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Effects of materials parameters on mineralization and degradation of sol-gel bioactive glasses with 3D-ordered macroporous structures.

Bioactive glasses (BGs) with three-dimensionally ordered macroporous (3DOM) structures were prepared by combining a sol-gel synthesis with colloidal crystal templating. 3DOM sol-gel BGs with two compositions (20 mol % CaO-80% SiO2 and 20 mol % CaO-4% P2O5-76% SiO2) and three macropore sizes (average: 345, 440, and 790 nm) were prepared. Glasses were separated into two particle sizes (212 microm< small < 355 microm and 600 microm < large < 1000 microm). The glasses were soaked in simulated body fluid at 37 degrees C for 2 or 4 days and the effects of composition, particle size, and macropore size on the formation of apatite and glass degradation were characterized. Within the parameter range of the experiments, several comparisons could be made. First, the formation of apatite and degradation of the glass were slightly enhanced for the phosphate containing composition. Second, large particles formed less apatite and degraded less completely compared with small particles. Lastly, an increase in macropore size slowed down the glass degradation and apatite formation processes, an effect related to the decreased internal surface area of the larger pore materials.

Gels↗

Regulation of leukocyte glass adherence and tube leukocyte adherence inhibition (LAI) reactivity by serum factors in dogs with progressing or spontaneously regressing canine transmissible venereal sarcoma (CTVS).

We examined the regulation of leukocyte glass adherence and tube leukocyte adherence inhibition (LAI) reactivity by serum factors in dogs with regressing or progressing canine transmissible venereal sarcomas (CTVS). Both regressor and progressor peripheral blood leukocytes (PBL), draining and non-draining lymph node cells (LNC), and splenic leukocytes were significantly responsive to CTVS antigen extract in tube LAI. In contrast, a significant decrease in basal glass adherence of progressor PBL, draining and non-draining LNC, and splenic leukocytes was observed. Normal glass adherence was restored to progressor leukocytes by extensive washing with warm serum-free media, while significant tube LAI responsiveness to CTVS antigen extract was maintained. Preincubation of regressor PBL and LNC with progressor sera in two-stage tube LAI decreased the basal glass adherence of treated leukocytes. This effect of progressor sera was heat labile, a characteristic of CTVS antigen. Collectively, these findings suggest that progressor leukocytes and progressor sera treated regressor leukocytes were activated by interaction with serum CTVS antigen and thus behaved in tube LAI as stimulated cells, even in the absence of CTVS antigen. Regressor but not progressor sera were shown to contain anti-CTVS IgG with specific arming activity for normal dog PBL, but not LNC in two-stage tube LAI. The nonadherent response of peripheral blood neutrophils in two-stage tube LAI was proportional to the concentration of arming IgG, whereas no change was observed in glass adherence of PBL. The results of this study define the role of progressor and regressor serum factors in the mechanism of tube LAI and demonstrate a relationship between leukocyte glass adherence and the clinical course of CTVS. These findings show that tube LAI is a simple and reproducible measure of active factors in the immune response to a tumor.

Animals↗

Glass wool filtration reduces reactive oxygen species by elimination of leukocytes in oligozoospermic patients with leukocytospermia.

PURPOSE: Two types of glass wool were used to remove leukocytes in semen for evaluation of reactive oxygen species production by spermatozoa in oligozoospermic patients with leukocytospermia. METHODS: Semen samples were prepared using fine-structure glass wool (SpermFertil) and coarse-structure glass wool. In each treatment group, native semen was evaluated for sperm concentration, percentage motility, viability, leukocyte concentration, and production of reactive oxygen species. RESULTS: Electron microscopically, SpermFertil showed a higher number of leukocytes attached to the fibers compared to coarse-structure glass wool. Leukocytes in native semen and after glass wool filtration as determined by peroxidase cytochemistry confirmed this observation. Reactive oxygen species decreased from 45.303 counts/10(7) viable cells in native semen to 15.806 counts/10(7) cells in coarse structure wool and 7.465 counts/10(7) cells in Spermfertil, respectively. CONCLUSIONS: Removal of leukocytes from semen of oligozoospermic patients by means of glass wool filtration is a useful method to distinguish production of reactive oxygen species by leukocytes versus sperm cells.

Glass↗

Urinary malondialdehyde and 8-hydroxydeoxyguanosine as potential markers of oxidative stress in industrial art glass workers.

