Fracture susceptibility of endodontically treated teeth

Aim: To assess the influence of cervical preparation on fracture susceptibility of roots. Material and methods: During root canal instrumentation, the cervical portions were prepared with different taper instruments: I: no cervical preparation; II: #30/.08; III: #30/.10; IV: #70/.12. The specimens were sealed with the following filling materials (n = 8), A: unfilled; B: Endofill/gutta-percha; C: AH Plus/gutta-percha; D: Epiphany SE/Resilon. For the fracture resistance test, a universal testing machine was used at 1 mm per minute. Results: anova demonstrated difference (P < 0.05) between taper instruments with a higher value for group I (205.3 +/- 77.5 N) followed by II (185.2 +/- 70.8 N), III (164.8 +/- 48.9 N), and IV (156.7 +/- 41.4 N). There was no difference (P > 0.05) between filling materials A (189.1 +/- 66.3 N), B (186.3 +/- 61.0 N), C (159.7 +/- 69.9 N), and D (176.9 +/- 55.2 N). Conclusions: Greater cervical wear using a #70/.12 file increased the root fracture susceptibility, and the tested filling materials were not able to restore resistance.

Biocompatibility of New Calcium Aluminate Cement (Endo Binder)

Introduction: The purpose of this study was to evaluate the biocompatibility of calcium aluminate cement (EndoBinder) in subcutaneous tissue of rats. Methods: Fifteen rats, weighing 300 g, were separated into 3 groups (n = 5) in accordance with the time of death (7, 21, 42 days). Two incisions were made in the dorsal subcutaneous tissue of each rat in which were implanted 2 polyethylene tubes filled with the test materials, Endo Binder (EB) and Grey MTA (GMTA). The external tube walls were considered the negative control group (CG). After 7, 21, and 42 days, animals were killed, obtaining 5 samples per group, at each time interval of analysis. Results: From the morphologic and morphometric analyses by using a score of (0-3) (50, 100, and 400x), results showed absence of inflammatory reaction (0) for EB after 42 days. However, for GMTA, a slight inflammatory reaction (1) was observed after 42 days, which means the persistence of a chronic inflammatory process. When compared with CG, tissue reaction ranging from discrete (1-7 days) to absent (0-42 days) was observed. Conclusions: EndoBinder presented satisfactory tissue reaction; it was biocompatible when tested in subcutaneous tissue of rats. (J Endod 2012;38:367-371)

Evaluation of apically extruded debris during endodontic retreatment

Introduction: A growing interest to preserve teeth into the mouth by patients resulted in the increasing number of endodontic retreatments, and when these happen, many different types of irritants are extruded through the foramen. Objective: This study analyzed in vitro the amount of debris extruded through the foramen using four instrumentation techniques during endodontic retreatment. Material and methods: Forty mesial-buccal roots of first molars were selected, instrumented with anatomical diameter up to size #30 ISO file and then obturated with gutta-percha and grossman sealer by lateral condensation. After, they were separated and randomly allocated into four groups with 10 teeth each for the endodontic retreatment procedure: G1 – conventional technique + solvent, G2 – conventional technique without solvent, G3 – ProTaper retreatment + solvent, G4 – ProTaper retreatment without solvent. In all groups, gutta-percha in the coronal portion was removed by using size 1-3 Gates Glidden drills. All teeth were irrigated with distilled water. The debris extruded through the foramen were collected and weighed by an analytical balance. Results: Group 4 had the lowest average for material extrusion through the foramen followed by groups 2, 3 and 1. When Tukey test for statistical analysis was applied, no significant difference among groups were found (p = 0.5664). Conclusion: We conclude that all instrumentation techniques used in this study produced debris which goes beyond the foramen.

In vitro cytotoxicity of white MTA, MTA Fillapex® and Portland cement on human periodontal ligament fibroblasts

The aim of this study was to compare the in vitro cytotoxicity of white mineral trioxide aggregate (MTA), MTA Fillapex® and Portland cement (PC) on human cultured periodontal ligament fibroblasts. Periodontal ligament fibroblast culture was established and the cells were used for cytotoxic tests after the fourth passage. Cell density was set at 1.25 X10 4 cells/well in 96-well plates. Endodontic material extracts were prepared by placing sealer/cement specimens (5X3mm) in 1mL of culture medium for 72 h. The extracts were then serially two-fold diluted and inserted into the cell-seeded wells for 24, 48 and 72 h. MTT assay was employed for analysis of cell viability. Cell supernatants were tested for nitric oxide using the Griess reagent system. MTA presented cytotoxic effect in undiluted extracts at 24 and 72 h. MTA Fillapex® presented the highest cytotoxic levels with important cell viability reduction for pure extracts and at ½ and ¼ dilutions. In this study, PC did not induce alterations in fibroblast viability. Nitric oxide was detected in extract-treated cell supernatants and also in the extracts only, suggesting presence of nitrite in the soluble content of the tested materials. In the present study, MTA Fillapex displayed the highest cytotoxic effect on periodontal ligament fibroblasts followed by white MTA and PC.

