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Nanomaterials (Basel, Switzerland) Feb 2022Cemented arthroplasty is a common process to fix prostheses when a patient becomes older and his/her bone quality deteriorates. The applied cements are biocompatible,...
Cemented arthroplasty is a common process to fix prostheses when a patient becomes older and his/her bone quality deteriorates. The applied cements are biocompatible, can transfer loads, and dampen vibrations, but do not provide antibacterial protection. The present work is aimed at the development of cement with antibacterial effectivity achieved with the implementation of nanoparticles of different metals. The powders of Ag, Cu with particles size in a range of 10-30 nm (Cu10) and 70-100 nm (Cu70), AgCu, and Ni were added to PMMA cement. Their influence on compression strength, wettability, and antibacterial properties of cement was assessed. The surface topography of samples was examined with biological and scanning electron microscopy. The mechanical properties were determined by compression tests. A contact angle was observed with a goniometer. The biological tests included an assessment of cytotoxicity (XTT test on human cells Saos-2 line) and bacteria viability exposure (6 months). The cements with Ag and Cu nanopowders were free of bacteria. For AgCu and Ni nanoparticles, the bacterial solution became denser over time and, after 6 months, the bacteria clustered into conglomerates, creating a biofilm. All metal powders in their native form in direct contact reduce the number of eukaryotic cells. Cell viability is the least limited by Ag and Cu particles of smaller size. All samples demonstrated hydrophobic nature in the wettability test. The mechanical strength was not significantly affected by the additions of metal powders. The nanometal particles incorporated in PMMA-based bone cement can introduce long-term resistance against bacteria, not resulting in any serious deterioration of compression strength.
PubMed: 35269220
DOI: 10.3390/nano12050732 -
Heliyon Dec 2023The relation between cement color and abutment substrate material and the corresponding effect on the color accuracy of high-transparency pre-colored zirconia (HT-Zr)...
STATEMENT OF PROBLEM
The relation between cement color and abutment substrate material and the corresponding effect on the color accuracy of high-transparency pre-colored zirconia (HT-Zr) remains unclear.
PURPOSE
This in-vitro study aimed to investigate the difference in color accuracy when the HT-Zr is bonded to different materials-based substrates with differently colored resin cement.
MATERIALS AND METHODS
Vita A1 shade HT-Zr with 1 mm thickness was used as the testing sample. The samples were first placed on zirconia (ZR), tooth color resin (CR), and metallic (MT) abutment substrates. Subsequently, four differently colored cements (translucent (TR), bleach, opaque, and A2 shade (A2)) were used for bonding HT-Zr onto the substrate, and the non-bonded group was used as the control group (CG). There were 15 groups in total (n = 10 per group). A digital colorimeter was used to obtain Commission Internationale de l'Eclairage (CIELab) color parameters. The translucency parameter (TP) of the substrate and sample, as well as color difference (ΔE) and chroma (C) between the different groups were calculated. Additionally, the ΔE and TP were compared with the moderately unacceptable match of ΔE = 3.6. The statistical analysis was conducted using ANOVA and Tukey HSD post-hoc test (α = 0.05).
RESULTS
HT-Zr exhibited high translucency (TP = 11.02 ± 0.18), and the mean ΔE of the testing samples ranged between 2.18 ± 0.20 and 13.14 ± 0.31. The ZR-CG and MT-A2 groups showed the highest and lowest lightness separately. The CR-CG group exhibited the highest C, and the ΔE was lower than that of 3.6. The MT-TR group showed the lowest C and the highest ΔE. The inter-group comparison revealed that the ΔE for different cement is mostly lower than the acceptable color match of 1.0; moreover, the ΔE for all the substrates, excluding the CG group, is higher than 3.6.
CONCLUSIONS
The abutment substrate materials and the cement color should be considered with caution when using HT-Zr, with the effect of abutment substrate materials being more apparent in color accuracy. HT-Zr restorations are not recommended for discolored or bleached abutments but only for natural-colored abutments to achieve the optimal color appearance.
