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Sample records for vertical root fracture

  1. Medico-legal aspects of vertical root fractures in root filled teeth

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    Rosen, E; Tsesis, I; Tamse, A

    2012-01-01

    To analyse the medico-legal aspects of vertical root fracture (VRF) following root canal treatment (RCT).......To analyse the medico-legal aspects of vertical root fracture (VRF) following root canal treatment (RCT)....

  2. Treatment of a Vertical Root Fracture Using Dual-Curing Resin Cement: A Case Report

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    Nima Moradi Majd

    2012-01-01

    Full Text Available Introduction. Vertical root fracture (VRF is one of the most frustrating complications of root canal treatment. The prognosis of the root with VRF is poor therefore tooth extraction and root amputation are usually the only treatment options. However, bonding of the fracture line with adhesive resin cement during the intentional replantation procedure was recently suggested as an alternative to tooth extraction. Methods. A vertically fractured left maxillary incisor was carefully extracted, fracture line was treated with adhesive resin cement, a retrograde cavity was produced and filled with calcium-enriched mixture (CEM cement, and tooth was replanted. Results. After 12 months the tooth was asymptomatic. The size of periapical radiolucency was noticeably reduced and there was no clinical sign of ankylosis. Conclusion. Using adhesive resin cement to bond the fracture lines extraorally in roots with VRF and intentional replantation of the reconstructed teeth could be considered as an alternative to tooth extraction, especially for anterior teeth.

  3. The 'Sharpen' filter improves the radiographic detection of vertical root fractures.

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    Nascimento, H A R; Ramos, A C A; Neves, F S; de-Azevedo-Vaz, S L; Freitas, D Q

    2015-05-01

    To compare the diagnostic accuracy of digital enhancement filters in the diagnosis of vertical root fractures. The sample consisted of 40 single-rooted teeth randomly divided into two groups: experimental and control. Vertical root fractures were induced in the experimental group using a universal testing machine. All teeth were individually radiographed with three different horizontal angles using the Digora Optime(®) digital system. Three observers separately examined the original and filtered images (3D Emboss, Negative, Sharpen and Shadow). The area under Receiver Operating Characteristic curve values (Az) for each protocol were compared by one-way anova with post hoc Bonferroni test. The significance level was set at 5%. The highest Az value was obtained using the Sharpen filter, with significant differences from the original and other filtered images (P detection of vertical root fractures. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  4. Comparison of five cone beam computed tomography systems for the detection of vertical root fractures

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    Hassan, B.; Metska, M.E.; Ozok, A.R.; van der Stelt, P.; Wesselink, P.R.

    2010-01-01

    Introduction This study compared the accuracy of cone beam computed tomography (CBCT) scans made by five different systems in detecting vertical root fractures (VRFs). It also assessed the influence of the presence of root canal filling (RCF), CBCT slice orientation selection, and the type of tooth

  5. Performance of an artificial neural network for vertical root fracture detection: an ex vivo study.

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    Kositbowornchai, Suwadee; Plermkamon, Supattra; Tangkosol, Tawan

    2013-04-01

    To develop an artificial neural network for vertical root fracture detection. A probabilistic neural network design was used to clarify whether a tooth root was sound or had a vertical root fracture. Two hundred images (50 sound and 150 vertical root fractures) derived from digital radiography--used to train and test the artificial neural network--were divided into three groups according to the number of training and test data sets: 80/120,105/95 and 130/70, respectively. Either training or tested data were evaluated using grey-scale data per line passing through the root. These data were normalized to reduce the grey-scale variance and fed as input data of the neural network. The variance of function in recognition data was calculated between 0 and 1 to select the best performance of neural network. The performance of the neural network was evaluated using a diagnostic test. After testing data under several variances of function, we found the highest sensitivity (98%), specificity (90.5%) and accuracy (95.7%) occurred in Group three, for which the variance of function in recognition data was between 0.025 and 0.005. The neural network designed in this study has sufficient sensitivity, specificity and accuracy to be a model for vertical root fracture detection. © 2012 John Wiley & Sons A/S.

  6. [Distortion and vertical fracture of the root: effect produced by condenser design].

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    Dang, D A; Walton, R E

    1990-01-01

    The incidence of vertical root fractures and the amount of root distortion created during lateral condensation of gutta-percha with either D11 spreaders or B-finger pluggers were evaluated in vitro. Fifty-five extracted human, single-rooted teeth were instrumented using the step-back flare technique. Ten teeth served as positive controls (obturation to the point of fracture) and five teeth as negative controls (prepared but not obtured). Strain gauges were attached to the root surfaces. In the experimental group, 20 teeth were obturated using a D11 spreader and 20 with a B-finger plugger. Recordings were made of root distortion (expansion) created during obturation. Then, after sectioning the teeth, root surfaces of obturated samples were examined for fractures under the scanning electron microscope. Only the more tapered spreader, the D11, produces vertical root fractures, although very few in number. Also, the D11 spreader caused greater root distortion than did the B-finger plugger.

  7. Vertical root fracture: a case report and review of the literature

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    Abdullah Alsani

    2017-06-01

    Conclusion: The combination of comprehensive clinical and radiographic examination is essential to diagnose vertical root fracture. The effectiveness of different treatment options should be evaluated with long-term follow up. Treatment plan need to be discussed with the patient as part of evidence base practice.

  8. Reverse contrast enhancement in digital radiography in detection of vertical root fracture (in vitro

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    Sandra Mehralizadeh

    2015-07-01

    Full Text Available Background and Aims: Diagnosis of vertical root fractures often poses a clinical dilemma. Diagnosis of VRF in intraoral radiographs, except in cases where the beam is perpendicular to the direction of fracture is difficult. Misdiagnosis often leads to wrong decisions about the design of teeth future treatment plan. The aim of this study was to determine the diagnostic accuracy of reverse contrast enhancement options in digital radiography, and to compare it with the original images to find a suitable method to detect vertical root fracture.   Materials and Methods: In this experimental study, digital radiography with phosphor plate detector was taken from 40 extracted single root teeth. From each intact and fractured tooth, the original and reverse contrast images captured and stored. Two expert observers viewed the images twice with an interval of two weeks. Diagnostic criteria (Accuracy, PPV, NPV, Specificity and Sensitivity in form of absolute and complete for each observer and each images was calculated. Inter and intra observer reliability was obtained using Mc-Nemar test.   Results: No significant differences in inter-observer reliability between the initial appearance and reverse contrast was observed (P>0.05, but in view of the intra-observer reliability in two cases, the difference was significant (P0.05, whereas significant difference between the two images was found in NPV index (P<0.05.   Conclusion: The use of reverse contrast enhancement option for detection of vertical root fracture did not show significant difference from initial view.

  9. Root fractures

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Christensen, Søren Steno Ahrensburg; Tsilingaridis, Georgios

    2012-01-01

    The purpose of this study was to analyze tooth loss after root fractures and to assess the influence of the type of healing and the location of the root fracture. Furthermore, the actual cause of tooth loss was analyzed.......The purpose of this study was to analyze tooth loss after root fractures and to assess the influence of the type of healing and the location of the root fracture. Furthermore, the actual cause of tooth loss was analyzed....

  10. New treatment option for an incomplete vertical root fracture--a preliminary case report.

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    Hadrossek, Paul Henryk; Dammaschke, Till

    2014-03-26

    Instead of extraction this case report presents an alternative treatment option for a maxillary incisor with a vertical root fracture (VRF) causing pain in a 78-year-old patient. After retreatment of the existing root canal filling the tooth was stabilized with a dentine adhesive and a composite restoration. Then the tooth was extracted, the VRF gap enlarged with a small diamond bur and the existing retrograde root canal filling removed. The enlarged fracture line and the retrograde preparation were filled with a calcium-silicate-cement (Biodentine). Afterwards the tooth was replanted and a titanium trauma splint was applied for 12d. A 24 months clinical and radiological follow-up showed an asymptomatic tooth, reduction of the periodontal probing depths from 7 mm prior to treatment to 3 mm and gingival reattachment in the area of the fracture with no sign of ankylosis. Hence, the treatment of VRF with Biodentine seems to be a possible and promising option.

  11. Vertical Root Fracture initiation in curved roots after root canal preparation: A dentinal micro-crack analysis with LED transillumination.

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    Miguéns-Vila, Ramón; Martín-Biedma, Benjamín; Varela-Patiño, Purificación; Ruíz-Piñón, Manuel; Castelo-Baz, Pablo

    2017-10-01

    One of the causative factors of root defects is the increased friction produced by rotary instrumentation. A high canal curvature may increase stress, making the tooth more susceptible to dentinal cracks. The purpose of this study was to evaluate dentinal micro-crack formation with the ProTaper NEXT and ProTaper Universal systems using LED transillumination, and to analyze the micro-crack generated at the point of maximum canal curvature. 60 human mandibular premolars with curvatures between 30-49° and radii between 2-4 mm were used. The root canals were instrumented using the Protaper Universal® and Protaper NEXT® systems, with the aid of the Proglider® system. The obtained samples were sectioned transversely before subsequent analysis with LED transillumination at 2 mm and 8 mm from the apex and at the point of maximum canal curvature. Defects were scored: 0 for no defects; and 1 for micro-cracks. Root defects were not observed in the control group. The ProTaper NEXT system caused fewer defects (16.7%) than the ProTaper Universal system (40%) ( P Rotary instrumentation systems often generate root defects, but the ProTaper NEXT system generated fewer dentinal defects than the ProTaper Universal system. A higher prevalence of defects was found at the point of maximum curvature in the ProTaper Universal group. Key words: Curved root, Micro-crack, point of maximum canal curvature, ProTaper NEXT, ProTaper Universal, Vertical root fracture.

  12. Vertical Root Fracture: Preservation of the Alveolar Ridge Using Immediate Implants

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    Edmar de Oliveira Oya

    2014-01-01

    Full Text Available Teeth with vertical root fracture (VRF have complete or incomplete fractures that begin in the root and extend toward the occlusal surface. The most frequent causes of VRF originate from physical trauma, occlusal prematurity, inadequate endodontic treatment, and iatrogenic causes. Diagnose is difficult and delay can cause stomatognathic system problem. The purpose of this case report was to evaluate immediate implant placement after extraction of teeth with vertical root fracture. For the 1st case, the VRF in 1st left lower molar was confirmed during surgical flap and at the same time, the tooth was removed and immediate implant was placed. For the 2nd case, the VRF 1st left lower molar was confirmed during endodontic access and at the same appointment, the tooth was removed and the immediate implant is placed. Several studies have shown that immediate implants have similar success rates when compared with late implants. Consider that this approach is a safe procedure with favorable prognosis. In cases of VRF, the main factor to be considered is the presence of adequate bone support and immediate implants can preserve the vertical bone height, adding the fact that good patient compliance reduces the number of surgical interventions and promotes the functionality of stomatognathic system.

  13. Influence of different final irrigation regimens and various endodontic filling materials on vertical root fracture resistance.

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    Sungur, D D; Altundasar, E; Uzunoglu, E; Yilmaz, Z

    2016-01-01

    The aim of this study was to evaluate the influence of different endodontic materials and final irrigation regimens on vertical root fracture (VRF) resistance. Eighty human teeth were prepared then assigned into two groups (n = 40) according to the final irrigations. G1: 5 mL, 5.25% sodium hypochlorite (NaOCl), G2: 5 mL, 2% chlorhexidine gluconate (CHX). Each group was assigned into four subgroups according to the obturation system used (n = 10): A: iRoot SP/single gutta-percha cone (SGP), B: Only iRoot SP, C: Mineral trioxide aggregate (MTA)-Fillapex/SGP, D: AH26/SGP. The specimens were embedded in acrylic molds and subjected to compressive loading at a rate of 1 mm min until VRF occurred. Data were analyzed via three-way ANOVA tests. The statistically significant difference was found among groups (P resistance of root canals filled with different obturation technique and root canal sealers.

  14. Effect of root morphology on the susceptibility of endodontically treated teeth to vertical root fracture: An ex-vivo model.

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    Pilo, Raphael; Metzger, Zvi; Brosh, Tamar

    2017-05-01

    Vertical root fracture (VRF) of endodontically treated teeth is relatively common, and the involved teeth have a poor prognosis. Previous destructive methodologies applied force to the root in an uneven manner; thus, the associated experiments could not truly assess the mechanical behavior of VRF. This problem was resolved in the current study via the novel application of a bursting pressure methodology to endodontically treated maxillary central incisors and premolars. Hydrostatic pressure was applied inside the root canal through a cannula bonded to the coronal access cavity, and the apical foramen was sealed. VRFs were observed as water burst from the fractured root surface. Morphometric parameters were measured by staining and serially sectioning the roots. The bursting pressure was significantly lower in the premolars compared with that in the incisors (19.1±3.3MPa and 25.5. ±4.5MPa, respectively, p=0.001). Cracks in the roots appeared from the apex to the cement enamel junction (CEJ) (61%), apex to mid-root (26%) and mid-root to CEJ (13%), and they involved either two root surfaces (52%) or one root surface (48%) and closely resembled clinical VRF cases. Positive correlations were found between the bursting pressure and the proximal root wall thickness, whereas correlations were not observed between the bursting pressure and the buccal or lingual wall thicknesses. Statistical Analyses of Covariance (ANCOVA) models showed that the proximal wall thickness and an elliptically shaped root cross section were the variables that indicated the differences in strength between premolars, which are more prone to VRF, and maxillary central incisors, which are less prone to VRF. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Vertical root fracture associated with prolonged use of calcium hydroxide during apexification. A case report.

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    Jennifer Ribadeneira

    2015-04-01

    Full Text Available Apexification is a procedure performed in young permanent teeth to promote apical closure and root elongation if Hertwig’s epithelial sheath has not been irreversibly damaged. The objective of this article is to describe vertical root fracture as a complication during apexification when using calcium hydroxide for extended periods of time. The patient was a 9-year-old female student who went to the Faculty of Dentistry of the Universidad Andres Bello in Concepcion. She presented strong and spontaneous pain and pressure and swelling on the left cheek. Clinically, the vestibule of the lower left first molar (3.6 was edematous and had pus. Radiographically, lesions and open apices were seen in the apical zone. Diagnosis was pulp necrosis and acute apical abscess. The tooth was trephined to perform intracanal drainage and an oral antibiotic was prescribed. Afterwards, she was referred to the endodontic specialty office. The selected treatment was apexification with calcium hydroxide until achieving the formation of an apical barrier. When the apical formation was observed, a vertical root fracture was discovered as well, confirming that the use of calcium hydroxide should not be prolonged because dehydration processes lead to weakening of the walls and therefore of the tooth

  16. [Vertical fractures: apropos of 2 clinical cases].

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    Félix Mañes Ferrer, J; Micò Muñoz, P; Sánchez Cortés, J L; Paricio Martín, J J; Miñana Laliga, R

    1991-01-01

    The aim of the study is to present a clinical review of the vertical root fractures. Two clinical cases are presented to demonstrates the criteria for obtaining a correct diagnosis of vertical root fractures.

  17. Diagnosis of vertical root fracture in endodontically treated teeth using computed tomography

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    Chih-Chia Huang

    2015-09-01

    Full Text Available Vertical root fracture (VRF is defined as a root fracture in the longitudinal direction, extending from the root to the crown on facial or lingual surfaces. Most VRFs occur in endodontically treated teeth, and the symptoms are similar to those of chronic apical periodontitis or chronic periodontitis. Diagnosing VRF with periapical radiography is difficult. Conversely, cone beam computed tomography (CBCT provides three-dimensional images and is better at diagnosing VRF than periapical radiography. Therefore, dentists should know how to operate CBCT to obtain clear images and reduce image artifact interferences, thus achieving higher diagnostic accuracy. CBCT imaging includes acquisition configuration, image detection, image reconstruction, and image display. We retrospectively examined four human studies and 19 in vitro studies and focused on certain imaging parameters: field of view selection, voxel size, proper detectors, different image processing methods, and the influence of posts on clear image acquisition. Finally, we discuss the experimental design faults in the reviewed in vitro studies and suggest improvements for future CBCT techniques to achieve higher VRF diagnostic accuracy.

  18. Comparison of the force required to fracture roots vertically after ultrasonic and Masserann removal of broken instruments.

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    Gerek, M; Başer, E D; Kayahan, M B; Sunay, H; Kaptan, R F; Bayırlı, G

    2012-05-01

    To evaluate the force required to fracture roots vertically after the removal of broken instruments using ultrasonic tips and a Masserann kit. Thirty-nine extracted human anterior teeth with single and straight roots were used. The crown of each tooth was removed until the full length of the tooth was 13 mm. All canals were instrumented with the step-back technique to a size 25 K-file. The teeth were randomly divided into three groups: two experimental groups and a control group. The size 30 K-files used for the test were notched to a depth of half of the instrument with a No. 2 round bur at a point 3 mm from the tip to facilitate breakage of the file at this point. The fractured instruments were removed from the canals using ultrasonic tips or a Masserann kit. The samples were subjected to a continual vertical loading, using a universal testing machine. For each root, the force at the time of fracture was recorded in Newtons. The results were analysed statistically using one-way anova and Tukey HSD test. The force required to fracture the roots vertically was significantly higher in the control group than the experimental groups (P ultrasonic tips required more force to fracture than roots in the Masserann group; however, the difference was not statistically significant. Removal of a fractured instrument from the middle third of the root decreased the force required to fracture the root vertically, regardless of the technique used for instrument removal. There was not difference between the ultrasonic technique and the Masserann technique. © 2011 International Endodontic Journal.

  19. Influence of Intracanal Materials in Vertical Root Fracture Pathway Detection with Cone-beam Computed Tomography.

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    Dutra, Kamile Leonardi; Pachêco-Pereira, Camila; Bortoluzzi, Eduardo Antunes; Flores-Mir, Carlos; Lagravère, Manuel O; Corrêa, Márcio

    2017-07-01

    Investigating the vertical root fracture (VRF) pathway under different clinical scenarios may help to diagnose this condition properly. We aimed to determine the capability and intrareliability of VRF pathway detection through cone-beam computed tomographic (CBCT) imaging as well as analyze the influence of different intracanal and crown materials. VRFs were mechanically induced in 30 teeth, and 4 clinical situations were reproduced in vitro: no filling, gutta-percha, post, and metal crown. A Prexion (San Mateo, CA) 3-dimensional tomographic device was used to generate 104 CBCT scans. The VRF pathway was determined by using landmarks in the Avizo software (Version 8.1; FEI Visualization Sciences Group, Burlington, MA) by 1 observer repeated 3 times. Analysis of variance and post hoc tests were applied to compare groups. Intrareliability demonstrated an excellent agreement (intraclass correlation coefficient mean = 0.93). Descriptive analysis showed that the fracture line measurement was smaller in the post and metal crown groups than in the no-filling and gutta-percha groups. The 1-way analysis of variance test found statistically significant differences among the groups measurements. The Bonferroni correction showed statistically significant differences related to the no-filling and gutta-percha groups versus the post and metal crown groups. The VRF pathway can be accurately detected in a nonfilled tooth using limited field of view CBCT imaging. The presence of gutta-percha generated a low beam hardening artifact that did not hinder the VRF extent. The presence of an intracanal gold post made the fracture line appear smaller than it really was in the sagittal images; in the axial images, a VRF was only detected when the apical third was involved. The presence of a metal crown did not generate additional artifacts on the root surface compared to the intracanal gold post by itself. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc

  20. Comparative assessment of the incidence of vertical root fractures between conventional versus surgical endodontic retreatment.

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    Karygianni, L; Krengel, M; Winter, M; Stampf, S; Wrbas, K T

    2014-11-01

    Vertical root fractures (VRFs) are a common cause of tooth loss. Little evidence exists though, relating the incidence of VRFs to the type of endodontic retreatment. This retrospective study aimed at evaluating the impact of conventional versus surgical endodontics on root canal-filled teeth with VRFs. Over a period of 13 years, 200 endodontically retreated teeth from 192 patients with VRFs were extracted and further examined. VRFs were assessed in relation to age, gender, tooth group, clinical signs, extension on the root surface, patency, as well as type of endodontic retreatment and restoration. Statistical analysis was conducted using a Cox PH Model, Chi-squared, Wilcoxon rank-sum, and Log rank tests at a significance level of 5 %. The majority of teeth with VRFs (62.31 %) had undergone the combination of conventional root canal retreatment and apical surgery. Women (64.06 %) presented VRFs more frequently than men (35.94 %) at the mean age of 51.1 and 55.1 years, respectively. Maxillary first (17.5 %) and second (16.5 %) premolars, restored by a resin-based material without a post (56.28 %) were more susceptible to VRFs. Apically initiated (84.1 %) VRFs could be diagnosed more easily on radiographs. The type of endodontic treatment strongly correlated with VRFs. The prevalence of VRFs in teeth having undergone both conventional and surgical endodontic retreatment could be attributed, among others, to additive dentin damage related to the aforementioned endodontic procedures. The possible involvement of endodontic retreatment in the multifactorial etiology of VRFs needs to be taken into consideration in clinical practice.

  1. Incidence of Dentinal Defects and Vertical Root Fractures after Endodontic Retreatment and Mechanical Cycling.

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    De Carlo Bello, Mariana; Pillar, Rafael; Mastella Lang, Pauline; Michelon, Carina; Abreu da Rosa, Ricardo; Souza Bier, Carlos Alexandre

    2017-01-01

    The aim of this study was to evaluate the incidence of dentinal defects and vertical root fractures (VRFs) after endodontic retreatment and mechanical cycling (MC). Two hundred mandibular premolars were selected. Forty teeth were left unprepared (control group). The remaining 160 root canals were prepared with ProTaper instruments and filled by using two different techniques [eighty with lateral compaction (LC) and eighty with single-cone (SC)]. Forty canals from each group (LC and SC) received no further treatment. The remaining eighty teeth were divided into two groups (LCR and SCR) ( n =40) in order to undergo the removal of the root filling, re-preparation and refilling with lateral compaction and single-cone, respectively. All of the teeth were subjected to MC (1000000 cycles, 130 N, 2.2 Hz and 37 ° C). The roots were sectioned at 3, 6 and 9 mm from the apex and observed under 20× magnification. The defects were classified as: no defect, VRF and other defects . Statistical analysis was performed using the Fisher's Exact test and the Chi -Squared tests ( α =0.05). MC alone did not promote any other defects or VRFs. Experimental groups presented higher dentinal defects than the control group ( P =0.021). Retreatment groups did not present a higher amount of dentinal defects than the groups that were subjected to the first treatment ( P >0.05). Endodontic treatment and retreatment, regardless of the filling technique and MC, did not influence the occurrence of dentinal defects or VRFs in the human premolars.

  2. Assessment of vertical root fractures using three imaging modalities: cone beam CT, intraoral digital radiography and film

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    Kambungton, J; Janhom, A; Prapayasatok, S; Pongsiriwet, S

    2012-01-01

    Objectives The aim of this study was to assess the accuracy of cone beam CT (CBCT) in detecting vertical root fractures and to compare the accuracy with images from an intraoral sensor and from conventional intraoral film. Methods 60 extracted, single-rooted human teeth were divided equally into two groups: a control group of 30 teeth and an induced fracture group of 30 teeth. All teeth were randomly placed into sockets in six dry mandibles. Each tooth was imaged by three modalities: CBCT, intraoral digital radiography and intraoral F-speed film. Three beam angulations (an orthogonal projection and additional projections with ±20° horizontal shifts of the central ray) were used when radiographs were made using film and a digital sensor. Three oral and maxillofacial radiologists evaluated the presence of root fractures twice in each image modality using a five-point confidence rating scale. Areas under receiver operating characteristic curves (Az) were computed for each observer and modality and were tested for statistical differences using the Kruskal–Wallis test. Results There was no statistical difference in the performance of the three modalities (mean of Az values: CBCT = 0.811, film = 0.797 and sensor = 0.775; p = 0.771). Conclusions There was no significant difference between intraoral film, a high-resolution complementary metal oxide semiconductor digital imaging system and CBCT in detecting vertical root fractures in mandibular single-rooted teeth. PMID:22301636

  3. Assessment of vertical root fractures using three imaging modalities: cone beam CT, intraoral digital radiography and film.

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    Kambungton, J; Janhom, A; Prapayasatok, S; Pongsiriwet, S

    2012-02-01

    The aim of this study was to assess the accuracy of cone beam CT (CBCT) in detecting vertical root fractures and to compare the accuracy with images from an intraoral sensor and from conventional intraoral film. 60 extracted, single-rooted human teeth were divided equally into two groups: a control group of 30 teeth and an induced fracture group of 30 teeth. All teeth were randomly placed into sockets in six dry mandibles. Each tooth was imaged by three modalities: CBCT, intraoral digital radiography and intraoral F-speed film. Three beam angulations (an orthogonal projection and additional projections with ± 20° horizontal shifts of the central ray) were used when radiographs were made using film and a digital sensor. Three oral and maxillofacial radiologists evaluated the presence of root fractures twice in each image modality using a five-point confidence rating scale. Areas under receiver operating characteristic curves (A(z)) were computed for each observer and modality and were tested for statistical differences using the Kruskal-Wallis test. There was no statistical difference in the performance of the three modalities (mean of A(z) values: CBCT = 0.811, film = 0.797 and sensor = 0.775; p = 0.771). There was no significant difference between intraoral film, a high-resolution complementary metal oxide semiconductor digital imaging system and CBCT in detecting vertical root fractures in mandibular single-rooted teeth.

  4. Diagnostic Value of Cone-Beam Computed Tomography and Periapical Radiography In Detection of Vertical Root Fracture

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    Ezzodini Ardakani, Fatemeh; Razavi, Seyed Hossein; Tabrizizadeh, Mehdi

    2015-01-01

    Introduction: Vertical root fracture (VRF) is the longitudinal fracture of the root in endodontically treated teeth. Considering the limitations of two-dimensional radiographic images in detection of VRF and introduction of cone-beam computed tomography (CBCT), this study was designed to find the sensitivity, specificity and accuracy of CBCT and periapical (PA) radiography in detection of VRFs. Methods and Materials: This was a cross-sectional in vitro study on 80 extracted human single canal teeth including 40 maxillary and 40 mandibular teeth. After standardized endodontic treatment of the roots, VRF was induced in half of the teeth in each group, and other half were left without fracture. Teeth were inserted in dry maxillary and mandibular alveoli. PA radiographs and CBCT images were taken from the specimens. Data were analyzed with SPSS software. The McNemar test was used to evaluate the sensitivity, specificity and accuracy of images, and kappa coefficient was used to assess the degree of agreement between the observers. The level of significance was set at 0.05. Results: Sensitivity and specificity values of CBCT were 97.5% and 95%, respectively. However, for PA radiography the sensitivity and specificity were 67.5% and 92.5%, in order of appearance. Accuracy of CBCT (96.25%) and PA radiography (80%) in both jaws were significantly different (P=0.022). Two methods were not significantly different when testing specificity (P=0.298). Conclusion: This study showed that the sensitivity and accuracy of CBCT in detection of vertical root fracture are higher than periapical radiography. CBCT can be recommended to be used in detection of vertical root fractures. PMID:25834597

  5. Long-term regional bond strength of three MMA-based adhesive resins in simulated vertical root fracture.

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    Nurrohman, Hamid; Nikaido, Toru; Sadr, Alireza; Takagaki, Tomohiro; Kitayama, Shuzo; Ikeda, Masaomi; Waidyasekera, Kanchana; Tagami, Junji

    2011-01-01

    The purpose of this study was to investigate bond durability of MMA-based adhesives to root dentin in a simulated complete vertical root fracture (CVRF). The fractured fragments of human premolar root were reattached using Super-Bond C&B (SB; Sun Medical), M-Bond or M-Bond II (MB or MB II; Tokuyama Dental). After storage for 1 day, 1 month, 6 months and 1 year, the reattached specimens were subjected to microtensile bond strength (µTBS) test at cervical and apical regions. Results showed that µTBS was significantly higher to cervical dentin than to apical dentin in MB and MB II, but not SB (pMMA-based adhesives used to restore CVRF, that may lead to different clinical performances.

  6. The ability of cone-beam computerized tomography to detect vertical root fractures in endodontically treated and nonendodontically treated teeth: a report of 3 cases

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    Zou, X.; Liu, D.; Yue, L.; Wu, M.K.

    2011-01-01

    A definitive diagonosis of vertical root fracture (VRFs) is often a challenging task for clinicians. Twodimensional periapical radiographs (PRs) may be not helpful in such a diagnosis when the x-ray beam is not parallel to the plane of the fracture line. This report presents a set of 3 cases in

  7. Detection of Simulated Vertical Root Fractures: Which Cone-beam Computed Tomographic System Is the Most Accurate?

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    Elsaltani, Mohamed Hussein; Farid, Mary Medhat; Eldin Ashmawy, Mostafa Saad

    2016-06-01

    We aimed to compare the diagnostic accuracy of 5 cone-beam computed tomographic (CBCT) systems in detecting vertical root fractures (VRFs) and to assess whether fracture identification is affected by the presence of root canal filling. Eighty extracted posterior teeth were included in this study. They were grouped according to the presence/absence of VRFs and the presence/absence of endodontic treatment. The teeth were then inserted in 5 dry skull/mandible assemblies. CBCT scans were performed using 5 different commercially available systems. Two observers evaluated the resultant multiplanar images twice for VRFs using a 3-point scale. i-CAT (Imaging Sciences International, Hatfield, PA) showed the highest diagnostic accuracy in the detection of VRFs among the 5 investigated CBCT systems. The presence of root canal filling did not significantly decrease the ability to detect VRFs by all the studied systems. In the detection of VRFs in endodontically treated teeth, i-CAT was the most accurate, whereas 3D Accuitomo (J. Morita, Kyoto, Japan) was the least. Interobserver agreement was moderate for the i-CAT and fair for the rest of the studied modalities, whereas intraobserver agreement was good for the Scanora 3D (Soredex, Tuusula, Finland) and moderate for images from the other CBCT machines. At the specified exposure parameters in the detection of VRFs in non-root canal-filled teeth, i-CAT showed the highest diagnostic accuracy followed by Planmeca Promax 3D (Planmeca, Helsinki, Finland), Scanora 3D, Accuitomo 3D, and Galileos 3D (Sirona Dental Systems, Bensheim, Germany), respectively. In the detection of VRFs in root canal-filled teeth, i-CAT showed the highest diagnostic accuracy followed by Planmeca Promax 3D, Scanora 3D, Galileos Comfort (Sirona Dental Systems), and Accuitomo 3D. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  8. Comparison of periapical radiography with cone beam computed tomography in the diagnosis of vertical root fractures in teeth with metallic post

    OpenAIRE

    Wilton Mitsunari Takeshita; Lilian Cristina Vessoni Iwaki; Mariliani Chicarelli da Silva; Sergio Sabio; Paulo Ricardo Febrairo Albino

    2014-01-01

    Aim: To compare the diagnostic accuracy of conventional periapical radiography and cone beam computed tomography (CBCT) in detecting vertical root fracture (VRF) in tooth with metallic post (MP). Materials and Methods: Twenty endodontically-treated teeth received MPs, artificial fractures were created in 10 teeth, and they were all examined with tomography and radiography. The sample consisted of periapical radiography with post and without post, and tomography with post and without post;...

  9. Implant-associated Vertical Root Fracture in Adjacent Endodontically Treated Teeth: A Case Series and Systematic Review.

    Science.gov (United States)

    Rosen, Eyal; Beitlitum, Ilan; Tamse, Aviad; Taschieri, Silvio; Tsesis, Igor

    2016-06-01

    This study aimed to report a possible effect of the presence of an adjacent implant on the development of a vertical root fracture (VRF) in endodontically treated teeth. A series of 8 cases in 7 patients with teeth diagnosed with VRF after the placement of implants in the adjacent area is described and analyzed. In addition, a comprehensive literature search with strict inclusion and exclusion criteria was undertaken to identify additional clinical studies that assessed this clinical scenario. The case series analysis revealed that the time from implant placement to the diagnosis of VRF was between 5 and 28 months (average = 11 months). The majority of cases occurred in female patients who received 2 or more implants. Six of the 7 patients were older than 40 years, with an average age of 54 years. The majority of teeth with VRF were premolar or mandibular molar teeth (6/8 teeth). All fractured teeth had been restored with a crown and had a post present, and the quality of the root canal filling was determined to be adequate. The systematic review revealed that implant-associated VRF has not been investigated or reported in the literature yet. Based on a systematic review of the literature, this case series, although limited in its extent, is the first clinical report of a possible serious adverse event of implant-associated VRF in adjacent endodontically treated teeth. Additional clinical studies are indicated to shed light on this potential phenomenon. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  10. Effect of time lapse on the diagnostic accuracy of cone beam computed tomography for detection of vertical root fractures

    Energy Technology Data Exchange (ETDEWEB)

    Eskandarloo, Amir; Shokri, Abbas, E-mail: Dr.a.shokri@gmail.com [Dental Research Center, Department of Oral and Maxillofacial Radiology, Hamadan University of Medical Sciences, Hamadan (Iran, Islamic Republic of); Asl, Amin Mahdavi [Department of Oral and Maxillofacial Radiology, Golestan University of Medical Sciences, Gorgan (Iran, Islamic Republic of); Jalalzadeh, Mohsen [Department of Endodontics, Hamadan University of Medical Sciences, Hamadan (Iran, Islamic Republic of); Tayari, Maryam [Department of Pedodontics, Golestan University of Medical Sciences, Gorgan (Iran, Islamic Republic of); Hosseinipanah, Mohammad [Department of Anatomy, School of Medicine, Hamadan University of Medical Sciences, Hamadan (Iran, Islamic Republic of); Fardmal, Javad [Research Center for Health Sciences and Department of Epidemiology and Biostatistics, School of Public Health, Hamadan University of Medical Sciences, Hamadan (Iran, Islamic Republic of)

    2016-01-15

    Accurate and early diagnosis of vertical root fractures (VRFs) is imperative to prevent extensive bone loss and unnecessary endodontic and prosthodontic treatments. The aim of this study was to assess the effect of time lapse on the diagnostic accuracy of cone beam computed tomography (CBCT) for VRFs in endodontically treated dog’s teeth. Forty eight incisors and premolars of three adult male dogs underwent root canal therapy. The teeth were assigned to two groups: VRFs were artificially induced in the first group (n=24) while the teeth in the second group remained intact (n=24). The CBCT scans were obtained by NewTom 3G unit immediately after inducing VRFs and after one, two, three, four, eight, 12 and 16 weeks. Three oral and maxillofacial radiologists blinded to the date of radiographs assessed the presence/absence of VRFs on CBCT scans. The sensitivity, specificity and accuracy values were calculated and data were analyzed using SPSS v.16 software and ANOVA. The total accuracy of detection of VRFs immediately after surgery, one, two, three, four, eight, 12 and 16 weeks was 67.3%, 68.7%, 66.6%, 64.6%, 64.5%, 69.4%, 68.7%, 68% respectively. The effect of time lapse on detection of VRFs was not significant (p>0.05). Overall sensitivity, specificity and accuracy of CBCT for detection of VRFs were 74.3%, 62.2%, 67.2% respectively. Cone beam computed tomography is a valuable tool for detection of VRFs. Time lapse (four months) had no effect on detection of VRFs on CBCT scans. (author)

  11. Impact of root fillings and posts on the diagnostic ability of three intra-oral digital radiographic systems in detecting vertical root fractures.

    Science.gov (United States)

    Nascimento, H A R; Neves, F S; de-Azevedo-Vaz, S L; Duque, T M; Ambrosano, G M B; Freitas, D Q

    2015-09-01

    To evaluate (i) the accuracy of three intra-oral digital systems in detecting vertical root fractures (VRFs); and (ii) the influence of different intracanal conditions (without filling, filled with Gutta-percha and metal or fibreglass post). Forty single-rooted human teeth were decoronated and the root canals prepared. VRFs were induced using a universal testing machine on 20 teeth. Radiographic images were obtained using the paralleling technique with three different horizontal angulations on conventional E/F film, two storage phosphor plates (Digora Optime and VistaScan) and one sensor system (SnapShot). All teeth were radiographed with all intracanal conditions tested. All images were evaluated by five examiners. After 30 days, 25% of the images were reviewed. Areas under ROC curves, sensitivity, specificity, accuracy, positive predictive and negative predictive values were compared by anova. The weighted kappa values for intra- and interobserver reproducibility were 0.48-0.74 and 0.57-0.66, respectively. The sensitivity revealed a significant difference between imaging modalities, with higher values for SnapShot (0.53) and VistaScan (0.46), followed by the film (0.41) and Digora (0.38). The area under the ROC curve for SnapShot (0.82) was greater than for the other systems in the teeth with a fibreglass post (VistaScan: 0.70; Digora: 0.64; film: 0.60). All systems gave a similar performance for detecting VRFs; all gave a good performance in the absence of intracanal materials, but performed less well in the presence of a metal post or Gutta-percha. In teeth with a fibreglass post, digital systems with higher resolution should be used. © 2014 International Endodontic Journal. Published by John Wiley & Sons Ltd.

  12. Comparison of periapical radiography with cone beam computed tomography in the diagnosis of vertical root fractures in teeth with metallic post.

    Science.gov (United States)

    Takeshita, Wilton Mitsunari; Iwaki, Lilian Cristina Vessoni; da Silva, Mariliani Chicarelli; Sabio, Sergio; Albino, Paulo Ricardo Febrairo

    2014-05-01

    To compare the diagnostic accuracy of conventional periapical radiography and cone beam computed tomography (CBCT) in detecting vertical root fracture (VRF) in tooth with metallic post (MP). Twenty endodontically-treated teeth received MPs, artificial fractures were created in 10 teeth, and they were all examined with tomography and radiography. The sample consisted of periapical radiography with post and without post, and tomography with post and without post; each group with five fractured and five non-fractured teeth. The images were evaluated by three dental/maxillofacial radiologists and statistical validations were carried out using receiver operating characteristic (ROC) analysis. Sensitivity and specificity of the area under the ROC (Az) of tomography with post (Az = 0.953) and without post (Az = 0.956) were significantly higher than those of periapical radiography with post (Az = 0.753) and without post (Az = 0.778). CBCT was more accurate than conventional periapical radiography in detecting VRF.

  13. Detection of vertical root fractures in the presence of intracanal metallic post: a comparison between periapical radiography and cone-beam computed tomography.

    Science.gov (United States)

    Junqueira, Rafael Binato; Verner, Francielle Silvestre; Campos, Celso Neiva; Devito, Karina Lopes; do Carmo, Antônio Márcio Resende

    2013-12-01

    This in vitro study compared cone-beam computed tomography (CBCT) exam with different voxel sizes with digital periapical radiography in the detection of vertical root fractures in teeth with and without intracanal metallic posts. Eighteen single-rooted human teeth were endodontically treated, prepared for cast metal posts, and artificially fractured. After positioning the teeth in dry mandibular sockets, the samples were subjected twice (with and without posts) to digital periapical radiography at 3 different angles and to CBCT examinations with 2 voxel sizes, 0.125 and 0.25 mm. The images were evaluated by 3 oral radiologists. Indices of sensitivity, specificity, and positive and negative predictive values, in addition to the areas under the receiver operating characteristic curves (accuracy), were calculated. Comparison of the accuracy of the imaging methods was assessed by using the χ(2) test. Comparison of the accuracy between teeth with and without posts was determined by using the Fisher exact test. The accuracy of the imaging methods showed no significant differences (P = .08). The comparison between teeth with and without posts in each examination revealed significant differences for CBCT with a voxel of 0.125 mm (P = .04) and for periapical radiography (P = .04). No significant differences were observed between CBCT and periapical radiography in the detection of vertical root fractures, except for teeth with metallic posts in images from CBCT with a voxel of 0.125 mm and in digital periapical radiography. Furthermore, voxel size did not significantly influence the diagnosis of vertical root fractures. Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  14. Detection of vertical root fractures by cone-beam computerized tomography in endodontically treated teeth with fiber-resin and titanium posts: an in vitro study.

    Science.gov (United States)

    Ferreira, Rívea Inês; Bahrami, Golnosh; Isidor, Flemming; Wenzel, Ann; Haiter-Neto, Francisco; Groppo, Francisco Carlos

    2013-01-01

    The aim of this study was to assess the performance of 2 cone-beam computerized tomography (CBCT) systems for detecting vertical fractures in root-filled teeth with fiber-resin or titanium posts. CBCT images acquired with the use of Scanora 3D and i-CAT of roots with fiber-resin (n = 30) or titanium (n = 29) posts, before and after the induction of fractures, were assessed by 6 radiologists using Ondemand 3D software. Interobserver agreement was analyzed using kappa statistics. Sensitivity, specificity, accuracy, and positive and negative predictive values were compared with analysis of variance/Student-Newman-Keuls test. Interobserver agreement for fiber-resin posts ranged from 0.5 to 0.7 (Scanora 3D) and 0.35-0.76 (i-CAT). For titanium posts, ranged from 0.42 to 0.80 (Scanora 3D) and 0.31-0.73 (i-CAT). Higher sensitivity (0.85; P negative predictive values (0.88; P posts than with other combinations. The diagnostic performance for detecting vertical fractures was higher for roots with fiber-resin than with titanium posts. Copyright © 2013 Elsevier Inc. All rights reserved.

  15. Effect of titanium and stainless steel posts in detection of vertical root fractures using NEWTOM VG cone beam computed tomography system

    Energy Technology Data Exchange (ETDEWEB)

    Mohammadpour, Mahdis [Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Qazvin University of Medical Sciences, Qazvin (Iran, Islamic Republic of); Bakhshalian, Neema [Dept. of Advanced Periodontology, Ostrow School of Dentistry, University of Southern California, Los Angeles (United States); Shahab, Shahriar [Dept. of Oral and Maxillofacial Radiology, School of Dentistry, Shahed University, Tehran (Iran, Islamic Republic of); Sadeghi, Shaya; Ataee, Mona [Radmehr Oral and Maxillofacial Radiology Clinic, Ghazvin (Iran, Islamic Republic of); Sarikhani, Soodeh [Dept. of Oral and Maxillofacial Radiology, School of Dentistry, University of Golestan, Gorgan (Iran, Islamic Republic of)

    2014-06-15

    Vertical root fracture (VRF) is a common complication in endodontically treated teeth. Considering the poor prognosis of VRF, a reliable and valid detection method is necessary. Cone beam computed tomography (CBCT) has been reported to be a reliable tool for the detection of VRF; however, the presence of metallic intracanal posts can decrease the diagnostic values of CBCT systems. This study evaluated and compared the effects of intracanal stainless steel or titanium posts on the sensitivity, specificity, and accuracy of VRF detection using a NewTom VG CBCT system. Eighty extracted single-rooted teeth were selected and sectioned at the cemento-enamel junction. The roots were divided into two groups of 40. Root fracture was induced in the test group by using an Instron machine, while the control group was kept intact. Roots were randomly embedded in acrylic blocks and radiographed with the NewTom VG, both with titanium and stainless steel posts and also without posts. Sensitivity, specificity, and accuracy values were calculated as compared to the gold standard. The sensitivity, specificity, and accuracy of VRF diagnosis were significantly lower in teeth with stainless steel and titanium posts than in those without posts. Interobserver agreement was the highest in teeth without posts, followed by stainless steel posts, and then titanium posts. Intracanal posts significantly decreased the VRF diagnostic values of CBCT. The stainless steel posts decreased the diagnostic values more than the titanium posts.

  16. Influence of the artefact reduction algorithm of Picasso Trio CBCT system on the diagnosis of vertical root fractures in teeth with metal posts.

    Science.gov (United States)

    Bezerra, I S Q; Neves, F S; Vasconcelos, T V; Ambrosano, G M B; Freitas, D Q

    2015-01-01

    To assess the influence of the artefact reduction algorithm (AR) available on the Picasso Trio 3D(®) imaging system (Vatech, Hwaseong, Republic of Korea) on image quality [greyscale values, contrast-to-noise ratio (CNR) and artefact formation] and diagnosis of vertical root fractures (VRFs) in the teeth with intracanal metal posts. 30 uniradicular teeth had their crowns removed and their roots endodontically treated to receive intracanal metal posts. In 20 teeth, both complete (n = 10) and incomplete (n = 10) VRFs were created. Each tooth was scanned twice, with and without AR activation. The mean and variation of greyscale values, as well as CNR, were calculated for all images. Subsequently, an evaluator compared the amount of artefact (cupping, white streaks and dark bands) in all images. Five evaluators rated for VRF presence using a five-point scale. Mean greyscale values and CNR were significantly decreased in images acquired with the AR. The usage of the algorithm promoted an overall reduction of image artefacts. Regarding the diagnosis of complete and incomplete VRFs, the use of the AR had an overall negative impact on specificity and accuracy. While indeed reducing artefact formation, the use of the AR, instead of improving the impact on the diagnosis of VRFs in teeth with intracanal metal posts, had a negative impact on the diagnosis.

  17. Detection of vertical root fractures in intact and endodontically treated premolar teeth by designing a probabilistic neural network: an ex vivo study.

    Science.gov (United States)

    Johari, Masume; Esmaeili, Farzad; Andalib, Alireza; Garjani, Shabnam; Saberkari, Hamidreza

    2017-02-01

    Detection of vertical root fractures (VRFs) in their initial stages is a crucial issue, which prevents the propagation of injury to the adjacent supporting structures. Designing a suitable neural network-based model could be a useful method to diagnose the VRFs. The aim of this study was to design a probabilistic neural network (PNN) to diagnose the VRFs in intact and endodontically treated teeth of periapical and CBCT radiographs. Also, we have compared the efficacy of these two imaging techniques in the detection of VRFs. A total of 240 radiographs of teeth (120 radiographs of teeth with no VRFs and 120 teeth with vertical fractures, with half of the teeth in each category treated endodontically and the remaining half intact, i.e. not endodontically treated) were used in 3 groups for training and testing of the neural network as follows: Group 1, 180/60; Group 2, 120/120; and Group 3, 60/180. First, Daubechies 3 wavelet was applied to acquire the image analysis coefficients on two planes; then Gabor filters were used to extract the image characteristics, which were used to educate the PNN. The designed neural network was able to diagnose and classify teeth with and without VRFs. In addition, in order to determine the best training and test sets in the network, the variance of the function of network changes was manipulated at a range of 0-1 and the results were assessed in terms of the parameters evaluated, including sensitivity, specificity and accuracy. In the periapical radiographs, the maximum accuracy, sensitivity and specificity values in the three groups were 70.00, 97.78 and 67.7%, respectively. These values in the CBCT images were 96.6, 93.3 and 100%, respectively, at the variance change range of 0.1-0.65. The designed neural network can be used as a proper model for the diagnosis of VRFs on CBCT images of endodontically treated and intact teeth; in this context, CBCT images are more effective than similar periapical radiographs. Limitations of this

  18. Diagnosis of Mesiodistal Vertical Root Fractures in Teeth with Metal Posts: Influence of Applying Filters in Cone-beam Computed Tomography Images at Different Resolutions.

    Science.gov (United States)

    De Martin E Silva, Débora; Campos, Celso Neiva; Pires Carvalho, Antônio Carlos; Devito, Karina Lopes

    2017-11-16

    The aim of this article was to evaluate the influence of applying filters in cone-beam computed tomography (CBCT) images at different resolutions. These CBCT images were obtained for diagnosing mesiodistal vertical root fractures (VRFs) in teeth with metal posts. Forty teeth were treated endodontically, and 20 received metal posts. Ten teeth without posts and 10 teeth with posts were subjected to VRF in the mesiodistal direction. The sample was submitted to periapical radiographs and CBCT exams with a voxel of 0.25 and 0.30 mm. To reduce the influence of the metal artifact in the CT images, the teeth were evaluated with and without the application of filters ("Sharpen" and "Hard"). The images were evaluated by 2 radiologists who identified the presence of VRF. Accuracy values (receiver operating characteristic curves) for the different variables were compared by using analysis of variance and t test. No difference was observed between images with and without filter application (P > .05). Images obtained with a 0.25-mm voxel were more accurate (P images showed superior results compared with periapical radiographs (P images are superior to the periapical radiographs. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  19. Assessment of vertical fracture using cone-beam computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Moudi, Ehsan; Madani, Zahrasadat; Alhavaz, Abdolhamid; Bijani, Ali [Dental Material Research Center, Dental School, Babol University of Medical Sciences, Babol, (Korea, Republic of); Bagheri, Mohammad [Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol (Korea, Republic of)

    2014-03-15

    The aim of this study was to investigate the accuracy of cone-beam computed tomography (CBCT) in the diagnosis of vertical root fractures in a tooth with gutta-percha and prefabricated posts. This study selected 96 extracted molar and premolar teeth of the mandible. These teeth were divided into six groups as follows: Groups A, B, and C consisted of teeth with vertical root fractures, and groups D, E, and F had teeth without vertical root fractures; groups A and D had teeth with gutta-percha and prefabricated posts; groups B and E had teeth with gutta-percha but without prefabricated posts, and groups C and F had teeth without gutta-percha or prefabricated posts. Then, the CBCT scans were obtained and examined by three oral and maxillofacial radiologists in order to determine the presence of vertical root fractures. The data were analyzed using IBM SPSS 20.0 (IBM Corp., Armonk, NY, USA). The kappa coefficient was 0.875 ± 0.049. Groups A and D showed a sensitivity of 81% and a specificity of 100%; groups E and B, a sensitivity of 94% and a specificity of 100%; and groups C and F, a sensitivity of 88% and a specificity of 100%. The CBCT scans revealed a high accuracy in the diagnosis of vertical root fractures; the accuracy did not decrease in the presence of gutta-percha. The presence of prefabricated posts also had little effect on the accuracy of the system, which was, of course, not statistically significant.

  20. Resistance to fracture of dental roots obturated with different materials.

    Science.gov (United States)

    Celikten, Berkan; Uzuntas, Ceren Feriha; Gulsahi, Kamran

    2015-01-01

    The aim of this study was to compare the vertical fracture resistance of roots obturated with different root canal filling materials and sealers. Crowns of 55 extracted mandibular premolar teeth were removed to provide root lengths of 13 mm. Five roots were saved as negative control group (canals unprepared and unfilled). Fifty root canals were instrumented and then five roots were saved as positive control group (canals prepared but unfilled). The remaining 45 roots were randomly divided into three experimental groups (n = 15 root/group) and obturated with the following procedures: in group 1, glass ionomer-based sealer and cone (ActiV GP obturation system); in group 2, bioceramic sealer and cone (EndoSequence BC obturation system); and in group 3, roots were filled with bioceramic sealer and cone (Smartpaste bio obturation system). All specimens were tested in a universal testing machine for measuring fracture resistance. For each root, the force at the time of fracture was recorded in Newtons. The statistical analysis was performed by using Kruskal-Wallis and post hoc test. There were no significant differences between the three experimental groups. The fracture values of three experimental and negative control groups were significantly higher than the positive control group. Within the limitations of this study, all materials increased the fracture resistance of instrumented roots.

  1. The effect of metal artifacts on the identification of vertical root fractures using different fields of view in cone-beam computed tomography

    Energy Technology Data Exchange (ETDEWEB)

    Moudi, Ehsan; Haghanifar, Sina; Madani, Zahrasadat; Bijani, Ali; Nabavi, Zeynab Sadat [Babol University of Medical Science, Babol (Iran, Islamic Republic of)

    2015-09-15

    The aim of this study was to investigate the effects of metal artifacts on the accurate diagnosis of root fractures using cone-beam computed tomography (CBCT) images with large and small/limited fields of view (FOVs). Forty extracted molar and premolar teeth were collected. Access canals were made in all teeth using a rotary system. In half of the teeth, fractures were created by the application of mild pressure with a hammer. The teeth were then randomly put into a wax rim on an acryl base designed in the shape of a mandible. CBCT scans were obtained using a Newtom 5G system with FOVs of 18 cm×16 cm and 6 cm×6 cm. A metal pin was then placed into each tooth, and CBCT imaging was again performed using the same fields of view. All scans were evaluated by two oral and maxillofacial radiologists. The specificity, sensitivity, positive predictive value, negative predictive value, and likelihood ratios (positive and negative) were calculated. The maximum levels of sensitivity and specificity (100% and 100%, respectively) were observed in small volume CBCT scans of teeth without pins. The highest negative predictive value was found in the small-volume group without pins, whereas the positive predictive value was 100% in all groups except the large-volume group with pins.

  2. New treatment option for an incomplete vertical root fracture–a preliminary case report

    OpenAIRE

    Hadrossek, P.H. (Paul); Dammaschke, T. (Till)

    2014-01-01

    Instead of extraction this case report presents an alternative treatment option for a maxillary incisor with a vertical root fracture (VRF) causing pain in a 78-year-old patient. After retreatment of the existing root canal filling the tooth was stabilized with a dentine adhesive and a composite restoration. Then the tooth was extracted, the VRF gap enlarged with a small diamond bur and the existing retrograde root canal filling removed. The enlarged fracture lin...

  3. Diagnosis of alveolar and root fractures: an in vitro study comparing CBCT imaging with periapical radiographs

    Directory of Open Access Journals (Sweden)

    Solange KOBAYASHI-VELASCO

    Full Text Available Abstract Objective To compare periapical radiograph (PR and cone-beam computed tomography (CBCT in the diagnosis of alveolar and root fractures. Material and Methods Sixty incisor teeth (20 higid and 40 with root fracture from dogs were inserted in 60 anterior alveolar sockets (40 higid and 20 with alveolar fracture of 15 macerated canine maxillae. Each fractured socket had a root fractured tooth inserted in it. Afterwards, each maxilla was submitted to PR in two different vertical angulation incidences, and to CBCT imaging with a small field of view (FOV and high-definition protocol. Images were randomized and posteriorly analyzed by two oral and maxillofacial radiologists two times, with a two-week interval between observations. Results Sensitivity and specificity values were good for root fractures for PR and CBCT. For alveolar fractures, sensitivity ranged from 0.10 to 0.90 for PR and from 0.50 to 0.65 for CBCT. Specificity for alveolar fractures showed lower results than for root fractures for PR and CBCT. Areas under the ROC curve showed good results for both PR and CBCT for root fractures. However, results were fair for both PR and CBCT for alveolar fractures. When submitted to repeated measures ANOVA tests, there was a statistically significant difference between PR and CBCT for root fractures. Root fracture intraobserver agreement ranged from 0.90 to 0.93, and alveolar fracture intraobserver agreement ranged from 0.30 to 0.57. Interobserver agreement results were substantial for root fractures and poor/fair for alveolar fractures (0.11 for PR and 0.30 for CBCT. Conclusion Periapical radiograph with two different vertical angulations may be considered an accurate method to detect root fractures. However, PR showed poorer results than CBCT for the diagnosis of alveolar fractures. When no fractures are diagnosed in PR and the patient describes pain symptoms, the subsequent exam of choice is CBCT.

  4. Intentional re-plantation of a vertically fractured tooth repaired with an adhesive resin.

    Science.gov (United States)

    Unver, S; Onay, E O; Ungor, M

    2011-11-01

    To present the successful treatment of a vertically fractured tooth by intentional re-plantation after root canal treatment and repair with an adhesive resin. Vertical root fracture is a challenging problem in respect of diagnosis and management options. In this case, a vertically fractured maxillary premolar was treated by intentional re-plantation after repairing it with 4-Methacryloxyethyl trimellitate anhyride/methacrylate-tri-n-butyl borane (4-META/MMA-TBB) resin cement. At the 36-month follow-up, the tooth was asymptomatic, radiographically sound with reduced deep periodontal pockets and vertical bone loss. • Intentional replantation after repairing fractured fragments with an adhesive resin extraorally is a treatment option. • Long-term follow-up is necessary to evaluate the outcome of this technique. © 2011 International Endodontic Journal.

  5. Influence of X-ray beam angulations on the detection of horizontal root fractures

    Directory of Open Access Journals (Sweden)

    Josue Martos

    2015-01-01

    Full Text Available Aims: The aim of this study was to evaluate the variation of vertical angle for detection of fractures. Materials and Methods: Twenty-five (25 single-rooted premolar teeth were divided into two groups, fractured teeth (n = 15 and non-fractured teeth (n = 10. Artificially fractured teeth were classified according to location, number of fragments, and direction of fracture line: Horizontal, oblique, or complex. The tooth fragments were juxtaposed with cyanoacrylate, and the specimens (fractured and non-fractured were placed individually in the dental alveolus of a human jaw with the aid of silicone rubber impression material and submitted to eight periapical radiographs in a digital sensor with a vertical range of 10 degrees (−40, −30, −20, −10, 0, +10, +20, +30. Three examiners evaluated the characteristics of the fractures and their correlation with the radiographic diagnosis (perceived or not by varying the vertical angle. Statistical Analysis: Descriptive analysis was performed through the analytical comparison and Kappa test inter-examiner. Results: Among the three examiners, inter-examiner Kappa value was 0.536. The radiographic identification of root fracture in the 15 prepared samples was 60% (nine at angle 0, and at the angles of +10, −10, and −20, it was less than 50%. Conclusions: Multiple radiographs with variations of vertical angle are fundamental to facilitate the diagnosis of horizontal root fractures in premolars.

  6. A retrospective study on the prognosis of teeth with root fracture in patients during the maintenance phase of periodontal therapy.

    Science.gov (United States)

    Takeuchi, Noriko; Yamamoto, Tatsuo; Tomofuji, Takaaki; Murakami, Chiharu

    2009-06-01

    Teeth with root fracture generally have a poor prognosis requiring extraction; however, some patients do not wish to have these teeth extracted. Dentists do not have enough information regarding the prognosis of teeth with root fracture. This study retrospectively examined the prognosis of teeth with root fracture in the maintenance phase of periodontal treatment and assessed the factors influencing the prognosis of teeth with root fracture. The clinical records of 100 patients, who had entered the maintenance phase of periodontal therapy in a university hospital and had experienced fracture of tooth root, were analyzed. The following parameters were included in the evaluation: age and gender of the subjects, tooth type, restoration and root-filling of the teeth with root fracture, and number of teeth present. Survival probability was assessed using Kaplan-Meier analysis. The median survival time (95% confidence interval) was 42 months (22-62 months). Teeth with horizontal fracture had a significantly higher survival probability compared with teeth with vertical fracture. No significant differences were found in the survival probability with regard to gender and tooth type. In conclusion, teeth with horizontal root fracture have a better prognosis compared with teeth with vertical root fracture in patients undergoing periodontal maintenance.

  7. Productivity Analysis of Volume Fractured Vertical Well Model in Tight Oil Reservoirs

    Directory of Open Access Journals (Sweden)

    Jiahang Wang

    2017-01-01

    Full Text Available This paper presents a semianalytical model to simulate the productivity of a volume fractured vertical well in tight oil reservoirs. In the proposed model, the reservoir is a composite system which contains two regions. The inner region is described as formation with finite conductivity hydraulic fracture network and the flow in fracture is assumed to be linear, while the outer region is simulated by the classical Warren-Root model where radial flow is applied. The transient rate is calculated, and flow patterns and characteristic flowing periods caused by volume fractured vertical well are analyzed. Combining the calculated results with actual production data at the decline stage shows a good fitting performance. Finally, the effects of some sensitive parameters on the type curves are also analyzed extensively. The results demonstrate that the effect of fracture length is more obvious than that of fracture conductivity on improving production in tight oil reservoirs. When the length and conductivity of main fracture are constant, the contribution of stimulated reservoir volume (SRV to the cumulative oil production is not obvious. When the SRV is constant, the length of fracture should also be increased so as to improve the fracture penetration and well production.

  8. Morphological Changes Of The Root Surface And Fracture Resistance After Treatment Of Root Fracture By CO2 Laser And Glass Ionomer Or Mineral Trioxide Aggregates

    Science.gov (United States)

    Badr, Y. A.; Abd El-Gawad, L. M.; Ghaith, M. E.

    2009-09-01

    This in vitro study evaluates the morphological changes of the root surface and fracture resistance after treatment of root cracks by CO2 laser and glass Ionomer or mineral trioxide aggregates (MTA). Fifty freshly extracted human maxillary central incisor teeth with similar dimension were selected. Crowns were sectioned at the cemento-enamel junction, and the lengths of the roots were adjusted to 13 mm. A longitudinal groove with a dimension of 1×5 mm2 and a depth of 1.5 mm was prepared by a high speed fissure bur on the labial surface of the root. The roots were divided into 5 groups: the 10 root grooves in group 1 were remained unfilled and were used as a control group. The 10 root grooves in group 2 were filled with glass Ionomer, 10 root grooves in group 3 were filled with MTA, the 10 root grooves in group 4 were filled with glass Ionomer and irradiated by CO2 laser and the 10 root grooves in group 5 were filled with MTA and irradiated with CO2 laser. Scanning electron microscopy was performed for two samples in each group. Tests for fracture strength were performed using a universal testing machine and a round tip of a diameter of 4 mm. The force was applied vertically with a constant speed of 1 mm min 1. For each root, the force at the time of fracture was recorded in Newtons. Results were evaluated statistically with ANOVA and Turkey's Honestly Significant Difference (HSD) tests. SEM micrographs revealed that the melted masses and the plate-like crystals formed a tight Chemical bond between the cementum and glass Ionomer and melted masses and globular like structure between cementum and MTA. The mean fracture resistance was the maximum fracture resistance in group 5 (810.8 N). Glass Ionomer and MTA with the help of CO2 laser can be an alternative to the treatment of tooth crack or fracture. CO2 laser increase the resistance of the teeth to fracture.

  9. A novel classification of frontal bone fractures: The prognostic significance of vertical fracture trajectory and skull base extension.

    Science.gov (United States)

    Garg, Ravi K; Afifi, Ahmed M; Gassner, Jennifer; Hartman, Michael J; Leverson, Glen; King, Timothy W; Bentz, Michael L; Gentry, Lindell R

    2015-05-01

    The broad spectrum of frontal bone fractures, including those with orbital and skull base extension, is poorly understood. We propose a novel classification scheme for frontal bone fractures. Maxillofacial CT scans of trauma patients were reviewed over a five year period, and frontal bone fractures were classified: Type 1: Frontal sinus fracture without vertical extension. Type 2: Vertical fracture through the orbit without frontal sinus involvement. Type 3: Vertical fracture through the frontal sinus without orbit involvement. Type 4: Vertical fracture through the frontal sinus and ipsilateral orbit. Type 5: Vertical fracture through the frontal sinus and contralateral or bilateral orbits. We also identified the depth of skull base extension, and performed a chart review to identify associated complications. 149 frontal bone fractures, including 51 non-vertical frontal sinus (Type 1, 34.2%) and 98 vertical (Types 2-5, 65.8%) fractures were identified. Vertical fractures penetrated the middle or posterior cranial fossa significantly more often than non-vertical fractures (62.2 v. 15.7%, p = 0.0001) and had a significantly higher mortality rate (18.4 v. 0%, p fractures with frontal sinus and orbital extension, and fractures that penetrated the middle or posterior cranial fossa had the strongest association with intracranial injuries, optic neuropathy, disability, and death (p bone fractures carry a worse prognosis than frontal bone fractures without a vertical pattern. In addition, vertical fractures with extension into the frontal sinus and orbit, or with extension into the middle or posterior cranial fossa have the highest complication rate and mortality. Copyright © 2015 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  10. [Surgical treatment for rotationally and vertically unstable pelvis fracture].

    Science.gov (United States)

    Ge, Jian-hua; Xu, Rui-sheng; Lei, Yu-kai; Lu, Xiao-bo; Zhuo, Nai-qiang

    2008-11-01

    To study the clinical results of surgery for rotationally and vertically unstable pelvis fracture. Thirty-four patients with rotationally and vertically unstable pelvis fractures were treated. There were 23 male and 11 female,with the average age of 36 years ranging from 13 to 56 years. There were 9 cases of type APC III, 14 cases of type LC III, and 11 cases of type VS according to Young-Burgess Classifiction. All patients' pelvis were treated with temporary external fixation after hospitalization, and were treated with open reduction and internal fixation through anterior approach after stabilization of body condition. All patients were followed up for 12 to 48 months (average 21 months). All the incisions healed well, and the fractures got union for 3 to 6 months. According to the Majeed evaluation, the results were excellent in 21 cases, good in 10, fair in 3. All patients were not remained deformity of rotation and dislocation. But 3 patients remained lameness, 4 remained low back pain, 3 remained both leg and feet numbness. In the management of the rotationally and vertically unstable pelvis fractures, a stable pelvis can be reconstructed by effective open reduction and internal fixation through the anterior approaches, so that further sequelae can be reduced.

  11. Management of Crown Root Fracture by Interdisciplinary Approach

    OpenAIRE

    Nair, K. Radhakrishnan; Das, Anoop N.; Kuriakose, Manoj C.; Krishnankutty, Nandakumar

    2013-01-01

    Fracture of tooth after trauma is distressing to a person because of the discomfort and pain due to pulpal injury. Crown root fractures of anterior teeth cause concomitant periodontal injury and there will be concern about appearance, and aesthetics. Management of pulpal and periodontal tissue relieves pain and restoration of tooth form regains patients confidence. Restoration of fractured tooth will be accepted readily if it is minimally invasive, less expensive, and aesthetically acceptable...

  12. Irreducible, incarcerated vertical dislocation of patella into a Hoffa fracture

    Directory of Open Access Journals (Sweden)

    Prasad C Soraganvi

    2014-01-01

    Full Text Available Rotational dislocations of patella, which involve rotation of the patella around a horizontal or vertical axis are rare. These rotational dislocations of patella are difficult to reduce by close methods. These dislocations can have associated osteochondral and retinacular injury. We report a case of a 20-year-old male who presented with swelling and pain in the right knee following a motor cycle accident. Radiological evaluation using the computed tomography revealed a patellar dislocation with a concomitant Hoffa fracture. Patella was rotated around the vertical axis and was incarcerated into the Hoffa fracture. This is a very rare injury and first of its kind to be reported. The difficulties in diagnosis, mechanism of injury and management have been discussed. We feel closed reduction of such an injury is likely to fail and open reduction is recommended.

  13. Multidisciplinary approach in the management of a complicated crown root fracture

    National Research Council Canada - National Science Library

    Shin, J H; Kim, J E; Kim, R J

    2013-01-01

    This article describes the management of a complicated crown root fracture. A young patient presented with a crown root fracture of the maxillary left central incisor with an oblique subgingival fracture line...

  14. The Force Required to Fracture Endodontically Roots Restored with ...

    African Journals Online (AJOL)

    2016-03-12

    Mar 12, 2016 ... Objective: To evaluate the effect of various materials as intra-orifice barriers on the force required fracture roots. Materials .... A total of 135 single-rooted, freshly extracted, noncarious human mandibular premolar teeth ... a two-bottle self-etch adhesive (Clearfil SE Bond,. Kuraray, Tokyo, Japan) was applied.

  15. The Force Required to Fracture Endodontically Roots Restored with ...

    African Journals Online (AJOL)

    2016-03-12

    Mar 12, 2016 ... treated roots compared to the control groups, however Biodentine did. KEYWORDS: Biodentine, bulk‑fill, endodontically treated tooth, intra‑orifice barriers, mineral trioxide aggregate, short fiber‑reinforced composite. The Force Required to Fracture Endodontically Roots Restored with. Various Materials as ...

  16. New treatment option for an incomplete vertical root fracture–a preliminary case report

    Science.gov (United States)

    2014-01-01

    Instead of extraction this case report presents an alternative treatment option for a maxillary incisor with a vertical root fracture (VRF) causing pain in a 78-year-old patient. After retreatment of the existing root canal filling the tooth was stabilized with a dentine adhesive and a composite restoration. Then the tooth was extracted, the VRF gap enlarged with a small diamond bur and the existing retrograde root canal filling removed. The enlarged fracture line and the retrograde preparation were filled with a calcium-silicate-cement (Biodentine). Afterwards the tooth was replanted and a titanium trauma splint was applied for 12d. A 24 months clinical and radiological follow-up showed an asymptomatic tooth, reduction of the periodontal probing depths from 7 mm prior to treatment to 3 mm and gingival reattachment in the area of the fracture with no sign of ankylosis. Hence, the treatment of VRF with Biodentine seems to be a possible and promising option. PMID:24670232

  17. Zoom Reconstruction Tool: Evaluation of Image Quality and Influence on the Diagnosis of Root Fracture.

    Science.gov (United States)

    Queiroz, Polyane Mazucatto; Santaella, Gustavo Machado; Capelozza, Ana Lúcia Alvares; Rosalen, Pedro Luiz; Freitas, Deborah Queiroz; Haiter-Neto, Francisco

    2018-01-03

    This study evaluated the image quality and the diagnosis of root fractures when using the Zoom Reconstruction tool (J Morita, Kyoto, Japan). A utility wax phantom with a metal sample inside was used for objective evaluation, and a mandible with 27 single-rooted teeth (with and without obturation and with and without vertical or horizontal fractures) was used for diagnostic evaluation. The images were acquired in 3 protocols: protocol 1, field of view (FOV) of 4 × 4 cm and a voxel size of 0.08 mm; protocol 2, FOV of 10 × 10 cm and a voxel size of 0.2 mm; and protocol 3, Zoom Reconstruction of images from protocol 2 (FOV of 4 × 4 cm and a voxel size of 0.08 mm). The objective evaluation was achieved by measuring the image noise, and the diagnosis of fractures was performed by 3 evaluators. The area under the receiver operating characteristic curve was used to calculate accuracy, and analysis of variance compared the accuracy and image quality of the protocols. Regarding quality, protocol 1 was superior to protocol 2 (P 228) for the diagnosis of a vertical root fracture in filled teeth. The Zoom Reconstruction tool allows better accuracy for vertical root fracture detection in filled teeth, making it possible to obtain a higher-resolution image from a lower-resolution examination without having to expose the patient to more radiation. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  18. Effect of root canal preparation, type of endodontic post and mechanical cycling on root fracture strength

    OpenAIRE

    Rippe, Marília Pivetta [UNESP; Manuela Favarin SANTINI; Bier, Carlos Alexandre Souza; BALDISSARA, Paolo; VALANDRO, Luiz Felipe

    2014-01-01

    Objective: To evaluate the impact of the type of root canal preparation, intraradicular post and mechanical cycling on the fracture strength of roots. Material and Methods: eighty human single rooted teeth were divided into 8 groups according to the instruments used for root canal preparation (manual or rotary instruments), the type of intraradicular post (fiber posts- FRC and cast post and core- CPC) and the use of mechanical cycling (MC) as follows: Manual and FRC; Manual, FRC and MC; Man...

