Biomedical subjects

J C Knowles

Publications and source records attributed to J C Knowles.

At least 37 records · Page 2Linked to original sources

PubMed2002

The effect of veneering and heat treatment on the flexural strength of Empress 2 ceramics.

OBJECTIVES: The aims of the study were to test and compare the biaxial flexural strength and reliability of Empress 2 ceramics after heat treatment and the addition of the veneering material and to characterise their microstructures. METHODS: Forty disc specimens (2 x 14 mm) and forty disc specimens (1 x 14 mm) were produced by heat pressing in the EP 500 press furnace. Group 1 (2 x 14 mm Empress 2 core) was as heat pressed and group 2 (2 x 14 mm Empress 2 core) was subjected to the recommended firing cycles. Groups 3 and 4 (1 x 14 mm Empress 2 core) were veneered with the dentine material and heat-treated as per group 2. Groups 1, 2 and 3 were lapped to 800 grit silicon carbide paper on the compressive surface only and group 4 on both the compressive and tensile test surfaces. Twenty disc specimens per group were tested using the biaxial flexure test at a crosshead speed of 0.15 mm/min. Specimens were characterised using X-ray diffraction (XRD) and secondary electron imaging (SEM). RESULTS: Mean biaxial flexural strengths (MPa+/-SD) were group 1: 265.5+/-25.7; group 2: 251.3+/-30.2; group 3: 258.6+/-21.4 and group 4: 308.6+/-37.7. There was no statistical difference between groups 1, 2 and 3 (p>0.05), but differences for group 4 (p<0.05). XRD and SEM revealed lithium disilicate and lithium orthophosphate in the Empress 2 core material and an amorphous glass and some evidence of a crystalline phase in the dentine material. CONCLUSIONS; Veneering or heat treatment of Empress 2 ceramics did not significantly affect the mean biaxial flexural strength (p>0.05) or reliability. Surface modification of the Empress 2 core material increased the mean biaxial flexural strength (p<0.05).

Carbon Compounds, Inorganic↗

PubMed2002

Correlation between structure and compressive strength in a reticulated glass-reinforced hydroxyapatite foam.

Glass-reinforced hydroxyapatite (HA) foams were produced using reticulated foam technology using a polyurethane template with two different pore size distributions. The mechanical properties were evaluated and the structure analyzed through density measurements, image analysis, X-ray diffraction (XRD) and scanning electron microscopy (SEM). For the mechanical properties, the use of a glass significantly improved the ultimate compressive strength (UCS) as did the use of a second coating. All the samples tested showed the classic three regions characteristic of an elastic brittle foam. From the density measurements, after application of a correction to compensate for the closed porosity, the bulk and apparent density showed a 1 : 1 correlation. When relative bulk density was plotted against UCS, a non-linear relationship was found characteristic of an isotropic open celled material. It was found by image analysis that the pore size distribution did not change and there was no degradation of the macrostructure when replicating the ceramic from the initial polyurethane template during processing. However, the pore size distributions did shift to a lower size by about 0.5 mm due to the firing process. The ceramic foams were found to exhibit mechanical properties typical of isotropic open cellular foams.

Journal Article↗

PubMed2002

The effect of MgO on the solubility behavior and cell proliferation in a quaternary soluble phosphate based glass system.

This paper presents a systematic study of the MgO-CaO-Na(2)O-P(2)O(5) glass system, which has great potential to be used as temporary hard and soft tissue implant materials. An overall study of solubility behavior of ternary and quaternary-based phosphate glass system have been carried out in order to understand the out-leaching progress of different ions and to determine their effect on cell proliferation. Originally, soluble phosphate based glasses within the ternary glass system of Na(2)O-CaO-P(2)O(5) have been developed to create a simple baseline system. This paper, however, presents the development of this system by introducing magnesium oxide as a partial calcium oxide substitute and solubility behaviors as well as cell studies have been carried out to check the effect on magnesium ions. Glasses have been prepared via standard glass melting techniques and their solubility behavior has been tested in distilled water via simple weight loss, pH and ion measurements. The way the glasses dissolve is an inverse exponential behavior which is mirrored by the calcium ion release. Other ions show a less exponential behavior. The MTT test has been used to check preliminary in vitro studies on a human MG63 cell line and the result indicates that cell proliferation is increased for glasses with minimal CaO substitution.

