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Biomedical subjects

B R Lang

Publications and source records attributed to B R Lang.

At least 19 recordsLinked to original sources

Determining the force absorption quotient for restorative materials used in implant occlusal surfaces.

It has been hypothesized that the type of material used to form the occlusal surface of restorations retained by dental implants may impart a "dampening effect" to the bone-implant interface. This study compared the force transmitted to human bone by gold, porcelain, and resin occlusal surfaces in a simulated implant occlusal rehabilitation. A Branemark self-tapping implant was placed in a human cadaver mandible with a stacked three element strain gauge cemented to the lingual cortical plate. An Instron testing machine was used to apply an axial force, through a peanut sample, to a restoration that contained interchangeable occlusal surfaces. Applied force was divided by recorded microstrain at the bone-strain gauge junction to derive a calculated ratio, or force absorption quotient. No statistically significant difference of the force absorption quotient between the occlusal surfaces of gold, porcelain, and resin was observed.

Absorption

Early detection of osseointegration using scanning electron microscopy and the interfacial biopsy chamber: a pilot study.

This pilot project attempted to demonstrate microscopic evidence of osseointegration in a controlled environment as originally presented by Brånemark. The Interfacial Biopsy Chamber was developed to collect titanium/tissue serial biopsies of the implant-tissue interface at various stages of wound healing. It was surgically placed in two Flemish giant rabbits and titanium/tissue biopsies were collected at 35 and 70 days. The biopsies were examined using scanning electron microscopy (x2000, x3200, and x7500) and light microscopy (x230). Osseous tissue was found in intimate contact with the titanium implant surface with no evidence of an intervening fibrous layer. Cells with the morphological characteristics of osteoblasts were observed covering the titanium surface. Processes extending from the main body of these cells were in intimate contact with the titanium surface, following the machining striations. The photomicrographs were similar to those presented earlier by Brånemark. The project also suggested the use of the Interfacial Biopsy Chamber as a research instrument for the collection of implant/tissue interface serial biopsy samples.

Animals

Lingualized integration: tooth molds and an occlusal scheme for edentulous implant patients.

The interface of bone and soft tissue to dental implants has been extensively documented, while the influence of biomechanics and the occlusal interface continues to be overlooked. Yet that same occlusal interface may ultimately be the prime factor in the lifetime survival rate of dental implants. What is lacking, for the practitioner, is a clear concept of the occlusal rehabilitation which is required and appropriate for the totally edentulous implant patient. Lingualized integration represents an occlusal scheme using specific tooth molds designed to improve the likelihood of maximum intercuspation and an absence of deflective occlusal contacts, provide cusp height for selective occlusal reshaping, and achieve a natural and pleasing appearance. Factors in the articulation and arrangement of the posterior teeth to assure the attainment of the fundamental goals of comfort, function, and appearance in occlusal rehabilitation for edentulous implant patients are included.

Dental Implants

Filler particle size and composite resin classification systems.

The currently used composite resin classification systems need review if they are to continue to serve as descriptives and quantitative parameters denoting the filler particle content of these materials. Examination of the particles in 12 composite resins using a technique of washing the filler particles from the matrix of the composite resin was presented as yet another method of grouping composites according to filler particle content. Light microscopic examination of the filler particles that remained provided a separation of the 12 materials into four easily distinguished groups based on filler particle sizes. The wear of the 12 composite resins determined in a previous study was examined in relation to the classification of the materials by the currently available systems. The wear values were also examined using the groupings of the materials according to their filler particle sizes as determined by separating the particles from the matrix by the washing technique. Grouping composites on the basis of the filler particle sizes found after washing was easily correlated with wear and supported the suggestion that composites with smaller filler particles wear less.

Acrylic Resins

The in vivo wear resistance of 12 composite resins.

PURPOSE: The in vivo wear resistance of 12 composite resins were compared with an amalgam control using the Latin Square experimental design. Sixteen edentulous patients wearing specially designed complete dentures formed the experimental population. MATERIALS AND METHODS: The Michigan Computer Graphics Measurement System was used to digitize the surface of the control and composite resin samples before and after 3-month test periods to obtain wear data. The 12 composite resins selected for this investigation based on their published composite classification types were seven fine particle composites, three blends, and two microfilled composite resins. The Latin Square experimental design was found to be valid with the factor of material being statistically different at the 5% level of significance. Wear was computed as volume loss (mm3/mm2), and all of the composites studied had more wear than the amalgam control (P = .001). RESULTS: After 3 months, the mean (error) of wear of the amalgam was 0.028 (0.006). Means (error) of wear for the 12 composites were ranked from most to least wear by mean wear volume loss. CONCLUSION: The absence of any relationship between mean wear volume loss and the volume percentage filler was confirmed by the correlation coefficient r = -0.158.

Analysis of Variance

Determination of the accuracy of three die systems.

This article reports the findings of two interrelated projects that measured the accuracy of electroplated, epoxy resin, and polyurethane die materials against a master tooth, using the Michigan Computer Graphics Coordinate Measuring System (MCGCMS). In the first phase, on occlusal die morphology, replications of a master tooth were used to validate the MCGCMS reliability. Eighteen total data sets derived from three silver-plated dies and three epoxy resin dies were then compared with a representative data set of the master tooth. The mean differences for all silver-plated die and epoxy die measurements against the master ranged from -42 to -49 and -46 to -230 microns/mm2, respectively. In the second phase, two epoxy die materials and a polyurethane system were compared with a master tooth in an identical manner. In paired comparisons to the master tooth, mean differences for Epoxydent material, epoxy resin, and polyurethane dies ranged from -147 to -153, -149 to -230, and -56 to -168 microns/mm2, respectively. A Student t test using a CLR ANOVA was performed between the master tooth and the five die systems. A significant difference was revealed between the enamel-silver difference and the enamel-Epoxydent difference data at the 95% confidence level. A significant difference also occurred between enamel-silver and enamel-epoxy resin. It was concluded that silver-plated dies are acceptable replicas of a master tooth. Epoxydent and epoxy resin dies did not provide reliable replications when compared with the silver-plated dies. Epoxy and polyurethane replications, although reported as accurate, were inconclusive.