Previous epidemiological studies have indicated that industrial art glass workers have increased mortality risks for certain types of cancer and for cardio- and cerebrovascular disease. To test the hypothesis that increased oxidative stress might contribute to these increased mortality risks, the urinary levels of the lipid peroxidation product, malondialdehyde (MDA), and the oxidative DNA adduct, 8-hydroxydeoxyguanosine (8OHdG) were determined in 343 workers (230 men and 113 women) from the art glass industry in the southeast of Sweden. Of the study subjects, 199 (181 men and 18 women) were engaged in the process of glass production and were regarded as exposed, whereas the remainders performed clerical, warehouse and other service work and were regarded as unexposed. One hundred and sixteen were smokers (75 men and 41 women) and 215 were non-smokers (142 men and 73 women). The findings indicate that (a) exposure to industrial art glass work per se does not cause any major oxidative stress as measured by urinary levels of MDA and 8OHdG, (b) the effects from smoking per se are limited to increased lipid peroxidation among men, and (c) joint exposure to industrial art glass work and smoking may cause increased lipid peroxidation among men and increased DNA hydroxylation among both men and women. While these findings provide no evidence for increased oxidative stress due to industrial art glass work per se, the increased 8OHdG excretion, in workers who smoke may be associated with a higher risk of developing free radical-dependent degenerative diseases including cancer.

8-Hydroxy-2'-Deoxyguanosine↗

Loss of resistance technique for locating the epidural space: evaluation of glass and plastic syringes.

Location of the epidural space in epidural anaesthesia usually involves the measurement of loss of resistance using glass or plastic syringes. In the present study two varieties of glass syringe and one plastic type were evaluated to determine the resistive forces associated with plunger movement. The mean static (fs) and dynamic (fd) forces for polished glass syringes having a ground plunger only were fs = 0.47 X 10(-3) +/- 0.22 X 10(-3) N and fd = 0.37 X 10(-3) +/- 0.19 X 10(-3) N and for polished glass syringes having a ground barrel and plunger were fs = 0.43 X 10(-3) +/- 0.16 X 10(-3) N and fd = 0.38 X 10(-3) +/- 0.15 X 10(-3) N. Each of these values was significantly lower (P less than 0.5) than those for plastic syringes fs = 2.22 X 10(-3) +/- 0.48 X 10(-3) N and fd = 1.46 X 10(-3) +/- 0.37 X 10(-3) N. It is concluded that glass syringes are favoured over plastic for locating the epidural space because frictional forces developed with glass syringes were significantly lower than with plastic.

Anesthesia, Epidural↗

Antimicrobial activity on glass materials subject to disinfectant xerogel coating.

The antimicrobial compound dodecyl-di(aminoethyl)-glycine was immobilized in a silicon oxide xerogel matrix and used for glass surface coating. Coated glasses were tested for surface antimicrobial activity. The utilization of tetraethoxysilane (TEOS) as a silicon oxide polymer precursor, using the dip-coating process, allowed for the generation of transparent thin films over glass surfaces. Different concentrations of the antimicrobial compound were used to generate the coatings. The presence of dodecyl-di(aminoethyl)-glycine on coated and uncoated slides was analyzed by FT-IR spectra. Coated glass slides were exposed to suspensions of Escherichia coli, Pseudomonas aeruginosa and Staphylococcus aureus for 24 h. Surface contamination was evaluated by the microbial plate count technique. When antimicrobial-coated glasses were compared with antimicrobial-free coated glasses, the former showed greater than 99% reduction of colony-forming units (cfu) for E. coli and P. aeruginosa, when 1% of antimicrobial was present in the coating solution. The same percentage of reduction for S. aureus was achieved when 1.5% of the antimicrobial was present in the coating solution. In a direct inhibition test on agar plates, no inhibitory zone was observed, indicating that the antimicrobial did not diffuse into the media.

Anti-Infective Agents↗

The processing, mechanical properties and bioactivity of zinc based glass ionomer cements.

