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Biomedical subjects

J B Quinn

Publications and source records attributed to J B Quinn.

At least 19 recordsLinked to original sources

Wear and mechanical properties of nano-silica-fused whisker composites.

Resin composites must be improved if they are to overcome the high failure rates in large stress-bearing posterior restorations. This study aimed to improve wear resistance via nano-silica-fused whiskers. It was hypothesized that nano-silica-fused whiskers would significantly improve composite mechanical properties and wear resistance. Nano-silicas were fused onto whiskers and incorporated into a resin at mass fractions of 0%-74%. Fracture toughness (mean +/- SD; n = 6) was 2.92 +/- 0.14 MPa.m(1/2) for whisker composite with 74% fillers, higher than 1.13 +/- 0.19 MPa.m(1/2) for a prosthetic control, and 0.95 +/- 0.11 MPa.m(1/2) for an inlay/onlay control (Tukey's at 0.95). A whisker composite with 74% fillers had a wear depth of 77.7 +/- 6.9 mum, less than 118.0 +/- 23.8 microm of an inlay/onlay control, and 172.5 +/- 15.4 microm of a prosthetic control (p < 0.05). Linear correlations were established between wear and hardness, modulus, strength, and toughness, with R = 0.95-0.97. Novel nano-silica-fused whisker composites possessed high toughness and wear resistance with smooth worn surfaces, and may be useful in large stress-bearing restorations.

Bisphenol A-Glycidyl Methacrylate↗

Influence of microstructure and chemistry on the fracture toughness of dental ceramics.

OBJECTIVES: the primary aim of this research was to measure fracture toughness for several groups of dental ceramics, and determine how this property is affected by chemistry and microstructure. METHODS: Fracture toughness (KIc) values were obtained using Single Edge Precracked Beam (SEPB) and Single Edge V-Notch Beam (SEVNB) methods. Dynamic Young's modulus, which often scales with strength and has been used in explaining the microstructure/toughness relationship on a theoretical basis, was also obtained for the three groups of materials comprising this study. The first group, consisting of micaceous glass ceramics, included model materials that varied systematically in microstructure but not in chemistry. The second group, the feldspathic porcelains, varied significantly in microstructure, but little in chemistry. The ceramics comprising the third group were significantly different in both chemistry and microstructure. RESULTS: Upper toughness limits for the micaceous glass-ceramics and feldspathic porcelains were significantly raised compared to the base glasses, but remained under 2 MPa m(1/2). The highest toughnesses were associated with high percent crystallinity, large grains and high aspect ratios. The third group KIc values were 2.8 MPa m(1/2) for a lithium disilicate glass-ceramic, 3.1 MPa m(1/2) for a glass-infused alumina, and 4.9 MPa m(1/2) for zirconia. SIGNIFICANCE: the correlations between microstructural characteristics and measured properties supports theoretical predictions in the literature. From a practical standpoint, microstructural effects were found to be important, but only within a limited range; the chemistry apparently defined a band of achievable property values. This suggests very large increases in fracture toughness are unlikely to be attained by changes in microstructure alone. A functional relationship determined for the micaceous glass-ceramics enables quantitative predictions of fracture toughness based on the microstructure.

Aluminum Oxide↗

Processing and properties of strong and non-rigid calcium phosphate cement.

A calcium phosphate cement (CPC) sets to form hydroxyapatite and has been used in dental and craniofacial applications. However, when CPC was used in periodontal repair, tooth mobility resulted in the fracture and exfoliation of the brittle implants. The aim of this study was to develop CPC-chitosan lactate composites with higher strength and increased strain before failure. It was hypothesized that the incorporation of chitosan lactate would render CPC non-rigid with improved properties. Two-way ANOVA showed significant effects of chitosan lactate and powder:liquid ratio (p < 0.001) on flexural strength, strain-at-peak-load, work-of-fracture, and elastic modulus. At powder:liquid = 2, the strength (mean +/- SD; n = 6) at 20% chitosan lactate was 15.7 +/- 1.3 MPa, higher than 4.9 +/- 1.4 MPa of CPC without chitosan lactate. At powder:liquid = 1, the strain-at-peak-load was 0.2% for CPC without chitosan lactate; it increased to 15.8% for CPC containing 15% chitosan lactate. The work-of-fracture was increased by more than ten times. The novel strong and non-rigid CPC may provide compliance for tooth mobility without fracturing the implant, and may also extend the use of CPC into the repair of larger defects in stress-bearing locations.

