Comprehensive Profiling of an Aging Immune System Reveals Clonal GZMK+ CD8+ T Cells as Conserved Hallmark of Inflammaging

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Snuff use and smoking among senior high school students: effects of a snuff sales ban

OBJECTIVES: The popularity of snuff especially among adolescents is rising. The association between long-term snuff use and oral cancer discovered in epidemiological studies has prompted a variety of preventive measures to be taken to reduce snuff use and prevent adoption of the habit. In this study, the effect of a recent (I March, 1995) snuff sales ban introduced in Finland was investigated. Further, the rates of smoking, snuff use, alcohol use and drug experimenting were investigated before the introduction of the ban to characterize the study population.
DESIGN AND SUBJECTS: Two questionnaire studies were carried out. The first was carried out 3 months prior to the ban in 1994 and the second 9 months after the ban in 1995 in a senior high school population in southwestern Finland. The participants were 793 students (aged 15–22 years) in the first survey and 545 students (aged 16–23) in the second. Associations between variables were analyzed using cross-tabulation and stepwise logistic regression. The effects of the ban were determined on the basis of direct questions in the second questionnaire relating to the snuff sales ban.
RESULTS: Snuff was used by 9% of the students participating in the first study. The results of the second questionnaire indicate that the implementation of the snuff sales ban reduced the rate of snuff use by 1% in the study population. The majority of the snuff users (76%) reported that they had maintained their snuff habit. Of those reporting that they were snuff users before implementation of the snuff sales ban, 12% had switched to smoking and 5% to drugs.
CONCLUSIONS: The results of the present study suggest that the snuff sales ban in this population with a high rate of snuff use had little effect on snuff use rates and may have some short-term negative consequences as some snuff users switch to other substitutes, such as smoking, with known adverse health effects.     

Influence of the bonder on the adhesion of porcelain to machined titanium as determined by the strain energy release rate.

OBJECTIVE: To determine the adhesion at the titanium-porcelain interface using a fracture mechanics approach, and to investigate the bonding mechanism using SEM. METHODS: Specimens of five different titanium-porcelain and one base metal-porcelain bonding systems were prepared for a four-point bending interfacial delaminating test on a universal testing machine. The pre-cracked specimen was subjected to load and the strain energy release rate (G, J/m(2)) was calculated from the critical load to induce stable crack extension in each system. The interface for the various materials was investigated in an SEM and compared. RESULTS: The titanium-porcelain with Gold Bonder showed the highest G-value (72.39+/-13.21J/m(2)) among the groups whilst titanium-porcelain with cross-cut-bur preparation showed the lowest (5.78+/-1.39J/m(2)). The former was significantly higher than that of Wiron 99 (base-metal, BEGO, Germany) porcelain (40.01+/-6.67J/m(2)), a clinically accepted bonding system for many years. The G-values of porcelain fused to titanium-Rocatec, titanium-sandblasted and/or titanium-GC-Bonder were 10.81+/-1.49, 12.64+/-3.01 and 35.74+/-5.20J/m(2), respectively. SEM images of the interface fracture crack path for the different bonders enabled the mechanisms responsible for the differences in strain energy release rates to be appreciated. CONCLUSION: The strain energy release rate (G) of titanium-porcelain with a Gold Bonder interface layer was highest among the five different systems.     

Characterisation of enamel white spot lesions using X-ray micro-tomography

OBJECTIVES: The aim of this study was to characterise the mineral density (MD) of natural enamel white spot lesions (WSLs) using X-ray micro-tomography calibrated with different density hydroxyapatite phantoms. METHODS: Seven natural WSLs from four extracted non-carious premolar teeth were scanned at a voxel size of 7.6 microm using a desktop X-ray micro-tomography system. Five hydroxyapatite phantoms (sintered pellets of hydroxyapatite powder) with densities ranging from 1.52 to 3.14 g/cm(3) were used as calibration standards for each scan. Three-dimensional image reconstruction enabled MD gradients throughout the lesion to be quantified using an MD calibration equation derived from hydroxyapatite phantoms. Background noise generated during the measurement of MD was reduced using a Gaussian filter. RESULTS: Gaussian filter reduced the signal-to-noise ratio (standard deviation) significantly while the basic MD information (average value) remained intact. The mineral gradients through the WSLs examined were compared and are discussed in terms of existing literature. The MD of sound enamel, apparent intact surface layer of WSL, and lowest level of WSL was found to be 2.65-2.89 g/cm(3), 2.23-2.58 g/cm(3) and 1.48-2.03 g/cm(3), respectively. Our MD results are comparable with other studies. CONCLUSIONS: X-ray micro-tomography is a sensitive in vitro technique capable of characterising and quantifying MD of small non-cavitated WSLs. This method has a promising potential for future carious and quantitative remineralisation studies.     

