Dental Materials Commons^™

In Vitro Evaluation Of The Reciprocating Disposable Prophylaxis Angle Versus The Rotating Disposable Prophylaxis Angle In Extrinsic Stain Removal Effectiveness, Inma Lacross

Dental Hygiene Theses & Dissertations

The purpose of this study was to determine the extrinsic tooth stain removing effectiveness of a 90° counter-rotating disposable prophylaxis angle (DPA) with rubber cup as compared to the traditional 360° unirotational DPA with rubber cup. Four randomly assigned groups of cleaned, sterilized, extracted human teeth, artificially stained with coffee, tea, tobacco, and red wine were polished on the buccal and lingual surfaces using one of the two rubber cup DP As under study. Each dependent variable (four different stain types) was tested four times with each prophylaxis angle, using each of the four prophylaxis paste conditions, and three different …

Influence Of Common Orthodontic Appliances On Magnetic Resonance Imaging, Joseph Matthew Elison

Loma Linda University Electronic Theses, Dissertations & Projects

Magnetic resonance imaging (MRI) is an essential diagnostic tool in modern medicine. Conditions such as cerebral vascular accidents, epilepsy and other seizure disorders, autism, cancer, migraine and cluster headaches benefit from its use. It has been discovered that 4-10% of all children and adolescents will experience a seizure at some point (Hauser, 1994) and MRI is one of the most common imaging modalities for seizure and epilepsy diagnosis. Unfortunately, some orthodontic materials cause distortion on MR images. Radiologists would probably require the removal of any distortion-causing orthodontic appliance prior to MR imaging. It is questionable whether radiologists would be comfortable …

Bone Morphogenic Protein Induced Repair Of The Premaxillary Cleft, Rick J. Rawson

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study is to evaluate the bony augmentation of premaxillary clefts in humans using recombinant bone morphogenic protein (rhBMP-2) in a collagen sponge carrier. 12 patients with unilateral cleft alveolar ridges were evaluated pre- and 4 months postoperatively. 10 patients were repaired with rhBMP-2 while two others were grafted with anterior iliac crest particulate marrow cancellous bone (PMCB). Computed tomographic studies were used to evaluate preoperative alveolar cleft volumes, postoperative bone bridge volumes, and pre/post operative volume ratios.

A pre/post operative volume ratio for patients repaired with rhBMP-2 ranged from 24.1% to 90.6% with a mean of …

The Effect Of Calcium Hydroxide Pastes On Root Dentin Fracture Resistance, Kurt W. Sturz

Loma Linda University Electronic Theses, Dissertations & Projects

Calcium hydroxide is a common intracanal medicament used in the treatment of immature teeth that have been subjected to trauma or decay prior to root canal therapy. The effect of calcium hydroxide on immature root dentin is important. One area of concern is the effect that calcium hydroxide has on the fracture resistance of an immature tooth. It is the aim of this study to compare the effect of four different commercially available calcium hydroxide pastes on the fracture resistance of bovine teeth. Seventy-five freshly extracted, intact bovine incisors were prepared according to a modified Haapasalo and Orstavik technique. Each …

Effectiveness Of Chlorhexidine-Coating In Controlling Bacterial Quantity On Toothbrush Filaments, Lisa A. Turner

Dental Hygiene Theses & Dissertations

The purpose of this study was to determine if a significant difference exists in the effectiveness· of chlorhexidine-coated nylon brush filaments as compared to uncoated nylon filaments in reducing the quantity of bacteria. Methods: An IRB-approved, two-group, double-blind, randomized, post-test only design was conducted. Sixty-four individuals were randomly assigned to two equal groups of 32. After using the control or experimental toothbrushes for 30-days, participants returned the toothbrushes to the researchers in sealed autoclave bags. In the laboratory, microorganisms were detached from the toothbrush filaments by sonification and vortexing, then plated on both selective and non-selective media at various dilutions …

Mineralized Bone Allograft In Maxillary Sinuses Histology And Histomorphometry, Sammy Stefan Noumbissi

Loma Linda University Electronic Theses, Dissertations & Projects

Background: Demineralized freeze-dried bone allografts (DFDBA) and deproteinized bovine bone xenografts (DMBBX) have been used for sinus augmentation for many years with varying results, but very little has been reported on the clinical efficacy or the histological analysis of mineralized solvent dehydrated bone allografts (MSDBA) as sinus graft materials. This study histologically and histomorphometrically evaluated an MSDBA material called PUROS to augment atrophic human maxillary sinuses.

