In Situ Synthesis of Dental Resin Matrix Containing Silver Nanoparticles.

In this work, we investigated the influence of different concentrations of silver 2-ethylhexanoate on the synthesis and characteristics of silver nanoparticles (AgNPs) in resin matrix, as well as the antibacterial performance, mechanical properties and biocompatibility of the silver containing resin matrix, in order to provide a scientific basis for the application of AgNPs in restoration resins. The concentration of silver salt in resin matrix was set ranging from 0.05 wt% to 0.30 wt%. AgNPs were successfully synthesized in resin matrix by reducing silver ions in situ through photoinitiation. The results demonstrated that silver salt with low concentrations (≤0.20 wt%) had little influence on the degree of conversion, Knoop hardness and cell viability of silver resin matrix. However, silver salt with low concentrations (≤0.15 wt%) had little antibacterial activities against Streptococcus mutans. Therefore, it suggested that 0.20 wt% was a proper concentration for silver salt to be added into resin matrix, since silver salt at this concentration could exert a significantly antimicrobial activity without compromising the mechanical properties and biocompatibility of resin matrix.

Preparation of Eudragit S100-pullulan/hydroxypropyl-ß-cyclodextrin complex-Eudragit S100 multilayer nanofiber film for resveratrol colon delivery.

Cyclodextrin-based electrospun nanofibers are promising for encapsulating and preserving unstable compounds, but quick dissolution of certain nanofibers hinders their delivery application. In this study, hydroxypropyl-ß-cyclodextrin (HPßCD) was used as an effective carrier of resveratrol (RSV) to obtain the RSV/HPßCD inclusion complex (HPIC), which was then incorporated into pullulan nanofibers. For enhancement of RSV release toward colon target, multilayer structure with a pullulan/HPIC film sandwiched between two layers of hydrophobic Eudragit S100 (ES100) nanofibers was employed. The relationship between the superiority of the ES100-pullulan/HPIC-ES100 film and its multilayer structure was verified. The intimate interactions of hydrogen bonds between two adjacent layers enhanced thermal stability, and the hydrophobic outer layers improved water contact resistance. According to release results, multilayer films also showed excellent colon-targeted delivery property and approximately 78.58 % of RSV was observed to release in colon stage. In terms of release mechanism, complex mechanism best described RSV colonic release. Additionally, ES100-pullulan/HPIC-ES100 multilayer films performed higher encapsulation efficiency when compared to the structures without HPIC, which further increased the antioxidant activity and total release amount of RSV. These results suggest a promising strategy for designing safe colonic delivery systems based on multilayer and HPIC structures with superior preservation for RSV.

Ferritin-Based Nanocomposite Hydrogel Promotes Tumor Penetration and Enhances Cancer Chemoimmunotherapy.

Hydrogels are prevailing drug delivery depots to improve antitumor efficacy and reduce systemic toxicity. However, the application of conventional free drug-loaded hydrogel is hindered by poor drug penetration in solid tumors. Here, an injectable ferritin-based nanocomposite hydrogel is constructed to facilitate tumor penetration and improve cancer chemoimmunotherapy. Specifically, doxorubicin-loaded human ferritin (Dox@HFn) and oxidized dextran (Dex-CHO) are used to construct the injectable hydrogel (Dox@HFn Gel) through the formation of pH-sensitive Schiff-base bonds. After peritumoral injection, the Dox@HFn Gel is retained locally for up to three weeks, and released intact Dox@HFn gradually, which can not only facilitate tumor penetration through active transcytosis but also induce immunogenic cell death (ICD) to tumor cells to generate an antitumor immune response. Combining with anti-programmed death-1 antibody (αPD-1), Dox@HFn Gel induces remarkable regression of orthotopic 4T1 breast tumors, further elicits a strong systemic anti-tumor immune response to effectively suppress tumor recurrence and lung metastasis of 4T1 tumors after surgical resection. Besides, the combination of Dox@HFn GelL with anti-CD47 antibody (αCD47) inhibits postsurgical tumor recurrence of aggressive orthotopic glioblastoma tumor model and significantly extends mice survival. This work sheds light on the construction of local hydrogels to potentiate antitumor immune response for improved cancer therapy.

