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Biomedical subjects

J Geis-Gerstorfer

Publications and source records attributed to J Geis-Gerstorfer.

At least 19 recordsLinked to original sources

Enhancing surface free energy and hydrophilicity through chemical modification of microstructured titanium implant surfaces.

Roughness-induced hydrophobicity, well-known from natural plant surfaces and intensively studied toward superhydrophobic surfaces, has currently been identified on microstructured titanium implant surfaces. Studies indicate that microstructuring by sandblasting and acid etching (SLA) enhances the osteogenic properties of titanium. The undesired initial hydrophobicity, however, presumably decelerates primary interactions with the aqueous biosystem. To improve the initial wettability and to retain SLA microstructure, a novel surface modification was tested. This modification differs from SLA by its preparation after acid etching, which was done under protective gas conditions following liquid instead of dry storage. We hypothesized that this modification should have increased wettability due to the prevention of contaminations that occurs during air contact. The main outcome of dynamic wettability measurements was that the novel modification shows increased surface free energy (SFE) and increased hydrophilicity with initial water contact angles of 0 degrees compared to 139.9 degrees for SLA. This hydrophilization was kept even after any drying. Reduced hydrocarbon contaminations were identified to play a possible role in altered surface thermodynamics. Such surfaces aim to retain the hydrophilicity and natural high surface energy of the Ti dioxide surface until surgical implants' insertion and are compared in this in vitro study with structural surface variants of titanium to compare roughness and chemically induced wettability.

Acids↗

Biomechanical evaluation of the interfacial strength of a chemically modified sandblasted and acid-etched titanium surface.

The functional capacity of osseointegrated dental implants to bear load is largely dependent on the quality of the interface between the bone and implant. Sandblasted and acid-etched (SLA) surfaces have been previously shown to enhance bone apposition. In this study, the SLA has been compared with a chemically modified SLA (modSLA) surface. The increased wettability of the modSLA surface in a protein solution was verified by dynamic contact angle analysis. Using a well-established animal model with a split-mouth experimental design, implant removal torque testing was performed to determine the biomechanical properties of the bone-implant interface. All implants had an identical cylindrical shape with a standard thread configuration. Removal torque testing was performed after 2, 4, and 8 weeks of bone healing (n = 9 animals per healing period, three implants per surface type per animal) to evaluate the interfacial shear strength of each surface type. Results showed that the modSLA surface was more effective in enhancing the interfacial shear strength of implants in comparison with the conventional SLA surface during early stages of bone healing. Removal torque values of the modSLA-surfaced implants were 8-21% higher than those of the SLA implants (p = 0.003). The mean removal torque values for the modSLA implants were 1.485 N m at 2 weeks, 1.709 N m at 4 weeks, and 1.345 N m at 8 weeks; and correspondingly, 1.231 N m, 1.585 N m, and 1.143 N m for the SLA implants. The bone-implant interfacial stiffness calculated from the torque-rotation curve was on average 9-14% higher for the modSLA implants when compared with the SLA implants (p = 0.038). It can be concluded that the modSLA surface achieves a better bone anchorage during early stages of bone healing than the SLA surface; chemical modification of the standard SLA surface likely enhances bone apposition and this has a beneficial effect on the interfacial shear strength.

Biocompatible Materials↗

[Effects of voltage during anodization on titanium surface on cell attachment and spreading of osteoblasts].

PURPOSE: The effects of the voltage during anodic oxidation on cell attachment and spreading of human osteoblasts in early stage were investigated. METHODS: The samples were anodized in the electrolyte of 0.03 M calcium glycerophosphate (Ca-GP) mixed with 0.15 M calcium acetate (CA) under current density of 70 A/m2 and different voltages, 140V, 200V or 260V. The surface roughness of the specimens and the attachment and spreading of human osteoblasts in early stage were investigated. SPSS13.0 for windows was used for one-way ANOVA. RESULTS: The surface average roughness of cp Ti was significantly improved from 0.17 micro m to 0.23 micro m, 0.26 micro m, 0.33 micro m, respectively, by anodic oxidation with increased voltage (P<0.05). After 2 hours of cell culture, cell skeleton was reorganized and cell morphology became more irregular with the increase of anodizing voltages. Cell attachment on the specimens anodized under 260V was significantly higher than on the surface of cp Ti (P<0.05). CONCLUSION: The surface properties of cp Ti can be affected by anodic oxidation. The early cell attachment and spreading were enhanced with anodizing voltage.

Acetates↗

High surface energy enhances cell response to titanium substrate microstructure.

