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Shear bond strengths of three resin cements to dentine over 3 years in vitro.

OBJECTIVES: This study was conducted to evaluate the bond durability of three resin cements bonded to bovine dentine over a period of 3 years. METHODS: Ten bovine dentine specimens were tested for shear bond strengths with each of the following materials: Panavia 21, BISTITE resin cement, and MASA Bond (experimental resin cement) at 1 day, 6 months, 1 and 3 years after cementation of a composite rod. All specimens were stressed in shear at a crosshead speed of 1mm min(-1) until failure. The means of the bond strengths were compared statistically by two-way ANOVA and Fisher's PLSD test (P<0.05). The mode of failure was classified after fracture of the bonds by SEM observation. Results for the mode of fracture were analyzed using the Mann-Whitney U-test. RESULTS: The shear bond strengths (MPa+/-SD) for different times (1 day, 6 months, 1 and 3 years) were: Panavia 21 (15.2+/-3.6, 9.3+/-3.2, 8.5+/-2.1, 6.8+/-2.4), BISTITE (15.6+/-2.8, 11.0+/-1.4, 10.4+/-2.2, 9.0+/-2.7) and MASA Bond (29.6+/-9.5, 17.5+/-4.6, 19.6+/-4.5, 16.1+/-5.4). Panavia 21 and BISTITE strengths were significantly lower (P<0.05) at all times compared with MASA Bond, and 1 day strengths for all three materials were significantly higher (P<0.05) than 3 year strengths. Regarding the fracture modes after bond testing, there were statistical differences between the 1 day and the 1 year results for all cements (P<0.05). Although no Panavia 21 specimen showed complete cohesive failure in the demineralized dentine during the experiment, several BISTITE and MASA Bond specimens showed cohesive fracture in the demineralized dentine. For BISTITE, partially or complete demineralized dentine cohesive failures increased over time. CONCLUSIONS: The type of resin cement seemed to have an influence on the long-term durability of bonding to dentine.

Analysis of Variance↗

Fatigue of restorative materials.

Failure due to fatigue manifests itself in dental prostheses and restorations as wear, fractured margins, delaminated coatings, and bulk fracture. Mechanisms responsible for fatigue-induced failure depend on material ductility: Brittle materials are susceptible to catastrophic failure, while ductile materials utilize their plasticity to reduce stress concentrations at the crack tip. Because of the expense associated with the replacement of failed restorations, there is a strong desire on the part of basic scientists and clinicians to evaluate the resistance of materials to fatigue in laboratory tests. Test variables include fatigue-loading mode and test environment, such as soaking in water. The outcome variable is typically fracture strength, and these data typically fit the Weibull distribution. Analysis of fatigue data permits predictive inferences to be made concerning the survival of structures fabricated from restorative materials under specified loading conditions. Although many dental-restorative materials are routinely evaluated, only limited use has been made of fatigue data collected in vitro: Wear of materials and the survival of porcelain restorations has been modeled by both fracture mechanics and probabilistic approaches. A need still exists for a clinical failure database and for the development of valid test methods for the evaluation of composite materials.

Compomers↗

Short fiber reinforced composite: the effect of fiber length and volume fraction.

AIM: The aim of this study was to determine the effect of short fiber volume fraction and fiber length on some mechanical properties of short fiber-reinforced composite (FRC). METHODS AND MATERIALS: Test specimens (2 x 2 x 25 mm3) and (9.5 x 5.5 x 3 mm3) were made from short random FRC and prepared with different fiber volumes (0%-22%) and fiber lengths (1-6 mm). Control specimens did not contain fiber reinforcement. The test specimens (n=6) were either dry stored or thermocycled in water (x10.000, 5-55 degrees C) before loading (three-point bending test) according to ISO 10477 or statically loaded with a steel ball (Ø 3.0 mm) with a speed of 1.0 mm/min until fracture. A universal testing machine was used to determine the flexural properties and the load-bearing capacity. Data were analyzed using analysis of variance (ANOVA) (p=0.05) and a linear regression model. RESULTS: The highest flexural strength and fracture load values were registered for specimens with 22 vol% of fibers (330 MPa and 2308 N) and with 5 mm fiber length (281 MPa and 2222 N) in dry conditions. Mechanical properties of all test specimens decreased after thermocycling. ANOVA analysis revealed all factors were affected significantly on the mechanical properties (p<0.001). CONCLUSIONS: By increasing the volume fraction and length of short fibers up to 5 mm, which was the optimum length, the mechanical properties of short FRC were improved.

