Fabrications of zinc-releasing biocement combining zinc calcium phosphate to calcium phosphate cement.

Recently, zinc-releasing bioceramics have been the focus of much attention owing to their bone-forming ability. Thus, some types of zinc-containing calcium phosphate (e.g., zinc-doped tricalcium phosphate and zinc-substituted hydroxyapatite) are examined and their osteoblastic cell responses determined. In this investigation, we studied the effects of zinc calcium phosphate (ZCP) derived from zinc phosphate incorporated into calcium phosphate cement (CPC) in terms of its setting reaction and MC3T3-E1 osteoblast-like cell responses. Compositional analysis by powder X-ray diffraction analysis revealed that HAP crystals were precipitated in the CPC containing 10 or 30wt% ZCP after successfully hardening. However, the crystal growth observed by scanning electron microscopy was delayed in the presence of additional ZCP. These findings indicate that the additional zinc inhibits crystal growth and the conversion of CPC to the HAP crystals. The proliferation of the cells and alkaline phosphatase (ALP) activity were enhanced when 10wt% ZCP was added to CPC. Taken together, ZCP added CPC at an appropriate fraction has a potent promotional effect on bone substitute biomaterials.

Magnetic susceptibility and hardness of Au-xPt-yNb alloys for biomedical applications.

Metal devices in the human body induce serious metal artifacts in magnetic resonance imaging (MRI). Metals artifacts are mainly caused by a volume magnetic susceptibility (χv) mismatch between a metal device and human tissue. In this research, Au-xPt-yNb alloys were developed for fabricating MRI artifact-free biomedical metal devices. The magnetic properties, hardness and phase constitutions of these alloys were investigated. The Au-xPt-8Nb alloys showed satisfactory χv values. Heat treatments did not clearly change the χv values for Au-xPt-8Nb alloys. The Vickers hardness (HV) of these two alloys was much higher than that of high-Pt alloys; moreover, aging at 700°C increased the HV values of these two alloys. A dual phase structure consisting of face-centered cubic α1 and α2 phases was observed and aging at 700°C promoted phase separation. The Au-5Pt-8Nb and Au-10Pt-8Nb alloys showed satisfactory χv values and high hardness and are thus suggested as candidates for MRI artifact-free alloys for biomedical applications.

Effects of colloidal silica suspension mixing on porosity of phosphate-bonded investments after setting and heating processes.

A numerical simulation model, which was based on the setting and heating reactions of the binder phase of phosphate-bonded investment compacts, was developed to compute the porosities of set and burnout compacts. Densities and concentrations of microsilica particles in dilute suspension were measured and input into the simulation model. Validity of the model was confirmed by experimental results, that is, colloidal silica suspensions were prepared using different silica concentrations and mixed with investment powders. Porosities of these set and burnout compacts were experimentally measured. Effects of these factors on the porosity of compacts were examined using the developed simulation model: liquid/powder (L/P) ratio, concentration of microsilica particles in colloidal silica suspension, and ratio of binder component (NH4H2PO4) in investment powder. It was concluded that numerical simulation is a viable tool for dental materials research.

Formability and mechanical properties of porous titanium produced by a moldless process.

Tailor-made porous titanium implants show great promise in both orthopedic and dental applications. However, traditional powder metallurgical processes require a high-cost mold, making them economically unviable for producing unique devices. In this study, a mixture of titanium powder and an inlay wax binder was developed for moldless forming and sintering. The formability of the mixture, the dimensional changes after sintering, and the physical and mechanical properties of the sintered porous titanium were evaluated. A 90:10 wt % mixture of Ti powder and wax binder was created manually at 70°C. After debindering, the specimen was sintered in Ar at 1100°C without any mold for 1, 5, and 10 h. The shrinkage, porosity, absorption ratio, bending and compressive strength, and elastic modulus were measured. The bending strength (135-356 MPa), compression strength (178-1226 MPa), and elastic modulus (24-54 GPa) increased with sintering time; the shrinkage also increased, whereas the porosity (from 37.1 to 29.7%) and absorption ratio decreased. The high formability of the binder/metal powder mixture presents a clear advantage for fabricating tailor-made bone and hard tissue substitution units. Moreover, the sintered compacts showed high strength and an elastic modulus comparable to that of cortical bone.

Calcium phosphate-based cements: clinical needs and recent progress.

