothetical clinical scenarios and actual treatment provided in comparable clinical circumstances. Methods A total of 193 practitioners in the National Dental Practice-Based Research Network participated in both a questionnaire and a clinical study. The questionnaire included three hypothetical scenarios about treatment of existing restorations. Clinicians then participated in a clinical study about repair or replacement of existing restorations. We quantified the overall concordance between their questionnaire responses and what they did in actual clinical treatment. Results Practitioners who recommended repair (instead of replacement) of more scenario restorations also had higher repair percentages in clinical practice. Additionally, for each of the three hypothetical scenario restorations, practitioners who recommended repair had higher repair percentages in clinical practice. Conclusions The questionnaire scenarios were a valid measure of clinicians’ tendency to repair or replace restorations in actual clinical practice. Clinical implications Although there was substantial variation in practitioners’ tendency to repair or replace restorations, responses to questionnaire scenarios by individual practitioners were concordant with what they did in actual clinical practice. PMID:25998565

  1. Ponderosa Pine Forest Restoration Treatment Longevity: Implications of Regeneration on Fire Hazard

    Directory of Open Access Journals (Sweden)

    Wade T. Tinkham

    2016-07-01

    Full Text Available Restoration of pine forests has become a priority for managers who are beginning to embrace ideas of highly heterogeneous forest structures that potentially encourages high levels of regeneration. This study utilizes stem-mapped stands to assess how simulated regeneration timing and magnitude influence longevity of reduced fire behavior by linking growth and yield model outputs to a crown fire prediction model. Treatment longevity was assessed as return time to within 10% of pre-treatment predicted wind speeds for the onset of passive (Torching and active (Crowning crown fire behavior. Treatment longevity in terms of Torching and Crowning was reduced 5 years for every 550 and 150 seedlings ha−1, respectively. Introducing regeneration as a single pulse further reduced Torching treatment longevity 10 years compared to other regeneration distributions. Crowning treatment longevity increased at higher site indices, where a 6 m increase in site index increased longevity 4.5 year. This result was contrary to expectations that canopy openings after treatments would close faster on higher productivity sites. Additionally, Torching longevity was influenced by the rate of crown recession, were reducing the recession rate decreased longevity in areas with higher site indices. These dependencies highlight a need for research exploring stand development in heterogeneous sites.

  2. Translucency changes of direct esthetic restorative materials after curing, aging and treatment.

    Science.gov (United States)

    Lee, Yong-Keun

    2016-11-01

    The purpose of this article was to review the changes in translucency of direct esthetic restorative materials after curing, aging and treatment. As a criterion for the evaluation of clinical translucency changes, visual perceptibility threshold in translucency parameter difference (ΔTP) of 2 was used. Translucency changes after curing were perceivable depending on experimental methods and products (largest ΔTP in resin composites = 15.9). Translucency changes after aging were reported as either relatively stable or showed perceivable changes by aging protocols (largest ΔTP in resin composites = -3.8). Translucency changes after curing, aging and treatment were perceivable in several products and experimental methods. Therefore, shade matching of direct esthetic materials should be performed considering these instabilities of translucency in direct esthetic materials.

  3. Survey of subsurface treatment technologies for environmental restoration sites at Sandia National Laboratories, New Mexico.

    Energy Technology Data Exchange (ETDEWEB)

    McGrath, Lucas K.; Ho, Clifford Kuofei; Wright, Jerome L.

    2003-08-01

    This report provides a survey of remediation and treatment technologies for contaminants of concern at environmental restoration (ER) sites at Sandia National Laboratories, New Mexico. The sites that were evaluated include the Tijeras Arroyo Groundwater, Technical Area V, and Canyons sites. The primary contaminants of concern at these sites include trichloroethylene (TCE), tetrachloroethylene (PCE), and nitrate in groundwater. Due to the low contaminant concentrations (close to regulatory limits) and significant depths to groundwater ({approx}500 feet) at these sites, few in-situ remediation technologies are applicable. The most applicable treatment technologies include monitored natural attenuation and enhanced bioremediation/denitrification to reduce the concentrations of TCE, PCE, and nitrate in the groundwater. Stripping technologies to remove chlorinated solvents and other volatile organic compounds from the vadose zone can also be implemented, if needed.

  4. The effects of ambient temperature and mixing time of glass ionomer cement material on the survival rate of proximal ART restorations in primary molars

    Directory of Open Access Journals (Sweden)

    Arthur M Kemoli

    2014-01-01

    Full Text Available Objective: Temperature fluctuations and material mixing times are likely to affect the consistency and integrity of the material mixture, and hence the restoration made out of it. The purpose of the present study was to determine the influence of the ambient temperature and the mixing time of glass ionomer cement (GIC restorative material on the survival rate of proximal atraumatic restorative treatment (ART restorations placed in primary molars. Materials and Methods: A total of 804 restorations were placed in the primary molars of 6-8-year-olds using the ART approach. The restorations were then followed for a period of 2 years and evaluated at given intervals. The data collected were analyzed using SPSS computer statistical program, and the results tested and compared using the Chi-square, Kaplan Meier survival analysis and Cox Proportional hazard statistical tests. Results: The cumulative survival rate of the restorations dropped from the initial 94.4% to 30.8% at the end of 2 years. The higher survival rate of the restorations was associated with the experienced operators and assistants when using the rubber dam isolation method. However, there was no statistically significant difference in the survival rate of the restorations when related to the room temperature and the mixing time of the GIC materials used in spite of the variations in the temperature recoded and the methods used in mixing the materials. Conclusion: The ambient temperature and mixing time of GIC did not have a significant effect on the survival of the proximal ART restorations.

  5. Evaluation of two treatment outcome prediction models for restoration of visual fields in patients with postchiasmatic visual pathway lesions.

    Science.gov (United States)

    Gall, Carolin; Steger, Benedikt; Koehler, Juergen; Sabel, Bernhard A

    2013-09-01

    Visual functions of patients with visual field defects after acquired brain injury affecting the primary visual pathway can be improved by means of vision restoration training. Since the extent of the restored visual field varies between patients, the prediction of treatment outcome and its visualization may help patients to decide for or against participating in therapies aimed at vision restoration. For this purpose, two treatment outcome prediction models were established based on either self-organizing maps (SOMs) or categorical regression (CR) to predict visual field change after intervention by several features that were hypothesized to be associated with vision restoration. Prediction was calculated for visual field changes recorded with High Resolution Perimetry (HRP). Both models revealed a similar predictive quality with the CR model being slightly more beneficial. Predictive quality of the SOM model improved when using only a small number of features that exhibited a higher association with treatment outcome than the remaining features, i.e. neighborhood activity and homogeneity within the surrounding 5° visual field of a given position, together with its residual function and distance to the scotoma border. Although both models serve their purpose, these were not able to outperform a primitive prediction rule that attests the importance of areas of residual vision, i.e. regions with partial visual field function, for vision restoration.

  6. Improved communication during treatment planning using light-curing hybrid wax for esthetic try-in restorations.

    Science.gov (United States)

    Witkowski, Siegbert; Kunz, Andreas; Wagenknecht, Günther

    2006-01-01

    The chance for a successful restorative outcome is improved when the clinician, the laboratory technician, and the patient agree on the design and appearance of the planned dental prosthesis as early as possible. A try-in of a planned dental restoration in the patient's mouth provides the parties involved in treatment planning with the ability to determine treatment goals together. The following article describes the use of a novel light-curing hybrid wax, a resin-like material that allows natural-looking, fracture-proof esthetic try-in restorations. Corrections can be made chairside by adding or removing material. The material is suitable for all indications involving fixed or removable dentures. Moreover, as the material can be burned without producing residues, it can be used directly in other applications such as pressable ceramics, ceramics pressed to metal, and casting techniques. A clinical case demonstrating the use of the hybrid wax is also presented.

  7. Eighteenth and nineteenth century dental restoration, treatment and consequences in a British nobleman.

    Science.gov (United States)

    Cox, M; Chandler, J; Boyle, A; Kneller, P; Haslam, R

    2000-12-01

    This paper examines unusual eighteenth and nineteenth century dental treatment and its consequences, in a nobleman excavated from beneath St. Nicholas' Church, Sevenoaks, Kent, UK in the early 1990s. This rare archaeological case exhibits erosion of dental enamel on the labial surface of all the anterior dentition. A programme of historical research suggests that this might be attributed to the application of an acid-based dental tincture or the use of an abrasive substance to whiten the teeth. Palliative treatment for the consequence of this application was prescribed by Dr Robert Blake of Dublin. Further, it bears witness to three dental restorations, two of gold and one tin. The two gold (foil) fillings are an occlusal in the upper-right second molar and a cervical on the labial surface of the upper left canine. The tin filling is an occlusal in the upper left second molar. Excavation of the carious tissue appears to have been undertaken using a spoon shaped implement.

  8. Conservative restorative treatment using a single-visit, all-ceramic CAD/CAM system.

    Science.gov (United States)

    Benk, Joel

    2007-01-01

    Computer-aided design/computer-aided manufacturing (CAD/CAM) continues to radically change the way in which the dental team plans, prepares, and fabricates a patient's restoration. This advancing technology offers the clinician the ability to scan the patient's failing dentition and then designs a long-lasting, reliable restoration based on this data. CAD/CAM systems also permit efficient, single-visit placement of the restoration while preserving much of the natural tooth structure. This article discusses how a chairside CAD/CAM system can be used to provide such a restoration in the posterior region in a single-visit.

  9. The restoration of the vaginal microbiota after treatment for bacterial vaginosis with metronidazole or probiotics.

    Science.gov (United States)

    Ling, Zongxin; Liu, Xia; Chen, Weiguang; Luo, Yueqiu; Yuan, Li; Xia, Yaxian; Nelson, Karen E; Huang, Shaolei; Zhang, Shaoen; Wang, Yuezhu; Yuan, Jieli; Li, Lanjuan; Xiang, Charlie

    2013-04-01

    Whether or not treatment with antibiotics or probiotics for bacterial vaginosis (BV) is associated with a change in the diversity of vaginal microbiota in women was investigated. One hundred fifteen women, consisting of 30 healthy subjects, 30 BV-positive control subjects, 30 subjects with BV treated with a 7-day metronidazole regimen, and 25 subjects with BV treated with a 10-day probiotics regimen, were analyzed to determine the efficacy and disparity of diversity and richness of vaginal microbiota using 454 pyrosequencing. Follow-up visits at days 5 and 30 showed a greater BV cure rate in the probiotics-treated subjects (88.0 and 96 %, respectively) compared to the metronidazole-treated subjects (83.3 and 70 %, respectively [p = 0.625 at day 5 and p = 0.013 at day 30]). Treatment with metronidazole reduced the taxa diversity and eradicated most of the BV-associated phylotypes, while probiotics only suppressed the overgrowth and re-established vaginal homeostasis gradually and steadily. Despite significant interindividual variation, the microbiota of the actively treated groups or participants constituted a unique profile. Along with the decrease in pathogenic bacteria, such as Gardnerella, Atopobium, Prevotella, Megasphaera, Coriobacteriaceae, Lachnospiraceae, Mycoplasma, and Sneathia, a Lactobacillus-dominated vaginal microbiota was recovered. Acting as vaginal sentinels and biomarkers, the relative abundance of Lactobacillus and pathogenic bacteria determined the consistency of the BV clinical and microbiologic cure rates, as well as recurrent BV. Both 7-day intravaginal metronidazole and 10-day intravaginal probiotics have good efficacy against BV, while probiotics maintained normal vaginal microbiota longer due to effective and steady vaginal microbiota restoration, which provide new insights into BV treatment.

  10. A Novel Atraumatic Tourniquet Technique for Excessive Bleeding during Cesarean Sections

    Science.gov (United States)

    Buke, Baris; Akkaya, Hatice; Akercan, Fuat

    2017-01-01

    Objective. Controlling excessive bleeding in cesarean sections which may cause a life-threatening event even under well-prepared conditions. We used a novel atraumatic tourniquet technique to temporary arrest blood flow through the uterine and ovarian vessels and compare with other techniques. Toothless vascular clamps were used as clamp. Methods. Tourniquet technique performed postpartum hemorrhage (PPH) cases (19 out of 37) were compared with 18 other cases with PPH. Results. The difference between preoperative and postoperative hemoglobin values was significantly lower in the study group as well as the number of blood products needed during and after surgery. Conclusions. This technique not only prevented massive bleeding from the uterus but also allowed physicians time to consider the necessity of further interventions.

  11. The morphology of amputated human teeth and its relation to mechanical properties after restoration treatment

    Science.gov (United States)

    Gugger, Jonas; Krastl, Gabriel; Huser, Marius; Deyhle, Hans; Müller, Bert

    2010-09-01

    The increased susceptibility to fracture of root canal- and post-treated teeth is less affected by alterations of the dentin structure, but seems to crucially depend on the loss of coronal tooth substance. The surface, available for adhesion of the composite material in the root canal and in the coronal part of the tooth, is assumed to be of key importance for the fracture resistance. Thus, an appropriate three-dimensional method should be identified to determine the adhesive surface with necessary precision. For this purpose, severely decayed teeth were simulated decapitating clinical crowns. After root canal filling and post space preparation, impressions of the root canal and the amputation surface were obtained using silicone. Micro computed tomography scans of these impressions were acquired. For one selected specimen, an additional high-resolution scan was recorded at a synchrotron radiation source. Software of ImageLab served for the extraction of the amputation interface, the post surface and the post volume from the tomography data, which have been finally correlated with the Young's modulus and the maximal load derived from mechanical tests. The morphological parameters show a realistic relationship to the mechanical tests performed after the restoration treatments and are consequently important for improving the dental skills.

  12. Tualatin River - Oak Savanna and Associated Habitat Pre-Restoration Invasive Plant Treatment

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Tualatin River NWR’s CCP identifies a preferred alternative for site restoration on a 12-acre segment of upland located on the Atfalat’I Unit. This alternative...

  13. Restorative neuroscience

    DEFF Research Database (Denmark)

    Andres, Robert H; Meyer, Morten; Ducray, Angélique D

    2008-01-01

    There is increasing interest in the search for therapeutic options for diseases and injuries of the central nervous system (CNS), for which currently no effective treatment strategies are available. Replacement of damaged cells and restoration of function can be accomplished by transplantation of...

  14. DIAGNOdent对乳牙龋牙本质再矿化量化监测效果的评估%An evaluation of the monitor effect of a laser-fluorescent divice during executing the ozone-remineralization treatment to dental caries of deciduous tooth

    Institute of Scientific and Technical Information of China (English)

    王璇; 钟良军; 赵双云

    2009-01-01

    传统ART(atraumatic restorative treatment)法治疗乳牙龋病后容易出现较高的继发病变,而这类病变的产生多是因为充填前忽视了龋洞的消毒和残留脱矿牙本质的再矿化.近年来,臭氧联合再矿化治疗已逐渐成为ART充填治疗前窝洞处理的必要步骤之一,但对其疗效的评估一直缺乏量化的评价标准.以往的研究显示,激光荧光检测笔(DIAGNOdent)可量化龋损程度,在龋病疗效的监测方面具有优势.因此,作者对DIAGNOdent在ART法配合臭氧联合再矿化治疗充填前的过程进行了跟踪,结果显示,DIANGOdent不具备监测优势.%Traditional atraumatic restorative treatment(ART) induces more successive diseases in the treatment of deciduous caries. Ignoring the disinfection and caries-affected dentin's remineralisation are the main reasons of such problem. Nowadays, Ozone-Remineralisation therapy has become one of the steps before restorative treatment. However, there is no quantitative standard to evaluate this therapy. Some researches had shown that the laser-fluorescent device (DIAGNOdent, Dd) has the advantages in monitoring caries treatment. We use DIAG-NOdent to monitor the effect of OZone-Remineralisation therapy before filling the restoration in the caves in this study, however, the results is delievered that DIAGNOdent has little advatages in monitoring the effect of this new therapy, because the data of DIAGNOdent had a large fluctuation.

  15. Managing fatigue after cancer treatment: development of RESTORE, a web-based resource to support self-management

    OpenAIRE

    Foster, Claire; Calman, Lynn; Grimmett, Chloe; Breckons, M.; Cotterell, P.; Yardley, Lucy; Joseph, J.; Hughes, S.; Jones, R.; Leonidou, C.; Armes, Jo; Batehup, Lynn; Corner, Jessica; Fenlon, Deborah; Lennan, E

    2015-01-01

    Objective: the aim of this study is to co-create an evidence-based and theoretically informed web-based intervention (RESTORE) designed to enhance self-efficacy to live with cancer-related fatigue (CRF) following primary cancer treatment. Methods: a nine-step process informed the development of the intervention: (1) review of empirical literature; (2) review of existing patient resources; (3) establish theoretical framework; (4) establish design team with expertise in web-based interventi...

  16. Evaluation of efficacy of restorative dental treatment provided under general anesthesia at hospitalized pediatric dental patients of Isfahan

    OpenAIRE

    Eshghi, Alireza; Samani, Mahdi Jafarzadeh; Najafi, Naghme Feyzi; Hajiahmadi, Maryam

    2012-01-01

    Background: General anesthesia (GA) allows dental treatment to be rendered under optimal conditions, theoretically ensuring ideal outcomes. The aim of this study was to determine the efficacy of restorative dental procedures performed under GA. Materials and Methods: In this cross-sectional retrospective study, 305 pediatric patients who had been treated under GA 6 to 24 months before our survey at Isfahan's hospitalized dentistry center were examined. The examination was performed on dental ...

  17. ramic restorations

    Directory of Open Access Journals (Sweden)

    Ashish R Jain

    2013-01-01

    Full Text Available Rehabilitation of a patient with severely worn dentition after restoring the vertical dimension is a complex procedure and assessment of the vertical dimension is an important aspect in these cases. This clinical report describes the full mouth rehabilitation of a patient who was clinically monitored to evaluate the adaptation to a removable occlusal splint to restore vertical dimension for a period 1 month and provisional restorations to determine esthetic and functional outcome for a period of 3 months. It is necessary to recognizing that form follows function and that anterior teeth play a vital role in the maintenance of oral health. Confirmation of tolerance to changes in the vertical dimension of occlusion (VDO is of paramount importance. Articulated study casts and a diagnostic wax-up can provide important information for the evaluation of treatment options. Alteration of the VDO should be conservative and should not be changed without careful consideration.

  18. Ecofunctional Traits and Biomass Production in Leguminous Tree Species under Fertilization Treatments during Forest Restoration in Amazonia

    Directory of Open Access Journals (Sweden)

    Roberto K. Jaquetti

    2016-04-01

    Full Text Available Background: Choosing the correct species and fertilization treatments is a determining factor in the success of forest restoration. Methods: A field study was conducted in a degraded area near the Balbina hydroelectric dam in Amazonas State (AM, Brazil, to evaluate two hypotheses: (i leguminous tree species exhibit differences in growth, leaf nutrient content, and photosynthetic nutrient use efficiencies; and (ii differences in these characteristics depend on the fertilization treatments to which the species have been subjected. Dipteryx odorata, Inga edulis and Schizolobium amazonicum were subjected to the following treatments: (T1 unfertilized control; (T2 post-planting chemical fertilization; (T3 post-planting organic fertilization and (T4 combined chemical and organic post-planting fertilization. Results: In general, I. edulis had the highest absolute growth rate of biomass under all of the fertilization treatments. I. edulis and S. amazonicum showed the highest growth rates under the T4 treatment. D. odorata showed the greatest responses under the T2 and T4 treatments. Native leguminous trees with higher photosynthetic performance and better nutrient use efficiency exhibited greater growth and biomass production. Conclusion: The results suggest that an adequate balance between leguminous species selection and fertilization will aid in the success of forest restoration in Amazonia.

  19. Restorative space management: treatment planning and clinical considerations for insufficient space.

    Science.gov (United States)

    Kim, Jason; Chu, Stephen; Gürel, Galip; Cisneros, George

    2005-01-01

    In attempting to provide a restorative solution for cases that have been compromised by spatial considerations, clinicians have traditionally opted for an orthodontic approach that did not provide optimal aesthetics due to changes in tooth morphology, specifically tooth size and shape as a result of dental deterioration. With the advent of contemporary aesthetic materials and preparation techniques, clinicians and technicians are now empowered to deliver a penultimate result with minimal compromise to the surrounding dentition. This article presents the clinical and laboratory considerations that must be addressed when providing a prosthetic restoration for crowded teeth.

  20. Impact of aesthetic restorative treatment on anterior teeth with fluorosis among residents of an endemic area in Brazil: intervention study

    Science.gov (United States)

    2014-01-01

    Background Endemic dental fluorosis has already been described in some regions of the world. The aim of this study was to evaluate the functional and psychosocial impact of direct aesthetic restorative treatments in endemic fluorosis patients in the northern state of Minas Gerais, Brazil. Was a quasi-experimental intervention study. Methods The reference population consisted of individuals between 9 and 27 years of age that were served by a project intended to recover the smiles of patients with severe fluorosis. The questionnaires were administered on two occasions, 24 months apart (before and after dental treatment). Initially, descriptive analyses were conducted. Prevalence and severity, as well as the extent of the functional and psychosocial impact of oral disorders were estimated based on the Oral Health Impact Profile instrument (OHIP-14). Comparisons between baseline and follow-up and between treatment techniques were carried out using the McNemar, Wilcoxon, and Mann–Whitney tests. Results The study involved 53 individuals, with a mean age of 15.9 years, treated with microabrasion, dental composite, or a combination of both techniques. The treatments performed proved to be competent for reducing the functional and psychosocial impact of oral disorders as measured by the OHIP-14, pointing to the possibility of establishing protocols to be used in programs aimed at restoring the aesthetics and functionality of the anterior teeth in large populations. Conclusions After performing the direct aesthetic restorative treatments in patients with endemic fluorosis, a significant improvement was observed in the prevalence and severity, as well as the extent of the functional and psychosocial impact of oral disorders. PMID:24886223

  1. Restoring the gingival contour by means of provisional resin crowns after single-implant treatment.

    Science.gov (United States)

    Jemt, T

    1999-02-01

    A consecutive group of 55 patients was treated with 63 single-implant restorations. The soft tissue was allowed to heal to either provisional resin crowns (n = 25) that were placed at the time of second-stage surgery, or to healing abutments (n = 38) before final crown insertion. An index that assessed the size of the interproximal mucosa adjacent to the single-implant restorations was used to evaluate the volume of the papillae 2 years after crown insertion. The results indicated that the use of provisional crowns may restore soft tissue contour faster than healing abutments alone, but the papillae adjacent to single-implant restorations presented similar volume in both groups after 2 years in function. Furthermore, the mean marginal bone loss at the implants was 0.9 mm after 1 year, and no differences were observed between the 2 groups. The present data focus on the need for more scientific data to evaluate different clinical procedures for optimizing esthetic results in implant dentistry.

  2. Treatment Outcome and Patient Satisfaction with Two Adjacent Implant-Supported Restorations in the Esthetic Zone

    NARCIS (Netherlands)

    Tymstra, Nynke; Meijer, Henny J. A.; Stellingsma, Kees; Raghoebar, Gerry M.; Vissink, Arjan

    2010-01-01

    The purpose of this study was to evaluate the clinical and radiographic parameters as well as the esthetic outcome of two adjacent implant-supported restorations and the surrounding peri-implant mucosa in the maxillary esthetic zone. Ten patients were treated with two adjacent implants in the anteri

  3. Treatment with garlic restores membrane thiol content and ameliorates lead induced early death of erythrocytes in mice.

    Science.gov (United States)

    Sarkar, Avik; Sengupta, Dipanwita; Mandal, Samir; Sen, Gargi; Dutta Chowdhury, Kaustav; Chandra Sadhukhan, Gobinda

    2015-04-01

    Sequelae of chronic lead (Pb(2+) ) toxicity includes anemia that is partially due to early death of erythrocytes characterized by excess accumulation of ROS and downregulation of antioxidant system causing oxidative stress and externalization of phosphatidylserine. In this study, pathophysiological based therapeutic application of garlic was evaluated against erythrocyte death. Results suggest that garlic administration prevents oxidative stress, restored the antioxidant balance in erythrocytes of Pb(2+) exposed mice. Moreover, in vitro studies revealed that activity of both scramblase and aminophospholipid translocase could be changed by modifying the critical sulfhydryl groups in presence of dithiothreitol during Pb(2+) exposure. Data also indicated that garlic treatment in Pb(2+) exposed mice exhibited sharp decline in PS exposure and increase in erythrocyte membrane thiol group followed by increase in aminophospholipid translocase activity and decline in scramblase activity. Findings indicated that garlic has the ability to restore the lifespan of erythrocytes during Pb(2+) exposure.

  4. A cost-effective treatment for severe generalized erosion and loss of vertical dimension of occlusion: laboratory-fabricated composite resin restorations.

    Science.gov (United States)

    Metz, Michael J; Stapleton, Brandon M; Harris, Bryan T; Lin, Wei-Shao

    2015-01-01

    This case report describes preventive and restorative treatment planning for a 56-year-old female patient with severe, chronic, poorly controlled gastroesophageal reflux disease and resulting loss of vertical dimension of occlusion. First, the demineralization process was controlled through collaboration with the patient's physician, and measures were taken to restore adequate stimulated salivary flow. Then, for financial reasons, indirect laboratory-fabricated composite resin restorations were adhesively bonded to replace lost tooth structure and reestablish the patient's collapsed vertical dimension. Indirect-laboratory fabricated restorations can be a cost-effective alternative to direct composite resin or all-ceramic restorations for the treatment of chronic severe erosion, but there are no long-term clinical reports in the current literature to support or contraindicate the use of indirect composites for this type of clinical application. Therefore, careful, long-term follow-up evaluations are planned for this patient.

  5. A Case of a Chronic Pancreatic Pseudocyst Causing Atraumatic Splenic Rupture without Evidence of Acute Pancreatitis

    Directory of Open Access Journals (Sweden)

    P. Moori

    2016-01-01

    Full Text Available Atraumatic splenic rupture is a rare complication of a pancreatic pseudocyst (PP, described in the setting of chronic pancreatitis. There is common understanding, within the literature, that an inflammatory process at the tail of the pancreas may disrupt the spleen and result in such splenic complications. The authors present a case report of a 29-year-old male with a PP, associated with chronic pancreatitis. The patient had a history of excessive alcohol intake and presented to the emergency department with a short history of abdominal pain and vomiting. He denied any significant history of trauma and serum amylase levels were normal. An admission computed tomography (CT scan of the abdomen confirmed the presence of a PP in direct contact with the spleen. The CT also demonstrated a heterogenous hypodense area of the splenic hilum, along with perisplenic fluid. The patient was admitted for observation. His abdominal pain progressed, and he became haemodynamically unstable. An emergency ultrasound scan (USS at this time revealed intra-abdominal haemorrhage. A subsequent CT confirmed splenic rupture, which was managed surgically with a full recovery. Few such cases are documented within the literature and more understanding of preempting such events is needed.

  6. [Atraumatic bone expansion: Interest of piezo-surgery, conicals expanders and immediate implantation combination].

    Science.gov (United States)

    Iraqui, O; Lakhssassi, N; Berrada, S; Merzouk, N

    2016-06-01

    The durability of dental implants depends on the presence of a 1mm coating bone sheath all around the fixture. Therefore, bone resorption represents a challenge for the practitioner. Bone expansion is a surgical technique that allows the management of horizontal bone atrophy. Cortical bone splitting allows for an enlargement of the residual crest by displacement of the vestibular bone flap. The immediate placement of implants secures the widening and allows for a 97% survival rate. However, bone expansion is hard to undertake in sites with high bone density. Furthermore, the use of traditional instruments increases patient's stress and the risk for an interruptive fracture during bone displacement. Non-traumatic bone expansion is one solution to this problem. The combination of piezo-surgery and conical expanders allows for a secured displacement of the selected bone flap as well as an immediate implant placement, avoiding the risk of slipping, overheating, or fracture, all within an undeniable operative comfort. Non-traumatic bone expansion is a reliable, reproducible, conservative, and economical in time and cost procedure. We describe our atraumatic bone expension and immediate implant placement technique in high bone density sites and illustrate it by a clinical case.

  7. Alternative rubber dam isolation technique for the restoration of Class V cervical lesions.

    Science.gov (United States)

    Owens, Barry M

    2006-01-01

    This article describes an expedited, atraumatic technique of restoring cervical abrasion-erosion, abfraction or carious lesions using an alternative placement sequence of the dental rubber dam for adequate field isolation. As shown by this technique, the rubber dam retainer is modified and positioned on the tooth with subsequent placement of the dental dam material over theretainer and tooth. This technique saves time and provides good retraction of the gingival tissue and isolation of the cavity preparation from contamination (saliva, hemorrhage) that can potentially cause post-operative symptoms and possible restoration replacement.

  8. Influence of different caries treatments on children′s dental fear and anxiety%3种不同龋病治疗方法对儿童牙科畏惧症的影响

    Institute of Scientific and Technical Information of China (English)

    王慧民; 汪俊; 陈曦; 冯希平

    2014-01-01

    目的:比较3种不同龋病治疗方法对儿童牙科畏惧症的影响。方法选择乳磨牙患Ⅱ度龋的90例患儿,随机分为不同龋病治疗组:传统车针去龋组、非创伤性修复(atraumatic restorative treatment,ART)组、化学-机械去龋组。运用面部表情分级法(Facial Image Scale,FIS)比较3组患儿的畏惧程度。采用SPSS19.0软件包进行卡方检验统计学处理。结果3组畏惧程度有显著性差异(P<0.05),传统去龋组的畏惧程度高于其他两组,其与 ART组之间的差异具有统计学意义(P<0.05)。结论非创伤性修复法和化学-机械去龋法可较为有效地缓解儿童牙科畏惧。%Objective To compare the influence of three different caries treatments,including traditional application of rotary instru-ments,atraumatic restorative treatment(ART)and chemo-mechanical method,on children′s dental fear and anxiety.Methods Ninety pediatric patients aged 5-1 2 years who suffered from dental caries were randomly divided into different treatment groups:conventional bur caries group,ART group and chemo-mechanical caries removal group.Dental fear during the treatments was assessed using Facial Image Scale (FIS).Chi square test was performed with SPSS1 9.0 statistical software.Results The degrees of fear among three groups were significantly different.The group using traditional method had higher rate of fear than other two groups.Conclusions The Atrau-matic restorative treatment and the chemo-mechanical technique are more effective in easing children′s dental fear and anxiety and a-chieving better physical and psychological health of children.

  9. Investigation and analysis of 1 793 cases of 7~12 years old children permanent teeth caries disease condition in Yinch-uan city Yueyahu ecological migrants district and evaluation of atraumatic filling technique treatment effect%银川市月牙湖生态移民区1793例7~12岁儿童恒牙龋病状况调查分析及非创伤性充填技术治疗的效果评价

    Institute of Scientific and Technical Information of China (English)

    张馨; 李玲玲; 霍永力

    2016-01-01

    Objective:To understand the children permanent teeth caries disease prevalence condition in Yinchuan city Yueyahu ecological migrants district and the treatment effect of atraumatic filling technique(ART).Methods:1 793 cases of 7~12 years old children were given oral health examination and oral health education.150 cases of children accorded with the treatment standard of ART were selected.The ART treatment was given by using oral portable dental chair on scene.The effect was observed after 3 months of ART filling.Results:The children permanent teeth caries prevalence rate of Yinchuan city Yueyahu ecological migrants district was higher than that of the urban children(the third national epidemiological survey)(P<0.05),and the caries prevalence rate of girls was higher than that of boys.After ART filling technology,the serviceability rate was 94.92%.Conclusion:7~12 years old children of ecological migrants district because of the traffic and economic constraints,and the permanent teeth caries treatment rate is low.ART filling technology is easy to operate,and it can be applied on the prevention and treatment of early childhood permanent teeth caries disease in the economic underdeveloped remote areas.%目的:了解银川市月牙湖生态移民区儿童恒牙龋病患病情况及非创伤性充填技术(ART)治疗效果。方法:对7~12岁1793例儿童进行口腔健康检查和口腔健康教育,筛选符合ART治疗标准的150例儿童,利用口腔便携式牙科治疗椅现场进行ART治疗,ART充填后3个月进行效果观察。结果:银川市月牙湖生态移民区儿童恒牙患龋率高于城市儿童(第三次全国流调)(P<0.05),女生患龋率高于男生。经ART治疗后完好率94.92%。结论:生态移民区7~12岁儿童受交通和经济制约,恒牙龋病治疗率较低。ART充填技术易于操作,可应用于经济欠发达的偏远地区儿童早期恒牙龋病防治。

  10. Evaluation of efficacy of restorative dental treatment provided under general anesthesia at hospitalized pediatric dental patients of Isfahan

    Directory of Open Access Journals (Sweden)

    Alireza Eshghi

    2012-01-01

    Conclusion: Stainless steel crown restorations had significantly better results vs other posterior restorations. The failure rates of stainless steel crown and anterior composite resin build-up restorations did not correlate with the time of follow-up in comparison of other restorations.

  11. The treatment of female pattern hair loss and other applications of surgical hair restoration in women.

    Science.gov (United States)

    Epstein, Jeffrey S

    2004-05-01

    In the specialty of surgical hair restoration, men comprise more than 90% of the patients treated; however, in the last few years the number of women undergoing the procedure has increased significantly. The reasons for this growth are many and include the increase in public awareness of the efficacy of hair transplantation from such sources as the media,the Internet, advertising and word of mouth. More importantly, advances in technique have significantly improved results, increasing the confidence level in women to undergo the procedure and in hair transplant specialists to offer it.

  12. Farnesyltransferase inhibitor treatment restores chromosome territory positions and active chromosome dynamics in Hutchinson-Gilford progeria syndrome cells

    Science.gov (United States)

    2011-01-01

    Background Hutchinson-Gilford progeria syndrome (HGPS) is a premature ageing syndrome that affects children leading to premature death, usually from heart infarction or strokes, making this syndrome similar to normative ageing. HGPS is commonly caused by a mutation in the A-type lamin gene, LMNA (G608G). This leads to the expression of an aberrant truncated lamin A protein, progerin. Progerin cannot be processed as wild-type pre-lamin A and remains farnesylated, leading to its aberrant behavior during interphase and mitosis. Farnesyltransferase inhibitors prevent the accumulation of farnesylated progerin, producing a less toxic protein. Results We have found that in proliferating fibroblasts derived from HGPS patients the nuclear location of interphase chromosomes differs from control proliferating cells and mimics that of control quiescent fibroblasts, with smaller chromosomes toward the nuclear interior and larger chromosomes toward the nuclear periphery. For this study we have treated HGPS fibroblasts with farnesyltransferase inhibitors and analyzed the nuclear location of individual chromosome territories. We have found that after exposure to farnesyltransferase inhibitors mis-localized chromosome territories were restored to a nuclear position akin to chromosomes in proliferating control cells. Furthermore, not only has this treatment afforded chromosomes to be repositioned but has also restored the machinery that controls their rapid movement upon serum removal. This machinery contains nuclear myosin 1β, whose distribution is also restored after farnesyltransferase inhibitor treatment of HGPS cells. Conclusions This study not only progresses the understanding of genome behavior in HGPS cells but demonstrates that interphase chromosome movement requires processed lamin A. PMID:21838864

  13. Evaluation of the endodontic treatment influence on the bond strength of fiber posts reinforced by a restorative composite

    Directory of Open Access Journals (Sweden)

    Ricardo Ferreira

    2011-04-01

    Full Text Available Introduction and objective: Fiber posts are widely used to increase the mechanical strength of the restorations. The aim of this study was to evaluate the bond strength of fiber posts reinforced by a restorative composite to radicular dentin on its cervical, middle and apical thirds, regarding to post preparation prior or posterior to the endodontic treatment. Materials and methods: Thirty bovine incisors were used, which had their debris removed, washed in tap water, and stored frozen. The samples were divided into two groups (n = 15 – according to the treatment applied previously to the installation of the posts: Group 1 – root canal obturation followed by root canal preparation for fiber posts bonding; and Group 2 – fiber posts preparation followed by root canal obturation. The posts were cemented and the roots were cut on their cervical (C, medium (M and apical (A thirds – for push out test application. Bond strength was calculated in MPa and data were statistically analyzed by Anova and Tukey test (p < 0.05. Results: The mean values were (MPa ± SD: G1C – 4.0 ± 6.0; G1M – 3.5 ± 2.9; G1A – 7.2 ± 6.3; G2C – 12.7 ± 8.1; G2M – 11.6 ± 10.2; G2A – 6.5 ± 8.1. The cervical and middle thirds of group 2 had the highest mean values, showing significant statistically difference compared to group 1. For apical third, no significant statistically differences were found among groups. When the cervical, middle and apical thirds were analysed separately, no significant statistically differences were found. Conclusion: The post preparation prior to root canal obturation increased the bond strength of fiber posts reinforced by a restorative composite.

  14. Influence of post-cure treatments on hardness and marginal adaptation of composite resin inlay restorations: an in vitro study

    Directory of Open Access Journals (Sweden)

    Laiza Tatiana Poskus

    2009-12-01

    Full Text Available OBJECTIVES: The purpose of this study was to evaluate the Vickers hardness number (VHN and the in vitro marginal adaptation of inlay restorations of three hybrid composite resins (Filtek Z250, Opallis and Esthet-X subjected to two post-cure treatments. MATERIAL AND METHODS: For the microhardness test, three different groups were prepared in accordance with the post-cure treatments: control group (only light cure for 40 s, autoclave group (light cure for 40 s + autoclave for 15 min at 130ºC; and microwave group (light cure for 40 s + microwave for 3 min at 450 W. To assess the marginal adaptation, the composite resin was inserted incrementally into a mesial-occlusal-distal cavity brass mold and each increment light-cured for 40 s. A previous reading in micrometers was taken at the cervical wall, using a stereomicroscope magnifying glass equipped with a digital video camera and image-analysis software. Subsequently, the specimens were subjected to the post-cure treatments (autoclave and microwave and a reading was taken again at the cervical wall. Data were compared using ANOVA for the hardness test, split-plot ANOVA for the adaptation assessment and Tukey's test for multiple comparisons. A significance level of 5% was adopted for all analyses. RESULTS: The post-cure treatments increased the hardness of conventional composites (p<0.001 and the gap values of inlay restorations (p<0.01. Filtek Z250 showed higher hardness (p<0.001 and lower gap values than Opallis and Esthet-X (p<0.05. Gap values did not exceed 90 µm for any of the experimental conditions. CONCLUSION: The post-cure treatments increased the VHN and the gap values on the cervical floor of composite resin inlays. Moreover, Filtek Z250 showed the best results, with higher hardness and lower gap values.

  15. Gene therapies that restore dystrophin expression for the treatment of Duchenne muscular dystrophy.

    Science.gov (United States)

    Robinson-Hamm, Jacqueline N; Gersbach, Charles A

    2016-09-01

    Duchenne muscular dystrophy is one of the most common inherited genetic diseases and is caused by mutations to the DMD gene that encodes the dystrophin protein. Recent advances in genome editing and gene therapy offer hope for the development of potential therapeutics. Truncated versions of the DMD gene can be delivered to the affected tissues with viral vectors and show promising results in a variety of animal models. Genome editing with the CRISPR/Cas9 system has recently been used to restore dystrophin expression by deleting one or more exons of the DMD gene in patient cells and in a mouse model that led to functional improvement of muscle strength. Exon skipping with oligonucleotides has been successful in several animal models and evaluated in multiple clinical trials. Next-generation oligonucleotide formulations offer significant promise to build on these results. All these approaches to restoring dystrophin expression are encouraging, but many hurdles remain. This review summarizes the current state of these technologies and summarizes considerations for their future development.

  16. Site Restoration

    Energy Technology Data Exchange (ETDEWEB)

    Noynaert, L.; Bruggeman, A.; Cornelissen, R.; Massaut, V.; Rahier, A

    2002-04-01

    The objectives, the programme, and the achievements of SCK-CEN's Site Restoration Department for 2001 are described. Main activities include the decommissioning of the BR3 PWR-reactor as well as other clean-up activities, projects on waste minimisation and the management of spent fuel and the flow of dismantled materials and the recycling of materials from decommissioning activities based on the smelting of metallic materials in specialised foundries. The department provides consultancy and services to external organisations and performs R and D on new techniques including processes for the treatment of various waste components including the reprocessing of spent fuel, the treatment of tritium, the treatment of liquid alkali metals into cabonates through oxidation, the treatment of radioactive organic waste and the reconditioning of bituminised waste products.

  17. Restorative treatment program with physical exercise of patients with dysfunction of the biliary tract.

    Directory of Open Access Journals (Sweden)

    Parhotik I.I.

    2011-06-01

    Full Text Available In the thesis there has been shown that biliary dyskinesia takes a leading position among hepatobiliary diseases. 54 women and 14 men aged between 19 and 64 years old, who suffered from hypo kinetic and hyper kinetic forms of dyskinesia, took part in the research. Based on the character of the functional disorders, it was defined that at hyper kinetic form of dyskinesia the best rehabilitation effects were achieved at the application of physical exercises promoting relaxation of the gallbladder, sphincter and biliary duct musculature combined with the stimulation of bile formation. It was proved that means and methods of motion therapy for patients with hyper kinetic dyskenisia had to be aimed at the restoration of the gallbladder till its full reduction. It was defined that application of different forms of therapeutic physical training considering the type of biliary dyskinesia promoted the improvement of the patients' clinical condition, motor and evacuator function of the biliary ducts.

  18. MR arthrography including abduction and external rotation images in the assessment of atraumatic multidirectional instability of the shoulder

    Energy Technology Data Exchange (ETDEWEB)

    Schaeffeler, Christoph [Technische Universitaet Muenchen, Department of Radiology, Munich (Germany); Kantonsspital Graubuenden, Musculoskeletal Imaging, Chur (Switzerland); Waldt, Simone; Bauer, Jan S.; Rummeny, Ernst J.; Woertler, Klaus [Technische Universitaet Muenchen, Department of Radiology, Munich (Germany); Kirchhoff, Chlodwig [Technische Universitaet Muenchen, Department of Traumatology, Munich (Germany); Haller, Bernhard [Technische Universitaet Muenchen, Institute for Medical Statistics and Epidemiology, Munich (Germany); Schroeder, Michael [Center for Sports Orthopedics and Medicine, Orthosportiv, Munich (Germany); Imhoff, Andreas B. [Technische Universitaet Muenchen, Department of Orthopedic Sports Medicine, Munich (Germany)

    2014-06-15

    To evaluate diagnostic signs and measurements in the assessment of capsular redundancy in atraumatic multidirectional instability (MDI) of the shoulder on MR arthrography (MR-A) including abduction/external rotation (ABER) images. Twenty-one MR-A including ABER position of 20 patients with clinically diagnosed MDI and 17 patients without instability were assessed by three radiologists. On ABER images, presence of a layer of contrast between the humeral head (HH) and the anteroinferior glenohumeral ligament (AIGHL) (crescent sign) and a triangular-shaped space between the HH, AIGHL and glenoid (triangle sign) were evaluated; centring of the HH was measured. Anterosuperior herniation of the rotator interval (RI) capsule and glenoid version were determined on standard imaging planes. The crescent sign had a sensitivity of 57 %/62 %/48 % (observers 1/2/3) and specificity of 100 %/100 %/94 % in the diagnosis of MDI. The triangle sign had a sensitivity of 48 %/57 %/48 % and specificity of 94 %/94 %/100 %. The combination of both signs had a sensitivity of 86 %/90 %/81 % and specificity of 94 %/94 %/94 %. A positive triangle sign was significantly associated with decentring of the HH. Measurements of RI herniation, RI width and glenoid were not significantly different between both groups. Combined assessment of redundancy signs on ABER position MR-A allows for accurate differentiation between patients with atraumatic MDI and patients with clinically stable shoulders; measurements on standard imaging planes appear inappropriate. (orig.)

  19. Non-thermal Atmospheric Plasma Treatment for Deactivation of Oral Bacteria and Improvement of Dental Composite Restoration

    Science.gov (United States)

    Yu, Qing Song; Li, H.; Ritts, A. C.; Yang, B.; Chen, M.; Hong, L.; Xu, C.; Yao, X.; Wang, Y.

    This paper reviews our recent research results of using non-thermal ­atmospheric plasmas for oral bacterial deactivation and for composite restoration improvement. Oral bacteria of Streptococcus mutans (S. mutans) and Lactobacillus acidophilus (L. acidophilus) with an initial bacterial population density between 1.0 × 108 and 5.0 × 108 cfu/ml were seeded on various media and their survivability with plasma exposure was examined. The plasma exposure time for a 99.9999% cell reduction was less than 15 s for S. mutans and within 5 min for L. acidophilus. To evaluate the dentin/composite interfacial bonding, extracted unerupted human third molars were used by removing the crowns and etching the exposed dentin surfaces with 35% phosphoric acid gel. After dental composite application and light curing, the teeth were then sectioned into micro-bars as the specimens for microtensile test. Student Newman Keuls (SNK) tests showed that the bonding strength of the composite restoration to peripheral dentin was significantly increased (by 64%) after 30 s plasma treatment of the dentin surfaces. These findings indicated that non-thermal atmospheric plasma technology is very promising for dental clinical applications.

  20. Invisalign technique in the treatment of adults with pre-restorative concerns

    Science.gov (United States)

    2013-01-01

    The Invisalign method is gaining an increasing interest as an alternative treatment option in adult patient in multidisciplinary complex cases to simplify the treatment plan. The aim of this work is to show the importance of planning a multidisciplinary approach to respond at the esthetic requests of adult patients and to treat complex cases with high predictability. PMID:24325954

  1. Invisalign technique in the treatment of adults with pre-restorative concerns.

    Science.gov (United States)

    Mampieri, Gianluca; Giancotti, Aldo

    2013-10-20

    The Invisalign method is gaining an increasing interest as an alternative treatment option in adult patient in multidisciplinary complex cases to simplify the treatment plan. The aim of this work is to show the importance of planning a multidisciplinary approach to respond at the esthetic requests of adult patients and to treat complex cases with high predictability.

  2. Using MODIS-NDVI for the Modeling of Post-Wildfire Vegetation Response as a Function of Environmental Conditions and Pre-Fire Restoration Treatments

    Directory of Open Access Journals (Sweden)

    Grant M. Casady

    2012-03-01

    Full Text Available Post-fire vegetation response is influenced by the interaction of natural and anthropogenic factors such as topography, climate, vegetation type and restoration practices. Previous research has analyzed the relationship of some of these factors to vegetation response, but few have taken into account the effects of pre-fire restoration practices. We selected three wildfires that occurred in Bandelier National Monument (New Mexico, USA between 1999 and 2007 and three adjacent unburned control areas. We used interannual trends in the Normalized Difference Vegetation Index (NDVI time series data derived from the Moderate Resolution Imaging Spectroradiometer (MODIS to assess vegetation response, which we define as the average potential photosynthetic activity through the summer monsoon. Topography, fire severity and restoration treatment were obtained and used to explain post-fire vegetation response. We applied parametric (Multiple Linear Regressions-MLR and non-parametric tests (Classification and Regression Trees-CART to analyze effects of fire severity, terrain and pre-fire restoration treatments (variable used in CART on post-fire vegetation response. MLR results showed strong relationships between vegetation response and environmental factors (p < 0.1, however the explanatory factors changed among treatments. CART results showed that beside fire severity and topography, pre-fire treatments strongly impact post-fire vegetation response. Results for these three fires show that pre-fire restoration conditions along with local environmental factors constitute key processes that modify post-fire vegetation response.

  3. Restorative treatment thresholds for interproximal primary caries based on radiographic images: findings from the Dental Practice-Based Research Network

    DEFF Research Database (Denmark)

    Gordan, Valeria V; Garvan, Cynthia W; Heft, Marc W

    2009-01-01

    with restorative intervention in lesions that have penetrated only the enamel surface. This study surveyed dentists from the Dental Practice-Based Research Network (DPBRN) who had reported doing at least some restorative dentistry (n = 901). Dentists were asked to indicate the depth at which they would restore...

  4. Neuroprotection: the emerging concept of restorative neural stem cell biology for the treatment of neurodegenerative diseases.

    Science.gov (United States)

    Carletti, Barbara; Piemonte, Fiorella; Rossi, Ferdinando

    2011-06-01

    During the past decades Neural Stem Cells have been considered as an alternative source of cells to replace lost neurons and NSC transplantation has been indicated as a promising treatment for neurodegenerative disorders. Nevertheless, the current understanding of NSC biology suggests that, far from being mere spare parts for cell replacement therapies, NSCs could play a key role in the pharmacology of neuroprotection and become protagonists of innovative treatments for neurodegenerative diseases. Here, we review this new emerging concept of NSC biology.

  5. Importance of orthodontic movement in interdisciplinary treatment for restoring esthetics and functional occlusion

    OpenAIRE

    Carlos Henrique Guimarães; Simone da Silva Luz; Rafael Pinelli Henriques; Lucelma Vilela Pieri; Rodrigo Borali; Wilana Silva Moura

    2015-01-01

    This article describes interdisciplinary treatment conducted in adult patients, 49-year-old, with periodontal problems, losses and dental inclination, occlusal trauma, localized bone loss, and necessity of rehabilitation with dental implants. Alignment and leveling of the teeth, the molars uprighting with cantilever, and space closure were performed the treatment was facilitated by periodic periodontal control. The resultant occlusion was stable throughout a 5-year retention period. In conclu...

  6. Aesthetic restoration of deciduous anterior teeth after removal of carious tissue with Papacárie ®

    Directory of Open Access Journals (Sweden)

    Motta Lara

    2009-01-01

    Full Text Available The development of conservative techniques for the removal of carious tissue and the improvement of dental restoration materials allow better preservation of the dental structure. Chemomechanical caries removal is a conservative and atraumatic alternative. Papacárie ® is a papain-based material developed to act only on the carious dentin, allowing its easy removal with a blunt curette. This study aims to present a clinical case of aesthetic restoration of both upper deciduous central incisors after the removal of carious tissue with Papacárie ® .

  7. Topical Rosiglitazone Treatment Improves Ulcerative Colitis by Restoring Peroxisome Proliferator-Activated Receptor-gamma Activity

    DEFF Research Database (Denmark)

    Pedersen, G.; Brynskov, Jørn

    2010-01-01

    and functional activity in human colonic epithelium and explored the potential of topical treatment with rosiglitazone (a PPAR gamma ligand) in patients with ulcerative colitis. METHODS: Spontaneous and rosiglitazone-mediated PPAR gamma and adipophillin expression (a gene transcriptionally activated by PPAR...... gamma) were measured by reverse transcriptase PCR in colonic biopsies and isolated epithelial cells from patients with ulcerative colitis and controls. Fourteen patients with active distal ulcerative colitis were randomized to either rosiglitazone (4 mg) or mesalazine (1 g) enema treatment once daily...... in epithelial cells from inflamed mucosa in vitro. Rosiglitazone enema treatment was well tolerated and reduced the Mayo ulcerative colitis score from 8.9 to 4.3 (P

  8. Partial Restoration Of Skeletal Strength In Ovariectomized Rats By Treatment With Strontium Salts

    DEFF Research Database (Denmark)

    Andersen, Jens Enevold Thaulov; Andersen, Pernille/Høegh; Christgau, Stephan

    AIM Ovariectomy of female rats induces significant bone-loss by depriving endogenous estrogen production. We assessed whether administration of strontium salts had a therapeutic benefit in this animal model of postmenopausal osteoporosis. INTRODUCTION In most women after menopause, the rate of bone...... loss exceeds the rate of bone formation, resulting in a net decrease in bone mass and ultimately in development of osteoporosis and elevated risk of sustaining fragility fracture. Most approved osteoporosis treatments work by decreasing the rate of bone resorption, however, these treatments also...

