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PubMed2000

Strength and marginal fit of full and partial porcelain crowns on Brånemark implants.

The aim of the present study was to evaluate strength and marginal fit of different designed single crowns screwed on titanium implants (Brånemark) without the usage of any abutment. Seven test groups with 10 specimens each (standardized maxillary central incisor crowns) were fabricated of Empress (staining/veneering technique), metal-based Empress (staining/veneering technique), metal-based In-Ceram and metal ceramic (with/without cervical porcelain margin). The marginal fit of 5 specimens of each group was evaluated (SEM-Analysis) and the crowns were incisally loaded at a 30 degrees angle in a Zwick testing machine until fracture. The 5 remaining specimens underwent a marginal evaluation (SEM-analyses) before and after thermo-mechanical stressing (tms) and were loaded in the Zwick testing machine as well. All Empress ceramic crowns without metal reinforcement fractured during fixing procedure on the implant (32 N cm). The gap medians of the fixed crowns ranged from 11 microns (metal ceramic crowns) to 34 microns (metal ceramic crowns with porcelain margin). No significant differences in gap width were observed before and after tms. In the strength analyses screw-binding forces (SBF) of about 135 N were registered in all test groups. Fracture failure forces (FFF) reached up to 280 N. The indication of the crown designs presented in this study is limited in clinical use because of low stability and esthetics.

Analysis of Variance↗
PubMed2006

Influence of activation modes on diametral tensile strength of dual-curing resin cements.

In metallic restorations, the polymerization of dual-curing resin cements depends exclusively on chemical activation. The effect of the lack of photoactivation on the strength of these cements has been rarely studied. This study evaluated the influence of activation modes on the diametral tensile strength (DTS) of dual-curing resin cements. Base and catalyst pastes of Panavia F, Variolink II, Scotchbond Resin Cement, Rely X and Enforce were mixed and inserted into cylindrical metal moulds (4 x 2 mm). Cements were either: 1) not exposed to light (chemical activation = self-cured groups) or 2) photoactivated through mylar strips (chemical and photo-activation = dual-cured groups) (n = 10). After a 24 h storage in 37 masculineC distilled water, specimens were subjected to compressive load in a testing machine. A self-curing resin cement (Cement-It) and a zinc phosphate cement served as controls. Comparative analyses were performed: 1) between the activation modes for each dual-curing resin cement, using Students t test; 2) among the self-cured groups of the dual-curing resin cements and the control groups, using one-way ANOVA and Tukeys test (alpha = 0.05). The dual-cured groups of Scotchbond Resin Cement (53.3 MPa), Variolink II (48.4 MPa) and Rely X (51.6 MPa) showed higher DTS than that of self-cured groups (44.6, 40.4 and 44.5 MPa respectively) (p < 0.05). For Enforce (48.5 and 47.8 MPa) and Panavia F (44.0 and 43.3 MPa), no significant difference was found between the activation modes (p > 0.05). The self-cured groups of all the dual-curing resin cements presented statistically the same DTS as that of Cement-It (44.1 MPa) (p > 0.05), and higher DTS than that of zinc phosphate (4.2 MPa). Scotchbond Resin Cement, Variolink II and Rely X depended on photoactivation to achieve maximum DTS. In the absence of light, all the dual-curing resin cements presented higher DTS than that of zinc phosphate and statistically the same as that of Cement-It (p > 0.05).

Analysis of Variance↗
PubMed1999

[A biomechanical study on human lataral capsular-ligament complex of temporomandibular joint].

Tensile mechanical experiments were made on 31 lateral capsular-ligament complex spencimens from 8 fresh temporomandibular joints of human cadavers aged 8-15 years. The tests included stress relaxation at different strain rates and tension test at constant strain rate. Some biomechanical material properties of the tissue were determined. The result showed that the complex had lower tensile strength and tensile stiffness, and the stress relaxatioin was the most important mechanism of spreading stress and absorbing shock. The stress relaxation function and the constitutive equation of stress and strain were obtained with Fung's Quasi-Linear Viscoelastic Theory fitting the experimental results.

Adolescent↗
PubMed2005

Effects of aging on the mechanical behavior of human dentin.

