Comparative color and surface parameters of current esthetic restorative CAD/CAM materials

Egilmez, Ferhan,Ergun, Gulfem,Cekic-Nagas, Isil,Vallittu, Pekka Kalevi,Lassila, Lippo Veli Juhana The Korean Academy of Prosthodonitics 2018 The Journal of Advanced Prosthodontics Vol.10 No.1

PURPOSE. The purpose of this study was to derive and compare the inherent color (hue angle, chroma), translucency ($TP_{SCI}$), surface gloss (${\Delta}E^*_{SCE-SCI}$), and surface roughness ($R_a$) amongst selected shades and brands of three hybrid CAD/CAM blocks [GC Cerasmart (CS); Lava Ultimate (LU); Vita Enamic (VE)]. MATERIALS AND METHODS. The specimens (N = 225) were prepared into square-shaped ($12{\times}12mm^2$) with different thicknesses and shades. The measurements of color, translucency, and surface gloss were performed by a reflection spectrophotometer. The surface roughness and surface topography were assessed by white light interferometry. RESULTS. Results revealed that hue and chroma values were influenced by the material type, material shade, and material thickness (P < .001). The order of hue angle amongst the materials was LU > CS > VE, whereas the order of chroma was VE > CS > LU. $TP_{SCI}$ results demonstrated a significant difference in terms of material types and material thicknesses ($P{\leq}.001$). $TP_{SCI}$ values of the tested materials were ordered as LU > CS > VE. ${\Delta}E^*_{SCE-SCI}$ and $R_a$ results were significantly varied amongst the materials (P < .001) and amongst the shades (P < .05). The order of ${\Delta}E^*_{SCE-SCI}$ amongst the materials were as follows $LU>VE{\geq}CS$, whereas the order of $R_a$ was $CS{\geq}VE>LU$. CONCLUSION. Nano-ceramic and polymer-infiltrated-feldspathic ceramic-network CAD/CAM materials exhibited different optical, inherent color and surface parameters.

Comparison of CT-Guided Sclerotherapy with Using 95% Ethanol and 20% Hypertonic Saline for Managing Simple Renal Cyst

Hulusi Egilmez,Vedat Gok,Ibrahim Oztoprak,Mehmet Atalar,Ali Cetin,Mubeccel Arslan,Yener Gultekin,Orhan Solak 대한영상의학회 2007 Korean Journal of Radiology Vol.8 No.6

Objective: We wanted to compare the efficacies of 95% ethanol and 20% hypertonic saline (HS) sclerotherapies that were performed in a single session under CT guidance for the management of simple renal cysts. Materials and Methods: A prospective series of 74 consecutive patients (average age: 57.6 8.1 years) with simple renal cysts were enrolled in this study. They were randomized into two groups and 95% ethanol or 20% HS, respectively, corresponding to 25% of the aspiration volume, was injected. Treatment success was determined six months later with follow-up clinical evaluation and performing ultrasonography. Results: The sclerotherapy was accepted as technically successful without major complications in all except two patients who were excluded because of a communication between the simple renal cyst and the pelvicalyceal collecting system. Thirty-six patients in the ethanol group received sclerotherapy with 95% ethanol and 36 patients in the HS group underwent sclerotherapy with 20% HS. The complete regression ratio of the ethanol group was significantly higher (94% versus 72%, respectively) than that of the HS group. There was one patient with partial regression in each group. The failure ratio of the ethanol group was significantly lower (3% versus 25%, respectively) than that of the HS group. Conclusion: Ethanol sclerotherapy under CT guidance is a successful and safe procedure and it can be used for the treatment of simple renal cysts. Sclerotherapy with 95% ethanol is more effective than 20% HS sclerotherapy. Sclerotherapy with HS may be an option for patients preferring to undergo a less painful treatment procedure.