Healing of a tooth with an overinstrumented apex, extensive transportation and periapical lesion using a 5 mm calcium hydroxide apical plug: an 8-year follow-up report

Besides the risk of filling material extrusion throughout the apex, a satisfactory apical seal can be difficult to achieve in canals with open apices or iatrogenic enlargements of the apical constriction. These situations pose a challenge to root canal filling. This paper describes the root canal filling of a maxillary right canine with an overinstrumented apex, complete loss of the apical stop, extensive canal transportation and apical periodontitis. A 5 mm calcium hydroxide apical plug was placed before root canal filling. The plug was made by soaking paper points with saline, dipping the points in calcium hydroxide powder and then applying it to the apex several times, until a consistent apical plug was obtained. The canal was then irrigated with saline in order to remove any residual calcium hydroxide from the root canal walls, dried with paper points and obturated with an inverted #80 gutta-percha cone and zinc oxide-eugenol based sealer by the lateral condensation technique. An 8-year radiographic follow-up showed formation of mineralized tissue sealing the apical foramen, apical remodeling and no signs of apical periodontitis.

A 5-year review of teeth filled with the noninstrumentation technology

AIM: The aim of this Case Series was to evaluate the radiographic quality of root fillings performed 5 years previously using the noninstrumentation technology (NIT)-obturation method and to assess radiographically the outcome of these root canal treatments. METHODOLOGY: Seventeen patients requiring root canal treatment participated in this study and were re-evaluated after 5 years. After instrumentation with K-Flexofiles, Calcium-Hydroxide inter-appointment dressing, re-entry and copious irrigation with NaOCl, the teeth were root filled using the NIT. RESULTS: Immediately after obturation the root fillings were (-0.78 +/- 0.11 mm) short when taking the radiographic apex as a reference point. After 60 months these values were -0.85 +/- 0.11 mm. No statistical difference was found (P > 0.05). In the periapical region, PAI rating 1 and 2 increased from 20.1% to 75.6% after 60 months. CONCLUSIONS: * This prospective Case Series demonstrated the performance of the NIT-obturation method in vivo. * Root canals filled by the reduced-pressure method using sealer combined with gutta-percha cones showed good radiographic quality. * Periapical healing after 5 years was comparable with conventional filling techniques.

Evaluación de selladores de fosas y fisuras realizados con resina y con ionómeros vítreos

En el presente trabajo se evaluaron 4 casos clínicos de pacientes con riesgo de caries pero que poseían molares sin lesiones, a los cuales se les colocó selladores de fosas y fisuras: en dos pacientes con resina y en dos pacientes con ionómero de vidrio. Los mismos fueron controlados en su permanencia en boca, los de resina en 6 meses y los de ionómero en 2 años, no encontrándose diferencias clínicas entre los materiales utilizados, debido a la diferencia en el tiempo de control de los mismos. Paralelamente, se realizó un trabajo in vitro con dos grupos de 10 molares cada uno, tratados el grupo 1 con sellador a base de resina y el grupo 2 con sellador de ionómero de vidrio. Luego de someter las muestras a la acción de un colorante (azul de metileno) se seccionaron longitudinalmente y se observaron en una lupa estereoscópica para ver si el colorante había penetrado o no por la interfase sellador/esmalte. No se encontraron diferencias estadísticamente significativas (a>0.05) entre los grupos analizados.

