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PubMed2000

Barnacle cement proteins. Importance of disulfide bonds in their insolubility.

Barnacles produce a cement that is a proteinaceous underwater adhesive for their secure attachment to the substratum. The biochemical properties of the cement have not previously been elucidated, because the insolubility of the cement proteins hampers their purification and characterization. We developed a non-hydrolytic method to render soluble most of the cement components, thereby allowing the proteins to be analyzed. Megabalanus rosa cement could be almost completely rendered soluble by its reduction with 0.5 m dithiothreitol at 60 degrees C in a 7 m guanidine hydrochloride solution, the high concentration of dithiothreitol being indispensable to achieve this. The effectiveness of this reduction treatment was confirmed by the detachment of the barnacle from the substratum. Three proteins comprising up to 94% of the whole cement were identified as the major cement components. The cDNA clone of one of these major proteins was isolated, and the site-specific expression of the gene in the basal portion of the adult barnacle, where the cement glands are located, was demonstrated. A sequence analysis revealed this cement component to be a novel protein of 993 amino acid residues, including a signal peptide. This is the first report of the major component of the barnacle cement protein complex.

Amino Acid Sequence↗

PubMed2004

Accelerated biodegradation of cement by sulfur-oxidizing bacteria as a bioassay for evaluating immobilization of low-level radioactive waste.

Disposal of low-level radioactive waste by immobilization in cement is being evaluated worldwide. The stability of cement in the environment may be impaired by sulfur-oxidizing bacteria that corrode the cement by producing sulfuric acid. Since this process is so slow that it is not possible to perform studies of the degradation kinetics and to test cement mixtures with increased durability, procedures that accelerate the biodegradation are required. Semicontinuous cultures of Halothiobacillus neapolitanus and Thiomonas intermedia containing thiosulfate as the sole energy source were employed to accelerate the biodegradation of cement samples. This resulted in a weight loss of up to 16% after 39 days, compared with a weight loss of 0.8% in noninoculated controls. Scanning electron microscopy of the degraded cement samples revealed deep cracks, which could be associated with the formation of low-density corrosion products in the interior of the cement. Accelerated biodegradation was also evident from the leaching rates of Ca(2+) and Si(2+), the major constituents of the cement matrix, and Ca exhibited the highest rate (up to 20 times greater than the control rate) due to the reaction between free lime and the biogenic sulfuric acid. Leaching of Sr(2+) and Cs(+), which were added to the cement to simulate immobilization of the corresponding radioisotopes, was also monitored. In contrast to the linear leaching kinetics of calcium, silicon, and strontium, the leaching pattern of cesium produced a saturation curve similar to the control curve. Presumably, the leaching of cesium is governed by the diffusion process, whereas the leaching kinetics of the other three ions seems to governed by dissolution of the cement.

Betaproteobacteria↗

PubMed2001

The effect on the fatigue strength of bone cement of adding sodium fluoride.

New bone cements that include several additives are currently being investigated and tested. One such additive is sodium fluoride (NaF), which promotes bone formation, facilitating implant integration and success. The influence of NaF on the fatigue performance of the cement as used in biomedical applications was tested in this paper. In fact fatigue failure of the cement mantle is a major factor limiting the longevity of a cemented implant. An experimental bone cement with added NaF (12 wt%) was investigated. The fatigue strength of the novel bone cement was evaluated in comparison with the cement without additives; fatigue tests were conducted according to current standards. The load levels were arranged based on a validated, statistically based optimization algorithm. The curve of stress against number of load cycles and the endurance limit were obtained and compared for both formulations. The results showed that the addition of NaF (12 wt%) to polymethylmethacrylate (PMMA) bone cement does not affect the fatigue resistance of the material. Sodium fluoride can safely be added to the bone cement without altering the fatigue performance of the PMMA bone cement.

Compressive Strength↗

PubMed1996

Cement proteins of the acorn barnacle, Megabalanus rosa.