Analysis of Variance↗

Prediction of scratch resistance of cobalt chromium alloy bearing surface, articulating against ultra-high molecular weight polyethylene, due to third-body wear particles.

The entrapment of abrasive particles within the articulation between a cobalt chromium alloy (CoCrMo) femoral component and an ultra-high molecular weight polyethylene (UHMWPE) cup of artificial hip joints or tibial inserts of artificial knee joints usually scratches the metallic bearing surface and consequently increases the surface roughness. This has been recognized as one of the main causes of excessive polyethylene wear, leading to osteolysis and loosening of the prosthetic components. The purpose of this study was to use the finite element method to investigate the resistance of the cobalt chromium alloy bearing surface to plastic deformation, as a first approximation to causing scratches, due to various entrapped debris such as bone, CoCrMo and ZrO2 (contained in radiopaque polymethyl methacrylate cement). A simple axisymmetric micro contact mechanics model was developed, where a spherical third-body wear particle was indented between the two bearing surfaces, modelled as two solid cylinders of a given diameter, under the contact pressure determined from macro-models representing either hip or knee implants. The deformation of both the wear particle and the bearing surfaces was modelled and was treated as elastic-plastic. The indented peak-to-valley height on the CoCrMo bearing surface from the finite element model was found to be in good agreement with that reported in a previous study when the third-body wear particle was assumed to be rigid. Under the physiological contact pressure experienced in both hip and knee implants, ZrO2 wear particles were found to be fully embedded within the UHMWPE bearing surface, and the maximum von Mises stresses within the CoCrMo bearing surface reached the corresponding yield strength. Consequently, the CoCrMo bearing surface was deformed plastically and the corresponding peak-to-valley height (surface roughness) was found to increase with both the hardness and the size of the wear particle. Even in the case of CoCrMo wear particles, with similar mechanical properties to those of the CoCrMo bearing surface, a significant plastic deformation of the bearing surface was also noted; this highlighted the importance of considering the deformation of the wear particles. These findings support the hypotheses made by clinical studies on the contribution of entrapped debris to increased surface roughness of CoCrMo femoral bearing surfaces.

Compressive Strength↗

Evaluation of effects of selected factors on inter-vertebral fusion-a simulation study.

This study simulated the effects of inter-vertebral disc degeneration and bone density distribution on the structural stiffness and strength provided by inter-vertebral fusion. Based on the original and redistributed bone density distributions, the effects of selected factors, including contact area between device/graft and vertebral endplates, endplate conditions, and bone growth capacity were evaluated using a factorial design of experiment. The simulation results suggested that the degeneration of inter-vertebral disc significantly affected the bone density and density distribution in adjacent vertebrae. The mechanical strength immediately after instrumentation is the worst case of device/graft subsidence. After that procedure, bone will adapt itself to the changed loading conditions and therefore reduce the risk of subsidence. A deficiency in structural stiffness immediately after instrumentation could be the "worst-case scenario" depending on the combinations of selected factors. The simulation results demonstrated that the contact area and initial bone density distribution should be considered jointly while estimating the risk of device/graft subsidence. The endplate condition is a secondary factor on the subsidence risk, compared with the contact area and initial bone density distribution.

Bone Density↗

Reuse of textile effluent treatment plant sludge in building materials.

