The significance of brittle reaction layers in fusing of dental ceramics to titanium

This thesis comprises four intercomplementary parts that introduce new approaches to brittle reaction layers and mechanical compatibility of metalloceramic joints created when fusing dental ceramics to titanium. Several different methods including atomic layer deposition (ALD), sessile drop contact angle measurements, scanning acoustic microscopy (SAM), three-point bending (TPB, DIN 13 927 / ISO 9693), cross-section microscopy, scanning electron microscopy (SEM), and energy dispersive X-ray spectroscopy (EDS) were employed. The first part investigates the effects of TiO2 layer structure and thickness on the joint strength of the titanium-metalloceramic system. Samples with all tested TiO2 thicknesses displayed good ceramics adhesion to Ti, and uniform TPB results. The fracture mode was independent of oxide layer thickness and structure. Cracking occurred deeper inside titanium, in the oxygen-rich Ti[O]x solid solution surface layer. During dental ceramics firing TiO2 layers dissociate and joints become brittle with increased dissolution of oxygen into metallic Ti and consequent reduction in the metal plasticity. To accomplish an ideal metalloceramic joint this needs to be resolved. The second part introduces photoinduced superhydrophilicity of TiO2. Test samples with ALD deposited anatase TiO2 films were produced. Samples were irradiated with UV light to induce superhydrophilicity of the surfaces through a cascade leading to increased amount of surface hydroxyl groups. Superhydrophilicity (contact angle ~0˚) was achieved within 2 minutes of UV radiation. Partial recovery of the contact angle was observed during the first 10 minutes after UV exposure. Total recovery was not observed within 24h storage. Photoinduced ultrahydrophilicity can be used to enhance wettability of titanium surfaces, an important factor in dental ceramics veneering processes. The third part addresses interlayers designed to restrain oxygen dissolution into Ti during dental ceramics fusing. The main requirements for an ideal interlayer material are proposed. Based on these criteria and systematic exclusion of possible interlayer materials silver (Ag) interlayers were chosen. TPB results were significantly better in when 5 μm Ag interlayers were used compared to only Al2O3-blasted samples. In samples with these Ag interlayers multiple cracks occurred inside dental ceramics, none inside Ti structure. Ag interlayers of 5 μm on Al2O3-blasted samples can be efficiently used to retard formation of the brittle oxygen-rich Ti[O]x layer, thus enhancing metalloceramic joint integrity. The most brittle component in metalloceramic joints with 5 μm Ag interlayers was bulk dental ceramics instead of Ti[O]x. The fourth part investigates the importance of mechanical interlocking. According to the results, the significance of mechanical interlocking achieved by conventional surface treatments can be questioned as long as the formation of the brittle layers (mainly oxygen-rich Ti[O]x) cannot be sufficiently controlled. In summary in contrast to former impressions of thick titanium oxide layers this thesis clearly demonstrates diffusion of oxygen from sintering atmosphere and SiO2 to Ti structures during dental ceramics firing and the following formation of brittle Ti[O]x solid solution as the most important factors predisposing joints between Ti and SiO2-based dental ceramics to low strength. This among other predisposing factors such as residual stresses created by the coefficient of thermal expansion mismatch between dental ceramics and Ti frameworks can be avoided with Ag interlayers.

Periodontal and dental health and oral self-care among adults with diabetes mellitus.

