Post-fatigue fracture load, stress concentration and mechanical properties of feldspathic, leucite- and lithium disilicate-reinforced glass ceramics.

Objective: To evaluate the mechanical properties of different CAD/CAM ceramic systems and the post-fatigue fracture and stress distribution when used as cemented crowns. Materials and methods: Sixty (60) CAD/CAM monolithic crowns were milled using three different ceramic materials (FD - Feldspathic [Vita Mark II]), LE - Leucite-based ceramic [IPS Empress CAD] and LD - Lithium Disilicate [IPS e.max CAD]) and adhesively cemented on resin composite dyes. Specimens were stored in distillated water (37 °C) for 7 days. After, half of the crowns were submitted to immediate fracture load test while the other half was submitted to fatigue cycling. The average cement layer of approximately 80 µm was assessed using scanning electron microscopy (SEM). The average thickness was used in the three-dimensional (3D) Finite Element Analysis (FEA). For each ceramic material, the density, Poisson ratio, shear modulus, Young modulus, fracture toughness, and true hardness were assessed (n = 3). The data was used to assess the Maximum Principal Stress throughout 3D-FEA according to each material during load to fail and post-fatigue. Data were submitted to two-way ANOVA and Tukey test (α = 0.05). Results: LD showed the highest compression load, density, shear modulus, Young modulus, fracture toughness and true hardness values. While LE presented the lowest mechanical properties values. There is no difference in the Poisson ratio between the evaluated ceramics. Conclusion: LD was susceptible to aging process but presented stronger physicomechanical properties, showing the highest post-fatigue fracture load and highest stress magnitude.

Titanium Alloy Implants with Lattice Structures for Mandibular Reconstruction.

In recent years, the field of mandibular reconstruction has made great strides in terms of hardware innovations and their clinical applications. There has been considerable interest in using computer-aided design, finite element modelling, and additive manufacturing techniques to build patient-specific surgical implants. Moreover, lattice implants can mimic mandibular bone's mechanical and structural properties. This article reviews current approaches for mandibular reconstruction, their applications, and their drawbacks. Then, we discuss the potential of mandibular devices with lattice structures, their development and applications, and the challenges for their use in clinical settings.

Sol-Gel Derived Tertiary Bioactive Glass-Ceramic Nanorods Prepared via Hydrothermal Process and Their Composites with Poly(Vinylpyrrolidone-Co-Vinylsilane).

Bioactive glass (BG) nanoparticles have wide applications in bone repair due to their bone-bonding and biodegradable nature. In this work, nanometric rod-shaped ternary SiO2-CaO-P2O5 bioactive glass particles were prepared through sol-gel chemistry followed by a base-induced hydrothermal process at 130 °C and 170 °C for various times up to 36 h. This facile, low-temperature and surfactant-free hydrothermal process has shown to be capable of producing uniform nanorods and nanowires. One-dimensional growth of nanorods and the characteristics of siloxane bridging networks were dependent on the hydrothermal temperature and time. Hardened bioactive composites were prepared from BG nanorods and cryo-milled poly(vinylpyrrolidone-co-triethoxyvinylsilane) in the presence of ammonium phosphate as potential bone graft biomaterials. Covalent crosslinking has been observed between the organic and inorganic components within these composites. The ultimate compressive strength and modulus values increased with increasing co-polymer content, reaching 27 MPa and 500 MPa respectively with 30% co-polymer incorporation. The materials degraded in a controlled non-linear manner when incubated in phosphate-buffered saline from 6 h to 14 days. Fibroblast cell attachment and spreading on the composite were not as good as the positive control surfaces and suggested that they may require protein coating in order to promote favorable cell interactions.

Bone Repair and Regenerative Biomaterials: Towards Recapitulating the Microenvironment.

Biomaterials and tissue engineering scaffolds play a central role to repair bone defects. Although ceramic derivatives have been historically used to repair bone, hybrid materials have emerged as viable alternatives. The rationale for hybrid bone biomaterials is to recapitulate the native bone composition to which these materials are intended to replace. In addition to the mechanical and dimensional stability, bone repair scaffolds are needed to provide suitable microenvironments for cells. Therefore, scaffolds serve more than a mere structural template suggesting a need for better and interactive biomaterials. In this review article, we aim to provide a summary of the current materials used in bone tissue engineering. Due to the ever-increasing scientific publications on this topic, this review cannot be exhaustive; however, we attempted to provide readers with the latest advance without being redundant. Furthermore, every attempt is made to ensure that seminal works and significant research findings are included, with minimal bias. After a concise review of crystalline calcium phosphates and non-crystalline bioactive glasses, the remaining sections of the manuscript are focused on organic-inorganic hybrid materials.