Treatment of Sinus Graft Infection After Sinus Floor Elevation: A Series of Four Case Reports.

This report of cases aims to share our treatment experiences in 4 sinus graft infection cases after sinus floor elevation and simultaneous implant placement. The preoperative and postoperative intraoral and radiographic photographs were collected and used to assess the treatment outcomes. The sinus cavity status, bone augmentation results, and implant stability were used as measurements to determine the treatment effectiveness. Four patients received partial graft removal as their surgical treatment for sinus graft infection combined with antibiotic therapy, with or without immediate secondary grafting. After early intervention, antibiotic therapy, and partial debridement of the infected sinus grafts, radiographic and clinical outcomes indicate successful resolution of the graft infection and stable bone graft levels around the implants. The keys to the successful management of the sinus graft infection were: early detection of the infection; early intervention, including partial debridement of the infected graft particles; and antibiotic therapy.

Study on the poly(methyl methacrylate-acrylic acid)/calcium phosphate cement composite bound by chelation with enhanced water absorption and biomechanical properties.

Polymethylmethacrylate (PMMA) bone cement has been widely used as a critical material for fixing prostheses and filling bone defects. The shrinkage of PMMA bone cement was addressed by the additives, however, the uneven integral water absorption and expansion performance as well as the deteriorated mechanical properties of the modified bone cement after immersion in phosphate buffered saline (PBS) and simulation body fluid (SBF) affected the long-term stability after implantation. Calcium phosphate cement (CPC) is a biomaterial with promising applications in orthopedics, whose hydration reaction provides an important driving force for the transfer of water. Besides, the mechanical properties of CPC can be enhanced with the curing process. In this study, CPC was utilized to modify the poly(methyl methacrylate-acrylic acid) [P(MMA-AA)] bone cement. The results demonstrated the successful construction of interconnected CPC water delivery networks in the P(MMA-AA)/CPC composite, the water absorption ratio and expansion ratio of the composite were up to 131.18 ± 9.14% and 168.19 ± 5.44%, respectively. Meanwhile, the transformation of CPC water delivery networks into rigid mechanical support networks as well as the chelation interaction between organic-inorganic enhanced the mechanical properties of the composite after immersion, the compressive strength after immersion reached 62.97 ± 0.97 MPa, which was 27.65% higher than that before immersion. The degradation ratio of the composite was up to 13.76 ± 0.23% after 9 days of immersion, which was 16.4% higher than that of CPC. Furthermore, composites exhibited superior biocompatibility as the release of Ca2+. Therefore, P(MMA-AA)/CPC composite serves as a promising medical filling material for clinical use.

[Re-mineralization ability of Galla chinensis extracts on root carious lesions with or without non-collagen proteins].

OBJECTIVE: To evaluate the re-mineralization ability of Galla Chinensis extracts (GCE) on two artificial carious lesions in bovine root de-mineralized in vitro. METHODS: Fourteen bovine root blocks were divided into two parts from buccal to lingual direction. The mesial blocks were treated with a demineralization solution and the distant blocks were treated with another demineralization solution. Two specimens from each group were selected randomly and examined with polarization microscope (PLM). After all blocks were demineralized, half surface of the demineralized zone was covered and the another half was treated with 0.5% NaCl to extract soluble dentin phosphate protein (S-DPP). Then all specimens were submitted to pH-cycling for one week. In the first four days, all specimens were treated with GCE for 21 h and with demineralization solution for 3 h. In the remaining three days, all specimens were treated with GCE. The re-mineralization ability of GCE on the specimens was evaluated by laser scanning confocal microscope (LSCM). RESULTS: There existed intact surface layers on subsurface lesions but no surface layers were produced on erosive lesions. The re-mineralization ability of GCE on erosive lesions improved significantly with the treatment of 0.5% NaCl solution (P < 0.05). But it had no significant effect on subsurface lessions. CONCLUSION: Extraction of S-DPP with 0.5% NaCl can improve the re-mineralization ability of GCE on root caries with erosive lesions. This finding supports the proposition that Galla Chinesis may be a promising anti-caries natural medicine in the future.

Preparation of hydroxypropyl starch/polyvinyl alcohol composite nanofibers films and improvement of hydrophobic properties.

