Background: This clinical trial aims to evaluate the color changes of direct resin composite veneer (DCV) restorations based on spectrophotometric analysis of 4 different types of resin composites between the baseline immediately after polishing and after one year of follow-up. Materials and methods: 28 patients were assessed for eligibility for participation, aged between 18 and 38 years old, who indicated for DCV restorations in anterior maxillary teeth were considered for participation in this study. In total, 25 patients who met the inclusion criteria were selected (6 males and 19 females, mean age: 20.9 at the time of restoration placement), and 3 patients were excluded. Participants were divided into four groups based on the type of composite resin used for restorations. Group 1 nanohybrid Ips Empress direct (Ivoclar Vivadent)](IPS) (13 restorations/6 patients), group 2 microfilled [Essentia (GC cooperation Japan)](ES) (14 restorations / 7 patients), group 3 supra-nano filled [ Estelite ∑ Quick (Tokuyama, Tokyo, Japan)](EQ) (17 restorations / 7 patients) and group 4 nanofill [Filtek Ultimate (3M ESPE)](FU) (13 restorations / 5 patients). Baseline Color measurements were performed with a spectrophotometer immediately after finishing and polishing (baseline), and after one year of recall, color change (ΔE) from baseline values and after one year of follow-up of DCVs were calculated according to CIELab color coordinates. For this, a silicone mold was fabricated for each patient and used as a guide for each measurement to standardize the site of the readings. Statistical analysis of the data was applied using the Kruskal-Wallis test with Dunn-Bonferroni posthoc test after controlling the distribution of data in terms of normality with the Shapiro Wilk test. Results: At the end of one year,25 participants(57restorations) were followed up. The mean ΔE of IPS, EQ, and FU composites were higher than the ES composite resin, but there was no statically significant difference between all types of composites (P> 0.05). There was no statistically significant difference in the mean ΔL* between any types of composite resin (p> 0.05). There was a significant change in Δa* and Δb* after a one-year recall for all the types of DCV restorations (p < 0.05). Conclusion: After one year of follow-up, the spectrophotometer measurements of direct resin composite veneer restorations, it was concluded no difference between the mean ΔE of ES, IPS, FU, and EQ resin composite. ES (Microfilled hybrid) showed a lower mean ΔE value compared to the other groups. All groups of resin composite showed color changes within clinically acceptable levels after a one-year follow-up.
Harold Pinter often portrays the dilemma of obliterated figures that are incapable of feeling of their own existences. These figures feel exhausted and frustrated in a world that deprives them their humanity. They retreat into a limited world where they look for security and protection. The characters' feeling of security is threatened by outside forces represented by intruding persons who stand for the mysterious powers that are indefinable. The conflict between these intruders and the characters finally ends with the characters’ defeat. The reason for the intruders' attack on the victims remains ambiguous and is not explained. The element of mystery pervades Pinter's plays and represents one of
... Show MoreThis study aimed at identifying the effect of violence on speech disorders concerning Arab Broadcasting . Language is a pot of thought and a mirror of human civilization and communication tool, but the Arabic language is suffering a lot of extraneous terms them, particularly through the media. This study attempts to answer the following question: Is the phenomenon of linguistic duality in the Media reflected negatively on the rules of the classical language? The study deals with the explanation and interpretation of the phenomenon that has become slang exist in our Media More. And the study suggests re- consideration of the value in the Media ,hence the problem will be resolved.
Benthic algae of Tigris river and one of its northern tributary the lower Zab were study at monthly intervals during Nov. 2001-Oct. 2002. Four sites were selected, a total of 115 species of algae were identified during this study, diatoms was the dominating group (86 species) followed by Chlorophyta (18 species), Cyanophyta (7species), Euglenophyta (2 species) and one species for each of Pyrrophyta and Chryzophyta. Pennate diatoms formed the major density within the identified algae and distributed among all stations especially the species Achnanthes minutissima, Navicula gracilis and Nitzschia palea, the diatoms bloomed in spring and autumn seasons. Bio-diversity and density of benthic algae in Tigris river was affected negatively by the e
... Show MoreBackground: Osteoid osteoma(OO) is a relatively common benign skeletal neoplasm of unknown etiology that is composed of osteoid and woven bone, usually seen in adolescent and young males Although, the clinical, radiological and scintigraphic features of OO have been well described, these features may be misleading or altered in the cases of lesser trochanter of the femur which is relatively uncommon location for OO with a few number of cases reported up to date. Case Presentation: We report a case of a 20-year-old man who presented with painful limpThe pain had begun six months earlier and was made worse by walking and by exercise., with normal initial X-rays .The diagnosis was made after six months when typical Computed tomography, magneti
... Show MoreAcromegaly 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 MoreThe road networks is considered to be one of the determinants that controls to specify the areas of human activities, which it depend on to specify the arrival cost , in addition it is useful to achieve the connectivity for interaction and human activities , and shorten the distance and time between the population and places of service. The density of the road network in any space directly affected by the density of population and the type of economic activities and administrative functions performed by the space. On this basis, the subject of this study is reflected in the quantitative analysis of the roads network in the Governorate of Karbala. The study consists the quantitative analysis for the roads network and the Urban Nodes in th
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