Single crowns versus conventional fillings for the restoration of root-filled teeth.

BACKGROUND Endodontic treatment involves removal of the dental pulp and its replacement by a root canal filling. Restoration of root filled teeth can be challenging due to structural differences between vital and non-vital root-filled teeth. Direct restoration involves placement of a restorative material e.g. amalgam or composite, directly into the tooth. Indirect restorations consist of cast metal or ceramic (porcelain) crowns. The choice of restoration depends on the amount of remaining tooth, and may influence durability and cost. The decision to use a post and core in addition to the crown is clinician driven. The comparative clinical performance of crowns or conventional fillings used to restore root-filled teeth is unknown. This review updates the original, which was published in 2012. OBJECTIVES To assess the effects of restoration of endodontically treated teeth (with or without post and core) by crowns versus conventional filling materials. SEARCH METHODS We searched the following databases: the Cochrane Oral Health Group's Trials Register, CENTRAL, MEDLINE via OVID, EMBASE via OVID, CINAHL via EBSCO, LILACS via BIREME. We also searched the reference lists of articles and ongoing trials registries.There were no restrictions regarding language or date of publication. The search is up-to-date as of 26 March 2015. SELECTION CRITERIA Randomised controlled trials (RCTs) or quasi-randomised controlled trials in participants with permanent teeth that have undergone endodontic treatment. Single full coverage crowns compared with any type of filling materials for direct restoration or indirect partial restorations (e.g. inlays and onlays). Comparisons considered the type of post and core used (cast or prefabricated post), if any. DATA COLLECTION AND ANALYSIS Two review authors independently extracted data from the included trial and assessed its risk of bias. We carried out data analysis using the 'treatment as allocated' patient population, expressing estimates of intervention effect for dichotomous data as risk ratios, with 95% confidence intervals (CI). MAIN RESULTS We included one trial, which was judged to be at high risk of performance, detection and attrition bias. The 117 participants with a root-filled, premolar tooth restored with a carbon fibre post, were randomised to either a full coverage metal-ceramic crown or direct adhesive composite restoration. None experienced a catastrophic failure (i.e. when the restoration cannot be repaired), although only 104 teeth were included in the final, three-year assessment. There was no clear difference between the crown and composite group and the composite only group for non-catastrophic failures of the restoration (1/54 versus 3/53; RR 0.33; 95% CI 0.04 to 3.05) or failures of the post (2/54 versus 1/53; RR 1.96; 95% CI 0.18 to 21.01) at three years. The quality of the evidence for these outcomes is very low. There was no evidence available for any of our secondary outcomes: patient satisfaction and quality of life, incidence or recurrence of caries, periodontal health status, and costs. AUTHORS' CONCLUSIONS There is insufficient evidence to assess the effects of crowns compared to conventional fillings for the restoration of root-filled teeth. Until more evidence becomes available, clinicians should continue to base decisions about how to restore root-filled teeth on their own clinical experience, whilst taking into consideration the individual circumstances and preferences of their patients.

Soluções de reabilitação e reforço com GFRP: aplicações na Região Autónoma da Madeira

Este trabalho consiste na apresentação de técnicas de reabilitação e reforço e a sua adaptação ao GFRP (Glass Fiber Reinforced Polymer). O foco incidiu sobre as estruturas degradadas pela corrosão das armaduras, e apresenta-se uma vasta gama de técnicas de intervenção. Encamisamento, proteção eletroquímica, adição de armaduras são as técnicas mais desenvolvidas ao longo do trabalho. São ainda abordados os tipos de produtos de recobrimento, as técnicas de aplicação do recobrimento, bem como as ferramentas com maior utilidade para a reabilitação e reforço. De seguida faz-se um breve resumo das características e potencialidades do material GFRP, aborda-se alguns dos principais fornecedores, fazendo uma descrição dos produtos comercializados por estes, e ainda uma análise de preços por metro linear de varão GFRP. Por fim apresenta-se um levantamento fotográfico realizado na Região Autónoma da Madeira, de estruturas que apresentem sinais claros de corrosão das armaduras, com o objetivo de perceber a aplicabilidade dos varões de GFRP na reabilitação das mesmas. Apresenta-se ainda, uma possível técnica de reabilitação/reforço para todos os casos apresentados, utilizando os varões de GFRP. O levantamento fotográfico tem ainda o objetivo de perceber as principais causas de deterioração de estruturas na região, e de criar uma base de estruturas a necessitar de intervenção urgente.