PubMed: 38076041
DOI: 10.1016/j.heliyon.2023.e23046 -
Dental Materials : Official Publication... Jul 2023To evaluate the reliability, maximum principal stress, shear stress, and crack initiation of a computer-aided design/computer-aided manufacturing (CAD/CAM) resin...
OBJECTIVE
To evaluate the reliability, maximum principal stress, shear stress, and crack initiation of a computer-aided design/computer-aided manufacturing (CAD/CAM) resin composite (RC) incorporating surface pre-reacted glass (S-PRG) filler for primary molar teeth.
METHODS
Mandibular primary molar crowns fabricated by experimental (EB) or commercially available CAD/CAM RCs (HC) were prepared and cemented to a resinous abutment tooth using an adhesive resin cement (Cem) or a conventional glass-ionomer cement (CX). These specimens were subjected to a single compressive test (n = 5/each) and the step-stress accelerated life testing (SSALT) (n = 12/each). Data was evaluated using Weibull analyses and reliability was calculated. Afterwards, the maximum principal stress and crack initiation point of each crown was analyzed by finite element analysis. To evaluate bonding of EB and HC to dentin, microtensile bond strength (μTBS) testing was conducted using primary molar teeth (n = 10/each).
RESULTS
There was no significant difference between the fracture loads of EB and HC for either cement (p > 0.05). The fracture loads of EB-CX and HC-CX were significantly lower than EB-Cem and HC-Cem (p < 0.05). The reliability at 600 N for EB-Cem was greater than that for EB-CX, HC-Cem, and HC-CX. The maximum principal stress concentrated on EB was lower than that on HC. The shear stress concentrated in the cement layer for EB-CX was higher than that for HC-CX. There was no significant difference among the μTBSs of EB-Cem, EB-CX, HC-Cem, and HC-CX (p > 0.05).
SIGNIFICANCE
The crowns fabricated with the experimental CAD/CAM RC incorporating S-PRG filler yielded greater fracture loads and reliability than the crowns manufactured with commercially available CAD/CAM RC regardless of the luting materials. These findings suggest that the experimental CAD/CAM RC crown may be clinically useful for the restoration of primary molars.
Topics: Reproducibility of Results; Crowns; Dental Cements; Resin Cements; Glass Ionomer Cements; Molar; Composite Resins; Computer-Aided Design; Materials Testing; Dental Stress Analysis
PubMed: 37208292
DOI: 10.1016/j.dental.2023.04.006 -
Journal of Oral Science 2022This study compared the bond strengths of four adhesive systems and four different resin composite block materials: Gradia Block (GR), Shofu Block HC (SH), Estelite...
PURPOSE
This study compared the bond strengths of four adhesive systems and four different resin composite block materials: Gradia Block (GR), Shofu Block HC (SH), Estelite Block (ES), and KZR-CAD HR2 (KZ).
METHODS
A primer (PZ-AB) containing a silane (γ-MPTS) with 10-methacryloyloxydecyl dihydrogen phosphate (MDP) was applied to ground surfaces of the resin composite block specimens, and the specimens were then bonded to stainless-steel rods using two methyl methacrylate-tributylborane (MMA-TBB)-based luting agents (SB and MT), designated as the PZ-AB/SB and PZ-AB/MT adhesive systems, respectively. The SB resin contained 4-methacryloyloxyethyl trimellitate anhydride (4-META), whereas the MT resin did not. The SB resin without primer (No primer/SB) and a dual-curing composite-type adhesive system (UPA/RelyX) were used as controls. The 24-h tensile bond strengths were determined and analyzed using the Tukey-Kramer HSD test (α = 0.05, n = 8).
RESULTS
The highest bond strengths were obtained for the GR/PZ-AB/MT, GR/PZ-AB/SB, KZ/PZ-AB/MT, ES/PZ-AB/SB, and KZ/No primer/SB groups, whereas the KZ/UPA/RelyX, ES/UPA/RelyX, SH/UPA/RelyX, and SH/No primer/SB groups exhibited the lowest bond strengths.
CONCLUSION
For each resin composite block material primed with γ-MPTS and MDP, the MMA-TBB-based luting agents, irrespective of the presence of 4-META, provided higher bond strengths than the dual-curing composite-type adhesive system.