Cyclic behavior of steel I-beams modified by a welded haunch and reinforced with GFRP

O. Ozgur Egilmez,Deniz Alkan,Timur Ozdemir 국제구조공학회 2009 Steel and Composite Structures, An International J Vol.9 No.5

Flange and web local buckling in beam plastic hinge regions of steel moment frames can prevent beam-column connections from achieving adequate plastic rotations under earthquake-induced forces. Reducing the flange-web slenderness ratios (FSR/WSR) of beams is the most effective way in mitigating local member buckling as stipulated in the latest seismic design specifications. However, existing steel moment frame buildings with beams that lack the adequate slenderness ratios set forth for new buildings are vulnerable to local member buckling and thereby system-wise instability prior to reaching the required plastic rotation capacities specified for new buildings. This paper presents results from a research study investigating the cyclic behavior of steel I-beams modified by a welded haunch at the bottom flange and reinforced with glass fiber reinforced polymers at the plastic hinge region. Cantilever I-sections with a triangular haunch at the bottom flange and flange slenderness ratios higher then those stipulated in current design specifications were analyzed under reversed cyclic loading. Beam sections with different depth/width and flange/web slenderness ratios (FSR/WSR) were considered. The effect of GFRP thickness, width, and length on stabilizing plastic local buckling was investigated. The FEA results revealed that the contribution of GFRP strips to mitigation of local buckling increases with increasing depth/width ratio and decreasing FSR and WSR. Provided that the interfacial shear strength of the steel/GFRP bond surface is at least 15 MPa, GFRP reinforcement can enable deep beams with FSR of 8-9 and WSR below 55 to maintain plastic rotations in the order of 0.02 radians without experiencing any local buckling.

Predicting the stiffness of shear diaphragm panels composed of bridge metal deck forms

Oguz O. Egilmez 국제구조공학회 2017 Steel and Composite Structures, An International J Vol.24 No.2

The behavior of building industry metal sheeting under shear forces has been extensively studied and equations have been developed to predict its shear stiffness. Building design engineers can make use of these equations to design a metal deck form bracing system. Bridge metal deck forms differ from building industry forms by both shape and connection detail. These two factors have implications for using these equations to predict the shear stiffness of deck form systems used in the bridge industry. The conventional eccentric connection of bridge metal deck forms reduces their shear stiffness dramatically. However, recent studies have shown that a simple modification to the connection detail can significantly increase the shear stiffness of bridge metal deck form panels. To the best of the author's knowledge currently there is not a design aid that can be used by bridge engineers to estimate the stiffness of bridge metal deck forms. Therefore, bridge engineers rely on previous test results to predict the stiffness of bridge metal deck forms in bracing applications. In an effort to provide a design aid for bridge design engineers to rely on bridge metal deck forms as a bracing source during construction, cantilever shear frame test results of bridge metal deck forms with and without edge stiffened panels have been compared with the SDI Diaphragm Design Manual and ECCS Diaphragm Stressed Skin Design Manual stiffness expressions used for building industry deck forms. The bridge metal deck form systems utilized in the tests consisted of sheets with thicknesses of 0.75 mm to 1.90 mm, heights of 50 mm to 75 mm and lengths of up to 2.7 m; which are representative of bridge metal deck forms frequently employed in steel bridge constructions. The results indicate that expressions provided in these manuals to predict the shear stiffness of building metal deck form panels can be used to estimate the shear stiffness of bridge metal deck form bracing systems with certain limitations. The SDI Diaphragm Design Manual expressions result in reasonable estimates for sheet thicknesses of 0.75 mm, 0.91 mm, and 1.21 mm and underestimate the shear stiffness of 1.52 and 1.90 mm thick bridge metal deck forms. Whereas, the ECCS Diaphragm Stressed Skin Design Manual expressions significantly underestimate the shear stiffness of bridge metal deck form systems for above mentioned deck thicknesses.

Long-Term Substance Use Can Cause Irreversible Photopic Vision Changes in Substance Use Disorder in Remission

Oguzhan Bekir Egilmez,Mehmet Hamdi Orum,Ali Kustepe,Ayse Sevgi Karadag,Aysun Kalenderoglu 대한신경정신의학회 2020 PSYCHIATRY INVESTIGATION Vol.17 No.10

