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Correlation between the compressive strength of iliac and vertebral trabecular bone in normal individuals.

Intrabone and interbone variations and age-related changes in vertical and horizontal trabecular bone compressive strength (CS) were evaluated for loadbearing (vertebral) and nonloadbearing (iliac crest) trabecular bone from 30 normal individuals, 17 females and 13 males, aged 15-87 years. All had died suddenly. The vertebral bodies of Th6, L1, and L3 and the right and left iliac crests were frozen at -20 degrees C immediately after removal. Cylindrical bone samples in the vertical and horizontal direction were taken from the frozen bone, and load-deformation curves were recorded by a materials testing machine. For all vertebral bodies, the vertical CS was much larger than the horizontal CS (P less than 0.01), whereas no significant difference was found for the iliac crests. The anisotropy expressed as an index of vertical to horizontal CS, therefore, was higher in the vertebrae than in the iliac crest. The anisotropy index (Al) increased with age in the vertebrae but not in the iliac crest (r = 0.56, P less than 0.01). Age related, almost identical decreases in CS were observed in the vertebrae (vertical direction) (r = 0.81, P less than 0.01) and in the iliac crest (horizontal direction) (r = -0.69, P less than 0.01). In spite of the pronounced differences in the architecture between the vertebral body and iliac trabecular bone, the vertical vertebral CS could be predicted from the horizontal iliac crest CS (r = 0.88, P less than 0.01, SEE = 0.9 MPa). The vertical iliac crest CS showed a less significant correlation to the average vertical vertebral CS (r = 0.53, P less than 0.05, SEE = 1.25 MPa).

Adolescent↗

Changes in compressive strength of glass ionomer restorative materials with respect to time periods of 24 h to 4 months.

This study investigated whether long-term changes occur in the compressive strength of a number of glass ionomer restorative materials, in view of the fact that little information is available from the manufacturers, and any variations with time might affect suitability for clinical use. It was found that, over the period of 24 h to 4 months, some materials, namely those based on polyacrylic acid, maintained or even showed a slight increase in their strength, whereas others based on copolymers of acrylic acid first increased in strength, but thereafter showed deterioration. In one case the strength decreased by nearly 50% compared to that at 24 h.

Dental Restoration, Permanent↗

[Studies on the compressive strength of ceramic veneers].

Ceramic veneers were constructed following either a chamfer or a shoulder preparation (with rounded internal line angles). In laboratory tests both veneer forms displayed adequate compressive strengths. A beveled incisal finish line proved to be slightly superior to complete incisal coverage.

Aluminum↗

Factors influencing the compressive strength of an injectable calcium sulfate-hydroxyapatite cement.

A biphasic injectable bone substitute, suitable for filling bone defects, that sets in the body, based on calcium sulfate and hydroxyapatite (HA), is presented. For applications in bone defects the compressive strength is important to assure support of the defect site during loading when the patient is weight bearing. To control the strength, the influence of four different factors; the liquid-to-powder (L/P) ratio, the HA particle morphology, the HA content and the amount of accelerator, were investigated. alpha-Calcium sulfate hemihydrate (CSH) and four different HA powders (three sintered and one spray-dried) were used. All differed in size and morphology. CSH and each HA powder were mixed together with distilled water to form the bone substitute. An accelerator, in form of calcium sulfate dihydrate, was added to the powder phase to obtain an adequate setting time. Cylindrical specimens were compression tested. A lower L/P-ratio gave stronger cement, but was more difficult to inject. The shape and the morphology of the HA particles influenced the strength, and reducing the amount of HA increased the strength. The amount of accelerator (calcium sulfate dihydrate) had no influence.

Journal Article↗

Erosion and compressive strength of hybrid glass ionomer cements when light activated or chemically set.

It is claimed that light-activated hybrid glass ionomer cements offer advantages over the conventional glass ionomer lining materials. The compressive strengths and erosion rates of two hybrid glass ionomer lining cements, when light activated and chemically set, were compared with conventional glass ionomer cements. The results demonstrated that the erosion rates of the light-activated materials were comparable with those of the conventional materials. The conventional material, Ketac-Bond, was stronger than the light-activated hybrids. When the hybrid materials were allowed to set chemically alone, their performance was inferior to the conventional glass ionomer lining cements.

Glass Ionomer Cements↗

Compressive strength of interocclusal recording materials.