Components of the proteinaceous cement secreted by barnacles have yet to be studied because of their insolubility. We solubilized and characterized the proteins of secondary cement, which is produced when the barnacle is detached from the substratum, in Megabalanus rosa. The cement was fractionated, according to its solubility in aqueous formic acid, into a soluble fraction, SF1 (21%); a fraction soluble after reduction, SF2 (37%); and a fraction insoluble after reduction, IF (42%). Analysis of the SF1 and SF2 by sodium dodecylsulfate-polyacrylamide gel electrophoresis (SDS-PAGE) revealed that they contained three polypeptides (SF1-60 k, -57 k, -47 k) and one polypeptide (SF2-60 k), respectively. The amino acid compositions of these polypeptides were similar and their N-terminal amino acid sequences were identical. These polypeptides had an unusual amino acid composition, rich in Ser, Thr, Ala, and Gly, like the tube cement of a marine polychaete, Phragmatopoma californica. The IF, solubilized in aqueous formic acid after cleavage with cyanogen bromide, was shown by SDS-PAGE to contain eight fragment peptides (CB-peptides). N-terminal amino acid sequences of the CB-peptides were also determined. We conclude that the barnacle cement is composed of at least two types of protein: highly hydroxylated protein in the SF1 and SF2 and insoluble protein in the IF. The SDS-PAGE pattern of CB-peptides from the secondary cement was identical to that of the primary cement produced while the barnacle is attached to a substratum. In addition, immunoblot analysis, using a polyclonal antibody against one of the CB-peptides from the secondary cement, also cross-reacted with a CNBr-fragment peptide of the primary cement. These results indicate that the primary and secondary cements are similar in protein composition.

Amino Acid Sequence↗

PubMed2001

[Six cases of occupational skin diseases caused by cement: considerations from the aspect of occupational dermatology].

Cement, in particular Portland cement, is now widely used in the field of civil engineering and the construction industry. High alkalinity of wet cement and its tiny content of water-soluble chromate can cause occupational skin diseases. In this paper, we report four cases of contact dermatitis by cement and two cases of cement burn. The occupation of the patients included two plasterers, a truck driver, a manufacturer of cement ware and two construction workers. Skin of the hands and fingers of the cement dermatitis cases was dry and fissured, and had hyperkeratotic papules and erythemas or acute exudative eczematous lesions. In one of these cases, the eczematous lesions spread to the face, extremities and trunk. All cases resulted in a positive patch testing for sodium dichromate. The cement burn cases developed severe necrotic ulcers on the leg and/or foot following prolonged contact with wet cement inside their boots. Patch testing was negative for chromate. A field trip to a construction worksite showed that method of working as well as worker's clothing at present could not thoroughly protect the skin. Therefore we concluded that better protective clothing and gloves should be used and that working conditions be improved. Most skin diseases caused by cement occur among workers at small-scale enterprises. Therefore it is desirable that regional occupational health centers, which were established to promote the health care system for workers at small-scale enterprises, take prompt measures to avoid the skin diseases.

Adult↗

PubMed1998

A modular system for cemented and cementless implantation of femoral stem prostheses.

A femoral stem [BiContact, Aesculap, Germany) has been developed which is suitable for both cemented and uncemented implantation. Thus a highly standardized procedure and a standard implant for any iritraoperative finding is available. While the cemented stems have a smooth surface, the cementless implants are proximally coated with a microporous titanium plasmaspray [Plasmapore]. The strategy based on the intraoperative choice of the surgeon to use either cemented or cementless implants after bone preparation turned out to be very successful in our institution. A consecutive series of 250 cases with cemented implantation and 250 cases with uncemented implantation was analyzed in a prospective follow-up study, Pollow-up time averaged 7 years for cemented and 6.5 years for uncemented THRs. The follow-up rate was 88.7% in cases treated with cemented stems and 93.1% in cases treated with uncemented stems. The rate of aseptic loosening was 1.2% for the cemented version and 0.4-% for the uncemented stem. Radiological loosening could be observed in another 1.2% of the cemented stems and was not to be found in the uncemented cases. Our data suggest an excellent midterm stability of both the cemented and the uncemented version of the BiContact hip system. The long-term results for both the cemented and uncemented prostheses of our series are still to be evaluated.