This study examines the potential reuse of textile effluent treatment plant (ETP) sludge in building materials. The physico-chemical and engineering properties of a composite textile sludge sample from the southern part of India have been studied. The tests were conducted as per Bureau of Indian Standards (BIS) specification codes to evaluate the suitability of the sludge for structural and non-structural application by partial replacement of up to 30% of cement. The cement-sludge samples failed to meet the required strength for structural applications. The strength and other properties met the Bureau of Indian Standards for non-structural materials such as flooring tiles, solid and pavement blocks, and bricks. Results generally meet most ASTM standards for non-structural materials, except that the sludge-amended bricks do not meet the Grade NW brick standard. It is concluded that the substitution of textile ETP sludge for cement, up to a maximum of 30%, may be possible in the manufacturing of non-structural building materials. Detailed leachability and economic feasibility studies need to be carried out as the next step of research.

Compressive Strength↗

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↗

In vitro fracture resistance of teeth with dentin-bonded ceramic crowns and core build-ups.

PURPOSE: To assess the fracture strength of dentin-bonded crowns placed on cores of amalgam, resin composite and viscous glass-ionomer. METHODS: 40 sound maxillary premolar teeth were selected. These were mounted in acrylic resin in stainless steel molds. The palatal cusp of each tooth was removed in a standardized manner to simulate a core build-up preparation. Teeth were randomly divided into four groups, and each group was allocated a core material. For Group A, the core was pin-retained amalgam, for Group B the core was bonded amalgam, for Group C the core material was resin composite and for Group D the core material was high-viscosity glass-ionomer material. Cores were then constructed to the original tooth dimensions. A standardized crown preparation was made, impressions taken and an all-ceramic crown constructed in feldspathic porcelain. The crowns were luted in position using a dentin-bonding agent/dual cure resin-composite cement and the completed specimens subjected to compressive loading in a Universal Testing machine at 1 mm/minute. RESULTS: The mean forces to produce fracture of the crowns were 1.58 kN (+/- 0.41), 1.35 kN (+/- 0.44), 1.25 kN (+/- 0.24), and 1.12 kN (+/- 0.25) respectively for groups A, B, C and D. Statistical analysis by ANOVA indicated that the pinned amalgam group performed significantly better than the glass-ionomer group (P > 0.05).

Aluminum Silicates↗

Effect of exercise on the bone strength, bone mineral density, and metal content in rat femurs.

We have investigated the effect of exercise on the bone strength, bone mineral density (BMD), and metal content in rat femurs. Five Wister rats acting as an exercised group (E group) were exercised at intervals on a treadmill every day for four weeks. Another five rats were fed in a cage, acting as a control group (C group), without any exercise. After four weeks, the bend strength, Young's modulus, BMD value, and metal content of the femurs were measured using a three-point bend test, Dual-Energy X-ray Absorptiometry (DEXA), and chemical analysis. The bend strength of the E group was 101+/-5 MPa, and that of the C group was 86+/-7 MPa. The Young's modulus was 1.16+/-0.03 GPa for the E group, and 0.98+/-0.06 GPa for the C group. The BMD values were 0.179+/-0.002 g/cm(2) for the E group, and 0.166+/-0.002 g/cm(2) for the C group. The Ca concentration was 230600 +/- 1500 microg/g for the E group, and 223000 +/- 2700 microg/g for the C group. The Zn concentration was 160 +/- 7 microg/g for the E group, and 188 +/- 8 microg/g for the C group.

Adaptation, Physiological↗

Spinal fusion with recombinant human growth and differentiation factor-5 combined with a mineralized collagen matrix.