  19. Vertical axis dislocation with coronal fracture of the patella: A previously unreported injury pattern

    Directory of Open Access Journals (Sweden)

    Lynn Murphy

    2015-10-01

    Full Text Available The patella usually dislocates laterally. Less commonly, intra-articular dislocation occurs about either the vertical or horizontal axis. Patellar fractures are generally transverse with varying degrees of comminution, and less frequently vertical in the sagittal plane. We present a 9-year follow-up of a previously undescribed coronal patellar fracture associated with vertical axis dislocation of the patella. The mechanism of this severe injury is described. Keywords: Trauma, Coronal patellar fracture, Vertical axis patellar dislocation, Mechanism of injury

  20. Effect of root canal preparation, type of endodontic post and mechanical cycling on root fracture strength

    Directory of Open Access Journals (Sweden)

    Marília Pivetta RIPPE

    2014-06-01

    Full Text Available Objective: To evaluate the impact of the type of root canal preparation, intraradicular post and mechanical cycling on the fracture strength of roots. Material and Methods: eighty human single rooted teeth were divided into 8 groups according to the instruments used for root canal preparation (manual or rotary instruments, the type of intraradicular post (fiber posts- FRC and cast post and core- CPC and the use of mechanical cycling (MC as follows: Manual and FRC; Manual, FRC and MC; Manual and CPC; Manual, CPC and MC; Rotary and FRC; Rotary, FRC and MC; Rotary and CPC; Rotary, CPC and MC. The filling was performed by lateral compactation. All root canals were prepared for a post with a 10 mm length, using the custom #2 bur of the glass fiber post system. For mechanical cycling, the protocol was applied as follows: an angle of incidence of 45°, 37°C, 88 N, 4 Hz, 2 million pulses. All groups were submitted to fracture strength test in a 45° device with 1 mm/ min cross-head speed until failure occurred. Results: The 3-way ANOVA showed that the root canal preparation strategy (p<0.03 and post type (p<0.0001 affected the fracture strength results, while mechanical cycling (p=0.29 did not. Conclusion: The root canal preparation strategy only influenced the root fracture strength when restoring with a fiber post and mechanical cycling, so it does not seem to be an important factor in this scenario.

  1. Effect of root canal preparation, type of endodontic post and mechanical cycling on root fracture strength

    Science.gov (United States)

    RIPPE, Marília Pivetta; SANTINI, Manuela Favarin; BIER, Carlos Alexandre Souza; BALDISSARA, Paolo; VALANDRO, Luiz Felipe

    2014-01-01

    Objective To evaluate the impact of the type of root canal preparation, intraradicular post and mechanical cycling on the fracture strength of roots. Material and Methods eighty human single rooted teeth were divided into 8 groups according to the instruments used for root canal preparation (manual or rotary instruments), the type of intraradicular post (fiber posts- FRC and cast post and core- CPC) and the use of mechanical cycling (MC) as follows: Manual and FRC; Manual, FRC and MC; Manual and CPC; Manual, CPC and MC; Rotary and FRC; Rotary, FRC and MC; Rotary and CPC; Rotary, CPC and MC. The filling was performed by lateral compactation. All root canals were prepared for a post with a 10 mm length, using the custom #2 bur of the glass fiber post system. For mechanical cycling, the protocol was applied as follows: an angle of incidence of 45°, 37°C, 88 N, 4 Hz, 2 million pulses. All groups were submitted to fracture strength test in a 45° device with 1 mm/ min cross-head speed until failure occurred. Results The 3-way ANOVA showed that the root canal preparation strategy (p<0.03) and post type (p<0.0001) affected the fracture strength results, while mechanical cycling (p=0.29) did not. Conclusion The root canal preparation strategy only influenced the root fracture strength when restoring with a fiber post and mechanical cycling, so it does not seem to be an important factor in this scenario. PMID:25025556

  2. Intraradicular Splinting with Endodontic Instrument of Horizontal Root Fracture

    Directory of Open Access Journals (Sweden)

    Ersan Çiçek

    2015-01-01

    Full Text Available Introduction. Root fractures, defined as fractures involving dentine, cementum, and pulpal and supportive tissues, constitute only 0.5–7% of all dental injuries. Horizontal root fractures are commonly observed in the maxillary anterior region and 75% of these fractures occur in the maxillary central incisors. Methods. A 14-year-old female patient was referred to our clinic three days after a traffic accident. In radiographic examination, the right maxillary central incisor was fractured horizontally in apical thirds. Initially, following local infiltrative anesthetics, the coronal fragment was repositioned and this was radiographically confirmed. Then the stabilization splint was applied and remained for three months. After three weeks, according to the results of the vitality tests, the right and left central incisors were nonvital. For the right central incisor, both the coronal and apical fragments were involved in the endodontic preparation. Results. For the right central tooth, both the coronal and apical root fragments were endodontically treated and obturated at a single visit with white mineral trioxide aggregate whilst the fragments were stabilized internally by insertion of a size 40 Hedstrom stainless-steel endodontic file into the canal. Conclusion. Four-year follow-up examination revealed satisfactory clinical and radiographic findings with hard tissue repair of the fracture line.

  3. Tooth mobility changes subsequent to root fractures

    DEFF Research Database (Denmark)

    Andreasen, Jens Ove; Christensen, Søren Steno Ahrensburg; Tsilingaridis, Georgios

    2012-01-01

    with a Mühlemanns periodontometer and noninjured incisors served as controls. The mobility values represented the labial-lingual excursion of the root measured in μm when the tooth received a frontal and a palatal impact of 100 g force. In 18 cases of hard tissue healing (HT), a slightly increased mobility was seen...

  4. The Force Required to Fracture Endodontically Roots Restored with ...

    African Journals Online (AJOL)

    While MTA groups did not increase the force required fracture the roots compared to the control groups, Biodentine increased significantly. Conclusions: Within the limitations of the present study, the use of nano‑hybrid composite, short fiber‑reinforced composite, bulk‑fill flowable composite, and glass ionomer cement as an ...

  5. Management of Crown Root Fracture by Interdisciplinary Approach

    Directory of Open Access Journals (Sweden)

    K. Radhakrishnan Nair

    2013-01-01

    Full Text Available Fracture of tooth after trauma is distressing to a person because of the discomfort and pain due to pulpal injury. Crown root fractures of anterior teeth cause concomitant periodontal injury and there will be concern about appearance, and aesthetics. Management of pulpal and periodontal tissue relieves pain and restoration of tooth form regains patients confidence. Restoration of fractured tooth will be accepted readily if it is minimally invasive, less expensive, and aesthetically acceptable. Reattachment is an option for restoration of anterior teeth compared to other artificial replacements because of its appearance as natural. This method is favourable when the fractured fragment is intact and available. Utilization of pulp space for retention of fragment is achieved by the insertion of a dentine bonding post. This case report describes a case of tooth reattachment after trauma in which the pulp space is utilized to bond a fiber-reinforced post for retention after periodontal tissue management.

  6. Pore-fluid effects on seismic waves in vertically fractured earth with orthotropic symmetry

    Energy Technology Data Exchange (ETDEWEB)

    Berryman, J.G.

    2010-05-15

    For elastically noninteracting vertical-fracture sets at arbitrary orientation angles to each other, a detailed model is presented in which the resulting anisotropic fractured medium generally has orthorhombic symmetry overall. Some of the analysis methods and ideas of Schoenberg are emphasized, together with their connections to other similarly motivated and conceptually related methods by Sayers and Kachanov, among others. Examples show how parallel vertical-fracture sets having HTI (horizontal transversely isotropic) symmetry transform into orthotropic fractured media if some subsets of the vertical fractures are misaligned with the others, and then the fractured system can have VTI (vertical transversely isotropic) symmetry if all of the fractures are aligned randomly or half parallel and half perpendicular to a given vertical plane. An orthotropic example having vertical fractures in an otherwise VTI earth system (studied previously by Schoenberg and Helbig) is compared with the other examples treated and it is finally shown how fluids in the fractures affect the orthotropic poroelastic system response to seismic waves. The key result is that fracture-influence parameters are multiplied by a factor of (1-B), where 0 {le} B < 1 is Skempton's second coefficient for poroelastic media. Skempton's B coefficient is itself a measurable characteristic of fluid-saturated porous rocks, depending on porosity, solid moduli, and the pore-fluid bulk modulus. For heterogeneous porous media, connections between the present work and earlier related results of Brown and Korringa are also established.

  7. An Innovative Approach for Management of Vertical Coronal Fracture in Molar: Case Report

    Directory of Open Access Journals (Sweden)

    Ambica Kathuria

    2012-01-01

    Full Text Available Unlike anterior teeth, acute exogenous trauma is an infrequent cause of posterior coronal vertical tooth fractures. Endodontic and restorative management of such fractures is a great challenge for the clinician. Newer advancements in adhesive techniques can provide successful intracoronal splinting of such teeth to reinforce the remaining tooth structure. This paper describes the diagnosis and management of a case of complicated vertical coronal fracture in mandibular first molar induced by a traffic accident.

  8. Comparison of resilon and gutta-percha filling materials on root canal fracture resistance following restoring with quartz fiber posts.

    Science.gov (United States)

    Mehrvarzfar, P; Rezvani, Y; Jalalian, E

    2012-01-01

    Bacterial leakage and root fractures are the most important reasons of root canal treatment failure. Due to the lack of adhesion of gutta percha to the canal walls, Resilon has been introduced as a root-filling material able to bond to the root walls. Metal posts may predispose the tooth walls to oblique and vertical fracture which usually leads to tooth loss; whereas, fiber posts may reinforce the remaining tooth structure. The purpose of this study was to compare the effect of Resilon and gutta-percha on the fracture resistance of root canal following restoring with quartz fiber posts. Forty-four maxillary incisor root canals were chemo-mechanically prepared, then randomly divided into three groups: 1-Control group (n=20), 2-Experimental group (n=20) and a negative control group (n=4). Root filled teeth were restored with quartz fiber posts and composite resin cores. Four teeth with a conservative prepared access cavities and without any further post preparation were used as a negative control group. After simulating the clinical situation, specimens were loaded in the Universal Testing Machine for compressive strength test. All data were statistically analyzed by the T-test. The mean compressive strengths for group 1 was 535.8 ± 155.23 N and 645.93 ± 182.98N for group 2, which were statistically significant (p-value= 0.047). Root canals filled with Resilon were significantly more resistant than that of gutta-percha, following restoration with quartz fiber posts.

  9. Atypical Pelvic Crescent Fracture Caused by Vertical Shear Force

    OpenAIRE

    Park, Sang-Eun; Lee, Se-Won; Kim, Weon-Yoo; Park, Yong

    2014-01-01

    The crescent fracture consists of a posterior iliac wing fracture with extension into the sacroiliac joint and a dislocation of the sacroiliac joint. This fracture represents a subset of lateral compression injury. The strong posterior ligaments of sacroiliac joint remain intact and a fracture fragment (crescent shape) involving the posterior superior iliac spines remains firmly attached to the sacrum. We report a patient with atypical pelvic crescent fracture that is mainly influenced by ver...

  10. Fracture Resistance of Roots Restored with Four Different Fiber-Reinforced Composite Posts

    Science.gov (United States)

    Adanir, Necdet; Ureyen Kaya, Buglem; Kececi, Ayse Diljin

    2015-01-01

    Objective The aim of this study was to compare the resistance to vertical root fracture of root-filled teeth restored with four different fiber-reinforced composite (FRC) post systems and two types of dual-cured resin luting agents. Materials and Methods Ninety extracted human maxillary central incisors were selected and decoronated to obtain a standardized root length of 14 mm. After root canal obturation, post spaces were prepared to a depth of 10 mm with a No. 3 post drill. The specimens (n = 80) were divided into two groups (n = 40) according to the resin luting agents used: group 1, Variolink II + ExciTE DSC; group 2, RelyX Unicem. These groups were subdivided into four subgroups (n = 10) and restored with one of the following post systems: (a) DT Light, (b) DT Light SL, (c) FRC Postec and (d) Everstick, while the remaining 10 teeth served as controls. The roots were subjected to axial compressive loading using a 2.2-mm-diameter metal sphere in a universal testing machine (0.5 mm/min). A factorial experiment with a single control group (analysis of variance) was used to test the resistance of the specimens. Results Groups 2a (DT Light + RelyX Unicem; 398.5 N) and 1b (DT Light SL + Variolink II + ExciTE DSC; 431.1 N) had significantly higher resistance to fracture than the control group (334.1 N; p fiber posts (DT Light and DT Light SL) with an adhesive luting cement in root-filled teeth may reinforce the root to some extent. PMID:26111557

  11. Comparison of diagnostic accuracy of root perforation, external resorption and fractures using cone-beam computed tomography, panoramic radiography and conventional & digital periapical radiography

    OpenAIRE

    Wilton Mitsunari Takeshita; Mariliani Chicarelli; Lilian Cristina Vessoni Iwaki

    2015-01-01

    Context: Some radicular changes are challenging for clinicians to diagnose, such as of root perforations, external root resorption (ERR), and vertical root fractures (VRFs). This study aims to facilitate it by comparing the diagnostic accuracy of cone-beam computed tomography (CBCT), orthopantomography, and conventional and digital periapical radiography (DPR) in the diagnosis of such problems. Is it worth doing CBCT despite the radiation dose? Aims: To evaluate and compare the diagnostic...

  12. Diagnosis and clinical management of teeth with vertical root ...

    African Journals Online (AJOL)

    Even though VRF are commoner in endodontically treated teeth, its occurrence in non-restored teeth has been described. Clinical signs and symptoms vary according to the position of the fracture, tooth type, duration after fracture, periodontal condition of the tooth and architecture of the bone adjacent to the fracture.

  13. Effect of root canal preparation, type of endodontic post and mechanical cycling on root fracture strength.

    Science.gov (United States)

    Rippe, Marília Pivetta; Santini, Manuela Favarin; Bier, Carlos Alexandre Souza; Baldissara, Paolo; Valandro, Luiz Felipe

    2014-06-01

    To evaluate the impact of the type of root canal preparation, intraradicular post and mechanical cycling on the fracture strength of roots. eighty human single rooted teeth were divided into 8 groups according to the instruments used for root canal preparation (manual or rotary instruments), the type of intraradicular post (fiber posts- FRC and cast post and core- CPC) and the use of mechanical cycling (MC) as follows: Manual and FRC; Manual, FRC and MC; Manual and CPC; Manual, CPC and MC; Rotary and FRC; Rotary, FRC and MC; Rotary and CPC; Rotary, CPC and MC. The filling was performed by lateral compactation. All root canals were prepared for a post with a 10 mm length, using the custom #2 bur of the glass fiber post system. For mechanical cycling, the protocol was applied as follows: an angle of incidence of 45°, 37°C, 88 N, 4 Hz, 2 million pulses. All groups were submitted to fracture strength test in a 45° device with 1 mm/ min cross-head speed until failure occurred. The 3-way ANOVA showed that the root canal preparation strategy (ppost type (ppost and mechanical cycling, so it does not seem to be an important factor in this scenario.

  14. Detection of dental root fractures by using cone-beam computed tomography.

    Science.gov (United States)

    Wang, P; Yan, X B; Lui, D G; Zhang, W L; Zhang, Y; Ma, X C

    2011-07-01

    The purpose of this study was to compare the diagnostic accuracy of cone beam CT (CBCT) with that of conventional dental radiography in the detection of root fractures and to evaluate the influence of root canal fillings on root fracture detection. We investigated 128 patients with clinically suspected root fractures in 135 teeth. These patients underwent conventional dental radiography, CBCT and eventually surgical exploration. Among the 135 teeth, 86 were non-endodontically treated teeth and 49 were endodontically treated teeth. Two oral radiologists independently analysed the dental radiographs and CBCT images of each patient and reached a consensus. The CBCT findings of root fractures were set as the detection of a separation of the adjacent root segments on at least two contiguous sections and on at least two of the three-dimensional (3D) planes. Root fracture was intraoperatively detected in 95 of the 135 teeth. The sensitivity and specificity of root fractures diagnosed on the basis of the consensus between the 2 evaluators were 26.3% and 100%, respectively, for dental radiography and 89.5% and 97.5%, respectively, for CBCT. CBCT was significantly more accurate than dental radiography in detecting root fractures (P sensitivity of CBCT was reduced in the presence of root canal fillings but its specificity remained unaffected. Both the sensitivity and specificity of dental radiography were not influenced by the presence of root canal fillings. CBCT appears to be more accurate than conventional dental radiography in the detection of root fractures.

  15. In vitro study of root fracture treated by CO2 laser and DP-bioactive glass paste.

    Science.gov (United States)

    Wang, Yin-Lin; Lee, Bor-Shiunn; Tseng, Ching-Li; Lin, Feng-Huei; Lin, Chun-Pin

    2008-01-01

    An ideal material has yet to be discovered that can successfully treat vertical root fracture. Therefore, the purpose of this study was to use a continuous-wave CO2 laser of medium-energy density to fuse DP-bioactive glass paste (DPGP) to vertical root fracture. The DP-bioglass powder was based on a Na2O-CaO-SiO2-P2O5 system and it was mixed with phosphoric acid (65% concentration) with a powder/liquid ratio of 2 g/4 mL to form DPGP. The interaction of DPGP and dentin was analyzed by means of X-ray diffractometer (XRD) and differential thermal analysis/thermogravimetric analysis (DTA/TGA). Root fracture line was filled with DPGP followed by CO2 laser irradiation and the result was examined by scanning electron microscopy (SEM). The main crystal phase of DPGP was monocalcium phosphate monohydrate (Ca(H2PO4)2.H2O) and the phase transformed to dicalcium phosphate dihydrate (CaHPO4.2H2O) after mixing DPGP with dentin powder (DPG-D). Additionally, gamma-Ca2P2O7 and beta-Ca2P2O7 were identified when DPG-D was lased by CO2 laser. The reaction temperature was between 500 degrees C and 1100 degrees C. SEM results demonstrated that the fracture line was effectively sealed by DPGP. The chemical reaction of DPGP and dentin indicated that DPGP combined with CO2 laser is a potential regimen for the treatment of vertical root fracture.

  16. Fracture resistance of endodontically treated roots filled with resilon and guttapercha - A comparative in-vitro study

    Directory of Open Access Journals (Sweden)

    Rajesh R Shetty

    2009-01-01

    Full Text Available Aims and objectives: The purpose of this study was to evaluate and compare in vitro the fracture resistance of endodontically treated roots filled with Resilon and Gutta-percha. Methodology: Eighty extracted single canal teeth were selected and randomly assigned to five groups of sixteen teeth each. Teeth were sectioned using a diamond disc so as to obtain a root length of 14±1 mm. Roots were instrumented using .04 taper Profile rotary system to an apical size of 40 and obturated using .04 taper single cone (size 40 as follows: Group 1: Resilon .04 taper cone and Epiphany Self etching sealer, Group 2: .04 taper gutta-percha cone and AH Plus sealer ,Group 3: .04 taper gutta-percha cone and Roeko Seal Automix sealer, Group 4: .04 taper gutta-percha cone and Zinc oxide Eugenol sealer , Group 5: .04 taper gutta-percha cone without the use of a sealer. Following obturation, teeth were mounted in Poly Vinyl Chloride jigs using self cure acrylic resin such that 9mm of the root remained exposed. Fracture resistance testing was done using Instron testing machine using a vertical load applied perpendicular to the root surface. Statistical analysis was done using ANOVA, Tukey HSD and Student′s ′t′ test. Results: Very highly significant difference was observed between the groups (P=.001. Resilon with Epiphany group demonstrated highest mean fracture resistance value and gutta-percha without sealer displayed the least, comparative results were highly significant. Resilon compared to gutta-percha with Roeko Seal Automix (P=.037 and Zinc Oxide Eugenolsealers (P=.029 showed statistically significant difference. AH plus group showed significantly higher value compared to gutta-percha without sealer. Conclusions: Filling the root canals with Resilon increased the in vitro fracture resistance of endodontically treated roots compared to standard gutta-percha techniques. Adhesive sealers are more beneficial in increasing the fracture resistance of

  17. Chlorhexidine Prevents Root Dentine Mineral Loss and Fracture Caused by Calcium Hydroxide over Time

    Directory of Open Access Journals (Sweden)

    Michael Ranniery Garcia Ribeiro

    2017-01-01

    Full Text Available Purpose. To evaluate the mineral ion loss of root dentine after treatment with 2% chlorhexidine solution (CHX and to compare its yield and flexural strength (fs after exposure to calcium hydroxide [Ca(OH2]. Materials and Methods. Dentine bars (DB were made from 90 roots of bovine incisors and randomized into three groups: GControl: distilled/deionized water (DDW, GNaOCl: 2.5% sodium hypochlorite + 17% EDTA, and GCHX: CHX + DDW. The release of phosphate (PO4 and calcium (Ca ions was measured by spectrophotometry. The DB were exposed to Ca(OH2 paste for 0, 30, 90, and 180 days. DB were subjected to the three-point bending test to obtain yield and fs values. The fracture patterns were evaluated (20x. Data were analyzed using Kruskal-Wallis and Dunn’s post hoc tests or one- and two-way ANOVA followed by Tukey’s post hoc test (α=0.05. Results. GCHX showed lower PO43- and Ca2+ ionic release than GNaOCl (pGNaOCl in all periods (p<0.001, except for yield strength values on 90 days (p=0.791. A larger frequency of vertical fractures was observed in GNaOCl and that of oblique fractures in GCHX (p<0.05. Conclusions. CHX prevented PO43- and Ca2+ loss and showed a tendency to preserve the yield and fs of root dentine over time following exposure to Ca(OH2 paste.

  18. [Experiment studies on fractures of the human calcaneus under vertical pressure (author's transl)].

    Science.gov (United States)

    Plaue, R; Oellers, B; Salditt, G

    1977-04-22

    In 60 cases typical compression fractures of the calcaneus were achieved by means of static compression of the test preparation. Afterwards the load bearing capacity of the fractured calcaneus was studied. In case of pure vertical compression the calcaneus does not loose much stability. The load bearing capacity of the studied bones after fracture achieved on an average still 63% of the initial value. In adequate cases of compression fractures, not only the early mobilization but the early weight bearing has to be discussed.

  19. Tibial avulsion fracture of the posterior root of the medial meniscus in children

    DEFF Research Database (Denmark)

    Iversen, Jonas Vestergård; Krogsgaard, Michael Rindom

    2012-01-01

    of displaced avulsion fractures of the posterior root of the medial meniscus in children are presented along with a concise report of the literature regarding avulsion fractures of the posterior root of the medial meniscus. Both avulsions were reattached arthroscopically by trans-tibial pull-out sutures...

  20. Comparison of intraoral radiography and cone-beam computed tomography for the detection of horizontal root fractures: an in vitro study.

    Science.gov (United States)

    Avsever, Hakan; Gunduz, Kaan; Orhan, Kaan; Uzun, Ismail; Ozmen, Bilal; Egrioglu, Erol; Midilli, Muhammed

    2014-01-01

    This study aimed to compare the diagnostic accuracy of two different cone-beam computed tomography (CBCT) units with several intraoral radiography techniques for detecting horizontal root fractures. The study material comprised 82 extracted human maxillary incisors without root fractures that had not undergone any root canal treatment. Root fractures were created in the horizontal plane in 31 teeth by a mechanical force using a hammer with the tooth placed on a soft foundation as described in a previous study. The teeth were divided into two groups: a control group with no fractures and a test group with fractures. These were randomized to the empty maxillary anterior sockets of a dry human maxilla. Each tooth was imaged at various vertical angles using each of the following modalities: a 3D Accuitomo 170 CBCT, a NewTom 3G CBCT, a VistaScan PSP, a CCD sensor, and conventional film. Specificity and sensitivity for assessing horizontal root fracture by each radiographic technique were calculated. Chi-square statistics were used to evaluate differences between modalities. Kappa statistics assessed the agreement between observers. Results were considered significant at P intraoral images. The diagnostic accuracy for detecting fracture lines in 3D Accuitomo 170 (0.93) was significantly higher than NewTom 3G (0.87), VistaScan (0.71), CCD (0.70), and CF (0.68). 3D Accuitomo 170 has the highest sensitivity and diagnostic accuracy for detecting horizontal root fracture among the 5 radiographic modalities examined. CBCT should be considered as the most reliable imaging modality of choice for the diagnosis of horizontal root fracture. CBCT imaging offers the clear advantage over conventional imaging that traumatized teeth can be visualized in all three dimensions--especially the oro-facial dimension.

  1. Rehabilitation of complicated crown-root fracture by invisible approach

    Directory of Open Access Journals (Sweden)

    V Leela Rani

    2016-01-01

    Full Text Available Dental trauma is one of the most common and significant problems met in all dental offices almost every day. In particular, injury to the anterior teeth is more vulnerable as it may affect the psychosocial behavior, severe emotional complications can occur leading to disturbances in their mental attitude. Cosmetic (lingual orthodontics is the recent development in the field of dentistry in the last few decades. Patients are more concerned about their appearance during the treatment and are affected by psychosocial issues because of labially placed brackets, thus leading to the evolution of lingual orthodontic appliances. In this article, we are sharing our clinical experience treating a complicated crown-root fracture using the lingual orthodontic technique.

  2. Multidisciplinary Management of Complicated Crown-Root Fracture of an Anterior Tooth Undergoing Apexification

    OpenAIRE

    Merve Mese; Merve Akcay; Bilal Yasa; Huseyin Akcay

    2015-01-01

    The purpose of this case report was to present the multidisciplinary management of a subgingival crown-root fracture of a patient undergoing apexification treatment. A 12-year-old male patient was referred to the pediatric dentistry clinic with an extensive tooth fracture of the right permanent maxillary lateral incisor. Clinical and radiographic examinations revealed the presence of a complicated crown-root fracture, which had elongated to the buccal subgingival area. The dental history disc...

  3. Marginal fractures of the medial tibial plateau: possible association with medial meniscal root tear

    Energy Technology Data Exchange (ETDEWEB)

    Engelsohn, Eliyahu [Jacobi Medical Center, Department of Radiology, Bronx, NY (United States); Umans, Hilary [Jacobi Medical Center, Department of Radiology, Bronx, NY (United States); Jacobi Medical Center, Department of Orthopedic Surgery, Ardsley, NY (United States); DiFelice, Gregory S. [Jacobi Medical Center, Department of Orthopedic Surgery, Ardsley, NY (United States)

    2007-01-15

    We report two cases of marginal fractures of the medial tibial plateau associated with medial meniscal root tears. Both patients sustained knee dislocations, with complete tears of the posterior horn medial meniscal root. One sustained a ''reverse Segond fracture''; the other sustained an ''anteromedial impingement fracture'' of the tibial plateau. The meniscal root tears were arthroscopically confirmed and repaired. In the first patient, the integrity of the meniscal root repair was confirmed at a 6-month follow-up arthroscopy for lysis of adhesions. In the second patient, follow-up MRI at 10 months demonstrated a healed meniscal root. The association of medial meniscal root tear with marginal fractures of the medial tibial plateau has not been previously reported. (orig.)

  4. Management of Horizontal Root Fracture in the Middle Third via Intraradicular Splinting Using a Fiber Post

    Directory of Open Access Journals (Sweden)

    Ishani Karhade

    2016-01-01

    Full Text Available Radicular fractures in permanent teeth are uncommon injuries and account for only 0.5–7% of dental traumas. These fractures commonly result from a horizontal impact and are transverse to oblique in direction. Their incidence is more in the middle third of the root than at the apical and cervical thirds. This paper describes a case of complicated crown fracture of maxillary incisors along with horizontal root fracture at the middle third of maxillary right central and lateral incisor. The fractured root fragments of the upper right central and lateral incisor were united with the help of a glass fiber post after receiving an endodontic treatment. The other two incisors were treated endodontically followed by post endodontic restorations. Eventually the four incisors were restored with porcelain fused to metal crowns. A one-year follow-up revealed a well stabilized assembly of the root fragments and the post.

  5. Management of horizontal root fractures by fabrication of canine protected occlusion using composite resin

    Directory of Open Access Journals (Sweden)

    Joo-Hee Shin

    2012-08-01

    Full Text Available Traumatic injuries of the face often involve root fractures especially in anterior teeth. The prognosis and the treatment of the root fracture depend on the extent of the fracture line, general health and patient compliance. This case report outlines a new conservative trial treatment modality to stabilize the maxillary central incisors with horizontal root fracture on the cervical to middle third by fabricating canine guidance to remove loading on the traumatized maxillary central incisors during eccentric movements and thus inducing spontaneous healing of the fractured line between the fragments. Radiographs after thirty months showed adequate healing with no signs of pathological changes including root resorption, ankylosis or displacement. Long term follow-up revealed that vitality, stability and aesthetics were maintained and the patient was satisfied with the outcome.

  6. [Clinical effect of sequential therapy for maxillary central incisor with horizontal mid-root fracture].

    Science.gov (United States)

    Sheng, Di; Ding, Qian-wen; Zhang, Xin

    2013-12-01

    To evaluate the clinical effect of sequential therapy for traumatized maxillary central incisor with horizontal mid-root fracture. Twenty maxillary central incisors with horizontal mid-root fracture following dental trauma were included in our study. The distance between root fracture plane and root apical segment was more than 5 mm. The sequential therapy included stabilizing the traumatized incisor with a flexible splint after repositioning the coronal segment of the tooth, temporarily filling with calcium hydroxide after root preparation, sealing the root apex with warm gutta-percha obturation technique and internal fixation with fiber post combined with composite resin adhesion. The patients were followed for 6 to 24 months. Two cases healed without sign of fracture line and eighteen cases healed with sign of fracture line. No case failed. Abnormal mobility and translocation, percussion pain, gingival swelling, sinus tract and periodontal pocket were not observed in all the traumatized teeth.Radiology showed normal root apex and periodontium. Sequential therapy for maxillary central incisor with horizontal mid-root fracture could acquire a satisfactory therapeutic effect.

  7. Crown-Root Fractures in Primary Teeth: A Case Series Study of 28 Cases

    OpenAIRE

    Costa, Vanessa Polina Pereira da; Oliveira,Luisa Jardim Correa; Rosa¹,Denise Paiva; Cademartori,Mariana Gonzalez; memoriam),Dione Dias Torriani(in

    2016-01-01

    Abstract Crown-root fractures in primary teeth are rare, with a wide variation of patterns that make diagnosis and treatment difficult. The aim of this study was to present a case series of crown-root fractures in primary teeth of children who attended a reference center. The study followed 28 cases of crown-root fractures in 26 children, representing 4% of the total number of attendees over 11 years of reference service at the Universidade Federal de Pelotas, Pelotas, Brazil. In most cases, ...

  8. Root canal filling: fracture strength of fiber-reinforced composite-restored roots and finite element analysis.

    Science.gov (United States)

    Rippe, Marília Pivetta; Santini, Manuela Favarin; Bier, Carlos Alexandre Souza; Borges, Alexandre Luiz Souto; Valandro, Luiz Felipe

    2013-01-01

    The aims of this study were to evaluate the effect of root canal filling techniques on root fracture resistance and to analyze, by finite element analysis (FEA), the expansion of the endodontic sealer in two different root canal techniques. Thirty single-rooted human teeth were instrumented with rotary files to a standardized working length of 14 mm. The specimens were embedded in acrylic resin using plastic cylinders as molds, and allocated into 3 groups (n=10): G(lateral) - lateral condensation; G(single-cone) - single cone; G(tagger) - Tagger's hybrid technique. The root canals were prepared to a length of 11 mm with the #3 preparation bur of a tapered glass fiber-reinforced composite post system. All roots received glass fiber posts, which were adhesively cemented and a composite resin core was built. All groups were subjected to a fracture strength test (1 mm/min, 45°). Data were analyzed statistically by one-way ANOVA with a significance level of 5%. FEA was performed using two models: one simulated lateral condensation and Tagger's hybrid technique, and the other one simulated the single-cone technique. The second model was designed with an amount of gutta-percha two times smaller and a sealer layer two times thicker than the first model. The results were analyzed using von Mises stress criteria. One-way ANOVA indicated that the root canal filling technique affected the fracture strength (p=0.004). The G(lateral) and G(tagger) produced similar fracture strength values, while G(single-cone) showed the lowest values. The FEA showed that the single-cone model generated higher stress in the root canal walls. Sealer thickness seems to influence the fracture strength of restored endodontically treated teeth.

  9. Healing of Horizontal Intra-alveolar Root Fractures after Endodontic Treatment with Mineral Trioxide Aggregate.

    Science.gov (United States)

    Kim, Dohyun; Yue, Wonyoung; Yoon, Tai-Cheol; Park, Sung-Ho; Kim, Euiseong

    2016-02-01

    The purpose of this retrospective study was to evaluate the healing type and assess the outcome of horizontal intra-alveolar root fractures after endodontic treatment with mineral trioxide aggregate (MTA) as filling material. The clinical database of the Department of Conservative Dentistry at Yonsei University Dental Hospital, Seoul, Korea, was searched for patients with histories of intra-alveolar root fractures and endodontic treatments with MTA between October 2005 and September 2014. Radiographic healing at the fracture line was evaluated independently by 2 examiners and was classified into 4 types according to Andreasen and Hjørting-Hansen. Of the 22 root-fractured teeth that received endodontic treatment with MTA, 19 cases participated in the follow-up after a period of at least 3 months. Seventeen of the 19 teeth (89.5%) exhibited healing of the root fractures. For each healing type, 7 teeth (36.8%) showed healing with calcified tissue, 8 teeth (42.1%) showed interposition of connective tissue, 2 teeth (10.5%) showed interposition of connective tissue and bone, and 2 teeth (10.5%) showed interposition of granulation tissue without healing. Within the limitations of this study, intra-alveolar root fractures showed satisfactory healing outcomes after endodontic treatment with MTA. MTA could be considered to be suitable filling material for the endodontic treatment of horizontal intra-alveolar root fractures. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  10. Trans-iliosacral plating for vertically unstable fractures of sacral spine associated with spinopelvic dissociation: A cadaveric study.

    Science.gov (United States)

    Padalkar, Pravin; Pereira, Barry P; Kathare, Ambadas; Sun, Khong Kok; Kagda, Fareed; Joseph, Thambiah

    2012-05-01

    desired angulation for inserting screws and percentage of displacement on biomechanical testing was evaluated. Mean angulations for inserting sacral pedicel were 12.3° (SD 2.7°) convergent to midline and divergent of 14° (SD 2.3°) for sacral ala screw and 23° (SD 4.9°) for iliac wing screw. All screws needed to be inserted at an angle of 90° to sacral dorsum to avoid violation of root canals. Cross headed displacement across fracture site was measured and plotted against the applied vertical shear load of 300 N in five cycles each for all the four configurations. Also, the force required for cross headed displacement of 2.5 mm and 5 mm was recorded for all configurations. Transmitted load across both ischial tuberosities was measured to resolve unequal distribution of forces. Taking one screw construct (configuration 1) as standard base reference, trans-iliosacral plate construct (configuration 3) showed equal rigidity to standard reference. Two screw construct (configuration 2) was 12% stronger and trans-iliosacral plate (configuration 4) with screw was 9% stronger at 2.5 mm displacing on 300 N force, while it showed 30% and 6%, respectively, at 5 mm cross-headed displacement. Trans-iliosacral plating is feasible anatomically, biomechanically and radiologically for sacral fractures associated with vertical shear pelvic fractures. Low profile of plate reduces the risk of hardware prominence and decreases the need for implant removal. Also, the fixation pattern of plate allows to spare mobile lumbosacral junction which is an important segment for spinal mobility. Biomechanical studies revealed that rigidity offered by plate for cross headed displacement across fracture site is equal to sacroiliac screws and further rigidity of construct can be increased with addition of one more screw. There is need for precountered thicker plate in future.

  11. Analytical modeling of coupled flow and geomechanics for vertical fractured well in tight gas reservoirs

    Directory of Open Access Journals (Sweden)

    Wang Ruifei

    2017-12-01

    Full Text Available The mathematical model of coupled flow and geomechanics for a vertical fractured well in tight gas reservoirs was established. The analytical modeling of unidirectional flow and radial flow was achieved by Laplace transforms and integral transforms. The results show that uncoupled flow would lead to an overestimate in performance of a vertical fractured well, especially in the later stage. The production rate decreases with elastic modulus because porosity and permeability decrease accordingly. Drawdown pressure should be optimized to lower the impact of coupled flow and geomechanics as a result of permeability decreasing. Production rate increases with fracture half-length significantly in the initial stage and becomes stable gradually. This study could provide a theoretical basis for effective development of tight gas reservoirs.

  12. Accuracy of Single Periapical Radiography in Diagnosis of Horizontal Root Fracture

    Directory of Open Access Journals (Sweden)

    Fazlolah Soleymani Najafabadi

    2012-02-01

    Full Text Available Background and Aims: Radiographic examination is a necessary step in diagnosis of horizontal root fracture. The purpose of this study was to determine the sensitivity and specificity of single radiograph for detection of horizontal root fracture. Materials and Methods: In this analytical-descriptive study, 30 human freshly extracted teeth were used. Using a hammer and clamp, the teeth were divided into two sections accidentally and then sections were attached together by cyanoacrylate glue. Two radiographs were taken; with and without a piece of human mandibular bone. Afterward, radiographs were analyzed by three expert dentists using a slide show device. Results: The diagnostic sensitivity and specificity of single radiograph for detection of horizontal root fracture without bone was 100%, but in radiographs of teeth with bone was 82.7% and 100%, respectively. Conclusion: Based on the results of this study, in most cases, the horizontal root fractures can be detected by a single periapical radiograph.

  13. Dental trauma involving root fracture and periodontal ligament injury: a 10-year retrospective study

    OpenAIRE

    Sônia Regina Panzarini; Denise Pedrini; Wilson Roberto Poi; Celso Koogi Sonoda; Daniela Atili Brandini; José Carlos Monteiro de Castro

    2008-01-01

    The purpose of this retrospective study was to analyze the cases of traumatic dental injuries involving root fracture and/or periodontal ligament injury (except avulsion) treated at the Discipline of Integrated Clinic, School of Dentistry of Araçatuba, São Paulo State University (UNESP), Brazil, from January 1992 to December 2002. Clinical and radiographic records from 161 patients with 287 traumatized teeth that had sustained root fracture and/or injuries to the periodontal ligament were exa...

  14. Numerical modeling of the productivity of vertical to shallowly dipping fractured zones in crystalline rocks

    Science.gov (United States)

    Leray, S.; de Dreuzy, J.-R.; Bour, O.; Bresciani, E.

    2013-02-01

    SummaryGroundwater resources in crystalline rock are typically associated with the weathered zone and regional sub-vertical faults that are well connected to the surface. However, some sub-horizontal and shallowly dipping fractured zones can also be highly-productive aquifers. In this paper, numerical simulations of a conceptual hydrogeological model show that the flow to such strongly transmissive fractured zones is controlled by their transmissivity or by their deepening structure. While leakage through the overlying rock units is generally the limiting factor, recharge always occurs at least close to the outcrop of the fractured zone where the overlying rock is thinner and guarantees the availability of some groundwater. At small dip angles, recharge extends spatially and the flow within the fractured zone may even become the limiting factor when the hydraulic conductivity of the overlying rock is not less than two orders of magnitude smaller than the fractured zone transmissivity. This is precisely the case of the Plœmeur aquifer (Brittany, France) located in a crystalline rock geologic setting, where groundwater in a shallowly dipping fractured zone is used as the source of water supply for a nearby city of 20,000 people. Simulation results show that the fractured zones may represent potential aquifers under a large variety of hydrogeological conditions. Aquifers in shallowly dipping structures differ strongly from those located in regional sub-vertical fault zones in terms of flow patterns, and thus supposedly in terms of management of the groundwater resource. They are more local than regional in scale, and consequently do not require regional fracture connectivity. The leakage through the overlying rock unit enhances water quality. Finally, we argue that the potential widespread occurrence of these alternative and possibly less accessible resources should promote the development of appropriate identification methods.

  15. Root growth of perennials in vertical growing media for use in green walls

    DEFF Research Database (Denmark)

    Jørgensen, Lars; Dresbøll, Dorte Bodin; Thorup-Kristensen, Kristian

    2014-01-01

    The vertical orientation of green walls causes a risk of uneven water distribution within the growing medium, and thereby stress on the plant roots. Therefore it was studied how the root and top growth of different species were affected by the water holding characteristics of the growing media...... distribution was registered over 52 days and the activity of individual root systems was studied via 15N uptake and plant parameters were measured. The water holding characteristics of the growing media was determined on a sandbox. From day 21 and throughout the experiment, the plants growing in the coir...... uptake was higher for plants grown in coir than rockwool. The coir medium showed a more gradual water release with increasing tension than either of the rockwool media, corresponding to the water content measured locally in the boxes. The results confirmed that the growing media affect root...

  16. Evaluation of the fracture resistance of remaining thin-walled roots restored with different post systems

    OpenAIRE

    Pinho, Luis Gustavo Nunes Dias; Vinholi, Gustavo Helder; Coelho, Tulio Kalife; Rodrigues Neto, Dimas João; Cerutti Kopplin, Daiane; Silva, Anísio Lima

    2013-01-01

    The purpose of this work was evaluating the fracture strength of bovine roots weakened experimentally, restored with two different techniques: internal reinforcement of root canal walls with composite resin and a cast metal post and core or anatomic post (glass fiber post associated with composite resin). Thirty bovine lower central incisive were selected and transversally sectioned, remaining 14 mm of root in order to approximate to the human maxillary central incisive.  A sequence of standa...

  17. Vertical Open Patella Fracture, Treatment, Rehabilitation and the Moment to Fixation

    Science.gov (United States)

    Larangeira, Joao Alberto; Bellenzier, Liliane; Rigo, Vanessa da Silva; Ramos Neto, Elias Josue; Krum, Francisco Fritsch Machry; Ribeiro, Tiango Aguiar

    2015-01-01

    Patella fracture is relatively uncommon and the vertical trace fracture represents almost 12-17%. The open patella fracture expresses 6-30%. The association of these two uncommon conditions was the aim of this case report even as the treatment and the moment of fixation (definitive surgical treatment). A 27-year-old man after a motorcycle accident showed an open patella fracture classified as a Gustilo and Anderson type IIIA lesion. The patient was immediately treated with precocious surgery fixation with a modified tension band which consists of two parallel K-wires positioned orthogonal to the fracture line and a cerclage wire shaped anteriorly at patella as an eight. The premature fixation benefited the infection prevention and provided earlier joint motion, which increased the nutrition of articular cartilage. Six months postoperatively, the patient had a satisfactory joint motion with full extension and 116° of joint flexion and returned to his daily life activities without restriction. Twelve months postoperatively, the patient had full extension and 120° of knee flexion without pain, joint effusion and instability. Muscle strength force was considered normal at grade V. In conclusion, early chirurgic treatment and precocious articular mobilization improve prognosis, suggesting that the employment of these practices should be adopted whenever possible in most of the open fractures. PMID:25436033

  18. Fracture resistance of simulated immature tooth roots reinforced with MTA or restorative materials.

    Science.gov (United States)

    Karapinar-Kazandag, Meric; Basrani, Bettina; Tom-Kun Yamagishi, Valerie; Azarpazhooh, Amir; Friedman, Shimon

    2016-04-01

    Immature endodontically treated teeth may require reinforcing to reduce the risk of root fracture. This study assessed the fracture resistance of simulated immature tooth roots reinforced with mineral trioxide aggregate (MTA) or two composite resin (CR) materials. One hundred extracted roots of mature human maxillary incisors were decoronated and sectioned 9 mm further apically from the decoronation line and randomly divided into five groups (n = 20). In Group 1 (negative control), roots received no treatment. In groups 2-5, canals were enlarged to 2.1 mm diameter to simulate immature roots, dressed with calcium hydroxide (Ca(OH)2 ) and incubated for 7 days. After removal of Ca(OH)2 , canals in Group 2 (positive control) were left unfilled. Canals in groups 3, 4 and 5 were filled with MTA, BisFil 2B flowable CR or BisFil II posterior CR, respectively. After further incubation for 30 days, specimens were embedded in acrylic cylinders and horizontally loaded in a universal testing machine at cross head speed of 5 mm min(-1) until fracture occurred. Load (N) at and pattern of fracture were recorded. Load at fracture was significantly lower (t-test, P = 0.003) in Group 2 (630 ± 199.12) than in Group 1 (896.98 ± 311.79). It did not differ significantly among groups 1, 3, 4 and 5 (anova, P > 0.07). Pattern of fracture did not differ among the groups either. Within the limitations of this study, root canal filling with MTA and two CR materials affected reinforcement of simulated immature roots to levels comparable with intact roots. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  19. Differences in Healing of a Horizontal Root Fracture as Seen on Conventional Periapical Radiography and Cone-Beam Computed Tomography

    Directory of Open Access Journals (Sweden)

    Ronnachat Rothom

    2017-01-01

    Full Text Available Different locations and healing patterns of horizontal root fractures bear different prognoses. Conventional periapical radiographs have been routinely used for the evaluation of the locations and healing of horizontal root fractures, with the limitation of presenting two-dimensional images. The three-dimensional imaging technology, cone-beam computed tomography (CBCT, has recently gained interest in dental traumatology, in particular for locating and diagnosing root fractures. However, the assessment of healing patterns of horizontal root fracture using CBCT compared to conventional radiographs has not been established. This case report describes the different healing patterns evaluated by two-dimensional radiographs and CBCT of a horizontally root-fractured maxillary right central incisor treated with mineral trioxide aggregate (MTA with a two-year follow-up. The findings suggest that the healing patterns of horizontal root fractures seen on conventional radiographs and CBCT may be different.

  20. Separate vertical wiring for the fixation of comminuted fractures of the inferior pole of the patella.

    Science.gov (United States)

    Song, Hyung Keun; Yoo, Je Hyun; Byun, Young Soo; Yang, Kyu Hyun

    2014-05-01

    Among patients over 50 years of age, separate vertical wiring alone may be insufficient for fixation of fractures of the inferior pole of the patella. Therefore, mechanical and clinical studies were performed in patients over the age of 50 to test the strength of augmentation of separate vertical wiring with cerclage wire (i.e., combined technique). Multiple osteotomies were performed to create four-part fractures in the inferior poles of eight pairs of cadaveric patellae. One patella from each pair was fixed with the separate wiring technique, while the other patella was fixed with a combined technique. The ultimate load to failure and stiffness of the fixation were subsequently measured. In a clinical study of 21 patients (average age of 64 years), comminuted fractures of the inferior pole of the patellae were treated using the combined technique. Operative parameters were recorded from which post-operative outcomes were evaluated. For cadaveric patellae, whose mean age was 69 years, the mean ultimate loads to failure for the separate vertical wiring technique and the combined technique were 216.4±72.4 N and 324.9±50.6 N, respectively (p=0.012). The mean stiffness for the separate vertical wiring technique and the combined technique was 241.1±68.5 N/mm and 340.8±45.3 N/mm, respectively (p=0.012). In the clinical study, the mean clinical score at final follow-up was 28.1 points. Augmentation of separate vertical wiring with cerclage wire provides enough strength for protected early exercise of the knee joint and uneventful healing.

  1. Crown-Root Fractures in Primary Teeth: A Case Series Study of 28 Cases.

    Science.gov (United States)

    Costa, Vanessa Polina Pereira da; Oliveira, Luisa Jardim Correa; Rosa, Denise Paiva; Cademartori, Mariana Gonzalez; Torriani, Dione Dias

    2016-01-01

    Crown-root fractures in primary teeth are rare, with a wide variation of patterns that make diagnosis and treatment difficult. The aim of this study was to present a case series of crown-root fractures in primary teeth of children who attended a reference center. The study followed 28 cases of crown-root fractures in 26 children, representing 4% of the total number of attendees over 11 years of reference service at the Universidade Federal de Pelotas, Pelotas, Brazil. In most cases, the maxillary central incisors (85.7%) were involved. In the crown, 57.1% of the cases had a simple line of fracture, and 42.9% had multiple lines. Simple lines predominated in the root (89.3%). In cases with simple fracture lines in the crown, 37.6% underwent a total extraction, 31.2% required a partial extraction and 31.2% underwent pulpectomy. In most teeth with multiple lines of fractures in the crown, total extraction was performed (91.7%) All cases were followed-up until the eruption of the permanent successor tooth, and all patients had favorable outcomes.

  2. Treatment of Sagittal Fracture of the Zygomatic Arch Root Assisted by Surgical Navigation Technology.

    Science.gov (United States)

    Dai, Jin-Hong; Xu, Dong-Dong; Yang, Chang-Yuan; Li, Zu-Bing; Li, Zhi

    2018-01-29

    Sagittal fracture at the temporal root of the zygomatic arch often occurs as a part of zygomaticomaxillary fractures. The authors described the application of computer-assisted navigation in the lag screw insertion for the fixation of sagittal fracture at the temporal root of zygomatic arch. Using the presurgical planning of the computer-assisted navigation system, the trajectory of lag screw insertion was designed, and the insertion depth was calculated. In the presurgical planning, the trajectory of screw insertion was placed with an anterior inclination of 10° to 15° (mean: 12.24°), and the screw insertion depth was 9.0 to 12.0 mm (mean: 10.65 mm). In the operation, the screw insertion in the fixation of the sagittal fracture was performed under the guidance of navigation system according to the presurgical planning. The postoperative CT scan showed exact reduction and fixation of the sagittal fracture in all cases. Computer-assisted navigation is a useful tool for the lag screw insertion in the precise fixation of sagittal fracture at the temporal root of the zygomatic arch in complex zygomaticomaxillary fractures.

  3. Horizontal versus vertical orientation of the loop for tension band wiring of transverse patella fractures.

    Science.gov (United States)

    Lee, Sang Ki; Hwang, Yoon Sub; Choy, Won Sik

    2014-03-01

    Conventional operative treatments of patella fractures are frequently associated with implant failure or displacement. Recent biomechanical studies showed that the orientation of the wire loop and the site of the wire twist can affect the fixation strength. The purpose of this study was to compare the clinical outcome of the tension band technique with loops in different orientations and different knot positions. For this retrospective study, 72 patella fractures (71 patients) were fixed with figure-of-eight configurations in combination with 2 K-wires. Patients were divided into 3 groups according to the orientation of tension band construct. A total of 40 patella fractures were placed with figure-of-eight configurations in a vertical orientation either with 1 wire twist (group 1; 16 patella fractures) or with 2 wire twists at the adjacent corners (group 2; 24 patella fractures). Thirty-two patella fractures were placed with figure-of-eight configurations in a horizontal orientation with 2 wire twists at the adjacent corners (group 3). Range of motion, complication rates, and knee scoring scales (Hospital for Special Surgery and Lysholm) were assessed during serial follow-up. Satisfactory reductions were achieved in all groups, but functional results in the early stage were different. Group 3 had better Hospital for Special Surgery and Lysholm scores at 3 months postoperatively; however, at 6 months and 1 year postoperatively, all groups had similar scores. At the 1-year follow-up, all groups achieved acceptable flexion and range of motion. The overall complication rate was lower in the horizontal group (12.5%). Placing the figure-of-eight tension band construct in a horizontal orientation can provide functional benefits in the early stage after patella fractures. Copyright 2014, SLACK Incorporated.

  4. Multidisciplinary management of subgingival crown-root fracture of an immature permanent maxillary central incisor

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    Samir Zahedpasha

    2012-01-01

    Full Text Available This case report describes the multidisciplinary management of subgingival horizontal crown-root fracture of an immature permanent maxillary central incisor in a 10-year-old boy. After removal of the fractured fragment, pulpotomy was performed within 48 h from the injury to promote apexogenesis. The tooth was orthodontically extruded until the fracture line was located above the alveolar bone level. Frenectomy, supracrestal fiberotomy, and crown lengthening were performed after adequate stabilization of the extruded tooth for 5 months. Finally, the tooth was restored with composite resin by using the acid etch technique. This report highlights that a multidisciplinary treatment approach with strict cooperation among specialists to manage a complicated crown-root fracture can save and restore a traumatized immature permanent tooth.

  5. Transient discoloration of the coronal fragment in intra-alveolar root fractures.

    Science.gov (United States)

    Malmgren, Barbro; Hübel, Sofie

    2012-06-01

    Root fractures are a relatively rare type of injury with frequencies of 0.5-7% of traumatized permanent teeth. It is well known that teeth with intra-alveolar root fractures have a good prognosis. The pulp remains vital in about 80% of these teeth. If pulp necrosis develops, this normally only occurs in the coronal fragment. Although several studies on intra-alveolar root fractures have been published during the last decades, none have mentioned that transient discoloration can occur. The aim of our study was to study the frequency and prognosis for intra-alveolar root fractures with discoloration. The material consisted of 42 permanent incisors from 21 boys and 18 girls aged 7-19 years (mean = 12.7, median 12.0). In two girls and one boy, two incisors exhibited concurrent intra-alveolar root fractured. The follow-up period ranged from 1 to 9 years. The colour changes were determined at each control by transillumination of the clinical crown from the facial and palatal surfaces. Electrometric sensibility was evaluated and compared to the values of adjacent teeth using an electric pulp tester. At the final clinical and radiographic control, the type of healing was registered. Discoloration was found in nine teeth. The root development was completed in all these teeth. The discoloration disappeared within 4 weeks to 6 months in eight teeth. The sensibility, which was lost at the injury, followed the changes in discoloration, and all teeth had regained normal sensibility when the discoloration had disappeared. Only one tooth, which showed a greyish hue, developed pulp necrosis. Transient discoloration in intra-alveolar fractures is relatively common and is indicative of a good prognosis for healing. © 2011 John Wiley & Sons A/S.

  6. Bouldering: an alternative strategy to long-vertical climbing in root-climbing hortensias.

    Science.gov (United States)

    Granados Mendoza, Carolina; Isnard, Sandrine; Charles-Dominique, Tristan; Van den Bulcke, Jan; Rowe, Nick P; Van Acker, Joris; Goetghebeur, Paul; Samain, Marie-Stéphanie

    2014-10-06

    In the Neotropics, the genus Hydrangea of the popular ornamental hortensia family is represented by climbing species that strongly cling to their support surface by means of adhesive roots closely positioned along specialized anchoring stems. These root-climbing hortensia species belong to the nearly exclusive American Hydrangea section Cornidia and generally are long lianescent climbers that mostly flower and fructify high in the host tree canopy. The Mexican species Hydrangea seemannii, however, encompasses not only long lianescent climbers of large vertical rock walls and coniferous trees, but also short 'shrub-like' climbers on small rounded boulders. To investigate growth form plasticity in root-climbing hortensia species, we tested the hypothesis that support variability (e.g. differences in size and shape) promotes plastic responses observable at the mechanical, structural and anatomical level. Stem bending properties, architectural axis categorization, tissue organization and wood density were compared between boulder and long-vertical tree-climbers of H. seemannii. For comparison, the mechanical patterns of a closely related, strictly long-vertical tree-climbing species were investigated. Hydrangea seemannii has fine-tuned morphological, mechanical and anatomical responses to support variability suggesting the presence of two alternative root-climbing strategies that are optimized for their particular environmental conditions. Our results suggest that variation of some stem anatomical traits provides a buffering effect that regulates the mechanical and hydraulic demands of two distinct plant architectures. The adaptive value of observed plastic responses and the importance of considering growth form plasticity in evolutionary and conservation studies are discussed. © 2014 The Author(s) Published by the Royal Society. All rights reserved.

  7. Multidisciplinary Management of Complicated Crown-Root Fracture of an Anterior Tooth Undergoing Apexification

    Directory of Open Access Journals (Sweden)

    Merve Mese

    2015-01-01

    Full Text Available The purpose of this case report was to present the multidisciplinary management of a subgingival crown-root fracture of a patient undergoing apexification treatment. A 12-year-old male patient was referred to the pediatric dentistry clinic with an extensive tooth fracture of the right permanent maxillary lateral incisor. Clinical and radiographic examinations revealed the presence of a complicated crown-root fracture, which had elongated to the buccal subgingival area. The dental history disclosed that the apexification procedure had been started to be performed after his first trauma experience and he had neglected his appointment. The coronal fragment was gently extracted; endodontic treatment was performed; flap surgery was performed to make the fracture line visible. The coronal fragment was reattached to the root fragment with a dual-cure luting composite. A fiber post was stabilized and the access cavity of the tooth was restored with composite resin. At the end of the 24th month, the tooth was asymptomatic, functionally, esthetically acceptable and had no periapical pathology. It is important for the patients undergoing apexification treatment to keep their appointments because of the fracture risk. Restoration of the fractured tooth by preparing retention grooves and a bonding fiber-reinforced post are effective and necessary approaches for successful management.

  8. Comparison of intraoral radiography and limited cone beam computed tomography for the assessment of root-fractured permanent teeth.

    Science.gov (United States)

    Bornstein, Michael M; Wölner-Hanssen, Andrea B; Sendi, Pedram; von Arx, Thomas

    2009-12-01

    To compare intraoral occlusal (OC) and periapical (PA) radiographs vs. limited cone beam computed tomography (CBCT) in diagnosing root-fractured permanent teeth. In 38 patients (mean age 24 years, range 8-52 years) with 44 permanent teeth with horizontal root fractures, intraoral radiographs (PA and OC) and limited CBCT were used to evaluate the location (apical, middle, cervical third of the root) and angulation of the fracture line. Furthermore, the conventional radiographs and CBCT images were compared for concordance of fracture location. In the PA and OC radiographs, 28 fractures (63.6%) were located in the middle third of the root, 11 (25.0%) in the apical third and 5 (11.4%) in the cervical third. The PA/OC radiographs and the sagittal CBCT images (facial aspect) yielded the same level of root fracture in 70.5% of cases (31 teeth; 95% CI: 54.1-82.7%). The PA/OC radiographs and sagittal CBCT images (palatal aspect) showed the same level of root fracture in 31.8% of cases. There was a statistically significant association between the angle at which the root fracture line intersected the axis of the tooth and the level of root fracture in the facial aspect of the sagittal CBCT images. The diagnosis of the location and angulation of root fractures based on limited CBCT imaging differs significantly from diagnostic procedures based on intraoral radiographs (PA/OC) alone. The clinical significance for treatment strategies and for the prognosis of root-fractured teeth has to be addressed in future studies.

  9. Tooth reattachment: An immediate esthetic restorative procedure for crown root fracture

    Directory of Open Access Journals (Sweden)

    Meenu G Singla

    2012-01-01

    Full Text Available Crown root fractures in the maxillary anterior region represent an intriguing challenge for clinicians. An interdisciplinary approach based on exposing fractured margins and the definitive prosthetic rehabilitation represent the standard modality of treatment for these conditions to restore the appropriate biologic dimension and esthetics. However, if the margins of the fragment and the tooth show perfect juxtaposition with no interfragmentary space and immediate esthetic replacement is needed, reattachment of the fractured segment using adhesives may be indicated. The aim of this case report is to describe the treatment of a crown root fracture at CEJ of an endodontically treated tooth having porcelain fused to metal crown by means of metal post placement and reattactment of the fragment using Glass ionomer cement with follow up of one year. Conclusion: Reattachment of a tooth fragment is a viable technique that restores function and aesthetics with a very conservative approach in a single visit and can be considered when treating patients with crown/root fractures of the anterior teeth.

  10. Vertical cross contamination of trichloroethylene in a borehole in fractured sandstone

    Science.gov (United States)

    Sterling, S.N.; Parker, B.L.; Cherry, J.A.; Williams, J.H.; Lane, J.W.; Haeni, F.P.

    2005-01-01

    Boreholes drilled through contaminated zones in fractured rock create the potential for vertical movement of contaminated ground water between fractures. The usual assumption is that purging eliminates cross contamination; however, the results of a field study conducted in a trichloroethylene (TCE) plume in fractured sandstone with a mean matrix porosity of 13% demonstrates that matrix-diffusion effects can be strong and persistent. A deep borehole was drilled to 110 m below ground surface (mbgs) near a shallow bedrock well containing high TCE concentrations. The borehole was cored continuously to collect closely spaced samples of rock for analysis of TCE concentrations. Geophysical logging and flowmetering were conducted in the open borehole, and a removable multilevel monitoring system was installed to provide hydraulic-head and ground water samples from discrete fracture zones. The borehole was later reamed to complete a well screened from 89 to 100 mbgs; persistent TCE concentrations at this depth ranged from 2100 to 33,000 ??g/L. Rock-core analyses, combined with the other types of borehole information, show that nearly all of this deep contamination was due to the lingering effects of the downward flow of dissolved TCE from shallower depths during the few days of open-hole conditions that existed prior to installation of the multilevel system. This study demonstrates that transfer of contaminant mass to the matrix by diffusion can cause severe cross contamination effects in sedimentary rocks, but these effects generally are not identified from information normally obtained in fractured-rock investigations, resulting in potential misinterpretation of site conditions. Copyright ?? 2005 National Ground Water Association.

  11. Orthodontic Extrusion as Treatment Option for Crown-Root Fracture: Literature Review with Systematic Criteria.

    Science.gov (United States)

    Faria, Lorraine Perciliano de; Almeida, Melyna Marques de; Amaral, Marina Fuzette; Pellizzer, Eduardo Piza; Okamoto, Roberta; Mendonça, Marcos Rogério

    2015-09-01

    To review the literature searching for a consensus for the choice of orthodontic extrusion as treatment for crown-root fracture. An electronic search was performed in the databases PubMed, Cochrane Central Register of Controlled Trials and Scopus and a manual search of the Journal Dental Traumatology. Forty articles were found in PubMed and 38 in Scopus and after removal of duplicate sample 51 contained articles. Of these, 48 were excluded for not having orthodontic treatment, no follow-up or follow-up less than 6 months, or not report the presence of crown-root fracture. In manual search in Dental Traumatology 20 articles were found, but none of them met the prerequisites established. So, three articles formed the basis of the study. The choice of how to treat orthodontic extrusion of crown-root fracture was effective and stable, without root and periodontal changes. Factors, such as root formation and presence of pulp vitality were decisive for determining the stages of treatment, however, there is no consensus based on scientific evidence about these protocols.

  12. Study on Initiation Mechanisms of Hydraulic Fracture Guided by Vertical Multi-radial Boreholes

    Science.gov (United States)

    Guo, Tiankui; Liu, Binyan; Qu, Zhanqing; Gong, Diguang; Xin, Lei

    2017-07-01

    The conventional hydraulic fracturing fails in the target oil development zone (remaining oil or gas, closed reservoir, etc.) which is not located in the azimuth of maximum horizontal in situ stress of available wellbores. The technology of directional propagation of hydraulic fracture guided by vertical multi-radial boreholes is innovatively developed. The effects of in situ stress, wellbore internal pressure and fracturing fluid percolation effect on geostress field distribution are taken into account, a mechanical model of two radial boreholes (basic research unit) is established, and the distribution and change rule of the maximum principal stress on the various parameters have been studied. The results show that as the radial borehole azimuth increases, the preferential rock tensile fracturing in the axial plane of radial boreholes becomes increasingly difficult. When the radial borehole azimuth increases to a certain extent, the maximum principal stress no longer appears in the azimuth of the radial boreholes, but will go to other orientations outside the axial plane of radial boreholes and the maximum horizontal stress orientation. Therefore, by reducing the ratio between the distance of the radial boreholes and increasing the diameter of the radial boreholes can enhance the guiding strength. In the axial plane of the radical boreholes, particularly in the radial hole wall, position closer to the radial boreholes is more prone to rock tensile destruction. Even in the case of large radial borehole azimuth, rock still preferentially ruptures in this position. The more the position is perpendicularly far from the axis of the wellbore, the lesser it will be affected by wellbore, and the lesser the tensile stress of each point. Meanwhile, at a certain depth, due to the decrease in the impact of the wellbore and the impact of the two radial boreholes increases accordingly, at the further position from the wellbore axis, the tensile fracture is the most prone to

  13. Autogenous tooth fragment reattachment: A multidisciplinary management for complicated crown-root fracture with biologic width violation

    OpenAIRE

    Vinaya Kumar Kulkarni; Chitra P Bhusari; Divya S Sharma; Prashant Bhusari; Arpana V Bansal; Jeevanand Deshmukh

    2014-01-01

    Fractures of multiple permanent anterior teeth can be a traumatic experience for children, with functional, esthetic and psychological aspects. The treatment of complicated crown-root fractures (CRFs) is more challenging when the biologic width is violated. This paper presents a case of 12-year boy with complicated CRF of teeth #12 and #21, and horizontal crown fracture of tooth #11. It was managed by endodontic treatment, mucoperiosteal surgery with osteotomy to visualize the fracture line f...

  14. Treatment of a horizontal root-fractured tooth with decoronation procedure: case report

    Directory of Open Access Journals (Sweden)

    Selen Esin Yoldaş

    2016-05-01

    Full Text Available INTRODUCTION: Early loss of permanent anterior teeth due to trauma can cause esthetic and functional problems for young patients. In such cases, replacement of the missing tooth with traditional approaches is possible; however such approaches will reduce the chance of the patient to receive an esthetic and consistent treatment in the future. CASE REPORT: A 12-year-old male patient referred to our clinic with a history of trauma. Complicated crown fracture in tooth no.11 and horizontal root fracture in tooth no. 21 was detected. Following root canal treatment, tooth no. 11 was restored with a fiber post and a strip crown. To avoid alveolar bone loss due to early tooth extraction, decoronation procedure, an alternative approach, was applied to tooth no. 21. This procedure consisted of leaving the root fragment inside the alveolar socket following the removal of the crown. For the rehabilitation of the missing crown, a partial removable prosthesis was implemented. The patient was recalled in 6., 12. and 18. months. Within the follow-up period, no reduction in the alveolar bone level was seen. No sign of infection was evident. The remaining root fragment kept on resorbing. Tooth no. 11 remained symptom-free as well. The patient is still being followed. CONCLUSION: Decoronation is essentially a treatment choice for preventing alveolar bone loss in ankylosed teeth considered for extraction. In this case report, decoronation was shown to be a suitable alternative also for a fractured, non-ankylosed tooth.

  15. Fracture strength of flared bovine roots restored with different intraradicular posts.

    Science.gov (United States)

    Clavijo, Victor Grover Rene; Reis, José Maurício dos Santos Nunes; Kabbach, William; Silva, André Luis Faria e; Oliveira Junior, Osmir Batista de; Andrade, Marcelo Ferrarezi de

    2009-01-01

    The aim of this study was to evaluate the fracture strength and failure mode of flared bovine roots restored with different intraradicular posts. Fifty bovine incisors with similar dimensions were selected and their roots were flared until 1.0 mm of dentin wall remained. Next, the roots were allocated into five groups (n=10): GI- cast metal post-and-core; GII- fiber posts plus accessory fiber posts; GIII- direct anatomic post; GIV- indirect anatomic post and GV- control (specimens without intraradicular post). A polyether impression material was used to simulate the periodontal ligament. After periodontal ligament simulation, the specimens were subjected to a compressive load at a crosshead speed of 0.5 mm/min in a servo-hydraulic testing machine (MTS 810) applied at 135 masculine to the long axis of the tooth until failure. The data (N) were subjected to ANOVA and Tukey's post-hoc test (alpha=0.05). GI and GIV presented higher fracture strength (p0.05) from GI, GII and GIV. Control specimens (GV) produced the lowest fracture strength mean values (p<0.05). Despite obtaining the highest mean value, GI presented 100% of unfavorable failures. GII presented 20% of unfavorable failures. GIII, GIV and GV presented only favorable failures. Although further in vitro and in vivo studies are necessary, the results of this study showed that the use of direct and indirect anatomic posts in flared roots could be an alternative to cast metal post-and-core.