ABSTRACT Bakhshandeh, Soheila. Periodontal and dental health and oral self-care among adults with diabetes mellitus. Department of Oral Public Health, Institute of Dentistry, Faculty of Medicine, University of Helsinki, Helsinki, Finland. 2011. 49 pp. ISBN 978-952-10-7193-5(paperback). The aim of the present study was to assess oral health and treatment needs among Iranian adults with diabetes according to socio-demographic status, oral hygiene, diabetes related factors, and to investigate the relation between these determinants and oral health. Moreover, the effect of an educational oral health promotion intervention on their oral health and periodontal treatment needs was studied. The target population comprised adults with diabetes in Tehran, Iran. 299 dentate patients with diabetes, who were regular attendants to a diabetic clinic, were selected as the study subjects. Data collection was performed through a clinical dental examination and self-administered structured questionnaire. The questionnaire covered information of the subject s social background, medical history, oral health behaviour and smoking. The clinical dental examinations covered the registration of caries experience (DMFT), community periodontal index (CPI) and plaque index (PI). The intervention provided the adults with diabetes dental health education through a booklet. Reduction in periodontal treatment needs one year after the baseline examination was used as the main outcome. A high prevalence of periodontal pockets among the study population was found; 52% of the participants had periodontal pockets with a pocket depth of 4 to 5 mm and 35% had periodontal pockets with pocket depth of 6 mm or more. The mean of the DMFT index was 12.9 (SD=6.1), being dominated by filled teeth (mean 6.5) and missing teeth (mean 5.0). Oral self-care among adults with diabetes was inadequate and poor oral hygiene was observed in more than 80% of the subjects. The educational oral health promotion decreased periodontal treatment needs more in the study groups than in the control group. The poor periodontal health, poor oral hygiene and insufficient oral self-care observed in this study call for oral health promotion among adult with diabetes. An educational intervention showed that it is possible to promote oral health behaviour and to reduce periodontal treatment needs among adults with diabetes. The simplicity of the model used in this study allows it to be integrated to diabetes programmes in particular in countries with a developing health care system.

Dental identification and aspects of medico-legal investigations of the Finnish victims of the Sumatra-Andaman earthquake on 26 December 2004

Tsunami waves of the Sumatra-Andaman earthquake on 26 December 2004 claimed approximately 230 000 lives and started the biggest identification operation in Interpol's history. The aim of this study was to resolve methods of the identification and results received. The viewpoint is mainly that of forensic odontology, but also includes other means of identification and results of the medico-legal examination performed in Finland. Of the 5395 victims in Thailand, approximately 2 400 were foreigners from 36 nations including 177 Finnish nationals. Additionally, a Finnish woman perished in Sri Lanka and a severely injured man after the evacuation in a hospital. The final numbers of missing persons and dead bodies registered in the Information Management Centre in Phuket,Thailand, were 3 574 ante-mortem (AM) and 3 681 post-mortem (PM) files. The number of identifications by December 2006 was 3 271 or 89% of the victims registered. Of Finnish victims, 172 have been identified in Thailand and 163 repatriated to Finland. One adult and four children are still missing. For AM data, a list of Finnish missing persons including 178 names was published on 30 December 2004. By February 2005 all useful dental AM data were available. Five persons on the list living in Finland lacked records. Based on the AM database, for the children under age 18 years (n=60) dental identification could be established for 12 (20%). The estimated number for adults (n=112) was 96 (86%). The final identification rate, based on PM examinations in Finland, was 14 (25%) for children (n= 56) and 98 (90%) for adults (n= 109). The number of Finnish victims identified by dental methods, 112 (68%), was high compared to all examined in Thailand (43%). DNA was applied for 26 Finnish children and for 6 adults, fingerprints for 24 and 7, respectively. In 12 cases two methods were applied. Every victim (n=165) underwent in Finland a medico-legal investigation including an autopsy with sampling specimens for DNA, the toxicological and histological investigation. Digital radiographs and computed tomography were taken of the whole body to verify autopsy findings and bring out changes caused by trauma, autolysis, and sampling for DNA in Thailand. Data for identification purposes were also noted. Submersion was the cause of death for 101 of 109 adults (92.7%), and trauma for 8 (7.3%). Injuries were 33 times contributing factors for submersion and 3 times for trauma-based death. Submersion was the cause of death for 51 (92.7%) children and trauma for 4 (7.3%). Injuries were in 3 cases contributing factors in submersion and once in trauma-based death. The success of the dental identification of Finnish victims is mainly based on careful registration of dental records, and on an education program from 1999 in forensic odontology.

La problemática de la traducción en la Carta de Aristeas a Filócrates

Resumen: El trabajo propone una reflexión acerca de la problemática de la traducción en la Antigüedad tal como se plantea en la Carta de Aristeas a Filócrates, narración compuesta en el siglo II a.C. que relata los sucesos en torno a la traducción al griego del Pentateuco, la Septuaginta. El autor, anónimo, narra en primera persona y se describe como integrante de la corte real de Ptolomeo Filadelfo, aunque en realidad se trata de un judío alejandrino, conocedor de las leyes mosaicas. La obra presenta ciertas incongruencias y pasajes de difícil interpretación, pero su mensaje es claro: por medio de la traducción, el original hebreo alcanza la dignidad suficiente como para formar parte de la biblioteca de Alejandría, junto con otras obras prestigiosas del mundo helenístico.