  9. Effect of Silver Diamine Fluoride and Potassium Iodide Treatment on Secondary Caries Prevention and Tooth Discolouration in Cervical Glass Ionomer Cement Restoration

    Science.gov (United States)

    Zhao, Irene Shuping; Mei, May Lei; Burrow, Michael F.; Lo, Edward Chin-Man; Chu, Chun-Hung

    2017-01-01

    This study investigated the effect of silver diamine fluoride (SDF) and potassium iodide (KI) treatment on secondary caries prevention and tooth discolouration in glass ionomer cement (GIC) restoration. Cervical GIC restorations were done on 30 premolars with: Group 1, SDF + KI; Group 2, SDF (positive control); Group 3, no treatment (negative control). After cariogenic biofilm challenge, the demineralisation of dentine adjacent to the restoration was evaluated using micro-computed tomography (micro-CT) and Fourier transform infrared (FTIR) spectroscopy. The colour of dentine adjacent to the restoration was assessed using CIELAB system at different time points. Total colour change (∆E) was calculated and was visible if ∆E > 3.7. Micro-CT showed the outer lesion depths for Groups 1, 2 and 3 were 91 ± 7 µm, 80 ± 7 µm and 119 ± 8 µm, respectively (p < 0.001; Group 2 < Group 1 < Group 3). FTIR found that there was a significant difference in amide I-to-hydrogen phosphate ratio among the three groups (p < 0.001; Group 2 < Group 1 < Group 3). ∆E of Groups 1, 2 and 3 after biofilm challenge were 22.5 ± 4.9, 70.2 ± 8.3 and 2.9 ± 0.9, respectively (p < 0.001; Group 3 < Group 1 < Group 2). SDF + KI treatment reduced secondary caries formation on GIC restoration, but it was not as effective as SDF treatment alone. Moreover, a perceptible staining on the restoration margin was observed, but the intensity of discolouration was less than that with solely SDF treatment. PMID:28178188

  10. Effect of Silver Diamine Fluoride and Potassium Iodide Treatment on Secondary Caries Prevention and Tooth Discolouration in Cervical Glass Ionomer Cement Restoration.

    Science.gov (United States)

    Zhao, Irene Shuping; Mei, May Lei; Burrow, Michael F; Lo, Edward Chin-Man; Chu, Chun-Hung

    2017-02-06

    This study investigated the effect of silver diamine fluoride (SDF) and potassium iodide (KI) treatment on secondary caries prevention and tooth discolouration in glass ionomer cement (GIC) restoration. Cervical GIC restorations were done on 30 premolars with: Group 1, SDF + KI; Group 2, SDF (positive control); Group 3, no treatment (negative control). After cariogenic biofilm challenge, the demineralisation of dentine adjacent to the restoration was evaluated using micro-computed tomography (micro-CT) and Fourier transform infrared (FTIR) spectroscopy. The colour of dentine adjacent to the restoration was assessed using CIELAB system at different time points. Total colour change (∆E) was calculated and was visible if ∆E > 3.7. Micro-CT showed the outer lesion depths for Groups 1, 2 and 3 were 91 ± 7 µm, 80 ± 7 µm and 119 ± 8 µm, respectively (p < 0.001; Group 2 < Group 1 < Group 3). FTIR found that there was a significant difference in amide I-to-hydrogen phosphate ratio among the three groups (p < 0.001; Group 2 < Group 1 < Group 3). ∆E of Groups 1, 2 and 3 after biofilm challenge were 22.5 ± 4.9, 70.2 ± 8.3 and 2.9 ± 0.9, respectively (p < 0.001; Group 3 < Group 1 < Group 2). SDF + KI treatment reduced secondary caries formation on GIC restoration, but it was not as effective as SDF treatment alone. Moreover, a perceptible staining on the restoration margin was observed, but the intensity of discolouration was less than that with solely SDF treatment.

  11. Monitoring the Effects of Forest Restoration Treatments on Post-Fire Vegetation Recovery with MODIS Multitemporal Data

    Directory of Open Access Journals (Sweden)

    Willem J. D. van Leeuwen

    2008-03-01

    Full Text Available This study examines how satellite based time-series vegetation greenness data and phenological measurements can be used to monitor and quantify vegetation recovery after wildfire disturbances and examine how pre-fire fuel reduction restoration treatments impact fire severity and impact vegetation recovery trajectories. Pairs of wildfire affected sites and a nearby unburned reference site were chosen to measure the post-disturbance recovery in relation to climate variation. All site pairs were chosen in forested uplands in Arizona and were restricted to the area of the Rodeo-Chediski fire that occurred in 2002. Fuel reduction treatments were performed in 1999 and 2001. The inter-annual and seasonal vegetation dynamics before, during, and after wildfire events can be monitored using a time series of biweekly composited MODIS NDVI (Moderate Resolution Imaging Spectroradiometer - Normalized Difference Vegetation Index data. Time series analysis methods included difference metrics, smoothing filters, and fitting functions that were applied to extract seasonal and inter-annual change and phenological metrics from the NDVI time series data from 2000 to 2007. Pre- and post-fire Landsat data were used to compute the Normalized Burn Ratio (NBR and examine burn severity at the selected sites. The phenological metrics (pheno-metrics included the timing and greenness (i.e. NDVI for the start, peak and end of the growing season as well as proxy measures for the rate of green-up and senescence and the annual vegetation productivity. Pre-fire fuel reduction treatments resulted in lower fire severity, which reduced annual productivity much less than untreated areas within the Rodeo-Chediski fire perimeter. The seasonal metrics were shown to be useful for estimating the rate of post-fire disturbance recovery and the timing of phenological greenness phases. The use of satellite time series NDVI data and derived pheno-metrics show potential for tracking vegetation

  12. Pioglitazone treatment restores in vivo muscle oxidative capacity in a rat model of diabetes

    NARCIS (Netherlands)

    Wessels, B.; Ciapaite, J.; van den Broek, N. M. A.; Houten, S. M.; Nicolay, K.; Prompers, J. J.

    2015-01-01

    Aim: To determine the effect of pioglitazone treatment on in vivo and ex vivo muscle mitochondrial function in a rat model of diabetes. Methods: Both the lean, healthy rats and the obese, diabetic rats are Zucker Diabetic Fatty (ZDF) rats. The homozygous fa/fa ZDF rats are obese and diabetic. The he

  13. Watershed Restoration Project

    Energy Technology Data Exchange (ETDEWEB)

    Julie Thompson; Betsy Macfarlan

    2007-09-27

    In 2003, the U.S. Department of Energy issued the Eastern Nevada Landscape Coalition (ENLC) funding to implement ecological restoration in Gleason Creek and Smith Valley Watersheds. This project was made possible by congressionally directed funding that was provided through the US Department of Energy, Energy Efficiency and Renewable Energy, Office of the Biomass Program. The Ely District Bureau of Land Management (Ely BLM) manages these watersheds and considers them priority areas within the Ely BLM district. These three entities collaborated to address the issues and concerns of Gleason Creek and Smith Valley and prepared a restoration plan to improve the watersheds’ ecological health and resiliency. The restoration process began with watershed-scale vegetation assessments and state and transition models to focus on restoration sites. Design and implementation of restoration treatments ensued and were completed in January 2007. This report describes the restoration process ENLC undertook from planning to implementation of two watersheds in semi-arid Eastern Nevada.

  14. [Use of diagnostic templates at stages of prosthetics treatment with implant-retained restorations].

    Science.gov (United States)

    Gvetadze, R Sh; Abramian, S V; Ivanov, A A; Nubarian, A P

    2015-01-01

    The comparative analysis of efficiency of various types of diagnostic templates for planning orthopedic treatment of 50 patients with partial or complete absence of teeth was performed. The patients were divided in 3 groups according to template manufacturing technique. All diagnostic templates made in accordance with clinical conditions allowed transfering digital data of the scheduled prosthetic construction for virtual implantation planning. Advantages and pitfalls of each template type are discussed.

  15. rTMS: A Treatment to Restore Function After Severe TBI

    Science.gov (United States)

    2015-10-01

    TBI related neurologic populations combined with our preliminary findings with severe TBI, indicate that rTMS merits investigation as a...30 treatment sessions. Determine long-term effects of Active APT III+ Active iTBS according to above measures, by computing change between baseline...pain of UCPPS. Specific Aims: Aim 1: Evaluate differential efficacy for UCPPS urological pain relief between placebo and DCS. Aim 2: Evaluate

  16. Resiliency of an Interior Ponderosa Pine Forest to Bark Beetle Infestations Following Fuel-Reduction and Forest-Restoration Treatments

    Directory of Open Access Journals (Sweden)

    Christopher J. Fettig

    2014-01-01

    Full Text Available Mechanical thinning and the application of prescribed fire are commonly used to restore fire-adapted forest ecosystems in the Western United States. During a 10-year period, we monitored the effects of fuel-reduction and forest-restoration treatments on levels of tree mortality in an interior ponderosa pine, Pinus ponderosa Dougl. ex Laws., forest in California. Twelve experimental plots, ranging in size from 77–144 ha, were established to create two distinct forest structural types: mid-seral stage (low structural diversity; LoD and late-seral stage (high structural diversity; HiD. Following harvesting, half of each plot was treated with prescribed fire (B. A total of 16,473 trees (8.7% of all trees died during the 10-year period. Mortality was primarily attributed to bark beetles (Coleoptera: Curculionidae, Scolytinae (10,655 trees, specifically fir engraver, Scolytus ventralis LeConte, mountain pine beetle, Dendroctonus ponderosae Hopkins, western pine beetle, D. brevicomis LeConte, pine engraver, Ips pini (Say, and, to a much lesser extent, Jeffrey pine beetle, D. jeffreyi Hopkins. Trees of all ages and size classes were killed, but mortality was concentrated in the smaller-diameter classes (19–29.2 and 29.3–39.3 cm at 1.37 m in height. Most mortality occurred three to five years following prescribed burns. Higher levels of bark beetle-caused tree mortality were observed on LoD + B (8.7% than LoD (4.2%. The application of these and other results to the   management of interior P. ponderosa forests are discussed, with an emphasis on the maintenance of large trees.

  17. Restoring large-scale brain networks in PTSD and related disorders: a proposal for neuroscientifically-informed treatment interventions

    Directory of Open Access Journals (Sweden)

    Ruth A. Lanius

    2015-03-01

    Full Text Available Background: Three intrinsic connectivity networks in the brain, namely the central executive, salience, and default mode networks, have been identified as crucial to the understanding of higher cognitive functioning, and the functioning of these networks has been suggested to be impaired in psychopathology, including posttraumatic stress disorder (PTSD. Objective: 1 To describe three main large-scale networks of the human brain; 2 to discuss the functioning of these neural networks in PTSD and related symptoms; and 3 to offer hypotheses for neuroscientifically-informed interventions based on treating the abnormalities observed in these neural networks in PTSD and related disorders. Method: Literature relevant to this commentary was reviewed. Results: Increasing evidence for altered functioning of the central executive, salience, and default mode networks in PTSD has been demonstrated. We suggest that each network is associated with specific clinical symptoms observed in PTSD, including cognitive dysfunction (central executive network, increased and decreased arousal/interoception (salience network, and an altered sense of self (default mode network. Specific testable neuroscientifically-informed treatments aimed to restore each of these neural networks and related clinical dysfunction are proposed. Conclusions: Neuroscientifically-informed treatment interventions will be essential to future research agendas aimed at targeting specific PTSD and related symptoms.

  18. Regulated recycling of mutant CFTR is partially restored by pharmacological treatment.

    Science.gov (United States)

    Holleran, John P; Zeng, Jianxin; Frizzell, Raymond A; Watkins, Simon C

    2013-06-15

    Efficient trafficking of the cystic fibrosis transmembrane conductance regulator (CFTR) to and from the cell surface is essential for maintaining channel density at the plasma membrane (PM) and ensuring proper physiological activity. The most common mutation, F508del, exhibits reduced surface expression and impaired function despite treatment with currently available pharmacological small molecules, called correctors. To gain more detailed insight into whether CFTR enters compartments that allow corrector stabilization in the cell periphery, we investigated the peripheral trafficking itineraries and kinetics of wild type (WT) and F508del in living cells using high-speed fluorescence microscopy together with fluorogen activating protein detection. We directly visualized internalization and accumulation of CFTR WT from the PM to a perinuclear compartment that colocalized with the endosomal recycling compartment (ERC) markers Rab11 and EHD1, reaching steady-state distribution by 25 minutes. Stimulation by protein kinase A (PKA) depleted this intracellular pool and redistributed CFTR channels to the cell surface, elicited by reduced endocytosis and active translocation to the PM. Corrector or temperature rescue of F508del also resulted in targeting to the ERC and exhibited subsequent PKA-stimulated trafficking to the PM. Corrector treatment (24 hours) led to persistent residence of F508del in the ERC, while thermally destabilized F508del was targeted to lysosomal compartments by 3 hours. Acute addition of individual correctors, C4 or C18, acted on peripheral trafficking steps to partially block lysosomal targeting of thermally destabilized F508del. Taken together, corrector treatment redirects F508del trafficking from a degradative pathway to a regulated recycling route, and proteins that mediate this process become potential targets for improving the efficacy of current and future correctors.

  19. Conceptual Site Treatment Plan Laboratory for Energy-Related Health Research Environmental Restoration Project

    Energy Technology Data Exchange (ETDEWEB)

    Chapman, T.E.

    1993-10-01

    The Federal Facilities Compliance Act (the Act) of 1992 waives sovereign immunity for federal facilities for fines and penalties under the provisions of the Resource Recovery and Conservation Act, state, interstate, and local hazardous and solid waste management requirements. However, for three years the Act delays the waiver for violations involving US Department of Energy (DOE) facilities. The Act, however, requires that the DOE prepare a Conceptual Site Treatment Plan (CSTP) for each of its sites that generate or store mixed wastes (MWs). The purpose of the CSTP is to present DOE`s preliminary evaluations of the development of treatment capacities and technologies for treating a site`s MW. This CSTP presents the preliminary capacity and technology evaluation for the Laboratory for Energy-Related Health Research (LEHR). The five identified MW streams at LEHR are evaluated to the extent possible given available information. Only one MW stream is sufficiently well defined to permit a technology evaluation to be performed. Two other MW streams are in the process of being characterized so that an evaluation can be performed. The other two MW streams will be generated by the decommissioning of inactive facilities onsite within the next five years.

  20. A new separation and treatment method for soil and groundwater restoration

    Energy Technology Data Exchange (ETDEWEB)

    Hitchens, G.D. [Lynntech, Inc., College Station, TX (United States)

    1997-10-01

    Soil and groundwater contamination by organic compounds is a widespread environmental pollution problem. In many cases, contaminated soil is excavated and transported to a landfill or is incinerated to remove contaminants. These remediation practices are expensive, environmentally disruptive, require extensive permitting, and only move contamination from one location to another. Onsite and in situ treatment techniques offer a safer, more cost-effective, and permanent solution. Many soil and groundwater contaminants are highly volatile, enabling the use of methods such as in situ vacuum extraction and air injection for their removal. However, these methods are often difficult to use because of slow volatilization rates and the lack of effective methods to treat the extracted hazardous material. This Phase I Small Business Innovation Research program focuses on developing an in situ soil and groundwater remediation technique that is effective against volatile as well as nonvolatile compounds and that will shorten treatment times. The technique forms the basis of a new catalytic process to degrade extracted contaminants onsite. Key hardware elements on which the new technique is based have been proven in preliminary research. The method has a high potential for public and regulatory acceptance because of its low environment impact.

  1. Is the treatment effect of IFN-beta restored after the disappearance of neutralizing antibodies?

    DEFF Research Database (Denmark)

    Sorensen, P S; Koch-Henriksen, Nils; Flachs, Esben Meulengracht

    2008-01-01

    OBJECTIVE: To establish whether multiple sclerosis (MS) patients, who have lost the therapeutic effect of interferon-beta (IFN-beta) owing to neutralizing antibodies (NAbs) and subsequently revert from a NAb-positive to a NAb-negative state under continued IFN-beta-1b therapy, regain clinical...... effect after reversion. BACKGROUND: Several studies have shown that a significant proportion of patients treated with IFN-beta develop NAbs that hamper or abolish the therapeutic effect of IFN-beta. However, some patients, who become NAb-positive under treatment with IFN-beta-1b, may revert to a NAb......-positive. A patient was defined as NAb-positive after two consecutive blood tests separated by at least 6 months. Reversion to a NAb-negative state required at least two consecutive negative tests. To allow for the confounding effect of time we employed a mixed Poisson model. RESULTS: Patients who had been NAb...

  2. Treatment with L-valine ameliorates liver fibrosis and restores thrombopoiesis in rats exposed to carbon tetrachloride.

    Science.gov (United States)

    Nakanishi, Chikashi; Doi, Hideyuki; Katsura, Kazunori; Satomi, Susumu

    2010-06-01

    It has been reported that treatment with branched chain amino acids (BCAAs) increases the survival rates in cirrhotic patients. In this study, we investigated the effect of L-valine, one of BCAAs, on liver fibrosis in rat. To induce liver fibrosis, male Wistar rats were injected carbon tetrachloride (CCl(4)) intraperitoneally (2.0 mL/kg) twice a week for 12 weeks. The rats (seven to fifteen rats for each group) were then administered 1.688 g/kg/day of L-valine intravenously for 7 days or 10% amino acid preparation that provided the same amount of nitrogen. Seven days after the last administration, blood platelet counts and bone marrow megakaryocyte counts were significantly higher in the valine group than in the control group (131.2 +/- 38.3 vs. 106.3 +/- 14.5 x 10(4)/microL, p = 0.04; 18.0 +/- 2.1 vs. 13.5 +/- 2.2 per field, p valine group than the control group. Furthermore, hepatic fibrosis was significantly reduced in the valine group, and the mRNA levels of factors associated with liver fibrosis such as procollagen alpha1(III), transforming growth factor-beta1 and connective tissue growth factor were significantly lower in the liver of the valine group 10 days after the last administration. These results indicate that L-valine treatment ameliorates liver fibrosis and restores thrombopoiesis in rats exposed to CCl(4). Therefore, L-valine supplementation may be helpful for patients with liver cirrhosis.

  3. Restoration of tryptophan hydroxylase functions and serotonin content in the Atlantic croaker hypothalamus by antioxidant treatment during hypoxic stress

    Directory of Open Access Journals (Sweden)

    Md. Saydur Rahman

    2014-05-01

    Full Text Available Antioxidants are prototypical scavengers of oxygen-free radicals and have been shown to prevent neuroendocrine dysfunction in vertebrates during oxidative stress. In the present study, we investigated whether antioxidant treatment can reverse hypoxia-induced down-regulation of hypothalamic tryptophan hydroxylase (TPH and serotonergic functions in Atlantic croaker. Hypothalamic neuronal contents of TPH-1 and TPH-2 proteins, serotonin (5-hydroxytryptamine, 5-HT and its precursor, 5-hydroxytryptophan (5-HTP as well as hypothalamic TPH-1 and TPH-2 mRNA expression and TPH activity were measured in croaker after exposure to hypoxia and treatment with pharmacological agents. Multiple injections of N-ethylmaleimide, a sulfhydryl alkylating agent, caused comparable decreases in hypothalamic TPHs functions and 5-HT contents to that induced by hypoxia exposure (dissolved oxygen: 1.7 mg/L for 4 weeks which were partially restored by repeated injections with a nitric oxide synthase (NOS-inhibitor and/or vitamin E. Double-labeled immunohistochemical results showed that TPHs and 5-HT neurons were co-expressed with neuronal NOS (nNOS, a neuroenzyme that catalyzes the production of nitric oxide, a free radical, in hypothalamic neurons. These results suggest that hypoxia-induced impairment of TPH and serotonergic functions are mediated by nNOS and involve the generation of free radicals and a decrease in the antioxidant status. This study provides, to our knowledge, the first evidence of a protective role for an antioxidant in maintaining neural TPHs functions and 5-HT regulation in an aquatic vertebrate during hypoxic stress.

  4. [Influence of implant restoration on traditional restoration idea].

    Science.gov (United States)

    Liu, H C

    2016-01-01

    Implant restoration affected the traditional restoration idea. Artificial implant restoration has a profound influence on the design of dental restoration. Implant supported prostheses have not only changed the method of oral rehabilitation, but also integrated revolutionary concept with the traditional treatment protocol. By using implants, posterior missing molars can be effectively restored and thus eliminating the disadvantages of traditional removable partial denture for Kennedy classification Ⅰ, Ⅱ partically edentulous dentition. Full edentulous arch can also be restored with implant fixed denture which provide much better oral health related quality of life compared with the traditional complete denture. It is useful to master the theory and skills of artificial implant restoration, and to provide a reference for the restoration of oral physiological function.

  5. A treatment protocol for restoring occlusal vertical dimension using an overlay removable partial denture as an alternative to extensive fixed restorations: a clinical report.

    Science.gov (United States)

    Patel, Mit B; Bencharit, Sompop

    2009-10-30

    Treatment options for patients with severe attrition resulting in reduced occlusal vertical dimension are often limited to fixed prosthesis to reestablish proper occlusal vertical dimension and functional occlusion. In some cases such as when there are limited finances, minimal esthetic concerns, and medical considerations fixed prosthesis may not be the ideal treatment option. Overlay removable partial dentures (ORPDs) can be used as a provisional or interim prosthesis as well as permanent prosthesis in these cases. While ORPDs can provide a reversible and relatively inexpensive treatment for patients with a significantly compromised dental status, there is not much scientific evidence in the literature on ORPDs. Most studies published on ORPDs to date are primarily reviews and clinical reports. In this article, literatures on ORPDs are summarized and a patient treated with interim and permanent ORPDs is presented. This article reviews previously published literatures on the use of ORPDs. Indications, advantages and disadvantages are discussed. Treatment protocol with an example of the prosthodontic treatment of a patient with severely worn dentition with an interim ORPD and later a permanent ORPD are discussed in details.

  6. Efficacy of chemical treatment of the Pietra cantone limestone in the restoration of historic buildings of Cagliari (southern Sardinia, Italy)

    Science.gov (United States)

    Columbu, Stefano; Lisci, Carla; Sitzia, Fabio; Buccellato, Giampaolo

    2015-04-01

    The present work aims to evaluate the efficacy of some chemical products in the restoration works of the "Pietra cantone" limestone, a calcarenitic rock belonging to the carbonatic miocenic series (lower Tortonian) of Cagliari (southern Sardinia, Italy), widely used in historic buildings. Such stone, once used in the masonry, if is not protected by plaster or in the presence of aqueous solutions circulating, frequently shows problems of chemical-physical decay, due to their petrophysical characteristics. In fact, being characterized by a highly porous (on average 35-42% vol.) carbonate matrix low-medium cemented, are easily alterable by weathering processes (i.e., dissolution, sulfation, etc.) and by cyclic mechanism of crystallization/solubilisation of salts and hydration/dehydration of hygroscopic phases belonging to the clay component of these calcarenites. These processes induce negative effects on physical-mechanical properties of stone, producing various macroscopic forms of alteration such as decohesion, disintegration, exfoliation, alveolation, etc. Where the decay of the walls is in an advanced stage, there was a strong retreat of the vertical profile of the facade of the building, resulting in critical static-structural. As a case study was taken the historic building of a tobacco manufacture, one of the first industrial establishments in Cagliari, then owned by the Italian State Monopoly. The factory dates back to the early decades of the XVIII century, the walls of which, however, belonged to the convent of the "Frati Minori" built towards the end of the XIV century along the wall that closed the east the historic district of "Marina" in front of the port of Cagliari. In addressing the structural restoration of this building, before selecting chemical products for dealing adequately of limestone, we proceeded at the outset to a thorough analysis of the structures built in "Pietra Cantone", and their physical-mechanical decay. Only thereafter the stone

  7. Restoring forests

    DEFF Research Database (Denmark)

    Jacobs, Douglass F.; Oliet, Juan A.; Aronson, James;

    2015-01-01

    Forest loss and degradation is occurring at high rates but humankind is experiencing historical momentum that favors forest restoration. Approaches to restoration may follow various paradigms depending on stakeholder objectives, regional climate, or the degree of site degradation. The vast amount...

  8. Voice restoration

    NARCIS (Netherlands)

    Hilgers, F.J.M.; Balm, A.J.M.; van den Brekel, M.W.M.; Tan, I.B.; Remacle, M.; Eckel, H.E.

    2010-01-01

    Surgical prosthetic voice restoration is the best possible option for patients to regain oral communication after total laryngectomy. It is considered to be the present "gold standard" for voice rehabilitation of laryngectomized individuals. Surgical prosthetic voice restoration, in essence, is alwa

  9. Endo-restorative treatment of a severly discolored upper incisor: resolution of the “aesthetic” problem through Componeer veneering System

    Science.gov (United States)

    Migliau, Guido; Besharat, Laith Konstantinos; Sofan, Afrah Ali Abdullah; Sofan, Eshrak Ali Abdullah; Romeo, Umberto

    2015-01-01

    Summary Aim Re-establishing a patient’s lost dental aesthetic appearance is one of the most important topics for contemporary dentistry. New treatment materials and methods have been coming on the scene, day by day, in order to achieve such an aim. Most dentists prefer more conservative and aesthetic approaches, such as direct or indirect veneer restorations, instead of full-ceramic crowns for anteriors where aesthetics is really important. The aim of the study is to evaluate clinically the effectiveness of a direct composite veneering system in resolving aesthetic problem of an upper incisor with a multidisciplinary treatment approach. Methods Patient with a severe discolored upper incisor came to our attention; at the X-ray exam there was an evidence of a past not good root canal treatment and also old and incongruent composite obturation. After removing all the material inside the root canal was performed a new correct endodontic filling, then Authors tried to bleach the tooth trough “walking-bleach” technique with a hydrogen peroxide (30 volumes) and sodium perborate solution without excellent results. So it was decided to insert a glass-fiber post and than to perform a direct composite veneer with Componeer System (Coltene). Componeer System is a system of prefabricated composite veneers that are abled to be applied directly in the first appointment: after a conservative preparation of the tooth, it must be used an adhesive agent (for example a “three steps”) and then with composite stratification it’s possible to apply the componeer veneer (choosing the right measure, modified as necessary) as the last covering aesthetic layer. Result The evaluation of result of this multidisciplinary treatment was essentially clinical and radiological; in fact it’s possible to observe, from a clinical point of view, the good aesthetic aspect of the direct composite restoration with componeer veneer that offers also some advantages: conservative preparation with

  10. Mortars and treatments in the restoration of the Altarpiece of the High Altar of the Pilar Basilica

    Directory of Open Access Journals (Sweden)

    Luxán, M. P.

    2000-06-01

    Full Text Available The altarpiece of the Assumption of Mary is located in the High Altar of the Pilar Basilica in Zaragoza and is one of the most important works of the Spanish Artistic Heritage. The work, sculptured in alabaster, was carried out between 1509 and 1518 by Damián Forment. The present paper covers the guidelines for the design of repair mortars used to restore the altarpiece. They are based on compatibility criteria with the existing materials and treatments in the altarpiece, according to research carried out during the recent works of cleaning and restoration. During the previous research, the composition of the original mortars was tested, the aggregate granulometry, and the composition of the organic additives used. The patina of the altarpiece was also analyzed and identified. The original mortars were made up of a mixture of gypsum and lime with the addition of oil or fats. In many cases various types of fibre were detected in the mortar, used to improve its mechanical characteristics. The repair mortars were designed with a composition similar to the originals, with a mixture of gypsum and lime, and their compatibility with the alabaster was studied, while also optimizing the granulometry of the aggregates used.

    El retablo de la Asunción de María está situado en el Altar Mayor de la Basílica del Pilar en Zaragoza y es una de las grandes obras del Patrimonio artístico español. La obra, esculpida en alabastro, fue realizada entre 1509 y ¡518 por Damián Forment. En este trabajo se recogen las directrices para el diseño de los morteros de reparación utilizados en la restauración del retablo. Se basaron en criterios de compatibilidad de los materiales y tratamientos existentes en el retablo, según la investigación realizada durante las obras de la última actuación realizada para la limpieza y restauración. En la investigación realizada se comprobó la composición de los morteros originales, la granulometría de los

  11. Treatment of Cerebral Apoplectic Pseudobulbar Palsy with Consciousness-Restoring & Obstruction-Clearing Needling Technique: A Report of 300 Cases

    Institute of Scientific and Technical Information of China (English)

    JIANG Ge-li; WANG Guo-hua; WANG Hong-yun; HAN Chou-ping

    2003-01-01

    Objective: To study the therapeutic effect of treating apoplectic pscudobulbar paralysis with acupunc -ture. Method: Consciousness-restoring & obstruction -clearing needling technique and points Fengchi (GB 20),Yifeng (TE 17), Wangu (GB 12), Neiguan (PC 6),Shuigou (GV 26), Sanyinjiao (SP 6), Shanglianquan (Ex-HN), Jinjin (Ex-HN 12), Yuye (Ex-HN 13) and Baihui (GV 20) were selected to treat 300 cases of apoplectic pseudobulbar paralysis. Result: Cure: 189cases, marked effect: 71 cases, effective: 32 cases, no effect: 8 cases and the whole effective rate is 97.3%.Conclusion: Consciousness-restoring & obstruction-clea ring needling technique is effective in treating apoplectic pscudobulbar paralysis.

  12. Effects of Different Treatments of Pasture Restoration on Soil Trace Gas Emissions in the Cerrados of Central Brazil

    Science.gov (United States)

    Planted pastures ( mainly Brachiaria spp) are the most extensive land use in the cerrado (savannas of central Brazil) with an area of approximately 50 x 10(6) ha. The objective of the study was to assess the effects of pasture restoration on the N dynamics ( net N mineralization/...

  13. Malpositioned implants in the anterior maxilla: a novel restorative approach to reestablish peri-implant tissue health and acceptable esthetics. Part I. Case presentation and treatment options.

    Science.gov (United States)

    Moráguez, Osvaldo D; Vailati, Francesca; Belser, Urs C

    2015-01-01

    This two-part case presentation describes the prosthetic challenge of managing complications after inadequate esthetic risk assessment, treatment planning, and implant positioning in the anterior maxilla. Here, the case report of a 50-year-old woman, referred after inappropriate execution of immediate implant placement, is presented. Different restorative treatment alternatives are proposed, excluding major surgical procedures. In the next part of the article, the advantages and shortcomings of the various prosthetic options will be discussed and the selected treatment revealed. The aim of this part of the article is to illustrate the importance of treatment planning, emphasizing that the correction of esthetic implant failures consistently leads to compromised results when compared to what could have been achieved first time round.

  14. Restoration of R117H CFTR folding and function in human airway cells through combination treatment with VX-809 and VX-770.

    Science.gov (United States)

    Gentzsch, Martina; Ren, Hong Y; Houck, Scott A; Quinney, Nancy L; Cholon, Deborah M; Sopha, Pattarawut; Chaudhry, Imron G; Das, Jhuma; Dokholyan, Nikolay V; Randell, Scott H; Cyr, Douglas M

    2016-09-01

    Cystic fibrosis (CF) is a lethal recessive genetic disease caused primarily by the F508del mutation in the CF transmembrane conductance regulator (CFTR). The potentiator VX-770 was the first CFTR modulator approved by the FDA for treatment of CF patients with the gating mutation G551D. Orkambi is a drug containing VX-770 and corrector VX809 and is approved for treatment of CF patients homozygous for F508del, which has folding and gating defects. At least 30% of CF patients are heterozygous for the F508del mutation with the other allele encoding for one of many different rare CFTR mutations. Treatment of heterozygous F508del patients with VX-809 and VX-770 has had limited success, so it is important to identify heterozygous patients that respond to CFTR modulator therapy. R117H is a more prevalent rare mutation found in over 2,000 CF patients. In this study we investigated the effectiveness of VX-809/VX-770 therapy on restoring CFTR function in human bronchial epithelial (HBE) cells from R117H/F508del CF patients. We found that VX-809 stimulated more CFTR activity in R117H/F508del HBEs than in F508del/F508del HBEs. R117H expressed exclusively in immortalized HBEs exhibited a folding defect, was retained in the ER, and degraded prematurely. VX-809 corrected the R117H folding defect and restored channel function. Because R117 is involved in ion conductance, VX-770 acted additively with VX-809 to restore CFTR function in chronically treated R117H/F508del cells. Although treatment of R117H patients with VX-770 has been approved, our studies indicate that Orkambi may be more beneficial for rescue of CFTR function in these patients.

  15. Restoring primary anterior teeth.

    Science.gov (United States)

    Waggoner, William F

    2002-01-01

    A variety of esthetic restorative materials are available for restoring primary incisors. Knowledge of the specific strengths, weakness, and properties of each material will enhance the clinician's ability to make the best choice of selection for each individual situation. Intracoronal restorations of primary teeth may utilize resin composites, glass ionomer cements, resin-modified ionomers, or polyacid-modified resins. Each has distinct advantages and disadvantages and the clinical conditions of placement may be a strong determining factor as to which material is utilized. Full coronal restoration of primary incisors may be indicated for a number of reasons. Crowns available for restoration of primary incisors include those that are directly bonded onto the tooth, which generally are a resin material, and those crowns that are luted onto the tooth and are some type of stainless steel crown. However, due to lack of supporting clinical data, none of the crowns can be said to be superior to the others under all circumstances. Though caries in the mandibular region is rare, restorative solutions for mandibular incisors are needed. Neither stainless steel crowns nor celluloid crown forms are made specifically for mandibular incisors. Many options exist to repair carious primary incisors, but there is insufficient controlled, clinical data to suggest that one type of restoration is superior to another. This does not discount the fact that dentists have been using many of these crowns for years with much success. Operator preferences, esthetic demands by parents, the child's behavior, and moisture and hemorrhage control are all variables which affect the decision and ultimate outcome of whatever restorative treatment is chosen.

  16. Bilateral Atraumatic Avascular Necrosis of Both the Humeral and Femoral Heads due to the Corticosteroid Usage

    Directory of Open Access Journals (Sweden)

    Okkes Bilal

    2013-08-01

    Full Text Available Avascular necrosis is frequently associated with femoral head involvement and may also be observed in the knee joint, humeral head, wrist and foot. Avascular necrosis may also affect multiple joints. Bilateral involvement of both humeral and femoral heads is a rare condition in the same patient. A patient who complained about a sustained pain in both of his shoulders and hips for a few years applied to our outpatient clinic. The patient who had oral steroid treatment episodically was diagnosed with ulcerative colitis seven years ago. Arthroscopy-assisted decompression to the shoulder joints and core decompression to both hip joints were applied. The range of motions of both humeral and femoral joints was limited and painful prior to the surgical treatment. A follow-up after five years later showed that the patient's range of motions of joints was normal and no further treatment was necessary. [Arch Clin Exp Surg 2013; 2(4.000: 246-250

  17. There is room for improvement in the prevention and treatment of headache after lumbar puncture

    DEFF Research Database (Denmark)

    Stendell, Line; Fomsgaard, Jonna S; Olsen, Karsten S

    2012-01-01

    The incidence of post dural puncture headache (PDPH) after lumbar puncture (LP) can be reduced from 36% to 0-9% by use of an atraumatic needle size 24 gauge (G)/0.56 mm rather than a traumatic needle size 22 G/0.7 mm. The evidence supporting some of the prophylactic and therapeutically treatments...

  18. Site Restoration

    Energy Technology Data Exchange (ETDEWEB)

    Noynaert, L.; Bruggeman, A.; Cornelissen, R.; Massaut, V.; Rahier, A

    2001-04-01

    The objectives, the programme, and the achievements of the Site Restoration Department of SCK-CEN in 2000 are summarised. Main activities include the decommissioning of the BR3 PWR-reactor as well as other clean-up activities, projects on waste minimisation and activities related to the management of decommissioning projects. The department provides consultancy and services to external organisations.

  19. Environmental Restoration

    Energy Technology Data Exchange (ETDEWEB)

    Zeevaert, T.; Vanmarcke, H

    1998-07-01

    The objectives of SCK-CEN's programme on environmental restoration are (1) to optimize and validate models for the impact assessment from environmental, radioactive contaminations, including waste disposal or discharge; (2) to support the policy of national authorities for public health and radioactive waste management. Progress and achievements in 1997 are reported.

  20. Superoxide dismutase analog (TEMPOL: 4-hydroxy-2, 2, 6, 6-tetramethylpiperidine 1-oxyl) treatment restores erectile function in diabetes-induced impotence

    Science.gov (United States)

    Kawakami, Toshifumi; Urakami, Shinji; Hirata, Hiroshi; Tanaka, Yuichiro; Nakajima, Koichi; Enokida, Hideki; Shiina, Hiroaki; Ogishima, Tatsuya; Tokizane, Takashi; Kawamoto, Ken; Miura, Kazukiyo; Ishii, Nobuhisa; Dahiya, Rajvir

    2014-01-01

    We hypothesized that administration of the superoxide dismutase (SOD) mimetic Tempol (4-hydroxy-2, 2, 6, 6-tetramethylpiperidine 1-oxyl) may reverse diabetes induced ED(erectile dysfunction). To test this hypothesis, ROS related genes (SOD1, SOD2, GPx1, CAT, NOS2, NOS3), erectile functional studies, and immunohistochemical analysis were performed in diabetic rats treated with or without Tempol. Thirty Sprague-Dawley (3–4 months old) rats were divided into 3 groups (n=10 each), 20 with diabetes (diabetic control and Tempol treatment) and 10 healthy controls. Twelve weeks after induction of diabetes by streptozotocin and Tempol treatment, all groups underwent in vivo cavernous nerve stimulation. Rat crura were harvested and expression of antioxidative defense enzymes examined by semi-quantitative RT-PCR. To confirm the RT-PCR results, we performed immunohistochemistry (IHC) for catalase (CAT) and iNOS (NOS2). Nitration of tyrosine groups in proteins was also examined by IHC. Mean intracavernous pressure in the diabetic group was significantly lower than in healthy controls (p<0.001) and was reversed by Tempol treatment (p<0.0108). NOS2 protein expression was significantly increased in diabetic animals compared to healthy controls and Tempol restored NOS2 protein level. Nitrotyrosine was also higher in diabetic animals and though Tempol treatment decreased its formation, it remained higher than that found in healthy controls. This study suggests that Tempol treatment increased erectile function through modulating oxidative stress related genes in diabetic rats. This is the first report about the relationship between diabetes induced erectile dysfunction and oxidative stress, and anti-oxidative therapy using the superoxide dismutase mimetic, Tempol to restore erectile function. PMID:19554009

  1. Metatarsocuneiform joint resection arthroplasty for atraumatic osteoarthrosis: an alternative to arthrodesis.

    Science.gov (United States)

    Gilheany, Mark F; Amir, Ozan T

    2013-01-01

    The reported operative treatment of primary osteoarthrosis of the metatarsocuneiform joint has focused primarily on methods of arthrodesis. Arthrodesis of the metatarsocuneiform joint can result in complications in the older or obese patient who is unable to tolerate non-weightbearing. Age and health status can also increase the rate of nonunion and venous thromboembolism, especially in the immobile patient. We present a technique not previously described. The procedure is presented as an alternative to arthrodesis and involves resection arthroplasty of the metatarsocuneiform joint.

  2. Group 2 Innate Lymphoid Cell Proportions Are Diminished in Young Helminth Infected Children and Restored by Curative Anti-helminthic Treatment

    Science.gov (United States)

    Nausch, Norman; Appleby, Laura J.; Sparks, Alexandra M.; Midzi, Nicholas; Mduluza, Takafira; Mutapi, Francisca

    2015-01-01

    Background Group 2 Innate lymphoid cells (ILC2s) are innate cells that produce the TH2 cytokines IL-5 and IL-13. The importance of these cells has recently been demonstrated in experimental models of parasitic diseases but there is a paucity of data on ILC2s in the context of human parasitic infections and in particular of the blood dwelling parasite Schistosoma haematobium. Methodology/Principal Findings In this case-control study human peripheral blood ILC2s were analysed in relation to infection with the helminth parasite Schistosoma haematobium. Peripheral blood mononuclear cells of 36 S. haematobium infected and 36 age and sex matched uninfected children were analysed for frequencies of ILC2s identified as Lin-CD45+CD127+CD294+CD161+. ILC2s were significantly lower particularly in infected children aged 6–9 years compared to healthy participants. Curative anti-helminthic treatment resulted in an increase in levels of the activating factor TSLP and restoration of ILC2 levels. Conclusion This study demonstrates that ILC2s are diminished in young helminth infected children and restored by removal of the parasites by treatment, indicating a previously undescribed association between a human parasitic infection and ILC2s and suggesting a role of ILC2s before the establishment of protective acquired immunity in human schistosomiasis. PMID:25799270

  3. Group 2 innate lymphoid cell proportions are diminished in young helminth infected children and restored by curative anti-helminthic treatment.

    Directory of Open Access Journals (Sweden)

    Norman Nausch

    2015-03-01

    Full Text Available Group 2 Innate lymphoid cells (ILC2s are innate cells that produce the TH2 cytokines IL-5 and IL-13. The importance of these cells has recently been demonstrated in experimental models of parasitic diseases but there is a paucity of data on ILC2s in the context of human parasitic infections and in particular of the blood dwelling parasite Schistosoma haematobium.In this case-control study human peripheral blood ILC2s were analysed in relation to infection with the helminth parasite Schistosoma haematobium. Peripheral blood mononuclear cells of 36 S. haematobium infected and 36 age and sex matched uninfected children were analysed for frequencies of ILC2s identified as Lin-CD45+CD127+CD294+CD161+. ILC2s were significantly lower particularly in infected children aged 6-9 years compared to healthy participants. Curative anti-helminthic treatment resulted in an increase in levels of the activating factor TSLP and restoration of ILC2 levels.This study demonstrates that ILC2s are diminished in young helminth infected children and restored by removal of the parasites by treatment, indicating a previously undescribed association between a human parasitic infection and ILC2s and suggesting a role of ILC2s before the establishment of protective acquired immunity in human schistosomiasis.

  4. An Atraumatic Symphysiolysis with a Unilateral Injured Sacroiliac Joint in a Patient with Cushing’s Disease: A Loss of Pelvic Stability Related to Ligamentous Insufficiency?

    Directory of Open Access Journals (Sweden)

    Andreas Höch

    2016-01-01

    Full Text Available Glucocorticoids are well known for altering bone structure and elevating fracture risk. Nevertheless, there are very few reports on pelvic ring fractures, compared to other bones, especially with a predominantly ligamentous insufficiency, resulting in a rotationally unstable pelvic girdle. We report a 39-year-old premenopausal woman suffering from an atraumatic symphysiolysis and disruption of the left sacroiliac joint. She presented with external rotational pelvic instability and immobilization. Prior to the injury, she received high-dose glucocorticoids for a tentative diagnosis of rheumatoid arthritis over two months. This diagnosis was not confirmed. Other causes leading to the unstable pelvic girdle were excluded by several laboratory and radiological examinations. Elevated basal cortisol and adrenocorticotropic hormone levels were measured and subsequent corticotropin-releasing hormone stimulation, dexamethasone suppression test, and petrosal sinus sampling verified the diagnosis of adrenocorticotropic hormone-dependent Cushing’s disease. The combination of adrenocorticotropic hormone-dependent Cushing’s disease and the additional application of exogenous glucocorticoids is the most probable cause of a rare atraumatic rotational pelvic instability in a premenopausal patient. To the authors’ knowledge, this case presents the first description of a rotationally unstable pelvic ring fracture involving a predominantly ligamentous insufficiency in the context of combined exogenous and endogenous glucocorticoid elevation.

  5. Treatment with an SSRI antidepressant restores hippocampo-hypothalamic corticosteroid feedback and reverses insulin resistance in low-birth-weight rats.

    Science.gov (United States)

    Buhl, Esben S; Jensen, Thomas Korgaard; Jessen, Niels; Elfving, Betina; Buhl, Christian S; Kristiansen, Steen B; Pold, Rasmus; Solskov, Lasse; Schmitz, Ole; Wegener, Gregers; Lund, Sten; Petersen, Kitt Falck

    2010-05-01

    Low birth weight (LBW) is associated with type 2 diabetes and depression, which may be related to prenatal stress and insulin resistance as a result of chronic hypothalamic-pituitary-adrenal (HPA) axis hyperactivity. We examined whether treatment with a selective serotonin reuptake inhibitor [escitalopram (ESC)] could downregulate HPA axis activity and restore insulin sensitivity in LBW rats. After 4-5 wk of treatment, ESC-exposed LBW (SSRI-LBW) and saline-treated control and LBW rats (Cx and LBW) underwent an oral glucose tolerance test or a hyperinsulinemic euglycemic clamp to assess whole body insulin sensitivity. Hepatic phosphoenolpyruvate carboxykinase (PEPCK) mRNA expression and red skeletal muscle PKB Ser(473) phosphorylation were used to assess tissue-specific insulin sensitivity. mRNA expression of the hypothalamic mineralocorticoid receptor was fivefold upregulated in LBW (P < 0.05 vs. Cx), accompanied by increased corticosterone release during restraint stress and total 24-h urinary excretion (P < 0.05 vs. Cx), whole body insulin resistance (P < 0.001 vs. Cx), and impaired insulin suppression of hepatic PEPCK mRNA expression (P < 0.05 vs. Cx). Additionally, there was a tendency for reduced red muscle PKB Ser(473) phosphorylation. The ESC treatment normalized corticosterone secretion (P < 0.05 vs. LBW), whole body insulin sensitivity (P < 0.01) as well as postprandial suppression of hepatic mRNA PEPCK expression (P < 0.05), and red muscle PKB Ser(473) phosphorylation (P < 0.01 vs. LBW). We conclude that these data suggest that the insulin resistance and chronic HPA axis hyperactivity in LBW rats can be reversed by treatment with an ESC, which downregulates HPA axis activity, lowers glucocorticoid exposure, and restores insulin sensitivity in LBW rats.

  6. Sequential treatment with basic fibroblast growth factor and parathyroid hormone restores lost cancellous bone mass and strength in the proximal tibia of aged ovariectomized rats

    DEFF Research Database (Denmark)

    Wronski, T.J.; Ratkus, A.M.; Thomsen, Jesper Skovhus

    2001-01-01

    This study was designed to determine whether sequential treatment with basic fibroblast growth factor (bFGF) and parathyroid hormone (PTH) can restore lost cancellous bone mass and strength at a severely osteopenic skeletal site in aged ovariectomized (OVX) rats. Female Sprague-Dawley rats were...... intravenously (iv) daily with bFGF for 14 days at a dose of 200 microg/kg body weight. At the end of bFGF treatment, one group was killed whereas the other group was subjected to 8 weeks of treatment with synthetic human PTH 1-34 [hPTH(1-34)] consisting of subcutaneous (sc) injections 5 days/week at a dose......-treated control rats, respectively. Treatment of OVX rats for 2 weeks with bFGF alone did not significantly increase tibial cancellous bone volume but induced marked increases in osteoid volume, osteoblast surface, and osteoid surface. Sequential treatment of aged OVX rats with bFGF and PTH increased tibial...

  7. Effects of various chair-side surface treatment methods on dental restorative materials with respect to contact angles and surface roughness.

    Science.gov (United States)

    Sturz, Candida R C; Faber, Franz-Josef; Scheer, Martin; Rothamel, Daniel; Neugebauer, Jörg

    2015-01-01

    Available chair-side surface treatment methods may adversely affect prosthetic materials and promote plaque accumulation. This study investigated the effects of treatment procedures on three resin restorative materials, zirconium-dioxide and polyetheretherketone in terms of surface roughness and hydrophobicity. Treatments were grinding with silicon carbide paper or white Arkansas stone, blasting with prophylaxis powder and polishing with diamond paste. Surface roughness was assessed using confocal laser scanning. Hydrophobicity as measured by water contact angle was determined by computerized image analysis using the sessile drop technique. All of the specific surface treatments performed led to significant changes in contact angle values and surface roughness (Ra) values. Median contact angle values ranged from 51.6° to 114°. Ra values ranged from 0.008 µm to 2.917 µm. Air-polishing as well as other polishing procedures increased surface roughness values in all materials except zirconium dioxide. Polyetheretherketone displayed greatest change in contact angle values after air-polishing treatment.

  8. Clinical outcome of root caries restorations using ART and rotary techniques in institutionalized elders

    Directory of Open Access Journals (Sweden)

    Alberto Carlos CRUZ GONZALEZ

    2016-01-01

    Full Text Available Abstract The aim of this study was to compare the clinical performance of root caries restorations after a six-month period using two methods, a conventional technique with rotary instruments and an atraumatic restorative technique (ART, in an institutionalized elderly population in the city of Bogotá, Colombia. Root caries represents a multifactorial, progressive, chronic lesion with softened, irregular and darkened tissue involving the radicular surface; it is highly prevalent in the elderly, especially in those who are physically or cognitively impaired. A quasi-experimental, double-blind, longitudinal study was carried out after cluster randomization of the sample. Two different experienced dentists, previously trained, performed the restorations using each technique. After six months, two new investigators performed a blind evaluation of the condition of the restorations. The results showed a significantly higher rate of success (92.9% using the conventional technique (p < 0.03. However, we concluded that ART may have been the preferred technique in the study population because 81% of those restorations survived or were successful during the observation period.

  9. COMBINATION OF APICALLY POSITIONED AND CORONALLY ADVANCED FLAP IN THE TREATMENT OF A COMPLEX MUCOGINGIVAL AND RESTORATIVE PROBLEM. A 3-YEAR FOLLOW-UP. (Case Report

    Directory of Open Access Journals (Sweden)

    Kamen Kotsilkov

    2015-07-01

    Full Text Available INTRODUCTION: The modern Periodontology has various approaches to achieve a complete functional and aesthetic rehabilitation of the mucogingival complex. These techniques include application of flaps with apical or coronal advancement in order to achieve different treatment objectives. Complex cases with different pathology on adjacent teeth require several surgeries thereby increasing treatment time and patient discomfort. New combined approaches are needed to meet the challenges of such cases. OBJECTIVE: This report presents a case with a simultaneous application of a resective and a mucogingival technique in one dental sextant. METHODS: I.C. (36 with a localized chronic periodontitis, Miller Class I gingival recessions (13,14 and subgingival caries lesions (15,16. A combined approach with simultaneous crown lengthening with apically positioned flap for 16,15 and root coverage with enamel matrix derivate and a coronally advanced flap for 14,13 was applied in order to avoid multiple surgical procedures. RESULTS: On the third month after the surgical procedure a complete root coverage (13,14 was achieved. The crown lengthening procedure enabled the restoration of the caries lesions and the placement of new crowns (15,16. The result at the third year demonstrates a stable gingival margin with no recurrence of the gingival recessions. CONCLUSION: The applied combined procedure led to a complete resolution of the existing problems with a single surgery. The simultaneous application of different procedures seems a promising approach aimed to reduce the treatment time and to diminish patient discomfort.

  10. Restoration of Normal Cerebral Oxygen Consumption with Rapamycin Treatment in a Rat Model of Autism-Tuberous Sclerosis.

    Science.gov (United States)

    Chi, Oak Z; Wu, Chang-Chih; Liu, Xia; Rah, Kang H; Jacinto, Estela; Weiss, Harvey R

    2015-09-01

    Tuberous sclerosis (TSC) is associated with autism spectrum disorders and has been linked to metabolic dysfunction and unrestrained signaling of the mammalian target of rapamycin (mTOR). Inhibition of mTOR by rapamycin can mitigate some of the phenotypic abnormalities associated with TSC and autism, but whether this is due to the mTOR-related function in energy metabolism remains to be elucidated. In young Eker rats, an animal model of TSC and autism, which harbors a germ line heterozygous Tsc2 mutation, we previously reported that cerebral oxygen consumption was pronouncedly elevated. Young (4 weeks) male control Long-Evans and Eker rats were divided into control and rapamycin-treated (20 mg/kg once daily for 2 days) animals. Cerebral regional blood flow ((14)C-iodoantipyrine) and O2 consumption (cryomicrospectrophotometry) were determined in isoflurane-anesthetized rats. We found significantly increased basal O2 consumption in the cortex (8.7 ± 1.5 ml O2/min/100 g Eker vs. 2.7 ± 0.2 control), hippocampus, pons and cerebellum. Regional cerebral blood flow and cerebral O2 extractions were also elevated in all brain regions. Rapamycin had no significant effect on O2 consumption in any brain region of the control rats, but significantly reduced consumption in the cortex (4.1 ± 0.3) and all other examined regions of the Eker rats. Phosphorylation of mTOR and S6K1 was similar in the two groups and equally reduced by rapamycin. Thus, a rapamycin-sensitive, mTOR-dependent but S6K1-independent, signal led to enhanced oxidative metabolism in the Eker brain. We found decreased Akt phosphorylation in Eker but not Long-Evans rat brains, suggesting that this may be related to the increased cerebral O2 consumption in the Eker rat. Our findings suggest that rapamycin targeting of Akt to restore normal cerebral metabolism could have therapeutic potential in tuberous sclerosis and autism.

