Influence of Microtextured Implant Surfaces on Peri-implantitis and Its Treatment: A Preclinical Trial.

PURPOSE: The prevalence of peri-implantitis has increased significantly, forcing clinicians to search for ways to prevent it. Laser-microtextured surfaces promote soft tissue attachment and provide a tight seal around implants. Hence, the aim of this study was to examine the clinical, radiographic, and histologic features of ligature-induced peri-implantitis, as well as the effect of surgical treatment of these induced peri-implantitis lesions on laser-microtextured implants in a controlled animal model. MATERIALS AND METHODS: Six mini-pigs (three males/three females) received 6 implants each (3 resorbable blast textured [RBT] implants and 3 laser-microtextured [LM] implants) in mandibular premolar sites, for a total of 36 implants. Two groups were identified based on the time point of sample analysis. After osseointegration was achieved, metal wire ligatures were placed and left for 12 weeks. Group 1 samples were then obtained, and group 2 samples received rescue therapy following a guided bone regeneration (GBR) protocol. Sample collection in group 2 was completed 12 weeks after the samples were submerged and treated. All samples were analyzed histologically and measurements were taken. RESULTS: Four implants (three RBT, one LM) were lost at early time points because of implant instability. Interimplant distances and soft tissue thicknesses varied subtly between groups. More notable was the mean (± standard error of the mean) crestal bone loss (group 1: 1.860 ± 1.618 mm [LM] and 2.440 ± 2.691 mm [RBT]; group 2: 2.04 ± 1.613 mm [LM] and 3.00 ± 2.196 mm [RBT]) (P < .05), as demonstrated by a paired t test. Histologic pocket depth was also greater at RBT sites than at LM sites (4.448 ± 2.839 mm and 4.121 ± 2.251 mm, respectively, in group 1; and 3.537 ± 2.719 mm and 2.339 ± 1.852 mm, respectively [P < .005] in group 2). CONCLUSION: LM implants had less crestal bone loss and shallower histologic pocket depth compared with their RBT counterparts. Also, LM implants had higher bone fill when a rescue therapy (GBR) was performed.

Uptake, distribution, and velocity of organically complexed plutonium in corn (Zea mays).

Lysimeter experiments and associated simulations suggested that Pu moved into and through plants that invaded field lysimeters during an 11-year study at the Savannah River Site. However, probable plant uptake and transport mechanisms were not well defined, so more detailed study is needed. Therefore, experiments were performed to examine movement, distribution, and velocity of soluble, complexed Pu in corn. Corn was grown and exposed to Pu using a "long root" system in which the primary root extended through a soil pot and into a hydroponic container. To maintain solubility, Pu was complexed with the bacterial siderophore DFOB (Desferrioxamine B) or the chelating agent DTPA (diethylenetriaminepentaacetic acid). Corn plants were exposed to nutrient solutions containing Pu for periods of 10 min to 10 d. Analysis of root and shoot tissues permitted concentration measurement and calculation of uptake velocity and Pu retardation in corn. Results showed that depending on exposure time, 98.3-95.9% of Pu entering the plant was retained in the roots external to the xylem, and that 1.7-4.1% of Pu entered the shoots (shoot fraction increased with exposure time). Corn Pu uptake was 2-4 times greater as Pu(DFOB) than as Pu(2)(DTPA)(3). Pu(DFOB) solution entered the root xylem and moved 1.74 m h(-1) or greater upward, which is more than a million times faster than Pu(III/IV) downward movement through soil during the lysimeter study. The Pu(DFOB) xylem retardation factor was estimated to be 3.7-11, allowing for rapid upward Pu transport and potential environmental release.

A two-class population balance equation yielding bimodal flocculation of marine or estuarine sediments.