Although autografts are considered to be the current gold standard, there is still clinical demand for synthetic bone graft substitutes. Calcium phosphate cements (CPCs) have many favourable properties that support their clinical use in the repair of bone defects. Although the translation of CPCs from the bench to the bedside has been quite successful, some issues remain. This review article provides an overview of the recent progress in the development of CPC-based materials and also emphasises the challenges facing clinical applications. The next generation of CPCs with unique properties is emerging for specific clinical applications.

Porosity of dental phosphate-bonded investments after setting and heating processes.

Porosities of set and burnout compacts of phosphate-bonded investments were determined. A gas pycnometer was used to measure the volumes, and hence the densities, of fine powders and porous compacts. Porosities of set and burnout compacts were then obtained from these data for as-received powders and dry set compacts by a numerical simulation method, subsequently leading on to the estimated compositions of conventional and rapid-heating investments used in this study. Excess water content in the hardening investment compact was evaluated as a function of setting time elapsed from the start of mixing. Porosities were about 24-32% for set compacts and 43% for burnout compacts, which well agreed with the numerically computed results. It was concluded that the functional composition of investment powder needed to achieve the optimal porosity as well as process parameters such as water-powder (W/P) ratio and keeping time of mixed investment casting slurry before heat treatment could be determined using the numerical simulation method developed in this study.

Porosity of dental gypsum-bonded investments in setting and heating process.

The porosity of gypsum-bonded investments for set and heated compacts was measured and theoretically computed quantitatively, because porosity is an effective factor for determining the strength, setting/heating expansion, and permeability of compacts at casting. A helium gas pycnometer was used to measure the solid volume of fine powders, powder-water mixtures, and porous compacts. The compositions of the conventional cristobalite investment and rapid-heating type investment were estimated from the measured solid densities of the as-received powders and the set investments. The porosity and water content of the set investments were determined from the experimental data. Excess water content in the set investment was calculated in relation to the elapsed time from the start of mixing with water. The experimental porosities of the set and heated investments were about 40% for dry set >compacts and about 50% for fired compacts, which well agreed with the numerically computed estimations, respectively.

Correlation in the mechanical properties of acrylic denture base resins.

The aim of the present study was to measure various mechanical properties of acrylic denture base resins, including flexural modulus, flexural strength, fracture toughness, Barcol and Vickers hardness and their related properties, and to investigate correlations between different mechanical properties. Resin specimens were prepared according to manufacturers' recommended instructions. The mechanical properties were measured under specified standards. Data from the mechanical tests were examined using correlation tests. In general, the mean results for mechanical properties of each specimen group were differently ranked depending on the tested mechanical property. The flexural modulus value showed strong or reasonable positive correlation with those of proportional limit, flexural strength, and surface hardness. In contrast, fracture toughness revealed strong negative correlations with the flexural parameters and hardness values. Results of correlation tests for the different parameters can be used for estimation of mechanical performance of acrylic denture bases in clinical situation and for quality control purposes.

Reinforcement of bond strength of self-etching orthodontic adhesive.

OBJECTIVE: To determine the reinforcement of bond strength of a self-etching system by applying a pretreatment agent. MATERIALS AND METHODS: Sixty extracted human premolars were used in this study. The enamel surfaces were treated with four pretreatment agents-phosphoric acid, polyacrylic acid, citric acid, and ammonium hexafluorosilicate (SiF)-and were examined under a scanning electron microscope. Afterward, orthodontic brackets were bonded with a self-etching adhesive system (n  =  10 for each agent), and shear bond strength was measured through a debonding process. The adhesive remnant index (ARI) was also assessed. RESULTS: Enamel surfaces treated with polyacrylic acid seemed almost the same as intact enamel. Treatment with SiF induced slight shallow depressions compared with the intact enamel. On the other hand, enamel surfaces treated with citric acid and phosphoric acid showed severe etching patterns. All pretreatments increased the bond strength, but SiF-treated specimens revealed the greatest strength (12.201 ± 1.048 MPa), followed by polyacrylic acid (12.030 ± 2.103 MPa). The control group with no pretreatment showed the least strength (9.078 ± 1.678 MPa). All pretreatments increased ARI score compared with the control group. CONCLUSIONS: Surface conditioning before bracket adhesion could reinforce the bond strength of the self-etching adhesive system, resulting in a more reliable bonding system.

Antibacterial activity of composite resin with glass-ionomer filler particles.