  11. Three-year outcomes of individualized ranibizumab treatment in patients with diabetic macular edema : the RESTORE extension study

    NARCIS (Netherlands)

    Schmidt-Erfurth, Ursula; Lang, Gabriele E; Holz, Frank G; Schlingemann, Reinier O; Lanzetta, Paolo; Massin, Pascale; Gerstner, Ortrud; Bouazza, Abdelkader Si; Shen, Haige; Osborne, Aaron; Mitchell, Paul

    2014-01-01

    OBJECTIVE: To evaluate long-term efficacy and safety profiles during 3 years of individualized ranibizumab treatment in patients with visual impairment due to diabetic macular edema (DME). DESIGN: Phase IIIb, multicenter, 12-month, randomized core study and 24-month open-label extension study. PARTI

  12. A synopsis of short-term response to alternative restoration treatments in sagebrush-steppe: the SageSTEP project

    Science.gov (United States)

    McIver, James; Brunson, Mark; Bunting, Steve; Chambers, Jeanne; Doescher, Paul; Grace, James; Hulet, April; Johnson, Dale; Knick, Steven T.; Miller, Richard; Pellant, Mike; Pierson, Fred; Pyke, David; Rau, Benjamin; Rollins, Kim; Roundy, Bruce; Schupp, Eugene; Tausch, Robin; Williams, Jason

    2014-01-01

    The Sagebrush Steppe Treatment Evaluation Project (SageSTEP) is an integrated long-term study that evaluates ecological effects of alternative treatments designed to reduce woody fuels and to stimulate the herbaceous understory of sagebrush steppe communities of the Intermountain West. This synopsis summarizes results through 3 yr posttreatment. Woody vegetation reduction by prescribed fire, mechanical treatments, or herbicides initiated a cascade of effects, beginning with increased availability of nitrogen and soil water, followed by increased growth of herbaceous vegetation. Response of butterflies and magnitudes of runoff and erosion closely followed herbaceous vegetation recovery. Effects on shrubs, biological soil crust, tree cover, surface woody fuel loads, and sagebrush-obligate bird communities will take longer to be fully expressed. In the short term, cool wet sites were more resilient than warm dry sites, and resistance was mostly dependent on pretreatment herbaceous cover. At least 10 yr of posttreatment time will likely be necessary to determine outcomes for most sites. Mechanical treatments did not serve as surrogates for prescribed fire in how each influenced the fuel bed, the soil, erosion, and sage-obligate bird communities. Woody vegetation reduction by any means resulted in increased availability of soil water, higher herbaceous cover, and greater butterfly numbers. We identified several trade-offs (desirable outcomes for some variables, undesirable for others), involving most components of the study system. Trade-offs are inevitable when managing complex natural systems, and they underline the importance of asking questions about the whole system when developing management objectives. Substantial spatial and temporal heterogeneity in sagebrush steppe ecosystems emphasizes the point that there will rarely be a “recipe” for choosing management actions on any specific area. Use of a consistent evaluation process linked to monitoring may be the

  13. Redox biology in normal cells and cancer: restoring function of the redox/Fyn/c-Cbl pathway in cancer cells offers new approaches to cancer treatment.

    Science.gov (United States)

    Noble, Mark; Mayer-Pröschel, Margot; Li, Zaibo; Dong, Tiefei; Cui, Wanchang; Pröschel, Christoph; Ambeskovic, Ibro; Dietrich, Joerg; Han, Ruolan; Yang, Yin Miranda; Folts, Christopher; Stripay, Jennifer; Chen, Hsing-Yu; Stevens, Brett M

    2015-02-01

    This review discusses a unique discovery path starting with novel findings on redox regulation of precursor cell and signaling pathway function and identification of a new mechanism by which relatively small changes in redox status can control entire signaling networks that regulate self-renewal, differentiation, and survival. The pathway central to this work, the redox/Fyn/c-Cbl (RFC) pathway, converts small increases in oxidative status to pan-activation of the c-Cbl ubiquitin ligase, which controls multiple receptors and other proteins of central importance in precursor cell and cancer cell function. Integration of work on the RFC pathway with attempts to understand how treatment with systemic chemotherapy causes neurological problems led to the discovery that glioblastomas (GBMs) and basal-like breast cancers (BLBCs) inhibit c-Cbl function through altered utilization of the cytoskeletal regulators Cool-1/βpix and Cdc42, respectively. Inhibition of these proteins to restore normal c-Cbl function suppresses cancer cell division, increases sensitivity to chemotherapy, disrupts tumor-initiating cell (TIC) activity in GBMs and BLBCs, controls multiple critical TIC regulators, and also allows targeting of non-TICs. Moreover, these manipulations do not increase chemosensitivity or suppress division of nontransformed cells. Restoration of normal c-Cbl function also allows more effective harnessing of estrogen receptor-α (ERα)-independent activities of tamoxifen to activate the RFC pathway and target ERα-negative cancer cells. Our work thus provides a discovery strategy that reveals mechanisms and therapeutic targets that cannot be deduced by standard genetics analyses, which fail to reveal the metabolic information, isoform shifts, protein activation, protein complexes, and protein degradation critical to our discoveries.

  14. Several facts concerning health and questions about rehabilitative-restorative treatment of miners of the BAM zone

    Energy Technology Data Exchange (ETDEWEB)

    German, G.N.

    1985-06-01

    The Yuzhnaya-Yakutiya coal basin containing one of the largest deposits of coking coal (40 billion tons to a depth of 600 m, 60% of this to a depth of 300 m) in the USSR lies in the BAM zone. Average yearly temperature of the region is 7-10 C. Brittle enclosing rock, longterm frozen soil, concentration of coal deposits and machinery in small areas increase vibration, noise, dust and gas in working areas. Surveys revealed predominant illnesses are diseases of the nervous system: osteochondrosis, with secondary neuritis, and radiculitis. Eighty-two percent of miners with osteochondrosis work in occupations with high vibration risk. To prevent disease and rehabilitate miners with degenerative changes of motor apparatus and osteochondrosis, a network of rehabilitation rooms was created at health centers near the workplace. Miners with osteochondrosis, myositis and arthritis receive heat treatments, massage and curative physical culture. A course of treatment is given 2 or 3 times a year. The courses are given after work without interrupting employment. Miners are directed to take vacations every year. Preventive-rehabilitative treatment of miners of the Far North makes it possible to keep highly qualified workers actively employed which is important considering the shortage of miners in these regions. 2 references.

  15. Evaluation of effect of 3D video glasses on perceived pain and unpleasantness induced by restorative dental treatment

    DEFF Research Database (Denmark)

    Bentsen, Bo; Svensson, Peter; Wenzel, Ann

    2001-01-01

    whether distraction induced by video glasses also had an effect on the perceived intensity of pain and unpleasantness during dental treatment. Pain and unpleasantness was evoked by the preparation (drilling) of a minor dental cavity (class I). Twenty-three patients (17 female and six male, age range 20...... a positive effect of the video glasses. These findings suggest that perceived intensity of dental pain is resistant to a simple distraction technique. (C) 2001 European Federation of Chapters of the International Association for the Study of Pain....

  16. Spironolactone treatment attenuates vascular dysfunction in type 2 diabetic mice by decreasing oxidative stress and restoring NO/GC signaling

    Directory of Open Access Journals (Sweden)

    Marcondes Alves Barbosa Da Silva

    2015-10-01

    Full Text Available Type 2 diabetes (DM2 increases the risk of cardiovascular disease. Aldosterone, which has pro-oxidative and pro-inflammatory effects in the cardiovascular system, is positively regulated in DM2. We assessed whether blockade of mineralocorticoid receptors (MR with spironolactone decreases ROS-associated vascular dysfunction and improves vascular NO signaling in diabetes. Leptin receptor knockout [LepRdb/LepRdb (db/db] mice, a model of DM2, and their counterpart controls [LepRdb/LepR+, (db/+ mice] received spironolactone (50 mg/kg body weight/day or vehicle (ethanol 1% via oral per gavage for 6 weeks. Spironolactone treatment abolished the endothelial dysfunction and increased endothelial nitric oxide synthase (eNOS phosphorylation (Ser1177, determined by acetylcholine-induced relaxation and Western Blot analysis, respectively. MR antagonist therapy also abrogated augmented ROS-generation in aorta from diabetic mice, determined by lucigenin luminescence assay. Spironolactone treatment increased superoxide dismutase-1 (SOD1 and catalase expression, improved sodium nitroprusside (SNP and BAY 41-2272-induced relaxation, as well as increased soluble guanylyl cyclase (sGC subunit β protein expression in arteries from db/db mice. Our results demonstrate that spironolactone decreases diabetes-associated vascular oxidative stress and prevents vascular dysfunction through processes involving increased expression of antioxidant enzymes and sGC. These findings further elucidate redox-sensitive mechanisms whereby spironolactone protects against vascular injury in diabetes.

  17. A new brace treatment similar for adolescent scoliosis and kyphosis based on restoration of thoracolumbar lordosis. Radiological and subjective clinical results after at least one year of treatment

    Directory of Open Access Journals (Sweden)

    van Loon Piet JM

    2012-10-01

    Full Text Available Abstract Study design A prospective treatment study with a new brace was conducted Objective. To evaluate radiological and subjective clinical results after one year conservative brace treatment with pressure onto lordosis at the thoracolumbar joint in children with scoliosis and kyphosis. Summary of background data Conservative brace treatment of adolescent scoliosis is not proven to be effective in terms of lasting correction. Conservative treatment in kyphotic deformities may lead to satisfactory correction. None of the brace or casting techniques is based on sagittal forces only applied at the thoracolumbar spine (TLI= thoracolumbar lordotic intervention. Previously we showed in patients with scoliosis after forced lordosis at the thoracolumbar spine a radiological instantaneous reduction in both coronal curves of double major scoliosis. Methods A consecutive series of 91 children with adolescent scoliosis and kyphosis were treated with a modified symmetric 30 degrees Boston brace to ensure only forced lordosis at the thoracolumbar spine. Scoliosis was defined with a Cobb angle of at least one of the curves [greater than or equal to] 25 degrees and kyphosis with or without a curve Results Before treatment start ‘in brace’ radiographs showed a strong reduction of the Cobb angles in different curves in kyphosis and scoliosis groups (sagittal n = 5 all p Conclusion Conservative treatment using thoracolumbar lordotic intervention in scoliotic and kyphotic deformities in adolescence demonstrates a marked improvement after one year also in clinical and postural criteria. An effect not obtained with current brace techniques.

  18. 水激光在牙体牙髓病治疗中的应用%Application of Er,Cr,YSGG laser in restorative and endodontic treatment

    Institute of Scientific and Technical Information of China (English)

    刘宁宁(综述); 何文喜(审校)

    2016-01-01

    The first ruby laser machine was invented in 1960 and laser was first applied to dental treatment in 1971.Afterward,extensive studies have been conducted on laser application in dentistry.In 2002,Er,Cr,YSGG laser/Waterlaser was approved by US Food and Drug Administration.Since then,Er,Cr,YSGG laser has been widely used for the treatment of dental diseases including dental caries,dentin hypersensitivity,pulpitis and apical periodonti-tis.It is used for the removal of caries,pulp capping or pulpotomy and root canal therapy.In this review,the applica-tion of Er,Cr,YSGG laser in restorative and endondontic treatment is summarized.%自1960年第一台红宝石激光器问世,1971年开始了激光在牙科中的应用。2002年美国FDA批准了水激光牙科治疗系统的临床应用。随着各种不同激光器的进一步研发,激光在口腔疾病治疗方面的应用研究也不断深入,其应用范围也越来越广泛。其中以治疗龋病、牙本质过敏症、盖髓术、牙髓切断术、根管治疗术以及牙周疾病的研究较多。为此,本文就水激光在牙体牙髓病治疗中的应用研究作一综述。

  19. Does the Length of Disability between Injury and Functional Restoration Program Entry Affect Treatment Outcomes for Patients with Chronic Disabling Occupational Musculoskeletal Disorders?

    Science.gov (United States)

    Asih, Sali; Neblett, Randy; Mayer, Tom G; Gatchel, Robert J

    2017-02-21

    Purpose Functional restoration programs (FRPs), for patients with chronic disabling occupational musculoskeletal disorders (CDOMDs), have consistently demonstrated positive socioeconomic treatment outcomes, including decreased psychosocial distress and increased work return. The pre-treatment length of disability (LOD), or time between injury and treatment admission, has been shown to influence FRP work outcomes. Some studies have found that shorter LOD is associated with better work outcomes. However, few studies have actually examined cohorts with LOD duration longer than 18 months. This present study evaluated the effects of extended LOD (beyond 18 months) on important treatment outcomes. Methods A total cohort of 1413 CDOMD patients entered an FRP. Of those, 312 did not complete the program, so they were eliminated from outcome analyses. The 1101 patients who completed the FRP were classified based on LOD: Late Rehabilitation (LR, 3-6 months, n = 190); Chronic Disability (CD, 7-17 months, n = 494); and Late Chronic Disability (LCD). The LCD, in turn, consisted of four separate subgroups: 18-23 months (LCD-18, n = 110); 24-35 months (LCD-24, n = 123); 36-71 months (LCD-36, n = 74); and 72+ months (LCD-72, n = 110). Patients were evaluated upon admission and were reassessed at discharge. Those patients who chose to pursue work goals post-treatment (n = 912) were assessed 1-year later. Results Longer LOD was associated with less likelihood of completing the FRP (p disability group were receiving social security disability benefits. Associations were found between longer LOD and more severe patient-reported pain, disability, and depressive symptoms at treatment admission. At discharge, symptom severity decreased for these patient-reported variables in all LOD groups (p disability. Furthermore, long LOD was a significant predictor for work outcomes at 1 year following FRP discharge. Nevertheless, a large percentage of longer LOD (>24

  20. Applicability of drinking water treatment residue for lake restoration in relation to metal/metalloid risk assessment

    Science.gov (United States)

    Yuan, Nannan; Wang, Changhui; Pei, Yuansheng; Jiang, Helong

    2016-12-01

    Drinking water treatment residue (DWTR), a byproduct generated during potable water production, exhibits a high potential for recycling to control eutrophication. However, this beneficial recycling is hampered by unclear metal/metalloid pollution risks related to DWTR. In this study, the pollution risks of Al, As, Ba, Be, Cd, Co, Cr, Cu, Fe, Mn, Mo, Ni, Pb, and Zn due to DWTR application were first evaluated for lake water based on human health risk assessment models and comparison of regulatory standards. The risks of DWTR were also evaluated for sediments on the basis of toxicity characteristics leaching procedure and fractionation in relation to risk assessment code. Variations in the biological behaviors of metal/metalloid in sediments caused by DWTR were assessed using Chironomus plumosus larvae and Hydrilla verticillata. Kinetic luminescent bacteria test (using Aliivibrio fischeri) was conducted to analyze the possibility of acute and chronic detrimental effects of sediment with DWTR application. According to the obtained results, we identify a potential undesirable effect of DWTR related to Fe and Mn (typically under anaerobic conditions); roughly present a dosage threshold calculation model; and recommend a procedure for DWTR prescreening to ensure safe application. Overall, managed DWTR application is necessary for successful eutrophication control.

  1. Clinical guidelines for indirect resin restorations.

    Science.gov (United States)

    Shannon, A

    1997-06-01

    Ongoing advances in adhesive dentistry have made it possible to successfully and predictably bond tooth-supporting restorations using conservative preparation techniques. Improvements in the durability and esthetic properties of tooth-colored restorative materials have also increased the range of available treatment options. However, dentists have been slow to accept both direct and indirect posterior esthetics. This article provides a step-by-step technique for practitioners who choose to treat their patients with indirect resin esthetic restorations. It will not discuss other posterior restorative treatment techniques or materials (i.e. gold, porcelain, amalgam, bonded amalgam, or direct resin).

  2. Surgical treatment of familial adenomatous polyposis: ileoretal anastomosis or restorative proctolectomy? Tratamento cirúrgico da polipose adenomatosa familiar: anastomose íleo-retal ou bolsa ileal?

    Directory of Open Access Journals (Sweden)

    Fábio Guilherme Campos

    2009-12-01

    Full Text Available CONTEXT: Controversy regarding the best operative choice for familial adenomatous polyposis lays between the morbidity of restorative proctocolectomy and the supposed mortality due to rectal cancer after ileorectal anastomosis. OBJECTIVES: To evaluate operative complications and oncological outcome after ileorectal anastomosis and restorative proctocolectomy. METHODS: Charts from patients treated between 1977 and 2006 were retrospectively analyzed. Clinical and endoscopic data, results of treatment, pathological reports and information regarding early and late outcome were recorded. RESULTS: Eighty-eight patients - 41 men (46.6% and 47 women (53.4% - were assisted. At diagnosis, 53 patients (60.2% already had associated colorectal cancer. Operative complications occurred in 25 patients (29.0 %, being 17 (19.7% early and 8 (9.3% late complications. There were more complications after restorative proctocolectomy (48.1% compared to proctocolectomy with ileostomy (26.6% and ileorectal anastomosis (19.0% (P = 0,03. There was no operative mortality. During the follow-up of 36 ileorectal anastomosis, cancer developed in the rectal cuff in six patients (16,6%. Cumulative cancer risk after ileorectal anastomosis was 17.2% at 5 years, 24.1% at 10 years and 43.1% at 15 years of follow-up. Age-dependent cumulative risk started at 30 years (4.3%, went to 9.6% at 40 years, 20.9% at 40 years and 52% at 60 years. Among the 26 patients followed after restorative proctocolectomy, it was found cancer in the ileal pouch in 1 (3.8%. CONCLUSIONS: 1. Operative complications occurred in about one third of the patients, being more frequently after the confection of ileal reservoir; 2. greater age and previous colonic carcinoma were associated with the development of rectal cancer after ileorectal anastomosis; 3. patients treated by restorative proctocolectomy are not free from the risk of pouch degeneration; 4. the disease complexity and the various risk factors

  3. Treatment of wastewater and restoration of aquatic systems through an eco-technology based constructed treatment wetlands - a successful experience in Central India.

    Science.gov (United States)

    Billore, S K; Sharma, J K; Singh, N; Ram, H

    2013-01-01

    In the last couple of decades constructed wetlands (CWs) have drawn considerable interest in Central India. CWs offer an effective means of integrating wastewater treatment and resource enhancement, often at competitive cost in comparison to conventional wastewater treatments, with additional benefits of Green Urban Landscaping and wildlife habitat. This paper describes treatment performances and the design of some Sub Surface Flow CWs (SSFCW) and Artificial Floating Islands (AFIs) in Central India. Central Indian CWs show significant pollution reduction load for total suspended solids (TSS) (62-82%), biochemical oxygen demand (BOD) (40-75%), NH(4)-N (67-78%) and total Kjeldahl nitrogen (TKN) (59-78%). Field scale SSFCWs installed so far in Central India are rectangular, earthen, single/multiple celled having similar depths of 0.60-0.90 m, hydraulic retention capacity 18-221 m(3) with effective size 41.8-1,050 m(2). The major components of CWs incorporate puddled bottom/side walls, sealed with impermeable low-density polyethylene, a bed of locally available river gravel planted with Phragmites karka, and an inlet distribution and outlet collection system. A new variant on CWs are AFIs working under hydroponics. The field scale experimental AFIs installed in-situ in a slowly flowing local river were composed of hollow bamboo, a bed of coconut coir, floating arrangements and Phragmites karka as nutrient stripping plant species. The AFIs polish the aquatic system by reducing 46.6% of TSS, 45-55% of NH(4)-N, 33-45% of NO(3)-N, 45-50% of TKN and 40-50% of BOD. The study established that there is a need for further research and sufficient data to assist the development of CWs by instilling confidence in policymakers, planners and in the public.

  4. Variation of physicochemical properties of drinking water treatment residuals and Phoslock(®) induced by fulvic acid adsorption: Implication for lake restoration.

    Science.gov (United States)

    Wang, Changhui; Jiang, He-Long; Xu, Huacheng; Yin, Hongbin

    2016-01-01

    The use of phosphorus (P) inactivating agents to reduce internal P loading from sediment for lake restoration has attracted increasing attention. Reasonably, the physicochemical properties of P inactivating agents may vary with the interference of various environmental factors, leading to the change of control effectiveness and risks. In this study, the effect of fulvic acid (FA) adsorption on the properties of two agents, drinking water treatment residuals (DWTRs) and Phoslock®, was investigated. The results showed that after adsorption, there was little change for the main structures of DWTRs and Phoslock®, but the thermostability of Phoslock®, as well as the particle size and settleability of the two agents decreased. The specific surface area and pore volume of DWTRs also decreased, while those of Phoslock® increased. Further analysis indicated that aluminum and iron in DWTRs were stable during FA adsorption, but a substantial increase of lanthanum release from Phoslock® was observed, in particular at first (P < 0.01). Moreover, the P immobilization capability of DWTRs had little change after FA adsorption, while the capability of Phoslock® after FA adsorption decreased in solutions (P < 0.001) and sediments (P < 0.1); interestingly, from the view of engineering application, the performance of Phoslock® was not substantially affected. Overall, each P inactivating agent had its own particular responses of the physicochemical properties to environment factors, and detailed investigations on the applicability of each agent were essential before practical application.

  5. Restoration of missing or misplaced canines.

    Science.gov (United States)

    Bower, C F; Reinhardt, R A

    1985-06-01

    Restorative treatments for canines were discussed to correct three clinical abnormalities: (1) fully erupted permanent canine in the lateral incisor position, (2) missing permanent canines, and (3) partially exposed canines in normal arch position. The primary concerns are the development of esthetics, anterior guidance, and adequate support for fixed restorations.

  6. Restoration of a fractured primary incisor.

    Science.gov (United States)

    Romero, M; Saez, M; Cabrerizo, C

    2001-01-01

    Esthetic restoration on primary teeth has been a special challenge to pediatric dentists. Composite restorations are the most often used treatment for decay and fractures of primary teeth, however, there are other possible alternatives. We present a case in which we have used an acrylic crown to treat a fractured primary incisor in a 1.8 years old child.

  7. Pregnenolone co-treatment partially restores steroidogenesis, but does not prevent growth inhibition and increased atresia in mouse ovarian antral follicles treated with mono-hydroxy methoxychlor

    Energy Technology Data Exchange (ETDEWEB)

    Craig, Zelieann R., E-mail: zelieann@illinois.edu; Hannon, Patrick R., E-mail: phannon2@illinois.edu; Flaws, Jodi A., E-mail: jflaws@illinois.edu

    2013-11-01

    Mono-hydroxy methoxychlor (mono-OH MXC) is a metabolite of the pesticide, methoxychlor (MXC). Although MXC is known to decrease antral follicle numbers, and increase follicle death in rodents, not much is known about the ovarian effects of mono-OH MXC. Previous studies indicate that mono-OH MXC inhibits mouse antral follicle growth, increases follicle death, and inhibits steroidogenesis in vitro. Further, previous studies indicate that CYP11A1 expression and production of progesterone (P{sub 4}) may be the early targets of mono-OH MXC in the steroidogenic pathway. Thus, this study tested whether supplementing pregnenolone, the precursor of progesterone and the substrate for HSD3B, would prevent decreased steroidogenesis, inhibited follicle growth, and increased follicle atresia in mono-OH MXC-treated follicles. Mouse antral follicles were exposed to vehicle (dimethylsulfoxide), mono-OH MXC (10 μg/mL), pregnenolone (1 μg/mL), or mono-OH MXC and pregnenolone together for 96 h. Levels of P{sub 4}, androstenedione (A), testosterone (T), estrone (E{sub 1}), and 17β-estradiol (E{sub 2}) in media were determined, and follicles were processed for histological evaluation of atresia. Pregnenolone treatment alone stimulated production of all steroid hormones except E{sub 2}. Mono-OH MXC-treated follicles had decreased sex steroids, but when given pregnenolone, produced levels of P{sub 4}, A, T, and E{sub 1} that were comparable to those in vehicle-treated follicles. Pregnenolone treatment did not prevent growth inhibition and increased atresia in mono-OH MXC-treated follicles. Collectively, these data support the idea that the most upstream effect of mono-OH MXC on steroidogenesis is by reducing the availability of pregnenolone, and that adding pregnenolone may not be sufficient to prevent inhibited follicle growth and survival. - Highlights: • Mono-OH MXC inhibited antral follicle steroidogenesis, growth, and survival. • Pregnenolone partially restored steroidogenesis

  8. Treatment with novel AP-1 and NF-κB inhibitors restores the colonic endocrine cells to normal levels in rats with DSS-induced colitis.

    Science.gov (United States)

    El-Salhy, Magdy; Umezawa, Kazuo

    2016-03-01

    The aim of this study was to determine the effects of two anti-inflammatory agents on the abnormalities in colonic endocrine cells in dextran sodium sulfate (DSS)-induced colitis. Colitis was induced in male Wistar rats (n=45) using DSS; a further 15 rats without colitis were included in a healthy control group. The animals with DSS-induced colitis were randomly divided into 3 treatment groups as follows: i) DSS group, rats were treated with 0.5 ml of 0.5% carboxymethyl cellulose (CMC); ii) DSS‑G group, rats were treated with 3-[(dodecylthiocarbonyl)‑methyl]‑glutarimide (DTCM‑G), a novel activator protein 1 (AP-1) inhibitor, 20 mg/kg in CMC; and iii) DSS‑Q group, rats were treated with dehydroxymethylepoxyquinomicin, a nuclear factor κB (NF-κB) inhibitor, 15 mg/kg in CMC. The treatments were administered intraperitoneally, twice daily for 5 days, after which the animals were sacrificed and tissue samples from the colon were immunostained for chromogranin A (CgA), serotonin, peptide YY (PYY), enteroglucagon, pancreatic polypeptide (PP), somatostatin, leukocytes, B/T lymphocytes, B lymphocytes, T lymphocytes, macrophages/monocytes and mast cells. The densities of these endocrine and immune cells were quantified by computer‑aided image analysis. The densities of CgA-, serotonin-, PYY- and enteroglucagon-producing cells were significantly higher, and those of PP- and somatostatin-producing cells were significantly lower in the DSS‑G, DSS‑Q and control groups than in the DSS group. The densities of all the immune cells were lower in the DSS‑G, DSS‑Q and control groups than in the DSS group. The densities of all endocrine cell types and immune cells in both the DSS groups treated with anti‑inflammatory agents were restored to control levels. In conclusion, our data demonstrate that there is an interaction between endocrine and immune cells during inflammation. This interaction with subsequent changes in endocrine cells is responsible for the

  9. Anterior provisional restorations used to determine form, function, and esthetics for complex restorative situations, using all-ceramic restorative systems.

    Science.gov (United States)

    Reshad, Mamaly; Cascione, Domenico; Kim, Tae

    2010-02-01

    A technique is proposed for the restoration of a large and visible maxillary anterior defect. The importance of proper diagnosis, treatment planning, and communication is emphasized. Irreversible treatment should only be rendered once patient approval has been obtained through objective evaluation with provisional restorations. The techniques presented in this article use a combination of ceramic systems currently available to satisfy functional demands while achieving acceptable esthetics. A controlled series of steps, where the provisional restorative components are being replaced by the definitive ones is planned. The only difference between the provisional and definitive restorative components is the material used. The definitive restorations consisted of an implant-supported zirconium oxide framework. Individual pressed porcelain restorations were luted to the framework and a natural tooth. CLINICAL SIGNIFICANCE Provisional restorations allow an objective form of communication. Vertical and horizontal transitional lines can be effectively masked with appropriate treatment planning and a skilled ceramist. Many traditional dental laboratory steps may be eliminated or simplified without compromising the definitive restorations.

  10. Conservative preparations for cast restorations.

    Science.gov (United States)

    Shillingburg, H T

    1976-04-01

    Partial veneer crowns still play a role in modern restorative dentistry. They must be used in the right situation with thoughtful treatment planning, and they must be done well in accordance with certain principles. Three-quarter crowns are less retentive than full crowns, but they can be used successfully as single unit restorations and retainers for short span bridges. Retention can be enhanced by the use of proximal boxes. The M.O.D. onlay, a modified inlay with occlusal coverage, minimizes the damaging effects of stress generated by occlusal forces. There is little indication for the use of M.O.D. inlays or large two surface inlays.

  11. Articulator selection for restorative dentistry.

    Science.gov (United States)

    Hobo, S; Shillingburg, H T; Whitsett, L D

    1976-07-01

    There are many types of articulators that can be used for making fixed restorations. While unquestionably the most accurate, the fully adjustable instrument is not feasible or necessary for many forms of simple occlusal treatment. The effects of tooth-hinge axis radius, intercondylar distance, and condylar inclination on occlusal morphology have been discussed. Guidelines have been proposed for matching the type of articulator with the extent of treatment anticipated. The use of small, nonadjustable hinge articulators is not recommended.

  12. Experimental model: dye penetration of extensive interim restorations used during endodontic treatment while under load in a multiple axis chewing simulator.

    Science.gov (United States)

    Jensen, Arna-Lee; Abbott, Paul V

    2007-10-01

    The purpose of this study was to design an experimental model that allowed extensive endodontic interim restorations to be tested for dye penetration while under simulated masticatory load. Extracted premolar teeth had standardized mesio-occluso-distal cavities prepared, and the root canals were instrumented. A cotton wool pellet was placed in the pulp chamber, and the cavities were restored with Cavit, IRM, Ketac-Fil Plus, Ketac-Silver, or composite resin (Z100). They were subjected to the equivalent of 3 months of clinical load while exposed to methylene blue dye. Results of this study could not support IRM as a suitable interim endodontic restorative material to use in extensive cavities. The dye penetration in the Ketac-Fil Plus and Ketac-Silver specimens was not predictable, and the results suggested Cavit and Z100 composite resin require further investigations as potentially useful materials for this purpose.

  13. [Esthetic restorations of primary anterior teeth].

    Science.gov (United States)

    Elqadir, A Jamil; Shapira, J; Ziskind, K; Ram, D

    2013-04-01

    Esthetic treatment of primary teeth is one of the greatest challenges to pediatric dentists. A variety of restorative options using full coverage are available for anterior primary teeth. In the last half century the emphasis on treatment of severely decayed primary teeth shifted from extraction to restoration. In the past, restorations consisted of placement of stainless steel crowns on severely decayed teeth. However, they are esthetically unacceptable today. Over the last decade parents expect a higher esthetic standard for their children's primary teeth. Thus, the restoration should provide esthetic appearance and durability in addition to restoring function. The purpose of this review is to describe the types of full coverage options for anterior primary teeth currently available.

  14. A web-based intervention (RESTORE) to support self-management of cancer-related fatigue following primary cancer treatment: a multi-centre proof of concept randomised controlled trial

    OpenAIRE

    Foster, Claire; Grimmett, Chloe; May, Christine M.; Ewings, Sean; Myall, Michelle; Hulme, Claire; Smith, Peter W.; Powers, Cassandra; Calman, Lynn; Armes, Jo; Breckons, Matthew; Corner, Jessica; Fenlon, Deborah; Batehup, Lynn; Lennan, Elaine

    2015-01-01

    Purpose: Cancer-related fatigue (CRF) is a frequent and distressing symptom experienced after cancer treatment. RESTORE is the first web-based resource designed to enhance self-efficacy to manage CRF following curative-intent treatment. The aim of this study is to test the proof of concept and inform the design of an effectiveness trial.\\ud \\ud Methods: A multi-centre parallel-group two-armed (1:1) exploratory randomised controlled trial (RCT) with qualitative process evaluation was employed ...

  15. 再生复原疗法对糖尿病足的临床规范化应用%Standardized Application of Regenerative Restoration Therapy in the Clinical Treatment of Diabetic Foot Ulcer

    Institute of Scientific and Technical Information of China (English)

    王洪生

    2013-01-01

    Objective As the progressing of disease, diabetic foot will worsen to develop ulceration, necrosis and especially infection successively due to tissue ischemia, neuropathy and infection of the involved foot. Since the immunity of infected tissue weakens and antibiotics can not reach an effective treatment concentration in the diseased tissue, the conven-tional treatment has no effective methods, and leads to amputation eventually. In contrast, the application of regenerative restoration therapy in the treatment of diabetic foot can easily solve such difficult problems as ulcer, infection and etc. , so that the affected foot can be saved as much as possible. But the lack of a unified and standardized wound management proto-col leads to the variation of clinical efficacy. Thus, with the purpose of improving the efficacy, this paper aims to summarize a clinical treatment standard of regenerative restoration therapy in treating diabetic foot ulcer. Methods To conclude and summarize the clinical treatment standard of regenerative restoration therapy in treating diabetic foot ulcer based on the theo-ry and science of Human Body Regenerative Restoration Science and regenerative restoration technology set up by Dr. XU Rong-xiang. Results A clinical treatment standard was summarized under the guidance of Human Body Regenerative Res-toration Science and pertinent clinical practicing techniques. Conclusion The standard has reference meaning for unifying the application of regenerative restoration therapy in the treatment of diabetic foot ulcer.%  目的糖尿病足病因是患足组织缺血、神经病变,随着病程发展会依次发生溃疡、感染、坏死;因感染组织免疫力降低且抗生素在病变组织不能达到有效治疗浓度,常规治疗方法常缺乏有效性,最终将导致截肢,而再生复原疗法在糖尿病足中的应用,使糖尿病足溃疡、感染等难题迎刃而解,患足得到了最大限度地保全,但目前创

  16. Global Ecosystem Restoration Index

    DEFF Research Database (Denmark)

    Fernandez, Miguel; Garcia, Monica; Fernandez, Nestor

    2015-01-01

    The Global ecosystem restoration index (GERI) is a composite index that integrates structural and functional aspects of the ecosystem restoration process. These elements are evaluated through a window that looks into a baseline for degraded ecosystems with the objective to assess restoration...

  17. Restorative dentistry for children.

    Science.gov (United States)

    Donly, Kevin J

    2013-01-01

    This article discusses contemporary pediatric restorative dentistry. Indications and contraindications for the choice of different restorative materials in different clinical situations, including the risk assessment of the patient, are presented. The specific use of glass ionomer cement or resin-modified glass ionomer cement, resin-based composite, and stainless steel crowns is discussed so that preparation design and restoration placement is understood.

  18. Linking restoration ecology with coastal dune restoration

    Science.gov (United States)

    Lithgow, D.; Martínez, M. L.; Gallego-Fernández, J. B.; Hesp, P. A.; Flores, P.; Gachuz, S.; Rodríguez-Revelo, N.; Jiménez-Orocio, O.; Mendoza-González, G.; Álvarez-Molina, L. L.

    2013-10-01

    Restoration and preservation of coastal dunes is urgently needed because of the increasingly rapid loss and degradation of these ecosystems because of many human activities. These activities alter natural processes and coastal dynamics, eliminate topographic variability, fragment, degrade or eliminate habitats, reduce diversity and threaten endemic species. The actions of coastal dune restoration that are already taking place span contrasting activities that range from revegetating and stabilizing the mobile substrate, to removing plant cover and increasing substrate mobility. Our goal was to review how the relative progress of the actions of coastal dune restoration has been assessed, according to the ecosystem attributes outlined by the Society of Ecological Restoration: namely, integrity, health and sustainability and that are derived from the ecological theory of succession. We reviewed the peer reviewed literature published since 1988 that is listed in the ISI Web of Science journals as well as additional references, such as key books. We exclusively focused on large coastal dune systems (such as transgressive and parabolic dunefields) located on natural or seminatural coasts. We found 150 articles that included "coastal dune", "restoration" and "revegetation" in areas such as title, keywords and abstract. From these, 67 dealt specifically with coastal dune restoration. Most of the studies were performed in the USA, The Netherlands and South Africa, during the last two decades. Restoration success has been assessed directly and indirectly by measuring one or a few ecosystem variables. Some ecosystem attributes have been monitored more frequently (ecosystem integrity) than others (ecosystem health and sustainability). Finally, it is important to consider that ecological succession is a desirable approach in restoration actions. Natural dynamics and disturbances should be considered as part of the restored system, to improve ecosystem integrity, health and

  19. Guidelines for managing the orthodontic-restorative patient.

    Science.gov (United States)

    Kokich, V G; Spear, F M

    1997-03-01

    Occasionally, patients require restorative treatment during or after orthodontic therapy. Patients with worn or abraded teeth, peg-shaped lateral incisors, fractured teeth, multiple edentulous spaces, or other restorative needs may require tooth positioning that is slightly different from a nonrestored, nonabraded, completely dentulous adolescent. Generally, orthodontists are not accustomed to dealing with patients who require restorative intervention. Should the objectives of orthodontic treatment differ for the restorative patient compared with the nonrestorative patient? How should the teeth be positioned during orthodontic therapy to facilitate specific restorations? Should teeth be restored before, during, or perhaps after orthodontics? The answers to these and other important questions are vital to the successful treatment of some orthodontic patients. This article will provide a series of eight guidelines to help the interdisciplinary team manage treatment for the orthodontic-restorative patient.

  20. Treatment Outcome of Two Adjacent Implant-Supported Restorations with Different Implant Platform Designs in the Esthetic Region : A Five-Year Randomized Clinical Trial

    NARCIS (Netherlands)

    Van Nimwegen, Wouter G.; Raghoebar, Gerry M.; Stellingsma, Kees; Tymstra, Nynke; Vissink, Arjan; Meijer, Henny J. A.

    2015-01-01

    Purpose: The aim of this study was to evaluate the peri-implant soft and hard tissues and satisfaction in patients with two adjacent implant-supported restorations in the esthetic region, treated with two adjacent implants with a scalloped or flat platform. Materials and Methods: The randomized clin

  1. Alternatives to testosterone replacement: testosterone restoration.

    Science.gov (United States)

    McCullough, Andrew

    2015-01-01

    The European Male Aging Study has demonstrated that the hypogonadism of male aging is predominantly secondary. Theoretically with appropriate stimulation from the pituitary, the aging testis should be able to produce eugonadal levels of testosterone. The strategies for the treatment of late onset hypogonadism (LOH) have focused on replacement with exogenous testosterone versus restoration of endogenous production. The purpose of this article is to review existing peer-reviewed literature supporting the concept of restoration of endogenous testosterone in the treatment of LOH.

  2. A new atraumatic method of removing fractured palatal root using endodontic H-files luted with resin modified glass ionomercement: A pilot study

    Directory of Open Access Journals (Sweden)

    V Sadesh Kannan

    2014-01-01

    Full Text Available Purpose: The purpose of this study is to evaluate the efficacy of using endodontic H-files luted with Resin modified glass ionomer cement (RMGIC in removing fractured palatal root. Materials and Methods: This study consists of 30 patients, of which 16 were males and 14 were females with a mean age of 36 years. In which, 19 were maxillary first molar and 11 were maxillary second molar. In that, 18 were fractured at the level of apical 1/3 rd and 12 were at the level of apical 2/3 rd . All cases were first tried with endodontic H-files, within few attempts, it was wedged tightly in the remaining pulp chamber with one or two clockwise direction and using sudden jerk with a downward pull the remnant part was removed. The cases, which fail to deliver after several attempts were taken up for study. After sufficient isolation with a rubber dam and the socket was dried using sterile gauze, under good lighting and vision again the same file was introduced, which was now luted with RMGIC, after 5 min of setting time, the same attempt using sudden jerk with a downward pull was given. Results: In those 30 cases, 20 cases were removed in the first few attempts using endodontic H-files. The 10 cases (7 cases were apical 2/3 rd and 3 cases were of apical 1/3 rd , which fails to come out were tried using endodontic H-files luted with RMGIC, in which 9 cases were successfully removed (90% and 1 case of apical 1/3 rd was again failed to come out. Conclusion: Even though, the number of cases were too small to come to a definitive conclusion, the encouraging result (90% and technically easy, this is a novel method of removing fractured palatal root atraumatically and devoid of any complication.

  3. Commentary: Jail-based competency restoration.

    Science.gov (United States)

    Kapoor, Reena

    2011-01-01

    Many factors influence restoration of competence to stand trial: age, IQ, severity of mental illness, criminal history, treatment history, and others. This commentary poses the question of whether competency to stand trial is also influenced by the setting in which restoration treatment occurs. Jail-based competency-restoration programs, which are in their infancy and have yet to produce large-scale data demonstrating their efficacy, are examined. Several factors related to jail-based restoration are considered: choosing the right candidates for the program, impact of treatment in a punitive setting, ability to maintain separation between treaters and forensic evaluators, procedures for involuntary medication, aggregation of incompetent defendants in regional jails, effect on malingering, and cost savings.

  4. 四种充填材料根管充填术后磨牙抗折强度的对比%A comparative study of fracture resistance of molars restored with different materials after conventional endodontic treatment

    Institute of Scientific and Technical Information of China (English)

    杨宗范; 曾长余; 卓钺; 郭志远; 张波

    2015-01-01

    目的::比较4种不同充填材料对根管充填术后磨牙抗折强度的影响。方法:选择牙体牙根完整的成人离体下颌第一、二磨牙80个,制备牙合面洞,常规根管预备、充填后随机分成4组( n=20),分别采用银汞合金(A组)、光固化复合树脂(B组)、银粉玻璃离子(C组)、玻璃离子(D组)进行充填,用万能试验机垂直加压至样本冠根纵折,记录最大抗压载荷。结果:A、B、C、D组最大抗压载荷( N)分别为1126.15±291.66、1682.90±368.69、1614.55±424.09、1818.75±439.54(P0.05。结论:根管充填后磨牙修复,光固化复合树脂、银粉玻璃离子及玻璃离子材料抗折强度优于银汞合金。%AIM:To compare the fracture resistance of molars restored with 4 different materials after con-ventional endodontic treatment. METHODS:80 extracted molars were instrumented and then randomly divided into 4 groups(n=20). The teeth were then restored with silver amalgam(group A), light-cured composite resin(group B), glass ionomer silver reinforced restoration(group C) and glass ionomer(group D) respectively. All specimens were subjected to a vertical load to cause vertical crown and root fracture. The force required to fracture was measured. RE-SULTS:The mean fracture load values( N) of group A, B, C and D were 1126. 15 ± 291. 66, 1682. 90 ± 368. 69, 1614. 55 ± 424. 09 and 1818. 75 ± 439. 54 respectively (P0. 05). CONCLUSION:The molars restored with light-cured composite resin, glass ionomer silver reinforced restoration or glass ionomer have higher fracture resistance than those restored with silver amalgam.

  5. Technologies for lake restoration

    Directory of Open Access Journals (Sweden)

    Helmut KLAPPER

    2003-09-01

    Full Text Available Lakes are suffering from different stress factors and need to be restored using different approaches. The eutrophication remains as the main water quality management problem for inland waters: both lakes and reservoirs. The way to curb the degradation is to stop the nutrient sources and to accelerate the restoration with help of in-lake technologies. Especially lakes with a long retention time need (eco- technological help to decrease the nutrient content in the free water. The microbial and other organic matter from sewage and other autochthonous biomasses, causes oxygen depletion, which has many adverse effects. In less developed countries big reservoirs function as sewage treatment plants. Natural aeration solves problems only partly and many pollutants tend to accumulate in the sediments. The acidification by acid rain and by pyrite oxidation has to be controlled by acid neutralizing technologies. Addition of alkaline chemicals is useful only for soft waters, and technologies for (microbial alkalinization of very acidic hardwater mining lakes are in development. The corrective measures differ from those in use for eutrophication control. The salinization and water shortage mostly occurs if more water is used than available. L. Aral, L. Tschad, the Dead Sea or L. Nasser belong to waters with most severe environmental problems on a global scale. Their hydrologic regime needs to be evaluated. The inflow of salt water at the bottom of some mining lakes adds to stability of stratification, and thus accumulation of hydrogen sulphide in the monimolimnion of the meromictic lakes. Destratification, which is the most used technology, is only restricted applicable because of the dangerous concentrations of the byproducts of biological degradation. The contamination of lakes with hazardous substances from industry and agriculture require different restoration technologies, including subhydric isolation and storage, addition of nutrients for better self

  6. Procedures for restoring vestibular disorders

    OpenAIRE

    2005-01-01

    This paper will discuss therapeutic possibilities for disorders of the vestibular organs and the neurons involved, which confront ENT clinicians in everyday practice. Treatment of such disorders can be tackled either symptomatically or causally. The possible strategies for restoring the body's vestibular sense, visual function and co-ordination include medication, as well as physical and surgical procedures. Prophylactic or preventive measures are possible in some disorders which involve vert...

  7. Minimum thickness anterior porcelain restorations.

    Science.gov (United States)

    Radz, Gary M

    2011-04-01

    Porcelain laminate veneers (PLVs) provide the dentist and the patient with an opportunity to enhance the patient's smile in a minimally to virtually noninvasive manner. Today's PLV demonstrates excellent clinical performance and as materials and techniques have evolved, the PLV has become one of the most predictable, most esthetic, and least invasive modalities of treatment. This article explores the latest porcelain materials and their use in minimum thickness restoration.

  8. Restoring the worn dentition.

    Science.gov (United States)

    Ibsen, R L; Ouellet, D F

    1992-01-01

    Strong dental materials and dental porcelains are providing dentists with restorative opportunities that are more conservative because they require less destruction of healthy tooth structure and yield a more esthetic result. In cases of severe wear due to attrition, abrasion, and erosion, this process can be stopped, restoring the esthetics and function by using proper techniques and materials. The case report described in this article demonstrates the conservative restoration of severe wear due to attrition and erosion. Teeth were lengthened, wear was restored, and further wear was ceased by using a combination of bonded porcelain, a heat, light, and self-cure resin system, and a new glass-ionomer restorative material. The result was a strong, durable restoration (that required no anesthesia) with high esthetics.

  9. The Hip Restoration Algorithm

    Science.gov (United States)

    Stubbs, Allston Julius; Atilla, Halis Atil

    2016-01-01

    Summary Background Despite the rapid advancement of imaging and arthroscopic techniques about the hip joint, missed diagnoses are still common. As a deep joint and compared to the shoulder and knee joints, localization of hip symptoms is difficult. Hip pathology is not easily isolated and is often related to intra and extra-articular abnormalities. In light of these diagnostic challenges, we recommend an algorithmic approach to effectively diagnoses and treat hip pain. Methods In this review, hip pain is evaluated from diagnosis to treatment in a clear decision model. First we discuss emergency hip situations followed by the differentiation of intra and extra-articular causes of the hip pain. We differentiate the intra-articular hip as arthritic and non-arthritic and extra-articular pain as surrounding or remote tissue generated. Further, extra-articular hip pain is evaluated according to pain location. Finally we summarize the surgical treatment approach with an algorithmic diagram. Conclusion Diagnosis of hip pathology is difficult because the etiologies of pain may be various. An algorithmic approach to hip restoration from diagnosis to rehabilitation is crucial to successfully identify and manage hip pathologies. Level of evidence: V. PMID:28066734

  10. Current Concepts in Restorative Implant Dentistry

    Institute of Scientific and Technical Information of China (English)

    Prof.Marchack

    2009-01-01

    Patients today are incteasingly aware of dental implants.and their expectations are for esthetically and functionally pleasingimplant restorations that mimic natural teeth.This presentation will give both the experienced and novice practitioner a better understand-ing of how restorative implant dentistry has evolved.Treatment planning and restorative options for single implants.multiple implants andfully edentulons arches will be discussed,and the use of modern materials and CADCAM technology in fabricating the most contemporaryfixed implant supported prostheses will be demonstrated.

  11. Immediate Placement and Occlusal Loading of Single-Tooth Restorations on Partially Threaded, Titanium-Tantalum Combined Dental Implants: 1-Year Results.

    Science.gov (United States)

    Peron, Cristian; Romanos, Georgios

    2016-01-01

    Single nonrestorable teeth were atraumatically extracted and hybrid titanium implants with tantalum-based midsections (TM) were placed in fresh extraction sockets. Provisional acrylic crowns were delivered (in occlusion) immediately after surgery. Occlusal contacts were present in the maximal intercuspation but not in the lateral movements of the mandible. Two weeks after placement, the implants were finally restored with screw-retained or cemented lithium disilicate crowns. A total of 25 patients were treated (26 implants). Most implants were placed in maxillary premolar locations and in lower-density bone. Mean crestal bone loss was 0.58 ± 0.34 mm. Implant survival and success rates were 100%, respectively (follow-up: 14.1 ± 1.5 months). Within the limitations of this study, immediate placement and loading of TM implants resulted in predictable clinical, functional, and esthetic outcomes.

  12. Smile transformations with the use of direct composite restorations.

    Science.gov (United States)

    Sameni, Abdi

    2013-01-01

    Mutual concerns shared by dentists and patients regarding removal of natural tooth structure affirm the need for non-invasive restorative treatments. Direct composite restorations are among today's conservative treatment modalities. Direct bonding procedures provide patients with an alternative to high biologic risk and expensive indirect porcelain restorations. This article discusses the principles involved in smile design cases, ways to successfully combine different treatment modalities, and materials to achieve outstanding esthetic and functional results. The article also demonstrates the versatility of today's composite materials for direct smile design restorations.

  13. Scaling-up parameters for site restoration process using surfactant-enhanced soil washing coupled with wastewater treatment by Fenton and Fenton-like processes.

    Science.gov (United States)

    Bandala, Erick R; Cossio, Horacio; Sánchez-Lopez, Adriana D; Córdova, Felipe; Peralta-Herández, Juan M; Torres, Luis G

    2013-01-01

    Estimation of scaling-up parameters for a site restoration process using a surfactant-enhanced soil washing (SESW) process followed by the application of advanced oxidation processes (Fenton and photo-Fenton) was performed. For the SESW, different parameters were varied and the soil washing efficiency for pesticide (2,4-D) removal assessed. The resulting wastewater was treated using the Fenton reaction in the absence and presence of ultraviolet (UV) radiation for pesticide removal. Results showed that agitation speed of 1550 rpm was preferable for the best pesticide removal from contaminated soil. It was possible to wash contaminated soils with different soil concentrations; however the power drawn was higher as the soil concentration increased. Complete removal of the pesticide and the remaining surfactant was achieved using different reaction conditions. The best degradation conditions were for the photo-Fenton process using [Fe(II)] = 0.3 mM; [H2O2] = 4.0 mM where complete 2,4-D and sodium dodecylsulfate (SDS) removal was observed after 8 and 10 minutes of reaction, respectively. Further increase in the hydrogen peroxide or iron salt concentration did not show any improvement in the reaction rate. Kinetic parameters, i.e. reaction rate constant and scaling-up parameters, were determined. It was shown that, by coupling both processes (SESW and AOPs), it is possible the restoration of contaminated sites.

  14. Use of quantitative intra-operative electrodiagnosis during partial ulnar nerve transfer to restore elbow flexion: the treatment of eight patients following a brachial plexus injury.