Journal Article↗

PubMed2002

Thermal decomposition of synthesised carbonate hydroxyapatite.

Heat treatments are used when sintering hydroxyapatite to make porous blocks and granules and during plasma spraying of coatings. Calcium : phosphorus ratio is known to affect the thermal decomposition behavior of hydroxyapatite. Hydroxyapatite with carbonate ions substituted for phosphate ions is more similar in composition to bone mineral. While it has been shown that carbonate apatite may be sintered, relatively little is known about its high temperature stability. Various atmospheres have been used in investigations into the thermal stability of hydroxyapatites and carbonate hydroxyapatites, including nitrogen, wet carbon dioxide air, water vapor and wet oxygen, but few of these studies were directly comparable. Previous work has shown that loss of carbonate from CHA at high temperature is time dependent, which suggests that rapid high temperature treatment may prevent carbonate loss during processing. This study investigated the effect of dry carbon dioxide, carbon dioxide containing 3% water, nitrogen and nitrogen containing 3% water on the phase composition of hydroxyapatite containing between 1.0 and 11.5 wt % carbonate rapidly heated to temperatures of between 700 and 1400 degrees C. Carbonate ion substitution was observed to decrease the temperature at which crystallisation occurred to a minimum of 700 degrees C for 11.8 wt % carbonate apatite heated in wet atmospheres. Atmosphere was found to appreciably affect the crystallization temperature and phase transformations of carbonate apatite containing 7.8 wt % carbonate. In wet and dry carbon dioxide atmospheres, crystallisation began in this material at 1100 and 900 degrees C, betaTCP was formed at 1500 and 1300 degrees C respectively. The high temperature decomposition of carbonate hydroxyapatite would appear to depend on the composition of the apatite and the atmosphere in which it is heated.

Journal Article↗

PubMed2002

Effects of phosphate-based glasses on T lymphocytes in vitro.

Host responses to implanted materials can lead to the production of inflammatory mediators and thereby induce potentially adverse reactions, including the activation of T lymphocytes. Although such cells are a central component of immune reactions and likely to be fundamental in determining the long-term clinical efficacy of implants, their response to biomaterials is not well known. This study has therefore examined the in vitro effects of phosphate-based glasses (PG), which can be produced with pre-determined solubility and may be promising materials for promoting the regeneration of new bone and other tissues. Extracts of PG which were modified by the addition of Ca, Co, Zn, and Fe oxides were found to cause only very low levels of activation of human peripheral blood T lymphocytes over a period of 6 days, as measured by changes in DNA synthesis. In contrast, the activation of these cells by concanavalin A, a potent T cell mitogen, was partially inhibited by extracts of a high-Ca PG and nearly totally ablated by the Co-derived extract. These studies show that, despite their apparent inability to activate immunologically responsive cells directly, substances which leach out of metal-containing PG implant materials have the potential to modulate inflammatory reactions.

Journal Article↗

PubMed2001

Retroviral transduction of alveolar bone cells with a temperature-sensitive SV40 large T antigen.

We have transduced adult human alveolar bone (AB) cells with a gene construct encoding a temperature-sensitive mutation of the SV40 large T antigen (tsT). Such cells divided rapidly, for more than 50 passages thus far, at a permissive low temperature (34.5 degrees C), comparable to the non-transduced parental cells at 37 degrees C. However, the tsT-transduced AB cells failed to grow at a non-permissive high temperature (39 degrees C) at which the T antigen is inactivated. Nevertheless, the cells formed mineralised nodules in vitro at both the low and high temperatures. Flow cytometry analysis showed that the transduced cells cultured at 34.5 degrees C, like the parental cells at 37 degrees C, were smaller and less granular than the transduced cells incubated at 39 degrees C. Moreover, the transduced cells grown at 34.5 degrees C were also found to express bone sialoprotein, osteopontin and type I collagen at levels similar to those of the parental cells at 37 degrees C, although osteonectin and fibronectin were down-regulated. When the transduced cells were incubated at 39 degrees C, the expression of all antigens was up-regulated, particularly osteonectin. Thus, we have obtained long-term cultures of tsT-transduced AB cells whose growth is temperature-dependent and which express certain features characteristic of bone-derived cells.