Bimodal flocculation of marine and estuarine sediments describes the aggregation and breakage process in which dense microflocs and floppy macroflocs change their relative mass fraction and develop a bimodal floc size distribution. To simulate bimodal flocculation of such sediments, a Two-Class Population Balance Equation (TCPBE), which includes both size-fixed microflocs and size-varying macroflocs, was developed. The new TCPBE was tested by a model-data fitting analysis with experimental data from 1-D column tests, in comparison with the simple Single-Class PBE (SCPBE) and the elaborate Multi-Class PBE (MCPBE). Results showed that the TCPBE was the simplest model that is capable of simulating the major aspects of the bimodal flocculation of marine and estuarine sediments. Therefore, the TCPBE can be implemented in a large-scale multi-dimensional flocculation model with least computational cost and used as a prototypic model for researchers to investigate complicated cohesive sediment transport in marine and estuarine environments. Incorporating additional biological and physicochemical aspects into the TCPBE flocculation process is straight-forward also.

Influence of sources on plutonium mobility and oxidation state transformations in vadose zone sediments.

Well-defined solid sources of Pu(III) (PuCl3), Pu(IV) (Pu (NO3)4 and Pu (C2O4)2), and Pu(VI) (Pu02(NO3)2) were placed in lysimeters containing vadose zone sediments and exposed to natural weather conditions for 2 or 11 years. The objective of this study was to measure the release rate of Pu and the changes in the Pu oxidation states from these Pu sources with the intent to develop a reactive transport model source-term. Pu(III) and Pu(IV) sources had identical Pu concentration depth profiles and similar Pu release rates. Source release data indicate that PuIV(C2O4)2 was the least mobile, whereas Pu(VI)O2(NO3)2 was the most mobile. Synchrotron X-ray fluorescence (SXRF) revealed that Pu was very unevenly distributed on the sediment and Mn concentrations were too low (630 mg kg(-1)) and perhaps of the wrong mineralogy to influence Pu distribution. The high stability of sorbed Pu(IV) is proposed to be due to the formation of a stable hydrolyzed Pu(IV) surface species. Plutonium X-ray absorption near-edge spectroscopy (XANES) analysis conducted on sediment recovered at the end of the studyfrom the Pu(IV)(NO3)4- and Pu(III)(III)Cl3-amended lysimeters contained essentially identical Pu distributions: approximately 37% Pu(III), 67% Pu(IV), 0% Pu(V), and 0% Pu(VI). These results were similar to those using a wet chemistry Pu oxidation state assay, except the latter method did not detect any Pu(III) present on the sediment but instead indicated that 93-98% of the Pu existed as Pu(IV). This discrepancy was likely attributable to incomplete extraction of sediment Pu(III) by the wet chemistry method. Although Pu has been known to exist in the +3 oxidation state under microbially induced reducing conditions for decades, to our knowledge, this is the first observation of steady-state Pu(III) in association with natural sediments. On the basis of thermodynamic considerations, Pu(III) has a wide potential distribution, especially in acidic environments, and as such may warrant further investigation.

Field-scale effective matrix diffusion coefficient for fractured rock: results from literature survey.

Matrix diffusion is an important mechanism for solute transport in fractured rock. We recently conducted a literature survey on the effective matrix diffusion coefficient, D(m)(e), a key parameter for describing matrix diffusion processes at the field scale. Forty field tracer tests at 15 fractured geologic sites were surveyed and selected for the study, based on data availability and quality. Field-scale D(m)(e) values were calculated, either directly using data reported in the literature, or by reanalyzing the corresponding field tracer tests. The reanalysis was conducted for the selected tracer tests using analytic or semi-analytic solutions for tracer transport in linear, radial, or interwell flow fields. Surveyed data show that the scale factor of the effective matrix diffusion coefficient (defined as the ratio of D(m)(e) to the lab-scale matrix diffusion coefficient, D(m), of the same tracer) is generally larger than one, indicating that the effective matrix diffusion coefficient in the field is comparatively larger than the matrix diffusion coefficient at the rock-core scale. This larger value can be attributed to the many mass-transfer processes at different scales in naturally heterogeneous, fractured rock systems. Furthermore, we observed a moderate, on average trend toward systematic increase in the scale factor with observation scale. This trend suggests that the effective matrix diffusion coefficient is likely to be statistically scale-dependent. The scale-factor value ranges from 0.5 to 884 for observation scales from 5 to 2000 m. At a given scale, the scale factor varies by two orders of magnitude, reflecting the influence of differing degrees of fractured rock heterogeneity at different geologic sites. In addition, the surveyed data indicate that field-scale longitudinal dispersivity generally increases with observation scale, which is consistent with previous studies. The scale-dependent field-scale matrix diffusion coefficient (and dispersivity) may have significant implications for assessing long-term, large-scale radionuclide and contaminant transport events in fractured rock, both for nuclear waste disposal and contaminant remediation.