Journal Article↗

PubMedDate not supplied

[Clinico-statistical investigation about cement dermatitis in Italy].

To define the prevalence of cement dermatitis (allergic contact dermatitis-ACD-and irritant contact dermatitis-ICD), two retrospective studies have been carried out in Italy: the first one based on the analysis of dermatitis cases ascribable to cement as defined by INAIL (Italian Institute for Industrial Accidents Insurance) from 1984 to 1992; the second one by surveying cement dermatitis cases in workers in the building industry aged between 16 and 70 carried out by Istituto di Clinica Dermatologica dell'Università di Bari from 1988 to 1994. The survey on INAIL data showed that in the years take into account 5,290 dermatitis cases included in item 41 of the occupational diseases table have been defined. About 80% of these cases have been observed in workers working as bricklayers and floor-layers. Therefore, given the remarkable exposure to cement in these professions, the prevalence of cement dermatitis in Italy has been estimated to 6 cases/province/year, even though it has not been possible recognize the clinical form of cement dermatitis. Moreover, the study showed that disabling cutaneous after-effects eligible for compensation have been observed in 30% of the cases defined by INAIL. The allergologic study carried out by Clinica Dermatologica has not only defined the incidence of contact dermatitis (ACD and ICD), in building workers, but it has also extrapoled dermatitis cases due to cement. As a whole, in the years taken into account, 166 occupational or mixed ACD cases and 77 occupational or mixed ICD have been diagnosed. The incidence of contact dermatitis ascribable to cement has equalled 79% among ACD and 88% among ICD, with a ratio of about 2 to 1 in favour of allergic forms. Among the chemicals tested, potassium bichromate showed the highest frequency of cases positive to patch tests. The skin site the most affected by cement dermatitis is hand, followed by upper limbs, lower limbs and feet. In the province of Bari, in the years taken into account, an average incidence of 28.4 cases per year of the two forms of cement dermatitis has been observed.

Adolescent↗

PubMed1999

Mechanical properties of dental luting cements.

STATEMENT OF PROBLEM: Dental luting cements fail by microcrack formation and bacterial ingress or by gross failure and crown dislodgment. Both of these failure modes are related to mechanical properties and deformation. PURPOSE: This study evaluated those mechanical properties of cements. METHODS AND MATERIAL. Elastic modulus for 8 representative cements (zinc phosphate, polycarboxylate, glass ionomer, encapsulated glass ionomer, resin-modified glass ionomer, resin composite, and adhesive resin composite) was measured by using a nondestructive technique and evaluated for cement type and storage time (1 hour, 1 day, 1 week, 1 month, 1 year) by 2-way ANOVA (P <.05). Compressive properties (proportional limit, resilience, and toughness), ultimate strengths (compressive, diametral tensile, and flexural), and flexural toughness were determined and evaluated by 2-way ANOVA for 2 crosshead testing rates (5 and 0.5 mm/min) and cement type (P <.05). RESULTS: Cements varied with respect to elastic moduli, compressive proportional limit, compressive resilience, compressive strength, compressive toughness, diametral tensile strength, flexural strength, and flexural toughness. Storage time affected the elastic moduli of different materials in different ways. Elastic moduli of polycarboxylate and glass ionomer cements increased over time, whereas the other materials changed little after the first day. Crosshead rate only significantly affected compressive proportional limit and resilience. CONCLUSIONS: Luting cements differed considerably with respect to mechanical properties.

Adhesives↗

PubMed1989

[Influence of luting materials on marginal fitness and tensile strength of full veneer crowns. Comparison between conventional dental cements and adhesive luting resins].

