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Biomedical subjects

J Lawrence Katz

Publications and source records attributed to J Lawrence Katz.

11 recordsLinked to original sources

Finite element analysis of a transmandibular implant.

Finite element analysis (FEA) was used to study the influence of bony height and baseplate effect on the transmandibular implant (TMI). FEA was used to assess the stress distribution in the mandible, with and without a baseplate. Forces were applied to the center of a bar space. The von Mises stress (SEQV) was displayed in bone, and shear stress also was measured. Tensile stress was always seen at the so-called saddle area; compressive stress was seen at the inferior border. Tensile strain at the saddle area of a 6-mm height mandible is always 9.1 times greater (corresponding to more SEQV) than that of an 18-mm mandible. At same bone heights, saddle area stresses are similar with or without a baseplate. However, stress at the lateral transossseous post interface with bone was significantly different between different bone height groups. Shear stress around the lateral transossseous post was smaller than does the SEQV of the same site. Decreased bone height dramatically increases stress at the saddle area independent of the baseplate presence. These data suggest that bone apposition is found in the severely atrophic mandibles. Thus, there is no need for a baseplate in a slight to mild atrophic mandible.

Biomechanical Phenomena↗

A clinical case report: interface analysis of a successful well-functioning transmandibular implant from a cadaver mandible.

Transmandibular implants (TMI) are indicated both for functional reconstruction of the severely atrophic mandible and when routine augmentation is unpredictable. This study investigates the interface of bone around a TMI, retrieved from the cadaver. The TMI had successfully functioned for 7 years. The mandible was immersed in 10% formaldehyde and sectioned into nine appropriate pieces. Samples were embedded in polymethylmethacrylate, and cut around the transosseous posts and cortical screws in both vertical and horizontal sections. Samples were analyzed at 400 MHz (nominal lateral resolution, 2.5 microm) using a UH3 Scanning Acoustic Microscope (Olympus, Tokyo, Japan). The middle of implant specimens 1-4 were cut to 50 microm, and stained by toluidine blue for light microscopy. Dental X-rays showed no bone resorption around any implant. On a 2-mm lateral scan, almost uniform interface space was seen between bone and implant surface in cortical screws. There are wider spaces around the transmandibular posts in the superior area. Histology revealed the small area of direct contact. There is bone marrow space in the interface, with no significant fibrous tissue. We interpret these results at the interface to be because of adaptation for stress distribution.

Adaptation, Physiological↗

Parametric study of the effect of phase anisotropy on the micromechanical behaviour of dentin-adhesive interfaces.

A finite element (FE) model has been developed based upon the recently measured micro-scale morphological, chemical and mechanical properties of dentin-adhesive (d-a) interfaces using confocal Raman microspectroscopy and scanning acoustic microscopy (SAM). The results computed from this FE model indicated that the stress distributions and concentrations are affected by the micro-scale elastic properties of various phases composing the d-a interface. However, these computations were performed assuming isotropic material properties for the d-a interface. The d-a interface components, such as the peritubular and intertubular dentin, the partially demineralized dentin and the so-called "hybrid layer" adhesive-collagen composite, are probably anisotropic. In this paper, the FE model is extended to account for the probable anisotropic properties of these d-a interface phases. A parametric study is performed to study the effect of anisotropy on the micromechanical stress distributions in the hybrid layer and the peritubular dentin phases of the d-a interface. It is found that the anisotropy of the phases affects the region and extent of stress concentration as well as the location of the maximum stress concentrations. Thus, the anisotropy of the phases could effect the probable location of failure initiation, whether in the peritubular region or in the hybrid layer.

Adhesives↗

Evaluation of the micromechanical elastic properties of potential bone-grafting materials.

