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Variables influencing the bond strength of metal orthodontic bracket bases.

The purpose of this study was to examine the retention variables that exist between commercially available bracket bases. Premolar bracket bases from seven manufacturers were examined in the scanning electron microscope (SEM) as received. They were then bonded to human premolars with Dynabond and, after storage in water for 24 hours, tested to failure in shear. The bond-fracture surfaces were also examined in the SEM. Comparison of the SEM observations and shear strength data led to the following conclusions: (1) Weld spots reduce the retentive area. (2) Weld spurs could be responsible for lower bond strengths in some foil-mesh samples. (3) Weld spots on the edges of attachment bases should be avoided to prevent a poor marginal resin-mesh seal. (4) Bracket bases should be designed to prevent air entrapment under the base. (5) The best resin penetration and bond strength were obtained with a fine mesh bracket base of the woven mesh type.

Adhesives↗

Investigation of Ti/Al2O3 joints with intermediate tantalum and niobium layers.

The microstructure of TiTa30 alloys diffusion bonded to a 99.7 wt% Al2O3 ceramic was subdivided into a reaction double layer containing the intermetallic phases TiAl and Ti3Al and the (alpha + beta) Ti microstructure. Excellent fracture toughness data of the TiTa30/Al2O3 joints of about 37 J/m2 were obtained after welding at 1200 degrees C for 1 h. The fracture energies of the joints were strongly dependent on the welding temperature which also influenced the thickness of the reaction double layer. The uptake of aluminium and oxygen into the reaction layer and the metal caused an embrittlement and decreased the yield stress and ductility of the metal. Introducing an Nb or Ta layer between pure Ti and Al2O3 before welding resulted in high fracture energies of 40 J/m2 for the Ti/Al2O3 joints. The thermal-induced stresses at the metal-ceramic interface were reduced by the occurrence of an Nb- or Ta-enriched region. The intermediate metal foils also decreased the O and Al uptake of the metal and therefore reduced the brittleness of the reaction zone and the adjacent metal. The thermal-induced stresses at the metal-ceramic interface caused a deflection of the crack into the ceramic during fracture mechanical testing in four-point bending.

Alloys↗

A new technique for the identification of ultrasonic flaw signals using deconvolution.

The identification of ultrasonic flaw signals is a difficult task in the angle beam ultrasonic testing of welded joints due to the presence of non-relevant signals from the geometric reflectors such as weld-roots and counter-bores. This paper describes a new approach to identify ultrasonic flaw signals in such a problematic situation. A similarity function is defined as the deconvolution of a target signal by a reference signal. The similarity functions for the same type of flaws/references are symmetric bandlimited impulse-like patterns with larger amplitudes while those for different types of flaws/references are asymmetrical broad patterns with relatively smaller amplitudes. Therefore, ultrasonic signals could be identified by the pattern of the similarity function. In the initial experiments, the proposed technique showed great potential for identifying ultrasonic flaw signals in the inspection of weld joints.

Journal Article↗

Review of facilitated approaches to vascular anastomosis surgery.

BACKGROUND: There is an increasing demand for an easier, quicker, less damaging, but reliable procedure to create a vascular anastomosis. This demand is not new but is revitalized by the movement of vascular procedures in various specialties, including cardiac surgery, toward minimally invasive procedures. This article reviews the most important representatives of devices or methods that have been developed in the last two centuries. METHODS: A thorough literature search was performed. The outcome is presented and discussed in four parts: (1) stapling and clipping devices, (2) coupling devices, (3) glues, and (4) laser welding. RESULTS: Stapling devices have not become the standard fashion to create an anastomosis because they are too complicated to use. In selected cases clips have potential in vascular surgery. There is a ring-pin coupling system available that is easy to use and especially suitable for creating an end-to-end anastomosis. The ideal glue is yet to be developed, and the currently available laser welding techniques have to become refined. CONCLUSIONS: It is anticipated that the future lies in hybrid techniques that combine sutures or clips with glues or laser-welding techniques.

