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عضویت

فهرست مطالب mehran bahrami

  • Shamsoulmolouk Najafi, HosseinAli Mahgoli, Mehran Bahrami, Zahra Faraji, Narges Gholizadeh*
    Introduction

    candida-associated-denture-stomatitis (CADS) is the most common oral infection, affecting approximately 60% of denture wearers in some populations which have a high recurrence rate in spite of medical treatments . Recently, much attention has been paid to the use of natural antimicrobial compounds. The purpose of this study was to compare the effect of punica granatum linn gel(PGLG) with the use of nystatin on growth of Candida albicans.

    Materials and Methods

    We prepared 32 patients with CADS divided into 2 groups of 16 patients. nystatin group and PGLG -treated group. Participant PGLG-treated groups were requested to rinse for two weeks, four times a day, 20 drops for 2-3 minutes each day, and then for 30 minutes to avoid eating and drinking. Amount of inflammation and number of colony-forming units (CFU/ml) for each group was counted and compared. Analysis of covariance considering the size of the primary lesion as co-variate was used (software spss 22).

    Results

    Both Inflammation and number of  Candida colonies in the nystatin group were less than the PGLG -treated group (p=0.049, p=0.024).

    Conclusion

    Although Punica granatum linn gel led to a decrease in inflammation and Candida colonies; Nystatin was more effective both in reduction of inflammation and colony counts for the treatment of CADS.

    Keywords: Denture stomatitis, Oral Candidiasis, Nystatin, Punica Granatum linn Gel}
  • Mehran Bahrami, Bahareh Shakeri, Maryam Memarian*
    Objective

    The objective of this study was to compare the Von-Mises-stress (VMS) distribution applied to the edentulous ridges from a Polyamide RPD (PRPD) with those from a Cobalt-Chrome RPD (CCRPD).

    Materials and Methods

    A patient with mandibular Kennedy Class I, Mod I was selected. The patientchr(chr('39')39chr('39'))s CBCT was cut off at 1 mm sections from the axial dimension. DICOM files were created. A three-dimensional-bone-model was prepared by segmenting the DICOM files and loading them in MIMICS software and the necessary modifications were applied on them using Geomagic software.The three-dimensional-designs were first developed using Exocad2016 CAD software. An extensive force equivalent to 150N was applied. Abaqus Software was used in order to meshing.  Then the stresses applied on the left and right sides of the edentulous ridges were measured.

    Results

    In both models, the highest distribution of VMS in the edentulous ridges was observed exactly distal to the abutment teeth adjunct to the distal-extension-areas. In CCRPD, the mean stress on the left-edentulous-ridge was 220kPa and on the right-edentulous-ridge was 100kPa. In PARPD, the mean stress on the left-side-edentulous-ridge was 950kPa and on the right-side-edentulous-ridge was 600kPa. The amount of stresses on the edentulous ridges in the PARPD model (form 280Pa to 950PA) were too much less than those of CCRPD model (from 50kPa to 220kPa).

    Conclusion

    The polyamide bases can be flexed due to the applied forces and the forces can be distributed in them. So that PRPD can transfer very slight stresses to the underneath surfaces compared to CCRPD.

    Keywords: Cobalt-chrome removable-partial-denture, Polyamide removable-partial-denture, Three dimensional finite-element-analysis}
  • حمید فرهادی راد*، عبدالله پارسا، سکینه شاهی، مهران بهرامی

    هدف اصلی پژوهش حاضر شناسایی مسئولیت های اجتماعی دانشگاه های استان خوزستان و واکاوی تعیین وضعیت موجود آن ها در ‏سال 1398 است. پژوهش کنونی از نظر هدف جزو پژوهش های نظری - کاربردی و از نظر جمع آوری داده ها، از نوع آمیخته ‏‏(کیفی و کمی) ناهمزمان اکتشافی است. روش کیفی مبنی بر دیدگاه پدیدار شناسی- تفسیری است و در بخش کمی از روش ‏توصیفی- پیمایشی است. با بهره گیری از رویکرد هدفمند (زنجیره ای) 32 نفر از صاحبنظران دانشگاهی انتخاب شدند . در بخش ‏کمی با روش تصادفی طبقه ای- سهمی به این صورت که از میان 1038 نفر از اعضای هیات علمی براساس فرمول کوکران 280 ‏نفر انتخاب شدند. ابزار بخش کیفی، مصاحبه ی نیمه ساختاریافته عمیق و در بخش کمی پرسشنامه محقق ساخته مسئولیت های ‏اجتماعی دانشگاه است. روایی و پایایی محتوایی مصاحبه ها توسط صاحبنظران تایید شد و هچنین روایی سازه و روایی محتوایی ‏پرسشنامه نیز تایید شدند. ضریب آلفای کرونباخ در پرسشنامه مسئولیت های اجتماعی دانشگاه 92/0 بدست آمد. یافته های ‏پژوهش نشان داد که، 20 مقوله محوری مسئولیت های اجتماعی دانشگاه شناسایی شدند که برای دسته بندی آن ها از منطق ‏الگوی کارول بهره گرفته شد. همچنین، آزمون ‏‎ T ‎تک نمونه ای نشان داد که وضعیت مولفه های مسئولیت های اجتماعی دانشگاه ‏در مقیاس کلی میانگین 92/2 در سطح بالاتر از میانگین فرضی پژوهش (5/2) قرار گرفت و میزان ‏value‏ ‏T‏ 69/15 محاسبه شد ‏که در وضعیت مطلوب و رضایت بخش قرار گرفتند.‏