The suitability of Glass Ionomer Cements (GICs) for use in orthopaedics is retarded by the presence in the glass phase of aluminium, a neurotoxin. Unfortunately, the aluminium ion plays an integral role in the setting process of a GIC and its absence is likely to hinder cement formation. However, zinc oxide, a bacteriocide, can act both as a network modifying oxide and an intermediate oxide in a similar fashion to alumina and so ternary systems based on zinc silicates often have extensive regions of glass formation. The purpose of this research was to produce novel GICs based on calcium zinc silicate glasses and to evaluate their rheological, mechanical and biocompatible properties with the ultimate objective of developing a new range of cements for skeletal applications. The work reported shows that GICs based on two different glasses, A and B (0.05CaO.0.53ZnO.0.42SiO2 and 0.14CaO.0.29ZnO.0.57SiO2, respectively), exhibited handling properties and flexural strengths comparable to conventional GICs. Upon immersion in simulated body fluid of a GIC based on glass B, an amorphous calcium phosphate layer nucleated on the surface of the cement indicating that these cements are bioactive in nature.

Aluminum↗

Comparison between the in vitro surface transformations of AP40 and RKKP bioactive glasses.

Two bioactive silica-phosphate glasses, AP40 and RKKP, were compared in their behaviour in simulated biological environment. Their chemical composition is practically identical, except that RKKP contains small amounts of amphoteric network-former oxides Ta2O5 and La2O3 (composition in wt% for AP40: beta-Ca3(PO4)2 24.50, SiO2 44.30, CaO 18.60, Na2O 4.60, K2O 0.19, MgO 2.82, CaF2 4.99; RKKP: beta-Ca3(PO4)2 24.23, SiO2 43.82, CaO 18.40, Na2O 4.55, K2O 0.19, MgO 2.79, CaF2 4.94, Ta2O5 0.99, La2O3 0.09). Previous investigations showed a better performance in osteopenic bone for RKKP. To gain more insight into these differences in biological behaviour, the in vitro bioactivity of the glasses was studied by treatment with a continuously replenished Hanks' Balanced Salt Solution (HBSS). The glasses were examined before and after HBSS treatment for 20 and 40 days by X-ray Diffraction (XRD), Scanning Electron Microscopy (SEM), X-ray Energy Dispersion (EDX), Raman and IR vibrational spectroscopies. Some slight but notable differences between the two glasses were observed after HBSS treatment. IR and EDX analyses showed that deposits formed on both glasses were composed of a calcium deficient carbonate-apatite; however, the layer formed on RKKP glass was found to be slightly more calcium deficient and thinner. EDX analysis evidenced the presence of a small percentage of F- ions only in the layers formed on the RKKP samples. The differences disclosed, although slight, can contribute to the understanding of the different biological behaviour previously observed.

Biocompatible Materials↗

The use of advanced diffraction methods in the study of the structure of a bioactive calcia: silica sol-gel glass.

Sol-gel derived calcium silicate glasses may be useful for the regeneration of damaged bone. The mechanism of bioactivity is as yet only partially understood but has been strongly linked to calcium dissolution from the glass matrix. In addition to the usual laboratory-based characterisation methods, we have used neutron diffraction with isotopic substitution to gain new insights into the nature of the atomic-scale calcium environment in bioactive sol-gel glasses, and have also used high energy X-ray total diffraction to probe the nature of the processes initiated when bioactive glass is immersed in vitro in simulated body fluid. The data obtained point to a complex calcium environment in which calcium is loosely bound within the glass network and may therefore be regarded as facile. Complex multi-stage dissolution and mineral growth phases were observed as a function of reaction time between 1 min and 30 days, leading eventually, via octacalcium phosphate, to the formation of a disordered hydroxyapatite (HA) layer on the glass surface. This methodology provides insight into the structure of key sites in these materials and key stages involved in their reactions, and thereby more generally into the behaviour of bone-regenerative materials that may facilitate improvements in tissue engineering applications.

Calcium Compounds↗

Clinical applications of glass-ceramics in dentistry.

Glass-ceramics featuring special properties can be used as a basis to develop biomaterials. It is generally differentiated between highly durable biomaterials for restorative dental applications and bioactive glass-ceramics for medical use, for example, bone replacements. In detail, this paper presents one biomaterial from each of these two groups of materials. In respect to the restorative dental biomaterials, the authors give an overview of the most important glass-ceramics for clinical applications. Leucite, leucite-apatite, lithium disilicate and apatite containing glass-ceramics represent biomaterials for these applications. In detail, the authors report on nucleation and crystallization mechanisms and properties of leucite-apatite glass-ceramics. The mechanism of apatite nucleation is characterized by a heterogeneous process. Primary crystal phases of alpha - and beta -NaCaPO4 were determined. Rhenanite glass-ceramics represent biomaterials with high surface reactivity in simulated body fluid, SBF, and exhibit reactive behaviour in tests with bone cells. Cell adhesion phenomena and cell growth were observed. Suitable colonization and proliferation and differentiation of cells as a preliminary stage in the development of a material for bone regeneration applications was established. The authors conclude that the processes of heterogeneous nucleation and crystallization are important for controlling the required reactions in both biomaterial groups.