An experimental study on the mechanical behavior of human dentin and the influence of age was conducted. Beams with rectangular cross-section were sectioned from the coronal dentin of virgin extracted molars (N = 76) that were obtained from (N = 70) patients between 17 and 80 years of age. The beams were loaded in either quasi-static 4-point flexure or 4-point flexural fatigue to failure and the stiffness, strength and fatigue properties were evaluated. In characterizing the fatigue response the beams were divided into two age groups that were regarded as young (17 < or = age < or = 30, mean +/- std. dev. = 25 +/- 5 years) and old (50 < or = age < or = 80, mean +/- std. dev. = 64 +/- 9 years) dentin. Results from monotonic loading showed that both the flexural strength and strain to fracture of dentin decreased significantly with age. The fatigue life of dentin increased with a reduction in cyclic stress amplitude and the fatigue strength of young dentin was greater than that of old dentin at all cyclic stress amplitudes. The endurance strength of young dentin (at 10(7) cycles) was approximately 44 MPa, whereas the old dentin exhibited an endurance strength of approximately 23 MPa. Based on differences in the mechanical behavior and microscopic features of the fracture surfaces from the young and old specimens, aging appears to result in an increase in both the rate of damage initiation and propagation in dentin.

Adolescent↗
PubMed2000

Fiber reinforced calcium phosphate cement.

The term calcium phosphate cement was introduced by Gruninger et al. (1). This type of cement can be prepared by reacting a calcium phosphate salt with an aqueous solution, which causes it to set by the crossing of the precipitated crystals. These cements offer a series of advantages that allow their use as grafts and substitutes of damaged parts of the bone system. However, these cements have low mechanical strength compared to human bones. This work studied the influence of the use of polyamide fibers in the mechanical properties of a calcium phosphate cement based on alpha-tricalcium phosphate as well as the mechanisms involved in the increase of mechanical strength. The results demonstrate the feasibility of the use of polymeric fibers to increase mechanical strength and the need for coupling agents for the effective performance of the fibers as reinforcement in these materials.

Adsorption↗
PubMed1986

New spinal instrumentation and a study of its kinetics.

The new system described here is a segmental square spinal instrumentation (termed 3-S) for spinal fusion. To estimate the strength of this instrumentation, compression, flexion and torsional strength were tested and compared with that of the conventional instrumentation of Harrington or Luque with the following results; In the compression and flexion tests, the 3-S instrumentation models are mechanically stronger but inflexible, and has less deformation than the other types. In the torsion test, with regard to the moment and the torsion angle at the time of breakage of spinal models, the 3-S type was ranked between the Harrington and Luque types. Those results suggested clinical usefulness for improving spinal stability.

Humans↗
PubMed2004

An amino acid-modified and non-HEMA containing glass-ionomer cement.

It is known that unreacted 2-hydroxyethyl methacrylate (HEMA) in current resin modified glass ionomer cements (RMGICs) shows potential cytotoxicity to pulp and surrounding tissues. Elimination of HEMA could make RMGICs more attractive for dental applications. In this research, novel six acrylate and methacrylate derivatives of amino acids were synthesized, characterized and used for replace HEMA in RMGICs. The experimental RMGICs were formulated with vinyl-containing polymer, amino acid derivative, water, and commercial Fuji II LC glass. Among all the derivatives, methacryloyl beta-alanine (MBA) was selected for further formulations due to its relatively low solution viscosity and high CS. Effects of polymer content and powder/liquid, P/L, ratio were significant. The formulation with liquid composition of 50/25/25 (polymer/MBA/water) and P/L ratio of 2.7/1 was found the optimal. It appears that this novel non-HEMA-containing RMGIC system based on amino acid derivatives will be a better dental restorative because it demonstrated improved mechanical strengths and may eliminate potential cytotoxicity in current RMGICs caused by leached HEMA. The optimal MBA-modified GIC were 20% higher in CS, 70% higher in DTS and 93% higher in FS, compared to Fuji II LC.

Acrylates↗
PubMed2005

Effect of gender and maturity on quadriceps-to-hamstring strength ratio and anterior cruciate ligament laxity.