Antigens, Polyomavirus Transforming↗

PubMed2001

Flexural strength optimisation of a leucite reinforced glass ceramic.

OBJECTIVES: The aims of the study were to process a ceramic material with a fine leucite particle size using hot pressing techniques, to increase the flexural strength, reliability and ease of use. METHODS: A starting glass composition of wt%; 64.2% SiO(2), 16.1% Al(2)O(3), 10.9% K(2)O, 4.3% Na(2)O, 1.7% CaO, 0.5% LiO and 0.4% TiO(2) was used to produce a leucite reinforced ceramic material. Twenty-one porcelain discs were produced by sintering the ceramic frit (group 1) and sixty-three discs by heat pressing the frit (groups 2, 3 and 4). Twenty-one Empress 1 ceramic discs were also heat pressed (group 5). Disc specimens were tested using the biaxial flexure test at a crosshead speed of 0.15mm/min and the data analysed using the Scheffé F multiple comparison test and Weibull statistics. Specimens were characterised using X-ray diffraction (XRD), secondary electron imaging and energy dispersive X-ray analysis where applicable. RESULTS: The heat pressed groups (2, 3 and 4) had higher mean biaxial flexural strengths and characteristic strength values than groups 1 and 5 (p<0.05). XRD revealed the presence of tetragonal leucite in all test groups. Fine leucite crystals, tabular platelets and minimal matrix microcracking were found in the microstructure of test groups (1-4) with a more uniform leucite distribution in the heat pressed specimen groups (2, 3 and 4), which were associated with a significant increase in the biaxial flexural strength and reliability. SIGNIFICANCE: Optimisation of the microstructure by producing a fine microstructure and controlling the distribution via the correct pressing parameters may be extremely advantageous in these systems.

Aluminum Silicates↗

PubMed2001

Investigation of thermal parameters and crytallisation in a ternary CaO-Na2O-P2O5-based glass system.

This paper presents the results of a study of the thermal properties of a range of phosphate-based glasses in the system CaO-Na2O-P2O5. The glasses had a fixed P2O5 content of 45 mol% and the CaO:Na2O ratio was varied. The glasses were produced and ground and their thermal properties measured using a Setaram differential thermal analyser (DTA). Initial data showed that for the high Na2O containing glass, NaPO3 forms and a second unidentified phase that is probably calcium rich. In the middle compositional region, multiple phases precipitated out and were identified as NaPO3 and Na4Ca(PO3)6. For the high CaO content glasses, Na4Ca(PO3)6 was the only phase formed. Further studies were carried out to examine whether the phases were bulk or surface nucleating, by grinding the samples to different particle sizes. From this data, it is evident that the NaPO3 forms via a bulk nucleation mechanism and that Na4Ca(PO3)6 forms via surface nucleation. The factors controlling this precipitation process are discussed and ionic radius as a controlling factor is hypothesised.

Calcium Compounds↗

PubMed2001

Adsorption and release studies of sodium ampicillin from hydroxyapatite and glass-reinforced hydroxyapatite composites.

