Veneering ceramic to the core is considered to be the weakest part of all-ceramic restorations. Zirconium dioxide, owing to its favorable properties such as high strength, chemical stability, and superior aesthetics, is the material of choice for fabrication of a core. The adhesion between the core and veneering porcelain is based on the same manner in which the connection occurs in metal-ceramic structures. However, the standard procedures for connecting zirconia to hard dental tissues and veneering materials do not achieve the required strength of bonding. The aim of this study was to investigate different surface treatments of the zirconium dioxide ceramic core for achieving highest adhesive bonding values to veneering porcelain. The study was primarily designed to investigate the bonding strength of the veneering porcelain to zirconia with in vitro macro shear bond strength test. The samples of zirconia were divided into four groups of 10 specimens, each according to the treatment of zirconium surface, and the results showed the highest bonding values for samples that were treated with the sandblasted group. AbstractKeywords ► shear bond strength ► zirconium dioxide ► CAD/CAM ► SEM Dent J Adv Stud 2018;6:14-19

Statement of Problem Acrylic teeth are preferred to porcelain teeth in dentures as they unite chemically with denture base resin, but their fracture from denture is common. Purpose The purpose of this study was to improve the bond strength of denture teeth to acrylic resin denture base by chemical or mechanical modification of the ridge lap surface of denture teeth. Materials and Methods Total 100 artificial cross-linked acrylic resin central incisors were divided into five groups: group A, 20 samples without modification (control group); group B, 20 samples (ridge lap surface of teeth treated with monomer); group C, 20 samples (ridge lap surface of teeth treated with monomer and the glaze layer removed with aluminum oxide abrasive stone); group D, 20 samples (ridge lap surface of teeth treated with dichloromethane); and group E, 20 samples (dichloromethane application followed by abrasion with aluminum oxide stone on ridge lap surface of teeth). They were mounted on wax blocks, and the blocks were acrylized. The bond strength values were obtained by subjecting the samples to shear compressive load under universal testing machine. Result The results were subjected to statistical analysis by applying analysis of variance and Bonferroni test for multiple group comparisons, and graphs were plotted. The mean value of bond strength was highest for group E (modified by aluminum oxide abrasion prior to dichloromethane application), followed by group C (modified by aluminum oxide abrasion prior to monomer application), group D (modified by dichloromethane application), group B (modified by monomer application), and lastly group A (control group). Significantly improved bond strength values were obtained in modified groups as compared with the control group. Conclusion Dichloromethane application followed by aluminum oxide abrasion provided the highest bond strength and is recommended to prevent debonding of the teeth from the denture base.

Aim The aim of this study was to investigate push-out bond strength of glass fiber posts after various surface treatments and to investigate push-out bond strength at different levels of root (coronal, middle, apical). Materials and Methods Forty extracted teeth were selected for study (maxillary anteriors and mandibular premolars). Roots were sectioned 16 mm from apex, endodontically treated and divided into four groups of 10 each based on surface treatment of posts; Group I (Control Group): No treatment of the post, Group II: Post surface were sandblasted and then treatment with silane coupling agent, Group III: Hydrofluoric acid application on the post surface and then treatment with silane coupling agent, Group IV: Post surface treated with 37% phosphoric acid treatment for 1 minute. Posts after various surface treatments were luted. Roots were then cut into three sections coronal, middle, and apical. The push-out test was done to assess push-out bond strength. The data obtained were statistically analyzed. Results Hydrofluoric acid and silane coupling agent treatment had little effect on the bond strength of post. Sandblasting and silane coupling agent was proven to be more effective and improved push-out strength of glass fiber posts followed by phosphoric acid group. Conclusion It was concluded that sandblasting followed by silane coupling agent showed highest bond strength in all parts of the root compared with other surface treatments. Highest push-out strength was found at the coronal level of the root followed by middle and apical level.

The purpose of this article is to illustrate the fabrication process of presurgical nasoalveolar molding (PNAM) prosthesis. Growth of alveolar ridges, lips, and nose is initiated and directed by PNAM prosthesis at the presurgical time. Presurgical nasoalveolar molding helps reduce the future complications of lip and nasal surgery. Because of use of this appliance, there are minimum tension and minimum scar formation due to repair of soft tissue and cartilaginous deformity. AbstractKeywords ► cleft lip ► cleft palate ► nasoalveolar molding Dent J Adv Stud 2018;6:57-59

Obstructive sleep apnea (OSA) is recognized as an important health issue in the last two to three decades. It is characterized by frequent episodes of upper airway collapse during sleep, causing recurrent arousals, intermittent hypoxaemia, sleep fragmentation and poor sleep quality. Obstructive sleep apnea (OSA) is a prevalent disorder with significant co-morbidities. There are evidences that OSA is being considered as an independent risk factor for hypertension, glucose intolerance / diabetes mellitus, cardiovascular diseases and stroke, leading to increased cardiometabolic morbidity and mortality. Early recognition and treatment of obstructive sleep apnea may prevent adverse health consequences. In this sense, treating the patient with obstructive sleep apnea requires a long-term partnership between patient and healthcare providers. With a strong partnership, obstructive sleep apnea may be effectively treated in the growing numbers of patients. In this article some of the epidemiological aspects, consequences, medical and dental treatment options of obstructive sleep apnea are reviewed.