BACKGROUND: Exercise programs have been introduced to reduce the ACL injury risk in female athletes. The most effective age at which to start these programs is not known. HYPOTHESIS: Age and gender affect ligament laxity and quadriceps-to-hamstring strength ratio. STUDY DESIGN: Cross-sectional study; Level of evidence, 3. METHODS: Fifty-three female and 70 male recreational soccer players, 10 to 18 years of age, were studied with physical examination, KT-1000 arthrometry, and manual maximum quadriceps and hamstring strength using a handheld dynamometer. The subjects were separated into 4 groups to examine maturity-related intergender differences: group G1, premenarchal girls (n = 24); group B1, boys 13 years and younger (n = 38); group G2, girls 2 or more years after menarche (n = 29); and group B2, boys 14 years and older (n = 32). RESULTS: Both knees of 123 soccer players were evaluated. The mean ages for groups G1, B1, G2, and B2 were 11.50 +/- 1.69, 10.63 +/- 1.85, 15.5 +/- 1.43, and 15.59 +/- 1.24 years, respectively, and the mean laxity measurements were 8.84 +/- 2.12, 8.51 +/- 1.61, 8.85 +/- 1.86, and 7.33 +/- 1.27 mm, respectively. Laxity was significantly less for the mature boys (P = .0015) than for the immature boys, mature girls, and immature girls. With increasing maturity, significant increases in both quadriceps and hamstring muscle strength were observed for both boys and girls (P < .05). Boys demonstrated a greater percentage increase in hamstring strength with maturity (179%) compared with girls (27%) (P < .05). Mature girls (2.06) had significantly greater quadriceps-to-hamstring ratio when compared with immature girls (1.74), immature boys (1.58), and mature boys (1.48) (P < .05). CONCLUSION: Female athletes after menarche increase their quadriceps strength greater than their hamstring strength, putting them at risk for anterior cruciate ligament injury. Anterior cruciate ligament-prevention programs based on improving dynamic control of the knee by emphasizing hamstring strengthening should be instituted for girls after menarche.

Adolescent↗
PubMed2004

Long-term treatment of lasofoxifene preserves bone mass and bone strength and does not adversely affect the uterus in ovariectomized rats.

The purpose of this study was to determine the long-term effects of lasofoxifene, a new selective estrogen receptor modulator, on bone mass, bone strength, and reproductive tissues in ovariectomized (OVX) rats. Sprague Dawley female rats at 3.5 months of age were OVX and treated orally with lasofoxifene (60, 150, or 300 microg/kg x d) for 52 wk. The urinary deoxypyridinoline/creatinine ratio was significantly lower in all lasofoxifene-treated OVX rats compared with OVX controls at wk 26. Peripheral quantitative computerized tomography analysis of proximal tibial metaphysis showed that the significant loss in trabecular content and density induced by OVX was significantly prevented by lasofoxifene treatment. Proximal tibial and lumber vertebral trabecular bone histomorphometric analysis showed that all doses of lasofoxifene significantly reduced OVX-induced bone loss by decreasing bone resorption and bone turnover. The ultimate strength, energy, and toughness of the fourth lumbar vertebral body in OVX rats treated with all doses of lasofoxifene were significantly higher compared with those in OVX controls, and did not differ significantly from those in sham controls. Uterine weight in OVX rats treated with lasofoxifene was slightly, but significantly, higher when compared with that in OVX controls, but was still much less than that in sham controls. No abnormal finding associated with lasofoxifene was observed with uterine histology examination. In summary, long-term treatment with lasofoxifene preserves bone mass and bone strength and does not adversely affect the uterus in OVX rats. These data suggest that lasofoxifene is an effective antiosteoporosis agent, and its efficacy and safety can be maintained over an extended period of time.

Amino Acids↗
PubMed1999

Effect of powder grinding on hydroxyapatite formation in a polymeric calcium phosphate cement prepared from tetracalcium phosphate and poly(methyl vinyl ether-maleic acid).