As a potential therapy for periodontitis, sodium ampicillin, a broad spectrum antibiotic, was adsorbed onto hydroxyapatite (HA) and glass-reinforced hydroxyaptite (GR-HA) composites, and was subsequently released in vitro. The sodium ampicillin, was adsorbed more on HA compared to the GR-HA composites. X-ray diffraction (XRD) and Rietveld analysis were used to identify and quantify the levels of HA and beta-tricalcium phosphate (beta-TCP) in the microstructure of the GR-HA composites. Lattice parameters changes were observed for the beta-TCP phase dependant on the amount of glass added. The release kinetics were shown to be divided into three stages, the first of which where a large amount of sodium ampicillin is released, followed by a slower release rate and then a final stage where the release amount approaches zero, until no more sodium ampicillin was present. X-ray photoeletron spectroscopy (XPS) studies were carried out in order to ensure that the entire antibiotic adsorbed onto the materials had been released. These kinetics studies have indicated the possibility of using these materials as possible carriers for drug delivery.

Adsorption↗

PubMed2001

Glass reinforced hydroxyapatite for hard tissue surgery--part 1: Mechanical properties.

Commercial hydroxyapatite (HA) was reinforced by adding 2.5 and 5 wt% of a Na2O-CaO-P2O5 glass and then sintered. The resulting composites have chemical compositions that are similar to the inorganic constituent of the mineral part of bone, and are closely related to the trace elements that are present, in this case Na. X-ray diffraction showed no decomposition of HA to secondary phases; however, the glass reinforced-HA composites contained a HA phase and variable amounts of tricalcium phosphate phase, depending on the sintering temperature and the amount of glass added. The HA-composite material exhibited higher flexural strength overall compared to sintered HA. The presence of secondary phases beta- and alpha-tricalcium phosphate in the microstructure of the composites has a major influence on the mechanical properties. Additionally, the presence of porosity also has a bearing on the mechanical properties of the material.

Biocompatible Materials↗

PubMed2001

Glass reinforced hydroxyapatite for hard tissue surgery--part II: in vitro evaluation of bone cell growth and function.

Hydroxyapatite (HA)-based materials are considered to be potentially useful as bone implant materials, particularly those reinforced with glass to improve mechanical strength. However, the precise effects of glass-reinforced HA on the growth and functions of bone cells are still unclear. The present study has therefore examined the response of human osteoblast-like cells to HA and HA reinforced with two different proportions of glass, namely 2.5% and 5%. All materials enabled the cells to attach and proliferate during 7 days in culture and, although the growth was less than on control plastic surfaces, there was no deleterious effect of the 5% glass composite compared with HA alone. Flow cytometry analysis showed that there was no effect on cell size and granularity, but there were marked and highly selective changes in the expression of certain connective tissue proteins. Thus, while bone sialoprotein and osteonectin were down-regulated on HA alone, the expression of these antigens was relatively enhanced on the composite materials, and collagen type I was also up-regulated on the glass-reinforced HA. Thus, modulation of the glass composition of HA materials could be used to produce not only improved mechanical strength, but also enhanced biocompatibility.

Biocompatible Materials↗

PubMed2001

Investigation of the solubility and ion release in the glass system K2O-Na2O-CaO-P2O5.

Glasses from the quaternary glass system K2O-Na2O-CaO-P2O5 were produced by standard glass forming techniques. The compositions were limited by fixing the P2O5 at 45 mol%, fixing the CaO content at either 20, 24 or 28 mol%. The K2O and Na2O made up the residual varying from 0 to 25 mol% K2O. General trends showed that with increasing CaO content, the glasses showed a decrease in solubility as expected. For a single system of fixed CaO content, with increasing K2O content, there was an increase in solubility. This was seen at all three CaO contents. All the glasses showed an initial increase in pH followed by a gradual decrease with time and this was accounted for by the initial release of Na+ ions into solution. For the ion release curves, for all fixed CaO contents, the glass with 0 mol% K2O showed the lowest Ca2+ release. This was accounted for as being due to the low solubility compared to the K2O containing glasses. The Na+ release appeared anomalous, as it was higher than all the K2O containing glasses. Even though the glasses with 0 mol% K2O showed the lowest solubility, the amount of Na+ contained in the glass was high, hence the high levels of release.