    Science.gov (United States)

    Suzuki, O; Sunagawa, T; Yokota, K; Nakashima, Y; Shinomiya, R; Nakanishi, K; Ochi, M

    2011-03-01

    The transfer of part of the ulnar nerve to the musculocutaneous nerve, first described by Oberlin, can restore flexion of the elbow following brachial plexus injury. In this study we evaluated the additional benefits and effectiveness of quantitative electrodiagnosis to select a donor fascicle. Eight patients who had undergone transfer of a simple fascicle of the ulnar nerve to the motor branch of the musculocutaneous nerve were evaluated. In two early patients electrodiagnosis had not been used. In the remaining six patients, however, all fascicles of the ulnar nerve were separated and electrodiagnosis was performed after stimulation with a commercially available electromyographic system. In these procedures, recording electrodes were placed in flexor carpi ulnaris and the first dorsal interosseous. A single fascicle in the flexor carpi ulnaris in which a high amplitude had been recorded was selected as a donor and transferred to the musculocutaneous nerve. In the two patients who had not undergone electrodiagnosis, the recovery of biceps proved insufficient for normal use. Conversely, in the six patients in whom quantitative electrodiagnosis was used, elbow flexion recovered to an M4 level. Quantitative intra-operative electrodiagnosis is an effective method of selecting a favourable donor fascicle during the Oberlin procedure. Moreover, fascicles showing a high-amplitude in reading flexor carpi ulnaris are donor nerves that can restore normal elbow flexion without intrinsic loss.

  15. Toponymic Restoration in Irkutsk

    Directory of Open Access Journals (Sweden)

    Alexander Snarsky

    2016-10-01

    Full Text Available The article analyzes the discussion on restoration of historical names of public spaces in Irkutsk. It also reviews different approaches to the problem that appeared in the historical science and publicism. The author says about the necessity of a strictly historical approach to the toponymic restoration.

  16. Guiding Restoration Principles

    Science.gov (United States)

    2004-12-01

    restoration of important ecosystem functions requires reintegrating landscapes or restorating the func- tional aspects of landscapes ( Risser 1992...51-64. Risser , P. G. 1992. Landscape ecology approach to ecosystem rehabilitation. Pages 37-46 in M. L. Wali (ed.), Ecosystem Rehabilitation

  17. Combination restoration in full mouth rehabilitation

    Directory of Open Access Journals (Sweden)

    Sanjna Nayar

    2015-01-01

    Full Text Available Successful restoration of the dentition requires plenty of contemporary and conventional treatment techniques and planning and attachment retained partial dentures are one such kind of treatment modality in prosthodontics. Satisfactory restoration in a patient with a partially edentulous situation can be challenging especially when unilateral or bilateral posterior segment of teeth is missing. One such treatment modality is attachment-retained cast partial dentures. The purpose of this article is to provide an overview of a case with maxillary complete denture and opposing cast partial denture with precision attachment.

  18. Restorative dentistry for the older patient cohort.

    Science.gov (United States)

    Jablonski, R Y; Barber, M W

    2015-03-01

    The ageing UK population presents a number of challenges to the restorative dentist as a result of complex treatment needs and a significant maintenance burden. This paper discusses how ageing may influence the provision of dental treatment and outlines a variety of conservative, periodontal, endodontic and prosthodontic considerations that are important in the management of the older patient cohort.

  19. The perio-esthetic-restorative approach for anterior rehabilitation.

    Science.gov (United States)

    Tomar, Nitin; Bansal, Tushika; Bhandari, Marisha; Sharma, Anamika

    2013-07-01

    Ensuring clinical success begins with a careful discussion of treatment planning, comprehensively covering all variables in simple to complex cases. Procedures including the crown lengthening surgery, furcation treatment and mucogingival therapy and tooth restoration are essential treatment regimens requiring multifaceted expertise. The interplay of periodontics and restorative dentistry is present at many fronts including the response of the gingival tissue to the restorative preparations. Dental restorations and periodontal health are inseparably interrelated. The adaptation of the margins, the contours of the restoration, the proximal relationships and the surface smoothness have a critical biological impact on the gingiva and the supporting periodontal tissues. The different surgical procedures used for crown lengthening are gingivectomy/gingivoplasty, apically positioned flap with or without osseous resection and orthodontic extrusion. The paper presents crown lengthening of severely mutilated teeth to increase the clinical crown height for adequate restoration.

  20. The perio-esthetic-restorative approach for anterior rehabilitation

    Directory of Open Access Journals (Sweden)

    Nitin Tomar

    2013-01-01

    Full Text Available Ensuring clinical success begins with a careful discussion of treatment planning, comprehensively covering all variables in simple to complex cases. Procedures including the crown lengthening surgery, furcation treatment and mucogingival therapy and tooth restoration are essential treatment regimens requiring multifaceted expertise. The interplay of periodontics and restorative dentistry is present at many fronts including the response of the gingival tissue to the restorative preparations. Dental restorations and periodontal health are inseparably interrelated. The adaptation of the margins, the contours of the restoration, the proximal relationships and the surface smoothness have a critical biological impact on the gingiva and the supporting periodontal tissues. The different surgical procedures used for crown lengthening are gingivectomy/gingivoplasty, apically positioned flap with or without osseous resection and orthodontic extrusion. The paper presents crown lengthening of severely mutilated teeth to increase the clinical crown height for adequate restoration.

  1. The perio-esthetic-restorative approach for anterior rehabilitation

    Science.gov (United States)

    Tomar, Nitin; Bansal, Tushika; Bhandari, Marisha; Sharma, Anamika

    2013-01-01

    Ensuring clinical success begins with a careful discussion of treatment planning, comprehensively covering all variables in simple to complex cases. Procedures including the crown lengthening surgery, furcation treatment and mucogingival therapy and tooth restoration are essential treatment regimens requiring multifaceted expertise. The interplay of periodontics and restorative dentistry is present at many fronts including the response of the gingival tissue to the restorative preparations. Dental restorations and periodontal health are inseparably interrelated. The adaptation of the margins, the contours of the restoration, the proximal relationships and the surface smoothness have a critical biological impact on the gingiva and the supporting periodontal tissues. The different surgical procedures used for crown lengthening are gingivectomy/gingivoplasty, apically positioned flap with or without osseous resection and orthodontic extrusion. The paper presents crown lengthening of severely mutilated teeth to increase the clinical crown height for adequate restoration. PMID:24174740

  2. Restoration of optic neuropathy

    Directory of Open Access Journals (Sweden)

    You SW

    2017-03-01

    . Many genes, such as Bcl-2, PTEN, and mTOR, are crucial in cell proliferation, axon guidance, and growth during development, and play important roles in the regeneration and extension of RGC axons. With transgenic mice and related gene regulations, robust regeneration of RGC axons has been observed after ON injury in laboratories. Although various means of experimental treatments such as cell transplantation and gene therapy have achieved significant progress in neuronal survival, axonal regeneration, and restoration of the visual function after ON injury, many unresolved scientific problems still exist for their clinical applications. Therefore, we still need to overcome hurdles before developing effective therapy to treat optic neuropathy diseases in patients. Keywords: retinal ganglion cells, optic nerve injury, neuronal survival, axonal regeneration, vision restoration

  3. Amelogenesis imperfecta - lifelong management. Restorative management of the adult patient.

    Science.gov (United States)

    Patel, M; McDonnell, S T; Iram, S; Chan, M F W-Y

    2013-11-08

    The biggest challenge restorative dentists face in rehabilitating patients with amelogenesis imperfecta (AI) is trying to restore aesthetics, function and occlusal stability while keeping the treatment as conservative as possible. The goals of treatment should be to prolong the life of the patient's own teeth and avoid or delay the need for extractions and subsequent replacement with conventional fixed, removable or implant retained prostheses. In order to achieve these goals a stepwise approach to treatment planning is required starting with the most conservative but aesthetically acceptable treatment. This article discusses the management of AI and presents the various treatment options available for restoring the adult patient who presents to the dentist with AI.

  4. Is high-viscosity glass-ionomer-cement a successor to amalgam for treating primary molars?

    NARCIS (Netherlands)

    Hilgert, L.A.; Amorim, R.G. de; Leal, S.C.; Mulder, J.; Creugers, N.H.; Frencken, J.E.

    2014-01-01

    OBJECTIVES: To assess and compare the cumulative survival rate of amalgam and atraumatic restorative treatment (ART) restorations in primary molars over 3 years. METHODS: 280 children aged 6-7 years old were enrolled in a cluster randomized controlled clinical trial using a parallel group design cov

  5. Etiology, classification and systematic restorative treatment of tooth wear%牙齿磨损的病因、分类及修复重建治疗进展

    Institute of Scientific and Technical Information of China (English)

    骆小平

    2016-01-01

    牙齿磨损是复杂的、多因素交互作用导致的牙齿硬组织快速缺损。目前,牙齿磨损患者呈年轻化趋势且数量日益增加,对口腔修复医师的修复技能而言,是一个严峻的挑战。本文从牙齿磨损的病因学入手,根据牙齿磨损的类型和程度进行综合评估、诊断,并提出相应治疗方案:对轻中度牙齿磨损采用氟化物预防、树脂封闭、粘接性树脂修复;对重度牙列磨损经诊断蜡型设计,树脂罩面验证口内咬合关系,过渡性树脂修复使患者适应重建的咬合,之后采用树脂粘接技术结合微创美学修复,重建牙齿形态,有效恢复咀嚼功能,改善患者美观和发音。%Tooth wear has complex and multi-factorial etiologies that result in the surface loss of dental hard tissues. Clinic prevention and restorative technology of tooth wear are challenge for dentists with the increasing numbers of population and the transition of disease age. From the etiology and classification of tooth wear, it is crucial to accurately assess and diagnose a patient presenting with tooth wear. Fluoride application, sealant and resin bonded restoration are beneficial to manage the mild tooth wear. For severe tooth wear, it is need to fabricate the diagnostic wax-up, and resin mock-up is also used to verify the occlusal relationship and vertical dimension increase, and then an interim restoration is also used to adapt the patient to the change of occlusion. Finally, by means of contemporary adhesive technique and min-invasive treatment, the dentist can reconstruct the shape of worn tooth, effectively restore the function of chewing and improve the appearance and pronounciation.

  6. 全瓷修复技术治疗职业性牙酸蚀病的研究%The research in the treatment of occupational dental erosion using all-ceramic dental restorations

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    目的:探讨用全瓷修复技术治疗职业性牙酸蚀病的临床效果。方法:2010年3月-2013年3月来我院就诊的23例职业性牙酸蚀病患者采用全瓷修复技术治疗。分别于修复后3个月、6个月、1年、3年复查。复查内容包括:修复体边缘、解剖外形、表面光滑度、颜色、患者使用满意度。结果:整个随访期间,23例职业性牙酸蚀病患者面部外形改善,咀嚼功能恢复良好,患者对修复体的美观及舒适性均较为满意。结论:用全瓷修复技术治疗职业性牙酸蚀病能恢复患者美观,提高咀嚼效率。同时还应加强口腔健康和个人防护宣教。%Objective To evaluate the clinical outcomes of therapy using all- ceramic dental restorations for patients with occupational dental erosion. Methods From March 2010 to March 2013, twenty- three patients with occupational dental erosion were treated with all- ceramic dental restorations.The edge of the restorations, anatomical shape,smoothness,color,patients'satisfaction had been observed at 3months,6months,1 year and 3 years after treatment. Results During the follow-up period,all patients with all-ceramic dental satisfied with the appearance and masticatory function. Conclusion The all-ceramic dental restorations showed good clinical effects in improving appearance and masticatory efficiency,at the same time the oral health education and personal protection should be strengthened.

  7. Image restoration scale space

    Science.gov (United States)

    Alvarez, Luis; Mazorra, L.; Santana, F.

    1995-09-01

    We present a study of some image resoration techniques based on partial differential equations. We study separately the denoising problem and the restoration of discontinuities. We analyze the capabilities of the differential operators to restore images. In particular, we analyze a number of models present in the literature, and we present comparative results. Finally, we present a model based in the combination of the anisotropic diffusion of Alvarez, Lions, and Morel and the shock filters of Osher and Rudin.

  8. Alternatives to testosterone replacement: testosterone restoration

    Directory of Open Access Journals (Sweden)

    Andrew McCullough

    2015-04-01

    Full Text Available The European Male Aging Study has demonstrated that the hypogonadism of male aging is predominantly secondary. Theoretically with appropriate stimulation from the pituitary, the aging testis should be able to produce eugonadal levels of testosterone. The strategies for the treatment of late onset hypogonadism (LOH have focused on replacement with exogenous testosterone versus restoration of endogenous production. The purpose of this article is to review existing peer-reviewed literature supporting the concept of restoration of endogenous testosterone in the treatment of LOH.

  9. Restoration of camptothecine production in attenuated endophytic fungus on re-inoculation into host plant and treatment with DNA methyltransferase inhibitor.

    Science.gov (United States)

    Vasanthakumari, M M; Jadhav, S S; Sachin, Naik; Vinod, G; Shweta, Singh; Manjunatha, B L; Kumara, P Mohana; Ravikanth, G; Nataraja, Karaba N; Uma Shaanker, R

    2015-10-01

    Fungal endophytes inhabit living tissues of plants without any apparent symptoms and in many cases are known to produce secondary metabolites similar to those produced by their respective host plants. However on sub-culture, the endophytic fungi gradually attenuate their ability to produce the metabolites. Attenuation has been a major constraint in realizing the potential of endophytic fungi as an alternative source of plant secondary metabolites. In this study, we report attempts to restore camptothecine (CPT) production in attenuated endophytic fungi isolated from CPT producing plants, Nothapodytes nimmoniana and Miquelia dentata when they are passed through their host plant or plants that produce CPT and when treated with a DNA methyl transferase inhibitor. Attenuated endophytic fungi that traversed through their host tissue or plants capable of synthesizing CPT, produced significantly higher CPT compared to the attenuated fungi. Attenuated fungus cultured in the presence of 5-azacytidine, a DNA methyltransferase inhibitor, had an enhanced CPT content compared to untreated attenuated fungus. These results indicate that the attenuation of CPT production in endophytic fungi could in principle be reversed by eliciting some signals from plant tissue, most likely that which prevents the methylation or silencing of the genes responsible for CPT biosynthesis.

  10. Evaluation of the dental structure loss produced during maintenance and replacement of occlusal amalgam restorations

    OpenAIRE

    Fernanda Sardenberg; Clarissa Calil Bonifácio; Mariana Minatel Braga; José Carlos Pettorossi Imparato; Fausto Medeiros Mendes

    2008-01-01

    The aim of this in vitro study was to evaluate four different approaches to the decision of changing or not defective amalgam restorations in first primary molar teeth concerning the loss of dental structure. Ditched amalgam restorations (n = 11) were submitted to four different treatments, as follows: Control group - polishing and finishing of the restorations were carried out; Amalgam group - the ditched amalgam restorations were replaced by new amalgam restorations; Composite resin group -...

  11. Endodontic treatment and restoration of a maxillary lateral incisor with three canals:A case report%左上侧切牙单根三根管治疗和修复:1例报告

    Institute of Scientific and Technical Information of China (English)

    周巧珍; 杜若茜; 诸建亮; 麻健丰

    2016-01-01

    The left lateral incisor with occlusal soreness of a 30-year old female was examined and treated.Radiographic examination re-vealed periradicular radiolucency around the apical and 3 canals.The 3 root canals were treated by root canal therapy,the tooth was restored by all-ceramic crown for the prevention of fracture.12 month follow-up showed that the treatment was effective.%报告1例罕见的上颌侧切牙单根三根管的临床病例。30岁女性患者因自觉左上侧切牙咬合痛6个月就诊,X 线片示左上侧切牙根尖阴影明显及三根管影像。重行3根管的治疗后,全瓷冠修复以防止牙折。

  12. A New Baroreceptor Sensitivity-Restoring Ca-Channel Blocker Diminishes Age-Related Morning Blood Pressure Increase in Hypertensive Patients: Open-Label Monitoring of Azelnidipine Treatment for Hypertension in the Early Morning (At-HOME Study

    Directory of Open Access Journals (Sweden)

    Mitsunori Sugiyama

    2010-01-01

    Full Text Available Background: Morning blood pressure (BP surge, which exhibits an age-related increase, is a risk factor for stroke in elderly hypertensive patients, independently of the 24-h BP level. We studied the effect of the new baroreceptor sensitivity (BRS-restoring Ca-channel blocker (CCB azelnidipine (AZ on this age-related morning BP increase. Methods: We conducted a 16-week prospective study to clarify the effect of morning dosing of AZ on home BPs measured in the morning and in the evening in 2,546 hypertensive patients (mean age, 65.1 years; female, 53.6%. Results: At baseline, ME-Dif (morning systolic BP [SBP]–evening SBP increased with age, independently of ME-Ave (average of the morning and evening SBPs. This age-related increase of ME-Dif was exaggerated by regular alcohol drinking and beta-blocker use. After AZ treatment (14.3 ± 3.6 mg/day, ME-AV and ME-Dif were significantly reduced independently of each other, with reductions of –18.1 ± 15.6 and –2.5 ± 13.2 mmHg, respectively (both p < 0.001. AZ treatment decreased age-related increase in ME-Dif particularly in patients who were regular consumers of alcohol and in beta-blocker users. Conclusions: The new BRS-restoring CCB AZ significantly reduced age-related increase in morning BP and had some potential benefit on cardiovascular protection in hypertension, particularly in elderly patients and/or consumers of alcohol.

  13. Color stability of esthetic restorative material after topical fluoride application

    OpenAIRE

    2015-01-01

    AIM: Present study was conducted to compare the effect of topical fluoride agents on color change of three aesthetic restorative materials. MATERIAL AND METHODS: Restorative material used were Ketac Fill type II (GIC), Filtek Z350(Composite) and Beuttifull II (Giomer). Topical Fluorides used were Pascal (1.23% APF gel) and Fluoride Varnish (Bifluoride). 24 samples of each restorative material were prepared, which were divided into 8 each, among three groups. Treatment of Group A with APF gel,...

  14. Surgical crown lengthening: a periodontal and restorative interdisciplinary approach.

    Science.gov (United States)

    Parwani, Simran R; Parwani, Rajkumar N

    2014-01-01

    Surgical crown lengthening helps to provide an adequate retention form for proper tooth preparation, thus enabling dentists to create esthetically pleasing and healthy restorations. Long-term stability requires accurate diagnosis and development of a comprehensive treatment plan in each case. This sequence of events stresses the importance of communication between the restorative dentist and the periodontist. This article presents 2 cases that involve surgical crown lengthening (including mucoperiosteal flap and ostectomy) for the restoration of teeth.

  15. Restoration of dioxin-induced damage to fetal steroidogenesis and gonadotropin formation by maternal co-treatment with α-lipoic acid.

    Directory of Open Access Journals (Sweden)

    Takayuki Koga

    Full Text Available 2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD, an endocrine disruptor, causes reproductive and developmental toxic effects in pups following maternal exposure in a number of animal models. Our previous studies have demonstrated that TCDD imprints sexual immaturity by suppressing the expression of fetal pituitary gonadotropins, the regulators of gonadal steroidogenesis. In the present study, we discovered that all TCDD-produced damage to fetal production of pituitary gonadotropins as well as testicular steroidogenesis can be repaired by co-treating pregnant rats with α-lipoic acid (LA, an obligate co-factor for intermediary metabolism including energy production. While LA also acts as an anti-oxidant, other anti-oxidants; i.e., ascorbic acid, butylated hydroxyanisole and edaravone, failed to exhibit any beneficial effects. Neither wasting syndrome nor CYP1A1 induction in the fetal brain caused through the activation of aryl hydrocarbon receptor (AhR could be attenuated by LA. These lines of evidence suggest that oxidative stress makes only a minor contribution to the TCDD-induced disorder of fetal steroidogenesis, and LA has a restorative effect by targeting on mechanism(s other than AhR activation. Following a metabolomic analysis, it was found that TCDD caused a more marked change in the hypothalamus, a pituitary regulator, than in the pituitary itself. Although the components of the tricarboxylic acid cycle and the ATP content of the fetal hypothalamus were significantly changed by TCDD, all these changes were again rectified by exogenous LA. We also provided evidence that the fetal hypothalamic content of endogenous LA is significantly reduced following maternal exposure to TCDD. Thus, the data obtained strongly suggest that TCDD reduces the expression of fetal pituitary gonadotropins to imprint sexual immaturity or disturb development by suppressing the level of LA, one of the key players serving energy production.

  16. Restorative and Invisalign: a new approach.

    Science.gov (United States)

    Norris, Robert A; Brandt, Douglas J; Crawford, Craig H; Fallah, Mohamed

    2002-01-01

    This case report describes an interdisciplinary treatment approach using the Invisalign System (Align Technology, Inc., Santa Clara, California) for orthodontics in combination with restorative dentistry. This combined approach was selected for an optimum esthetic and functional result. This case report demonstrates how a restorative case can be improved with prerestorative orthodontic alignment. The Invisalign System was used for opening the bite anteriorly, space distribution, and midline correction. The restorative dentistry procedures involved veneering to enhance the maxillary incisor length-to-width ratio and provide anterior guidance. The cosmetic alternative treatment modality to conventional fixed orthodontics allowed the clinician to accomplish the prerestorative orthodontic goals to help meet the desires of an esthetically conscientious patient.

  17. DIRECT PERMANENT RESTORATIVES - AMALGAM VS COMPOSITE

    Directory of Open Access Journals (Sweden)

    Bhagyashree

    2013-11-01

    Full Text Available ABSTRACT: Dental restoration is the most commonly administered dental treatment. These restorations are subjected to dynamic conditions in oral cavity, are likely to fail and need replacement. Ideal restorative material should pass two tests - Longitivity and Esthetics. Longitivity of the restorative material depends on three major factors - first is Patient’s factors, second is Operator`s skills and last is the Restorative material itself. Dentists today have a plethora of materials to choose from. Materials like Silver Amalgam being tested over a century, other nubile but promising materials, developed recently and yet to be tested in long run. This puts a dentist in dilemma so as which material to select to ensure durable clinical p erformance after placement. Amalgam has been tested over 165 years and has fulfilled almost all desired qualities of a restorative material except esthetics. On the other hand composites have advantage in cases where esthetics is of prime importance; howev er Recent studies conclude them at par with amalgam 1 . Performance of these two materials is assessed on following criterions - Longevity, wear resistance, cost effectiveness, marginal leakage and predisposal to secondary decay, biocompatibility, pulp irri tation, tooth preparation, technique sensitivity and esthetics

  18. 深圳荔枝湖工艺处理单元水污染治理效果研究%Treatment effects of different pollution restoration units at lake Lichee in Shenzhen

    Institute of Scientific and Technical Information of China (English)

    龚春生; 毛献忠

    2012-01-01

    采用含内源污染的平面二维总磷输移模型,计算和分析了深圳市荔枝湖水污染治理工程中湖水大循环、曝气过滤、砾石床接触氧化、人工湿地、阿科曼生态基等五种不同水处理单元组合的六种工艺对荔枝湖水污染治理效果。结果表明不同水处理单元对荔枝湖雨水污染治理效果的大小为:湖水大循环〉曝气过滤〉砾石床接触氧化〉人工湿地〉阿科曼生态基。%A two-dimensional equation of total phosphorus transport with inner pollution sources on horizontal plane was derived to simulate and analyze the treatment effects of different combinations of pollutant restoration units.The computational results show that the pollution treatment capacities of the five treatment units can be listed in a reducing order: lake water circulation units,filtration unit,ecological gravel bed units,wetland unit,Akman culture medium unit.

  19. 不同排龈线方法用于前牙固定修复临床效果比较%Comparison of clinical effects of different kinds of gingival retraction technique in treatment of anterior teeth restoration

    Institute of Scientific and Technical Information of China (English)

    郑敏; 王晖; 周铨

    2016-01-01

    Objective To compare the clinical effects of four kinds of gingival retraction technique in treat-ment of anterior teeth restoration.Methods 169 patients for 352 teeth with tooth body and tooth dentition defect by anterior crown bridge repair were chosen and divided into 4 group by patients'order,including A group(88cases)with single track method,B group(91cases)with single line for two times method,C group(89cases)with double line method and D group(94cases)with double line for two times method.And the fixed restoration satisfaction rate of anterior teeth of both groups was compared.Results The satisfaction rates of gums,shoulder,impression,model and restoration of A group were 73.9%,70.1%,69.3%,65.9%,61.4% respectively,which of B group were 83.5%, 80.2%,80.2%,80.2%,76.9%;which of C group were 84.3%,80.9%,78.7%,77.5%,76.4%;which of D group were 94.6%,93.6%,92.6%,92.6%,90.4%.There were no significant differences in the fixed restoration satisfaction rate of anterior teeth between B group and C group(χ2 =2.43,1.17,2.85,3.04,2.30,all P >0.05). The fixed restoration satisfaction rate of anterior teeth of D group were significantly better than A,B and C groups (χ2 =14.90,16.39,15.83,19.87,21.38,all P <0.05 ).Conclusion Double line for two times method in the treatment of anterior teeth restoration can efficiently avoid ree gingival damage in the situation with abutment shoulder preparation,improve the quality of preparation,impression and model,and are helpful to higher the fitness of the neck of anterior teeth fixed restorations.%目的:探讨四种不同排龈线方法用于前牙固定修复临床效果。方法选取需行上前牙冠桥修复牙体、牙列缺损患者共169例牙352颗,依据治疗意愿分为 A(88例)、B(91例)、C(89例)及 D(94例)四组,分别采用单线一次法、单线二次法、双线一次法及双线二次法进行排龈治疗,并对四组患者前牙固定修复满意率进行比较。结果A 组牙龈、

  20. A 24-month evaluation of amalgam and resin-based composite restorations

    DEFF Research Database (Denmark)

    McCracken, Michael S; Gordan, Valeria V; Litaker, Mark S;

    2013-01-01

    Knowing which factors influence restoration longevity can help clinicians make sound treatment decisions. The authors analyzed data from The National Dental Practice-Based Research Network to identify predictors of early failures of amalgam and resin-based composite (RBC) restorations.......Knowing which factors influence restoration longevity can help clinicians make sound treatment decisions. The authors analyzed data from The National Dental Practice-Based Research Network to identify predictors of early failures of amalgam and resin-based composite (RBC) restorations....

  1. ART: a minimal intervention approach to manage dental caries.

    NARCIS (Netherlands)

    Frencken, J.E.F.M.; Holmgren, C.J.

    2004-01-01

    The number of studies investigating aspects of the Atraumatic Restorative Treatment (ART) approach has increased in recent years. This tissue preservative treatment approach appears to be less painful and is, therefore, more patient-friendly than conventional caries treatments. The investigations so

  2. Influence of the restoration quality on the success of pulpotomy treatment: a preliminary retrospective study Influência da qualidade da restauração sobre o sucesso da pulpotomia: estudo preliminar

    Directory of Open Access Journals (Sweden)

    Flávio Fernando Demarco

    2005-03-01

    Full Text Available The aim of this study was to evaluate the clinical status of pulpotomy treatment with calcium hydroxide and to correlate it with the quality of restoration of the treated teeth. Patients were retrieved from the files of the Operative Dentistry clinics (FOUFPel between 1996 and 2000. Twenty-two patients were recalled, which had 23 teeth treated with pulpotomy due to exposure by caries. Seven anterior and 16 posterior teeth composed the evaluated group, being all restored with composite resin. The age varied from 15-50 years (mean 23.9 and the follow-up mean was 34.52 months. Clinical and radiographic examinations were performed to evaluate the clinical status of treatment. The criteria used, clinically favorable and failure, were based on the following clinical exams: pulp vitality; sensitivity; and periapical alterations. The quality of the restorations was based on the USPHS criteria. Pulpotomy treatment was ranked as clinically favorable in 10 teeth (43.5%, 4 in anterior and 6 in posterior teeth. Failure was verified in 13 teeth (56.5%, 4 anterior and 9 posterior. From the group clinically favorable, 90% of the restorations were ranked as clinically satisfactory, while only 10% were unsatisfactory. In the failure group, 77.8% of the restorations were classified was unsatisfactory and 22.2% were ranked as satisfactory. The statistical analysis (Fisher´s exact test demonstrated that there is a statistically significant association between the clinical status of pulpotomy and restoration quality (pO objetivo deste estudo foi avaliar a condição clínica de dentes submetidos à pulpotomia com hidróxido de cálcio, correlacionando com a qualidade das restaurações dos respectivos dentes. A partir dos prontuários da clínica de Odontologia Restauradora da FOUFPel, foram selecionados 22 pacientes (23 dentes submetidos a pulpotomia entre 1996 e 2000. Ao todo, 23 dentes (7 anteriores e 16 posteriores receberam o tratamento de pulpotomia, indicado

  3. Challenges of ecological restoration

    DEFF Research Database (Denmark)

    Halme, Panu; Allen, Katherine A.; Aunins, Ainars

    2013-01-01

    The alarming rate of ecosystem degradation has raised the need for ecological restoration throughout different biomes and continents. North European forests may appear as one of the least vulnerable ecosystems from a global perspective, since forest cover is not rapidly decreasing and many ecosys...

  4. Restoration of tumor suppressor gene function by gene replacement or small molecule strategies for the treatment of small cell lung cancer

    DEFF Research Database (Denmark)

    Zandi, Roza

    2011-01-01

    as compared to vector or mutant-inactive FUS1 controls. These results demonstrate that FUS1 has a tumor suppressive function in SCLC and suggest that FUS1-mediated gene therapy may be explored as a therapeutic strategy for the treatment of SCLC. The effect of FHIT gene overexpression was studied by adenoviral...... of cell growth seemed to be associated with activation of the apoptotic pathway. Furthermore, combination of FHIT with PRIMA-1 Met resulted in a synergistic cell growth inhibition at certain dose ranges in SCLC cell lines. These results suggest that overexpression of FHIT by adenoviral vector...

  5. Altered regulation of Akt signaling with murine cerebral malaria, effects on long-term neuro-cognitive function, restoration with lithium treatment.

    Directory of Open Access Journals (Sweden)

    Minxian Dai

    Full Text Available Neurological and cognitive impairment persist in more than 20% of cerebral malaria (CM patients long after successful anti-parasitic treatment. We recently reported that long term memory and motor coordination deficits are also present in our experimental cerebral malaria model (ECM. We also documented, in a murine model, a lack of obvious pathology or inflammation after parasite elimination, suggesting that the long-term negative neurological outcomes result from potentially reversible biochemical and physiological changes in brains of ECM mice, subsequent to acute ischemic and inflammatory processes. Here, we demonstrate for the first time that acute ECM results in significantly reduced activation of protein kinase B (PKB or Akt leading to decreased Akt phosphorylation and inhibition of the glycogen kinase synthase (GSK3β in the brains of mice infected with Plasmodium berghei ANKA (PbA compared to uninfected controls and to mice infected with the non-neurotrophic P. berghei NK65 (PbN. Though Akt activation improved to control levels after chloroquine treatment in PbA-infected mice, the addition of lithium chloride, a compound which inhibits GSK3β activity and stimulates Akt activation, induced a modest, but significant activation of Akt in the brains of infected mice when compared to uninfected controls treated with chloroquine with and without lithium. In addition, lithium significantly reversed the long-term spatial and visual memory impairment as well as the motor coordination deficits which persisted after successful anti-parasitic treatment. GSK3β inhibition was significantly increased after chloroquine treatment, both in lithium and non-lithium treated PbA-infected mice. These data indicate that acute ECM is associated with abnormalities in cell survival pathways that result in neuronal damage. Regulation of Akt/GSK3β with lithium reduces neuronal degeneration and may have neuroprotective effects in ECM. Aberrant regulation of Akt

  6. Restoring gingival harmony around single tooth implants.

    Science.gov (United States)

    Reikie, D F

    1995-07-01

    One of the biggest challenges to restoring a single tooth implant in the esthetic zone of the mouth is the creation of harmonious gingival contour around the restoration. Soft- or hard-tissue deficiencies of the edentulous space are the most common obstacles to achieving gingival symmetry around the proposed restoration. Numerous gingival and osseous grafting and regeneration techniques are available but may complicate treatment by increasing the number of surgical procedures and sites necessary. This article describes a technique for treating mild-to-moderate ridge defects without the required additional surgical procedures or a surgical donor site. Soft-tissue overcontouring is provided around the healing abutment by modification of the surgical flap at second-stage implant surgery. Subsequent gingivoplasty allows establishment of anatomic gingival architecture that surrounds the single implant prosthesis.

  7. Pregnenolone co-treatment partially restores steroidogenesis, but does not prevent growth inhibition and increased atresia in mouse ovarian antral follicles treated with mono-hydroxy methoxychlor.

    Science.gov (United States)

    Craig, Zelieann R; Hannon, Patrick R; Flaws, Jodi A

    2013-11-01

    Mono-hydroxy methoxychlor (mono-OH MXC) is a metabolite of the pesticide, methoxychlor (MXC). Although MXC is known to decrease antral follicle numbers, and increase follicle death in rodents, not much is known about the ovarian effects of mono-OH MXC. Previous studies indicate that mono-OH MXC inhibits mouse antral follicle growth, increases follicle death, and inhibits steroidogenesis in vitro. Further, previous studies indicate that CYP11A1 expression and production of progesterone (P4) may be the early targets of mono-OH MXC in the steroidogenic pathway. Thus, this study tested whether supplementing pregnenolone, the precursor of progesterone and the substrate for HSD3B, would prevent decreased steroidogenesis, inhibited follicle growth, and increased follicle atresia in mono-OH MXC-treated follicles. Mouse antral follicles were exposed to vehicle (dimethylsulfoxide), mono-OH MXC (10 μg/mL), pregnenolone (1 μg/mL), or mono-OH MXC and pregnenolone together for 96 h. Levels of P4, androstenedione (A), testosterone (T), estrone (E1), and 17β-estradiol (E2) in media were determined, and follicles were processed for histological evaluation of atresia. Pregnenolone treatment alone stimulated production of all steroid hormones except E2. Mono-OH MXC-treated follicles had decreased sex steroids, but when given pregnenolone, produced levels of P4, A, T, and E1 that were comparable to those in vehicle-treated follicles. Pregnenolone treatment did not prevent growth inhibition and increased atresia in mono-OH MXC-treated follicles. Collectively, these data support the idea that the most upstream effect of mono-OH MXC on steroidogenesis is by reducing the availability of pregnenolone, and that adding pregnenolone may not be sufficient to prevent inhibited follicle growth and survival.

  8. Condylar resorption:etiology manifestations and modern restorative treatment%髁突吸收:病因表现及现代修复治疗对策

    Institute of Scientific and Technical Information of China (English)

    李振兴; 陈传俊

    2014-01-01

    BACKGROUND:Due to complex etiology, manifestations, symptoms, development and outcomes, there is no article about the detailed introduction of condylar resorption in China. OBJECTIVE:To analyze the etiology, pathogenesis, clinical manifestations, diagnosis and treatment of condylar resorption, thereby providing a theoretical basis for clinical treatment of condylar resorption. METHODS:An online computer-based retrieval of PubMed database and CNKI database between January 1990 and January 2014 was performed by the first author. The keywords were “temporomandibular joint, condylar resorption, pathogenesis, diagnosis, treatment” in English and Chinese, respectively. Finaly 38 literatures on the etiology, clinical presentation, diagnosis and treatment of condylar resorption were included. RESULTS AND CONCLUSION: Condylar resorption was subdivided into secondary condylar resorption and primary condylar resorption. Secondary condylar resorption has clear risk factors, including condylar fractures, orthognathic surgery, connective tissue or autoimmune diseases and rheumatoid arthritis. Primary condylar resorption may be associated with lowered serum estradiol concentration. Condylar resorption can be diagnosed by imaging studies combined with clinical manifestations and disease history. Condylar resorption treatment measures mainly include medications, splint treatment, occlusal reconstruction, orthognathic surgery, rib-cartilage transplantation and total joint replacement surgery, in conjunction with orthodontic treatment. Currently, its complex etiology and pathogenesis has not been fuly elucidated, and we need to conduct further studies.%背景:颞下颌关节髁突吸收由于其病因复杂,不同病因所引发的髁突吸收的表现、症状、发展和转归各不相同,目前国内尚无全面详细介绍髁突吸收的文章。目的:分析髁突吸收的病因及发病机制、临床表现和诊治现状,为髁突吸收的临床修复治疗及

  9. Papahanaumokuakea - Laysan Island Restoration 2010

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Goal of the Laysan Island Restoration is to restore Laysan to a "Pristine" state which would require minimal monitoring and habitat for Endemic Endangered...

  10. [Studies on the pre-treatment of dental alloy for adhesive restorations. 4. Adhesive durability of adhesive resin to various dental alloys treated with composite plating].

    Science.gov (United States)

    Kondo, Y; Yamashita, A; Suzuki, K; Omura, I; Yamauchi, J I

    1989-07-01

    In this study, the durability of adhesion between an adhesive resin (Panavia EX) and dental alloys (gold or Ni-Cr) were examined in regard to thermal cycling, immersion, either in water (70 degrees C or 100 degrees C) or in sodium chloride solutions (pH was 3, 7 and 9). An favourable adhesive strength, such as 450-500 kgf/cm2, was obtained even after 24 hours immersion in 37 degrees C water, when the surface pre-treatment of the alloy was done with either Sn- or composite (TMSAC/Sn or PVC/Sn)-plating. However, during the durability test, the adhesive strength has decreased to such on extent, that about 60% of early strength with Sn-plating and 80% with TMSAC/Sn composite plating. But, with PVC/Sn composite-plating, more than 90% of the early strength was maintained. In regard to the pH of the corrosive solution, no apparent difference was observed regarding the above mentioned adhesive characteristics.

  11. Adaptive wiener image restoration kernel

    Science.gov (United States)

    Yuan, Ding

    2007-06-05

    A method and device for restoration of electro-optical image data using an adaptive Wiener filter begins with constructing imaging system Optical Transfer Function, and the Fourier Transformations of the noise and the image. A spatial representation of the imaged object is restored by spatial convolution of the image using a Wiener restoration kernel.

  12. Novel application of silicone rubber materials in the restorative treatment of periodontal splint%硅橡胶材料在牙周夹板修复治疗中的新应用

    Institute of Scientific and Technical Information of China (English)

    康艳凤; 谢秋菲

    2012-01-01

    BACKGROUND: The periodontal splint is widely applied in clinic. The literatures and reports at home or abroad usually use thewedge to close the adjacent gap in the process of production.OBJECTIVE: To evaluate the clinical effect of silicone rubber materials in the restorative treatment of periodontal splint.METHODS: Thirty moderate periodontitis patients who were needed to receive the restorative treatment of periodontal splint. Thepatients were randomly divided into two groups: experimental and control group. In the experimental group, silicone rubbermaterials were applied to temporarily close the space between teeth, while in control group wedges were applied. After the spacebetween teeth was closed, the routine operation was preformed and the operating time was recorded. After the establishment ofperiodontal splint, the prevalence of overhang and change of occlusion was measured, degree of satisfaction of doctors andpatients was recorded by visual analogue rating sore, and then the clinical evaluation was completed.RESULTS AND CONCLUSION: Compared with control group, the prevalence of overhang and change of occlusion was lessand the degree of satisfaction of doctors and patients was higher in experimental group. The operation time was equal in twogroups. The clinical application of silicone rubber materials can be used as a complementary method in the restorative treatmentof periodontal splint. To a certain extent, it can effectively reduce the prevalence of overhang, keep the change of occlusion andimprove the satisfaction of patients.%背景 牙周夹板临床应用较为广泛,国内外文献报告制作过程中通常使用楔子关闭邻间隙.目的 评价硅橡胶印模材料在黏接型牙周夹板修复治疗过程中的临床应用效果.方法 从临床中选取30 例需进行黏接型牙周夹板修复治疗的中度慢性牙周炎患者,随机分为2 组:实验组使用硅橡胶印模材料暂时关闭牙齿间隙,继而进行常规操作,并记录

  13. Restoring proximal caries lesions conservatively with tunnel restorations

    Directory of Open Access Journals (Sweden)

    Chu CH

    2013-07-01

    Full Text Available Chun-Hung Chu1, May L Mei,1 Chloe Cheung,1 Romesh P Nalliah2 1Faculty of Dentistry, The University of Hong Kong, Hong Kong, People's Republic of China; 2Department of Restorative Dentistry and Biomaterials Sciences, Harvard School of Dental Medicine, Boston, MA, USA Abstract: The tunnel restoration has been suggested as a conservative alternative to the conventional box preparation for treating proximal caries. The main advantage of tunnel restoration over the conventional box or slot preparation includes being more conservative and increasing tooth integrity and strength by preserving the marginal ridge. However, tunnel restoration is technique-sensitive and can be particularly challenging for inexperienced restorative dentists. Recent advances in technology, such as the contemporary design of dental handpieces with advanced light-emitting diode (LED and handheld comfort, offer operative dentists better vision, illumination, and maneuverability. The use of magnifying loupes also enhances the visibility of the preparation. The advent of digital radiographic imaging has improved dental imaging and reduced radiation. The new generation of restorative materials has improved mechanical properties. Tunnel restoration can be an option to restore proximal caries if the dentist performs proper case selection and pays attention to the details of the restorative procedures. This paper describes the clinical technique of tunnel restoration and reviews the studies of tunnel restorations. Keywords: operative, practice, tunnel preparation, composite, amalgam, glass ionomer

  14. Relativistic Linear Restoring Force

    Science.gov (United States)

    Clark, D.; Franklin, J.; Mann, N.

    2012-01-01

    We consider two different forms for a relativistic version of a linear restoring force. The pair comes from taking Hooke's law to be the force appearing on the right-hand side of the relativistic expressions: d"p"/d"t" or d"p"/d["tau"]. Either formulation recovers Hooke's law in the non-relativistic limit. In addition to these two forces, we…

  15. Suitability of ART approach for managing caries lesions in people with disability-Experts' opinion

    NARCIS (Netherlands)

    Molina, G.F.; Faulks, D.; Frencken, J.E.F.M.

    2013-01-01

    Abstract Objective. This study aimed to obtain the opinions of experts in Special Care Dentistry (SCD) regarding the suitability of the Atraumatic Restorative Treatment (ART) approach for the treatment of carious lesions in persons with disability. Material and methods. Thirty expert participants fr

  16. One year survival of ART and conventional restorations in patients with disability

    OpenAIRE

    Molina, G.F.; Faulks, D.; Mazzola, I.; Mulder, J.; Frencken, J.E.F.M.

    2014-01-01

    BACKGROUND: Providing restorative treatment for persons with disability may be challenging and has been related to the patient's ability to cope with the anxiety engendered by treatment and to cooperate fully with the demands of the clinical situation. The aim of the present study was to assess the survival rate of ART restorations compared to conventional restorations in people with disability referred for special care dentistry. METHODS: Three treatment protocols were distinguished: ART (ha...

  17. Effect of prophylactic treatments on the superficial roughness of dental tissues and of two esthetic restorative materials Efeito de tratamentos profiláticos na rugosidade superficial de tecidos dentais e de dois materiais restauradores estéticos

    Directory of Open Access Journals (Sweden)

    Daniele Salami

    2003-03-01

    Full Text Available Dental prophylaxis is a common way to remove dental plaque and stain, both undesirable factors in most dentistry procedures. However, besides cleaning the tooth surface, prophylactic techniques may increase the surface roughness of restorations and dental tissues, which, in turn, may result in plaque accumulation, superficial staining and superficial degradation. This study evaluated the effect of three prophylactic techniques - sodium bicarbonate jet, pumice paste and whiting paste - on the superficial roughness of two restorative materials - a composite resin and a compomer - and on the superficial roughness of two dental surfaces - enamel and cementum/dentin - through rugosimetric and scanning electron microscopy (SEM analysis. Statistical analysis of the rugosimetric data showed that the use of pumice paste on enamel produced a significantly smoother surface than the natural surface. However, comparing the effect of the three techniques, prophylaxis with the pumice paste produced a rougher surface than did the other techniques as regards enamel and cementum/dentin probably due to its abrasiveness. On composite resin, the pumice paste only produced a rougher surface than did the whiting paste. On compomer, all of the applied treatments produced similar results. Based on rugosimetric and SEM analysis, we could conclude that the prophylactic treatments employed did not improve roughness of the studied surfaces. As to the effects of the techniques, they were different depending on the surfaces on which the prophylactic treatments were applied.A profilaxia dental é uma prática comum para a remoção de placa bacteriana e outros indutos que dificultam a realização dos procedimentos restauradores. Entretanto, como efeito secundário à limpeza, pode-se ter uma superfície mais rugosa e sujeita a manchamentos e degradações. O presente estudo avaliou os efeitos de três técnicas de profilaxia - jato de bicarbonato de sódio, pasta de pedra

  18. Skjern River Restoration Counterfactual

    DEFF Research Database (Denmark)

    Clemmensen, Thomas Juel

    2014-01-01

    heritage. While the meanders of the Skjern River were reconstructed according to its assumed course in 1870s, the embanked canal, which was the main feature and symbol of a comprehensive cultivation project from the 1960s, was deconstructed and reduced to incomprehensible traces of the past. Not only did...... history and more openness towards constant change. In this approach the idea of palimpsest as metaphor for the cultural landscape plays an important role. Rather than being an obstacle for the restoration of nature, the historical layer following the comprehensive cultivation project from the 1960s...

  19. Restoring diesel engine camshafts by laser treatement

    Science.gov (United States)

    Astashkevich, B. M.; Zinov'ev, G. S.; Voronin, I. N.

    1996-12-01

    The reliability of parts of the gas-distributing mechanism and drives of fuel pumps determines to a great degree the operating conditions of cylinder-piston parts and the economic characteristics of diesel engines. Intense wear of the camshaft pair disturbs the distribution phases and the lead angle of fuel supply to the diesel cylinders and increases the rigidity of the operation of the connecting rod-piston group. This causes incomplete combustion of fuel and fuming, a rise in the temperature of exhaust gases, sticking of the rings in the piston grooves and their premature failure, wear cracks, and chips and failure of the parts of the cylinder-piston unit, decreasing the efficiency of the diesel. Laser surface treatment is used to restore cams. It makes it possible to increase substantially the wear resistance of cams and restore their worn surfaces. This paper concerns the characteristics of the cams after such a treatment.

  20. Pacific Lamprey Research and Restoration Project : Annual Report 2001.

    Energy Technology Data Exchange (ETDEWEB)

    Close, David A.

    2002-11-01

    Pacific lamprey (Lampetra tridentata) has significantly declined along the Oregon coast and in the Columbia River Basin (Downey et al. 1993; Close and Jackson 2001). Declines in adults can be partially attributed to hydroelectric dams, which have impeded passage of adult Pacific lamprey in the Columbia and Snake rivers, thus effecting larval recruitment in the basin. Adult pacific lamprey also declined in numbers in the Umatilla River, a tributary of the Columbia River. In addition to hydro power dams in the Columbia River, habitat alterations and chemical treatments have been involved in the collapse of Pacific lamprey populations in the Umatilla River. To initiate the restoration effort, CTUIR began developing a restoration plan in 1998. The goal of the lamprey research and restoration project is to restore natural production of Pacific lampreys in the Umatilla River to self-sustaining and harvestable level. This report is summarizing the studies and restoration efforts concluded in 2001.

  1. Alternatives to testosterone replacement: testosterone restoration

    OpenAIRE

    Andrew McCullough

    2014-01-01

    The European Male Aging Study has demonstrated that the hypogonadism of male aging is predominantly secondary. Theoretically with appropriate stimulation from the pituitary, the aging testis should be able to produce eugonadal levels of testosterone. The strategies for the treatment of late onset hypogonadism (LOH) have focused on replacement with exogenous testosterone versus restoration of endogenous production. The purpose of this article is to review existing peer-reviewed literature supp...

  2. Barriers to the adoption of the ART approach as perceived by dental practitioners in governmental dental clinics, in Tanzania.

    NARCIS (Netherlands)

    Kikwilu, E.N.; Frencken, J.E.F.M.; Mulder, J.

    2009-01-01

    OBJECTIVES: This study aimed to determine the magnitude of the barriers to the practice of Atraumatic Restorative Treatment (ART) as perceived by dental practitioners working in pilot dental clinics, and determine the influence of these barriers on the practice of ART. MATERIAL AND METHODS: A valida

  3. The correct use of the ART approach.

    NARCIS (Netherlands)

    Frencken, J.E.F.M.; Leal, S.C.

    2010-01-01

    Confusion exists amongst dentists and scientists about the correct use of the caries management approach termed atraumatic restorative treatment (ART). Inconsistent use of the original definition of ART and suggested modifications (mART) have led to misunderstanding, misconception and miscommunicati

  4. Demographic, criminogenic, and psychiatric factors that predict competency restoration.

    Science.gov (United States)

    Colwell, Lori H; Gianesini, Julie

    2011-01-01

    Previous research has investigated the characteristics of competent and incompetent defendants and restorable and nonrestorable defendants. However, less is known about the influence of current treatment variables and other systemic factors on restorability. In the present study, we sought to examine the impact of demographic, criminogenic, historical clinical, and current treatment variables on the restorability and length of stay (LOS) of incompetent defendants. We reviewed the records of 71 male patients who had been court ordered for competency restoration and subsequently discharged from a maximum-security forensic hospital. Results indicated that nonrestorable patients had more prior hospitalizations, incarcerations, and episodes of incompetence, had lower level charges, were diagnosed with a psychotic and cognitive disorder, were prescribed more medications, and had lower global assessment of functioning (GAF) scores. Nonrestorable patients were hospitalized nearly twice as long as those eventually found competent, and patients with lower IQs and lower GAFs and who spent more days on special observations had longer LOS.

  5. Lost lake - restoration of a Carolina bay

    Energy Technology Data Exchange (ETDEWEB)

    Hanlin, H.G.; McLendon, J.P. [Univ. of South Carolina, Aiken, SC (United States). Dept. of Biology and Geology; Wike, L.D. [Univ. of South Carolina, Aiken, SC (United States). Dept. of Biology and Geology]|[Westinghouse Savannah River Co., Aiken, SC (United States). Savannah River Technology Center; Dietsch, B.M. [Univ. of South Carolina, Aiken, SC (United States). Dept. of Biology and Geology]|[Univ. of Georgia, Aiken, SC (United States)

    1994-09-01

    Carolina bays are shallow wetland depressions found only on the Atlantic Coastal Plain. Although these isolated interstream wetlands support many types of communities, they share the common features of having a sandy margin, a fluctuating water level, an elliptical shape, and a northwest to southeast orientation. Lost Lake, an 11.3 hectare Carolina bay, was ditched and drained for agricultural production before establishment of the Savannah River Site in 1950. Later it received overflow from a seepage basin containing a variety of chemicals, primarily solvents and some heavy metals. In 1990 a plan was developed for the restoration of Lost Lake, and restoration activities were complete by mid-1991. Lost Lake is the first known project designed for the restoration and recovery of a Carolina bay. The bay was divided into eight soil treatment zones, allowing four treatments in duplicate. Each of the eight zones was planted with eight species of native wetland plants. Recolonization of the bay by amphibians and reptiles is being evaluated by using drift fences with pitfall traps and coverboard arrays in each of the treatment zones. Additional drift fences in five upland habitats were also established. Hoop turtle traps, funnel minnow traps, and dip nets were utilized for aquatic sampling. The presence of 43 species common to the region has been documented at Lost Lake. More than one-third of these species show evidence of breeding populations being established. Three species found prior to the restoration activity and a number of species common to undisturbed Carolina bays were not encountered. Colonization by additional species is anticipated as the wetland undergoes further succession.

  6. Repair or replacement of amalgam restorations: decisions at a USA and a UK dental school.

    Science.gov (United States)

    Setcos, James C; Khosravi, Reza; Wilson, Nairn H F; Shen, Chiayi; Yang, Mark; Mjör, Ivar A

    2004-01-01

    Whereas replacement of failed restorations is the major treatment for adults in dental practice, repair is an important alternative with the potential to save tooth structure and increase the longevity of restorations at a lower cost. This in vitro study recorded the choices of treatment for the same set of teeth with defective Class II amalgam restorations by students and faculty at two dental schools (University of Manchester, UK and University of Florida, USA). Treatment options (monitor, refurbish, repair and replace) and reason(s) for the choice of treatment for 24 marked amalgam restorations were selected. Overall, participants more frequently chose replacement of restorations; whereas, repair was the least favored option. The reasons cited the most to replace restorations were secondary caries including unsightly appearance, partially lost restoration and tooth fracture; for repair, the major reasons included loss of part of the restoration and marginal ditching; and for refurbishment, the major reasons included poor anatomic form and marginal ditching. There was a significant difference between the students and faculties at the two sites in their choice of treatment (p<0.0001; Chi-square test). The treatment decision to "monitor" the restorations was more frequent for the Manchester site than the Florida site. Conversely, the combined treatment decisions to "refurbish, repair and replace" were more frequently chosen in Florida than in Manchester.

