مجله دندانپزشکی دانشگاه علوم پزشکی تهران
سال سی و یکم شماره 1 (پیاپی 94، بهار 1397)

Fracture and color change are among the most common causes of clinical failure of resin composite restorations. Therefore, this study aimed to examine the fracture toughness and color changes of 3 Nano-hybrid resin composites in dry and wet conditions.
Three resin composites were studied. A total of 36 rectangular specimens were prepared for each material, randomly divided into 2 groups, and stored at 37°C dry or soaked in distilled water. In each group, the specimens were subdivided into three groups (n=6) and stored for 1, 7, and 60 days. After each time interval, the specimens were tested for the fracture toughness and loaded at a cross-head speed of 0.5mm/min using a universal testing machine. The baseline and final color measurement was recorded for each specimen using a spectrophotometer. The collected data was analyzed using ANOVA and Kruskal-Wallis tests.
After 60 days, the mean value of fracture toughness was lower in the wet condition compared to that of dry condition. However, it was not significantly different except for aura Bulkfil (P=0.001). Color change was significantly different for Tetric Evoceram and aura with a greater value in the wet condition compared to that of dry (P=0.004). The greatest color stability was found for aura and the least for Tetric Evoceram.
In this study, most of the materials stored in a dry condition showed a greater fracture toughness and color change.

Microorganisms are the main cause of pulpal and periapical diseases. The most important failure factor is the lack of proper seals for the canal, resulting in microbial leakage. Therefore, the purpose of this study was to evaluate the sealing ability of ProRoot MTA and Bio MTA in canal obturation using fluid infiltration.
In this experimental study, 46 extracted mandibular premolar single canal teeth were used. After preparing and disinfecting the teeth with 3% sodium hypochlorite, their crowns were cut off from the cement-enamel junction. The teeth were then randomly divided into four groups: Group 1 (n=20) Bio MTA, Group 2 MTA ProRoot (n=20), negative and positive control groups, each of them contained 3 teeth. The preparation of teeth was performed using the step back method. The filled teeth were then evaluated by fluid filtration for leakage prevention. Data were analyzed by Mann-Whitney test and Tukey test (α=0.05).
The results of statistical analysis showed that there was no significant difference between the MTA ProRoot and Bio MTA in sealing ability (P>0.05). That micro leakage is less in the Bio MTA group than in the ProRoot MTA group, but the difference was not significant.
This study showed that MTA ProRoot and Bio MTA can be used as appropriate canal filling materials.

Functional therapy locates the mandible in a more anterior and inferior position. Tongue posture and oropharynx space have a considerable relationship with mandibular posture. The aim of the present study was to determine the changes of tongue posture and oropharynx space following treatment with Twin block appliance in adolescent patients with class II division 1 ma1occlusion.
Twenty two patients (14 girls mean age:11.5, 8 boys mean age:12.5 years) who were treated with twin-block appliance were enrolled. Cephalograms were used to assess the linear measurements. Graber pattern and McNamara parameter were used to evaluate the tongue posture and oropharynx space, respectively. Data analysis was performed by paired t-test.
The findings of the present study showed a significant increase in anterior position of tongue (P=0.06). Oropharynx space was increased significantly (P Twin-block appliance caused considerable forward movement of tongue and significant increase of oropharynx space in the sagittal plan.

Wear resistance of artificial teeth has an important role in denture longevity. The purpose of this in vitro study was to evaluate the wear resistance of three types of composite resin denture teeth with that of acrylic resin.
In this study, four types of artificial teeth, including 3 types of composite artificial teeth (Ivoclar, Apple and Yamahachita) and 1 type of acrylic resin artificial teeth (Ivoclar) were used. Ten maxillary first premolars were selected from each set and were fixed in autopolymerising acrylic resin. The wear test was performed for 1000 and 2000 cycles. The heights and weights were measured under a light stereo microscope and scales (0.001 gram accuracy) before and after wear cycles. Data were analysed by ANOVA and Duncan tests (P=0.05).
There was no significant difference between the mean wear of the composite and acrylic resin ivoclar artificial teeth in 1000 and 2000 cycles (P>0.05), but this difference was significant between the other artificial teeth (P The findings of this study suggested that Ivoclar composite or acrylic resin denture teeth can be more suitable options than other artificial teeth used in this study in cases susceptible to abrasion.