Bonding shear strength in timber and GFRP glued with epoxy adhesives

The bonding quality of epoxy glued timber and glass fibre reinforced polymers (GFRP) was evaluated by means of compression loading shear test. Three timber species (Radiata pine, Laricio pine and Oak) and two kinds of GFRP (plates and rods made with polyester resin reinforced with mat and roving glass fibre) were glued and tested using three epoxy formulations. The increase in shear strength with age after the setting of epoxy formulations and the effect of surface roughness on timber and GRP gluing (the planing of the surface of timber and the previous sanding of GRP) were studied. It can be concluded that the mechanical properties of these products make them suitable for use in the reinforcement of deteriorated timber structures, and that a rough timber surface is preferable to a planed one, while the previous sanding of GRP surfaces is not advantageous.

Effect of adhesive thickness and concrete strength on FRP-Concrete Bonds

The use of fiber-reinforced polymer (FRP) composites for strengthening, repairing, or rehabilitating concrete structures has become more and more popular in the last 10 years. Irrespective of the type of strengthening used, design is conditioned, among others, by concrete-composite bond failure, normally attributed to stress at the interface between these two materials. Single shear, double shear, and notched beam tests are the bond tests most commonly used by the scientific community to estimate bond strength, effective length, and the bond stress-slip relationship. The present paper discusses the effect of concrete strength and adhesive thickness on the results of beam tests, which reproduce debonding conditions around bending cracks much more accurately. The bond stress-slip relationship was analyzed in a cross section near the inner edge, where stress was observed to concentrate. The ultimate load and the bond stress-slip relationship were visibly affected by concrete strength. Adhesive thickness, in turn, was found to have no significant impact on low-strength concrete but a somewhat greater effect on higher strength materials.

Experimental and numerical analysis of concrete Slabs subjected to Blast

This paper summarizes the research activities focused on the behaviour of concrete and concrete structures subjected to blast loading carried out by the Department of Materials Science of the Technical University of Madrid (PUM). These activities comprise the design and construction of a test bench that allows for testing up to four planar concrete specimens with one single explosion, the study of the performance of different protection concepts for concrete structures and, finally, the development of a numerical model for the simulation of concrete structural elements subjected to blast. Up to date 6 different types of concrete have been studied, from plain normal strength concrete, to high strength concrete, including also fibre reinforced concretes with different types of fibres. The numerical model is based on the Cohesive Crack Model approach, and has been developed for the LSDYNA finite element code through a user programmed subroutine. Despite its simplicity, the model is able to predict the failure patterns of the concrete slabs tested with a high level of accuracy

Identification of intermediate debonding damage in FRP-plated RC beams based on multi-objective particle swarm optimization without updated baseline model

Fiber reinforced polymer composites (FRP) have found widespread usage in the repair and strengthening of concrete structures. FRP composites exhibit high strength-to-weight ratio, corrosion resistance, and are convenient to use in repair applications. Externally bonded FRP flexural strengthening of concrete beams is the most extended application of this technique. A common cause of failure in such members is associated with intermediate crack-induced debonding (IC debonding) of the FRP substrate from the concrete in an abrupt manner. Continuous monitoring of the concrete?FRP interface is essential to pre- vent IC debonding. Objective condition assessment and performance evaluation are challenging activities since they require some type of monitoring to track the response over a period of time. In this paper, a multi-objective model updating method integrated in the context of structural health monitoring is demonstrated as promising technology for the safety and reliability of this kind of strengthening technique. The proposed method, solved by a multi-objective extension of the particle swarm optimization method, is based on strain measurements under controlled loading. The use of permanently installed fiber Bragg grating (FBG) sensors embedded into the FRP-concrete interface or bonded onto the FRP strip together with the proposed methodology results in an automated method able to operate in an unsupervised mode.

Beam Spectral Element with FRP Debonding

The behaviour of the interface between the FRP and the concrete is the key factor controlling debonding failures in FRP-strengthened RC structures. This defect can cause reductions in static strength, structural integrity and the change in the dynamic behavior of the structure. The adverse effect on the dynamic behavior of the defects can be utilized as an effective means for identifying and assessing both the location and size of debonding at its earliest stages. The presence of debonding changes the structural dynamic characteristics and might be traced in modal parameters, dynamic strain and wave patterns etc. Detection of minor local defects, as those origin of a future debonding, requires working at high frequencies so that the wavelength of the excited is small and sensitive enough to detect local damage. The development of a spectral element method gives a large potential in high-frequency structural modeling. In contrast to the conventional finite element, since inertial properties are modeled exactly few elements are necessary to capture very accurate solutions at the highest frequencies in large regions. A wide variety of spectral elements have been developed for structural members over finite and semi-infinite regions. The objective of this paper is to develop a Spectral Finite Element Model to efficiently capture the behavior of intermediate debonding of a FRP strengthened RC beam during wave-based diagnostics.