The availability of recombinant osteoinductive growth factors and new osteoconductive matrices offers an alternative to the use of autogenous bone (autograft) for grafting indications. This study evaluates the bone-forming activity of a mineralized collagen matrix combined with recombinant human growth and differentiation factor-5 in a rabbit posterolateral spinal fusion model. The activity of three distinct matrix-growth factor formulations is assessed by radiographic, histologic, and mechanical strength methods. Results show that the radiographic density, histologic quality, and mechanical strength of fusion at 12 weeks post-treatment rank consistently within the treatment groups. Optimal formulations are shown to perform similar to autograft in both the rate and strength of fusion. Fusion rates as high as 80% are observed within specific matrix/growth factor formulations. The average biomechanical strength of treated motion segments in the most efficacious formulation is 82% higher than that obtained with autograft, although this difference is not statistically significant. The fusion mass formed in response to matrix/growth factor formulations is composed of normal trabecular bone with a thin outer cortical plate and modest hematopoietic bone marrow. These results demonstrate that the combination of a mineralized collagen matrix with recombinant human growth and differentiation factor-5 maximizes the inherent conductive and inductive properties of each component, respectively, to provide an effective alternative to autograft for bone grafting procedures.

Animals↗

Wood mechanics, allometry, and life-history variation in a tropical rain forest tree community.

Wood density plays a central role in the life-history variation of trees, and has important consequences for mechanical properties of wood, stem and branches, and tree architecture. Wood density, modulus of rupture, modulus of elasticity, and safety factors for buckling and bending were determined for saplings of 30 Bolivian rain forest tree species, and related to two important life-history axes: juvenile light demand and maximum adult stature. Wood density was strongly positively related to wood strength and stiffness. Species safety factor for buckling was positively related to wood density and stiffness, but tree architecture (height : diameter ratio) was the strongest determinant of mechanical safety. Shade-tolerant species had dense and tough wood to enhance survival in the understorey, whereas pioneer species had low-density wood and low safety margins to enhance growth in gaps. Pioneer and shade-tolerant species showed opposite relationships between species traits and adult stature. Light demand and adult stature affect wood properties, tree architecture and plant performance in different ways, contributing to the coexistence of rain forest species.

Biometry↗

Reversal of bone loss in mice by nongenotropic signaling of sex steroids.

We show that sex steroids protect the adult murine skeleton through a mechanism that is distinct from that used to preserve the mass and function of reproductive organs. The classical genotropic actions of sex steroid receptors are dispensable for their bone protective effects, but essential for their effects on reproductive tissues. A synthetic ligand (4-estren-3alpha,17beta-diol) that reproduces the nongenotropic effects of sex steroids, without affecting classical transcription, increases bone mass and strength in ovariectomized females above the level of the estrogen-replete state and is at least as effective as dihydrotestosterone in orchidectomized males, without affecting reproductive organs. Such ligands merit investigation as potential therapeutic alternatives to hormone replacement for osteoporosis in both women and men [corrected].

Animals↗

[A comparative study on experimental and mathematical analysis of mechanical properties of PFM].

In this study we compare the experimental and mathematical analyses of mechanical properties of PFM and analyze their correlation levels and inner links. Fifteen PFM specimens with different thickness ratio of metal to porcelain are made , with the shape of 26mm x 4mm x 1.5mm, and are divided into 5 groups, the metal thickness increases with 0.05mm change each among every group from 0.25mm to 0.45mm, the porcelain thickness decreases accordingly. The three-point-fracture test is used to measure their bending strength and elastic modulus, exhibit their changing laws, and disclose their inner relationships. When the whole thickness of the specimen is determined, the fracture load, bending strength and elastic modulus increase according to the increase of the metal thickness. The experimental mechanical properties of PFM are significantly influenced by the thickness ratio of metal to porcelain, and are the same as the theoretical ones calculated by the mixed law formula of compound material. There is significant correlation between the experimental analysis and mathematical analysis of mechanical properties of PFM. The regression coefficients can be obtained to describe this relationship. Further more, they can be used as the corrected parameters of the theoretical formula. The corrected mathematical formula is helpful to predicting and improving the mechanical properties of PFM.