Anastomosis, Surgical↗

High-frequency ultrasonic wire bonding systems

The vibration characteristics of longitudinal-complex transverse vibration systems with multiple resonance frequencies of 350-980 kHz for ultrasonic wire bonding of IC, LSI or electronic devices were studied. The complex vibration systems can be applied for direct welding of semiconductor tips (face-down bonding, flip-chip bonding) and packaging of electronic devices. A longitudinal-complex transverse vibration bonding system consists of a complex transverse vibration rod, two driving longitudinal transducers 7.0 mm in diameter and a transverse vibration welding tip. The vibration distributions along ceramic and stainless-steel welding tips were measured at up to 980 kHz. A high-frequency vibration system with a height of 20.7 mm and a weight of less than 15 g was obtained.

Journal Article↗

A reaction-transport model for calcite precipitation and evaluation of infiltration fluxes in unsaturated fractured rock.

The percolation flux in the unsaturated zone (UZ) is an important parameter addressed in site characterization and flow and transport modeling of the potential nuclear-waste repository at Yucca Mountain, NV, USA. The US Geological Survey (USGS) has documented hydrogenic calcite abundances in fractures and lithophysal cavities at Yucca Mountain to provide constraints on percolation fluxes in the UZ. The purpose of this study was to investigate the relationship between percolation flux and measured calcite abundances using reactive transport modeling. Our model considers the following essential factors affecting calcite precipitation: (1) infiltration, (2) the ambient geothermal gradient, (3) gaseous CO(2) diffusive transport and partitioning in liquid and gas phases, (4) fracture-matrix interaction for water flow and chemical constituents, and (5) water-rock interaction. Over a bounding range of 2-20 mm/year infiltration rate, the simulated calcite distributions capture the trend in calcite abundances measured in a deep borehole (WT-24) by the USGS. The calcite is found predominantly in fractures in the welded tuffs, which is also captured by the model simulations. Simulations showed that from about 2 to 6 mm/year, the amount of calcite precipitated in the welded Topopah Spring tuff is sensitive to the infiltration rate. This dependence decreases at higher infiltration rates owing to a modification of the geothermal gradient from the increased percolation flux. The model also confirms the conceptual model for higher percolation fluxes in the fractures compared to the matrix in the welded units, and the significant contribution of Ca from water-rock interaction. This study indicates that reactive transport modeling of calcite deposition can yield important constraints on the unsaturated zone infiltration-percolation flux and provide useful insight into processes such as fracture-matrix interaction as well as conditions and parameters controlling calcite deposition.

Calcium Carbonate↗

Airborne thermal degradation products of polyurethene coatings in car repair shops.

A methodology for workplace air monitoring of aromatic and aliphatic, mono- and polyisocyanates by derivatisation with di-n-butylamine (DBA) is presented. Air sampling was performed using midget impinger flasks containing 10 ml of 0.01 mol l(-1) DBA in toluene and a glass-fibre filter in series after the impinger flask, thereby providing the possibility of collecting and derivatising isocyanates in both the gas and particle phases. Quantification was made by LC-MS, monitoring the molecular ions [MH]+. Air samples taken with this method in car repair shops showed that many different isocyanates are formed during thermal decomposition of polyurethane (PUR) coatings. In addition to isocyanates such as hexamethylene (HDI), isophorone (IPDI), toluene (TDI) and methylenediphenyl diisocyanate (MDI), monoisocyanates such as methyl (MIC), ethyl (EIC), propyl (PIC), butyl (BIC) and phenyl isocyanate (PhI) were found. In many air samples the aliphatic monoisocyanates dominated. During cutting and welding operations, the highest levels of isocyanates were observed. In a single air sample from a welding operation in a car repair shop, the highest concentrations found were: MIC, 290; EIC, 60; PIC, 20; BIC, 9; PhI, 27; HDI, 105; IPDI, 39; MDI, 4; and 2,4-TDI and 2,6-TDI 140 microg m(-3). Monitoring the particle size distribution and concentration during grinding, welding and cutting operations showed that ultrafine particles (< 0.1 microm) were formed at high concentrations. Isocyanates with low volatility were mainly found in the particle phase, but isocyanates with a relatively high volatility such as TDI, were found in both the particle and gas phases.

Air Pollution, Indoor↗

Exposure to airborne isocyanates and other thermal degradation products at polyurethane-processing workplaces.

