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Biomedical subjects

K Takakuda

Publications and source records attributed to K Takakuda.

23 records · Page 2Linked to original sources

Deformation of restoration and fracture of luting cement film.

OBJECTIVES: Functional occlusal loading can generate complicated stresses in the luting cement film between a restoration and its abutment. Such stresses may lead to cement fractures, which can promote cement dissolution and induce clinical problems. The purpose of this study is to determine the function of the cement film under loading, and to clarify the relationship between the deformation of the restoration and the cement fractures. METHODS: Eccentric loads were applied onto model extension bridges which were cemented on brass dies with zinc phosphate cement. Strain measurements were recorded using of a strain gauge method, ultimate strength by tensile tests, leakage by dye penetration tests and cement fractures by ultrasonic microscopic analyses. Additionally, the bridges which were just seated on their dies without cementation were loaded, and strain measurements were recorded. RESULTS: The cases for linear strain increment with loading showed high tensile strength and minimal dye penetration. The cases with non-linear strain behavior showed low tensile strength and considerable dye penetration. However, no fracture was observed in the occlusal cement film in both cases. The cement fracture first occurred at the opposite marginal region to the loading side. CONCLUSIONS: One of the significant functions of the cement film is diminishing the deformation of restorations during loading. The deformation of the restoration affects initiation and propagation of the cement fracture considerably.

Alloys↗

Effects of postoperative immobilization on the reconstructed anterior cruciate ligament. An experimental study in rabbits.

To investigate the effects of postoperative immobilization and limited motion on reconstructed anterior cruciate ligaments, 28 rabbits received an anterior cruciate ligament reconstruction using autogenous Achilles tendon and were then divided into three groups: fully immobilized, 4 weeks immobilized, and limited motion. Two rabbits from each group were evaluated macroscopically, histologically and microangiographically at 4-week intervals until 12 weeks postoperatively. An additional six rabbits in the 4 weeks immobilized and limited motion groups were studied biomechanically at 12 weeks postoperatively. Macroscopically, both immobilized groups showed more proliferation of the infrapatellar fat pad, which was adherent to the reconstructed anterior cruciate ligament. Histology revealed more rapid regeneration of reconstructed anterior cruciate ligaments in the limited motion group, with no findings of necrosis in the mid-substance. Microangiography indicated faster normalization of vascularity in the limited motion group. The biomechanical study showed no significant difference in laxity between the 4 weeks immobilized and limited motion groups. The graft stiffness and maximum load to failure were greater for the limited motion group, although the increase was not statistically significant. The histologic and microangiographic results from the limited number of animals in this study support limited postoperative motion in the anterior cruciate ligament reconstructed knee. However, there were no differences in terms of the biomechanical parameters at 12 weeks postoperatively between the immobilized and limited motion treatment modes.

Animals↗

Intercondylar notch width and its relation to the configuration and cross-sectional area of the anterior cruciate ligament. A cadaveric knee study.

If a narrow intercondylar notch contains a smaller anterior cruciate ligament, that may explain why people with narrow notches have a higher incidence of anterior cruciate ligament injuries. To investigate the significance of notch width measurement, we used 16 embalmed cadaveric knees. A positive mold of the entire anterior cruciate ligament, including its femoral and tibial insertions, was created with silicone rubber and plaster commonly used for dental molding. We had two hypotheses to test from this study. One was that the dimensions of the anterior cruciate ligament can be predicted by the notch width. The other was that the size of a person's anterior cruciate ligament can be predicted by a caliper measurement of the intercondylar notch. The width, sagittal length, and cross-sectional area of the midsubstance and the femoral and tibial insertions of the anterior cruciate ligament were measured. The notch width index, the ratio of notch width to width of the femoral condyle, showed a positive correlation only to the ratio of width to sagittal length of the tibial insertion. None of the parameters showed any differences between the knees with a notch width index less than or equal to 0.2 and those with a notch width index greater than 0.2. The knees with small notch width indexes did not have thinner anterior cruciate ligaments in them. These findings may not be applicable to knees obtained from other races, i.e., not Japanese.

Aged↗

Fatigue behavior of the zinc-phosphate cement layer.

PURPOSE: Fatigue behavior of luting cement film between model fixed partial dentures (FPD) and their dies was investigated to gain a better understanding of the mechanical properties of zinc-phosphate cement. MATERIALS AND METHODS: Fifty-six brass dies were made, half of them with grooves and half without grooves. A cantilever FPD for each die was cast in Au-Pd-Ag alloy. Four linear strain gauges were attached to the marginal portions of each retainer. The FPDs were cemented to the dies using zinc-phosphate cement. A fatigue test machine was used to cyclically load the specimens with 50 or 100 N for 5.5 x 10(5) cycles (1 Hz) in 37 degrees C water. During the fatigue test, strain measurements were made after every 0.5 x 10(5) load cycles to discover if strain response was altered. After completion of the fatigue test, ultimate tensile strength of each specimen was measured and statistically analyzed by 2-way analysis of variance. RESULTS: With or without grooves, strain responses were the same at every periodic strain measurement throughout the 50-N fatigue test. For the 100-N fatigue test, strain responses for the specimens without grooves were different before and after cyclic testing, but there was no difference for the specimens with grooves. There were no significant differences in tensile strength among the specimens after the fatigue tests. CONCLUSION: No fatigue fracture was observed in zinc-phosphate cement film after repetitive loading. Repetitive loading may improve stress transmission within the zinc-phosphate cement film.

Analysis of Variance↗

Surface strain on crown and luting cement fractures.

This study investigated fractures of the cement layer between a crown and a die. Model crowns were luted on dies with zinc phosphate cement and various magnitudes of load were applied. Surface strain on the crown was measured using strain gauges. Seal was evaluated using dye penetration and tensile tests. Results showed that cement fracture affected surface strain behavior on the crown and was detected using the surface strain measurement. The dye penetration test and the tensile test could not be used to detect the cement fracture. It is suggested that the three-dimensional relative positioning between the crown and the die affected the development of the cement fracture.

Analysis of Variance↗