The primary aim of this study was to determine if cements based on poly(methyl vinyl ether-maleic acid) (PMVE-Ma) and tetracalcium phosphate resulted in hydroxyapatite formation. In addition, the mechanical strength of this type of polymeric calcium phosphate cement was evaluated. Cements were prepared by mixing, in a powder/liquid mass ratio of 3.0, an aqueous solution of PMVE-Ma (mass fraction = 25%) and tetracalcium phosphate powders ground for various periods of time. The tetracalcium phosphate powders and set cements were characterized by means of X-ray powder diffraction and scanning electron microscopy. Mechanical strengths of the cements were tested 24 h after mixing. Prolonged grinding of tetracalcium phosphate powder decreased particle size and/or crystallite size and increased lattice distortion. This enhanced the reactivity of the tetracalcium phosphate powder and elevated the extent of crosslinking between PMVE-Ma molecules, resulting in improved mechanical strength. Hydroxyapatite formation was detected in the cement prepared with the most finely ground tetracalcium phosphate powder. The conversion of residual tetracalcium phosphate particles to more thermodynamically stable hydroxyapatite crystals will reduce the solubility of the polymeric cement and increase its biocompatibility.

Calcium Phosphates↗
PubMed2005

Material properties of the human lumbar facet joint capsule.

The human facet joint capsule is one of the structures in the lumbar spine that constrains motions of vertebrae during global spine loading (e.g., physiological flexion). Computational models of the spine have not been able to include accurate nonlinear and viscoelastic material properties, as they have not previously been measured. Capsules were tested using a uniaxial ramp-hold protocol or a haversine displacement protocol using a commercially available materials testing device. Plane strain was measured optically. Capsules were tested both parallel and perpendicular to the dominant orientation of the collagen fibers in the capsules. Viscoelastic material properties were determined. Parallel to the dominant orientation of the collagen fibers, the complex modulus of elasticity was E*=1.63MPa, with a storage modulus of E'=1.25MPa and a loss modulus of: E" =0.39MPa. The mean stress relaxation rates for static and dynamic loading were best fit with first-order polynomials: B(epsilon) = 0.1110epsilon-0.0733 and B(epsilon)= -0.1249epsilon + 0.0190, respectively. Perpendicular to the collagen fiber orientation, the viscous and elastic secant moduli were 1.81 and 1.00 MPa, respectively. The mean stress relaxation rate for static loading was best fit with a first-order polynomial: B (epsilon) = -0.04epsilon - 0.06. Capsule strength parallel and perpendicular to collagen fiber orientation was 1.90 and 0.95 MPa, respectively, and extensibility was 0.65 and 0.60, respectively. Poisson's ratio parallel and perpendicular to fiber orientation was 0.299 and 0.488, respectively. The elasticity moduli were nonlinear and anisotropic, and capsule strength was larger aligned parallel to the collagen fibers. The phase lag between stress and strain increased with haversine frequency, but the storage modulus remained large relative to the complex modulus. The stress relaxation rate was strain dependent parallel to the collagen fibers, but was strain independent perpendicularly.

Adult↗
PubMed2006

A biomechanical analysis of the effects of resorption cavities on cancellous bone strength.

UNLABELLED: We evaluated the effects of resorption cavities on cancellous bone strength using computational methods. Adding cavities to cancellous bone caused reductions in strength and stiffness that were greater than expected from the associated changes in bone volume and more pronounced when cavities were targeted to regions of high tissue strain. INTRODUCTION: The amount of bone turnover in the skeleton has recently been implicated as a factor influencing bone strength. One mechanism proposed to explain this effect is that resorption cavities reduce the effective thickness of trabeculae and modify local stress distributions leading to reduced mechanical performance of the entire structure. In this study, we tested the plausibility of this mechanism. MATERIALS AND METHODS: High-resolution finite element models were created from muCT images of 16 vertebral cancellous bone samples, as well as from images of the samples in which cavities had been added digitally-either at regions of high strain (targeted) or placed at random on the bone surface (nontargeted). The effect of resorption cavities on predicted bone strength and stiffness was evaluated by comparing the relationships between mechanical properties and bone volume fraction among the three groups (the original images, those with nontargeted cavities, and those with targeted cavities). RESULTS: Addition of resorption cavities modified the relationship between mechanical properties and bone volume fraction in the finite element models such that, for a given bone volume fraction, stiffness and yield strength were reduced compared with the original images (p < 0.05). The differences in yield strength-volume fraction relationships between the original models and those with targeted cavities were significantly greater than those between the original models and those with nontargeted cavities (p < 0.05). None of the differences in predicted mechanical properties per unit bone volume fraction could be accounted for by 3D measures of microarchitecture. CONCLUSIONS: Resorption cavities may influence cancellous bone strength and stiffness independent of their effect on bone volume. The effects of cavities on bone mechanical performance relative to bone volume are greater when cavities are targeted to regions of high strain and cannot be predicted using standard microarchitecture measures.