The thermal degradation products of polyurethanes (PURs) and exposure to isocyanates were studied by stationary and personal measurements in five different occupational environments. Isocyanates were collected on glass fibre filters impregnated with 1-(2-methoxyphenyl)piperazine (2MP) and in impingers containing n-dibutylamine (DBA) in toluene. connected to a glass fibre postfilter. The derivatives formed were analysed by liquid chromatography: 2MP derivatives with UV and electrochemical detection and DBA derivatives with mass spectrometric detection. The release of aldehydes and other volatile organic compounds into the air was also studied. In a comparison of the two sampling methods, the 2MP method yielded about 20% lower concentrations for 4,4'-methylenediphenyl diisocyanate (MDI) than did the DBA method. In car repair shops, the median concentration of diisocyanates (given as NCO groups) in the breathing zone was 1.1 microg NCO m(-3) during grinding and 0.3 microg NCO m(-3) during welding, with highest concentrations of 1.7 and 16 pg NCO m(-3), respectively. High concentrations of MDI, up to 25 and 19 microg NCO m(-3), respectively, were also measured in the breathing zone during welding of district heating pipes and turning of a PUR-coated metal cylinder. During installation of PUR-coated floor covering, small amounts of aliphatic diisocyanates were detected in the air. A small-molecular monoisocyanate, methyl isocyanate, and isocyanic acid were detected only during welding and turning operations. The diisocyanate concentrations were in general higher near the emission source than in the workers' breathing zone. A sampling strategy to evaluate the risk of exposure to isocyanates is presented.

Air Pollution, Indoor↗

Occupational exposure to fluorinated hydrocarbons during refrigeration repair work.

This study describes refrigeration repair workers' occupational exposures to halogenated refrigerants, focusing on difluorochloromethane (HCFC 22), tetrafluoroethane (HFC 134a) and a mixture of tri-, tetra- and pentafluoroethane (R404A) in 30 work operations. Unlike earlier reported studies, the present study includes working procedures involving welding in order to measure possible occupational exposure to decomposition products. The measurements included hydrogen fluoride (HF), hydrogen chloride (HCl), phosgene (COCl2) and volatile organic compounds (VOC). The exposures were assessed during work operations on small-scale cooling installations like refrigerators and freezers. The repair workers' occupational exposures to refrigerants were moderate, and the major part of the exposures were associated with specific working procedures lasting for relatively short periods of time (<20 min). During these exposure events the concentrations were occasionally high (up to 42434 mg m(-3)). Although welding operations lasted only for short periods of time, HF was detected in 9 out of 15 samples when HCFC 22, HFC 134a or R404A had been used. Hydrogen chloride was detected in 3 out of 5 samples in air polluted with HCFC 22. Phosgene was not detected. A large number of VOCs in various concentrations were found during welding. Except for the applied refrigerants, halogenated compounds were only found in one sample.

Adult↗

[Clinical use of a new method in microsurgical transplantation of peripheral nerves].

Due to its biophysical properties the CO2-laser has been mainly used for atraumatic incision of neural tissue or for ablative procedures like vaporisation of poorly vascularized tumors of the CNS. The possibility to use the thermal effect of laser energy to bond organic tissue, especially when a low energy CO2 laser working in the milliwatt range is employed, has emerged from recent experimental studies. The concept of laser assisted reconstructive procedures like anastomosis of vessels and nerves has been summarized under the concept of tissue welding. After extensive experimental studies incorporating peripheral and cranial nerves the technique of laser nerve welding has been used in a patient with a traumatically sectioned median nerve. A sural nerve graft consisting of 5 fasciles was used for interposition. Each fascicle was microsurgically welded to the distal and proximal median nerve stump using low power energy of 75 to 100 milliwatt in the continuous application mode. The postoperative course was uneventful. Electrophysiological as well as clinical examination at follow up 6 months post surgery revealed already satisfactory nerve regeneration with nerve conduction velocities measurable across the anastomotic side and positive Hoffmann-Tinel sign. It is suggested that laser assisted nerve anastomosis using the CO2 milliwattlaser might be a promising technique for microsurgical reconstruction of sectioned nerves.