  7. Usaha untuk Mempertahankan Jaringan Gigi yang Sehat dalam Menanggulangi Lesi Karies dengan Konsep Pendekatan Preventif

    Directory of Open Access Journals (Sweden)

    Edi Hartini Sundoro

    2015-10-01

    Full Text Available Recommendation that a preventive and less invasive approach has been developed. The consequences are that new concepts in the treatment of caries lesion has also been proposed. In these new concepts preservation of healthy tooth structure should be emphasized. With regard to these new concepts treatment of initial caries lesion, minimal and tunnel preparation, preventive resin restoration and atraumatic restorative treatment will be reviewed.

  8. 钢丝结扎配合全冠修复根管治疗术后纵折牙58例临床疗效观察%Wire ligation with full crown restoration after root canal treatment longitudinal fold teeth 58 cases of clinical curative effect observation

    Institute of Scientific and Technical Information of China (English)

    张学兵; 付金华

    2015-01-01

    Objective: to observe the wire ligature with full crown restoration after root canal treatment the clinical curative effect of longitudinal fold teeth.Methods:Stainless steel wire in the champions league first eight ligation, coupled with use full crown restoration root canal treatment.Results:in all 58 patients with longitudinal fold the tooth repair, there are 56 patients effectively, effective rate was 96.6%.Conclusion:wire ligation with full crown restoration treatment teeth of vertical root canal therapy of postoperative fracture clinical curative effect, worth extending application.%目的:观察钢丝结扎配合全冠修复根管治疗术后纵折牙的临床疗效。方法先采用不锈钢丝冠内8字结扎,再配合使用全冠修复根管治疗。结果全部58例纵折牙修复患者中,有56例患者有效,有效率为96.6%。结论钢丝结扎配合全冠修复治疗根管治疗术后纵折牙的临床疗效确切,值得推广运用。

  9. Role of provisional restorations in endodontic therapy

    Directory of Open Access Journals (Sweden)

    Jambai Sampathkumar Sivakumar

    2013-01-01

    Full Text Available Root-canal treatment can be carried out in single visit in vital, non-infected teeth, eliminating the need for dressing and provisionalization. Many clinical cases with infected canals require dressing with antibacterial medicaments in a multivisit treatment in which effective provisionalization for different periods of time becomes mandatory. Successful root-canal treatment requires effective mechanical and chemical debridement, elimination of bacteria and pulp tissue remnants and proper canal shaping to facilitate effective obturation. Lack of satisfactory temporary restorations during endodontic therapy ranked second amongst the contributing factors in continuing pain after the commencement of treatment. This review aims to provide an overview of the materials used for provisionalization during and immediately after endodontic treatment.

  10. Minimally invasive restorative dentistry: a biomimetic approach.

    Science.gov (United States)

    Malterud, Mark I

    2006-08-01

    When providing dental treatment for a given patient, the practitioner should use a minimally invasive technique that conserves sound tooth structure as a clinical imperative. Biomimetics is a tenet that guides the author's practice and is generally described as the mimicking of natural life. This can be accomplished in many cases using contemporary composite resins and adhesive dental procedures. Both provide clinical benefits and support the biomimetic philosophy for treatment. This article illustrates a minimally invasive approach for the restoration of carious cervical defects created by poor hygiene exacerbated by the presence of orthodontic brackets.

  11. DOE model conference on waste management and environmental restoration

    Energy Technology Data Exchange (ETDEWEB)

    1990-01-01

    Reports dealing with current topics in waste management and environmental restoration were presented at this conference in six sessions. Session 1 covered the Hot Topics'' including regulations and risk assessment. Session 2 dealt with waste reduction and minimization; session 3 dealt with waste treatment and disposal. Session 4 covered site characterization and analysis. Environmental restoration and associated technologies wee discussed in session 5 and 6. Individual papers have been cataloged separately.

  12. Molar incisor hypomineralization: an aesthetic conservative restorative approach

    OpenAIRE

    Silva-junior, Manoelito Ferreira; Assis,Rahyza Inácio Freire de; PAZINATTO,Flávia Bittencourt

    2016-01-01

    ABSTRACT The aim this study is to present a clinical case of conservative aesthetic restorative treatment of teeth 11 and 21 in a patient diagnosed with molar incisor hypomineralization. An 18-year-old female patient came to the Outpatient Restorative Dentistry Clinic at the Federal University of Espírito Santo, complaining mainly of not feeling comfortable with a color change in her anterior teeth. Molar incisor hypomineralization was diagnosed in molars and incisors and the negative psychos...

  13. Early restorative rehabilitation of children and adolescents with amelogenesis imperfecta

    OpenAIRE

    Pousette Lundgren, Gunilla

    2015-01-01

    Amelogenesis imperfecta (AI) is a rare, genetically determined defect in enamel mineralization. Patients with (AI) can present with rapid tooth loss or fractures of enamel and dental sensitivity as well as alterations in enamel thickness, color, and shape. These factors may compromise esthetic appearance and masticatory function. Existing treatment recommendations suggest using resin composite restorations until adulthood, although such restorations have a limited longevity. The mai...

  14. Archived film analysis and restoration

    NARCIS (Netherlands)

    Rares, A.

    2004-01-01

    The progressive degradation of current film archives poses a serious threat to the preservation of our cultural and technical heritage. Digitization and digital restoration are currently the most viable solutions for the long term preservation and high quality restoration of filmed material. They al

  15. SOCIAL WELFARE AND RESTORATIVE JUSTICE

    Directory of Open Access Journals (Sweden)

    Darrell Fox

    2009-09-01

    Full Text Available This paper explores the links and connections between social work and restorative justice. After a brief description of social work, restorative justice and family group conferencing, I will explore some the complementary theoretical links and practice applications, critically examining the potential implications and opportunities for social work practitioners and academics in relation to practice.

  16. Big Canyon Creek Ecological Restoration Strategy.

    Energy Technology Data Exchange (ETDEWEB)

    Rasmussen, Lynn; Richardson, Shannon

    2007-10-01

    He-yey, Nez Perce for steelhead or rainbow trout (Oncorhynchus mykiss), are a culturally and ecologically significant resource within the Big Canyon Creek watershed; they are also part of the federally listed Snake River Basin Steelhead DPS. The majority of the Big Canyon Creek drainage is considered critical habitat for that DPS as well as for the federally listed Snake River fall chinook (Oncorhynchus tshawytscha) ESU. The Nez Perce Soil and Water Conservation District (District) and the Nez Perce Tribe Department of Fisheries Resources Management-Watershed (Tribe), in an effort to support the continued existence of these and other aquatic species, have developed this document to direct funding toward priority restoration projects in priority areas for the Big Canyon Creek watershed. In order to achieve this, the District and the Tribe: (1) Developed a working group and technical team composed of managers from a variety of stakeholders within the basin; (2) Established geographically distinct sub-watershed areas called Assessment Units (AUs); (3) Created a prioritization framework for the AUs and prioritized them; and (4) Developed treatment strategies to utilize within the prioritized AUs. Assessment Units were delineated by significant shifts in sampled juvenile O. mykiss (steelhead/rainbow trout) densities, which were found to fall at fish passage barriers. The prioritization framework considered four aspects critical to determining the relative importance of performing restoration in a certain area: density of critical fish species, physical condition of the AU, water quantity, and water quality. It was established, through vigorous data analysis within these four areas, that the geographic priority areas for restoration within the Big Canyon Creek watershed are Big Canyon Creek from stream km 45.5 to the headwaters, Little Canyon from km 15 to 30, the mainstem corridors of Big Canyon (mouth to 7km) and Little Canyon (mouth to 7km). The District and the Tribe

  17. A simplified technique for the restoration of severely mutilated primary anterior teeth.

    Science.gov (United States)

    Mortada, A; King, N M

    2004-01-01

    The restoration of severely carious primary anterior teeth is a challenge to the pediatric dentist. The introduction of new materials and technologies makes re-evaluation of existing treatment philosophies necessary. A technique involving the placement of an omega shaped stainless steel wire extension into the entrance of the root canal prior to restoring the crown with a compomer material is described. 96 restorations were placed in 25 children. After 18 months 81.2% of the 96 restorations, which were available for evaluation, 60 (79.9%) were intact. The technique for restoring primary anterior teeth was simple, quick and effective.

  18. Use of temporary filling material for index fabrication in Class IV resin composite restoration.

    Science.gov (United States)

    Kim, Kun-Young; Kim, Sun-Young; Kim, Duck-Su; Choi, Kyoung-Kyu

    2013-05-01

    When a patient with a fractured anterior tooth visits the clinic, clinician has to restore the tooth esthetically and quickly. For esthetic resin restoration, clinician can use 'Natural Layering technique' and an index for palatal wall may be needed. In this case report, we introduce pre-restoration index technique on a Class IV defect, in which a temporary filling material is used for easy restoration. Chair-side index fabrication for Class IV restoration is convenient and makes a single-visit treatment possible.

  19. Landscape context mediates avian habitat choice in tropical forest restoration.

    Directory of Open Access Journals (Sweden)

    J Leighton Reid

    Full Text Available Birds both promote and prosper from forest restoration. The ecosystem functions birds perform can increase the pace of forest regeneration and, correspondingly, increase the available habitat for birds and other forest-dependent species. The aim of this study was to learn how tropical forest restoration treatments interact with landscape tree cover to affect the structure and composition of a diverse bird assemblage. We sampled bird communities over two years in 13 restoration sites and two old-growth forests in southern Costa Rica. Restoration sites were established on degraded farmlands in a variety of landscape contexts, and each included a 0.25-ha plantation, island treatment (trees planted in patches, and unplanted control. We analyzed four attributes of bird communities including frugivore abundance, nectarivore abundance, migrant insectivore richness, and compositional similarity of bird communities in restoration plots to bird communities in old-growth forests. All four bird community variables were greater in plantations and/or islands than in control treatments. Frugivore and nectarivore abundance decreased with increasing tree cover in the landscape surrounding restoration plots, whereas compositional similarity to old-growth forests was greatest in plantations embedded in landscapes with high tree cover. Migrant insectivore richness was unaffected by landscape tree cover. Our results agree with previous studies showing that increasing levels of investment in active restoration are positively related to bird richness and abundance, but differences in the effects of landscape tree cover on foraging guilds and community composition suggest that trade-offs between biodiversity conservation and bird-mediated ecosystem functioning may be important for prioritizing restoration sites.

  20. Atraumatic Bilateral Neglected Anterior Shoulder Dislocation: Case Report of a Jehovah’s Witness 28-Year-Old Male Affected by Iron-Deficiency Anemia and Treated with Bilateral Latarjet Procedure

    Science.gov (United States)

    Poggetti, Andrea; Castellini, Iacopo; Neri, Elisabetta; Marchettil, Stefano; Lisanti, Michele

    2015-01-01

    Introduction: Neglected bilateral anterior shoulder dislocation is a very rare condition, often related to seizures or major trauma. Open reduction is recommended whenever Hill-Sachs lesion is >25% of the joint and the dislocation is elder than 3 weeks. Case Report: We describe a case report of a 28-year-old man left handed Jehovah’s Witness laborer assessed 12 weeks after bilateral anterior shoulder dislocation. The patient was evaluated with clinical examination, and it was observed an asymptomatic intrarotation of both shoulders with a mild left circumflex nerve deficit. He was able to perform flexion and abduction of both arms up to 60° and 10° of extrarotation. Pre-operative constant scores were 49 in left and 55 in right shoulder, pre-operative disabilities of the arm, shoulder, and hand (DASH) scores were 57 in left and 53 in right shoulder, and visual analogue scales (VAS) was 2. Radiological examination were bilateral anteroposterior shoulder X-rays and computer tomography scan. The surgeon treated both shoulder (not simultaneously) by open reduction and Bristow-Latarjet coracoids transfer procedure. A 1 year after operations, left flexion was 180° while right was 160, bilateral abduction was 180. He was able to return to his pre-injury activities, the constant score was 89 left and 83 right, DASH score was 17 left and 13 right and VAS was 0. Conclusion: Atraumatic bilateral neglected anterior shoulder dislocation can be treated with open Bristow-Latarjet procedure to provide a stable glenohumeral joint in laborer patient and permit a return to the pre-injury activities, to create a greater extension of the glenoid arc and to avoid future dislocation. PMID:27299079

  1. Bat response to carolina bays and wetland restoration in the southeastern U.S. Coastal Plain.

    Energy Technology Data Exchange (ETDEWEB)

    Menzel, Jennifer M.; Michael A. Menzel; John C. Kilgo; W. Mark Ford; ; John W. Edwards.

    2005-09-01

    Abstract: Bat activity in the southeastern United States is concentrated over riparian areas and wetland habitats. The restoration and creation of wetlands for mitigation purposes is becoming common in the Southeast. Understanding the effects of these restoration efforts on wetland flora and fauna is thus becoming increasingly important. Because bats (Order: Chiroptera) consist of many species that are of conservation concern and are commonly associated with wetland and riparian habitats in the Southeast (making them a good general indicator for the condition of wetland habitats), we monitored bat activity over restored and reference Carolina bays surrounded by pine savanna (Pinus spp.) or mixed pine-hardwood habitat types at the Savannah River Site in South Carolina. In order to determine how wetland restoration efforts affected the bat community, we monitored bat activity above drained Carolina bays pre- and post-restoration. Our results indicate that bat activity was greater over reference (i.e., undrained) than drained bays prior to the restorative efforts. One year following combined hydrologic and vegetation treatment, however, bat activity was generally greater over restored than reference bays. Bat activity was also greater over both reference and restored bays than in random, forested interior locations. We found significantly more bat activity after restoration than prior to restoration for all but one species in the treatment bays, suggesting that Carolina bay restoration can have almost immediate positive impacts on bat activity.

  2. Evaluation of the dental structure loss produced during maintenance and replacement of occlusal amalgam restorations

    Directory of Open Access Journals (Sweden)

    Fernanda Sardenberg

    2008-09-01

    Full Text Available The aim of this in vitro study was to evaluate four different approaches to the decision of changing or not defective amalgam restorations in first primary molar teeth concerning the loss of dental structure. Ditched amalgam restorations (n = 11 were submitted to four different treatments, as follows: Control group - polishing and finishing of the restorations were carried out; Amalgam group - the ditched amalgam restorations were replaced by new amalgam restorations; Composite resin group - the initial amalgam restorations were replaced by composite resin restorations; Flowable resin group - the ditching around the amalgam restorations was filled with flowable resin. Images of the sectioned teeth were made and the area of the cavities before and after the procedures was determined by image analysis software to assess structural loss. The data were submitted to ANOVA complemented by the Student Newman Keuls test (p < 0.05. The cavities in all the groups presented significantly greater areas after the procedures. However, the amalgam group showed more substantial dental loss. The other three groups presented no statistically significant difference in dental structure loss after the re-treatments. Thus, replacing ditched amalgam restorations by other similar restorations resulted in a significant dental structure loss while maintaining them or replacing them by resin restorations did not result in significant loss.

  3. Evaluation of the dental structure loss produced during maintenance and replacement of occlusal amalgam restorations.

    Science.gov (United States)

    Sardenberg, Fernanda; Bonifácio, Clarissa Calil; Braga, Mariana Minatel; Imparato, José Carlos Pettorossi; Mendes, Fausto Medeiros

    2008-01-01

    The aim of this in vitro study was to evaluate four different approaches to the decision of changing or not defective amalgam restorations in first primary molar teeth concerning the loss of dental structure. Ditched amalgam restorations (n = 11) were submitted to four different treatments, as follows: Control group - polishing and finishing of the restorations were carried out; Amalgam group - the ditched amalgam restorations were replaced by new amalgam restorations; Composite resin group - the initial amalgam restorations were replaced by composite resin restorations; Flowable resin group - the ditching around the amalgam restorations was filled with flowable resin. Images of the sectioned teeth were made and the area of the cavities before and after the procedures was determined by image analysis software to assess structural loss. The data were submitted to ANOVA complemented by the Student Newman Keuls test (p structure loss after the re-treatments. Thus, replacing ditched amalgam restorations by other similar restorations resulted in a significant dental structure loss while maintaining them or replacing them by resin restorations did not result in significant loss.

  4. 微创与传统拔牙法拔除下颌阻生第三磨牙术后愈合情况比较研究%Comparison study of atraumatic and traditional extraction for impacted mandibular third molar

    Institute of Scientific and Technical Information of China (English)

    冷颖; 邬琪; 段昌华; 莫振飞

    2013-01-01

    目的:评价微创与传统拔牙法拔除下颌阻生第三磨牙的术后愈合情况,进一步验证微创拔牙法的优越性。方法选取2010年9月至2012年10月在佛山市禅城区向阳医院·禅城区口腔医院就诊,且需要拔除中位、前倾阻生下颌第三磨牙的男性患者100例,随机分为试验组和对照组(各50例)。试验组采用微创拔牙法,对照组采用传统拔牙法。比较2组患者术后发生水肿、疼痛、张口受限等情况的差异,并记录2组患者牙槽窝骨愈合过程中的骨密度曲线图。结果试验组患者术后水肿、疼痛的发生率低于对照组(P0.05)。结论微创拔牙术有利于牙槽窝的愈合,值得临床推广应用。%Objective To research the healing of impacted mandibular third molar through atraumatic extraction so as to further verify the advantages of atraumatic extraction. Methods Totally 100 cases of male patients with median-leaning forward impacted mandibular third molar from September 2010 to October 2012 in Chancheng District Xiangyang Hospi-tal of Foshan were selected as experiment group and control group at random. Each group had 50 cases. For the experi-ment group,we adopted atraumatic extraction. For the control group,we used traditional extraction. Then we compared the differences in postoperative edema,pain and limited mouth opening of two groups,and observed two groups density curve of the alveolar bone in the healing process. Results For the experiment group,postoperative edema and pain rates were lower than the control group(P0.05). Conclusion Atraumatic ex-traction is good for the healing of tooth socket,which is worthy of clinical popularization and application.

  5. Draft Waste Management Programmatic Environmental Impact Statement for managing treatment, storage, and disposal of radioactive and hazardous waste. Volume 3, Appendix A: Public response to revised NOI, Appendix B: Environmental restoration, Appendix C, Environmental impact analysis methods, Appendix D, Risk

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-08-01

    Volume three contains appendices for the following: Public comments do DOE`s proposed revisions to the scope of the waste management programmatic environmental impact statement; Environmental restoration sensitivity analysis; Environmental impacts analysis methods; and Waste management facility human health risk estimates.

  6. Management of Class I and Class II Amalgam Restorations with Localized Defects: Five-Year Results

    Directory of Open Access Journals (Sweden)

    Javier Martin

    2013-01-01

    Full Text Available Replacement of dental restorations has been the traditional treatment for defective restorations. This five-year prospective clinical trial evaluated amalgam restorations with localized defects that were treated by means of repair or refurbishing. Fifty-two patients (50% female and 50% male, mean age 28.3±18.1 years, range 18–80 with 160 class I and class II defective restorations were included. The study focused on the application of two minimally invasive treatments for localized restoration defects and compared these with no treatment and total replacement as negative and positive controls, respectively. Restorations were assessed by two calibrated examiners according to modified U.S. Public Health Service criteria, including marginal adaptation, anatomic form, secondary caries, and roughness. At five years, recall was examined in 45 patients with 108 restorations (67.5%. The results suggest that repair treatment is as effective as total replacement of restorations with localized defects, reducing biological costs to the patient and providing new tools to the clinician. Refinishing restoration is a useful treatment for localized anatomic form defects.

  7. Fernald restoration: ecologists and engineers integrate restoration and cleanup

    Energy Technology Data Exchange (ETDEWEB)

    Woods, Eric; Homer, John

    2002-07-15

    As cleanup workers excavate pits and tear down buildings at the Fernald site in southwest Ohio, site ecologists are working side-by-side to create thriving wetlands and develop the early stages of forest, prairie, and savanna ecosystems to restore natural resources that were impacted by years of site operations. In 1998, the U.S. Department of Energy-Fernald Office (DOE-FN) and its cleanup contractor, Fluor Fernald, Inc., initiated several ecological restoration projects in perimeter areas of the site (e.g., areas not used for or impacted by uranium processing or waste management). The projects are part of Fernald's final land use plan to restore natural resources over 904 acres of the 1,050-acre site. Pete Yerace, the DOE-FN Natural Resource Trustee representative is working with the Fernald Natural Resource Trustees in an oversight role to resolve the state of Ohio's 1986 claim against DOE for injuries to natural resources. Fluor Fernald, Inc., and DOE-FN developed the ''Natural Resource Restoration Plan'', which outlines 15 major restoration projects for the site and will restore injured natural resources at the site. In general, Fernald's plan includes grading to maximize the formation of wetlands or expanded floodplain, amending soil where topsoil has been removed during excavation, and establishing native vegetation throughout the site. Today, with cleanup over 35 percent complete and site closure targeted for 2006, Fernald is entering a new phase of restoration that involves heavily remediated areas. By working closely with engineers and cleanup crews, site ecologists can take advantage of remediation fieldwork (e.g., convert an excavated depression into a wetland) and avoid unnecessary costs and duplication. This collaboration has also created opportunities for relatively simple and inexpensive restoration of areas that were discovered during ongoing remediation. To ensure the survival of the plant material in heavily

  8. Biological restoration in pediatric dentistry: a brief insight.

    Science.gov (United States)

    Md, Indira; Singh Dhull, Kanika; Nandlal, B; Kumar Ps, Praveen; Singh Dhull, Rachita

    2014-01-01

    Dental caries is the most prevalent disease in humans, especially during early childhood. The restoration of such an extensive carious lesion should be done properly to reestablish their anatomy and hence their masticatory, phonetic, esthetic and space-maintainer functions in the dental arches. The consequences of premature loss of primary teeth are well known, namely the loss of vertical dimension of occlusion, tongue thrusting and mouth breathing habits, which can be the sources of future malocclusion. Satisfactory restoration of these teeth, improving esthetics, along with the management of space and function has always been a challenge for pediatric dentist. An ever increasing demand for esthetics has led to innovation and development of newer treatment modalities for these problems. In an attempt to widen the treatment options as biologically and conservatively as possible, tooth structure is used as a restorative material to rehabilitate severely destroyed tooth crowns. This technique consists of bonding sterile dental fragments, obtained either from the patient or from a tooth bank, to the teeth. Such a technique was termed as 'biological restoration'. This article aims at reviewing the evolution, techniques and outcome of such biological restorations. How to cite this article: MD Indira, Dhull KS, Nandlal B, Kumar PSP, Dhull RS. Biological Restoration in Pediatric Dentistry: A Brief Insight. Int J Clin Pediatr Dent 2014;7(3):197-201.

  9. A cadaveric analysis of contact stress restoration after osteochondral transplantation of a cylindrical cartilage defect.

    NARCIS (Netherlands)

    Kock, N.B.; Smolders, J.M.; Susante, J.L.C. van; Buma, P.; Kampen, A. van; Verdonschot, N.J.J.

    2008-01-01

    Osteochondral transplantation is a successful treatment for full-thickness cartilage defects, which without treatment would lead to early osteoarthritis. Restoration of surface congruency and stability of the reconstruction may be jeopardized by early mobilization. To investigate the biomechanical e

  10. Dental anxiety and pain related to ART

    Directory of Open Access Journals (Sweden)

    Soraya Coelho Leal

    2009-01-01

    Full Text Available Atraumatic Restorative Treatment (ART is considered to be well accepted, both by children and by adult patients. The objective of this review is to present and discuss the evidence regarding the acceptability of ART, from the patient's perspective. Aspects related to dental anxiety/fear and pain/discomfort have been highlighted, to facilitate better understanding and use of the information available in the literature. CONCLUSIONS: The ART approach has been shown to cause less discomfort than other conventional approaches and is, therefore, considered a very promising "atraumatic" management approach for cavitated carious lesions in children, anxious adults and possibly, for dental-phobic patients.

  11. Brain restoration as an emerging field in neurology and neuroscience.

    Science.gov (United States)

    Bola, Michał; Prilloff, Sylvia; Matzke, Steffi; Henrich-Noack, Petra

    2013-01-01

    Restoration of brain function was long thought to be impossible. However, as the publications in the journal Restorative Neurology and Neuroscience (RNN) for more than 20 years attest, clinically useful improvement can be achieved after damage or diseases of the brain, the retina, and the peripheral nervous system. By reviewing both pre-clinical studies and clinical work, we explore what advancements can be made today and what to expect going forward. For example, in the last few years we have seen a clinical focus in the area of non-invasive brain stimulations and rehabilitation training trials. In basic animal research multi-modal approaches have been presented to restore brain function with a combination of different treatments. We think that this is an exciting time in the area of restoration of brain function with many new strategies aimed at helping recovering their impaired neurological functions.

  12. VT River Restoration Data in Lamoille County

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) Documented river and riparian buffer restoration projects in Lamoille County, Vermont. Restoration includes buffer plantings (trees and shrubs),...

  13. 不同去龋技术在乳牙龋病治疗中的应用疗效分析%Analysis of Different Techniques Applied in the Dental Caries Treatment of Deciduous Teeth

    Institute of Scientific and Technical Information of China (English)

    胡静; 陈增力; 刘继延; 王丽英; 赵文峰

    2015-01-01

    Objective:To compare the effect of conventional mechanical caries removal treatment,atraumatic restorative treatment (ART) and Carisolv chemical caries removal treatment applied in the dental caries treatment of primary teeth.Methods:96 pediatric patients diagnosed of mild/moderate dental caries in deciduous teeth from January 2011 to June 2012 were randomly divided into conventional mechanical removal treatment group,atmumatic restorative treatment (ART) group and Carisolv chemical caries removal treatment group with 60 dentals each.Then operative reaction,operation time and long-term efficacy were recorded and analyzed.Results:The efficacy of dental removal in conventional mechanical caries removal group and Carisolv chemical caries removal treatment group were significantly better than ART group (P<0.05).There was no significant difference in the operation time spent among all treatment groups (P>0.05).The number of intraoperative pain occurs in ART group and Carisolv chemical caries removal treatment group were lower than that on the conventional mechanical caries removal group (P<0.05).In one-year post-treatment,secondary caries incidence in conventional mechanical caries removal group and Carisolv chemical caries removal treatment group were significantly lower than that in ART group(P<0.05).However,there was no significant difference in the incidence of break/loss dental filling among all treatment groups (P>0.05).Conclusions:Carisolv chemical caries removal treatment can effectively relieve intmoperative pain and recurrence rate after operation,which is worthy of promotion and application in clinical treatment of deciduous teeth.Caries removal effects and long-term efficacy of ART may limit its widespread application.%目的:比较传统机械切割法、非创伤性充填法(atraumatic restorative treatment,ART)和Carisolv化学法在临床乳牙龋病治疗中的应用效果差异.方法:选取2011年1月-2012年6月来我科就诊的5-8

  14. The Post-Amalgam Era: Norwegian Dentists' Experiences with Composite Resins and Repair of Defective Amalgam Restorations.

    Science.gov (United States)

    Kopperud, Simen E; Staxrud, Frode; Espelid, Ivar; Tveit, Anne Bjørg

    2016-04-22

    Amalgam was banned as a dental restorative material in Norway in 2008 due to environmental considerations. An electronic questionnaire was sent to all dentists in the member register of the Norwegian Dental Association (NTF) one year later, to evaluate dentists' satisfaction with alternative restorative materials and to explore dentists' treatment choices of fractured amalgam restorations. Replies were obtained from 61.3%. Composite was the preferred restorative material among 99.1% of the dentists. Secondary caries was the most commonly reported cause of failure (72.7%), followed by restoration fractures (25.1%). Longevity of Class II restorations was estimated to be ≥10 years by 45.8% of the dentists, but 71.2% expected even better longevity if the restoration was made with amalgam. Repair using composite was suggested by 24.9% of the dentists in an amalgam restoration with a fractured cusp. Repair was more often proposed among young dentists (p amalgam restorations.

  15. Restoration handbook for sagebrush steppe ecosystems with emphasis on greater sage-grouse habitat—Part 3. Site level restoration decisions

    Science.gov (United States)

    Pyke, David A.; Chambers, Jeanne C.; Pellant, Mike; Miller, Richard F.; Beck, Jeffrey L.; Doescher, Paul S.; Roundy, Bruce A.; Schupp, Eugene W.; Knick, Steven T.; Brunson, Mark; McIver, James D.

    2017-02-14

    Sagebrush steppe ecosystems in the United States currently (2016) occur on only about one-half of their historical land area because of changes in land use, urban growth, and degradation of land, including invasions of non-native plants. The existence of many animal species depends on the existence of sagebrush steppe habitat. The greater sage-grouse (Centrocercus urophasianus) depends on large landscapes of intact habitat of sagebrush and perennial grasses for their existence. In addition, other sagebrush-obligate animals have similar requirements and restoration of landscapes for greater sage-grouse also will benefit these animals. Once sagebrush lands are degraded, they may require restoration actions to make those lands viable habitat for supporting sagebrush-obligate animals, livestock, and wild horses, and to provide ecosystem services for humans now and for future generations.When a decision is made on where restoration treatments should be applied, there are a number of site-specific decisions managers face before selecting the appropriate type of restoration. This site-level decision tool for restoration of sagebrush steppe ecosystems is organized in nine steps.Step 1 describes the process of defining site-level restoration objectives.Step 2 describes the ecological site characteristics of the restoration site. This covers soil chemistry and texture, soil moisture and temperature regimes, and the vegetation communities the site is capable of supporting.Step 3 compares the current vegetation to the plant communities associated with the site State and Transition models.Step 4 takes the manager through the process of current land uses and past disturbances that may influence restoration success.Step 5 is a brief discussion of how weather before and after treatments may impact restoration success.Step 6 addresses restoration treatment types and their potential positive and negative impacts on the ecosystem and on habitats, especially for greater sage

  16. Papahanaumokuakea - Laysan Island Restoration 2011

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This project supports restoration activities at Laysan Island. Staff and volunteers continue efforts to eradicate alien invasive species such as Indian dropseed...

  17. Papahanaumokuakea - Laysan Island Restoration 2009

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This project will support restoration activities at Laysan Island. Staff and volunteers continue efforts to eradicate alien invasive species such as Indian dropseed...

  18. Wetland Restoration and Sediment Removal

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — In 2008, Minnesota’s Private Lands Program and Wetland Management Districts began to compare different methods of restoring prairie pothole wetlands to see if there...

  19. Basic research for environmental restoration

    Energy Technology Data Exchange (ETDEWEB)

    1990-12-01

    The Department of Energy (DOE) is in the midst of a major environmental restoration effort to reduce the health and environmental risks resulting from past waste management and disposal practices at DOE sites. This report describes research needs in environmental restoration and complements a previously published document, DOE/ER-0419, Evaluation of Mid-to-Long Term Basic Research for Environmental Restoration. Basic research needs have been grouped into five major categories patterned after those identified in DOE/ER-0419: (1) environmental transport and transformations; (2) advanced sampling, characterization, and monitoring methods; (3) new remediation technologies; (4) performance assessment; and (5) health and environmental effects. In addition to basic research, this document deals with education and training needs for environmental restoration. 2 figs., 6 tabs.

  20. [Pulp response to restorative materials].

    Science.gov (United States)

    Advokaat, J G

    1990-03-01

    Restorations may affect the pulp negatively, rather due to microleakage than to toxic properties of the materials used. Hyperalgesia occurs more frequently after restoration with composite resins than with amalgam, though the resins in contrast to amalgam may be bonded to the enamel margins. A number of recommendations are presented in order to minimize the marginal gap between cavity walls and amalgam and to prevent marginal fracture.

  1. Female hair restoration.

    Science.gov (United States)

    Unger, Robin H

    2013-08-01

    Female hair loss is a devastating issue for women that has only relatively recently been publicly acknowledged as a significant problem. Hair transplant surgery is extremely successful in correcting the most cosmetically problematic areas of alopecia. This article discusses the surgical technique of hair transplantation in women in detail, including pearls to reduce postoperative sequelae and planning strategies to ensure a high degree of patient satisfaction. A brief overview of some of the medical treatments found to be helpful in slowing or reversing female pattern hair loss is included, addressing the available hormonal and topical treatments.

  2. Procedures for restoring vestibular disorders

    Directory of Open Access Journals (Sweden)

    Walther, Leif Erik

    2005-09-01

    Full Text Available This paper will discuss therapeutic possibilities for disorders of the vestibular organs and the neurons involved, which confront ENT clinicians in everyday practice. Treatment of such disorders can be tackled either symptomatically or causally. The possible strategies for restoring the body's vestibular sense, visual function and co-ordination include medication, as well as physical and surgical procedures. Prophylactic or preventive measures are possible in some disorders which involve vertigo (bilateral vestibulopathy, kinetosis, height vertigo, vestibular disorders when diving (Tables 1 and 2. Glucocorticoid and training therapy encourage the compensation of unilateral vestibular loss. In the case of a bilateral vestibular loss, it is important to treat the underlying disease (e.g. Cogan's disease. Although balance training does improve the patient's sense of balance, it will not restore it completely.In the case of Meniere's disease, there are a number of medications available to either treat bouts or to act as a prophylactic (e.g. dimenhydrinate or betahistine. In addition, there are non-ablative (sacculotomy as well as ablative surgical procedures (e.g. labyrinthectomy, neurectomy of the vestibular nerve. In everyday practice, it has become common to proceed with low risk therapies initially. The physical treatment of mild postural vertigo can be carried out quickly and easily in outpatients (repositioning or liberatory maneuvers. In very rare cases it may be necessary to carry out a semicircular canal occlusion. Isolated disturbances of the otolith function or an involvement of the otolith can be found in roughly 50% of labyrinth disturbances. A specific surgical procedure to selectively block the otolith organs is currently being studied. When an external perilymph fistula involving loss of perilymph is suspected, an exploratory tympanotomy involving also the round and oval window niches must be carried out. A traumatic rupture of the

  3. The Post-Amalgam Era: Norwegian Dentists’ Experiences with Composite Resins and Repair of Defective Amalgam Restorations

    OpenAIRE

    Simen E. Kopperud; Frode Staxrud; Ivar Espelid; Anne Bjørg Tveit

    2016-01-01

    Amalgam was banned as a dental restorative material in Norway in 2008 due to environmental considerations. An electronic questionnaire was sent to all dentists in the member register of the Norwegian Dental Association (NTF) one year later, to evaluate dentists’ satisfaction with alternative restorative materials and to explore dentists’ treatment choices of fractured amalgam restorations. Replies were obtained from 61.3%. Composite was the preferred restorative material among 99.1% of the de...

  4. Necessidade de tratamento periodontal avaliada pelo CPITN e sua relação com a qualidade de acabamento cervical das restaurações Need for periodontal treatment evaluated through CPITN and its relation to the quality of the cervical margin of restorations

    Directory of Open Access Journals (Sweden)

    Getúlio da Rocha NOGUEIRA-FILHO

    2001-03-01

    Full Text Available Irregularidades do acabamento cervical de restaurações constituem fatores de retenção de placa bacteriana, dificultando o controle de placa pelos procedimentos habituais de higiene bucal, favorecendo o desenvolvimento da doença periodontal. O objetivo deste estudo foi avaliar as condições periodontais e a necessidade de tratamento em função do acabamento cervical de restaurações dentais. Foram examinados 367 dentes restaurados com classes II e V de amálgama, classe III em resina, restauração metálica fundida e próteses unitárias. Utilizando-se sonda periodontal (OMS, verificou-se a posição do término da restauração (supragengival, subgengival ou ao nível da margem gengival; a qualidade das restaurações (falta ou excesso de material restaurador e a presença de grau 2 do CPITN. Após a análise dos dados, foi possível concluir que: 1 o término supragengival ofereceu a melhor adaptação marginal e a menor freqüência de grau 2 do CPITN; 2 a falta ou excesso de material restaurador favorecem o desenvolvimento de grau 2, independentemente do material utilizado e 3 nos términos subgengivais, foi maior a freqüência de adaptação marginal incorreta, principalmente casos de excesso de material restaurador, sendo estes casos de maior ocorrência de grau 2 do CPITN.Irregularities of the cervical margin of restorations facilitate the retention of bacterial plaque, hindering plaque control through the habitual procedures of oral hygiene and favoring the development of periodontal disease. The aim of this study was to evaluate the periodontal condition and treatment needs (applying CPITN in relation to the cervical margin of dental restorations. Three hundred and sixty-seven teeth with class II and V cavities restored with amalgam, class III cavities restored with composite resin, cast metal restorations and unitary prostheses were examined. With a WHO periodontal probe, the position of the cervical margins of restorations

  5. THE RESTORATIVE CLASSROOM: Using Restorative Approaches to Foster Effective Learning

    Directory of Open Access Journals (Sweden)

    Reviewed by Martha A. BROWN

    2012-04-01

    Full Text Available The book is divided into three sections. Part One, chapters 1-3, provides the reader with a framework for understanding relational and restorative pedagogy based on the Five Key Restorative Themes: Everyone has their own unique and equally valued perspectives Thoughts influence emotions, emotions influence actions Empathy and consideration Needs and unmet needs Collective responsibility for problem solving and decision making. (Hopkins, 2011, p.32These five themes form the basis for the rest of the book. Part Two, chapters 4-9, describes a range of restorative practices and exercises, such as mixers, circles, and community-building games, as well as the step-by-step instructions on how to implement and conduct them. Part Three, Chapter 10, succinctly discusses the whole-school approach, which is explained in greater detail in Just Schools (Hopkins, 2004. Still, Hopkins would be remiss not to emphasize the need for the whole-school adoption of restorative practices based on current school effectiveness and improvement literature, and again asserts that "developing a restorative staffroom and staff team is likely to be a pre-requisite for a successful, high-achieving school" (Hopkins, 2011, p. 225.

  6. The history and clinical application of a chairside CAD/CAM dental restoration system.

    Science.gov (United States)

    Stutes, Richard D

    2006-10-01

    Since its introduction by Sirona Dental Systems (Charlotte, North Carolina, USA and Bensheim, Germany) in 1985, the CEREC Chairside CAD/CAM restoration system has steadily earned a loyal following among dentists. This article describes the history and evolution of the CEREC System, its clinical application and treatment modality, the restorative materials used to fabricate the restorations and an overview of clinical findings regarding the in vivo performance of the materials.

  7. Minimally invasive dentistry combining orthodontic therapy and single-unit restoration.

    Science.gov (United States)

    Lowe, Edward; Rego, Juan; Rego, Nelson

    2008-06-01

    Today's restorative materials enable dental professionals to deliver predictable aesthetic enhancement, particularly for compromised teeth in the anterior region. Treating a single compromised tooth, however, requires a thorough understanding of the restorative material's optical properties, experience in its clinical performance, and awareness of therapeutic modalities that conserve sound tooth structure. In this presentation, the authors demonstrate the use of orthodontic therapy and careful treatment planning to restore a single central incisor using a minimally invasive approach.

  8. Adhesive dentistry and endodontics: materials, clinical strategies, and procedures for restoration of access cavities: a review.

    Science.gov (United States)

    Schwartz, Richard S; Fransman, Ron

    2011-06-01

    The complexity of restorative dentistry has increased greatly in recent years, with the myriad of products used in "adhesive dentistry." So too has the "simple" matter of restoring access cavities after completion of endodontic treatment. This review discusses current methods of "bonding" to tooth structure, ceramic materials, and metals, with emphasis on those aspects that are important to endodontics. Specific materials, procedures and major decision making elements are discussed, as well as how to avoid problems in compatibility between endodontic and restorative materials.

  9. Repeated exposure of acidic beverages on esthetic restorative materials: an in-vitro surface microhardness study

    OpenAIRE

    Xavier, Arun M.; Sunny, Steffy M.; Rai, Kavita; Amitha M Hegde

    2016-01-01

    Background A manifold increase in the consumption of aerated beverages has witnessed a twin increase in tooth wear and raised demand for esthetic restorative materials. This study aimed to evaluate the surface microhardness changes of esthetic restorative materials following treatment with aerated beverages in an in-vitro situation. Material and Methods The initial surface microhardness of the restorative materials GC Fuji II LC, GC Fuji IX, Nano Glass ionomer, Resin and Nano composite was re...

  10. 76 FR 46149 - Financial Assistance: Wildlife Restoration, Sport Fish Restoration, Hunter Education and Safety

    Science.gov (United States)

    2011-08-01

    ... Assistance: Wildlife Restoration, Sport Fish Restoration, Hunter Education and Safety; Final Rule #0;#0... Restoration, Hunter Education and Safety AGENCY: Fish and Wildlife Service, Interior. ACTION: Final rule... Restoration, Sport Fish Restoration, and Hunter Education and Safety (Enhanced Hunter Education and...

  11. Methodology for ranking restoration options

    DEFF Research Database (Denmark)

    Jensen, Per Hedemann

    1999-01-01

    The work described in this report has been performed as a part of the RESTRAT Project FI4P-CT95-0021a (PL 950128) co-funded by the Nuclear Fission Safety Programme of the European Commission. The RESTRAT project has the overall objective of developinggeneric methodologies for ranking restoration...... techniques as a function of contamination and site characteristics. The project includes analyses of existing remediation methodologies and contaminated sites, and is structured in the following steps:-characterisation of relevant contaminated sites -identication and characterisation of relevant restoration...... techniques -assessment of the radiological impact -development and application of a selection methodology for restoration options -formulation ofgeneric conclusions and development of a manual The project is intended to apply to situations in which sites with nuclear installations have been contaminated...

  12. Big Canyon Creek Ecological Restoration Strategy.

    Energy Technology Data Exchange (ETDEWEB)

    Rasmussen, Lynn; Richardson, Shannon

    2007-10-01

    He-yey, Nez Perce for steelhead or rainbow trout (Oncorhynchus mykiss), are a culturally and ecologically significant resource within the Big Canyon Creek watershed; they are also part of the federally listed Snake River Basin Steelhead DPS. The majority of the Big Canyon Creek drainage is considered critical habitat for that DPS as well as for the federally listed Snake River fall chinook (Oncorhynchus tshawytscha) ESU. The Nez Perce Soil and Water Conservation District (District) and the Nez Perce Tribe Department of Fisheries Resources Management-Watershed (Tribe), in an effort to support the continued existence of these and other aquatic species, have developed this document to direct funding toward priority restoration projects in priority areas for the Big Canyon Creek watershed. In order to achieve this, the District and the Tribe: (1) Developed a working group and technical team composed of managers from a variety of stakeholders within the basin; (2) Established geographically distinct sub-watershed areas called Assessment Units (AUs); (3) Created a prioritization framework for the AUs and prioritized them; and (4) Developed treatment strategies to utilize within the prioritized AUs. Assessment Units were delineated by significant shifts in sampled juvenile O. mykiss (steelhead/rainbow trout) densities, which were found to fall at fish passage barriers. The prioritization framework considered four aspects critical to determining the relative importance of performing restoration in a certain area: density of critical fish species, physical condition of the AU, water quantity, and water quality. It was established, through vigorous data analysis within these four areas, that the geographic priority areas for restoration within the Big Canyon Creek watershed are Big Canyon Creek from stream km 45.5 to the headwaters, Little Canyon from km 15 to 30, the mainstem corridors of Big Canyon (mouth to 7km) and Little Canyon (mouth to 7km). The District and the Tribe

  13. Partial-retainer design considerations for zirconia restorations

    NARCIS (Netherlands)

    M.N. Aboushelib; A.J. Feilzer; C.J. Kleverlaan; Z. Salameh

    2010-01-01

    Objective: Bond strength limitations of adhesive zirconia restorations have stood as a barrier against their widespread use. Selective infiltration etching is a new surface treatment that enhances bonding to zirconia-based materials. Beside bond strength, the performance of adhesive zirconia restora

  14. Improving restoration of exotic annual grass-invaded rangelands through activated carbon seed enhancement technologies

    Science.gov (United States)

    Cost-efficient strategies for revegetating annual grass-infested rangelands are limited. Restoration efforts typically comprise a combination of pre-emergent herbicide treatments and seeding to restore desired plant materials. However, practitioners struggle with applying herbicide at rates sufficie...

  15. STUDY UPON THE VIRTUAL RESTORATION METHODS FOR THE PAINTINGS ON A WOODEN SUPPORT

    Directory of Open Access Journals (Sweden)

    Ghiorghita Nicolaie COMSA

    2015-12-01

    Full Text Available The paper refers to the improvement of a classical wood painting or wood icon-restoration method. Over time, deformations and cracks appear on the painted surface. The restoration and conservation refer to the various treatments aimed at stabilizing the surface and, eventually, the straightening of the painted layer. In this paper, I submit a non-destructive evaluation of the surface deformations, and the calculation of the correction parameters for several virtual-restoration options, to analyze and decide the optimal restoration method.

  16. [Direct method of temporary restoration making with the help of 3D-modeling].

    Science.gov (United States)

    Riakhovskiĭ, A N; Kalacheva, Ia A

    2010-01-01

    Use of temporary restorations in the process of prosthetic rehabilitation is generally accepted practice. Direct method of temporary restoration making as the results of computer modeling is offered. The method essence is in translation of the results of 3D computer modeling of the dentition into stereolithographic model from which later on silicone print (key) is taken; further on it is used for making temporary restoration by the direct method. Such method let in advance work off form and size of the future permanent restorations with taking into account peculiarities of the face and the smile of each patient and receive predictable aesthetic result and increase patient's motivation to the treatment.

  17. The Post-Amalgam Era: Norwegian Dentists’ Experiences with Composite Resins and Repair of Defective Amalgam Restorations

    Directory of Open Access Journals (Sweden)

    Simen E. Kopperud

    2016-04-01

    Full Text Available Amalgam was banned as a dental restorative material in Norway in 2008 due to environmental considerations. An electronic questionnaire was sent to all dentists in the member register of the Norwegian Dental Association (NTF one year later, to evaluate dentists’ satisfaction with alternative restorative materials and to explore dentists’ treatment choices of fractured amalgam restorations. Replies were obtained from 61.3%. Composite was the preferred restorative material among 99.1% of the dentists. Secondary caries was the most commonly reported cause of failure (72.7%, followed by restoration fractures (25.1%. Longevity of Class II restorations was estimated to be ≥10 years by 45.8% of the dentists, but 71.2% expected even better longevity if the restoration was made with amalgam. Repair using composite was suggested by 24.9% of the dentists in an amalgam restoration with a fractured cusp. Repair was more often proposed among young dentists (p < 0.01, employees in the Public Dental Service (PDS (p < 0.01 and dentists working in counties with low dentist density (p = 0.03. There was a tendency towards choosing minimally invasive treatment among dentists who also avoided operative treatment of early approximal lesions (p < 0.01. Norwegian dentists showed positive attitudes towards composite as a restorative material. Most dentists chose minimally- or medium invasive approaches when restoring fractured amalgam restorations.

  18. Clinical effect of two treatments in the restoration in defective molars%两种方法修复磨牙缺损的临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    汪夕云; 李玲

    2012-01-01

    Objective To observe the clinical effect of restoration with either silver amalgam or co-ch inlay for defective molars. Methods A total of 100 defective molars from 100 patients were chosen and divided into two groups randomly. One group was restored with co-ch inlay (co-ch inlay group), and another group was restored with silver amalgam (silver amalgam group). All the restorations were evaluated in oral cavity after six months and four years. The data were analyzed using SPSS 16,0 software with the chi-square test. Results After six months, the success rate of silver amalgam group was 95,8%, and that of the co-ch inlay group was 98.0%, showing no statistically significant difference between the two groups (P>0.05). After four years, the success rate of silver amalgam group was 60.0%, and that of the co-ch inlay group was 84.4.0%, with statistically significant difference between the two groups (P<0.05). Conclusion The defective molars can be well restored with the co-ch inlays. In the long term, the co-ch inlays show significant superiority over silver amalgam.%目的 观察用钴铬合金嵌体和银汞合金修复磨牙缺损的临床疗效.方法 选择磨牙牙体缺损患者100例,随机分为两组,分别使用金属嵌体修复和银汞合金直接充填,在修复后6个月、4年复诊,对患者口内两种充填体进行疗效评价.结果 修复后6个月银汞合金直接充填组成功率为95.8%,钴铬合金嵌体组成功率为98.0%,经卡方检验两者临床疗效差异无统计学意义(P>0.05).修复后4年银汞合金充填组成功率为60.0%,钴铬合金嵌体组成功率为84.8%,卡方检验显示嵌体组临床疗效明显优于银汞合金组,差异有统计学意义(P<0.05).结论 嵌体修复磨牙邻(牙合)面洞缺损的方法是有效且可行的,其长期临床疗效优于银汞合金直接充填.

  19. RICHMOND CROWN - FOR RESTORATION OF BADLY MUTILATED POSTERIOR TEETH : A CASE REPORT

    Directory of Open Access Journals (Sweden)

    Yadav

    2015-07-01

    Full Text Available Restoration of badly broken endodontically treated teeth is a common problem in restorative dentistry. Such teeth often require additional support from the root canal by means of a post and core restoration. In cases where tooth structure is significantly lost full coverage restorations for posterior teeth are necessary to achieve proper tooth form and function. Badly broken teeth with minimal or no crown structure require added retention and support. The Richmond crown can be a good treatment alternative for restoration of such teeth. The Richmond crown was introduced in 1878 and incorporated a threaded tube in the canal with a screw retained crown. It was later modified to eliminate the threaded tube and was redesigned as a one piece dowel and crown. This case report shows restoration of badly mutilated posterior teeth with Richmond crown.

  20. Weed biocontrol in landscape restoration

    Science.gov (United States)

    Weed biological control programs in natural areas are often undertaken with the goal of restoring native plant communities and/or ecosystem services to a pre-invasion level. These objectives may be achieved in some areas with biological control alone; however, in other sites integration of biologica...

  1. Origins of the Restoration Playhouse.

    Science.gov (United States)

    Wilson, Dennis D.

    Contrary to the popular theory that the proscenium type of playhouse was imported from France by the Court of Charles II in 1660, the Restoration playhouse in fact developed from Elizabethan theatres and court masques. These Elizabethan theatres were the private theatres, and were generally small, rectangular, roofed structures where aristocratic…

  2. Zirconia-reinforced dental restorations

    NARCIS (Netherlands)

    C. Chen

    2013-01-01

    The series of studies conducted in this thesis showed that there are several ways to enhance the performance of fixed restorations regarding the application of zirconia. One possible way is to change the sintering procedure of zirconia, so that the physical properties of zirconia such BFS, density o

  3. Bayesian image restoration, using configurations

    DEFF Research Database (Denmark)

    Thorarinsdottir, Thordis

    configurations are expressed in terms of the mean normal measure of the random set. These probabilities are used as prior probabilities in a Bayesian image restoration approach. Estimation of the remaining parameters in the model is outlined for salt and pepper noise. The inference in the model is discussed...

  4. Bayesian image restoration, using configurations

    DEFF Research Database (Denmark)

    Thorarinsdottir, Thordis Linda

    2006-01-01

    configurations are expressed in terms of the mean normal measure of the random set. These probabilities are used as prior probabilities in a Bayesian image restoration approach. Estimation of the remaining parameters in the model is outlined for the salt and pepper noise. The inference in the model is discussed...

