Background: preparation of root canals is an important step in root canal treatment. Mechanical instrumentation of root canals cause an irregular layer of debris, known as the smear layer. As a result, several studies reported that preferring the removal of the smear layer. Objective: To study the influence of the energy (100 mJ) of Erbium, Chromium: Yttrium Scandium Gallium Garnet (Er,Cr:YSGG) laser at short pulse duration (60 μs) on smear layer removal of apical third after using Photon induced photoacoustic streaming technique. Materials and methods: Eighteen straight single-rooted mandibular premolars were used. The roots length were uniform to 14mm from the anatomic apex and instrumented using Protaper Gold Rotary NiTi file system to size 40 taper 0.06. Er,Cr:YSGG pulsed laser (waterlase iplus Biolase, CA, USA) 2780 nm was used at short pulse duration (60 μs, 5 Hz ,air and water off) delivered by MD/iplus Glass Tips (MZ6) 600 μm in diameter, length=6 mm, calibration factor= 1.00. Ultrasonic activator ENDO1 (Guilin Woodpecker Medical Instrument Co., Ltd.china) was used with Ultrasonic activator tip ED98 (25#, 2% taper, 18.5mm) (Guilin Woodpecker Medical Instrument Co., Ltd.china). The samples were arbitrarily divided into three groups (n=6) and used as follows: (A) conventional irrigation with 5 ml of 17 % EDTA, (B) passive ultrasonic irrigation with 5 ml of 17 % EDTA, (C) Er,Cr:YSGG induced photoacoustic streaming with 5 ml of 17 % EDTA. After final irrigation with normal saline and drying, the roots were painted with nail varnish externally, and 2% methylene blue dye injected into canal until the canal filled with dye. The tooth was splitted at the fourth millimeters from root apex with a diamond disc representing the apical third. Picture was taken by Professional Digital SLR camera (Nikon D7100, Nikon Corporation, Thailand) with 40X magnification. The dye penetration was measured by using analytical software (measure picture CAD-KAS Kessler Germany). ANOVA test was used to analyse repeated measure mean between tested concentration (5.25% NaOCL, 17% EDTA) and control. Data was expressed as mean±SD. LSD (Least Significant Difference) test was used to calculate the significant differences between tested mean. Results: The mean values of the percentage of dye penetration area in two experimental groups was higher than the control group, as the follow (20.79±1.15control, 34.5453±0.45 ultrasonic group, 85.9804±2.69 Er,Cr.YSGG+17%EDTA at 0.5 W). The Percentage of dye penetration in Er,Cr:YSGG laser induced photoacoustic streaming with 17% EDTA was significantly high (P value 0.001), followed by ultrasonic activated group, while control group result in less Percentage of dye penetration than both study groups. Conclusion: In this study, we concluded that Er,Cr:YSGG pulsed laser (0.5 W,5 Hz , air and water off) at short pulse duration (60 μs) with 17% EDTA using PIPS technique for activation of irrigant in endodontic treatment give better result than ultrasonic activation in smear layer removal
The research article deals with the process of building or rebuilding the state in Iraq after 2003 in its various dimensions, in light of the vision and foundational procedures that were developed and supervised by the United States in cooperation with the new leaders of Iraq based on the mechanism of sectarianethnic representation, and diagnosing the imbalances that arose out of that vision and the accompanying procedures, which led to the emergence of new variables in the political process, especially in the post-ISIS* phase, which produced important challenges to the political system and the Iraqi state. The political dynamics and balances emerging after ISIS* represented at the same time opportunities and risks in the process of
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Acromegaly is a rare disease produce generalize and serious alteration in the patient with active disease. Many of these patients are also diabetic. Many analytes, hormones, markers are change in these disease. The objective of study is to assess the modification in a number of parameters that changed during the acromegaly as a result of excess in GH and IGF1 levels. The study included 36 patients and 38 healthy controls, paired by sex and age and BMI. Serum concentration of GH and the other parameters including (insulin, glucose, lipid profile, uric acid ) were determined by biochemical method .Compared to controls, acromegalic patients had increased levels of GH, insulin, glucose, triglyceride, very low density lipoprotein(VLDL) (p<0.05)
... Show MoreBackground: Pyogenic discitis most frequently occurs
after home delivery, hemorridectomy, and dilatation and
curettage. Discitis is generally due to blood borne bacterial
invasion of the disc from adjacent end-plate via
communicating vessels. Infective discitis remains an
uncommon, but potentially serious cause for back pain.
Delayed diagnosis can occur and a high index of suspicion
may occur.
Methods: The study included 30 patients suffering from
localized low back pain with limitation of movement.
Diagnosis was made by history, physical examination and
investigation mainly E.S.R and MRI.
Results: 50.3% of patient with discitis had a history of
vaginal delivery, 15% had a history of hemorridectomy
Background: Maxillary sinusitis can arise after sinus floor elevation surgery and should be treated immediately to prevent further complications which included dental implants failure, graft lost, and oro-antral fistula. This is the first systematic review to assess the incidence, causes, and treatment of sinusitis after sinus lift surgery. Materials and methods: An electronic search included MEDLINE (PUBMED) data base site was carried out for articles involving development of sinusitis after sinus lift surgery from September 1997 up to April, 8, 2017. The search was done and reviewed by two independent authors. Results: The total results of electronic search were (182) abstracts and articles, the extracted articles which involved develo
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The aim of the research is to investigate potential effects of the finance industry and block-chain to general business of financing in particular, as well as its shortcomings and difficulties. To answer the research questions, the researcher used the objective narrative-analytical descriptive approach and included a qualitative analysis of Blockchain technology. The process of Blockchain technology based on their industries, the authors were selected based on their reputation in the Blockchain field. The research found that Blockchain can improve the efficiency of the banking industry's various sections. It has the ability to upgrade and transfer wages across borders, financial reporting and compliance, as well as trade finance
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Medicine is one of the fields where the advancement of computer science is making significant progress. Some diseases require an immediate diagnosis in order to improve patient outcomes. The usage of computers in medicine improves precision and accelerates data processing and diagnosis. In order to categorize biological images, hybrid machine learning, a combination of various deep learning approaches, was utilized, and a meta-heuristic algorithm was provided in this research. In addition, two different medical datasets were introduced, one covering the magnetic resonance imaging (MRI) of brain tumors and the other dealing with chest X-rays (CXRs) of COVID-19. These datasets were introduced to the combination network that contained deep lea
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