Materials & Methods: Seven partially and completely edentulous patients requiring unilateral (n=4) or bilateral (n=3) sinus grafts prior to implant placement were selected for this study. Test grafts consisted of MSDBA, and control …

Vital Pulp Therapy With Mineral Trioxide Aggregate: An Outcomes Study, Heather H. Lauer

Loma Linda University Electronic Theses, Dissertations & Projects

Mineral trioxide aggregate (MTA) is used in a variety of endodontic procedures. MTA is proven to provide good marginal adaption to dentin, to be biocompatible, and to stimulate dentin bridge formation through animal studies. These properties make MTA a potentially useful material to be used in vital pulp therapy. Clinical data on the use of MTA as a vital pulp medicament is sparse. The purpose of this study was to evaluate the clinical outcome of vital pulp therapy using MTA as the pulp medicament. Inclusion criteria for patient selection for recall was based on pulp treatment necessary from carious pulp …

Stability Of The Miniscrew-Bone Interface: Reverse Torque Values In Rabbits, Daniel John Drye

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: Miniscrews are used in orthodontics as practical temporary anchorage devices (TAD's). The purpose of this animal study was to measure reverse torque values for Absoanchor 1.2 mm and Micerium 1.5mm miniscrews at 0, 2, and 12 weeks under loaded and unloaded conditions.

Methods: Ninety-six miniscrews were placed in the femora of twelve rabbits and allowed to heal for either two or twelve weeks. Half of the fixtures were loaded immediately with NiTi open coil springs producing a force of 150-200g and the other half served as unloaded controls. For each of the healing times, two and twelve weeks, …

The Outcome Of Mta As A Root End Filling Material: A Long Term Evaluation, Christopher M. Sechrist

Loma Linda University Electronic Theses, Dissertations & Projects

Periradicular surgery is a viable option to save natural teeth when non-surgical treatment fails or when endodontic retreatment is not feasible or contraindicated. Laboratory and animal studies have demonstrated that MTA is biocompatible, provides an excellent seal against penetrating bacteria, and promotes hard tissue healing. The purpose of this study was to provide long term (>3 years) clinical evidence for its use as a root-end filling material in endodontics. The clinical records of 294 patients who had MTA used during endodontic treatment from 1996 to 2001 were reviewed. From these, 75 patients whose root end cavities had been filled …

Treatment Outcome Of Root Perforations Repaired With Mineral Trioxide Aggregate, Stephen H. Paik

Loma Linda University Electronic Theses, Dissertations & Projects

Root perforations during root canal therapy have a significant negative impact on long-term prognosis of teeth. Proper treatment is critical in managing these accidental procedures. Laboratory and animal studies have demonstrated that Mineral Trioxide Aggregate (MTA) is biocompatible, provides an excellent seal against penetrating bacteria, and promotes hard tissue healing. The purpose of this study was to determine the long term treatment outcome of root perforations repaired with MTA.

Ninety-nine records from the Graduate Endodontic Clinic at Loma Linda University School of Dentistry from 1996 to 2001 were reviewed. Clinical and radiographic evaluations were completed. Three independent examiners evaluated digitized …

De-Bonding 4 Brands Of Ceramic Brackets With The Waterlase Er,Cr;Ysgg Laser, Carter A. Lane

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine if the Biolase Waterlase Er,Cr:YSGG laser could be used as a safe and effective tool to de-bond four currently available orthodontic ceramic brackets. Changes in interpulpal temperature, enamel surface conditions and the amount of time the laser was activated to debond (sic) the ceramic brackets were evaluated. Forty human maxillary premolars were divided into four groups of ten. Prior to direct bonding, all extracted teeth were impressed and duplicated in Araldite epoxy resin as the control surface. Identical techniques were used to bond 10 ceramic brackets from each manufacturer. Three of the …

Use Of Miswak Versus Toothbrushes: Oral Health And Behaviors Of Jordanian Adults, Reem Saleem Tubaishat

Dental Hygiene Theses & Dissertations

The purpose of this study was to determine the perceived relationship among miswak, the toothbrush, and toothbrush-plus-miswak usage on oral health beliefs and behaviors of Jordanians. To examine these relationships, a self-designed questionnaire was distributed to a convenience sample of 150 adult subjects (ages 18-60 years) seeking dental care at the health center, and two private dental clinics in Irbid, Jordan. Via the Oral Health Beliefs and Behaviors of Jordanian People Questionnaire, participants were asked to select one and sometimes more than one response regarding their perceived oral health status and oral care behaviors. Content validity of the questionnaire …

Resonance Frequency Analysis As A Determinant Of Implant Initial Stability, Negar Tabandeh

Loma Linda University Electronic Theses, Dissertations & Projects

Introduction: The clinicians' decision regarding immediate loading is largely determined by the assessment of initial stability of the dental implant. Computed tomographic assessment of recipient site bone quality, insertion resistance torque and post-insertion resonance frequency are currently the only objective methods of measurement establishing initial stability.