Aged↗
PubMed2006

Low density multiparticulate system for pulsatile release of meloxicam.

A blend of floating and pulsatile principles of drug delivery system would have the advantage that a drug can be released in the upper GI tract after a definite time period of no drug release. A multiparticulate floating-pulsatile drug delivery system was developed using porous calcium silicate (Florite RE) and sodium alginate, for time and site specific drug release of meloxicam. Meloxicam was adsorbed on the Florite RE (FLR) by fast evaporation of solvent from drug solution containing dispersed FLR. Drug adsorbed FLR powder was used to prepare calcium alginate beads by ionotropic gelation method, using 3(2) factorial design. Developed formulations were evaluated for yield, entrapment efficiency, image analysis, surface topography, mechanical strength, apparent density, buoyancy studies and dissolution studies. Entrapment efficiency of different formulations varied from 70% to 94%. Formulations show a lag period ranging from 1.9 to 7.8 h in acidic medium followed by rapid release of meloxicam in simulated intestinal fluid USP, without enzymes (SIF). Complete drug release in SIF occurred in less than 1h from the formulations. The size of beads varied from 2.0 to 2.7 mm for different batches. Prepared beads were spherical with crushing strength ranging from 182 to 1,073 g. Floating time was controlled by density of beads and hydrophobic character of drug. A pulsatile release of meloxicam was demonstrated by a simple drug delivery system which could be useful in chronopharmacotherapy of rheumatoid arthritis.

Alginates↗
PubMed1996

Predictive value of proximal femoral bone densitometry in determining local orthogonal material properties.

Models which are based on non-invasive bone measurements may in the future be able to successfully identify individual subjects at an increased risk for hip fracture; thus, we designed a study to determine the usefulness of dual-energy X-ray absorptiometry (DXA) and quantitative computed tomography (QCT) in predicting the local material properties of human proximal femoral cancellous bone. There has been some disagreement in the scientific literature regarding appropriate predictive models for local material properties of cancellous bone. We sought to confirm that density-mechanical property relationships were consistent from subject to subject, and that three-dimensional QCT measurements were stronger predictors of mechanical properties than two-dimensional DXA results. Linear and power fit relationships between these densitometric measures and material properties were also examined to determine which were more appropriate. Bone cubes from specific regions of highly oriented trabeculae were analyzed separately to determine if cube orientation had an effect on mechanical properties independent of bone density. Ten pairs of ex vivo femurs (five male, five female; age 30-93, mean age 62) were prepared such that specific anatomic planes were visible radiographically. Both QCT and DXA measurements were made on all 20 femurs. Cancellous bone cubes were obtained proceeding along two distinct directions from the proximal end of each femur pair. Unexpectedly, the density-modulus relationships among these ten donors were found to be significantly different at p <0.01 (83 percent of the tests were different at p <0.0001). Density-strength regressions were also significantly different at p <0.01, but this effect was not as consistent nor as statistically significant. In general, the QCT method did not produce predictions of local cancellous bone material properties superior to the DXA method. The linear and power fit models appeared to produce consistent results, with neither being obviously more advantageous. These density measurements explained at best 30-40 percent of the variance in modulus and 50-60 percent of the variance in ultimate stress. The orientation of cancellous cubes in the principal compressive trabeculae region was a significant contributor to mechanical properties (p= 0.0001) independent of bone density. This finding was not as dramatic in the femoral neck cancellous bone region.

Absorptiometry, Photon↗
PubMed2004

Ultra high molecular weight polyethylene (UHMWPE) model can provide results comparable to cadaveric models.

