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Keywords = thermo-hydraulic condensation technique

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42 pages, 32691 KB  
Review
Development Strategy of Endodontic Filling Materials Based on Engineering and Medical Approaches
by Leszek A. Dobrzański, Joanna Dobrzańska, Lech B. Dobrzański, Anna D. Dobrzańska-Danikiewicz and Klaudiusz Gołombek
Processes 2021, 9(11), 2014; https://doi.org/10.3390/pr9112014 - 11 Nov 2021
Cited by 4 | Viewed by 6048
Abstract
This article is a literature review aimed at presenting the general state of knowledge in manufacturing engineering and materials engineering to develop engineering materials applied for endodontic treatment as filling materials. Particular attention was paid to theoretical analyses concerning the selection of methods [...] Read more.
This article is a literature review aimed at presenting the general state of knowledge in manufacturing engineering and materials engineering to develop engineering materials applied for endodontic treatment as filling materials. Particular attention was paid to theoretical analyses concerning the selection of methods for developing and obturating root canals and discussing the results of experimental studies available in the literature. These activities aimed to compare the importance of the most commonly used endodontic filling materials based on gutta-percha or polymeric polyester materials, commonly known as resilon, respectively. The motivation to take up this complex, multi-faceted topic in this paper is the extent of caries, periodontal disease, and other oral diseases in 3 to 5 billion people, often affecting toothlessness and contributing to an increase in the index of disability-adjusted life years (number). Endodontics is an important element of the authors’ concept of Dentistry Sustainable Development (DSD) > 2020. The principles of qualifying patients for endodontic treatment are discussed. The introduction of rotary tools, especially manufactured from Nitinol alloy, to develop root canals and the latest thermohydraulic and condensation techniques for obturation guarantee progress in endodontics. The “Digital Twins” methodology was used, rooted in the idea of Industry 4.0 and the resulting idea of Dentistry 4.0, as well as knowledge management methods, to perform experimental research in virtual space, concerning methods of developing and obturating the root canal and assessing the tightness of fillings. Microscopic visualization methods were also used. Significant factors determining the effectiveness of endodontic obturation are the selection of the filling material and the appropriate obturation method. The generalized dendrological matrix of endodontic filling materials considers the criteria of mechanical strength influencing the potential root fracture and the quality of root canal filling. The results of the SWOT point analysis (strengths and weaknesses, opportunities, threats) were also compared. For both filling materials, the weaknesses are much less than the strengths, while the threats are slightly less than the opportunities for the gutta-percha-based material, while for resilon the opportunities are much smaller than the threats. It requires the application of an appropriate development strategy, i.e., MAXI-MAXI in the case of a filling material based on gutta-percha and MAXI-MINI in the case of resilon. Therefore, the analysis of these experimental data does not indicate the real competitiveness of resilon for the gutta-percha-based material. This material deservedly maintains its strong position as the “Gold Standard of Endodontics”. Full article
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53 pages, 163150 KB  
Review
What Are the Chances of Resilon to Dominate the Market Filling Materials for Endodontics?
by Joanna Dobrzańska, Lech B. Dobrzański, Leszek A. Dobrzański, Anna D. Dobrzańska-Danikiewicz and Klaudiusz Gołombek
Metals 2021, 11(11), 1744; https://doi.org/10.3390/met11111744 - 30 Oct 2021
Cited by 5 | Viewed by 8565
Abstract
This paper is a literature review with additional virtual analyses of the authors’ own experimental research results. Knowledge from various areas was synergistically combined, appropriately for concurrent engineering, presenting several possible methodological approaches used in research, optimizing the selection of engineering materials and [...] Read more.
This paper is a literature review with additional virtual analyses of the authors’ own experimental research results. Knowledge from various areas was synergistically combined, appropriately for concurrent engineering, presenting several possible methodological approaches used in research, optimizing the selection of engineering materials and the conditions of their application with particular application in endodontics. Particular attention was paid to the theoretical aspects of filling material strengths, weaknesses, opportunities, and threats SWOT analysis. Attention was paid to the original concepts of Sustainable Dentistry Development in conjunction with Dentistry 4.0, which includes endodontics as an important element. The dentists’ actions, among others, in conservative dentistry, along with endodontics, requires close cooperation with engineers and the enginering sciences. Methods of root canal preparation were described, together with selected tools, including those made of nitinol. Principles concerning the process of cleaning and shaping the pulp complex are presented. The importance of obturation methods, including the Thermo-Hydraulic-Condensation THC technique, and the selection of filling materials with the necessary sealants for the success of endodontic treatment are discussed. The experimental studies were carried out in vitro on human teeth removed for medical reasons, except for caries, for which two groups of 16 teeth were separated. After the root canal was prepared, it was filled with studs and pellets of a filling material based on polyester materials, which has gained the common trade name of resilon or, less frequently, RealSeal (SybronEndo) with an epiphany sealant. The teeth for the first group were obturated by cold lateral condensation. In the second case the obturation was performed using the Thermo-Hydraulic-Condensation technique using System B and Obtura III. The experimental leakage testing was done using a scanning electron microscope SEM and a light stereoscopic microscope LSM, as typical research tools used in materialography. The research results, in a confrontation with the data taken from the literature studies, do not indicate the domination of resilon in endodontics. Full article
(This article belongs to the Special Issue Recent Biomedical Materials)
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51 pages, 20442 KB  
Review
Is Gutta-Percha Still the “Gold Standard” among Filling Materials in Endodontic Treatment?