Methodology based on FBG sensors for monitoring of FRP-strengthened beams

Advanced composite materials are increasingly used in the strengthening of reinforced concrete (RC) structures. The use of externally bonded strips made of fibre-reinforced plastics (FRP) as strengthening method has gained widespread acceptance in recent years since it has many advantages over the traditional techniques. However, unfortunately, this strengthening method is often associated with a brittle and sudden failure caused by some form of FRP bond failure, originated at the termination of the FRP material or at intermediate areas in the vicinity of flexural cracks in the RC beam. Up to date, little effort in the early prediction of the debonding in its initial instants even though this effect is not noticeable by simple visual observation. An early detection of this phenomenon might help in taking actions to prevent future catastrophes. Fibre-optic Bragg grating (FBG) sensors are able to measure strains locally with high resolution and accuracy. Furthermore, as their physical size is extremely small compared with other strain measuring components, it enables to be embedded at the concrete-FRP interface for determining the strain distribution without influencing the mechanical properties of the host materials. This paper shows the development of a debonding identification methodology based on strains experimentally measured. For, it a simplified model is implemented to simulate the behaviour of FRP-strengthened reinforced concrete beams. This model is taken as a basis to. develop an model updating procedure able to detect minor debonding at the concrete-FRP interface from experimental strains obtained by using FBG sensors embedded at the interface

Análisis experimental de la pérdida de adherencia hormigón-acero en hormigones sometidos a altas temperaturas

En el conjunto de materiales de construcción habituales en la edificación y las obras de ingeniería, el hormigón destaca entre otras razones por su excelente comportamiento frente a las altas temperaturas y la exposición al fuego. El presente estudio se centra en la adherencia residual entre el hormigón y las barras de acero corrugado soldable tras exponer probetas a altas temperaturas y enfriarlas hasta temperatura ambiente por convección natural. El estudio incluye hormigones de resistencia convencional, hormigones de alta resistencia y hormigones reforzados con fibras de polipropileno y fibras de acero. La adherencia hormigón-acero se ha medido mediante el conocido ensayo de pull-out. La campaña experimental también ha incluido la resistencia a compresión y la resistencia a tracción indirecta. Parte de las probetas se han ensayado a 28 días de edad a temperatura ambiente. A 60 días de edad se han repetido los ensayos a temperatura ambiente y se han realizado esos mismos ensayos en probetas calentadas en un horno industrial hasta tres rangos de temperatura: 450°C, 650°C y 825°C. Previo al proceso de calentamiento han sido sometidas durante 3 horas a un escalón de secado a 120°C. Mediante la metodología propuesta ha sido posible caracterizar la evolución de la pérdida de adherencia residual entre el acero y el hormigón conforme se exponen los especímenes a temperaturas más elevadas. La adición de fibras no tiene una influencia clara en la adherencia a temperatura ambiente. Sin embargo, sí se ha conseguido determinar una mejora sustancial de la adherencia residual en los hormigones, reforzados con fibras de acero sometidos a altas temperaturas.

Soluções de reabilitação e reforço com GFRP: aplicações na Região Autónoma da Madeira

Este trabalho consiste na apresentação de técnicas de reabilitação e reforço e a sua adaptação ao GFRP (Glass Fiber Reinforced Polymer). O foco incidiu sobre as estruturas degradadas pela corrosão das armaduras, e apresenta-se uma vasta gama de técnicas de intervenção. Encamisamento, proteção eletroquímica, adição de armaduras são as técnicas mais desenvolvidas ao longo do trabalho. São ainda abordados os tipos de produtos de recobrimento, as técnicas de aplicação do recobrimento, bem como as ferramentas com maior utilidade para a reabilitação e reforço. De seguida faz-se um breve resumo das características e potencialidades do material GFRP, aborda-se alguns dos principais fornecedores, fazendo uma descrição dos produtos comercializados por estes, e ainda uma análise de preços por metro linear de varão GFRP. Por fim apresenta-se um levantamento fotográfico realizado na Região Autónoma da Madeira, de estruturas que apresentem sinais claros de corrosão das armaduras, com o objetivo de perceber a aplicabilidade dos varões de GFRP na reabilitação das mesmas. Apresenta-se ainda, uma possível técnica de reabilitação/reforço para todos os casos apresentados, utilizando os varões de GFRP. O levantamento fotográfico tem ainda o objetivo de perceber as principais causas de deterioração de estruturas na região, e de criar uma base de estruturas a necessitar de intervenção urgente.