Porous and biodegradable polycaprolactone-borophosphosilicate hybrid scaffolds for osteoblast infiltration and stem cell differentiation.

The composition and microstructure of bone tissue engineering scaffolds play a significant role in regulating cell infiltration, proliferation, differentiation, and extracellular matrix production. While boron is an essential trace element for bone formation, growth, and health, boron-containing biomaterials are poorly studied. Specifically, the effect of boron in hybrid scaffolds on stem cell differentiation is unknown. We have previously reported the synthesis and characterization of class II hybrid biomaterials from polycaprolactone and borophosphosilicate glass (PCL/BPSG). In this study, PCL/BPSG hybrid porous scaffolds were fabricated by a solvent-free casting and particulate leaching method having consistent pore-size distribution, controlled porosity, and pore interconnectivity. The mechanical properties with respect to porogen loading and degradation time demonstrated that these scaffolds were competent for bone tissue engineering applications. In cell culture experiments, significant number of cells infiltrated and adhered into the scaffolds interior. Induced pluripotent stem cells (iPSCs) differentiation to osteogenic lineage was dependent on the amount of boron incorporated into the hybrid scaffolds. Consistent with this, scaffolds containing 2-mol% boron (calculated as % of the inorganic component) had an optimum effect on lineage expressions for alkaline phosphatase (ALP), osteopontin (OPN) and osteocalcin (OCN). These results suggest that PCL/BPSG hybrid scaffolds with optimum-level boron may enhance bone formation.

A novel technique for measurement of orthodontic mini-implant stability using the Osstell ISQ device.

OBJECTIVES: To develop and validate a method for application of the Osstell ISQ device in the assessment of mini-implant stability. MATERIALS AND METHODS: An adaptor was developed for attachment of Osstell's SmartPeg onto a variety of orthodontic mini-implants. For validation of the adaptor, Benefit mini-implants were inserted into bone blocks that mimicked different stability conditions. The Osstell device was used to assess mini-implant stability with the adaptor (test measurement) and conventional SmartPeg attachment (gold-standard measurement). Implant stability quotient (ISQ) values were assessed for agreement, repeatability, and reproducibility. RESULTS: Strong positive correlations were found between ISQ values obtained using the novel adaptor and the conventional attachment. Repeatability and reproducibility of ISQ values with the adaptor were similar to those obtained with the conventional attachment. CONCLUSIONS: A method was developed and validated to assess the stability of orthodontic mini-implants using the Osstell system. The novel mini-implant adaptor provided repeatable and reproducible measurements of mini-implant stability, which agreed with those obtained using a conventional SmartPeg attachment. This adaptor permits noninvasive stability assessment of various designs of mini-implants, most of which are incompatible with the conventional SmartPeg attachment.

Bioactivity, Degradation, and Mechanical Properties of Poly(vinylpyrrolidone-co-triethoxyvinylsilane)/Tertiary Bioactive Glass Hybrids.

Currently, composite and class I hybrid biomaterials are used for tissue regeneration applications. To improve and better control biomaterial properties, we synthesized class II organic/inorganic (O/I) hybrids, in which organic polymers and inorganic tertiary bioactive glass (TBG) were covalently cross-linked. To tailor their microstructure, bioactivity, degradation, and mechanical properties, we altered the degree of cross-linking by varying the amount of functional groups in the polymer that mediate covalent bonding to the TBG. We synthesized class II hybrids in a two-step process: first, vinylpyrrolidone (VP) and triethoxyvinylsilane (TEVS) were copolymerized at various molar ratios to obtain different amounts of silane functional groups in the copolymer; second, TBG and the copolymer were mixed and allowed to undergo hydrolysis and polycondensation forming Si-O-Si- and Si-O-P-bridging networks between the organic and inorganic phases. Higher amounts of functional groups increased copolymer-TBG covalent bonding and decreased  degradation and the release of TBG dissolution products. Incubation in simulated body fluid led to biomimetic apatite deposition on the hybrid biomaterial surfaces, which was primarily dependent on O/I weight ratios. A higher TBG content improved apatite deposition and biocompatibility. Porous and interconnected three-dimensional scaffolds, fabricated by indirect 3D printing using polycaprolactone as a sacrificial template, had intriguing yield and compressive strengths, compressive moduli, and toughness. These studies demonstrate, for the first time, that the functionality of our synthesized copolymers greatly affects the nature of O/I matrix formation and degradation behavior of the class II hybrid biomaterials, creating possibilities for tailoring the physical, biochemical, and mechanical properties of scaffold biomaterials for tissue regeneration and related applications.