Glass↗

PubMed2001

Effects of ultrasound on the growth and function of bone and periodontal ligament cells in vitro.

The effects of therapeutic ultrasound (US) on tissue healing processes in vivo are likely to involve US-induced changes in key cellular functions. However, these have not yet been clearly delineated and the present study has, therefore, examined the effects of a single 5-min CW exposure of 3.00-MHz US on the growth and functional activity of a human osteoblast-like cell line (MG63 cells) and human periodontal ligament (PDL) cells in vitro. Although cell proliferation was found to be largely unaffected by spatial average intensity (I(SA)) values of between 140-990 mW/cm(2), flow cytometry (FCM) analysis showed that there were pronounced and differential effects on cell function. Thus, bone-associated proteins were down-regulated, whereas collagen type I (COL I) was unaffected and fibronectin (FN) was up-regulated at low intensities in MG63 cells. In contrast, bone protein expression was found to be dose-dependent, and FN and COL I were down-regulated in PDL cells. These results show that US has potentially important effects on the functional activities of connective tissue cells in vitro, which could markedly influence tissue repair and regeneration processes in vivo.

Cell Division↗

PubMed2001

Influence of loading types on the shear strength of the dentin-resin interface bonding.

Small differences in the shear bond test can make critical differences in the bonding strength values. The purpose of this study was to compare the influence of the orthodontic-looped wire, stainless steel tape and chisel systems used in shear bonding tests to verify the resistance in the dentin-resin interface. Forty-eight human teeth were used and divided in three groups. The teeth were ground until a flat smooth surface was achieved, that was delimited with an adhesive tape containing a hole of 4 mm diameter. After, the dentine surface was treated with Scotchbond Multi Purpose and the composite Z-100 was applied in layers, through a stainless steel mold. The samples were stored at 37 degrees C and 100% of relative humidity for 24 h and, then, submitted to 500 thermal cycles. After, they were taken to an universal test machine (Otto Wolpert) with crosshead speed of 6 mm/min. The results were statistically analyzed using a Tukey's test (p\lt 0.05). The orthodontic-looped wire determined the highest values of shear bond (13.33 MPa), following by chisel (7.81 MPa) and stainless steel tape (4.87 MPa). The debonding values depend on a complex stress combination produced during the loading of the samples. Small variations in test methodologies give statistically different values for shear bond strength. Different shear strength methods in vitro make the comparative clinical performance of the resin filling materials difficult.

Journal Article↗

PubMed2001

Effect of sodium hypochlorite on mechanical properties of dentine and tooth surface strain.

AIM: The aim of this study was to test the null hypothesis that sodium hypochlorite irrigation of root canals does not alter the properties of dentine and contribute to the weakening of root-treated teeth. METHODOLOGY: The effect of two concentrations (0.5%, 5.25%) of sodium hypochlorite (NaOCl) and saline on (i) the elastic modulus and flexural strength of machined dentine bars, and (ii) changes in strain of 'whole' extracted human teeth were evaluated. One hundred standardized plano-parallel dentine bars (> 11.7 x 0.8 x 0.8 mm) were randomly divided into the three groups, immersed for 2 h in the respective solutions and then subjected to a three-point bend test. Changes in strain of each of 10 teeth on cyclical nondestructive occlusal loading were measured using electrical resistance strain gauges bonded to the cervical aspects. Each tooth had its crown and enamel reduced and root canal prepared. These were irrigated sequentially in a series of four separate, 30-minute regimes; initial-saline, 0.5% NaOCl, 5.25% NaOCl and final-saline. The changes in strains after each irrigation regime were compared. RESULTS: There was a significant decrease in elastic modulus of the dentine bars immersed in 5.25% NaOCl compared with the saline group (P < 0.01). There was also a significant decrease in flexural strength of the dentine bars in the 5.25% NaOCl group compared to both the saline and 0.5% NaOCl groups (P < 0.01). The strain data from the nondestructive tooth loading tests revealed significant increases in tensile strain between the initial-saline and the final-saline stages (P < 0.01). Significant increases in compressive strains were also found between initial-saline and 5.25% NaOCl; and between 0.5% NaOCl and 5.25% NaOCl stages (P < 0.01). CONCLUSIONS: The null hypothesis was rejected, 5.25% NaOCl reduced the elastic modulus and flexural strength of dentine. Irrigation of root canals of single, mature rooted premolars with 5.25% NaOCl affected their properties sufficiently to alter their strain characteristics when no enamel was present.