The ability of luting materials to minimize the marginal opening during the cementing process is an important factor in preventing recurrent caries and gingival inflammatory response. The newly developed adhesive resins may have the possibility to achieve better retention and to minimize the microleakage at the tooth/restoration interface since they have the ability to adhere both dental alloy and tooth structure. The purpose of this study is to compare the marginal fit and tensile strength of full veneer crowns cemented by two adhesive resins--Panavia EX and Super-Bond C&B--with those cemented by three usual luting materials-zinc phosphate cement, polycarboxylate cement, and glass-ionomer cement--. The results were summarized as follows: 1. Panavia EX provided the most excellent marginal fit, whereas Super bond C&B the worst. 2. There was no significant difference in marginal fit between the shoulder and the chamfer configuration in every luting material examined. 3. The tensile strength of full veneer crowns cemented by the two resins was approximately 4-5 times as large as that cemented by other three luting materials. 4. The results show that Panavia EX was superior to other four materials in that it had the highest tensile strength and the least marginal opening at the crown/abutment interface.

Acrylic Resins↗

PubMed2003

Distribution of the cement film beneath the orthodontic band: a morphometric in vitro study.

BACKGROUND: During orthodontic treatment with a multiband appliance, enamel decalcifications and periodontal irritation may occur due to inevitable plaque retention. Besides the band itself, non-cemented gaps between tooth and band constitute a problem that has not yet been investigated from quantitative aspects. MATERIALS AND METHODS: In this in vitro study, the cement distribution beneath the orthodontic band was investigated on 48 identical transparent resin replicas of upper molars and lower molars, respectively. The replicas with the cemented orthodontic bands were divided into buccal, distal, oral, and mesial segments so that the inner surfaces of the bands could undergo morphometric analysis for areas not covered with cement. Two different molar bands (Dentaform Snap by Dentaurum, Ispringen, Germany, and "Washbon" by Ormco, Orange, CA, USA), and two glass-ionomer cements (OptiBand by Ormco and Ultra Band-Lok Blue by GAC, Gräfelfing, Germany) were used. In this way, 8 test series with twelve specimens each were performed. RESULTS: Not one cement-band combination was without defects in the cement film, with poorer cement flow properties being observed at the upper than at the lower molars. In general, fewer defects were recorded in the occlusal than in the cervical areas. Overall, the buccal surfaces yielded the best results, and the mesial surfaces the poorest. CONCLUSIONS: Since defects in the cement film have so far been unavoidable, the indication for orthodontic treatment with a multiband appliance must continue to be strict. Unless accompanying professional prophylactic care coupled with optimal oral hygiene is ensured, multiband appliances should be used with great caution.

Composite Resins↗

PubMed1982

Effects of cement on crown retention.

This study indicates that the frequent clinical technique of permanently cementing a crown without removing all traces of a temporary ZOE cement from the tooth has no adverse effect on retention. Circumferential grooving of the tooth preparation did not significantly increase retention. In contrast, cutting a shallow groove in the crown significantly improved retention. Therefore, it would appear that the grooving of the gold casting might be advantageous in conditions where the crown restoration has minimal retention. Significant improvement in retention with grooving of the restorations was accompanied by a change in the location of the cement film. The cement was retained in the crown coronal to the groove rather than on the tooth. This finding was interesting, since previous retention studies showed that adhesive failure occurred at the metal-cement interface. From this data it appears that a primary factor of crown retention is the adhesion or mechanical interlocking of the cement to the crown. This would explain why small variations in cement film thickness, such as those due to the use of die relief, have little effect on retention. In view of these findings, the current concepts on cement retention and cement adhesiveness should be reevaluated.

Crowns↗

PubMed1993

Tensile fatigue of two composite cements bonding three base metal alloys to bovine enamel.