Adult↗

Carbon dioxide laser and silver halide infrared transmitting fibers for tympanoplasty: an experimental animal model.

OBJECTIVE: This study evaluates the effectiveness and safety of fiberoptic carbon dioxide (CO2) laser welding for graft closure of tympanic membrane perforations in an animal model. STUDY DESIGN AND SETTING: Tympanic membrane perforation was surgically induced in 11 eardrums of 7 given pigs. A lumbar facial graft was placed over the wound, and albumin drops served as a biologic solder. CO2 laser energy, transmitted through silver halide infrared transmitting fibers, was used for "spot-welding" along the circumference of the graft. The welded sites were evaluated by using a surgical microscope as well as by evaluating the sites histologically. RESULTS: Healing started 3 to 4 days after surgery and was completed within 3 weeks with the formation of a neotympanum. Some inflammation with granulation tissue was noted in 5 eardrums. CONCLUSIONS AND SIGNIFICANCE: These preliminary results indicate that CO2 laser tympanoplasty with a fiberoptic delivery system may be a promising new technique for the clinical setting.

Animals↗

A comparison of CO2 laser-assisted venous anastomoses and conventional suture techniques: patency, aneurysm formation, and histologic differences.

The expected patency and the potential complications of CO2 laser-welded end-to-end venous anastomoses have not been well established despite increasing clinical interest in the subject. To further study this relatively new technique we used the internal jugular veins (1.0 to 1.4 mm diameter) of 15 New Zealand White rabbits weighing 2.5 to 3.5 kg. On one randomly selected side, a laser-welded end-to-end anastomosis was performed in all animals by placing three equidistant stay sutures followed by welding the vein edges with a CO2 laser (spot size of 0.27 mm, power of 100 mW, and power density of 175 W/cm2). On the contralateral side, the vein was anastomosed with interrupted 10-0 nylon sutures in 10 animals, and in the remaining five animals a continuous 10-0 nylon suture technique was used. All anastomoses were surgically assessed at 30 days after operation. A significantly lower 30-day patency rate (p less than 0.05, Fisher's Exact Test) was found in anastomoses constructed by use of the continuous technique (20%) compared with either interrupted (90%) or the laser-assisted technique (87%). No significant difference was observed in 30-day patency between laser-assisted and conventional interrupted anastomoses. Anastomoses performed with the continuous and the laser-assisted technique required 12.5 +/- 1.3 and 12.9 +/- 3.0 minutes, respectively, whereas those constructed with interrupted technique required 19.1 +/- 4.5 minutes (p less than 0.05, Student-Neuman-Keuls' Test). No evidence of false or true aneurysm was noted in any of the animals. Histologic evaluation of laser-assisted anastomoses demonstrated early full-thickness coagulation necrosis of the wall with reendothelialization by 7 days and complete healing by 30 days after the procedure. Conventional anastomoses showed reendothelialization and minimal necrosis near the sutures at 7 days, but healing was complete by 30 days after the procedure. The patency rate of vein anastomoses performed with the CO2 laser is excellent and superior to the one obtained with continuous sutures, and except for less operating time, the former technique does not appear to offer any significant advantage over the conventional interrupted suture technique for small vein anastomosis in this animal model up to 1 month of follow-up.

Anastomosis, Surgical↗

A pilot study to characterize fine particles in the environment of an automotive machining facility.

The main goal of this study was to characterize fine particles (e.g., smaller than about 3 microns) in an automotive machining environment. The Toledo Machining Plant of Chrysler Corporation was selected for this purpose. The effect of local mechanical processes as aerosol sources was a major part of this investigation. To determine the size-dependent mass concentration of particles in the plant, the Micro-Orifice Uniform Deposit Impactor (MOUDI Model 100, MSP Corp., Minneapolis, Minnesota) was used. The MOUDI was placed at central locations in departments with sources inside the plant, so that the obtained information on the size distribution realistically represents the aerosol to which plant workers are exposed. Sampling was conducted over a 4-day period, and during three periods per day, each matching the work shifts. A special effort was made to place the MOUDI at a central location of a department with relatively homogeneous particle sources. The selected sampling sites included welding, grinding, steel machining, and heat treating processes. The average 24-hour mass concentrations of particles smaller than 3.2 microns in aerodynamic diameter were 167.8, 103.9, 201.7, and 112.7 micrograms/m3 for welding, grinding, mild steel, and heat treating processes, respectively. Finally, the mass median diameters of welding, heat treatment, machining, and grinding operations were approximately 0.5, 0.5, 0.6, and 0.8 micron, respectively.