Influence of hydration and mechanical characterization of carious primary dentine using an ultra-micro indentation system (UMIS)

The conditions under which mechanical properties of dentine are tested influence the values recorded. The aims of this study were to examine the effect of hydration on the mechanical properties of primary carious dentine and to provide information on changes in hardness and modulus of elasticity change caused by the demineralizing caries process in dentine. Three primary molar teeth with untreated carious dentine were prepared for nano-indentation tests under both wet and dry conditions. Further tests were conducted on eight primary molars with untreated carious dentine under hydrated conditions. The mechanical properties of dehydrated carious dentine increased approximately 10-fold for hardness and 100-fold for the modulus of elasticity compared with hydrated dentine. The hardness and elastic modulus of the carious primary dentine deteriorated progressively toward the lesion cavity floor, ranging from 0.001 to 0.52 GPa and from 0.015 to 14.55 GPa, respectively, and could be fitted to a simple linear relationship when plotted in logarithmic scale vs. distance. The total depth of dentine affected was around 1100 microm parallel to the tubule direction. This depth was significantly greater than observed subjectively, implying that the demineralization process is more advanced than might be suspected on simple clinical examination.     

Analysis of interfacial fracture in dental restorations

Objectives

To provide a brief summary of the background theory of interfacial fracture mechanics and develop an analytical framework that identifies the critical factors for the analysis of the initiation and propagation of adhesion failure in composite restorations.

Methods

A conceptual framework utilizing interfacial fracture mechanics and Toya's solution for a partially delaminated circular inclusion in an elastic matrix, which can be applied (with caution) to approximate polymer curing induced cracking about composite resins for class 1 cavity restorations.

Results

The findings indicate that: (1) most traditional shear tests are not appropriate for the analysis of the interfacial failure initiation; (2) material properties of the restorative and tooth material have a strong influence on the energy realize rate; (3) there is a strong size effect; and (4) interfacial failure once initiated is characterized by unstable propagation along the interface almost completely encircling the composite.

Significance

The work is important for the analysis of the reliability of composite class I restorations and provides an adequate interpretation of recent adhesion debonding experimental results utilizing tubular geometry of specimens. The approach clearly identifies the critical parameters including; curing strain, material modulii, size and interfacial strain energy release rate for reliable development of advanced restorative materials.     

A suitable base material for composite resin restorations: Zinc oxide eugenol

Objective

This in vitro study evaluated the effects of a zinc oxide eugenol (ZOE) base on the mechanical properties of a composite resin restoration.

Methods

Class I cavities were prepared on plastic teeth and filled with ZOE plus composite resin, following standard clinical procedures. The samples were sectioned sagittally and the ZOE–resin interface was exposed. After polishing, nanoindentation was performed on the region near the interface, and elastic modulus and hardness were plotted in the form of a color contour map. SEM was employed to observe the interface between composite resin and ZOE base.

Results

In the region close to the ZOE base, the elastic modulus and hardness of composite resin reduced to the values of 9.71 ± 0.54 and 0.51 ± 0.05 GPa, respectively. Eugenol from ZOE had detrimental effects on the composite resin only to a distance of less than 100 μm from the ZOE base.

Conclusion

Although eugenol suppresses polymerization slightly, by considering the biological advantages of ZOE, together with the results of the current investigation, ZOE may still be considered a suitable base material for composite resin. Bonding is essential for composite resin restorations over ZOE bases to avoid shrinkage detachment.