Analysis of Variance

The bone biopsy chamber: an improved method of collecting osseous tissue.

The bone biopsy chamber (BBC) has been developed for implantation in bone to permit the serial biopsy of osseous tissues to study osseointegration. This device improves the currently available methodology for studying the implant/osseous interfacial zone by providing a means of collecting osseous samples for microscopic evaluation in the least invasive manner, and without euthanization or en bloc resection. The advantages of the BBC were verified through its implantation in the tibia of five young adult Flemish Giant rabbits and the serial collection of osseous samples. Following the recommended surgical procedures to implant the BBC and obtain osseointegration, osseous samples were collected from the five rabbits at 30-, 60-, and 90-day test periods for histologic evaluations. Bone specimens were embedded in preparation for staining using modified goldner trichrome, toluidine blue, and gallocyanin. Each of the sections demonstrated clear evidence of biocompatibility, the different cellular components and stages of osteogenesis, and that osseous tissue biopsies were possible using this device.

Animals

The effect of recasting on the oxidation layer of a palladium-silver porcelain alloy.

The oxidation zone of a commercial palladium-silver porcelain alloy was compared after repeated casting with and without the addition of new alloy. The intensity of palladium, silver, tin, indium, and O K-alpha near the oxidation zone was analyzed with XMA. The intensity curves of tin, silver, and oxygen increased progressively through each generation despite the addition of new alloy. The thickness of the oxidation zone and the microporosities at the internal oxidation zone increased through each generation without the addition of new alloy. Although the findings indicated that the oxidation zone was favorably formed by adding new alloy, 50% by weight, for four generations, the silver and metallic oxides of the oxidation zone increased through each generation. The reuse of the palladium-silver porcelain alloy remains questionable.

Dental Alloys

In vivo wear. Part I: The Michigan computer-graphic measuring system.

Three-dimensional coordinate measuring machines for examining the quality of industrial castings were reviewed. The concept was modified and successfully converted to examine the minute geometric configurations of the surfaces of dental materials. The wear of composites has undoubtedly precipitated this perceptive, thorough study.

Computer Systems

Changes in jaw relations, hyoid position, and head posture in complete denture wearers.

In a group of 18 partially edentulous patients provided with immediate complete dentures, changes in hyoid bone position and craniocervical posture were examined on cephalometric radiographs made during 1 year of denture use. The findings indicated that the changes in hyoid bone position largely followed the pattern of forward-upward rotation of the mandible due to ridge resorption. During this course the hyoid position in relation to the cervical spine showed a mean increase. The hyocervical changes, however, showed less variability than the hyomaxillary and hyomandibular changes. The posture of the head and cervical column showed no definite mean changes during the 1-year period. On the other hand, analysis of individual changes revealed that a pronounced decrease in mandibular inclination due to ridge resorption was associated with retroclination of the cervical column and decreased craniocervical angulation. These postural changes may be regarded as adaptive changes to a marked initial change in mandibular position.

Adult

A practical approach to restoring occlusion for edentulous patients. Part II: Arranging the functional and rational mold combination.

A practical approach to restoring the edentulous patient to full occlusion is no easy task. It requires the dentist to establish a philosophy of occlusion, select an occlusal concept to be used with the philosophy, and then choose an occlusal scheme to satisfy the concept and fulfill the philosophy. Several combinations of molds can be used in this manner. Of the three presented, the Trubyte functional/rational combination was found most acceptable. The requirements and techniques in the use of this combination were described.

Dental Arch

Correlations between EMG jaw muscle activity and facial morphology in complete denture wearers.

In a sample of fifteen partially edentulous subjects assigned for immediate complete denture treatment, a correlation analysis was performed between pre-extraction facial morphology determined from lateral cephalograms, and EMG activity of the anterior temporal and masseter muscles in maximal clench and tapping of teeth. Marked correlations observed between vertical and sagittal jaw relations and mean voltages of the jaw-closing muscles indicated strong biting activity in subjects with a square facial type. No significant associations were observed between biting strength and the age of the subjects. Correlations between facial morphological changes and changes in EMG biting activity after denture insertion and during 1 year of denture wear indicated that the anterior temporal muscles were extremely sensitive to sagittal changes in anterior occlusion. The masseter muscles were less sensitive, but responded in some instances to changes in vertical jaw relationship.

Adult

Tarnish and corrosion of noble metal alloys.

A factorially designed experiment was chosen to form alloys of a gold-palladium-silver-copper quaternary system. A total of 81 alloys for three levels of concentration of each of the four elements were made and tested for the degree of tarnish in in vivo and in vitro environments. The following conclusions may be drawn: 1. In both the in vitro and in vivo experiments, increasing the gold levels of concentration within an alloy decreased the degree of tarnish. 2. In both the in vitro and in vivo experiments, increasing the palladium levels of concentration within an alloy decreased the degree of tarnish with an influence greater than that produced by the gold content. 3. In the in vitro environment of 2% sodium sulfide solution, the degree of tarnish increased as the levels of concentration of silver to copper were increased. 4. In both the in vitro and in vivo experiments, the effect of the interaction of the four elements on the degree of tarnish and corrosion is directly related not only to the concentration of each element within the alloy, but also to their ratios.

Chemical Phenomena