    کلید واژگان: مسئولیت های اجتماعی دانشگاه, دانشگاه های استان خوزستان, الگوی کارول}
    Hamid Fathadirad *, Abdolah Parsa, Sakineh Shahi, Mehran Bahrami

    The main purpose of this study is to identify the social responsibilities of universities in Khuzestan province and analyze their current status in 1398. The current research is a theoretical-applied research in terms of purpose and in terms of data collection, it is a mixed (qualitative and quantitative) asynchronous exploratory type. The qualitative method is based on a phenomenological-interpretive perspective and in the quantitative part is the descriptive-survey method. Using a targeted (chain) approach, 32 academic experts were selected. In the quantitative part, by stratified-random quota method, 280 people were selected from 1038 faculty members based on Cochran's formula. The tool of the qualitative section is a deep semi-structured interview and in the quantitative section is a researcher-made questionnaire on university social responsibilities. The content validity and reliability of the interviews were confirmed by experts and the construct validity and content validity of the questionnaire were also confirmed. Cronbach's alpha coefficient in the University Social Responsibility Questionnaire was 0.92. Findings showed that, 20 central categories of social responsibilities of the university were identified, which were categorized using the logic of the Carol model. Also, one-sample t-test showed that the status of the components of social responsibility of the university in the general scale of the average of 2.92 was higher than the hypothetical average of the study (2.5) and the value of T was calculated to be 15.69 which is in good condition and satisfaction.

    Keywords: University Social Responsibilities, Khuzestan Province, Carol Model}
  • Mehran Bahrami, Mohammed Hussein Alsharbaty
    Introduction

    Full mouth rehabilitation in patients with ectodermal dysplasia (ED) is challenging to accomplish, especially because the affected individuals are quite young when they are assessed; therefore, esthetics is an imperative concern. This clinical report explains the oral rehabilitation of two sisters diagnosed with ED, which shows the optimistic effects on the physical, emotional, and social life of the patients. Case Report: In this clinical report, two treated sisters had anodontia that made difficulties in their eating and speaking. The two sisters had been treated with fixed partial dentures and implants supported prostheses after extracting nonrestorable deciduous teeth. The present permanent teeth were maintained to preserve the Periodontal ligament (PDL) and increase the patient occlusal awareness.

    Discussion

    Elements that are necessary to be focused in designing dental treatments for ED patients include age, existent teeth, oral hygiene, psychosocial environment, Occlusal vertical dimension (OVD), bone volume, skeletal growth and development, orthodontics and/or orthognathic surgery, implants, time required for the procedure, maintenance, and cost of treatment.