Titanium (Ti) is used for implantable devices because of its biocompatible oxide surface layer. TiO2 surfaces that have a complex microtopography increase bone-to-implant contact and removal torque forces in vivo and induce osteoblast differentiation in vitro. Studies examining osteoblast response to controlled surface chemistries indicate that hydrophilic surfaces are osteogenic, but TiO2 surfaces produced until now exhibit low surface energy because of adsorbed hydrocarbons and carbonates from the ambient atmosphere or roughness induced hydrophobicity. Novel hydroxylated/hydrated Ti surfaces were used to retain high surface energy of TiO2. Osteoblasts grown on this modified surface exhibited a more differentiated phenotype characterized by increased alkaline phosphatase activity and osteocalcin and generated an osteogenic microenvironment through higher production of PGE2 and TGF-beta1. Moreover, 1alpha,25OH2D3 increased these effects in a manner that was synergistic with high surface energy. This suggests that increased bone formation observed on modified Ti surfaces in vivo is due in part to stimulatory effects of high surface energy on osteoblasts.

Alkaline Phosphatase↗

Marginal and internal adaptation of Class II ormocer and hybrid resin composite restorations before and after load cycling.

To overcome the shortcomings of the conventional composite restorative materials, ormocer materials have been introduced over the past few years. The purpose of this study was to evaluate the marginal and internal adaptation of two ormocer restorative systems (Admira, Voco and Definite, Degussa) compared to a hybrid composite one (TPH Spectrum, Dentsply/ DeTrey), before and after load cycling in Class II restorations. Standardized Class II restorations with cervical margins on enamel were divided into three groups ( n=16). Teeth of each group were filled with one of the restoratives tested and its respective bonding agent. Each group was divided into two equal subgroups. The marginal and internal adaptation of the first subgroup was evaluated after 7-day water storage at room temperature and of the second after cyclic loading in a mastication simulator (1.2x10(6) cycles, 49 N, 1.6 Hz). The occlusal and cervical marginal evaluation was conducted by videomicroscope and ranked as "excellent" and "not excellent". One thin section (150 microm), in mesial-distal direction, of each restoration, was examined under metallographic microscope to determine the quality of internal adaptation. The occlusal and cervical adaptation of both ormocer restorative systems was similar and clearly worse compared with the hybrid composite restorative one before as well as after load cycling. Concerning internal adaptation, no gap-free ormocer restorations were detected, whereas all Spectrum restorations presented perfect adaptation. The bonding agents of the ormocers formed layers with unacceptable features (pores, fractures) whereas that of the hybrid composite achieved perfect bonding layer even after loading. The rheological characteristics of the bonding agents of the ormocer restorative systems are proposed to be responsible for their inferior marginal and internal quality in Class II restorations compared with the hybrid composite one.

Ceramics↗

Adsorption/desorption phenomena on pure and Teflon AF-coated titania surfaces studied by dynamic contact angle analysis.

As a result of inflammatory processes, plaque formation on dental titanium implants often leads to clinically pathogenic situations. This special biofilm formation on (bio)materials in contact with saliva is initiated by ionic and protein interactions. In this interfacial process, albumin becomes a main constituent of dental pellicle. Interfacial reactions change the surface characteristics. They determine the following steps of macromolecular adsorption and bacterial adhesion. This work focuses on the dynamic contact angle analysis (DCA), which is a tool for online measurements of dynamic changes of wettability without disturbing the interface during detection. Repeatability of the DCA method has been assessed according to the Bland and Altman method. The kinetics and equilibrium data of shifts in the wetting tension hysteresis indicate ionic influences at the titanium/bovine serum albumin (BSA) interface: the Ca-mediated increase of the BSA adsorption on titanium and the adsorption maximum at the isoelectric point (IEP) of BSA. Ti was surface modified by Teflon AF polymeric coatings. The result of the assessment gives reason to consider Teflon AF as a reference material for DCA repeatability studies. This surface modification caused drastic changes in the dynamic interfacial reactions. Shifts in the wetting tensions during DCA adsorption-desorption experiments clearly demonstrated the partially irreversible adsorption of BSA on Teflon AF. In contrast, reversible adsorption behavior was detected on pure Ti surfaces. These findings strengthen the hypothesis that the analysis of dynamic changes in wetting tension and wetting tension hysteresis is a sensitive analytical method for the detection of dynamic interfacial changes at biomaterial/biosystem interfaces during the initial steps of biofilm formation.

Adsorption↗

Effects of gallium and mercury ions on transport systems.

Mercury was previously shown to exert toxic effects by influencing ion channels and transporters in the kidney and brain. Gallium alloys were suggested as less toxic restorative materials. To compare the toxicity of gallium ions with those of mercury ions, we applied gallium nitrate Ga(NO3)3 (0.1-100 microM and mercuric chloride (HgCl2) (0.001-10 microM) to Xenopus oocytes expressing mammalian ion channels and transport proteins. Mercury (10 microM) inhibited the K+-channels ROMK and HERG, the phosphate transporter NaPi-3, the amino acid transporter rBAT, the cation transporter OCT-2, and the osmolyte transporter BGT. It activated the I(Ks)-channel but did not affect the Na+-channel ENaC, the anion channel NaPi-1, and the glucose transporter SGLT-1. Gallium was without significant effect on the channels and on SGLT1, NaPi-3, and rBAT, but inhibited BGT and OCT-2. In conclusion, both Hg2+ and Ga3+ may exert toxic effects on transport systems, which may partially explain their cytotoxic effects.