Topics: Boron Compounds; Dental Bonding; Dental Cements; Materials Testing; Methacrylates; Methylmethacrylate; Phosphates; Silanes
PubMed: 35370182
DOI: 10.2334/josnusd.21-0513 -
Journal of Orthopaedic Research :... Feb 2021Antibiotic-loaded bone cement (ALBC) is broadly used to treat orthopaedic infections based on the rationale that high-dose local delivery is essential to eradicate...
Antibiotic-loaded bone cement (ALBC) is broadly used to treat orthopaedic infections based on the rationale that high-dose local delivery is essential to eradicate biofilm-associated bacteria. However, ALBC formulations are empirically based on drug susceptibility from routine laboratory testing, which is known to have limited clinical relevance for biofilms. There are also dosing concerns with nonstandardized, surgeon-directed, hand-mixed formulations, which have unknown release kinetics. On the basis of our knowledge of in vivo biofilms, pathogen virulence, safety issues with nonstandardized ALBC formulations, and questions about the cost-effectiveness of ALBC, there is a need to evaluate the evidence for this clinical practice. To this end, thought leaders in the field of musculoskeletal infection (MSKI) met on 1 August 2019 to review and debate published and anecdotal information, which highlighted four major concerns about current ALBC use: (a) substantial lack of level 1 evidence to demonstrate efficacy; (b) ALBC formulations become subtherapeutic following early release, which risks induction of antibiotic resistance, and exacerbated infection from microbial colonization of the carrier; (c) the absence of standardized formulation protocols, and Food and Drug Administration-approved high-dose ALBC products to use following resection in MSKI treatment; and (d) absence of a validated assay to determine the minimum biofilm eradication concentration to predict ALBC efficacy against patient specific micro-organisms. Here, we describe these concerns in detail, and propose areas in need of research.
Topics: Anti-Bacterial Agents; Biofilms; Bone Cements; Drug Resistance, Bacterial; Evidence-Based Medicine; Humans; Prosthesis-Related Infections
PubMed: 31997412
DOI: 10.1002/jor.24616 -
Frontiers in Dentistry 2022The aim of this study was to assess the microtensile bond strength of three universal adhesives to dentin and enamel. Sixty extracted human third molar teeth were...
The aim of this study was to assess the microtensile bond strength of three universal adhesives to dentin and enamel. Sixty extracted human third molar teeth were chosen and divided into six groups regarding the adhesive (G-Premio Bond, Clearfil S3 Bond or Single Bond) and tooth surface. All the applied bonding agents were universal adhesives. The teeth were polished and the adhesives were applied; then the teeth were restored with composite resin. The samples were mounted in acrylic resin and sectioned. The specimens were subjected to a universal testing machine and the microtensile bond strength was measured. The failure mode of each specimen was determined under a stereomicroscope. Data were analyzed using two-way ANOVA (α=0.05). The microtensile bond strength of G-Premio Bond to enamel and dentin was 11.79±8.27 and 17.55±9.47 MPa, respectively which was not significantly different from the values in Single Bond group (15.59±10.66 and 17.19±10.09 MPa to enamel and dentin, respectively; P>0.05). However, the values for Clearfil S3 Bond were 7.11±4.23 and 7.88±8.83 MPa to enamel and dentin, respectively, which were significantly lower than the values for G-Premio Bond (P<0.05). Scanning electron microscopic (SEM) images showed that the adhesive failure was dominant in both enamel and dentin groups and in all adhesive systems. G-Premio Bond and Single Bond provided higher microtensile bond strength compared with Clearfil S3 Bond. Universal adhesives with their acceptable performance can be applied in self-etch mode on both enamel and dentin.
PubMed: 35937153
DOI: 10.18502/fid.v19i8.8725 -
Polymers Dec 2022This study aims to develop a restorative material having such mechanical and adhesive properties that it can be used both as a reconstruction material and as a luting...