    Keywords: Dental implant, ectodermal dysplasia, fixed partial denture, hypodontia, prosthetic rehabilitation}
  • مهران بهرامی، مریم معماریان، حسین تمدن*، محمد جواد خرازی فرد
    نحوه پوشش و ظاهر دندانپزشک بر رابطه او با بیماران موثر است. همچنین همگام سازی قوانین پوشش حرفه ای در رشته دندانپزشکی با عرف و فرهنگ اسلامی در جمهوری اسلامی ایران، به گونه ای که هم مطابق خواست بیماران باشد و هم به اصول کنترل عفونت توجه گردد، اهمیت زیادی دارد. تحقیق حاضر با هدف تعیین الگوی پوشش حرفه ای دندانپزشکان از دیدگاه مراجعین به دانشکده دندانپزشکی دانشگاه علوم پزشکی تهران در سال تحصیلی
    96-1395 انجام شد.
    در این مطالعه توصیفی- مقطعی 103 بیمار (54 زن و 49 مرد) مورد مطالعه قرار گرفتند (با در نظر گرفتن 05/0=? و انحراف معیار نمره حاصل از پرسشنامه برابر 5/4). پرسشنامه تحقیق شامل عکس های رنگی از یک دندانپزشک مرد و یک دندانپزشک زن در پوشش های مختلف بود. از بیماران درخواست گردید بر اساس این تصاویر، پاکیزه ترین، قابل اعتمادترین، توانمندترین و باتجربه ترین دندانپزشک را انتخاب کنند. فراوانی و درصد پاسخ های شرکت کنندگان به سوالات پرسشنامه به صورت توصیفی گزارش گردید.
    در تحقیق حاضر 100?% بیماران مایل بودند دندانپزشک به هنگام درمان آن ها از روپوش سفید استفاده کند. درباره دندانپزشکان آقا، اکثر بیماران (6/%45) مدل موی ساده را ترجیح دادند. درباره خانم های دندانپزشک، اکثرا (9/35?%) مقنعه را به عنوان حجاب برتر فرض کرده و اکثر آن ها (4/54?%) آرایش ملایم را ترجیح دادند.
    کلید واژگان: دیدگاه, دندانپزشک, پوشش حرفه ای رسمی, غیر رسمی}
    Mehran Bahrami, Maryam Memarian, Hossein Tamaddon *, Mohammad Javad Kharrzi Fard
    Background And Aims
    The dentist's attire and appearance affects his/her relationships with the patients. It is also essential to sync the professional attire in dentistry with the habits and Islamic culture of Islamic Republic of Iran, meet the patient's desires, and pay attention to the infection-control-requirements as well.The objective of the present study was to determine the patient's viewpoints about the professional appearance of the dentists at Tehran University of Medical Sciences, Dental School in 1395-96.
    Materials And Methods
    In this descriptive cross-sectional study, 103 patients (54 females and 49 males) were studied. (=α0.05 and standard variation=4.5). The questionnaire were included color photographies of a female dentist and a male dentist dressed in different attires. The patients were asked to select the cleanest, and the most trustable, competent, and experienced dentist according to the 4 different attires. The frequencies and percentages of the participants’ answers to the questionaire were descriptively reported.
    Results
    All patients preferred dentists to use white coat during their treatment. For the male dentists, most patients (45.6%) favored simple hair model. For the female dentists, most patients (35.9%) considered veil as the more acceptable Hejaband, and 54.4% of them preferred light makeup.
    Conclusion
    All patients preferred their dentists to dress in the professional attire with a white coat. They believed that wearing formal-professional-dressing by the dentists may show them look cleaner, and more trustable, more competent, and experienced.
    Keywords: Attitude, Dentist, Professional formal, Casual}
  • Comparative Evaluation of Retentive Properties of Two Compatible Ball Attachments in Mandibular Implant-Retained Overdentures: An In Vitro Study
    Maryam Memarian, Simindokht Zarrati, Sedigheh Karimi, Mehran Bahrami
    Objectives
    The retentive properties of implant-retained overdentures (IRO) may be influenced by the type of attachments. The aim of this research was to compare the retention of two dental implant systems with compatible ball attachments, namely Straumann® system (SS) and Rhein83 SRL system (RS) after fatigue testing.
    Materials And Methods
    Two laboratory models consisting of two parallel Straumann® fixtures at a distance of 22 mm were prepared. Five pairs of each system's ball attachments were examined (n=5). The samples were soaked in artificial saliva. The retention strength values (RSV) were recorded before the fatigue test and after 1100, 2200, 3300, 4400, and 5500 insertion and removal cycles at a speed of 51 mm/minute with a 50-N load cell in a universal testing machine. The data were analyzed by repeated measures analysis of variance (ANOVA) followed by independent sample t-test with Bonferroni corrections.
    Results
    There was a decrease in the RSV in both systems after 5500 cycles of insertion and removal. There was a significant statistical difference between the RSV of the normal Sphero Block of the RS (17.52±0.68 N) and that of the Spare Lamella retention inserts of the SS (19.72±0.74 N, P=0.001).
    Conclusions
    Although the RSVs of the RS and SS were almost similar before the fatigue test, as the number of insertion and removal cycles increased, the RSV decreased more significantly in the RS compared to the SS.