Analysis of Variance↗

Strong and macroporous calcium phosphate cement: Effects of porosity and fiber reinforcement on mechanical properties.

Because of its excellent osteoconductivity and bone-replacement capability, self-setting calcium phosphate cement (CPC) has been used in a number of clinical procedures. For more rapid resorption and concomitant osseointegration, methods were desired to build macropores into CPC; however, this decreased its mechanical properties. The aims of this study, therefore, were to use fibers to strengthen macroporous CPC and to investigate the effects of the pore volume fraction on its mechanical properties. Water-soluble mannitol crystals were incorporated into CPC paste; the set CPC was then immersed in water to dissolve mannitol, producing macropores. Mannitol/(mannitol + CPC powder) mass fractions of 0, 10, 20, 30, and 40% were used. An aramid fiber volume fraction of 6% was incorporated into the CPC-mannitol specimens, which were set in 3 mm x 4 mm x 25 mm molds and then fractured in three-point flexure to measure the strength, work of fracture, and modulus. The dissolution of mannitol created well-formed macropores, with CPC at 40% mannitol having a total porosity of a 70.8% volume fraction. Increasing the mannitol content significantly decreased the properties of CPC without fibers (analysis of variance; p < 0.001). The strength (mean +/- standard deviation; n = 6) of CPC at 0% mannitol was 15.0 +/- 1.8 MPa; at 40% mannitol, it decreased to 1.4 +/- 0.4 MPa. Fiber reinforcement improved the properties, with the strength increasing threefold at 0% mannitol, sevenfold at 30% mannitol, and nearly fourfold at 40% mannitol. The work of fracture increased by 2 orders of magnitude, but the modulus was not changed as a result of fiber reinforcement. A scanning electron microscopy examination of specimens indicated crack deflection and bridging by fibers, matrix multiple cracking, and frictional pullout of fibers as the reinforcement mechanisms. Macroporous CPCs were substantially strengthened and toughened via fiber reinforcement. This may help extend the use of CPCs with macropores for bony ingrowth to the repair of larger defects in stress-bearing locations.

Algorithms↗

Effect of silicon carbide whisker-silica heat treatment on the reinforcement of dental resin composites.

The strength and fracture resistance of dental resin composites need to be improved to extend their use to large stress-bearing crown and multiple-unit applications. Recent studies showed that the addition of ceramic whiskers significantly reinforced resin composites. The aim of the present study was to use a silicon carbide whisker-silica particle mixture to reinforce resin composites, and to investigate the effect of whisker-silica mixture heat-treatment on composite properties. The whiskers were blended with silica particles and were thermally fused in an attempt to roughen the whiskers for improved retention in the matrix. The mixtures were heat-treated at temperatures of 500, 650, 800, 950, and 1100 degrees C for 10 min, 30 min, and 3 h. The mixtures were then silanized, incorporated into a dental resin, and the paste was placed into 2 x 2 x 25 mm molds and heat-cured at 140 degrees C for 30 min. A 3-point flexural test was used to measure flexural strength and work-of-fracture. Two commercial indirect composites were tested as controls. Two-way ANOVA showed that there was no significant effect from temperature or time. Therefore, all the whisker-silica mixture samples were combined into one group (n = 96), and compared to composites filled with silica only or whisker only, and the two indirect control composites. The whisker-silica mixture group had a flexural strength (mean +/- SD) of (186 +/- 24) MPa, significantly higher than (99 +/- 29) MPa for silica only, (131 +/- 22) MPa for whisker only, and (109 +/- 23) MPa and (114 +/- 18) MPa for the two indirect composites (Tukey's multiple comparison test; family confidence coefficient = 0.95). Similar results were obtained on work-of-fracture. Scanning electron microscopy revealed rough fracture surfaces for the whisker-silica composites, indicating crack deflection and bridging by whiskers as toughening mechanisms. Whisker-silica mixture minimized whisker entanglement and enhanced whisker-resin bonding, resulting in substantially stronger and tougher dental resin composites.

Carbon Compounds, Inorganic↗

Whisker-reinforced bioactive composites containing calcium phosphate cement fillers: effects of filler ratio and surface treatments on mechanical properties.