Starch-derived edible films have great potential as biodegradable food packaging and biomedical materials, in this study, we adopted a green method to prepare starch-based composite electrospun nanofibers films. The hydroxypropyl starches (HPS) were prepared to improve native starch solubility and properties, and a series of blend solutions were prepared with different HPS/polyvinyl alcohol (PVA) weight ratios. The comparison of the properties of HPS/PVA (HPA) nanofibers with different amylose contents were evaluated, and the fibers fabricated from hydroxypropyl high amylose starch (HP-HAS) had more continuous and homogeneous morphologies compared to the other starch fibers, it was also found that the addition of HP-HAS in the film has better mechanical properties than pure PVA film. Thus, to improve the hydrophobicity of the film, the HP-HAS/PVA (HPA(H)) nanofiber was selected for the hydrophobic study by the citric acid (CA) treatment. The hydrophobic surface was formed on the HPA(H) film by CA self-assembled coating with a water contact angle changed from 30.95° up to 100.74°. This study successfully prepared the modified starch/PVA composite nanofibers and established a simple method of self-assembled hydrophobic modification to improve water stability. Therefore, this green strategy is an alternative candidate in further study for food packaging and relative areas.

Digestion of Plant Dietary miRNAs Starts in the Mouth under the Protection of Coingested Food Components and Plant-Derived Exosome-like Nanoparticles.

The regulatory functions of plant miRNAs on mammalian bodies are controversial, mainly because stability of the miRNAs in the digestive tract, as the prerequisite for their cross-kingdom effects, has somehow been overlooked. Hence, as the first stage of food ingestion, stability of plant miRNAs in human saliva has been investigated. The results show that plant miRNAs are of considerable resistance against salivary digestion, as surviving miRNAs more than 20 fM are detected. The stability varies dramatically, which can be explained by the difference in tertiary structure, governing their affinities to RNase. Surprisingly, miRNAs of low initial concentrations can end up with high survival rates after digestion. Plant miRNAs can be loaded into exosome-like nanoparticles (ELNs) and microcapsules formed by food components, both of which protect the miRNAs from being degraded in human saliva. Overall, plant miRNAs can apply certain strategies to maintain constant concentrations, paving the way for their potential cross-kingdom effects.

Preparation of carboxymethyl starch/polyvinyl-alcohol electrospun composite nanofibers from a green approach.

A green approach for the preparation of starch-based composite nanofibers using electrospinning was developed. The water-soluble sodium carboxymethyl starch (CMS) with DS 0.31 was prepared. The addition of co-blending polymer polyvinyl-alcohol (PVA) was attempted to improve the CMS solution spinnability, which blends from aqueous solution were prepared at different CMS/PVA weight ratios. The solution parameters including viscosity, surface tension and conductivity were measured and the morphologies of nanofibers were observed by SEM. Smooth, continuous, and defect-free nanofibers were successfully obtained range from the blend of CMS/PVA weight ratios of 10:90 to 80:20. Diameter distribution diagrams suggested that the diameter of the nanofibers reduced with the concentration of CMS increasing. This is the first report that the thin nanofiber (135.29 nm) with bead-free was obtained at the maximal CMS content of 50.0 wt% in the CMS/PVA blend. This study provided a green approach to produce starch-based nano-scale fibers.

Repeatable oil-water separation with a highly-elastic and tough amino-terminated polydimethylsiloxane-based sponge synthesized using a self-foaming method.

A 3D porous sponge based on amino-terminated polydimethylsiloxane (PDMS) and graphene oxide (GO) was prepared using a simple one-pot method under mild conditions. Condensing agents combined GO and PDMS with covalent bonds, and simultaneously acted as the pore-foaming agents. Scanning electron microscopy and Mercury intrusion porosimetry revealed that the joint action of GO and condensing agents contributes to the formation of the porous structure. Cyclic compression demonstrated high toughness and elasticity. No deformation occurs after 20 compression cycles at over 80% strain, owing to the assistance of dynamic hydrogen bonds. GO content significantly influences the mechanical strength, hydrophobicity, as well as adsorption capacity for oil. Notably, the sponge can be repeatedly used with a simple squeezing method, and the adsorption capacity can still reach 96.30% of the first adsorption after 30 cycles of adsorption. Besides, the sponge was used to adsorb oil on the seawater surface experimentally. The stable structure, high mechanical strength, and excellent adsorption property suggest the sponge be a promising material for the treatment of oil leakage and oily wastewater purification in practice. This self-foaming method can be a common method for fabricating porous and stable porous materials.