Effects of Shallow Bi-Angle, Thin-Ply Laminates on the Structural Performance of Composite Wings

Thesis (Master's)--University of Washington, 2016-06

Mode II delamination testing in uniaxially oriented PVC pipes

The mode II fracture toughness of an oriented PVC pipe was measured using an End Notched Flexure test geometry. A relatively low value of G(IIC) was found of 1.07 kJ m(-2) and this indicates that it is energetically more favorable for a crack to propagate in the tangential direction rather than radially through the wall of the pipe. Examination of the mechanism of crack advanced showed that although the crack was propagating globally in mode II, micro-cracks were opening ahead of the crack in mode I or in mixed mode. Growth of the crack occurred by linking up of these micro-cracks. This is similar to the mechanism found for mode II cracking in carbon fibre epoxy composites. (C) 2004 Kluwer Academic Publishers.

Theoretical modelling of the sulcated spring

Replacement of the traditional coil spring with one of more fibre-reinforced plastic sulcated springs is a future possibility. Spring designers of metallic coil springs have design formulae readily available, and software packages specific to coil spring design exist. However, the sulcated spring is at the prototype stage of development, so literature on these springs is very sparse. The thesis contains information on the market for sulcated springs, and their advantages and disadvantages. Literature on other types of fibre reinforced plastic springs has also been reviewed. Design software has been developed for the sulcated spring along similar lines to coil spring design software. In order to develop the software, a theoretical model had to be developed which formed the mathematical basis for the software. The theoretical model is based on a choice of four methods for calculating the flexural rigidity; beam theory, plate theory, and lamination theory assuming isotropic and orthoropic material properties. Experimental results for strain and spring stiffness have been compared with the theoretical model, and were in good agreement. Included in the design software are the results of experimental work on fatigue, and design limiting factors to prevent or warn against impractical designs. Finite element analysis has been used to verify the theoretical model developed, and to find the better approximation to the experimental results. Applications and types of assemblies for the sulcated spring were discussed. Sulcated spring designs for the automotive applications of a suspension, clutch and engine valve spring were found using the design computer software. These sulcated spring designs were within or close to the space of the existing coil spring and yield the same performance. Finally the commercial feasibility of manufacturing the sulcated spring was assessed and compared with the coil spring, to evaluate the plausibility of the sulcated spring replacing the coil spring eventually.

Application of long period gratings sensors to respiratory function monitoring

A series of in-line curvature sensors on a garment are used to monitor the thoracic and abdominal movements of a human during respiration. These results are used to obtain volumetric tidal changes of the human torso showing reasonable agreement with a spirometer used simultaneously to record the volume at the mouth during breathing. The curvature sensors are based upon long period gratings written in a progressive three layered fibre that are insensitive to refractive index changes. The sensor platform consists of the long period grating laid upon a carbon fibre ribbon, which is encapsulated in a low temperature curing silicone rubber. An array of sensors is also used to reconstruct the shape changes of a resuscitation manikin during simulated respiration. The data for reconstruction is obtained by two methods of multiplexing and interrogation: firstly using the transmission spectral profile of the LPG's attenuation bands measured using an optical spectrum analyser; secondly using a derivative spectroscopy technique.

Eco-car : a perfect vehicle for technical design teaching?

Design methods and tools are generally best learned and developed experientially [1]. Finding appropriate vehicles for delivering these to students is becoming increasingly challenging, especially when considering only those that will enthuse, intrigue and inspire. This paper traces the development of different eco-car design and build projects which competed in the Shell Eco-Marathon. The cars provided opportunities for experiential learning through a formal learning cycle of CDIO (Conceive, Design, Implement, Operate) or the more traditional understand, explore, create, validate, with both teams developing a functional finished prototype. Lessons learned were applied through the design of a third and fourth eco-car using experimental techniques with bio-composites, combining the knowledge of fibre reinforced composite materials and adhesives with the plywood construction techniques of the two teams. The paper discusses the importance of applying materials and techniques to a real world problem. It will also explore how eco-car and comparing traditional materials and construction techniques with high tech composite materials is an ideal teaching, learning and assessment vehicle for technical design techniques.