  5. 椎动脉型颈椎病应用平眩汤加以通络醒脑针刺法的疗效评价%Therapeutic Effect of Pingxuan Decoction with Meridian-regulating and Consciousness-restoring Acupuncture in Treatment of Vertebral Artery Type of Cervical Syndrome

    Institute of Scientific and Technical Information of China (English)

    王永新

    2016-01-01

    Objective To evaluate the therapeutic effect of Pingxuan decoction with meridian-regulating and consciousness-restoring acupuncture in the treatment of vertebral artery type of cervical syndrome.Methods72 patients with vertebral artery type of cervical syndrome were given the treatment of Pingxuan decoction,while 36 patients in the experimental group were given the treatment of meridian-regulating and consciousness-restoring acupuncture. The therapeutic effect and the change in the symptom score before and after the treatment were compared between two groups.Results The overal response rate of patients in the experimental group was 91.7%,which was higher than 66.7% of patients in the control group(P<0.05). The improvement on the symptom score of patients in the experimental group was better than that in the control group(P<0.05).Conclusion Pingxuan decoction with meridian-regulating and consciousness-restoring acupuncture in the treatment of vertebral artery type of cervical syndrome can improve the clinical symptoms with the definite therapeutic effect.%目的:评析平眩汤加以通络醒脑针刺法治疗椎动脉型颈椎病的疗效。方法72例椎动脉型颈椎病患者患者均予以平眩汤治疗,实验组36例加以通络醒脑针刺法治疗,比较两组疗效及治疗前后症状积分变化。结果实验组的临床总有效率为91.7%,高于对照组的66.7%(P<0.05);治疗后实验组的症状积分改善幅度优于对照组(P<0.05)。结论平眩汤加以通络醒脑针刺法治疗椎动脉型颈椎病有助于改善临床症状,疗效确切。

  6. A review on anterior teeth restorations

    Directory of Open Access Journals (Sweden)

    Gaurav Solanki

    2014-12-01

    Full Text Available Restorations of teeth have been a need of time since very long. As the time have passed, there have been different advances in the field of restorative materials and tooth restorations. Many newer restorative materials are now available to us for the purpose of tooth restorations still some of the older materials are materials of choice for a sector of society. This article focuses on few such restorative materials and also tells us about a few patents granted in such field.

  7. Phonemic restoration in developmental dyslexia

    Directory of Open Access Journals (Sweden)

    Stephanie N. Del Tufo

    2014-06-01

    Full Text Available The comprehension of fluent speech in one’s native language requires that listeners integrate the detailed acoustic-phonetic information available in the sound signal with linguistic knowledge. This interplay is especially apparent in the phoneme restoration effect, a phenomenon in which a missing phoneme is ‘restored’ via the influence of top-down information from the lexicon and through bottom-up acoustic processing. Developmental dyslexia is a disorder characterized by an inability to read at the level of one’s peers without any clear failure due to environmental influences. In the current study we utilized the phonemic restoration illusion paradigm, to examine individual differences in phonemic restoration across a range of reading ability, from very good to dyslexic readers. Results demonstrate that restoration occurs less in those who have high scores on measures of phonological processing. Based on these results, we suggest that the processing or representation of acoustic detail may not be as reliable in poor and dyslexic readers, with the result that lexical information is more likely to override acoustic properties of the stimuli. This pattern of increased restoration could result from a failure of perceptual tuning, in which unstable representations of speech sounds result in the acceptance of non-speech sounds as speech. An additional or alternative theory is that degraded or impaired phonological processing at the speech sound level may reflect architecture that is overly plastic and consequently fails to stabilize appropriately for speech sound representations. Therefore the inability to separate speech and noise may result as a deficit in separating noise from the acoustic signal.

  8. Short-term improvement of masticatory function after implant restoration

    Science.gov (United States)

    2015-01-01

    Purpose Dental implants present several advantages over other tooth replacement options. However, there has been little research on masticatory function in relation to implant treatment. Therefore, the aim of the present study was to evaluate the improvement of masticatory function two weeks after implant restoration. Methods Masticatory ability was evaluated with the subjective food intake ability (FIA) and objective mixing ability index (MAI) methods. Fifty-four subjects with first and second missing molars completed the study. The subjects were asked to complete a self-reported questionnaire about 30 different food items, and to chew wax samples 10 times both before and two weeks after implant restoration. A total of 108 waxes were analyzed with an image analysis program. Results Dental implant restoration for lost molar teeth on one side increased the FIA score by 9.0% (P<0.0001). The MAI score also increased, by 14.3% after implant restoration (P<0.0001). Comparison between the good and poor mastication groups, which were subdivided based on the median MAI score before implant restoration, showed that the FIA score of the poor group was enhanced 1.1-fold while its MAI score was enhanced 2.0-fold two weeks after an implant surgery. Conclusions Using the FIA and MAI assessment methods, this study showed that masticatory function was improved two weeks after implant restoration. In particular, the enhancement of masticatory function by implant restoration was greater in patients with relatively poor initial mastication than in those with good initial mastication. PMID:26734490

  9. TREE SPECIES DIRECT SOWING FOR FOREST RESTORATION

    Directory of Open Access Journals (Sweden)

    Robério Anastácio Ferreira

    2007-09-01

    Full Text Available The direct sowing to tropical forest restoration can be viable when the ecological and silvicultural aspects of species areknown. This work evaluated the effect of breaking seed dormancy and a physical protector on the initial growth of riparian treespecies. The experiment was carried out in a randomized blocks design, in a factorial (2x2, with four blocks and four plots for eachtreatment. The treatment to break seed dormancy used were: immersion in sulphuric acid for 20 minutes and washing in water for 1hour plus soaking for 24 hours for Trema micrantha; immersion in boiling water (100oC with following soaking until refreshing for24 hours to Senna multijuga and Senna macranthera and pre-soaking in water for 2 hours for Solanum granuloso-leprosum. Thephysical protector used was a transparent plastic cup (500mL. The breaking seed dormancy used was efficient in laboratory, exceptfor S. macranthera. In field conditions, it was efficient only for S. multijuga and S. macranthera. The physical protector did notpresented any benefit for the studied tree species regarding seedlings emergence and survival, but it provided significant differencesin height and base diameter for S. multijuga and in height for S. macranthera after three months. After 24 months, T. micranthapresented the highest values for height and basal diameter. S. macranthera presented the height relative growth and T. micrantha thehighest basal diameter. The studied species can be recommended for ecological forest restoration, using direct sowing.

  10. Mechatronic Feasibility of Minimally Invasive, Atraumatic Cochleostomy

    Directory of Open Access Journals (Sweden)

    Tom Williamson

    2014-01-01

    Full Text Available Robotic assistance in the context of lateral skull base surgery, particularly during cochlear implantation procedures, has been the subject of considerable research over the last decade. The use of robotics during these procedures has the potential to provide significant benefits to the patient by reducing invasiveness when gaining access to the cochlea, as well as reducing intracochlear trauma when performing a cochleostomy. Presented herein is preliminary work on the combination of two robotic systems for reducing invasiveness and trauma in cochlear implantation procedures. A robotic system for minimally invasive inner ear access was combined with a smart drilling tool for robust and safe cochleostomy; evaluation was completed on a single human cadaver specimen. Access to the middle ear was successfully achieved through the facial recess without damage to surrounding anatomical structures; cochleostomy was completed at the planned position with the endosteum remaining intact after drilling as confirmed by microscope evaluation.

  11. Seagrass restoration enhances "blue carbon" sequestration in coastal waters.

    Science.gov (United States)

    Greiner, Jill T; McGlathery, Karen J; Gunnell, John; McKee, Brent A

    2013-01-01

    Seagrass meadows are highly productive habitats that provide important ecosystem services in the coastal zone, including carbon and nutrient sequestration. Organic carbon in seagrass sediment, known as "blue carbon," accumulates from both in situ production and sedimentation of particulate carbon from the water column. Using a large-scale restoration (>1700 ha) in the Virginia coastal bays as a model system, we evaluated the role of seagrass, Zosteramarina, restoration in carbon storage in sediments of shallow coastal ecosystems. Sediments of replicate seagrass meadows representing different age treatments (as time since seeding: 0, 4, and 10 years), were analyzed for % carbon, % nitrogen, bulk density, organic matter content, and ²¹⁰Pb for dating at 1-cm increments to a depth of 10 cm. Sediment nutrient and organic content, and carbon accumulation rates were higher in 10-year seagrass meadows relative to 4-year and bare sediment. These differences were consistent with higher shoot density in the older meadow. Carbon accumulation rates determined for the 10-year restored seagrass meadows were 36.68 g C m⁻² yr⁻¹. Within 12 years of seeding, the restored seagrass meadows are expected to accumulate carbon at a rate that is comparable to measured ranges in natural seagrass meadows. This the first study to provide evidence of the potential of seagrass habitat restoration to enhance carbon sequestration in the coastal zone.

  12. Pacific Lamprey Research and Restoration Project, Annual Report 2002.

    Energy Technology Data Exchange (ETDEWEB)

    Close, David; Aronsuu, Kimmo; Jackson, Aaron

    2003-07-01

    Pacific lamprey (Lampetra tridentata) has significantly declined along the Oregon coast and in the Columbia River Basin (Downey et al. 1993, Close and Jackson 2001). Declines in adults can be partially attributed to hydroelectric dams, which have impeded passage of adult Pacific lamprey in the Columbia and Snake rivers (Moser et al. 2002), thus effecting larval recruitment in the basin (Moser and Close in press). Adult Pacific lamprey also declined in numbers in the Umatilla River, a tributary of the Columbia River (Close and Jackson 2001). In addition to hydro power dams in the Columbia River, habitat alterations and chemical treatments have been involved in the collapse of Pacific lamprey populations in the Umatilla River (Close 1999). To initiate the restoration effort, CTUIR began developing a restoration plan in 1998. The goal of the lamprey research and restoration project is to restore natural production of Pacific lampreys in the Umatilla River to self-sustaining and harvestable level. This report is summarizing the studies and restoration efforts concluded in 2002.

  13. Efficient restoration of variable area soundtracks:

    OpenAIRE

    Abdelâali Hassaïne; Etienne Decencière; Bernard Besserer

    2009-01-01

    The restoration of motion picture films using digital image processing has been an active research field for many years. The restoration of the soundtrack however, has mainly been performed in the sound domain, using signal processing methods, in spite of the fact that it is recorded as a continuous image between the images of the film and the perforations. In this paper a restoration method for variable area soundtrack restoration at the image level is presented. First, a novel method is pro...

  14. A Restorative Justice Approach to Empathy Development in Sex Offenders: An Exploratory Study

    Science.gov (United States)

    Roseman, Christopher P.; Ritchie, Martin; Laux, John M.

    2009-01-01

    The authors describe an exploratory study in sex offender treatment using a restorative justice approach to examine the shame, guilt, and empathy development of convicted sexual offenders. Implications for clinical practice and future research are highlighted. (Contains 3 tables.)

  15. Digital color restoration of old paintings.

    Science.gov (United States)

    Pappas, M; Pitas, I

    2000-01-01

    Physical and chemical changes can degrade the visual color appearance of old paintings. Five digital color restoration techniques, which can be used to simulate the original appearance of paintings, are presented. Although a small number of color samples is employed in the restoration procedure, simulation results indicate that good restoration quality can be attained.

  16. 5 CFR 353.301 - Restoration rights.

    Science.gov (United States)

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Restoration rights. 353.301 Section 353... DUTY FROM UNIFORMED SERVICE OR COMPENSABLE INJURY Compensable Injury § 353.301 Restoration rights. (a.... Although these restoration rights are agencywide, the employee's basic entitlement is to the...

  17. Use of interdisciplinary team approach in establishing esthetic restorative dentistry.

    Science.gov (United States)

    Almog, Dov M; Meitner, Sean W; Even-Hen, Neer; Grant, Joshua P; Soltys, James L

    2005-01-01

    Managing crown lengthening in cases of attrition (wear or loss of tooth substance) and achieving desired esthetic outcomes, especially in the esthetic zone, is challenging. This case report presents an interdisciplinary approach to case management. Concomitant use of digital imaging, along with model wax-ups and surgical guide, were used to enhance patient acceptance during treatment planning and to facilitate communication and treatment implementation among dental professionals and laboratory technicians. Resulting surgical template was used for crown lengthening to apically position the gingival zenith (margin) to a predetermined level, crown preps and final restorations, respectively, ultimately improving esthetics and patient satisfaction. Supplementing esthetic treatment planning with digital imaging, model wax-ups and a surgical template allows a dentist to carry information into the mouth and incorporate it into the surgical procedure, crown preps, temps and, ultimately, the final restoration.

  18. Restorative rehabilitation in a patient with sports trauma

    Science.gov (United States)

    Rashid, Haroon; Vohra, Fahim; Lillywhite, Graeme R.

    2016-01-01

    Sports trauma frequently involves insult to oral soft and hard tissues resulting in loss of tooth structure and tooth loss. Multiple sporting equipment's are employed to prevent irreversible damage to oro-facial structures, and to reduce the overall cost of treatment. However in the undesired consequence of loss of oral structures, multiple treatment options are utilized to restore, esthetics, comfort and function. Osseointegrated implant supported rehabilitation of oral structures in trauma cases provides highly predictable treatment outcomes along with preservation of remaining tissues. This case report presents the management of avulsed teeth caused by hockey stick injury, with osseointegrated dental implant supported fixed partial dentures in esthetic zone using contemporary restorative techniques. PMID:28042278

  19. Image Restoration with New Technology

    DEFF Research Database (Denmark)

    Bülow-Møller, Anne Marie

    The article examines the role played by the corporate website while a company - Arla - attempted to restore an image tarnished by unethical behaviour. The company's strategy focussed on dialogue: it introduced a large number of authentic employees in their natural role as cook, dairy farmer, etc...... their image as a faceless monopoly with a humanized, personalised version. However, it should also be questioned if, in the long run, it was the image campaign rather than the visible efforts of the company to behave with consideration that brought about the desired change. Keywords: Image restoration......., and made them available to readers as experts providing inspiration and advice, or as writers blogging about the world of company, or as responsible people answering readers' frank questions about their practices in an open forum. It is argued that the electronic platform allowed the company to substitute...

  20. Resilience and Restoration of Lakes

    Directory of Open Access Journals (Sweden)

    Kathryn L. Cottingham

    1997-06-01

    Full Text Available Lake water quality and ecosystem services are normally maintained by several feedbacks. Among these are nutrient retention and humic production by wetlands, nutrient retention and woody habitat production by riparian forests, food web structures that cha nnel phosphorus to consumers rather than phytoplankton, and biogeochemical mechanisms that inhibit phosphorus recycling from sediments. In degraded lakes, these resilience mechanisms are replaced by new ones that connect lakes to larger, regional economi c and social systems. New controls that maintain degraded lakes include runoff from agricultural and urban areas, absence of wetlands and riparian forests, and changes in lake food webs and biogeochemistry that channel phosphorus to blooms of nuisance al gae. Economic analyses show that degraded lakes are significantly less valuable than normal lakes. Because of this difference in value, the economic benefits of restoring lakes could be used to create incentives for lake restoration.

  1. Image Restoration And Resolution Enhancement

    Science.gov (United States)

    Byrne, Charles L.; Fitzgerald, Raymond M.

    1983-09-01

    We consider mathematical algorithms for the restoration of object information from finitely many measurements of the object's spectrum, with particular emphasis on the development of linear and nonlinear non-iterative methods that can incorporate prior information about object extent and shape. The linear method presented here generalizes the minimum energy bandlimited extrapolation procedure, which is the closed form limit of Gerchberg-Papoulis iteration in this case. The nonlinear method generalizes the maximum entropy method (MEM) of Burg.

  2. Gingival Harmony in Anterior Aesthetic Restorations

    Directory of Open Access Journals (Sweden)

    Dalenda Hadyaoui

    2014-12-01

    Full Text Available This article describes a case of gingival asymmetry with compromising aesthetics. A 25-year-old dental student presented to the department of prosthetic dentistry. She was concerned about the greyish transparency of the crown metal margin through the marginal gingiva. The crown was placed to restore her lateral incisor. A comprehensive examination revealed that this unaesthetic aspect was caused by a non-harmonious gingival architecture in the lateral incisor marked by an unaesthetic gingival Zenith. The treatment plan included a surgical crown lengthening followed by prosthetic therapy consisting in a Zirconia based crown replacing the old prosthesis. Thanks to a well-planned multi-disciplinary approach, the result was esthetically acceptable and the patient was satisfied.

  3. Multidisciplinary full-mouth restoration with porcelain veneers and laboratory-fabricated resin inlays.

    Science.gov (United States)

    Narcisi, E M; DiPerna, J A

    1999-08-01

    Recent advances in dental materials, laboratory technology, and adhesive protocols have significantly expanded the contemporary restorative armamentarium. Utilized in combination with comprehensive treatment planning, these innovations enable clinicians to provide enhanced aesthetic care that achieves the increasing expectations of their patients. Using a detailed case presentation, this article highlights the harmonious integration of modern smile design, material selection, and interdisciplinary communication that must be addressed in order to deliver optimal treatment with porcelain laminate veneer and laboratory-fabricated resin inlay restorations.

  4. Methodology for ranking restoration options

    Energy Technology Data Exchange (ETDEWEB)

    Hedemann Jensen, Per

    1999-04-01

    The work described in this report has been performed as a part of the RESTRAT Project FI4P-CT95-0021a (PL 950128) co-funded by the Nuclear Fission Safety Programme of the European Commission. The RESTRAT project has the overall objective of developing generic methodologies for ranking restoration techniques as a function of contamination and site characteristics. The project includes analyses of existing remediation methodologies and contaminated sites, and is structured in the following steps: characterisation of relevant contaminated sites; identification and characterisation of relevant restoration techniques; assessment of the radiological impact; development and application of a selection methodology for restoration options; formulation of generic conclusions and development of a manual. The project is intended to apply to situations in which sites with nuclear installations have been contaminated with radioactive materials as a result of the operation of these installations. The areas considered for remedial measures include contaminated land areas, rivers and sediments in rivers, lakes, and sea areas. Five contaminated European sites have been studied. Various remedial measures have been envisaged with respect to the optimisation of the protection of the populations being exposed to the radionuclides at the sites. Cost-benefit analysis and multi-attribute utility analysis have been applied for optimisation. Health, economic and social attributes have been included and weighting factors for the different attributes have been determined by the use of scaling constants. (au)

  5. Anterior makeover on fractured teeth by simple composite resin restoration

    Directory of Open Access Journals (Sweden)

    Eric Priyo Prasetyo

    2011-09-01

    Full Text Available Background: In daily practice dentists usually treat tooth fractures with more invasive treatments such as crown, veneer and bridges which preparation require more tooth structure removal. While currently there is trend toward minimal invasive dentistry which conserves more tooth structure. This is enhanced with the vast supply of dental materials and equipment in the market, including restorative materials. Provided with these supporting materials and equipment and greater patient’s demand for esthetic treatment, dentists must aware of the esthetics and basic principle of conserving tooth which should retain tooth longevity. Purpose: This article showed that a simple and less invasive composite resin restoration can successfully restore anterior esthetic and function of fractured teeth which generally treated with more invasive treatment options. Case: A 19 year-old female patient came with fracture on 21 and 22. This patient had a previous history of dental trauma about nine years before and was brought to a local dentist for debridement and was given analgesic, the involved teeth were not given any restorative treatment. Case management: The fractured 21 and 22 were conventionally restored with simple composite resin restoration. Conclusion: Fracture anterior teeth would certainly disturbs patient’s appearance, but these teeth could be managed conservatively and economically by simple composite resin restoration.Latar belakang: Dalam praktek sehari-hari pada umumnya dokter gigi merawat fraktur dengan restorasi invasif seperti mahkota, veneer dan jembatan yang semuanya memerlukan pengambilan jaringan gigi lebih banyak, sedangkan saat ini trend perawatan gigi lebih menuju kearah invasif minimal yang mempertahankan jaringan gigi sebanyak mungkin. Keadaan ini ditunjang oleh tersedianya berbagai macam bahan dan peralatan kedokteran gigi di pasaran, termasuk bahan restorasi. Dengan tersedianya bahan dan peralatan yang mendukung serta tingginya

  6. Application of Restorative Justice in Kinship Crime——Case Analysis of Treatment for Maltreatment Criminals%亲情犯罪适用恢复性司法之提倡——以虐待罪之罪犯处遇为例

    Institute of Scientific and Technical Information of China (English)

    高仕银

    2011-01-01

    恢复性司法在中国主要表现为以刑事和解为核心的适用。这种刑事和解在司法实践中从轻罪到重罪乃至罪当立即处死的案件都存在着。研究以恢复性司法的中国境遇为基点展开,考察恢复性司法在中国适用的现实状况,检讨其在以刑事和解为核心的适用中存在的问题,分析恢复性司法的根本理念以及在中国刑事司法中应该推进的场域;提出亲情犯罪的概念与类别,主张恢复性司法应适用于亲情犯罪的罪犯处遇,并以亲情犯罪中的虐待罪作为这一适用的建构进路。%The restorative justice is mainly applied as the form of victim-offender reconciliation in China,which exists in normal criminal cases,in felonry ones and even in death penalty cases.Based on the restorative justice as applied in China,the present research examines the practical application of restorative justice in China and its problems as found in the victim-offender reconciliation.The paper analyses the concepts of restorative justice and the areas of its farther expansion in China's criminal judiciary.The paper puts forward the concept of kinghip crime and its classifications.The paper advoctes that the restoratice justice should be applicable to the treatment of criminals involved in kinship crime and takes the maltreatment crime in the kinship crime as the constructing approach for the application.

  7. Materials for chairside CAD/CAM restorations.

    Science.gov (United States)

    Fasbinder, Dennis J

    2010-01-01

    Chairside computer-aided design/computer-aided manufacturing (CAD/CAM) systems have become considerably more accurate, efficient, and prevalent as the technology has evolved in the past 25 years. The initial restorative material option for chairside CAD/CAM restorations was limited to ceramic blocks. Restorative material options have multiplied and now include esthetic ceramics, high-strength ceramics, and composite materials for both definitive and temporary restoration applications. This article will review current materials available for chairside CAD/CAM restorations.

  8. The science and practice of river restoration

    Science.gov (United States)

    Wohl, Ellen; Lane, Stuart N.; Wilcox, Andrew C.

    2015-08-01

    River restoration is one of the most prominent areas of applied water-resources science. From an initial focus on enhancing fish habitat or river appearance, primarily through structural modification of channel form, restoration has expanded to incorporate a wide variety of management activities designed to enhance river process and form. Restoration is conducted on headwater streams, large lowland rivers, and entire river networks in urban, agricultural, and less intensively human-altered environments. We critically examine how contemporary practitioners approach river restoration and challenges for implementing restoration, which include clearly identified objectives, holistic understanding of rivers as ecosystems, and the role of restoration as a social process. We also examine challenges for scientific understanding in river restoration. These include: how physical complexity supports biogeochemical function, stream metabolism, and stream ecosystem productivity; characterizing response curves of different river components; understanding sediment dynamics; and increasing appreciation of the importance of incorporating climate change considerations and resiliency into restoration planning. Finally, we examine changes in river restoration within the past decade, such as increasing use of stream mitigation banking; development of new tools and technologies; different types of process-based restoration; growing recognition of the importance of biological-physical feedbacks in rivers; increasing expectations of water quality improvements from restoration; and more effective communication between practitioners and river scientists.

  9. Restoration of surface-mined lands with rainfall harvesting

    Energy Technology Data Exchange (ETDEWEB)

    Sauer, R.H.; Rickard, W.H.

    1982-12-01

    Strip mining for coal in the arid western US will remove grazing land as energy demands are met. Conventional resotration usually includes leveling the spoil banks and covering them with top soil, fertilizing, seeding and irrigation with well or river water. An overview of research on an alternate method of restoring this land is reported. From 1976 through 1981 studies were conducted on the use of water harvesting, the collection and use of rainfall runoff, to restore the vegetative productivity of strip mined lands in arid regions. These studies tested the technical and economic feasibility of using partially leveled spoil banks at strip mines as catchment areas to collect and direct runoff to the topsoiled valley floor where crops were cultivated. Information was collected on the efficiency of seven treatments to increase runoff from the catchment areas and on the productivity of seven crops. The experiments were conducted in arid areas of Washington, Arizona, and Colorado. It was concluded that water harvesting can replace or augment expensive and inadequate supplies of well and river water in arid regions with a suitable climate. These studies showed that some treatments provided adequate runoff to produce a useful crop in the valleys, thus making this alternative approach to restoration technically feasible. This approach was also potentially economically feasible where the treatment costs of the catchment areas were low, the treatment was effective, the crop was productive and valuable, and earthmoving costs were lower than with conventional restoration involving complete leveling of spoil banks. It was also concluded that water harvesting can be made more effective with further information on catchment area treatments, which crops are most adaptable to water harvesting, the optimum incline of the catchment areas and climatic influences on water harvesting.

  10. Endocrown with Leucite-Reinforced Ceramic: Case of Restoration of Endodontically Treated Teeth

    Directory of Open Access Journals (Sweden)

    Leonardo Fernandes da Cunha

    2015-01-01

    Full Text Available A common problem encountered by dentists is the restorative treatment of nonvital teeth. When the pulp chamber presents appropriate conditions for retention, the endocrown is indicated. This monolithic, ceramic adhesive restoration is singularly used yet warrants wider recognition and use. The endocrown allows preservation of the tooth structure and is minimally invasive. Currently, this treatment option, of a core buildup and full coverage restoration, reduces tooth structure excessively. This treatment presents not only functional limitations but also aesthetic concerns. Recently, the VITA-PM9 system, a leucite-reinforced glass ceramic, has been increasingly used in a variety of clinical situations due to its satisfactory physical-mechanical and aesthetic properties. Therefore, the present study describes a case of surgical restoration of a nonvital tooth using the endocrown technique and the VITA-PM9.

  11. Seed dispersal limitations shift over time in tropical forest restoration.

    Science.gov (United States)

    Reid, J Leighton; Holl, Karen D; Zahawi, Rakan A

    2015-06-01

    Past studies have shown that tropical forest regeneration on degraded farmlands is initially limited by lack of seed dispersal, but few studies have tracked changes in abundance and composition of seed rain past the first few years after land abandonment. We measured seed rain for 12 months in 10 6-9-year-old restoration sites and five mature, reference forests in southern Costa Rica in order to learn (1) if seed rain limitation persists past the first few years of regeneration; (2) how restoration treatments influence seed community structure and composition; and (3) whether seed rain limitation is contingent on landscape context. Each restoration site contained three 0.25-ha treatment plots: (1) a naturally regenerating control, (2) tree islands, and (3) a mixed-species tree plantation. Sites spanned a deforestation gradient with 9-89% forest area within 500 m around the treatment plots. Contrary to previous studies, we found that tree seeds were abundant and ubiquitous across all treatment plots (585.1 ± 142.0 seeds · m(-2) · yr(-1) [mean ± SE]), indicating that lack of seed rain ceased to limit forest regeneration within the first decade of recovery. Pioneer trees and shrubs comprised the vast majority of seeds, but compositional differences between restoration sites and reference forests were driven by rarer, large-seeded species. Large, animal-dispersed tree seeds were more abundant in tree islands (4.6 ± 2.9 seeds · m(-2) · yr(-1)) and plantations (5.8 ± 3.0 seeds · m(-2) · yr(-1)) than control plots (0.2 ± 0.1 seeds · m(-2) · yr(-1)), contributing to greater tree species richness in actively restored plots. Planted tree species accounted for seeds. We found little evidence for landscape forest cover effects on seed rain, consistent with previous studies. We conclude that seed rain limitation shifted from an initial, complete lack of tree seeds to a specific limitation on large-seeded, mature forest species over the first decade. Although total

  12. Fracture resistance of endodontically treated teeth restored with indirect composite inlay and onlay restorations – An in vitro study

    Directory of Open Access Journals (Sweden)

    Ibraheem F. Alshiddi

    2016-01-01

    Conclusion: Within the limitations of this study, endodontically treated teeth were successfully restored with indirect composite inlay and onlay restorations. However, the fractures that accompanied the inlay restorations were more severe and were unable to be restored.

  13. RESTORE: an exploratory trial of an online intervention to enhance self-efficacy to manage problems associated with cancer-related fatigue following primary cancer treatment: study protocol for a randomized controlled trial

    OpenAIRE

    Grimmett, Chloe; Armes, Jo; Breckons, Matthew; Calman, Lynn; Corner, Jessica; Fenlon, Deborah; Hulme, Claire; May, Christine M.; May, Carl; Ream, Emma; Richardson, Alison; Peter W.F Smith; Yardley, Lucy; Foster, Claire

    2013-01-01

    Background: There are over 25 million people worldwide living with or beyond cancer and this number is increasing. Cancer survivors face a range of problems following primary treatment. One of the most frequently reported and distressing symptoms experienced by cancer survivors is fatigue. There is growing support for survivors who are experiencing problems after cancer treatment to engage in supported self-management. To date there is some evidence of effective interventions to manage fatigu...

  14. Clinical evaluation of the fiber post and direct composite resin restoration for fixed single crowns on endodontically treated teeth

    Science.gov (United States)

    Murali Mohan, S.; Mahesh Gowda, E.; Shashidhar, M.P.

    2015-01-01

    Background The restoration of an endodontically treated fractured tooth has been a challenge for restorative dentists for decades. The performance of fiber posts when used in conjunction with direct composite resin restorations have been largely unreported. This study was conducted with the aim of evaluating the survival rate of endodontically treated teeth restored with adhesive bonded fiber reinforced resin posts and direct composite core with additional crown coverage. Methods Sixty patients who required endodontic treatment with post core crown were selected from outpatient department of Air Force Institute of Dental Sciences, Bangalore. Sixty-four teeth were endodontically treated and restored with fiber post and direct resin composite core restoration. Patients were evaluated immediately after restoration and reevaluated at the end of first, second and third months. After 3 months of clinical evaluation, if teeth were asymptomatic they were restored with complete coverage porcelain fused to metal restorations and evaluated immediately, and again reevaluated at the end of first, third, and sixth months. Results After 3 months of clinical evaluation, only two teeth exhibited periapical lesion with clinical symptoms and three teeth without any clinical symptoms. Five teeth exhibited slight marginal staining, three teeth showed partial loss of restoration, and two teeth exhibited complete loss of restoration with the fracture of the post. At the end of sixth month after restoration with full coverage crown, two teeth had dislodged restoration due to fracture of post and two teeth exhibited displacement of the post. Conclusion Fiber posts are the best alternative for restoration of fractured endodontically treated teeth. Fiber posts and direct composite resin core materials are strongly recommended for restoration of endodontically treated mutilated teeth among the dental establishments of Armed Forces. PMID:26288494

  15. Long-term evaluation of extensive restorations in permanent teeth

    DEFF Research Database (Denmark)

    Nieuwenhuysen, J.-P. van; D'hoore, W.D.; Carvalho, J.;

    2003-01-01

    Biostatistics, cast crowns, complex restorations, composite resins, decision making, dental amalgam, metal ceramic crowns, multi-surfaced restorations, prosthodontics, restorative dentistry......Biostatistics, cast crowns, complex restorations, composite resins, decision making, dental amalgam, metal ceramic crowns, multi-surfaced restorations, prosthodontics, restorative dentistry...

  16. A comparison of fracture resistance of endodontically treated teeth restored with bonded partial restorations and full-coverage porcelain-fused-to-metal crowns.

    Science.gov (United States)

    Gupta, Abhishek; Musani, Smita; Dugal, Ramandeep; Jain, Nikhil; Railkar, Bhargavi; Mootha, Ajay

    2014-01-01

    The aim of this study was to evaluate the use of bonded partial restorations compared with full-coverage porcelain-fused-to-metal (PFM) crowns as a viable treatment option for endodontically treated posterior teeth. Forty-five recently extracted maxillary first premolars were collected, endodontically treated, and mounted in acrylic blocks. The specimens were randomly divided into three groups and prepared to receive their respective restorations. The teeth in group 1 received full-coverage porcelain-fused-to-metal crowns. The teeth in group 2 received bonded partial restorations made from pressed ceramics (lithium disilicate) involving a functional cusp (palatal). Finally, group 3 received bonded partial restorations made from pressed ceramics involving the buccal cusp and keeping a functional cusp (palatal) intact. All group 1 restorations were cemented using glass ionomer cement. Restorations in groups 2 and 3 were bonded using a dual-cured resin cement. All specimens were subjected to an aging process and tested for shear bond strength using a universal loading machine. The mean force applied in Newtons to cause failure for group I was 674.90 ± 94.16 N, for group 2, 463.46 ± 61.11 N, and for group 3, 849.33 ± 68.92 N. P values obtained using one-way analysis of variance showed a highly significant difference between groups 2 and 3 (P = .001), groups 1 and 2 (P = .001), and groups 1 and 3 (P = .001). The fracture modes observed in all groups involved restorations and tooth fracture. This in vitro study suggests that endodontically treated posterior teeth with intact functional cusps can be restored with bonded partial porcelain restorations. However, if the loss of tooth structure involves the functional cusp, full-coverage PFM crowns are the treatment of choice.

  17. Factors influencing bonding fixed restorations

    Directory of Open Access Journals (Sweden)

    Medić Vesna

    2008-01-01

    Full Text Available INTRODUCTION Crown displacement often occurs because the features of tooth preparations do not counteract the forces directed against restorations. OBJECTIVE The purpose of this study was to evaluate the effect of preparation designs on retention and resistance of fixed restorations. METHOD The study was performed on 64 differently sized stainless steel dies. Also, caps which were used for evaluated retention were made of stainless steel for each die. After cementing the caps on experimental dies, measuring of necessary tensile forces to separate cemented caps from dies was done. Caps, which were made of a silver-palladium alloy with a slope of 60° to the longitudinal axis formed on the occlusal surface, were used for evaluating resistance. A sudden drop in load pressure recorded by the test machine indicated failure for that cap. RESULTS A significant difference was found between the tensile force required to remove the caps from the dies with different length (p<0.05 and different taper (p<0.01. The greatest retentive strengths (2579.2 N and 2989.8 N were noticed in experimental dies with the greatest length and smallest taper. No statistically significant (p>0.05 differences were found between tensile loads for caps cemented on dies with different diameter. Although there was an apparent slight increase in resistance values for caps on dies with smaller tapers, the increase in resistance for those preparation designs was not statistically significant. There was a significant difference among the resistance values for caps on dies with different length (p<0.01 and diameter (p<0.05. CONCLUSION In the light of the results obtained, it could be reasonably concluded that retention and resistance of the restoration is in inverse proportion to convergence angle of the prepared teeth. But, at a constant convergence angle, retention and resistance increase with rising length and diameter.

  18. 钾通道阻滞剂可以有效修复受伤轴突的冲动传导%Potassium channel blockers as an effective treatment to restore impulse conduction in injured axons

    Institute of Scientific and Technical Information of China (English)

    史日异; 孙文婧

    2011-01-01

    在脊椎中枢神经系统中,少突胶质细胞能形成轴突的髓鞘.髓鞘对轴突具有保护作用,使轴突具有电绝缘的特性,其独特的节段状结构使髓鞘化的神经轴突能快速、跳跃式地传导神经冲动.髓鞘损伤常见于脊髓损伤和一些慢性神经退行性疾病,由其引起的轴突传导阻滞被认为是引起损伤相关的神经并发症的主要原因.钾离子通道在发生于脊髓损伤和多发性硬化征的轴突传导阻滞中扮演重要角色.髓鞘损伤后会暴露钾离子通道,引起钾离子泄漏,从而阻断神经传导.将钾离子通道阻滞后,离子泄漏得到抑制,进而能促进神经传导.本综述主要详细介绍了修复轴突神经传导功能技术的研究进展和脱髓鞘轴突的神经功能.最近的研究表明,4-氨基吡啶能有效治疗多发性硬化征.此外,转化型研究也筛选出了一些能有效修复轴突神经传导的新型的钾离子通道阻滞剂.%Most axons in the vertebral central nervous system are myelinated by oligodendrocytes. Myelin protects and insulates neuronal processes, enabling the fast, saltatory conduction unique to myelinated axons. Myelin disruption result- ing from trauma and biochemical reaction is a common pathological event in spinal cord injury and chronic neurodegenerative diseases. Myelin damage-induced axonal conduction block is considered to be a significant contributor to the devastating neurological deficits resulting from trauma and illness. Potassium channels are believed to play an important role in axonal conduction failure in spinal cord injury and multiple sclerosis. Myelin damage has been shown to unmask potassium channels, creating aberrant potassium currents that inhibit conduction. Potassium channel blockade reduces this ionic leakage and improves conduction. The present review was mainly focused on the development of this technique of restoring axonal conduction and neurological function of demyelinated axons

  19. The Post-Amalgam Era: Norwegian Dentists’ Experiences with Composite Resins and Repair of Defective Amalgam Restorations

    Science.gov (United States)

    Kopperud, Simen E.; Staxrud, Frode; Espelid, Ivar; Tveit, Anne Bjørg

    2016-01-01

    Amalgam was banned as a dental restorative material in Norway in 2008 due to environmental considerations. An electronic questionnaire was sent to all dentists in the member register of the Norwegian Dental Association (NTF) one year later, to evaluate dentists’ satisfaction with alternative restorative materials and to explore dentists’ treatment choices of fractured amalgam restorations. Replies were obtained from 61.3%. Composite was the preferred restorative material among 99.1% of the dentists. Secondary caries was the most commonly reported cause of failure (72.7%), followed by restoration fractures (25.1%). Longevity of Class II restorations was estimated to be ≥10 years by 45.8% of the dentists, but 71.2% expected even better longevity if the restoration was made with amalgam. Repair using composite was suggested by 24.9% of the dentists in an amalgam restoration with a fractured cusp. Repair was more often proposed among young dentists (p composite as a restorative material. Most dentists chose minimally- or medium invasive approaches when restoring fractured amalgam restorations. PMID:27110804

  20. Resistance to cyclic loading of teeth restored with posts

    DEFF Research Database (Denmark)

    Sahafi, A; Peutzfeldt, A; Ravnholt, G

    2005-01-01

    This in vitro study evaluated the effect of presence of post, presence of core, and of shape, type, and surface treatment of posts on resistance to cyclic loading of crowned human teeth. For all teeth, crowns designed without ferrule were cast in sterling silver and luted with resin cement (Panavia...... F). Each tooth underwent cyclic loading of 600 N at two loads per second until failure. Teeth that had only been crowned showed significantly higher resistance to cyclic loading than teeth with cores or with post and cores. No significant differences were found between teeth restored with cores only...... or with post and cores, irrespective of surface-treatment of the posts. Teeth restored with parallel-sided cast post (ParaPost XP) and cores showed significantly higher resistance to cyclic loading than teeth with either tapered cast posts or untreated prefabricated posts of titanium alloy (ParaPost XH...

  1. Contribution of genetics to ecological restoration.

    Science.gov (United States)

    Mijangos, Jose Luis; Pacioni, Carlo; Spencer, Peter B S; Craig, Michael D

    2015-01-01

    Ecological restoration of degraded ecosystems has emerged as a critical tool in the fight to reverse and ameliorate the current loss of biodiversity and ecosystem services. Approaches derived from different genetic disciplines are extending the theoretical and applied frameworks on which ecological restoration is based. We performed a search of scientific articles and identified 160 articles that employed a genetic approach within a restoration context to shed light on the links between genetics and restoration. These articles were then classified on whether they examined association between genetics and fitness or the application of genetics in demographic studies, and on the way the studies informed restoration practice. Although genetic research in restoration is rapidly growing, we found that studies could make better use of the extensive toolbox developed by applied fields in genetics. Overall, 41% of reviewed studies used genetic information to evaluate or monitor restoration, and 59% provided genetic information to guide prerestoration decision-making processes. Reviewed studies suggest that restoration practitioners often overlook the importance of including genetic aspects within their restoration goals. Even though there is a genetic basis influencing the provision of ecosystem services, few studies explored this relationship. We provide a view of research gaps, future directions and challenges in the genetics of restoration.

  2. Morphotype-based characterization of arbuscular mycorrhizal fungal communities in a restored tropical dry forest, Margarita island-Venezuela.

    Science.gov (United States)

    Fajardo, Laurie; Loveral, Milagros; Arrindell, Pauline; Aguilar, Victor Hugo; Hasmy, Zamira; Cuenca, Gisela

    2015-09-01

    The mycorrhizal component of revegetated areas after ecological restoration or rehabilitation in arid and semiarid tropical areas has been scarcely assessed, particularly those made after mining disturbance. We evaluated and compared the presence of arbuscular mycorrhizal fungi of a small area of restored tropical dry forest destroyed by sand extraction, with a non-restored area of similar age, at the peninsula of Macanao, Margarita Island (Venezuela). Our study was undertaken in 2009, four years after planting, and the mycorrhizal status was evaluated in four restored plots (8 x 12.5 m) (two were previously treated with hydrogel (R2 and R2'), and two were left untreated (R1 and R1'), and four non-restored plots of similar size (NR1 and NR1' with graminoid physiognomy with some scattered shrubs; and NR2 and NR2', with a more species rich plant community). Apparently the restoration management promoted higher arbuscular mycorrhizal fungi (AMF) species richness and diversity, particularly in restored soils where the hydrogel was added (R2 treatment). Soil of the NRI treatment (with a higher herbaceous component) showed the highest spore density, compared to samples of soils under the other treatments. Considering species composition, Claroideoglomus etunicatum and Rhizophagus intraradices were found in all treatments; besides, Diversispora spurca and Funnefformis geosporum were only found in non-restored plots, while members of the Gigasporaceae (a family associated with little disturbed sites) were commonly observed in the plots with restored soils. Mycorrhizal colonization was similar in the restored and non-restored areas, being a less sensitive indicator of the ecosystem recovery. The trend of higher richness and diversity of AMF in the restored plot with hydrogel suggests that this management strategy contributes to accelerate the natural regeneration in those ecosystems where water plays an essential role.

  3. Gefitinib ('Iressa', ZD1839) may restore chemosensitivity in NSCLC patients?

    Science.gov (United States)

    Fujiwara, Keiichi; Kiura, Katsuyuki; Gemba, Kenichi; Ogata, Yoshiko; Hotta, Katsuyuki; Kishino, Daizo; Tabata, Masahiro; Ueoka, Hiroshi; Tanimoto, Mitsune

    2005-01-01

    Gefitinib ('Iressa, ZD1839) has promising antitumor activity in non-small cell lung cancer (NSCLC). However, patients with advanced NSCLC have few treatment options available if they are refractory to gefitinib. We describe four cases of patients with advanced NSCLC who previously responded to gefitinib and obtained significant tumor regression through retreatment with other cytotoxic agents. Gefitinib might restore chemosensitivity to previously chemorefractory patients.

  4. An overlay partial denture to restore worn mandibular anterior teeth.

    Science.gov (United States)

    Samant, Asha; DeSciscio, Peter

    2014-01-01

    Restoring worn anterior mandibular teeth is a challenge, especially when teeth are small, esthetics are a concern, the long-term prognosis is questionable, and/or patient finances are an issue. This article describes an alternate treatment for a patient with a collapsed bite, missing posterior mandibular teeth, an ill-fitting complete maxillary denture with poor esthetics, and irregular, worn mandibular anterior teeth.

  5. Anterior makeover on fractured teeth by simple composite resin restoration

    OpenAIRE

    2011-01-01

    Background: In daily practice dentists usually treat tooth fractures with more invasive treatments such as crown, veneer and bridges which preparation require more tooth structure removal. While currently there is trend toward minimal invasive dentistry which conserves more tooth structure. This is enhanced with the vast supply of dental materials and equipment in the market, including restorative materials. Provided with these supporting materials and equipment and greater patient’s demand f...

  6. Short-term improvement of masticatory function after implant restoration

    OpenAIRE

    Kang, Si-Mook; Lee, Sang-Soo; Kwon, Ho-Keun; Kim, Baek-Il

    2015-01-01

    Purpose Dental implants present several advantages over other tooth replacement options. However, there has been little research on masticatory function in relation to implant treatment. Therefore, the aim of the present study was to evaluate the improvement of masticatory function two weeks after implant restoration. Methods Masticatory ability was evaluated with the subjective food intake ability (FIA) and objective mixing ability index (MAI) methods. Fifty-four subjects with first and seco...

  7. Nitrogen spatial heterogeneity influences diversity following restoration in a ponderosa pine forest, Montana.

    Science.gov (United States)

    Gundale, Michael J; Metlen, Kerry L; Fiedler, Carl E; DeLuca, Thomas H

    2006-04-01

    The resource heterogeneity hypothesis (RHH) is frequently cited in the ecological literature as an important mechanism for maintaining species diversity. The RHH has rarely been evaluated in the context of restoration ecology in which a commonly cited goal is to restore diversity. In this study we focused on the spatial heterogeneity of total inorganic nitrogen (TIN) following restoration treatments in a ponderosa pine (Pinus ponderosa)/Douglas-fir (Pseudotsuga menziesii) forest in western Montana, USA. Our objective was to evaluate relationships between understory species richness and TIN heterogeneity following mechanical thinning (thin-only), prescribed burning (burn-only), and mechanical thinning with prescribed burning (thin/burn) to discern the ecological and management implications of these restoration approaches. We employed a randomized block design, with three 9-ha replicates of each treatment and an untreated control. Within each treatment, we randomly established a 20 x 50 m (1000 m2) plot in which we measured species richness across the entire plot and in 12 1-m(2) quadrats randomly placed within each larger plot. Additionally, we measured TIN from a grid consisting of 112 soil samples (0-5 cm) in each plot and computed standard deviations as a measure of heterogeneity. We found a correlation between the net increase in species richness and the TIN standard deviations one and two years following restoration treatments, supporting RHH. Using nonmetric multidimensional scaling ordination and chi-squared analysis, we found that high and low TIN quadrats contained different understory communities in 2003 and 2004, further supporting RHH. A comparison of restoration treatments demonstrated that thin/burn and burn-only treatments created higher N heterogeneity relative to the control. We also found that within prescribed burn treatments, TIN heterogeneity was positively correlated with fine-fuel consumption, a variable reflecting burn severity. These

  8. Mitochondrial DNA, restoring Beethovens music.

    Science.gov (United States)

    Merheb, Maxime; Vaiedelich, Stéphane; Maniguet, Thiérry; Hänni, Catherine

    2016-01-01

    Great ancient composers have endured many obstacles and constraints which are very difficult to understand unless we perform the restoration process of ancient music. Species identification in leather used during manufacturing is the key step to start such a restoration process in order to produce a facsimile of a museum piano. Our study reveals the species identification in the leather covering the hammer head in a piano created by Erard in 1802. This is the last existing piano similar to the piano that Beethoven used with its leather preserved in its original state. The leather sample was not present in a homogeneous piece, yet combined with glue. Using a DNA extraction method that avoids PCR inhibitors; we discovered that sheep and cattle are the origin of the combination. To identify the species in the leather, we focused on the amounts of mitochondrial DNA in both leather and glue and results have led us to the conclusion that the leather used to cover the hammer head in this piano was made of cattle hide.

  9. Factors affecting the placement or replacement of direct restorations in a dental school

    Directory of Open Access Journals (Sweden)

    Samara Silvani

    2014-01-01

    Full Text Available Context: The knowledge of the reasons for the placement of direct restorations makes possible to trace an epidemiological profile of a specific population and to direct the teaching of dentistry to techniques that are commonly used today and will be continued performed in the future. Purpose: The aim of this study was to verify the reasons for placement and replacement of direct restorations in patients treated in the Dental Clinic of the Uberaba University - Brazil. Materials and Methods: This study evaluated 306 restorative procedures carried out on 60 patients. During the treatment planning, a form that contained information about the patient′s gender, tooth number, the classification of restorations, the reasons for placement and replacement of amalgam and tooth-colored restorations, the material that had to be removed and the new material used to fill the cavities was filled for each patient. Statistical analysis was carried out using Chi-square test (α = 0.05. Results: The data showed that most of the patients were female (66.7%. Of all the restorations placed, 60.45% were 1 st -time placements, while 39.55% were replacements. For 1 st -time restorations, the main reason for placement was primary caries (76.76%, followed by non-carious cervical lesions (15.14%. The amalgam restorations were replaced more frequently (67.77%. The primary reason for replacements was the presence of secondary caries (for both previous amalgam (42.68% and composite (66.67% restorations (P < 0.05. The resin composite was the most indicated material for the new restorations (98.04% (P < 0.05. Conclusions: The main reason for placement of direct restorations was primary caries, while secondary caries was the main reason for replacements. In almost all cases, the material used to fill the cavities was the resin composite.

  10. Fracture resistance of nanofilled composite resin restoration for the treatment of incisally fractured incisors:An in vitro study%纳米树脂直接修复离体切牙切角缺损后整体抗折性能的体外实验研究

    Institute of Scientific and Technical Information of China (English)

    王小丽; 蒋月桂

    2016-01-01

    Objective:To study the fracture resistance of nanofilled composite resin restoration for the treatment of incisally fractured in-cisors. Methods:30 extracted permanent maxillary central incisors were randomly divided into A, B and C groups (n=10). In group A and B, the teeth were cut obliquely from the mesial incisal angle. Labial reduction of 0. 5 mm for veneer and dovetails in the lingual surfaces were prepared. In group A, additional 2mm of the incisal edge were cut horizontally. The teeth were restored with nanofilled com-posite resin. The samples in group C were unprepared as the controls. The specimens were stored in artificial saliva and underwent 2 000 cycles of thermal cycling test. Fracture resistance of the teeth was measured by a test machine and the fracture mode was observed. Re-sults:The mean fracture load(N) of group A, B and C was 466.93 ±171.68, 444.5 ±173.00 and 474.77 ±97.55 respectively(P>0. 05). All fractures in the 2 test groups but 1 in the control group were in a favorable way. Conclusion:Incisally fractured incisors restored with nanofilled composite resins can achieve the fracture resistance similar to that of intact natural tooth. Failure modes of the restored teeth are in favorable way. Additional cut of 2 mm of the incisal edge dose not affect the fracture resistance of the restored teeth.%目的::检测纳米树脂直接修复离体切牙切角缺损后牙齿的整体抗折性能。方法:搜集30颗完整离体中切牙,分为A、B、C 3组,每组10颗。 A、B 2组为实验组,对实验组离体切牙用磨除法制备近中切角缺损模型。对缺损模型进行根管治疗及牙体预备,2组皆预备唇侧贴面及舌侧鸠尾,对A组切缘进行2 mm磨除。用纳米树脂对2组牙齿进行分层分色直接充填修复,完成抗折试件的制备。 C组作为对照组,不进行任何处理。冷热循环2000次试验后以万能材料试验机检测试件的断裂载荷,观察断裂模式,将3组结果进

  11. Communities of terrestrial nematodes after different approaches to heathland restoration

    Science.gov (United States)

    Radochova, Petra; Frouz, Jan

    2016-04-01

    Since the 20th century, the distribution of European heathlands rapidly decreased due to agricultural intensification, heavy use of artificial fertilizers or acidification (Aerts & Heil, 1993). Therefore, various attempts of heathland restoration are under way in these days. Analysis of nematode community composition can be one of the tools suitable for succession evaluation (Ferris et al., 2001). In 2011, 2013 and 2014, soil samples were collected from heathland restoration experiment (launched in 2011) where different restoration methods were applied in a 3 × 3 factorial experiment; existing heathlands were also sampled to identify the target community both in dry and wet heathland. A total of 60 samples of extracted nematodes were analysed for absolute abundance, trophic groups, and genera dominance. Various indices were calculated to describe the nematode community. We were able to prove faster development of wet heathlands towards the target community. However, because of large data variability, there was no significant difference between treatments. Development of wet and dry heathlands differed also in increased proportion of omniphagous nematodes in 2013 and predators in 2014 in dry heathlands. After three years of heathland restoration, nematode community has not yet reached parameters of the target community. References Aerts, R., Heil, G. W., 1993. Heathlands: patterns and processes in a changing environment, 1st ed, Geobotany: 20. Springer Netherlands, Dordrecht, p. 229. Ferris, H., Bongers, T., De Goede, R. G. M., 2001. A framework for soil food web diagnostics: Extension of the nematode faunal analysis oncept. Appl. Soil Ecol. 18, 13-29.