Surface Roughness of Methacrylate- and Silorane-Based Composites After Finishing and Polishing Procedures.

OBJECTIVE: To compare the effect of surface finishing and polishing protocols on the surface roughness (Ra) of methacrylate-based and silorane-based resin composites. METHODS AND MATERIALS: Fifty specimens (5 mm x 2 mm) of each composite material were prepared using a split mold: Filtek™ Supreme Ultra (3M ESPE), Tetric EvoCeram® (Ivoclar Vivadent), Tetric Ceram™ HB (Ivoclar Vivadent), and Filtek™ LS Low Shrink (3M ESPE). Specimens were divided into five groups (n = 10) according to the following procedures: G1 - 15-µm fine diamond bur (FDB); G2 - 15-µm FDB followed by a 20-fluted tungsten carbide bur; G3 - 15-µm FDB followed by diamond-impregnated micropolishing points (D-FINE Double Diamond Polishing System, Clinician's Choice); G4 - 15-µm FDB followed by diamond-impregnated micropolishing points (Flame Point Pre-polisher and Shine, Brassseler USA); and G5 - 15-µm FDB followed by the application of a surface sealer (PermaSeal®, Ultradent Products, Inc.). Ra was measured in three different regions using a surface profilometer (Mitutoyo Surfest SJ-210, Mitutoyo America). RESULTS: Multiple comparisons were obtained using a one-way ANOVA with Tukey's B rank order test ( = 0.05). No significant differences in Ra were observed among the resin composites tested in the same condition. The use of a FDB generated the highest roughness values, while the use of a surface sealer resulted in the lowest roughness values for all resin composites tested (P < .05). No significant difference in Ra was observed between the use of a multi-fluted carbide bur and the rubber point D-FINE Double Diamond Polishing System for all resin composites tested.

Mechanically-competent and cytocompatible polycaprolactone-borophosphosilicate hybrid biomaterials.

Organic-inorganic class II hybrid materials have domain sizes at the molecular level and chemical bonding between the organic and inorganic phases. We have previously reported the synthesis of class II hybrid biomaterials from alkoxysilane-functionalized polycaprolactone (PCL) and borophosphosilicate (B2O3-P2O5-SiO2) glass (BPSG) through a non-aqueous sol-gel process. In the present study, the mechanical properties and degradability of these PCL/BPSG hybrid biomaterials were studied and compared to those of their conventional composite counterparts. The compressive strength, modulus and toughness of the hybrid biomaterials were significantly greater compared to the conventional composites, likely due to the covalent bonding between the organic and inorganic phases. A hybrid biomaterial (50wt% PCL and 50wt% BPSG) exhibited compressive strength, modulus and toughness values of 32.2 ± 3.5MPa, 573 ± 85MPa and 1.54 ± 0.03MPa, respectively; whereas the values for composite of similar composition were 18.8 ± 1.6MPa, 275 ± 28MPa and 0.76 ± 0.03MPa, respectively. Degradation in phosphate-buffered saline was slower for hybrid biomaterials compared to their composite counterparts. Thus, these hybrid materials possess superior mechanical properties and more controlled degradation characteristics compared to their corresponding conventional composites. To assess in vitro cytocompatibility, MC3T3-E1 pre-osteoblastic cells were seeded onto the surfaces of hybrid biomaterials and polycaprolactone (control). Compared to polycaprolactone, cells on the hybrid material displayed enhanced spreading, focal adhesion formation, and cell number, consistent with excellent cytocompatibility. Thus, based on their mechanical properties, degradability and cytocompatibility, these novel biomaterials have potential for use as scaffolds in bone tissue engineering and related applications.

Effect of Finishing Procedures on the Surface Roughness of Resin-modified Glass-Ionomer Materials.