Tribological, cytotoxicity and antibacterial properties of graphene oxide/carbon fibers/polyetheretherketone composite coatings on Ti-6Al-4V alloy as orthopedic/dental implants.

In this work, graphene oxide/carbon fibers/polyetheretherketone (GO/CF/PEEK) composite coatings on Ti-6Al-4V (TC4) alloy were fabricated by electrostatic powder spraying method. The coatings with 0.02 wt% GO and 25 wt% CF were made to improve the wear resistance, cytocompatibility and antibacterial properties of the TC4 as orthopedic/dental implants. The physicochemical properties involving coating thickness, Vickers hardness, micromorphology, phase structures and contact angles were investigated. The results indicated that the GO/CF/PEEK coatings can significantly decrease the coefficient of friction (COF) (from 0.433 ± 0.017 to 0.085 ± 0.008) and enhance the wear resistance of TC4 alloy during the wet friction process in sliding contact with a Si3N4 ball. The results showed that few scratches appeared on the GO/CF/PEEK coating. As the in vitro cytotoxicity test by murine fibroblast L929 cells shown, the GO/CF/PEEK coating revealed good cytocompatibility. More importantly, GO/CF/PEEK coating exhibited excellent suppression toward Staphylococcus aureus (S. aureus) owing to the antibacterial nature of GO. Therefore, the GO/CF/PEEK composite coated TC4 could be considered as a prospective orthopedic/dental implant material for bone tissue engineering.

Clinical Outcomes of Alveolar Ridge Augmentation with In Situ Autogenous Block Bone: A Retrospective Review.

PURPOSE: To present clinical outcomes of alveolar ridge augmentation using in situ autogenous block bone and to compare the outcomes with previous studies. MATERIALS AND METHODS: The medical records of patients with a severe horizontal bone defect in a partially edentulous alveolar ridge (width < 3.5 mm), who received bone augmentation using in situ autogenous block bone, were retrospectively reviewed. After a 6-month or longer healing period, the augmentation effect was examined before implant placement. Cone beam computed tomography (CBCT) was performed before and after surgeries. The alveolar width of the bone grafts was measured on the CBCT images. RESULTS: A total of 16 patients (22 grafts) were included. Graft exposure was seen in three grafts, which were classified as failed cases. The augmentation volume at implant placement in the failed cases was significantly lower than that of the successful cases. There were no significant differences in augmentation between anterior maxillary and mandibular implant sites. CONCLUSION: Autogenous bone grafting using in situ block bone is an effective and reliable approach for horizontal bone augmentation in the mandible and anterior maxilla that eliminates second donor site morbidity. Complete release of the buccal flap and tension-free suture is the key to avoiding wound dehiscence and ensuring the effectiveness of bone augmentation.

Osseointegration and biosafety of graphene oxide wrapped porous CF/PEEK composites as implantable materials: The role of surface structure and chemistry.

OBJECTIVES: To investigate the influence of surface microstructure and chemistry after modification on surface bioactivity and biosafety of carbon fibers reinforced PEEK (CF/PEEK) composites as implants. METHODS: CF/PEEK composites with different CF contents (0 wt%, 25 wt% and 40 wt%) were prepared by injection molding and treated by concentrated sulfuric acid. A porous network was produced on the surface by etching action. Subsequently, the sulfonated CF/PEEK composites were immersed in GO solution. Thus, GO wrinkles with abundant functional groups were wrapped outside the porous nanostructures on CF/PEEK composites. The cell responses in vitro (proliferation, alkaline phosphatase activity and cell mineralization), osseointegration in vivo (fluorochrome labeling, H&E staining and X-ray analysis) and biosafety were investigated. RESULTS: The pore size of porous layer on the surface of CF/PEEK composites was improved with the increase of CF content. Subsequently, a silk-like GO wrinkles on the surface were formed by GO modification. And the more CF content, the greater the degree of GO wrinkles. The results revealed that GO functional wrinkle up-regulated surface hydrophilicity. In vitro cell experiments showed that porous nanostructures and GO wrinkles dramatically promoted initial cell behaviors. Significantly, GO modified composites exhibited enhanced bioactivity and osseointegration in vivo. Fortunately, the GO wrapped porous CF/PEEK composites displayed biosafety. SIGNIFICANCE: The surface modification is effective and the modified composites showed great bioactivity. The GO wrapped porous CF/PEEK composites would hold great potential for implants.