    Keywords: Dental Prosthesis, Implant, Supported, Overdenture, Dental Prosthesis Retention}
  • Saied Nokar, Mehran Bahrami, Azam Sadat Mostafavi*
    Objectives
    The aim of this study was to investigate the stress distribution of different post and core materials in radicular dentin by three-dimensional finite element analysis (3D FEA).
    Materials And Methods
    Twelve 3D models of a maxillary central incisor were simulated in the ANSYS 5.4 software program. The models were divided into three groups; the first group included: 1-Gold post and core and 2-Nickel-chromium (Ni-Cr) post and core restored with metal-ceramic restorations (MCRs). The second group included: 1-Stainless steel post, 2-Titanium post, 3-Carbon fiber post, 4-Glass fiber post, and 5-Quartz fiber post with composite cores and MCRs. The third group included: 1-Zirconia post and core, 2-Zirconia post, 3-Carbon fiber post, 4-Glass fiber post, and 5-Quartz fiber post; the last four models had composite cores restored with all-ceramic restorations (ACRs). Each specimen was subjected to a compressive load at a 45-degree angle relative to its longitudinal axis at a constant intensity of 100 N. The models were analyzed with regard to the stress distribution in dentin.
    Results
    Two stress concentration sites were detected in the models. The first group showed the lowest stress levels in the cervical region, while the stress levels detected in the second group were higher than those in the first group and lower than those found in the third group. Fiber-reinforced posts induced a higher stress concentration between the middle and cervical thirds of the root compared to other posts.
    Conclusions
    According to the results, since cast posts induce lower stresses in dentin, they are recommended for clinical use. Fiber-reinforced posts and ACRs caused the maximum stresses in dentin.
    Keywords: Finite Element Analysis, Post, Core Technique, Dental Stress Analysis}
  • Mehran Bahrami, Roya Hashemi, Seyed Mehran Falahchai
    Prosthetic rehabilitation of patients with unfavorable-implant-position or problematic implant angulation is complicated. A completely-edentulous-patient with lower lip squamous-cell-carcinoma had undergone resective surgery twice. After radiotherapy of a total dose of 60cGy of 3 sessions for about 3 months, moderate trismus was developed. Mouth commisurotomy was accomplished in order to insert three implants in the mandibular-anterior-region. Two distal implants were excessively tilted to achieve better biomechanical advantages and to obtain greater anterior-posterior- distance which made prosthetic rehabilitation of the patient challenging. In the mandibular-custom-tray a lingual “window” was designed to accommodate the openimpression-copings. Trial-denture-bases were tried-in. A putty index was recorded from arranged-mandibular teeth. According to this index, a zigzag bar similar to letter “M” was designed using custom abutments. So that three ball anchors were placed on this “M-designed-bar” (MDB) more labial than the inserted implants to support the mandibular-implant-supported-overdenture. Using MDB permits teeth-set-up with minimal interfere with tongue function. The major disadvantage of this design is its inevitable-buccal-cantilever. Distolingual areas of mandibular tray were border molded excessively in order to overcome this problem and to increase stability and also to reduce detrimental-lateral forces to implants.
    Keywords: Dental Implants, Implant-Supported Denture Prosthesis}
  • Mehran Bahrami, Moeen H. Shirazi, Mohammed Hussein M. Alsharbaty
    Introduction
    Ewings sarcoma (ES) is an unusual, aggressive malignant neoplasm occurring primarily in the long bones of the lower and upper extremities followed by pelvis, ribs, vertebrae, skull, and jaws-bones. Patients with ES tumor need long-term complete oral reconstruction. The location of the primary tumor in the face is predominantly in the mandible, and usually in the posterior mandible.
    Case Report: Here, both surgical procedures and prosthetic reconstruction in three stages of a 10-year-old childs life presented. Definitive prosthetic reconstruction is extremely challenging in such patients after previous excessive surgical resection, especially when the patient has complex dental abnormality. Fixed dental prostheses and implant-supported fixed restorations have been selected as the preferred treatment option in this case after increasing occlusal vertical dimension (OVD) to create sufficient interocclusal space (IOS).
    Discussion