  16. Trans-iliosacral plating for vertically unstable fractures of sacral spine associated with spinopelvic dissociation: A cadaveric study

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    Pravin Padalkar

    2012-01-01

    Conclusions: Trans-iliosacral plating is feasible anatomically, biomechanically and radiologically for sacral fractures associated with vertical shear pelvic fractures. Low profile of plate reduces the risk of hardware prominence and decreases the need for implant removal. Also, the fixation pattern of plate allows to spare mobile lumbosacral junction which is an important segment for spinal mobility. Biomechanical studies revealed that rigidity offered by plate for cross headed displacement across fracture site is equal to sacroiliac screws and further rigidity of construct can be increased with addition of one more screw. There is need for precountered thicker plate in future.

  17. Traction Induced Vertical Displacement of Odontoid due to Type III Odontoid Fracture with Unrecognized Ligamentous Injury: A Case Report

    Science.gov (United States)

    Jung, Min-Ho; Hur, Hyuk; Jang, Jae-Won; Kim, Jae-Hyoo; Kim, Soo-Han

    2014-01-01

    Dens fractures are a common traumatic cervical spine injury. Among them, a type III fracture is the second common fracture. Although there are several treatment options, it has been accepted that type III fracture is usually healed by non-surgical method. After adequate reduction with traction, subsequent external immobilization has been associated with successful union rates. However, in the review of literatures, there are some cases with neurological deterioration after application of skull traction. So, the authors report a case of type III dens fracture with initially unrecognized ligamentous injury in which vertical dissociation and quadriplegia occurred after only five-pound Gardner-Well tongs traction. And also, the authors raise awareness of this potentially injury. PMID:27169054

  18. Intraradicular splinting of a mid-root fracture with a fiber post

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    Viraj S Yalgi

    2014-01-01

    Full Text Available Introduction: Trauma causes fractures of anterior teeth commonly, where extraction is not considered as a part of treatment plan. This case report presents the endodontic management of a horizontally fractured right central incisor involving healing with granulation tissue, using an intraradicular splinting technique. Case Report: A patient complained of pain and mobility of the upper right front teeth since 1 day. The root canal therapy of the upper central incisor was done. The intraradicular stabilization involved placing a fiber post in the canal and luting with resin cement. Discussion: This case demonstrates that intraradicular splinting can be used to manage horizontally fractured teeth with necrotic and mobile coronal segment. The recent improvements in the dental materials resin-based restorative materials with tooth-colored fiber post are of choice because of several advantages such as esthetics, bonding to tooth structure, and low modulus elasticity similar to that of dentin.

  19. Dental trauma involving root fracture and periodontal ligament injury: a 10-year retrospective study

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    Sônia Regina Panzarini

    2008-09-01

    Full Text Available The purpose of this retrospective study was to analyze the cases of traumatic dental injuries involving root fracture and/or periodontal ligament injury (except avulsion treated at the Discipline of Integrated Clinic, School of Dentistry of Araçatuba, São Paulo State University (UNESP, Brazil, from January 1992 to December 2002. Clinical and radiographic records from 161 patients with 287 traumatized teeth that had sustained root fracture and/or injuries to the periodontal ligament were examined. The results of this survey revealed that subluxation (25.09% was the most common type of periodontal ligament injury, followed by extrusive luxation (19.86%. There was a predominance of young male patients and most of them did not present systemic alterations. Among the etiologic factors, the most frequent causes were falls and bicycle accidents. Injuries on extraoral soft tissues were mostly laceration and abrasion, while gingival and lip mucosa lacerations prevailed on intraoral soft tissues injuries. Radiographically, the most common finding was an increase of the periodontal ligament space. The most commonly performed treatment was root canal therapy. Within the limits of this study, it can be concluded that traumatic dental injuries occur more frequently in young male individuals, due to falls and bicycle accidents. Subluxation was the most common type of periodontal ligament injury. Root canal therapy was the type of treatment most commonly planned and performed.

  20. Dental trauma involving root fracture and periodontal ligament injury: a 10-year retrospective study.

    Science.gov (United States)

    Panzarini, Sônia Regina; Pedrini, Denise; Poi, Wilson Roberto; Sonoda, Celso Koogi; Brandini, Daniela Atili; Monteiro de Castro, José Carlos

    2008-01-01

    The purpose of this retrospective study was to analyze the cases of traumatic dental injuries involving root fracture and/or periodontal ligament injury (except avulsion) treated at the Discipline of Integrated Clinic, School of Dentistry of Araçatuba, São Paulo State University (UNESP), Brazil, from January 1992 to December 2002. Clinical and radiographic records from 161 patients with 287 traumatized teeth that had sustained root fracture and/or injuries to the periodontal ligament were examined. The results of this survey revealed that subluxation (25.09%) was the most common type of periodontal ligament injury, followed by extrusive luxation (19.86%). There was a predominance of young male patients and most of them did not present systemic alterations. Among the etiologic factors, the most frequent causes were falls and bicycle accidents. Injuries on extraoral soft tissues were mostly laceration and abrasion, while gingival and lip mucosa lacerations prevailed on intraoral soft tissues injuries. Radiographically, the most common finding was an increase of the periodontal ligament space. The most commonly performed treatment was root canal therapy. Within the limits of this study, it can be concluded that traumatic dental injuries occur more frequently in young male individuals, due to falls and bicycle accidents. Subluxation was the most common type of periodontal ligament injury. Root canal therapy was the type of treatment most commonly planned and performed.

  1. Fracture strength of flared bovine roots restored with different intraradicular posts

    Directory of Open Access Journals (Sweden)

    Victor Grover Rene Clavijo

    2009-12-01

    Full Text Available OBJECTIVE: The aim of this study was to evaluate the fracture strength and failure mode of flared bovine roots restored with different intraradicular posts. MATERIAL AND METHODS: Fifty bovine incisors with similar dimensions were selected and their roots were flared until 1.0 mm of dentin wall remained. Next, the roots were allocated into five groups (n=10: GI- cast metal post-and-core; GII- fiber posts plus accessory fiber posts; GIII- direct anatomic post; GIV- indirect anatomic post and GV- control (specimens without intraradicular post. A polyether impression material was used to simulate the periodontal ligament. After periodontal ligament simulation, the specimens were subjected to a compressive load at a crosshead speed of 0.5 mm/min in a servo-hydraulic testing machine (MTS 810 applied at 135º to the long axis of the tooth until failure. The data (N were subjected to ANOVA and Tukey's post-hoc test (α=0.05. RESULTS: GI and GIV presented higher fracture strength (p0.05 from GI, GII and GIV. Control specimens (GV produced the lowest fracture strength mean values (p<0.05. Despite obtaining the highest mean value, GI presented 100% of unfavorable failures. GII presented 20% of unfavorable failures. GIII, GIV and GV presented only favorable failures. CONCLUSIONS: Although further in vitro and in vivo studies are necessary, the results of this study showed that the use of direct and indirect anatomic posts in flared roots could be an alternative to cast metal post-and-core.

  2. In vitro fracture resistance of roots obturated with epoxy resin-based, mineral trioxide aggregate-based, and bioceramic root canal sealers.

    Science.gov (United States)

    Topçuoğlu, Hüseyin Sinan; Tuncay, Öznur; Karataş, Ertuğrul; Arslan, Hakan; Yeter, Kübra

    2013-12-01

    The aim of this study was to evaluate the fracture resistance of teeth filled with 3 different endodontic sealers. Seventy-five single-rooted extracted mandibular premolars were decoronated to a length of 13 mm. The teeth were randomly divided into 5 groups (n = 15 for each group). In group 1, the teeth were left unprepared and unfilled (negative control), and in group 2, the teeth were left unobturated (positive control). The rest of the roots were prepared by using the ProTaper System up to a master apical file size of F3: group 3, bioceramic sealer (Endosequence BC sealer) + gutta-percha; group 4, mineral trioxide aggregate-based sealer (Tech Biosealer Endo) + gutta-percha; and group 5, epoxy resin-based sealer (AH Plus Jet) + gutta-percha. All root specimens were stored for 2 weeks at 100% humidity to allow the complete setting of the sealers. Each specimen was then subjected to fracture testing by using a universal testing machine at a crosshead speed of 1.0 mm/min(-1) until the root fractured. The force required to fracture each specimen was recorded, and the data were analyzed statistically. The fracture values of groups 3 and 5 were significantly higher than those of group 4 (P .05). In contrast to Tech Biosealer Endo, Endosequence BC and AH Plus Jet sealer increased the force to fracture in root-filled single-rooted premolar teeth. Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  3. Bond strength and fracture analysis between resin cements and root canal dentin.

    Science.gov (United States)

    Lopes, Guilherme Carpena; Ballarin, Andressa; Baratieri, Luiz N

    2012-04-01

    The aim of this research is to evaluate bond strength between translucent fibre posts (White Post DC, FGM or FRC Postec Plus, Ivoclar/Vivadent) and intraradicular dentin at three different levels (cervical, middle and apical) using a dual-cure (AllCem, FGM) or self-curing (Multilink, Ivoclar/Vivadent) resin cement. Also, the fracture type after push-out test was analysed under SEM. Thirty-two extracted single-root teeth were selected. After undergoing endodontic therapy, they were randomly divided into four groups according to their post type and resin cement. Root canals were etched using 37% phosphoric acid, and Excite DSC adhesive (Ivoclar/Vivadent) was applied in all groups. The root was sectioned to obtain nine 1-mm-thick slices (three per third: coronal, middle, apical). All slices were subjected to push-out tests. Data were analysed using two-way anova. The mean bond strengths vary from 6.6 (4.6) MPa [apical] to 11.9 (5.9) MPa [cervical]. There were no significant differences between groups. Pearson χ(2)-test revealed significant differences in fracture types for all groups (P < 0.0001). The apical third had the lowest bond strengths and it was also shown to be the most critical region for luting fibre posts. © 2010 The Authors. Australian Endodontic Journal © 2010 Australian Society of Endodontology.

  4. Autogenous tooth fragment reattachment: A multidisciplinary management for complicated crown-root fracture with biologic width violation

    Directory of Open Access Journals (Sweden)

    Vinaya Kumar Kulkarni

    2014-01-01

    Full Text Available Fractures of multiple permanent anterior teeth can be a traumatic experience for children, with functional, esthetic and psychological aspects. The treatment of complicated crown-root fractures (CRFs is more challenging when the biologic width is violated. This paper presents a case of 12-year boy with complicated CRF of teeth #12 and #21, and horizontal crown fracture of tooth #11. It was managed by endodontic treatment, mucoperiosteal surgery with osteotomy to visualize the fracture line for fragment reattachment, followed by fiber-post placement and restoration with polycarbonate crowns. Clinical and radiographic evaluation after 6 months was satisfactory with adequate functional and esthetic results.

  5. Autogenous tooth fragment reattachment: a multidisciplinary management for complicated crown-root fracture with biologic width violation.

    Science.gov (United States)

    Kulkarni, Vinaya Kumar; Bhusari, Chitra P; Sharma, Divya S; Bhusari, Prashant; Bansal, Arpana V; Deshmukh, Jeevanand

    2014-01-01

    Fractures of multiple permanent anterior teeth can be a traumatic experience for children, with functional, esthetic and psychological aspects. The treatment of complicated crown-root fractures (CRFs) is more challenging when the biologic width is violated. This paper presents a case of 12-year boy with complicated CRF of teeth #12 and #21, and horizontal crown fracture of tooth #11. It was managed by endodontic treatment, mucoperiosteal surgery with osteotomy to visualize the fracture line for fragment reattachment, followed by fiber-post placement and restoration with polycarbonate crowns. Clinical and radiographic evaluation after 6 months was satisfactory with adequate functional and esthetic results.

  6. An evidence-based appraisal of splinting luxated, avulsed and root-fractured teeth.

    Science.gov (United States)

    Kahler, Bill; Heithersay, Geoffrey S

    2008-02-01

    The evidence-based methodology involves framing a well defined PICO (problem, intervention, comparison and outcome) question related to a clinical problem and then comprehensively searching for the evidence, which is evaluated to appraise the value of the treatment intervention. For this systematic review of splinting of teeth that have been luxated, avulsed or root-fractured, the clinical PICO question is (P) what are splinting intervention decisions for luxated, avulsed and root-fractured teeth (I) considering that the splinting intervention choice may include (i) no splinting, (ii) rigid or functional splinting for the different types of trauma and (iii) different durations of the splinting period (C) when comparing these splinting choices for the different types of trauma and their effect on (O) healing outcomes for the teeth. A keyword search of PubMed was used. Reference lists from identified articles and dental traumatology texts were also appraised. The inclusion criterion for this review was either a multivariate analysis or controlled stratified analyses as many variables have the potential to confound the assessment and evaluation of healing outcomes for teeth that have been luxated, avulsed or root-fractured. A positive statistical test is not proof of a causal conclusion, as a positive statistical relationship can arise by chance, and so this review also appraises animal studies that reportedly explain biological mechanisms that relate to healing outcomes of splinted teeth. The clinical studies were ranked using the 'Centre of Evidence-based Medicine' categorization (levels 1-5). All 12 clinical studies selected were ranked as level 4. The studies generally indicate that the prognosis is determined by the type of injury rather than factors associated with splinting. The results indicate that the types of splint and the fixation period are generally not significant variables when related to healing outcomes. This appraisal identified difficulties in the

  7. Endodontic and Orthodontic Management of Traumatically Intruded Teeth with Horizontal Root Fracture: A Case Report

    Directory of Open Access Journals (Sweden)

    Marcos Jacobovitz

    2011-01-01

    Full Text Available This report describes the case of an 8-year-old boy that was referred to endodontic and orthodontic treatment after suffering an injury that led to intrusion of the maxillary right permanent central incisor, palatal displacement of the upper right lateral incisor, and root fracture of both central incisors. Both injured teeth were immature and had open apices. The intruded tooth was repositioned by endodontic and orthodontic management. Endodontic therapy was performed in both teeth with periodical changes of calcium-hydroxide-based paste as root canal dressing and introduction of MTA as an apical barrier. The postoperative course was uneventful with clinical and radiographic success up to 3 and 1/2 years of follow up. In the present case, orthodontic repositioning combined with endodontic therapy constitued a viable alternative treatment for intrusive luxations in immature permanent teeth.

  8. Crown-root fracture with pulp exposure: a case report with 16-year follow-up.

    Science.gov (United States)

    Moura, Lucia Fatima Almeida de Deus; Leao, Valeria Leopoldino de Area; de Moura, Marcoeli Silva; de Moura, Carmem Dolores Vilarinho Soares; Goncalves, Alessandro Ribeiro; Lima, Cacilda Castelo Branco; de Lima, Marina de Deus Moura

    2015-01-01

    A 12-year-old boy presented for dental care 35 days after he fell from his bicycle. Clinical and radiographic examinations revealed a longitudinal crown-root fracture with pulp exposure in the maxillary left central incisor. The radiograph also suggested necrosis of the maxillary right central incisor. Urgent treatment of the left central incisor involved gingivectomy followed by autogenous bonding of the tooth fragment with self-curing composite resin. Immediately after bonding, coronal access was prepared, chemical and mechanical preparation was completed, and a calcium hydroxide intracanal dressing was placed. One week after the initial appointment, endodontic treatment was initiated in the right central incisor. The root canal of the maxillary left central incisor was maintained with calcium hydroxide paste (replaced at 45-day intervals) for 1 year and then definitively obturated. At the 16-year follow-up, satisfactory periodontal, esthetic, and clinical conditions were observed, and a radiograph revealed no resorption or periapical changes.

  9. SUCCESS FOR REMOVING OR BYPASSING INSTRUMENTS FRACTURED BEYOND THE ROOT CANAL CURVE – 45 CLINICAL CASES

    Directory of Open Access Journals (Sweden)

    Kalin K. Shiyakov

    2014-08-01

    Full Text Available The aim of the study is to compare success rates for ultrasonic removal or bypassing endodontic instruments, fractured below the curve of root canals. Methods: 45 clinical cases – 30 MB and 5 ML root canals of mandibular molars, as well as 8 MB, 2 DB root canals of maxillary molars were selected from the authors’ private practice. 18 of the fragments are stainless steel files, 6 are rotary Ni-Ti files and 21 – lentulos. Fragments, to which visual access could be achieved by safe straightening of the root canal (26 were treated ultrasonically under dental microscope (OPMI Pico, Carl Zeiss with magnification 10x and 16x. Bypass is chosen for fragments (19 without visibility. Results: Ultrasonic group: 22 of 26 fragments (84,61% were totally removed, and full working length was consequently reached in 69,23% of the cases (18 fragments. Four fragments (15,38% separated additionally from the vibrations and could not be totally ultrasonically removed. Bypass group: only 7 of 19 fragments (36,84% could be successfully bypassed. Conclusions: Ultrasonic technique for broken instruments removal is significantly more successful than bypassing. Straight visible access to the fragment under dental microscope is crucial for successful fragments retrieval.

  10. Cone beam computed tomography imaging as a diagnostic tool in determining root fracture in endodontically treated teeth

    Directory of Open Access Journals (Sweden)

    Eleftherios Terry R Farmakis

    2012-01-01

    Full Text Available Introduction: Vertical root fractures (VRFs of endodontically treated teeth are serious complications that are associated with a poor survival prognosis. The diagnosis of VRFs is difficult, because the clinical signs and symptoms are often obscure and periapical radiographs (PAs provide limited diagnostic information. Recently, Cone Beam Computed Tomography (CBCT has been used to address complicated cases of VRFs with an inconclusive diagnosis. Aim: To determine the clinical diagnostic accuracy of CBCT in detecting VRFs in complex failing cases of endodontically treated teeth, as an adjunct to PAs. Materials and Methods: Evaluating the diagnostic accuracy of CBCT in a series of clinical cases of suspected VRFs, presented via clinical photographs, PAs, and CBCT images. Results: CBCT imaging significantly aided the differential diagnosis in most cases. Conclusions: CBCT imaging provides a 3D image and information in many cases of VRF that 2-dimensional PAs fail to generate. The slice thickness and interslice interval of the CBCT image influence the perception of the normal anatomy and pathoses.

  11. Internal fixation of displaced inferior pole of the patella fractures using vertical wiring augmented with Krachow suturing.

    Science.gov (United States)

    Oh, Hyoung-Keun; Choo, Suk-Kyu; Kim, Ji-Wan; Lee, Mark

    2015-12-01

    We present the surgical technique of separate vertical wiring for displaced inferior pole fractures of the patella combined with Krachow suture and report the surgical outcomes. Between September 2007 to May 2012, 11 consecutive patients (mean age, 54.6 years) with inferior pole fractures of the patella (AO/OTA 34-A1) were retrospectively enrolled in this study. Through longitudinal incision, all patients underwent open reduction and internal fixation by separate vertical wiring combined with Krackow suture. The range of motion, loss of fixation, and Bostman score were primary outcome measures. The union time was 10 weeks after surgery on average (range: 8-12). No patient had nonunion, loss of reduction and wire breakage. There was no case of wound problem and irritation from the implant. At final follow-up, the average range of motion arc was 129.4° (range: 120-140). The mean Bostman score at last follow-up was 29.6 points (range: 28-30) and graded excellent in all cases. Separate vertical wiring combined with Krackow suture for inferior pole fractures of the patella is a useful technique that is easy to perform and can provide stable fixation with excellent results in knee function. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. Does a trochanteric lag screw improve fixation of vertically oriented femoral neck fractures? A biomechanical analysis in cadaveric bone.

    Science.gov (United States)

    Hawks, Michael A; Kim, Hyunchul; Strauss, Joseph E; Oliphant, Bryant W; Golden, Robert D; Hsieh, Adam H; Nascone, Jason W; O'Toole, Robert V

    2013-10-01

    We assessed the biomechanical performances of a trochanteric lag screw construct and a traditional inverted triangle construct in the treatment of simulated Pauwels type 3 femoral neck fractures. An inverted triangle construct (three 7.3-mm cannulated screws placed in inverted triangle orientation) and a trochanteric lag screw construct (two 7.3-mm cannulated screws placed across the superior portion of the femoral neck and one 4.5-mm lag screw placed perpendicular to the fracture in superolateral to inferomedial orientation) were tested in nine matched pairs of non-osteoporotic human cadaveric femora. We used a previously described vertically oriented femoral neck fracture model and testing protocol that incrementally loaded the constructs along the mechanical axis of the femur to 1400 N. Specimens that survived incremental loading underwent cyclic loading. Apparent construct stiffness, force at 3mm of displacement, and survival of incremental loading were recorded. The trochanteric lag screw group had a 70% increase in stiffness (261 N/mm [29 standard deviation] versus 153 N/mm [16 standard deviation]; P=0.026) and a 43% increase in force required for displacement (620 N versus 435 N; P=0.018) compared with the inverted triangle group. One trochanteric lag screw and no inverted triangle specimen survived incremental loading. A trochanteric lag screw construct applied to vertically oriented femoral neck fractures provides marked improvement in mechanical performance compared with the inverted triangle construct. © 2013.

  13. Spatial root distribution of plants growing in vertical media for use in living walls

    DEFF Research Database (Denmark)

    Jørgensen, Lars; Dresbøll, Dorte Bodin; Thorup-Kristensen, Kristian

    2014-01-01

    of rockwool) in transparent boxes under greenhouse conditions. Root frequency was registered and the activity of individual root systems was studied via 15N uptake and plant dry weight was measured. Results: Plants in coir had stronger root growth in all parts of the medium than plants in rockwool. Upwards...

  14. Fracture resistance of weakened human premolar roots after use of a glass fiber post together with accessory posts

    Directory of Open Access Journals (Sweden)

    Clarissa Estefani SEGATO

    Full Text Available OBJECTIVE: To evaluate the fracture strength of human premolar teeth with wide root canals, restored with glass fiber posts and resin cement, together with different numbers of accessory posts.MATERIAL AND METHOD: Thirty-six premolars received standardized preparations that simulated weakened roots, and were divided into three groups (n=12: G0 - glass fiber post (Reforpost/Angelus cementation with dual cure resin cement (Rely X ARC/3M ESPE; G1 - glass fiber post cementation and one accessory post (Reforpin/Angelus, with dual cure resin cement; G2 - glass fiber post cementation and two accessory posts, with dual cure resin cement. Resin composite cores were placed in each tooth. A metal coping was placed in a standardized position on the cores to perform the compressive tests using a test machine. Testing was performed applying a force parallel to the long axis of the teeth at a speed of 0.5 mm/min. Fracture mode was analyzed under a stereoscopic loupe, classified by scores.RESULT: the Analysis of Variance (ANOVA was applied, and there was no statistical difference in the mean values of fracture strength among the groups (in kgf: G0 = 91.1 ± 56.9; G1 = 104.7 ± 66.6; G2 = 106.1 ± 51.9. Greater frequency of fracture or cracks was observed in the cervical one-third of the root in the teeth without cemented accessory posts, but no statistical difference was observed among the fracture modes.CONCLUSION: The number of accessory posts cemented into debilitated roots had no influence on either fracture strength or type of fracture of pre-molar roots.

  15. INTENTIONAL REPLANTATION OF TWO CENTRAL INCISORS WITH HORIZONTAL ROOT FRACTURES APPLYING APICAL MTA PLUGS AND EMDOGAIN: A CASE REPORT

    OpenAIRE

    BAYGIN, Özgül; UZUNER, Tamer; BALTACIOĞLU, Esra; TANRIVER, Mehmet

    2016-01-01

    Horizontalroot fractures are complex traumatic injuries that require multidisciplinarymanagement. A 48-month clinical-radiographical follow-up of delayed intentionalreplantation in a patient with horizontal root fractures was presented. A10-year-old male patient was referred to the Pediatric Dentistry department 10days after the initial intervention due to severe trauma in the maxillarycentral incisor region. Severe gingival inflammation together with mobility wasobserved in the intraoral exa...

  16. Comparison of diagnostic accuracy of root perforation, external resorption and fractures using cone-beam computed tomography, panoramic radiography and conventional & digital periapical radiography.

    Science.gov (United States)

    Takeshita, Wilton Mitsunari; Chicarelli, Mariliani; Iwaki, Lilian Cristina Vessoni

    2015-01-01

    Some radicular changes are challenging for clinicians to diagnose, such as of root perforations, external root resorption (ERR), and vertical root fractures (VRFs). This study aims to facilitate it by comparing the diagnostic accuracy of cone-beam computed tomography (CBCT), orthopantomography, and conventional and digital periapical radiography (DPR) in the diagnosis of such problems. Is it worth doing CBCT despite the radiation dose? To evaluate and compare the diagnostic accuracy of CBCT, panoramic radiography, and conventional and DPR in the diagnosis of root perforation (RP), ERR, and VRF. The sample consisted of 40 extracted human teeth and 10 macerated human mandibles. RPs were performed using diamond burs, ERRs using spherical carbide burs, and RFs using a universal machine EMIC-DL 1000. The images were evaluated by 6 dentomaxillofacial radiologists. Receiver operating characteristic (ROC) revealed that CBCT showed the highest area under the ROC curve (Az) values for RP, ERR, and VRF (0.903, 0.950, and 0.849, respectively). The worst Az values for RP, ERR, and VRF (0.718, 0.494, and 0.611, respectively) were for panoramic radiography. CBCT showed the best results in the diagnosis of ERR and VRF. The diagnosis of ERR was the least accurate, panoramic radiography being not appropriate for its diagnosis. CBCT and conventional periapical radiography obtained similar results for the evaluation of RP. So for, RP indicate the conventional periapical radiography because CBCT has a higher radiation dose.

  17. Application of vertical-beam in-air PIXE to surface analysis of plant root exposed to aluminum stress

    Energy Technology Data Exchange (ETDEWEB)

    Yokota, Satoshi; Mae, Tadahiko [Tohoku Univ., Sendai (Japan). Faculty of Agriculture; Inoue, Jun-ichi; Murozono, Keisuke; Matsuyama, Sigeo; Yamazaki, Hiromichi; Iwasaki, Sin; Ishii, Keizo

    1997-12-31

    Elemental composition of living cells and tissues reflects their physiological function and status. However, it has been difficult to know in-situ elemental distribution by conventional analytical methods. In-air PIXE seems suitable for surface analysis of living cells and tissues because any treatment (e.g. freeze drying, digestion) is not required before and during measurement. We applied Via (vertical-beam in-air) PIXE to surface analysis of plant roots exposed to aluminum (Al). Aluminum stress is a major factor that limits elongation of plant roots in acid soils. We previously reported decrease in atomic ratio of potassium to phosphorus (K/P ratio) of dried root-tip of alfalfa (Medicago sativa L.) under Al stress using in-vacuum PIXE. In Via PIXE, 5 to 7-minute irradiation by 3 MeV proton beams of 200 pA was sufficient to obtain X-ray spectra without drying root samples. Decrease in K/P ratio in surface cells of root-tips was observed by short-term (6-8 h) exposure of root to Al. Via PIXE is recognized as a powerful tool for in-situ surface analysis of plant material. (author)

  18. Treatment of horizontal root fractures using a triple antibiotic paste and mineral trioxide aggregate: a case report.

    Science.gov (United States)

    Er, Kürşat; Celik, Davut; Taşdemir, Tamer; Yildirim, Tahsin

    2009-07-01

    This case report describes the treatment of a horizontal root fracture in a maxillary central incisor (tooth #8) using a triple antibiotic paste and mineral trioxide aggregate. A nonsurgical endodontic treatment was performed to a coronal root canal fragment of tooth #8. During the treatment procedure, 1% sodium hypochlorite solution was used for irrigation and a triple antibiotic paste was used as an intracanal medicament. The coronal part of the canal was obturated with mineral trioxide aggregate totally. At follow-up examination after 12 months, the tooth was asymptomatic and radiographically showed repair of the fracture region. Healing was achieved without any need for further interventions.

  19. Mixing Eucalyptus and Acacia trees leads to fine root over-yielding and vertical segregation between species.

    Science.gov (United States)

    Laclau, Jean-Paul; Nouvellon, Yann; Reine, Caroline; Gonçalves, José Leonardo de Moraes; Krushe, Alex Vladimir; Jourdan, Christophe; le Maire, Guerric; Bouillet, Jean-Pierre

    2013-07-01

    The consequences of diversity on belowground processes are still poorly known in tropical forests. The distributions of very fine roots (diameter Acacia mangium (100A) stands and a mixture with the same stocking density and 50% of each species (50A:50E). The total fine root (FR) biomass down to a depth of 2 m was about 27% higher in 50A:50E than in 100A and 100E. Fine root over-yielding in 50A:50E resulted from a 72 % rise in E. grandis fine root biomass per tree relative to 100E, whereas A. mangium FR biomass per tree was 17% lower than in 100A. Mixing A. mangium with E. grandis trees led to a drop in A. mangium FR biomass in the upper 50 cm of soil relative to 100A, partially balanced by a rise in deep soil layers. Our results highlight similarities in the effects of directional resources on leaf and FR distributions in the mixture, with A. mangium leaves below the E. grandis canopy and a low density of A. mangium fine roots in the resource-rich soil layers relative to monospecific stands. The vertical segregation of resource-absorbing organs did not lead to niche complementarity expected to increase the total biomass production.

  20. Surgical extrusion as a treatment option for crown-root fracture in permanent anterior teeth: a systematic review.

    Science.gov (United States)

    Das, Bhaskar; Muthu, Murugan Satta

    2013-12-01

    A crown-root fracture is defined as a fracture involving enamel, dentin, and cementum. The possibility of saving and reconstructing teeth with such fractures has increasingly become a viable alternative to extraction and prosthetic therapy. One such treatment option available is surgical extrusion. The aim of this review is to evaluate surgical extrusion as a treatment modality for management of crown-root fractures in permanent anterior teeth. Electronic search of scientific papers was carried out on Entrez Pubmed and the Cochrane Central Register of Controlled Trials databases using specific keywords. The search yielded 130 papers, out of which 16 relevant papers were identified and included based on predetermined inclusion criteria and the remaining 114 were found to be irrelevant. Hand search yielded 10 articles, which were also included. These 26 articles which included only case reports and case series formed the basis of this systematic review. From the existing literature, we can conclude that surgical extrusion can be used to treat crown-root fractures successfully. But the level of evidence is very low as the studies available are only case reports and case series. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  1. Dynamic Torque and Vertical Force Analysis during Nickel-titanium Rotary Root Canal Preparation with Different Modes of Reciprocal Rotation.

    Science.gov (United States)

    Tokita, Daisuke; Ebihara, Arata; Nishijo, Miki; Miyara, Kana; Okiji, Takashi

    2017-10-01

    The purpose of the present study was to compare 2 modes of reciprocal movement (torque-sensitive and time-dependent reciprocal rotation) with continuous rotation in terms of torque and apical force generation during nickel-titanium rotary root canal instrumentation. A custom-made automated root canal instrumentation and torque/force analyzing device was used to prepare simulated canals in resin blocks and monitor the torque and apical force generated in the blocks during preparation. Experimental groups (n = 7, each) consisted of (1) torque-sensitive reciprocal rotation with torque-sensitive vertical movement (group TqR), (2) time-dependent reciprocal rotation with time-dependent vertical movement (group TmR), and (3) continuous rotation with time-dependent vertical movement (group CR). The canals were instrumented with TF Adaptive SM1 and SM2 rotary files (SybronEndo, Orange, CA), and the torque and apical force were measured during instrumentation with SM2. The mean and maximum torque and apical force values were statistically analyzed using 1-way analysis of variance and the Tukey test (α = 0.05). The recordings showed intermittent increases of upward apical force and clockwise torque, indicating the generation and release of screw-in forces. The maximum upward apical force values in group TmR were significantly smaller than those in group CR (P forces when compared with continuous rotation. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  2. Fracture strength of endodontically treated teeth with flared root canals and restored with different post systems.

    Science.gov (United States)

    Maccari, Paulo César; Cosme, Dúcia Caldas; Oshima, Hugo Mitsuo; Burnett, Luiz Henrique; Shinkai, Rosemary Sadami

    2007-01-01

    Many post systems are available to clinicians, yet no consensus exists about which one is better in restoring endodontically treated teeth. This study evaluated the fracture strength of teeth with flared canals and restored with two fiber-reinforced resin systems (glass fiber: FRC Postec [Ivoclar Vivadent, Schaan, Liechtenstein]; quartz fiber: D.T. Light-Post [Bisco Dental Products, Schaumburg, IL, USA]), and one custom cast base metal (Ni-Cr) post and core system. Thirty anterior teeth had their crowns removed below the cemento-enamel junction and were endodontically treated. The canals were prepared for post fixation, and the canal walls were flared using a taper diamond bur. The prepared roots were randomly divided into three groups according to the post system. All posts were cemented with an adhesive resin cement. For the fiber-reinforced resin posts, cores were built up using microhybrid composite. Metallic crowns were luted using zinc phosphate cement. Specimens were loaded at 45 degrees in a universal testing machine at a crosshead speed of 0.5 mm/min until failure. The mode of failure was classified as repairable or nonrepairable. Teeth restored with cast posts had fracture strength twice that of teeth restored with resin posts. Fiber-reinforced resin posts failed at a compressive force comparable to clinical conditions, but all failures were repairable. Fracture strength and mode of failure in anterior teeth with flared canals varied according to the type of post used to support a crown. Under the conditions of this study, cast posts are preferable to restore endodontically treated teeth with flared canals and no ferrule.

  3. Clinical Follow-up on Sagittal Fracture at the Temporal Root of the Zygomatic Arch: Does It Need Open Reduction?

    Science.gov (United States)

    Cheon, Ji Seon; Seo, Bin Na; Yang, Jeong Yeol; Son, Kyung Min

    2013-09-01

    The zygoma is a major portion of the midfacial contour. When deformity occurs in this area, a reduction should be conducted to correct it. If a sagittal fracture at the temporal root of the zygomatic arch occurs, this also requires reduction, but it is difficult to approach due to its anatomical location, and the possibility of fixation is also limited. Thus, the authors attempted the reduction of sagittal fracture by two- or three-point fixation and the Gillies approach without direct manipulation. The preoperative and postoperative results of the patients were evaluated. Follow-up was performed to establish a treatment guideline. A retrospective study was done with 40 patients who had sagittal fractures at the temporal root of the zygomatic arch from March 2009 to June 2012. Only two- or three-point fixation was performed for the accompanying zygomatic-orbital-maxillary fracture. The Gillies approach was used for complex fractures of the zygomatic arch, while the temporal root of the zygomatic arch was only observed without reduction. Preoperative and postoperative computed tomography and X-ray scans were performed to examine the results. The result of the paired t-test on preoperative and postoperative bone gap differences, the depression level, and the degree of temporal protrusion showed a marked decrease in the mean difference at a 95% confidence interval. The results were acceptable. In the treatment of sagittal fractures at the temporal root of the zygomatic arch, it is acceptable to use indirect reduction and non-fixation methods. This leads to a satisfactory aesthetic and functional outcome.

  4. Vertical Root Fracture Detection Using Limited-FOV Cone-Beam Computed Tomography

    Science.gov (United States)

    2012-06-01

    Tanomaru JM. Detection of periapical lesion development by conventional radiography or computed tomography. Oral Surg Oral Med Oral Pathol Oral ...University of the Health Sciences in partial fulfillment of the requirements for the degree of Master of Science in Oral Biology June 2012...Master of Science degree in Oral Biology at the June 2012 graduation. Thesis Committee: Patricia A. Tordik, DMD CAPT, DC, USN Associate Dean, Graduate

  5. Diagnostic issues dealing with the management of teeth with vertical root fractures: a narrative review

    Directory of Open Access Journals (Sweden)

    Stefano Corbella

    2014-11-01

    Conclusions: The diagnosis of VRF is a challenging process that includes both clinical and radiographic examination. In most cases, when postextraction implant was placed, guided bone regeneration is required to compensate the bone defect caused by VRF. A deep knowledge of the characteristics of the associated bone defect may allow an immediate and predictable substitution with dental implants, when tooth extraction is the only option.

  6. Implementation of a flaw model to the fracturing around a vertical shaft

    CSIR Research Space (South Africa)

    Van de Steen, B

    2003-04-01

    Full Text Available This paper investigates whether a micromechanical model developed to investigate the relation between the basic failure processes at grain-scale and the macroscopic failure pattern can be applied to model the fracturing around large...

  7. Survival of 534 incisors after intra-alveolar root fracture in patients aged 7-17 years

    DEFF Research Database (Denmark)

    Cvek, M.; Tsilingaridis, G.; Andreasen, Jens Ove

    2008-01-01

    -third of the root, and root development was categorized into five stages. Altogether, 383 (78%) showed healing of the fracture, with either formation of hard tissue or interposition of soft tissue between the fragments. In these teeth, no significant difference was found between positions in the root or types...... of healing. In 325 teeth, the healing remained unchanged throughout the control period, while 58 teeth showed a posthealing complication. A new injury occurred in 47 teeth; in 21 of these, the injury healed spontaneously, in four after endodontic treatment. Increased mobility of the coronal fragment...... was recorded for 32 teeth, and in 11 of these, the looseness of the fragment was so pronounced that the teeth had to be extracted. No healing, i.e. radiolucency in the alveolar bone, adjacent to fracture, took place in 109 teeth (22%). Of these teeth, 34 were extracted during the observation time while 75 (69...

  8. Production performance laws of vertical wells by volume fracturing in CBM reservoirs

    Directory of Open Access Journals (Sweden)

    Liehui Zhang

    2017-05-01

    Full Text Available Volume fracturing technology has been widely applied in the development of coalbed methane (CBM reservoirs. As for the stimulated reservoir volume (SRV created by volume fracturing, the seepage laws of fluids are described more accurately and rationally in the rectangular composite model than in the traditional radial composite model. However, the rectangular composite model considering SRV cannot be solved using the analytical or semi-analytical function method, and its solution from the linear flow model has larger errors. In view of this, SRV areas of CBM reservoirs were described by means of dual-medium model in this paper. The complex CBM migration mechanisms were investigated comprehensively, including adsorption, desorption, diffusion and seepage. A well testing model for rectangular composite fracturing wells in CBM reservoirs based on unsteady-state diffusion was built and solved using the boundary element method combined with Laplace transformation, Stehfest numerical inversion and computer programming technology. Thus, production performance laws of CBM reservoirs were clarified. The flow regimes of typical well testing curves were divided and the effects on change laws of production performance from the boundary size of gas reservoirs, permeability of volume fractured areas, adsorption gas content, reservoir permeability and SRV size were analyzed. Eventually, CBM reservoirs after the volume fracturing stimulation were described more accurately and rationally. This study provides a theoretical basis for a better understanding of the CBM migration laws and an approach to evaluating and developing CBM reservoirs efficiently and rationally.

  9. Aragonite-calcite precipitation in vertical fractures of the "Erzberg" siderite deposit (Austria): Hydrogeochemical and neotectonic implications

    Science.gov (United States)

    Boch, Ronny; Wang, Xianfeng; Kluge, Tobias; Kurz, Walter; Leis, Albrecht; Lin, Ke; Pluch, Hannes; Mittermayr, Florian; Dietzel, Martin

    2017-04-01

    The ore deposit "Erzberg" represents the worldwide largest FeCO3 occurrence and is amongst Austria's most prominent geological places due to its historic, economic and scientific value. The iron-ore (siderite/ankerite) bearing Devonian carbonates of the open pit mine locally host sequential aragonite-calcite precipitates infilling vertical fractures. These typically laminated carbonates are referred to as erzbergite in mineral collections. To study their formation conditions we recovered samples on-site, i.e. from the rare veins being cm to dm in horizontal and tenths of meters in vertical extension. Additionally, samples from our university collection and private collectors were investigated. Some of the fractures filled with aragonite/calcite further exhibit cataclastic sediments, damage zones and slickenside striations. Modern water samples were collected from fractures currently accessible to conduct hydrochemical analyses and modeling. Selected precipitates were analyzed applying microscopic techniques, XRD, electron microprobe elemental mapping, stable and clumped isotopes, and 238U-234U-230Th radiometric dating. Erzbergite veins show either uni- or bidirectional growth, i.e. on one or both fracture/fault planes toward complete infilling depending on vadose water flow. The laminated precipitates are dominated by aragonite relative to pristine as well as partially diagenetic (Mg)-calcite. Intercalated and recurrent brownish Fe-rich layers consisting of goethite, quartz, muscovite are probably of detrital origin. Stable C and O isotopes of the precipitates reveal pronounced spatiotemporal variations in which low δ18O values (-10.4 to -5.1 ‰ VPDB) reflect a meteoric origin and low temperatures of the erzbergite depositing solutions. Carbonate clumped isotope measurements verify formation temperatures ≤25 °C. High δ13C values (-0.7 to +6.8 ‰ VPDB) of the precipitates indicate an origin from dissolution of local ankerite and limestone, without a

  10. Clinical Follow-up on Sagittal Fracture at the Temporal Root of the Zygomatic Arch: Does It Need Open Reduction?

    Directory of Open Access Journals (Sweden)

    Ji Seon Cheon

    2013-09-01

    Full Text Available Background The zygoma is a major portion of the midfacial contour. When deformity occursin this area, a reduction should be conducted to correct it. If a sagittal fracture at the temporalroot of the zygomatic arch occurs, this also requires reduction, but it is difficult to approachdue to its anatomical location, and the possibility of fixation is also limited. Thus, the authorsattempted the reduction of sagittal fracture by two- or three-point fixation and the Gilliesapproach without direct manipulation. The preoperative and postoperative results of thepatients were evaluated. Follow-up was performed to establish a treatment guideline.Methods A retrospective study was done with 40 patients who had sagittal fractures at thetemporal root of the zygomatic arch from March 2009 to June 2012. Only two- or three-pointfixation was performed for the accompanying zygomatic-orbital-maxillary fracture. The Gilliesapproach was used for complex fractures of the zygomatic arch, while the temporal root ofthe zygomatic arch was only observed without reduction. Preoperative and postoperativecomputed tomography and X-ray scans were performed to examine the results.Results The result of the paired t-test on preoperative and postoperative bone gap differences,the depression level, and the degree of temporal protrusion showed a marked decrease in themean difference at a 95% confidence interval. The results were acceptable.Conclusions In the treatment of sagittal fractures at the temporal root of the zygomatic arch,it is acceptable to use indirect reduction and non-fixation methods. This leads to a satisfactoryaesthetic and functional outcome.

  11. Endodontic instrumentation and root filling procedures: effect on mechanical integrity of dentin

    NARCIS (Netherlands)

    Shemesh, H.

    2015-01-01

    Vertical root fractures are a major reason for extraction of endodontically treated teeth and teeth after root canal treatment are more prone to fracture compared to untreated teeth. One suggested reason for this difference is the destructive effects of some files and filling methods used during

  12. Evaluation of an ultrasonic technique to remove fractured rotary nickel-titanium endodontic instruments from root canals: clinical cases.

    Science.gov (United States)

    Ward, Jeff R; Parashos, Peter; Messer, Harold H

    2003-11-01

    The removal of fractured rotary nickel-titanium instruments from small, curved root canals is one of the most complex operative procedures in endodontics. There have been many different devices and techniques developed to remove fractured instruments, but none are consistently successful and all show a high incidence of canal damage such as perforation. A technique using a staging platform and the use of modern ultrasonic tips with direct visualization through a dental operating microscope has recently been evaluated. The use of this technique in clinical practice is described in 24 cases and illustrated by 3 cases.

  13. Reservoir-scale stratigraphic controls on the distribution of vertical fractures: insights from a 200-m thick carbonate platform exposure (Sorrento peninsula, Italy)

    Science.gov (United States)

    Corradetti, Amerigo; Tavani, Stefano; Iannace, Alessandro; Vinci, Francesco; Pirmez, Carlos; Torrieri, Stefano; Giorgioni, Maurizio; Strauss, Christoph; Pignalosa, Antonio; Mazzoli, Stefano

    2016-04-01

    Through-going fractures cutting across numerous beds are often invoked to match large-scale permeability patterns in tight carbonate reservoirs. Despite the importance of these structures for fluid flow simulations, there are only few field analogues allowing estimating many of their parameters, including spacing and vertical extent, which are instead required to populate reservoir models. This is mostly due to the fact that the study of these reservoir-scale fractures requires very wide outcrops that for several reasons, including logistics, are rarely analysed. Nevertheless, recent improvements in the construction of digital models of outcrops can greatly help to overcome many logistic issues. In this work, we present the results obtained from combined field and remote sensing observations of a 300-meters wide and 200-meters high carbonate platform reservoir analogue in the Sorrento peninsula (Italy). The outcrop consists of a nearly vertical cliff exposing alternating gently-dipping shallow-water limestones and dolomites characterized by the presence of several vertical fractures of different size and hence with different vertical connectivity. In order to gather both stratigraphic and structural (i.e. fracture) data, we integrated field measurements and stratigraphic logs with a remote sensing study carried out on a digital model of the cliff, made by means of multi-view stereo-photogrammetry. This combined field and remote sensing study has allowed us to recognize that major bed-perpendicular through-going fractures are vertically discontinuous due to variable segmentation and fracture distribution within the country rock. In particular, we observed that large (i.e. tens of meters in height) fractures pass across medium to thick beds (bed thickness > 30 cm), while they arrest against packages made of thinly stratified layers of dolomites. In essence, through-going fractures arrest on weak levels, consisting of thinly bedded layers interposed between packages

  14. Fracture resistance of structurally compromised premolar roots restored with single and accessory glass or quartz fiber posts

    Directory of Open Access Journals (Sweden)

    Farahnaz Sharafeddin

    2014-01-01

    Full Text Available Background: Glass and quartz fiber posts are used in restoration of structurally compromised roots. Accessory fiber posts are recently introduced to enhance the fiber post adaptation. This study evaluated the effectiveness of glass versus quartz accessory fiber posts. Materials and Methods: In this experimental study, 40 mandibular premolar roots with similar dimension (radius of 3.5 ± 0.2 mm and length of 13 ± 0.5 mm were selected and their root canals were flared until 1.5 mm of dentin wall remained. They were randomly assigned to four groups (n = 10 and restored as follows: Exacto glass fiber post (EX, Exacto glass fiber post + 2 Reforpin accessories (EXR, D. T. Light quartz fiber post (DT, and D. T. Light quartz fiber post + 2 Fibercone accessories (DTF. All posts were cemented with Duo-Link resin cement and the cores were built with the particulate filler composite. Following 1-week water storage, specimens were subjected to fracture loads in a universal testing machine. The maximum loads and failure modes were recorded and analyzed with the two-way analysis of variance (ANOVA and Fisher′s exact tests (α = 0.05. Results: The mean fracture resistance values (N were 402.8 (EX, 378.4 (EXR, 400.1 (DT, and 348.5 (DTF. Two-way ANOVA test showed neither reinforcing method (P = 0.094, nor post composition (P = 0.462 had statistically significant differences on fracture resistance of the structurally compromised premolar teeth. Fisher′s exact test also demonstrated no statistically significant difference regarding two variables (P = 0.695. Core fracture was the most common failure mode (62.5%. Conclusion: Glass and quartz fiber posts with or without accessories restored the weakened premolar roots equally.

  15. Fracture resistance of structurally compromised premolar roots restored with single and accessory glass or quartz fiber posts.

    Science.gov (United States)

    Sharafeddin, Farahnaz; Alavi, Ali Asghar; Zare, Samira

    2014-03-01

    Glass and quartz fiber posts are used in restoration of structurally compromised roots. Accessory fiber posts are recently introduced to enhance the fiber post adaptation. This study evaluated the effectiveness of glass versus quartz accessory fiber posts. In this experimental study, 40 mandibular premolar roots with similar dimension (radius of 3.5 ± 0.2 mm and length of 13 ± 0.5 mm) were selected and their root canals were flared until 1.5 mm of dentin wall remained. They were randomly assigned to four groups (n = 10) and restored as follows: Exacto glass fiber post (EX), Exacto glass fiber post + 2 Reforpin accessories (EXR), D. T. Light quartz fiber post (DT), and D. T. Light quartz fiber post + 2 Fibercone accessories (DTF). All posts were cemented with Duo-Link resin cement and the cores were built with the particulate filler composite. Following 1-week water storage, specimens were subjected to fracture loads in a universal testing machine. The maximum loads and failure modes were recorded and analyzed with the two-way analysis of variance (ANOVA) and Fisher's exact tests (α = 0.05). The mean fracture resistance values (N) were 402.8 (EX), 378.4 (EXR), 400.1 (DT), and 348.5 (DTF). Two-way ANOVA test showed neither reinforcing method (P = 0.094), nor post composition (P = 0.462) had statistically significant differences on fracture resistance of the structurally compromised premolar teeth. Fisher's exact test also demonstrated no statistically significant difference regarding two variables (P = 0.695). Core fracture was the most common failure mode (62.5%). Glass and quartz fiber posts with or without accessories restored the weakened premolar roots equally.

  16. [In vitro evaluation of fracture resistance of teeth with incomplete root development and intracanal reinforcement with different materials].

    Science.gov (United States)

    Cabrales Salgado, Ricardo; Carvajal Cabrales, Katherine; Pupo Marrugo, Stella; Hernández González, Daniel Fernando; Gracia Bárcenas, José Luis

    2012-09-01

    The aim of this study was to evaluate the fracture resistance of teeth with incomplete root development and intracanal reinforcement with adhesives materials. 50 human central and lateral incisors were instrumented and prepared to simulate an immature tooth and filled apically with MTA. The samples were divided into four experimental groups and one control group. Group 1: resin composite Filtek P90; Group 2: glass Ionomer Vitremer; Group 3: resin composite Filtek Z350 XT; Group 4: glass Ionomer Ketac N 100; Group 5: negative control (instrumented but not reinforced). After, the fracture test was performed using a fracture universal testing machine (Instron). The maximum values of resistance before catastrophic fracture were collected and analyzed by Anova (p = 0.05). The results show a significant difference between the groups compared (p = 0.02). A significant difference was found between group 1 (847.73 N) and group 5 (474.77 N) (p = 0.02) applying the Bonferroni test. Despite the limitations of the study, the conclusion is that micro-hybrid composite resins are ideal materials to strengthen teeth with incomplete root development endodontically treated.

  17. The effect of glass fiber posts and ribbons on the fracture strength of teeth with flared root canals restored using composite resin post and cores.

    Science.gov (United States)

    Kubo, Mariko; Komada, Wataru; Otake, Shiho; Inagaki, Tasuku; Omori, Satoshi; Miura, Hiroyuki

    2017-08-23

    This study evaluated the fracture strength and mode of failure of structurally compromised teeth with flared root canals restored using composite resin with four different systems. Sixty endodontically treated bovine teeth were uniformly shaped to simulate human mandibular premolars with flared root canals. The roots were divided into four groups of 15 specimens each based on the type of restoration: composite resin core only (control), glass fiber post, cylindroid glass fiber ribbons, and glass fiber post and ribbons. All specimens were loaded until fracture occurred using a universal testing machine. Average fracture loads were compared with a one-way ANOVA and Tukey HSD test (α=.05). The modes of failure were observed and the Fisher exact test and Bonferroni correction were used for statistical analysis. The fiber post and ribbon group (1035.70N) and the fiber ribbon group (881.77N) showed significantly higher fracture strength than the controls (567.97N) (pfiber post and ribbon group also showed significantly higher fracture strength than the fiber post group (769.40N). Almost all specimens showed unrestorable root fractures (pfiber ribbons significantly increased the fracture strength of the composite resin post and cores in the case of the dentin within the thin root canal wall. Based on the results, this study recommends the combined use of glass fiber post and ribbons. Copyright © 2017. Published by Elsevier Ltd.

  18. Vertical Stability of Ephemeral Step-Pool Streams Largely Controlled By Tree Roots, Central Kentucky, USA

    Science.gov (United States)

    Macmannis, K. R.; Hawley, R. J.

    2013-12-01

    The mechanisms controlling stability on small streams in steep settings are not well documented but have many implications related to stream integrity and water quality. For example, channel instability on first and second order streams is a potential source of sediment in regulated areas with Total Maximum Daily Loads (TMDLs) on water bodies that are impaired for sedimentation, such as the Chesapeake Bay. Management strategies that preserve stream integrity and protect channel stability are critical to communities that may otherwise require large capital investments to meet TMDLs and other water quality criteria. To contribute to an improved understanding of ephemeral step-pool systems, we collected detailed hydrogeomorphic data on 4 steep (0.06 - 0.12 meter/meter) headwater streams draining to lower relief alluvial valleys in Spencer County, Kentucky, USA. The step-pool streams (mean step height of 0.47 meter, mean step spacing of 4 meters) drained small undeveloped catchments dominated by early successional forest. Data collection for each of the 4 streams included 2 to 3 cross section surveys, bed material particle counts at cross section locations, and profile surveys ranging from approximately 125 to 225 meters in length. All survey data was systematically processed to understand geometric parameters such as cross sectional area, depth, and top width; bed material gradations; and detailed profile measurements such as slope, pool and riffle lengths, pool spacing, pool depth, step height, and step length. We documented the location, frequency, and type of step-forming materials (i.e., large woody debris (LWD), rock, and tree roots), compiling a database of approximately 130 total steps. Lastly, we recorded a detailed tree assessment of all trees located within 2 meters of the top of bank, detailing the species of tree, trunk diameter, and approximate distance from the top of bank. Analysis of geometric parameters illustrated correlations between channel

  19. Influence of elastic modulus of intraradicular posts on the fracture load of roots restored with full crowns

    Directory of Open Access Journals (Sweden)

    Ana Maria Estivalete MARCHIONATTI

    Full Text Available Abstract Objective This study aimed to evaluate the fracture load and displacement of roots restored with posts of different elastic modulus. Material and method Thirty-six replicas of epoxy resin mixed with glass microfibers were made from an endodontically-treated human premolar root prepared to a length of 12 mm with a custom drill, leaving the apical 4 mm unprepared. Replicas were randomly restored with (n = 12: FP-LM (fiber post with low elastic modulus– 50 GPa, FP-HM (fiber post with high elastic modulus – 67 GPa and MP (metallic post – 208 GPa, using self-curing adhesive and dual resin cement. Cores were built up with composite resin and metallic crowns were cemented in all the roots with self-adhesive resin cement with self-curing mode. Specimens were subjected to a fracture load test (45° inclination/0.5 mm/min and displacement was registered at 100 N. Result One-way ANOVA showed that elastic modulus of the post did not affect the fracture load means (p = 0.203 (FP-LM: 237.4 ± 65.11 N; FP-HM: 236.7 ± 92.85 N; MP: 295.8 ± 108.7 N but was statistically significant for the displacement (p < 0.00: Tukey’s test showed that FP-LM displacement mean (0.81 ± 0.15 mm was significantly higher than those for FP-HM (0.46 ± 0.26 mm; p = 0.00 and MP (0.62 ± 0.07 mm; p = 0.04. Conclusion Posts with different elastic modulus exhibit similar fracture loads, but a lower displacement is achieved when fiber posts with a high elastic modulus and metallic posts are used.

  20. Influence of periodontal ligament simulation on bond strength and fracture resistance of roots restored with fiber posts.

    Science.gov (United States)

    Marchionatti, Ana Maria Estivalete; Wandscher, Vinícius Felipe; Broch, Juliana; Bergoli, César Dalmolin; Maier, Juliana; Valandro, Luiz Felipe; Kaizer, Osvaldo Bazzan

    2014-01-01

    Considering that periodontal ligament simulation may influence the stress distribution over teeth restored with intraradicular retainers, this study aimed to assess the combined effect of mechanical cycling and periodontal ligament simulation on both the bond strength between fiber posts and root dentin and the fracture resistance of teeth restored using glass fiber posts. Ninety roots were randomly distributed into 3 groups (n=10) (C-MC: control; P-MC: polyether; AS-MC: addition silicone) to test bond strength and 6 groups (n=10) (C: control; P: polyether; AS: addition silicone, without mechanical cycling, and C-MC, P-MC and AS-MC with mechanical cycling) to test fracture strength, according to the material used to simulate the periodontal ligament. For the bond strength test, fiber posts were cemented, cores were built, mechanical cycling was applied (2×10(6) cycles, 88 N, 2.2 Hz, and 45º incline), and the teeth cut into 3 slices (2 mm), which were then subjected to the push-out test at 1 mm/min. For the fracture strength test, fiber posts were cemented, cores were built, and half of the groups received mechanical cycling, followed by the compressive strength (45° to the long axis and 1 mm/min) performed on all groups. Periodontal ligament simulation did not affect the bond strength (p=0.244) between post and dentin. Simulation of periodontal ligament (p=0.153) and application of mechanical cycling (p=0.97) did not affect fracture resistance. The materials used to simulate the periodontal ligament did not affect fracture or bond strength, therefore periodontal ligament simulation using the tested materials could be considered optional in the conditions of the study.

  1. Influence of periodontal ligament simulation on bond strength and fracture resistance of roots restored with fiber posts

    Directory of Open Access Journals (Sweden)

    Ana Maria Estivalete MARCHIONATTI

    2014-10-01

    Full Text Available Objective: Considering that periodontal ligament simulation may influence the stress distribution over teeth restored with intraradicular retainers, this study aimed to assess the combined effect of mechanical cycling and periodontal ligament simulation on both the bond strength between fiber posts and root dentin and the fracture resistance of teeth restored using glass fiber posts. Material and Methods: Ninety roots were randomly distributed into 3 groups (n=10 (C-MC: control; P-MC: polyether; AS-MC: addition silicone to test bond strength and 6 groups (n=10 (C: control; P: polyether; AS: addition silicone, without mechanical cycling, and C-MC, P-MC and AS-MC with mechanical cycling to test fracture strength, according to the material used to simulate the periodontal ligament. For the bond strength test, fiber posts were cemented, cores were built, mechanical cycling was applied (2×106 cycles, 88 N, 2.2 Hz, and 45º incline, and the teeth cut into 3 slices (2 mm, which were then subjected to the push-out test at 1 mm/min. For the fracture strength test, fiber posts were cemented, cores were built, and half of the groups received mechanical cycling, followed by the compressive strength (45° to the long axis and 1 mm/min performed on all groups. Results: Periodontal ligament simulation did not affect the bond strength (p=0.244 between post and dentin. Simulation of periodontal ligament (p=0.153 and application of mechanical cycling (p=0.97 did not affect fracture resistance. Conclusions: The materials used to simulate the periodontal ligament did not affect fracture or bond strength, therefore periodontal ligament simulation using the tested materials could be considered optional in the conditions of the study.

  2. Evaluation of resistance of teeth subjected to fracture after endodontic treatment using different root canal sealers: An in vitro study

    Directory of Open Access Journals (Sweden)

    S S Bhat

    2012-01-01

    Full Text Available Aims: The aim of this study was to compare the ex-vivo effects of different root canal sealers on the fracture resistance of endodontically treated teeth. Materials and Methods: Seventy-five freshly extracted human mandibular premolars were used for the study. The length was standardized to 14 mm and all the teeth were biomechanically prepared and divided into five different groups based on the type of root canal sealers used. Group I:- Roeko seal + gutta percha, Group II: AH plus ® root canal sealer + gutta percha, Group III: PULPDENT root canal sealer + gutta percha, Group IV: Zinc oxide-eugenol sealer + gutta percha, Group V: Control (unobturated teeth. The teeth were embedded in acrylic resin blocks and compressive strengths were measured using universal testing machine (Instron. Statistical Analysis Used: One-way ANOVA, unpaired t- test Results: Data obtained were statistically evaluated using one-way ANOVA and unpaired t-test. All groups showed a statistically significant result (P < 0.05. Teeth obturated with Group I and Group II showed higher resistance to fracture than teeth obturated with other three Groups. It was seen that the teeth obturated with group III showed a better fracture resistance than Group IV and there was no statistical significance found between Group and Group V. Conclusions: From this study, it has been concluded that both the resin based sealers that were used in this study were equally effective compared to that of the zinc oxide-based sealers and the control group. However, no significant results were obtained when the comparison was made between zinc oxide-eugenol and gutta-percha and the control group.

  3. Analysis of Fractured Teeth Utilizing Digital Microscopy: A Pilot Study

    Science.gov (United States)

    2016-06-01

    dentistry . This is due to longevity of life and ability to maintain natural dentition longer, supporting an increase in the number of fractured teeth...method for producing experimental simple vertical root fractures in dog teeth. J Endod 1993;19:512-5. 17. Bornstein MM, Wölner-Hanssen AB, Sendi P

  4. Unusual Transalveolar and Transmuco-Gingival Root Avulsion of a Fractured Primary Central Incisor: A Case with an 8-Year Follow-Up

    OpenAIRE

    Ferrés-Amat, E.; C. Díaz-Martínez; S. Herrera-Martínez; Maura-Solivellas, I.; E. Ferrés-Padró

    2015-01-01

    The purpose of this unique case report is to describe a very unusual dentoalveolar fracture associated with avulsion of the near-complete root. A 3-year-old male patient came for consultation after a dentoalveolar trauma with a “fragment that looks like canine” found in his mouth by his mother. This boy suffered root fracture of the upper primary central right incisor, accompanied by transalveolar and transmuco-gingival avulsion of the tooth root fragment, leaving the crown in its position in...

  5. Comparison of Rooting Strategies to Explore Rock Fractures for Shallow Soil-Adapted Tree Species with Contrasting Aboveground Growth Rates: A Greenhouse Microcosm Experiment

    Directory of Open Access Journals (Sweden)

    Yunpeng Nie

    2017-09-01

    Full Text Available For tree species adapted to shallow soil environments, rooting strategies that efficiently explore rock fractures are important because soil water depletion occurs frequently. However, two questions: (a to what extent shallow soil-adapted species rely on exploring rock fractures and (b what outcomes result from drought stress, have rarely been tested. Therefore, based on the expectation that early development of roots into deep soil layers is at the cost of aboveground growth, seedlings of three tree species (Cyclobalanopsis glauca, Delavaya toxocarpa, and Acer cinnamomifolium with distinct aboveground growth rates were selected from a typical shallow soil region. In a greenhouse experiment that mimics the basic features of shallow soil environments, 1-year-old seedlings were transplanted into simulated microcosms of shallow soil overlaying fractured bedrock. Root biomass allocation and leaf physiological activities, as well as leaf δ13C values were investigated and compared for two treatments: regular irrigation and repeated cycles of drought stress. Our results show that the three species differed in their rooting strategies in the context of encountering rock fractures, however, these strategies were not closely related to the aboveground growth rate. For the slowest-growing seedling, C. glauca, percentages of root mass in the fractures, as well as in the soil layer between soil and bedrock increased significantly under both treatments, indicating a specialized rooting strategy that facilitated the exploration of rock fractures. Early investment in deep root growth was likely critical to the establishment of this drought-vulnerable species. For the intermediate-growing, A. cinnamomifolium, percentages of root mass in the bedrock and interface soil layers were relatively low and exhibited no obvious change under either treatment. This limited need to explore rock fractures was compensated by a conservative water use strategy. For the fast

  6. Evaluation of possible vertical fractures and therapeutic possibilities: A case report.

    Directory of Open Access Journals (Sweden)

    Luis Espinoza

    2012-12-01

    Full Text Available Restorative treatment of endontic teeth supossed certain complications, especially when the restoration is not adequate. Indications for treatment vary according to the remaining tooth . In cases of which this one is moderated, it is chosen to rehabilitate by a type of indirect obturation, this can be in resin, ceramics or metal. A bad indication of restoration will lead to certain complications due to the fact that the rehabilitation of a treated tooth endodónticamente supposes in the majority of the cases an important challenge for the odontologist since it must solve the loss of structure dentaria, the minor resistance to the fracture before the forces oclusales and the need to provide sufficient retention to the material restorer who will replace the dental lost matter.Dental cracks corresponds to one of the recurring problems, the clinical diagnosis of accounting for it, usually cannot be verified radiographically and clinical examination is necessary.In some cases it opt prematurely for the exodoncy, the implications of this option for the stomatognathic balance should guide the clinician to ensure proper diagnosis and more conservative treatment plan, using the wide variety of new materials and adhesive systems, which allow patient's and clinician's satisfaction.We report the case of a patient presenting a dental crack in the tooth 2.4, which was treated conservatively, obtaining optimal results in terms of aesthetics and functionality.

  7. Control of biologically active degradation zones by vertical heterogeneity: Applications in fractured media. 1997 annual progress report

    Energy Technology Data Exchange (ETDEWEB)

    Colwell, F.S.; Smith, R.W.; McKinley, J.; Fredrickson, J.; Onstott, T.C.; Reysenbach, A.L.

    1997-11-01

    'The objective of this research is to determine the relationship between of biologically active contaminant degradation zones in a fractured, subsurface medium and vertical geological heterogeneities. The research is being performed on samples collected from the Test Area North (TAN) site at the Idaho National Engineering and Environmental Laboratory (INEEL) where a dissolved trichloroethylene (TCE) plume is migrating in the basalts and interbed sediments of the Eastern Snake River Plain (ESRP) aquifer. Research results are leading to an enhanced understanding of the constraints that the geochemical and hydrological environment place on the activities and distribution of TCE-degrading organisms in this fractured subsurface medium. Enhanced understanding allows better decisions to be made regarding the use of remedial technologies such as natural attenuation and in situ bioremediation at geologically complex waste sites. Through this research, investigations conducted by the Subsurface Science Program (SSP) at TAN are being extended in order to develop a mechanistic understanding of the coupled geomicrobial and hydrogeochemical processes that are necessary to predict the field-scale intrinsic degradation rates of TCE. The research objective is being accomplished by characterizing paired cores and water samples from boreholes located in differing geochemical and flow environments within the plume. Analysis of these samples will allow the determination of the spatial correlation and microbial characterization. The results presented in this report consist primarily of TAN-33 data as many of those analyses have been completed. Nearly all of the TAN-37 data has yet to be acquired. It should be noted that most of the cores were collected from zones that consist of relatively competent, massive basalt. This was because the authors were doubtful about the quality of samples obtained from rubble zones due to potential alteration by the drilling fluids. Thus

  8. Fracture Resistance of Endodontically Treated Roots Restored with Fiber Posts Using Different Resin Cements- An In-vitro Study.

    Science.gov (United States)

    Gopal, Swetha; Irodi, Sujatha; Mehta, Deepak; Subramanya, Shankar; Govindaraju, Vinay Kumar

    2017-02-01

    The influence of the remaining coronal tooth structure along with intra-radicular esthetic posts increases fracture resistance of fractured teeth especially in the anterior region. The advent of resin based luting cements improves the adhesion of fiber posts. To evaluate the fracture resistance of endodontically treated roots restored with fiber posts using different resin cements - Calibra (etch and rinse), PermaFlo® DC (self-etch primer) and SmartCem2 (self-adhesive). Extracted human maxillary central incisors having similar dimensions were decoronated at the Cemento-Enamel Junction (CEJ) to create 16mm long specimens and endodontically treated. A total of 45 teeth were divided into three groups with 15 teeth each for cementation of easy fiber posts (size1, 0.8mm diameter). Post spaces were prepared to a depth of 10mm. Group 1 - Caulk 34% phosphoric acid gel, dual cure adhesive Prime and Bond NT followed by luting of post with Calibra cement. Group 2 - Ultra - etch then Primer A and Primer B, and PermaFlo® DC was used to cement the post. Group 3 - SmartCem2 [1:1 ratio] was used to cement the post. The excess lengths of posts were seared and teeth were mounted on acrylic blocks and loaded under compressive force to the long axis of the tooth which increased in periodic pattern of 1mm/min. The value of the force at which each root section gets fractured was noted. The data were statistically analysed using ANOVA and Tukey's Test. The mean fracture load (and SD) were as follows Group 1 - 762.400 (251.490); Group 2 - 662.933 (206.709); Group 3 - 657.800 (57.372). No statistically significant differences were seen among all three Groups, p-value (0.228). Posts cemented using self -adhesive resin cement SmartCem2 have highest fracture resistance and bonding efficacy of self-adhesive technique showed reliably better results but was comparable to total-etch and self-etch techniques.

  9. [Fatigue and fracture resistance of the flared roots restored with computer aided design and computer aided manufacturing glass fiber posts].

    Science.gov (United States)

    Li, Zhi; Wang, Xin-zhi; Gao, Cheng-zhi; Ivo, Krejci

    2013-02-18

    To evaluate the fatigue and fracture resistance of the flared roots restored with computer aided design (CAD) and computer aided manufacturing (CAM) glass fiber posts. In the study, 32 maxillary central incisors with roots longer than 13 mm were selected and their canals were flared, and the roots were allocated into 4 groups (n=8) by a random number chart: CAD/CAM glass fiber posts, prefabricated quartz fiber posts, cast gold alloy posts, and CAD/CAM zirconia posts. The posts were luted to the roots by resin cement and fabricate zirconia crown for every specimen. An addition-type silicone impression material was used to simulate the periodontal ligament. All the specimens were submitted to 1.2×10(6) cycles loaded with a 49 N force, at 45 degree to the long axis of the teeth simultaneously with 3 000 thermal cycles (5 °C-50 °C-5 °C). After that, the specimens were subjected to a load at a crosshead speed of 1 mm/min in a servo-hydraulic testing machine applied at 45 degree to the long axis of the tooth until fracture. The data were subjected to ANOVA test and the patterns of the failure were examined. After the cycling loading, 4 crowns from prefabricated quartz fiber posts groups were deboned, and no other failure was found after the cycling loading; the fracture strengths of CAD/CAM glass fiber posts group [(441.5± 103.2) N] and cast gold alloy posts group [(462.9±170.0) N] were higher (F=4.613, Pposts group [(284.1±99.0) N] and prefabricated quartz fiber posts group [(315.4±112.3) N]; the entire specimens presented unfavorable failures. Although further in vitro and in vivo studies are necessary, the results of this study show that the use of CAD/CAM glass fiber posts and cast gold alloy posts may achieve better outcomes in flared roots than that of CAD/CAM zirconia posts and prefabricated quartz fiber posts.

