By Linda Greenwall
Winner, Royal Society of drugs 2001 Dentistry Award
Read or Download Bleaching Techniques in Restorative Dentistry PDF
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Extra resources for Bleaching Techniques in Restorative Dentistry
This contrasts results in premature birth infants which show a decreased survival rate of red blood cells. This is in keeping with results showing a similar decrease in red blood cell life span in fetuses in utero (Kaplan, E. 1961). These studies point out that increased hemolysis in full-term newborn infants due to shortened red blood cell life span may not be a factor. However, the Premature Birth 39 results do show that premature infants may carry over from in utero results, a decreased red blood cell life span which would result in increased bilirubin production as compared to full-term babies.
In aqueous solutions, bilirubin IX alpha can be cleaved and the halves may reform as isomers of bilirubin IX alpha, bilirubin III alpha, and bilirubin XIII alpha. Further bacterial or chemical reduction of bilirubin yields urobilins and urobilinogens. (see Fig. 4). Conjugation of the lipid-soluble unconjugated bilirubin is a process of esterification of bilirubin’s propionic acid with glucuronic acid. This may involve one or both of the propionic moieties. This results in a diminution of the ability of bilirubin to have strong hydrogen bonds, thereby rendering the now conjugated bilirubin water soluble.
The hepatic sinusoids are modified capillaries in that they are larger in diameter, and uniquely modified for transport of substances, including bilirubin, into the 24 Kernicterus Fig. 6 Schematic representation of electron transport chain hepatocyte. Oxygenated blood also enters the visceral surface of the liver along with the portal vein and hepatic artery, and these two blood sources mix in the sinusoids. Blood drained from the liver ultimately unites to form three large hepatic veins which drain into the inferior vena cava which is nestled in a fossa on the posterior surface of the liver.
Bleaching Techniques in Restorative Dentistry by Linda Greenwall