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Biomedical subjects

S S Huja

Publications and source records attributed to S S Huja.

6 recordsLinked to original sources

Indentation properties of young and old osteons.

The purpose of this study was to quantify differences in indentation modulus and microhardness between labeled osteons identified by epifluorescent microscopy and neighboring unlabeled osteons. In microradiographs and backscattered images, newly formed osteons appear more radiolucent (darker) than older osteons. This is ascribed to incomplete mineralization of the osteon. However, the mechanical properties of these young osteons are unknown. Nine femoral cross-sectional specimens were obtained from five skeletally mature dogs. Prior to death, the dogs received a pair of calcein bone labels. Labeled osteons were identified under an epiflourescent microscope. Bone specimens were transferred to a nanoindenter specimen holder, and the previous identified labeled osteons were located. Labeled (n = 102) and unlabeled (n = 101) osteons were examined by instrumented indentation testing. Indents were made to a depth of 500 nm at a loading rate of 10 nm/second. There were significant differences in the indentation modulus (P < 0.001) of labeled (10.02 +/- 3.61 gigapascal (GPa), mean +/- standard deviation) and unlabeled (15.11 +/- 3.72 GPa) osteons. Similar differences existed in microhardness measurements. Newly formed osteons had lower modulus (34%) and hardness (41%) than older osteons found in femoral cross sections. These data provide information on the indentation moduli of osteons during an early phase of mineralization compared to osteons that have completed mineralization.

Aging↗

Biomechanical and histomorphometric analyses of monocortical screws at placement and 6 weeks postinsertion.

Maxillofacial screws are increasingly being used in orthodontics to provide anchorage for tooth movement. The objective of this study was to determine the biomechanical stability as well as the bone tissue response of screws at 6 weeks postinsertion in a canine model. Seven skeletally mature male dogs received 102 screws (2 x 6 mm or 2 x 8 mm) at predetermined sites. Twenty screws became loose or were lost during the 6-week undisturbed healing period. Forty-eight screws were randomized for mechanical testing and 34 for histology. Peak pullout strength was recorded and approximately 80-microm sections were examined for histomorphometric parameters. Statistical analyses were conducted by analysis of variance and Tukey-Kramer method. Mean +/- SE peak pullout strengths for the various sites ranged from 153.5 +/- 37.6 N to 389.3 +/- 32.5 N with no significant (P < .05) differences at immediate placement and 6 weeks postinsertion. Bone contact ranged from 79% to 95%. Histomorphometric analyses indicated higher bone formation rate in the mandible than in the maxilla and a gradient of decreasing turnover with increasing distance from the screw interface. These results provide the clinical orthodontist with an estimate of the holding power of these screws and an understanding of early biological healing response associated with self-drilling screws.

Adaptation, Physiological↗

Development of a fluorescent light technique for evaluating microdamage in bone subjected to fatigue loading.

A new method using fluorescent light microscopy has been developed to visualize and evaluate bone microdamage. We report the findings of two different experiments with a common aim of comparing the fluorescent light technique to the brightfield method for quantifying microdamage in bone. In Experiment 1, 36 canine femurs were tested in four-point cyclic bending until they had lost between 5 and 43% of their stiffness. The loaded portion of the bone was stained en bloc with basic fuchsin for the presence of damage. Standard point counting techniques were used to calculate fractional damaged area (Dm.Ar = Cr.Ar/B.Ar, mm2/mm2) under brightfield and fluorescent microscopy. In Experiment 2, bone microdamage adjacent to endosseous implants, subjected to fatigue loading (150,000 cycles, 2 Hz and 37 degrees C) ex vivo was examined. The bone around the implant was either allowed to heal (adapted specimen) for 12 weeks after placement in dog mid-femoral diaphyses prior to testing or was loaded immediately to simulate non-healed bone surrounding endosseous implants (non-adapted). Crack numerical density (Cr.Dn = Cr.N/B.Ar, #/mm2), crack surface density (Cr.S.Dn = Tt.Cr.Le/B.Ar, mm/mm2) and fractional damaged area were calculated separately by both techniques in the adapted and non-adapted specimens. In both Experiments 1 and 2, significantly more microdamage was detected by the fluorescent technique than by the brightfield method. Also, there was a trend towards higher intraobserver repeatability when using the fluorescent method. These results suggest that the brightfield technique underestimates microdamage accumulation and that the fluorescent technique better represents the actual amounts of microdamage present. The results demonstrate that the fluorescent method provides an accurate and precise approach for bone microdamage evaluation, and that it improves the prediction of stiffness loss from damage accumulation.