Purpose: A study was designed to measure resonance frequency of root form dental implants placed in cadaver jaws. The resonance frequency values were compared to previous subjective and objective data reported in prior studies in the series.

Materials and Methods: Resonance frequency measurements were secured using the Osstell ™ mentor unit on 4.0 X …

Histological Comparison Of White And Gray Mta In Repair Of Furcation Perforations, Miguel Elias Mego

Loma Linda University Electronic Theses, Dissertations & Projects

Mineral trioxide aggregate (MTA) has been shown to promote regeneration of the periodontal apparatus when used as a repair material in furcation perforations. Two variations of MTA (Gray and White) have been introduced to the dental market. The purpose of this study was to histologically compare the in vivo response to immediate furcation perforation repair using gray or white MTA in beagle dogs.

Under general anesthesia, non-surgical root canal therapy and furcal perforations were performed on sixteen mandibular premolars of eight 2-year old beagle dogs. The perforations were immediately repaired with either white (n=8) or gray (n=8) MTA. The animals …

The Effect Of Topical Fluorides On The Microleakage Of Sealants, N. Jared Nation

Loma Linda University Electronic Theses, Dissertations & Projects

Purpose: The purpose of this study was to evaluate the possible microleakage found in two groups of sealants; a group bonded with a dentin bonding agent (DBA), and a group bonded without a DBA after exposure to a variety of topical fluorides.

Materials and Methods: Extracted, human molars were placed into 8 groups. Half of the groups contained sealants that were bonded with a DBA and the other remaining groups of sealants were bonded without a DBA. There were two control groups, one that had sealants bonded with a DBA and the other had sealants bonded without a DBA, but …

The Effect Of Naocl, Ca(Oh)2, Mta And Mtad On Root Dentin Fracture Resistance, Sunil Ilapogu

Loma Linda University Electronic Theses, Dissertations & Projects

Various materials are used for the treatment of immature teeth that have been subjected to trauma or decay. It is not well established what effect these materials may have on the immature root dentin. A concern would be the resistance to fracture of the remaining root dentin. The purpose of this study was to compare the resistance of fracture of bovine teeth treated with sodium hypochlorite, calcium hydroxide, gray MTA and gray MTA in conjunction with MTAD after certain periods of time. One hundred and ninety five freshly extracted, intact bovine incisors were prepared using a modified Haapasalo and Orstavik …

Bone Formation Using Platelet-Rich Plasma + Allograft: An Experimental Study In Sheep, Edgar Grageda

Loma Linda University Electronic Theses, Dissertations & Projects

Recently Platelet-Rich Plasma has been proven to be an effective regeneration adjunct when combined with autogenous bone in the reconstruction of mandibular defects. However, little is known about the effect of PRP when combined with a bone allograft in the maxillary sinus.

The purpose of this study was to quantitatively evaluate the ability of PRP to enhance bone regeneration in the maxillary sinus of sheep when combined with DFDBA + CCFDBA. Ten sheep were selected for bilateral sinus augmentation DFDBA + CCFDBA + PRP (test) and DFDBA + CCFDBA (control). Five were sacrificed at 3 months and the other five …

The Effects Of Universal And Rotating Ultrasonic Inserts On Wrist Movement, Scaling Time Efficiency, And Cumulative Trauma Risk In Dental Hygienists, Christine Colavita Hawn

Dental Hygiene Theses & Dissertations

The purpose of this study was to determine if differences existed in range of wrist movements and scaling time efficiency in dental hygienists that use a rotating ultrasonic insert as compared to those who use a standard universal insert. A convenience sample of 30 consenting experienced dental hygienists from the Norfolk area who met inclusion criteria was invited to be subjects. Using a crossover research design, each experimental subject used the rotating ultrasonic scaling insert to remove 2 cc artificial calculus from a typodont in a controlled, simulated clinical situation for up to 15 minutes. While scaling, each subject wore …