Bioactivity of nitric acid and calcium chloride treated carbon-fibers reinforced polyetheretherketone for dental implant.

Carbon fiber reinforced Polyetheretherketone (PEEK) acquires mechanical strength which is close to human bone, but PEEK is inert, which can affect the bone fixation and osseointegration during dental implantation. To improve the bioactivity of PEEK, surface modification with nitric acid (HNO3) and calcium chloride (CaCl2) were utilized in this work. As the results, the hydrophilicity of the treated samples is significantly improved with the reduced roughness and attached nitro-functional group on its surface. The biological activity of CF/PEEK samples are enhanced by apatite formation evaluation soaking in simulated body fluid (SBF) in vitro after HNO3 and CaCl2 treatment. Moreover, the cytotoxicity experiments results confirm that surface treatment with HNO3 and CaCl2 is not harmful to the compatibility and safety of the cells.

Mechanical properties and cytotoxicity of hierarchical carbon fiber-reinforced poly (ether-ether-ketone) composites used as implant materials.

Weak mechanical properties affect the application of PEEK as an implant. Carbon fiber (CFR) reinforcement provides an excellent solution to improve the mechanical strength of PEEK and to provide perfect matching of elastic modulus between CFR-PEEK composites and human bone. To investigate the effect of carbon fiber content on the mechanical, thermal properties and cytotoxicity of CFR reinforced PEEK composites, a series of CFR-PEEK composites with different carbon fiber content (25 wt%, 30 wt%, 35 wt%, 40 wt%) was prepared in this work. Thermal decomposition behavior and melting temperature were studied by thermogravimetric analysis (TGA) and differential scanning calorimetry (DSC), respectively. Subsequently, mechanical properties including bending strength, compressive strength, impact strength and hardness were tested respectively. Afterwards, the fracture morphology of the bending test samples was observed by scanning electron microscopy (SEM). In addition, murine fibroblast L929 cells were adopted for cytotoxicity test by CCK-8 assay in vitro, and the morphology of cells was observed by inverted fluorescence microscope simultaneously, cell compatibility of CFR-PEEK composites was tested.

Marsupialization of mandibular cystic ameloblastoma: Retrospective study of 7 years.

BACKGROUND: This retrospective study investigated the reduction rate and speed of shrinkage after marsupialization in mandibular cystic ameloblastoma and clarified whether marsupialization is appropriate for unicystic ameloblastoma and multicystic ameloblastoma. METHODS: Sixty-three patients with mandibular cystic ameloblastoma were initially treated with marsupialization. Premarsupialization and postmarsupialization panoramic radiographs were reviewed for reduction rate and speed of shrinkage, and then were evaluated with age, sex, tumor location, and tumor type. RESULTS: The overall recurrence rate was 4.5% (2/44). The average reduction rate after marsupialization was 65.6%. No significant difference was found between unicystic ameloblastoma and multicystic ameloblastoma in reduction rate. The speed of shrinkage of unicystic ameloblastoma was significantly faster than that of multicystic ameloblastoma (P < .05). Similarly, patients with multicystic ameloblastoma had longer marsupialization periods than those with unicystic ameloblastoma (P < .05). CONCLUSION: Marsupialization is effective in reducing tumor size for both unicystic ameloblastoma and multicystic ameloblastoma. Marsupialization plus second-stage curettage is recommended as the primary treatment for mandibular cystic ameloblastoma.

[Preparation and Pb2 electrosorption characteristics of MnO2/CFP composite electrode].