The micromechanical elastic properties of potential bone-graft materials were compared with that of the human mandible. Six different potential bone-replacement materials were used: Bio-Oss (Osteohealth), OsteoGraf/N-700 (Ceramed), Pepgen P15 (Ceramed), Interpore200 (Interpore Cross International), Allogro (Ceramed), and Dynagraft (GenSci Dental). As a control, mandibular cortical bone was obtained from a 17-year-old woman. Micromechanical elastic property analysis was obtained with the use of a UH3 scanning acoustic microscope (Olympus Co., Tokyo, Japan) (SAM) at 400 MHz in the burst mode. Each sample was measured at three areas. The data were analyzed statistically by SPSS (SPSS, Inc.) with the use of the Student t test. In human bone, the reflection coefficients r of the x dimension (r = 0.75 +/- 0.01) was statistically higher than those of the y (0.72 +/- 0.05) and the z (0.72 +/- 0.01) directions. The order of stiffness magnitude was found to be Pepgen (r = 0.73 +/- 0.05) >/= OsteoGraf (0.72 +/- 0.03) > Bio-Oss (0.71 +/- 0.02) > Interpore (0.69 +/- 0.10) > Dynagraft (0.43 +/- 0.05) > Allogro (0.36 +/- 0.04). For these samples, Interpore alone showed a large deviation in properties in the same specimen. With regard to the elastic properties solely, bone-grafting materials made from bovine or processed marine coral appear to be reasonable choices as graft materials.

Acoustics↗

Elastic anisotropy of bone and dentitional tissues.

The calculation of the scalar compressive and shear anisotropy factors developed for single crystal refractory compounds has been adapted to the anisotropic elastic stiffness coefficients determined by a number of ultrasonic measurements of bone based on transverse isotropic symmetry. Later, this work was extended to include the ultrasonic measurements of bone based on orthotropic symmetry. Recently, the five transverse isotropic elastic constants for both wet and dry human dentin were determined using resonant ultrasound spectroscopy. The five transverse isotropic elastic constants for wet bovine enamel and dentin had been calculated based on modeling of ultrasonic wave propagation measurements and related data in the literature. The scalar compressive and shear anisotropy factors have been calculated from both these sets of data and are compared with a representative set from those published previously for both human and bovine bone and both fluoro- and hydroxyl-apatites.

Animals↗

Micromechanical analysis of dentin/adhesive interface by the finite element method.

The interfacial microstructure and spatial distribution of the modulus of elasticity have a profound effect on load transfer at the dentin/adhesive (d/a) interface. The microstructure is influenced by the varying degree of demineralization of intertubular and peritubular dentin during etching as well as the depth of adhesive penetration into the hybrid layer. These factors lead not only to a unique microstructure in the vicinity of the dentinal tubules, but also to a mechanically graded hybrid layer. This article investigates the micromechanical stress distribution at a d/a interface with the use of finite element analysis (FEA). Such analysis is now feasible given the newly measured moduli of elasticity at micro- and nanoscales. The results indicate that the morphological and micromechanical properties of the d/a interface affects the stress field such that the fracture/failure is likely to initiate in the stress-concentration zone of peritubular dentin next to the hybrid/exposed-collagen layer. The results suggest that devising a full-depth high modulus hybrid layer may considerably reduce the stress concentration zone and the magnitude of stress concentration in the peritubular dentin next to the hybrid/exposed-collagen layer.

Adhesives↗

Identification of collagen encapsulation at the dentin/adhesive interface.

PURPOSE: The purpose of this study was to investigate the dentin/adhesive interfacial characteristics of three current commercial adhesives with different relative hydrophilic/hydrophobic composition, using a nondestructive staining technique. MATERIALS AND METHODS: Dentin surfaces of 18 unerupted human third molars were randomly selected for treatment with one of three commercial dentin bonding agents according to manufacturers' instructions for the "wet" bonding technique. The adhesives were ranked based on hydrophilic/hydrophobic component ratios (ie, ability to dissolve in water), highest to lowest, as follows: Uno (Pulpdent) > Prime&Bond NT (PBNT, Dentsply Caulk) > Single Bond (SB, 3M ESPE). Dentin/adhesive (d/a) interface sections were stained with Goldner's trichrome, a classical bone stain, and examined using light microscopy. RESULTS: The extent and degree to which the adhesive encapsulates the demineralized dentin matrix is reflected in the color differences in the stained sections. The depth of demineralization appeared comparable among these bonding systems, but adhesive infiltration varied from highest to lowest as follows: Uno > PBNT > SB. CONCLUSIONS: The differential staining technique provided a clear representation of the depth of dentin demineralization and extent/degree of adhesive encapsulation of the exposed collagen at the d/a interface. This technique provides a mechanism for readily identifying vulnerable sites at the d/a interface. The composition of the one-bottle adhesive systems has a substantial effect on the interfacial structure of the d/a bond.