Analysis of Variance↗

PubMed2001

The effects of oxalate-containing products on the exposed dentine surface: an SEM investigation.

In-office products containing oxalates have been claimed to be clinically effective in reducing dentine sensitivity, although there has been limited supporting clinical data. The rationale for their use appears to be based on their potential to act as occluding and/or nerve desensitizing agents. Four commercially available oxalate-containing products were applied to etched dentine discs and the extent of tubule occlusion was observed by scanning electron microscopy. Tenure Quick (aluminium oxalate), Sensodyne Sealant (ferric oxalate) and MS Coat (oxalic acid) covered the dentine surface and occluded the tubules. However, Butler Protect (potassium oxalate) did not cover the surface to any great extent but provided some occlusion. The presence of oxalates after application to glass slides and dentine discs was examined using thin film X-ray diffraction. From samples on glass, only potassium oxalate could be clearly identified (JCPDS 14-0845). No oxalate was detected on dentine discs in either thin film geometry or standard theta two theta mode. We have demonstrated that professionally applied in-office products containing oxalate are capable of covering the dentine surface and/or occluding the tubules to varying degrees. However, X-ray diffraction analysis was unable to confirm the oxalate profile for all products as described in the available commercial literature.

Acid Etching, Dental↗

PubMed2000

Direct and indirect effects of P2O5 glass reinforced-hydroxyapatite composites on the growth and function of osteoblast-like cells.

Human osteoblast-like cells were plated on hydroxyapatite and P2O5-glass reinforced hydroxyapatite composite discs. They were also cultured in the presence of media obtained by incubating the discs in the absence of cells. The effects of these direct and indirect interactions were examined by measuring cell proliferation and the expression of certain key extracellular matrix antigens. One composite was found to initially delay cell growth, while the extract of a different composite appeared to down-regulate DNA synthesis. Flow cytometry analysis showed that growth directly on the discs had little effect on collagen type I, but reduced fibronectin and osteocalcin levels. The extracts of the materials generally had less effect, although one extract obtained from the glass-reinforced hydroxyapatite significantly down-regulated fibronectin. These in vitro studies thus suggest that there were only few differences overall in the growth of the cells directly on the glass-reinforced compared with the hydroxyapatite discs and also only relatively small effects of the extracts on the cells. However, the flow cytometry results suggest that both the materials and the extracts may have a potentially important influence on connective tissue production, and that these effects are both material- and antigen-specific.

Antigens↗

PubMed2000

Characterisation of the rheological properties and zeta potential of a range of hydroxyapatite powders.

The effect of precipitation temperature, i.e. particle morphology on the rheological properties of a hydroxyapatite (HA) slip was investigated and compared to a commercial HA (batch P120 supplied by Plasma Biotal, Tideswell, Derbyshire, UK). The commercial HA was highly crystalline and had a particle size much larger than the HA precipitated at 60 and 80 degrees C. With no deflocculant addition, the commercial HA had a viscosity much higher compared to the precipitated HA as expected. The commercial HA and the HA precipitated at 60 degrees C showed similar pseudoplastic behaviour, but the HA precipitated at 80 degrees C showed Newtonian behaviour. This was explained by the HA precipitated at 80 degrees C having mean particle size of 82.24 nm, but a much wider particle size distribution. This is confirmed by the electrophoretic mobility measurements which show that the HA precipitated at 80 degrees C has a much lower zeta potential at a 0 wt% addition of deflocculant. Because of the wider particle size distribution, the need to add deflocculant is much reduced.

Chemical Precipitation↗