  10. Comparison of high-resolution and standard zoom imaging modes in cone beam computed tomography for detection of longitudinal root fracture: An in vitro study

    Energy Technology Data Exchange (ETDEWEB)

    Taramsari, Mehran; Kajan, Zahra Dalili; Bashizadeh, Parinaz [Faculty of Dentistry, Guilan University of Medical Sciences, Rasht (Iran, Islamic Republic of); Salamat, Fatemeh [Vice Chancellor of Research and Technology, Guilan University of Medical Sciences, Rasht (Iran, Islamic Republic of)

    2013-09-15

    The purpose of this study was to compare the efficacy of two imaging modes in a cone beam computed tomography (CBCT) system in detecting root fracture in endodontically-treated teeth with fiber posts or screw posts by selecting two fields of view. In this study, 78 endodontically-treated single canal premolars were included. A post space was created in all of them. Then the teeth were randomly set in one of 6 artificial dental arches. In 39 of the 78 teeth set in the 6 dental arches, a root fracture was intentionally created. Next, a fiber post and a screw post were cemented into 26 teeth having equal the root fractures. High resolution (HiRes) and standard zoom images were provided by a CBCT device. Upon considering the reconstructed images, two observers in agreement with each other confirmed the presence or absence of root fracture. A McNemar test was used for comparing the results of the two modes. The frequency of making a correct diagnosis using the HiRes zoom imaging mode was 71.8% and in standard zoom was 59%. The overall sensitivity and specificity in diagnosing root fracture in the HiRes mode were 71.79% and 46.15% and in the standard zoom modes were 58.97% and 33.33%, respectively. There were no significant differences between the diagnostic values of the two imaging modes used in the diagnosis of root fracture or in the presence of root canal restorations. In both modes, the most true-positive results were reported in the post space group.

  11. Characterizing fractured rock aquifers using heated Distributed Fiber-Optic Temperature Sensing to determine borehole vertical flow

    Science.gov (United States)

    Read, T. O.; Bour, O.; Selker, J. S.; Le Borgne, T.; Bense, V.; Hochreutener, R.; Lavenant, N.

    2013-12-01

    In highly heterogeneous media, fracture network connectivity and hydraulic properties can be estimated using methods such as packer- or cross-borehole pumping-tests. Typically, measurements of hydraulic head or vertical flow in such tests are made either at a single location over time, or at a series of depths by installing a number of packers or raising or lowering a probe. We show how this often encountered monitoring problem, with current solutions sacrificing either one of temporal or spatial information, can be addressed using Distributed Temperature Sensing (DTS). Here, we electrically heat the conductive cladding materials of cables deployed in boreholes to determine the vertical flow profile. We present results from heated fiber optic cables deployed in three boreholes in a fractured rock aquifer at the much studied experimental site near Ploemeur, France, allowing detailed comparisons with alternative methods (e.g. Le Borgne et al., 2007). When submerged in water and electrically heated, the cable very rapidly reaches a steady state temperature (less than 60 seconds). The steady state temperature of the heated cable, measured using the DTS method, is then a function of the velocity of the fluid in the borehole. We find that such cables are sensitive to a wide range of fluid velocities, and thus suitable for measuring both ambient and pumped flow profiles at the Ploemeur site. The cables are then used to monitor the flow profiles during all possible configurations of: ambient flow, cross-borehole- (pumping one borehole, and observing in another), and dipole-tests (pumping one borehole, re-injection in another). Such flow data acquired using DTS may then be used for tomographic flow inversions, for instance using the approach developed by Klepikova et al., (submitted). Using the heated fiber optic method, we are able to observe the flow response during such tests in high spatial detail, and are also able to capture temporal flow dynamics occurring at the

  12. Traction Induced Vertical Displacement of Odontoid due to Type III Odontoid Fracture with Unrecognized Ligamentous Injury: A Case Report

    OpenAIRE

    Jung, Min-Ho; Lee, Jung-Kil; Hur, Hyuk; Jang, Jae-Won; Kim, Jae-Hyoo; Kim, Soo-Han

    2014-01-01

    Dens fractures are a common traumatic cervical spine injury. Among them, a type III fracture is the second common fracture. Although there are several treatment options, it has been accepted that type III fracture is usually healed by non-surgical method. After adequate reduction with traction, subsequent external immobilization has been associated with successful union rates. However, in the review of literatures, there are some cases with neurological deterioration after application of skul...

  13. Accuracy of intraoral radiography, multidetector helical CT, and limited cone-beam CT for the detection of horizontal tooth root fracture.

    Science.gov (United States)

    Iikubo, Masahiro; Kobayashi, Kaoru; Mishima, Akira; Shimoda, Shinji; Daimaruya, Takayoshi; Igarashi, Chinami; Imanaka, Masahiro; Yuasa, Masao; Sakamoto, Maya; Sasano, Takashi

    2009-11-01

    The accuracies of intraoral radiography (IOR), multidetector helical computerized tomography (MDHCT) at slice thicknesses 0.63 mm and 1.25 mm, and limited cone-beam computerized tomography (LCBCT) were compared for detection of horizontal tooth root fracture. In 7 beagle dogs, 28 maxillary anterior teeth were used, of which 13 had artificially induced horizontal root fracture. The specimens were examined by the above-mentioned 4 modalities. Diagnosis of root fracture was based on direct visualization of radiolucent line in each image by 6 radiologists. Sensitivity, negative predictive value, and diagnostic accuracy (true positives + true negatives) for detecting fracture lines in LCBCT (0.96 +/- 0.04, 0.97 +/- 0.03, 0.93 +/- 0.04, respectively) were significantly higher than MDHCT at 0.63 mm (0.76 +/- 0.09, 0.8 +/- 0.05, 0.8 +/- 0.05, respectively), MDHCT at 1.25 mm (0.49 +/- 0.09, 0.66 +/- 0.04, 0.69 +/- 0.05, respectively), and IOR (0.51 +/- 0.18, 0.67 +/- 0.08, 0.69 +/- 0.08, respectively). Specificity and positive predictive value showed no significant intermethod difference among the 4 modalities. Limited cone-beam CT is more useful than the other 3 radiographic modalities for diagnostic imaging of horizontal tooth root fracture.

  14. Crown-root Fracture Restoration on a Patient with Autism Spectrum Disorder.

    Science.gov (United States)

    Perez, Edna; Behar-Horenstein, Linda S; Guelmann, Marcio

    2016-09-01

    Children with intellectual and physical disabilities including autism are susceptible to dental trauma as a sequela from falls due to poor muscular coordination. In addition, their altered muscle tonus often results in an open bite with labial flaring of the maxillary incisors and lip incompetence, predisposing these teeth to fractures. This case report describes an alternative approach of restoring a fractured maxillary permanent central incisor with a composite strip crown during surgical repositioning of the periodontium on an autistic patient. The prognosis of the incisor is guarded due to the probability of re-injury. However, the decision to maintain the tooth clinically was esthetically preferable in comparison to an extraction or decoronation.

  15. [Separate vertical wiring combined with tension band and Kirschner-wire plus cerclage wire in the treatment of displaced inferior pole fractures of the patella].

    Science.gov (United States)

    Zhang, J; Jiang, X Y; Huang, X W

    2016-06-18

    To investigate the clinical efficacy and outcomes of two separate vertical wiring combined with tension band and Kirschner-wire plus cerclage wire in the treatment of displaced inferior pole fractures of the patella. From January 2013 to January 2015, 15 consecutive patients (mean age 54.5 years) with inferior pole fractures of the patella were retrospectively included in this study. All the patients underwent open reduction and internal fixation by separate vertical wiring combined with tension band and Kirschner-wire plus cerclage wire through longitudinal incision, 4.5 d (range: 3.1-5.9 d) after initial injury. A safety check for early knee range of motion was performed before wound closure. The complications including infection, nonunion, loss of fixation and any wire breakage or irritation from implant were recorded. Anteroposterior and lateral views of the knee joint obtained during the follow-up were used to assess bony union based on the time when the fracture line disappeared. At the time of the final outpatient follow up, functional evaluation of the knee joint was conducted by Bostman system. The follow-up time was 13.1 months (range: 12-19 months) after surgery on average, immediate motion without immobilization in all the cases was allowed and there was no case of reduction loss of the fracture and wire breakage. There was no case of irritation from the implant. At the final follow-up, the average range of motion (ROM) arc was 126.7° (range: 115°-140°), the average ROM lag versus contralateral healthy leg was 10.3° (range: 0°-35°). The mean Bostman score at the last follow-up was 28.9 (range: 27-30), and graded excellent in most cases. Two separate vertical wiring is an easy and effective method to reduce the displaced inferior pole fracture of patella. Augmentation of separate vertical wiring with tension band and Kirschner-wire plus cerclage wire in these patients provides enough strength to protected the early exercise of the knee joint and

  16. Effects of multiple root canal usage on the surface topography and fracture of two different Ni-Ti rotary file systems

    Directory of Open Access Journals (Sweden)

    Jojo Kottoor

    2013-01-01

    Full Text Available Aim: The purpose of this study was to evaluate the effect of multiple root canal usage on the surface topography and fracture of Twisted File (TF and ProTaper (PT rotary Ni-Ti file systems, using scanning electron microscope (SEM. Materials and Methods: Ten sets of PT and TF instruments were used to prepare the mesial canals of mandibular first molars. TF 25, 0.06 taper and PT F1 instruments were analyzed by SEM when new and thereafter every three root canal usages. This sequence was repeated for both the TF and PT groups until 12 uses. Two images of the instrument were recorded, one of the instrument tip and the other 5 mm from the tip, both at ×100 magnification. The sequential use was continued till the instrument fractured and the number of root canal usages for the file to fracture was noted. All fracture surfaces were examined under the SEM. Results: Fresh TF instruments showed no surface wear when compared to PT instruments (P 0.05, while at the 9 th usage TF showed a steep increase in the spiral distortion score when compared to PT (P < 0.05. PT instruments fractured at a mean root canal usage of 17.4, while TF instruments showed a mean root canal usage of 11.8. Fractographically, all the TF instruments failed due to torsion, while all the PT instruments failed because of cyclic fatigue. Conclusion: PT instruments showed more resistance to fracture than TF instruments.

  17. CT-guided screw fixation of vertical sacral fractures in local anaesthesia using a standard CT; CT-kontrollierte Schraubenosteosynthese von vertikalen Frakturen des hinteren Beckenringes in Lokalanaesthesie

    Energy Technology Data Exchange (ETDEWEB)

    Reuther, G.; Dehne, I. [Thueringen-Klinik, Saalfeld (Germany). Radiologische Klinik; Roehner, U.; Will, T.; Petereit, U. [Thueringen-Klinik, Saalfeld (Germany). Orthopaedics and Trauma Surgery

    2014-12-15

    To evaluate time efficiency, radiation dose, precision and complications of percutaneous iliosacral screw placement under CT-guidance in local anaesthesia. Retrospective analysis of 143 interventions in 135 patients during a period of 42 months. Implant failures could be evaluated in 85/182 screws and bony healing or refracturing in 46/182 screws. A total of 182 iliosacral screw placements in 179 vertical sacral fractures (105 unilateral, 37 bilateral) took place in 135 patients. 166/179 of the sacral fractures were detected in Denis zone 1, 10 in Denis zone 2 and 3 in Denis zone 3. No screw misplacements including the simultaneous bilateral procedures were noted. The average time for a unilateral screw placement was 23 minutes (range: 14-52 minutes) and 35 minutes (range: 21-60 minutes) for simultaneous bilateral screwing. The dose length product was 365 mGy x cm (range: 162-1014 mGy x cm) for the unilateral and 470 mGy x cm (range: 270-1271 mGy x cm) for the bilateral procedure. 1 gluteal bleeding occurred as the only acute minor complication (0.7%). Fracture healing was verified with follow-up CTs in 42/46 sacral fractures after screw placement. Backing out occurred in 12/85 screws between 6 and 69 days after intervention. In 8 patients contralateral stress fractures were detected after unilateral screw placement between day 10 and 127 (average: 48 days). CT-guided iliosacral screw placement in sacral fractures is a safe tool providing a very high precision. The radiation dose is in the order of a diagnostic CT of the pelvis for both unilateral and bilateral screws. Contralateral stress fractures in unilateral screw placements have to be considered during the first weeks after intervention.

  18. Vertical distribution of the root system of linseed (Linum usitatissimum L. and legumes in pure and mixed sowing

    Directory of Open Access Journals (Sweden)

    Agnieszka Klimek-Kopyra

    2015-03-01

    Full Text Available Root competition for below-ground resources between edible plants may provide for long-term sustainability of agriculture systems. Intercropping can be more productive than a pure crop due to taking advantage of the morphological differences between species. In pure cropping, all biophysical interactions between plants occur through soil conditions. In intercropping, competition for water and nutrients is of major importance, but if the roots of one species occupy the zone just underneath the roots of the other crop, they can better use the resources of the root zone of the crop. The root system demonstrates a high degree of plasticity in its development in response to local heterogeneity of the soil profile and plant density. This study aimed at determining: (i the morphological characteristics of the root systems of linseed, pea and vetch depending on the method of sowing; (ii the root distribution in various soil types and at different soil profile depths (0–15 cm, 15–30 cm. Two three-year field experiments were conducted on two soil types in south Poland: soil A – Luvic Phaeozem (s1 and soil B – Eutric Cambisol (s2. These results show that linseed was more aggressive toward both legumes in mixture, but it produced lower yield compared to pure cropping. The environmental stress of plants in mixtures increased the relative weight of roots, which resulted in decreasing the root-shoot ratio (RSR.

  19. Do metal post-retained restorations result in more root fractures than fiber post-retained restorations? A systematic review and meta-analysis.

    Science.gov (United States)

    Figueiredo, Fabrício Eneas Diniz; Martins-Filho, Paulo Ricardo Saquete; Faria-E-Silva, André Luis

    2015-03-01

    Teeth requiring endodontic treatment commonly have compromised a coronal tooth structure that often requires the use of an intraradicular post to retain the coronal restoration. Although usually successful, catastrophic failures requiring extraction have been reported in the literature. The aim of this systematic review was to analyze clinical trials and cohort studies that evaluated the incidence rate of root fractures in post-retained restorations. The hypothesis was that the incidence rate related to the use of metal posts was higher than that of fiber posts. A MEDLINE search for clinical studies reporting the incidence of root fractures of restorations retained with fiber posts or metal posts of endodontically treated teeth with a more than 5-year follow-up was conducted from inception to January 2014. Seven randomized clinical trials and 7 cohort studies were included. The pooled survival rate was 90% (95% confidence interval, 85.5-93.3) for metal-based posts and 83.9% (95% confidence interval, 67.6-92.8) for fiber-reinforced posts. The overall incidence rate of root fractures (catastrophic failures) was similar between metal and fiber posts. Prefabricated metal posts and carbon fiber posts had a 2-fold increase in the incidence rate of root fractures compared with cast metal posts and glass fiber posts, respectively. The results of this study did not show significant differences for root fracture incidence between metal- and fiber posts. However, the studies included in this review presented a high risk of bias, and further well-designed clinical studies are required to confirm these findings. Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  20. Efficiency of a newly designed ultrasonic unit and tips in reducing temperature rise on root surface during the removal of fractured files.

    Science.gov (United States)

    Madarati, Ahmad A; Qualtrough, Alison J E; Watts, David C

    2009-06-01

    A potentially damaging temperature rise within the root canal and thus on the external root surface may be induced because of frictional contact of ultrasonic tips during the removal of separated instruments. The efficiency of a new ultrasonic unit, with air-spray function and ET40D (Satelec/Acteon, Merignac, France) and CPR5 (Obtura-Spartan, Fenton, MO) ultrasonic tips, in reducing temperature rise on the external root surface during the removal of fractured files was investigated. Four millimeters of F2 ProTaper files (Dentsply, Surrey, UK) were fractured 2.5 mm from the canal access of 60 lower incisor roots. Roots were randomly divided into six groups: groups CPR5/no air and ET40D/no air in which tips were used without air flow, groups CPR5/15 psi and ET40D/15 psi (tips used with 15-psi air pressure), and groups CPR5/10 psi and ET40D/10 psi (10-psi air pressure). The temperature rise was measured on the external proximal root surface, adjacent to the most coronal aspect of the fractured fragment, at 15 seconds and then at 30-second intervals up to 120 seconds. After 120 seconds, the mean temperature rise (4.2 degrees C) with the air flow active was significantly lower than that with nonactive air flow (11 degrees C). At 10- and 15-psi pressures, the temperature rise after 120 seconds induced by ET40D tips was 4 degrees and 2.4 degrees C, respectively. These were significantly lower than with CPR5 tips (6.3 degrees and 4.2 degrees C, respectively). A new ultrasonic unit incorporating an air-flow function proved to be effective in reducing the temperature rise during removal of fractured files. ET40D ultrasonic tips were more effective than the CPR5 tip. However, both tips could be safely activated with air spray up to 120 seconds.

  1. Detection of Incomplete Root Fractures in Endodontically Treated Teeth Using Different High-resolution Cone-beam Computed Tomographic Imaging Protocols.

    Science.gov (United States)

    Wanderley, Victor Aquino; Neves, Frederico Sampaio; Nascimento, Monikelly Carmo Chagas; Monteiro, Gabriela Queiroz de Melo; Lobo, Natália Siqueira; Oliveira, Matheus Lima; Nascimento Neto, Joao Batista Sobrinho; Araujo, Luciane Farias

    2017-10-01

    The purpose of this study was to compare different high-resolution cone-beam computed tomographic (CBCT) imaging protocols in the diagnosis of incomplete root fractures of endodontically treated teeth. Twenty single-rooted human teeth were endodontically treated, and an incomplete root fracture was induced. The teeth were scanned with the CBCT unit PreXion 3D (Teracom, San Mateo, CA) operating at 2 different protocols: high resolution/standard (HI-STD) (19 seconds and 512 basis images) and high resolution/high density (HI-HI) (37 seconds and 1024 basis images). Three oral radiologists evaluated all images using multiplanar reconstructions. The diagnostic tests and the receiver operating characteristic (ROC) curve were calculated. The HI-STD and HI-HI protocols presented an accuracy of 0.90 and 0.93, respectively, and both protocols had a sensitivity of 0.97. The HI-HI protocol showed a higher positive predictive value and slightly higher areas under the ROC curve. Both high-resolution imaging protocols presented high accuracy in the detection of incomplete root fracture of endodontically teeth. Thus, the HI-STD protocol should be indicated this reduces the radiation dose. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  2. Fracture

    OpenAIRE

    Bourdin, Blaise; Francfort, Gilles A.

    2011-01-01

    These notes begin with a review of the mainstream theory of brittle fracture, as it has emerged from the works of Griffi th and Irwin. We propose a re-formulation of that theory within the confi nes of the calculus of variations, focussing on crack path prediction. We then illustrate the various possible minimality criteria in a simple 1d-case as well as in a tearing experiment and discuss in some details the only complete mathematical formulation so far, that is that where global minimality ...

  3. Marginal quality and fracture strength of root-canal treated mandibular molars with overlay restorations after thermocycling and mechanical loading.

    Science.gov (United States)

    Dere, Mustafa; Ozcan, Mutlu; Göhring, Till N

    2010-08-01

    To evaluate marginal quality, fracture modes, and loads-to-failure of different overlay restorations in rootcanal treated molars in a laboratory setup. Thirty-two mandibular first molars were randomly assigned to four groups (n = 8): UTR= untreated (control), RCT-COM= root canal treated (RCT)+ lab-made composite overlay, RCT-FRC= RCT+composite resin overlay with two layers of multidirectional woven glass fibers; RCT-CER: RCT+ceramic overlay. The teeth in all groups were subjected to thermocycling and mechanical loading (TCML) in a computer-controlled masticator (1,200,000 loads, 49 N, 1.7 Hz, 3000 temperature cycles of 5°C to 50°C). Marginal adaptation was evaluated before and after TCML with scanning electron microscopy at 200X at the tooth-to-luting composite (IF1) and luting composite-to restoration (IF2) interfaces. After TCML, all specimens were loaded to failure in a universal testing machine at 0.5 mm/min. Data were analyzed with ANOVA and Bonferroni correction. Marginal adaptation decreased from 93 ± 3.4 to 82 ± 6.5 % at IF1 after TCML (p > 0.001) but the decrease was not significant between the groups (p = 0.8130). At IF2, ceramic overlays showed about 10% lower marginal adaptation than composite overlays (p composite delamination from the glass-fiber weaver layer. As cusp-covering overlay restorations in root canal treated molars, composite resin overlays with and without fiber reinforcement performed similar to intact teeth with varying failure types. While intact teeth failed exclusively in reparable modes, all other restorations failed in a catastrophic manner, except half of the fiber reinforced composite group.

  4. Reduced Fracture Finite Element Model Analysis of an Efficient Two-Scale Hybrid Embedded Fracture Model

    KAUST Repository

    Amir, Sahar Z.

    2017-06-09

    A Hybrid Embedded Fracture (HEF) model was developed to reduce various computational costs while maintaining physical accuracy (Amir and Sun, 2016). HEF splits the computations into fine scale and coarse scale. Fine scale solves analytically for the matrix-fracture flux exchange parameter. Coarse scale solves for the properties of the entire system. In literature, fractures were assumed to be either vertical or horizontal for simplification (Warren and Root, 1963). Matrix-fracture flux exchange parameter was given few equations built on that assumption (Kazemi, 1968; Lemonnier and Bourbiaux, 2010). However, such simplified cases do not apply directly for actual random fracture shapes, directions, orientations …etc. This paper shows that the HEF fine scale analytic solution (Amir and Sun, 2016) generates the flux exchange parameter found in literature for vertical and horizontal fracture cases. For other fracture cases, the flux exchange parameter changes according to the angle, slop, direction, … etc. This conclusion rises from the analysis of both: the Discrete Fracture Network (DFN) and the HEF schemes. The behavior of both schemes is analyzed with exactly similar fracture conditions and the results are shown and discussed. Then, a generalization is illustrated for any slightly compressible single-phase fluid within fractured porous media and its results are discussed.

  5. Transient pressure analysis of a volume fracturing well in fractured tight oil reservoirs

    Science.gov (United States)

    Lu, Cheng; Wang, Jiahang; Zhang, Cong; Cheng, Minhua; Wang, Xiaodong; Dong, Wenxiu; Zhou, Yingfang

    2017-12-01

    This paper presents a semi-analytical model to simulate transient pressure curves for a vertical well with a reconstructed fracture network in fractured tight oil reservoirs. In the proposed model, the reservoir is a composite system and contains two regions. The inner region is described as a formation with a finite conductivity hydraulic fracture network and the flow in the fracture is assumed to be linear, while the outer region is modeled using the classical Warren–Root model where radial flow is applied. The transient pressure curves of a vertical well in the proposed reservoir model are calculated semi-analytically using the Laplace transform and Stehfest numerical inversion. As shown in the type curves, the flow is divided into several regimes: (a) linear flow in artificial main fractures; (b) coupled boundary flow; (c) early linear flow in a fractured formation; (d) mid radial flow in the semi-fractures of the formation; (e) mid radial flow or pseudo steady flow; (f) mid cross-flow; (g) closed boundary flow. Based on our newly proposed model, the effects of some sensitive parameters, such as elastic storativity ratio, cross-flow coefficient, fracture conductivity and skin factor, on the type curves were also analyzed extensively. The simulated type curves show that for a vertical fractured well in a tight reservoir, the elastic storativity ratios and crossflow coefficients affect the time and the degree of crossflow respectively. The pressure loss increases with an increase in the fracture conductivity. To a certain extent, the effect of the fracture conductivity is more obvious than that of the half length of the fracture on improving the production effect. With an increase in the wellbore storage coefficient, the fluid compressibility is so large that it might cover the early stage fracturing characteristics. Linear or bilinear flow may not be recognized, and the pressure and pressure derivative gradually shift to the right. With an increase in the skin

  6. Fracture strength and nanoleakage of weakened roots reconstructed using relined glass fiber-reinforced dowels combined with a novel prefabricated core system.

    Science.gov (United States)

    Amin, Rania A; Mandour, Mona H; Abd El-Ghany, Ossama Saleh

    2014-08-01

    The aim of this study was to evaluate fracture strength and nanoleakage of endodontically treated weakened teeth after being restored with relined glass fiber-reinforced dowels and two types of cores. Sixty sound human decoronated and endodontically treated teeth were embedded in epoxy resin blocks, then divided into three groups (n = 20) according to the method of root reconstruction. Group 1 (control): nonweakened roots were restored with glass fiber-reinforced dowels (UNIC); group 2: weakened roots restored with glass fiber-reinforced dowels relined with composite resin; group 3: weakened roots restored with glass fiber-reinforced dowels and a thick layer of luting cement. Dowels were cemented using Corposit, a dual-cured adhesive resin cement, then each group was assigned into two subgroups (n = 10) according to the type of core used; subgroup a: custom-made core using the same luting cement, subgroup b: prefabricated glass fiber-reinforced core (UNIC). Half the specimens of each subgroup were individually mounted at 45° angles and statically compressed until fracture at a 0.5 mm/min crosshead speed with a 5 kN load cell. The type of failure was assessed using a magnification lens. The other half of the specimens were removed from the block, placed in silver nitrate solution for 24 hours followed by photo developer for 8 hours, then examined using environmental scanning electron microscope/energy dispersive analytical X-ray for nanoleakage evaluation. Data were statistically analyzed. The nonweakened group recorded the highest fracture strength values. The composite relined group showed significantly higher fracture strength values than the cement group. The prefabricated core yielded higher fracture strength values than the custom-made core. All groups showed a degree of nanoleakage, with higher scores recorded for the composite group. The fracture resistance of wide root canals can be improved by using glass fiber-reinforced dowels relined with composite

  7. Vertical migration of nematodes and soil-borne fungi to developing roots of Ammophila arenaria (L.) link after sand accretion

    NARCIS (Netherlands)

    De Rooij van der Goes, P.C.E.M.; Peters, B.A.M.; Van der Putten, W.H.

    1998-01-01

    Ammophila arenaria benefits from regular burial of windblown beach sand as it allows escape from soilborne pathogens (nematodes and fungi). The present study was done to obtain more insight into the timing and order of migration of the soil organisms towards the newly formed roots. Accordingly,

  8. Case report: management of crown-root fracture in lower first primary molar caused by injury to the chin: report of an unusual case.

    Science.gov (United States)

    Hariharan, V S; Rayen, R

    2012-08-01

    Dental traumas are highly prevalent lesions in primary teeth, but crown-root fractures are seldom observed in primary molars. When trauma is sustained to the chin, the posterior primary teeth are at increased risk of trauma. The treatment of fractured teeth can be complicated, sometimes because of difficulties with the final restoration. A 4-year-old girl was referred to a Specialty Dental clinic by a general dental practitioner with complaints of pain in her left mandibular posterior teeth region while biting. History revealed that she had fallen ten days before while playing. Chin laceration was sutured in the trauma centre, but no dental treatment was carried out. She was subsequently discharged. Later, she had pain while biting for which she was referred to the clinic by her general dental practitioner. Extra-oral examination demonstrated a healing laceration on the chin. Radiographic examination showed the presence of an unusual complicated crown-root fracture of the left mandibular first primary molar. Pulpectomy was carried out and the fracture was stabilised with glass ionomer cement and a preformed metal crown was placed. Patient was reviewed after 3, 6 and 12 months both radiographically and clinically. Though radiographically it was found that the obturating material was resorbed completely at the 12 month visit, clinically the patient was asymptomatic until now (after 15 months). The patient is still under review. This case highlights the need for a systematic history and examination in all cases of dental trauma. It also demonstrates that conservative management is possible and not all primary teeth with crown-root fractures need to be extracted.

  9. The vertical hip fracture – a treatment challenge. A cohort study with an up to 9 year follow-up of 137 consecutive hips treated with sliding hip screw and antirotation screw

    Directory of Open Access Journals (Sweden)

    Enocson Anders

    2012-09-01

    Full Text Available Abstract Background Femoral neck fractures with a vertical orientation have been associated with an increased risk for failure as they are both axial and rotational unstable and experience increased shear forces compared to the conventional and more horizontally oriented femoral neck fractures. The purpose of this study was to analyse outcome and risk factors for reoperation of these uncommon fractures. Methods A cohort study with a consecutive series of 137 hips suffering from a vertical hip fracture, treated with one method: a sliding hips screw with plate and an antirotation screw. Median follow-up time was 4.8 years. Reoperation data was validated against the National Board of Health and Welfare’s national registry using the unique Swedish personal identification number. Results The total reoperation rate was 18%. After multivariable Logistic regression analysis adjusting for possible confounding factors there was an increased risk for reoperation for displaced fractures (22% compared to undisplaced fractures (3%, and for fractures with poor implant position (38% compared to fractures with adequate implant position (15%. Conclusions The reoperation rate was high, and special attention should be given to achieve an appropriate position of the implant.

  10. Comparison between intraoral indirect and conventional film-based imaging for the detection of dental root fractures: an ex vivo study.

    Science.gov (United States)

    Shintaku, Werner H; Venturin, Jaqueline S; Noujeim, Marcel; Dove, Stephen B

    2013-12-01

    Digital intraoral radiographic systems have been rapidly replacing conventional dental X-ray films for diagnosis of dental diseases. Current scientific literature supports the use of these digital systems for the detection of dental caries, periodontal bone loss, and periapical pathologies. However, relatively few studies have been published addressing the detection of dental root fractures. The purpose of this study was to compare the intraoral F-speed film (Insight) with two photostimulable phosphor (PSP) indirect digital systems (ScanX and Digora Optime) for the detection of simulated dental root fractures. Ten raters evaluated images acquired from 10 dry human cadaver mandibles under optimal viewing conditions. These data were analyzed by a 5-point receiver operating characteristic curve analysis for statistical differences. Sensitivity and specificity of these systems were also assessed. Since statistically significant difference between the systems was not observed, the results of this study agreeably support indirect digital PSP plates as an alternative to the evaluated conventional film for the detection of dental root fractures. © 2013 John Wiley & Sons A/S.

  11. Investigation of dentin hardness in roots exhibiting the butterfly effect.

    Science.gov (United States)

    Russell, Assil A; Chris He, Li Hong; Chandler, Nicholas P

    2014-06-01

    Most vertical root fractures occur in root canal treated teeth, and they usually run in a buccolingual direction. The butterfly effect is an optical phenomenon seen in some sections of tooth roots. The aim was to investigate the microhardness of dentin in mesiodistal and buccolingual cross sections of roots exhibiting the effect. Thirty extracted single-rooted teeth were allocated according to patient age: group 1, 15-24 years; group 2, 25-44 years; and group 3, 45 years and older. Roots were embedded in acrylic and cut into ten 1-mm-thick cross sections. Sections were viewed under a light microscope and coded (1 or 2) according to presence or absence of the butterfly effect. A root scored 20 when all levels featured the butterfly appearance. The 2 teeth with the highest score from each group and 2 control teeth with the minimum score (10) were selected. Two adjacent, consecutive cross sections were chosen from the middle of the roots. Vickers microhardness testing was carried out on the dentin walls. Mean hardness scores were highest mesiodistally (83.7 kgf/mm(2)) and lowest buccolingually (56.4 kgf/mm(2)), a significant difference (P = .028). This trend was found across all age groups. Root sections with the butterfly effect are harder mesiodistally. This might explain the high prevalence of vertical root fractures that run buccolingually. Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  12. Investigation of the effect of sealer use on the heat generated at the external root surface during root canal obturation using warm vertical compaction technique with System B heat source.

    Science.gov (United States)

    Viapiana, Raqueli; Guerreiro-Tanomaru, Juliane Maria; Tanomaru-Filho, Mario; Camilleri, Josette

    2014-04-01

    During warm vertical compaction of gutta-percha, root canal sealers with different chemical compositions absorb the heat generated inside the root canal. The aim of this research was to assess physicochemical modifications of sealers subjected to the System B heat source (Analytic Technology, Redmond, WA) and to evaluate the effect that the use of different sealers has on the heat transfer to the external root surface. Three proprietary brand sealers (AH Plus [Dentsply International, Addlestone, UK], Pulp Canal Sealer [Kerr Corporation, Orange, CA], MTA Fillapex [Angelus Dental Solutions, Londrina, PR, Brazil]) and a prototype sealer based on Portland cement were assessed. The heat generated on the surfaces of System pluggers and the heat dissipation at different levels (apical, midroot, and cervical) over root surface while using different sealers was assessed using thermocouples. Data were collected in 3 different environmental conditions with the tooth suspended in air, immersed in Hank's balanced salt solution, or gelatinized Hank's balanced salt solution. Chemical changes in the sealers induced by the heat were monitored by Fourier transform infrared spectroscopy. The effect of heat changes on the setting time and compressive strength of the sealers was also assessed. The continuous wave plugger sustained a rise in temperature at a maximum of 80°C at the instrument shank. The highest change in temperature on the external root surface was recorded after 1.5 minutes from the start of heating, and it was restored to body temperature by 6 minutes. Environmental conditions affected heat dissipation for all the sealers in the midroot and cervical regions and the highest increase in temperature (∼60°C) recorded in air. In the midroot and cervical regions, the type of sealer used did not affect the rise in temperature. In the apical region, AH Plus obturations resulted in a greater rise in temperature, and the chemical composition of this sealer was affected by

  13. Fracture Resistance of Endodontically Retreated Roots After Retreatment Using Self-Adjusting File, Passive Ultrasonic Irrigation, Photon-Induced Photoacoustic Streaming, or Laser.

    Science.gov (United States)

    Kamalak, Aliye; Uzun, Ismail; Arslan, Hakan; Keleş, Ali; Doğanay, Ezgi; Keskin, Cangül; Akçay, Merve

    2016-10-01

    Additional cleaning techniques and devices are required to remove maximum amount of residual filling material, which might limit disinfection of root canal system during retreatment. This study aimed to compare fracture resistance of roots when self-adjusting file (SAF), photon-induced photoacoustic streaming (PIPS), passive ultrasonic irrigation (PUI), erbium-doped yttrium aluminum garnet (Er:YAG), or neodymium-doped yttrium aluminum garnet (Nd:YAG) lasers are applied following the use of retreatment files in endodontics. A total of 117 human mandibular canine teeth of similar dimensions were selected and divided into nine groups (n = 13). Aside from control, instrumented, and only-prepared groups, 91 teeth were remaining, of which 13 were assigned to the only-filling group and final 78 to retreatment, thus R-Endo file, R-Endo+SAF, R-Endo+PUI, R-Endo+Er:YAG laser, R-Endo+Nd:YAG laser, and R-Endo+PIPS. The fracture strengths of the retreatment groups were lower than control, instrumented, and only-filling groups (p  0.05). Further cleaning methods using SAF, PIPS, Er:YAG laser, Nd:YAG laser, or PUI did not decrease the fracture resistance when compared with the R-Endo group.

  14. Unusual transalveolar and transmuco-gingival root avulsion of a fractured primary central incisor: a case with an 8-year follow-up.

    Science.gov (United States)

    Ferrés-Amat, E; Díaz-Martínez, C; Herrera-Martínez, S; Maura-Solivellas, I; Ferrés-Padró, E

    2015-01-01

    The purpose of this unique case report is to describe a very unusual dentoalveolar fracture associated with avulsion of the near-complete root. A 3-year-old male patient came for consultation after a dentoalveolar trauma with a "fragment that looks like canine" found in his mouth by his mother. This boy suffered root fracture of the upper primary central right incisor, accompanied by transalveolar and transmuco-gingival avulsion of the tooth root fragment, leaving the crown in its position in the dental arch. Clinical and radiological examinations were performed in order to follow up the case: 15 days, one month, and three months after trauma, the crown had a slight mobility without other clinical or radiological signs. After six months, the upper primary central right incisor's crown was exfoliated. Open bite due to the persistence of the pacifier habit favored the crown retention in the mouth. This case emphasizes the importance of primary diagnosis and follow-up of trauma cases. To the best of our knowledge, this kind of dental injury has not been previously described in the literature nor in the current Dental Trauma guidelines for the management of traumatic dental injuries in the primary dentition.

  15. Unusual Transalveolar and Transmuco-Gingival Root Avulsion of a Fractured Primary Central Incisor: A Case with an 8-Year Follow-Up

    Directory of Open Access Journals (Sweden)

    E. Ferrés-Amat

    2015-01-01

    Full Text Available The purpose of this unique case report is to describe a very unusual dentoalveolar fracture associated with avulsion of the near-complete root. A 3-year-old male patient came for consultation after a dentoalveolar trauma with a “fragment that looks like canine” found in his mouth by his mother. This boy suffered root fracture of the upper primary central right incisor, accompanied by transalveolar and transmuco-gingival avulsion of the tooth root fragment, leaving the crown in its position in the dental arch. Clinical and radiological examinations were performed in order to follow up the case: 15 days, one month, and three months after trauma, the crown had a slight mobility without other clinical or radiological signs. After six months, the upper primary central right incisor’s crown was exfoliated. Open bite due to the persistence of the pacifier habit favored the crown retention in the mouth. This case emphasizes the importance of primary diagnosis and follow-up of trauma cases. To the best of our knowledge, this kind of dental injury has not been previously described in the literature nor in the current Dental Trauma guidelines for the management of traumatic dental injuries in the primary dentition.

  16. Variable-resolution cone-beam computerized tomography with enhancement filtration compared with intraoral photostimulable phosphor radiography in detection of transverse root fractures in an in vitro model.

    Science.gov (United States)

    Wenzel, Ann; Haiter-Neto, Fransisco; Frydenberg, Morten; Kirkevang, Lise-Lotte

    2009-12-01

    The aim of this study was to compare the diagnostic accuracy of an intraoral photostimulable storage phosphor (PSP) plate system and cone-beam computerized tomography scanning (CBCT) for detection of experimentally induced transverse root fractures and to evaluate differences between original images and images enhanced with high-pass filters. Sixty-nine extracted human teeth, 34 with root fractures and 35 without, were examined under standardized conditions using an intraoral PSP system (Digora Optime; Soredex). The images were saved in original 8-bit format and in a version sharpened with a high-pass filter. The teeth were examined with CBCT (i-Cat; Imaging Sciences) in 2 resolutions: 0.125 mm and 0.25 mm voxel size. Original images were saved together with images enhanced with 2 high-pass filters, sharpen and angio-sharpen. Six observers scored the presence of a root fracture in all modalities in random order. Sensitivity, specificity, and accuracy [(true positives + true negatives)/all scores] were calculated for each modality and each observer. Differences were estimated by analyzing the binary data, assuming additive effects of observer and modality in a generalized linear model. High-resolution original CBCT images had higher sensitivity (P < .05) than lower-resolution images and PSP images (0.125 mm resolution 87%, 0.25 mm resolution 72%, and PSP 74%). Angio-sharpen-filtered images for both CBCT resolutions had higher sensitivities (P < .02) than the original images (0.125 mm resolution: 95% vs. 87%; 0.25 mm resolution: 81% vs. 72%). There was no significant difference between the lower-resolution CBCT and PSP images. Only small differences in specificity were seen between modalities, and accuracy was higher for high-resolution CBCT than for the other modalities (P < .03). High-resolution i-Cat CBCT images resulted in an increase in sensitivity without jeopardizing specificity for detection of transverse root fractures compared with lower-resolution CBCT

  17. Fracture resistance and failure mode of fatigued endodontically treated teeth restored with fiber-reinforced resin posts and metallic posts in vitro.

    Science.gov (United States)

    A Alharbi, Fahad; Nathanson, Dan; Morgano, Steven M; Baba, Nadim Z

    2014-08-01

    Fracture of restored endodontically treated teeth is a common complication. The mechanical properties of post systems may play a role in the incidence of tooth fracture. The purpose of this study was to evaluate in vitro the fracture resistance and pattern of fracture of endodontically treated teeth restored with three different post systems. Posts used were fiber-reinforced composite resin posts (FRC post), custom cast silver-palladium, and nickel-chromium posts and cores. A 3-point bending test was performed to calculate flexural strengths and elastic moduli of the specimens. Sixty extracted human maxillary canines were endodontically treated and divided into three groups (n = 20). All-ceramic crowns were fabricated and cemented with Variolink II resin cement. Ten specimens of each group were subjected to a constantly increasing load until fracture. The other 10 specimens were fatigued for 106 cycles in a custom-made fatigue machine. Recorded failure loads and modes were statistically compared with one-way anova and Tukey-HSD tests (α = 0.05). The resistance to fracture of teeth restored with FRC posts, composite resin cores, and Empress II crowns was similar to that of teeth restored with cast posts and cores (P = 0.162). Supracrestal (above root/level of acrylic resin base) oblique fracture was the predominant mode of fracture associated with teeth restored with FRC posts (70%), while vertical root fractures were more common with teeth restored with cast posts and cores. Teeth restored with the FRC post system did not exhibit vertical root fractures and were less likely to show root fracture. Sixty to 80% of teeth restored with both types of cast posts and cores showed vertical and subcrestal root fractures. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  18. Influence of remaining coronal structure and of the marginal design on the fracture strength of roots restored with cast post and core.

    Science.gov (United States)

    Carlini-Júnior, Bruno; Cecchin, Doglas; Farina, Ana P; Pereira, Gisele D S; Prieto, Lúcia T; Paulillo, Luis A M S

    2013-01-01

    The purpose of this study was to evaluate the fracture strength of roots that were prosthetically restored with cast post and core with or without any remaining coronal structure and with different finish lines. Sixty bovine incisors were sectioned below the cementoenamel junction, endodontically treated and randomly divided into six experimental groups (n = 10) containing teeth with or without any remaining coronal structure and with a beveled shoulder, a chanfered or a shoulder finish line design. The cast post and core were luted with dual-cured resin cement. The metal crowns were cemented with zinc phosphate cement. The specimens were subjected to a tangential compressive load (135° angle) at a crosshead speed of 0.5 mm/min until failure, using a universal testing machine. The fracture strength data were analyzed using the ANOVA and LSMeans (least square means) tests (α = 0.05). The data indicated that the teeth with 2 mm of remaining coronal structure showed the highest fracture strength values when compared with the teeth without any remaining structure (p strength values were obtained for the beveled shoulder, followed by the chanfered and then by the shoulder designs (p strength, a beveled shoulder and 2 mm of remaining coronal structure are the ideal conditions.

  19. Fracture resistance of structurally compromised premolar roots restored with single and accessory glass or quartz fiber posts

    OpenAIRE

    Farahnaz Sharafeddin; Ali Asghar Alavi; Samira Zare

    2014-01-01

    Background: Glass and quartz fiber posts are used in restoration of structurally compromised roots. Accessory fiber posts are recently introduced to enhance the fiber post adaptation. This study evaluated the effectiveness of glass versus quartz accessory fiber posts. Materials and Methods: In this experimental study, 40 mandibular premolar roots with similar dimension (radius of 3.5 ± 0.2 mm and length of 13 ± 0.5 mm) were selected and their root canals were flared until 1.5 mm of dentin...

  20. Splinting of Longitudinal Fracture: An Innovative Approach

    Directory of Open Access Journals (Sweden)

    Rashmi Bansal

    2016-01-01

    Full Text Available Trauma may result in craze lines on the enamel surface, one or more fractured cusps of posterior teeth, cracked tooth syndrome, splitting of posterior teeth, and vertical fracture of root. Out of these, management of some fractures is of great challenge and such teeth are generally recommended for extraction. Literature search reveals attempts to manage such fractures by full cast crown, orthodontic wires, and so forth, in which consideration was given to extracoronal splinting only. However, due to advancement in materials and technologies, intracoronal splinting can be achieved as well. In this case report, longitudinal fractures in tooth #27, tooth #37, and tooth #46 had occurred. In #27, fracture line was running mesiodistally involving the pulpal floor resulting in a split tooth. In teeth 37 and 46, fractures of the mesiobuccal cusp and mesiolingual cusp were observed, respectively. They were restored with cast gold inlay and full cast crown, respectively. Longitudinal fracture of 27 was treated with an innovative approach using intracanal reinforced composite with Ribbond, external reinforcement with an orthodontic band, and full cast metal crown to splint the split tooth.

  1. Reinforcing Effect of Glass Fiber-incorporated ProRoot MTA and Biodentine as Intraorifice Barriers.

    Science.gov (United States)

    Nagas, Emre; Cehreli, Zafer C; Uyanik, Ozgur; Vallittu, Pekka K; Lassila, Lippo V J

    2016-11-01

    The purpose of this study was to investigate the fracture resistance of roots by using intraorifice barriers with glass fiber-incorporated ProRoot MTA and Biodentine. The diametral tensile strength and compressive strength of ProRoot MTA and Biodentine were determined after incorporation of 5 wt% and 10 wt% alkali resistant (AR) glass fiber powder into both cements. On the basis of higher diametral tensile strength and compressive strength values, ProRoot MTA and Biodentine with 5 wt% AR glass fiber were selected for further testing as intraorifice barriers. The 14-mm-long root specimens obtained from extracted mandibular premolars (n = 60) were prepared with nickel-titanium rotary files and obturated with gutta-percha + AH Plus sealer. After removal of coronal 3 mm of root fillings, the roots were grouped with respect to the intraorifice barrier material (n = 12/group): (1) ProRoot MTA, (2) ProRoot MTA with 5 wt% AR glass fibers, (3) Biodentine, (4) Biodentine with 5 wt% AR glass fibers, and (5) control (no intraorifice barrier). The specimens were loaded vertically at 1 mm/min crosshead speed until vertical root fracture occurred. The data were evaluated statistically by using 2-way analysis of variance and Tukey tests. Both incorporation of glass fiber and the type of material significantly affected fracture resistance (both P = .002). Roots with glass fiber-reinforced Biodentine barriers showed the highest fracture strength (P = .000). Incorporation of 5 wt% AR glass fiber can significantly improve the reinforcement effect of ProRoot MTA and Biodentine when used as intraorifice barriers. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  2. Alternative Techniques to Remove Fractured Instrument Fragments from the Apical Third of Root Canals: Report of Two Cases

    OpenAIRE

    Brito-Júnior,Manoel; Normanha,João Américo; Camilo,Carla Cristina; Faria-e-Silva,André Luis; Saquy,Paulo César; Ferraz,Maria Ãngela Arêa Leão; Silva-Sousa,Yara Teresinha Correa

    2015-01-01

    This paper describes two cases of instrument fragment removal from the apical thirds of root canals using a customized extractor and a modified needle technique, respectively. In case 1, a customized extractor was manufactured to remove a bur fragment located in the apical root canal of a maxillary central incisor. The use of this extractor enabled successful and conservative removal of the instrument fragment. In case...

  3. Root (Botany)

    Science.gov (United States)

    Robert R. Ziemer

    1981-01-01

    Plant roots can contribute significantly to the stability of steep slopes. They can anchor through the soil mass into fractures in bedrock, can cross zones of weakness to more stable soil, and can provide interlocking long fibrous binders within a weak soil mass. In deep soil, anchoring to bedrock becomes negligible, and lateral reinforcement predominates

  4. Atraumatic vertical tooth extraction: a proof of principle clinical study of a novel system.

    Science.gov (United States)

    Muska, Egon; Walter, Clemens; Knight, Alan; Taneja, Pankaj; Bulsara, Yogesh; Hahn, Michael; Desai, Mayur; Dietrich, Thomas

    2013-11-01

    The aim of this study was to evaluate the applicability and limitations of a novel atraumatic extraction system. Seventy-two patients with severely decayed teeth or root remnants not suitable for forceps extraction were consecutively recruited and had 111 teeth extracted with the use of a novel atraumatic vertical extraction system (Benex). Various patient, tooth, and procedure data were recorded and analyzed. Overall, 92 out of 111 teeth (83%) were successfully extracted. The success rate was higher in single-rooted teeth (89%) and lower in multirooted teeth (43%), with a risk ratio for failure of multirooted versus single-rooted teeth of 5.2 (95% confidence interval 2.5-10.7). The majority of failures were characterized by insufficient retention of the screw and/or root fracture, which mainly occurred as a result of caries in the root canal, misplacement/misalignment of the screw by the surgeon, or a fracture of the root in response to drilling and/or moderate input of traction force. The Benex extractor system may be successfully used for atraumatic tooth extraction. The system has a higher success rate with single-rooted teeth compared with multirooted teeth. Extraction failure is mostly associated with insufficient retention or misplacement of the screw and root fracture. Copyright © 2013 Elsevier Inc. All rights reserved.

  5. Using precipitation, vertical root distribution, and satellite-retrieved vegetation information to parameterize water stress in a Penman-Monteith approach to evapotranspiration modeling under Mediterranean climate

    Science.gov (United States)

    Bai, Yun; Zhang, Jiahua; Zhang, Sha; Koju, Upama Ashish; Yao, Fengmei; Igbawua, Tertsea

    2017-03-01

    Recent studies have shown that global Penman-Monteith equation based (PM-based) models poorly simulate water stress when estimating evapotranspiration (ET) in areas having a Mediterranean climate (AMC). In this study, we propose a novel approach using precipitation, vertical root distribution (VRD), and satellite-retrieved vegetation information to simulate water stress in a PM-based model (RS-WBPM) to address this issue. A multilayer water balance module is employed to simulate the soil water stress factor (SWSF) of multiple soil layers at different depths. The water stress factor (WSF) for surface evapotranspiration is determined by VRD information and SWSF in each layer. Additionally, four older PM-based models (PMOV) are evaluated at 27 flux sites in AMC. Results show that PMOV fails to estimate the magnitude or capture the variation of ET in summer at most sites, whereas RS-WBPM is successful. The daily ET resulting from RS-WBPM incorporating recommended VI (NDVI for shrub and EVI for other biomes) agrees well with observations, with R2=0.60 (RMSE = 18.72 W m-2) for all 27 sites and R2=0.62 (RMSE = 18.21 W m-2) for 25 nonagricultural sites. However, combined results from the optimum older PM-based models at specific sites show R2 values of only 0.50 (RMSE = 20.74 W m-2) for all 27 sites. RS-WBPM is also found to outperform other ET models that also incorporate a soil water balance module. As all inputs of RS-WBPM are globally available, the results from RS-WBPM are encouraging and imply the potential of its implementation on a regional and global scale.

  6. Alternative techniques to remove fractured instrument fragments from the apical third of root canals: report of two cases.

    Science.gov (United States)

    Brito-Júnior, Manoel; Normanha, João Américo; Camilo, Carla Cristina; Faria-e-Silva, André Luis; Saquy, Paulo César; Ferraz, Maria Ãngela Arêa Leão; Silva-Sousa, Yara Teresinha Correa

    2015-01-01

    This paper describes two cases of instrument fragment removal from the apical thirds of root canals using a customized extractor and a modified needle technique, respectively. In case 1, a customized extractor was manufactured to remove a bur fragment located in the apical root canal of a maxillary central incisor. The use of this extractor enabled successful and conservative removal of the instrument fragment. In case 2, a modified injection needle was used as a trepan to gain access around an instrument fragment located in the curved apical portion of the mesiobuccal canal of a mandibular molar. A segment of steel wire was inserted into the needle lumen to engage the metallic fragment, enabling its removal with counter-clockwise rotation and a simultaneous pull-out motion. Alternative and creative methods are useful for the management of intracanal metallic fragments during root canal treatment.

  7. Effect of obturating materials on fracture resistance of simulated immature teeth.

    Science.gov (United States)

    Girish, Karri; Mandava, Jyothi; Chandra, R Ravi; Ravikumar, K; Anwarullah, Anupreeta; Athaluri, Mounika

    2017-01-01

    The aim of this study was to evaluate the fracture resistance of simulated immature teeth, when the root canals were completely filled either with mineral trioxide aggregate (MTA) or Biodentine, comparing with that of roots filled with apexification procedure. Sixty mandibular premolar teeth with single, straight canals decoronated at cementoenamel junction were divided into five groups (n = 12 each). Group 1 samples served as negative control and remaining four groups root samples were shaped and cleaned using ProTaper rotary files. To simulate immature roots, a #5 Peeso reamer was passed beyond the apex so that apices were enlarged to a diameter of 1.5 mm. Group 2 and 4 samples were filled with 5 mm of MTA or Biodentine apical plug and backfilling with gutta-percha using AH Plus sealer. Group 3 and 5 root samples were completely obturated with MTA and Biodentine, respectively. All the teeth were loaded vertically until fracture, using the universal testing machine. Forces at which fracture of the roots occurred were subjected to statistical analysis using SPSS/PC version 2 software, and the results were analyzed with the one-way analysis of variance and Newman-Keuls multiple post hoc test. Complete root canal obturation with MTA or Biodentine has shown significantly higher fracture resistance (P materials has shown highest fracture resistance when compared to apexification groups.

  8. A deeper look at the relationship between root carbon pools and the vertical distribution of the soil carbon pool

    Directory of Open Access Journals (Sweden)

    R. Dietzel

    2017-08-01

    Full Text Available Plant root material makes a substantial contribution to the soil organic carbon (C pool, but this contribution is disproportionate below 20 cm where 30 % of root mass and 50 % of soil organic C is found. Root carbon inputs changed drastically when native perennial plant systems were shifted to cultivated annual plant systems. We used the reconstruction of a native prairie and a continuous maize field to examine both the relationship between root carbon and soil carbon and the fundamental rooting system differences between the vegetation under which the soils developed versus the vegetation under which the soils continue to change. In all treatments we found that root C  :  N ratios increased with depth, and this plays a role in why an unexpectedly large proportion of soil organic C is found below 20 cm. Measured root C  :  N ratios and turnover times along with modeled root turnover dynamics showed that in the historical shift from prairie to maize, a large, structural-tissue-dominated root C pool with slow turnover concentrated at shallow depths was replaced by a small, nonstructural-tissue-dominated root C pool with fast turnover evenly distributed in the soil profile. These differences in rooting systems suggest that while prairie roots contribute more C to the soil than maize at shallow depths, maize may contribute more C to soil C stocks than prairies at deeper depths.

  9. The effect of post length and core material on root fracture with respect to different post materials.

    Science.gov (United States)

    Kaya, Bekir Murat; Ergun, Gulfem

    2013-09-01

    The aim of this study was to evaluate the effect of different core materials and post length on the fracture strength of different posts (CAD/CAM zirconia post (ZR post)) and an individually formed glass fiber reinforced composite post (FRC post). One hundred maxillary central incisors received endodontic treatment and were divided into two groups according to the post length: (1) 10 mm in length and (2) 15 mm in length (n = 50/per group). Then the specimens were randomly assigned into five sub-groups (n = 10/per group) as follows: One-piece milled zirconia post and core (group Zr), zirconia post with resin core (Biscore, Bisco) (group Zr/R), zirconia post with resin composite core (Admira, Voco) (group Zr/RC), FRC post with resin core (group F/R) and FRC post with resin composite core (group F/RC). The posts were cemented with a self-adhesive luting agent according to the manufacturer's instructions by using endo tips and light-cured for 40 s using a halogen light curing unit. Metal crowns were made for each specimen, cemented and loaded to failure. Fracture loads (N) and modes of failure were recorded. The data were analyzed using three-way analysis of variance (ANOVA) followed by Tukey's post-hoc test (p post material (p post length (p posts with zirconia- or resin-based cores can be recommended as an alternative to FRC posts with resin-based cores. The fracture patterns observed in teeth restored with fiber posts were more favorable than teeth restored with zirconia posts. Clinical significance. A higher restoring success rate can be achieved by fiber posts rather than zirconia posts, since the failure mode for these posts would be restorable. Additionally, post length is a more critical factor in teeth restored with one-piece milled zirconia posts than in those restored with fiber posts.

  10. Fine Root Growth and Vertical Distribution in Response to Elevated CO2, Warming and Drought in a Mixed Heathland–Grassland

    DEFF Research Database (Denmark)

    Arndal, Marie Frost; Tolver, Anders; Larsen, Klaus Steenberg

    2018-01-01

    in single-factor experiments. In a Danish heathland ecosystem, we investigated both individual and combined effects of elevated CO2, warming and drought on fine root length, net production and standing biomass by the use of minirhizotrons, ingrowth cores and soil coring. Warming increased the net root......Belowground plant responses have received much less attention in climate change experiments than aboveground plant responses, thus hampering a holistic understanding of climate change effects on plants and ecosystems. In addition, responses of plant roots to climate change have mostly been studied...... production from ingrowth cores, but decreased fine root number and length in minirhizotrons, whereas there were no significant main effects of drought. Across all treatments and soil depths, CO2 stimulated both the total fine root length (+44%) and the number of roots observed (+39%), with highest relative...

  11. Fracture resistance of simulated immature teeth after internal bleaching procedures.

    Science.gov (United States)

    Uzunoglu, Emel; Eymirli, Ayhan; Uyanik, Mehmet Özgür; Nagas, Emre; Çehreli, Zafer Cavit

    2017-09-21

    The aim of this study was to evaluate the fracture resistance of simulated immature teeth after internal bleaching. The teeth were assigned as follows (n = 12/group); Group-1: The pulp chamber was filled with ProRootMTA and bleached intracoronally with sodium perborate mixed with 37% carbamide peroxide gel; Group-2: The pulp chamber was filled with ProRootMTA without bleaching; Group-3: The pulp chamber was filled with Biodentine and bleached intracoronally as Group-1; Group-4: The pulp chamber was filled with Biodentine without bleaching; and Group-5: Teeth received no intervention (control). The specimens were loaded vertically until root fracture occurred. The data were analysed with Kruskal-Wallis and Dunn tests. There was no significant difference between the fracture resistances of the experimental groups (P > 0.05). However, all experimental groups had significantly lower fracture resistance than the control group (P < 0.05). Neither the tested calcium silicate cements nor the bleaching procedures had a significant impact on fracture resistance values. © 2017 Australian Society of Endodontology Inc.

  12. Nose fracture

    Science.gov (United States)

    Fracture of the nose; Broken nose; Nasal fracture; Nasal bone fracture; Nasal septal fracture ... A fractured nose is the most common fracture of the face. It most ... occurs with other fractures of the face. Nose injuries and neck ...

  13. Treatment of Decubitis Ulcer Stage IV in the Patient with Polytrauma and Vertical Share Pelvic Fracture, Diagnosed Entherocollitis and Deep Wound Infection with Clostridium Difficile with Combined Negative Pressure Wound Therapy (NPWT) and Faecal Management System: Case Report.

    Science.gov (United States)

    Stojmenski, Slavcho; Merdzanovski, Igor; Gavrilovski, Andrej; Pejkova, Sofija; Dzokic, Gjorge; Tudzarova, Smilja

    2017-06-15

    The aim of this paper was to present a case with the successful treatment of decubitis ulcer stage IV in the patient with polytrauma and vertical share pelvic fracture and diagnosed entherocollitis combined with deep wound infection with Clostridium difficile treated with combined Negative Pressure Wound Therapy (NPWT) and faecal management system. Patient D.S.1967 treated on Traumatology Clinic after tentamen suicide on 9.2.2015 with diagnosis: brain contusion; contusion of thoracal space; vertical share pelvic fracture; open fracture type II of the right calcaneus; fracture of the left calcaneus; fracture on the typical place of the left radius; fracture of the right radius with dislocation. As a first step during the treatment in Intensive care unit we perform transcondylar extension of the left leg, and in that time we cannot operate because of the brain contusion. Four weeks after this treatment we intent to perform stabilisation of the pelvic ring, fixation of both arms, and fixation of both calcanear bones. But at the time before performing the saurgery, the patient got an intensive enterocollitis from Escherichia colli and Clostridium difficile, and during the inadequate treatment of enterocollitis she got a big decubitus on both gluteal regia Grade IV and deep muscular necrosis. Several times we perform a necrectomy of necrotic tissue but the wound become bigger and the infection have a progressive intention. In that time we used VAK system for 6 weeks combined with faecal management system and with local necrectomy and system application of Antibiotics and Flagyl for enterocollitis in doses prescripted from specialists from Infective clinic. This new device to manage faecal deep decubital infection and enterocollitis with Clostridium difficile are considered as adequate. 8Flexi-Seal® FMS has been also used. After two months we succeed to minimize the gluteal wound on quoter from the situation from the beginning and we used for next two months wound

  14. Evaluation of Fractured Basement Complex Rock Porosity by ...

    African Journals Online (AJOL)

    current resistivity sounding as complementary geophysical technique to Schlumberger vertical electrical sounding in characterizing fractured geologic systems. Previously, Schlumberger vertical electrical sounding was used to collect data.

  15. Posterior Root Meniscal Tears: Preoperative, Intraoperative, and Postoperative Imaging for Transtibial Pullout Repair.

    Science.gov (United States)

    Palisch, Andrew R; Winters, Ronald R; Willis, Marc H; Bray, Collin D; Shybut, Theodore B

    2016-10-01

    The menisci play an important biomechanical role in axial load distribution of the knees by means of hoop strength, which is contingent on intact circumferentially oriented collagen fibers and meniscal root attachments. Disruption of the meniscal root attachments leads to altered biomechanics, resulting in progressive cartilage loss, osteoarthritis, and subchondral edema, with the potential for development of a subchondral insufficiency fracture. Identification of meniscal root tears at magnetic resonance (MR) imaging is crucial because new arthroscopic surgical techniques (transtibial pullout repair) have been developed to repair meniscal root tears and preserve the tibiofemoral cartilage of the knee. An MR imaging classification of posterior medial meniscal root ligament lesions has been recently described that is dedicated to the posterior root of the medial meniscus. An arthroscopic classification of meniscal root tears has been described that can be applied to the anterior and posterior roots of both the medial meniscus and the lateral meniscus. This arthroscopic classification includes type 1, partial stable root tears; type 2, complete radial root tears; type 3, vertical longitudinal bucket-handle tears; type 4, complex oblique tears; and type 5, bone avulsion fractures of the root attachments. Knowledge of these classifications and the potential contraindications to meniscal root repair can aid the radiologist in the preoperative reporting of meniscal root tear types and the evaluation of the tibiofemoral cartilage. As more patients undergo arthroscopic repair of meniscal root tears, familiarity with the surgical technique and the postoperative radiographic and MR imaging appearance is important to adequately report the imaging findings. ©RSNA, 2016.

  16. A multi-disciplinary approach in the management of a traumatized tooth with complicated crown-root fracture: A case report

    OpenAIRE

    Heda C; Heda A; Kulkarni S.

    2006-01-01

    A 13-year-old boy had fractured his maxillary right central incisor. The fracture line involved 2/3rd of the crown, compromising the pulp and extended subgingivally on the palatal aspect invading the biologic width. The procedure used to manage this case included endodontic treatment of residual tooth orthodontic extrusion to move the fracture line above the alveolar bone. Finally the tooth was restored prosthodontically.

  17. A multi-disciplinary approach in the management of a traumatized tooth with complicated crown-root fracture: A case report

    Directory of Open Access Journals (Sweden)

    Heda C

    2006-01-01

    Full Text Available A 13-year-old boy had fractured his maxillary right central incisor. The fracture line involved 2/3rd of the crown, compromising the pulp and extended subgingivally on the palatal aspect invading the biologic width. The procedure used to manage this case included endodontic treatment of residual tooth orthodontic extrusion to move the fracture line above the alveolar bone. Finally the tooth was restored prosthodontically.

  18. DNA barcoding and isolation of vertically transmitted ascomycetes in sorghum from Burkina Faso: Epicoccum sorghinum is dominant in seedlings and appears as a common root pathogen.

    Science.gov (United States)

    Stokholm, Michaela S; Wulff, Ednar G; Zida, Elisabeth P; Thio, Ibié G; Néya, James B; Soalla, Romain W; Głazowska, Sylwia E; Andresen, Marianne; Topbjerg, Henrik B; Boelt, Birte; Lund, Ole S

    2016-10-01

    Molecular identification of fungal taxa commonly transmitted through seeds of sorghum in Western Africa is lacking. In the present study, farm-saved seeds, collected from four villages in Northern Burkina Faso, were surface sterilized and the distribution of fungal DNA in seeds and seven-day-old seedlings was analyzed by 18S ribosomal DNA (rDNA) amplicon sequencing. More than 99% of the fungal rDNA was found to originate from ascomycetes. The distribution of ascomycetes at species level was subsequently analyzed by barcoding of ITS2 rDNA. Eighteen Operational Taxonomic Units (OTUs) were identified from seedlings, compared to 29 OTUs from seeds. The top-eight most abundant ascomycete OTUs from seedlings were annotated as: Epicoccum sorghinum, Fusarium thapsinum, four different Curvularia spp., Exserohilum rostratum and Alternaria longissima. These OTUs were also present in amplicons from seed samples collected in Central Burkina Faso confirming a common occurrence. E. sorghinum was highly predominant in seedlings both measured by DNA analysis and by isolation. The dominance of E. sorghinum was particularly strong in roots from poorly growing seedlings. Pathogenicity of E. sorghinum isolates was compared to F. thapsinum by inoculation to seeds in vitro. Both fungal species caused significant inhibition of seedling growth (P<0.001) and Koch's postulates were fulfilled. Extensive, dark necrosis in roots was a typical symptom of E. sorghinum, whereas wilting of leaves was caused primarily by F. thapsinum. This study provides the first molecular approach to characterize the seedling mycoflora of sorghum in Western Africa and suggests E. sorghinum as a common root pathogen. Copyright © 2016 The Authors. Published by Elsevier GmbH.. All rights reserved.

  19. Skull fracture

    Science.gov (United States)

    Basilar skull fracture; Depressed skull fracture; Linear skull fracture ... Skull fractures may occur with head injuries . The skull provides good protection for the brain. However, a severe impact ...

  20. Desirable plant root traits for protecting unstable slopes against landslides

    Science.gov (United States)

    Stokes, A.; Atger, C.; Bengough, G.; Fourcaud, T.; Sidle, R. C.

    2009-04-01

    determine slope stability. Rooting depth is species dependent when soil conditions are not limiting and the number of horizontal lateral roots borne on the vertical roots usually changes with depth. Therefore, the number and orientation of roots that the shear surface intersects will change significantly with rooting depth for the same plant, even for magnitudes of only several cm. Similarly, depending on the geometry of the root system, the angle at which a root crosses the shear surface can also have an influence on its resistance to pullout and breakage. The angle at which a root emerges from the parent root is dependent on root type, depth and species (when soil conditions are not limiting). Due to the physiology of roots, a root branch can be initiated at any point along a parent root, but not necessarily emerge fully from the parent root. These traits, along with others including size, relative growth rate, regeneration strategies, wood structure and strength will be discussed with regard to their influence on slope stability. How each of these traits is influenced by soil conditions and plantation techniques is also of extreme importance to the landslide engineer. The presence of obstacles in the soil, as well as compaction, affects root length and branching pattern. Roots of many species of woody plants on shallow soils also tend to grow along fractures deep into the underlying bedrock which allows roots to locate supplies of nutrient and water rich pockets. Rooting depths of herbaceous species in water-limited environments are highly correlated with infiltration depth, but waterlogged soils can asphyxiate tree roots, resulting in shallow root systems. The need to understand and integrate each of these traits for a species is not easy. Therefore, we suggest a hierarchy whereby traits are considered in order of importance, along with how external factors influence their expression over time.

  1. Diagnosis of jaw and dentoalveolar fractures in a traumatized patient with cone beam computed tomography.

    Science.gov (United States)

    Dölekoğlu, Semanur; Fişekçioğlu, Erdoğan; Ilgüy, Dilhan; Ilgüy, Mehmet; Bayirli, Gündüz

    2010-04-01

    The purpose of this case report is to discuss and illustrate the clinical usage of Cone Beam Computed Tomography (CBCT) for the diagnosis of maxillofacial fractures in a traumatized patient. In this presentation, a 30-year-old male patient who was referred to Oral Diagnosis and Radiology Department with a limitation of mouth opening was reported. The history of the patient revealed a traumatic injury on his face because of a fall. The patient was initially examined by a medical practitioner in the emergency department of a public hospital. According to 2D cephalometric analysis, no fracture existed. Panoramic radiograph and postero-anterior reverse-town showed bilateral condyle fractures. In addition, a fracture in the left mandibular incisor region could clearly be detected on the panoramic radiograph. For further diagnosis, digital images were taken with CBCT. Cross-sectional views showed two vertical fracture lines on the alveolar bone between teeth numbers 17, 18 and 14, 15. A palatal root fracture was observed associated with tooth number 18. A fracture line in the left mandibular incisor region as well as bilateral condyle fractures could be seen clearly on CBCT views. CBCT is becoming a popular tool in modern dental practise. In the diagnosis of dentoalveolar fractures, CBCT has made it possible for the practitioner to get more detailed information.