Many materials are used for making interocclusal records to mount casts on dental articulators. The strength of these materials during the compressive forces encountered in the mounting process is important because any deformation will cause incorrect occlusal relationships. This investigation compared the deformation of 4 thicknesses (2 mm, 5 mm, 10 mm, 20 mm), when subjected to 25 N compressive force, of 3 interocclusal recording materials: condensation silicone, recording wax, and rubber-based polyvinylsiloxane. Significant differences were recorded for all materials of 20 mm, 10 mm and 2 mm thickness. However, there was no significant difference among the 5 mm groups. Interocclusal records should be made of a minimal thickness, using a recording material which exhibits minimal distortion during compression.

Analysis of Variance↗

Increase in compressive strength of glass ionomer restorative materials with respect to time: a guide to their suitability for use in posterior primary dentition.

Glass ionomer restorative cements have been used in anterior restorations for a number of years but have not been considered strong enough for use in posterior restorations. The compressive strengths of a number of materials currently available were measured at 30 min, 1 hour and 24 hours. It was concluded that some of the materials might be considered for posterior restorations in deciduous teeth where no other considerations, such as radiopacity, apply.

Dental Cements↗

Compressive strength of implanted porous replamineform hydroxyapatite.

Porous replamineform hydroxyapatite is a nontoxic, nonallergenic synthetic ceramic currently under investigation as an implant for restoration of atrophic edentulous ridges. Previous studies have demonstrated its capacity to permit the ingrowth of bone into its pores. Evaluation of the material was carried out to determine its eventual compressive strength following implantation. Bony penetration results in a significant increase in strength, judged to be sufficient for support of dentures.

Animals↗

[Comparison of brush and moulding techniques in condensation of porcelain work, through shrinkage, compression strength and SEM images].

A general character of porcelain is the firing shrinkage which creates some problems in the fabrication of porcelain restorations. To overcome this matter, a well condensation which increases the strength of porcelain and decreases the shrinkage, is recommended. Taking this point into consideration, a moulding system is developed and it is found that pressing the porcelain in a mould, minimized the shrinkage, strengthened the structure and increased the compression strength. As a result we can say that this technique has important advantages in porcelain work.

Dental Casting Technique↗

Ultrasonic parameters and relationship between compressive strength, microstructure of gall bladder stones.

Patients with symptomatic stones are at a great risk for complications and these complications are a major cause of morbidity. The gall bladder stones may have a complex structure and variable composition. In the present investigation stones have been grouped into three categories namely cholesterol, bilirubinate and mixed, and a correlation between the surface structure, ultrasonic parameters and compressive strength is estimated. A double-probe through-transmission technique was used for the ultrasonic parameters study, a universal testing instrument for hardness and a scanning electron microscope (SEM) for microstructure study. Gall bladder stones of mixed type with higher ultrasonic velocity, less attenuation and higher crushing strength were found to be more difficult to break in comparison to other types of stones. SEM of mixed type stones showed rough surface as compared to bilirubinate and cholesterol stones. The results obtained as well as the relationship might be useful in the design of a focussed ultrasonic 0lithotripter.

Cholelithiasis↗

Ex vivo estimation of thoracolumbar vertebral body compressive strength: the relative contributions of bone densitometry and vertebral morphometry.

The estimation of vertebral fracture risk in individuals with suspected osteopenia is commonly based on measurements of lumbar spine bone density. The efficacy of vertebral size and deformity, as assessed by vertebral morphometry, in the prediction of fractures has been less studied. In an ex vivo investigation the regional relationships between vertebral size, vertebral deformity, bone density and compressive strength throughout the thoracolumbar spine were examined. In 16 vertebral columns (T1-L5) the bone mineral content (BMC) and bone mineral density (BMD) of each segment were measured using lateral projection dual-energy X-ray absorptiometry, and the vertebral cancellous density (VCD) and mid-vertebral cross-sectional area (CSA) measured using quantitative computed tomography. Vertebral body heights were determined from mid-sagittal CT scans, and vertical height ratios calculated for each segment. The failure load and failure stress of the isolated vertebral bodies were determined using a material testing device. Separate analyses were performed for the upper (T1-4), middle (T5-8) and lower (T9-12) thoracic, and lumbar (L1-5) segments. In all regions, failure load was strongly correlated with BMD (r = 0.82-0.86), moderately correlated with VCD (r = 0.60-0.71) and vertebral height (r = 0.22-0.49), and poorly correlated with the height ratios (r = 0.04-0.33). Failure stress was best predicted by BMD (r = 0.73-0.78) and VCD (r = 0.70-0.78) but was poorly correlated with all morphometric variables (r = 0.01-0.33). The segmental correlations between BMD and VCD ranged form r = 0.49 to r = 0.79. For all regions, BMD and VCD were included in the stepwise regression models for predicting failure load and failure stress. Either the mid-vertebral height or CSA were included in all the failure load models, while mid-vertebral height was included in only one of the failure stress models. The results suggest that vertebral deformity and size (as assessed by vertebral morphometry) make only a minor contribution to the prediction of vertebral strength additional to that provided by bone densitometry alone. The consistent regional relationships between variables appear to support the practice of global fracture risk assessment based on lumbar spine densitometry.