Tensile fatigue endurance limits were determined for three base metals (Ni-Cr, Ni-Cr-Be, and Co-Cr) bonded to bovine enamel using two composite cements: a Bis-GMA/phosphate ester composite cement which relies on a sand-blasted metal surface, and a Bis-GMA composite luting cement which relies on electrolytically etched metal surfaces. Samples were tested to failure or to 10(6) cycles at 5 hz in Ringer's solution at 37 degrees C, and endurance limits were determined using a two-point test strategy. SEM evaluation was performed on fractured samples to determine failure mode. Statistical analysis of the results showed no difference between cements when using Ni-Cr-Be; however when using Co-Cr, the Bis-GMA/phosphate ester cement produced greater values than the Bis-GMA cement that relied on electrolytical etching. The opposite result occurred when a Ni-Cr alloy was tested with both cements. Evaluation of the results for each cement with the three different alloys showed statistical significant differences. SEM fracture analysis revealed a mixed failure pattern with apparent adhesive fracture from both the composite-enamel and composite-metal interfaces and cohesive failure throughout the cement.

Animals↗

PubMed1993

Polymeric calcium phosphate cements: analysis of reaction products and properties.

Chemical and mechanical properties of water-based polymeric calcium phosphate cements (PCPC) were investigated. These cements were derived from mixing several types of water-soluble polymers, e.g., gelatin, poly(vinyl alcohol) (PVA), and poly(alkenoic acids) such as poly(acrylic acid), with a calcium phosphate cement (CPC) mixture consisting of equimolar amounts of tetracalcium phosphate (TTCP) and anhydrous dicalcium phosphate (DCPA) as well as several other TTCP-containing mixtures. Cement formation was observed with all of the PCPCs. With the gelatin and PVA cements, significant amounts of hydroxyapatite (HA) formation were observed within 24 h. Their setting times and mechanical properties were similar to those of the purely inorganic CPC that is derived from the reaction of TTCP and DCPA in water. Although the mechanical properties of a gelatin-CPC cement were only slightly improved, its handling characteristics were superior to that of CPC. Significantly faster setting and stronger cements were obtained using polycarboxylic acid polymers with CPC. However, only small amounts of HA were observed in these types of polymeric cements even after 1 mon storage in distilled water at 37 degrees C. This research demonstrates the feasibility of preparing several new types of dental cements based on the interaction of water-soluble polymers with a self-setting calcium phosphate powder mixture.

Acrylic Resins↗

PubMed2005

Modified PMMA cements for a hydrolysis resistant metal-polymer interface in orthopaedic applications.

Amongst the many factors influencing the long-term stability of cemented hip prostheses, the interface between the implant and bone cement is considered to be one of the most susceptible to failure. Osteolysis and loosening of the implant can occur by the interaction of mechanically and/or hydrolytically induced bond failure of the metal-cement interface. In this work, an improvement of the hydrolysis resistance of the titanium-bone cement interface was obtained by cement modification with a bifunctional coupling agent combined with a tribochemical TiO2-modification of the metal surface. Methacryloxypropyl-trimethoxysilane was added as coupling agent to the PMMA monomer in concentrations between 5 and 20 wt.% followed by the testing the shear bond strength of PMMA/titanium joints before and after ageing in physiological saline solution. It was found that the hydrolysis resistance of the metal-PMMA interface could be significantly improved by the modification of the cement. At the same time, the mechanical properties (compressive and bending strength) of the modified cement were not altered by the addition of the coupling agent. The advantage of the modification of the cement matrix is an easy clinical applicability of the procedure maintaining the processing and implantation techniques of the cement material.

Adhesiveness↗

PubMed2006

Human pulp response to resin cements used to bond inlay restorations.

OBJECTIVE: The aim of this study was to evaluate the pulp response following cementation of inlays using two different resin cements. METHODS: Deep Class V cavities were prepared on the buccal surface of 34 sound human premolars. Impressions were taken and inlays were prepared which were cemented with the following luting materials-Group 1: Rely X Unicem (3M ESPE); Group 2: Variolink II (Ivoclar Vivadent). In Group 3 (control), after lining the cavity floor with Dycal (Dentsply Caulk) the inlays were cemented with Rely X Unicem. Four additional teeth were used as an intact control group. For Variolink II, the adhesive system Excite was used as part of the cementation procedure. After 7 or 60 days, the teeth were extracted and processed for histological assessment. RESULTS: At 7 days, Rely X Unicem and Variolink II system triggered in two samples a mild and moderate inflammatory response, respectively. At 60 days, the pulpal response decreased for both groups. A discrete persistent inflammatory response occurred in Group 2 in which displacement of resin components across the dentin tubules was observed. In the control group, normal histological characteristics were observed. The inflammatory response and tissue disorganization were related to the remaining dentin thickness between the cavity floor and the pulp tissue. SIGNIFICANCE: Techniques for inlay cementation using distinct luting cements may cause specific pulpal damage. Variolink II associated with the adhesive system Excite cause more aggressive effects to the pulp-dentin complex than Rely X Unicem cement when both are used to cement inlay restorations.