Acid Etching, Dental↗

Micromechanical properties of demineralized dentin collagen with and without adhesive infiltration.

In a previous study, we reported the upper limit of Young's modulus of the unprotected protein at the dentin/adhesive interface to be 2 GPa. In this study, to obtain a more exact value of the moduli of the components at the d/a interface, we used demineralized dentin collagen with and without adhesive infiltration. The prepared samples were analyzed using micro-Raman spectroscopy (micro RS) and scanning acoustic microscopy (SAM). Using an Olympus UH3 SAM (Olympus Co., Tokyo), measurements were recorded with a 400 MHz burst mode lens (120 degrees aperture angle; nominal lateral resolution, 2.5 microm). A series of calibration curves were prepared using the relationship between the ultrasonically measured elastic moduli of a set of known materials and their SAM response. Finally, both the bulk and bar wave elastic moduli were computed for a set of 13 materials, including polymers, ceramics, and metals. These provided the rationale for using extensional wave measurements of the elastic moduli as the basis for extrapolation of the 400 MHz SAM data to obtain Young's moduli for the samples: E = 1.76 +/- 0.00 GPa for the collagen alone; E = 1.84 +/- 0.65 GPa for the collagen infiltrated with adhesive; E = 3.4 +/- 1.00 GPa for the adhesive infiltrate.

Bisphenol A-Glycidyl Methacrylate↗

Micromechanics/structure relationships in the human mandible.

OBJECTIVES: A clear understanding of the relationship between the micromechanical properties and orientation of the osteons within the mandible is important to understand mandibular function, fracture repair, treatment of temporo-mandibular joint disorders, the materials and organization of dental implants. The objective of this research was to obtain the micromechanical properties of human mandibular cortical bone as a function of orientation from TMJ to TMJ. METHODS: A mandible obtained from a deceased 66 year-old female free of bone disease was used. The mandible was embedded in polymethylmethacrylate. The micromechanical properties analysis was obtained using the UH3 scanning acoustic microscope (SAM; Olympus Co., Tokyo, Japan). The coordinates system is defined such that the inferior border of mandibular is positioned on the x-y plane. x is along the anterior-posterior direction, y is in the horizontal direction and z is in superior-inferior direction. RESULTS: The osteonal orientations were almost parallel to the x axis and eventually branched into two directions towards the coronoid process and condylar head. The SAM revealed that almost the whole area of the mandible body was found to be transversely isotropic in the plane perpendicular to the x axis. In the parallel and oblique directions, all data were transversely isotropic with respect to the x axis. Data of the perpendicular osteons were transversely isotropic with respect to the z axis. SIGNIFICANCE: Having actual micromechanical properties as a function of orientation in the mandible could provide base line data for: fracture repair; choice of bone replacement materials.

Aged↗

Physicochemical interactions at the dentin/adhesive interface using FTIR chemical imaging.

To date, much of our understanding of dentin bonding has been based on investigations performed on sound, healthy dentin. This is not the substrate generally encountered in clinical practice, rather dentists must frequently bond to caries-affected dentin. Because of the extreme complexity and variability of the caries-affected dentin substrate, conventional characterization techniques do not provide adequate information for defining those factors that impact bond formation. Using Fourier-transform infrared imaging, we characterized the inhomogeneities and compositional differences across the length and breadth of the caries-affected dentin/adhesive interface. Differences in mineral/matrix ratio, crystallinity, and collagen organization were noted in the comparison of caries-affected and healthy dentin. As compared to healthy dentin, there were striking differences in depth of demineralization, adhesive infiltration, and degree of conversion at the interface with caries-affected dentin.

Adhesiveness↗