Air Pollutants↗

Photothermal effects of laser tissue soldering.

Low-strength anastomoses and thermal damage of tissue are major concerns in laser tissue welding techniques where laser energy is used to induce thermal changes in the molecular structure of the tissues being joined, hence allowing them to bond together. Laser tissue soldering, on the other hand, is a bonding technique in which a protein solder is applied to the tissue surfaces to be joined, and laser energy is used to bond the solder to the tissue surfaces. The addition of protein solders to augment tissue repair procedures significantly reduces the problems of low strength and thermal damage associated with laser tissue welding techniques. Investigations were conducted to determine optimal solder and laser parameters for tissue repair in terms of tensile strength, temperature rise and damage and the microscopic nature of the bonds formed. An in vitro study was performed using an 808 nm diode laser in conjunction with indocyanine green (ICG)-doped albumin protein solders to repair bovine aorta specimens. Liquid and solid protein solders prepared from 25% and 60% bovine serum albumin (BSA), respectively, were compared. The efficacy of temperature feedback control in enhancing the soldering process was also investigated. Increasing the BSA concentration from 25% to 60% greatly increased the tensile strength of the repairs. A reduction in dye concentration from 2.5 mg ml(-1) to 0.25 mg ml(-1) was also found to result in an increase in tensile strength. Increasing the laser irradiance and thus surface temperature resulted in an increased severity of histological injury. Thermal denaturation of tissue collagen and necrosis of the intimal layer smooth muscle cells increased laterally and in depth with higher temperatures. The strongest repairs were produced with an irradiance of 6.4 W cm(-2) using a solid protein solder composed of 60% BSA and 0.25 mg ml(-1) ICG. Using this combination of laser and solder parameters, surface temperatures were observed to reach 85+/-5 degrees C with a maximum temperature difference through the 150 microm thick solder strips of about 15 degrees C. Histological examination of the repairs formed using these parameters showed negligible evidence of collateral thermal damage to the underlying tissue. Scanning electron microscopy suggested albumin intertwining within the tissue collagen matrix and subsequent fusion with the collagen as the mechanism for laser tissue soldering. The laser tissue soldering technique is shown to be an effective method for producing repairs with improved tensile strength and minimal collateral thermal damage over conventional laser tissue welding techniques.

Animals↗

Optimal dye concentration and irradiance for laser-assisted vascular anastomosis.

OBJECTIVE: This investigation was done in order to find optimal indocyanine green (ICG) concentration and energy irradiance in laser vascular welding. BACKGROUND DATA: Many studies have shown that laser tissue welding with albumin solder/ICG may be an effective technique in surgical reconstruction. However, there are few reports regarding optimal laser settings and concentrations of ICG within the albumin solder in laser-assisted vascular anastomosis. MATERIALS AND METHODS: Porcine carotid artery strips (n = 120) were welded in end-to-end by diode laser with 50% albumin solder of 0.01, 0.1, and 1.0 mM ICG at irradiance of 27.7, 56.7, and 76.9 W/cm(2), respectively. Temperature was measured by inserting thermocouples outside and inside the vessel. Tensile strength and histology were studied. RESULTS: Temperature and strength of the anastomosis significantly decreased (all p < 0.05) with increasing ICG concentration at 56.7 W/cm(2). Histological study showed minimal thermal injury limited to adventitia and no appreciable difference between all groups. CONCLUSIONS: ICG concentration within solder is the most important factor affecting both vascular temperature and tensile strength. The optimal balance between strength and minimal thermal injury may be achieved primarily at 56.7 W/cm(2) and 0.01 mM ICG.

Anastomosis, Surgical↗

Sutureless liver repair and hemorrhage control using laser-mediated fusion of human albumin as a solder.