Calcium phosphate cement (CPC) sets to form microporous solid hydroxyapatite with excellent osteoconductivity, but its brittleness and low strength prohibit use in stress-bearing locations. The aim of this study was to incorporate prehardened CPC particles and ceramic whiskers in a resin matrix to improve the strength and fracture resistance, and to investigate the effects of key microstructural variables on composite mechanical properties. Two types of whiskers were used: silicon nitride, and silicon carbide. The whiskers were surface-treated by fusing with silica and by silanization. The CPC particle fillers were either silanized or not silanized. Seven mass ratios of whisker-silica/CPC were mixed: 0:1 (no whisker-silica), 1:5, 1:2, 1:1, 2:1, 5:1, and 1:0 (no CPC). Each powder was blended with a bisphenol-a-glycidyl methacrylate-based resin to harden in 2 x 2 x 25 mm molds by two-part chemical curing. The specimens were tested in three-point flexure to measure strength, work-of-fracture (toughness), and elastic modulus. Two-way analysis of variance was used to analyze the data, and scanning electron microscopy was used to examine specimen fracture surfaces. The whisker-silica/CPC ratio had significant effects on composite properties (p < 0.001). When this ratio was increased from 0:1 to 1:0, the strength was increased by about three times, work-of-fracture by five times, and modulus by two times. Whisker surface treatments and CPC filler silanization also had significant effects (p < 0.001) on composite properties. Scanning electron microscopy revealed rough fracture surfaces for the whisker composites with steps and whisker pullout. Resin remnants were observed on the surfaces of the pulled-out whiskers, indicating strong whisker-matrix bonding. In conclusion, incorporating highly osteoconductive CPC fillers and ceramic whiskers yielded composites with substantially improved mechanical properties compared with composites filled with CPC particles without whiskers. The composite properties were determined by whisker-to-CPC ratio and filler surface treatments.

Biocompatible Materials↗

Prototype trial design for rapid dose selection of antiretroviral drugs: an example using emtricitabine (Coviracil).

Antiretroviral monotherapy for initial drug characterization risks the selection of resistant virus, yet monotherapy is the only setting where many fundamental properties of a new drug can be reliably determined. Using data on viral replication kinetics and dynamics, we designed an accelerated (14 day) open-label study of single agent emtricitabine (formerly known as FTC)--a nucleoside reverse transcriptase inhibitor--to select a dosing regimen for further therapeutic study. Five regimens (25 mg bd, 100 mg od, 200 mg od, 100 mg bd and 200 mg bd) were evaluated in HIV-1-infected subjects over a 14 day dosing period to determine the optimal dose and pharmacokinetics. Serial blood samples for virological, pharmacokinetic and intracellular FTC-triphosphate measurements were drawn frequently. A dose-response relationship for the antiviral activity of emtricitabine was established, with total daily doses of 200 mg or more producing the greatest median HIV-1 viral load suppression: 1.72-1.92 log10. Based on virological outcomes, dose-response analysis and intracellular triphosphate levels, a once-daily dose of 200 mg was selected for further long-term clinical study. Adverse events possibly related to emtricitabine were unremarkable. The antiviral activity of emtricitabine correlated well with intracellular FTC-triphosphate concentrations. This study design is a safe, useful tool for early dose selection for drugs with potent antiretroviral activity and linear pharmacokinetics.

Adult↗

Effects of whisker-to-silica ratio on the reinforcement of dental resin composites with silica-fused whiskers.

Resin composites need to be strengthened to improve their performance in large stress-bearing restorations. This study aimed to reinforce composites with whiskers and to investigate the effects of the whisker:silica ratio. It was hypothesized that changing the whisker-silica ratio would affect the whisker-matrix bonding and the filler's distribution, and hence alter the composite properties. Silica particles and whiskers were mixed at various whisker:silica mass ratios, thermally fused, and combined with a dental resin at filler mass fractions of 0-65%. Whisker:silica ratio and filler level had significant effects on composite properties. At 60% filler level, the silica composite (whisker:silica = 0:1) had a flexural strength (mean +/- SD; n = 6) of 104 +/- 21 MPa; that at a whisker:silica ratio of 1:0 was 74 +/- 36 MPa. However, that of the silica-fused whisker composite (whisker:silica = 5:1) was 210 +/- 14 MPa, compared with 109 +/- 23 MPa and 114 +/- 18 MPa of two prosthetic controls. Mixing silica with whiskers minimized whisker entanglement, improved filler distribution in the matrix, and facilitated whisker silanization and bonding to the matrix, thus resulting in substantially stronger composites.

Carbon Compounds, Inorganic↗

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Centers for Medicare and Medicaid Services, U.S.↗