Several 2-nitroalkyl polysaccharide ethers (from pullulan (1), guar (2), agarose (3), inulin (4), cellulose (5), Na-α-polyglucuronate (6) and hydroxyethyl cellulose (7)) were synthesized by reaction with 2-nitro-1-alkenes (2-nitro-1-propene and 2-nitro-1-butene) formed in situ from 2-nitroalkyl acetates. Moderate to high efficiencies are obtained in concentrated aqueous solution/suspension for addition to 1-4 and 7. Analysis of this new class of polysaccharide derivatives with the aid of labeled 2-nitropropyl-2-13C pullulan revealed that the nitrogroup is a mixture of the nitroalkane and nitronic acid tautomers. Grafting of nitroalkenes is observed and, to a lesser extent, additional reactions of the nitro group (formation of carbonyl, oxime and allyl groups) take place. Reduction of 2-nitroalkyl polysaccharide ethers with Na2S2O4or Na2S2O4/NaBH4leads to complex polysaccharide ethers. The products obtained are most likely mixtures of starting material, nitroso compounds, hydroxylamines, hydroxypropyl ethers and sulfamates.
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OBJECTIVES: To evaluate the clinical performance of partial glass-ceramic (IPS e.max Press) posterior restorations.MATERIALS AND METHODS: A total of 765 restorations in 158 patients were placed between 2008 and 2018 and evaluated in a prospective study during regular dental care visits between 2015 and 2018. The restorations were luted with a conventional photo-polymerized resin composite (HFO) in conjunction with an Immediate Dentin Sealing procedure (IDS). Intra-oral photographs and radiographs were made and evaluated using USPHS criteria.RESULTS: The mean observation time was 53.3 months (range 3-113 months). Three absolute failures occurred (tooth fractures, n = 2; apical re-infection, n = 1) all leading to the loss of the restored tooth. Repairable and salvageable failures occurred in 9 teeth (endodontic complications, n = 7; secondary caries, n = 1; debonding, n = 1). The survival and success rates according to Kaplan-Meier after 5 years cumulated to 99.6% and 98.6%, respectively. Location (premolar/molar and mandibula/maxilla), pre-restorative endodontic status (vital/devitalised) and extension of the indirect ceramic restoration (number of sides and cusps involved) did not significantly affect the cumulative success rate (log rank test, p > 0.05). The condition of the vast majority of the restorations remained unaffected for 5 years.CONCLUSIONS: Partial glass-ceramic posterior restorations (pressed lithium disilicate (IPS e.max press, Ivoclar Vivadent) luted by means of a conventional photo-polymerized resin composite in conjunction with the use of an IDS procedure have an excellent medium-term prognosis.CLINICAL RELEVANCE: Partial glass-ceramic posterior restorations can be considered as a highly reliable treatment option. Location and extension of the restoration and pre-restorative endodontic status do not affect success rate.
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Polymeren, waaronder plastics, kennen we allemaal uit ons dagelijks leven. Van de plastic draagtas tot computeronderdelen en kopjes. Allemaal worden deze polymeren vervaardigd uit aardolie en afgeleide producten. De producten zijn zeer nuttig en breed toepasbaar, mede door de gunstige eigenschappen zoals warmteweerbaarheid, stevigheid en waterdichtheid. Daarentegen kennen polymeren ook een keerzijde, zoals het niet of moeilijk afbreekbaar zijn in de natuurlijke omgeving en de nadelen van het gebruik van fossiele bronnen: hun eindigheid en de ongecontroleerde emissie van broeikasgassen die verband houdt met klimaatverandering. Dit is een zichtbaar probleem bij onder meer De Plasticsoep, waar geen of beperkte afbraak plaatsvindt van plastics in de oceaan. De zoektocht naar alternatieven is daarom volop aan de gang.
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