    In this case, ES patient treated in three phases. In the first-stage, only surgical resection of tumor and bone graft reconstruction with titanium plate fixation was performed. In the second-stage, Lefort I surgery for maxilla with dental implants insertion in mandible was done simultaneously. For definitive restorations fabrication, it was mandatory to increase occlusal vertical dimension (OVD) to create sufficient inter-occlusal space (IOS) for the restorations. OVD has been altered to achieve more stable relationship of mandibular teeth with maxillary teeth, and to obtain an optimum esthetic and functional result. Several factors should be considered as determinants for increasing the OVD such as remaining tooth structure, the space available for the restorations such as the current situation, occlusal variables, and esthetics.
    Keywords: Dental implants, Ewing's sarcoma, fixed partial denture, implant-supported denture}
  • Mehran Bahrami, Mohammed Hussein M. Alsharbaty *
    Introduction
    Many clinical cases and the literature review have revealed implant-supported-overdentures’ (ISOs) treatment success and predictability in elderly patients. According to the previous studies, all the mandibular ISOs used 2–4 implants anterior to mental foramen to retain the denture.
    Case Report: In this clinical report, two individual anterior standard implants and two individual posterior short implants were used to support the mandibular ISO, as well as to prevent further posterior bone resorption. This treatment option permits the patient to insert more implants in the future, and could be upgraded to implant-supported-fixed prosthesis.
    Discussion
    The patient was completely satisfied about the final result, especially for upgrading the mastication efficiency. The patient was followed-up for more than 2 years without complication. The panoramic X-ray showed the preserved bone in the posterior region. This technique could be considered to be innovative, and more clinical cases are required to be documented as a predictable modality.
    Keywords: Dental implants, denture precision attachments, implant-supported-denture prosthesis}
  • Foad Akhoondinasaba, Mehran Bahrami, Azra Mohiti, Maryam Vahdat
    Introduction
    Saliva as a simple non-invasive method of gaining body fluids has been used to detect the thyroid hormones. A single method for determining these hormones has not been clearly stated in the literature. Furthermore, thyroid diseases would affect the salivary glands and may compromise salivary flow.
    Materials And Methods
    A comprehensive search was conducted using PubMed and Medline.
    Conclusion
    Saliva can successfully be used as a non-invasive method for determining thyroid hormones and for detecting and monitoring thyroid dysfunctions. Thyroid dysfunctions also have a great impact on salivary gland functions and saliva.
    Keywords: Saliva, Salivary Glands, Thyroid Disease}
  • Fabrication of cast metal guidance flange prosthesis for a patient with segmental mandibulectomy: A clinical report
    Foad Akhoondinasab, Azra Mohiti, Mehran Bahrami
    Introduction
    Mandibular resection usually results in altered mandibular movements, disfigurement, and difficulty in swallowing, impaired speech/articulation and deviation of the mandible toward the resected site. To overcome this impairment, numerous prosthetic methods, such as maxillomandibular fixation, implant supported prosthesis, removable mandibular guide flange prosthesis, and palatal based guidance restoration have been employed to reduce or minimize deviation and to improve function. However, the management of these mandibular resected patients is difficult.
    Case Report: This article tries to describe step by step prosthetic management of a patient, who has suffered from mandibular resection.
    Conclusion
    This treatment modality seems to be the treatment of choice. In our patient, the adequate intercuspal position was obtained but due to compromised tongue mobility, the guide flange prosthesis, like other treatment options could not improve patient’s mastication ideally.
    Keywords: Guide Flange Prosthesis, Segmental Mandibulectomy, Squamous Cell Carcinoma}
  • Simindokht Zarrati, Mehran Bahrami, Fatemeh Heidari, Jamal Kashani
    Objectives
    This finite element method study aimed to compare the amount of stress on an isolated mandibular second premolar in two conventional reciprocal parallel interface designs of removable partial dentures (RPDs) and the same RPD abutment tooth (not isolated).
    Materials And Methods
    A Kennedy Class 1, modification 1 RPD framework was simulated on a 3D model of mandible with three different designs: an isolated tooth with a mesial rest, an isolated tooth with mesial and distal rests and an abutment with a mesial rest (which was not isolated); 26 N occlusal forces were exerted bilaterally on the first molar sites. Stress on the abutment teeth was analyzed using Cosmos Works 2009 Software.