This study aims to develop a restorative material having such mechanical and adhesive properties that it can be used both as a reconstruction material and as a luting cement. The experimental core build-up composite (CBC) was derived from a self-adhesive cement by the modification of its chemical formula, requiring the use of dedicated dentin and ceramic primers. The adhesive properties to zirconia and dentin were analyzed with a micro-Shear Bond Strength test (mSBS). The mechanical properties were analyzed by a flexural strength test. The results were compared with those obtained for other commercially available cements and core build-up materials, both before and after addition of 2 wt.% fluorographene. The CBC obtained average values in the mSBS of 49.7 ± 4.74 MPa for zirconia and 32.2 ± 4.9 MPa for dentin, as well as values of 110.9 ± 9.3 MPa for flexural strength and 6170.8 ± 703.2 MPa for Young's modulus. The addition of fluorographene, while increasing the Young's modulus of the core build-up composite by 10%, did not improve the adhesive capabilities of the primers and cement on either zirconia or dentin. The CBC showed adhesive and mechanical properties adequate both for a restoration material and a luting cement. The addition of 2 wt.% fluorographene was shown to interfere with the polymerization reaction of the material, suggesting the need for further studies.
PubMed: 36501696
DOI: 10.3390/polym14235301 -
Journal of Bone and Mineral Research :... Oct 2022Hypophosphatasia (HPP) is the inherited error-of-metabolism caused by mutations in ALPL, reducing the function of tissue-nonspecific alkaline phosphatase...
Hypophosphatasia (HPP) is the inherited error-of-metabolism caused by mutations in ALPL, reducing the function of tissue-nonspecific alkaline phosphatase (TNAP/TNALP/TNSALP). HPP is characterized by defective skeletal and dental mineralization and is categorized into several clinical subtypes based on age of onset and severity of manifestations, though premature tooth loss from acellular cementum defects is common across most HPP subtypes. Genotype-phenotype associations and mechanisms underlying musculoskeletal, dental, and other defects remain poorly characterized. Murine models that have provided significant insights into HPP pathophysiology also carry limitations including monophyodont dentition, lack of osteonal remodeling of cortical bone, and differing patterns of skeletal growth. To address this, we generated the first gene-edited large-animal model of HPP in sheep via CRISPR/Cas9-mediated knock-in of a missense mutation (c.1077C>G; p.I359M) associated with skeletal and dental manifestations in humans. We hypothesized that this HPP sheep model would recapitulate the human dentoalveolar manifestations of HPP. Compared to wild-type (WT), compound heterozygous (cHet) sheep with one null allele and the other with the targeted mutant allele exhibited the most severe alveolar bone, acellular cementum, and dentin hypomineralization defects. Sheep homozygous for the mutant allele (Hom) showed alveolar bone and hypomineralization effects and trends in dentin and cementum, whereas sheep heterozygous (Het) for the mutation did not exhibit significant effects. Important insights gained include existence of early alveolar bone defects that may contribute to tooth loss in HPP, observation of severe mantle dentin hypomineralization in an HPP animal model, association of cementum hypoplasia with genotype, and correlation of dentoalveolar defects with alkaline phosphatase (ALP) levels. The sheep model of HPP faithfully recapitulated dentoalveolar defects reported in individuals with HPP, providing a new translational model for studies into etiopathology and novel therapies of this disorder, as well as proof-of-principle that genetically engineered large sheep models can replicate human dentoalveolar disorders. © 2022 The Authors. Journal of Bone and Mineral Research published by Wiley Periodicals LLC on behalf of American Society for Bone and Mineral Research (ASBMR).
Topics: Animals; Humans; Alkaline Phosphatase; Disease Models, Animal; Hypophosphatasia; Mutation; Sheep; Tooth Loss
PubMed: 36053890
DOI: 10.1002/jbmr.4666 -
Journal of the Royal Society, Interface Jun 2017Although poly(methylmethacrylate) (PMMA) cements are widely used in orthopaedics, they have numerous drawbacks. This study aimed to improve their bioactivity and...