Compressive Strength↗

The mechanical properties of human dentin: a critical review and re-evaluation of the dental literature.

The past 50 years of research on the mechanical properties of human dentin are reviewed. Since the body of work in this field is highly inconsistent, it was often necessary to re-analyze prior studies, when possible, and to re-assess them within the framework of composite mechanics and dentin structure. A critical re-evaluation of the literature indicates that the magnitudes of the elastic constants of dentin must be revised considerably upward. The Young's and shear moduli lie between 20-25 GPa and 7-10 GPa, respectively. Viscoelastic behavior (time-dependent stress relaxation) measurably reduces these values at strain rates of physiological relevance; the reduced modulus (infinite relaxation time) is about 12 GPa. Furthermore, it appears as if the elastic properties are anisotropic (not the same in all directions); sonic methods detect hexagonal anisotropy, although its magnitude appears to be small. Strength data are re-interpreted within the framework of the Weibull distribution function. The large coefficients of variation cited in all strength studies can then be understood in terms of a distribution of flaws within the dentin specimens. The apparent size-effect in the tensile and shear strength data has its origins in this flaw distribution, and can be quantified by the Weibull analysis. Finally, the relatively few fracture mechanics and fatigue studies are discussed. Dentin has a fatigue limit. For stresses smaller than the normal stresses of mastication, approximately 30 MPa, a flaw-free dentin specimen apparently will not fail. However, a more conservative approach based on fatigue crack growth rates indicates that if there is a pre-existing flaw of sufficient size (approximately 0.3-1.0 mm), it can grow to catastrophic proportion with cyclic loading at stresses below 30 MPa.

Biomechanical Phenomena↗

The antiarrhythmic peptide analog rotigaptide (ZP123) stimulates gap junction intercellular communication in human osteoblasts and prevents decrease in femoral trabecular bone strength in ovariectomized rats.

Gap junctions play an important role in bone development and function, but the lack of pharmacological tools has hampered the gap junction research. The antiarrhythmic peptides stimulate gap junction communication between cardiomyocytes, but effects in noncardiac tissue are unknown. The purpose of this study was to examine whether antiarrhythmic peptides, which are small peptides increasing gap junctional conductivity, show specific binding to osteoblasts and investigate the effect of the stable analog rotigaptide (ZP123) on gap junctional intercellular communication in vitro and on bone mass and strength in vivo. Cell coupling and calcium signaling were assessed in vitro on human, primary, osteoblastic cells. In vivo effects of rotigaptide on bone strength and density were determined 4 wk after ovariectomy in rats treated with either vehicle, sc injection twice daily (300 nmol per kilogram body weight) or by continuous ip infusion (158 nmol per kilogram body weight per day). During metabolic stress, a high affinity-binding site (KD=0.1 nM) with low density (15 fmol/mg protein) for [125I]di-I-AAP10 was demonstrated. During physiological conditions, specific binding sites for [125I]AAP10 could not be shown. Studies of the effects of rotigaptide on propagation of intercellular calcium waves and cell-to-cell coupling demonstrated that 10 nM rotigaptide produced a small increase in intercellular communication during physiological conditions (+4.5+/-1.6% vs. vehicle; P<0.05). During conditions with metabolic stress, 10 nM rotigaptide produced an increase in coupling measured by both methods. Four weeks after ovariectomy, bone strength of the femoral head was reduced by 20% in vehicle-treated ovariectomized rats, which was completely prevented in both rotigaptide-treated groups. Rotigaptide also prevented decreases in bone mineral. We conclude that the stable analog rotigaptide increases gap junctional communication in osteoblasts in vitro and preferably during conditions with metabolic stress. Rotigaptide further prevents ovariectomy-induced bone loss in vivo. Thus, gap junction modulation may be a promising new target for osteoporosis therapy.