    Results
    In all designs, the abutment tooth stress concentration was located in the buccal alveolar crest. In the first model, the von Mises stress distribution in the contact area of I-bar clasp and cervical portion of the tooth was 19 MPa and the maximum stress was 30 MPa. In the second model, the maximum von Mises stress distribution was 15 MPa in the cervical of the tooth. In the third model, the maximum von Mises stress was located in the cervical of the tooth and the distal proximal plate.
    Conclusion
    We recommend using both mesial and distal rests on the distal abutment teeth of distal extension RPDs. The abutment of an extension base RPD, which is not isolated in presence of its neighboring more anterior tooth, may have a better biomechanical prognosis.
    Keywords: Finite Element Analysis, Abutment, Retainer}
  • مهران بهرامی، مریم معماریان، فریناز خداداد کاشی*
    زمینه و هدف
    تحلیل ریج باقیمانده روندی غیرقابل پیش بینی، اجتناب ناپذیر و وابسته به زمان است که در بیماران استفاده کننده از دست دندان مصنوعی به ویژه در مندیبل به علت سطح مقطع ساپورت کننده کمتر، وجود زبان و تحلیل بیشتر مشکل ساز است. استفاده از ایمپلنت در بسیاری از این بیماران مستلزم استفاده از گرفت استخوان و پرداخت هزینه گزاف اوردنچر می باشد. چسب دندان مصنوعی به عنوان آخرین راهکار برای بهبود گیر و توانایی جویدن برای بیماران مسن دارای تحلیل شدید آلوئول مورد استفاده قرار می گیرد. در حال حاضر تعداد محدودی چسب دندان مصنوعی در ایران به کار می روند که اطلاعات زیادی در مورد ویژگی های استاندارد آن ها شامل pH، قدرت چسبندگی و قابل شستشو بودن وجود ندارد. هدف از این مطالعه بررسی ویژگی های فوق در چهار چسب دندان مصنوعی رایج در ایران به نام های (Corega، Fittydent، Fixodent، Professional) بود تا مناسب ترین چسب دندان مصنوعی موجود از نظر کاربرد بالینی در شرایط مختلف معرفی گردد.
    روش بررسی
    کلیه توصیه های ISO 10873:2010 جهت انجام تست ها به کار گرفته شد. جهت انجام تست اندازه گیری pH مقدار 1 /0±1 گرم از هر چسب دنچر با 5 گرم پروپیلن گلیکول رقیق شده با آب مخلوط شد و با کمک دستگاه pH سنج، pH هر گروه به طور جداگانه و 4 مرتبه برای هر گروه اندازه گیری و ثبت شد. جهت انجام تست قابل شستشو بودن ابتدا 4 دنچر نمونه ساخته شد و سپس هر گروه از چسب دنچر به صورت مسطح و طبق راهنمایی سازنده بر روی هر کدام از دنچر ها قرار گرفت. به منظور شبیه سازی محیط دهان نمونه ها درون یک گرم کننده در حمام آب در دمای 2±37 درجه سلسیوس و به مدت 1 ساعت نگهداری شده و پس از شستشو با یک برس پلاستیکی میزان شسته شدن چسب ها توسط مشاهده بررسی شد. به منظور انجام تست قدرت چسبندگی ابتدا به آرامی سوراخ نگه دارنده نمونه با چسب دنچر پر شده و اتصال بازوی حساس به فشار دستگاه سنجش قدرت چسبندگی روی آن قرار گرفت، سپس مجموعه نمونه و نگه دارنده نمونه در 300 میلی لیتر آب در دمای 2±37 درجه و به مدت 10 دقیقه غوطه ور شد. مجموعه نمونه و نگهدارنده نمونه خارج شده و به منظور خارج شدن آب از سطح آن تکان داده شد و سپس در محل قرارگیری نمونه روی دستگاه سنجش قدرت چسبندگی (Santam، STM 20) قرار داده شد و نیرویی معادل 10 نیوتون با سر متقاطع با سرعت 5 میلی متر در دقیقه به وسیله شفت حساس به فشار به مرکز نمونه وارد شد. این نیرو برای 30 ثانیه حفظ شده و سپس بازوی دستگاه به سمت بالا کشیده شد و حداکثر نیروی اندازه گیری شده به وسیله شفت حساس به فشار بر اساس مقیاس کیلوپاسکال توسط نرم افزار کامپیوتری (Santam Machine Controller v4،19، Iran) محاسبه شد. تست برای هر نمونه 8 بار انجام شد و 8 نتیجه به دست آمد. برای بررسی آماری قدرت چسبندگی از تست ANOVA استفاده شد.
    یافته ها
    براساس نتایج این مطالعه، pH چسب های Professional و Corega به pH خنثی نزدیکتر بوده و pH چسب های Fittydent و Fixodent اسیدیته بیشتری داشتند. در تست قابلیت شستشو در هیچ گروه از چسب ها توده باقیمانده ای مشاهده نشد و از لحاظ آماری تفاوتی بین گروه ها وجود نداشت (05 /0P>). در تست قدرت چسبندگی چسب های Fittydent و Corega نسبت به Professional و Fixodent قدرت چسبندگی بالاتری داشتند که این تفاوت از لحاظ آماری معنی دار بود (05 /0>P).
    نتیجه گیری
    pH چسب های Professional و Corega نسبت به pH چسب های Fittydent و Fixodent اسیدیته کمتری داشته و تاثیر منفی کمتری بر مخاط دهان داشتند و لذا در بیمارانی که سطح تحمل مخاط آن ها به دلایلی از قبیل دیابت، کم خونی فقر آهن، افزایش فشار خون کاهش یافته است، ارجح هستند. تمام گروه ها از نظر قابلیت شستشو مورد قبول بودند. Fittydent و Corega نسبت به Professional و Fixodent قدرت چسبندگی بالاتری داشتند و لذا دراستفاده کنندگان از دنچر که به دلیل تحلیل شدید ریج، ماکروتروما و عدم سازش پذیری نیاز به گیر بیشتری داشته باشند، انتخاب کلینیکی بهتری به نظر می آیند.
    کلید واژگان: چسب دنچر, تست اندازه گیری pH, تست قابلیت شسشو, تست قدرت چسبندگی}
    Mehran Bahrami, Maryam Memarian, Farinaz Khodadad Kashi*
    Background And Aims