This study examined the influence of finishing procedures on the surface roughness of different formulations of resin-modified glass ionomers (RMGIs) available in capsules compared with standard resin composites (RCs). Disc samples of three RMGIs and two RCs were fabricated using a metal mold (5 mm x 1.5 mm). Samples were randomly divided into seven groups (N = 10) and subjected to finishing and polishing procedures using a combination of carbide or diamond burs, followed by either rubber points or aluminum-oxide discs. Three different regions of each sample were analyzed using a contact profilometer to determine the average roughness (Ra). The main surface roughness was calculated using a two-way analysis of variance (ANOVA) and the Bonferroni correction for multiple comparisons. A dual-stage combination of a fine carbide bur followed by the use of the finest two grits of aluminum-oxide discs was found to produce the smoothest finished and polished surface. the smoothest surfaces were found to be on the two RCs and one of the RMGIs.

A Comparison of the Mechanical Measures Used for Assessing Orthodontic Mini-Implant Stability.

PURPOSE: Mechanical loosening remains a common complication associated with mini-implant failure. The purpose of this study was to compare common mechanical measures of mini-implant stability to determine their association and reliability. MATERIALS AND METHODS: Ninety self-drilling orthodontic mini-implants from 6 manufacturers were inserted into artificial bone blocks. Insertion torques (ITs) and Periotest values (PVs) were measured. Subsequently, mini-implants underwent pull-out testing for measures of pull-out load (POL) and screw displacement (ScrD). Stability measurements were compared using one-way ANOVA, associations among them were assessed using correlation analyses, and reliability was evaluated using coefficients of variation (COVs). RESULTS: Variations in stability of mini-implants were found, specific to the mechanical measure used for assessment (P < 0.05). The strongest correlations were found between IT and PV (r = -0.68) and between IT and POL (r = 0.66). Overall, PV showed the greatest variability (COV: 11%-100%) compared with IT (≤11%), POL (≤4%), and ScrD (≤19%). CONCLUSIONS: IT, PV, and POLs only agreed moderately in their assessment of mini-implant stability, and Periotest showed the least reliability in predicting mini-implant stability. As such, independent and interchangeable use of these stability measures should be avoided.

Interaction of primary human trabecular meshwork cells with metal alloy candidates for microinvasive glaucoma surgery.

BACKGROUND: Microinvasive glaucoma surgery (MIGS) is a relatively new addition to the glaucoma treatment paradigm. Small metallic stents are inserted into the trabecular meshwork in order to increase aqueous humour drainage. MIGS procedures are rapidly being adopted owing to a more favourable side effect profile when compared with traditional surgery. Remarkably, this rapid rate of utilization has occurred without any published studies on the effect of metal alloys used in these stents on human trabecular meshwork cells (HTMCs). Therefore, this study aimed to determine the effect of candidate metal alloys for MIGS on HTMC morphology, viability and function. METHODS: Human trabecular meshwork cells were cultured on the surfaces of titanium (polished and sandblasted), a titanium-nickel (nitinol) alloy and glass (as control substratum). Fluorescence imaging was used to assess cell morphology and spreading. A lactate dehydrogenase cytotoxicity assay, cell death detection ELISA, MTT cell viability assay, BrdU cell proliferation assay and fibronectin ELISA were also conducted. RESULTS: Cells cultured on sandblasted titanium exhibited significantly greater spreading than cells cultured on other substrata. In comparison, HTMCs cultured on nitinol displayed poor spreading. Significantly more cell death, by both necrosis and apoptosis, occurred on nitinol than on titanium and glass. Also, cell viability and proliferation were suppressed on nitinol compared with titanium or glass. Finally, HTMCs on both titanium and nitinol produced greater amounts of fibronectin than cells grown on glass. CONCLUSIONS: Substratum topography and metal alloy composition were found to impact morphology, viability and function of primary HTMC cultures.

Reinforcement of flowable dental composites with titanium dioxide nanotubes.