  2. Biomechanical stability of a supra-acetabular pedicle screw Internal Fixation device (INFIX vs External Fixation and plates for vertically unstable pelvic fractures

    Directory of Open Access Journals (Sweden)

    Vigdorchik Jonathan M

    2012-09-01

    Full Text Available Abstract Background We have recently developed a subcutaneous anterior pelvic fixation technique (INFIX. This internal fixator permits patients to sit, roll over in bed and lie on their sides without the cumbersome external appliances or their complications. The purpose of this study was to evaluate the biomechanical stability of this novel supraacetabular pedicle screw internal fixation construct (INFIX and compare it to standard internal fixation and external fixation techniques in a single stance pelvic fracture model. Methods Nine synthetic pelves with a simulated anterior posterior compression type III injury were placed into three groups (External Fixator, INFIX and Internal Fixation. Displacement, total axial stiffness, and the stiffness at the pubic symphysis and SI joint were calculated. Displacement and stiffness were compared by ANOVA with a Bonferroni adjustment for multiple comparisons Results The mean displacement at the pubic symphysis was 20, 9 and 0.8 mm for external fixation, INFIX and internal fixation, respectively. Plate fixation was significantly stiffer than the INFIX and external Fixator (P = 0.01 at the symphysis pubis. The INFIX device was significantly stiffer than external fixation (P = 0.017 at the symphysis pubis. There was no significant difference in SI joint displacement between any of the groups. Conclusions Anterior plate fixation is stiffer than both the INFIX and external fixation in single stance pelvic fracture model. The INFIX was stiffer than external fixation for both overall axial stiffness, and stiffness at the pubic symphysis. Combined with the presumed benefit of minimizing the complications associated with external fixation, the INFIX may be a more preferable option for temporary anterior pelvic fixation in situations where external fixation may have otherwise been used.

  3. The diagnostic challenge of vertical root fracture in endodontically treated teeth: a case report = O desafio diagnóstico de fratura radicular vertical em dentes endodonticamente tratados: relato de caso

    Directory of Open Access Journals (Sweden)

    Freitas, Pollyanna Queiroz

    2012-01-01

    Conclusão: Concluiu-se que o conhecimento dos achados semiotécnicos e a correta interpretação das imagens radiográficas foram suficientes para se estabelecer a hipótese diagnóstica de FRV. Entretanto, o diagnóstico conclusivo só foi confirmado durante a cirurgia exploratória

  4. -Lesser known stress fractures-.

    Science.gov (United States)

    Wybier, M; Hamze, B; Champsaur, P; Parlier, C

    1997-01-01

    Stress fractures of the tibia may disclose a longitudinal orientation which is obvious at bone scanning; a mild periostosis may appear on plain films; CT demonstrates a radially-oriented fracture in one aspect of the diaphyseal cortex. A cortical dissection-like vertically oriented insufficiency fracture may involve the medial aspect of the femoral shaft underlying the lesser trochanter; the fracture is concentric to the femoral cortex at CT. Insufficiency fractures of the sacrum may be misdiagnosed on plain films; bone scanning displays a typical H-shaped increased uptake which is a specific pattern. Insufficiency fractures of the pubis may appear as tumoral bone destruction; however no soft tissue mass is present at CT which in addition demonstrates normal fat tissue abutting the osseous lesion.

  5. Treatment of Decubitis Ulcer Stage IV in the Patient with Polytrauma and Vertical Share Pelvic Fracture, Diagnosed Entherocollitis and Deep Wound Infection with Clostridium Difficile with Combined Negative Pressure Wound Therapy (NPWT and Faecal Management System: Case Report

    Directory of Open Access Journals (Sweden)

    Slavcho Stojmenski

    2017-06-01

    CONCLUSION: When faecal incontinence as a result of enterocollitis with Clostridium difficile does occur, a limiting contact with the patient’s skin is extremely important as breakdown can occur rapidly. In addition to tissue injury, faecal incontinence can have a major impact on the patient’s dignity and result in prolonged hospital stay. The main outcomes assested in the case studies were resolution of of decubital ulcers as a result of faecal incontinence, patient comfort and ease of application of the FMS and NPWT. The soft flexible catheter was easily inserted without discomfort to the patients. It gently conformed to the rectal vault, reducing significantly the risk of necrosis, and the risk for prolonged necrosis in cases with previously developed necrosis. FMS was successful in diverting faecal fluid away from the perineal tissue and resolved any decubitus ulcer developed previously in combination with use of NPWT. So, we can recommend this combination in those cases especially with polytraumatismus, vertical share pelvis fracture combined with diarrhea and deep wound infection of decubital ulcers Grade IV infected with Cl. difficile.

  6. Resistance to compression of weakened roots subjected to different root reconstruction protocols

    Directory of Open Access Journals (Sweden)

    Lucas Villaça Zogheib

    2011-12-01

    Full Text Available OBJECTIVE: This study evaluated, in vitro, the fracture resistance of human non-vital teeth restored with different reconstruction protocols. MATERIAL AND METHODS: Forty human anterior roots of similar shape and dimensions were assigned to four groups (n=10, according to the root reconstruction protocol: Group I (control: non-weakened roots with glass fiber post; Group II: roots with composite resin by incremental technique and glass fiber post; Group III: roots with accessory glass fiber posts and glass fiber post; and Group IV: roots with anatomic glass fiber post technique. Following post cementation and core reconstruction, the roots were embedded in chemically activated acrylic resin and submitted to fracture resistance testing, with a compressive load at an angle of 45º in relation to the long axis of the root at a speed of 0.5 mm/min until fracture. All data were statistically analyzed with bilateral Dunnett's test (α=0.05. RESULTS: Group I presented higher mean values of fracture resistance when compared with the three experimental groups, which, in turn, presented similar resistance to fracture among each other. None of the techniques of root reconstruction with intraradicular posts improved root strength, and the incremental technique was suggested as being the most recommendable, since the type of fracture that occurred allowed the remaining dental structure to be repaired. CONCLUSION: The results of this in vitro study suggest that the healthy remaining radicular dentin is more important to increase fracture resistance than the root reconstruction protocol.

  7. Investigation of possible wellbore cement failures during hydraulic fracturing operations

    Science.gov (United States)

    Researchers used the peer-reviewed TOUGH+ geomechanics computational software and simulation system to investigate the possibility of fractures and shear failure along vertical wells during hydraulic fracturing operations.

  8. PRODUCTIVITY OF FRACTURED HORIZONTAL WELLS

    Directory of Open Access Journals (Sweden)

    Stjepan Antolović

    2009-12-01

    Full Text Available The interest and performance of horizontal drilling and completions has increased during the last two decades. Horizontal wells are advantageous compared to vertical wells in thin reservoirs, reservoirs with favorable vertical permeability and reservoirs with water and gas coning problems. In many reservoirs, the ratio of horizontal permeability to the vertical permeability is substantially larger than one and often is close to 10. Thus, these reservoirs are very good candidates for hydraulic fracturing. By hydraulic fracturing one or more fractures are created, which can be longitudinal or orthogonal. By that, flow is altered and it mostly conducts horizontally through reservoir toward horizontal wellbore. With this altered flow, fluid is produced faster, with less pressure loss by fluid unit of produced fluid. Some of the existing mathematical models to determine the productivity of multifractured horizontal wells are presented in this work (the paper is published in Croatian.

  9. Root hairs

    NARCIS (Netherlands)

    Grierson, C.; Nielsen, E.; Ketelaar, T.; Schiefelbein, J.

    2014-01-01

    Roots hairs are cylindrical extensions of root epidermal cells that are important for acquisition of nutrients, microbe interactions, and plant anchorage. The molecular mechanisms involved in the specification, differentiation, and physiology of root hairs in Arabidopsis are reviewed here. Root hair

  10. Radiographic evaluation of maxillofacial fractures

    Energy Technology Data Exchange (ETDEWEB)

    Litwan, M.; Fliegel, C.

    1986-09-01

    The course and configuration of typical maxillofacial fractures (type Le Fort I-III) and lateral maxillary fractures including the zygomatic arch were reconstructed in detail by application of barium paste on a bony skull and radiogrpahs in standard projections were performed and evaluated. It was obvious from the resulting radiographs that for most maxillofacial fractures a half axial or Water's view was most helpful. Lateral views only give additional information when there is a considerable degree of dislocation of fragments. Comparison with a prediatric skull of 8 years of age demonstrated that fractures of the zygomatic arch in this age group cannot be demonstrated by the typical submento-vertical view, but are shown on a Towne projection. The radiographic appearance of important maxillofacial fractures is demonstrated. The necessity of further studies in cases where reconstructive surgery appears necessary is discussed and CT rather then conventional tomography is advocated.

  11. fracture criterion

    Indian Academy of Sciences (India)

    Fracture in metallic glasses. What are the connections between nano- and micro- mechanisms and toughness? Metallic glasses are schizophrenic in the fracture sense. PDF Create! 5 Trial www.nuance.com ...

  12. Shoulder Fractures

    Science.gov (United States)

    ... arm bone), the scapula (shoulder blade) and the clavicle (collarbone) (Figure 1). The upper end of the humerus ... age. Most fractures in children occur in the clavicle bone. In adults, the most common fracture is ...

  13. Hand Fractures

    Science.gov (United States)

    ... lead to arthritis down the road. In addition, fractures in children occasionally affect future growth of that bone. Figure 1: Examples of fractures in fingers Figure 2: Examples of plates, pins ...

  14. Stress Fractures

    Science.gov (United States)

    Stress fractures Overview Stress fractures are tiny cracks in a bone. They're caused by repetitive force, often from overuse — such as repeatedly jumping up and down or running long distances. Stress fractures can also arise from normal use of ...

  15. Traumatic transverse fracture of sacrum with cauda equina injury--a case report and review of literature.

    Directory of Open Access Journals (Sweden)

    Singh H

    1998-01-01

    Full Text Available Fractures of the sacrum are rare and generally associated with fracture of the pelvis. Transverse fractures of the sacrum are even less frequent and neurological deficit may accompany these fractures. A case of transverse fracture sacrum with cauda equina injury treated by sacral laminectomy and root decompression, is reported.

  16. Hip fracture - discharge

    Science.gov (United States)

    Inter-trochanteric fracture repair - discharge; Subtrochanteric fracture repair - discharge; Femoral neck fracture repair - discharge; Trochanteric fracture repair - discharge; Hip pinning surgery - ...

  17. Acetabular Fracture

    Directory of Open Access Journals (Sweden)

    Chad Correa

    2017-09-01

    Full Text Available History of present illness: A 77-year-old female presented to her primary care physician (PCP with right hip pain after a mechanical fall. She did not lose consciousness or have any other traumatic injuries. She was unable to ambulate post-fall, so X-rays were ordered by her PCP. Her X-rays were concerning for a right acetabular fracture (see purple arrows, so the patient was referred to the emergency department where a computed tomography (CT scan was ordered. Significant findings: The non-contrast CT images show a minimally displaced comminuted fracture of the right acetabulum involving the acetabular roof, medial and anterior walls (red arrows, with associated obturator muscle hematoma (blue oval. Discussion: Acetabular fractures are quite rare. There are 37 pelvic fractures per 100,000 people in the United States annually, and only 10% of these involve the acetabulum. They occur more frequently in the elderly totaling an estimated 4,000 per year. High-energy trauma is the primary cause of acetabular fractures in younger individuals and these fractures are commonly associated with other fractures and pelvic ring disruptions. Fractures secondary to moderate or minimal trauma are increasingly of concern in patients of advanced age.1 Classification of acetabular fractures can be challenging. However, the approach can be simplified by remembering the three basic types of acetabular fractures (column, transverse, and wall and their corresponding radiologic views. First, column fractures should be evaluated with coronally oriented CT images. This type of fracture demonstrates a coronal fracture line running caudad to craniad, essentially breaking the acetabulum into two halves: a front half and a back half. Secondly, transverse fractures should be evaluated by sagittally oriented CT images. By definition, a transverse fracture separates the acetabulum into superior and inferior halves with the fracture line extending from anterior to posterior

  18. Comparative evaluation of fracture resistance of endodontically treated teeth with epoxy resin-based sealers AH plus and mineral trioxide aggregate fillapex: An in vitro study

    Directory of Open Access Journals (Sweden)

    Anika Mittal

    2017-01-01

    Full Text Available Aim: This study aims to evaluate and compare the fracture resistance of endodontically treated teeth obturated with gutta-percha using two sealers, AH Plus, and mineral trioxide aggregate (MTA Fillapex. Materials and Methods: Twenty single-rooted mandibular premolars, decoronated at cementoenamel junction, were divided into two groups (n = 10 each. Cleaning and shaping of root canals were done using ProTaper rotary files and 3% sodium hypochlorite irrigation. Obturation was done using sealers, AH Plus (Dentsply, Germany in Group 1 and MTA Fillapex (Angeles, Brazil in Group 2 and gutta-percha. The teeth were subjected to vertical loading using a universal testing machine, and the readings were recorded at the point at which fracture of the roots occurred. The data were subjected to statistical analysis followed by pairwise comparison using Tukey's post hoc test. Results: According to the study, it was found that AH Plus showed better fracture resistance than MTA Fillapex. Statistically, no significant difference was found between the two groups. Conclusion: AH Plus and MTA Fillapex gave comparable results as root canal sealers.

  19. Influence of root embedment material and periodontal ligament simulation on fracture resistance tests Influência do material de inclusão e da simulação do ligamento periodontal nos ensaios de resistência à fratura

    Directory of Open Access Journals (Sweden)

    Carlos José Soares

    2005-03-01

    Full Text Available The aim of this study was to evaluate the influence of the embedment material and periodontal ligament simulation on fracture resistance of bovine teeth. Eighty bovine incisor teeth were randomized into 8 groups (n = 10, embedded in acrylic or polystyrene resin using 4 types of periodontal ligament simulation: 1 - absence of the ligament; 2 - polyether impression material; 3 - polysulfide impression material; 4 - polyurethane elastomeric material. The specimens were stored at 37°C and 100% humidity for 24 hours. Specimens were submitted to tangential load on the palatal surface at 0.5 mm/minute crosshead speed until fracture. The fracture modes were analyzed as follows: 1 - coronal fracture; 2 - cemento-enamel junction fracture; 3 - partial root fracture; 4 - total root fracture. Statistical analyses by two-way ANOVA and Tukey's test were applied (p O objetivo deste estudo foi avaliar a influência do material de inclusão e da simulação de ligamento periodontal na resistência à fratura de dentes bovinos. Oitenta incisivos bovinos foram divididos em 8 grupos (n = 10 e, então, incluídos em cilindros com dois materiais, resina acrílica ou resina de poliestireno, usando-se quatro tipos de simulação do ligamento periodontal: 1 - ausência do ligamento; 2 - material de moldagem à base de poliéter; 3 - material de moldagem à base de polissulfeto; e 4 - material elastomérico à base de poliuretano. As amostras foram armazenadas em 100% de umidade a 37°C por 24 horas e então submetidas a carregamento tangencial na superfície palatina com velocidade de 0,5 mm/minuto até a fratura. Os padrões de fratura foram analisados de acordo com: 1 - fraturas coronais; 2 - fratura da junção esmalte-cemento; 3 - fratura parcial da raiz; 4 - fratura radicular total. A análise estatística empregou análise de variância fatorial e teste de Tukey (p < 0,05. Os resultados mostram que o método de inclusão e a simulação do ligamento periodontal

  20. Lumbosacral nerve root avulsions: MR imaging demonstration of acute abnormalities.

    Science.gov (United States)

    Sasaka, K K; Phisitkul, P; Boyd, J L; Marsh, J L; El-Khoury, G Y

    2006-10-01

    Most of the previously reported lumbosacral nerve root avulsions presented with pseudomeningoceles at the time of delayed initial imaging. We report a case of traumatic lumbosacral nerve root injury associated with an isolated femur fracture and demonstrate the evolution of pseudomeningoceles following nerve root avulsions and edema in the perineural fat identified on the initial MR imaging.

  1. Seawater intrusion in fractured coastal aquifers: A preliminary numerical investigation using a fractured Henry problem

    Science.gov (United States)

    Sebben, Megan L.; Werner, Adrian D.; Graf, Thomas

    2015-11-01

    Despite that fractured coastal aquifers are widespread, the influence of fracture characteristics on seawater intrusion (SWI) has not been explored in previous studies. This research uses numerical modelling in a first step towards understanding the influence of fracture orientation, location and density on the extent of seawater and accompanying patterns of groundwater discharge in an idealised coastal aquifer. Specifically, aquifers containing single fractures or networks of regularly spaced fractures are studied using modified forms of the Henry SWI benchmark problem. The applicability of equivalent porous media (EPM) models for representing simple fracture networks in steady-state simulations of SWI is tested. The results indicate that the influence of fractures on SWI is likely to be mixed, ranging from enhancement to reduction in seawater extent and the width of the mixing zone. For the conceptual models considered here, vertical fractures in contact with the seawater wedge increase the width of the mixing zone, whereas vertical fractures inland of the wedge have minimal impact on the seawater distribution. Horizontal fractures in the lower part of the aquifer force the wedge seaward, whereas horizontal fractures located within the zone of freshwater discharge enhance the wedge. Inclined fractures roughly parallel to the seawater-freshwater interface increase the landward extent of seawater and fractures perpendicular to the interface inhibit the wedge. The results show that EPM models are likely inadequate for inferring salinity distributions in most of the fractured cases, although the EPM approach may be suitable for orthogonal fracture networks if fracture density is high and appropriate dispersivity values can be determined.

  2. Hip Fractures.

    Science.gov (United States)

    Ramponi, Denise R; Kaufmann, Judith; Drahnak, Gwendolen

    Hip fractures are associated with significant morbidity and mortality and a major health problem in the United States (). Eighty percent of hip fractures are experienced by 80-year-old women. Plain radiographs usually confirm the diagnosis, but if there is a high level of suspicion of an occult hip fracture, magnetic resonance imaging or bone scan is the next step to confirm the diagnosis. Areas of the hip bone have varied bone strength and blood supply, making the femoral neck one of the most vulnerable areas for fracture. A consultation to an orthopedic surgeon will determine surgical interventions.

  3. Hamate fractures.

    Science.gov (United States)

    Sarabia Condés, J M; Ibañez Martínez, L; Sánchez Carrasco, M A; Carrillo Julia, F J; Salmerón Martínez, E L

    2015-01-01

    The purpose of this paper is to present our experience in the treatment of the fractures of the hamate and to make a review of the literature on this topic. We retrospectively reviewed 10 patients treated in our clinic between 2005-2012 suffering from fractures of the hamate. Six cases were fractures of the body and four were fractures of the hamate. Five cases were of associated injuries. Diagnostic delay ranged from 30 days to 2 years. Patient follow-up ranged from 1 to 10 years. Patient satisfaction was evaluated using the DASH questionnaire. Five patients with a fracture of the body underwent surgery, and one was treated conservatively. Two patients with fracture of the hook of the hamate were treated with immobilization, and two more patients had the fragment removed. The grip strength and the digital clip were reduced in 2 cases. Flexion and extension of the wrist was limited in 3 cases. The mobility of the fingers was normal in all the cases, except in one. The results obtained from the DASH questionnaire were normal in all the cases, except in one case of fracture of the hamate, and in two cases of fracture of the body. The surgical treatment should reduce the dislocation and stabilize the injuries with osteosynthesis. The fractures of the hamate are usually diagnosed late, and the most recommended treatment is removal of the fragment, although it cannot be deduced from this study. Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.

  4. Colles Fracture

    OpenAIRE

    Sánchez León, Belisario; Facultad de Medicina, Universidad Nacional Mayor de San Marcos, Lima, Perú

    2014-01-01

    Our expertise is the study of more than 2,000 cases of Colles' fractures. Colles name should in this case to synthesize the type of fractures of the lower end of the radius. There have been various proposed classifications according to the different fracture lines can be demonstrated radiologically in the region of the wrist. We believe that these ratings should only be retained if the concept of the articular fracture or not in the classical sense, since it has great value in the functional ...

  5. Optimization of coil geometries for bone fracture healing via dielectrophoretic force stimulation - a simulation study.

    Science.gov (United States)

    Kibritoğlu, Erman; Gülçür, Halil Özcan

    2015-01-01

    In this paper we propose a novel technique for shortening fracture healing times based on the use of dielectrophoretic forces (DEPFs). If a non-uniform electromagnetic field is applied around a fracture site, red blood cells within the blood will be polarized; creating electrical dipoles. The dielectrophoretic forces resulting from the interaction of these dipoles and the electromagnetic field, can be used to manipulate blood flow at a fracture site, promote vascularization, increase transmembrane signaling, increase supply of nutrients, necessary hormones and growth factors at the fracture site and thus may help bone healing. For the generation of non-uniform fields we considered three different coil designs (linear, parabolic and square root) and using Mathcad numerically studied the dielectrophoretic forces for a long bone fracture where the main arteries are vertically-oriented and the blood flow is downward. The gravitational force and the drag force on the red blood cells determine the steady state blood flow. The dielectrophoretic force added to the force balance is functional in increasing the blood flow. The ratio of the velocity in the presence of dielectrophoresis to the velocity without dielectrophoresis (called here as the Dielectrophoretic Force Factor, K(DEpF)) is a good measure of the performance of the dielectrophoresis, since it indicates the increase in blood flow. It was found that the dielectorophoretic force reaches peak levels at a frequency range between 5-15 Hz. At 5 Hz, the average value of dielectrophoretic force factor is 1.90, 2.51 and 1.61 for the linear, parabolic and the square root coils, respectively. The parabolic coil results in the best DEPF and therefore would be the configuration to use in an experimental study to determine if DEPF is useful for bone healing.

  6. Greenstick Fractures

    Science.gov (United States)

    ... small, "green" branch on a tree. Most greenstick fractures occur in children younger than 10 years of age. This type ... mistaken for sprains or bruises. More-severe greenstick fractures may cause an obvious ... your doctor if your child has persistent pain in an injured limb. Seek ...

  7. Fracture Mechanics

    CERN Document Server

    Zehnder, Alan T

    2012-01-01

    Fracture mechanics is a vast and growing field. This book develops the basic elements needed for both fracture research and engineering practice. The emphasis is on continuum mechanics models for energy flows and crack-tip stress- and deformation fields in elastic and elastic-plastic materials. In addition to a brief discussion of computational fracture methods, the text includes practical sections on fracture criteria, fracture toughness testing, and methods for measuring stress intensity factors and energy release rates. Class-tested at Cornell, this book is designed for students, researchers and practitioners interested in understanding and contributing to a diverse and vital field of knowledge. Alan Zehnder joined the faculty at Cornell University in 1988. Since then he has served in a number of leadership roles including Chair of the Department of Theoretical and Applied Mechanics, and Director of the Sibley School of Mechanical and Aerospace Engineering.  He teaches applied mechanics and his research t...

  8. Ankle fracture - aftercare

    Science.gov (United States)

    Malleolar fracture; Tri-malleolar; Bi-malleolar; Distal tibia fracture; Distal fibula fracture; Malleolus fracture ... Some ankle fractures may require surgery when: The ends of the bone are out of line with each other (displaced). The ...

  9. Quality of root canal fillings performed by undergraduate dental students on single-rooted teeth.

    Science.gov (United States)

    Lynch, C D; Burke, F M

    2006-05-01

    Root canal therapy is an accepted and successful form of tooth conservation. Educational guidelines require dental schools to ensure that their graduates are competent on graduation at performing root canal therapy. The aim of this investigation was to assess the technical quality of root canal fillings placed by undergraduate students in single-rooted teeth. A total of 100 radiographs of root canal fillings placed by undergraduate students in single-rooted teeth were examined under even illumination in a darkened room using x2 magnification. These were graded as 'adequate', where the root canal filling was within 2 mm of the radiographic apex, 'under-filled', where the root canal filling was >2 mm from the radiographic apex, and 'over-filled', where the root canal filling was extruded beyond the radiographic apex. The presence of voids, fractured instruments, and root perforations were also noted. All teeth were obturated with gutta-percha and sealer (Roth Cement), using a cold lateral condensation technique. Of 100 teeth, 10% (n = 10) had voids. Of the remainder, 70% (n = 63) were judged to be 'acceptable', 21% (n = 19) were 'under-filled', and 9% (n = 8) were 'over-filled'. There was no evidence of fractured instruments or root perforations in any root filling examined. The quality of root canal fillings placed in single-rooted teeth by undergraduate dental students at the University Dental School and Hospital, Cork was acceptable (63% of root fillings placed in single rooted teeth were graded as 'adequate'). The probable reasons for this are multi-factorial, but may be linked to the amount of pre-clinical and clinical teaching in endodontics at the University Dental School and Hospital, Cork. It should be remembered that factors other than radiographic quality/evidence must be considered when determining the outcome of root canal therapy.

  10. Qualitative and quantitative assessment of relationship between mandibular third molar and angle fracture on North Indian population: A clinico-radiographic study.

    Science.gov (United States)

    Yadav, Suresh; Tyagi, Shallu; Puri, Naveen; Kumar, Prince; Kumar, Puneet

    2013-04-01

    To assess the relationship between impacted mandibular third molar presence and the risk for mandibular angle fracture with the effect of various positions of mandibular third molar and the risk of mandibular angle fracture. In the North Indian territory, a total of 289 patients with mandibular angle fractures were studied and evaluated for the possible relationship with impacted third molar on the basis of clinical and panoramic radiographical findings. Results that confirmed the highest risk for mandibular angle fracture was associated with mesioangular angulations (45.42%) followed by vertical (26.34%), distoangular in sequence and least risk was found with bucco-version angulations (2.67%) according to Winter's classification. Additionally, the highest risk of mandibular angle fracture was reported with partially erupted third molar (47.75%), followed by erupted (23.53%) and unerupted third molar (19.38%). The risk for mandibular angle fracture is not only affected by status of eruption, angulations, position, number of roots present in third molar but also by the distance of mandibular third molar from inferior border of mandible and the percentage of remaining amount of bone at the mandibular angle region.

  11. Evaluation of hydraulic properties in fractured rockmass

    Energy Technology Data Exchange (ETDEWEB)

    Lee, E. Y.; Jang, G. M. [Korea Nuclear Environment Technology Institute, Taejon (Korea, Republic of)

    2000-05-01

    Borehole packer test and fracture survey using borehole acoustic scanning method was performed in order to evaluate hydraulic characteristics of Tuff distributed in northern Yeosu area. Total of 303 fractures were detected and then orientation, aperture size of each fracture are analyzed. Only 12 % of detected fractures were identified as open fractures and others were filled with minerals such as calcite. This indicates that the hydraulic property of rockmass is influenced by fillings as well as aperture size. Mean of hydraulic conductivity of rockmass based on stochastic continuum theory was 5x 10{sup -9}m/s and it was coincident with harmonic mean. Anisotropy of hydraulic conductivity was analyzed by fracture network modeling interpretation. The result showed that horizontal and vertical components conductivity values were nearly same, therefore it might be concluded that the rockmass was hydraulically isotropic.

  12. Fracture strength of endodontically treated teeth reconstructed with woven polyethylene fiber posts and biological posts

    Directory of Open Access Journals (Sweden)

    Kátia Rodrigues Reis

    2009-01-01

    Full Text Available Objective: To investigate the fracture strength and mode of endodontically treated teeth with structurally weakened roots reconstructed with woven polyethylene fiber posts and biological posts. Methods: After removing the crowns, 60 endodontically treated maxillary canines were distributed into 4 groups: 1 conventional root canal preparation and reconstruction with polyethylene fiber posts; 2 conventional root canal preparation and reconstruction with biological posts; 3 moderately flared root canals and reconstruction with biological posts; 4 widely flared root canals and reconstruction with biological posts. The posts were cemented with resin cement Enforce (Dentsply Ind. e Com., Petrópolis, Rio de Janeiro, Brasil and the core was constructed with Ti-Core (EssentialDental Systems, S. Hackensack, NJ, USA resin composite. The specimens were tested under compression in a universal testing machine. Results: The following fracture strength values were obtained: Group 1 – 45.46kgf; Group 2 – 53.30kgf; Group 3 – 58.67kgf; Group 4 – 47.91kgf, with statistically significant differences between Groups 1 and 3 (p<0.05. The following fracture modes were observed: Group 1 – predominance of fracture of the coronal portion of the post; Groups 2 and 3 – various fracture patterns; Group 4 – all roots fractured. Conclusion: Both posts were shown to be promising (adequate fracture strength and favorable pattern of fracture. Biological posts appear to be capable of reinforcing the root to some extent; however, fracture occured in all roots with widely flared root canals.

  13. Acquired vertical accommodative vergence.

    Science.gov (United States)

    Klein-Scharff, Ulrike; Kommerell, Guntram; Lagrèze, Wolf A

    2008-03-08

    Vertical accommodative vergence is an unusual synkinesis in which vertical vergence is modulated together with accommodation. It results from a supranuclear miswiring of the network normally conveying accommodative convergence. So far, it is unknown whether this condition is congenital or acquired. We identified an otherwise healthy girl who gradually developed vertical accommodative vergence between five to 13 years of age. Change of accommodation by 3 diopters induced a vertical vergence of 10 degrees. This observation proves that the miswiring responsible for vertical accommodative vergence must not necessarily be congenital, but can be acquired. The cause and the mechanism leading to vertical accommodative vergence are yet unknown.

  14. Fracture fixation.

    Science.gov (United States)

    Taljanovic, Mihra S; Jones, Marci D; Ruth, John T; Benjamin, James B; Sheppard, Joseph E; Hunter, Tim B

    2003-01-01

    The basic goal of fracture fixation is to stabilize the fractured bone, to enable fast healing of the injured bone, and to return early mobility and full function of the injured extremity. Fractures can be treated conservatively or with external and internal fixation. Conservative fracture treatment consists of closed reduction to restore the bone alignment. Subsequent stabilization is then achieved with traction or external splinting by slings, splints, or casts. Braces are used to limit range of motion of a joint. External fixators provide fracture fixation based on the principle of splinting. There are three basic types of external fixators: standard uniplanar fixator, ring fixator, and hybrid fixator. The numerous devices used for internal fixation are roughly divided into a few major categories: wires, pins and screws, plates, and intramedullary nails or rods. Staples and clamps are also used occasionally for osteotomy or fracture fixation. Autogenous bone grafts, allografts, and bone graft substitutes are frequently used for the treatment of bone defects of various causes. For infected fractures as well as for treatment of bone infections, antibiotic beads are frequently used. Copyright RSNA, 2003

  15. Graphic solution to fracture treatment design

    Energy Technology Data Exchange (ETDEWEB)

    Fast, C.R.

    1973-10-01

    Hydraulic fracturing has the greatest immediate potential for increasing oil and gas resources. Fracturing has particular applications in the massive, very low permeability gas sands that exist in several major geologic basins in the Continental U.S. Gas reservoirs in these basins are characterized by interspersed sand and shale zones. It will be necessary to conduct engineered fracturing jobs so that a major portion of the net pay is contracted by vertical fractures that extend 1,000 ft or more in 2 directions out from the well. This will require selectively fracturing the multiple pay zones in the wells with one-half million or more gallons of fluid divided in several stages. The designs presented are primarily for thick, deep, low permeability reservoirs where relatively long vertical fractures would be induced. For this reason, the design criteria includes large treatment volumes, high injection rates, and relatively low fluid loss characteristics. Graphs show the relation between fracture length and treatment volume for the various selected treatment parameters. Other graphs show the effect of fluid loss coefficients and injection rates for fractures which grow in a more or less circular manner.

  16. Fracture mechanics

    CERN Document Server

    Perez, Nestor

    2017-01-01

    The second edition of this textbook includes a refined presentation of concepts in each chapter, additional examples; new problems and sections, such as conformal mapping and mechanical behavior of wood; while retaining all the features of the original book. The material included in this book is based upon the development of analytical and numerical procedures pertinent to particular fields of linear elastic fracture mechanics (LEFM) and plastic fracture mechanics (PFM), including mixed-mode-loading interaction. The mathematical approach undertaken herein is coupled with a brief review of several fracture theories available in cited references, along with many color images and figures. Dynamic fracture mechanics is included through the field of fatigue and Charpy impact testing. Explains computational and engineering approaches for solving crack-related problems using straightforward mathematics that facilitate comprehension of the physical meaning of crack growth processes; Expands computational understandin...

  17. Optimal root arrangement of cereal crops

    Science.gov (United States)

    Jung, Yeonsu; Park, Keunhwan; Kim, Ho-Young

    2015-11-01

    The plant root absorbs water from the soil and supplies it to the rest part of the plant. It consists of a number of root fibers, through whose surfaces water uptake occurs. There is an intriguing observation that for most of cereal crops such as maize and wheat, the volume density of root in the soil declines exponentially as a function of depth. To understand this empirical finding, we construct a theoretical model of root water uptake, where mass transfer into root surface is modeled just as heat flux around a fin. Agreement between the theoretically predicted optimal root distribution in vertical direction and biological data supports the hypothesis that the plant root has evolved to achieve the optimal water uptake in competition with neighbors. This study has practical implication in the agricultural industry as well as optimal design of water transport networks in both micro- and macroscales. Department of Mechanical and Aerospace Engineering, Seoul National University, Seoul 08826, Korea.

  18. Supracondylar Fracture

    Directory of Open Access Journals (Sweden)

    Jessica Andrusaitis

    2017-07-01

    Full Text Available History of present illness: A 15-year-old male presented to the emergency department with right elbow pain after falling off a skateboard. The patient denied a decrease in strength or sensation but did endorse paresthesias to his hand. On exam, the patient had an obvious deformity of his right elbow with tenderness to palpation and decreased range of motion at the elbow. Sensation, motor function, and pulses were intact. Radiographic imaging was obtained. Significant findings: The pre-reduction films show a type III supracondylar fracture. There is complete displacement of the distal humerus anteriorly. Specific findings for supracondylar fracture include: a posterior fat pad (red arrow and a displaced anterior humeral line (yellow line.1 When no fracture is present, the anterior humeral line should intersect the middle third of the capitellum; in this X-ray, it does not intersect the capitellum at all. This X-ray demonstrates a normal radiocapitellar line (blue line that intersects the capitellum. The presence of a narrow anterior fat pad aka “sail sign” can be normal. Discussion: Supracondylar fractures of the humerus occur at the distal portion of the humerus without involving the growth plate.2 This is the second most common fracture in children overall. In children, it is the most common fracture of the elbow.3 This injury has a high risk of neurovascular compromise, such as compartment syndrome or ischemic contracture, and thus the clinician must perform immediate and frequent neurovascular assessments focusing on the distributions of the brachial artery in addition to the median, ulnar, and radial nerves.4 Hyperextension injuries that typically occur following a fall onto an outstretched arm are responsible for 95% of supracondylar fractures.1 A type I supracondylar fracture is non-displaced and can be treated with immobilization through a posterior splint and sling5 with close follow-up, type II is angulated but with an intact

  19. Vertical axis wind turbines

    Science.gov (United States)

    Krivcov, Vladimir [Miass, RU; Krivospitski, Vladimir [Miass, RU; Maksimov, Vasili [Miass, RU; Halstead, Richard [Rohnert Park, CA; Grahov, Jurij [Miass, RU

    2011-03-08

    A vertical axis wind turbine is described. The wind turbine can include a top ring, a middle ring and a lower ring, wherein a plurality of vertical airfoils are disposed between the rings. For example, three vertical airfoils can be attached between the upper ring and the middle ring. In addition, three more vertical airfoils can be attached between the lower ring and the middle ring. When wind contacts the vertically arranged airfoils the rings begin to spin. By connecting the rings to a center pole which spins an alternator, electricity can be generated from wind.

  20. Posterior acetabular arc angle of unstable posterior hip fracture-dislocation.

    Science.gov (United States)

    Harnroongroj, Thos; Riansuwan, Kongkhet; Sudjai, Narumol; Harnroongroj, Thossart

    2013-12-01

    Posterior hip fracture-dislocation needs stability evaluation. A previous study in the normal acetabulum has shown that the coronal posterior acetabular arc angle (PAAA) could be used to assess an unstable posterior hip fracture. Our study was designed to assess PAAA of unstable posterior hip fracture-dislocation and whether posterior acetabular wall fracture involves the superior acetabular dome. Using coronal computed tomography (CT) of the acetabulum and 3D reconstruction of the lateral pelvis, we measured coronal, vertical PAAA and posterior acetabular wall depth of 21 unstable posterior hip fracture-dislocations and of 50% normal contralateral acetabula. Posterior acetabular wall fracture was assessed to determine whether the fracture involved the superior acetabular dome and then defined as a high or low wall fracture using vertical PAAA in reference to the centroacetabulo-greater sciatic notch line. The coronal PAAA of unstable posterior hip fracture-dislocations and of 50% of the posterior acetabular wall of normal the contralateral acetabulum were 54.48° (9.09°) and 57.43° (5.88°) and corresponded to 15.06 (4.39) and 15.61 (2.01) mm of the posterior acetabular wall without significant difference (p > 0.05). The vertical PAAA of unstable posterior hip fracture-dislocation was 101.67° (20.44°). There were 16 high posterior acetabular wall fractures with 35.00 (16.18) vertical PAAA involving the acetabular dome and 5 low wall fractures. High posterior wall fractures resulted in four avascular necroses of the femoral head, three sciatic nerve injuries and one osteoarthritic hip. Coronal and vertical PAAA of unstable posterior hip fracture-dislocations were 54.48° and 101.67°. Vertical PAAA assesses high or low posterior acetabular wall fracture by referring to the centroacetabulo-greater sciatic notch line. High posterior wall fracture seems to be the most frequent and is involved with many complications.

  1. Apical control, gravitropic signaling, and the growth of lateral roots in Arabidopsis

    Science.gov (United States)

    Mullen, Jack L.; Wolverton, Chris; Hangarter, Roger P.

    Most research on gravity responses in plants has focused on primary roots and shoots, which typically grow in a vertical orientation. However, the patterns of lateral organ growth, which generally have large effects on overall plant architecture, are such that the organs are typically not vertical. In lateral roots of Arabidopsis, growth is initially in a nearly horizontal orientation but changes to a near-vertical orientation as the lateral root develops. Although the non-vertical lateral roots are gravitropically competent, following gravitropic reorientation of seedlings, the lateral roots on the upper flank of the primary root have different growth patterns from those on the lower side of the primary root. The differences are in part dependent on reorientation of the primary root, suggesting that gravitropic signaling from the primary root also contributes to the control of lateral root growth. The hormone auxin appears to play a role in this signaling between the primary and lateral roots, as auxin transport inhibitors applied to the primary root affect lateral root growth. Also, lateral roots of pin3 mutants, which are impaired in polar auxin transport, have altered lateral root orientations. However, other signals from the primary root tip also play an important role in regulating lateral root growth.

  2. Collection of gravitropic effectors from mucilage of electrotropically-stimulated roots of Zea mays L

    Science.gov (United States)

    Fondren, W. M.; Moore, R.

    1987-01-01

    We placed agar blocks adjacent to tips of electrotropically stimulated primary roots of Zea mays. Blocks placed adjacent to the anode-side of the roots for 3 h induced significant curvature when subsequently placed asymmetrically on tips of vertically-oriented roots. Curvature was always toward the side of the root unto which the agar block was placed. Agar blocks not contacting roots and blocks placed adjacent to the cathode-side of electrotropically stimulated roots did not induce significant curvature when placed asymmetrically on tips of vertically-oriented roots. Atomic absorption spectrophotometry indicated that blocks adjacent to the anode-side of electrotropically-stimulated roots contained significantly more calcium than (1) blocks not contacting roots, and (2) blocks contacting the cathode-side of roots. These results demonstrate the presence of a gradient of endogenous Ca in mucilage of electrotropically-stimulated roots (i.e. roots undergoing gravitropic-like curvature).

  3. Flow focusing in unsaturated fracture networks: A numerical investigation

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Keni; Wu, Yu-Shu; Bodvarsson, G.S.; Liu, Hui-Hai

    2003-04-17

    A numerical modeling study is presented to investigate flow-focusing phenomena in a large-scale fracture network, constructed using field data collected from the unsaturated zone of Yucca Mountain, Nevada, the proposed repository site for high-level nuclear waste. The two-dimensional fracture network for an area of 100 m x 150 m contains more than 20,000 fractures. Steady-state unsaturated flow in the fracture network is investigated for different boundary conditions and rock properties. Simulation results indicate that flow paths are generally vertical, and that horizontal fractures mainly provide pathways between neighboring vertical paths. In addition to fracture properties, flow-focusing phenomena are also affected by rock-matrix permeability, with lower matrix permeability leading to a high degree of flow focusing. The simulation results further indicate that the average spacing between flow paths in a layered system tends to increase and flow tends to becomes more focused, with depth.

  4. Root Canal Stripping: Malpractice or Common Procedural Accident-An Ethical Dilemma in Endodontics

    National Research Council Canada - National Science Library

    Ciobanu, Ionela Elisabeta; Rusu, Darian; Stratul, Stefan-Ioan; Didilescu, Andreea Cristina; Cristache, Corina Marilena

    2016-01-01

    Root canal stripping is defined as an oblong, vertical perforation that appears especially in the middle section of curved root canals during endodontic treatments with nickel-titanium (Ni-Ti) instruments...

  5. Nursery Cultural Practices and Morphological Arrtibutes of Longleaf Pine Bare-Root Stock as Indicators of Early Field Performance

    Science.gov (United States)

    Glyndon E. Hatchell; H. David Muse

    1990-01-01

    Longleaf pine seedlings performed satisfactorily after planting on deep sands in South Carolina in dry years when: (1) They were vertically root-pruned in the nursery. (2) They had 14 or more first-order lateral roots and nonfibrous root systems. (3) They had six or more first-order lateral roots and highly fibrous root systems.

  6. Hydraulic fracturing

    Energy Technology Data Exchange (ETDEWEB)

    Clampitt, R.L.

    1973-04-17

    A method of fracturing a subterranean porous formation penetrated by a well bore consists of injecting down the well and into the formation, at a pressure sufficient to fracture the formation, a fracturing fluid comprising an aqueous gel. This gel is composed of water to which there has been added: a water-thickening amount of a water-dispersible polymer selected from the group consisting of polyacrylamides and polymethacrylamides; crosslinked polyacrylamides and crosslinked polyacrylamides; polyacrylic acid and polymethacrylic acid; polyacrylates; polymers of N-substituted acrylamides; copolymers of acrylamide with another ethylenically unsaturated monomer copolymerizable therewith; mixtures of the polymers; a water-soluble compound of a polyvalent metal which is capable of gelling the water when the valence of the metal is reduced to a lower valence state; and a water-soluble reducing agent. (31 claims)

  7. [Stress fractures].

    Science.gov (United States)

    Uhl, M

    2016-07-01

    Bone stress injuries are due to repetitive mechanical overuse of the skeleton and occur as a result of microscopic lesions sustained when bone is subjected to repeated submaximal stress. Over time accumulation of such injuries can lead to bone failure and fractures. Stress-related bone injuries are relatively common among otherwise healthy persons who have recently started new or intensified forms of physical training activities. Stress injuries lead to typical findings on radiography, bone scintigraphy, computed tomography (CT) and magnetic resonance imaging (MRI) and need to be discriminated from other conditions, in particular infections and neoplasms. Stress fractures must be differentiated from insufficiency fractures that occur in bones with reduced mechanical resistance or disturbed structure.

  8. Root resorption

    DEFF Research Database (Denmark)

    Kjaer, Inger

    2014-01-01

    formerly been demonstrated how demyelinization of the myelin sheaths in the peripheral nerves close to the root provoke resorption. Accordingly, conditions affecting these tissue layers can be associated not only with different morphologies but also with general symptoms and diseases (e.g., ectodermal...

  9. Fracture Blisters

    Directory of Open Access Journals (Sweden)

    Uebbing, Claire M

    2011-02-01

    Full Text Available Fracture blisters are a relatively uncommon complication of fractures in locations of the body, such as the ankle, wrist elbow and foot, where skin adheres tightly to bone with little subcutaneous fat cushioning. The blister that results resembles that of a second degree burn.These blisters significantly alter treatment, making it difficult to splint or cast and often overlying ideal surgical incision sites. Review of the literature reveals no consensus on management; however, most authors agree on early treatment prior to blister formation or delay until blister resolution before attempting surgical correction or stabilization. [West J Emerg Med. 2011;12(1;131-133.

  10. Towards understanding tree root profiles: simulating hydrologically optimal strategies for root distribution

    Directory of Open Access Journals (Sweden)

    M. T. van Wijk

    2001-01-01

    Full Text Available In this modelling study differences in vertical root distributions measured in four contrasting forest locations in the Netherlands were investigated. Root distributions are seen as a reflection of the plant’s optimisation strategy, based on hydrological grounds. The 'optimal' root distribution is defined as the one that maximises the water uptake from the root zone over a period of ten years. The optimal root distributions of four forest locations with completely different soil physical characteristics are calculated using the soil hydrological model SWIF. Two different model configurations for root interactions were tested: the standard model configuration in which one single root profile was used (SWIF-NC, and a model configuration in which two root profiles compete for the same available water (SWIF-C. The root profiles were parameterised with genetic algorithms. The fitness of a certain root profile was defined as the amount of water uptake over a simulation period of ten years. The root profiles of SWIF-C were optimised using an evolutionary game. The results showed clear differences in optimal root distributions between the various sites and also between the two model configurations. Optimisation with SWIF-C resulted in root profiles that were easier to interpret in terms of feasible biological strategies. Preferential water uptake in wetter soil regions was an important factor for interpretation of the simulated root distributions. As the optimised root profiles still showed differences with measured profiles, this analysis is presented, not as the final solution for explaining differences in root profiles of vegetation but as a first step using an optimisation theory to increase understanding of the root profiles of trees. Keywords: forest hydrology, optimisation, roots

  11. Review of Hydraulic Fracturing for Preconditioning in Cave Mining

    Science.gov (United States)

    He, Q.; Suorineni, F. T.; Oh, J.

    2016-12-01

    Hydraulic fracturing has been used in cave mining for preconditioning the orebody following its successful application in the oil and gas industries. In this paper, the state of the art of hydraulic fracturing as a preconditioning method in cave mining is presented. Procedures are provided on how to implement prescribed hydraulic fracturing by which effective preconditioning can be realized in any in situ stress condition. Preconditioning is effective in cave mining when an additional fracture set is introduced into the rock mass. Previous studies on cave mining hydraulic fracturing focused on field applications, hydraulic fracture growth measurement and the interaction between hydraulic fractures and natural fractures. The review in this paper reveals that the orientation of the current cave mining hydraulic fractures is dictated by and is perpendicular to the minimum in situ stress orientation. In some geotechnical conditions, these orientation-uncontrollable hydraulic fractures have limited preconditioning efficiency because they do not necessarily result in reduced fragmentation sizes and a blocky orebody through the introduction of an additional fracture set. This implies that if the minimum in situ stress orientation is vertical and favors the creation of horizontal hydraulic fractures, in a rock mass that is already dominated by horizontal joints, no additional fracture set is added to that rock mass to increase its blockiness to enable it cave. Therefore, two approaches that have the potential to create orientation-controllable hydraulic fractures in cave mining with the potential to introduce additional fracture set as desired are proposed to fill this gap. These approaches take advantage of directional hydraulic fracturing and the stress shadow effect, which can re-orientate the hydraulic fracture propagation trajectory against its theoretical predicted direction. Proppants are suggested to be introduced into the cave mining industry to enhance the

  12. [Talus fractures--fractures of the most important tarsal bone].

    Science.gov (United States)

    Klaue, K

    2004-07-01

    The talus is the key bone of the foot due to its location between the ankle and the subtalar joints. Through the flexion and extension of the ankle joint, the talus is the "propulsive bone" situated at the root of the first ray and the hallux. Through the subtalar and talo-navicular joints, the talus allows the foot to be "suspended" using a fancy spring mechanism involving ligaments and tendons. The talus thus transmits forces through two important joints without any direct muscular constraint. The talo-calcaneo-navicular joint may be called the "coxa pedis" due to the anatomical and functional similitudes with the coxofemoral joint ("coxa pelvis"). Fractures of the talus are rare. Talus fractures can be classified in "central" and "peripheral" fractures. Central fractures occur through a strong axial blow provided that the ankle and coxa pedis are locked by extrinsic muscular contraction. Peripheral fractures instead occur in an extreme position of the ankle or the coxa pedis, with a subluxation or complete dislocation of one or more of those joints. Central fractures produce a bony solution of continuity in between at least two of the ankle, subtalar and talo-navicular joints. Peripheral fractures mostly do implement joint surfaces which are sheared off. Aim of treating talus fractures is precise and stable reduction of the fragments because most often, the fractures cross the articular layers. The surgical approaches are critical, especially in displaced central fractures, because the reduction may require visual control all around the bone. There are three approaches which might be used as single approaches or combined simultaneously: the anteromedial approach along the subtalar joint from the navicular to the retro-malleolar region, the anterolateral approach centered on the sinus tarsi (Ollier) and the postero-lateral approach (Gallie). In many cases, a joint distraction device may help visualization of the different joint spaces as well as assist reduction

  13. Bimalleolar ankle fracture with proximal fibular fracture

    NARCIS (Netherlands)

    Colenbrander, R. J.; Struijs, P. A. A.; Ultee, J. M.

    2005-01-01

    A 56-year-old female patient suffered a bimalleolar ankle fracture with an additional proximal fibular fracture. This is an unusual fracture type, seldom reported in literature. It was operatively treated by open reduction and internal fixation of the lateral malleolar fracture. The proximal fibular

  14. Influence of Different Restorative Techniques on the Strength of Endodontically Treated Weakened Roots

    Directory of Open Access Journals (Sweden)

    Khalid H. Alsamadani

    2012-01-01

    Full Text Available Objective. Comparing effect of different restoration techniques on fracture resistance of compromised roots. Methods. Crowns of 100 single-rooted teeth were sectioned and 10 roots were kept as negative control group (Group 1. Remaining roots were instrumented and divided into one and positive control group of 10 samples (Group 2 and 4 experimental groups of 20 samples each. Group 3: roots were obturated with gutta-percha; Group 4: roots were restored with gutta-percha, composite, and glass fiber post; Group 5: roots were obturated with Resilon; Group 6: Roots were restored with Resilon, composite, and glass fiber post. Roots were weakened before obturation in groups 2, 3, and 5 and after obturation in groups 4 and 6. Fracture strengths were measured using Dartec testing machine and fracture load was recorded in kilo-Newton. Statistical analysis was done using ANOVA and Tukeys test. Results. The fractures resistance of restored roots was significantly higher in groups 4, 5, and 6 than in Groups 2 and 3. There were no significant differences between groups 1, 4, 5, and 6. Conclusions. Restoration of weakened roots with Resilon or bonding an intermediate composite resin to coronal radicular dentin and to glass fiber post increased their fracture resistance.

  15. Pharmacognostic Investigation of Clerodendrum Phlomidis Linn. F. Root

    OpenAIRE

    Dinesh Kumar; Ajay Kumar; Om Prakash

    2014-01-01

    The present study was aimed to perform the pharmacognostic evaluation of Clerodendrum phlomidis Linn. f. root in terms of organoleptic, fluorescence analysis, macro-microscopy and physicochemical parameters.The characteristic macroscopic study showed that the root consists of 7-15 cm long, 0.2 -3.0 cm thick pieces which are cylindrical, tough and yellowish-brown externally, with hard fracture and slightly astringent taste. The main microscopic characters of the root sho...

  16. Pharmacognostical and phytochemical studies on roots of Bombax ceiba Linn.

    OpenAIRE

    Pankaj H. Chaudhary; Rai, Pallavi D.; Sharada L. Deore; Khadabadi, Somshekhar S.

    2014-01-01

    Context: Bombax ceiba Linn. (Bombacaceae) is a well-known plant for its antihypertensive, antioxidant, antidiabetic, aphrodisiac and uterine tonicity properties. Aims: To study pharmacognostical, physicochemical and phytochemically the roots of this plant. Methods: Pharmacognostical study included the macroscopic characters like size, color, surface characteristics, texture, fracture characteristics and odor of the roots. The intact root as well as powdered drug were studied under a m...

  17. Analysis of Fracture in Cores from the Tuff Confining Unit beneath Yucca Flat, Nevada Test Site

    Energy Technology Data Exchange (ETDEWEB)

    Lance Prothro

    2008-03-01

    The role fractures play in the movement of groundwater through zeolitic tuffs that form the tuff confining unit (TCU) beneath Yucca Flat, Nevada Test Site, is poorly known. This is an important uncertainty, because beneath most of Yucca Flat the TCU lies between the sources of radionuclide contaminants produced by historic underground nuclear testing and the regional carbonate aquifer. To gain a better understanding of the role fractures play in the movement of groundwater and radionuclides through the TCU beneath Yucca Flat, a fracture analysis focusing on hydraulic properties was performed on conventional cores from four vertical exploratory holes in Area 7 of Yucca Flat that fully penetrate the TCU. The results of this study indicate that the TCU is poorly fractured. Fracture density for all fractures is 0.27 fractures per vertical meter of core. For open fractures, or those observed to have some aperture, the density is only 0.06 fractures per vertical meter of core. Open fractures are characterized by apertures ranging from 0.1 to 10 millimeter, and averaging 1.1 millimeter. Aperture typically occurs as small isolated openings along the fracture, accounting for only 10 percent of the fracture volume, the rest being completely healed by secondary minerals. Zeolite is the most common secondary mineral occurring in 48 percent of the fractures observed.

  18. Sharonlay - a novel postendodontic restorative design for premolars and single rooted molars: A review

    Directory of Open Access Journals (Sweden)

    Siddapur Mathada Sharath Chandra

    2014-01-01

    Full Text Available Root canal treated teeth are structurally compromised as a result of loss of tooth structure due to caries, iatrogenic cavity preparation, and dehydration. Given that a direct relationship exists between the amount of remaining tooth structure and the ability to resist occlusal forces, it is vital to provide a restoration allowing cuspal coverage as soon as possible following completion of the root canal treatment. A decision to provide a full crown or an onlay depends on the remaining tooth structure, if the cuspal width to length ratio is 1:2 or more, an onlay can be placed. When the ratio is <1:2, a full crown has to be planned. In single rooted teeth requiring postendodontic restoration cast post and core or a prefabricated post can provide resistance to fracture with comparable results. However in case of premolars, where only cuspal coverage is being practiced, it would require cervical reinforcement in addition, to counter the horizontal force acting at the cervical region. A new onlay design with a post extending into the radicular portion of the premolar providing the required reinforcement in a conservative manner and protecting it against both vertical and horizontal forces is proposed herewith called as SHARONLAY I.P. no 1956475.

  19. Non-canonical WOX11-mediated root branching contributes to plasticity in Arabidopsis root system architecture.

    Science.gov (United States)

    Sheng, Lihong; Hu, Xiaomei; Du, Yujuan; Zhang, Guifang; Huang, Hai; Scheres, Ben; Xu, Lin

    2017-09-01

    Lateral roots (LRs), which originate from the growing root, and adventitious roots (ARs), which are formed from non-root organs, are the main contributors to the post-embryonic root system in Arabidopsis However, our knowledge of how formation of the root system is altered in response to diverse inductive cues is limited. Here, we show that WOX11 contributes to root system plasticity. When seedlings are grown vertically on medium, WOX11 is not expressed in LR founder cells. During AR initiation, WOX11 is expressed in AR founder cells and activates LBD16LBD16 also functions in LR formation and is activated in that context by ARF7/19 and not by WOX11 This indicates that divergent initial processes that lead to ARs and LRs may converge on a similar mechanism for primordium development. Furthermore, we demonstrated that when plants are grown in soil or upon wounding on medium, the primary root is able to produce both WOX11-mediated and non-WOX11-mediated roots. The discovery of WOX11-mediated root-derived roots reveals a previously uncharacterized pathway that confers plasticity during the generation of root system architecture in response to different inductive cues. © 2017. Published by The Company of Biologists Ltd.

  20. Comparative evaluation of the fracture resistances of endodontically ...

    African Journals Online (AJOL)

    2014-03-30

    Mar 30, 2014 ... Aim: The aim of this study was to compare the fracture resistances of teeth filled using different root canal sealers and rials. Materials and Methods: One hundred and twenty single rooted mandibular human incisor teeth with single canals were divided into 5 experimental groups of 20 teeth with 2 control ...

  1. Comparative evaluation of the fracture resistances of endodontically ...

    African Journals Online (AJOL)

    Aim: The aim of this study was to compare the fracture resistances of teeth filled using different root canal sealers band rials. Materials and Methods: One hundred and twenty single rooted mandibular human incisor teeth with single canals were divided into 5 experimental groups of 20 teeth with 2 control groups of 10 teeth ...

  2. Fracture and Medium Modeling, by Analizing Hidraulic Fracturing Induced Microseismicity

    Science.gov (United States)

    Gomez Alba, S.; Vargas Jiménez, C. A.

    2014-12-01

    Hydraulic fracturing is an essential technology for most unconventional hydrocarbon resources and many conventional ones as well. The primary limitation on the improvement and optimization of the fracturing process is the minimal access to observe the behavior of the fracture in the subsurface. Without direct observational evidence, hypothetical mechanisms must be assumed and then tested for their validity with indirect information such as wellbore measurements, indirect production and pressure behavior. One of the most important sources of information today is the relation made between micro seismic source mechanisms and fracture behavior. Hydraulic fractures induce some level of micro seismicity when the stress conditions in the Earth are altered by changes in stress during the operations. The result is the sudden movement between rock elements and the radiation of both compressional and shear energy in a seismic range that can be detected and recorded with sensitive receivers. The objective of this work is to provide reasonable information when applying inversion methods in order to estimate the vertical and horizontal spatial heterogeneities in medium and energy radiation distribution of microseisms while fracking operations. The method consist in record microseisms at a previous lineal array of stations (triaxial accelerometers) which are located close to the source coordinates and cover the area of study. The analysis clarify some ideas about what information can be gained from the micro seismic source data and according to the obtained results, what kind of comparisons and associations might be done to evaluate the fracking performance operation. Non uniformities in medium such as faults would be revealed by interpreted scattering coefficients. Fracture properties like distance, velocity and orientation would be also determined by analyzing energy radiation.

  3. Multiphase flow models for hydraulic fracturing technology

    Science.gov (United States)

    Osiptsov, Andrei A.

    2017-10-01

    The technology of hydraulic fracturing of a hydrocarbon-bearing formation is based on pumping a fluid with particles into a well to create fractures in porous medium. After the end of pumping, the fractures filled with closely packed proppant particles create highly conductive channels for hydrocarbon flow from far-field reservoir to the well to surface. The design of the hydraulic fracturing treatment is carried out with a simulator. Those simulators are based on mathematical models, which need to be accurate and close to physical reality. The entire process of fracture placement and flowback/cleanup can be conventionally split into the following four stages: (i) quasi-steady state effectively single-phase suspension flow down the wellbore, (ii) particle transport in an open vertical fracture, (iii) displacement of fracturing fluid by hydrocarbons from the closed fracture filled with a random close pack of proppant particles, and, finally, (iv) highly transient gas-liquid flow in a well during cleanup. The stage (i) is relatively well described by the existing hydralics models, while the models for the other three stages of the process need revisiting and considerable improvement, which was the focus of the author’s research presented in this review paper. For stage (ii), we consider the derivation of a multi-fluid model for suspension flow in a narrow vertical hydraulic fracture at moderate Re on the scale of fracture height and length and also the migration of particles across the flow on the scale of fracture width. At the stage of fracture cleanaup (iii), a novel multi-continua model for suspension filtration is developed. To provide closure relationships for permeability of proppant packings to be used in this model, a 3D direct numerical simulation of single phase flow is carried out using the lattice-Boltzmann method. For wellbore cleanup (iv), we present a combined 1D model for highly-transient gas-liquid flow based on the combination of multi-fluid and

  4. Distal radius triplane fracture.

    Science.gov (United States)

    Parkar, A A H; Marya, S; Auplish, S

    2014-11-01

    A triplane fracture is so named because of the three planes traversed by the fracture line. These are physeal fractures that result from injury during the final phase of maturation and cessation of growth. This fracture pattern typically involves the distal tibia. We present a rare case of a triplane fracture involving the distal radius.

  5. Vertical atlantoaxial dislocation

    OpenAIRE

    Ramaré, S.; Lazennec, J. Y.; Camelot, C.; Saillant, G.; Hansen, S.; Trabelsi, R.

    1999-01-01

    An unusual case of vertical atlantoaxial dislocation without medulla oblongata or spinal cord injury is reported. The pathogenic process suggested occipito-axial dislocation. The case was treated surgically with excellent results on mobility and pain.

  6. Coordination in vertical jumping

    NARCIS (Netherlands)

    Bobbert, Maarten F.; van Ingen Schenau, Gerrit Jan

    1988-01-01

    The present study was designed to investigate for vertical jumping the relationships between muscle actions, movement pattern and jumping achievement. Ten skilled jumpers performed jumps with preparatory countermovement. Ground reaction forces and cinematographic data were recorded. In addition,

  7. Hybrid vertical cavity laser

    DEFF Research Database (Denmark)

    Chung, Il-Sug; Mørk, Jesper

    2010-01-01

    A new hybrid vertical cavity laser structure for silicon photonics is suggested and numerically investigated. It incorporates a silicon subwavelength grating as a mirror and a lateral output coupler to a silicon ridge waveguide.......A new hybrid vertical cavity laser structure for silicon photonics is suggested and numerically investigated. It incorporates a silicon subwavelength grating as a mirror and a lateral output coupler to a silicon ridge waveguide....

  8. Composition of vertical gardens

    OpenAIRE

    Sandeva, Vaska; Despot, Katerina

    2013-01-01

    Vertical gardens are fully functional gardens in areas where there is less oxygen and space, ideal for residential and urban cities where there is no vegetation; occupy a special place in interiors furniture. The gardens occupy an important aesthetic problem. Aesthetic task in vertical gardens can be achieved by forming sectors of identification in the urban landscape through the choice of a particular plant spatial composition and composition, to create comfort and representation in commu...

  9. Functional bracing and rehabilitation of ankle fractures.

    Science.gov (United States)

    Segal, D; Wiss, D A; Whitelaw, G P

    1985-10-01

    For normal daily activities, 10 degrees of ankle dorsiflexion is essential. Plantiflexion follows dorsiflexion and exceeds it by an average of 5 degrees. Normal ankle motion takes place with the talus rotating on an obliquely oriented axis distal to the tips of the medial and lateral malleolus. Mortise widening of less than 1 mm accommodates the talus with the fibula apparently rotating along its vertical axis. Ankle fractures treated nonsurgically will regain functional range of motion if immobilization in equinus is avoided and early weight-bearing with early functional bracing is applied. With the aid of a functional brace, fractures treated surgically may start weight-bearing and exercise within five to seven days, provided all fracture components have been stabilized. The functional brace allows dorsiflexion and plantiflexion via a rigid hinge and reduces rotational stresses acting on the fractured ankle.

  10. The healing of fractured bones

    Energy Technology Data Exchange (ETDEWEB)

    Bacon, G.E. [Central Electricity Generating Board, Cheltenham (United Kingdom)

    1997-04-01

    A method utilising neutron beams of width 1 mm, used on D1B (2.4 A) and D20 (1.3 A) to study the healing of fractured bones is presented. It is found that the callus bone uniting the fractured tibia of a sheep, whose healing had been encouraged by daily mechanical vibration over a period of three months, showed no trace of the large preferential vertical orientation of the apatite crystals which is characteristic of the normal bone. Nevertheless the bone had regained about 60% of its mechanical strength and the callus bone, although not oriented, was well crystallized. It is considered that the new monochromator for D20, expected to give increased intensity at 2.5 A, will be of considerable advantage. (author). 2 refs.

  11. Hand fracture - aftercare

    Science.gov (United States)

    ... this page: //medlineplus.gov/ency/patientinstructions/000552.htm Hand fracture - aftercare To use the sharing features on ... need to be repaired with surgery. Types of Hand Fractures Your fracture may be in one of ...

  12. Fractured porous media

    CERN Document Server

    Adler, Pierre M; Mourzenko, Valeri V

    2013-01-01

    This monograph on fractures, fracture networks, and fractured porous media provides a systematic treatment of their geometrical and transport properties for students and professionals in geophysics, materials science, and Earth sciences.

  13. Acetabular Fracture

    OpenAIRE

    Correa, Chad; Lahham, Sari

    2017-01-01

    History of present illness: A 77-year-old female presented to her primary care physician (PCP) with right hip pain after a mechanical fall. She did not lose consciousness or have any other traumatic injuries. She was unable to ambulate post-fall, so X-rays were ordered by her PCP. Her X-rays were concerning for a right acetabular fracture (see purple arrows), so the patient was referred to the emergency department where a computed tomography (CT) scan was ordered. Significant findings:...

  14. Galeazzi Fracture

    OpenAIRE

    Reid Honda

    2017-01-01

    History of present illness: A 19-year-old male presented to the ED with right forearm pain after being struck in the forearm by a baseball. The patient then threw the ball and felt a sharp “pop” in his arm. The patient complained of sharp pain, worse with movement. Upon examination, the patient was neurovascularly intact. Significant findings: The X-ray showed an acute comminuted fracture of the distal diaphysis of the radius with disruption of the distal radioulnar joint, consisten...

  15. Hydraulic Fracture Growth in a Layered Formation based on Fracturing Experiments and Discrete Element Modeling

    Science.gov (United States)

    Yushi, Zou; Xinfang, Ma; Tong, Zhou; Ning, Li; Ming, Chen; Sihai, Li; Yinuo, Zhang; Han, Li

    2017-09-01

    Hydraulic fracture (HF) height containment tends to occur in layered formations, and it significantly influences the entire HF geometry or the stimulated reservoir volume. This study aims to explore the influence of preexisting bedding planes (BPs) on the HF height growth in layered formations. Laboratory fracturing experiments were performed to confirm the occurrence of HF height containment in natural shale that contains multiple weak and high-permeability BPs under triaxial stresses. Numerical simulations were then conducted to further illustrate the manner in which vertical stress, BP permeability, BP density(or spacing), pump rate, and fluid viscosity control HF height growth using a 3D discrete element method-based fracturing model. In this model, the rock matrix was considered transversely isotropic and multiple BPs can be explicitly represented. Experimental and numerical results show that the vertically growing HF tends to be limited by multi-high-permeability BPs, even under higher vertical stress. When the vertically growing HF intersects with the multi-high-permeability BPs, the injection pressure will be sharply reduced. If a low pumping rate or a low-viscosity fluid is used, the excess fracturing fluid leak-off into the BPs obviously decreases the rate of pressure build up, which will then limit the growth of HF. Otherwise, a higher pumping rate and/or a higher viscosity will reduce the leak-off time and fluid volume, but increase the injection pressure to drive the HF to grow and to penetrate through the BPs.

  16. Management of recurrent fracture of central incisor with internal resorption using light transmitting (luminex post

    Directory of Open Access Journals (Sweden)

    Hariharan V

    2010-01-01

    Full Text Available The normal root canal anatomy may be altered in various pathological processes and making it very difficult and at times impossible to achieve ideal obturation by normal methods. Internal resorption is one among them. There are several treatment protocols advised for this pathological condition. A crown-root fracture is defined as a fracture involving enamel, dentin and cementum and accounts for 5% of all traumatic injuries to the permanent dentition. In anterior teeth, these fractures are usually caused by direct trauma and often complicated in fully erupted teeth. In cases where the fracture line extends down along the long axis of the root, extraction of the tooth is indicated. The purpose of this report is to present the use of light transmitting post system to reinforce the crown root fractured maxillary central incisor due to trauma and internal resorption.

  17. Fracture strength and stress distributions of pulpless premolars restored with fiber posts.

    Science.gov (United States)

    Furuya, Yu; Huang, Shih-Hao; Takeda, Yuko; Fok, Alex; Hayashi, Mikako

    2014-01-01

    This study examined the effect of glass fiber posts on increasing the fracture resistance of endodontically treated teeth. Extracted upper premolars with two canals in a root were divided into three groups according to the number of posts they were restored with: none, one, or two. All teeth were endodontically treated, crown-sectioned, and restored with a composite core and a metallic crown. A static oblique load was applied to the restored tooth until fracture, and the fracture pattern was recorded. Stress distributions were examined by finite element analysis (FEA). Teeth with glass fiber post(s) showed significantly higher fracture loads compared with those without posts. In the premolars without posts, von Mises and maximum principal stresses were found on the root surface alone; in premolars restored with posts, stresses were distributed on both root and post surfaces. Risk of root dentin fracture was significantly lowest in teeth restored with two posts.