The purpose of this study was to examine the antibacterial activity of composite resin with glass-ionomer filler particles versus that of contemporary commercial composite resins. Three composite resins were used: Beautifil II (containing S-PRG filler), Clearfil AP-X, and Filtek Z250. Resin blocks were bonded to maxillary first molars, and plaque accumulation on the resin block surface was examined after 8 hours. For the antibacterial test, the number of Streptococcus mutans in contact with the composite resin blocks after incubation for 12 hours was determined, and adherence of radiolabeled bacteria was evaluated. Less dental plaque was formed on Beautifil II resin block as compared to the other two materials. Antibacterial test revealed that there were no significant differences in the number of Streptococcus mutans among the three composite resins. However, the adherence of radiolabeled bacteria to the saliva-treated resin surface was significantly (p<0.01) lower in Beautifil II than in the other two materials. These results suggested that Beautifil II could reduce dental plaque formation and bacterial adherence, leading to prevention of secondary caries.

Enamel bonding of self-etching and phosphoric acid-etching orthodontic adhesives in simulated clinical conditions: debonding force and enamel surface.

This study aimed to evaluate the effectiveness of self-etching and phosphoric acid-etching orthodontic adhesives for enamel bonding in simulated clinical conditions. By using two self-etching (Transbond Plus, TP; Beauty Ortho Bond, BB) and two acid-etching (Transbond XT, TX; Superbond Orthomite, SB) adhesives, orthodontic brackets were bonded on human premolars (n=10 for each adhesive). Ten teeth without bracket bonding, i.e., intact enamel surfaces, were used as control for SEM observation. After 7-day storage in lactic acid solution, bracket debonding force by means of debonding pliers, adhesive remnant index (ARI), and enamel surface morphology were examined. All the tested adhesives exhibited sufficient bond strength for clinical use. The ARI scores were almost the same among the four adhesives. In terms of SEM observation, the enamel surfaces in the control and TP groups showed a slight change after immersion in lactic acid solution, while the BB group showed less change on the enamel surface compared with the TP group. Meanwhile, the two acid-etching adhesives caused considerable demineralization. Taken together, these findings indicated that the action of self-etching systems was evidently more conservative.

GM-CSF and IL-4 induce dendritic cell differentiation and disrupt osteoclastogenesis through M-CSF receptor shedding by up-regulation of TNF-alpha converting enzyme (TACE).

Monocytes give rise to macrophages, osteoclasts (OCs), and dendritic cells (DCs). Macrophage colony-stimulating factor (M-CSF) and receptor activator of nuclear factor-kappaB (RANK) ligand induce OC differentiation from monocytes, whereas granulocyte-macrophage colony-stimulating factor (GM-CSF) and interleukin-4 (IL-4) trigger monocytic differentiation into DCs. However, regulatory mechanisms for the polarization of monocytic differentiation are still unclear. The present study was undertaken to clarify the mechanism of triggering the deflection of OC and DC differentiation from monocytes. GM-CSF and IL-4 abolished monocytic differentiation into OCs while inducing DC differentiation even in the presence of M-CSF and RANK ligand. GM-CSF and IL-4 in combination potently up-regulate tumor necrosis factor-alpha (TNF-alpha) converting enzyme (TACE) and activity in monocytes, causing ectodomain shedding of M-CSF receptor, resulting in the disruption of its phosphorylation by M-CSF as well as the induction of osteoclastogenesis from monocytes by M-CSF and RANK ligand. Interestingly, TACE inhibition robustly causes the resumption of the surface expression of M-CSF receptor on monocytes, facilitating M-CSF-mediated phosphorylation of M-CSF receptor and macrophage/OC differentiation while impairing GM-CSF- and IL-4-mediated DC differentiation from monocytes. These results reveal a novel proteolytic regulation of M-CSF receptor expression in monocytes to control M-CSF signaling and monocytic differentiation into macrophage/OC-lineage cells or DCs.

Development of a novel cement by conversion of hopeite in set zinc phosphate cement into biocompatible apatite.