Adolescent↗

PubMed2006

Monomer conversion and hardness of novel dental cements based on ethyl cyanoacrylate.

OBJECTIVES: The aim of this work was to study the setting of two novel dental cements: (i) a 'hybrid' cement, incorporating an ethyl cyanoacrylate into a glass-ionomer cement (ECGIC) formulation and (ii) an ethyl cyanoacrylate/hydroxyapatite composite cement (ECHC). The mechanical role of the cyanoacrylate and its curing within the cements have been discussed. METHODS: The setting of the cements was characterised using Vickers indentation hardness and near-infrared (near-IR) spectroscopy. RESULTS: The cyanoacrylate component of ECGIC was 100% cured approximately 10min after the initial cement mixing. The ECGIC continued to increase in hardness after the cyanoacrylate component was fully cured. This proved that the fully polymerised network of cyanoacrylate did not prevent the acid-base reactions of the GIC components from continuing. The Vickers hardness number of ECGIC at 18 weeks was approximately 105. The curing of the cyanoacrylate within ECHC was much slower and was still not complete (98%) 18 weeks after the initial cement mixing. The hardness of the ECHC was shown to be correlated with the extent of cyanoacrylate cure. The Vickers hardness number of ECHC at 18 weeks was approximately 21. The primary reasons for the overall lower hardness of ECHC in comparison to ECGIC were the lower powder:liquid ratio and the softer filler type. SIGNIFICANCE: Careful consideration is needed when incorporating cyanoacrylates into dental cements, as speed of cure and hardness are particularly important.

Cyanoacrylates↗

PubMed2003

In vitro performance of intramedullary cement restrictors in total hip arthroplasty.

Contemporary cementing techniques in total hip arthroplasty include the use of a cement restrictor to occlude the intramedullary canal. As there are many different designs currently available it was the aim of our study to compare the stability of eight different systems. We investigated the displacement and the ability to occlude the femur of these cement restrictors during standardised cementing of artificial and fresh frozen femora. The maximal intramedullary pressures and the displacement of the plugs were continuously recorded and statistically evaluated. The results revealed significant differences between the tested cement restrictors. The expandable REX Cement Stop and the Exeter Plug achieved the highest stability and the least cement leakage. The more rigid designs (Palacos Plug, BUCK, Universal) in contrast showed inferior performance. Our biomechanical study emphasises the importance of cement restrictor selection, which can have a crucial influence on the fixation of a cemented total hip replacement.

Aged↗

PubMed2003

The importance of proximal cement filling of the calcar region: a biomechanical justification.

Clinical studies have suggested that a thicker proximal medial cement mantle improves the long-term outcomes of cemented femoral components. A 3-dimensional finite element model was used to determine the effect that replacement of proximal medial trabecular bone with cement has on cement mantle stresses. With removal of cancellous bone in the calcar region, there was a decrease in peak cement mantle stresses by approximately 20%. The greatest reduction in cement mantle stress was seen after cancellous bone was removed from the proximal medial aspect of the femur to a distance 30 mm distal to the femoral neck resection. Under fatigue loading conditions simulating gait, removal of proximal medial cancellous bone could increase the number of loading cycles to failure by a factor of 3.5. These results support the removal of proximal medial cancellous bone from the calcar region intraoperatively to increase the cement mantle thickness and reduce cement mantle stresses to improve the long-term fixation of cemented femoral components.

Arthroplasty, Replacement, Hip↗