  12. Guidelines for Direct Adhesive Composite Restoration.

    Science.gov (United States)

    Society Of Cariology And Endodontology, Chinese Stomatological Association Csa

    2015-01-01

    Direct adhesive composite restoration, a technique to restore tooth defects by bonding composite resin materials, has been widely used in the restoration of dental caries or other tooth defects. Retention of composite resin restoration mainly relies on bonding strength between the materials and dental tissue. The clinical outcomes rely greatly on the regulated clinical practice of dentists. In 2011, the Society of Cariology and Endodontology of Chinese Stomatological Association (CSA) published the 'Practices and evaluation criteria of composite resin bonded restoration (Discussion Version)'. Since then, opinions and comments regarding the 'Discussion Version' have been widely circulated within the Society. The final version of the guideline was based on systematic reviews of scientific literature and requirements for the edit of technical guidelines, and through several rounds of discussions, revisions and supplements. The society recommends this guideline for clinicians to use in their practices, when conducting direct composite restorations.

  13. Shame and Guilt in Restorative Justice

    DEFF Research Database (Denmark)

    Rodogno, Raffaele

    2008-01-01

    In this article, I examine the relevance and desirability of shame and guilt to restorative justice conferences. I argue that a careful study of the psychology of shame and guilt reveals that both emotions possess traits that can be desirable and traits that can be undesirable for restoration. More...... in particular, having presented the aims of restorative justice, the importance of face-to-face conferences in reaching these aims, the emotional dynamics that take place within such conferences, and the relevant parts of the empirical psychology of shame and guilt, I argue that restorative justice...... practitioners have to take account of a rather more complex picture than it had hitherto been thought. Restorative conferences are not simply about "shame management," though practitioners must certainly avoid shaming and humiliation. Given the nature of shame, guilt, and restorative conferences...

  14. [Odontogenic maxillary sinusitis caused by dental restoration].

    Science.gov (United States)

    Sato, Kiminori

    2014-06-01

    We report herein on 5 patients with odontogenic maxillary sinusitis caused by a dental restoration (caries cutting, cavity preparation, inlay restoration). Odontogenic maxillary sinusitis was noted following dental restoration. Even though the pulp cavity and dental pulp were intact, the odontogenic maxillary sinusitis occurred caused by an apical lesion. Infection by way of the dentinal tubules was suggested to be a cause of the pathophysiology. Endoscopic sinus surgery was indicated in patients with intractable odontogenic maxillary sinusitis caused by the dental restoration. Cone-beam x-ray CT was useful for the accurate diagnosis of odontogenic maxillary sinusitis caused by a dental restoration. Physicians should thus be aware of the possibility that a tooth, which has undergone dental restoration, may cause odontogenic maxillary sinusitis.

  15. Biological restoration: A 4/5 crown

    Directory of Open Access Journals (Sweden)

    Monize Ferreira Figueiredo de Carvalho

    2013-01-01

    Full Text Available Dental caries is one of the most prevalent conditions in humans; the purpose of restorative dentistry is to recreate the anatomy of the affected tooth thus the use of fragments from natural teeth as an effective restorative method. A maxillary first premolar left was prepared for an inverted 4/5 crown due to involvement of the vestibular face, after prepared received an allogeneic collage with similar color and dimension. Follow-up after 12 months indicated a stable restoration. Clinically, the site was without signs of caries, migration of the fragment or marginal infiltration. Biological restoration is a viable alternative for reestablishing function and esthetics to damaged/decayed teeth and therefore, biological restoration as an alternative to other restorative options.

  16. Architectural restoration: different conceptions during centuries

    Directory of Open Access Journals (Sweden)

    Salvatore Lorusso

    2002-02-01

    Full Text Available The work reassumes the fundamental phases, in reference to the historical changes, of the conceptions related to the restoration and to the maintenance of the architectural works of art. It is opportune to reassume the evolution of the methods and the techniques applied to the restoration of the aforesaid manufactured articles, also in relationship to the theoretical conceptions. The explication of the routine of restoration has concerned particularly the actual applications. Close to the theory and to the routine of the restoration it has been set in evidence the development of the concept of "maintenance", understood as preliminary and complementary to the restoration itself: such concept has been express referring to the Charters of restoration from the beginning of the last century to today. It is intended, therefore, to follow a historical-critical path conceived in the different, and also complementary, phases of historical, aesthetical and technological development.

  17. Evaluating the process of ecological restoration

    Directory of Open Access Journals (Sweden)

    Christer Nilsson

    2016-03-01

    Full Text Available We developed a conceptual framework for evaluating the process of ecological restoration and applied it to 10 examples of restoration projects in the northern hemisphere. We identified three major phases, planning, implementation, and monitoring, in the restoration process. We found that evaluation occurred both within and between the three phases, that it included both formal and informal components, and that it often had an impact on the performance of the projects. Most evaluations were short-term and only some parts of them were properly documented. Poor or short-term evaluation of the restoration process creates a risk that inefficient methods will continue to be used, which reduces the efficiency and effectiveness of restoration. To improve the restoration process and to transfer the knowledge to future projects, we argue for more formal, sustained evaluation procedures, involving all relevant stakeholders, and increased and improved documentation and dissemination of the results.

  18. Emphasize the importance of study on treatment and visual restoration related to impairment of retro-chiasmal visual pathway%重视后视路损伤的治疗与视功能的康复

    Institute of Scientific and Technical Information of China (English)

    魏世辉; 张晓君

    2011-01-01

    累及后视路的脑卒中、脑肿瘤及脑外伤所导致同向偏盲性视野缺损在临床上很常见.尽管部分患者在损伤早期视野有部分改善,但是仍严重影响患者日常生活工作能力.国外系列研究显示以“残余视觉理论”和“脑塑形”为基础的视觉重建治疗可以通过扩大患者视野改善视功能.尽管目前国际上对视觉重建治疗效果和机制还存在较大争论,但由于视路损害所致视功能损伤的普遍危害性,以及目前缺乏其他有效的治疗手段,在国内开展多学科合作、大样本的临床病例对照研究,客观评价各种治疗康复手段的效果,对于提高后视路损伤患者的日常生活和工作能力有重要意义.%Homonymous visual field defect which is usually caused by stroke,brain tumor and trauma,is common.In spite of partial spontaneous recovery,homonymous hemianopia still causes serious disability.Visual restoration therapy (VRT) based on the residual visual capability and brain plasticity theory was reported effectively enlarged visual field caused by impairment of visual pathway.Controversy still exits on the efficacy of these procedures.However,due to the high prevalence and poor outcome of visual pathway impairment,it is important to initiate multiple disciplinary co-operative study on VRT and other procedures for visual function rehabilitation to improve life quality of patients with retro-chiasmal visual pathway impairment.

  19. Ceramic restoration repair: report of two cases

    Directory of Open Access Journals (Sweden)

    Luís Henrique Araújo Raposo

    2009-04-01

    Full Text Available The esthetic and functional rehabilitation of patients with multiple missing teeth can be performed with several techniques and materials. Ceramic restorations provide reliable masticatory function and good esthetics. However, fracture can occur in some cases due to their brittle behavior. In some cases, the replacement of an extensive prosthesis is a problem due to the high treatment cost. In this paper, two cases are presented, in which fractures occurred in extensive metal-ceramic fixed partial dentures, and their replacement was not possible. Ceramic repair was chosen and the sequences of treatment with and without presence of the ceramic fragment are also discussed. The cases illustrate that, in some situations, fractured metal-ceramic partial dentures can be successfully repaired when prosthetic replacement is not a choice. Prosthodontists must use alternatives that allow a reliable repair to extensive metal-ceramic fixed partial dentures. Surface preparation of the ceramic with hydrofluoric acid in conjunction with a silane coupling agent is essential for a predictable bonding of composite resin. The repair performed with composite resin is an esthetic and functional alternative when extensive fixed partial dentures cannot be replaced.

  20. Prescribing Innovation within a Large-Scale Restoration Programme in Degraded Subtropical Thicket in South Africa

    Directory of Open Access Journals (Sweden)

    Anthony J. Mills

    2015-11-01

    Full Text Available Commonly cited requirements for bridging the “science‑practice divide” between practitioners and scientists include: political support, communication and experimentation. The Subtropical Thicket Restoration Programme was established in 2004 to catalyse investment in large-scale restoration of degraded subtropical thicket in the Eastern Cape, South Africa. Political support has been strong, with the South African government investing more than US$8 million into the programme. Communication occurred regularly among a wide range of stakeholders, and a restoration experiment—comprising 12 treatments and ~300 plots—was established over an area of ~75,000 km2. Despite this support, communication and experimentation, many pitfalls were encountered. For example, one restoration protocol became entrenched in the programme’s public as well as private sector operations without continual scrutiny of its efficacy. This was largely because results from the large-scale restoration experiment only emerged a decade after its conceptualization. As the programme enters its second decade there is recognition that a full range of “intelligent tinkering”—from small, rapid experiments to large, long-term experiments—needs to be planned and prescribed. The new working hypothesis is that prescribed innovation will reduce costs of restoration, increase survivorship of plants, increase income streams from restored landscapes, and promote new financing mechanisms for restoration.

  1. Full-mouth rehabilitation with single-tooth implant restorations. Overview and report of case.

    Science.gov (United States)

    Markiewicz, Michael R; Raina, Ankoo; Chuang, Sung-Kiang; Margarone, Joseph E; Dodson, Thomas B

    2010-03-01

    The purpose of this study was to report a case of full-arch rehabilitation with single-tooth endosseous implant restorations. Secondly, the investigators aimed to review the literature systematically regarding full-mouth rehabilitation of the edentulous patient with single-tooth implant restorations. The investigators searched the databases PubMed, EMBASE Drugs and Pharmacology, the Cochrane library, and clinicaltrials.gov for relevant literature regarding full-mouth fixed rehabilitation of the edentulous patient with dental implants. In addition, the investigators provide a clinical case of full-mouth rehabilitation of an edentulous patient using single-tooth implant restorations. The literature search revealed 60 citations that addressed the topic at large. None of the papers reported full-mouth rehabilitation with single-tooth implant restorations; therefore, papers reporting full-arch rehabilitation with a full-arch fixed prosthesis were compared to the single-implant restoration protocol described herein. Although there are similarities between our protocol and those proposed in the past, differences include potentially higher patient satisfaction because of the close similarity between the final restorations and the patient's prior natural dentition. While the proposed treatment may not be within the financial means of most patients, because of its anecdotal advantages over conventional splinted fixed restorations, the investigators believe this is the next step in the evolution of the restorative management of the completely edentulous patient.

  2. The Management of Dissonance in Nature Restoration

    DEFF Research Database (Denmark)

    Clemmensen, Thomas Juel

    2014-01-01

    by the Skjern River Restoration Project (1999-2003), one interpretation of the landscape sometimes suppresses other valid interpretations, neglecting its diverse history. Landscape architecture might, however, provide an alternative approach to nature restoration that is more site-specific, allowing...... for multiple interpretations to coexist. Indications can be found in the Re-naturalization of River Aire (2002-2015)—a restoration project, which reveals approaches that could be labelled landscape architecture specific....

  3. Can Viral Videos Help Beaver Restore Streams?

    Science.gov (United States)

    Castro, J. M.; Pollock, M. M.; Lewallen, G.; Jordan, C.; Woodruff, K.

    2015-12-01

    Have you watched YouTube lately? Did you notice the plethora of cute animal videos? Researchers, including members of our Beaver Restoration Research team, have been studying the restoration potential of beaver for decades, yet in the past few years, beaver have gained broad acclaim and some much deserved credit for restoration of aquatic systems in North America. Is it because people can now see these charismatic critters in action from the comfort of their laptops? While the newly released Beaver Restoration Guidebook attempts to answer many questions, sadly, this is not one of them. We do, however, address the use of beaver (Castor canadensis) in stream, wetland, and floodplain restoration and discuss the many positive effects of beaver on fluvial ecosystems. Our team, composed of researchers from NOAA National Marine Fisheries Service, US Fish and Wildlife Service, US Forest Service, and Portland State University, has developed a scientifically rigorous, yet accessible, practitioner's guide that provides a synthesis of the best available science for using beaver to improve ecosystem functions. Divided into two broad sections -- Beaver Ecology and Beaver Restoration and Management -- the guidebook focuses on the many ways in which beaver improve habitat, primarily through the construction of dams that impound water and retain sediment. In Beaver Ecology, we open with a discussion of the general effects that beaver dams have on physical and biological processes, and we close with "Frequently Asked Questions" and "Myth Busters". In Restoration and Management, we discuss common emerging restoration techniques and methods for mitigating unwanted beaver effects, followed by case studies from pioneering practitioners who have used many of these beaver restoration techniques in the field. The lessons they have learned will help guide future restoration efforts. We have also included a comprehensive beaver ecology library of over 1400 references from scientific journals

  4. Restoration of variable density film soundtracks

    OpenAIRE

    Besserer, Bernard; Etienne, Decencière; Hassaïne, Abdelâali

    2009-01-01

    Full text available at http://www.eurasip.org/Proceedings/Eusipco/Eusipco2009/contents/papers/1569192297.pdf; International audience; The restoration of motion picture films has been an active research field for many years. The restoration of the soundtrack however has mainly been performed at the audio domain in spite of the fast that it is recorded as a continuous image on the film stock. In this paper, we propose a new restoration method for variable density soundtracks. The method first d...

  5. Governing Forest Landscape Restoration: Cases from Indonesia

    Directory of Open Access Journals (Sweden)

    Cora van Oosten

    2014-05-01

    Full Text Available Forest landscape restoration includes both the planning and implementation of measures to restore degraded forests within the perspective of the wider landscape. Governing forest landscape restoration requires fundamental considerations about the conceptualisation of forested landscapes and the types of restoration measures to be taken, and about who should be engaged in the governance process. A variety of governance approaches to forest landscape restoration exist, differing in both the nature of the object to be governed and the mode of governance. This paper analyses the nature and governance of restoration in three cases of forest landscape restoration in Indonesia. In each of these cases, both the original aim for restoration and the initiators of the process differ. The cases also differ in how deeply embedded they are in formal spatial planning mechanisms at the various political scales. Nonetheless, the cases show similar trends. All cases show a dynamic process of mobilising the landscape’s stakeholders, plus a flexible process of crafting institutional space for conflict management, negotiation and decision making at the landscape level. As a result, the landscape focus changed over time from reserved forests to forested mosaic lands. The cases illustrate that the governance of forest landscape restoration should not be based on strict design criteria, but rather on a flexible governance approach that stimulates the creation of novel public-private institutional arrangements at the landscape level.

  6. Esthetic restoration of discolored primary incisors.

    Science.gov (United States)

    Margolis, Fred S

    2005-01-01

    Restoring primary teeth can be a strenuous task for many dentists who would like to have an esthetic, easy-to-use and relatively quick restoration for children. But, the restoration of carious, fractured or discolored primary incisors gives the dentist the satisfaction of knowing that he/she has restored the smile and self-confidence of a growing child. This article describes a technique which is relatively easy and produces a beautiful outcome in a relatively short time. The author has used the technique in hundreds of children for over twenty-five years. Modifications in the technique have been made as newer materials and techniques have evolved.

  7. Composite veneering of complex amalgam restorations.

    Science.gov (United States)

    Demarco, Flávio Fernando; Zanchi, César Henrique; Bueno, Márcia; Piva, Evandro

    2007-01-01

    In large posterior cavities, indirect restorations could provide improved performance when compared to direct restorations, but with higher cost and removal of sound tooth structure. Improved mechanical properties have resulted in good clinical performance for amalgam in large cavities but without an esthetic appearance. Resin composites have become popular for posterior restorations, mainly because of good esthetic results. A restorative technique is presented that combines the esthetic properties of directly bonded resin composite and the wide range of indications for amalgam in stress-bearing areas.

  8. Ecological feasibility studies in restoration decision making.

    Science.gov (United States)

    Hopfensperger, Kristine N; Engelhardt, Katharina A M; Seagle, Steven W

    2007-06-01

    The restoration of degraded systems is essential for maintaining the provision of valuable ecosystem services, including the maintenance of aesthetic values. However, restoration projects often fail to reach desired goals for a variety of ecologic, financial, and social reasons. Feasibility studies that evaluate whether a restoration effort should even be attempted can enhance restoration success by highlighting potential pitfalls and gaps in knowledge before the design phase of a restoration. Feasibility studies also can bring stakeholders together before a restoration project is designed to discuss potential disagreements. For these reasons, a feasibility study was conducted to evaluate the efficacy of restoring a tidal freshwater marsh in the Potomac River near Alexandria, Virginia. The study focused on science rather than engineering questions, and thus differed in approach from other feasibility studies that are mostly engineering driven. The authors report the framework they used to conduct a feasibility study to inform other potential restoration projects with similar goals. The seven steps of the framework encompass (1) initiation of a feasibility study, (2) compilation of existing data, (3) collection of current site information, (4) examination of case studies, (5) synthesis of information in a handbook, (6) meeting with selected stakeholders, and (7) evaluation of meeting outcomes. By conducting a feasibility study using the seven-step framework, the authors set the stage for conducting future compliance studies and enhancing the chance of a successful restoration.

  9. ECOLOGICAL RESTORATION:OUR HOPE FOR THE FUTURE?

    Institute of Scientific and Technical Information of China (English)

    WANG Xu-gao; LI Xiu-zhen; HE Hong S; HU Yuan-man

    2004-01-01

    Ecological restoration is widely employed from tens to millions of hectares in space, and from tens of days to thousands of years in time, which forces consideration of it thoroughly. We argue that three questions are the most important among the contents relevant of ecological restoration, including why, what and how to restore degraded systems. Why to restore determines whether or not the degraded ecological systems should be restored. What to restore is the goal of ecological restoration. The explicit goal of ecological restoration is necessary to guide ecological restoration workers in pursuit of excellence and prevent restoration from being swamped by purely technological activities. And how to restore means the methods and steps we should apply. To ensure the final success of ecological restoration, restored sites should be monitored and managed for long time to determine whether the selected methods are appropriate, and can be remedy better. Only to deal with these effectively, ecological restoration would be the hope for the future.

  10. Clinical and Radiographic Evaluation of Pulpotomized Primary Molars Restored with Stainless Steel Crown and Amalgam

    Directory of Open Access Journals (Sweden)

    Haghgoo R.

    2011-08-01

    Full Text Available Statement of Problem: Pulpotomy is the most common pulp treatment in primary teeth. Final restoration of the pulpotomized primary molar can affect the success rate of treatment. Purpose: The aim of this study was to evaluate the success rate of formocresol pulpotomy in primary molars restored with stainless steel crowns as compared to those restored with amalgam.Materials and Method: In this randomized clinical trial study, 110 primary molars to be treated with pulpotomy were treated by a conventional pulpotomy technique. Then these teeth were randomly divided into 2 groups: amalgam and crown. 55 teeth were restored by stainless steel crown and 55 by amalgam. The clinical and radiographic evaluation was done at 6-12-24 months. The data were analyzed by Exact Fisher test.Results: During the 6 months of evaluation, no clinical and radiographic failure was seen. In the 12 months of follow up in the amalgam group, 1 case showed swelling and furcal radiolucency. During the 24 months of evaluation, mobility was seen in 2 teeth in the crown group, and in the amalgam group radiolucency was seen in 1 case, mobility in 1 case, and internal resorption in 1 tooth. Exact Fisher test showed that there was no significant difference in the success rate of pulpotomized molars restored by stainless steel crown and amalgam.Conclusion: If the tooth is selected correctly for pulpotomy, SSC and amalgam restoration can be used as the final restoration.

  11. Esthetic integration between ceramic veneers and composite restorations: a case report.

    Science.gov (United States)

    Farronato, Davide; Mangano, Francesco; Pieroni, Stefano; Lo Giudice, Giuseppe; Briguglio, Roberto; Briguglio, Francesco

    2012-07-01

    The tooth structure preservation is the best way to postpone more invasive therapies. Especially in young patients more conservative techniques should be applied. Bonded porcelain veneers and even more the direct composite restorations, are the two therapeutic procedures that require the fewer sacrifice of dental tissue, finalized to the optimal recovery of aesthetic and functional outcome.Although the two techniques require different methods and materials, is possible to achieve a correct integration of both the methods by some technical and procedural measures. In the presented case is planned a rehabilitation of the four upper incisors by ceramic veneers and direct composite restorations.Care is taken for the surface treatment of ceramic restorations, with the objective of achieving integration, not only between natural teeth and restorations, but also between the different materials in use.The purpose of this article is to show how a proper design of the treatment plan leads to obtain predictable results with both direct and indirect techniques.

  12. Minimally invasive Approach to Restore with Porcelain Laminate Veneer on Maxillary Lateral Incisors

    Directory of Open Access Journals (Sweden)

    Luiz Guilherme Freitas de Paula

    2014-01-01

    Full Text Available The enhancement of indirect restorations along the advancement of adhesive systems made possible the preservation of tooth structure through the completion of minimal wear. The laminates ceramics veneers type "contact lens" are presented as a great option when compared to other restorations and excellent results can be noted in a conservative approach. The indication and proper planning are critical to the success of treatment. The present case aims to show the restoration of height and shape of lateral incisors combining the wishes of the patient to the possibilities that dentistry has to offer.

  13. A custom titanium implant-retained single-tooth restoration: a clinical report.

    Science.gov (United States)

    Schmitt, S M; Chance, D A

    1996-01-01

    Titanium is an inexpensive metal that can be used to create custom cast restorations. Although special investment and casting equipment is needed to make titanium castings, the potential benefit of inexpensive, biocompatible, and custom restorations is significant. Porcelain can easily be applied to titanium with excellent bond strength and esthetics. Problems associated with casting roughness and fit can be corrected using electrical discharge machining. A method of diagnosis and treatment planning that evaluates the restorative space prior to implant placement and eliminates the use of machined components is presented.

  14. IMMEDIATE LOADING AND CUSTOMIZED RESTORATION OF A SINGLE IMPLANT IN THE MAXILLARY ESTHETIC ZONE : A CLINICAL REPORT

    NARCIS (Netherlands)

    den Hartog, Laurens; Raghoebar, Gerry M.; Stellingsma, Kees; Meijer, Henny J. A.

    2009-01-01

    The replacement of a single missing anterior tooth with an implant-supported crown Is a demanding therapy. This report describes a treatment in which an anterior maxillary implant was immediately restored with a provisional restoration. During the provisional phase, an optimal emergence profile was

  15. Dileptons and Chiral Symmetry Restoration

    CERN Document Server

    Hohler, P M

    2015-01-01

    We report on recent work relating the medium effects observed in dilepton spectra in heavy-ion collisions to potential signals of chiral symmetry restoration. The key connection remains the approach to spectral function degeneracy between the vector-isovector channel with its chiral partner, the axialvector-isovector channel. Several approaches are discussed to elaborate this connection, namely QCD and Weinberg sum rules with input for chiral order parameters from lattice QCD, and chiral hadronic theory to directly evaluate the medium effects of the axialvector channel and the pertinent pion decay constant as function of temperature. A pattern emerges where the chiral mass splitting between rho and a_1 burns off and is accompanied by a strong broadening of the spectral distributions.

  16. Image restoration using spectrum estimation

    Science.gov (United States)

    Na, Ki-Woon; Paik, Joon-Ki

    1994-09-01

    A stochastic approach to image restoration is proposed by using various spectrum estimation techniques. In order to estimate the original image from the knowledge of observed image, the minimum mean square error filter or Wiener filter is known to be optimum in the sense of minimizing the mean square error. The optimality of Wiener filter, however, holds only when the power spectra of the original image and noise are given in addition to the transfer function of the imaging system. In practice, the information of the original image is generally not available. In the present paper additive noise is assumed to be white with known variance and the Wiener filter is implemented using various estimation techniques for the original spectrum. The proposed method shows significant improvement over the conventional methods, such as the Wiener filter using constant signal-to-noise power ratio, particularly for images with low signal-to-noise ratio.

  17. Optimal load shedding and restoration

    Science.gov (United States)

    Xu, Ding

    Load shedding is an emergency control action in power systems that can save systems from a wide-area blackout. Underfrequency load shedding, steady state load shedding, and voltage load shedding are widely used in power systems. These methods utilize either the steady state model or a simplified dynamic model to represent a power systems. In this dissertation, a general optimal load shedding method that considers both the dynamic process and load distribution is proposed. The unfavorable load shedding is then formulated as an optimization problem with the objective function of cost minimization. This objective function is subjected to system, security, and operation constraints. The entire problem becomes a question of optimization with differential and nonlinear equations as constraints. To solve this problem, discretization is used to change the differential equations into algebraic equations. The original problem is thus reformulated as an optimization problem and can be solved by a standard mathematical program. The general idea is then applied to traditional power systems, deregulated power systems, power systems with distributed generation, and load restoration. In the traditional power system, the method shows that governor action, generation dynamic, disturbance location, and economic factors can be taken into consideration. In the deregulated power system, two power market models are developed and incorporated into the load shedding scheme. In power systems with multiple distributed generations, the different cases of disturbances are analyzed and models of different distributed generation developed. The general idea is then applied. Finally, the load restoration problem is studied, and it is proposed that an optimization method be applied to it. This dissertation provides a comprehensive solution for load shedding problem in power systems. The models developed in this research can also be used to study other power system problems.

  18. Megasessions for Robotic Hair Restoration.

    Science.gov (United States)

    Pereira, Joa O Carlos; Pereira Filho, Joa O Carlos; Cabrera Pereira, Joa O Pedro

    2016-11-01

    A robotic system can select and remove individual hair follicles from the donor area with great precision and without fatigue. This report describes the use of the robotic system in a megasession for hair restoration. Patients were instructed to cut their hair to 1.0 to 1.2 mm before surgery. The robot selected and removed 600 to 800 grafts per hour so the follicular units (FU)s could be transplanted manually to recipient sites. The robot arm consists of a sharp inner punch and a blunt outer punch which together separate FUs from the sur- rounding tissue. Stereoscopic cameras controlled by image processing software allow the system to identify the angle and direction of hair growth. The physician and one assistant control the harvesting with a hand-held remote control and computer monitor while the patient is positioned in an adjustable chair. When the robot has harvested all the FUs they are removed by technicians with small forceps. Hairline design, creation of recipient sites, and graft placement are performed manually by the physician. Clinical photographs before and after surgery show that patients experience excellent outcomes with the robotic megasession. Phy- sician fatigue during graft extraction is reduced because the robot performs the repetitive movements without fatigue. Variability of graft extraction is minimized because the robot's optical system can be programmed to choose the best FUs. The transection rate is reduced because the robot's graft extraction system uses two needles, a sharp one to piece the skin and a blunt needle to dissect the root without trauma. A robotic megasession for hair restoration is minimally invasive, does not result in linear scars in the donor area, and is associated with minimal fatigue and discomfort for both patient and physician. Healing is rapid and patients experience a high level of satisfaction with the results. J Drugs Dermatol. 2016;15(11):1407-1412..

  19. In vitro evaluation of marginal microleakage in class V restorations with composite resin in bovine teeth. Laser irradiation influences and the adhesive system in the dentin pre-treatment; Avaliacao in vitro da microinfiltracao marginal em restauracoes de classe V com resina composta em dentes bovinos. Influencia da irradiacao laser e sistema adesivo no pre-tratamento dentinario

    Energy Technology Data Exchange (ETDEWEB)

    Carvalho, Wendell Lima de

    2003-07-01

    Microleakage is one of the most important reasons to restorations failure, it is the responsible for marginal colors changing, new caries, hipersensibility and pulpar diseases. Several techniques and materials have been studied to eliminate or, at least, to decrease microleakage. The cavities preparation with Er:YAG laser and autoconditioning adhesive are some of these techniques and materials. This research has the objective to compare, in vitro, microleakage in class V cavities, prepared with high rotation (conventional treatment), Er:YAG laser (Enamel-400 mj/2 Hz/128,38 J/Cm{sup 2}, Dentin 250 mJ/ 2 Hz/ 80,24 J/Cm{sup 2}) and the treatment made at dentin with autoconditioning adhesive (Clerafil SE Bond) using Er:YAG laser (with water or not water) or not using Er:YAG laser. It was used 48 bovines teeth with cavities prepared in vestibular face and gingival wall on cement enamel junction and oclusal wall on enamel. The materials used were autoconditioning adhesive (Clerafil SE Bond) and composite resin Z250. Teeth were divided into four groups of twelve samples each one, according to dentin treatment. Group 1 - Conventional cavity and autoconditioning adhesive. Group 2- Cavity prepared with Er: YAG laser and autoconditioning adhesive. Group 3 - Cavity prepared with Er:YAG laser and dentin conditioning with Er:YAG laser associated to water and autoconditioning adhesive. Group 4 - Cavity prepared with Er:YAG laser and dentin conditioning with Er: YAG laser without water and associated to autoconditioning adhesive. Teeth were restored and stocked at 37 deg C, thermocycled and placed into a 50% silver nitrate solution. Right after, teeth were sliced and evaluated on a stereo microscopic magnifying glass in order to see microleakage degree trying to follow a score from 0 to 3. The findings were submitted to Fisher, Anderson-Darling tests and to the not parametric Sen and Puri test. The results indicated that in gingival edge, the Group 2 showed less microleakage than

  20. Direct restoration of worn maxillary anterior teeth with a combination of composite resin materials: a case report.

    Science.gov (United States)

    Soares, Carlos José; Pizi, Eliane Cristina Gava; Fonseca, Rodrigo Borges; Martins, Luis Roberto Marcondes; Neto, Alfredo Júlio Fernandes

    2005-01-01

    Tooth loss, alterations on tooth structure, and reduced vertical dimension are known to severely compromise the stomatognathic system. This case report describes the treatment of a patient who presented with an extremely worn maxillary anterior dentition with a loss of posterior support owing to the loss of almost all the posterior teeth, except the mandibular premolars. Provisional removable partial dentures were used to create an optimum maxillomandibular relationship and to provide restorative space prior to the restoration of the remaining teeth. This restoration was accomplished with a combination of layered hybrid and microfilled composite materials, which restored the maxillary anterior teeth to optimum esthetics and function.

  1. Survival of ART restorations assessed using selected FDI and modified ART restoration criteria

    NARCIS (Netherlands)

    Farag, A.; Sanden, W.J.M. van der; Abdelwahab, H.; Frencken, J.E.F.M.

    2011-01-01

    A new set of criteria for assessing the quality of restorations using modern restorative materials, named FDI criteria, was recently introduced. This study tested the null hypothesis that there is no significant difference in survival estimate percentages of ART restorations assessed using selected

  2. Endangered species management and ecosystem restoration: finding the common ground

    Directory of Open Access Journals (Sweden)

    Michael L. Casazza

    2016-03-01

    Full Text Available Management actions to protect endangered species and conserve ecosystem function may not always be in precise alignment. Efforts to recover the California Ridgway's Rail (Rallus obsoletus obsoletus; hereafter, California rail, a federally and state-listed species, and restoration of tidal marsh ecosystems in the San Francisco Bay estuary provide a prime example of habitat restoration that has conflicted with species conservation. On the brink of extinction from habitat loss and degradation, and non-native predators in the 1990s, California rail populations responded positively to introduction of a non-native plant, Atlantic cordgrass (Spartina alterniflora. California rail populations were in substantial decline when the non-native Spartina was initially introduced as part of efforts to recover tidal marshes. Subsequent hybridization with the native Pacific cordgrass (Spartina foliosa boosted California rail populations by providing greater cover and increased habitat area. The hybrid cordgrass (S. alterniflora à - S. foliosa readily invaded tidal mudflats and channels, and both crowded out native tidal marsh plants and increased sediment accretion in the marsh plain. This resulted in modification of tidal marsh geomorphology, hydrology, productivity, and species composition. Our results show that denser California rail populations occur in invasive Spartina than in native Spartina in San Francisco Bay. Herbicide treatment between 2005 and 2012 removed invasive Spartina from open intertidal mud and preserved foraging habitat for shorebirds. However, removal of invasive Spartina caused substantial decreases in California rail populations. Unknown facets of California rail ecology, undesirable interim stages of tidal marsh restoration, and competing management objectives among stakeholders resulted in management planning for endangered species or ecosystem restoration that favored one goal over the other. We have examined this perceived conflict

  3. Endangered species management and ecosystem restoration: Finding the common ground

    Science.gov (United States)

    Casazza, Michael L.; Overton, Cory T.; Bui, Thuy-Vy D.; Hull, Joshua M.; Albertson, Joy D.; Bloom, Valary K.; Bobzien, Steven; McBroom, Jennifer; Latta, Marilyn; Olofson, Peggy; Rohmer, Tobias M.; Schwarzbach, Steven E.; Strong, Donald R.; Grijalva, Erik; Wood, Julian K.; Skalos, Shannon; Takekawa, John Y.

    2016-01-01

    Management actions to protect endangered species and conserve ecosystem function may not always be in precise alignment. Efforts to recover the California Ridgway’s Rail (Rallus obsoletus obsoletus; hereafter, California rail), a federally and state-listed species, and restoration of tidal marsh ecosystems in the San Francisco Bay estuary provide a prime example of habitat restoration that has conflicted with species conservation. On the brink of extinction from habitat loss and degradation, and non-native predators in the 1990s, California rail populations responded positively to introduction of a non-native plant, Atlantic cordgrass (Spartina alterniflora). California rail populations were in substantial decline when the non-native Spartina was initially introduced as part of efforts to recover tidal marshes. Subsequent hybridization with the native Pacific cordgrass (Spartina foliosa) boosted California rail populations by providing greater cover and increased habitat area. The hybrid cordgrass (S. alterniflora × S. foliosa) readily invaded tidal mudflats and channels, and both crowded out native tidal marsh plants and increased sediment accretion in the marsh plain. This resulted in modification of tidal marsh geomorphology, hydrology, productivity, and species composition. Our results show that denser California rail populations occur in invasive Spartina than in native Spartina in San Francisco Bay. Herbicide treatment between 2005 and 2012 removed invasive Spartina from open intertidal mud and preserved foraging habitat for shorebirds. However, removal of invasive Spartina caused substantial decreases in California rail populations. Unknown facets of California rail ecology, undesirable interim stages of tidal marsh restoration, and competing management objectives among stakeholders resulted in management planning for endangered species or ecosystem restoration that favored one goal over the other. We have examined this perceived conflict and propose

  4. Vegetation establishment success in restored carolina bay depressions on the Savannah River Site, South Carolina - phase one.

    Energy Technology Data Exchange (ETDEWEB)

    Sharitz, Rebecca, A.; Mulhouse, John, M.

    2004-05-01

    Successful wetlands restoration must re-establish or enhance three parameters: wetland hydrology, hydric soils, and hydrophytic vegetation (Mitsch and Gosselink 2000). On the Savannah River Site, South Carolina, restoration of small Carolina bay depression-wetlands was initiated in FY 2001 to provide wetland acreage for mitigation banking (US DOE 1997). Sixteen small depressions that had historically been drained for agricultural purposes were selected for restoration, and an additional four were initially chosen to serve as non-restored controls. Restoration treatments included plugging the existing ditches to increase water volume retention and wetland hydroperiod and clear-cutting removal of woody vegetation in the interiors. Planned endpoints of the restoration were herbaceous meadow and forested savanna bay interiors, and pine savanna and pine/hardwood forested bay margins (Barton and Singer 2001). To promote forested savanna interiors, saplings of bald cypress and swamp tupelo were planted following removal of the woody species.

  5. Visual rehabilitation: visual scanning, multisensory stimulation and vision restoration trainings

    Directory of Open Access Journals (Sweden)

    Neil M. Dundon

    2015-07-01

    Full Text Available Neuropsychological training methods of visual rehabilitation for homonymous vision loss caused by postchiasmatic damage fall into two fundamental paradigms: compensation and restoration. Existing methods can be classified into three groups: Visual Scanning Training (VST, Audio-Visual Scanning Training (AViST and Vision Restoration Training (VRT. VST and AViST aim at compensating vision loss by training eye scanning movements, whereas VRT aims at improving lost vision by activating residual visual functions by training light detection and discrimination of visual stimuli. This review discusses the rationale underlying these paradigms and summarizes the available evidence with respect to treatment efficacy. The issues raised in our review should help guide clinical care and stimulate new ideas for future research uncovering the underlying neural correlates of the different treatment paradigms. We propose that both local within-system interactions (i.e., relying on plasticity within peri-lesional spared tissue and changes in more global between-system networks (i.e., recruiting alternative visual pathways contribute to both vision restoration and compensatory rehabilitation that ultimately have implications for the rehabilitation of cognitive functions.

  6. [Surgical treatment of humerus condylar fracture].

    Science.gov (United States)

    Gorodnichenko, A I; Guseĭnov, T Sh; Uskov, O N

    2014-01-01

    55 patients with intra-articular condyles fractures of humerus were operated in terms 1998 to 2013 year in the Clinic of Traumatology and Orthopedics of the Presidential Administration. All patients were operated by using of perosseous osteosynthesis method with external fixing device design A.I. Gorodnichenko. Indications for osteosynthesis were open and closed fractures of C1,2,3 types accordingly to AO Classification. Closed, atraumatic and reliable fixation of bone fragments intensifies patients faster, improves their life quality, decreases time of hospitalization and minimizes complications rate. Fractures consolidation was achieved in all cases. It was observed such complications as soft tissue inflammatory around shafts in 4 (7.3%) observations. Long-term results were studied in 51 (92.7%) patients including 9 (17.6%) patients with excellent results, 24 (47.1%) patients with good results and 18 (35.3%) patients with satisfactory results. It was not detected unsatisfactory results. The method permits early reconstructive treatment of patients and improves functional results in case of condyles fractures. This preserves active moving function of damaged elbow from the first day after operation and during all period of treatment.

  7. Restoration of the endodontically treated posterior tooth

    Directory of Open Access Journals (Sweden)

    Andrea Polesel

    2014-06-01

    Results and conclusions: Direct adhesive restorations, indirect bonded restorations and traditional full crown are three therapeutic options for the single posterior endodontically treated teeth. The amount of remaining sound tooth structure is the most significant factor influencing the therapeutic approach. The clinician's operative skill is a determining aspect for long-term success of adhesive inlays.

  8. The Teacher's Guide to Restorative Classroom Discipline

    Science.gov (United States)

    Meyer, Luanna H.; Evans, Ian M.

    2012-01-01

    With restorative discipline, schools move beyond punitive approaches to shared expectations for learning and behavior. Used together with "The School Leader's Guide to Restorative Discipline," this teacher's guide shows how to create a welcoming and responsible community within your classroom, contributing to a consistent, schoolwide approach to…

  9. Changing trends in hair restoration surgery

    Directory of Open Access Journals (Sweden)

    Venkataram Mysore

    2006-01-01

    Full Text Available Androgenetic alopecia is an important and common cause for baldness. Despite recent advances, the drug therapy of this condition remains unsatisfactory. Surgical hair restoration is the only permanent method of treating this condition. Introduction of recent techniques such as follicular unit transplantation have improved the cosmetic results and patient satisfaction. This article discusses the latest trends in hair restoration surgery.

  10. Restoring primary anterior teeth: updated for 2014.

    Science.gov (United States)

    Waggoner, William F

    2015-01-01

    The purpose of this paper was to review the current literature associated with the techniques and materials for the restoration of primary anterior teeth and make clinical recommendations based upon the available literature. A variety of esthetic restorative materials are available to utilize for restoring primary incisors. Awareness of the specific strengths, weakness, and properties of each material can enhance the clinician's ability to make the best choice of selection for each individual situation. Intracoronal restorations of primary teeth may utilize resin composites, glass ionomer cements, resin-modified ionomers, or polyacid-modified resins. Full coronal restoration of primary incisors may be indicated for a number of reasons. Crowns available for restoration of primary incisors include those that are directly bonded onto the tooth, which generally are a resin material, and crowns that are luted onto the tooth and are either some type of stainless steel or zirconia crown. There is insufficient controlled, clinical data to suggest that one type of restoration is superior to another. Operator preferences, esthetic demands by parents, the child's behavior, the amount of tooth structure remaining, and moisture and hemorrhage control are all variables that affect the decision and ultimate outcome of whatever restorative solution is chosen.

  11. 76 FR 47055 - Emergency Restoration Plan (ERP)

    Science.gov (United States)

    2011-08-04

    ... 7 CFR Part 1730 RIN 0572-AC16 Emergency Restoration Plan (ERP) AGENCY: Rural Utilities Service, USDA... maintain an Emergency Response Plan (ERP) that details how the borrower will restore its system in the... ERP requirement was not entirely new to the borrowers, as RUS had recommended similar ``plans'' in...

  12. Esthetic rehabilitation of anterior discolored teeth with lithium disilicate all-ceramic restorations.

    Science.gov (United States)

    Prevedello, Gustavo Costa; Vieira, Marcelo; Furuse, Adilson Yoshio; Correr, Gisele Maria; Gonzaga, Carla Castiglia

    2012-01-01

    The esthetic treatment of darkened anterior teeth represents a great challenge to dentists, because dental materials ideally should match the natural teeth. The optical behavior of the final restoration is determined by the color of the underlying tooth structure, the color of the luting agent, and the thickness and opacity of the ceramic material used. This article reports a case in which veneers and full crowns made of heat-pressed, lithium disilicate glass-ceramic were used for the esthetic rehabilitation of anterior discolored teeth. The patient was referred for treatment with defective anterior composite resin restorations, provisional acrylic resin crowns, darkening of the gingival margins, and uneven gingival contours. The multidisciplinary treatment plan included dental bleaching, periodontal plastic surgery to create gingival symmetry, and indirect all-ceramic restorations using high-opacity lithium disilicate glass-ceramic ingots. The treatment was successful and an excellent esthetic result was achieved.

  13. Trends in material choice for posterior restorations in an Israeli dental school: composite resin versus amalgam.

    Science.gov (United States)

    Ben-Gal, Gilad; Weiss, Ervin I

    2011-12-01

    According to a recent American Dental Association survey, posterior composite resin restorations now outnumber amalgam restorations in the United States. Dental schools around the world vary considerably in the extent to which they teach the use of composite resins. We aimed to determine if there has been an increase in the placement of posterior composite restorations in an Israeli dental school and if faculty experience affects the type of posterior restoration placed. In this retrospective study, we recorded and analyzed all the restorations performed by undergraduate students in the last five academic years at the Hebrew University Hadassah School of Dental Medicine in Jerusalem. All clinical records of student treatments between 2004 and 2009 were screened, and direct restorations were registered. Out of 6,094 posterior restorations performed during the study period, 42.3 percent were made of composite resin, increasing from 36.8 percent in 2004-05 to 48.5 percent in 2008-09, an increase of 11.7 percent. When clinical instructors were asked to state their preference if they themselves were to undergo posterior restoration, similar results were obtained. Instructors with less than ten years' experience preferred posterior composite resin restorations in 54.8 percent of the hypothetical situations, compared with 37.2 percent preferred by instructors with ten years of experience or more. It appears that the use of composite resin was influenced mainly by the prevailing trend and was not based on scientific evidence. Dental faculties should define criteria, based on up-to-date clinical studies, for using new materials, taking into consideration differences among instructors regarding treatment concept.

  14. Comparison of Fracture Strength of Endodontically Treated Teeth Restored with Two Different Cast Metallic Post Systems

    Directory of Open Access Journals (Sweden)

    Borhan Haghighi Z

    2014-12-01

    Full Text Available Statement of Problem: Endodontically treated teeth are more prone to fracture. The post and core are often used to provide the necessary retention for prosthetic rehabilitation. Objectives: The purpose of this study was to: 1 compare the fracture strength of endodontically treated teeth restored either with Nickel-Chromium (Ni- Cr post or Non- Precious Gold-color alloy (NPG post compared to the control group and 2 evaluate the fracture site in each group. Materials and Methods: In this experimental study, endodontic treatment was carried out for 45 extracted maxillary premolars. The specimens were divided into 3 groups (n=15. Group1: restored with NPG post and core, group2: restored with Ni-Cr post and core, and group 3, no post and core were used after endodontic treatment and the access cavity was filled with amalgam. Failure force was recorded in Newton when root or remaining coronal structure fracture was occurred. Data were analyzed using one-way analysis of variance (ANOVA, Student t-test and Tukey HSD test to compare the three groups. Results: There was a statistically significant difference among all groups (P<0.05. Fracture resistance of the teeth restored by NPG posts was significantly higher than those restored by Ni- Cr (P<0.001. Results showed that the fracture mainly occurred in the root of the teeth restored with Ni- Cr and NPG post while fractures occurred in the core portion of the teeth restored with amalgam. Conclusions: The findings of the present study indicated that the fracture strength of the teeth without using cast post and core was significantly lower than the teeth restored with cast post and core. Also the teeth restored by NPG post had a significantly higher fracture resistance than Ni-Cr posts.

  15. Shifting Restoration Policy to Address Landscape Change, Novel Ecosystems, and Monitoring

    Directory of Open Access Journals (Sweden)

    Joy B. Zedler

    2012-12-01

    Full Text Available Policy to guide ecological restoration needs to aim toward minimizing the causes of ecosystem degradation; where causes cannot be eliminated or minimized, policy needs to shift toward accommodating irreversible landscape alterations brought about by climate change, nitrogen deposition, altered hydrology, degraded soil, and declining biodiversity. The degree to which lost diversity and ecosystem services can be recovered depends on the extent and nature of landscape change. For wetlands that occur at the base of watersheds that have been developed for agriculture or urban centers, the inflows of excess water, sediment, and nutrients can be permanent and can severely challenge efforts to restore historical services, including biodiversity support. In such cases, the historical state of downstream wetlands will not be completely restorable. Wetland restoration policy should promote watershed planning, wherein wetland and upland restoration is prioritized to achieve multiple, specific ecosystem services. For downstream wetlands, it is realistic to aim to enhance nitrogen removal and to establish native plants that are matrix dominants, namely, those that facilitate rather than displace other natives. More ambitious objectives such as maximizing diversity would be suitable for less-altered, upstream wetlands. Policy should also call for adaptive restoration and long-term assessments. For large sites and multiple sites of a given wetland type within a region, experimental tests can determine a wetland's ability to support high levels of ecosystem services. Once projects are underway, long-term monitoring of structural and functional indicators can characterize progress toward each objective. Managers can then learn which targets are unachievable based on data, not just opinion. Where an experimental treatment shows limited progress, practitioners would shift to more promising treatments and targets, thereby adapting restoration efforts to changing

  16. Techniques of forest restoration in restingas

    Directory of Open Access Journals (Sweden)

    Liliane Garcia da Silva Morais Rodrigues

    2016-03-01

    Full Text Available Restinga is an ecosystem of the Atlantic Forest Biome vegetation which has ecological functions and is undergoing anthropogenic occupations that result in the disturbance and its suppression of these environments. But to be the restoration of degraded restinga is necessary to know the different formations of the ecosystem and their respective characteristics. From this diagnosis, one can choose the most appropriate techniques to apply for its restoration. Thus, this study aims to conduct a literature on restoration techniques in restinga environments. It was found that forest restoration on restinga, in most cases there is use of natural regeneration techniques nucleation, and these studies highlight the successional advances and establishments of life forms preserved features of the area, thus making the restoration in these environments.

  17. Crown lengthening surgery: a restorative-driven periodontal procedure.

    Science.gov (United States)

    Levine, D F; Handelsman, M; Ravon, N A

    1999-02-01

    Improper management of the periodontal tissues during restorative procedures is a common, but often overlooked, cause of failure. When a restoration is placed, the preservation of an intact, healthy periodontium is necessary to maintain the tooth or teeth being restored. Predictable long-term restorative success requires a combination of restorative principles with the correct management of the periodontal tissues.

  18. The material science of minimally invasive esthetic restorations.

    Science.gov (United States)

    Nový, Brian B; Fuller, Cameron E

    2008-01-01

    The term esthetic dentistry usually conjures up mental images of porcelain crowns and veneers. To some dentists, the term minimally invasive dentistry evokes thoughts of observing early lesions, and postponing treatment until lesions are closer to the pulp. (The World Congress of Minimally Invasive Dentistry defines minimally invasive dentistry as those techniques which respect health, function, and esthetics of oral tissue by preventing disease from occurring, or intercepting its progress with minimal tissue loss.) It would seem these two niches within dentistry are on opposite ends of the spectrum; however, composite resin and glass ionomer restorative materials unite these two ideologies. Understanding the limitations, benefits, and science behind each material allows clinicians to produce highly esthetic restorations that can resist future decay, internally remineralize the tooth, and help protect adjacent teeth from cariogenic attack.

  19. Cleaning and retreatment protocol for a debonded ceramic restoration

    Science.gov (United States)

    Alonso-Pérez-Barquero, Jorge; Bruguera-Álvarez, August; Agustín-Panadero, Rubén; Fons-Font, Antonio

    2015-01-01

    Objectives: The aim of this article is to propose a resin cement cleaning protocol for use before recementing a debonded restoration. Study Design: Ceramic samples were fabricated from IPS d.sign® and IPS e.max Press® and were treated with hydrofluoric acid etching (HF), or HF+silane (S), or HF+S+adhesive or HF+S+A+resin cement. All samples were placed in a furnace at 650º for one minute in order to attempt to pyrolyze the composite. Each step was examined under scanning electron microscopy (SEM). Results: When the cleaning protocol had been performed, it left a clean and retentive surface. Conclusions: If the restoration is placed in a furnace at 650º for one minute, the composite cement will burn or pyrolyze and disappear, allowing conventional retreatment of the ceramic before rebonding. Key words:Ceramic, debond, surface treatment. PMID:25810843

  20. Regression of oral lichenoid lesions after replacement of dental restorations.

    Science.gov (United States)

    Mårell, L; Tillberg, A; Widman, L; Bergdahl, J; Berglund, A

    2014-05-01

    The aim of the study was to determine the prognosis and to evaluate the regression of lichenoid contact reactions (LCR) and oral lichen planus (OLP) after replacement of dental restorative materials suspected as causing the lesions. Forty-four referred patients with oral lesions participated in a follow-up study that was initiated an average of 6 years after the first examination at the Department of Odontology, i.e. the baseline examination. The patients underwent odontological clinical examination and answered a questionnaire with questions regarding dental health, medical and psychological health, and treatments undertaken from baseline to follow-up. After exchange of dental materials, regression of oral lesions was significantly higher among patients with LCR than with OLP. As no cases with OLP regressed after an exchange of materials, a proper diagnosis has to be made to avoid unnecessary exchanges of intact restorations on patients with OLP.

  1. In search for a compromise between biodiversity conservation and human health protection in restoration of fly ash deposits: effect of anti-dust treatments on five groups of arthropods.

    Science.gov (United States)

    Tropek, Robert; Cerna, Ilona; Straka, Jakub; Kocarek, Petr; Malenovsky, Igor; Tichanek, Filip; Sebek, Pavel

    2016-07-01

    Recently, fly ash deposits have been revealed as a secondary refuge of critically endangered arthropods specialised on aeolian sands in Central Europe. Simultaneously, these anthropogenic habitats are well known for their negative impact on human health and the surrounding environment. The overwhelming majority of these risks are caused by wind erosion, the substantial decreasing of which is thus necessary. But, any effects of anti-dust treatments on endangered arthropods have never been studied. We surveyed communities of five arthropod groups (wild bees and wasps, leafhoppers, spiders, hoverflies and orthopteroid insects) colonising three fly ash deposits in the western Czech Republic. We focused on two different anti-dust treatments (~70 and 100 % cover of fly ash by barren soil) and their comparison with a control of bare fly ash. Altogether, we recorded 495 species, including 132 nationally threatened species (eight of them were considered to be extinct in the country) and/or 30 species strictly specialised to drift sands. Bees and wasps and leafhoppers contained the overwhelming majority of species of the highest conservation interest; a few other important records were also in spiders and orthopteroids. Total soil cover depleted the unique environment of fly ash and thus destroyed the high conservation potential of the deposits. On the other hand, partial coverage (with ~30 % of bare fly ash) still offered habitats for many of the most threatened species, as we showed by both regression and multivariate analyses, with a decrease of wind erosion. This topic still needs much more research interest, but we consider mosaic-like preservation of smaller spots of fly ash as one of the possible compromises between biodiversity and human health.