In 1978 WHO (World health organization) formulated a histopathological definition for diagnosis of OLP (oral lichen planus). Previous studies showed that diagnosis of OLP with these criteria are not reproducible. In 2003 Van der Meij et al. represented new clinical and histopathologic definition for diagnosis of OLP known as modified WHO criteria. The purpose of this study was to evaluate the interobserver and intraobserver variability in the histopathological assessment of OLP based on the modified WHO criteria.
Fifty five microscopic slides which OLP and OLL (Oral Lichenoid Lesion) were recognized in their clinical differential diagnosis were given to 6 pathologists in two phases with 3 months interval. Each reviewing pathologist was asked to apply the modified WHO definition of OLP and to categorize each case as either OLP, or compatible with OLP. Then, the interobserver and intraobserver variability were assessed by calculation of repeatability coefficient and Kappa statistics.
The results of this study demonstrated that interobserver variability based on modified WHO criteria was 0.77 (strong), while the intraobserver variability varied from 0.58 (moderate) to 0.82 (strong).
In the present study, the interobserver and intraobserver variability in the histopathologic assessment of OLP based on modified WHO criteria was stronger than previous studies which assessed WHO criteria. However, in order to propose the replacement of WHO criteria with modified WHO criteria, further studies with more cases and comparing the two methods is required.

The dentistry profession is one of the most injuring professions that causes most pains and hurts for dentists because of their lack of knowledge about the ergonomic position through the work. The purpose of this study was to assess the ergonomic position of dentists with RULA method in dentists of Bojnord.
In this cross-sectional study, all of the Bojnord’s county dentists were selected. RULA method and Nowerdik questionnaire were used for investigating the agronomical position, and muscular-skeleton position, respectively. The analysis was done by SPSS22 using regression and chi-square test. A P-value of less than 0.005 was assumed as significant.
The most muscle-skeleton reports were 55.6% (35 persons) related to back, 54% (34 persons) related to shoulders, 50.8% (32 persons) related to waist, and 47.6% (30 persons) related to neck aches. In the last 12 months, 90.5% of dentists reported pains from at least one of organs of their bodies and 27% were supposed to leave their works which the sex (P=0.84), length (P=0.75), and weight (P=0.38) were not significantly related to this case.
According to the results of this study educational interventions is essential to prevent the musculoskeletal disorders in dentistry.

Despite their ascribed intellectual ability and achieved academic pursuits, the dental student’s academic achievement is influenced by learning motivation. This study in an Endeavour aimed to examine the learning motivation factors of dental students of Rafsanjan University of Medical Sciences.
In this descriptive-cross sectional study, 120 dental students completed the questionnaire which comprised of 33 questions regarding intrinsic and exogenic motivational factors. Demographic factors (gender, marital and native status, employment year of study) were examined. Data were analyzed by SPSS17 software. Descriptive and analytical statistical methods (t-test, Pearson correlation and ANOVA statistical tests) were used.
The mean of the achieved scores in the domains of learning motivation was 2.98±0.32 out of 5,which was considered as moderate level. Comparing the means of the intrinsic (3.16±0.48) and exogenic (2.82±0.44) domains showed significant differences (P Educational motivation of Rafsanjan dental students was moderate. In learning, intrinsic motivational factor was more than exogenic factors in male students.

In recent years, the use of zirconia as a high-strength support for all-ceramic restorations has become widely accepted. The failure of zirconia restorations is mainly due to the weakness of veneering porcelain and other factors such as veneering approach. Except conventional hand layering, other methods such as pressing and digital veneering have been recently introduced and used. Meanwhile, the use of monolithic zirconia with no veneer is also a solution for reducing the rate of failure. The object of this review was to compare the failure of three available methods for veneering zirconia restorations in the literature and to compare with the monolithic zirconia. In the context of this overview, 42 articles were used between the years 2000 through the end of 2016 using the keywords of PubMed, google scholar search engines. In most articles, digital approach is the best way with low failure. mechanical properties of monolithic zirconia are reported to be higher than the zirconia veneered using hand layering method.