Comparison Of Bracket Bond Strength By Total, Self-Etch And Laser Treatment, Kyo Sung Shawn Kim

Loma Linda University Electronic Theses, Dissertations & Projects

Laser etching of enamel surfaces alters the physical and chemical characteristics of the enamel. These changes in characteristics enhance the bonding to enamel. The purpose of this study was to compare the shear and tensile bond strength of Er,Cr:YSGG hydrokinetic laser system (Biolase) with 37% phosphoric acid and self etching primer 30 minutes and 72 hours after bonding. Four different laser power output setting was observed: 1.5W, 2.0W, 2.5W, and 3.0W. Two hundred forty bovine teeth free of defect, caries, and dentin exposure were mounted in acrylic resin and divided into 24 groups of 10 teeth. Sixteen groups of 10 …

A Bond Strength Comparison Of Led And Halogen Light Curing Units, John Richard Kavanagh

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this research was to compare the tensile bond strength of orthodontic flat based buttons bonded to bovine teeth with four commercial light-emitting diode (LED) curing lights and one conventional quartz tungsten halogen (QTH) curing light.

The dental market has recently been introduced to a number of commercially available light-emitting diode (LED) curing lights. Tensile bond strength was evaluated for LED curing lights (Rembrandt® Allegro^TM, Den-Mat Corp, Santa Maria, CA), (LEDemetron, Kerr/Demetron Corp, Danbury, Conn), (Ortholux LED, 3M^TMESPE^TM, St. Paul, MN),and (FLASH-lite 1001, Discus Dental, Culver City, CA) are compared with one …

The Comparative Effects Of 0.12% Chlorhexidine And An Herbal Oral Rinse On Dental Plaque-Induced Gingivitis, Elizabeth N. Southern

Dental Hygiene Theses & Dissertations

The purpose of this study was to determine the effects of 0.12% chlorhexidine rinse (CID{) and herbal rinse (HBR) to placebo, on gingival health status over time. Methods: 63 subjects (57% male, 43% female, mean age 25 years, sd=7.67) were randomly assigned to one of three treatment groups; CHX, HBR, or placebo. Subjects rinsed twice daily (AM and PM) with ½ ounce of allocated rinse, after brushing and flossing, for three months. Subjects were given the same type of soft bristle toothbrush and whitening toothpaste. Participants were advised to refrain from use of any other oral rinse for the duration …

The Radiopacity Of 29 Resin Restorative Materials Compared To Enamel, Peter Lubisich Iv

Loma Linda University Electronic Theses, Dissertations & Projects

The radiodensity of a composite resin can greatly influence a clinician's ability to analyze a restoration for failure. The purpose of this study was to determine the relative radiopacities of 29 resin restorative materials compared to enamel, and to verify the comparable radiopacity between shades of 23 of the restorative composite resin materials. Composite resin discs measuring >5mm in diameter and 2 mm in thickness were made and polymerized. Radiographs were taken of the composite resin discs, which included an aluminum step wedge for calibration and a densitometer was used to measure the radiodensity of the composite resin samples. The …

Effects Of Ultrasonic Scaling And Hand-Activated Scaling On Tactile Sensitivity In Dental Hygiene Students, Danielle Leigh Ryan

Dental Hygiene Theses & Dissertations

This study was conducted in order to determine if tactile sensitivity varies in dental hygiene students who use the ultrasonic scaler as compared to those who scale with handactivated instruments. A convenience sample of 40 consenting, first year dental hygiene students were randomly assigned to one of two groups. The 40 students had not yet used the ultrasonic scaler nor had any history of injuries or disabilities to the dominant arm, wrist or hand. After establishing a baseline tactile sensitivity score with the Vibratory Sensory Analyzer (VSA), experimental group subjects used the ultrasonic scaler to remove 4cc's of artificial calculus …

Effects Of Mtad On Some Physical Properties Of Enamel And Dentin, Tanya Kristina Machnick

Loma Linda University Electronic Theses, Dissertations & Projects

Recently, a Mixture of Tetracycline, an Acid, and a Detergent (MTAD) has been advocated to remove smear layer and disinfect canals. The purpose of this study was to evaluate the effect of MTAD the flexural strength and modulus of elasticity of dentin as well as its effect on the bond strength to enamel and dentin. In Part I, dentin bars were randomly assigned to eight groups treated either with various concentrations of NaOCl (5.25%, 2.65%, 1.31%, 0.66%), 17% EDTA, MTAD, saline, or according to a clinical protocol with 1.3% NaOCl and then 5 min of MTAD. …

