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The purpose was to study the effect of silane treatment of fillers on viscosity, flexural strength, and hydrolytic degradation of experimental dental composite resins fabricated with these fillers. The fillers consisted of a mixture of barium glass and amorphous silica. The resin was mainly based on ethoxylated bisphenol A dimethacrylate and polycarbonate dimethacrylate. The adsorption of silane on the filler surface was characterized by FTIR. There was significant correlation between the adsorbed silane on filler surface and the silane concentration in silane/methanol solution used for filler treatment. The silane concentration varied from 0.75 to 14% by weight. An increase in silane concentration led to a decrease in viscosities of the corresponding composite resins. The flexural strengths of composites with silanated fillers were greater than that of composites with unsilanated fillers: however, no significant difference was found between the flexural strengths of various silanated groups. The resistance to hydrolytic degradation of different composites increased when the fillers were treated with silane and was the highest at 1.1% silane.

Background:Maxillofacial trauma is an apt example of a difficult airway. The anesthesiologist faces challenges in their management at every step from airway access to maintenance of anesthesia and extubation and postoperative care.Methods:A retrospective study was done of 288 patients undergoing surgery for maxillofacial trauma over a period of five years. Demographic data, detailed airway assessment and the method of airway access were noted. Trauma scores, mechanism of injury, duration of hospital stay, requirement of ventilator support were also recorded. Complications encountered during perioperative anaesthetic management were noted.Results:259 (89.93%) of the patients were male and 188 (62.85%) were in the 21-40 year range. 97.57% of the cases were operated electively. 206 (71.53%) patients were injured in motor vehicular accidents. 175 (60.76%) had other associated injuries. Mean Glasgow coma scale score (GCS), injury severity score (ISS) and revised trauma score (RTS) were 14.18, 14.8 and 12, respectively. Surgery was performed almost nine days following injury. The mean duration of hospitalization was 16 days. ICU admission was required in 22 patients with mean duration of ICU stay being two days. Majority of patients had difficult airway. 240 (83.33%) patients were intubated in the operating room and fibreoptic guided intubation was done in 159 (55.21%) patients. Submental intubation was done in 45 (14.93%) cases.Conclusions:Maxillofacial injuries present a complex challenge to the anaesthesiologist. The fibreoptic bronchoscope is the main weapon available in our arsenal. The submental technique scores over the time-honored tracheostomy. Communication between the anaesthesiologist and the surgeon must be given paramount importance.

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