Arquifanía: la arquitectura como manifestación

Arquifanía: arquitectura y epifanía. La revelación que se da en el proyectar, en el construir y en el habitar. Desentrañar los protagonistas y el escenario de ese encuentro es el objetivo de esta tesis. Nace de una doble inquietud: la relación entre literatura y arquitectura y la constatación de algo inconmensurable en la arquitectura. A lo largo de los siglos la teoría de la arquitectura ha hecho un gran esfuerzo por racionalizar todos los aspectos de la disciplina. La sistematización del orden y jerarquía de los espacios, el uso de parámetros más rigurosos en los cálculos estructurales, el desarrollo de la técnica y el estudio de los esquemas funcionales han supuesto una fuente inagotable de manifestaciones arquitectónicas. Los paradigmas científicos, incluso, han resultado fundamentales en la creación de nuevos lenguajes. Sin embargo, en este camino de racionalización se han orillado aspectos de difícil cuantificación. Pese a que en la experiencia diaria del arquitecto se constata la presencia de parámetros inconmensurables, la teoría de la arquitectura no ha integrado de forma sistemática este conocimiento. De aquí nace la presente tesis doctoral. En ella se estudia, por analogía con el resto de artes, el concepto de manifestación. Se analiza de qué manera la obra arquitectónica se manifiesta, haciendo uso de su autonomía, y se convierte en la que dirige al arquitecto en todos los tiempos de la existencia de la obra: desde su génesis en el tiempo del proyecto hasta la experiencia de la obra terminada en el tiempo de la historia. Se considera que reflexionar en el concepto de manifestación puede aportar luces sobre la disciplina arquitectónica en un doble momento. Se estudia por una parte la actitud y el proceder del arquitecto ante la génesis del proyecto y por otra su posicionamiento ante la obra ya existente, sometida a su análisis (para la posterior síntesis) generando una espiral de conocimiento siempre abierta y en continuo enriquecimiento. Se analiza la obra de María Zambrano, filósofa, y José Ángel Valente, poeta, en busca de la definición del concepto de manifestación. El momento creativo, la naturaleza de la palabra poética, la actitud del poeta ante su obra, el conocimiento y la revelación de la belleza son temas recurrentes en sus obras y crean un corpus teórico que permite elaborar una teoría poética sólida y abierta, llena de sugerencias que se dirige con precisión al momento de la generación de la forma: su epifanía. A continuación se repasa el concepto de manifestación en la actividad de algunos artistas de la modernidad que, de manera implícita o explícita, han hablado del concepto de epifanía. A menudo de forma intuitiva, los artistas han detectado en su actividad la condición de ser depositarios de un don que se renueva en cada obra ejecutada. Entrelazado con su trabajo y con la disciplina diaria los artistas experimentan un diálogo con la obra, que se revela libre y con voluntad de manifestarse. Enunciado el problema y hecho el repaso por el mundo de la creación artística, nos enfrentamos con el núcleo de la tesis: ¿hasta qué punto y de qué manera el concepto de manifestación es válido en arquitectura? El discurso busca en la actividad de múltiples arquitectos la validez del concepto de manifestación. Se rastrean testimonios, textos, obras y análisis de obras. De esta investigación surge una topografía, un atlas de revelaciones de manifestaciones arquitectónicas: constataciones explícitas, testimonios implícitos o intuiciones. A través de este periplo entre el concepto de manifestación que la razón poética ofrece y la experiencia de muchos arquitectos se intenta responder, aunque sea parcialmente, a las preguntas que surgen al llevar a las últimas consecuencias la arquifanía: ¿En qué momento existe una voluntad de forma? ¿De qué manera encuentra el arquitecto la forma? ¿Cómo se le presenta? ¿Es el arquitecto el verdadero artífice de la obra? ¿O es en cambio un ser a la espera de la aparición? ABSTRACT Archiphany: architecture and epiphany. The revelation taking place in designing, building and living. The objective of the present dissertation is to unravel the protagonists and the scenario of this encounter. It stems from a double interest: the relationship between literature and architecture and the discovery of something incommensurable in architecture. Over the centuries, architectural theory has made a great effort in order to rationalise all aspects of this discipline. Thus, the systematization of the order and hierarchy of space, the use of more rigorous parameters on the structural analysis, the development of technical capacities and the study of functional schemes have been an inexhaustible source of architectural manifestations. Even scientific paradigms have been essential in the creation of new languages. However, aspects of difficult quantification have been relegated in this path of rationalisation. Whereas the presence of immeasurable parameters are encountered in the daily experience of the architect, architectural theory has failed to systematically integrate this knowledge. This is the driving force of this thesis. It explores, by analogy with the other arts, the concept of manifestation. It discusses how the architectural work manifests itself, making use of its autonomy, becoming the one leading the architect during the whole existence of the work: from its genesis in the designing time until the experience of the completed work in the historical time. In the present dissertation, it is assumed that reflecting on the concept of manifestation might shed light on two different moments on the way to project architecture. The architect approach to the project genesis is studied on the one hand, while in the other hand it is considered his positioning in front of the existing work, as well as his analysis (for a following synthesis) that generates an ever-open and ever-enriching spiral of knowledge. In the search for a definition of the concept of manifestation, the work of the philosopher María Zambrano and the poet José Ángel Valente are analysed. The creative moment, the nature of the poetic word, the attitude of the poet in front of his work, the knowledge and the revelation of beauty are persistent issues in their works. They create a theoretical corpus allowing to develop a sound and open poetical theory full of suggestions, accurately directed to the time of the form generation: its epiphany. The concept of manifestation is then reviewed in the activity of some modern artists that talked about the concept of epiphany –either implicitly or explicitly. Often in an intuitive way, artists have come to realize in their activity to be the depositories of a gift that is renewed in each work. Intertwined with their work and with their daily discipline, artists experience a dialogue with the work, which proves to be free and willing to manifest itself. Having stated the problem and having reviewed the world of artistic creation, we are confronted with the core of the thesis: Up to which extent and in which way is the concept of manifestation valid for architecture? Validity and evidence of this concept is sought in the activity of multiple architects. Texts, works, analysis, reviews and testimonies are investigated. From this research, a topography, an atlas of revelations of architectural manifestations arises: explicit findings, implicit witnesses or intuitions. By means of this journey going from the concept of manifestation hinted by the poetic reason to the experience of many architects, the ultimate questions risen by archiphany are meant to be answered (though partially): When does a will of form emerge? How does the architect find the form? How does it appear? Is the architect the true creator of the work? Or is he instead a being waiting for the vision?