Amino Acid Transport Systems↗

In vitro evaluation of a glass-ceramic restorative material.

The aim of the present study was to evaluate the clinically relevant properties of the recently introduced ceramic material IPS Empress, which is marketed for all-ceramic restorations. The following parameters were investigated: three- and four-point bending strength, bi-axial flexure strength, compressive and diametral tensile strength, compressive strength and marginal fit of full crowns. The results show that this material is a highly developed glass-ceramic with physical properties making this dental material well suitable for adhesively luted restorations.

Adhesives↗

In vitro corrosion measurements of dental alloys.

The corrosion resistance of dental alloys remains an important issue. In this report several examples will be presented in order to illustrate the significance of corrosion measurements, and their clinical relevance will be evaluated.

Corrosion↗

Studies on the influence of Be content on the corrosion behavior and mechanical properties of Ni-25Cr-10Mo alloys.

The influence of Be content on the corrosion behavior and strength of dental alloys was examined using experimental Ni-25Cr-10Mo-xBe alloys with graduated Be contents of 0, 0.6, 1.1, 1.6, and 2.1 wt.%. It became evident that the corrosion resistance is reduced even by a 0.6 wt.% Be content. Strength increases by 51% with increasing Be content, while ductility is reduced by 84%. The results revealed that, from the stand-point of corrosion resistance, Be-free Ni-Cr-Mo alloys should be preferred in clinical use.

Beryllium↗

[The effect of the aeration status on the corrosion behavior of Ni-Cr alloys].

Using in vitro tests, the influence of aeration cells that develop in narrow crevices of dental restorations, on the corrosion behaviour of two Ni-Cr alloys (Wiron 88 and Rexillium III) was investigated. The results revealed a 1.6-fold higher ion release in the deaerated part of the electrolyte compared with the aerated one, whereas the ion release was 18-fold higher with Rexillium III. The total analyzed substance loss was 11.1 (S.D. 5.7) and 181.9 (S.D. 48.0) micrograms/cm2, respectively.

Air↗

[The effect of inorganic fillers on the properties of light-curing composites].

Light curing composite resins became the preferred material in treating carious or traumatic lesions of anterior teeth. Attempts to improve the properties of these materials lead to the development of hybrid composites with an amount of anorganic fillers of more than 80 weight %. It was the purpose of this study to investigate whether composites with higher amounts of anorganic filler show better properties than those with lower amounts of filler. Eight commercial and two experimental composites have been tested for their resistance to abrasion by simulated toothbrushing, polymerization shrinkage, water sorption, porosity, and surface quality. The results showed no correlation between the amount of anorganic filler on the one hand and tested properties on the other. The amount of anorganic filler is no quality criterium per se, the properties of a composite are rather influenced by composition and quality of the organic matrix, even if the amount of anorganic fillers increases to more than 80 weight %.

Composite Resins↗

[Ultimate tensile strength of plasma- and laser-welded cast titanium (Titaniumer, Ohara)].

The ultimate tensile strength (UTS) of titanium castings (Titaniumer, Ohara) as cast and after plasma-welding, laser-welding and soldering was investigated according to DIN 13912. The UTS of titanium as cast was 567 (+/- 36) MPa. After plasmawelding UTS decreased by 69% on the average, after laser-welding by 20%, after soldering with Ag65Cu20Pd15 (1060 degrees C) by 46% and after soldering with Ag72Cu20Ti8 (980 degrees C) by 63%. The highest tensile strength was observed in laser-welded titanium under the conditions described.

Dental Casting Technique↗

[Properties of a measuring system for digital occlusion diagnosis].

The properties of a new digital technique of demonstrating and quantifying occlusal contacts (T-scan) were tested in vitro the sensor foil used was 95 microns in thickness and had approx. 1350 measuring points. When a given force was applied at the same point on one foil several times in sequence, the readings were highly reproducible. Applying the same force at different points on the same foil and at points on different foils, however, failed to bring about reproducible results. The reasons for this lack of reproducibility and possible modifications are discussed.

Bite Force↗

[In-vivo corrosion tests of dental alloys in relationship to saliva pH].

The corrosion of four dental alloys and titanium was studied in relationship to saliva pH and plaque accumulation in vivo. Test specimens were scanned for porosities with an image analysis system before and after exposure to the oral milieu. The saliva pH was monitored during the study period. After four days of exposure in the mouth the plaque accumulation and the vitality of the plaque on the alloy surfaces was evaluated. Plaque accumulation and mean saliva-pH were not correlated with the observed surface corrosion. The least surface effects were observed on titanium, which showed the highest plaque accumulation. Different alloys showed different bacteriostatic effects. The least amount of living bacteria was found on titanium. Plaque accumulation and bacteria vitality depended on material and test person.

Corrosion↗