Animals↗

Microdamage adjacent to endosseous implants.

Intense remodeling occurs in lamellar bone adjacent to osseointegrated endosseous implants. The purpose of this study was to compare microdamage accumulation subsequent to ex vivo fatigue loading of bone that surrounds an endosseous implant, (a) immediately after placement (nonadapted bone) and (b) following a 12 week healing period after placement (adapted bone). We hypothesize that there is less microdamage in the more compliant adapted bone than in the older nonadapted bone. Nonthreaded titanium plasma sprayed (TPS)-coated endosseous implants were placed into dog mid-femoral diaphyses and allowed to heal for 12 weeks. Block sections of bone, each containing one implant, were cut anteroposteriorly, resulting in an implant containing lateral cortex, and a medial cortex that was used for testing the nonadapted specimens. Control specimens (n = 14 each for adapted and nonadapted) were loaded at 0 N. Experimental specimens (n = 13, adapted; n = 14, nonadapted) were loaded at 100 N in cantilever bending for 150,000 cycles at 2 Hz, at 37 degrees C on a Bionix 858 testing machine. Specimens were bulk stained with basic fuchsin and 120-140 microm sections were obtained. Crack numerical density (Cr.Dn = Cr.N/ B.Ar, #/mm2), crack surface density (Cr.S.Dn = Tt.Cr.Le/ B.Ar, mm/mm2), and percent damage area (Dm.Ar = Cr.Ar x 100/B.Ar, mm2/mm2) were measured at x 250. Statistically significant differences (p < 0.0001) were seen for Cr.Dn, Cr.S.Dn, and Dm.Ar on the compressed cortices suggesting that adapted bone near the implant accumulated significantly less microdamage than nonadapted bone. Also, the adapted nonloaded control specimens had approximately 20-fold less damage than the respective nonadapted specimens. This study suggests that the compliant adapted bone adjacent to endosseous implants is relatively resistant to fatigue loads. The high success rates of endosseous implants may be due to the presence of a rapidly remodeling region that maintains tissue compliance and limits microdamage initiation.

Animals↗

Microhardness and anisotropy of the vital osseous interface and endosseous implant supporting bone.

Limited information is available on the mechanical properties of the rapidly remodeling bone that surrounds endosseous implants. Fifteen implant-bone blocks were obtained from the mid-femoral diaphyses of three mature male hounds 12 weeks after placement of the implants. To evaluate the microhardness and cortical anisotropy of bone, the implants were sectioned along their long axes. In this process, the femurs were sectioned transversely. Knoop microhardness measurements (HK) were made with a 50 g force on cortical bone and a 25 g force on periosteal callus, endocortical callus, and circumferential lamellar bone. The long diagonal of the indenter was placed parallel to the implant (in the radial bone direction). Measurements were made in cortical bone at 200, 400, 600, 800, 1,000, 1,500, 2,000, and 2,500 microm from both sides of the implant. To detect cortical anisotropy in the radial compared with the tangential direction, a second set of indentations was made perpendicular to the first. Microhardness of periosteal callus and endocortical callus and anisotropy of circumferential lamellar bone near the endocortical surfaces of the femur were also evaluated. Repeated measures analysis of variance showed significantly (p < 0.05) lower microhardness values (30.6 +/- 0.8 HK [mean +/- SEM]) for cortical bone at 200 microm than at any other location (range: 40.3-46.6 HK). Microhardness anisotropy was not detected in cortical bone. Furthermore, within 200 microm of the implant surface, the Knoop microhardness values were significantly lower for periosteal and endocortical calluses than for cortical bone. These data provide information about the mechanical properties of bone adjacent to endosseous implants at a microstructural level. The results are consistent with the high rate of remodeling seen adjacent to endosseous implants at 12 weeks after implantation.

Animals↗

Effects of callus and bonding on strains in bone surrounding an implant under bending.

Descriptions of the healing and adaptation of endosseous implants have been provided; however, their effects on mechanical parameters such as maximum and minimum principal strains, strain energy density, and maximum shear strain have not been addressed. Three linear, elastic, and partially anisotropic finite element models were generated to simulate the immediate postoperative period, time of provisional loading, and long-term adaptation of bone surrounding implants. In each model, unbonded and bonded interface conditions were imposed. Bone geometry was estimated from dental implants placed in femurs of hounds. A lateral load was applied and the mechanical parameters were calculated. Interface bonding decreased the peak minimum principal strain 2.6 to 6.4 fold, while the presence of a callus reduced it 3 to 7 fold. These data document the critical stabilizing roles of callus and bond formation.

Animals↗