Eleven-year field study of Pu migration from Pu III, IV, and VI sources.

Understanding the processes controlling Pu mobility in the subsurface environment is important for estimating the amount of Pu waste that can be safely disposed in vadose zone burial sites. To study long-term Pu mobility, four 52-L lysimeters filled with sediment collected from the Savannah River Site near Aiken, South Carolina were amended with well-characterized solid Pu sources (PuIIICl3, PuIV(NO3)4, PuIV(C2O4)2, and PuVIO2(NO3)2) and left exposed to natural precipitation for 2-11 years. Pu oxidation state distribution in the Pu(III) and Pu(IV) lysimeters sediments (a red clayey sediment, pH = 6.3) were similar, consisting of 0% Pu(III), >92% Pu(IV), 1% Pu(V), 1% Pu(VI), and the remainder was a Pu polymer. These three lysimeters also had near identical sediment Pu concentration profiles, where >95% of the Pu remained within 1.25 cm of the source after 11 years; the other 5% of Pu moved at an overall rate of 0.9 cm yr(-1). As expected, Pu moved more rapidly through the Pu(VI) lysimeter, at an overall rate of 12.5 cm yr(-1). Solute transport modeling of the sediment Pu concentration profile data in the Pu(VI) lysimeter indicated that some transformation of Pu into a much less mobile form, presumably Pu(IV), had occurred during the course of the two-year study. This modeling also supported previous laboratory measurements showing that Pu(V) or Pu(VI) reduction was 5 orders of magnitude faster than corresponding Pu(III) or Pu(IV) oxidation. The slow oxidation rate (1 x 10(-8) hr(-1); t1/2 = 8000 yr) was not discernible from the Pu(VI) lysimeter data that reflected only two years of transport butwas readily discernible from the Pu(III) and Pu(IV) lysimeter data that reflected 11 years of transport.

Spatial weighting functions: transient hydraulic tests and heterogeneous media.

To improve understanding of property measurements in heterogeneous media, an energy-based weighting function concept is developed. In (assumed) homogeneous media, the instrument spatial weighting function (ISWF) depends only on the energy dissipation distribution set up by the measurement procedure and it reduces to simply inverse sample volume (uniform weighting) for 1-D parallel flow case (ideal permeameter). For 1-D transient flow in homogeneous media, such as with slug tests, the ISWF varies with position and time, with 95% of the total weighting contained within 115 well radii, even late in the test. In the heterogeneous case, the determination of the ISWF is connected to the problem of determining an equivalent hydraulic conductivity (K), where the criterion for equivalence is based on equal energy dissipation rate rather than equal volume discharge. The discharge-based equivalent K (K(E)) and the energy-based equivalent K in heterogeneous media (K(eh)) are not equal in general, with K(eh) typically above the nodal arithmetic mean K. The possibly more fundamental problem is that as one makes K measurements in heterogeneous media at different locations or on different cores of heterogeneous materials, the ISWF will be heterogeneity dependent, implying that the averaging process resulting in the equivalent K value also varies with position. If the testing procedure is transient, then the averaging process varies with time. This suggests a fundamental ambiguity in the interpretation of hydraulic conductivity measurements in heterogeneous media that may impact how we approach modeling and prediction in a practical sense (Molz 2003). Further research is suggested.

Comparison of single-domain and dual-domain subsurface transport models.

