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Biomedical subjects

W R Lacefield

Publications and source records attributed to W R Lacefield.

At least 19 recordsLinked to original sources

Analysis of bovine serum albumin adsorption on calcium phosphate and titanium surfaces.

The protein adsorption behavior of thin films of calcium phosphate (CaP) bioceramic and titanium (Ti) was studied in this research. The thin films were produced with an ion beam sputter deposition technique using targets of hydroxyapatite (HA), fluorapatite (FA) and titanium (Ti). Fourier transform infrared spectroscopy (FTIR) with attenuated total internal reflectance (ATR) was used to evaluate protein adsorption on these surfaces. This study showed that surface composition and structure influenced the kinetics of protein adsorption and the structure of adsorbed protein. CaP surfaces adsorbed greater amount of protein than the Ti surface, and caused more alteration of the structure of adsorbed BSA than did the Ti surface. The differences in protein adsorption behavior could result in very different initial cellular behavior on CaP and Ti implant surfaces.

Adsorption

Dissolution/reprecipitation of calcium phosphate thin films produced by ion beam sputter deposition technique.

The dissolution, reprecipitation and protein adsorption properties of amorphous CaP bioceramic thin films produced with an ion beam sputter deposition technique using hydroxyapatite (HA) and fluorapatite (FA) as starting materials were studied using Fourier transform infrared spectroscopy (FTIR) with attenuated total internal reflectance (ATR). Our studies showed that these amorphous CaP coatings dissolved to a greater extent when exposed to bovine serum albumin (BSA) in saline solution when compared to a protein free saline solution. Analysis of changes in infrared spectra revealed that coatings exposed to BSA solution exhibited a higher degree of crystalline structure after dissolution/reprecipitation than those exposed to saline alone. There was the indication that the association of inorganic and organic contents was achieved on the coating surface in BSA solution. We could detect no significant difference between the coatings produced from HA and FA targets.

Adsorption

Current status of ceramic coatings for dental implants.

There are various ceramic coatings available for dental implants. From a commercial standpoint, plasma-sprayed hydroxyapatite (HA) is the most popular. These coatings are typically partially amorphous after processing and contain crystalline phases other than HA. Plasma-sprayed HA and the other bioactive ceramic coating materials have been shown to enhance bone apposition as compared with uncoated metal implants. Some of the other available materials include the bioglasses, other calcium phosphates such as fluorapatite and tricalcium phosphate, and the inert ceramics such as alumina. The plasma-spray process is not optimum for all types of ceramic coatings, because it is not suitable for coating porous surfaces; the exact control of structure and chemistry is difficult with this process, and bond strength is not as high as is desired for some applications. Alternative methods for coating include sol-gel processing, ion beam and radio frequency (RF) sputtering, pulsed laser deposition, hot isostatic pressing, and electrophoretic deposition. The use of osteoinductive agents in conjunction with ceramic-coated implants is of current interest, and the degree and type of bonding of these agents appear to vary with the composition of the ceramic coating. Because there seems to be no satisfactory means of incorporating osteoinductive agents into ceramic coatings during any of the conventional coating procedures, the best approach seems to be to diffuse the agents into the coating after processing. Other possibilities include the tethering of the agents to the surface of the ceramic by suitable organic molecules or the placing of the agent in some carrier material such as a cement, which is placed around the implants.

Bone Morphogenetic Proteins

Evaluation of wear: enamel opposing three ceramic materials and a gold alloy.

STATEMENT OF PROBLEM: The wear of human enamel and of the restorative material is often a critical concern when selecting a restorative material for any given clinical restorative treatment. PURPOSE: This in vitro wear investigation evaluated three ceramic restorative materials and one type III gold (the control) opposing enamel. MATERIAL AND METHODS: The area of enamel lost at specified time intervals, the stylus area lost, and the combined stylus and enamel vertical height lost were evaluated. RESULTS: Enamel wear opposing one type III gold was statistically similar to that of Dicor MGC, which was lower than that of Vita Mark II and IPS Empress, which were also statistically similar in value. CONCLUSIONS: The total vertical height lost from the type III gold specimens and opposing enamel was statistically lower than that of Dicor MGC and IPS Empress (alpha < 0.05).

Aluminum Silicates

Hydroxyapatite/metal composite coatings formed by electrocodeposition.

Early bone infusion by cementless fixation of composite orthopedic and dental implants consisting of metallic substrates and bioceramics is well documented. Calcium phosphate ceramics in general and hydroxyapatite (HA) in particular have been the most popular of the bioceramics used for coating metals. Here, a non-line of sight coating procedure by electrocodeposition is reported for mechanically fixing HA particles in a metal matrix. Analyses of the coating showed excellent adhesion to the substrate and no structural transformation in either crystallinity or stoichiometry. Adhesion and surface coverage of HA depended upon the particle size. As a demonstration of the coating procedure's non-line of sight applicability, it was successfully used to coat titanium rods sintered with small titanium spheres.

Biocompatible Materials

Interfacial shear strength and histology of plasma sprayed and sintered hydroxyapatite implants in vivo.