O Judaísmo Encalacrado: mística e religião em A Hora da Estrela, de Clarice Lispector

O objetivo deste trabalho foi o de demonstrar a importância e pertinência do diálogo entre literatura e religião, concentrando o âmbito de sua pesquisa a partir das relações entre a escritura de Clarice Lispector e as ressonâncias de uma tradição (judaísmo), que embora não tenha sido assumida pela autora, persiste, encalacrada em toda a sua obra. Tendo, como objeto de pesquisa o romance A Hora da Estrela, esta dissertação procurou entender como o drama da narrativa, em seu jogo de tensões e identidades, em sua pluralidade de títulos e referências, sinaliza também um profundo problema com a religião. Focando, de forma especial a personagem Macabéa, este estudo procurou compreender como as referencias da personagem, sua dificuldade com as palavras, seus desencontros do outro (tu) e sua rejeição social, revelam um grave problema de ordem teológica, demonstrando os equívocos de uma sociedade, que fundada sobre o prisma da religião, massacra os mais fracos. O desfecho do livro sinaliza uma possível epifania, mas, desvela-se num fracasso da religião e de seu poder salvífico. O trabalho procurou a partir dos principais temas do romance, perceber suas correspondências com o tema da religião. Pode com isso, a partir das contribuições de Scholem, ver como dilema existencial e subjetivo da personagem possui proximidade com o drama místico cabalístico, além disso, perceber as correlações entre a obra clariceana e textos da tradição judaíca, quer na sua referência explícita (nome da personagem), como também, em seu aspecto de busca, em sua forma de midrash e nas inúmeras exegeses e comentários que propicia. Finaliza seu esforço, levantando uma discussão ética sobre os valores teológicos da sociedade e seus profundos equívocos, ante a vida e morte da pobre Macabéa, uma mulher que viveu a religião nos limites da própria existência.

O Judaísmo Encalacrado: mística e religião em A Hora da Estrela, de Clarice Lispector

O objetivo deste trabalho foi o de demonstrar a importância e pertinência do diálogo entre literatura e religião, concentrando o âmbito de sua pesquisa a partir das relações entre a escritura de Clarice Lispector e as ressonâncias de uma tradição (judaísmo), que embora não tenha sido assumida pela autora, persiste, encalacrada em toda a sua obra. Tendo, como objeto de pesquisa o romance A Hora da Estrela, esta dissertação procurou entender como o drama da narrativa, em seu jogo de tensões e identidades, em sua pluralidade de títulos e referências, sinaliza também um profundo problema com a religião. Focando, de forma especial a personagem Macabéa, este estudo procurou compreender como as referencias da personagem, sua dificuldade com as palavras, seus desencontros do outro (tu) e sua rejeição social, revelam um grave problema de ordem teológica, demonstrando os equívocos de uma sociedade, que fundada sobre o prisma da religião, massacra os mais fracos. O desfecho do livro sinaliza uma possível epifania, mas, desvela-se num fracasso da religião e de seu poder salvífico. O trabalho procurou a partir dos principais temas do romance, perceber suas correspondências com o tema da religião. Pode com isso, a partir das contribuições de Scholem, ver como dilema existencial e subjetivo da personagem possui proximidade com o drama místico cabalístico, além disso, perceber as correlações entre a obra clariceana e textos da tradição judaíca, quer na sua referência explícita (nome da personagem), como também, em seu aspecto de busca, em sua forma de midrash e nas inúmeras exegeses e comentários que propicia. Finaliza seu esforço, levantando uma discussão ética sobre os valores teológicos da sociedade e seus profundos equívocos, ante a vida e morte da pobre Macabéa, uma mulher que viveu a religião nos limites da própria existência.

