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Objectives Dentists enrolled in the National Dental Practice-Based Research Network completed a study questionnaire about techniques and materials used for single-unit crowns and an enrollment questionnaire about dentist/practice characteristics. The objectives were to quantify dentists’ material recommendations and test the hypothesis that dentist’s and practice’s characteristics are significantly associated with these recommendations. Methods Surveyed dentists responded to a contextual scenario asking what material they would use for a single-unit crown on an anterior and posterior tooth. Material choices included: full metal, porcelain-fused-to-metal (PFM), all-zirconia, layered zirconia, lithium disilicate, leucite-reinforced ceramic, or other. Results 1,777 of 2,132 eligible dentists responded (83%). The top 3 choices for anterior crowns were lithium disilicate (54%), layered zirconia (17%), and leucite-reinforced glass ceramic (13%). There were significant differences (p<0.05) by dentist’s gender, race, years since graduation, practice type, region, practice busyness, hours worked/week, and location type. The top 3 choices for posterior crowns were all-zirconia (32%), PFM (31%), and lithium disilicate (21%). There were significant differences (p<0.05) by dentist’s gender, practice type, region, practice busyness, insurance coverage, hours worked/week, and location type. Conclusions Network dentists use a broad range of materials for single-unit crowns for anterior and posterior teeth, adopting newer materials into their practices as they become available. Material choices are significantly associated with dentist’s and practice’s characteristics. Clinical Significance Decisions for crown material may be influenced by factors unrelated to tooth and patient variables. Dentists should be cognizant of this when developing an evidence-based approach to selecting crown material.

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The objective was to test how increasing fiber length above the critical length would influence mechanical properties and fracture crack propagation. Micromechanics considering fiber/matrix stress-transfer was used to evaluate the results in addition to a shear debonding volume percent correction term necessary for the final analysis. Fiber lengths of 0.5, 1.0, 2.0, 3.0, and 6.0 mm with 9 μm diameters were added into a photocure vinyl ester particulate-filled composite at a uniform 28.2 vol%. Mechanical flexural testing was performed using four-point fully articulated fixtures for samples measuring 2 × 2 × 50 mm 3 across a 40 mm span. Fiber length correlated with improved mechanical properties for flexural strength, modulus, yield strength, strain, work of fracture, and strain energy release, p < 0.001. In addition, sample fracture depth significantly decreased with increasing fiber lengths, p < 0.00001. All mechanical properties correlated significantly as predictors for fracture failure, p < 0.000001, and as estimators for each other, p < 0.0001. The stress-transfer micromechanics for fiber length were improved upon for strength by including a simple correction factor to account for loss of fiber volume percent related to cracks deflecting around debonded fiber ends. In turn, the elastic property of modulus was shown to exhibit a tendency to follow stress-transfer micromechanics.

In a model of severe respiratory failure, LV improves pulmonary gas exchange and compliance with an associated reduction in alveolar hemorrhage, edema, and inflammatory infiltrate.