Adult↗

Correlation between structure and compressive strength in a reticulated glass-reinforced hydroxyapatite foam.

Glass-reinforced hydroxyapatite (HA) foams were produced using reticulated foam technology using a polyurethane template with two different pore size distributions. The mechanical properties were evaluated and the structure analyzed through density measurements, image analysis, X-ray diffraction (XRD) and scanning electron microscopy (SEM). For the mechanical properties, the use of a glass significantly improved the ultimate compressive strength (UCS) as did the use of a second coating. All the samples tested showed the classic three regions characteristic of an elastic brittle foam. From the density measurements, after application of a correction to compensate for the closed porosity, the bulk and apparent density showed a 1 : 1 correlation. When relative bulk density was plotted against UCS, a non-linear relationship was found characteristic of an isotropic open celled material. It was found by image analysis that the pore size distribution did not change and there was no degradation of the macrostructure when replicating the ceramic from the initial polyurethane template during processing. However, the pore size distributions did shift to a lower size by about 0.5 mm due to the firing process. The ceramic foams were found to exhibit mechanical properties typical of isotropic open cellular foams.

Journal Article↗

[Effect of various cylinder diameters of implants for lumbar inter-corporeal spinal fusion on compressive strength on the FSU model].

Anterior lumbar interbody fusion (ALIF) has evolved as a minimally invasive technique for treating lumbar instability caused by degenerative lumbar disc disease. A practical surgical method is the lateral retroperitoneal approach in which cylindrical implants are inserted in the intervertebral space. The optimal diameter of these implants remains unclear. The purpose of this biomechanical study was to investigate the influence of implant diameter on selected mechanical properties of the functional spinal units (FSU). In fresh frozen bovine FSU the bone density was first determined and cylindrical implants were then inserted. The FSU were then tested under compression loading in a material-testing machine. A tendency of the "failure loads" to decrease with increasing cylinder diameter was observed. The study reveals a strong correlation between bone density and loading capacity, with higher loads being sustained by the more strongly mineralized bone. In contrast to homogeneous material, in an FSU, larger cylinder diameter does not result in an increase in compression strength.

Animals↗

[Axial compressive strength of amalgam fillings in correlation with cavity preparation].

UNLABELLED: Different types of cavities were prepared in 96 model teeth: simple preparations without ledges and with Amalgapins, slots or a post; proximal box preparations with an occlusal ledge, and box preparations with or without Amalgapins or slots. The amalgam fillings were subjected to axial load by means of a Zwick machine until the filling or the tooth fractured. RESULTS: --Occlusal ledges and box preparations allow high load values. --Surprisingly high loads can be placed on simple preparations without ledges but with a post. --Preparations without ledges but with Amalgapins or slots rate lowest. --In box preparations and preparations with ledges, Amalgapins or slots fail to offer any significant increase in compressive strength.

Dental Amalgam↗

Effect of endplate conditions and bone mineral density on the compressive strength of the graft-endplate interface in anterior cervical spine fusion.