by Joanna Dobrzańska, Lech B. Dobrzański, Leszek A. Dobrzański, Klaudiusz Gołombek and Anna D. Dobrzańska-Danikiewicz
Processes 2021, 9(8), 1467; https://doi.org/10.3390/pr9081467 - 23 Aug 2021
Cited by 16 | Viewed by 12447
Abstract
The paper is an extensive monographic review of the literature, and also uses the results of the authors’ own experimental research illustrating the noticed developmental tendencies of the filling material based on gutta-percha. The whole body of literature proves the correctness of the [...] Read more.
The paper is an extensive monographic review of the literature, and also uses the results of the authors’ own experimental research illustrating the noticed developmental tendencies of the filling material based on gutta-percha. The whole body of literature proves the correctness of the research thesis that this material is the best currently that can be used in endodontics. Caries is one of the most common global infectious diseases. Since the dawn of humankind, the consequence of the disease has been the loss of dentition over time through dental extractions. Both tooth caries and tooth loss cause numerous complications and systemic diseases, which have a serious impact on insurance systems and on the well-being, quality, and length of human life. Endodontic treatment, which has been developing since 1836, is an alternative to tooth extraction. Based on an extensive literature review, the methodology of qualifying patients for endodontic treatment was analyzed. The importance of selecting filling material and techniques for the development and obturation of the root canal during endodontic treatment was described. Particular attention was paid to the materials science aspects and the sequence of phase transformations and precipitation processes, as well as the need to ensure the stoichiometric chemical composition of Ni–Ti alloys, and the vacuum metallurgical processes and material processing technologies for the effects of shape memory and superelasticity, which determine the suitability of tools made of this alloy for endodontic purposes. The phenomena accompanying the sterilization of such tools, limiting the relatively small number of times of their use, play an important role. The methods of root canal preparation and obturation methods through cold side condensation and thermoplastic methods, including the most modern of them, the thermo-hydraulic condensation (THC) technique, were analyzed. An important element of the research hypothesis was to prove the assumption that to optimize the technology of development and obturation of root canals, tests of filling effectiveness are identified by the density and size of the gaps between the root canal wall, and the filling methods used and devices appropriate for material research, using mainly microscopy such as light stereoscopic (LSM) and scanning electron (SEM). The most beneficial preparations were obtained by making a longitudinal breakthrough of 48 natural human teeth, extracted for medical reasons, different from caries, with compliance with all ethical principles in this field. The teeth were prepared using various methods and filled with multiple obturation techniques, using a virtual selection of experimental variants. The breakthroughs were made in liquid nitrogen after a one-sided incision with a narrow gap created by a diamond disc using a materialographic cutter. The best effectiveness of the root canal filling was ensured by the technology of preparing the root canals with K3 rotary nitinol tools and filling the teeth with the THC thermoplastic method using the System B and Obtura III devices with studs and pellets of filling material based on gutta-percha after covering the root canal walls with a thin layer of AH Plus sealant. In this way, the research thesis was confirmed. Full article
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32 pages, 10681 KB  
Article
Dynamic Modeling and Preliminary Performance Analysis of a New Solar Thermal Reverse Osmosis Desalination Process
by Clément Lacroix, Maxime Perier-Muzet and Driss Stitou
Energies 2019, 12(20), 4015; https://doi.org/10.3390/en12204015 - 22 Oct 2019
Cited by 18 | Viewed by 4764
Abstract
Reverse osmosis (RO) is a desalination technique that is commonly preferred because of its low energy consumption. In this paper, an innovative, thermally powered RO desalination process is presented. This new thermo-hydraulic process uses solar thermal energy in order to realize the pressurization [...] Read more.
Reverse osmosis (RO) is a desalination technique that is commonly preferred because of its low energy consumption. In this paper, an innovative, thermally powered RO desalination process is presented. This new thermo-hydraulic process uses solar thermal energy in order to realize the pressurization of the saltwater beyond its osmotic pressure to allow its desalination. This pressurization is enabled thanks to a piston or a membrane set in motion in a reservoir by a working fluid that follows a thermodynamic cycle similar to an Organic Rankine Cycle. In this cycle, the evaporator is heated by low-grade heat, such as the one delivered by flat-plate solar collectors, while the condenser is cooled by the saltwater to be treated. Such an installation, designed for small-scale (1 to 10 m3·day−1) brackish water desalination, should enable an average daily production of 500 L of drinkable water per m² of solar collectors with a specific thermal energy consumption of about 6 kWhth·m−3. A dynamic modeling of the whole process has been developed in order to study its dynamic cyclic operating behavior under variable solar thermal power, to optimize its design, and to maximize its performances. This paper presents the preliminary performance results of such a solar-driven desalination process. Full article
(This article belongs to the Section A2: Solar Energy and Photovoltaic Systems)
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