    Residual ridge resorption is an unpredictable, unavoidable and time-dependent process which occurs in denture-wearing patients especially those who use mandibular dentures. This process causes more problems in mandible because of its less support, tongue forces and more resorption. Inserting implants in many of these patients requires bone grafts. Overdentures are also more expensive. Denture adhesives are the last option to improve retention and masticatory function in denture-wearers with severe resorption of alveolar ridge. Nowadays only a few denture adhesives are used in Iran and there is not much information about their standard features including, pH, bond strength and washability. The objective of this study was to examine and compare the mentioned characteristics of four denture adhesives (Professional, Corega, Fittydent and Fixodent) and to introduce the most suitable denture adhesive for clinical use.
    Materials And Methods
    All the methodologies of ISO 10873:2010 were applied. To measure the pH value, 1±0.1g of each denture adhesive was diluted with 5g of propylene glycol and mixed with water. Using pH meter, pH of each group was measured separately for 4 times (n=4) and results were recorded. For the washability test, 4 dentures were fabricated (n=4) and each group of denture adhesives was placed on a denture according to manufacture instructions. For simulating mouth environment specimens were placed in water at 37±2 ̊C bath for 1 hour and then washed with a plastic brush. Specimens were examined for any residual adhesive and the results were recorded. For bond strength test, a sample holder was gently filled with denture adhesives and was attached to the holding arm of bond strength testing device (Santam, STM 20, Iran). Specimens were placed in 300ml water bath at 37±2 ̊C for 10 minutes, and then shaken to be dried and placed in the bond strength testing device. 10N force with 5mm/min rate was applied to the specimen. The force was maintained for 30s and then device arm was pulled back and the highest number was recorded with computer software (Santam Machine Controller v4.19, Iran). The test performed 8 times (n=8) for each adhesive and 8 results were recorded. Data were analyzed using ANOVA test for comparing the bond strength with a significant level fixed at 0.05.
    Results
    Professional and Corega adhesives had more neutral pH than that of Fittydent and Fixodent which were more acidic. Washability test showed no remaining mass of any adhesive and there was not any statistically significant difference between groups (P>0.05). Fittydent and Corega adhesives showed higher bond strength than that of Professional and Fixodent and this difference was statistically significant (P<0.05).
    Conclusion
    Professional and Corega adhesives had less acidity. Thus they cause less harmful effects on the oral mucosa than that of Fittydent and Fixodent and should be indicated in patients with little-tolerant oral mucousa such as diabetous, iron-deficiency anemia and hypertention. All the groups had acceptable washability. Fittydent and Corega had higher bond strength than that of Professional and Fixodent. Therefore in complete-denture-wearers who require more retention as a result of severe ridge resorption, macrotruma, and maladaptiivity, Fittydent and Corega seems to be more acceptable.
    Keywords: Denture adhesives, Test, Bond strength}
  • Faezeh Atri, Susan Mir Mohammad Rezaei, Farideh Geramipanah, Mehran Bahrami*
    A palatal defect may result from surgical resection, and its consequences could include difficulty in speech and nasal regurgitation of food and liquids. An obturator combined to speech aid prosthesis can improve nasal emission during speech, and assist in preventing nasal regurgitation of food. This article presents a clinical report of the reconstruction of palatopharyngeal function by prosthetic obturator and speech aid.
    Keywords: Palatopharyngeal function, Speech Aid, Obturator, Rotational path}
  • Fariba Saleh Saber, Nader Abolfazli, Sara Nuroloyuni, Sohleh Khodabakhsh, Mehran Bahrami, Reza Nahidi, Somaieh Zeighami
    Background And Aims
    In contrast to prepared natural dentin abutments, little is known concerning factors influencing the retention of fixed prostheses cemented to implant abutments. The aim of this study was to investigate the effect of implant abutment height on the retention of single castings cemented to wide and narrow platform implant abutments.
    Materials And Methods
    Thirty-six parallel-sided abutments (Biohorizon Straight Abutment) of narrow platform (NP) and wide platform (WP) sizes with their analogs were used. In each group of platform size, abutments were prepared with axial wall heights of 5, 4, 3, 2 mm (n=9). On the whole 72 castings were constructed, which incorporated an attachment to allow removal. Castings were cemented to abutments with TempBond®. A uniaxial tensile force was applied to the crown using an Instron machine until cement failure occurred. Analysis of variance of the models were fit to determine the effect of height of abutment of the restorations on the mean tensile strength (α=0.05).