  18. Seedling root targets

    Science.gov (United States)

    Diane L. Haase

    2011-01-01

    Roots are critical to seedling performance after outplanting. Although root quality is not as quick and simple to measure as shoot quality, target root characteristics should be included in any seedling quality assessment program. This paper provides a brief review of root characteristics most commonly targeted for operational seedling production. These are: root mass...

  19. A method for calculating active feedback system to provide vertical ...

    Indian Academy of Sciences (India)

    not difficult to see that ϕ (+∞)=+∞. Therefore, for the equation ϕ (γ)=0to have no positive root, the fulfillment of the following condition is necessary: ϕ (0) = (R−1w, a) − w0 ≥ 0. (12). We will call (12) as the necessary condition of vertical position control by active feedbacks. 5. Problem of selection of active feedback system.

  20. Vertical distribution of natural radionuclides in soils

    Directory of Open Access Journals (Sweden)

    Lozano J. C.

    2012-04-01

    Full Text Available Low-level alpha spectrometry techniques using semiconductor detectors (PIPS and liquid scintillation counters (LKB Quantulus 1220™ were used in order to determine the activity concentration of 238U, 232Th, 234U, 230Th, 226Ra, and 210Pb in soil samples. The soils were collected from an old disused uranium mine located in southwest Spain. The soils were selected with different levels of influence from the installation, in such a way that they had different levels of radioactive contamination. The vertical profiles in the soils (down to 40 cm depth were studied in order to evaluate the vertical distribution of the natural radionuclides. The possible contamination of subsurface waters depends strongly on vertical migration, and the transfer to plants (herbs, shrubs, and trees also will depend on the distribution of the radionuclides in the root zone. The study of the activity ratios between radionuclides belonging to the same series allowed us to assess the differing behaviour of the radionuclides involved. The vertical profiles for these radionuclides were different at each sampling point, showing the local impact of the installation. However, the profiles per point were similar for the long-lived radionuclides of the 238TJ series (238U, 234U, 230Th, and 226Ra. Also, a major disequilibrium was observed between 210Pb and 226Ra in the surface layer, due to 222Rn emanation and subsequent surface deposition of 210Pb.

  1. Longitudinal stress fracture: patterns of edema and the importance of the nutrient foramen

    Energy Technology Data Exchange (ETDEWEB)

    Craig, Joseph G.; Widman, David; Holsbeeck, Marnix van [Department of Radiology, Henry Ford Hospital, Detroit, MI 48202 (United States)

    2003-01-01

    We reviewed the MR appearances of six cases of longitudinal stress fracture of the lower extremity.Results. One fracture was in the femur and five were in the tibia. Four of the tibial fractures showed edema starting in the mid-tibia at the level of the nutrient foramen with the fracture on the anteromedial cortex. The other tibial fracture started at the nutrient foramen. Three fractures (two tibial and the femur fracture) showed eccentric marrow edema; all fractures showed either eccentric periosteal reaction or soft tissue edema.Conclusion. Primary diagnosis of longitudinal stress fracture is made by finding a vertical cleft on one or more axial images. Secondary signs of position of the nutrient foramen and patterns of edema may be useful. (orig.)

  2. [The effect of bleaching on fracture resistance in human dentin].

    Science.gov (United States)

    Xu, Yuanzhi; Wang, Raorao; An, Bingbing; Zhou, Yinxiao; Yu, Haiyang; Zhang, Dongsheng

    2012-10-01

    To study the effect of bleaching on the mechanical properties of human dentin. The finite element method (FEM) based the cohesive zone model had been employed to study the fracture resistance of human dentin. There types of dentin were considered, i.e. original dentin, dentin after direct-bleaching and indirect-bleaching. The bleaching treatments had large impact on the crack growth resistance of human dentin. The initiation toughness (1.48 MPa x square root of m), growth toughness (3.90 MPa x square root of m x mm(-1)) and plateau toughness (3.25 MPa x square root of m) of human dentin were reduced to 1.29 MPa x square root of m, 3.45 MPa x square root of m x mm(-1) and 2.71 MPa x square root of m respectively after indirect-bleaching. The worst case was the direct-bleaching which causes significant reductions in the growth toughness (0.14 MPa x square root of m x mm(-1)) and plateau toughness (1.63 MPa x square root of m) respectively, while the initiation toughness remained the same as that after indirect-bleaching. The cohesive zone modeling is an effective tool in characterizing the fracture behavior of human dentin. Bleaching treatments reduce the crack growth resistance of human dentin and increase the risk of fracture of teeth.

  3. Tarlov Cyst Causing Sacral Insufficiency Fracture.

    Science.gov (United States)

    Puffer, Ross C; Gates, Marcus J; Copeland, William; Krauss, William E; Fogelson, Jeremy

    2017-06-01

    Tarlov cysts, also known as perineural cysts, have been described as meningeal dilations of the spinal nerve root sheath between the peri- and endoneurium at the dorsal root ganglion. Most often they are found in the sacrum involving the nerve roots. Normally asymptomatic, they have been reported to present with radiculopathy, paresthesias, and even urinary or bowel dysfunction. Sacral insufficiency has not been a well-documented presentation. The patient is a 38-year-old female who started to develop left low back pain and buttock pain that rapidly progressed into severe pain with some radiation down the posterior aspect of her left leg. There was no recent history of spine or pelvic trauma. These symptoms prompted her initial emergency department evaluation, and imaging demonstrated a large Tarlov cyst with an associated sacral insufficiency fracture. She was noted to have a normal neurological examination notable only for an antalgic gait. She was taken to surgery via a posterior approach and the cyst was identified eccentric to the left. The cyst was fenestrated and the nerve roots identified. Given her large area of bone erosion and insufficiency fractures, fixation of the sacroiliac joints was deemed necessary. Fusion was extended to the L5 vertebral body to buttress the fixation. She tolerated the procedure well and was discharged from the hospital on postoperative day 3. Tarlov cysts of the sacrum can lead to significant bone erosion and subsequent insufficiency fractures, requiring fenestration and in some cases, complex sacropelvic fixation.

  4. Sacral Fracture Causing Neurogenic Bladder: A Case Report

    Directory of Open Access Journals (Sweden)

    Tatsuro Sasaji

    2012-01-01

    Full Text Available A 76-year-old man presented with a Denis Zone III sacral fracture after a traffic accident. He also developed urinary retention and perineal numbness. The patient was diagnosed with neurogenic bladder dysfunction caused by the sacral fracture. A computed tomogram (CT revealed that third sacral lamina was fractured and displaced into the spinal canal, but vertebral body did not displace. The fracture lines began at the center of lamina and extended bilateraly. The fracture pattern was unique. The sacrum was osteoporosis, and this fracture may be based on osteoporosis. We performed laminectomy to decompress sacral nerve roots. One month after surgery, the patient was able to urinate. Three months after surgery, his bladder function recovered normally. One year after surgery, he returned to a normal daily life and had no complaints regarding urination. One-year postoperative CT showed the decompressed third sacrum without displacement.

  5. Fractures in multiple sclerosis

    DEFF Research Database (Denmark)

    Stenager, E; Jensen, K

    1991-01-01

    In a cross-sectional study of 299 MS patients 22 have had fractures and of these 17 after onset of MS. The fractures most frequently involved the femoral neck and trochanter (41%). Three patients had had more than one fracture. Only 1 patient had osteoporosis. The percentage of fractures increase...

  6. Diel vertical migrat..

    African Journals Online (AJOL)

    2002-01-24

    Jan 24, 2002 ... crustacean zooplankton but also in a Wide array of different marine zooplankton groups. (Russell 1927, McLaren 1963). Thus there is no doubt that ..... cooperation during field work and for their fruitful discussion on the draft manuscript. REFERENCES. Bayly lAE 1986 Aspects of diel vertical migration in ...

  7. Vertical market participation

    DEFF Research Database (Denmark)

    Schrader, Alexander; Martin, Stephen

    1998-01-01

    Firms that operate at both levels of vertically related Cournot oligopolies will purchase some input supplies from independent rivals, even though they can produce the good at a lower cost, driving up input price for nonintegrated firms at the final good level. Foreclosure, which avoids this stra...... this strategic behavior, yields better market performance than Cournot beliefs...

  8. Hunting Voronoi vertices

    NARCIS (Netherlands)

    Ferrucci, V.; Overmars, Mark; Rao, A.; Vleugels, J.

    1994-01-01

    Given three objects in the plane, a Voronoi vertex is a point that is equidistant simultaneously from each. In this paper, we consider the problem of computing Voronoi vertices for planar objects of xed but possibly unknown shape; we only require the ability to query the closest point on an object

  9. Vertical shaft windmill

    Science.gov (United States)

    Grana, D. C.; Inge, S. V., Jr. (Inventor)

    1983-01-01

    A vertical shaft has several equally spaced blades mounted. Each blade consists of an inboard section and an outboard section skew hinged to the inboard section. The inboard sections automatically adjust their positions with respect to the fixed inboard sections with changes in velocity of the wind. This windmill design automatically governs the maximum rotational speed of shaft.

  10. Arabidopsis alcohol dehydrogenase expression in both shoots and roots is conditioned by root growth environment

    Science.gov (United States)

    Chung, H. J.; Ferl, R. J.

    1999-01-01

    It is widely accepted that the Arabidopsis Adh (alcohol dehydrogenase) gene is constitutively expressed at low levels in the roots of young plants grown on agar media, and that the expression level is greatly induced by anoxic or hypoxic stresses. We questioned whether the agar medium itself created an anaerobic environment for the roots upon their growing into the gel. beta-Glucuronidase (GUS) expression driven by the Adh promoter was examined by growing transgenic Arabidopsis plants in different growing systems. Whereas roots grown on horizontal-positioned plates showed high Adh/GUS expression levels, roots from vertical-positioned plates had no Adh/GUS expression. Additional results indicate that growth on vertical plates closely mimics the Adh/GUS expression observed for soil-grown seedlings, and that growth on horizontal plates results in induction of high Adh/GUS expression that is consistent with hypoxic or anoxic conditions within the agar of the root zone. Adh/GUS expression in the shoot apex is also highly induced by root penetration of the agar medium. This induction of Adh/GUS in shoot apex and roots is due, at least in part, to mechanisms involving Ca2+ signal transduction.

  11. Oblique Axis Body Fracture

    DEFF Research Database (Denmark)

    Takai, Hirokazu; Konstantinidis, Lukas; Schmal, Hagen

    2016-01-01

    Anderson type III fractures with a characteristic fracture pattern that we refer to as "oblique type axis body fracture." Results. The female patients aged 90 and 72 years, respectively, were both diagnosed with minimally displaced Anderson type III fractures. Both fractures had a characteristic "oblique...... was uneventful. Conclusions. Oblique type axis body fractures resemble a highly unstable subtype of Anderson type III fractures with the potential of severe secondary deformity following conservative treatment, irrespective of initial grade of displacement. The authors therefore warrant a high index of suspicion...

  12. Assessment of fracture risk

    Energy Technology Data Exchange (ETDEWEB)

    Kanis, John A. [WHO Collaborating Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield S10 2RX (United Kingdom)], E-mail: w.j.pontefract@sheffield.ac.uk; Johansson, Helena; Oden, Anders [WHO Collaborating Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield S10 2RX (United Kingdom); McCloskey, Eugene V. [WHO Collaborating Centre for Metabolic Bone Diseases, University of Sheffield Medical School, Beech Hill Road, Sheffield S10 2RX (United Kingdom); Osteoporosis Centre, Northern General Hospital, Sheffield (United Kingdom)

    2009-09-15

    Fractures are a common complication of osteoporosis. Although osteoporosis is defined by bone mineral density at the femoral neck, other sites and validated techniques can be used for fracture prediction. Several clinical risk factors contribute to fracture risk independently of BMD. These include age, prior fragility fracture, smoking, excess alcohol, family history of hip fracture, rheumatoid arthritis and the use of oral glucocorticoids. These risk factors in conjunction with BMD can be integrated to provide estimates of fracture probability using the FRAX tool. Fracture probability rather than BMD alone can be used to fashion strategies for the assessment and treatment of osteoporosis.

  13. Is pulp regeneration necessary for root maturation?

    Science.gov (United States)

    Nosrat, Ali; Li, Kevin L; Vir, Kunwar; Hicks, M Lamar; Fouad, Ashraf F

    2013-10-01

    True regeneration of the dental pulp-dentin complex in immature teeth with necrotic pulps has not been shown histologically. It is not known to what extent this true tissue regeneration is necessary to achieve clinically acceptable outcomes. This case report describes the treatment of a patient with an immature maxillary right central incisor with a history of impact trauma and enamel-dentin crown fracture. A diagnosis of pulp necrosis with acute apical abscess was established. A regenerative endodontic protocol that used a paste containing Augmentin for 5 weeks as an intracanal medicament was used. Follow-ups at 9, 12, 17, and 31 months revealed complete osseous healing of the periapical lesion and formation of the root apex, but without increase in root length. Clinically, the tooth was functional, asymptomatic, and nonresponsive to pulp vitality tests. The crown discolored over time. On reentering the root canal, no tissues were observed under magnification inside the root canal space. The root canal treatment was completed with mineral trioxide aggregate obturation. Augmentin might be an acceptable choice for root canal disinfection in regenerative endodontic procedures. The protocol for regenerative endodontic treatment is not predictable for pulp-dentin regeneration. Formation of the root apex is possible without pulp regeneration. Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  14. Vertical gastroplasty: evolution of vertical banded gastroplasty.

    Science.gov (United States)

    Mason, E E; Doherty, C; Cullen, J J; Scott, D; Rodriguez, E M; Maher, J W

    1998-09-01

    The objective of this paper is to summarize the goals, technical requirements, advantages, and potential risks of gastroplasty for treatment of severe obesity. Gastroplasty is preferred to more complex operations, as it preserves normal digestion and absorption and avoids complications that are peculiar to exclusion operations. The medical literature and a 30-year experience at the University of Iowa Hospitals and Clinics (UIHC) provides an overview of vertical banded gastroplasty (VBG) evolution. Preliminary 10-year results with the VBG technique currently used at UIHC are included. At UIHC the VBG is preferred to other gastroplasties because it provides weight control that extends for at least 10 years and the required objective, intraoperative quality control required for a low rate of reoperation. It is recommended that modifications of the operative technique not be attempted until a surgeon has had experience with the standardized operation--and then only under a carefully designed protocol. Realistic goals for surgery and criteria of success influence the choice of operation and the optimum, lifelong risk/benefit ratio. In conclusion, VBG is a safe, long-term effective operation for severe obesity with advantages over complex operations and more restrictive simple operations.

  15. Using Chemicals to Optimize Conformance Control in Fractured Reservoirs

    Energy Technology Data Exchange (ETDEWEB)

    Seright, Randall; Liang, Jenn-Tai; Schrader, Richard; Hagstrom II, John; Wang, Ying; Kumar, Anand; Wavrik, Kathryn

    2001-09-07

    The objectives of this project are: (1) to develop a capability to predict and optimize the ability of gels to reduce permeability to water more than that to oil or gas, (2) to develop procedures for optimizing blocking agent placement in wells where hydraulic fractures cause channeling problems, and (3) to develop procedures to optimize blocking agent placement in naturally fractured reservoirs. Work was directed at both injection wells and production wells and at vertical, horizontal, and highly deviated wells.

  16. X-ray computed tomography uncovers root-root interactions: quantifying spatial relationships between interacting root systems in three dimensions

    Directory of Open Access Journals (Sweden)

    Alexander Martin Paya

    2015-04-01

    Full Text Available Research in the field of plant biology has recently demonstrated that inter- and intra-specific interactions belowground can dramatically alter root growth. Our aim was to answer questions related to the effect of inter- vs. intra-specific interactions on the growth and utilization of undisturbed space by fine roots within three dimensions (3D using micro X-ray computed tomography. To achieve this, Populus tremuloides (quaking aspen and Picea mariana (black spruce seedlings were planted into containers as either solitary individuals, or inter-/intra-specific pairs, allowed to grow for two months, and 3D metrics developed in order to quantify their use of belowground space. In both aspen and spruce, inter-specific root interactions produced a shift in the vertical distribution of the root system volume, and deepened the average position of root tips when compared to intra-specifically growing seedlings. Inter-specific interactions also increased the minimum distance between root tips belonging to the same root system. There was no effect of belowground interactions on the radial distribution of roots, or the directionality of lateral root growth for either species. In conclusion, we found that significant differences were observed more often when comparing controls (solitary individuals and paired seedlings (inter- or intra-specific, than when comparing inter- and intra-specifically growing seedlings. This would indicate that competition between neighboring seedlings was more responsible for shifting fine root growth in both species than was neighbor identity. However, significant inter- vs. intra-specific differences were observed, which further emphasizes the importance of biological interactions in competition studies.

  17. Investigation of Possible Wellbore Cement Failures During Hydraulic Fracturing Operations

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jihoon; Moridis, George

    2014-11-01

    We model and assess the possibility of shear failure, using the Mohr-Coulomb model ? along the vertical well by employing a rigorous coupled flow-geomechanic analysis. To this end, we vary the values of cohesion between the well casing and the surrounding cement to representing different quality levels of the cementing operation (low cohesion corresponds to low-quality cement and/or incomplete cementing). The simulation results show that there is very little fracturing when the cement is of high quality.. Conversely, incomplete cementing and/or weak cement can causes significant shear failure and the evolution of long fractures/cracks along the vertical well. Specifically, low cohesion between the well and cemented areas can cause significant shear failure along the well, but the same cohesion as the cemented zone does not cause shear failure. When the hydraulic fracturing pressure is high, low cohesion of the cement can causes fast propagation of shear failure and of the resulting fracture/crack, but a high-quality cement with no weak zones exhibits limited shear failure that is concentrated near the bottom of the vertical part of the well. Thus, high-quality cement and complete cementing along the vertical well appears to be the strongest protection against shear failure of the wellbore cement and, consequently, against contamination hazards to drinking water aquifers during hydraulic fracturing operations.

  18. Electrical and Magnetic Imaging of Proppants in Shallow Hydraulic Fractures

    Science.gov (United States)

    Denison, J. L. S.; Murdoch, L. C.; LaBrecque, D. J.; Slack, W. W.

    2015-12-01

    Hydraulic fracturing is an important tool to increase the productivity of wells used for oil and gas production, water resources, and environmental remediation. Currently there are relatively few tools available to monitor the distribution of proppants within a hydraulic fracture, or the propagation of the fracture itself. We have been developing techniques for monitoring hydraulic fractures by injecting electrically conductive, dielectric, or magnetically permeable proppants. We then use the resulting contrast with the enveloping rock to image the proppants using geophysical methods. Based on coupled laboratory and numerical modeling studies, three types of proppants were selected for field evaluation. Eight hydraulic fractures were created near Clemson, SC in May of 2015 by injecting specialized proppants at a depth of 1.5 m. The injections created shallow sub-horizontal fractures extending several meters from the injection point.Each cell had a dense array of electrodes and magnetic sensors on the surface and four shallow vertical electrode arrays that were used to obtain data before and after hydraulic fracturing. Net vertical displacement and transient tilts were also measured. Cores from 130 boreholes were used to characterize the general geometries, and trenching was used to characterize the forms of two of the fractures in detail. Hydraulic fracture geometries were estimated by inverting pre- and post-injection geophysical data. Data from cores and trenching show that the hydraulic fractures were saucer-shaped with a preferred propagation direction. The geophysical inversions generated images that were remarkably similar in form, size, and location to the ground truth from direct observation. Displacement and tilt data appear promising as a constraint on fracture geometry.

  19. Discrete Fracture Networks Groundwater Modelling at Bedding Control Fractured Sedimentary Rock mass

    Science.gov (United States)

    Pin, Yeh; Yuan-Chieh, Wu

    2017-04-01

    Groundwater flow modelling in fractured rock mass is an important challenging work in predicting the transport of contamination. So far as we know about the numerical analysis method was consider for crystalline rock, which means discontinuous are treated as stochastic distribution in homogeneous rock mass. Based on the understanding of geology in Taiwan in past few decades, we know that the hydraulic conductivities of Quaternary and Tertiary system rock mass are strongly controlled by development of sedimentary structures (bedding plane). The main purpose of this study is to understand how Discrete Fracture Networks (DFN) affects numerical results in terms of hydraulic behavior using different DFN generation methods. Base on surface geology investigation and core drilling work (3 boreholes with a total length of 120m), small scale fracture properties with in Cho-lan formation (muddy sandstone) are defined, including gently dip of bedding and 2 sub-vertical joint sets. Two FracMan/MAFIC numerical modellings are conducted, using ECPM approach (Equivalent Continuum Porous Media); case A considered all fracture were Power law distribution with Poisson fracture center; case B considered all bedding plans penetrate into modelling region, and remove the bedding count to recalculate joint fracture parameters. Modelling results show that Case B gives stronger groundwater pathways than Case A and have impact on flow field. This preliminary modelling result implicates the groundwater flow modelling work in some fractured sedimentary rock mass, might be considerate to rock sedimentary structure development itself, discontinuous maybe not follow the same stochastic DFN parameter.

  20. ROOT Reference Documentation

    CERN Document Server

    Fuakye, Eric Gyabeng

    2017-01-01

    A ROOT Reference Documentation has been implemented to generate all the lists of libraries needed for each ROOT class. Doxygen has no option to generate or add the lists of libraries for each ROOT class. Therefore shell scripting and a basic C++ program was employed to import the lists of libraries needed by each ROOT class.

  1. [Arthroscopic fracture management in proximal humeral fractures].

    Science.gov (United States)

    Lill, H; Katthagen, C; Jensen, G; Voigt, C

    2013-04-01

    Arthroscopy has become increasingly more established in the treatment of proximal humeral fractures. In addition to the known advantages of minimally invasive surgery fracture and implant positioning can be optimized and controlled arthroscopically and relevant intra-articular concomitant pathologies (e.g. biceps tendon complex and rotator cuff) can be diagnosed and treated. Arthroscopic techniques have proven to be advantageous in the treatment of various entities of greater tuberosity fractures, lesser tuberosity fractures (suture bridging technique) and subcapital humeral fractures (arthroscopic nailing). This article presents an overview on innovative arthroscopic modalities for treating proximal humeral fractures, describes the surgical techniques and the advantages compared to open procedures as well as initial clinical results.

  2. Open Defective Trapezium Fracture Treated with Local Bone Graft: A Case Report

    Directory of Open Access Journals (Sweden)

    Omer Ersen

    2014-12-01

    Full Text Available Generally fractures of trapezium are uncommon and account for 3-5% of all carpal fractures. About 20% of these are vertical sagittal split fractures and rarely occur isolated. The number of reported cases of open trapezium fractures is few. Open trapezium injuries of thumb are demanding injuries that need accurate restoration of damaged stuructures to gain normal thumb function. Otherwise it results in impairment of funtion due to limitation of motion, pain and weakness of the thumb. In this case report treatment of trapezium fracture with corticocancellous bone grafting from distal radius presented.

  3. Pediatric Phalanx Fractures.

    Science.gov (United States)

    Abzug, Joshua M; Dua, Karan; Sesko Bauer, Andrea; Cornwall, Roger; Wyrick, Theresa O

    2017-02-15

    Phalangeal fractures are the most common type of hand fracture that occurs in the pediatric population and account for the second highest number of emergency department visits in the United States for fractures. The incidence of phalangeal fractures is the highest in children aged 10 to 14 years, which coincides with the time that most children begin playing contact sports. Younger children are more likely to sustain a phalangeal fracture in the home setting as a result of crush and laceration injuries. Salter-Harris type II fractures of the proximal phalanx are the most common type of finger fracture. An unmineralized physis is biomechanically weaker compared with the surrounding ligamentous structures and mature bone, which make fractures about the physis likely. A thorough physical examination is necessary to assess the digital cascade for signs of rotational deformity and/or coronal malalignment. Plain radiographs of the hand and digits are sufficient to confirm a diagnosis of a phalangeal fracture. The management of phalangeal fractures is based on the initial severity of the injury and depends on the success of closed reduction techniques. Nondisplaced phalanx fractures are managed with splint immobilization. Stable, reduced phalanx fractures are immobilized but require close monitoring to ensure maintenance of fracture reduction. Unstable, displaced phalanx fractures require surgical management, preferably via closed reduction and percutaneous pinning.

  4. L5 radiculopathy due to sacral stress fracture

    Energy Technology Data Exchange (ETDEWEB)

    Aylwin, Anthony; Saifuddin, Asif [Department of Diagnostic Imaging, Royal National Orthopaedic Hospital NHS Trust, HA7 4LP, Stanmore, Middlesex (United Kingdom); Tucker, Stuart [Department of Spinal Surgery, Royal National Orthopaedic Hospital NHS Trust, HA7 4LP, Stanmore, Middlesex (United Kingdom)

    2003-10-01

    We report the case of a 70-year-old man who presented with a history of left buttock pain with radiation into the left leg in an L5 distribution. MRI of the lumbar spine revealed a left sacral stress fracture with periosteal reaction involving the left L5 nerve root anterior to the sacral ala. With spontaneous healing of the fracture, the patient's symptoms resolved completely. (orig.)

  5. Unraveling the hydrodynamics of split root water uptake experiments using CT scanned root architectures and three dimensional flow simulations

    Directory of Open Access Journals (Sweden)

    Nicolai eKoebernick

    2015-05-01

    Full Text Available Split root experiments have the potential to disentangle water transport in roots and soil, enabling the investigation of the water uptake pattern of a root system. Interpretation of the experimental data assumes that water flow between the split soil compartments does not occur. Another approach to investigate root water uptake is by numerical simulations combining soil and root water flow depending on the parameterization and description of the root system. Our aim is to demonstrate the synergisms that emerge from combining split root experiments with simulations. We show how growing root architectures derived from temporally repeated X-ray CT scanning can be implemented in numerical soil-plant models. Faba beans were grown with and without split layers and exposed to a single drought period during which plant and soil water status were measured. Root architectures were reconstructed from CT scans and used in the model R-SWMS (root-soil water movement and solute transport to simulate water potentials in soil and roots in 3D as well as water uptake by growing roots in different depths. CT scans revealed that root development was considerably lower with split layers compared to without. This coincided with a reduction of transpiration, stomatal conductance and shoot growth. Simulated predawn water potentials were lower in the presence of split layers. Simulations showed that this was caused by an increased resistance to vertical water flow in the soil by the split layers. Comparison between measured and simulated soil water potentials proved that the split layers were not perfectly isolating and that redistribution of water from the lower, wetter compartments to the drier upper compartments took place, thus water losses were not equal to the root water uptake from those compartments. Still, the layers increased the resistance to vertical flow which resulted in lower simulated collar water potentials that led to reduced stomatal conductance and

  6. Management of impaired fracture healing: Historical aspects

    OpenAIRE

    Gajdobranski Đorđe; Micić Ivan; Mitković Milorad B.; Mladenović Desimir; Milankov Miroslav

    2005-01-01

    Introduction Establishing continuity of long bones in cases of impaired bone healing and pseudo-arthrosis is one of the most complex problems in orthopedics. Impaired bone healing The problem of impaired fracture healing is not new. As in other areas of human life, the roots of modern treatment of impaired bone healing lie in ancient medicine. A relatively high percentage of impaired bone healing, as well as unsatisfactory results of standard therapies of impaired bone healing and pseudoarthr...

  7. Technical note: Application of geophysical tools for tree root studies in forest ecosystems in complex soils

    Science.gov (United States)

    Rodríguez-Robles, Ulises; Arredondo, Tulio; Huber-Sannwald, Elisabeth; Alfredo Ramos-Leal, José; Yépez, Enrico A.

    2017-11-01

    While semiarid forests frequently colonize rocky substrates, knowledge is scarce on how roots garner resources in these extreme habitats. The Sierra San Miguelito Volcanic Complex in central Mexico exhibits shallow soils and impermeable rhyolitic-rock outcrops, which impede water movement and root placement beyond the soil matrix. However, rock fractures, exfoliated rocks and soil pockets potentially permit downward water percolation and root growth. With ground-penetrating radar (GPR) and electrical resistivity tomography (ERT), two geophysical methods advocated by Jayawickreme et al. (2014) to advance root ecology, we advanced in the method development studying root and water distribution in shallow rocky soils and rock fractures in a semiarid forest. We calibrated geophysical images with in situ root measurements, and then extrapolated root distribution over larger areas. Using GPR shielded antennas, we identified both fine and coarse pine and oak roots from 0.6 to 7.5 cm diameter at different depths into either soil or rock fractures. We also detected, trees anchoring their trunks using coarse roots underneath rock outcroppings. With ERT, we tracked monthly changes in humidity at the soil-bedrock interface, which clearly explained spatial root distribution of both tree species. Geophysical methods have enormous potential in elucidating root ecology. More interdisciplinary research could advance our understanding in belowground ecological niche functions and their role in forest ecohydrology and productivity.

  8. Technical note: Application of geophysical tools for tree root studies in forest ecosystems in complex soils

    Directory of Open Access Journals (Sweden)

    U. Rodríguez-Robles

    2017-11-01

    Full Text Available While semiarid forests frequently colonize rocky substrates, knowledge is scarce on how roots garner resources in these extreme habitats. The Sierra San Miguelito Volcanic Complex in central Mexico exhibits shallow soils and impermeable rhyolitic-rock outcrops, which impede water movement and root placement beyond the soil matrix. However, rock fractures, exfoliated rocks and soil pockets potentially permit downward water percolation and root growth. With ground-penetrating radar (GPR and electrical resistivity tomography (ERT, two geophysical methods advocated by Jayawickreme et al. (2014 to advance root ecology, we advanced in the method development studying root and water distribution in shallow rocky soils and rock fractures in a semiarid forest. We calibrated geophysical images with in situ root measurements, and then extrapolated root distribution over larger areas. Using GPR shielded antennas, we identified both fine and coarse pine and oak roots from 0.6 to 7.5 cm diameter at different depths into either soil or rock fractures. We also detected, trees anchoring their trunks using coarse roots underneath rock outcroppings. With ERT, we tracked monthly changes in humidity at the soil–bedrock interface, which clearly explained spatial root distribution of both tree species. Geophysical methods have enormous potential in elucidating root ecology. More interdisciplinary research could advance our understanding in belowground ecological niche functions and their role in forest ecohydrology and productivity.

  9. Simulation studies to evaluate the effect of fracture closure on the performance of naturally fractured reservoirs. Annual report

    Energy Technology Data Exchange (ETDEWEB)

    1992-11-01

    The second year of this three-year research program to evaluate the effect of fracture closure on the recovery of oil and gas from naturally fractured reservoirs has been completed. The overall objectives of the study are to: (1) evaluate the reservoir conditions where fracture closure is significant, and (2) evaluate innovative fluid injection techniques capable of maintaining pressure within the reservoir. Simulation studies have been conducted with a dual porosity simulator capable of simulating the performance of vertical and horizontal wells. Each simulation model has been initialized with properties typical of the Austin Chalk reservoir in Pearsall Field, Texas. During year one, simulations of both vertical and horizontal well performance were made assuming that fracture permeability was insensitive to pressure charge. The results confirmed that horizontal wells could increase both rate of oil recovery and total oil recovery from naturally fractured reservoirs. During the second year the performances of the same vertical and horizontal wells were evaluated with the assumption that fracture permeability was a function of reservoir pressure. This required repetition of most of the natural depletion cases simulated in year one while invoking the pressure-sensitive fracture permeability option. To investigate sensitivity to in situ stress, two stress conditions were simulated for each primary variable. The water injection cases, begun in year one, were extended to include most of the reservoir parameters investigated for natural depletion, including fracture permeability as a function of net stress and the use of horizontal wells. The results thus far confirm that pressure-sensitive fractures degrade well performance and that the degradation is reduced by water injection pressure maintenance. Furthermore, oil recovery can be significantly increased by water injection pressure maintenance.

  10. Multidisciplinary treatment of a fractured maxillary central incisor

    Directory of Open Access Journals (Sweden)

    Praveen Kumar Neela

    2017-01-01

    Full Text Available Subgingivally fractured incisors are still a challenge to treat. Restoration of severely damaged teeth requires careful attention and comprehensive preplanned treatment. Here, a patient who had traumatic injury to the upper left central incisor which led to an oblique fracture involving enamel, dental and extending into the root below the gingival margin was saved from extraction by accelerated forced eruption of a root portion, allowing placement of crown, and eliminating the need for a fixed partial denture. A tooth otherwise would have gone for extraction routinely was thus saved and restored through a multidisciplinary approach by a combined orthodontic, periodontal and endodontic treatment.

  11. Influence of post fit and post length on fracture resistance: an in vitro study

    National Research Council Canada - National Science Library

    Ali, Syed Muhammad; Nair, Rashmi; Shetty, Rakshith S; Karthikeyan, M; Nair, Arvind; Sial, Shruti

    2013-01-01

    .... The aim of the present study was to investigate (i) the impact of post fit (form-congruence) and (ii) the influence of post length on the fracture resistance of severely damaged root filled extracted teeth...

  12. Pudendal nerve in pelvic bone fractures.

    Science.gov (United States)

    Báča, Václav; Báčová, Tereza; Grill, Robert; Otčenášek, Michal; Kachlík, David; Bartoška, Radek; Džupa, Valér

    2013-07-01

    Pelvic ring injuries rank among the most serious skeletal injuries. According to published data, pelvic fractures constitute 3-8% of all fractures. There has been a threefold increase in the number of these fractures over the last 10 years. A significant factor determining the choice of the therapeutic procedure, timing and sequence of individual steps, and also the prognosis of the patient with a fractured pelvis, are associated injuries defined as injuries to the organs and anatomical structures found in the pelvic region. Published data describes the incidence of injury to neurogenic structures as ranging between 9 and 21%, to the urogenital tract between 5 and 11%, to the gastrointestinal tract in 3-17% and to the gynecologic organs up to 1%. The pathway of the pudendal nerve may be affected in types B and C fractures where the root fibers emerge from the foramina sacralia and plexus sacralis is formed, on the one hand, and in types A, B and C fractures during the nerve's course alongside the inferior pubic ramus. In order to determine the frequency of potential injury to the pudendal nerve, a set of 225 pelvic fractures treated between 2007 and 2009 was assessed; 38 fixed hemipelves were also used to study the length of the course of the pudendal nerve alongside the inferior pubic ramus, on the one hand, and the distances from the symphysis pubica at the crossing of the branches of the n. pudendus-n. dorsalis penis and the branches for the muscles of the diaphragma urogenitale on the other hand. The work elucidated the selected distances and discuss their possible clinical relevance for evaluation of the seriousness of pelvic fractures from the perspective of late sequelae in the region innervated by the pudendal nerve. Copyright © 2012 Elsevier Ltd. All rights reserved.

  13. Proximity of maxillary posterior teeth roots to maxillary sinus and adjacent structures using Denta scan?

    OpenAIRE

    Fry, Ramesh Ram; Patidar, Dinesh Chand; Goyal, Samta; Malhotra, Aayush

    2016-01-01

    Aim: The study aimed to investigate the proximity of maxillary posterior teeth roots to maxillary sinus and measure the distance of maxillary posterior teeth roots and the sinus floor as well as the thickness of bone between the roots and alveolar cortical bone using Denta scan?. Materials and Methods: The study samples include Denta scan? images of fifty patients with normally erupted bilateral maxillary first premolar to maxillary second molar. The vertical relationship of each tooth root w...

  14. Nickel-titanium rotary instrument fracture: a clinical practice assessment.

    Science.gov (United States)

    Di Fiore, P M; Genov, K A; Komaroff, E; Li, Y; Lin, L

    2006-09-01

    To prospectively determine the incidence of nickel-titanium rotary instrument fracture in an endodontic clinical practice setting. Eleven second year endodontic residents, using four nickel-titanium rotary instrument systems (ProFile, ProTaper, GTRotary and K3Endo) according to the recommendations of the manufacturers, instrumented 3181 canals in 1403 teeth of 1235 patients, in a dental school post-graduate endodontic clinic, in 1 year. The incidence of instrument fracture was determined based on the number of instruments used. When fracture occurred, data were collected concerning the type, size, taper and prior use of the fractured instruments, the length and location of the fragment within the root canal and the curvature of the canal. The overall incidence of instrument fracture was 0.39%. The incidence of fracture for ProFile, ProTaper, GTRotary and K3Endo files was 0.28%, 0.41%, 0.39% and 0.52%, respectively. There was no statistically significant difference between instrument systems. The percentage of teeth in which instruments fractured was 1.9% (0.28% for anterior teeth, 1.56% for pre-molars and 2.74% for molars). A total of 26 instruments fractured, of which 23 had tapers of 0.06 or greater. Most of the fragments were located in the apical third of the root canal, and both the median and mode amongst the fragment lengths were 2 mm. The low incidence of nickel-titanium rotary instrument fracture supports the continued use of these instruments in root canal treatment.

  15. Permeability of displaced fractures

    Science.gov (United States)

    Kluge, Christian; Milsch, Harald; Blöcher, Guido

    2017-04-01

    Flow along fractures or in fissured systems becomes increasingly important in the context of Enhanced Geothermal Systems (EGS), shale gas recovery or nuclear waste deposit. Commonly, the permeability of fractures is approximated using the Hagen-Poiseuille solution of Navier Stokes equation. Furthermore, the flow in fractures is assumed to be laminar flow between two parallel plates and the cubic law for calculating the velocity field is applied. It is a well-known fact, that fracture flow is strongly influenced by the fracture surface roughness and the shear displacement along the fracture plane. Therefore, a numerical approach was developed which calculates the flow pattern within a fracture-matrix system. The flow in the fracture is described by a free fluid flow and the flow in the matrix is assumed to be laminar and therefore validates Darcy's law. The presented approach can be applied for artificially generated fractures or real fractures measured by surface scanning. Artificial fracture surfaces are generated using the power spectral density of the surface height random process with a spectral exponent to define roughness. For calculating the permeability of such fracture-matrix systems the mean fracture aperture, the shear displacement and the surface roughness are considered by use of a 3D numerical simulator. By use of this approach correlation between shear displacement and mean aperture, shear displacement and permeability, as well as surface roughness and permeability can be obtained. Furthermore, the intrinsic measured permeability presents a combination of matrix and fracture permeability. The presented approach allows the separation and quantification of the absolute magnitudes of the matrix and the fracture permeability and the permeability of displaced fractures can be calculated. The numerical approach which is a 3D numerical simulation of the fracture-matrix system can be applied for artificial as well as real systems.

  16. Investigating the Effects Fracture Systems Have on Seismic Wave Velocities at the Lajitas, Texas Seismic Station

    Science.gov (United States)

    1989-05-01

    general 20 FEACTURE SETS PRESENT IN SECTIONS I, II, III, & IV IV "’." ~ 1 L ,ai t S sismic \\k, I ---- Declination 1 0 1/2 o E - Sca._-1 :44,000 Figure 3.1...vertical fractures lines the tunnel walls. The tunnels follow fractures oriented with either of the two general trends measured from the lineation

  17. Estimation of fracture parameters using elastic full-waveform inversion

    KAUST Repository

    Zhang, Zhendong

    2017-08-17

    Current methodologies to characterize fractures at the reservoir scale have serious limitations in spatial resolution and suffer from uncertainties in the inverted parameters. Here, we propose to estimate the spatial distribution and physical properties of fractures using full-waveform inversion (FWI) of multicomponent surface seismic data. An effective orthorhombic medium with five clusters of vertical fractures distributed in a checkboard fashion is used to test the algorithm. A shape regularization term is added to the objective function to improve the estimation of the fracture azimuth, which is otherwise poorly constrained. The cracks are assumed to be penny-shaped to reduce the nonuniqueness in the inverted fracture weaknesses and achieve a faster convergence. To better understand the inversion results, we analyze the radiation patterns induced by the perturbations in the fracture weaknesses and orientation. Due to the high-resolution potential of elastic FWI, the developed algorithm can recover the spatial fracture distribution and identify localized “sweet spots” of intense fracturing. However, the fracture azimuth can be resolved only using long-offset data.

  18. Usefulness of MR imaging in pathologic fracture of long bone

    Energy Technology Data Exchange (ETDEWEB)

    Lim, Hyo Soon; Park, Jin Gyoon; Song, Jae Min; Chung, Tae Woong; Yoon, Woong; Kang, Heoung Kyun [Chonnam University Hospital, Kwangju (Korea, Republic of)

    2002-08-01

    The purpose of this study was to evaluate the usefulness of MR imaging of pathologic fractures of the long bones. In 18 patients aged between four and 75 (mean, 25.8) years with histologically confirmed pathologic fractures of the long bones, plain radiographs and MR images were retrospectively analyzed. The former were examined with regard to location and type of fracture, and the presence or absence of underlying disease causing fracture; and the latter in terms of underlying disease, extraosseous mass formation, and soft tissue change. The long bones involved were the femur in nine patients, the humerus in six, and the tibia in three. Underlying diseases were metastatic tumor (n=6), benign bone tumor (n=5), primary malignant bone tumor (n=4), osteomyelitis (n=2), and eosinophilic granuloma (n=1). Plain radiographs showed the fracture site as the metaphysis in ten cases, the disphysis in five, and the metadisphysis in one. Fractures were either transverse (n=10), oblique (n=3), spiral (n=1), vertical (n=1), or telescopic (n=1). In two cases, the fracture line was not visible. MR images revealed underlying diseases in all cases. Two benign bone tumors took the form of a cystic mass, hematoma was seen in three cases. Where pathologic fracture of a long bone had occurred, or a pathologic fracture in which the findings of plain radiography were equivocal, MR imaging was useful for evaluating the pattern and extent of an underlying lesion.

  19. GPS, su datum vertical.

    Directory of Open Access Journals (Sweden)

    Esteban Dörries

    2016-03-01

    Full Text Available La introducción de la metodología GPS en aplicaciones topográficas y geodésicas pone en notoria evidencia la clásica separación de sistemas de referencia en horizontal y vertical. Con GPS el posicionamiento es tridimensional, pero el concepto de altura difiere del clásico. Si se desea utilizar la información altimétrica debe contemplarse la ondulación del geoide.

  20. Isolated Salter-Harris Type III Physeal Fracture of the Distal Ulna.

    Science.gov (United States)

    Yukata, Kiminori; Nakai, Sho; Ikeda, Masaki; Hamawaki, Jun-Ichi

    2018-03-01

    We describe a case of isolated physeal fracture of ulna distal end in a 13-year-old boy. This fracture type is uncommon, especially Salter-Harris type III of this injury has not been reported. Plain radiographs showed a small vertical fracture line at the ulnar distal end and an enlargement of epiphyseal plate at the base of ulnar styloid process. The present case was successfully managed with conservative treatment because of its minimal displacement.

  1. Infant skull fracture (image)

    Science.gov (United States)

    Skull fractures may occur with head injuries. Although the skull is both tough and resilient and provides excellent protection ... a severe impact or blow can result in fracture of the skull and may be accompanied by ...

  2. Nasal fracture (image)

    Science.gov (United States)

    A nasal fracture is a break in the bone over the ridge of the nose. It usually results from a blunt ... and is one of the most common facial fracture. Symptoms of a broken nose include pain, blood ...

  3. Growth Plate Fractures

    Science.gov (United States)

    .org Growth Plate Fractures Page ( 1 ) The bones of children and adults share many of the same risks for ... also subject to a unique injury called a growth plate fracture. Growth plates are areas of cartilage ...

  4. Bone fracture repair - slideshow

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/presentations/100077.htm Bone fracture repair - series—Indications To use the sharing features ... Go to slide 4 out of 4 Overview Fractures of the bones are classified in a number ...

  5. Femur fracture repair - discharge

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000166.htm Femur fracture repair - discharge To use the sharing features on this page, please enable JavaScript. You had a fracture (break) in the femur in your leg. It ...

  6. Rib fracture - aftercare

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000539.htm Rib fracture - aftercare To use the sharing features on this page, please enable JavaScript. A rib fracture is a crack or break in one or ...

  7. Nasal fracture - aftercare

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000554.htm Nasal fracture - aftercare To use the sharing features on this ... that gives your nose its shape. A nasal fracture occurs when the bony part of your nose ...

  8. Hip fracture surgery

    Science.gov (United States)

    ... neck fracture repair; Trochanteric fracture repair; Hip pinning surgery; Osteoarthritis - hip ... You may receive general anesthesia for this surgery. This means you ... spinal anesthesia . With this kind of anesthesia, medicine is ...

  9. Metatarsal stress fractures - aftercare

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000553.htm Metatarsal stress fractures - aftercare To use the sharing features on ... that connect your ankle to your toes. A stress fracture is a break in the bone that ...

  10. Everted skull fracture.

    Science.gov (United States)

    Balasubramaniam, Srikant; Tyagi, Devendra K; Savant, Hemant V

    2011-11-01

    Skull bone fractures are common in trauma. They are usually linear undisplaced or depressed; however, a distinct possibility of elevated fracture remains. We describe an entity of everted fracture skull in which the fracture segment is totally everted. The nature of trauma, management, and complications of this unique case are discussed. A 21-year-old woman involved in a railway accident presented to us with a primary dressing on her wound. Investigations revealed an everted fracture skull. She underwent surgery with good results. We would like to add everted fracture skull to the nomenclature describing skull fractures in addition to elevated compound fracture skull as a new entity. Copyright © 2011 Elsevier Inc. All rights reserved.

  11. Genomic Regions Influencing Seminal Root Traits in Barley

    Directory of Open Access Journals (Sweden)

    Hannah Robinson

    2016-03-01

    Full Text Available Water availability is a major limiting factor for crop production, making drought adaptation and its many component traits a desirable attribute of plant cultivars. Previous studies in cereal crops indicate that root traits expressed at early plant developmental stages, such as seminal root angle and root number, are associated with water extraction at different depths. Here, we conducted the first study to map seminal root traits in barley ( L.. Using a recently developed high-throughput phenotyping method, a panel of 30 barley genotypes and a doubled-haploid (DH population (ND24260 × ‘Flagship’ comprising 330 lines genotyped with diversity array technology (DArT markers were evaluated for seminal root angle (deviation from vertical and root number under controlled environmental conditions. A high degree of phenotypic variation was observed in the panel of 30 genotypes: 13.5 to 82.2 and 3.6 to 6.9° for root angle and root number, respectively. A similar range was observed in the DH population: 16.4 to 70.5 and 3.6 to 6.5° for root angle and number, respectively. Seven quantitative trait loci (QTL for seminal root traits (root angle, two QTL; root number, five QTL were detected in the DH population. A major QTL influencing both root angle and root number (/ was positioned on chromosome 5HL. Across-species analysis identified 10 common genes underlying root trait QTL in barley, wheat ( L., and sorghum [ (L. Moench]. Here, we provide insight into seminal root phenotypes and provide a first look at the genetics controlling these traits in barley.

  12. Fracture density and spacing along Washita Valley fault, Arbuckle Mountains, Oklahoma

    Energy Technology Data Exchange (ETDEWEB)

    Ferebee, C.D.; Tapp, J.B. (Univ. of Tulsa, OK (USA))

    1989-08-01

    The authors document fracture density and spacing associated with the Washita Valley fault, a major strike-slip fault. The Washita Valley fault strikes northwest-southeast with up to 80 mi of exposure in southern Oklahoma and may be an early bounding fault of the Southern Oklahoma aulacogen (Ardmore/Marietta basins). Horizontal displacement on the fault has been estimated to be up to 40 mi, with vertical displacement on the order of 10,000 ft. Samples collected from traverses across the Washita Valley fault have been analyzed. The traverses cross the fault at different stratigraphic levels from Proterozoic igneous basement, through the Cambrian-Ordovician Arbuckle Group, Ordovician Simpson and Viola Groups, to the Silurian-Devonian Hunton Group. Several types of fracture systems are documented that reflect mechanical stratigraphy, burial depth during deformation, and episodic movement on the fault. The fractures in the study area include open fracture systems, calcite-filled fractures, tension gashes, and fractures related to pressure solution. The samples were cut parallel to the strike of the fault, vertical-normal to the fault, and horizontal-normal to the fault. These cuts allow examination of the total fracture strain, characterization of the fractures, and statistical analysis of fracture density. From these data, fracture density is shown to decrease exponentially moving away from the primary fault zone. The increased understanding of fracture patterns and characteristics will assist future exploration and development programs involving carbonate reservoirs associated with strike-slip systems.

  13. [Distribution of fine root biomass of main planting tree species in Loess Plateau, China].

    Science.gov (United States)

    Jian, Sheng-Qi; Zhao, Chuan-Yan; Fang, Shu-Min; Yu, Kai

    2014-07-01

    The distribution of fine roots of Pinus tabuliformis, Populus tomentosa, Prunus armeniaca, Robinia pseudoacacia, Hippophae rhamnoides, and Caragana korshinskii was investigated by using soil core method and the fine root was defined as root with diameter less than 2 mm. The soil moisture and soil properties were measured. The results showed that in the horizontal direction, the distribution of fine root biomass of P. tabuliformis presented a conic curve, and the fine root biomass of the other species expressed logarithm correlation. Radial roots developed, the fine root biomass were concentrated within the scope of the 2-3 times crown, indicating that trees extended their roots laterally to seek water farther from the tree. In the vertical direction, the fine root biomass decreased with the increasing soil depth. Fine root biomass had significant negative correlation with soil water content and bulk density, while significant positive correlation with organic matter and total N contents.

  14. Simulation studies to evaluate the effect of fracture closure on the performance of naturally fractured reservoirs. Annual report

    Energy Technology Data Exchange (ETDEWEB)

    1991-10-01

    The first of a three-year research program to evaluate the effect of fracture closure on the recovery of oil and gas from naturally fractured reservoirs has been completed. The objectives of the study are to (1) evaluate the reservoir conditions where fracture closure is significant, and (2) evaluate innovative fluid injection techniques capable of maintaining pressure within the reservoir. Simulation studies were conducted with a dual porosity simulator capable of simulating the performance of vertical and horizontal wells. Each simulator was initialized using properties typical of the Austin Chalk reservoir in Pearsall Field, Texas. Simulations of both vertical and horizontal well performance were made assuming that fracture permeability was insensitive to pressure change. Sensitivity runs indicate that the simulator is predicting the effects of critical reservoir parameters in a logical and consistent manner. The results to-date confirm that horizontal wells can increase both oil recovery rate and total oil recovery from naturally fractured reservoirs. The year one simulation results will provide the baseline for the ongoing study which will evaluate the performance degradation caused by the sensitivity of fracture permeability to pressure change, and investigate fluid injection pressure maintenance as a means to improve oil recovery performance. The study is likely to conclude that fracture closure decreases oil recovery and that pressure support achieved through fluid injection could be beneficial in improving recovery.

  15. Intermaxillary Fixation Screw Morbidity in Treatment of Mandibular Fractures

    DEFF Research Database (Denmark)

    Florescu, Vlad-Andrei; Kofod, Thomas; Pinholt, E. M.

    2016-01-01

    Purpose The aim of the present retrospective study was to investigate the morbidity of screws used for intermaxillary fixation (IMF) in the treatment of mandibular fractures. A review of the published data was also performed for a comparison of outcomes. Our hypothesis was that the use of screws...... for IMF of mandibular fractures would result in minimal morbidity. Materials and Methods Patients treated for mandibular fractures from 2007 to 2013, using screws for IMF, using the international diagnosis code for mandibular fracture, DS026, were anonymously selected (Department of Oral and Maxillofacial...... retrospective study have shown that the use of screws is a valid choice for IMF in mandibular fracture treatment with minimal morbidity. The 793 screws used for IMF resulted in a negligible amount of central and peripheral tooth root trauma. © 2016 American Association of Oral and Maxillofacial Surgeons...

  16. Comparing root architectural models

    Science.gov (United States)

    Schnepf, Andrea; Javaux, Mathieu; Vanderborght, Jan

    2017-04-01

    Plant roots play an important role in several soil processes (Gregory 2006). Root architecture development determines the sites in soil where roots provide input of carbon and energy and take up water and solutes. However, root architecture is difficult to determine experimentally when grown in opaque soil. Thus, root architectural models have been widely used and been further developed into functional-structural models that are able to simulate the fate of water and solutes in the soil-root system (Dunbabin et al. 2013). Still, a systematic comparison of the different root architectural models is missing. In this work, we focus on discrete root architecture models where roots are described by connected line segments. These models differ (a) in their model concepts, such as the description of distance between branches based on a prescribed distance (inter-nodal distance) or based on a prescribed time interval. Furthermore, these models differ (b) in the implementation of the same concept, such as the time step size, the spatial discretization along the root axes or the way stochasticity of parameters such as root growth direction, growth rate, branch spacing, branching angles are treated. Based on the example of two such different root models, the root growth module of R-SWMS and RootBox, we show the impact of these differences on simulated root architecture and aggregated information computed from this detailed simulation results, taking into account the stochastic nature of those models. References Dunbabin, V.M., Postma, J.A., Schnepf, A., Pagès, L., Javaux, M., Wu, L., Leitner, D., Chen, Y.L., Rengel, Z., Diggle, A.J. Modelling root-soil interactions using three-dimensional models of root growth, architecture and function (2013) Plant and Soil, 372 (1-2), pp. 93 - 124. Gregory (2006) Roots, rhizosphere and soil: the route to a better understanding of soil science? European Journal of Soil Science 57: 2-12.

  17. Management of common fractures.

    Science.gov (United States)

    Walker, Jennie

    2013-02-01

    The incidence of fractures increases with advancing age partly due to the presence of multiple comorbidities and increased risk of falls. Common fracture sites in older people include femoral neck, distal radius and vertebral bodies. Nurses have an important role in caring for older patients who have sustained fractures, not only to maximise function and recovery, but as part of a team to minimise the morbidity and mortality associated with fractures in this group.

  18. An Improved Rate-Transient Analysis Model of Multi-Fractured Horizontal Wells with Non-Uniform Hydraulic Fracture Properties

    Directory of Open Access Journals (Sweden)

    Youwei He

    2018-02-01

    Full Text Available Although technical advances in hydraulically fracturing and drilling enable commercial production from tight reservoirs, oil/gas recovery remains at a low level. Due to the technical and economic limitations of well-testing operations in tight reservoirs, rate-transient analysis (RTA has become a more attractive option. However, current RTA models hardly consider the effect of the non-uniform production on rate decline behaviors. In fact, PLT results demonstrate that production profile is non-uniform. To fill this gap, this paper presents an improved RTA model of multi-fractured horizontal wells (MFHWs to investigate the effects of non-uniform properties of hydraulic fractures (production of fractures, fracture half-length, number of fractures, fracture conductivity, and vertical permeability on rate transient behaviors through the diagnostic type curves. Results indicate obvious differences on the rate decline curves among the type curves of uniform properties of fractures (UPF and non-uniform properties of fractures (NPF. The use of dimensionless production integral derivative curve magnifies the differences so that we can diagnose the phenomenon of non-uniform production. Therefore, it’s significant to incorporate the effects of NPF into the RDA models of MFHWs, and the model proposed in this paper enables us to better evaluate well performance based on long-term production data.

  19. Biomechanical analysis of stiffness and fracture displacement after using PMMA-augmented sacroiliac screw fixation for sacrum fractures.

    Science.gov (United States)

    Höch, Andreas; Schimpf, Richard; Hammer, Niels; Schleifenbaum, Stefan; Werner, Michael; Josten, Christoph; Böhme, Jörg

    2017-08-28

    Cement augmentation of pedicle screws is the gold standard for the stabilization of osteoporotic fractures of the spine. In-screw cement augmentation, in which cement is injected through the cannula, is another option for fracture stabilization of fragility fractures of the sacrum. However, biomechanical superiority of this technique compared to conventional sacroiliac screw fixation has not been tested. The present study compares the stability of cement-augmented and non-cement-augmented sacroiliac screw fixation in osteoporotic sacrum fractures under cyclic loading. Eight human donor pelvises with intact ligaments and 5th lumbar vertebra were dissected. A vertical shear fracture was created as a combination of a sacrum fracture and cutting of the symphysis. Both sides were tested in a single-limb-stance setup with 10,000 loading cycles applied. Stiffness of the pelvis and displacement of the fracture were measured using a hydraulic testing machine and a 3D image correlation system. The augmented screw fixation failed in two of eight pelvises, and the non-augmented screws failed in three of eight pelvises. CT scans showed no leakage of cement. In-screw polymethylmethacrylate (PMMA) augmentation showed no advantage based on measured displacement of the sacrum fractures or stiffness for sacroiliac screw fixation of fragility fractures of the sacrum.

  20. Imaging of insufficiency fractures

    Energy Technology Data Exchange (ETDEWEB)

    Krestan, Christian [Department of Radiology, Medical University of Vienna, Vienna General Hospital, Waehringerstr. 18-20, 1090 Vienna (Austria)], E-mail: christian.krestan@meduniwien.ac.at; Hojreh, Azadeh [Department of Radiology, Medical University of Vienna, Vienna General Hospital, Waehringerstr. 18-20, 1090 Vienna (Austria)

    2009-09-15

    This review focuses on the occurrence, imaging and differential diagnosis of insufficiency fractures. Prevalence, the most common sites of insufficiency fractures and their clinical implications are discussed. Insufficiency fractures occur with normal stress exerted on weakened bone. Postmenopausal osteoporosis is the most common cause of insufficiency fractures. Other conditions which affect bone turnover include osteomalacia, hyperparathyroidism, chronic renal failure and high-dose glucocorticoid therapy. It is a challenge for the radiologist to detect and diagnose insufficiency fractures, and to differentiate them from other bone lesions. Radiographs are still the most widely used imaging method for identification of insufficiency fractures, but sensitivity is limited, depending on the location of the fractures. Magnetic resonance imaging (MRI) is a very sensitive tool to visualize bone marrow abnormalities associated with insufficiency fractures. Thin section, multi-detector computed tomography (MDCT) depicts subtle fracture lines allowing direct visualization of cortical and trabecular bone. Bone scintigraphy still plays a role in detecting fractures, with good sensitivity but limited specificity. The most important differential diagnosis is underlying malignant disease leading to pathologic fractures. Bone densitometry and clinical history may also be helpful in confirming the diagnosis of insufficiency fractures.

  1. Sprains, Strains and Fractures

    Science.gov (United States)

    ... the bone. Causes Injuries are the most common causes of foot and ankle sprains and fractures. Many fractures and sprains occur during ... or stumbling on uneven ground is another common cause of foot and ankle sprains and fractures. Symptoms Pain, swelling, bruising, and difficulty ...

  2. Obesity and fracture risk

    OpenAIRE

    Gonnelli, S; Caffarelli, C.; Nuti, R.

    2014-01-01

    Obesity and osteoporosis are two common diseases with an increasing prevalence and a high impact on morbidity and mortality. Obese women have always been considered protected against osteoporosis and osteoporotic fractures. However, several recent studies have challenged the widespread belief that obesity is protective against fracture and have suggested that obesity is a risk factor for certain fractures.

  3. Effect of the ferrule on fracture resistance of teeth restored with ...

    African Journals Online (AJOL)

    Background: The ferrule effect in root treated teeth requiring cast posts and cores has been shown to greatly improve fracture resistance. Studies have also shown that in the case of a cast post and core, the longer the ferrule, the greater the fracture resistance. However few studies have considered the effect of different ...

  4. Fracture Strength of Endodontically-treated Teeth Restored with Post and Cores and Composite Cores Only

    NARCIS (Netherlands)

    Ozcan, M.; Valandro, L. F.

    2009-01-01

    This study compared the fracture strength of different conditioned metallic posts, fiber-reinforced-composite posts and composite cores only in teeth without coronal tooth structure and determined failure modes after the fracture test. Post spaces were prepared in the root canals, and the teeth were

  5. Root distributions in a laboratory box evaluated using two different techniques (gravimetric and image processing and their impact on root water uptake simulated with HYDRUS

    Directory of Open Access Journals (Sweden)

    Klement Aleš

    2016-06-01

    Full Text Available Knowledge of the distribution of plant roots in a soil profile (i.e. root density is needed when simulating root water uptake from soil. Therefore, this study focused on evaluating barley and wheat root densities in a sand-vermiculite substrate. Barley and wheat were planted in a flat laboratory box under greenhouse conditions. The box was always divided into two parts, where a single plant row and rows cross section (respectively was simulated. Roots were excavated at the end of the experiment and root densities were assessed using root zone image processing and by weighing. For this purpose, the entire area (width of 40 and height of 50 cm of each scenario was divided into 80 segments (area of 5×5 cm. Root density in each segment was expressed as a root percentage of the entire root cluster. Vertical root distributions (i.e. root density with respect to depth were also calculated as a sum of root densities in each 5 cm layer. Resulting vertical root densities, measured evaporation from the water table (used as the potential root water uptake, and the Feddes stress response function model were used for simulating substrate water regime and actual root water uptake for all scenarios using HYDRUS-1D. All scenarios were also simulated using HYDRUS-2D. One scenario (areal root density of barley sown in a single row, obtained using image analysis is presented in this paper (because most scenarios showed root water uptakes similar to results of 1D scenarios.

  6. Risk factors of neurological lesions in low cervical spine fractures and dislocations

    Directory of Open Access Journals (Sweden)

    COELHO DANILO GONÇALVES

    2000-01-01

    Full Text Available Eighty-nine patients with lower cervical spine fractures or dislocations were evaluated for risk factors of neurological lesion. The age, sex, level and pattern of fracture and sagittal diameter of the spinal canal were analysed. There were no significant differences on the age, gender, level and Torg's ratio between intact patients and those with nerve root injury, incomplete or complete spinal cord injuries. Bilateral facet dislocations and burst fractures are a significant risk factor of spinal cord injury.

  7. Linking of fractures in layered rocks: Implications for permeability

    Science.gov (United States)

    Larsen, Belinda; Gudmundsson, Agust

    2010-09-01

    The permeability of many rocks, including many reservoirs, is mostly attributable to fractures that form interconnected clusters. Here we present the results of field studies and numerical models on the linkage of fractures, using primarily fractures in carbonate rocks from the UK. The numerical models focus on two fracture configurations: five offset fractures in a 5-layer model, and a single hydrofracture in a 3-layer model. In some of the 3-layer models, a weak, open contact is added between the two topmost layers. In the 5-layer models loading is by 5 MPa tensile stress, whereas the 3-layer models the only loading is the internal fluid overpressure of 6 MPa in the hydrofracture itself, located in the lowermost of the three layers. For the 5-layer models, tensile stresses occur between the nearby tips of the offset fracture pairs, but these stresses are generally too low in the soft shale layers to initiate fractures. The tensile stresses, however, commonly concentrate at the contacts between the shale and limestone layers and may therefore result in delamination (debonding), that is, opening of the contacts. By contrast, the shear stresses between the nearby tips of the fracture pairs are often high enough to generate shear or mixed-mode fractures that connect the nearby tips of the original offset fractures, resulting in clusters that can conduct fluids. For the 3-layer models, the fracture-induced tensile stresses in the uppermost layer are suppressed by a comparatively thick compliant (shale) layer and/or the weak, open contact. Thus, no fracture formation is possible in that layer but at their contacts with the compliant layer the hydrofracture apertures increase. Thus, a compliant layer may arrest the vertical hydrofracture propagation from its stiff host layer but, at the same time, increase its maximum aperture and encourage lateral fluid transport at the layer contact between the layers.

  8. Root growth dynamics linked to above-ground growth in walnut (Juglans regia).

    Science.gov (United States)

    Contador, Maria Loreto; Comas, Louise H; Metcalf, Samuel G; Stewart, William L; Porris Gomez, Ignacio; Negron, Claudia; Lampinen, Bruce D

    2015-07-01

    Examination of plant growth below ground is relatively scant compared with that above ground, and is needed to understand whole-plant responses to the environment. This study examines whether the seasonal timing of fine root growth and the spatial distribution of this growth through the soil profile varies in response to canopy manipulation and soil temperature. Plasticity in the seasonal timing and vertical distribution of root production in response to canopy and soil water manipulation was analysed in field-grown walnut (Juglans regia 'Chandler') using minirhizotron techniques. Root production in walnuts followed a unimodal curve, with one marked flush of root growth starting in mid-May, with a peak in mid-June. Root production declined later in the season, corresponding to increased soil temperature, as well as to the period of major carbohydrate allocation to reproduction. Canopy and soil moisture manipulation did not influence the timing of root production, but did influence the vertical distribution of roots through the soil profile. Water deficit appeared to promote root production in deeper soil layers for mining soil water. Canopy removal appeared to promote shallow root production. The findings of this study add to growing evidence that root growth in many ecosystems follows a unimodal curve with one marked flush of root growth in coordination with the initial leaf flush of the season. Root vertical distribution appeared to have greater plasticity than timing of root production in this system, with temperature and/or carbohydrate competition constraining the timing of root growth. Effects on root distribution can have serious impacts on trees, with shallow rooting having negative impacts in years with limited soil water or positive impacts in years with wet springs, and deep rooting having positive impacts on soil water mining from deeper soil layers but negative impacts in years with wet springs. © The Author 2015. Published by Oxford University Press

  9. Multifocal humeral fractures.

    Science.gov (United States)

    Maresca, A; Pascarella, R; Bettuzzi, C; Amendola, L; Politano, R; Fantasia, R; Del Torto, M

    2014-02-01

    Multifocal humeral fractures are extremely rare. These may affect the neck and the shaft, the shaft alone, or the diaphysis and the distal humerus. There is no classification of these fractures in the literature. From 2004 to 2010, 717 patients with humeral fracture were treated surgically at our department. Thirty-five patients presented with an associated fracture of the proximal and diaphyseal humerus: synthesis was performed with plate and screws in 34 patients, and the remaining patient had an open fracture that was treated with an external fixator. Mean follow-up was 3 years and 3 months. A classification is proposed in which type A fractures are those affecting the proximal and the humeral shaft, type B the diaphysis alone, and type C the diaphysis in association with the distal humerus. Type A fractures are then divided into three subgroups: A-I, undisplaced fracture of the proximal humerus and displaced shaft fracture; A-II: displaced fracture of the proximal and humeral shaft; and A-III: multifragmentary fracture affecting the proximal humerus and extending to the diaphysis. Multifocal humeral fractures are very rare and little described in the literature, both for classification and treatment. The AO classification describes bifocal fracture of the humeral diaphysis, type B and C. The classification suggested in this article mainly concerns fractures involving the proximal and humeral shaft. A simple classification of multifocal fractures is suggested to help the surgeon choose the most suitable type of synthesis for surgical treatment. Copyright © 2013 Elsevier Ltd. All rights reserved.

  10. Concomitant posterior cruciate ligament injuries with direct injury-related patellar fractures.

    Science.gov (United States)

    Yoon, Yong-Cheol; Jeon, Sung-Soo; Sim, Jae-Ang; Kim, Byung-Kag; Lee, Beom-Koo

    2016-06-01

    Posterior cruciate ligament (PCL) injuries and direct injury-related patellar fractures have similar causative factors. However, the mechanisms underlying these injuries differ. We aimed to evaluate the incidence and relationship between PCL injuries and direct injury-related patellar fractures. Of the 195 patients diagnosed with a patellar fracture at our clinic during 2007-2011, 104 required surgical treatment and underwent the posterior drawer test under general anesthesia and magnetic resonance imaging. We assessed whether the causes of trauma, fracture classification, compression of the fracture fragment, and fracture displacement were related to the incidence of PCL injuries. Of the 104 patients, 26 had concomitant PCL injuries with direct injury-related patellar fractures. Most of the PCL injuries were grades 1 and 2, observed in 14 and 9 patients, respectively. Among three patients with grade 3 PCL injury, only two required PCL reconstruction. No significant relationship was observed between the causes of trauma and the incidence of PCL injury. According to the fracture classification, lower pole and comminuted fractures were associated with higher incidence rates of PCL injury than transverse and vertical fractures. Compressed and displaced patellar fractures were also associated with higher incidence rates of PCL injury. Although a PCL injury requiring surgical intervention was extremely rare, 25 % patients who required surgery for patellar fractures presented with a PCL injury. The incidence of a PCL injury was higher in the lower pole, comminuted, displaced, and compressed patellar fractures.

  11. Meniscus root repair.

    Science.gov (United States)

    Vyas, Dharmesh; Harner, Christopher D

    2012-06-01

    Root tears are a subset of meniscal injuries that result in significant knee joint pathology. Occurring on either the medial or lateral side, root tears are defined as radial tears or avulsions of the posterior horn attachment to bone. After a root tear, there is a significant increase in tibio-femoral contact pressure concomitant with altered knee joint kinematics. Previous cadaver studies from our institution have shown that root repair of the medial meniscus is successful in restoring joint biomechanics to within normal limits. Indications for operative management of meniscal root tears include (1) a symptomatic medial meniscus root tear with minimal arthritis and having failed non-operative treatment, and (2) a lateral root tear in associated with an ACL tear. In this review, we describe diagnosis, imaging, patient selection, and arthroscopic surgical technique of medial and lateral meniscus root injuries. In addition we highlight the pearls of repair technique, associated complications, post-operative rehabilitation regimen, and expected outcomes.