Objective Substance use has such effects on pupil diameter. Although there is knowledge about the acute effects of substances on pupils, studies showing their chronic effects are limited. The aim of the present study was to evaluate the effect of long-term substance use on scotopic, mesopic, and photopic vision.Methods The present study with cross-sectional desgn was conducted at the Adiyaman Training and Research Hospital for Psychiatry in Adiyaman. This study involved 110 substance use disorder (SUD) patients and 46 healthy volunteers as the control. The parameters were measured and recorded automatically by a device.Results The mean age was 23.44±5.53 years in the SUD group and 24.26±5.38 years in healthy controls (p=0.420). The mean age of onset of the substance was 17.74±3.89 years and the mean duration of substance use was 3.54±2.9 years. It was determined that the patients had not used any substance for a mean of 121.73±117.49 days. There was no significant difference between patient and control groups in terms of scotopic and mesopic measurements of both eyes (p>0.05). Photopic measurements were significantly higher in the patient group than in the control group (p<0.05). Photopic measurements were significantly higher in the opioid, cannabis, ecstasy, and multiple substance use groups than in the control group (p<0.05).Conclusion The most important topic of this study is that photopic vision is permanently impaired in patients with a history of chronic substance use. This was attributed to disrupted sympathetic-parasympathetic hierarchy.

Cyclic testing of steel I-beams reinforced with GFRP

O. Ozgur Egilmez,Doruk Yormaz 국제구조공학회 2011 Steel and Composite Structures, An International J Vol.11 No.2

Flange and web local buckling in beam plastic hinge regions of steel moment frames can prevent beam-column connections from achieving adequate plastic rotations under earthquake-induced forces. This threat is especially valid for existing steel moment frame buildings with beams that lack adequate flange/web slenderness ratios. As the use of fiber reinforced polymers (FRP) have increased in strengthening and repair of steel members in recent years, using FRPs in stabilizing local instabilities have also attracted attention. Previous computational studies have shown that longitudinally oriented glass FRP (GFRP) strips may serve to moderately brace beam flanges against the occurrence of local buckling during plastic hinging. An experimental study was conducted at Izmir Institute of Technology investigating the effects of GFRP reinforcement on local buckling behavior of existing steel I-beams with flange slenderness ratios (FSR) exceeding the slenderness limits set forth in current seismic design specifications and modified by a bottom flange triangular welded haunch. Four European HE400AA steel beams with a depth/width ratio of 1.26 and FSR of 11.4 were cyclically loaded up to 4% rotation in a cantilever beam test set-up. Both bare beams and beams with GFRP sheets were tested in order to investigate the contribution of GFRP sheets in mitigating local flange buckling. Different configurations of GFRP sheets were considered. The tests have shown that GFRP reinforcement can moderately mitigate inelastic flange local buckling.

Physical characteristics of ceramic/glass-polymer based CAD/CAM materials: Effect of finishing and polishing techniques

Mugem Asli Ekici,Ferhan Egilmez,Isil Cekic-Nagas,Gulfem Ergun 대한치과보철학회 2019 The Journal of Advanced Prosthodontics Vol.11 No.2

PURPOSE. The aim of this study was to compare the effect of different finishing and polishing techniques on water absorption, water solubility, and microhardness of ceramic or glass-polymer based computer-aided design and computer-aided manufacturing (CAD/CAM) materials following thermocycling. MATERIALS AND METHODS. 150 disc-shaped specimens were prepared from three different hybrid materials and divided into five subgroups according to the applied surface polishing techniques. All specimens were subjected up to #4000 grit SiC paper grinding. No additional polishing has been done to the control group (Group I). Other polishing procedures were as follows: Group II: two-stage diamond impregnated polishing discs; Group III: yellow colored rubber based silicone discs; Group IV: diamond polishing paste; and Group V: Aluminum oxide polishing discs. Subsequently, 5000-cycles of thermocycling were applied. The analyses were conducted after 24 hours, 7 days, and 30 days of water immersion. Water absorption and water solubility results were analyzed by two-way ANOVA and Tukey post-hoc tests. Besides, microhardness data were compared by Kruskal-Wallis and Mann- Whitney U tests (P<.05). RESULTS. Surface polishing procedures had significant effects on water absorption and solubility and surface microhardness of resin ceramics (P<.05). Group IV exhibited the lowest water absorption and the highest microhardness values (P<.05). Immersion periods had no effect on the microhardness of hybrid ceramic materials (P>.05). CONCLUSION. Surface finishing and polishing procedures might negatively affect physical properties of hybrid ceramic materials. Nevertheless, immersion periods do not affect the microhardness of the materials. Final polishing by using diamond polishing paste can be recommended for all CAD/CAM materials.

