Minimally Invasive Multidisciplinary Restorative Approach to the Esthetic Zone Including a Single Discolored Tooth

SUMMARY Objectives: The case report describes a minimally invasive, multidisciplinary approach to a single discolored anterior tooth, with internal bleaching using traditional Japanese paper (Washi), a gingivoplasty with a three-dimensional (3D) printed surgical guide, and ultrathin feldspathic porcelain veneers. Clinical consideration: The patient’s primary concern was improving her smile. After clinical evaluation, internal tooth bleaching for the discolored tooth and gingivoplasty with restoration of the maxillary anterior six teeth and first premolars was recommended. The internal tooth whitening was accomplished with sodium perborate mixed with 30% hydrogen peroxide impregnated in Washi and sealed in the root canal with glass ionomer. Once the tooth bleaching was completed, the 3D printed surgical guide was placed in the patient’s maxillary anterior region and used to guide soft tissue recontouring. After 6 months, ultrathin feldspathic porcelain veneers were placed. Conclusion: Well-planned restorative procedures combining internal tooth bleaching using Washi, gingivoplasty performed with electrosurgery using a 3D printed surgical guide, and ultrathin feldspathic porcelain veneers can achieve the desired results in the esthetic zone and remain successful for 4 years.

FT-IR measurement on the damage of Japanese paper induced by PIXE analysis

Analysis of cultural heritage samples by PIXE involves the risk of damaging precious samples due to MeV-proton irradiation. To investigate appropriate methods to detect invisible damage due to PIXE analysis, we analyzed the change in chemical bonding of the sample surface subjected to PIXE and RBS measurement by Fourier Transform InfraRed spectroscopy (FT-IR). We used Japanese hemp paper as a simulated cultural property sample. The proton irradiation for the PIXE/RBS measurement was performed in a vacuum with an incident beam energy of 2.5 MeV, a beam current of 1 nA, and an irradiation time up to 10 min. The corresponding beam flux and fluence were 0.06 nA/mm2 and 4 [Formula: see text]Coulomb/cm2, respectively. When the irradiation time was 10 min, the absorbed dose was 480 kGy on the sample surface. We identified neither change of elemental composition nor visible change such as discoloration due to irradiation. However, we found changes in peak heights in the measured FT-IR spectra, which suggest the destruction of chemical bonds such as O–H and C–O due to proton-induced radiation damage.

Kirigami-Based Disposable Laparoscopic Instruments Under Direct Surgeon Control

In this paper, we present a method for fabricating inexpensive, disposable, articulated instruments for minimally invasive surgery based on Japanese paper arts. Building on the literature covering the kinematics of origami, we introduce an articulated instrument design with antagonistic tendon actuation. A general method for achieving a fixed motion scaling ratio in these types of systems is also presented. Kinematic simulations and prototyping demonstrate feasibility of this concept.