STUDY DESIGN: Destructive compression tests and finite element analyses were conducted to investigate the biomechanical strength at the graft-endplate interface in anterior cervical fusion. OBJECTIVES: To investigate the effect of endplate thickness, endplate holes, and bone mineral density of the vertebral body on the biomechanical strength of the endplate-graft interface in an anterior interbody fusion of the cervical spine. SUMMARY OF BACKGROUND: Subsidence of the graft into the vertebral body is a well-known complication in anterior cervical fusion. However, there is no information in the literature regarding the compressive strength of the graft-endplate interface in relation to the endplate thickness, holes in the endplate, and bone mineral density of the vertebral body. METHODS: Biomechanical destructive compression tests and finite element analyses were performed in this study. Cervical vertebral bodies (C3-C7) isolated from seven cadaveric cervical spines (age at death 69-86 years, mean 79 years) were used for compression tests. Bone mineral density of each vertebral body was measured using a dual energy radiograph absorptiometry unit. Endplate thickness was measured using three coronal computed tomography images of the middle portion of the vertebral body obtained using a computer-assisted imaging analysis. Then each vertebral body was cut into halves through the horizontal plane. A total of 54 specimens, consisting of one endplate and half of the vertebral body, were obtained after excluding eight vertebrae with gross pathology on plain radiograph. Specimens were assigned to one of three groups with different endplate conditions (Group I, intact; Group II, partial removal; and Group III, complete removal) so that group mean bone mineral density became similar. Each endplate was slowly compressed until failure using an 8-mm-diameter metal indenter, and the load to failure was determined as a maximum force on a recorded force-displacement curve. The effect on the strength of the graft-endplate interface of various hole patterns in the endplate was studied using a finite element technique. The simulatedhole patterns included the following: one large central hole, two lateral holes, two holes in the anterior and posterior portion of the endplate, and four holes evenly distributed from the center of the endplate. Stress distribution in the endplate was predicted in response to an axial compressive force of 110 N, and the elements with von Mises stress greater than 4.0 MPa were determined as failed. RESULTS: The endplate thickness and bone mineral density were similar at all cervical levels, and the superior and inferior endplates had similar thickness at all cervical levels. There was no significant association between bone mineral density and endplate thickness. Load to failure was found to have a significant association with bone mineral density but not with endplate thickness. However, load to failure tends to decrease with incremental removal of the endplate, and load to failure of the specimens with an intact endplate was significantly greater than that of the specimens with no endplate. Finite element model predictions showed significant influence of the hole pattern on the fraction of the upper endplate exposed to fracture stress. A large hole was predicted to be more effective than the other patterns at distributing a compressive load across the remaining area and thus minimizing the potential fracture area. CONCLUSION: Results of this study suggest that it is important to preserve the endplate as much as possible to prevent graft subsidence into the vertebral body, particularly in patients with poor bone quality. It is preferable to make one central hole rather than multiple smaller holes in the endplate for vascularity of the bone graft because it reduces the surface area exposed to fracture stresses.

Aged↗

Sensitivity of vertebral compressive strength to endplate loading distribution.

The sensitivity of vertebral body strength to the distribution of axial forces along the endplate has not been comprehensively evaluated. Using quantitative computed tomography-based finite element models of 13 vertebral bodies, an optimization analysis was performed to determine the endplate force distributions that minimized (lower bound) and maximized (upper bound) vertebral strength for a given set of externally applied axial compressive loads. Vertebral strength was also evaluated for three generic boundary conditions: uniform displacement, uniform force, and a nonuniform force distribution in which the interior of the endplate was loaded with a force that was 1.5 times greater than the periphery. Our results showed that the relative difference between the upper and lower bounds on vertebral strength was 14.2 +/- 7.0% (mean +/- SD). While there was a weak trend for the magnitude of the strength bounds to be inversely proportional to bone mineral density (R2 = 0.32, p = 0.02), both upper and lower bound vertebral strength measures were well predicted by the strength response under uniform displacement loading conditions (R2 = 0.91 and R2 = 0.99, respectively). All three generic boundary conditions resulted in vertebral strength values that were statistically indistinguishable from the loading condition that resulted in an upper bound on strength. The results of this study indicate that the uncertainty in strength arising from the unknown condition of the disc is dependent on the condition of the bone (whether it is osteoporotic or normal). Although bone mineral density is not a good predictor of strength sensitivity, vertebral strength under generic boundary conditions, i.e., uniform displacement or force, was strongly correlated with the relative magnitude of the strength bounds. Thus, explicit disc modeling may not be necessary.

Aged↗

Diametral and compressive strength of dental core materials.

STATEMENT OF PROBLEM: Strength greatly influences the selection of core materials. Many disparate material types are now recommended for use as cores. Cores must withstand forces due to mastication and parafunction for many years. PURPOSE: This study compared the compressive and diametral tensile strengths of 8 core materials of various material classes and formulations (light-cured hybrid composite, autocured titanium containing composite, amalgam, glass ionomer, glass ionomer cermet, resin-modified glass ionomer, and polyurethane). MATERIAL AND METHODS: Materials were manipulated according to manufacturers' instructions for use as cores. Mean compressive and diametral strengths with associated standard errors were calculated for each material (n = 10). Analyses of variance were computed (P <.0001) and multiple comparisons tests discerned many differences among materials. RESULTS: Compressive strengths varied widely from 61.1 MPa for a polyurethane to 250 MPa for a resin composite. Diametral tensile strengths ranged widely from 18.3 MPa for a glass ionomer cermet to 55.1 MPa for a resin composite. Some resin composites had compressive and tensile strengths equal to those of amalgam. CONCLUSION: Light-cured hybrid resin composites were stronger than autocured titanium containing composites. The strengths of glass ionomer-based materials and of a polyurethane material were considerably lower than for resin composites or amalgam.

Analysis of Variance↗