Incompatible Graded Finite Elements for Orthotropic Nonhomogeneous Media

Asmita Rokaya,Gokhan Egilmez,김정호 대한토목학회 2020 KSCE JOURNAL OF CIVIL ENGINEERING Vol.24 No.12

Orthotropic materials or composites are challenging to model due to different elastic properties in two in-plane directions, which requires sufficient mesh refinement to attain desired accuracy. In this regard, an accurate and efficient incompatible graded element is developed for modeling orthotropic functionally graded materials. Properties of Graded finite elements such as Young’s moduli (E11, E22), shear modulus (G12) and Poisson’s ratio (v12) vary. A new incompatible graded element is developed using user subroutines in Abaqus and are compared to available exact solutions. In this study, performance (QM6) graded element is compared with lower-order and higher-order compatible elements (Q4 and Q8) as well as linear triangular (T3) and quadratic triangular (T6) elements with aid of several numerical examples. Additionally, orthotropic graded plate with carbon fibers properties as well as a circular disc with orthotropic properties under internal pressure is included. Furthermore, a curved beam with radially graded properties under the bending moment is studied. Additionally, the performance of various graded elements is compared with analytical solutions using Russell error.

Comparison of light transmittance in different thicknesses of zirconia under various light curing units

Isil Cekic-Nagas,Ferhan Egilmez,Gulfem Ergun 대한치과보철학회 2012 The Journal of Advanced Prosthodontics Vol.4 No.2

PURPOSE The objective of this study was to compare the light transmittance of zirconia in different thicknesses using various light curing units. MATERIALS AND METHODS A total of 21 disc-shaped zirconia specimens (5 mm in diameter) in different thicknesses (0.3, 0.5 and 0.8 mm) were prepared. The light transmittance of the specimens under three different light-curing units (quartz tungsten halogen, light-emitting diodes and plasma arc) was compared by using a hand-held radiometer. Statistical significance was determined using two-way ANOVA (α=.05). RESULTS ANOVA revealed that thickness of zirconia and light curing unit had significant effects on light transmittance (P<.001). CONCLUSION Greater thickness of zirconia results in lower light transmittance. Light-emitting diodes light-curing units might be considered as effective as Plasma arc light-curing units or more effective than Quartz-tungsten-halogen light-curing units for polymerization of the resin-based materials.

Relationship between SSRIs and Metabolic Syndrome Abnormalities in Patients with Generalized Anxiety Disorder: A Prospective Study

Murat Beyazyuz,Yakup Albayrak,Oguzhan Bekir Egilmez,Neslihan Albayrak,Elmas Beyazyuz 대한신경정신의학회 2013 PSYCHIATRY INVESTIGATION Vol.10 No.2

Objective-SSRIs are some of the most widely prescribed medications in the world. In addition to their effectiveness, SSRIs were reported to be associated with the side effects of weight gain, sexual dysfunction, drug interactions, extrapyramidal symptoms and discontinuation symptoms. However, the effects of SSRIs on metabolic parameters are poorly understood. Methods-This study aims to describe the effects of SSRIs on the metabolic parameters of drug-naive first episode patients with generalized anxiety disorder. Ninety-seven female patients aged 20-41 years without any metabolic or psychiatric comorbidity were included in the study. Fluoxetine, sertraline, paroxetine, citalopram and escitalopram were randomly given to the patients. Metabolic parameters, including BMI, waist circumference and the levels of fasting glucose, total cholesterol, triglyceride, HDL, LDL and blood pressure, were measured before and after 16 weeks of treatment. Results-In the paroxetine group, there was a significant increase in the parameters of weight, BMI, waist circumference, fasting glucose, total cholesterol, LDL and triglyceride after 16 weeks of treatment. There were significant increases in the levels of triglyceride in the citalopram and escitalopram groups. In the sertraline group, the total cholesterol level increased after treatment. In the fluoxetine group, there were significant reductions in the parameters of weight, total cholesterol and triglyceride. Conclusion-To our knowledge, this study is the first to prospectively describe metabolic syndrome abnormalities in patients with first episode generalized anxiety disorder. Although the effectiveness of the different SSRIs is similar, clinicians should be more careful when prescribing SSRIs to patients who have cardiac risk factors. Larger and lengthier controlled clinical trials are needed to explore the associations between SSRI use and metabolic syndrome.