Effects Of Daily Oral Care With 0.12% Chlorhexidine Gluconate And A Standard Oral Care Protocol On The Development Of Nosocomial Pneumonia In Intubated Patients- A Pilot Study, Michelle Lynn Bopp

Dental Hygiene Theses & Dissertations

The initial purpose of the study was to determine if a difference existed between nosocomial pneumonia rates for intubated patients who received twice daily oral hygiene care with 0.12% chlorhexidine gluconate and those who received the standard oral care while in the critical care unit (CCU). Over seven months (February - August), participants were identified through screening and consent procedures, and randomized into one of two groups. Over the seven months, only five subjects were enrolled. While in the study, twice-daily oral hygiene care consisting of brushing the cheeks, teeth and endotracheal tube with a suctioning toothbrush using an FDA …

Bond Strengths Of Three Orthodontic Adhesives For Direct And Indirect Bonding, Aaron Rondon

Loma Linda University Electronic Theses, Dissertations & Projects

The technique of bonding orthodontic brackets utilizing a transfer tray, otherwise known as indirect bonding, is a dichotomous subject. It allows for more accurate bracket placement and reduced chair time for the patient and doctor, yet its technique sensitivity can yield bracket failures at the time of tray removal. With the recent development of 3M's Sondhi Rapid Set, an adhesive specifically designed for orthodontic bonding, the purpose of this study was to compare this fairly new indirect adhesive with 3M's Transbond XT and Reliance's Rely-A-Bond.

Two hundred and seventy freshly extracted bovine teeth were mounted in acrylic resin and divided …

Properties Of Experimentally Modified Orthodontic Adhesives: A Pilot Study, Adam Gary Lautt

Loma Linda University Electronic Theses, Dissertations & Projects

Bonded orthodontic brackets were introduced in the early 1960's and, since then, spontaneous debonding has been a constant nemesis. Consequently, many studies involving bond strength have been performed targeting brackets, adhesives, curing methods and types of teeth. The purpose of this study was to compare the properties of adhesive resins that have been experimentally modified in both the filler and the polymer.

Twenty different types of adhesives were prepared with variations in the ratios of the two different fillers (ground glass and Wollastinite fiber) and the polymer. System 1+ was used as a control since it was the original resin …

Evaluation Of Three Bonding Agents In The Repair Of Fractured Veneered Stainless Steel Crowns, Jennifer Liane Hoffer

Loma Linda University Electronic Theses, Dissertations & Projects

Dentists have long been challenged with finding an esthetic yet durable treatment option to restore badly carious anterior teeth. Veneered stainless steel crowns have become one of these options, but these restorations often return with the veneer fractured. To help restore esthetics, the crown may either be replaced or the veneer must be repaired. The purpose of this study was to evaluate the use of three bonding agents (PQ1, C&B Metabond, and Panavia) and one restorative material (Filtek Z250, 3M) in the repair of these fractured stainless steel crown veneers. The clinical significance is to determine the best methods of …

Patient Satisfaction And Effectiveness Of A New Resin Used To Bumper Orthodontic Brackets, Timothy B. Elison

Loma Linda University Electronic Theses, Dissertations & Projects

Fear of pain is a key factor in discouraging patients from seeking orthodontic treatment, with many patients discontinuing treatment due to pain experienced in the early stages of treatment. Patients often complain of traumatized lips and buccal mucosa, which is usually caused by the brackets. Orthodontists try to minimize this pain and discomfort by using bumpering materials. Although wax is the most commonly used product, there are many bracket bumpering materials available.

The purpose of this study was to evaluate the clinical effectiveness and patient comfort/satisfaction of a new flowable resin, Ortho Shield, designed to protect the lips and …

Identification Of Hard Tissue Using Dentin Sialoprotein (Dsp) As A Marker, Wallis E. Andeline

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to identify the early hard tissue formed in experimental pulp exposures capped with calcium hydroxide, mineral trioxide aggregate (MTA) or bone morphogenetic protein-7 (BMP-7) using dentin sialoprotein (DSP) as a marker. The pulps of eighty-five maxillary first, second and third molar teeth from twenty male rats were experimentally exposed. The exposed pulps were capped with calcium hydroxide followed by restoration with amalgam (n = 20), with MTA alone as a pulp capping agent and final restoration (n = 20) or with BMP-7 followed by restoration with MTA (n = 20). Ten teeth with Class …