Carta Apostólica : por la que Santa Hildegarda de Bingen, Monja Profesora de la Orden de San Benito, es proclamada Doctora de la Iglesia universal

“Luz de su pueblo y de su tiempo”: con estas palabras el beato Juan Pablo II, nuestro venerado predecesor, definió a santa Hildegarda de Bingen en 1979, en ocasión del octavo centenario de la muerte de la mística alemana. Y en verdad, sobre el horizonte de la historia esta mujer se destaca con límpida claridad, por la santidad de su vida y la originalidad de su doctrina. Como sucede en toda auténtica experiencia humana y teologal, su autoridad sobrepasa decididamente los límites de una época y de una sociedad y, a pesar de la distancia cronológica y cultural, su pensamiento se manifiesta con perenne actualidad...

Reproducción de la carta remitida por Otto Müller a José Manuel de Epalza, cuando este último desempeñaba el cargo de Delegado del Gobierno de Euzkadi en Praga.

Fecha: 29-9-1947 / Unidad de instalación: Carpeta 25 - Expediente 23-4 / Nº de pág.: 1 (mecanografiada)

"Demanda cidadã" versus "pedido pessoal" : representações sociais sobre o parlamento no Programa Carta-Resposta da Câmara dos Deputados

Apresenta um estudo sobre o Programa Carta-Resposta da Câmara dos Deputados, que estabeleceu um canal de comunicação direto e gratuito entre o Poder Legislativo e a sociedade. Identifica a escolaridade dos usuários. Investiga se há correspondência entre o nível educacional e o tipo de solicitação efetuada, com vistas a determinar a percepção da sociedade sobre o papel desempenhado por um parlamentar.

Reproducción de la carta remitida por el Subprefecto de Bayona a J. Gortazar.

Fecha: 22-12-1944 (>1970 reproducción) / Unidad de instalación: Carpeta 25 - Expediente 23-8 / Nº de pág.: 1 (mecanografiada)

Reproducción de una carta en la que Juan de Ajuriaguerra informa a Doroteo de Ziaurriz de la represión ejercida sobre los vascos, y copia de denuncia contra un nacionalista vasco.

Fecha: 10-10-1937 (>1970 reproducción) / Unidad de instalación: Carpeta 45 - Expediente 1-8 / Nº de pág.: 4 (mecanografiadas)

Copia de una carta remitida por la Secretaría de Estado del Vaticano al Vicario General de Barcelona, José María Torrent, en la que se informa al último de la actitud a seguir ante la propuesta del Ministro de Justicia de la República, Manuel de Irujo, de apertura de iglesias al culto.

Fecha: 29-12-1937 original (>1970 copia) / Unidad de instalación: Carpeta 48 - Expediente 8-9 / Nº de pág.: 3 (mecanografiadas)

Carta de Alberto Elósegi dirigida a Ruiz de Aguirre, y artículo de Jon Kortazar sobre el poeta "Lauaxeta" (Esteban Urkiaga).

Fecha: 9-5-1987 / Unidad de instalación: Carpeta 48 - Expediente 7-12 / Nº de pág.: 4 (mecanografiadas)

Reproducción de una carta remitida por Alberto Onaindia a sacerdotes vascos presos en Dueñas.

Fecha: 23-6-1939 (>1970 reproducción) / Unidad de instalación: Carpeta 45 - Expediente 2-1 / Nº de pág.: 2 (mecanografiadas)

Copia de una carta remitida desde París a los sacerdotes vascos presos en Dueñas.

Fecha: 31-5-1939 (>1970 copia) / Unidad de instalación: Carpeta 45 - Expediente 2-33 / Nº de pág.: 3 (mecanografiadas)

Copia de una carta remitida por un sacerdote vasco preso en la Prisión de San Isidro, en Venta de Baños (Palencia).

Fecha: 4-1939 (>1970 copia) / Unidad de instalación: Carpeta 45 - Expediente 2-3 / Nº de pág.: 2 (mecanografiadas)