Adult↗

The in-vitro clinical failure of all-ceramic crowns and the connector area of fixed partial dentures: the influence of interfacial surface roughness.

OBJECTIVES: To assess the effect of interfacial surface roughness on the flexure strength and fracture mode and origin utilizing an in-vitro assessment of the clinical failure conditions expected for all-ceramic crowns and the connector area of fixed partial dentures (FPDs) using bilayered ceramic specimens tested in bi-axial flexure. METHODS: Sets of 20 bilayered composite discs, with core:dentine thickness ratio of 2:1 and interfacial surface roughnesses determined by alumina abrasion with different alumina particle sizes, were tested in bi-axial flexure with both the reinforcing core and veneering dentine loaded in tension. Mean flexure strengths, standard deviations and associated Weibull Moduli (m) were determined. Optical microscopy was employed for identification of the fracture mode and origin for the failure all-ceramic crowns and the connector area of FPDs. RESULTS: The interfacial surface roughness influenced the bi-axial flexure strength and reliability of the flexure strength data when both the reinforcing core and veneering dentine porcelain were tested in tension. The number of fracture fragments, frequency of occurrence of specimen delaminations, Hertzian cone formations and sub-critical radial cracking in the bilayered dental ceramic composite disc-shaped specimens was also dependent on the interfacial surface roughness and the surface loaded in tension. CONCLUSIONS: The fracture resistance, failure mode and failure origin in bilayered ceramics tested to represent the clinical failure mode of all-ceramic crowns and FPDs are dependent upon the interfacial surface roughness and the modulus of the material in tension.

Analysis of Variance↗

[Manufacture and application of SL-2000 bone fatigue damage testing device].

Having manufactured the bone fatigue damage testing device SL-2000, we applied it to research on bone fatigue damage and on the bone microdamage which can indicate bone biomechanical property. According to the general principle of industry fatigue machine and bone fatigue test, the strength, frequency and times of loading, temperature and degree of wetness were controlled in the SL-2000 Device for making the experiment condition stable. After the fatigue damage to SD rats' vertebrae, the models of bone microdamage in SD rat were established. 0-200 N of strength, 0-10 Hz frequency, and 0-999999 times of loading, ambient temperature 50 degrees C experiment, and approximately 99% of the ambient degree of wetness could be adjusted continuously. Three kinds of microdamage such as microcrack, cross-hatch staining, and diffuse staining were observed in the SD rats' vertebrae fatigue damaged by the device. The microcrack density was 19.76+/-15.05 #/mm2, the microcrack length was 36. 74+/-11. 51 microm, and the area ratio of diffuse staining was 0.4117%. Therefore the device is suitable for bone fatigue damage test and for establishment of the model of bone microdamage.

Animals↗

Augmentation of osteoporotic bone: effect of pulsed jet-lavage on injection forces, cement distribution, and push-out strength of implants.

Demographic change in the population leads to higher incidence of fragility fractures. Fracture fixation with standard implants may lead to implant cut-out due to reduced purchase. Augmentation of the bone stock with bone cements might overcome this problem. However, cancellous bone infiltration with the viscous cement dough reveals problems of fat embolism or high pressures during application of the cement. This study investigates the improved quality of bovine cancellous bone augmentation when pulsed jet-lavage is used for fat and marrow removal. Parameters such as injection forces, cement dough distribution through cannulated implants and mechanical strength of the fixation were applied for quantification. Injection of 5 mL of acrylic bone cement required significantly lower forces in the lavaged as compared to the untreated bone (50 N vs. > 300 N). Cement distribution was much more homogeneous and push-out forces significantly higher in the pretreated bone group (8.33 +/- 1.41 kN vs. 1.66 +/- 0.63 kN). The application of pulsed jet-lavage for fat removal prior to acrylic cement augmentation led to much more controlled outcomes of the augmentation. This seems to be a relevant step towards safe and efficient injection of bone cements into cancellous bone structures.

Bone Cements↗