Synthetic bone cement that has zinc oxide core particles covered with hydroxyapatite (HAP) was developed; that is, the conversion of hopeite, the traditional zinc phosphate cement, into HAP was attempted. Here, hopeite is the final product of the reaction between powders and trituration liquid of the traditional zinc phosphate cement. This cement may have many advantages not only in terms of biological functions but also the setting process of the traditional cement and the mechanical properties of the developed compact if the hopeite can be converted into calcium phosphate (CP). In this study, calcium nitrate solutions of various concentrations were used for the conversion of hopeite crystals into CP. The products after the solution treatment were analyzed by X-ray diffractometry (XRD), Fourier transform infrared spectrometry (FTIR), and scanning electron microscope (SEM) observation. These results indicated that the converted scholzite crystals could be partially detected. Several types of set zinc phosphate cement with different P/L ratios were arranged. The surface products of the set cement after the solution treatment were analyzed by XRD. However, the crystal phase such as hopeite was not detected except for zinc oxide. The set cement, which was treated with the calcium nitrate solution, was immersed in simulated body fluid (SBF). HAP-like crystals on the set cement could be detected for the specimens immersed for 4 weeks. These findings suggested that the binding phase in the set cement could be converted into HAP by immersion in SBF.

Effects of heat treatment on the bioactivity of surface-modified titanium in calcium solution.

The purpose of this study was to determine the effects of heat treatment on the bioactivity of hydrothermal-modified titanium in CaO solution for improved bioactivity by immersion in simulated body fluid (SBF). The hydrothermal treatment of titanium in CaO solution was performed at 121 degrees C at 0.2 MPa for 1 h in an autoclave followed by 1 h heat treatments at 200, 400, 600 and 800 degrees C simultaneously. The bioactivity of titanium was evaluated by hydroxyapatite precipitation during immersion in SBF. Surface microstructure changes after the heat treatments and immersion in SBF were determined by X-ray diffractometry (XRD), X-ray photoelectron spectroscopy (XPS), and scanning electron microscopy (SEM). Heat treatments at high temperatures (600 and 800 degrees C) promoted the synthesis of anatase, increased the thickness of the titanium oxide layer on the modified titanium surface and promoted the synthesis of calcium titanate, which possibly promoted the precipitation of apatite in SBF. The extent of precipitations increased with the time of immersion in SBF and the temperature of the heat treatment. Island-like deposits of needle-like crystals were observed only on the surface of the 600 and 800 degrees C heat-treated specimens after two or four week immersions in SBF. The results suggested that treatments of the surface of hydrothermal-treated titanium specimens at high temperatures (600 and 800 degrees C) could be effective for the surface modification of titanium as an implant material offering better osseointegration.

Assessment of allergic hypersensitivity to dental materials.

Some metallic materials in dental prostheses may cause allergic hypersensitivity. Symptoms appear not only in the oral cavity, but also on hands, feet or the entire body. Release of metal ions is thought to cause the allergic reactions; micro-particles of the corrosion products of the metal and/or ionic metal hydroxides/oxides may be the allergens. The study purpose was to review clinical surveillance of dental allergic hypersensitivity in our dental hospital. From July 2000 to June 2005, 212 patients with suspected dental metal allergy were patch tested with 26 reagents, including 19 ready-made patch test reagents (Patch test reagents, Torii Pharmaceutical Corporation, Tokyo, Japan) and 9 custom-made reagents. One-hundred-and-sixty-seven patients were females (78.8%) and 45 patients were males (21.2%). A total of 148 patients (69.8%) had one or more positive patch test reactions. The most common allergens were nickel (25.0%), palladium (24.4%), chromium (16.7%), cobalt (15.9%) and stannum (12.5%). Typical allergic symptoms and diagnoses were Pustulosis palmaris et plantaris, lichen planus, stomatitis and contact dermatitis. This study indicates that dentists and dental researchers should be concerned about the allergenic potential of dental metal materials.

Fracture of Ni-Ti superelastic alloy under sustained tensile load in physiological saline solution containing hydrogen peroxide.

The fracture of Ni-Ti superelastic alloy has been investigated by a sustained tensile-loading test in physiological saline solution containing hydrogen peroxide (0.15M NaCl + 0.3M H(2)O(2)). The fracture always occurs when the applied stress exceeds the critical stress for martensite transformation. In contrast, under a low applied stress, the fracture does not always occur within 1000 h. The fracture is probably mainly caused by localized corrosion associated with the preferential dissolution of nickel ions. In 0.3M H(2)O(2) solution without NaCl, the fracture does not occur even under a high applied stress. The results of the present study imply that one reason for the fracture of the Ni-Ti superelastic alloy in vivo is localized corrosion due to the synergistic effects of hydrogen peroxide and sodium chloride under applied stress.

Surface modification of titanium with hydrothermal treatment at high pressure.

