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Öğe Different Techniques in Fabrication of Ocular Prosthesis(LIPPINCOTT WILLIAMS & WILKINS, 2012) Cevik, Pinar; Dilber, Erhan; Eraslan, OguzIntroduction: Loss of an eye caused by cancer, trauma, or congenital defect creates a deep psychological impact on an individual's life especially social and professional life. Custom-made prosthesis, compared to stock prosthesis, provides a better fit to the eye socket, better cosmetic results, and less discomfort to the patient in the long term. The main objective of this article was to describe 3 different alternative and practical techniques of fabricating custom-made ocular prosthesis. Case Report: An impression of anophthalmic socket was made with the addition of cured silicone-based precision impression material in all techniques. A master cast was prepared and duplicated with condensation silicone. A self-cure acrylic resin was polymerized in the silicone model and was fitted into the patient's eye socket. A digital photograph of the patient's iris was made using a digital camera and printed on good-quality photo paper in various shades and sizes in the first and the second techniques. Then the photo paper was coated with PVC so as not to allow any color flowing. The proper iris was then inserted to the acrylic base. The prosthesis was final processed using orthodontic heat polymerizing clear acrylic resin. In the other technique, after the trying-in process with wax pattern, an acrylic base was fabricated using heat polymerizing scleral acrylic resin. The prosthetic iris was fabricated from a transparent contact lens by painting the lens with watercolor paints and attaching it to an acrylic resin with tissue conditioner. The final process was made with heat polymerizing transparent acrylic resin. Conclusions: Custom-made prosthesis allows better esthetic and functional results to the patient in comparison to stock prosthesis. Further follow-up is necessary to check the condition and fit of the ocular prosthesis in such patients.Öğe Effects of different surface treatments on shear bond strength between ceramic systems and metal brackets(TAYLOR & FRANCIS LTD, 2017) Cevik, Pinar; Karacam, Nejla; Eraslan, Oguz; Sari, ZaferThe aim of this study was to evaluate the shear bond strength of orthodontic brackets bonded to different kinds of ceramic surfaces after different surface conditioning methods. A total of 120 ceramic disks were divided into two main groups in terms of feldspathic or lithium disilicate. Each ceramic group was further subdivided into six subgroups depending on surface treatment (n = 10). The ceramic surfaces were conditioned by one of the following methods: Group C: control group; Group P: %37.5 orthophosphoric acid; Group HF: %9.6 hydrofluoric acid; Group L: Nd-YAG laser irradiation; Group SB: sandblasting with 50 mu m Al2O3 particles; and Group DB: grinding with a diamond bur. Surface roughness value was evaluated with a digital profilometer. Surface topographies of one specimen from each group were observed by atomic force microscopy (AFM) after surface treatments. All samples were primed with silane before the bracket bonding, including the control group. Metal brackets were bonded to the specimens with a light curing composite resin. The samples were stored in distilled water for 24 h and thermocycled 2500x at 5 and 55 degrees C for 30 s. Shear bond strengths between the ceramic surface and the bracket were measured with a universal testing machine at a crosshead speed of 0.5 mm/min. Failure modes were classified as adhesive, cohesive, or mixed. Data were analyzed using ANOVA and Tukey's tests (alpha =.05). Group SB had significantly rougher surface compared with the other groups in each ceramic system (p <.05), and Group SB demonstrated significantly higher shear bond strengths than other groups as well. Within the limitations of this study, surface conditioning methods, except for sandblasting and grinding, were associated with lower shear bond strengths; however, thermocycling may have had negative effects on bond strengths of specimens. Furthermore, in each ceramic system, there was a significant difference between surface-conditioning methods and surface roughness with regard to shear bond strength.Öğe Effects of the Addition of Titanium Dioxide and Silaned Silica Nanoparticles on the Mechanical Properties of Maxillofacial Silicones(WILEY, 2017) Cevik, Pinar; Eraslan, OguzPurposeSilicone-based elastomeric materials are commonly used to fabricate maxillofacial prostheses. The aim of this study was to evaluate the effect of different types of silica and nanosized titanium dioxide addition on the mechanical properties of two RTV silicone elastomers. Materials and MethodsA-2000 and A-2006 silicone elastomers were used, and each was divided into four subgroups (n = 5). The first group was the control without additives. Other groups were titanium dioxide, fumed silica, and silaned silica. Each specimen was prepared in compliance with the manufacturer's instructions for the tensile strength, percent elongation, tear resistance, and the hardness tests according to ISO and ASTM standards. A factorial ANOVA with pairwise interaction indicated that the pattern for all four outcomes of the materials was different for A-2000 and A-2006 (p < 0.05). Therefore, the average outcome values for the materials within silicone elastomers were then analyzed by Tukey HSD. For the hardness test results, Kruskal-Wallis and Mann-Whitney U test methods were used. The level of statistical significance was p < 0.05. ResultsThere was a statistically significant interaction (p < 0.05) between materials and silicone type for all four tests (tensile strength, tear, hardness, percent elongation). The hydrophobic silica group had significantly higher tensile strength than TiO2 for A-2000. The fumed hydrophilic silica group had significantly higher tensile strength than TiO2 for A-2006. Most of silica specimens had higher tensile strength when compared with the control and TiO2 groups for A-2000 and A-2006 silicones. The TiO2 group had the highest hardness value for A-2000 while the lowest hardness value for A-2006 (p < 0.05). There was no significant difference of tear strength among the type of additives (p > 0.05) for A-2000. The fumed silica and TiO2 groups had significantly higher tear strength than the control group for A-2006. The fumed silica and the hydrophobic silica groups had significantly higher percent elongation than the control group (p < 0.05) for A-2000. The TiO2 group had the lowest percent elongation for A-2006. ConclusionsResults in this in vitro study may clarify future studies about the effect of different additives on the physical and mechanical properties of maxillofacial elastomers. There is a great interest in the effect of a new-generation hydrophobic silica incorporation into A-2000 silicone as well as the effect of fumed hydrophilic silica incorporation into A-2006 silicone. Future research should be supported with more in vitro trials in different percentages of such additives used in this study.