  12. Stress fractures in runners.

    Science.gov (United States)

    McCormick, Frank; Nwachukwu, Benedict U; Provencher, Matthew T

    2012-04-01

    Stress fractures are a relatively common entity in athletes, in particular, runners. Physicians and health care providers should maintain a high index of suspicion for stress fractures in runners presenting with insidious onset of focal bone tenderness associated with recent changes in training intensity or regimen. It is particularly important to recognize “high-risk” fractures, as these are associated with an increased risk of complication. A patient with confirmed radiographic evidence of a high-risk stress fracture should be evaluated by an orthopedic surgeon. Runners may benefit from orthotics, cushioned sneakers, interval training, and vitamin/calcium supplementation as a means of stress fracture prevention.

  13. Phenotyping for the dynamics of field wheat root system architecture

    Science.gov (United States)

    Chen, Xinxin; Ding, Qishuo; Błaszkiewicz, Zbigniew; Sun, Jiuai; Sun, Qian; He, Ruiyin; Li, Yinian

    2017-01-01

    We investigated a method to quantify field-state wheat RSA in a phenotyping way, depicting the 3D topology of wheat RSA in 14d periods. The phenotyping procedure, proposed for understanding the spatio-temporal variations of root-soil interaction and the RSA dynamics in the field, is realized with a set of indices of mm scale precision, illustrating the gradients of both wheat root angle and elongation rate along soil depth, as well as the foraging potential along the side directions. The 70d was identified as the shifting point distinguishing the linear root length elongation from power-law development. Root vertical angle in the 40 mm surface soil layer was the largest, but steadily decreased along the soil depth. After 98d, larger root vertical angle appeared in the deep soil layers. PAC revealed a stable root foraging potential in the 0-70d period, which increased rapidly afterwards (70-112d). Root foraging potential, explained by MaxW/MaxD ratio, revealed an enhanced gravitropism in 14d period. No-till post-paddy wheat RLD decreased exponentially in both depth and circular directions, with 90% roots concentrated within the top 20 cm soil layer. RER along soil depth was either positive or negative, depending on specific soil layers and the sampling time.

  14. Vertical Protocol Composition

    DEFF Research Database (Denmark)

    Groß, Thomas; Mödersheim, Sebastian Alexander

    2011-01-01

    composition, and it is truly commonplace in today’s communication with the diversity of VPNs and secure browser sessions. In fact, it is normal that we have several layers of secure channels: For instance, on top of a VPN-connection, a browser may establish another secure channel (possibly with a different...... end point). Even using the same protocol several times in such a stack of channels is not unusual: An application may very well establish another TLS channel over an established one. We call this selfcomposition. In fact, there is nothing that tells us that all these compositions are sound, i.......e., that the combination cannot introduce attacks that the individual protocols in isolation do not have. In this work, we prove a composability result in the symbolic model that allows for arbitrary vertical composition (including self-composition). It holds for protocols from any suite of channel and application...

  15. Vertical cavity laser

    DEFF Research Database (Denmark)

    2016-01-01

    The present invention provides a vertical cavity laser comprising a grating layer comprising an in-plane grating, the grating layer having a first side and having a second side opposite the first side and comprising a contiguous core grating region having a grating structure, wherein an index......, an index of refraction of the second low-index layer or air being less than 2; and a thickness of the cap layer and a thickness of the grating layer, and a pitch and a duty cycle of the grating structure are selected to obtain a resonance having a free-space resonance wavelength in the interval 300 nm to 3...... microns, the cap layer comprises an active region configured to generate or absorb photons at the free-space resonance wavelength by stimulated emission or absorption when a sufficient forward or reverse bias voltage is applied across the active region, a thickness of the first low-index layer is less...

  16. Tooth Eruption without Roots

    OpenAIRE

    Wang, X.-P.

    2013-01-01

    Root development and tooth eruption are very important topics in dentistry. However, they remain among the less-studied and -understood subjects. Root development accompanies rapid tooth eruption, but roots are required for the movement of teeth into the oral cavity. It has been shown that the dental follicle and bone remodeling are essential for tooth eruption. So far, only limited genes have been associated with root formation and tooth eruption. This may be due to the diffic...

  17. Direct Observation of Ultralow Vertical Emittance using a Vertical Undulator

    Energy Technology Data Exchange (ETDEWEB)

    Wootton, Kent

    2015-09-17

    In recent work, the first quantitative measurements of electron beam vertical emittance using a vertical undulator were presented, with particular emphasis given to ultralow vertical emittances [K. P. Wootton, et al., Phys. Rev. ST Accel. Beams, 17, 112802 (2014)]. Using this apparatus, a geometric vertical emittance of 0.9 ± 0.3 pm rad has been observed. A critical analysis is given of measurement approaches that were attempted, with particular emphasis on systematic and statistical uncertainties. The method used is explained, compared to other techniques and the applicability of these results to other scenarios discussed.

  18. [Fractures of the patella].

    Science.gov (United States)

    Wild, M; Windolf, J; Flohé, S

    2010-05-01

    Fractures of the patella account for approximately 0.5% to 1.5% of all skeletal injuries. The diagnosis is made by means of the mechanism of injury, physical and radiological findings. The kind of treatment of patella fractures depends on the type of fracture, the size of the fragments, the integrity of the extensor mechanism and the congruity of the articular surface. Independent of the kind of treatment an early rehabilitation is recommended. Modified tension band wiring is the most commonly used surgical treatment for patella fractures and can be used for almost every type of fracture. Due the superior stability in biomechanical studies two parallel cannulated lag screws combined with a tension band wiring are the treatment of choice for horizontally displaced two-part fractures. In comminuted fractures a partial or total patellectomy may be necessary. However, since the loss of quadriceps muscle power and the poor outcome total patellectomy should be considered as a salvage procedure.

  19. Fracture in Soft Materials

    DEFF Research Database (Denmark)

    Hassager, Ole

    Fracture is a phenomenon that is generally associated with solids. A key element in fracture theory is the so-called weakest link idea that fracture initiates from the largest pre-existing material imperfection. However, recent work has demonstrated that fracture can also happen in liquids, where...... surface tension will act to suppress such imperfections. Therefore, the weakest link idea does not seem immediately applicable to fracture in liquids. This presentation will review fracture in liquids and argue that fracture in soft liquids is a material property independent of pre-existing imperfections....... The following questions then emerge: What is the material description needed to predict crack initiation, crack speed and crack shape in soft materials and liquids....

  20. Orbital fractures: a review

    Directory of Open Access Journals (Sweden)

    Jeffrey M Joseph

    2011-01-01

    Full Text Available Jeffrey M Joseph, Ioannis P GlavasDivision of Ophthalmic Plastic and Reconstructive Surgery, Department of Ophthalmology, School of Medicine, New York University, New York, NY, USA; Manhattan Eye, Ear, and Throat Hospital, New York, NY, USAAbstract: This review of orbital fractures has three goals: 1 to understand the clinically relevant orbital anatomy with regard to periorbital trauma and orbital fractures, 2 to explain how to assess and examine a patient after periorbital trauma, and 3 to understand the medical and surgical management of orbital fractures. The article aims to summarize the evaluation and management of commonly encountered orbital fractures from the ophthalmologic perspective and to provide an overview for all practicing ophthalmologists and ophthalmologists in training.Keywords: orbit, trauma, fracture, orbital floor, medial wall, zygomatic, zygomatic complex, zmc fracture, zygomaticomaxillary complex fractures 

  1. Impact of Stress on Anomalous Transport in Fractured Rock

    Science.gov (United States)

    Kang, P. K.; Lei, Q.; Lee, S.; Dentz, M.; Juanes, R.

    2016-12-01

    rough fractures. Earth and Planetary Science Letters, to appear (2016). Figure (a) Map of maximum principal stress with a vertical normal compressive stress of 3 MPa at top and bottom boundaries, and 1MPa at left and right boundaries. (b) Normal compressive stress of 15 MPa at top and bottom boundaries, and 5MPa at left and right boundaries.

  2. Rooting an Android Device

    Science.gov (United States)

    2015-09-01

    o 8-GB Memory o Intel Xeon X5472 Central Processing Unit (CPU)  64-bit quad and dual-core  3.0 GHz 3. Rooting Android Devices The rooting...root access has been granted. 4. Conclusion This document serves as a tutorial on how to grant user administrative privilege to an Android device by

  3. Neurologic Injury in Operatively Treated Acetabular Fractures.

    Science.gov (United States)

    Bogdan, Yelena; Tornetta, Paul; Jones, Clifford; Gilde, Alex K; Schemitsch, Emil; Vicente, Milena; Horwitz, Daniel; Sanders, David; Firoozabadi, Reza; Leighton, Ross; de Dios Robinson, Juan; Marcantonio, Andrew; Hamilton, Benjamin

    2015-10-01

    The purpose of this study is to evaluate a series of operatively treated acetabular fractures with neurologic injury and to track sensory and motor recovery. Operatively treated acetabular fractures with neurologic injury from 8 trauma centers were reviewed. Patients were followed for at least 6 months or to neurologic recovery. Functional outcome was documented at 3 months, 6 months, and final follow-up. Outcomes included motor and sensory recovery, brace use, development of chronic regional pain syndrome, and return to work. One hundred thirty-seven patients (101 males and 36 females), average age 42 (17-87) years, met the criteria. Mechanism of injury included MVC (67%), fall (11%), and other (22%). The most common fracture types were transverse + posterior wall (33%), posterior wall (23%), and both-column (23%). Deficits were identified as preoperative in 57%, iatrogenic in 19% (immediately after surgery), and those that developed postoperatively in 24%. A total of 187 nerve deficits associated with the following root levels were identified: 7 in L2-3, 18 in L4, 114 in L5, and 48 in S1. Full recovery occurred in 54 (29%), partial recovery in 69 (37%), and 64 (34%) had no recovery. Forty-three percent of S1 deficits and 29% of L5 deficits had no recovery. Fifty-five percent of iatrogenic injuries did not recover. Forty-eight patients wore a brace at the final follow-up, all for an L5 root level deficit. Although 60% (42/70) returned to work, chronic regional pain syndrome was seen to develop in 19% (18/94). Peripheral neurologic injury in operatively treated acetabular fractures occurs most commonly in the sciatic nerve distribution, with L5 root level deficits having only a 26% chance of full recovery. Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.

  4. The interactive impact of root branch order and soil genetic horizon on root respiration and nitrogen concentration.

    Science.gov (United States)

    Trocha, Lidia K; Bulaj, Bartosz; Kutczynska, Paulina; Mucha, Joanna; Rutkowski, Pawel; Zadworny, Marcin

    2017-08-01

    In general, respiration (RS) is highly correlated with nitrogen concentration (N) in plant organs, including roots, which exhibit a positive N-RS relationship. Less is known, however, about the relationship between N and RS in roots of different branch orders within an individual tree along a vertical soil profile; this is especially true in trees with contrasting life strategies, such as pioneer Scots pine (Pinus sylvestris L.) vs mid-successional sessile oak (Quercus petraea Liebl.). In the present research, the impact of root branch order, as represented by those with absorptive vs transporting ability, and soil genetic horizon on root N, RS and the N-RS relationship was examined. Mean RS and total N concentration differed significantly among root branch orders and was significantly higher in absorptive roots than in transporting roots. The soil genetic horizon differentially affected root RS in Scots pine vs sessile oak. The genetic horizon mostly affected RS in absorptive roots of Scots pine and transporting roots in sessile oak. Root N was the highest in absorptive roots and most affected by soil genetic horizon in both tree species. Root N was not correlated with soil N, although N levels were higher in roots growing in fertile soil genetic horizons. Overall, RS in different root branch orders was positively correlated with N in both species. The N-RS relationship in roots, pooled by soil genetic horizon, was significant in both species, but was only significant in sessile oak when roots were pooled by root branch order. In both tree species, a significant interaction was found between the soil genetic horizon and root branch order with root function; however, species-specific responses were found. Both root N, which was unaffected by soil N, and the positive N-RS relationship consistently observed in different genetic horizons suggest that root function prevails over environmental factors, such as soil genetic horizon. © The Author 2017. Published by

  5. Implementing small scale processes at the soil-plant interface – the role of root architectures for calculating root water uptake profiles

    Directory of Open Access Journals (Sweden)

    A. Hildebrandt

    2010-02-01

    Full Text Available In this paper, we present a stand alone root water uptake model called aRoot, which calculates the sink term for any bulk soil water flow model taking into account water flow within and around a root network. The boundary conditions for the model are the atmospheric water demand and the bulk soil water content. The variable determining the plant regulation for water uptake is the soil water potential at the soil-root interface. In the current version, we present an implementation of aRoot coupled to a 3-D Richards model. The coupled model is applied to investigate the role of root architecture on the spatial distribution of root water uptake. For this, we modeled root water uptake for an ensemble (50 realizations of root systems generated for the same species (one month old Sorghum. The investigation was divided into two Scenarios for aRoot, one with comparatively high (A and one with low (B root radial resistance. We compared the results of both aRoot Scenarios with root water uptake calculated using the traditional Feddes model. The vertical rooting density profiles of the generated root systems were similar. In contrast the vertical water uptake profiles differed considerably between individuals, and more so for Scenario B than A. Also, limitation of water uptake occurred at different bulk soil moisture for different modeled individuals, in particular for Scenario A. Moreover, the aRoot model simulations show a redistribution of water uptake from more densely to less densely rooted layers with time. This behavior is in agreement with observation, but was not reproduced by the Feddes model.

  6. Danos causados pelo impacto de queda na qualidade pós-colheita de raízes de mandioquinha-salsa Damages caused by drop impact on the postharvest quality of arracacha roots

    Directory of Open Access Journals (Sweden)

    Gilmar Paulo Henz

    2005-12-01

    arracacha roots was simulated in two drop heights (45 and 90 cm and three release positions of the roots (horizontal, vertical distal and vertical proximal. The experiment was carried out in a randomized block design, with three replicates (40 roots per and three release positions of the roots (horizontal, vertical distal and vertical proximal. The experiment was carried out in a randomized block design, with three replicates (40 roots per parcel. After the drop, roots were examined individually and the resulting mechanical damage was categorized in four types of lesions (broken, fracture, rupture and abrasion compared to those apparently undamaged. Drop height affected directly the incidence of more serious mechanical damage, such as broken roots and ruptures. The root position also affected the resulting mechanical damage: roots released from the proximal position at 90cm drop height had significantly higher fractures incidence (40.7%, ruptures (19.2% and superficial lesions (22.3% than other treatments. At the 90 cm drop height, roots released from the proximal position had 40.7% of fractures, 19.2% of ruptures and 22.3% of superficial lesions; roots released from the distal position caused 45.8% of ruptures and 23.3% of broken roots. The respiration rates and deterioration of arracacha roots submitted to mechanical damage (90 cm height fall impact and storage (5ºC and 24ºC during four days showed that at the same temperature, mechanically damaged roots had higher respiration rates when compared to sound roots, ranging from 15.3 ml CO2 kg-1 h-1 (unbruised to 34.4 ml CO2 kg-1 h-1 (damaged at 24ºC. Injured roots kept at 24ºC had 84% of deterioration after four days, while those kept at 5ºC were completely sound.

  7. Fracture of the patella after the anterior cruciate ligament reconstruction.

    Science.gov (United States)

    Milankov, Miroslav; Rasović, Predrag; Kovacev, Nemanja; Milović, Milan; Bojat, Veselin

    2012-01-01

    Fracture of the patella, after harvesting the central third of the patellar tendon for a bone-tendon-bone autograft, is a rare complication. We made 1714 reconstructions of the anterior cruciate ligament of the knee using bone-patellar tendon-bone technique, and 7 patients had fracture of the patella (0.42%). The fracture was immediately recognized in the patients with vertical non-displaced patellar fracture and the broken screw osteosynthesis was carried out without changes in the rehabilitation period. One patient was treated non-operatively and patellar fracture in four patients was treated with operative reduction and osteosynthesis. The patients were invited for the check-up 5 years (2-8 years) after surgery on average. The mean Lysholm score was 92 (85-100). All of them continued to engage in sporting activities at the same or greater level after 9 months on average (6-12 months). In all patients the Lachman test was with the firm stop compared to the other leg. X-ray changes in the patella were found in 2 patients who had multifragmentary fractures. The fracture of patella can be prevented by avoiding to take too much bone graft, by using the most precise tools for cutting, while rehabilitation must be carefully planned. The optimal treatment of the fracture of the patella after the reconstruction of the anterior cruciate ligament is a firm osteosynthesis, which allows healing of the bone and continuation of the rehabilitation program.

  8. Three Cases of Spine Fractures after an Airplane Crash

    Science.gov (United States)

    Lee, Han Joo; Moon, Bong Ju; Pennant, William A.; Shin, Dong Ah; Kim, Keung Nyun; Yoon, Do Heum

    2015-01-01

    While injuries to the spine after an airplane crash are not rare, most crashes result in fatal injuries. As such, few studies exist that reported on spine fractures sustained during airplane accidents. In this report, we demonstrate three cases of spine fractures due to crash landing of a commercial airplane. Three passengers perished from injuries after the crash landing, yet most of the passengers and crew on board survived, with injuries ranging from minor to severe. Through evaluating our three spine fracture patients, it was determined that compression fracture of the spine was the primary injury related to the airplane accident. The first patient was a 20-year-old female who sustained a T6-8 compression fracture without neurologic deterioration. The second patient was a 33-year-old female with an L2 compression fracture, and the last patient was a 49-year-old male patient with a T8 compression fracture. All three patients were managed conservatively and required spinal orthotics. During the crash, each of these patients were subjected to direct, downward high gravity z-axis (Gz) force, which gave rise to load on the spine vertically, thereby causing compression fracture. Therefore, new safety methods should be developed to prevent excessive Gz force during airplane crash landings. PMID:27169094

  9. INVESTIGATION OF EFFICIENCY IMPROVEMENTS DURING CO2 INJECTION IN HYDRAULICALLY AND NATURALLY FRACTURED RESERVOIRS

    Energy Technology Data Exchange (ETDEWEB)

    David S. Schechter

    2005-04-27

    This report describes the work performed during the fourth year of the project, ''Investigating of Efficiency Improvements during CO{sub 2} Injection in Hydraulically and Naturally Fractured Reservoirs.'' The objective of this project is to perform unique laboratory experiments with artificially fractured cores (AFCs) and X-ray CT scanner to examine the physical mechanisms of bypassing in hydraulically fractured reservoirs (HFR) and naturally fractured reservoirs (NFR) that eventually result in more efficient CO{sub 2} flooding in heterogeneous or fracture-dominated reservoirs. In Chapter 1, we worked with DOE-RMOTC to investigate fracture properties in the Tensleep Formation at Teapot Dome Naval Reserve as part of their CO{sub 2} sequestration project. In Chapter 2, we continue our investigation to determine the primary oil recovery mechanism in a short vertically fractured core. Finally in Chapter 3, we report our numerical modeling efforts to develop compositional simulator with irregular grid blocks.

  10. An interdisciplinary approach to treat crown‑root‑fractured tooth ...

    African Journals Online (AJOL)

    Restoration of a crown‑root subgingival fractured tooth, especially at anterior aesthetic zones is still a great challenge for restorative dentists. Crown lengthening procedure alone has the disadvantage of high gingival curve of the final restoration, which was not discontinuous to adjacent teeth and thus compromise cosmetic ...

  11. Vertical allometry: fact or fiction?

    Science.gov (United States)

    Mahmood, Iftekhar; Boxenbaum, Harold

    2014-04-01

    In pharmacokinetics, vertical allometry is referred to the clearance of a drug when the predicted human clearance is substantially higher than the observed human clearance. Vertical allometry was initially reported for diazepam based on a 33-fold higher human predicted clearance than the observed human clearance. In recent years, it has been found that many other drugs besides diazepam, can be classified as drugs which exhibit vertical allometry. Over the years, many questions regarding vertical allometry have been raised. For example, (1) How to define and identify the vertical allometry? (2) How much difference should be between predicted and observed human clearance values before a drug could be declared 'a drug which follows vertical allometry'? (3) If somehow one can identify vertical allometry from animal data, how this information can be used for reasonably accurate prediction of clearance in humans? This report attempts to answer the aforementioned questions. The concept of vertical allometry at this time remains complex and obscure but with more extensive works one can have better understanding of 'vertical allometry'. Published by Elsevier Inc.

  12. Pediatric Distal Radius Fractures.

    Science.gov (United States)

    Dua, Karan; Abzug, Joshua M; Sesko Bauer, Andrea; Cornwall, Roger; Wyrick, Theresa O

    2017-02-15

    Distal radius fractures are the most common orthopaedic injury that occur in the pediatric population. The annual incidence of distal radius fractures has increased as a result of earlier participation in sporting activities, increased body mass index, and decreased bone mineral density. Most distal radius fractures are sustained after a fall onto an outstretched arm that results in axial compression on the extremity or from direct trauma to the extremity. Physeal fractures of the distal radius are described based on the Salter-Harris classification system. Extraphyseal fractures of the distal radius are described as incomplete or complete based on the amount of cortical involvement. A thorough physical examination of the upper extremity is necessary to rule out any associated injuries. PA and lateral radiographs of the wrist usually are sufficient to diagnose a distal radius fracture. The management of distal radius fractures is based on several factors, including patient age, fracture pattern, and the amount of growth remaining. Nonsurgical management is the most common treatment option for patients who have distal radius fractures because marked potential for remodeling exists. If substantial angulation or displacement is present, closed reduction maneuvers with or without percutaneous pinning should be performed. Patients with physeal fractures of the distal radius that may result in malunion who present more than 10 days postinjury should not undergo manipulation of any kind because of the increased risk for physeal arrest.

  13. Odontoid Fracture: Computed Tomography

    Directory of Open Access Journals (Sweden)

    Jonathan Peña

    2016-09-01

    Full Text Available History of present illness: An 84-year-old male presented with left-sided posterior head, neck, and back pain after a ground level fall. Exam was notable for left parietal scalp laceration and midline cervical spine tenderness with no obvious deformities. He was neurovascularly intact, and placed in an Aspen Collar with strict spine precautions. Significant findings: Computed Tomography (CT of the cervical spine showed a stable, acute, non-displaced fracture of the odontoid process extending into the body of C2, consistent with a Type III Odontoid Fracture. He was evaluated by orthopedic spine service who recommended conservative, non-operative management. Discussion: The cervical spine is composed of seven vertebrae, with C1 and C2 commonly referred to as the Atlas and Axis, respectively. Unique to C2 is a bony prominence, the Odontoid Process (Dens. Hyperextension or hyperflexion injuries can induce significant stress causing fractures. Odontoid fractures comprise approximately 10% of vertebral fractures, and there are three types with varying stability.1 Type 1 is the rarest and is a fracture involving the superior segment of the Dens. It is considered a stable fracture. Type 2 is the most common and is a fracture involving the base of the odontoid process, below the transverse component of the cruciform ligament. This fracture is unstable and requires operative stabilization. 2 Type 3 odontoid fractures are classified by a fracture of the Odontoid process, as well as the lateral masses of the C2. Determining the stability of a Type III Odontoid fracture requires radiographic evaluation. Strict cervical spine precautions must be adhered to until adequate imaging and surgical consultation is obtained. CT of the of cervical spine fractures poses several advantages to plain film radiography due to the ability to view the anatomy in three planes. 3 However, if there is concern for ligamentous injury, MRI is the preferred modality.3

  14. Pharmacognostic study of Lantana camara Linn. root

    Directory of Open Access Journals (Sweden)

    Dinesh Kumar

    2012-05-01

    Full Text Available Objective: The study was carried out to perform the pharmacognostic evaluation of Lantana camara Linn. root. Method: The pharmacognostic evaluation was done in terms of organoleptic, macro-microscopy, fluorescence analysis and physicochemical parameters. Results: The characteristic macroscopic features showed that the root consists of 25-40 cm long, 0.2-4.0 cm thick pieces which are usually branched, shallow, tough, creamish-brown externally, outer surface rough due to longitudinal wrinkles, with hard fracture, characteristic odour and pungent taste. The main microscopic characters of the root shows exfoliating cork, consisting of about 10-15 rows of tangentially elongated, thick-walled cells followed by cortex consisting of polygonal parenchymatous cells, a few containing rhomboidal shaped calcium oxalate crystals. Endodermis consists of 3-4 layers of non-lignified, thick-walled rounded parenchymatous cells followed by a single layer of non-lignified pericycle. Phloem, a wide zone of xylem consisting of lignified pitted vessels and bi-to triseriate medullary rays are also present. Proximate physicochemical analysis of the root power showed loss on drying, total ash, water soluble ash, sulphated ash values as 0.52, 4.26, 3.8 and 5.8 % w/w respectively. Successive extraction of the root powder with petroleum ether, chloroform, alcohol, water yielded 0.19, 0.35, 2.19 and 2.0 % w/w respectively. Fluorescence study imparted characteristic colors to the root powder when observed under visible, short and long wavelength light. Conclusions: Various pharmacognostic parameters evaluated in this study helps in identification and standardization of Lantana camara L. root in crude form.

  15. Fracture detection, mapping, and analysis of naturally fractured gas reservoirs using seismic technology. Final report, November 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-10-01

    Many basins in the Rocky Mountains contain naturally fractured gas reservoirs. Production from these reservoirs is controlled primarily by the shape, orientation and concentration of the natural fractures. The detection of gas filled fractures prior to drilling can, therefore, greatly benefit the field development of the reservoirs. The objective of this project was to test and verify specific seismic methods to detect and characterize fractures in a naturally fractured reservoir. The Upper Green River tight gas reservoir in the Uinta Basin, Northeast Utah was chosen for the project as a suitable reservoir to test the seismic technologies. Knowledge of the structural and stratigraphic geologic setting, the fracture azimuths, and estimates of the local in-situ stress field, were used to guide the acquisition and processing of approximately ten miles of nine-component seismic reflection data and a nine-component Vertical Seismic Profile (VSP). Three sources (compressional P-wave, inline shear S-wave, and cross-line, shear S-wave) were each recorded by 3-component (3C) geophones, to yield a nine-component data set. Evidence of fractures from cores, borehole image logs, outcrop studies, and production data, were integrated with the geophysical data to develop an understanding of how the seismic data relate to the fracture network, individual well production, and ultimately the preferred flow direction in the reservoir. The multi-disciplinary approach employed in this project is viewed as essential to the overall reservoir characterization, due to the interdependency of the above factors.

  16. Analysis of the pressure response of high angle multiple (HAM) fractures intersecting a welbore; Kokeisha multi fracture (HAM) kosei ni okeru atsuryoku oto kaiseki ni tsuite

    Energy Technology Data Exchange (ETDEWEB)

    Ujo, S.; Osato, K. [Geothermal Energy Research and Development Co. Ltd., Tokyo (Japan); Arihara, N. [Waseda University, Tokyo (Japan); Schroeder, R.

    1996-05-01

    This paper reports pressure response analysis on wells piercing a high angle multi (HAM) fracture model. In this model which is defined on a three-dimensional space, a plurality of slanted fractures intersect with wells at high angles (however, intersection of fractures with each other is not considered). With respect to the pressure response analysis method using this model, the paper presents a basic differential equation on pressure drawdown and boundary conditions in the wells taking flows in the fractures pseudo-linear, as well as external boundary conditions in calculation regions (a reservoir spreads to an infinite distance, and its top and bottom are closed by non-water permeating beds). The paper also indicates that results of calculating a single vertical fracture model and a slanted fracture model by using a numerical computation program (MULFRAC) based on the above equations agree well respectively with the existing calculation results (calculations performed by Erlougher and Cinco et al). 5 refs., 6 figs.

  17. Canal preparation and filling techniques do not influence the fracture resistance of extensively damaged teeth

    OpenAIRE

    Santini,Manuela Favarin; RIPPE,Marília Pivetta; Franciscatto,Gisele Jung; Rosa,Ricardo Abreu da; Valandro, Luiz Felipe; SÓ, Marcus Vinícius Reis; BIER,Carlos Alexandre Souza

    2014-01-01

    The purpose of this study was to assess the fracture resistance of extensively damaged teeth after two root canal preparation techniques (hand and rotary files) and after two filling techniques (active and passive compaction). Sixty-eight maxillary canines roots with an apical diameter equal to that of a #25 K-file were embedded in acrylic resin and the periodontal ligament was simulated by using a polyether impression material. The roots were randomly distributed into four groups (n=17): han...

  18. Protected Vertices in Motzkin trees

    OpenAIRE

    Van Duzer, Anthony

    2017-01-01

    In this paper we find recurrence relations for the asymptotic probability a vertex is $k$ protected in all Motzkin trees. We use a similar technique to calculate the probabilities for balanced vertices of rank $k$. From this we calculate upper and lower bounds for the probability a vertex is balanced and upper and lower bounds for the expected rank of balanced vertices.

  19. Discrete Fracture Network Characterization of Fractured Shale Reservoirs with Implications to Hydraulic Fracturing Optimization

    Science.gov (United States)

    Jin, G.

    2016-12-01

    Shales are important petroleum source rocks and reservoir seals. Recent developments in hydraulic fracturing technology have facilitated high gas production rates from shale and have had a strong impact on the U.S. gas supply and markets. Modeling of effective permeability for fractured shale reservoirs has been challenging because the presence of a fracture network significantly alters the reservoir hydrologic properties. Due to the frequent occurrence of fracture networks, it is of vital importance to characterize fracture networks and to investigate how these networks can be used to optimize the hydraulic fracturing. We have conducted basic research on 3-D fracture permeability characterization and compartmentization analyses for fractured shale formations, which takes the advantages of the discrete fracture networks (DFN). The DFN modeling is a stochastic modeling approach using the probabilistic density functions of fractures. Three common scenarios of DFN models have been studied for fracture permeability mapping using our previously proposed techniques. In DFN models with moderately to highly concentrated fractures, there exists a representative element volume (REV) for fracture permeability characterization, which indicates that the fractured reservoirs can be treated as anisotropic homogeneous media. Hydraulic fracturing will be most effective if the orientation of the hydraulic fracture is perpendicular to the mean direction of the fractures. A DFN model with randomized fracture orientations, on the other hand, lacks an REV for fracture characterization. Therefore, a fracture permeability tensor has to be computed from each element. Modeling of fracture interconnectivity indicates that there exists no preferred direction for hydraulic fracturing to be most effective oweing to the interconnected pathways of the fracture network. 3-D fracture permeability mapping has been applied to the Devonian Chattanooga Shale in Alabama and the results suggest that an

  20. Effect of MTA and Portland Cement on Fracture Resistance of Dentin

    Directory of Open Access Journals (Sweden)

    Maryam Forghani

    2013-06-01

    Full Text Available Background and aims. It is important to evaluate the effects of endodontic materials on tooth structures to avoid endodontic treatment failure. The aim of the present study was to investigate the effect of mineral trioxide aggregates (MTA and Portland cement (PC on fracture resistance of dentin. Materials and methods. Thirty-six freshly extracted human single-rooted premolar teeth were selected. The crowns were removed and the roots were randomly divided into two experimental groups and one control group. The root samples were longitudinally divided into two halves and a dentin bar (2×2×10 mm was cut from each root section for short-term (2 weeks and long-term (12 weeks evaluations. The root sections in the experimental groups were exposed to MTA or PC, while keeping the control group specimens in physiologic saline. The fracture resistance of each specimen was measured using an Instron testing machine. The results were statistically analyzed using ANOVA, a post hoc Tukey test and paired ttest at 5% significance level. Results. The fracture resistance of MTA-treated specimens significantly increased between 2 and 12 weeks (P0.05. Conclusion. The results showed that MTA increased the fracture resistance of root dentin, while PC had no significant effect on dentin fracture resistance.

  1. Proximal humeral fractures

    OpenAIRE

    Mauro, Craig S.

    2011-01-01

    Proximal humeral fractures may present with many different configurations in patients with varying co-morbities and expectations. As a result, the treating physician must understand the fracture pattern, the quality of the bone, other patient-related factors, and the expanding range of reconstructive options to achieve the best functional outcome and to minimize complications. Current treatment options range from non-operative treatment with physical therapy to fracture fixation using percuta...

  2. Sphenotemporal buttress fracture

    Energy Technology Data Exchange (ETDEWEB)

    Jend, H.H.; Jend-Rossmann, I.

    1984-09-01

    A new fracture type visible of CT images of the base of the skull is described. In this fracture the sphenoidal connection to the zygomatic and temporal bone breaks off all its three extensions. It was recognized in five patients with severe head injuries. In three surviving patients it was associated with ipsilateral persistent amaurosis. This fracture should alert the investigator to the possible sequelae of the head injury.

  3. CHARACTERIZATION OF IN-SITU STRESS AND PERMEABILITY IN FRACTURED RESERVOIRS

    Energy Technology Data Exchange (ETDEWEB)

    Daniel R. Burns; M. Nafi Toksoz

    2004-07-19

    Expanded details and additional results are presented on two methods for estimating fracture orientation and density in subsurface reservoirs from scattered seismic wavefield signals. In the first, fracture density is estimated from the wavenumber spectra of the integrated amplitudes of the scattered waves as a function of offset in pre-stack data. Spectral peaks correctly identified the 50m, 35m, and 25m fracture spacings from numerical model data using a 40Hz source wavelet. The second method, referred to as the Transfer Function-Scattering Index Method, is based upon observations from 3D finite difference modeling that regularly spaced, discrete vertical fractures impart a ringing coda-type signature to any seismic energy that is transmitted through or reflected off of them. This coda energy is greatest when the acquisition direction is parallel to the fractures, the seismic wavelengths are tuned to the fracture spacing, and when the fractures have low stiffness. The method uses surface seismic reflection traces to derive a transfer function, which quantifies the change in an apparent source wavelet propagating through a fractured interval. The transfer function for an interval with low scattering will be more spike-like and temporally compact. The transfer function for an interval with high scattering will ring and be less temporally compact. A Scattering Index is developed based on a time lag weighting of the transfer function. When a 3D survey is acquired with a full range of azimuths, the Scattering Index allows the identification of subsurface areas with high fracturing and the orientation (or strike) of those fractures. The method was calibrated with model data and then applied to field data from a fractured reservoir giving results that agree with known field measurements. As an aid to understanding the scattered wavefield seen in finite difference models, a series of simple point scatterers was used to create synthetic seismic shot records collected over

  4. Trauma of the upper cervical spine: focus on vertical atlantoaxial dislocation.

    Science.gov (United States)

    Pissonnier, M L; Lazennec, J Y; Renoux, J; Rousseau, M A

    2013-10-01

    Traumatic ligament injuries of the craniovertebral junction, either isolated or associated with bone avulsion or fracture, often lead to death. These injuries are rare and underrated but are increasingly seen in emergency departments due to the improvement in initial on-scene management of accidents. Vertical atlantoaxial dislocation (AAD) is a specific lesion that was barely reported. Based on our experience, our goal was to systematically investigate the prevalence and prognosis of traumatic vertical AAD and discuss its management. All cervical CT scans performed at our institution between 2006 and 2010 for cervical trauma in adults were retrospectively reviewed. Based on the measurement of lateral mass index (LMI), defined as the gap between C1 and C2 articular facets, we identified three cases of traumatic vertical AAD in 300 CT scans. Their medical records were investigated. The incidence of vertical AAD was 1% in the exposed population. One case was an isolated vertical AAD and two were associated with a type II odontoid fracture. We report the first case in the literature of unilateral vertical AAD. Two patients died rapidly; the survivor was treated with occipitocervical fixation. Specific maneuvers were used for immobilization and reduction. This study found a not insignificant incidence of vertical AAD and a high lethality rate. LMI appears to be a relevant radiological criterion for this diagnosis, for which traction is contraindicated. Associated neurological or vascular damage should be suspected and investigated. In our experience, spinal surgical fixation is required because of major instability.

  5. Scaphoid fractures in children

    Directory of Open Access Journals (Sweden)

    Gajdobranski Đorđe

    2014-01-01

    Full Text Available Introduction. Scaphoid fractures are rare in childhood. Diagnosis is very difficult to establish because carpal bones are not fully ossified. In suspected cases comparative or delayed radiography is used, as well as computerized tomography, magnetic resonance imaging, ultrasound and bone scintigraphy. Majority of scaphoid fractures are treated conservatively with good results. In case of delayed fracture healing various types of treatment are available. Objective. To determine the mechanism of injury, clinical healing process, types and outcome of treatment of scaphoid fractures in children. Methods. We retrospectively analyzed patients with traumatic closed fracture of the scaphoid bone over a ten-year period (2002-2011. The outcome of the treatment of “acute” scaphoid fracture was evaluated using the Mayo Wrist Score. Results. There were in total 34 patients, of mean age 13.8 years, with traumatic closed fracture of the scaphoid bone, whose bone growth was not finished yet. Most common injury mechanism was fall on outstretched arm - 76% of patients. During the examined period 31 children with “acute” fracture underwent conservative treatment, with average immobilization period of 51 days. Six patients were lost to follow-up. In the remaining 25 patients, after completed rehabilitation, functional results determined by the Mayo Wrist Score were excellent. Conclusion. Conservative therapy of “acute” scaphoid fractures is an acceptable treatment option for pediatric patients with excellent functional results.

  6. Hip fracture after hemiplegia.

    Science.gov (United States)

    Mulley, G.; Espley, A. J.

    1979-01-01

    In a series of 57 hemiplegic patients who subsequently fractured their hips, it was found that hip fracture occurred significantly more often on the hemiplegic side. Hip fracture was equally common in right- and left-sided hemiplegia, and often occurred within one year of the stroke. Two factors seem to be important in the genesis of hip fractures in hemiplegic patients: the tendency of stroke patients to fall to the affected side as a result of impaired locomotor function, and the development of disuse osteoporosis in the hemiplegic limb. PMID:471862

  7. [Fractures of the midfoot].

    Science.gov (United States)

    Boack, D H

    2004-07-01

    The immediate reduction of luxations and severe dislocations is necessary to protect the soft tissue. The soft tissue lesions determine the timing and partially the options of the operative treatment too. The conventional standard X-rays are sufficient to classify most of the fractures. Conservative treatment or minimal-invasive intramedullary techniques of fixation are sufficient in the treatment in most of the fractures. Screw- and plate-osteosynthesis are a good choice only in intra-articular fractures or sometimes in fractures of the first or fifth metatarsals. The clinical outcome is almost good and the rate of complications is low.

  8. Pathological fractures in children

    Science.gov (United States)

    De Mattos, C. B. R.; Binitie, O.; Dormans, J. P.

    2012-01-01

    Pathological fractures in children can occur as a result of a variety of conditions, ranging from metabolic diseases and infection to tumours. Fractures through benign and malignant bone tumours should be recognised and managed appropriately by the treating orthopaedic surgeon. The most common benign bone tumours that cause pathological fractures in children are unicameral bone cysts, aneurysmal bone cysts, non-ossifying fibromas and fibrous dysplasia. Although pathological fractures through a primary bone malignancy are rare, these should be recognised quickly in order to achieve better outcomes. A thorough history, physical examination and review of plain radiographs are crucial to determine the cause and guide treatment. In most benign cases the fracture will heal and the lesion can be addressed at the time of the fracture, or after the fracture is healed. A step-wise and multidisciplinary approach is necessary in caring for paediatric patients with malignancies. Pathological fractures do not have to be treated by amputation; these fractures can heal and limb salvage can be performed when indicated. PMID:23610658

  9. Treatment of forearm fractures

    National Research Council Canada - National Science Library

    Macintyre, N R; Ilyas, A M; Jupiter, J B

    2009-01-01

    Fractures of the forearm represent common injuries. Understanding the anatomy and function of the radius, ulna, interosseous membrane, proximal and distal radioulnar joints is critical to appropriate management...

  10. Bracing for thoracolumbar fractures.

    Science.gov (United States)

    Chang, Victor; Holly, Langston T

    2014-01-01

    Traumatic fractures of the thoracolumbar spine are relatively common occurrences that can be a source of pain and disability. Similarly, osteoporotic vertebral fractures are also frequent events and represent a significant health issue specific to the elderly. Neurologically intact patients with traumatic thoracolumbar fractures can commonly be treated nonoperatively with bracing. Nonoperative treatment is not suitable for patients with neurological deficits or highly unstable fractures. The role of operative versus nonoperative treatment of burst fractures is controversial, with high-quality evidence supporting both options. Osteoporotic vertebral fractures can be managed with bracing or vertebral augmentation in most cases. There is, however, a lack of high-quality evidence comparing operative versus nonoperative fractures in this population. Bracing is a low-risk, cost-effective method to treat certain thoracolumbar fractures and offers efficacy equivalent to that of surgical management in many cases. The evidence for bracing of osteoporotic-type fractures is less clear, and further investigation will be necessary to delineate its optimal role.

  11. Pediatric Scaphoid Fractures.

    Science.gov (United States)

    Ting, Beverlie; Sesko Bauer, Andrea; Abzug, Joshua M; Cornwall, Roger; Wyrick, Theresa O; Bae, Donald S

    2017-02-15

    Scaphoid fractures are the most common type of carpal injuries that occur in children and adolescents. The injury pattern seen in children and adolescents who have scaphoid fractures has recently shifted to resemble that of adults who have scaphoid fractures, with scaphoid waist fractures being the most common injury pattern. This shift has been attributed to increased body mass index in children and adolescents as well as more intense participation in extreme sports by both children and adolescents. The diagnosis of scaphoid fractures is based on both a clinical examination and radiographic fi ndings. If a scaphoid fracture is clinically suspected but initial radiographs are negative, cast immobilization followed by repeat imaging can lead to accurate diagnosis of the injury. MRI can aid in the diagnosis of a scaphoid injury in pediatric patients with incomplete ossifi cation of the scaphoid. Acute nondisplaced scaphoid fractures have a high rate of healing with cast immobilization; however, surgery should be considered in patients who have displaced scaphoid fractures with delayed presentation. In general, patients with scaphoid fractures who undergo appropriate treatment and achieve successful union have excellent long-term functional outcomes.

  12. Sacral Stress Fracture in an Amateur Badminton Player

    Directory of Open Access Journals (Sweden)

    Yusuke Yuasa

    2017-01-01

    Full Text Available Sacral stress fractures are rare among athletes but have been reported most frequently in long distance runners. We report herein the first case of a sacral stress fracture in an amateur badminton player. A 16-year-old, left-handed adolescent girl, who had just started to play badminton 3 months previously, complained of acute left buttock pain when she received a shuttlecock. Magnetic resonance imaging revealed a linear lesion of the left sacrum with low signal intensity on T1- and high signal intensity on T2-weighted images, which was consistent with a stress fracture. Conservative treatment with rest relieved her symptoms. Her fracture was considered to have occurred due to repetition of an exercise that caused excessive vertical power.

  13. Fracture of the styloid process associated with the mandible fracture

    Directory of Open Access Journals (Sweden)

    K N Dubey

    2013-01-01

    Full Text Available Fracture of the styloid process (SP of temporal bone is an uncommon injuries. Fracture of the SP can be associated with the facial injuries including mandible fracture. However, injury to the SP may be concealed and missed diagnosis may lead to the improper or various unnecessary treatments. A rare case of SP fracture associated with the ipsilateral mandibular fracture and also the diagnostic and management considerations of the SP fracture are discussed.

  14. Nodulation and Rhizobium Population in Root Nodules of Selected ...

    African Journals Online (AJOL)

    Nodulation and rhizobium population in root nodules of 5- year old Leucaena leucocephala; Gliricidia sepium and Acacia mangium were assessed. Nodules of these tree legumes were quantified in terms of their numbers, lateral and vertical distribution while the rhizobium population in cultured nodules was counted as ...

  15. Tooth Eruption without Roots

    Science.gov (United States)

    2013-01-01

    Root development and tooth eruption are very important topics in dentistry. However, they remain among the less-studied and -understood subjects. Root development accompanies rapid tooth eruption, but roots are required for the movement of teeth into the oral cavity. It has been shown that the dental follicle and bone remodeling are essential for tooth eruption. So far, only limited genes have been associated with root formation and tooth eruption. This may be due to the difficulties in studying late stages of tooth development and tooth movement and the lack of good model systems. Transgenic mice with eruption problems and short or no roots can be used as a powerful model for further deciphering of the cellular, molecular, and genetic mechanisms underlying root formation and tooth eruption. Better understanding of these processes can provide hints on delivering more efficient dental therapies in the future. PMID:23345536

  16. The Fracture Resistance of Composite Core Materials Reinforced by Varying Fiber Orientations.

    Science.gov (United States)

    Sungur, Derya Deniz; Ersu, Bahadir; Tezvergil-Mutluy, Arzu; Canay, Senay

    This study aimed to compare the fracture resistance of composite core materials reinforced with varying fiber orientations. Composite cores of endodontically treated roots were prepared by reinforcing with woven fiber discs, fiber strips, or fiber chips, and their fracture resistance was compared to those with no reinforcement using a universal test machine (Instron, Lloyd Instruments). Reinforcement with fiber chips showed the highest fracture resistance and 50% retrievability, while no reinforcement showed the lowest fracture resistance with 62.5% retrievability. It can be concluded that the use of fiber chips may be an effective and practical method for reinforcement of the core material.

  17. Hip Fractures among Older Adults

    Science.gov (United States)

    ... online training for health care providers. Learn More Hip Fractures Among Older Adults Recommend on Facebook Tweet Share ... get older. What You Can Do to Prevent Hip Fractures You can prevent hip fractures by taking steps ...

  18. Compression fractures of the back

    Science.gov (United States)

    ... most effective way to prevent compression or insufficiency fractures. Getting regular load-bearing exercise (such as walking) can help you avoid bone loss. Alternative Names Vertebral compression fractures Images Compression fracture References Cosman F, de Beur ...

  19. The Process of Hydraulic Fracturing

    Science.gov (United States)

    Hydraulic fracturing, know as fracking or hydrofracking, produces fractures in a rock formation by pumping fluids (water, proppant, and chemical additives) at high pressure down a wellbore. These fractures stimulate the flow of natural gas or oil.

  20. Timelapse scanning reveals spatial variation in tomato (Solanum lycopersicum L.) root elongation rates during partial waterlogging

    DEFF Research Database (Denmark)

    Dresbøll, Dorte; Thorup-Kristensen, Kristian; Mckenzie, Blair M.

    2013-01-01

    by increasing elongation rates. Methods Tomato plants (Solanum lycopersicum L.) were grown in peat in root chambers (300×215× 6 mm) with a transparent front. Root chambers were maintained in flatbed scanners tilted at 30° to vertical and scanned every 3 h before, during and after waterlogging the lower layer...

  1. Diagnosis and Management of Vertebral Compression Fractures.

    Science.gov (United States)

    McCarthy, Jason; Davis, Amy

    2016-07-01

    Vertebral compression fractures (VCFs) are the most common complication of osteoporosis, affecting more than 700,000 Americans annually. Fracture risk increases with age, with four in 10 white women older than 50 years experiencing a hip, spine, or vertebral fracture in their lifetime. VCFs can lead to chronic pain, disfigurement, height loss, impaired activities of daily living, increased risk of pressure sores, pneumonia, and psychological distress. Patients with an acute VCF may report abrupt onset of back pain with position changes, coughing, sneezing, or lifting. Physical examination findings are often normal, but can demonstrate kyphosis and midline spine tenderness. More than two-thirds of patients are asymptomatic and diagnosed incidentally on plain radiography. Acute VCFs may be treated with analgesics such as acetaminophen, nonsteroidal anti-inflammatory drugs, narcotics, and calcitonin. Physicians must be mindful of medication adverse effects in older patients. Other conservative therapeutic options include limited bed rest, bracing, physical therapy, nerve root blocks, and epidural injections. Percutaneous vertebral augmentation, including vertebroplasty and kyphoplasty, is controversial, but can be considered in patients with inadequate pain relief with nonsurgical care or when persistent pain substantially affects quality of life. Family physicians can help prevent vertebral fractures through management of risk factors and the treatment of osteoporosis.

  2. Filling of simulated lateral canals with gutta-percha or thermoplastic polymer by warm vertical compaction

    Directory of Open Access Journals (Sweden)

    Arnaldo SANT’ANNA JUNIOR

    2015-01-01

    Full Text Available The aim of this study was to evaluate the ability of gutta-percha and a thermoplastic synthetic polymer (Resilon to fill simulated lateral canals, using warm vertical compaction. Forty-five single-rooted human teeth were prepared using the rotary crown-down technique. Artificial lateral canals were made at 2, 5, and 8 mm from the working length (WL in each root. The specimens were divided into three groups (n = 15, according to the filling material: Dentsply gutta-percha (GD, Odous gutta-percha (GO, and Resilon cones (RE. The root canals were obturated using warm vertical compaction, without endodontic sealer. The specimens were subjected to a tooth decalcification and clearing procedure. Filling of the lateral canals was analyzed by digital radiography and digital photographs, using the Image Tool software. The data were subjected to the Kruskal-Wallis and Dunn tests at 5% significance. RE had the best filling ability in all root thirds (p 0.05. Resilon may be used as an alternative to gutta-percha as a solid core filling material for use with the warm vertical compaction technique. The study findings point to the potential benefit of the warm vertical compaction technique for filling lateral canals, and the study provides further information about using Resilon and gutta-percha as materials for the warm vertical compaction technique.

  3. Volume fracturing of deep shale gas horizontal wells

    Directory of Open Access Journals (Sweden)

    Tingxue Jiang

    2017-03-01

    Full Text Available Deep shale gas reservoirs buried underground with depth being more than 3500 m are characterized by high in-situ stress, large horizontal stress difference, complex distribution of bedding and natural cracks, and strong rock plasticity. Thus, during hydraulic fracturing, these reservoirs often reveal difficult fracture extension, low fracture complexity, low stimulated reservoir volume (SRV, low conductivity and fast decline, which hinder greatly the economic and effective development of deep shale gas. In this paper, a specific and feasible technique of volume fracturing of deep shale gas horizontal wells is presented. In addition to planar perforation, multi-scale fracturing, full-scale fracture filling, and control over extension of high-angle natural fractures, some supporting techniques are proposed, including multi-stage alternate injection (of acid fluid, slick water and gel and the mixed- and small-grained proppant to be injected with variable viscosity and displacement. These techniques help to increase the effective stimulated reservoir volume (ESRV for deep gas production. Some of the techniques have been successfully used in the fracturing of deep shale gas horizontal wells in Yongchuan, Weiyuan and southern Jiaoshiba blocks in the Sichuan Basin. As a result, Wells YY1HF and WY1HF yielded initially 14.1 × 104 m3/d and 17.5 × 104 m3/d after fracturing. The volume fracturing of deep shale gas horizontal well is meaningful in achieving the productivity of 50 × 108 m3 gas from the interval of 3500–4000 m in Phase II development of Fuling and also in commercial production of huge shale gas resources at a vertical depth of less than 6000 m.

  4. Simulation studies to evaluate the effect of fracture closure on the performance of fractured reservoirs; Final report

    Energy Technology Data Exchange (ETDEWEB)

    Howrie, I.; Dauben, D.

    1994-03-01

    A three-year research program to evaluate the effect of fracture closure on the recovery of oil and gas from naturally fractured reservoirs has been completed. The overall objectives of the study were to: (1) evaluate the reservoir conditions for which fracture closure is significant, and (2) evaluate innovative fluid injection techniques capable of maintaining pressure within the reservoir. The evaluations of reservoir performance were made by a modern dual porosity simulator, TETRAD. This simulator treats both porosity and permeability as functions of pore pressure. The Austin Chalk in the Pearsall Field in of South Texas was selected as the prototype fractured reservoir for this work. During the first year, simulations of vertical and horizontal well performance were made assuming that fracture permeability was insensitive to pressure change. Sensitivity runs indicated that the simulator was predicting the effects of critical reservoir parameters in a logical and consistent manner. The results confirmed that horizontal wells could increase both rate of oil recovery and total oil recovery from naturally fractured reservoirs. In the second year, the performance of the same vertical and horizontal wells was reevaluated with fracture permeability treated as a function of reservoir pressure. To investigate sensitivity to in situ stress, differing loading conditions were assumed. Simulated natural depletions confirm that pressure sensitive fractures degrade well performance. The severity of degradation worsens when the initial reservoir pressure approaches the average stress condition of the reservoir, such as occurs in over pressured reservoirs. Simulations with water injection indicate that degradation of permeability can be counteracted when reservoir pressure is maintained and oil recovery can be increased when reservoir properties are favorable.

  5. Coupling Hydraulic Fracturing Propagation and Gas Well Performance for Simulation of Production in Unconventional Shale Gas Reservoirs

    Science.gov (United States)

    Wang, C.; Winterfeld, P. H.; Wu, Y. S.; Wang, Y.; Chen, D.; Yin, C.; Pan, Z.

    2014-12-01

    Hydraulic fracturing combined with horizontal drilling has made it possible to economically produce natural gas from unconventional shale gas reservoirs. An efficient methodology for evaluating hydraulic fracturing operation parameters, such as fluid and proppant properties, injection rates, and wellhead pressure, is essential for the evaluation and efficient design of these processes. Traditional numerical evaluation and optimization approaches are usually based on simulated fracture properties such as the fracture area. In our opinion, a methodology based on simulated production data is better, because production is the goal of hydraulic fracturing and we can calibrate this approach with production data that is already known. This numerical methodology requires a fully-coupled hydraulic fracture propagation and multi-phase flow model. In this paper, we present a general fully-coupled numerical framework to simulate hydraulic fracturing and post-fracture gas well performance. This three-dimensional, multi-phase simulator focuses on: (1) fracture width increase and fracture propagation that occurs as slurry is injected into the fracture, (2) erosion caused by fracture fluids and leakoff, (3) proppant subsidence and flowback, and (4) multi-phase fluid flow through various-scaled anisotropic natural and man-made fractures. Mathematical and numerical details on how to fully couple the fracture propagation and fluid flow parts are discussed. Hydraulic fracturing and production operation parameters, and properties of the reservoir, fluids, and proppants, are taken into account. The well may be horizontal, vertical, or deviated, as well as open-hole or cemented. The simulator is verified based on benchmarks from the literature and we show its application by simulating fracture network (hydraulic and natural fractures) propagation and production data history matching of a field in China. We also conduct a series of real-data modeling studies with different combinations of

  6. Displaced patella fractures.

    Science.gov (United States)

    Della Rocca, Gregory J

    2013-10-01

    Displaced patella fractures often result in disruption of the extensor mechanism of the knee. An intact extensor mechanism is a requirement for unassisted gait. Therefore, operative treatment of the displaced patella fracture is generally recommended. The evaluation of the patella fracture patient includes examination of extensor mechanism integrity. Operative management of patella fractures normally includes open reduction with internal fixation, although partial patellectomy is occasionally performed, with advancement of quadriceps tendon or patellar ligament to the fracture bed. Open reduction with internal fixation has historically been performed utilizing anterior tension band wiring, although comminution of the fracture occasionally makes this fixation construct inadequate. Supplementation or replacement of the tension band wire construct with interfragmentary screws, cerclage wire or suture, and/or plate-and-screw constructs may add to the stability of the fixation construct. Arthrosis of the patellofemoral joint is very common after healing of patella fractures, and substantial functional deficits may persist long after fracture healing has occurred. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  7. Vertebral Fracture Prediction

    DEFF Research Database (Denmark)

    2008-01-01

    Vertebral Fracture Prediction A method of processing data derived from an image of at least part of a spine is provided for estimating the risk of a future fracture in vertebraeof the spine. Position data relating to at least four neighbouring vertebrae of the spine is processed. The curvature...

  8. Atypical femoral fractures

    African Journals Online (AJOL)

    2013-01-24

    Jan 24, 2013 ... A 73 year-old female patient was admitted to the orthogeriatrics unit at Helen Joseph Hospital in 2012 with a fracture of her right femur, following a fall from standing height. She was known to have severe osteoporosis, having sustained multiple previous fragility fractures involving her right distal radius, left ...

  9. Dating fractures in infants

    Energy Technology Data Exchange (ETDEWEB)

    Halliday, K.E., E-mail: kath.halliday@nuh.nhs.uk [Department of Radiology, Nottingham University Hospitals, Queen' s Medical Centre, Nottingham (United Kingdom); Broderick, N.J.; Somers, J.M. [Department of Radiology, Nottingham University Hospitals, Queen' s Medical Centre, Nottingham (United Kingdom); Hawkes, R. [Department of Radiology, Paul O' Gorman Building, Bristol (United Kingdom)

    2011-11-15

    Aim: To document the timing of the appearance of the radiological features of fracture healing in a group of infants in which the date of injury was known and to assess the degree of interobserver agreement. Materials and methods: Three paediatric radiologists independently assessed 161 images of 37 long bone fractures in 31 patients aged 0-44 months. The following features were assessed: soft-tissue swelling, subperiosteal new bone formation (SPNBF), definition of fracture line, presence or absence of callus, whether callus was well or ill defined, and the presence of endosteal callus. Results: Agreement between observers was only moderate for all discriminators except SPNBF. SPNBF was invariably seen after 11 days but was uncommon before this time even in the very young. In one case SPNBF was seen at 4 days. Conclusion: With the exception of SPNBF, the criteria relied on to date fractures are either not reproducible or are poor discriminators of fracture age.

  10. Proximal femoral fractures

    DEFF Research Database (Denmark)

    Palm, Henrik; Teixidor, Jordi

    2015-01-01

    -displaced femoral neck fractures and prosthesis for displaced among the elderly; and sliding hip screw for stabile- and intramedullary nails for unstable- and sub-trochanteric fractures) but they are based on a variety of criteria and definitions - and often leave wide space for the individual surgeons' subjective...... guidelines for hip fracture surgery and discuss a method for future pathway/guideline implementation and evaluation. METHODS: By a PubMed search in March 2015 six studies of surgical treatment pathways covering all types of proximal femoral fractures with publication after 1995 were identified. Also we...... searched the homepages of the national heath authorities and national orthopedic societies in West Europe and found 11 national or regional (in case of no national) guidelines including any type of proximal femoral fracture surgery. RESULTS: Pathway consensus is outspread (internal fixation for un...

  11. Tibial Plateau Fractures

    DEFF Research Database (Denmark)

    Elsøe, Rasmus

    This PhD thesis reported an incidence of tibial plateau fractures of 10.3/100,000/year in a complete Danish regional population. The results reported that patients treated for a lateral tibial plateau fracture with bone tamp reduction and percutaneous screw fixation achieved a satisfactory level...... with only the subgroup Sport significantly below the age matched reference population. The thesis reports a level of health related quality of life (Eq5d) and disability (KOOS) significantly below established reference populations for patients with bicondylar tibial plateau fracture treated with a ring...... fixator, both during treatment and at 19 months following injury. In general, the thesis demonstrates that the treatment of tibial plateau fractures are challenging and that some disabilities following these fractures must be expected. Moreover, the need for further research in the area, both with regard...

  12. Bone fractures after menopause.

    Science.gov (United States)

    2010-01-01

    Every year 30% of individuals above age 65 fall, and falls are the principal cause of bone fractures. To reduce fracture incidence requires both prevention of falls and maintenance of bone strength. PubMed searches were performed, for studies of the epidemiology of fractures, bone physiology, endocrine effects, osteoporosis measurement, genetics, prevention and effectiveness. Topic summaries were presented to the Workshop Group and omissions or disagreements were resolved by discussion. Ageing reduces bone strength in post-menopausal women because estrogen deficiency causes accelerated bone resorption. Bone mineral density (BMD) decreased more than 2.5 standard deviation below the mean of healthy young adults defines osteoporosis, a condition associated with an increased risk of fractures. Risk factors such as age and previous fracture are combined with BMD for a more accurate prediction of fracture risk. The most widely used assessment tool is FRAX™ which combines clinical risk factors and femoral neck BMD. General preventive measures include physical exercise to reduce the risk of falling and vitamin D to facilitate calcium absorption. Pharmacological interventions consist mainly in the administration of inhibitors of bone resorption. Randomized controlled trials show treatment improves BMD, and may reduce the relative fracture risk by about 50% for vertebral, 20-25% for non-vertebral and up to 40% for hip fractures although the absolute risk reductions are much lower. Although diagnosis of osteoporosis is an important step, the threshold for treatment to prevent fractures depends on additional clinical risk factors. None of the presently available treatment options provide complete fracture prevention.

  13. Fracture characterization in a deep geothermal reservoir

    Science.gov (United States)

    Rühaak, Wolfram; Hehn, Vera; Hassanzadegan, Alireza; Tischner, Torsten

    2017-04-01

    At the geothermal research drilling Horstberg in North West Germany studies for the characterization of a vertical fracture are performed. The fracture was created by a massive hydraulic stimulation in 2003 in approx. 3700 m depth within rocks of the middle Buntsandstein. The fracture surface is in the order of 100,000 m2, depending on the flow rate at which water is injected. Besides hydraulic characterization, multiple tracer tests are planned. At the depth of interest the reservoir temperature is around 150 °C, pressure is around 600 bar (60 MPa) and due to salinity the water density is around 1200 kg/m3. Knowledge of tracer stability and behavior at these reservoir conditions is limited. Additionally, the planned tracer tests will be performed within one single borehole. In a closed cycle water is injected into the inner pipe of the well (tubing), which is separated by a permanent packer from the outer pipe (annulus). The water is produced back from the annulus approximately 150 m above the injection point. Thus, the circulation of thermal water between two sandstone layers via an artificial fracture can be achieved. Tests will be carried out with different flow rates and accordingly with different pressures, resulting in different fracture areas. Due to this test setup tracer signals will be stacked and will remain for a longer time in the fracture - which is the reason why different tracers are required. For an optimal characterization both conservative and reactive tracers will be used and different injection methods (continuous, instantaneous and pulsed) will be applied. For a proper setup of the tracer test numerical modelling studies are performed in advance. The relevant thermal, hydraulic and chemical processes (mainly adsorption and degredation) are coupled, resulting in a THC model; additionally the dependence of fracture aperture and area on fluid pressure has to be considered. Instead of applying a mechanically coupled model (THMC) a simplified

  14. Trade Liberalisation and Vertical Integration

    DEFF Research Database (Denmark)

    Bache, Peter Arendorf; Laugesen, Anders Rosenstand

    producers face decisions on exporting, vertical integration of intermediate-input production, and whether the intermediate-input production should be offshored to a low-wage country. We find that the fractions of final-good producers that pursue either vertical integration, offshoring, or exporting are all......We build a three-country model of international trade in final goods and intermediate inputs and study the relation between four different types of trade liberalisation and vertical integration. Firms are heterogeneous with respect to both productivity and factor (headquarter) intensity. Final-good...... increasing when intermediate-input trade or final-goods trade is liberalised. Finally, we provide guidance for testing the open-economy property rights theory of the firm using firm-level data and surprisingly show that the relationship between factor (headquarter) intensity and the likelihood of vertical...

  15. Horizontal and Vertical Line Designs.

    Science.gov (United States)

    Johns, Pat

    2003-01-01

    Presents an art lesson in which students learn about the artist Piet Mondrian and create their own abstract artworks. Focuses on geometric shapes using horizontal and vertical lines. Includes background information about the artist. (CMK)

  16. Vertical axis wind turbine airfoil

    Science.gov (United States)

    Krivcov, Vladimir; Krivospitski, Vladimir; Maksimov, Vasili; Halstead, Richard; Grahov, Jurij Vasiljevich

    2012-12-18

    A vertical axis wind turbine airfoil is described. The wind turbine airfoil can include a leading edge, a trailing edge, an upper curved surface, a lower curved surface, and a centerline running between the upper surface and the lower surface and from the leading edge to the trailing edge. The airfoil can be configured so that the distance between the centerline and the upper surface is the same as the distance between the centerline and the lower surface at all points along the length of the airfoil. A plurality of such airfoils can be included in a vertical axis wind turbine. These airfoils can be vertically disposed and can rotate about a vertical axis.

  17. Rooting plant development

    NARCIS (Netherlands)

    Scheres, B.

    2013-01-01

    In 1993, we published a paper in Development detailing the anatomical structure of the Arabidopsis root. The paper described how root growth was maintained by the precisely tuned activity of a small set of 'initials', which acted as the source of dividing and differentiating cells, and how these

  18. Expected occurrence of the transmissive fractures at the repository level for grouting design purposes

    Energy Technology Data Exchange (ETDEWEB)

    Vaittinen, T.; Nummela, J.; Tammisto, E. (Poeyry Environment Oy, Vantaa (Finland))

    2007-11-15

    Posiva Oy has set up a R20-programme to define an acceptable sealing methodology for the disposal tunnels of the spent nuclear fuel. As a sub-task of project Grouting technology expected hydrogeological conditions in the bedrock from the grouting point of view at the planned repository depth have been assessed based on observations of the transmissive fractures in deep drillholes. The processing of the transmissive fractures was performed in two phases. First all transmissive fractures were assessed together and then fractures were divided to belong either to the averagely fractured rock or to fractured zones. The fractured zones were determined after the criteria applied in bedrock model version 2003/1. Furthermore, the fractures were classified by hydraulic aperture, b{sub hydr} below 0.020 mm, b{sub hydr} 0.020-0.050 mm, and b{sub hydr} above 0.050 mm and by dip angle, dip below 30 deg, dip 30-60 deg , and dip above 60 deg . The assessed parameters were transmissivity and derived hydraulic aperture, orientation in terms of dip direction and dip, and spacing. Classification was performed for grouting design purposes. The description of the classified fracture groups is given. Observation of steeply dipping fractures is biased due to the sub-vertical orientation of the deep drillholes. Based on the fracture mapping data from ONKALO access tunnel walls and roof order of magnitude multiplying term, 1.7, was approximated for the occurrence of steeply dipping fractures. To approximate transmissive fracture frequency in horizontal tunnel instead of subvertical drillhole, spacing of fractures was rotated assuming planar continuity for fractures and applying right-angled triangle calculation. Average distances between fractures within each of above mentioned fracture group is given. The distance varied from 112 m (dip below 30 deg and b{sub hydr} below 0.020 mm) to 3350 m (dip 30-60 deg and bhydr above 0.050 mm). For the transmissive fractures within fractured zones

  19. Chromatic roots and hamiltonian paths

    DEFF Research Database (Denmark)

    Thomassen, Carsten

    2000-01-01

    We present a new connection between colorings and hamiltonian paths: If the chromatic polynomial of a graph has a noninteger root less than or equal to t(n) = 2/3 + 1/3 (3)root (26 + 6 root (33)) + 1/3 (3)root (26 - 6 root (33)) = 1.29559.... then the graph has no hamiltonian path. This result...

  20. [Feasible study of the minimal-invasive surgical treatment for the pelvis fractures].

    Science.gov (United States)

    Lü, He-rong; He, Zhi-yong; Li, Guo; Wang, Gen-cun; Zhang, Jian-jun

    2008-11-01

    To discuss feasibility of minimal-invasive surgical treatment of the pelvis fractures. Twenty-six patients with pelvis fractures were treated by micro-surgical treatment. There were 15 male and 11 female with an average age of 40 years ranging from 20 to 62 years. All patients were closed fractures, 17 patients were hemi-pelvis fractures, 9 patients were bilateral-pelvis fractures. The fracture type of posterior ring of pelvis as follows:8 patients were sacro-iliac joint dislocation, 12 patients were vertical section fractures in the outboard of the sacrum. The fracture type of anterior ring of pelvis as follows: 9 patients were hemi-fracture of rami ossis pubisi or hemi-fracture of rami ischi, 7 patients were bilateral-fracture of rami ossis pubisi or bilateral-fracture of rami ischii, 6 patients were separation of symphysis pubis. Six patients accompanied with shock. Anterior ring of pelvis was fixation by lag screw via superior ramus of pubis and pubic symphysis; Posterior ring of pelvis was fixation by lag screw via sacroiliac joint or intrasacral rod via ilium. X-ray films and multi-slice spiral CT of pelvis was obtained in order to understand exterior and inner details about pelvis fractures. Adopt orientation in body and inducted by C-arm digital subtracting X-ray system when operating. Blood loss was about 10 to 50 ml (mean 30 ml). Operation time was 30 to 50 minutes. Time of fracture union was 8 to 12 weeks (mean 11 weeks). Wound infection, ununion of fracture and nerve injuries had not been found. Minimally invasive operation has the merit of short operation time, fine effect, soon recovering and few complication.

