Background: preparation of root canals is an important step in root canal treatment. Mechanical instrumentation of root canals cause an irregular layer of debris, known as the smear layer. As a result, several studies reported that preferring the removal of the smear layer. Objective: To study the influence of the energy (100 mJ) of Erbium, Chromium: Yttrium Scandium Gallium Garnet (Er,Cr:YSGG) laser at short pulse duration (60 μs) on smear layer removal of apical third after using Photon induced photoacoustic streaming technique. Materials and methods: Eighteen straight single-rooted mandibular premolars were used. The roots length were uniform to 14mm from the anatomic apex and instrumented using Protaper Gold Rotary NiTi file system to size 40 taper 0.06. Er,Cr:YSGG pulsed laser (waterlase iplus Biolase, CA, USA) 2780 nm was used at short pulse duration (60 μs, 5 Hz ,air and water off) delivered by MD/iplus Glass Tips (MZ6) 600 μm in diameter, length=6 mm, calibration factor= 1.00. Ultrasonic activator ENDO1 (Guilin Woodpecker Medical Instrument Co., Ltd.china) was used with Ultrasonic activator tip ED98 (25#, 2% taper, 18.5mm) (Guilin Woodpecker Medical Instrument Co., Ltd.china). The samples were arbitrarily divided into three groups (n=6) and used as follows: (A) conventional irrigation with 5 ml of 17 % EDTA, (B) passive ultrasonic irrigation with 5 ml of 17 % EDTA, (C) Er,Cr:YSGG induced photoacoustic streaming with 5 ml of 17 % EDTA. After final irrigation with normal saline and drying, the roots were painted with nail varnish externally, and 2% methylene blue dye injected into canal until the canal filled with dye. The tooth was splitted at the fourth millimeters from root apex with a diamond disc representing the apical third. Picture was taken by Professional Digital SLR camera (Nikon D7100, Nikon Corporation, Thailand) with 40X magnification. The dye penetration was measured by using analytical software (measure picture CAD-KAS Kessler Germany). ANOVA test was used to analyse repeated measure mean between tested concentration (5.25% NaOCL, 17% EDTA) and control. Data was expressed as mean±SD. LSD (Least Significant Difference) test was used to calculate the significant differences between tested mean. Results: The mean values of the percentage of dye penetration area in two experimental groups was higher than the control group, as the follow (20.79±1.15control, 34.5453±0.45 ultrasonic group, 85.9804±2.69 Er,Cr.YSGG+17%EDTA at 0.5 W). The Percentage of dye penetration in Er,Cr:YSGG laser induced photoacoustic streaming with 17% EDTA was significantly high (P value 0.001), followed by ultrasonic activated group, while control group result in less Percentage of dye penetration than both study groups. Conclusion: In this study, we concluded that Er,Cr:YSGG pulsed laser (0.5 W,5 Hz , air and water off) at short pulse duration (60 μs) with 17% EDTA using PIPS technique for activation of irrigant in endodontic treatment give better result than ultrasonic activation in smear layer removal
Background Psoriasis is one of the most prevalent chronic inflammatory skin conditions; its prevalence ranges from 1 to 3%. Tumor necrosis factor-alpha (TNF-α), a cytokine that enhances inflammation, is overexpressed in synovium and skin plaques in psoriasis. TNF-α plays a critical role in the pathogenesis of psoriasis. IL-10 is the most crucial cytokine for reducing excessive immune responses and decreasing pro-inflammatory reactions in all autoimmune disorders. Objective To evaluate the effect of Apremilast on ILـ10, TNFـα, and BMI in obese psoriatic patients. Methods Thirty patients included in this investigative study to measure the concentrations of TNFـα, ILـ10 and BMI, before and after receiving Apremilast. TNFـα and
... Show MoreTo assess the biochemical, mechanical and structural characteristics of retained dentin after applying three novel bromelain‑contained chemomechanical caries removal (CMCR) formulations in comparison to the conventional excavation methods (hand and rotary) and a commercial papain‑contained gel (Brix 3000). Seventy‑two extracted permanent molars with natural occlusal carious lesions (score > 4 following the International Caries Detection and Assessment System (ICDAS‑II)) were randomly allocated into six groups (n = 12) according to the excavation methods: hand excavation, rotary excavation, Brix 3000, bromelain‑contained gel (F1), bromelain‑chloramine‑T (F2), and bromelain chlorhexidine gel (F3). The superficial and deepe
... Show MoreIn light of the rapid changes in the business environment and the entry of administrative leaders in the challenges of the atheist and twenty- increasing competition between sectors and the desire to acquire the skills, the traditional methods are no longer viable, which requires doing evaluates performance according to a more holistic, rather than limiting the performance evaluation on the financial hub that has not longer enough alone, as well as benchmarking method that has proven successful in developed countries as a way to develop and improve products and services.
I've touched your search to the development of indicators evaluating the performance and preparation of a mechanism for making comparisons of reference between o
... Show MoreThere is no doubt that the project control function is very important for administration, so the project Management depends on to monitor and control the project. The project control integrated to the planning which is the base of the administration functions; planning, organizing, directing, and controlling. Without project control cannot be insure to fulfill the plan of the project by the budget and specified time. The project management apply many methods of control to achieve the goals of project which are cost, time, and required specifications. Earned Value Management one of control methods that used in the project by international companies.
Earned Value Method is used in the project o
... Show MoreBackground: Radiopacity is one of the prerequisites for dental materials, especially for composite restorations. It's essential for easy detection of secondary dental caries as well as observation of the radiographic interface between the materials and tooth structure. The aim of this study to assess the difference in radiopacity of different resin composites using a digital x-ray system. Materials and methods: Ten specimens (6mm diameter and 1mm thickness) of three types of composite resins (Evetric, Estelite Sigma Quick,and G-aenial) were fabricated using Teflon mold. The radiopacity was assessed using dental radiography equipment in combination with a phosphor plate digital system and a grey scale value aluminum step wedge with thickness
... Show MoreIn this work, copper substituted cobalt ferrite nanoparticles with
chemical formula Co1-xCuxFe2O4 (x=0, 0.3, and 0.7), has been
synthesized via hydrothermal preparation method. The structure of
the prepared materials was characterized by X-ray diffraction (XRD).
The (XRD) patterns showed single phase spinel ferrite structure.
Average crystallite size (D), lattice constant (a), and crystal density
(dx) have been calculated from the most intense peak (311).
Comparative standardization also performed using smaller average
particle size (D) on the XRD patterns of as-prepared ferrite samples
in order to select most convenient hydrothermal synthesis conditions
to get ferrite materials with smallest average particl