  2. Restoration of the Severely Decayed Tooth Using Crown Lengthening with Simultaneous Tooth-Preparation

    OpenAIRE

    2010-01-01

    This clinical case describes a treatment approach that combines, in a single appointment, a crown lengthening procedure and the final crown preparation for the restoration of a severely decayed tooth. This approach allows for a more accurate placement of the crown margin in relation to the bone crest while reducing treatment time.

  3. Restoration of the severely decayed tooth using crown lengthening with simultaneous tooth-preparation.

    Science.gov (United States)

    Park, Jun-Beom

    2010-04-01

    This clinical case describes a treatment approach that combines, in a single appointment, a crown lengthening procedure and the final crown preparation for the restoration of a severely decayed tooth. This approach allows for a more accurate placement of the crown margin in relation to the bone crest while reducing treatment time.

  4. One year survival of ART and conventional restorations in patients with disability

    NARCIS (Netherlands)

    Molina, G.F.; Faulks, D.; Mazzola, I.; Mulder, J.; Frencken, J.E.F.M.

    2014-01-01

    BACKGROUND: Providing restorative treatment for persons with disability may be challenging and has been related to the patient's ability to cope with the anxiety engendered by treatment and to cooperate fully with the demands of the clinical situation. The aim of the present study was to assess the

  5. A proposal of microtomography evaluation for restoration interface gaps

    Directory of Open Access Journals (Sweden)

    Deborah Meleo

    2012-01-01

    Full Text Available Nowadays, several adhesive systems are used in dental restoration and they’re evaluated by clinical research. In vitro evaluations are often made by means of traditional observation techniques (for example scanning electron microscope (SEM, while 3D cone-beam microtomography technique (3D micro-CT, that can be able to generate 3D sample images without any sample treatment during acquisition data, is going to be used a lot in the next few years. In dental cavity restored with composite, it is possible to predict the presence of gaps due to polymerization shrinkage; that is the reason this work purpose is to reveal by 3D images and measure by micro-CT analysis the voids generated applying the most used adhesive systems at the moment. By means of microtomographic analysis is proposed an aid to overcome bidimensional SEM investigation limits like random observation of sample surface, sample sectioning (to see inside it with the relative possible structural alterations induced on the same sample and the gold sputtering treatment. For this experimental work, human crown teeth have been selected, all restored with the same composite material, using five adhesive systems. After about 48 hours each tooth has been acquired by means of Skyscan 1072 micro-CT instrument and then processed by 3D reconstruction and micro-CT analyser software. Three adhesive systems have showed 3D micro-CT images with not as much voids as expected, with a very little extent. This kind of micro-CT in vitro evaluation proposal suggests a method to observe and quantify the voids generated after polymerization shrinkage during tooth restoration.

  6. Rehabilitation of a patient with amelogenesis imperfecta using porcelain veneers and CAD/CAM polymer restorations: A clinical report.

    Science.gov (United States)

    Saeidi Pour, Reza; Edelhoff, Daniel; Prandtner, Otto; Liebermann, Anja

    2015-01-01

    The complete dental rehabilitation of patients with a vertical dimension loss (VDL) caused by structural enamel deficits associated with amelogenesis imperfecta (AI) represents a difficult challenge for restorative teams. Accurate analysis and treatment planning that includes esthetic and functional evaluations and adequate material selection are important prerequisites for successful results. Long-term provisional restorations play an important role in exploring and elucidating the patients' esthetic demands and functional needs. Restorative treatment options can vary from requiring only oral hygiene instructions to extensive dental restorations that include composite fillings, ceramic veneers, metal-ceramic, or all-ceramic crowns. This case report describes a full-mouth rehabilitation of a patient with amelogenesis imperfecta including the case planning, bite replacement, preparation, and restoration setting steps with an experimental CAD/CAM polymer and porcelain veneers.

  7. Error image aware content restoration

    Science.gov (United States)

    Choi, Sungwoo; Lee, Moonsik; Jung, Byunghee

    2015-12-01

    As the resolution of TV significantly increased, content consumers have become increasingly sensitive to the subtlest defect in TV contents. This rising standard in quality demanded by consumers has posed a new challenge in today's context where the tape-based process has transitioned to the file-based process: the transition necessitated digitalizing old archives, a process which inevitably produces errors such as disordered pixel blocks, scattered white noise, or totally missing pixels. Unsurprisingly, detecting and fixing such errors require a substantial amount of time and human labor to meet the standard demanded by today's consumers. In this paper, we introduce a novel, automated error restoration algorithm which can be applied to different types of classic errors by utilizing adjacent images while preserving the undamaged parts of an error image as much as possible. We tested our method to error images detected from our quality check system in KBS(Korean Broadcasting System) video archive. We are also implementing the algorithm as a plugin of well-known NLE(Non-linear editing system), which is a familiar tool for quality control agent.

  8. Restoration of a Canadian Prairie Wetland with Agricultural and Municipal Wastewater.

    Science.gov (United States)

    White; Bayley

    1999-07-01

    / A rapid development and approval process was employed by Ducks Unlimited Canada and other stakeholders to restore a 1246-ha (3079-acre) northern prairie wetland in southern Alberta, Canada, with 3640 m3/day (800,000 US gallons) of municipal wastewater and beef processing wastewater. A large nongovernmental organization hastened restoration with a development process that outlined restoration goals and management objectives to satisfy a dual mandate of wastewater treatment and wildlife habitat creation. In 1995, after five years of wastewater additions, the basins had been refilled and the surrounding uplands had been acquired and restored. The Frank Lake Conservation Area currently provides high-quality habitat for a variety of wildlife in a region where many of the native plants and animals species have been lost due to habitat loss and fragmentation. The success of upland and water management strategies is reflected in the increase of target species' abundance and richness: 50 shorebird species, 44 waterfowl species, 15 raptor species, and 28 other new bird species have returned to the marsh since restoration. As well, significant N and P reduction occurs as waters flow through the first basin of the marsh. The management strategies of this project that satisfied a dual mandate serve as a model to guide managers of other large-scale wetland restoration projects.KEY WORDS: Frank Lake; Wetland restoration; Adaptive management; Prairie; Wastewaterhttp://link.springer-ny.com/link/service/journals/00267/bibs/24n1p25.html

  9. Hydrological classification, a practical tool for mangrove restoration

    NARCIS (Netherlands)

    Loon, van Anne F.; Brake, te Bram; Huijgevoort, Van Marjolein H.J.; Dijksma, Roel

    2016-01-01

    Mangrove restoration projects, aimed at restoring important values of mangrove forests after degradation, often fail because hydrological conditions are disregarded. We present a simple, but robust methodology to determine hydrological suitability for mangrove species, which can guide restoration

  10. RESTORATION INDUCED BY CATALASE IN IRRADIATED MICROORGANISMS

    Science.gov (United States)

    Latarjet, Raymond; Caldas, Luis Renato

    1952-01-01

    1. E. coli, strain K-12, and B. megatherium 899, irradiated in strict but still undefined physiological conditions with certain heavy doses of ultraviolet light, are efficiently restored by catalase, which acts on or fixes itself upon the bacteria in a few minutes. This restoration (C. R.), different from photorestoration, is aided by a little visible light. 2. At 37° the restorability lasts for about 2 hours after UV irradiation; the restored cells begin to divide at the same time as the normal survivors. 3. C. R. is not produced after x-irradiation. 4. B. megatherium Mox and E. coli, strain B/r show little C. R.; E. coli strain B shows none. None of these three strains is lysogenic, whereas the two preceding catalase-restorable strains are. 5. Phage production in the system "K-12 infected with T2 phage" is restored by catalase after UV irradiation, whereas phage production in the system "infected B" is not. 6. With K-12, catalase does not prevent the growth of phage and the lysis induced by UV irradiation (Lwoff's phenomenon). 7. Hypotheses are discussed concerning: (a) the chemical nature of this action of catalase; (b) a possible relation between C. R. and lysogenicity of the sensitive bacteria; (c) the consequences of such chemical restorations on the general problem of cell radiosensitivity. PMID:14898028

  11. Development of Restorative Justice in China: Theory and Practice

    OpenAIRE

    Yinzhi Shen

    2016-01-01

    Restorative justice has become a global social movement for criminal justice reform, with over eighty countries adopting some form of restorative justice program to tackle their crime problems. The theory of restorative justice was introduced to the Chinese academia in 2002. So far, various restorative justice programs have been developed in China. This paper aims to systematically review the development of restorative justice in China by analyzing academic literature on restorative justice a...

  12. Maximum entropy signal restoration with linear programming

    Energy Technology Data Exchange (ETDEWEB)

    Mastin, G.A.; Hanson, R.J.

    1988-05-01

    Dantzig's bounded-variable method is used to express the maximum entropy restoration problem as a linear programming problem. This is done by approximating the nonlinear objective function with piecewise linear segments, then bounding the variables as a function of the number of segments used. The use of a linear programming approach allows equality constraints found in the traditional Lagrange multiplier method to be relaxed. A robust revised simplex algorithm is used to implement the restoration. Experimental results from 128- and 512-point signal restorations are presented.

  13. The ROC program: accelerated restoration of competency in a jail setting.

    Science.gov (United States)

    Rice, Kevin; Jennings, Jerry L

    2014-01-01

    In 29 months of operation, the restoration of competency (ROC) program provided treatment services to 192 incompetent to stand trial patients in a jail setting. The ROC restored competency for 55% of the patients in an average of 57 days compared to the state hospital average of 180 days. The average cost of treatment/restoration per admission was $15,568 compared to the state hospital average of $81,000. The ROC model accelerates needed treatment for mentally ill defendants, cuts demand for costly state hospital forensic beds, and assists jails in better managing inmates with severe psychiatric disorders--yielding major cost savings and improved care. In addition to preventing readmissions and negative behavioral episodes, the ROC improved the broader forensic system by eliminating the state hospital waiting list, accelerating access to psychiatric services, promoting local access for lawyers and family, and gaining stakeholder satisfaction.

  14. A Study on the Long Term Compensation Mechanism for Inundation Treatment Caused by Restoration of Normal Pool Level (89.0m) of Gaozhou Reservoir%高州水库恢复89.0m 正常蓄水位淹没处理实施长期补偿机制的探讨

    Institute of Scientific and Technical Information of China (English)

    陈军明

    2015-01-01

    The resettlement of reservoir immigrants shall be carried out in a people -oriented manner to guarantee the legal rights of the immigrants and satisfy their basic need for survival and development .As the economy of modern society is developing so fast , the traditional “land oriented” resettlement method can no longer fully meet the resettlement requirements in new circumstances . Take the case of resettlement measures for inundation treatment caused by restoration of normal pool level (89.0m) of Gaozhou Reservoir as an example , the socio -economic conditions in the Gaozhou Reservoir area has been studied , and a long -term compensation mechanism of paying land compensation fee year by year has been proposed , in order to practically preserve the legal rights of the immigrants and explore ideas of immigrants resettlement work in new circumstances .%以高州水库恢复89.0 m正常蓄水位淹没处理生产安置为例,结合高州水库库区社会经济情况,提出以土地补偿款逐年支付的长期补偿机制,切实维护移民的合法权益,拓展了新形势下移民安置工作思路。

  15. Polycarbonate crowns for primary teeth revisited: restorative options, technique and case reports.

    Science.gov (United States)

    Venkataraghavan, Karthik; Chan, John; Karthik, Sandhya

    2014-01-01

    Esthetics by definition is the science of beauty - that particular detail of an animate or inanimate object that makes it appealing to the eye. In the modern, civilized, and cosmetically conscious world, well-contoured and well-aligned white teeth set the standard for beauty. Such teeth are not only considered attractive but are also indicative of nutritional health, self esteem, hygienic pride, and economic status. Numerous treatment approaches have been proposed to address the esthetics and retention of restorations in primary teeth. Even though researchers have claimed that certain restorations are better than the others, particularly owing to the issues mentioned above, the search for the ideal esthetic restoration for the primary teeth continues. This paper revisits and attempts to reintroduce the full coverage restoration, namely, polycarbonate crown, for use in primary anterior teeth.

  16. Replacing Amalgam Restorations: A Standardized Protocol Based on Analyzing Tissue Physicochemical Modifications.

    Science.gov (United States)

    Decup, Franck; Epaillard, Alexandre; Chemla, Florence

    2015-12-01

    Almost 60% of operative dentistry is devoted to replacing restorations. When practitioners have to replace an amalgam restoration, they tend to opt for an adhesive restoration, as it is conservative of tooth tissues and mimics the natural appearance of teeth. Based on a literature review, the aim of this article is to determine the best tissue approach when replacing an old amalgam by a new adhesive restoration. After analyzing and understanding tissue alterations due to the amalgam corrosion process, the authors propose an analytical approach to managing the situation. Both tissue orientated and specific mechanical approaches are developed and should be implemented to carry out the optimal clinical procedure and achieve the most conservative and durable treatment.

  17. Restoring function and esthetics in a patient with amelogenesis imperfecta: a case report.

    Science.gov (United States)

    Sengun, Abdulkadir; Ozer, Füsun

    2002-03-01

    Amelogenesis imperfecta is a hereditary disorder that affects enamel on primary and permanent teeth. It is a rare dental disease but represents a major restorative challenge for the dentist. A 14-year-old boy presented with sensitive, discolored, and mutilated teeth and a decreased vertical dimension of occlusion. The aim of treatment was to reduce dental sensitivity, to restore esthetics, and to correct the vertical dimension of occlusion. To modify the occlusion, and to protect the dentin from chemical and thermal attacks, nickel-chrome onlays were placed on the molars. To improve the esthetics of the incisors and premolars, resin composite restorations were applied. The patient was regularly recalled during the postoperative period. Radiographic and clinical examinations 10 months posttreatment revealed no evidence of disorders associated with the restored teeth or their supporting structures.

  18. Polycarbonate crowns for primary teeth revisited: Restorative options, technique and case reports

    Directory of Open Access Journals (Sweden)

    Karthik Venkataraghavan

    2014-01-01

    Full Text Available Esthetics by definition is the science of beauty - that particular detail of an animate or inanimate object that makes it appealing to the eye. In the modern, civilized, and cosmetically conscious world, well-contoured and well-aligned white teeth set the standard for beauty. Such teeth are not only considered attractive but are also indicative of nutritional health, self esteem, hygienic pride, and economic status. Numerous treatment approaches have been proposed to address the esthetics and retention of restorations in primary teeth. Even though researchers have claimed that certain restorations are better than the others, particularly owing to the issues mentioned above, the search for the ideal esthetic restoration for the primary teeth continues. This paper revisits and attempts to reintroduce the full coverage restoration, namely, polycarbonate crown, for use in primary anterior teeth.

  19. Optimal restoration of dental esthetics and function with advanced implant-supported prostheses: a clinical report.

    Science.gov (United States)

    Meulen, Peter van der; Linden, Wynand van der; Eeden, Ronnie van

    2012-07-01

    For more than 25 years, computer-aided design and computer-aided manufacturing (CAD/CAM) technology has been used in implant restorative dentistry. Today this technology offers a means of milling titanium frameworks that fit dental implants accurately. This report presents a restoratively driven protocol employing advanced implant restorative and surgical techniques. Treatment of a patient with advanced periodontitis with extensive loss of hard and soft tissues is presented. After extraction of the patient's remaining hopeless teeth, dental implants were placed, along with interim, fixed-margin abutments and abutment protection caps. Two days later, acrylic resin fixed-interim prostheses restored the patient's esthetics and partial masticatory function. After implant osseointegration, maxillary, and mandibular frameworks for definitive prostheses were milled from Ti alloy, using one specific CAD/CAM technology. The benefits of this technology are also discussed.

  20. CAD/CAM fabricated single-unit all-ceramic post-core-crown restoration

    Directory of Open Access Journals (Sweden)

    Thilla Sekar Vinothkumar

    2011-01-01

    Full Text Available This case report explains about an innovative treatment strategy for the management of damaged anterior teeth with reduced incisal clearance by means of a single-unit all-ceramic post-core-crown zirconia ceramic restoration fabricated by Computer-aided designing and computer-aided manufacturing (CAD/CAM technology. The reinforced zirconia ceramics allow fabrication of durable esthetic restorations in cases with high functional loading and the unification of the post, core, and crown in a single unit decreases the frequency of failure by creating a monobloc effect. In addition, the use of CAD/CAM technology for designing and fabricating ceramic restorations offers the option of expeditiously preparing these high-strength all-ceramic restorations.

  1. The digital restoration of film

    Directory of Open Access Journals (Sweden)

    Catanese, Rossella

    2014-12-01

    Full Text Available Aquest article tracta sobre la conservació i la restauració de pel·lícules amb tecnologies digitals. Les pel·lícules, com a expressió de la memòria col·lectiva, formen part del patrimoni comú de la humanitat, i mereixen ser preservades i difoses. Per això, la qüestió de la preservació dels materials cinematogràfics està guanyant pes, sobretot si tenim en compte la fragilitat estructural i la curta durada de l'estoc de pel·lícules. L'estat actual del mitjà audiovisual és de transició: a poc a poc l'element analògic i fotoquímic és substituït pel sistema digital. I això influeix molt en les pràctiques de producció i distribució del cinema, i també en els debats teòrics sobre el mitjà: els criteris d'arxivament i els processos de restauració no són una excepció a aquesta lògica.Este artículo trata sobre la conservación y la restauración de películas con tecnologías digitales. Las películas, como expresión de la memoria colectiva, forman parte del patrimonio común de la humanidad, y merecen ser preservadas y difundidas. Por eso, la cuestión de la preservación de los materiales cinematográficos está ganando peso, sobre todo si tenemos en cuenta la fragilidad estructural y la corta duración del stock de películas. El estado actual del medio audiovisual es de transición: poco a poco el elemento analógico y fotoquímico es sustituido por el sistema digital. Lo cual influye mucho en las prácticas de producción y distribución del cine, y también en los debates teóricos sobre el medio: los criterios de archivo y los procesos de restauración no son una excepción a esta lógica.This article focuses on the issues of conservation and restoration of films through digital technologies. Films, as an expression of collective memory, become part of the common heritage of humankind, which deserves to be safeguarded and disseminated. As a consequence of this awareness, the issue of preserving cinematic

  2. Water Awareness Through Environmental Restoration

    Science.gov (United States)

    Davis-Caldwell, K.

    2012-04-01

    and negative effects of human presence on the local and global water supply. Student research scientifically tested ways to slow down the effects of run-off contaminants. Students also revisit water analysis and plant trees as buffers as part of their stream preservation efforts in a culminating activity. Oyster Reef Restoration Project: As a result of changes in climate, pollution and human consumption, the oyster population in the Chesapeake Bay had previously been on a rapid decline. The Oyster Reef Restoration Project allows students to understand the creatures of the bay and the cause of this decline. They explore the domino effect this has had on the quality of the water in the bay and future implications on the environment when the oyster population fluctuates significantly. Students construct concrete reefs and study the components of its contents and the reef's impact on the bay. Students are responsible for mixing, pouring and preparing the reef for its eventual drop in the bay. Wetlands Recovery: Following the elimination of a substantial amount of the natural wetlands behind the elementary and middle schools, a wetlands area was erected on the school grounds. This pond has been used to learn about habitats and the role humans, plants and organisms play in the preservation of the earth soil and water supply. This wetland is used by both the elementary and middle schools as a place for hands-on inquiry based learning. Students maintain the upkeep of the pond and teach other students at lower grades.

  3. Terrorism, Forgiveness and Restorative Justice

    Directory of Open Access Journals (Sweden)

    Antony Pemberton

    2014-07-01

    Full Text Available This paper is intended to enhance understanding of the complexities of restorative justice in cases of terrorism from a victimological perspective. It does so first by analysing what separates terrorism from other forms of crime. The author argues that the main distinction concerns the peculiarly public nature of terrorism, in which the attack on the direct victims is intended to influence a (far larger group of so-called vicarious victims. This means that the public is likely to experience terrorist attacks as attacks on themselves. As a consequence the public can feel entitled to processes of forgiveness which in turn can conflict with the direct victims’ own experience. To illuminate this issue the paper proposes a novel distinction in third party forgiveness processes: between public forgiveness, i.e. forgiveness relating to the public wrongfulness inherent in crime, and vicarious forgiveness, i.e. the public’s experience of forgiveness itself. The complexities for restorative justice after terrorism can be then be viewed in terms of the tensions between the direct victims’ private and the publics’ vicarious forgiveness processes. Este artículo pretende facilitar la comprensión de las complejidades de la justicia restaurativa en casos de terrorismo desde una perspectiva victimológica. Lo hace primero mediante el análisis de lo que separa el terrorismo de otras formas de delincuencia. El autor sostiene que la distinción principal se refiere a la naturaleza pública específica del terrorismo, ya que mediante el ataque a las víctimas directas se pretende influir en el grupo (mucho más grande de las llamadas víctimas vicarias. Esto significa que es probable que el público sienta los ataques terroristas como ataques contra ellos mismos. De esta forma, el público puede sentirse con derecho sobre los procesos de perdón, lo que, a su vez, puede entrar en conflicto con la propia experiencia de las víctimas directas. Para iluminar

  4. Surgical voice restoration after total laryngectomy: An overview

    Directory of Open Access Journals (Sweden)

    B Elmiyeh

    2010-01-01

    Full Text Available Total laryngectomy is potentially a debilitative surgery resulting in compromise of some of the most basic functions of life including speech and swallowing. This may have a profound adverse effect on the patient′s physical, functional, and emotional health, and may result in a decreased quality of life (QOL. Until the 1980s, total laryngectomy was regarded as a dreadful, but often, life-saving procedure for which there was little alternative, and was used as a last resort. At that time survival at any cost in terms of QOL was paramount and many laryngectomies were forced into an isolated life as a mute and dysphasic recluse. Most attempts at voice restoration produced inconsistent results and often techniques were laborious, expensive, and ineffective, particularly when carried out as a salvage procedure after failed radiotherapy. Progress in voice rehabilitation, following total laryngectomy, over the last 30 years, has made an enormous difference in the whole concept of the management of laryngeal cancers. Currently there are several options available for these patients, namely, esophageal speech, artificial larynx, and tracheoesophageal speech. The choice of speech rehabilitation varies from patient to patient, but tracheoesophageal voice has become the preferred method. This article provides a brief account of surgical voice restoration after total laryngectomy. Special emphasis has been given to the surgical technique, special considerations, complications, and the prevention / treatment of tracheoesophageal voice restoration.

  5. Smooth coronal surface, resin restoration and microleakage.

    Science.gov (United States)

    Yanikoğlu, F; Türkmen, C; Kartal, N; Başaran, B

    1997-09-01

    The space between the resin and the cavity walls has always become interesting to search. The aim of this study was to evaluate any differences on leakage values of Class 5 type resin restorations prepared on surrounding surfaces of the tooth crown. Ninety human teeth were prepared as Class 5 cavities on buccal, lingual, mesial and distal surfaces and were randomly divided into groups for bevelling, groove preparation and as control. The subgroups were arranged as fluoride gel and/or sealant applications. Fluoride gel was applied following the cavity preparations. Sealant was applied over composite resin restorations. Treated teeth were thermocycled and immersed into dye solution for 96 hours. The restorations were evaluated in a stereo-microscope following the sectioning. Bevelling of the cavosurfaces and/or preparation of a groove addition to cavity procedures did not make any difference on the microleakage scores of the restorations done on either surfaces statistically.

  6. Geomorphic Analysis - Trinity River Restoration Potential

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The goal of the Trinity River project is to identify the potential positive effects of large-scale restoration actions in a 63 kilometer reach of the Trinity River...

  7. Habitat Analysis - Trinity River Restoration Potential

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The goal of the Trinity River project is to identify the potential positive effects of large-scale restoration actions in a 63 kilometer reach of the Trinity River...

  8. Connecting River Systems Restoration Assessment Composite Model

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Well-established conservation planning principles and techniques framed by geodesign were used to assess the restorability of areas that historically supported...

  9. Western Lake Erie Restoration Assessment Degree Flowlines

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This represents the flowline network in Western Lale Erie Restoration Assessment (WLERA). It is attributed with the number of disconnections between the reach and...

  10. Saginaw Bay Restoration Assessment Degree Flowlines

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This represents the flowline network in Sagina Bay Restoration Assessment (SBRA). It is attributed with the number of disconnections between the reach and the...

  11. Connecting River Systems Restoration Assessment Degree Flowlines

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This represents the flowline network in Connecting River Systems Restoration Assessment (CRSRA). It is attributed with the number of disconnections between the reach...

  12. Fisheries Restoration Grant Program Projects [ds168

    Data.gov (United States)

    California Department of Resources — This shapefile (FRGP_All_020209.shp) represents the locations of all ongoing and completed salmonid restoration projects in California with existing records in the...

  13. US Forest Service Integrated Resource Restoration (IRR)

    Data.gov (United States)

    US Forest Service, Department of Agriculture — A map service on the www depicting activities funded through the Integrated Resource Restoration (IRR) NFRR Budget Line Item and reported through the U.S. Forest...

  14. A dual method for maximum entropy restoration

    Science.gov (United States)

    Smith, C. B.

    1979-01-01

    A simple iterative dual algorithm for maximum entropy image restoration is presented. The dual algorithm involves fewer parameters than conventional minimization in the image space. Minicomputer test results for Fourier synthesis with inadequate phantom data are given.

  15. Saginaw Bay Restoration Assessment Composite Model

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Well-established conservation planning principles and techniques framed by geodesign were used to assess the restorability of areas that historically supported...

  16. Restoration of multichannel microwave radiometric images

    Science.gov (United States)

    Chin, R. T.; Yeh, C.-L.; Olson, W. S.

    1985-01-01

    A constrained iterative image restoration method is applied to multichannel diffraction-limited imagery. This method is based on the Gerchberg-Papoulis algorithm utilizing incomplete information and partial constraints. The procedure is described using the orthogonal projection operators which project onto two prescribed subspaces iteratively. Its properties and limitations are presented. The effect of noise was investigated and a better understanding of the performance of the algorithm with noisy data has been achieved. The restoration scheme with the selection of appropriate constraints was applied to a practical problem. The 6.6, 10.7, 18, and 21 GHz satellite images obtained by the scanning multichannel microwave radiometer (SMMR), each having different spatial resolution, were restored to a common, high resolution (that of the 37 GHz channels) to demonstrate the effectiveness of the method. Both simulated data and real data were used in this study. The restored multichannel images may be utilized to retrieve rainfall distributions.

  17. ROV Based Underwater Blurred Image Restoration

    Institute of Scientific and Technical Information of China (English)

    LIU Zhishen; DING Tianfu; WANG Gang

    2003-01-01

    In this paper, we present a method of ROV based image processing to restore underwater blurry images from the theory of light and image transmission in the sea. Computer is used to simulate the maximum detection range of the ROV under different water body conditions. The receiving irradiance of the video camera at different detection ranges is also calculated. The ROV's detection performance under different water body conditions is given by simulation. We restore the underwater blurry images using the Wiener filter based on the simulation. The Wiener filter is shown to be a simple useful method for underwater image restoration in the ROV underwater experiments. We also present examples of restored images of an underwater standard target taken by the video camera in these experiments.

  18. Ceramics as biomaterials for dental restoration.

    Science.gov (United States)

    Höland, Wolfram; Schweiger, Marcel; Watzke, Ronny; Peschke, Arnd; Kappert, Heinrich

    2008-11-01

    Sintered ceramics and glass-ceramics are widely used as biomaterials for dental restoration, especially as dental inlays, onlays, veneers, crowns or bridges. Biomaterials were developed either to veneer metal frameworks or to produce metal-free dental restorations. Different types of glass-ceramics and ceramics are available and necessary today to fulfill customers' needs (patients, dentists and dental technicians) regarding the properties of the biomaterials and the processing of the products. All of these different types of biomaterials already cover the entire range of indications of dental restorations. Today, patients are increasingly interested in metal-free restoration. Glass-ceramics are particularly suitable for fabricating inlays, crowns and small bridges, as these materials achieve very strong, esthetic results. High-strength ceramics are preferred in situations where the material is exposed to high masticatory forces.

  19. Western Lake Erie Restoration Assessment Composite Model

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Well-established conservation planning principles and techniques framed by geodesign were used to assess the restorability of areas that historically supported...

  20. EFFICIENT RESTORATION OF VARIABLE AREA SOUNDTRACKS

    Directory of Open Access Journals (Sweden)

    Abdelâali Hassaïne

    2011-05-01

    Full Text Available The restoration of motion picture films using digital image processing has been an active research field for many years. The restoration of the soundtrack however, has mainly been performed in the sound domain, using signal processing methods, in spite of the fact that it is recorded as a continuous image between the images of the film and the perforations. In this paper a restoration method for variable area soundtrack restoration at the image level is presented. First, a novel method is proposed for the detection of the symmetry axis of the scanned soundtrack. Then, a comparison between the watershed and the region growing segmentation of the soundtrack is developed. Another algorithm aiming to enforce the symmetry and to correct the edges of the segmented image is presented. A last step aiming to smooth the edges of the obtained image is performed. Finally, experimental results are reported and possible future improvements are discussed.

  1. Replacement of Anterior Composite Resin Restorations Using Conservative Ceramics for Occlusal and Periodontal Rehabilitation: An 18-Month Clinical Follow-Up

    Directory of Open Access Journals (Sweden)

    Leonardo Fernandes da Cunha

    2016-01-01

    Full Text Available This case report describes a patient with discolored and fractured composite resin restorations on the anterior teeth in whom substitution was indicated. After wax-up and mock-up, the composite was removed and replaced with minimally invasive ceramic laminates. An established and predictable protocol was performed using resin cement. Minimally invasive ceramic restorations are increasingly being used to replace composite restorations. This treatment improves the occlusal and periodontal aspects during the planning and restorative phases, such as anterior guides, and laterality can be restored easily with ceramic laminates. In addition, the surface smoothness and contour of ceramic restorations do not affect the health of the surrounding periodontal tissues. Here we present the outcome after 18 months of clinical follow-up in a patient in whom composite resin restorations in the anterior teeth were replaced with minimally invasive ceramic laminates.

  2. Forest restoration, biodiversity and ecosystem functioning

    Directory of Open Access Journals (Sweden)

    Aerts Raf

    2011-11-01

    Full Text Available Abstract Globally, forests cover nearly one third of the land area and they contain over 80% of terrestrial biodiversity. Both the extent and quality of forest habitat continue to decrease and the associated loss of biodiversity jeopardizes forest ecosystem functioning and the ability of forests to provide ecosystem services. In the light of the increasing population pressure, it is of major importance not only to conserve, but also to restore forest ecosystems. Ecological restoration has recently started to adopt insights from the biodiversity-ecosystem functioning (BEF perspective. Central is the focus on restoring the relation between biodiversity and ecosystem functioning. Here we provide an overview of important considerations related to forest restoration that can be inferred from this BEF-perspective. Restoring multiple forest functions requires multiple species. It is highly unlikely that species-poor plantations, which may be optimal for above-ground biomass production, will outperform species diverse assemblages for a combination of functions, including overall carbon storage and control over water and nutrient flows. Restoring stable forest functions also requires multiple species. In particular in the light of global climatic change scenarios, which predict more frequent extreme disturbances and climatic events, it is important to incorporate insights from the relation between biodiversity and stability of ecosystem functioning into forest restoration projects. Rather than focussing on species per se, focussing on functional diversity of tree species assemblages seems appropriate when selecting tree species for restoration. Finally, also plant genetic diversity and above - below-ground linkages should be considered during the restoration process, as these likely have prominent but until now poorly understood effects at the level of the ecosystem. The BEF-approach provides a useful framework to evaluate forest restoration in an

  3. Restoration of the endodontically treated posterior tooth

    OpenAIRE

    Andrea Polesel

    2014-01-01

    Objectives: To analyse the key factors of the restoration in the posterior endodontically treated teeth, through a literature review and clinical cases presentation. To focus on the clinical advantages of the adhesive indirect restorations, describing the basic principles for long-term success. Materials and methods: The biomechanical changes due to the root canal therapy and the degree of healthy dental tissue lost because of pathology and iatrogenic factors are the critical points leadin...

  4. Leadership success within disaster restoration projects.

    Science.gov (United States)

    Rapp, Randy R; Baroudi, Bassam

    2014-01-01

    Successful project managers draw their performance from essential leadership traits, as guided by their core values.Within disaster recovery, contractors who mitigate, repair, and reconstruct the built environment are often faced with challenges exceeding the norm. The effective leader is commonly expected to consider stakeholder motivations within distressing situations as well as other external and environmental factors when seeking to lead the project team to successful outcomes. This research is most concerned with leadership within the context of disaster restoration of the built environment. Its stimulus comes from the Restoration Industry Association (RIA)'s efforts to highlight leadership traits and core values for its Certified Restorer Body of Knowledge but would be of value to others associated with disaster recovery operations. Among organizations whose membership includes thousands of practitioners who restore and reconstruct the built environment after disasters, the RIA is the only one yet to formally and substantially research which core values and leader traits are deemed critical for the success of efforts to manage the means and methods applied on recovery job sites. Forty-six seasoned disaster restoration industry project professionals voluntarily responded to a survey questionnaire that sought their opinions about the traits and core values that they consider most important for successful disaster restoration project leadership. The most important leader traits were effective communication, professional competence, and leadership by example. The most important restoration industry values were integrity, compassion, and trustworthiness. The recognized imperative of compassion was unexpected in light of stereotypes often associated with construction-related contractors. This and other findings permit disaster response and recovery stakeholders to better understand qualities they should wish to see in leaders of contractor organizations, which

  5. [Dental restoration materials in pediatric dentistry].

    Science.gov (United States)

    Davidson, C L

    1997-02-01

    Restorative materials in pediatric dentistry have to fulfill special requirements. They should be easy to handle and applicable in a not always dry mouth. They should potentially be adhesive in order to avoid too much mechanical preparation. They do not have to be extremely wear resistant as the dwell time of the restorations is relatively short. Glass-ionomer cements and in particular the resin modified types possess properties which make them almost ideal for the required purpose.

  6. Laser application in otology for hearing restoration

    Science.gov (United States)

    Lombardo, Igino

    1994-09-01

    Prior to the development of the stapes replacement prosthesis in the early 1950s, loss of hearing due to otosclerosis remained an untreatable disease. Today, loss of hearing due to otosclerosis can be restored in the majority of cases to near normal levels. Since 1980 the laser has played a major and important role in otosclerosis surgery. This paper explores the use of lasers for hearing restoration and compares the results of laser surgery to non-laser surgery.

  7. Marginal microfiltration in amalgam restorations. Review

    OpenAIRE

    Lahoud Salem, Víctor; Departamento Académico de Estomatología Rehabilitadora. Facultad de Odontología, Universidad Nacional Mayor de San Marcos, Lima. Perú.

    2014-01-01

    The present articule is review references from phenomenon of microfiltration in restorations with amalgam and yours consecuents in changes of color in the interface tooth-restorations, margin deterioted , sensitivity dentinarea postoperate, caries secondary and pulp inflamation. Besides naming the mechanicals for to reduce microfiltration, and yours effects for use of sealers dentinaries representation for the varnish cavitys and adhesive systens Conclusive indicate wath the amalgam is the ma...

  8. Resin composites : Sandwich restorations and curing techniques

    OpenAIRE

    Lindberg, Anders

    2005-01-01

    Since the mid-1990s resin composite has been used for Class II restorations in stress-bearing areas as an alternative to amalgam. Reasons for this were the patients’ fear of mercury in dental amalgam and a growing demand for aesthetic restorations. During the last decades, the use of new resin composites with more optimized filler loading have resulted in reduced clinical wear. Improved and simplified amphiphilic bonding systems have been introduced. However, one of the main problems with res...

  9. The Carolina Bay Restoration Project - Final Report 2000-2006.

    Energy Technology Data Exchange (ETDEWEB)

    Barton, Christopher

    2007-12-15

    A Wetlands Mitigation Bank was established at SRS in 1997 as a compensatory alternative for unavoidable wetland losses. Prior to restoration activities, 16 sites included in the project were surveyed for the SRS Site Use system to serve as a protective covenant. Pre-restoration monitoring ended in Fall 2000, and post restoration monitoring began in the Winter/Spring of 2001. The total interior harvest in the 16 bays after harvesting the trees was 19.6 ha. The margins in the opencanopy, pine savanna margin treatments were thinned. Margins containing areas with immature forested stands (bay 5184 and portions of bay 5011) were thinned using a mechanical shredder in November 2001. Over 126 hectares were included in the study areas (interior + margin). Planting of two tree species and the transplanting of wetland grass species was successful. From field surveys, it was estimated that approximately 2700 Nyssa sylvatica and 1900 Taxodium distichum seedlings were planted in the eight forested bays resulting in an average planting density of ≈ 490 stems ha-1. One hundred seedlings of each species per bay (where available) were marked to evaluate survivability and growth. Wetland grass species were transplanted from donor sites on SRS to plots that ranged in size from 100 – 300 m2, depending on wetland size. On 0.75 and 0.6 meter centers, respectively, 2198 plugs of Panicum hemitomon and 3021 plugs Leersia hexandra were transplanted. New shoots originating from the stumps were treated with a foliar herbicide (Garlon® 4) during the summer of 2001 using backpack sprayers. Preliminary information from 2000-2004 regarding the hydrologic, vegetation and faunal response to restoration is presented in this status report.

  10. Remote sensing for restoration ecology: Application for restoring degraded, damaged, transformed, or destroyed ecosystems.

    Science.gov (United States)

    Reif, Molly K; Theel, Heather J

    2016-09-14

    Restoration monitoring is generally perceived as costly and time consuming, given the assumptions of successfully restoring ecological functions and services of a particular ecosystem or habitat. Opportunities exist for remote sensing to bolster the restoration science associated with a wide variety of injured resources, including resources affected by fire, hydropower operations, chemical releases, and oil spills, among others. In the last decade, the role of remote sensing to support restoration monitoring has increased, in part due to the advent of high-resolution satellite sensors as well as other sensor technology, such as lidar. Restoration practitioners in federal agencies require monitoring standards to assess restoration performance of injured resources. This review attempts to address a technical need and provides an introductory overview of spatial data and restoration metric considerations, as well as an in-depth review of optical (e.g., spaceborne, airborne, unmanned aerial vehicles) and active (e.g., radar, lidar) sensors and examples of restoration metrics that can be measured with remotely sensed data (e.g., land cover, species or habitat type, change detection, quality, degradation, diversity, and pressures or threats). To that end, the present article helps restoration practitioners assemble information not only about essential restoration metrics but also about the evolving technological approaches that can be used to best assess them. Given the need for monitoring standards to assess restoration success of injured resources, a universal monitoring framework should include a range of remote sensing options with which to measure common restoration metrics. Integr Environ Assess Manag 2016;X:000-000. Published 2016. This article is a US Government work and is in the public domain in the USA. Integrated Environmental Assessment and Management published by Wiley Periodicals, Inc. on behalf of SETAC.

  11. A Policy Analysis Perspective on Ecological Restoration

    Directory of Open Access Journals (Sweden)

    Susan Baker

    2013-06-01

    Full Text Available Using a simple stages model of the policy process, we explore the politics of ecological restoration using an array of examples drawn across sector, different size and scale, and from different countries. A policy analysis perspective reveals how, at both the program and project levels, ecological restoration operates within a complex and dynamic interplay between technical decision making, ideologies, and interest politics. Viewed through the stages model, restoration policy involves negotiating nature across stages in the policy making process, including agenda setting, policy formulation, implementation, and evaluation. The stages model is a useful heuristic devise; however, this linear model assumes that policy makers approach the issue rationally. In practice, ecological restoration policy takes place in the context of different distributions of power between the various public and private actors involved at the different stages of restoration policy making. This allows us to reiterate the point that ecological restoration is best seen not only as a technical task but as a social and political project.

  12. Adhesive Restorations as An Esthetic Solution in Dentinogenesis Imperfecta.

    Science.gov (United States)

    Ubaldini, Adriana Lemos Mori; Giorgi, Maria Cecília Caldas; Carvalho, Ariany Borges; Pascon, Fernanda Miori; Lima, Débora Alves Nunes Leite; Baron, Gisele Maria Marchi; Paulillo, Luís Alexandre Maffei Sartini; Aguiar, Flávio Henrique Baggio

    2015-01-01

    Loss of tooth structure is the main sequela of dentinogenesis imperfecta (DI). Due to severe enamel attrition, patients with DI often present with esthetic, occlusal, endodontic, and speech complications. Therefore, an interdisciplinary approach, divided into separate clinical steps, should be developed to provide comprehensive dental rehabilitation. The purpose of this case report is to discuss the use of composite resin restorations as a transitional treatment step for the anterior teeth of an eight-year-old boy with DI until his bone and dental development permit orthodontic and orthognatic surgery.

  13. Dental restoration induced orofacial pain and its management

    Directory of Open Access Journals (Sweden)

    Xiuxin Liu

    2015-01-01

    Full Text Available Dental procedure induced pain may develop into a chronic condition that accompanied with functional or neuropathy changes in the nerve system. In this case, severe persistent pain gradually developed after repeatedly placing a subgingival amalgam restoration in the right second molar. Hyperalgesia and allodynia were present at the affected region. A provisional diagnosis of chronic orofacial pain with peripheral and central sensitization was considered. After re-contouring, local debridement and occlusal adjustment the pain disappeared. The underlying mechanism in this case is neuronal sensitization and peripheral Aβ-fiber mechanoreceptor activation. Its diagnosis and management depend on identification and treatment of the cause for pain generation and sensitization.

  14. Amelogenesis imperfecta: A challenge to restoring esthetics and function

    Directory of Open Access Journals (Sweden)

    Ranganath V

    2010-01-01

    Full Text Available Rehabilitation of complicated cases poses difficulty in clinical practice, both with respect to restoring function and with esthetics. One such clinical condition where the dentist has to give importance to proper planning of the treatment and execution of the plan is amelogenesis imperfecta (AI, a condition where both function and esthetics are accommodated. This article discusses both the functional and esthetic rehabilitation of a patient with AI. Both the esthetics and function were hampered in this patient due to the condition. As a result, the treatment was properly planned and executed. A number of treatment options are available for us today to treat such a case. There is no one technique to be followed as such. However, the aim was to properly diagnose the case and provide good function and esthetics to the patient.

  15. Survival of ART restorations assessed using selected FDI and modified ART restoration criteria.

    Science.gov (United States)

    Farag, Abeer; van der Sanden, Wil J M; Abdelwahab, Hisran; Frencken, Jo E

    2011-06-01

    A new set of criteria for assessing the quality of restorations using modern restorative materials, named FDI criteria, was recently introduced. This study tested the null hypothesis that there is no significant difference in survival estimate percentages of ART restorations assessed using selected FDI and modified ART criteria after 1 and 5 years. One operator placed a total of 60 class I and 30 Class II high-viscosity glass-ionomer ART restorations in ninety 14- to 15-year-olds. Two calibrated and independent evaluators using both criteria evaluated restorations on diestone replicas at baseline and after 1 and 5 years. Statistical analyses were done using the Kaplan-Meier method and log-rank test. The survival results of ART restorations assessed using both sets of criteria after 1 and 5 years (p = 0.27) did not differ significantly. Three ART restorations were assessed as failures according to the ART criteria, while they were assessed as survived using the FDI criteria. We conclude that the modified ART criteria enable reliable assessment of ART restorations in permanent teeth from diestone replicas and that there was no significant difference in survival estimates of ART restorations assessed using both sets of criteria. The null hypothesis was accepted.

  16. Drivers of Ecological Restoration: Lessons from a Century of Restoration in Iceland

    Directory of Open Access Journals (Sweden)

    Ása L. Aradóttir

    2013-12-01

    Full Text Available We analyzed the main drivers for ecological restoration in Iceland from 1907 to 2010 and assessed whether the drivers have changed over time and what factors might explain the changes, if any. Our study was based on a catalogue of 100 restoration projects, programs, and areas, representing 75% to 85% of all restoration activities in Iceland. Catastrophic erosion was an early driver for soil conservation and restoration efforts that still ranked high in the 2000s, reflecting the immense scale of soil erosion and desertification in Iceland. Socioeconomic drivers such as farming and the provision of wood products were strong motivators of ecological restoration over most of the 20th century, although their relative importance decreased with time as the number and diversity of drivers increased. In the 1960s and 1970s, the construction of hard infrastructure, and moral values such as improving the aesthetics of the countryside and "repaying the debt to the land" emerged as motivations for restoration actions. In the late 1990s, the United Nations Climate Change Convention became a driver for restoration, and the importance of nature conservation and recreation increased. Technological development and financial incentives did not show up as drivers of ecological restoration in our study, although there are some indications of their influence. Furthermore, policy was a minor driver, which might reflect weak policy instruments for ecological restoration and some counteractive policies.

  17. Severe Tooth Wear With Dentition Defect (Missing) the Clinical Curative Effect of Implant Restoration With Occlusal Reconstruction Combined Treatment%牙齿重度磨损伴牙列缺损(缺失)种植修复与咬合重建联合治疗的临床疗效

    Institute of Scientific and Technical Information of China (English)

    王根桃; 林赛云; 薛菁

    2015-01-01

    Objective:To investigate the application of im-plant restoration and occlusal reconstruction of severe tooth wear of the combined treatment of dentition defect (missing) clinical curative effect. Methods:from 2011 July June to 2013 60 cases in our hospital during the period of treatment of severe tooth wear with dentition defect patients were studied, of which 30 cases were treated by conventional denture repair methods for treatment, as the control group; 30 patients using implant and occlusal reconstruction combined treatment, as the observa-tion group. Comparison of two groups of patients after the occur-rence of the clinical effect and adverse reaction of teeth after restoration. Results: by comparison, the observation group on severe tooth wear with dentition defect (missing) using implant and occlusal reconstruction after combination therapy, dental appearance, good function, comfort higher, involving the suc-cess rate (100%) was significantly higher than the control group involving the success rate (70%), extraction rate of implant (ob-servation group 0), involving the failure rate (0) was significantly lower than the control group denture removal rate (24.59%), in-volving the failure rate (26.23%), statistically significant (P<0.05). Patients in the observation group mucosa ulcer incidence rate of adverse reaction of swelling and bleeding and percussion pain (3.33%) was significantly lower than the control group, the incidence of adverse reactions (33.33%), statistically significant (P<0.05). Conclusion:on severe tooth wear with dentition de-fect (missing) in patients with application of implant restoration and occlusal reconstruction after the combined treatment in pa-tients with dental appearance, good function and clinical suc-cess rate higher, after repair of a low incidence of adverse reac-tions, does not affect the facial appearance and pronunciation patients function, recommended.%目的:探讨应用种植修复与咬合重建联合治疗牙齿

  18. Microbial and soil properties in restoration areas in the jequitinhonha valley, Minas Gerais

    Directory of Open Access Journals (Sweden)

    Danielle Cristina Fonseca Santos

    2011-12-01

    Full Text Available To mitigate the impacts of eucalypt monoculture, forestry companies in the Upper Jequitinhonha Valley (MG have adopted the insertion of strips of native vegetation in-between the commercial plantations. The method used for the creation of these corridors is to allow spontaneous regrowth of native vegetation in areas previously under eucalypt. The objective of this study was to evaluate the effect of cover crops on microbial and soil properties for a detailed description of the restoration process of native vegetation in forest soils of the Jequitinhonha Valley. The treatments were represented by an initial restoration stage ( 4 years with or without remaining eucalypt, plus the three controls: commercial eucalypt plantation, Cerrado vegetation and native forest. Soil samples were collected for three consecutive years in the dry and rainy season (August and February, respectively. The microbial activity, regardless of the presence of remaining eucalypt , did not differ among the restoration areas, except for the metabolic quotient (qCO2 in the rainy season of February 2007. At this time, this microbial activity was higher in the advanced restoration stage without eucalypt than initial restoration without eucalypt and advanced restoration with eucalypt. The restoration areas, in general, did not differ from the control: eucalypt plantation and Cerrado either. Compared to the forest, the levels of organic C, microbial C, basal respiration (Rbasal and hydrolysis of fluorescein diacetate (FDA in the restoration areas were, in general, lower and did not differ in qCO2 and microbial quotient (qMIC. In general, the soil quality was similar in the initial and advanced restoration stages. Most of the soil and microbial properties in the three years indicated that the restoration areas were most similar to the Cerrado. In the advanced restoration areas without eucalypt compared to Cerrado, the lower Rbasal in the 3rd year and the lower FDA and qMIC and

  19. The Clinical Application of Noninvasive Repair Technique for the Treatment of Dental Caries of Deciduous Teeth%无创伤性修复技术治疗儿童乳牙龋齿临床研究应用

    Institute of Scientific and Technical Information of China (English)

    刘红娟

    2015-01-01

    Objective To analyze the clinical effect of noninvasive repair technology for treatment of dental caries of deciduous teeth in children. Methods 110 cases of primary molars with caries were chosen during the May 2013 to 2014 July in our hospital, according to principle of random distribution, the 110 cases of primary molars with caries were randomly divided into observation group and control group, 55 patients in each group. Patients in the observation group adopted non traumatic repair surgery treatment, against a control group of stannous fluoride treatment, after the end of treatment the curative effect in the two groups of children with were compared. Results The observation group were treated with atraumatic restorative treatment, 55 cases in 45 cases were successfully treated, efficiency has reached 96.4%, and control group treated with stannous fluoride treatment of, only 32 cases were successfully cured, efficiency was 74.5%, compared to the efficacy of the two groups after treatment in children with, the differences of statistical significance (P Conclusion Traumatic repair in the treatment of caries in children has more significant effect, effectively promote the children's health, improve the quality of life of children.%目的:对无创伤性修复技术治疗儿童乳牙龋齿的临床效果进行分析。方法选取2013年5月~2014年7月本院接受治疗的110例乳牙龋齿患儿,按照随机分配的原则,将这110例乳牙龋齿患儿随机分成观察组和对照组,每组55例患儿,对观察组患儿采取无创伤性修复术治疗,对对照组采取氟化亚锡治疗,治疗结束后对两组患儿的治疗疗效进行比较。结果对观察组患儿采用无创伤性修复术治疗后,55例患儿中45例患儿成功治愈,有效率达为96.4%,而对对照组患儿采用氟化亚锡治疗后,仅32例患儿成功治愈,有效率为74.5%,两组患儿治疗后的疗效相比,差异有统计学意义(P <0.05

  20. Effects of Restoration Techniques on Soil Carbon and Nitrogen Dynamics in Florida Longleaf Pine (Pinus palustris Sandhill Forests

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    Martin Lavoie

    2014-03-01

    Full Text Available Historic fire suppression and intensive forest management in longleaf pine (Pinus palustris sandhill forests has resulted in hardwood encroachment and degradation of this fire-dependent ecosystem. Active management is now required to restore native community structure and composition, but little is known about the long-term impacts of typical restoration techniques on ecosystem properties. In 1994, the Longleaf Pine Restoration Project (LPRP was established in fire-excluded longleaf pine sandhills of Eglin Air Force Base, Florida, to explore the effects of restoration treatments on plant and animal community composition and soil processes. Experimental treatments applied included three hardwood reduction techniques and delayed burn. Reference sites were concurrently monitored. Fifteen years later, we revisited the LPRP plots to determine whether soil processes showed lasting treatment effects. This study showed that there were no differences in soil C and N between the reference and the fire-suppressed plots prior to the treatments, suggesting that soil C and N were relatively resistant to degradation. This study also showed that the restoration treatments had a significant effect by reducing soil C, but this effect was only short-lived (<3 years. In addition, a MRPP (multi-response permutation procedure analysis showed that only the herbicide treatment was still different from the reference plots 15 years after the initial treatments. Thus, this study suggests that repeated fires (or lack of or hardwood removal treatments have little detectable effect on soil nutrients in these nutrient-poor ecosystems.