The morphological structure and electrochemical properties of the electrode materials have direct impact on the electrosorption results. In this paper, Manganese dioxide ( MnO2) was composed on flexible carbon fiber paper ( CFP) via anodic electrodeposition technique to prepare the MnO2/CFP hybrid electrodes. The electrodes materials prepared showed stable electrochemical property, remarkable electrochemical capacitance, and the specific capacitance reached up to 360 F x g(-1). Electrosorption was conducted with this MnO2/CFP hybrid electrode to treat the waste water with an initial Pb2+ concentration of 6 mg x L(-1), and the effects of deposition time, initial pH, and voltage value on the electrosorption were investigated. It was shown that when the electrodeposition time was 500 s and the application of voltage value was 1.0 V, pH = 5.0, the best electroabsorption result was achieved. After 3 h electrosorption, the residual Pb2+ in the solution was lower than 0.01 mg x L(-1), and the removal efficiency could reach 99%. This study provides a new technology option for the removal of heavy metal ions in low concentrations in the waste water.

Ibandronate to treat skeletal-related events and bone pain in metastatic bone disease or multiple myeloma: a meta-analysis of randomised clinical trials.

OBJECTIVE: Randomised controlled trials (RCTs) have given contradictory results about the efficacy and safety of ibandronate in treating metastatic bone disease (MBD) or multiple myeloma. This review meta-analysed the literature to gain a more comprehensive picture. DESIGN: Systematic review and meta-analysis of ibandronate compared with placebo or zoledronate. DATA SOURCES: PubMed, EMBASE and the Cochrane Library databases were systematically searched to identify RCTs published up to March 2015 evaluating ibandronate to treat MBD or multiple myeloma. REVIEW METHOD: 10 RCTs involving 3474 patients were included. Six RCTs were placebo-controlled and four compared ibandronate with zoledronate. The studies included in this review were mainly from European countries. RESULTS: Intravenous ibandronate (6 mg) or oral drug (50 mg) decreased the risk of skeletal-related events compared to placebo (risk ratio (RR) 0.80, 95% CI 0.71 to 0.90, p=0.002). It also reduced the bone pain score below baseline significantly more than did placebo at 96 weeks (weighted mean difference -0.41, 95% CI -0.56 to -0.27, p<0.001). The incidence of diarrhoea, nausea and adverse renal events was similar between the ibandronate and placebo groups, but ibandronate was associated with greater risk of abdominal pain. Ibandronate was associated with similar risk of skeletal-related events as another bisphosphonate drug, zoledronate (RR 1.02, 95% CI 0.82 to 1.26, p=0.87). The incidence of nausea, jaw osteonecrosis and fatigue was similar for the two drugs, but the incidence of adverse renal events was significantly lower in the ibandronate group. CONCLUSIONS: Ibandronate significantly reduces the incidence of skeletal-related events and bone pain in patients with MBD or multiple myeloma relative to placebo. It is associated with a similar incidence of skeletal-related events as zoledronate.

Effect of Galla chinensis on the remineralization of two bovine root lesions morphous in vitro.

The present study aims to evaluate the effect of Galla chinensis compounds on the remineralization of two artificial root lesions morphous in vitro. Sixty bovine dentine blocks were divided into two groups and individually treated with two levels of demineralization solutions to form erosive and subsurface artificial carious lesions in vitro. Each group was then divided into three subgroups, each of which were treated with a remineralization solution (positive control), deionized water (negative control), or 4 000 mg⋅L(-1) aqueous solutions of Galla chinensis extract. The dentine blocks were then subjected to a pH-cycling regime for 7 days. During the first 4 days, the daily cycle included 21-h deal and 3-h demineralization applications. The dentine blocks were dealt with the entire day during the remaining 3 days. Two specimens from each of the treatment groups were selected and observed under a polarized light microscope. Data collected using a laser scanning confocal microscope were computerized and analyzed. Galla chinensis extract clearly enhanced the remineralization of both erosive lesion and subsurface lesion patterns in the specimens (P<0.05). The level of remineralization of the erosive lesion by Galla chinensis extract was lower than that of the subsurface lesion (P<0.05). In addition, the remineralization of the subsurface lesion by Galla chinensis extract was higher than that of the remineralization solution (P<0.05). No significant difference between the remineralization of erosive lesions by Galla chinensis extract and the remineralization solution was observed (P>0.05). So Galla chinensis extract has the potential to improve the remineralization of artificial root lesions under dynamic pH-cyclic conditions, indicating its potential use as a natural remineralization medicine.