Surface modification of titanium was investigated by means of hydrothermal treatment with a maximum pressure of 6.3 MPa (280 degrees C temperature) in CaO solution or water to improve bioactivity and biocompatibility. As a result, calcium titanate was formed on the titanium surface. Moreover, titanium oxide and titanium hydroxide layers on the surface increased as temperature and pressure increased. The surface-modified titanium was also immersed in a simulated body fluid (SBF) to estimate its bioactivity. Needle-like apatite precipitation was observed on all hydrothermal-treated titanium surfaces after immersion in SBF for four weeks. In particular, the apatite precipitation of titanium treated with 6.3 MPa in CaO solution was clearer and larger in amount than those of all other hydrothermal-treated specimens. Further, the amount of precipitate corresponded to the thickness of the surface-modified layer and the amount of calcium in the surface layer. The results suggested that surface modification of titanium with high-pressure hydrothermal treatment seemed to improve bioactivity and biocompatibility.

Chemical surface modification of high-strength porous Ti compacts by spark plasma sintering.

The biological properties of a titanium (Ti) implant depend on its surface oxide film. The aims of the present study were to increase the specific surface oxide area on Ti using a porous structure and to study the relationship between the amount of apatite coating in simulated body fluid (SBF) and the actual surface area on titanium powders. Ti powders of 110 microm average diameter were sintered by spark plasma sintering. The sintered compacts had a porosity of 28%, a compressive elastic modulus of 7.9 GPa and an ultimate strength of 112 MPa. The compressive strength of the compacts was increased to 588 MPa by subsequent annealing in a vacuum furnace at 1000 degrees C for 24 h. The sintered compacts were treated with aqueous NaOH solution and subsequently heated at 600 degrees C. The pretreated compacts showed apatite crystal precipitation in SBF. The amounts of precipitates through the compacts were compared with those of the Ti plate substrates subjected to the same chemical pretreatment. It was confirmed that the amounts of precipitates through the compacts were more than one hundred times higher than those on the Ti plates. It was concluded that the metal porous compacts developed may be used as functional materials for immobilizing functional proteins and/or drugs, because the precipitated apatite can adsorbed these substances.

Hydrogen absorption of titanium and nickel-titanium alloys during long-term immersion in neutral fluoride solution.

Hydrogen absorption of biomedical titanium and Ni-Ti alloys in a neutral fluoride (2.0% NaF) solution for up to 10,000 h at 37 degrees C has been evaluated by means of hydrogen thermal desorption analysis. For alpha titanium (commercial pure titanium), the amount of absorbed hydrogen was, at most, 10-30 mass ppm, and the corrosion product and hydride formation were revealed on the surface of the specimen by X-ray diffraction analysis. Ni-Ti superelastic alloy absorbed approximately 150 mass ppm of hydrogen, which was probably sufficient to result in the pronounced degradation of the mechanical properties, although corrosion was hardly observed. In contrast, hydrogen absorption of alpha-beta titanium (Ti-6Al-4V) and beta titanium (Ti-11.3Mo-6.6Zr-4.3Sn) alloys was negligible, although general corrosion was observed. The results of the present study indicate that the susceptibility of titanium and Ni-Ti alloys to hydrogen absorption in the neutral fluoride solution is different from that in the acidic fluoride solution reported previously.

Strengthening of calcium phosphate cement by compounding calcium carbonate whiskers.

The purpose of this study was to investigate how aragonite (calcium carbonate) whiskers influenced the strengthening and carbonating of alpha-tricalcium phosphate (alpha-TCP) based calcium phosphate cement. Aragonite whiskers of 0.95 microm width with an aspect ratio of 6.6 were prepared. The cement powder, alpha-TCP containing 0-50 mass% aragonite whisker, was mixed with 0.6 mol/L NaH2PO4 solution and incubated at 37 degrees C and 100% relative humidity. Diametral tensile strength (DTS) value increased significantly when appropriate amount of aragonaite whiskers was added. For example, DTS value of set cement containing 20 mass% aragonite whisker was 5.8 +/- 0.5 MPa, whereas DTS value of set cement containing no whiskers was 1.3 +/- 0.2 MPa after 1-week incubation. SEM observation revealed that the shape of the whiskers and the densification of the structure could have contributed to the strengthening of the set cement. Moreover, FTIR spectra implied that a bone-like carbonated apatite was precipitated in the cement. The results obtained in the present study revealed that the shape as well as any slight dissolution of aragonite whiskers could contribute to improving the properties of a-TCP based calcium phosphate cement.