  1. Femoral Neck Fracture

    Directory of Open Access Journals (Sweden)

    Jonathan Lee

    2016-09-01

    Full Text Available History of present illness: A 74-year-old male presented to the emergency department with left hip pain after falling off his bicycle. Pain is 3/10 in severity and exacerbated by movement. Patient denied head trauma. Exam showed left hip tenderness, 3/5 left lower extremity strength secondary to pain, and 5/5 right lower extremity strength. Sensation and pulses were intact in bilateral lower extremities. Left hip X-ray and pelvic CT revealed comminuted, impacted transcervical and subcapital fracture of the left femoral neck. Significant findings: In the anteroposterior view bilateral hip x-ray, there is an evident loss of Shenton’s line on the left (red line when compared to the normal right (white line, indicative of a fracture in the left femoral neck. This correlates with findings seen on pelvic CT, which reveals both a subcapital fracture (blue arrow and transcervical fracture (yellow arrow. The neck of the femur is displaced superiorly relative to the head of the femur while the head of the femur remains in its anatomical position within the acetabulum. Discussion: Femoral neck fractures are one of the most common types of hip fractures, accounting for 49.4% of all hip fractures.1 Diagnosing a femoral neck fracture can be made with plain x-ray, CT, or MRI. Plain film radiographs have been found to be at least 90% sensitive for hip fractures CT’s have been found to be 87%-100% sensitive and 100% specific for occult hip fractures in which plain radiographs were read as negative, but the patient still complained of hip pain Although MRI is currently the gold standard for detecting occult hip fractures (sensitivity and specificity = 100%, given MRI’s limited accessibility in the ED as well as the high sensitivity and specificity of CT scans for occult hip fractures, it is generally recommended to obtain CT scans for patients with suspected occult hip fractures as a first-line investigation

  2. Backward integration, forward integration, and vertical foreclosure

    OpenAIRE

    Spiegel, Yossi

    2013-01-01

    I show that partial vertical integration may either alleviates or exacerbate the concern for vertical foreclosure relative to full vertical integration and I examine its implications for consumer welfare.

  3. Fracture resistance of endodontically treated teeth restored by different FRC posts: an in vitro study.

    Science.gov (United States)

    Torabi, Kianoosh; Fattahi, Farnaz

    2009-01-01

    Posts and cores are often required for restoration of pulpless teeth and to provide retention and resistance for a complete crown, but conventional posts may increase the root fracture. This study was performed to compare the root fracture resistance of extracted teeth treated with different fibers reinforced with composite posts and treated teeth with conventional post and core systems. Root canal therapy was performed for 50 mandibular first premolars. The coronal portion of each tooth was amputated, and five post and core systems (cast, polyethylene woven, glass, carbon, and quartz fiber posts) were compared. Acrylic resin blocks were used for mounting, using a layer of elastomeric impression material covering the roots. The load was applied axially and measured with a universal testing machine. Significantly, cast posts and cores had a higher failure threshold including teeth fracture; whereas, fiber posts failure was due to core fracture, with or without fractures in coronal portion of posts. Difference in FRC posts did not provide any significant difference in the load failure and the mode of fracture.

  4. Fracture resistance of endodontically treated teeth restored by different FRC posts: An in vitro study

    Directory of Open Access Journals (Sweden)

    Torabi Kianoosh

    2009-01-01

    Full Text Available Background: Posts and cores are often required for restoration of pulpless teeth and to provide retention and resistance for a complete crown, but conventional posts may increase the root fracture. Objective: This study was performed to compare the root fracture resistance of extracted teeth treated with different fibers reinforced with composite posts and treated teeth with conventional post and core systems. Materials and Methods: Root canal therapy was performed for 50 mandibular first premolars. The coronal portion of each tooth was amputated, and five post and core systems (cast, polyethylene woven, glass, carbon, and quartz fiber posts were compared. Acrylic resin blocks were used for mounting, using a layer of elastomeric impression material covering the roots. The load was applied axially and measured with a universal testing machine. Results and Conclusion: Significantly, cast posts and cores had a higher failure threshold including teeth fracture; whereas, fiber posts failure was due to core fracture, with or without fractures in coronal portion of posts. Difference in FRC posts did not provide any significant difference in the load failure and the mode of fracture.

  5. Development of the T+M coupled flow–geomechanical simulator to describe fracture propagation and coupled flow–thermal–geomechanical processes in tight/shale gas systems

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jihoon; Moridis, George J.

    2013-10-01

    We developed a hydraulic fracturing simulator by coupling a flow simulator to a geomechanics code, namely T+M simulator. Modeling of the vertical fracture development involves continuous updating of the boundary conditions and of the data connectivity, based on the finite element method for geomechanics. The T+M simulator can model the initial fracture development during the hydraulic fracturing operations, after which the domain description changes from single continuum to double or multiple continua in order to rigorously model both flow and geomechanics for fracture-rock matrix systems. The T+H simulator provides two-way coupling between fluid-heat flow and geomechanics, accounting for thermoporomechanics, treats nonlinear permeability and geomechanical moduli explicitly, and dynamically tracks changes in the fracture(s) and in the pore volume. We also fully accounts for leak-off in all directions during hydraulic fracturing. We first validate the T+M simulator, matching numerical solutions with the analytical solutions for poromechanical effects, static fractures, and fracture propagations. Then, from numerical simulation of various cases of the planar fracture propagation, shear failure can limit the vertical fracture propagation of tensile failure, because of leak-off into the reservoirs. Slow injection causes more leak-off, compared with fast injection, when the same amount of fluid is injected. Changes in initial total stress and contributions of shear effective stress to tensile failure can also affect formation of the fractured areas, and the geomechanical responses are still well-posed.

  6. Spontaneous rib fractures.

    Science.gov (United States)

    Katrancioglu, Ozgur; Akkas, Yucel; Arslan, Sulhattin; Sahin, Ekber

    2015-07-01

    Other than trauma, rib fracture can occur spontaneously due to a severe cough or sneeze. In this study, patients with spontaneous rib fractures were analyzed according to age, sex, underlying pathology, treatment, and complications. Twelve patients who presented between February 2009 and February 2011 with spontaneous rib fracture were reviewed retrospectively. The patients' data were evaluated according to anamnesis, physical examination, and chest radiographs. The ages of the patients ranged from 34 to 77 years (mean 55.91 ± 12.20 years), and 7 (58.4%) were male. All patients had severe cough and chest pain. The fractures were most frequently between 4th and 9th ribs; multiple rib fractures were detected in 5 (41.7%) patients. Eight (66.7%) patients had chronic obstructive pulmonary disease, 2 (16.7%) had bronchial asthma, and 2 (16.7%) had osteoporosis. Bone densitometry revealed a high risk of bone fracture in all patients. Patients with chronic obstructive pulmonary disease or bronchial asthma had been treated with high-dose steroids for over a year. Spontaneous rib fracture due to severe cough may occur in patients with osteoporosis, chronic obstructive pulmonary disease, or bronchial asthma, receiving long-term steroid therapy. If these patients have severe chest pain, chest radiography should be performed to check for bone lesions. © The Author(s) 2015.

  7. FRACOR-software toolbox for deterministic mapping of fracture corridors in oil fields on AutoCAD platform

    Science.gov (United States)

    Ozkaya, Sait I.

    2018-03-01

    Fracture corridors are interconnected large fractures in a narrow sub vertical tabular array, which usually traverse entire reservoir vertically and extended for several hundreds of meters laterally. Fracture corridors with their huge conductivities constitute an important element of many fractured reservoirs. Unlike small diffuse fractures, actual fracture corridors must be mapped deterministically for simulation or field development purposes. Fracture corridors can be identified and quantified definitely with borehole image logs and well testing. However, there are rarely sufficient image logs or well tests, and it is necessary to utilize various fracture corridor indicators with varying degrees of reliability. Integration of data from many different sources, in turn, requires a platform with powerful editing and layering capability. Available commercial reservoir characterization software packages, with layering and editing capabilities, can be cost intensive. CAD packages are far more affordable and may easily acquire the versatility and power of commercial software packages with addition of a small software toolbox. The objective of this communication is to present FRACOR, a software toolbox which enables deterministic 2D fracture corridor mapping and modeling on AutoCAD platform. The FRACOR toolbox is written in AutoLISPand contains several independent routines to import and integrate available fracture corridor data from an oil field, and export results as text files. The resulting fracture corridor maps consists mainly of fracture corridors with different confidence levels from combination of static and dynamic data and exclusion zones where no fracture corridor can exist. The exported text file of fracture corridors from FRACOR can be imported into an upscaling programs to generate fracture grid for dual porosity simulation or used for field development and well planning.

  8. Pelvic fracture pattern predicts the need for hemorrhage control intervention-Results of an AAST multi-institutional study.

    Science.gov (United States)

    Costantini, Todd W; Coimbra, Raul; Holcomb, John B; Podbielski, Jeanette M; Catalano, Richard D; Blackburn, Allie; Scalea, Thomas M; Stein, Deborah M; Williams, Lashonda; Conflitti, Joseph; Keeney, Scott; Hoey, Christy; Zhou, Tianhua; Sperry, Jason; Skiada, Dimitra; Inaba, Kenji; Williams, Brian H; Minei, Joseph P; Privette, Alicia; Mackersie, Robert C; Robinson, Brenton R; Moore, Forrest O

    2017-06-01

    Early identification of patients with pelvic fractures at risk of severe bleeding requiring intervention is critical. We performed a multi-institutional study to test our hypothesis that pelvic fracture patterns predict the need for a pelvic hemorrhage control intervention. This prospective, observational, multicenter study enrolled patients with pelvic fracture due to blunt trauma. Inclusion criteria included shock on admission (systolic blood pressure 120 beats/min and base deficit >5, and the ability to review pelvic imaging). Demographic data, open pelvic fracture, blood transfusion, pelvic hemorrhage control intervention (angioembolization, external fixator, pelvic packing, and/or REBOA [resuscitative balloon occlusion of the aorta]), and mortality were recorded. Pelvic fracture pattern was classified according to Young-Burgess in a blinded fashion. Predictors of pelvic hemorrhage control intervention and mortality were analyzed by univariate and multivariate regression analyses. A total of 163 patients presenting in shock were enrolled from 11 Level I trauma centers. The most common pelvic fracture pattern was lateral compression I, followed by lateral compression I, and vertical shear. Of the 12 patients with an anterior-posterior compression III fracture, 10 (83%) required a pelvic hemorrhage control intervention. Factors associated with the need for pelvic fracture hemorrhage control intervention on univariate analysis included vertical shear pelvic fracture pattern, increasing age, and transfusion of blood products. Anterior-posterior compression III fracture patterns and open pelvic fracture predicted the need for pelvic hemorrhage control intervention on multivariate analysis. Overall in-hospital mortality for patients admitted in shock with pelvic fracture was 30% and did not differ based on pelvic fracture pattern on multivariate analysis. Blunt trauma patients admitted in shock with anterior-posterior compression III fracture patterns or patients

  9. Pelvic fracture pattern predicts the need for hemorrhage control intervention -- results of a AAST multi-institutional study.

    Science.gov (United States)

    Costantini, Todd W; Coimbra, Raul; Holcomb, John B; Podbielski, Jeanette M; Catalano, Richard; Blackburn, Allie; Scalea, Thomas M; Stein, Deborah M; Williams, Lashonda; Conflitti, Joseph; Keeney, Scott; Hoey, Christy; Zhou, Tianhua; Sperry, Jason; Skiada, Dimitra; Inaba, Kenji; Williams, Brian H; Minei, Joseph P; Privette, Alicia; Mackersie, Robert C; Robinson, Brenton R; Moore, Forrest O

    2017-03-23

    Early identification of patients with pelvic fractures at risk for severe bleeding requiring intervention is critical. We performed a multi-institutional study to test our hypothesis that pelvic fracture patterns predict the need for a pelvic hemorrhage control intervention. This prospective, observational multi-center study enrolled patients with pelvic fracture due to blunt trauma. Inclusion criteria included shock on admission (SBP120 and base deficit > 5, and the ability to review pelvic imaging. Demographic data, open pelvic fracture, blood transfusion, pelvic hemorrhage control intervention (angioembolization, external fixator, pelvic packing and/or REBOA), and mortality were recorded. Pelvic fracture pattern was classified according to Young-Burgess in a blinded fashion. Predictors of pelvic hemorrhage control intervention and mortality were analyzed by univariate and multivariate regression analysis. A total of 163 patients presenting in shock were enrolled from eleven Level-1 trauma centers. The most common pelvic fracture pattern was Lateral Compression (LC) I, followed by LC II, and Vertical Shear. Of the 12 patients with an Anterior-Posterior Compression (APC) III fracture, 10 (83%) required a pelvic hemorrhage control intervention. Factors associated with the need for pelvic fracture hemorrhage control intervention on univariate analysis included vertical shear pelvic fracture pattern, increasing age, and transfusion of blood products. APC III fracture patterns and open pelvic fracture predicted the need for pelvic hemorrhage control intervention on multivariate analysis. Overall in-hospital mortality for patients admitted in shock with pelvic fracture was 30% and did not differ based on pelvic fracture pattern on multivariate analysis. Blunt trauma patients admitted in shock with APC III fracture patterns or patients with open pelvic fracture are at greatest risk of bleeding requiring pelvic hemorrhage control intervention. Prognostic Study, Level III.

  10. The research on delayed fracture behavior of high-strength bolts in steel structure

    Science.gov (United States)

    Li, Guo dong; Li, Nan

    2017-07-01

    High-strength bolts have been widely used in power plants. However, the high-strength bolts which being employed in pumping station, steel structure and pipeline anti-whip structure have been found delayed fracture for many times in a power plant, this will affect the reliability of steel fracture and bring blow risk caused by falling objects. The high-strength bolt with delayed fracture was carried out fracture analysis, metallurgical analysis, chemical analysis, mechanical analysis, as well as bolts installation analysis, it can be comprehensively confirmed that the direct cause of high-strength bolts delayed fracture is the stress corrosion, and the root cause of high-strength bolts delayed fracture should be the improper installation at the initial and the imperfect routine anti-corrosion maintenance.

  11. Pediatric Supracondylar Fracture

    Directory of Open Access Journals (Sweden)

    Jonathan Peña

    2017-01-01

    Full Text Available History of present illness: A 7-year-old left-handed male presented with left arm pain and deformity after being tackled while playing. On exam, there appeared to be dorsal displacement of the distal segment of the upper extremity. He had two-plus radial and ulnar pulses, and normal capillary refill. Sensation was intact to axillary, radial, ulnar, and median nerve distributions. Compartments were soft. Significant findings: Plain film radiography showed a displaced supracondylar fracture with disrupted anterior and posterior periostea, consistent with a type 3 supracondylar fracture. Discussion: Supracondylar fractures are the most common pediatric elbow fracture.1 Approximately 95% are due to a fall onto an outstretched hand while the elbow is in extension. Direct trauma to the posterior aspect of a flexed elbow accounts for the remainder.2 There are three classifications of supracondylar fractures: type 1 is non-displaced, type 2 is displaced, but has an intact posterior periosteum, and type 3 is displaced with disrupted anterior and posterior periostea. Careful examination assessing for pulses, perfusion, neurologic integrity, and elevated compartment pressures are important in the evaluation.3 The brachial artery is often injured in posterior lateral displaced fractures.4 Neurologic deficits to the median, ulnar, or radial nerves are seen in as many of 49% of Type 3 supracondylar fractures; however, neuropraxias often resolve within two to three months.5 Untimely treated compartment syndrome may lead to Volkmann ischemic contractors, which are characterized by flexion of the elbow, pronation of the forearm, flexion of the wrist, and extension of the metacarpal phalangeal joints.6 Plain film radiography oriented in the anterior-posterior (AP and lateral fashions are typically sufficient for diagnosis; however, a fracture may exist without overt signs on X-ray.7 Given the high morbidity associated with Type 3 fractures, emergent Orthopedic

  12. A Rare Nasal Bone Fracture: Anterior Nasal Spine Fracture

    Directory of Open Access Journals (Sweden)

    Egemen Kucuk

    2014-04-01

    Full Text Available Anterior nasal spine fractures are a quite rare type of nasal bone fractures. Associated cervical spine injuries are more dangerous than the nasal bone fracture. A case of the anterior nasal spine fracture, in a 18-year-old male was presented. Fracture of the anterior nasal spine, should be considered in the differential diagnosis of the midface injuries and also accompanying cervical spine injury should not be ignored.

  13. Fracture eponyms: personal names

    Directory of Open Access Journals (Sweden)

    A. S. Zolotov

    2016-01-01

    Full Text Available The paper describes the origin of bone fracture eponyms. The authors compiled a list of 60 most established fracture names proposed by physicians in 16th-20th centuries who mainly were skilled, mature and outstanding experts from countries with advanced conventional medicine and often represented the recognized surgical schools. Eponym records are important for understanding the history and subject of the chosen profession as well as knowledge of eponymic fractures facilitates communication between physicians of allied disciplines.

  14. Influence of veneering materials on the marginal fit and fracture resistance of an alumina core system.

    Science.gov (United States)

    Fahmy, Nadia Z

    2011-01-01

    This study was undertaken to assess the influence of three-veneering materials on the marginal fit, fracture resistance, and failure pattern of In-Ceram alumina crowns. Forty In-Ceram cores were constructed and divided into four groups of ten each. Ten alumina cores were left unveneered, forming the first group for core testing, while the other 30 copings were divided into three groups depending on the veneering material used. The vertical marginal gaps of the alumina copings were measured before and after veneer placement at 16 sites using an optical microscope. The specimens were then loaded to fracture at a crosshead speed of 1 mm/min. Fractured specimens were examined, and the fracture patterns of the crowns were recorded. Selected specimens were examined using scanning electron microscope. Data were presented as means and standard deviation values. One-way ANOVA was used to compare between mean gap areas and fracture resistance of the three materials. Duncan's post hoc test was used for pairwise comparison between the means when ANOVA test was significant. Vitadur-N-veneered crowns showed statistically the highest mean vertical gaps, while no significant difference was evident between the marginal fits of Vitadur-α- and VM7-veneered crowns. Regarding the strength, a statistically significant decrease in fracture resistance of the cores was evident after veneering with Vitadur-N; however, no significant change in mean fracture resistance value of Vitadur-α- and VM7-veneered crowns was evident compared to the alumina cores. VM7-veneered crowns showed the highest fracture resistance values. Vitadur-N-veneered crowns showed the highest mean vertical gaps and the lowest mean fracture resistance values of the tested groups, while VM7-veneered crowns combined the highest fracture resistance values and clinically acceptable margins. The best interface quality and finest ceramic texture were evident in case of VM7 material. © 2010 by The American College of

  15. ROOT User Workshop 2013

    CERN Document Server

    2013-01-01

    Since almost two decades, ROOT has established itself as the framework for HENP data processing and analysis. The LHC upgrade program and the new experiments being designed at CERN and elsewhere will pose even more formidable challenges in terms of data complexity and size. The new parallel and heterogeneous computing architectures that are either announced or already available will call for a deep rethinking of the code and the data structures to be exploited efficiently. This workshop, following from a successful series of such events, will allow you to learn in detail about the new ROOT 6 and will help shape the future evolution of ROOT.

  16. Hydraulic fracturing water use variability in the United States and potential environmental implications

    Science.gov (United States)

    Varela, Brian A.; Haines, Seth S.; Engle, Mark A.

    2015-01-01

    Abstract Until now, up‐to‐date, comprehensive, spatial, national‐scale data on hydraulic fracturing water volumes have been lacking. Water volumes used (injected) to hydraulically fracture over 263,859 oil and gas wells drilled between 2000 and 2014 were compiled and used to create the first U.S. map of hydraulic fracturing water use. Although median annual volumes of 15,275 m3 and 19,425 m3 of water per well was used to hydraulically fracture individual horizontal oil and gas wells, respectively, in 2014, about 42% of wells were actually either vertical or directional, which required less than 2600 m3 water per well. The highest average hydraulic fracturing water usage (10,000−36,620 m3 per well) in watersheds across the United States generally correlated with shale‐gas areas (versus coalbed methane, tight oil, or tight gas) where the greatest proportion of hydraulically fractured wells were horizontally drilled, reflecting that the natural reservoir properties influence water use. This analysis also demonstrates that many oil and gas resources within a given basin are developed using a mix of horizontal, vertical, and some directional wells, explaining why large volume hydraulic fracturing water usage is not widespread. This spatial variability in hydraulic fracturing water use relates to the potential for environmental impacts such as water availability, water quality, wastewater disposal, and possible wastewater injection‐induced earthquakes. PMID:26937056

  17. An optimality-based model of the coupled soil moisture and root dynamics

    Directory of Open Access Journals (Sweden)

    S. J. Schymanski

    2008-06-01

    Full Text Available The main processes determining soil moisture dynamics are infiltration, percolation, evaporation and root water uptake. Modelling soil moisture dynamics therefore requires an interdisciplinary approach that links hydrological, atmospheric and biological processes. Previous approaches treat either root water uptake rates or root distributions and transpiration rates as given, and calculate the soil moisture dynamics based on the theory of flow in unsaturated media. The present study introduces a different approach to linking soil water and vegetation dynamics, based on vegetation optimality. Assuming that plants have evolved mechanisms that minimise costs related to the maintenance of the root system while meeting their demand for water, we develop a model that dynamically adjusts the vertical root distribution in the soil profile to meet this objective. The model was used to compute the soil moisture dynamics, root water uptake and fine root respiration in a tropical savanna over 12 months, and the results were compared with observations at the site and with a model based on a fixed root distribution. The optimality-based model reproduced the main features of the observations such as a shift of roots from the shallow soil in the wet season to the deeper soil in the dry season and substantial root water uptake during the dry season. At the same time, simulated fine root respiration rates never exceeded the upper envelope determined by the observed soil respiration. The model based on a fixed root distribution, in contrast, failed to explain the magnitude of water use during parts of the dry season and largely over-estimated root respiration rates. The observed surface soil moisture dynamics were also better reproduced by the optimality-based model than the model based on a prescribed root distribution. The optimality-based approach has the potential to reduce the number of unknowns in a model (e.g. the vertical root distribution, which makes it a

  18. [Sequential reduction and fixation for zygomatic complex fractures].

    Science.gov (United States)

    Yang, Lijuan; Liu, Chunming; Hua, Wenmei; Liu, Weidong; Wang, Xiguang; Wang, Kai; Zhang, Zhanle; Li, Meifang; Duan, Hainan

    2013-10-01

    To explore the procedure and effectiveness of sequential reduction and fixation for zygomatic complex fractures. Between March 2004 and February 2012, 32 patients with zygomatic complex fractures were treated. There were 28 males and 4 females with a median age of 29 years (range, 17-55 years). Fractures were caused by traffic accident in 29 cases and by tumble in 3 cases. The time between injury and admission was 1-12 days (mean, 3 days) in 28 fresh fractures and 22-60 days (mean, 40 days) in 4 old fractures. All patients were diagnosed by clinical symptom and CT scan. Coronal scalp incision, lower eyelid aesthetic incision, and intraoral incision were used to expose the zygomatic bone segments. The sequence of fractures reduction and fixation was horizontal first, and then longitudinal. In horizontal orientation, reduction and simultaneous fixation started from the root of the zygoma, to zygomatic arch, body of the zygoma, and inferior orbital rim in turn. Longitudinally, fracture reduction of zygomatico-frontal suture and orbital posterolateral walls was done first, followed by fracture reduction of zygomaticomaxillary buttress. Primary healing of incision was obtained in all 32 cases, without complications of maxillary sinus fistula and infection. Eighteen patients were followed up 6 months to 6 years with a median time of 32 months. All the patients gained satisfactory results with normal zygomatic contour and symmetric midface. All patients restored normal mouth opening. No eye and vision damage occurred. Frontal disappearance and brow ptosis were observed in 2 cases. Hair loss (2-3 mm) was seen at the site of coronal scalp incision, without scar hyperplasia; there was no obvious scar at lower eyelid. CT and X-ray films showed bony healing at 6 months after operation. Sequential reduction and fixation is accord with the mechanical characters of complicated zygomatic fractures. It is very easy to achieve anatomic reduction of the bone segments and facial

  19. Vertical saccades in dyslexic children.

    Science.gov (United States)

    Tiadi, Aimé; Seassau, Magali; Bui-Quoc, Emmanuel; Gerard, Christophe-Loïc; Bucci, Maria Pia

    2014-11-01

    Vertical saccades have never been studied in dyslexic children. We examined vertical visually guided saccades in fifty-six dyslexic children (mean age: 10.5±2.56 years old) and fifty-six age matched non dyslexic children (mean age: 10.3±1.74 years old). Binocular eye movements were recorded using an infrared video-oculography system (mobileEBT®, e(ye)BRAIN). Dyslexic children showed significantly longer latency than the non dyslexic group, also the occurrence of anticipatory and express saccades was more important in dyslexic than in non dyslexic children. The gain and the mean velocity values were significantly smaller in dyslexic than in non dyslexic children. Finally, the up-down asymmetry reported in normal population for the gain and the velocity of vertical saccades was observed in dyslexic children and interestingly, dyslexic children also reported an up-down asymmetry for the mean latency. Taken together all these findings suggested impairment in cortical areas responsible of vertical saccades performance and also at peripheral level of the extra-ocular oblique muscles; moreover, a visuo-attentionnal bias could explain the up-down asymmetry reported for the vertical saccade triggering. Copyright © 2014 Elsevier Ltd. All rights reserved.

  20. Ex vivo fracture resistance of direct resin composite complete crowns with and without posts on maxillary premolars.

    NARCIS (Netherlands)

    Fokkinga, W.A.; Bell, A.M. Le; Kreulen, C.M.; Lassila, L.V.; Vallittu, P.K.; Creugers, N.H.J.

    2005-01-01

    AIM: To investigate ex vivo the fracture resistance and failure mode of direct resin composite complete crowns with and without various root canal posts made on maxillary premolars. METHODOLOGY: The clinical crowns of 40 human extracted single-rooted maxillary premolars were sectioned at the

  1. Graviresponsiveness of surgically altered primary roots of Zea mays

    Science.gov (United States)

    Maimon, E.; Moore, R.

    1991-01-01

    We examined the gravitropic responses of surgically altered primary roots of Zea mays to determine the route by which gravitropic inhibitors move from the root tip to the elongating zone. Horizontally oriented roots, from which a 1-mm-wide girdle of epidermis plus 2-10 layers of cortex were removed from the apex of the elongating zone, curve downward. However, curvature occurred only apical to the girdle. Filling the girdle with mucilage-like material transmits curvature beyond the girdle. Vertically oriented roots with a half-girdle' (i.e. the epidermis and 2-10 layers of the cortex removed from half of the circumference of the apex of the elongating zone) curve away from the girdle. Inserting the half-girdle at the base of the elongating zone induces curvature towards the girdle. Filling the half-circumference girdles with mucilage-like material reduced curvature significantly. Stripping the epidermis and outer 2-5 layers of cortex from the terminal 1.5 cm of one side of a primary root induces curvature towards the cut, irrespective of the root's orientation to gravity. This effect is not due to desiccation since treated roots submerged in water also curved towards their cut surface. Coating a root's cut surface with a mucilage-like substance minimizes curvature. These results suggest that the outer cell-layers of the root, especially the epidermis, play an important role in root gravicurvature, and the gravitropic signals emanating from the root tip can move apoplastically through mucilage.

  2. Tibial shaft fracture

    DEFF Research Database (Denmark)

    Larsen, Peter

    The overall purpose of the present PhD thesis was to provide up-to-date information of the epidemiology of tibial shaft fractures and to investigate the development in quality of life, pain and functional outcomes from surgery and onwards, following a tibial shaft fracture treated...... with intramedullary nailing. Study I reported an incidence of 16.9/100,000/year from a complete population. Study II reported the long-term patient-reported outcomes and showed that approximately 8 years after the fracture patients reported significantly worse outcome for 4 of the 5 KOOS subscales compared...... suggested that regaining pre injured QOL and muscle strength following a tibial shaft fracture takes considerable time....

  3. Paediatric talus fracture.

    LENUS (Irish Health Repository)

    Byrne, Ann-Maria

    2012-01-01

    Paediatric talus fractures are rare injuries resulting from axial loading of the talus against the anterior tibia with the foot in dorsiflexion. Skeletally immature bone is less brittle, with higher elastic resistance than adult bone, thus the paediatric talus can sustain higher forces before fractures occur. However, displaced paediatric talus fractures and those associated with high-energy trauma have been associated with complications including avascular necrosis, arthrosis, delayed union, neurapraxia and the need for revision surgery. The authors present the rare case of a talar neck fracture in a skeletally immature young girl, initially missed on radiological review. However, clinical suspicion on the part of the emergency physician, repeat examination and further radiographic imaging revealed this rare paediatric injury.

  4. Clavicle Fracture (Broken Collarbone)

    Science.gov (United States)

    ... birth canal. Symptoms Clavicle fractures can be very painful and may make it hard to move your arm. Additional symptoms include: • Sagging shoulder (down and forward) • Inability to li the arm ...

  5. Radial head fracture - aftercare

    Science.gov (United States)

    ... begin using your elbow. You may need physical therapy if you have a severe fracture. Your doctor or physical therapist will tell you when you can start playing sports or using your elbow for other activities.

  6. Geothermal Ultrasonic Fracture Imager

    Energy Technology Data Exchange (ETDEWEB)

    Patterson, Doug [Baker-Hughes Oilfield Operation Inc., Houston, TX (United States); Leggett, Jim [Baker-Hughes Oilfield Operation Inc., Houston, TX (United States)

    2013-07-29

    The Geothermal Ultrasonic Fracture Imager project has a goal to develop a wireline ultrasonic imager that is capable of operating in temperatures up to 300°C (572°F) and depths up to 10 km (32,808 ft). This will address one of the critical needs in any EGS development of understanding the hydraulic flow paths in the reservoir. The ultrasonic imaging is well known in the oil and gas industry as one of the best methods for fracture evaluation; providing both high resolution and complete azimuthal coverage of the borehole. This enables fracture detection and characterization, both natural and induced, providing information as to their location, dip direction and dip magnitude. All of these factors are critical to fully understand the fracture system to enable the optimization of the thermal drainage through injectors and producers in a geothermal resource.

  7. Genetic association among root morphology, root quality and root yield in ashwagandha (Withania somnifera

    Directory of Open Access Journals (Sweden)

    Kumar Ramesh R.

    2011-01-01

    Full Text Available Ashwagandha (Withania somnifera is a dryland medicinal crop and roots are used as valuable drug in traditional systems of medicine. Morphological variants (morphotypes and the parental populations were evaluated for root - morphometric, quality and yield traits to study genetic association among them. Root morphometric traits (root length, root diameter, number of secondary roots/ plant and crude fiber content exhibited strong association among them and showed significant positive genotypic correlation with yield. Starch-fiber ratio (SFR, determinant of brittle root texture showed strong negative association with root yield. The total alkaloid content had positive genotypic correlation with root yield. So genetic upgradation should aim at optimum balance between two divergent groups of traits i.e. root yield traits (root morphometric traits and crude fiber content and root textural quality traits (starch content and SFR to develop superior genotypes with better yield and quality.

  8. On the evaluation of steam assisted gravity drainage in naturally fractured oil reservoirs

    Directory of Open Access Journals (Sweden)

    Seyed Morteza Tohidi Hosseini

    2017-06-01

    Full Text Available Steam Assisted Gravity Drainage (SAGD as a successful enhanced oil recovery (EOR process has been applied to extract heavy and extra heavy oils. Huge amount of global heavy oil resources exists in carbonate reservoirs which are mostly naturally fractured reservoirs. Unlike clastic reservoirs, few studies were carried out to determine the performance of SAGD in carbonate reservoirs. Even though SAGD is a highly promising technique, several uncertainties and unanswered questions still exist and they should be clarified for expansion of SAGD methods to world wide applications especially in naturally fractured reservoirs. In this communication, the effects of some operational and reservoir parameters on SAGD processes were investigated in a naturally fractured reservoir with oil wet rock using CMG-STARS thermal simulator. The purpose of this study was to investigate the role of fracture properties including fracture orientation, fracture spacing and fracture permeability on the SAGD performance in naturally fractured reservoirs. Moreover, one operational parameter was also studied; one new well configuration, staggered well pair was evaluated. Results indicated that fracture orientation influences steam expansion and oil production from the horizontal well pairs. It was also found that horizontal fractures have unfavorable effects on oil production, while vertical fractures increase the production rate for the horizontal well. Moreover, an increase in fracture spacing results in more oil production, because in higher fracture spacing model, steam will have more time to diffuse into matrices and heat up the entire reservoir. Furthermore, an increase in fracture permeability results in process enhancement and ultimate recovery improvement. Besides, diagonal change in the location of injection wells (staggered model increases the recovery efficiency in long-term production plan.

  9. Quantitative geometric description of fracture systems in an andesite lava flow using terrestrial laser scanner data

    Science.gov (United States)

    Massiot, Cécile; Nicol, Andrew; Townend, John; McNamara, David D.; Garcia-Sellés, David; Conway, Chris E.; Archibald, Garth

    2017-07-01

    Permeability hosted in andesitic lava flows is dominantly controlled by fracture systems, with geometries that are often poorly constrained. This paper explores the fracture system geometry of an andesitic lava flow formed during its emplacement and cooling over gentle paleo-topography, on the active Ruapehu volcano, New Zealand. The fracture system comprises column-forming and platy fractures within the blocky interior of the lava flow, bounded by autobreccias partially observed at the base and top of the outcrop. We use a terrestrial laser scanner (TLS) dataset to extract column-forming fractures directly from the point-cloud shape over an outcrop area of ∼3090 m2. Fracture processing is validated using manual scanlines and high-resolution panoramic photographs. Column-forming fractures are either steeply or gently dipping with no preferred strike orientation. Geometric analysis of fractures derived from the TLS, in combination with virtual scanlines and trace maps, reveals that: (1) steeply dipping column-forming fracture lengths follow a scale-dependent exponential or log-normal distribution rather than a scale-independent power-law; (2) fracture intensities (combining density and size) vary throughout the blocky zone but have similar mean values up and along the lava flow; and (3) the areal fracture intensity is higher in the autobreccia than in the blocky zone. The inter-connected fracture network has a connected porosity of ∼0.5 % that promote fluid flow vertically and laterally within the blocky zone, and is partially connected to the autobreccias. Autobreccias may act either as lateral permeability connections or barriers in reservoirs, depending on burial and alteration history. A discrete fracture network model generated from these geometrical parameters yields a highly connected fracture network, consistent with outcrop observations.

  10. Relative permeability through fractures

    Energy Technology Data Exchange (ETDEWEB)

    Diomampo, Gracel, P.

    2001-08-01

    The mechanism of two-phase flow through fractures is of importance in understanding many geologic processes. Currently, two-phase flow through fractures is still poorly understood. In this study, nitrogen-water experiments were done on both smooth and rough parallel plates to determine the governing flow mechanism for fractures and the appropriate methodology for data analysis. The experiments were done using a glass plate to allow visualization of flow. Digital video recording allowed instantaneous measurement of pressure, flow rate and saturation. Saturation was computed using image analysis techniques. The experiments showed that gas and liquid phases flow through fractures in nonuniform separate channels. The localized channels change with time as each phase path undergoes continues breaking and reforming due to invasion of the other phase. The stability of the phase paths is dependent on liquid and gas flow rate ratio. This mechanism holds true for over a range of saturation for both smooth and rough fractures. In imbibition for rough-walled fractures, another mechanism similar to wave-like flow in pipes was also observed. The data from the experiments were analyzed using Darcy's law and using the concept of friction factor and equivalent Reynold's number for two-phase flow. For both smooth- and rough-walled fractures a clear relationship between relative permeability and saturation was seen. The calculated relative permeability curves follow Corey-type behavior and can be modeled using Honarpour expressions. The sum of the relative permeabilities is not equal one, indicating phase interference. The equivalent homogeneous single-phase approach did not give satisfactory representation of flow through fractures. The graphs of experimentally derived friction factor with the modified Reynolds number do not reveal a distinctive linear relationship.

  11. Radial Head Fractures

    OpenAIRE

    Jordan, Robert W.; Jones, Alistair DR.

    2017-01-01

    Background: Radial head fractures are common elbow injuries in adults and are frequently associated with additional soft tissue and bone injuries. Methods: A literature search was performed and the authors’ personal experiences are reported. Results: Mason type I fractures are treated non-operatively with splinting and early mobilisation. The management of Mason type II injuries is less clear with evidence supporting both non-operative treatment and internal fixation. The degree of intra-arti...

  12. Seismic signatures of the Lodgepole fractured reservoir in Utah-Wyoming overthrust belt

    Energy Technology Data Exchange (ETDEWEB)

    Parra, J.; Collier, H.; Angstman, B.

    1997-08-01

    In low porosity, low permeability zones, natural fractures are the primary source of permeability which affect both production and injection of fluids. The open fractures do not contribute much to porosity, but they provide an increased drainage network to any porosity. An important approach to characterizing the fracture orientation and fracture permeability of reservoir formations is one based upon the effects of such conditions on the propagation of acoustic and seismic waves in the rock. We present the feasibility of using seismic measurement techniques to map the fracture zones between wells spaced 2400 ft at depths of about 1000 ft. For this purpose we constructed computer models (which include azimuthal anisotropy) using Lodgepole reservoir parameters to predict seismic signatures recorded at the borehole scale, crosswell scale, and 3 D seismic scale. We have integrated well logs with existing 2D surfaces seismic to produce petrophysical and geological cross sections to determine the reservoir parameters and geometry for the computer models. In particular, the model responses are used to evaluate if surface seismic and crosswell seismic measurements can capture the anisotropy due to vertical fractures. Preliminary results suggested that seismic waves transmitted between two wells will propagate in carbonate fracture reservoirs, and the signal can be received above the noise level at the distance of 2400 ft. In addition, the large velocities contrast between the main fracture zone and the underlying unfractured Boundary Ridge Member, suggested that borehole reflection imaging may be appropriate to map and fracture zone thickness variation and fracture distributions in the reservoir.

  13. Multiescalar studies of fracturing mechanisms in fluvial-lacustrine basins

    Science.gov (United States)

    Carreon-Freyre, D.; Cerca, M.; Hidalgo, C.; Hernandez-Marin, M.

    2007-05-01

    Fracturing of clayey fluvial and lacustrine deposits has become a major problem in several cities of central Mexico. The available data reveals the coexistence of several factors determining fracturing at different scales. As main factors we analyze the variation in compressibility of sediments causing differential deformation and withdrawal of groundwater causing a drop in pore pressure. Compressibility depends on consolidation, a term that in soil mechanics refers to the expulsion of interstitial water, and provokes volume decrease and land subsidence. Although major volume decrease occurs in the vertical scale, consolidation of silty clayey materials generates also horizontal tensile stresses. Considering that this factor can be determining to the generation of fractures, the deformational conditions of clayey, silty and sandy sequences is analyzed integrating their stratigraphy and mechanical characteristics. A particular emphasis is made in the mineralogical heterogeneity of the clay fraction that can be related to compressibility variations and can generate micro-fracturing by differential deformation. As study case we analyze the mechanical and geological properties of two sedimentary sequences with contrasting hydraulic and mechanical behavior. Our results show that the paleoenvironmental history of sediments can be used to determine a specific type of fracturing. Thus, the fracturing in fluvial lacustrine deposits is not a random phenomenon but is highly dependent of the geological properties of materials.

  14. FRACTURING FLUID CHARACTERIZATION FACILITY

    Energy Technology Data Exchange (ETDEWEB)

    Subhash Shah

    2000-08-01

    Hydraulic fracturing technology has been successfully applied for well stimulation of low and high permeability reservoirs for numerous years. Treatment optimization and improved economics have always been the key to the success and it is more so when the reservoirs under consideration are marginal. Fluids are widely used for the stimulation of wells. The Fracturing Fluid Characterization Facility (FFCF) has been established to provide the accurate prediction of the behavior of complex fracturing fluids under downhole conditions. The primary focus of the facility is to provide valuable insight into the various mechanisms that govern the flow of fracturing fluids and slurries through hydraulically created fractures. During the time between September 30, 1992, and March 31, 2000, the research efforts were devoted to the areas of fluid rheology, proppant transport, proppant flowback, dynamic fluid loss, perforation pressure losses, and frictional pressure losses. In this regard, a unique above-the-ground fracture simulator was designed and constructed at the FFCF, labeled ''The High Pressure Simulator'' (HPS). The FFCF is now available to industry for characterizing and understanding the behavior of complex fluid systems. To better reflect and encompass the broad spectrum of the petroleum industry, the FFCF now operates under a new name of ''The Well Construction Technology Center'' (WCTC). This report documents the summary of the activities performed during 1992-2000 at the FFCF.

  15. A Fracture Decoupling Experiment

    Science.gov (United States)

    Stroujkova, A. F.; Bonner, J. L.; Leidig, M.; Ferris, A. N.; Kim, W.; Carnevale, M.; Rath, T.; Lewkowicz, J.

    2012-12-01

    Multiple observations made at the Semipalatinsk Test Site suggest that conducting nuclear tests in the fracture zones left by previous explosions results in decreased seismic amplitudes for the second nuclear tests (or "repeat shots"). Decreased seismic amplitudes reduce both the probability of detection and the seismically estimated yield of a "repeat shot". In order to define the physical mechanism responsible for the amplitude reduction and to quantify the degree of the amplitude reduction in fractured rocks, Weston Geophysical Corp., in collaboration with Columbia University's Lamont Doherty Earth Observatory, conducted a multi-phase Fracture Decoupling Experiment (FDE) in central New Hampshire. The FDE involved conducting explosions of various yields in the damage/fracture zones of previously detonated explosions. In order to quantify rock damage after the blasts we performed well logging and seismic cross-hole tomography studies of the source region. Significant seismic velocity reduction was observed around the source regions after the initial explosions. Seismic waves produced by the explosions were recorded at near-source and local seismic networks, as well as several regional stations throughout northern New England. Our analysis confirms frequency dependent seismic amplitude reduction for the repeat shots compared to the explosions in un-fractured rocks. The amplitude reduction is caused by pore closing and/or by frictional losses within the fractured media.

  16. Modeling the vertical soil organic matter profile using Bayesian parameter estimation

    NARCIS (Netherlands)

    Braakhekke, M.C.; Wutzler, T.; Beer, C.; Kattge, J.; Schrumpf, M.; Ahrens, B.; Schoning, I.; Hoosbeek, M.R.; Kruijt, B.; Kabat, P.; Reichstein, M.

    2013-01-01

    The vertical distribution of soil organic matter (SOM) in the profile may constitute an important factor for soil carbon cycling. However, the formation of the SOM profile is currently poorly understood due to equifinality, caused by the entanglement of several processes: input from roots, mixing

  17. Modeling the vertical soil organic matter profile using Bayesian parameter estimation

    NARCIS (Netherlands)

    Braakhekke, M.C.; Wutzler, T.; Beer, C.; Kattge, J.; Schrumpf, M.; Schöning, I.; Hoosbeek, M.R.; Kruijt, B.; Kabat, P.

    2012-01-01

    The vertical distribution of soil organic matter (SOM) in the profile may constitute a significant factor for soil carbon cycling. However, the formation of the SOM profile is currently poorly understood due to equifinality, caused by the entanglement of several processes: input from roots, mixing

  18. Influence of electrical fields and asymmetric application of mucilage on curvature of primary roots of Zea mays

    Science.gov (United States)

    Marcum, H.; Moore, R.

    1990-01-01

    Primary roots of Zea mays cv. Yellow Dent growing in an electric field curve towards the anode. Roots treated with EDTA and growing in electric field do not curve. When root cap mucilage is applied asymmetrically to tips of vertically-oriented roots, the roots curve toward the mucilage. Roots treated with EDTA curve toward the side receiving mucilage and toward blocks containing 10 mM CaCl2, but not toward "empty" agar blocks or the cut surfaces of severed root tips. These results suggest that 1) free calcium (Ca) is necessary for root electrotropism, 2) mucilage contains effector(s) that induce gravitropiclike curvature, and 3) mucilage can replace gravitropic effectors chelated by EDTA. These results are consistent with the hypothesis that the downward movement of gravitropic effectors to the lower sides of tips of horizontally-oriented roots occurs at least partially in the apoplast.

  19. Double-beam Stacking to Infer Seismic Properties of Fractured Reservoirs

    Science.gov (United States)

    Zheng, Y.; Fang, X.; Fehler, M.; Burns, D.

    2011-12-01

    The Earth is constantly deforming, thereby creating stress field, which may generate fractures when the material fails. Fracture spacing, orientation and compliance are key parameters we want to infer about a fractured reservoir that may contain oil and gas. Fractures can be modeled as inclusions with contrasting material properties and they can also be characterized by Schoenberg's linear slip boundary condition, which garnered experimental support from laboratories in 1980s and 90s. In both models, fractures scatter seismic waves. We adopt the linear slip boundary condition as a working hypothesis for the fracture model. The more compliant the fracture is, the better the permeability is and the stronger the scattering is. When the wavelength λ is large compared to the fracture spacing D, e.g. λ >10D, one can use the effective medium theory which treats the fractured reservoir as a homogeneous but anisotropic medium. In this case, the common-midpoint stacks should vary with the azimuth. However, when the wavelength is comparable to the fracture spacing, seismic scattering theory is needed and we have developed a theory for using 3D beam interference to infer scattering properties of a fractured reservoir using reflected seismic P data. For the sake of simplicity, we use Gaussian beams. The method involves interference of two beams, one from the source region and the other emanating from the receivers. Each beam is formed by first windowing the scattered data in space and time and then performing the f-k filtering. The interference pattern depends on frequency, the incident angle, the reflection angle, and the azimuth. We try to interpret the interference pattern using local Born scattering in the target region. This interpretation is motivated by the observation that full-wave finite difference simulation of waves propagating through a set of vertical fractures using Schoenberg's linear-slip boundary condition and fracture compliances consistent with those

  20. Gravisensitivity of cress roots

    Science.gov (United States)

    Volkmann, Dieter; Tewinkel, Martin

    The minimum dose (stimulus x time [gs]) eliciting a visible gravitropic response, has been determined using continuous and intermittent stimulation and two different accelerations at 1g and 0.1g. The minimum dose of 20 - 30 gs estimated for microgravity roots and of 50 - 60 gs for roots grown on a 1g-centrifuge indicated a higher sensitivity of microgravity roots. Applying intermittent stimuli to microgravity-grown roots, gravitropic responses were observed after two stimuli of 13.5 gs separated by a stimulus free interval of 118 s. The curvature of microgravity-grown roots to lateral stimulation by 0.1 g was remarkably smaller than by 1g in spite of the same doses which were applied to the seedlings. Microscopic investigations corresponding to stimulations in the range of the threshold values, demonstrated small displacement (< 2 μm) of statoliths in root statocytes. Accepting the statolith theory, one can conclude that stimulus transformation has to occur in the cytoplasm in close vicinity to the statoliths and that this transformation system was affected during seedling cultivation in microgravity.

  1. Waves, circulation and vertical dependence

    Science.gov (United States)

    Mellor, George

    2013-04-01

    Longuet-Higgins and Stewart (J Fluid Mech 13:481-504, 1962; Deep-Sea Res 11:529-562, 1964) and later Phillips (1977) introduced the problem of waves incident on a beach, from deep to shallow water. From the wave energy equation and the vertically integrated continuity equation, they inferred velocities to be Stokes drift plus a return current so that the vertical integral of the combined velocities was nil. As a consequence, it can be shown that velocities of the order of Stokes drift rendered the advective term in the momentum equation negligible resulting in a simple balance between the horizontal gradients of the vertically integrated elevation and wave radiation stress terms; the latter was first derived by Longuet-Higgins and Stewart. Mellor (J Phys Oceanogr 33:1978-1989, 2003a), noting that vertically integrated continuity and momentum equations were not able to deal with three-dimensional numerical or analytical ocean models, derived a vertically dependent theory of wave-circulation interaction. It has since been partially revised and the revisions are reviewed here. The theory is comprised of the conventional, three-dimensional, continuity and momentum equations plus a vertically distributed, wave radiation stress term. When applied to the problem of waves incident on a beach with essentially zero turbulence momentum mixing, velocities are very large and the simple balance between elevation and radiation stress gradients no longer prevails. However, when turbulence mixing is reinstated, the vertically dependent radiation stresses produce vertical velocity gradients which then produce turbulent mixing; as a consequence, velocities are reduced, but are still larger by an order of magnitude compared to Stokes drift. Nevertheless, the velocity reduction is sufficient so that elevation set-down obtained from a balance between elevation gradient and radiation stress gradients is nearly coincident with that obtained by the aforementioned papers. This paper

  2. A gradient of endogenous calcium forms in mucilage of graviresponding roots of Zea mays

    Science.gov (United States)

    Moore, R.; Fondren, W. M.

    1988-01-01

    Agar blocks that contacted the upper sides of tips of horizontally-oriented roots of Zea mays contain significantly less calcium (Ca) than blocks that contacted the lower sides of such roots. This gravity-induced gradient of Ca forms prior to the onset of gravicurvature, and does not form across tips of vertically-oriented roots or roots of agravitropic mutants. These results indicate that (1) Ca can be collected from mucilage of graviresponding roots, (2) gravity induces a downward movement of endogenous Ca in mucilage overlying the root tip, (3) this gravity-induced gradient of Ca does not form across tips of agravitropic roots, and (4) formation of a Ca gradient is not a consequence of gravicurvature. These results are consistent with gravity-induced movement of Ca being a trigger for subsequent redistribution of growth effectors (e.g. auxin) that induce differential growth and gravicurvature.

  3. Efficacy of ultrasonic vibration in warm gutta-percha vertical compaction.

    Science.gov (United States)

    Re Cecconi, D; Grassi, M; Tortini, D; Brambilla, E; Gagliani, M M

    2012-03-01

    Vertical compaction of warm gutta-percha is a methodology to seal root canals and it might be associated with ultrasonic vibration. The aim of this paper was to determine whether vertical compaction of warm gutta-percha used with ultrasonic vibrations performs better compared to the traditional one. Twenty-four single-rooted teeth were endodontically treated and randomly divided into two groups: in the first group (G1), teeth were filled using vertical compaction, while in the other (G2), vertical compaction was used with ultrasonic vibration. A microleakage test was performed after 24 h and 30 days from root canal sealing. After 24 hours, microleakage was similar in both groups (0.013 µL/min; SD 0.008); after 30 days, it was 0.006 µL/min (SD 0.004) in G1 and 0.004 µL/min (SD 0.003) in G2 (P>0.05). Under these experimental conditions, ultrasonic vibration used with vertical compaction produced a similar level of sealing as the traditional method.

  4. MR Imaging of Lumbar Root Avulsion: Report of Two Case Studies

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jung Bin; Cha, Jang Gyu; Lee, Min Hee; Paik, Sang Hyun [Dept. of Radiology, Soonchunhyang University Hospital, Bucheon (Korea, Republic of); Im, Soo Bin [Dept. of Neurosurgery, Soonchunhyang University Hospital, Bucheon (Korea, Republic of)

    2011-06-15

    Lumbosacral nerve root avulsion is a rare disease entity that is usually associated with a fracture of the pelvic bone. We report on two cases to share our multimodal images and to introduce new magnetic resonance (MR) imaging findings. In one case (a pediatric patient), neither a history of pelvic ring fracture, nor a history of hip dislocation with characteristic MR myelography findings was evident. In the other case, secondary MR findings associated with lumbosacral nerve root avulsion were found that had not been introduced previously.

  5. Management of a Complicated Crown Fracture in a Tertiary Care Hospital

    Directory of Open Access Journals (Sweden)

    Md Abdul Hannan Sheikh

    2017-01-01

    Full Text Available Restoration of a fractured tooth is routinely performed in clinical practice. Many factors are considered in an effort to provide optimal mechanical properties, aesthetics, longevity as well as patient acceptance. In this type of challenging endeavour, main effort should be made to save as much of the coronal tooth structure to increase survival rate of endodontically-treated teeth. This case report presents a 35-year-old male with an oblique complicated crown fracture of maxillary left central incisor tooth. The procedure used to repair the fracture was gingivectomy followed by endodontic treatment. The root canal was filled with a root canal sealer and gutta-percha points. After root canal obturation, the tooth was restored with a glass fiber post and composite resin without additional crown coverage. The restoration made it possible to maintain the remaining tooth structure in a good occlusion and resulted in a high level of patient satisfaction.

  6. Radon transport in fractured soil. Laboratory experiments and modelling

    Energy Technology Data Exchange (ETDEWEB)

    Hoff, A.

    1997-10-01

    Radon (Rn-222) transport in fractured soil has been investigated by laboratory experiments and by modelling. Radon transport experiments have been performed with two sand columns (homogeneous and inhomogeneous) and one undisturbed clayey till column containing a net of preferential flow paths (root holes). A numerical model (the finite-element model FRACTRAN) and an analytic model (a pinhole model) have been applied in simulations if soil gas and radon transport in fractured soil. Experiments and model calculations are included in a discussion of radon entry rates into houses placed on fractured soil. The main conclusion is, that fractures does not in general alter transport of internally generated radon out of soil, when the pressure and flow conditions in the soil is comparable to the conditions prevailing under a house. This indicates the important result, that fractures in soil have no impact on radon entry into a house beyond that of an increased gas permeability, but a more thorough investigation of this subject is needed. Only in the case where the soil is exposed to large pressure gradients, relative to gradients induced by a house, may it be possible to observe effects of radon exchange between fractures and matrix. (au) 52 tabs., 60 ill., 5 refs.

  7. Scattering of elastic waves from media with fracture-induced anisotropy

    Energy Technology Data Exchange (ETDEWEB)

    Haugen, Geir Ultveit

    1996-12-31

    To characterize oil reservoirs, one must know the fracture systems even at large distances from the reservoir and this knowledge comes from seismic data. This thesis models and analyses wave propagation in fractured rocks. It uses effective medium theory to include the fracturing and obtains closed form solutions for the resulting stiffness coefficients for several geometries. A linearized expression provides a simple way of calculating the first-order effects of the fracturing. For isotropic media with one set of embedded fractures, their effect upon the directional velocities is quantified. Compact formulas are given for the plane-wave scattering matrix for amplitudes and for vertical energy flux. When the norm of the relative difference in the eigenvector matrices is assumed to be small, this enables a weak-contrast/weak-anisotropy approximation of the scattering matrix in anisotropic media to be found. To obtain this, a simple formula is derived for the inverse of the eigenvector matrix regardless of the normalization. The new formalism is used to derive a new analytical approximation of the P-wave reflection coefficient in the crack-strike and the crack-normal plane for a model consisting of shale over vertically fractured sandstone. These approximations show how the fracture information can be obtained from the azimuthal AVO response. Next, the impact of the fracturing on the properties of the sandstone layer is quantified. Finally, using a linear slip boundary condition to model the non-weldedness, it is shown that a fracture or fault may be thought of as having a set of characteristic widths, which roughly specify the wavelength range of acoustic energy that interacts with the fracture. Compact plane wave scattering coefficients are derived. These show that observation of reflected signals can provide significant information on the physical properties of the fracture, such as texture and the nature of the in filling fluids. 75 refs., 20 figs., 3 tabs.

  8. Fracture resistance of immature teeth filled with mineral trioxide aggregate, bioaggregate, and biodentine

    Science.gov (United States)

    Bayram, Emre; Bayram, Huda Melike

    2016-01-01

    Objective: The purpose of this study was to evaluate fracture resistance of teeth with immature apices treated with coronal placement of mineral trioxide aggregate (MTA), bioaggregate (BA), and Biodentine. Materials and Methods: Forty-one freshly extracted, single-rooted human premolar teeth were used for the study. At first, the root length was standardized to 9 mm. The crown-down technique was used for the preparation of the root canals using the rotary ProTaper system (Dentsply Maillefer, Ballaigues, Switzerland) of F3 (30). Peeso reamer no. 6 was stepped out from the apex to simulate an incompletely formed root. The prepared roots were randomly assigned to one control (n = 5) and three experimental (n = 12) groups, as described below. Group 1: White MTA (Angelus, Londrina, Brazil) was prepared as per the manufacturer's instructions and compacted into the root canal using MAP system (Dentsply Maillefer, Ballaigues, Switzerland) and condensed by pluggers (Angelus, Londrina, Brazil). Group 2: The canals were filled with DiaRoot-BA (DiaDent Group International, Canada). Group 3: Biodentine (Septodont, Saint Maur des Fosses, France) solution was mixed with the capsule powder and condensed using pluggers. Instron was used to determine the maximum horizontal load to fracture the tooth, placing the tip 3 mm incisal to the cementoenamel junction. Mean values of the fracture strength were compared by ANOVA followed by a post hoc test. P biodentine experimental groups. Conclusion: All the three materials tested, may be used as effective strengthening agents for immature teeth. PMID:27095900

  9. The vertical oscillations of coupled magnets

    Energy Technology Data Exchange (ETDEWEB)

    Li Kewei; Lin Jiahuang; Kang Zi Yang [Raffles Institution, 1 Raffles Institution Lane, Singapore 575954 (Singapore); Liang, Samuel Yee Wei [Anglo-Chinese School Independent, 121 Dover Road, Singapore 139650 (Singapore); Juan, Jeremias Wong Say, E-mail: likewei92@gmail.com [NUS High School of Mathematics and Science, 20 Clementi Avenue 1, Singapore 129957 (Singapore)

    2011-07-15

    The International Young Physicists' Tournament (IYPT) is a worldwide, annual competition for high school students. This paper is adapted from the winning solution to Problem 14, Magnetic Spring, as presented in the final round of the 23rd IYPT in Vienna, Austria. Two magnets were arranged on top of each other on a common axis. One was fixed, while the other could move vertically. Various parameters of interest were investigated, including the effective gravitational acceleration, the strength, size, mass and geometry of the magnets, and damping of the oscillations. Despite its simplicity, this setup yielded a number of interesting and unexpected relations. The first stage of the investigation was concerned only with the undamped oscillations of small amplitudes, and the period of small amplitude oscillations was found to be dependent only on the eighth root of important magnet properties such as its strength and mass. The second stage sought to investigate more general oscillations. A numerical model which took into account magnet size, magnet geometry and damping effects was developed to model the general oscillations. Air resistance and friction were found to be significant sources of damping, while eddy currents were negligible.

  10. Using Chemicals to Optimize Conformance Control in Fractured Reservoirs

    Energy Technology Data Exchange (ETDEWEB)

    Seright, Randall S.; Liang, Jenn-Tai; Schrader, Richard; Hagstrom II, John; Liu, Jin; Wavrik, Kathryn

    1999-09-27

    This report describes work performed during the first year of the project, ''Using Chemicals to Optimize Conformance Control in Fractured Reservoirs.'' This research project has three objectives. The first objective is to develop a capability to predict and optimize the ability of gels to reduce permeability to water more than that to oil or gas. The second objective is to develop procedures for optimizing blocking agent placement in wells where hydraulic fractures cause channeling problems. The third objective is to develop procedures to optimize blocking agent placement in naturally fractured reservoirs. This research project consists of three tasks, each of which addresses one of the above objectives. Our work is directed at both injection wells and production wells and at vertical, horizontal, and highly deviated wells.

  11. Fragment Reattachment after Atypical Crown Fracture in Maxillary Central Incisor

    Directory of Open Access Journals (Sweden)

    Vanessa Torraca Peraro Vaz

    2014-01-01

    Full Text Available Background. Fracture by trauma is one of the most common types of dental injury in the permanent dentition among children and teenagers. Aim. The aim of this study was to report the treatment performed to an atypical dental trauma case in a maxillary central incisor of a young patient by means of reattachment of the tooth fragment. Case Description. A 12-year-old male patient suffered a vertical crown fracture to the maxillary right central incisor. After clinical and radiographic examinations, a conservative restorative treatment which consisted in the reattachment of the tooth fragment with flow resin was performed in order to preserve the dental element and to obtain maximum aesthetics. Conclusion. The reattachment of fractured fragment is a fast and easy technique that can be used successfully as an option to restore dental element which suffered trauma. Clinical Significance. This technique restores the aesthetics and function of the dental element with minimal discomfort to the patient.

  12. Root architecture impacts on root decomposition rates in switchgrass

    Science.gov (United States)

    de Graaff, M.; Schadt, C.; Garten, C. T.; Jastrow, J. D.; Phillips, J.; Wullschleger, S. D.

    2010-12-01

    Roots strongly contribute to soil organic carbon accrual, but the rate of soil carbon input via root litter decomposition is still uncertain. Root systems are built up of roots with a variety of different diameter size classes, ranging from very fine to very coarse roots. Since fine roots have low C:N ratios and coarse roots have high C:N ratios, root systems are heterogeneous in quality, spanning a range of different C:N ratios. Litter decomposition rates are generally well predicted by litter C:N ratios, thus decomposition of roots may be controlled by the relative abundance of fine versus coarse roots. With this study we asked how root architecture (i.e. the relative abundance of fine versus coarse roots) affects the decomposition of roots systems in the biofuels crop switchgrass (Panicum virgatum L.). To understand how root architecture affects root decomposition rates, we collected roots from eight switchgrass cultivars (Alamo, Kanlow, Carthage, Cave-in-Rock, Forestburg, Southlow, Sunburst, Blackwell), grown at FermiLab (IL), by taking 4.8-cm diameter soil cores from on top of the crown and directly next to the crown of individual plants. Roots were carefully excised from the cores by washing and analyzed for root diameter size class distribution using WinRhizo. Subsequently, root systems of each of the plants (4 replicates per cultivar) were separated in 'fine' (0-0.5 mm), 'medium' (0.5-1 mm) and 'coarse' roots (1-2.5 mm), dried, cut into 0.5 cm (medium and coarse roots) and 2 mm pieces (fine roots), and incubated for 90 days. For each of the cultivars we established five root-treatments: 20g of soil was amended with 0.2g of (1) fine roots, (2) medium roots, (3) coarse roots, (4) a 1:1:1 mixture of fine, medium and coarse roots, and (5) a mixture combining fine, medium and coarse roots in realistic proportions. We measured CO2 respiration at days 1, 3, 7, 15, 30, 60 and 90 during the experiment. The 13C signature of the soil was -26‰, and the 13C signature

  13. Understanding the etiology of the posteromedial tibial stress fracture.

    Science.gov (United States)

    Milgrom, Charles; Burr, David B; Finestone, Aharon S; Voloshin, Arkady

    2015-09-01

    Previous human in vivo tibial strain measurements from surface strain gauges during vigorous activities were found to be below the threshold value of repetitive cyclical loading at 2500 microstrain in tension necessary to reduce the fatigue life of bone, based on ex vivo studies. Therefore it has been hypothesized that an intermediate bone remodeling response might play a role in the development of tibial stress fractures. In young adults tibial stress fractures are usually oblique, suggesting that they are the result of failure under shear strain. Strains were measured using surface mounted unstacked 45° rosette strain gauges on the posterior aspect of the flat medial cortex just below the tibial midshaft, in a 48year old male subject while performing vertical jumps, staircase jumps and running up and down stadium stairs. Shear strains approaching 5000 microstrain were recorded during stair jumping and vertical standing jumps. Shear strains above 1250 microstrain were recorded during runs up and down stadium steps. Based on predictions from ex vivo studies, stair and vertical jumping tibial shear strain in the test subject was high enough to potentially produce tibial stress fracture subsequent to repetitive cyclic loading without necessarily requiring an intermediate remodeling response to microdamage. Copyright © 2015 Elsevier Inc. All rights reserved.

  14. Root Growth and Water distribution in living walls

    DEFF Research Database (Denmark)

    Jørgensen, Lars

    Living walls is a way of bringing plants and green areas into cities, and offer both positive environmental and aesthetical effects. A prerequisite for optimal performance of a living wall is that the plant cover is properly established why the individual plant should have optimal conditions...... walls; the vertical orientation of the growing medium, plants are growing vertically above or below each other in a limited rooting volume; there is an increased exposure to weather and the plants can react differently to water conditions and competition from other plants. Plant growth is the core...

  15. Characterization of In-Situ Stress and Permeability in Fractured Reservoirs

    Energy Technology Data Exchange (ETDEWEB)

    Daniel R. Burns; M. Nafi Toksoz

    2006-06-30

    Fracture orientation and spacing are important parameters in reservoir development. This project resulted in the development and testing of a new method for estimating fracture orientation and two new methods for estimating fracture spacing from seismic data. The methods developed were successfully applied to field data from fractured carbonate reservoirs. Specific results include: the development a new method for estimating fracture orientation from scattered energy in seismic data; the development of two new methods for estimating fracture spacing from scattered energy in seismic data; the successful testing of these methods on numerical model data and field data from two fractured carbonate reservoirs; and the validation of fracture orientation results with borehole data from the two fields. Researchers developed a new method for determining the reflection and scattering characteristics of seismic energy from subsurface fractured formations. The method is based upon observations made from 3D finite difference modeling of the reflected and scattered seismic energy over discrete systems of vertical fractures. Regularly spaced, discrete vertical fractures impart a ringing coda type signature to seismic energy that is transmitted through or reflected off of them. This signature varies in amplitude and coherence as a function of several parameters including: (1) the difference in angle between the orientation of the fractures and the acquisition direction, (2) the fracture spacing, (3) the wavelength of the illuminating seismic energy, and (4) the compliance, or stiffness, of the fractures. This coda energy is the most coherent when the acquisition direction is parallel to the strike of the fractures. It has the largest amplitude when the seismic wavelengths are tuned to the fracture spacing, and when the fractures have low stiffness. The method uses surface seismic reflection traces to derive a transfer function that quantifies the change in the apparent source

  16. Influence of endodontic treatment, post insertion, and ceramic restoration on the fracture resistance of maxillary premolars.

    Science.gov (United States)

    Bitter, K; Meyer-Lueckel, H; Fotiadis, N; Blunck, U; Neumann, K; Kielbassa, A M; Paris, S

    2010-06-01

    To investigate the effects of endodontic treatment, post placement and ceramic restoration type on the fracture resistance of premolars. One hundred and twenty teeth maxillary premolars were allocated to four groups (A-D; n = 30). In group A, mesio-occlusal-distal-inlays with a buccal and palatal wall of 2 mm (MOD), in group B partial onlays with palatal cusp coverage and in group C total onlays with buccal and palatal cusp coverage were prepared. Group D served as untreated controls. Groups A-C were divided into three subgroups (n = 10): (i) teeth received solely the described preparations, (ii) teeth were root filled, (iii) teeth were root filled and quartz fibre posts were placed. Teeth were restored using Computer-assisted design/computer-assisted machining-ceramic-restorations and subjected to thermo-mechanical-loading; subsequently, the buccal cusp was loaded until fracture. Group D revealed significantly higher fracture resistance [mean (standard deviation)] [738 (272) N] compared to all other groups (P post hoc test Dunnett). For groups A-C, fracture resistance was significantly affected by the restoration type (P = 0.043) and endodontic treatment/post placement (P = 0.039; 2-way anova). Group A [380 (146) N] showed significantly lower fracture resistance compared to group B [470 (158) N] (P = 0.048; post hoc test Tukey). Compared to non-endodontically treated teeth [487 (120) N], root filled teeth revealed significantly lower fracture resistance [389 (171) N] (P = 0.031). The restoration of cavities with a remaining wall thickness of 2 mm using ceramic MOD-inlays is inferior with respect to the fracture resistance compared to partial onlay restorations. Root filled teeth without post placement show lower fracture resistance compared to non-endodontically treated teeth.

  17. Fracture Mechanics Analyses of the Slip-Side Joggle Regions of Wing-Leading-Edge Panels

    Science.gov (United States)

    Raju, Ivatury S.; Knight, Norman F., Jr.; Song, Kyongchan; Phillips, Dawn R.

    2011-01-01

    The Space Shuttle wing-leading edge consists of panels that are made of reinforced carbon-carbon. Coating spallation was observed near the slip-side region of the panels that experience extreme heating. To understand this phenomenon, a root-cause investigation was conducted. As part of that investigation, fracture mechanics analyses of the slip-side joggle regions of the hot panels were conducted. This paper presents an overview of the fracture mechanics analyses.

  18. Transient Receptor Potential Vanilloid 1-Immunoreactive Innervation Increases in Fractured Rat Femur

    OpenAIRE

    Kawarai, Yuya; Suzuki, Miyako; Yoshino, Kensuke; Inoue, Gen; Orita, Sumihisa; Yamauchi, Kazuyo; Aoki, Yasuchika; Ishikawa, Tetsuhiro; Miyagi, Masayuki; Kamoda, Hiroto; Kubota, Go; Sakuma, Yoshihiro; Oikawa, Yasuhiro; Inage, Kazuhide; Sainoh, Takeshi

    2013-01-01

    Purpose Pain from vertebral or femoral neck fractures is a particularly important problem in clinical orthopaedics. Transient receptor potential vanilloid 1 (TRPV1) is a ligand-gated nonselective cation channel, and there are recent reports on an association between bone pain and TRPV1. However, an increase in TRPV1 activity has not been reported following femoral fracture. Materials and Methods We applied a neurotracer [Fluoro-gold (FG)] onto femur to detect dorsal root ganglia (DRGs) innerv...

  19. Stress-dependent permeability of fractured rock masses: A numerical study

    Energy Technology Data Exchange (ETDEWEB)

    Min, Ki-Bok; Rutqvist, J.; Tsang, Chin-Fu; Jing, Lanru

    2004-04-30

    We investigate the stress-dependent permeability issue in fractured rock masses considering the effects of nonlinear normal deformation and shear dilation of fractures using a two-dimensional distinct element method program, UDEC, based on a realistic discrete fracture network realization. A series of ''numerical'' experiments were conducted to calculate changes in the permeability of simulated fractured rock masses under various loading conditions. Numerical experiments were conducted in two ways: (1) increasing the overall stresses with a fixed ratio of