Although poly(methylmethacrylate) (PMMA) cements are widely used in orthopaedics, they have numerous drawbacks. This study aimed to improve their bioactivity and osseointegration by incorporating strontium-containing borate bioactive glass (SrBG) as the reinforcement phase and bioactive filler of PMMA cement. The prepared SrBG/PMMA composite cements showed significantly decreased polymerization temperature when compared with PMMA and retained properties of appropriate setting time and high mechanical strength. The bioactivity of SrBG/PMMA composite cements was confirmed , evidenced by ion release (Ca, P, B and Sr) from SrBG particles. The cellular responses of MC3T3-E1 cells demonstrated that SrBG incorporation could promote adhesion, migration, proliferation and collagen secretion of cells. Furthermore, our investigation revealed that SrBG/PMMA composite cements presented better osseointegration than PMMA bone cement. SrBG in the composite cement could stimulate new-bone formation around the interface between the composite cement and host bone at eight and 12 weeks post-implantation, whereas PMMA bone cement only stimulated development of an intervening connective tissue layer. Consequently, the SrBG/PMMA composite cement may be a better alternative to PMMA cement in clinical applications and has promising orthopaedic applications by minimal invasive surgery.
Topics: Animals; Biocompatible Materials; Bone Cements; Bone Development; Borates; Cell Movement; Glass; Male; Mice; NIH 3T3 Cells; Polymethyl Methacrylate; Rats; Rats, Sprague-Dawley; Strontium; X-Ray Microtomography
PubMed: 28615491
DOI: 10.1098/rsif.2016.1057 -
Journal of the Mechanical Behavior of... May 2022This study is a follow up investigation on recent work by our group demonstrating synthesis, release and strong antibacterial character of resins modified with...
This study is a follow up investigation on recent work by our group demonstrating synthesis, release and strong antibacterial character of resins modified with penicillin V (PV)-based polymer-antibiotic conjugates (PACs). Here, we aimed to evaluate the mechanical, bonding, and other relevant biomedical properties of a commercial adhesive resin modified with PV-PAC. Single Bond Plus (SB+) was modified with PAC containing 1.8 wt% conjugated PV. Adhesive resins were bonded to dentin from extracted human molars and restorative resin added. Beams of cross-sectional area of 0.9 ± 0.1 mm (Kutsch and Young, 2011) (n = 20) were obtained from the molars and tested for micro-tensile bond strength (μTBS) at 24 h and 4 months. For cohesive strength, hourglass beams (10 × 2 × 1 mm; n = 10) were assessed for ultimate tensile strength (UTS), beam-shaped specimens (25x2x2 mm; n = 10) evaluated for flexural strength and modulus (FS/FM) via three-point bending, and cylindrical specimens (3 × 2 mm; n = 10) assessed for ultimate compressive strength (UCS). For surface micro-hardness (MH), cylindrical specimens (3 × 2 mm; n = 6) were assessed before and after an EtOH challenge. The degree of conversion (DC) (5 × 1 mm; n = 6) was determined based on changes in absorbance ratio between peaks at ∼1637 cm and ∼1608 cm before and after curing of adhesive resins using attenuated total reflectance Fourier transform infrared (ATR-FTIR) spectroscopy. To monitor water uptake and diffusion kinetics over a 28-day period, specimens (5 × 1mm) were desiccated, weighed and stored in deionized water. Control and PV-PAC modified adhesive resins demonstrated similar μTBS at 24 h and 4 months; both showing decrease in values after 4 months (p = 0.001 and 0.004). No significant differences between adhesive resins were shown in UTS, FS/FM or UCS (p<0.05). MH of PV-PAC adhesive resin was significantly reduced relative to the control (p<0.001). The DC values of the adhesive resins were not significantly different. While sorption and solubility were no different between materials, the diffusion coefficient of PV-PAC modified adhesive resin was higher than the control (p<0.001). We conclude that incorporation of PV-PAC with 1.8 wt% PV into an adhesive resin does not adversely affect its mechanical, bonding, and physical properties, thus providing a promising option for materials with long-term antibacterial character and on-demand release.
Topics: Adhesives; Anti-Bacterial Agents; Composite Resins; Dental Bonding; Dentin; Dentin-Bonding Agents; Humans; Materials Testing; Polymers; Resin Cements; Surface Properties; Tensile Strength; Water
PubMed: 35272151
DOI: 10.1016/j.jmbbm.2022.105153