    Results
    The mean peak removal force for corresponding abutments was significantly different (P < 0.05): (1) with platform sizes: WP > NP; (2) with alteration of axial wall height for NP: 5 mm > 4 mm > 3 mm = 2 mm and for WP: 5 mm > 4 mm = 3 mm = 2 mm.
    Conclusion
    The retention of NP cement-retained restorations is influenced by the wall height but not in same manner as WP. Restorations of narrow-platform size with longer abutment exhibited higher tensile resistance to dislodgement.
  • فاطمه رستمخانی، جعفر قره چاهی، سید مجتبی زبرجد، مهران بهرامی، حبیب الله اسماعیلی
    مقدمه
    مواد بهسازی بافت جهت ترمیم بافت های نرم تحریک شده زیر دست دندان قدیمی یا با تطابق بد به کار می روند و یا به عنوان یک وسیله تشخیصی به منظور ارزیابی قدرت تحمل بیمار نسبت به الگوی اکلوزال جدید یا ارتفاع عمودی جدید اکلوزال استفاده می شوند. هدف از این مطالعه بررسی استرین برگشت پذیر، استرین دائمی و سختی در سه ماده بهسازی بافت رایج در ایران به نام های آکروسافت، سافت لاینر و ویسکوژل بود.
    مواد و روش ها
    در این مطالعه تجربی، آزمایش های سختی، استرین الاستیک و استرین دائمی جهت بررسی خواص فیزیکی 3 ماده بهسازی بافت رایج در ایران به نام های آکروسافت، سافت لاینر و ویسکوژل انجام شد. تمام نمونه ها طبق دستور کارخانه سازنده و دقیقا با همان نسبت پودر به مایع مخلوط شدند و از هر کدام از مواد بهسازی بافت 28 نمونه به روش مزبور تهیه گردید جهت شبیه سازی با شرایط داخل د هان به مدت 24 ساعت در بزاق مصنوعی در دمای اتاق قرار داده شدند. 14 نمونه از هر یک از مواد بهسازی بافت توسط دستگاه دورامتر شورآ تحت آزمایش قرار گرفت آزمون های کروسکال-والیس و من-ویتنی جهت تحلیل داده ها مورد استفاده قرار گرفت. استرین الاستیک و پلاستیک در 14 نمونه دیگر از هر گروه توسط دستگاه Zwick پس از 24 ساعت نگهداری در دمای اتاق و بزاق مصنوعی اندازه گیری شد. داده ها با آزمون های کروسکال-والیس و من-ویتنی تجزیه و تحلیل شدند.
    یافته ها
    استرین دائمی در سه گروه تفاوت آماری معنی داری نداشت (463/0P=)، در حالی که استرین برگشت پذیر و سختی شورآ در 3 گروه تفاوت آماری معنی داری داشت (به ترتیب 007/0P= و 001/0P<). مقایسه دو به دوی گروه ها با توجه به اصلاح بن-فرنی و آزمون من-ویتنی نشان داد، الاستیک استرین و سختی شورآ تفاوت آماری معنی داری داشت. به جز دو گروه سافت لاینر و ویسکوژل که تفاوت معنی داری نداشتند.
    نتیجه گیری
    سختی شورآ در نمونه های تهیه شده از ویسکوژل به طور معنی داری از نمونه های تهیه شده از آکروسافت و سافت لاینر کمتر، ولی استرین برگشت پذیر آن بیشتر بود و لذا از نظر کاربرد کلینیکی ویسکوژل برتر است.
    کلید واژگان: استرین برگشت ناپذیر, استرین برگشت پذیر, سختی شورآ, مواد بهسازی بافت}
    Fatemeh Rostamkhani, Jafar Gharechahi, Seidmojtaba Zebarjad, Mehran Bahrami, Habibollah Esmae
    Introduction
    Tissue conditioners are used to provide time for healing of the irritated soft tissues under an old or ill fitting denture or as a diagnostic tool to assess patient's tolerance of new occlusal vertical dimension (VDO). The objective of this study was comparative evaluation of elastic strain, permanent strain and shore A hardness of 3 conventional tissue conditioners in Iran, namely Akrosoft, Softliner and Viscogel.
    Materials and Methods
    In this experimental study, elastic strain, permanent strain and shore A hardness tests were accomplished for evaluation of physical properties of 3 conventional tissue conditioners in Iran, namely Akrosoft (Marlic Medical Ind. Co, Iran), softliner (GC company, Japan) and Viscogel (Densply Ltd, U.S.A). All of the specimens were mixed according to the manufacturer's instructions and exactly with the right powder to liquid ratio. Twenty-eight Specimens of each brand of mentioned tissue conditioners were mixed to add up to 84 specimens and restored in artificial saliva for 24 hours in room temperature for simulation of mouth conditions. Then 42 specimens (n=14), that is 14 specimens of each brand, were tested with durometer shore A hardness machine and the according numbers were recorded. The other 42 specimens (n=14) after restoring in artificial saliva for 24 hours in room temperature, were used for measuring elastic and permanent strain tests with Zwick machine. Finally, the data were analyzed by Kruskal-Wallis and Mann-Whitney tests.
    Results
    Statistical results from Kruskal-Wallis test showed that permanent strain in these three different groups was not different (P=0.463); however, elastic Strain and shore A hardness were statistically different (P<0.001 and P=0.007, respectively). Elastic strain and shore A hardness of the specimens also compared with two-by-two Mann-Whitney test were not statistically different.
    Conclusion
    Shore A hardness of Viscogel specimens was significantly lower than Akrosoft and softliner specimens, but elastic strain of Viscogel was greater than both of them. It could be concluded that Viscogel is better from clinical standpoint.
سامانه نویسندگان
  • مهران بهرامی
    بهرامی، مهران
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