Ceramics↗

Metal-reinforced glass ionomers: their flexural and bond strengths to tooth substrates.

This study compared the flexural strengths and bond strengths to dentin and enamel of two brands of silver-reinforced glass ionomers with their respective unfilled glass-ionomer cements for luting. The results led to the following conclusions. 1. No significant differences in bond strengths to tooth substrates were recorded between silver-reinforced and unfilled glass ionomers. 2. Although the mean bond-strength values of enamel were higher than those of dentin, no statistically significant differences were observed. 3. No significant differences in bond strengths to tooth substrates were observed between the two brands of glass ionomers studied. 4. No differences in flexural strengths were recorded between the silver-reinforced glass ionomer and glass ionomer of a similar brand for luting. 5. Ketac-Silver and Ketac-Cem cements had significantly higher flexural strength than Fuji II Lumi Alloy and Fuji I cements.

Dental Bonding↗

Effects of etching time on surface morphology and adhesion of a posterior resin to glass-ionomer cement.

This study examined the effects of etching time on surface morphology and adhesion of posterior composite resin to glass-ionomer cement. Three glass-ionomer cements and four etch times were studied. Bond shear strength results revealed significant differences by both cement and etch time. Glass-ionomer surfaces etched for 30 seconds produced the strongest bond to resin. Ketac-Silver cement provided greater shear resistance than either Ketac-Bond cement or GC lining cement. Scanning electron microscopy revealed greater surface roughness for etched versus unetched glass ionomer. However, no subsurface differences were noted with increased etch times. These findings indicate that 30 seconds is the optimal etch time for glass-ionomer cement and that Ketac-Silver cement provides the strongest bond to resin of any of the materials tested. Etched glass-ionomer subsurfaces did not reveal marked differentiation in morphology, suggesting that an alternative method is necessary to detect these differences.

Acid Etching, Dental↗

An esthetic glass-ceramic for use in composite restoration inserts.

The objective of the preliminary work reported here was to prepare an improved formulation of intrinsically colored microcrystalline glass-ceramic. Applications could include "megafillers" for direct composite restorations, precision castings, and CAD-CAM prostheses. The experimental glass-ceramic reported here contained SiO2 56.9, AI2O3 19, LiO2 7, ZnO 6, MgO 5, TiO22, ZrO22, P2O52, and CeO20.1 mole%. The batch materials were melted and stirred at 1,610 degrees C for 2 h, quenched in water and also formed into a block of a clear, slightly yellow glass. To identify the crystalline phases that developed during transformation of the glass to the ceramic, x-ray diffraction was used on ten aliquots taken during 15 h of stepwise heating from 750 to 1050 degrees C. With heating, the yellow color deepened to a very translucent "dark yellow" dental shade, then lightened with gradually increasing opacity during formation of secondary crystalline phases. X-ray opacity was approximately equivalent to that of dental enamel. The refractive index of the glass, nD1.554, increased during nucleation and growth of the crystalline phases to a maximum of 1.586. Intrinsic coloration of these glass-ceramic materials can be controlled by varying the heat treatment and/or composition to match typical dental shades.

Ceramics↗

Biological and clinical investigations of a glass ionomer base material.

OBJECTIVES: The purpose of this study was to investigate the biological properties of a new glass ionomer base material containing strontium glass. METHODS: The glass ionomer base material (Base Line, De Trey Dentsply) was tested for cytotoxicity using a standard agar diffusion test, for its effect upon the pulp in subhuman primates, and in a clinical study as base beneath both composite fillings and amalgam fillings. RESULTS: The material showed a cytotoxicity pattern similar to reference materials, a zinc phosphate cement and a reference glass ionomer base material, which are used successfully in clinical applications. With the pulp/dentin usage test in subhuman primates, there were no statistically significant differences between the experimental glass ionomer base material and the negative control group if bacterial contamination of the cavity floor or direct contact with the pulp was avoided. The results of the clinical study also indicated no pulp damage after one year. SIGNIFICANCE: The experimental glass ionomer base material proved to be acceptable both biologically and clinically.