OBJECTIVES: Flowable dental composites are used as restorative materials due to their excellent esthetics and rheology. However, they suffer from inferior mechanical properties compared to conventional composites. The aim of this study was to reinforce a flowable dental composite with TiO2 nanotubes (n-TiO2) and to assess the effect of n-TiO2 surface modifications on the mechanical properties of the reinforced composite. METHODS: n-TiO2 were synthesized using an alkaline hydrothermal process and then functionalized with silane or methacrylic acid (MA). Nanotubes were characterized by scanning and transmission electron microscopy, X-ray diffraction, energy-dispersive X-ray spectroscopy and Fourier transform infrared spectroscopy. Commercially available flowable composite (Filtek™ Supreme Ultra Flowable Restorative, 3M ESPE) was reinforced with varying amounts of nanotubes (0-5wt%). Flowability of the resulting composites was evaluated using a Gillmore needle method. Dynamic Young's modulus (E) was measured using an ultrasonic technique. Fracture toughness (KIc) was assessed using a notchless triangular prism and radiopacity was quantified. Viability of NIH/3T3 fibroblasts was evaluated following incubation on composite specimens for 24h. RESULTS: Electron microscopy revealed a tubular morphology of n-TiO2. All reinforced composites exhibited significantly greater values of E than unreinforced composite. Composites reinforced with 3wt% n-TiO2 functionalized with MA exhibited the greatest values of E and KIc. Cytotoxicity assays revealed that reinforced composites were biocompatible. Taken together, flowable composites reinforced with n-TiO2 exhibited mechanical properties superior to those of unreinforced composite, with minimal effects on flowability and radiopacity. SIGNIFICANCE: n-TiO2-reinforced flowable composites are promising materials for use in dental restorations.

Effect of ceramic thickness and shade on mechanical properties of a resin luting agent.

PURPOSE: This study aimed to investigate the influence of ceramic thickness and shade on the Knoop hardness and dynamic elastic modulus of a dual-cured resin cement. MATERIALS AND METHODS: Six ceramic shades (Bleaching, A1, A2, A3, A3.5, B3) and two ceramic thicknesses (1 mm, 3 mm) were evaluated. Disk specimens (diameter: 7 mm; thickness: 2 mm) of the resin cement were light cured under a ceramic block. Light-cured specimens without the ceramic block at distances of 1 and 3 mm were also produced. The Knoop hardness number (KHN), density, and dynamic Young's moduli were determined. Statistical analysis was conducted using ANOVA and a Tukey B rank order test (p = 0.05). RESULTS: The bleaching 1-mm-thick group exhibited significantly higher dynamic Young's modulus. Lower dynamic Young's moduli were observed for the 3-mm-thick ceramic groups compared to bleaching 3-mm-thick group, and no difference was found among the other 3-mm groups. For the KHN, when A3.5 3-mm-thick was used, the KHN was significantly lower than bleaching and A1 1-mm-thick ceramic; however, no difference was exhibited between the thicknesses of the same shade. CONCLUSIONS: The dual-cured resin cement studied irradiated through the 1-mm-thick ceramic with the lightest shade (bleaching ceramic) exhibited a better elastic modulus, and there was no effect in KHN of the resin cement when light cured under different ceramic shades and thicknesses (1 and 3 mm), except when the A3.5 3-mm-thick ceramic was used. CLINICAL SIGNIFICANCE: Variolink II irradiated through ceramic with the lowest chroma exhibited the highest elastic modulus; therefore, the light activation method might not be the same for all clinical situations.

Effect of preheating on microhardness and viscosity of 4 resin composites.

OBJECTIVE: This study was undertaken to determine the effect of temperature on the microhardness and viscosity of 4 resin composite materials. METHODS: To investigate microhardness, samples of each of the 4 composite materials, prepared by standard insertion of resin into prefabricated moulds, were divided into 2 groups (n = 10 per group). On the first group, the resin composite materials were inserted into the moulds at room temperature and cured. On the second group, the resin composite materials were pre-heated in a heating device, inserted into the moulds and immediately cured. Microhardness after curing (both immediately and after 24 hours of storage) was determined (using a 300 g load applied for 10 seconds) and averaged for 5 randomly selected points on the top and bottom surfaces of each sample. To investigate viscosity, 0.5 g samples of room temperature or preheated resin composite (n = 15 per group) were placed under a 454 g load for 45 seconds before light-curing (40 seconds). After curing, each sample was photographed and the surface area calculated. Data were analyzed by t tests or one-way analysis of variance and Tukey's test. RESULTS: Preheating the resin composites increased the microhardness and decreased the viscosity of the samples. Filtek Supreme Ultra resin composite had the highest mean microhardness, and Vit-l-escence resin composite had the lowest viscosity. CONCLUSIONS: The effects of preheating resin composites may allow easier placement of restorations and greater monomer conversion.