BACKGROUND: Major liver trauma has a high mortality because of immediate exsanguination and a delayed morbidity from septicemia, peritonitis, biliary fistulae, and delayed secondary hemorrhage. We evaluated laser soldering using liquid albumin for welding liver injuries. METHODS: Fourteen lacerations (6 x 2 cm) and 13 nonanatomic resection injuries (raw surface, 8 x 2 cm) were repaired. An 805-nm laser was used to weld 53% liquid albumin-indocyanine green solder to the liver surface, reinforcing it by welding a free autologous omental scaffold. The animals were heparinized and hepatic inflow occlusion was used for vascular control. For both laceration and resection injuries, 16 soldering repairs were evaluated acutely at 3 hours. Eleven animals were evaluated chronically, two at 2 weeks and nine at 4 weeks. RESULTS: All 27 laser mediated-liver repairs had minimal blood loss compared with the suture controls. No dehiscence, hemorrhage, or bile leakage was seen in any of the laser repairs after 3 hours. All 11 chronic repairs healed without complication. CONCLUSION: This modality effectively seals the liver surface, joins lacerations with minimal thermal injury, and works independently of the patient's coagulation status.

Animals↗

In vitro investigation of marginal accuracy of implant-supported screw-retained partial dentures.

Mismatch occurring during the fabrication of implant-supported dentures may induce stress to the peri-implant bone. The purpose of this study was to investigate the influence of two different alloys and the fabrication method on the marginal accuracy of cast partial dentures. Two laboratory implants were bonded into an aluminium block so that the distance between their longitudinal axes was 21 mm. Frameworks designed for screw-retained partial dentures were cast either with pure titanium (rematitan) or with a CoCr-alloy (remanium CD). Two groups of 10 frameworks were cast in a single piece. The first group was made of pure titanium, and the second group of a CoCr-alloy (remanium CD). A third group of 10 was cast in two pieces and then laser-welded onto a soldering model. This latter group was also made of the CoCr-alloy. All the frameworks were screwed to the original model with defined torque. Using light microscopy, marginal accuracy was determined by measuring vertical gaps at eight defined points around each implant. Titanium frameworks cast in a single piece demonstrated mean vertical gaps of 40 microm (s.d. = 11 microm) compared with 72 microm (s.d. = 40 microm) for CoCr-frameworks. These differences were not significant (U-test, P = 0.124) because of a considerable variation of the values for CoCr-frameworks (minimum: 8 microm and maximum: 216 microm). However, frameworks cast in two pieces and mated with a laser showed significantly better accuracy in comparison with the other experimental groups (mean: 17 microm +/- 6; P < 0.01). (i) The fit of implant-supported partial dentures cast with pure titanium in a single piece is preferable to that of those made with the CoCr-alloy and (ii) the highest accuracy can be achieved by using a two-piece casting technique combined with laser welding. Manufacturing the framework pieces separately and then welding them together provides the best marginal fit.

Bone Screws↗

Corrosion-fatigue of laser-repaired commercially pure titanium and Ti-6Al-4V alloy under different test environments.

This study evaluated the corrosion-fatigue life of laser-repaired specimens fabricated from commercially pure titanium (CP Ti) and Ti-6Al-4V alloy, tested under different storage conditions. For each metal, 30 dumbbell rods with a central 2.3 mm diameter were prepared by lost-wax casting with the Rematitan System. Simulating the failure after service, corrosion-fatigue life in different media at room temperature (air, synthetic saliva and fluoride synthetic saliva) was determined at a testing frequency of 10 Hz for intact specimens and after laser repairing, using a square waveform with equal maximum tensile and compressive stress that was 30% lower than the 0.2% offset yield strength. For laser welding, the fractured specimens were rejoined using a jig to align the sections invested in type-IV dental stone. The adjacent areas of the gap was air-abraded with 100 microm aluminum oxide, laser welded and retested under the same conditions as the initial intact specimens. The number of cycles at failure was recorded, and the fracture surface was examined with a scanning electron microscope (SEM). The number of cycles for failure of the welded and intact specimens was compared by anova and the Tukey test at a 5% probability level. Within the limitations of this study, the number of cycles required for fracture decreased in wet environments and the laser repairing process adversely affected the life of both metals under the corrosion-fatigue conditions.

Aluminum↗