Analysis of Variance↗

In vitro fatigue behavior of restorative composites and glass ionomers.

OBJECTIVES: This in vitro study was conducted to investigate the fatigue behavior of several dental restoratives, including composites, glass ionomers and a resin-reinforced glass ionomer. METHODS: Fatigue was imposed under a reverse stress-controlled regimen, following a staircase approach. Samples were stored and tested under both dry and wet conditions. The following parameters were measured and analyzed: Young's modulus, restrained fracture strength, and flexural fatigue limit. RESULTS: As a general trend, all products showed a decrease in Young's modulus following water sorption. For all products except the resin-reinforced glass ionomer, the same trend was seen in the restrained fracture strength. This is, however, no longer valid for the flexural fatigue limit: the trend is steady-state for the glass ionomers, status quo for the resin-reinforced glass ionomer, and all composites tested show a decrease. SIGNIFICANCE: The diversity in structure of both composites and glass ionomers does not allow findings for one product to be extrapolated to other similar products.

Bisphenol A-Glycidyl Methacrylate↗

In vitro observations of iron-doped bioactive glasses.

Several in vitro tests are necessary to evaluate the biological compatibility of materials used to manufacture implants for humans or animals. These tests will indicate whether these materials can be tolerated when implanted in vivo. Since ceramic materials are suitable for coating layers, it was decided to study their performance by adding certain oxides as doping agents. This paper describes their influence in vivo in some preliminary tests and in vitro for iron trioxide only. This work attempts to ascertain the range of doping to maintain the bioactivity characteristics and in particular the influence of iron trioxide as a doping agent in the bioactive glass. To do so the adhesion of baby hamster kidney cells to bioactive glasses doped with different concentrations (2 and 4 wt%) of this compound was quantified. The base glass without iron oxide was used as a control as 0 wt% doping. In a second phase, a coating of fibronectin, a glycoprotein that plays an important role in cell binding and spreading on substrates, was quantified on the same surfaces. It was shown that the cell avidity for the surfaces of the materials increases with increased doping of iron oxide. The values are significantly higher than those observed for the base glass. Fibronectin adsorption quantification showed a similar trend, with values of adsorption similar for the doped samples and higher than that of the non-doped glass. It was demonstrated that iron trioxide induces an increase in cell adhesion capability with bioactive glass surfaces and the capability of adhesion of the fibronectin to act as a substrate on the same surfaces.

Adsorption↗

Biocompatibility and osteogenetic characteristics of new biocompatible glasses.

A fibre-shaped glass with qualities of biocompatibility and biodegradation could be promising for reconstructive bone surgery in orthopaedics and neurosurgery. New highly biocompatible glasses, originally made by the Italian Group of Study on Biocompatible Glass, are obtained both in cylinder and fibre shapes due to their original chemical composition (Glassfiber). This is the only glass which is also available as a continuous filament. Hydrolytic in vitro and in vivo tests demonstrate that these glasses present both good biocompatibility and adjustable biodegradation in relation to their chemical composition. The advantages of bioactive glass also being available as a continuous filament are suggested.

Animals↗

Toxicity of silica-containing calcium phosphate glasses demonstrated in mice.

Suspensions of calcium phosphate glass containing various concentrations of silica (glass composition (moles): 100 Ca(PO3)2 to x SiO2,x = 0, 5, 10, 15 or 40) dispersed in normal saline were injected intraperitoneally into C57BL/6 mice to determine the mortality within 30 days. The mortality was 0/10, 3/10, 9/10, 10/10 and 10/10 at x = 0, 5, 10, 15 and 40 mol of silica, respectively. By means of inductively coupled plasma analysis, the amount of dissolved silica (Si4+) in water at 37 degrees C from the calcium phosphate glass depended on the amount of silica in the glasses. The mortality of mice was directly proportional to the silica content of the glass injected intraperitoneally. These results clearly show that the dissolved silica (Si4+) from the glass, monomeric or low molecular silicic anion, is highly toxic. The SiO2 component in biomaterials has toxic potential when dissolved in the body.

Animals↗