Influence of ceramic shades on surface hardness of different resin cements.

OBJETIVES: The aim of this study was to evaluate the effect of different ceramic spacer shades on the Knoop hardness (KH) of dual-cure resin cements (RelyX ARC RLX, 3M ESPE; Variolink II VLK, Ivoclar Vivadent) cured for 20 seconds with an LED light-curing unit. MATERIALS: Eight groups (n equals 15) were tested as follows: RelyX Control (light-cured without ceramic spacer); RelyX-2M2 ceramic spacer; RelyX-5M3 ceramic spacer; RelyX self-cured. Similar conditions were used with Variolink II cement. A microhardness tester was used to measure the KH values. Specimens were subjected to five 50 g/15 s indentations following curing at 0, 1, 2, 3, 4, 6, 24, 168, and 336 hours in order to determine the point at which the cements reach the maximum KH values. RESULTS: Control groups exhibited significantly higher KH values than the other groups (P less than 0.001) at 0 h following light curing. The KH values for RelyX-2M2 were not significantly different than the control group (P greater than 0.05) after 336 hours. All groups tested with 5M3 spacers had KH values that were not significantly different from the groups with self-cure mode, P greater than 0.05. The KH values for RelyX self-cure cement were significantly higher than Variolink II self-cure, P equals 0.003. RelyX-2M2 had KH values that were not significantly different from that of Variolink-2M2, P greater than 0.05. CONCLUSIONS: Ceramic spacer shades have tremendous effect on the KH values of RelyX and Variolink II. Darker ceramic shades (5M3 spacers) interfere with the absorption of light by the cements tested. In addition, the chemical portion in the self-cured mode is not sufficient to achieve optimum microhardness.

Synthesis and characterization of wollastonite glass-ceramics for dental implant applications.

OBJECTIVES: To synthesize a glass-ceramic (GC) that is suitable for non-metallic one-piece dental implant application. METHODS: Three glasses in a SiO2-Al2O3-CaO-CaF2-K2O-B2O3-P2O5-CeO2-Y2O3 system were produced by wet chemistry. Differential thermal analysis (DTA) was carried out to determine the glass crystallization kinetic parameters and the heating schedules that were used for sintering of GCs. Crystalline phases and crystal morphologies were studied by X-ray diffraction (XRD) and scanning electron microscopy (SEM), respectively. Mechanical properties of the GCs were determined by ultrasonic and indentation tests and its machinability were evaluated. Chemical durability was carried out according to ISO 6872, whereas testing chemical degradation in tris buffered solution was executed according to ISO 10993-14. RESULTS: XRD of the GC specimens showed that wollastonite was the main crystalline with other secondary phases; GC2 had cristobalite as an additional phase. SEM of the GCs revealed dense acicular interlocking crystals. Young's modulus of elasticity (E), true hardness (Ho) and fracture toughness (KIC) of the GCs were 89-100GPa, 4.85-5.17GPa and 4.62-5.58MPam(0.5), respectively. All GCs were demonstrated excellent machinability. The GCs exhibited various chemical durability and degradation rates. KIC values of the GCs following chemical durability testing were not significantly different from those of the original materials (p>0.05). GC2 exhibited significantly higher KIC value compared with GC1 and GC3 (p<0.05) and its chemical durability satisfied ISO 6872 specification for dental ceramics. SIGNIFICANCE: Wollastonite-cristobalite GC can be considered as a promising material for one-piece dental implant applications due to its strength, machinability and chemical durability.

Fibrous biodegradable l-alanine-based scaffolds for vascular tissue engineering.

