Background: An accurate adaptation of the crown to the finish line is essential to minimize cement dissolution and to preserve periodontium in fixed partial denture cases. An accurate adaptation of crown is possible only when preparation details are captured adequately in the impression and transferred to cast. For these reasons, gingival displacement is necessary to capture subgingival preparation details.The aim of the present study is to measure in vivo the horizontal displacement of the gingival sulcus obtained by using three new cordless retraction materials (Magic Foam Cord®, Racegel and Astringent Retraction Paste) in comparison to medicated retraction cord. Materials and method: Thirty-two patients requiring porcelain fused to metal fixed partial denture for replacement of a missing maxillary posterior tooth (either one of thepremolars or the first molar). The patients are randomly divided into four groups of eight patients each according to the type of gingival retraction material used as follows: Group I: Medicated retraction cord (racemic epinephrine hydrochloride 0.3 ± 0.2 mg per inch of cord, #00), Group II: Magic Foam Cord® (expanding polyvinyl siloxane), Group III: Racegel (25% aluminum chloride gel) and Group IV: Astringent Retraction Paste (15% aluminum chloride paste). Three depth orientation grooves were prepared in the buccal and palatal surfaces of a maxillary premolar parallel with the long axis of the tooth, extending from the middle third to the gingival third with the level of the free gingiva using a flat-ended diamond fissure bur. Impression of the gingival sulcus was then made using monophase polyether impression material (Impregum™ Penta™ Soft, 3M ESPE, Germany), before and after gingival retraction with either of the aforementioned gingival retraction materials. The sulcus width, before and after gingival retraction was measured on the master cast (in µm), after its sectioning longitudinally bucco-palatally at the middle of the prepared grooves using a rotary diamond disc. The measurement carried out by using digital microscope (Dino-Lite)at a magnification of 230X. The horizontal gingival displacement (the distance from the end of each prepared groove to the crest of the gingiva) measured by subtracting the gingival sulcus width after retraction from that before retraction. Results: The findings of the present study showed that the highest mean of horizontal gingival displacement is recorded by Group IV (Astringent Retraction Paste) (250.7900 µm), whereas the lowest mean of horizontal gingival displacement is recorded by Group III (Racegel) (78.0988 µm). One-way ANOVA test showed statistically highly significant differences among groups (p< 0.01). Least Significant Difference test (LSD test) was also used to make multiple comparisons among groups and revealed a statistically highly significant difference between each two groups (p< 0.01). Conclusion: The two new gingival retraction pastes (Astringent Retraction Paste and Magic Foam Cord®) could be used for gingival retraction as alternatives to medicated retraction cord. They offer advantages of simplified placement technique and shorter application time with greater gingival retraction. Meanwhile, the use of Racegel alone is not recommended for gingival retraction since it provides the least gingival displacement.
The objective of this study is to evaluate the level of cytokines IL-1?, IL-10 and IL-17A in the serum of patients with Alzheimer's disease (AD), vascular dementia (VD) and down syndrome (DS). The results showed that Serum level of IL-1? was significantly increased in AD patients (3.79 ± 0.26 pg/ml) as compared with DS patients (2.78 ± 0.39 pg/ml) or controls (2.78 ± 0.22 pg/ml), while no significant difference was observed between AD and VD (3.25 ± 0.20 pg/ml) patients or between VD patients, DS patients and controls. The serum level of IL-10 was approximated in VD and DS patients and controls (3.39 ± 0.24, 2.77 ± 0.39 and 3.41 ± 0.35 pg/ml, respectively), but was significantly (P ? 0.05) increased in AD patients (5.73 ± 0.55 pg/ml
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Back ground: Oral isotretinoin is recommended
for sever nodulocystic acne in the doses 0.5-
2mg/kg/day which is usually associated with higher
incidence of adverse effects. To reduce the
incidence of side-effects and to make it more costeffective,
the lower dose regimen of isotretinoin has
been used.
Aim: To compare the efficacy and tolerability of
oral isotretinoin 10mg and 20mg/day in acne
vulgaris.
Methods: one hundred and twenty patients with
acne vulgaris were randomized into two treatment
regimens each consisting of 60 patients. The first
was treated with 10mg/day and the second group
with 20mg/day for 24 weeks. Fifty five patients
from the first group and 47 patients from the second
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The research focuses on determining the role of customer relationship management in improving financial performance by surveying the opinions of a number of employees of a number of Iraqi private banks. The customer has become the focus of attention and the most important factors of success and profitability and competition. Therefore, decisions related to the customer are important decisions that support the process of making, And follow-up of administrative decisions, including financial decisions aimed at improving the financial performance of banks and distinguish them from competitors. Thus, the techniques used in customer relations management programs to collect, analyze and use data and information have beco
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The Innovation Of Knowledge Is An Important And A Key Element In The Progress And Business Excellence Organizations, Therefore Requires Several Elements To Help Create And Implement And Move The Innovation Process Of Knowledge, Including The Strategic Empowerment Associated With The Element Of The Process Of Strategic Momentum Engine Driven Wheel Continuous Dynamic Innovation, And Focused Research Problem By Measuring The Availability Of Strategic Empowerment When Individuals From By Senior Departments And Ways To Help Organizations To Provide Empowerment Commensurate With The Requirements Of Achieving The Goals Of Time And Place Appropriate For The Individual, And The Importance Of Research Stems From The Importance Of The Varia
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Background: The primary stability of the dental implant is a crucial factor determining the ability to initiate temporary implant-supported prosthesis and for subsequent successful osseointegration, especially in the maxillary non-molar sites. This study assessed the reliability of the insertion torque of dental implants by relating it to the implant stability quotient values measured by the Osstell device. Material and methods: This study included healthy, non-smoker patients with no history of diabetes or other metabolic, or debilitating diseases that may affect bone healing, having non-restorable fractured teeth and retained roots in the maxillary non-molar sites. Primary dental implant stability was evaluated using a torque ratc
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Aim: The reduction in the amount of marginal bone is the most important demand for the long term success of dental implants. This prospective clinical study was aimed to investigate the marginal bone loss of early loaded SLActive implants with different dimensions and surgical approaches. Materials and methods Fifteen patients aged from 18 to 60 years were divided into 2 groups (flapped and flapless approach) that underwent delayed implant placement protocol with SLActive implants. The marginal bone level was estimated by cone-beam computed tomography during three different periods: preoperatively, 8 weeks after surgery and 24 weeks after loading of the prosthesis. Results: The mean value of marginal bone level was not significantly chan
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The talk about the relationship between the media and industrialists can be the core of a bigger and deeper subject which is the role of these means in increasing sales : First, increasing the customer’s awareness of the importance of goods and the result of the promotion of products. Secondly, increasing investments which do require continuous studies and deep research in order to understand the constantly changing market conditions, and the public’s taste. In this research, we try to find out how industrialists see the role of media in the promotion of products in Iraq today, and how it develops in the future.
There was a reluctance of the industrialists to advertise in the local media, also industrialists see the role of t
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