Luther's epistle sermons ...

v. 1. Advent and Christmas season.--v. 2. Epiphany, Easter and Pentecost.--v. 3. Trinity Sunday to Advent.

A syrup of bees /

A twilight epiphany.--An incomplete oblivion.--A disjunctive conjunction.

O Judaísmo Encalacrado: mística e religião em A Hora da Estrela, de Clarice Lispector

O objetivo deste trabalho foi o de demonstrar a importância e pertinência do diálogo entre literatura e religião, concentrando o âmbito de sua pesquisa a partir das relações entre a escritura de Clarice Lispector e as ressonâncias de uma tradição (judaísmo), que embora não tenha sido assumida pela autora, persiste, encalacrada em toda a sua obra. Tendo, como objeto de pesquisa o romance A Hora da Estrela, esta dissertação procurou entender como o drama da narrativa, em seu jogo de tensões e identidades, em sua pluralidade de títulos e referências, sinaliza também um profundo problema com a religião. Focando, de forma especial a personagem Macabéa, este estudo procurou compreender como as referencias da personagem, sua dificuldade com as palavras, seus desencontros do outro (tu) e sua rejeição social, revelam um grave problema de ordem teológica, demonstrando os equívocos de uma sociedade, que fundada sobre o prisma da religião, massacra os mais fracos. O desfecho do livro sinaliza uma possível epifania, mas, desvela-se num fracasso da religião e de seu poder salvífico. O trabalho procurou a partir dos principais temas do romance, perceber suas correspondências com o tema da religião. Pode com isso, a partir das contribuições de Scholem, ver como dilema existencial e subjetivo da personagem possui proximidade com o drama místico cabalístico, além disso, perceber as correlações entre a obra clariceana e textos da tradição judaíca, quer na sua referência explícita (nome da personagem), como também, em seu aspecto de busca, em sua forma de midrash e nas inúmeras exegeses e comentários que propicia. Finaliza seu esforço, levantando uma discussão ética sobre os valores teológicos da sociedade e seus profundos equívocos, ante a vida e morte da pobre Macabéa, uma mulher que viveu a religião nos limites da própria existência.

Examining the effects of epiphanies on possible selves

This study examined origins of possible selves and the role of Epiphanies. Specifically, of interest was whether there are demographic or self-regulatory differences in possible selves derived from different origins. The sample consisted of 411 participants, with age ranging from 17–95. The data was taken from two previous research studies on possible selves. The first research question examined the origins of possible selves. Results indicate that possible selves are derived from Epiphany experiences along with internal and external influences, such as another person, or a particular event. The second research question determined whether there were any demographic, ethnic, or cultural differences in the origins of possible selves. Results showed age, cohort, and socioeconomic status had effects. The final research question addressed whether there were differences in the domains of possible selves derived from various origins. Results indicated differences in domains however there were no clear patterns. The first hypothesis was that possible selves derived from an Epiphany would be considered more important than those derived from other origins. This hypothesis was not supported. The second hypothesis was that hoped-for possible selves were more likely to be derived from an Epiphany experience than feared selves. This hypothesis was supported. The second hypothesis also stated that possible selves derived from an Epiphany were more likely to be balanced than selves derived from other origins and this was supported for feared selves only. Finally, the third hypothesis stated that there would be self-regulatory differences between selves derived from Epiphanies compared to other origins but this was not supported. Taken together these findings show that the origins of possible selves are important and especially those derived from epiphany. The role of an Epiphany on the formation and implementation of possible selves paves the way for important prevention programs aimed at promoting healthy development and promoting an individual’s well being.

A Body Outside the Kremlin

A BODY OUTSIDE THE KREMLIN is a historical mystery novel set in the Northern Camps of Special Significance, a Soviet Russian penal institution based in the Solovetsky Archipelago during the 1920s. The protagonist, working first with the camp authorities, then in spite of their disapproval, solves the murder of a fellow prisoner. In the process he improves his position within the camp, while also becoming hardened to the brutal necessities of camp life. Prior to the establishment of the penal camp, the Solovetsky Archipelago was the site of an important Russian Orthodox monastery, and the mystery proves to involve valuables, particularly icons, seized from the monks by the Soviet secret police. Thus the novel treats themes not only of statist repression, but also religious epiphany and the problems of true perception in a world of symbols.