Background: The present in-vitro study was undertaken to evaluate and compare fracture resistance of weakened endodontically treated premolars with class II MOD cavities restored with different bulk fill composite restorations (EverX posterior, Alert, Tetric EvoCeram Bulk Fill, and SDR). The type and mode of fracture were also assessed for all the experimental groups. Materials and Method: Forty-eight human adult maxillary premolar teeth were selected for this study. Standardized extensive class II MOD cavities with endodontic treatment were prepared for all teeth, except those that were saved as intact control. The teeth were divided into six groups of eight teeth each (n=8): (Group 1) intact control group, (Group 2) unrestored teeth with endodontic treatment, (Group 3) restored with (TetricEvoCeram Bulk Fill), (Group 4) restored with SDR bulk-fill flowable composite, (Group 5) restored with EverX Posterior composite and (Group 6) restored with Alert composite. . All specimens were subjected to compressive axial loading until fracture in a universal testing machine. The data were statistically analyzed using one-way ANOVA test and LSD test. Macroscopic fracture type were observed and classified into favorable and unfavorable. Specimens in groups 3, 4, 5 and 6 were examined by stereomicroscope at a magnification of 20× to evaluate the mode of failure into adhesive, cohesive or mixed. Results: The mean fracture load was (1.2505Kn) for group 1, (0.371Kn) for group 2, (0.512 Kn) for group 3, (0.6435 Kn) for group 4, (0.608 Kn) for group 5, and (0.8315) for group 6. Using one way ANOVA test a highly significant difference (P < 0.01) were found among all groups. The use of Alert composite (which contain micro glass fiber) improved the fracture resistance significantly in comparison to other groups. SDR bulk-fill flowable composite showed better improvement in fracture resistance but with no significant differences in comparison to EverX composite restoration (which contain Short E-glass fiber filler). The type of failure was unfavorable for all the restored groups. Conclusion: All experimental composite restorations showed significant improvement in the resistance to cuspal fracture in comparison to unrestored one (group 2). However, under the conditions of this study, direct composite restorations should be considered as a valid interim restoration for weakened endodontically treated teeth before cuspal coverage can be provided.
The problem of the study and its significance:
Due to the increasing pressures of life continually, and constant quest behind materialism necessary and frustrations that confront us daily in general, the greater the emergence of a number of cases of disease organic roots psychological causing them because of severity of a lack of response to conventional treatments (drugs), and this is creating in patients a number of emotional disorders resulting from concern the risk of disease
That is interested psychologists and doctors searchin
... Show MoreBackground:Plant-derived compounds have action alongside Gram-positive and Gram-negative bacteria and numerous compounds, inhibit efflux pumps and hence have become known as efflux pump inhibitors. Clarithromycin is a macrolide antibiotic used to treat pharyngitis, tonsillitis, acute maxillary sinusitis and acute bacterial exacerbation of chronic bronchitis the antibacterial range is the similar as erythromycin but it is active against Mycobacterium avium complex, M.leprae and atypical mycobacteria. The in vitro antibacterial activity results of different boswellic acid compounds discovered alpha keto-boswellic acid (AKBA) to be the preponderance potent antibacterial compound alongside Gram-positive pathogens, but it showed no significant a
... Show MoreThis prospective study investigates the prevalence of methicillin-resistant S.aureus (MRSA)
in burn unit of Al-Kindy Iraqi hospital, their susceptibility to antibiotics and bactericidal effect of near
infrared light from high powered 1064nm Nd: YAG laser and green light 532nm from SHG Nd: YAG laser
using various energy densities on these bacteria. Twenty four clinical isolates of S.aureus out of sixty
four examined patients with sever burn ulcers.MRSA was associated with 50% of S.aureus infections
.Results of antimicrobial susceptibility revealed that MRSA were multidrug resistant. After laser treatment
of non MRSA with Nd:YAG with wavelength of 1.064nm, 4mm beam diameter, energy density of
0.636 kh/cm2 and 180sec ex
Moringa oleifera L. and red pomegranate extracts have been reported to inhibit gram-positive facultative anaerobe growth and inhibit the formation of biofilm on tooth surfaces. The current study aimed to assess the antibacterial effect of M. oleifera L. and red pomegranate extracts and their combinations against Porphyromonas gingivalis. The antimicrobial sensitivity, minimum inhibition concentrations (MIC), and minimum bactericidal concentrations after treatment with the aqueous extracts of M. oleifera L. and red pomegranate as well as their combination against clinically isolated P. gingivalis were determined using agar well diffusion and two-fold serial dilution. The anti-biofilm activity of the extracts and their combination was evaluat
... Show MorePoly aniline-formaldehyde/chitosan composite (PAFC) was prepared by the in situ polymerization method. It was characterized by FTIR spectroscopy in addition to SEM, EDS and TGA techniques. The adsorption kinetics of malachite green dye (MG) on (PAFC) were studied for various initial concentrations (20, 30 and 40) mg/L at three temperatures (308, 313 and 318) K. The influence factors of adsorption; adsorbent dose, contact time, initial concentration and temperature were investigated. The kinetic studies confirmed that adsorption of MG obeyed the pseudo-second-order model and the adsorption can be controlled through external mass transfer followed by intraparticle diffusion mass transfer. A study of th
Steel fiber aluminum matrix composites were prepared by atomization technique. Different air atomization conditions were considered; which were atomization pressure and distance between sample and nozzle. Tensile stress properties were studied. XRF and XRD techniques were used to study the primary compositions and the structure of the raw materials and the atomized products. The tensile results showed that the best reported tensile strength observed for an atomization pressure equal to 4 mbar and sample to nozzle distance equal to 12 cm. Young modulus results showed that the best result occurred with an air atomization pressure equal to 8 mbar and sample to nozzle distance equal to 16cm
A particulate polymer composite material was prepared by reinforcing with the Aluminum Oxide (Al2O3) or Aluminum (Al) metallic particles with a particle size of (30) µm to an unsaturated Polyester Resin with a weight fraction of (5%, 10%, 15%, 20%).
Tensile test results showed the maximum value of elastic modulus reached (2400MPa.) in the case of reinforcing with (Al) particles with weight fraction (20%) and (1500 MPa.) in the case of reinforcing with (Al2O3) particles of the same weight fraction.
When the impact and the flexural strength tests were done, the results showed that flexural strength (F.S), maximum shear stress (τmax), impact strength
... Show MoreThis paper presents an investigation of peristaltic flow of Bingham plastic fluid in an inclined tapered asymmetric channel with variable viscosity. Taken into consideration Hall current, velocity, thermal slip conditions, Energy equation is modeled by taking Joule heating effect into consideration and by holding assumption of long wavelength and low Reynolds number approximation these equations simplified into couple of non-linear ordinary differential equations that solved using perturbation technique. Graphical analysis has been involved for various flow parameters emerging in the problem. We observed two opposite behaviors for Hall parameter and Hartman number on velocity axial and temperature curves.