In vascular tissue engineering, three-dimensional (3D) biodegradable scaffolds play an important role in guiding seeded cells to produce matrix components by providing both mechanical and biological cues. The objective of this work was to fabricate fibrous biodegradable scaffolds from novel poly(ester amide)s (PEAs) derived from l-alanine by electrospinning, and to study the degradation profiles and its suitability for vascular tissue-engineering applications. In view of this, l-alanine-derived PEAs (dissolved in chloroform) were electrospun together with 18-30% w/w polycaprolactone (PCL) to improve spinnability. A minimum of 18% was required to effectively electrospin the solution while the upper value was set in order to limit the influence of PCL on the electrospun PEA fibres. Electrospun fibre mats with average fibre diameters of ~0.4 µm were obtained. Both fibre diameter and porosity increased with increasing PEA content and solution concentration. The degradation of a PEA fibre mat over a period of 28 days indicated that mass loss kinetics was linear, and no change in molecular weight was found, suggesting a surface erosion mechanism. Human coronary artery smooth muscle cells (HCASMCs) cultured for 7 days on the fibre mats showed significantly higher viability (p < 0.0001), suggesting that PEA scaffolds provided a better microenvironment for seeded cells compared with control PCL fibre mats of similar fibre diameter and porosity. Furthermore, elastin expression on the PEA fibre mats was significantly higher than the pure PEA discs and pure PCL fibre mat controls (p < 0.0001). These novel biodegradable PEA fibrous scaffolds could be strong candidates for vascular tissue-engineering applications.

The effect of prophylactic powders on the surface roughness of enamel.

OBJECTIVE: To assess the effect of dental prophylactic methods on the surface roughness of enamel. METHODS: Enamel specimens (150) were sectioned from human molars and mounted on resin bases. This work consisted of two parts. In the first, there were eight groups (n = 15). Three groups were treated with two air-polishing devices (AP)­LM-ProPower AirLED (Mode 1 and 2) and EMS Air-Flow Handy 2­for 30 seconds and sodium bicarbonate prophylactic powder, and three other groups were treated with the two air-polishing devices using microsphere calcium carbonate prophylactic powder. The seventh group was treated with rubber-cup polishing using medium and fine grits (Oral-B prophy paste), and the eighth (control) was enamel with no surface treatment. In the second part of the work, two groups (n = 15) were subjected to treatment with the LM unit (Mode 2) and each of the abrasive powders for 5 seconds. Surface roughness (Ra) of samples was assessed using a mechanical stylus profilometer and scanning electron microscope (SEM). Statistical analysis of the data was conducted using two-way ANOVA and Tukey HSD (honest significant difference) rank order test at P = 0.05. RESULTS: Both prophylactic methods resulted in a statistically significant increase in surface roughness (P < 0.05) when compared to untreated specimens. All air-abrasive treatments for 30 seconds resulted in an increase in roughness compared to rubber-cup prophylaxis (P < 0.05). However, AP with calcium carbonate and the sodium bicarbonate for 5 seconds produced results that were not significantly different from rubber-cup prophylaxis (P > 0.05). CONCLUSION: Both types of prophylactic dental cleaning have an effect on surface roughness. The abrasiveness of APs depends upon the length of treatment and the type of powder used.

Role of bioactive 3D hybrid fibrous scaffolds on mechanical behavior and spatiotemporal osteoblast gene expression.

Three-dimensional (3D) bioactive organic-inorganic (O/I) hybrid fibrous scaffolds are attractive extracellular matrix (ECM) surrogates for bone tissue engineering. With the aim of regulating osteoblast gene expression in 3D, a new class of hybrid fibrous scaffolds with two distinct fiber diameters (260 and 600 nm) and excellent physico-mechanical properties were fabricated from tertiary (SiO2-CaO-P2O5) bioactive glass (BG) and poly (ε-caprolactone) (PCL) by in situ sol-gel and electrospinning process. The PCL/BG hybrid fibrous scaffolds exhibited accelerated wetting properties, enhanced pore sizes and porosity, and superior mechanical properties that were dependent on fiber diameter. Contrary to control PCL fibrous scaffolds that were devoid of bonelike apatite particles, incubating PCL/BG hybrid fibrous scaffolds in simulated body fluid (SBF) revealed bonelike apatite deposition. Osteoblast cells cultured on PCL/BG hybrid fibrous scaffolds spread with multiple attachments and actively proliferated suggesting that the low temperature in situ sol-gel and electrospinning process did not have a detrimental effect. Targeted bone-associated gene expressions by rat calvarial osteoblasts seeded on these hybrid scaffolds demonstrated remarkable spatiotemporal gene activation. Transcriptional-level gene expressions for alkaline phosphatase (ALP), osteopontin (OPN), bone sialoprotein (BSP), and osteocalcin (OCN) were significantly higher on the hybrid fibrous scaffolds (p < 0.001) that were largely dependent on fiber diameter compared. Taken together, our results suggest that PCL/BG fibrous scaffolds may accelerate bone formation by providing a favorable microenvironment.