The in vitro biomechanical models using a cadaveric spine specimen have long been used in understanding normal and abnormal functions of spines as well as for strength and stability testing of the spine specimen or spinal construct. Little effort has been made to describe the similarities or differences between UHMWPE and cadaveric models. Eight cadaveric lumbar spines were harvested generating six FSU and three corpectomy models. Six UHMWPE blocks were fabricated to form FSU and corpectomy models. All were tested intact, with posterior instrumentation, and with anterior instrumentation consisting of Moss-Miami 4.0 mm stainless steel rods, uni-axial stainless steel screws and DePuy Harm's cages. All models were tested in axial compression. The cadaveric model and UHMPWE model yielded axial stiffness values of comparable magnitude with respect to instrumentation applied using the posterior approach (P>0.05). Under an FSU configuration, only in the case of anterior instrumentation without the addition of a Harm's cage did both the cadaveric and UHMPWE models provide comparable axial stiffness results (P>0.05). While in vitro cadaveric models are considered the gold standard for biomechanical testing of the spine, the data suggests that under specific approaches and surgical models UHMWPE can be used to infer mechanical performance of instrumentation in cadaveric material.

Biomimetic Materials↗
PubMed1982

The relationship between bone density, mineral content, and mechanical strength in the femoral neck.

The bone density, mineral content and average shear stress in bending at failure were measured in vitro in 33 femoral necks of women and men of different ages. The correlations between these three parameters as well as their correlation with the Singh index were carefully analyzed and found to show that the Singh index is of no clinical value. The best correlation exists between bone density and shear stress at failure. Practically no correlation is found between the breaking stress and Singh index. The breaking stress decreases with age much faster than the bone density or bone mineral content. The correlation between the work to fracture and the bone density or its mineral content is only moderate. The bone density is best indicator for the compressive bone strength. The changes of bone strength are apparently influenced by factors other than the bone density and mineral content, although the possibility that small changes in bone density or mineral content cause large changes in bone strength cannot be excluded.

Absorptiometry, Photon↗
PubMed1993

Aging and strength of bone as a structural material.

There is a general, age-related reduction in the material strength and stiffness of bone in both men and women. Between the ages of 35 and 70, cortical bone strength in bending is diminished by about 15-20%, and cancellous bone strength in compression is reduced about 50%. In addition, bone becomes increasingly brittle and fractures with less energy. It is hypothesized that this tendency is driven by the need for remodeling to repair fatigue damage, and the fact that most osteonal and endotrabecular remodeling events fail to replace all the bone that they remove. Each remodeling event also introduces cement line interfaces, which although affording protection against fatigue failure, weaken bone for monotonic loading. Remodeling also affects collagen fiber orientation, mineralization, and the amount of unrepaired fatigue damage, which are additional determinants of bone strength and stiffness. Mechanical factors apparently inhibit age-related bone loss where stresses are higher by reducing remodeling rates and/or the deficit at each remodeling site. They may also stimulate modeling responses, primarily in the form of periosteal bone formation, which, in men more than women, alter bone size and shape to effectively compensate for loss of material strength. Suggested directions for future research include elucidation of the relationships between (1) histologically observable microcracks and bone fragility, (2) remodeling and the repair of fatigue damage, and (3) estrogen and other hormones and mechanically adaptive responses.

Adult↗
PubMed1999

Relationships between the effective interparticulate contact area and the tensile strength of tablets of amorphous and crystalline lactose of varying particle size.

The aim of this study was to experimentally evaluate an equation for describing tablet tensile strength by studying relationships between the measured tensile strength and the calculated effective interparticulate contact area in tablets prepared from varying size fractions of amorphous and crystalline lactose at varying pressures. Amorphous lactose produced tablets of higher tensile strength than crystalline lactose and there was a tendency for reduced particle size to increase tablet strength. The tablet tensile strength correlated reasonably well with the effective area of contact for each material after compensation for a particle size-related intercept. It was thus concluded that the tensile strength equation under investigation reflects a structural property of the tablet which correlates with the tensile strength of the tablet. The slope of the tensile strength-contact area relationship differed between the materials and original particle size also had a small effect on this parameter. The results indicate thus also that the differences in compactability between amorphous and crystalline lactose are mainly the result of differences in bonding capacity, although differences in particle deformability also play a limited part.

Chemistry, Pharmaceutical↗