Subgrid modeling of some type is typically used to account for heterogeneity at scales below the grid scale. The single-domain model (SDM), employing field-scale dispersion, and the dual-domain model (DDM), employing local hydrodynamic dispersion and exchange between domains having large hydraulic conductivity contrasts, are well-known examples. In this paper, the two modeling approaches are applied to tritium migration from the H-area seepage basins to a nearby stream--Fourmile Branch--at the Savannah River Site. This location has been monitored since 1955, so an extensive dataset exists for formulating realistic simulations and comparing the results to data. It is concluded that the main parameters of both models are scale-dependent, and methods are discussed for making initial estimates of the DDM parameters, which include mobile/immobile porosities and the mass exchange coefficient. Both models were calibrated to produce the best fit to recorded tritium data. When various attributes of the dataset were considered, including cumulative tritium activity discharged to Fourmile Branch, plume arrival time, and plume attenuation due to closure of the seepage basins in 1988, the DDM produced results superior to the SDM, while causing no unrealistic upgradient dispersion. A sensitivity analysis showed that only the DDM was able to accurately produce both the instantaneous activity discharge and cumulative activity with a single parameter set. This is thought to be due to the advection-dominated nature of transport in natural porous media and the more realistic treatment of this type of transport in the DDM relative to the SDM.

Influence of oxidation states on plutonium mobility during long-term transport through an unsaturated subsurface environment.

Lysimeter and laboratory studies were conducted to identify the controlling chemical processes influencing Pu(IV) mobility through the vadose zone. A 52-L lysimeter containing sediment from the Savannah River Site, South Carolina and solid PuIV(NO3)4 was left exposed to natural wetting and drying cycles for 11 years before the lysimeter sediment was sampled. Pu had traveled 10 cm, with >95% of the Pu remaining within 1.25 cm of the source. Laboratory studies showed that the sediment quickly reduced Pu(V) to Pu(IV) (the pseudo-first-order reduction rate constant, Kobs, was 0.11 h(-1)). Of particular interest was that this same sediment could be induced to release very low concentrations of sorbed Pu under oxidizing conditions, presumably by oxidation of sorbed Pu(IV) to the more mobile Pu(V) species. Transport modeling supported the postulation that Pu oxidation occurred in the lysimeter sediment; the inclusion of an oxidation term in the model produced simulations that capture the Pu depth profile data. By not including the oxidation process in the model, Pu mobility was grossly underestimated by a factor of 3.5. It is concluded that both oxidation and reduction mechanisms can play an important role in Pu transportthrough the vadose zone and should be considered when evaluating disposal of Pu-bearing wastes.

The acute effects of posterior fusion instrumentation on kinematics and intradiscal pressure of the human lumbar spine.

Nine cadaver lumbar spines were analyzed by applying nonconstraining nondestructive bending moments while measuring global range of motion, mechanical reaction at the sacrum, applied moment at the top of the specimen, segmental range of motion at L1-L5, and IDP at L1-L4. Each specimen was examined in an intact and instrumented state (with L3-L4 posterior instrumentation) using range of motion-based biomechanical testing, while achieving a similar global ROM in the sagittal, frontal, and transverse planes. An increase in applied moment was required during instrumented testing when compared with intact, and a significant increase in segmental range of motion during instrumented testing was found at all uninstrumented levels. Significant decreases in segmental range of motion were measured at the instrumented level when compared with intact testing. The most significant decreases and increases in IDP occurred at the instrumented level during sagittal and transverse plane testing.

Field Determination of Aquifer Thermal Energy Storage Parametersa.

Determination of the potential of a specific confined aquifer as an effective thermal energy storage medium requires thorough knowledge of the geochemical, thermodynamic, and hydraulic properties of the aquifer and its confining layers. A series of laboratory and field studies must be performed in order to determine the fundamental parameters. Procedures and analyses of a series of tests for a confined aquifer near Mobile, Alabama were completed prior to an aquifer thermal energy storage experiment. Parameters determined were: the regional gradient; vertical and horizontal permeabilities of the storage aquifer; horizontal dispersivity of the storage aquifer; vertical permeability of the confining layers; and thermal conductivities, heat capacities, and chemical characteristics of the aquifer matrix and native ground water.