The interfaces of bone with sintered hydroxyapatite (SHA) and plasma sprayed hydroxyapatite-coated (HAC) implants in the femora of six dogs were examined by light microscopy, scanning electron microscopy, energy dispersive X-ray analysis, and push-out tests. The results demonstrated that there was no significant difference at 12 and 24 weeks after insertion between the interfacial shear strengths with bone for the two types of implants, however, the histological characteristics of the bone around the plasma sprayed HA could be distinguished from that of the sintered HA. The HAC implants showed an early surface biodegradation as compared with the SHA implants. The observed differences in the interfacial zones may be attributed to different bone cell activities and variations in the dynamics of bone formation, possibly resulting from a higher level of dissolution/reprecipitation along the plasma sprayed HA surface.

Animals

Structure and integrity of a plasma sprayed hydroxylapatite coating on titanium.

Plasma sprayed hydroxylapatite (HA) coatings on titanium substrates were analyzed for process-induced compositional and structural changes. The HA starting powder and the resulting HA coatings were characterized using x-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), and Raman spectroscopy. The integrity of the ceramic-to-substrate bond strength was also determined, by subjecting plasma sprayed HA coatings to shear/cantilever bond testing. The ceramic coatings retained the basic apatitic crystal structure of the starting powder; however, a considerable amount of amorphous material was created during the plasma spray process. FTIR and Raman spectroscopy revealed that the resulting coatings were partially dehydroxylated. Both XRD and FTIR spectroscopy results also suggested that amorphous material, as well as additional calcium phosphate phases such as alpha-tricalcium phosphate (TCP) not in the starting powder, were present in the HA coating. Average bond strengths of the HA coatings to Ti were determined to be 14.8 MPa +/- 3.5, with fracture occurring at the interface and within the coating itself.

Argon

The effect of dissolution on plasma sprayed hydroxylapatite coatings on titanium.

Plasma sprayed hydroxylapatite (HA) coated titanium specimens were immersed into Ca-free Hank's balanced salt solution for periods of 1, 2, 4, and 6 weeks. At each of the respective time intervals the HA coatings were analyzed with X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), and Raman spectroscopy to determine the effect of dissolution on the structure and composition of the coatings. At the 2- and 6-week intervals, additional samples were removed from solution and shear tested to evaluate the effect of dissolution on the coating-to-substrate interfacial bond strength. XRD results revealed that the plasma sprayed coatings retained their basic apatitic structure throughout the 6-week period in solution. There was, however, a trend towards a more definitive baseline, suggesting a loss of amorphous material by dissolution. FTIR and Raman analyses of the as-sprayed and dissolution specimens showed that the phosphate groups were not lost during the time in solution; however, there was a decrease in hydroxyl content as a result of dissolution mechanisms. FTIR also revealed an increase in carbonate content within the coating during immersion in the simulated physiological balanced salt solution. The average shear bond strengths for the as-sprayed, 2-, and 6-week dissolution specimens were 14.82+/-3.52 MPa, 12.51+/-3.41 MPa, and 12.54+/-2.02 MPa, respectively. Duncan's multiple range test confirmed that the shear bond strength was not significantly reduced after 6 weeks in solution, but there was evidence that suggested a decrease in interfacial bond strength as a result of dissolution mechanisms.

Humans

Enamel roughness after air-powder polishing.

The purpose of this study was to quantify differences in enamel surface roughness following treatment with an air abrasive system when compared to a rubber cup and pumice. The coronal portion of 40 bovine teeth were tested. Half of the teeth were placed in a control group and cleansed with a rubber cup and pumice, the other half or "test" group were treated with an air-powder polisher. All teeth were exposed to the given cleansing agent for a time equivalent to a 15-year recall program. Pre- and post-treatment surface evaluation was completed using a surface profilometer. In addition, representative samples were evaluated before and after cleansing under the scanning electron microscope (SEM). The results of this study showed no statistically significant increase in enamel surface roughness in teeth cleansed with the air polisher when compared to the roughness of the control teeth. This was confirmed visually by use of SEM taken at magnifications of up to x1000. The findings of this study indicate there is no significant alteration of the enamel surface when a tooth is treated with an air-powder polisher for the equivalent of a 15-year recall program.

Air Pressure

Structure, solubility and bond strength of thin calcium phosphate coatings produced by ion beam sputter deposition.

Ion beam sputter deposition was used to produce thin calcium phosphate coatings on titanium substrates. Structure, solubility and bond strength of the as-sputtered and heat treated coatings were evaluated. X-ray diffraction (XRD) analysis of the heat treated coatings revealed a hydroxyapatite-type structure. The heat treated coatings were found to have significantly lower solubility as compared to the amorphous as-sputtered coatings. Although the crystalline coatings exhibited the lowest solubility, in general, the bond strengths were lower for the heat treated coatings.

Bone and Bones

The effect of enamel preparation on the tensile bond strength of orthodontic composite resin.

The bonding of orthodontic brackets to enamel surface using bis-GMA composite resin is usually accomplished by first cleaning the tooth surface then etching with phosphoric acid. This study compared the tensile bond strength of composite resin applied to a tooth surface which had been cleansed with an air-powder polisher to that of the same resin applied to a surface cleansed using a rubber cup and pumice. A wire loop apparatus was attached to bonded orthodontic brackets and pulled in tension in order to test the adherence of the bracket to the tooth. Scanning electron microscopy (SEM) and energy dispersive spectroscopy (EDS) were used to evaluate the tooth surface to determine whether sodium bicarbonate material remained after the cleaning operation. All data was analyzed by the one way analysis of variants, the Student-Newman-Keuls test and Duncan's multiple comparison test. No statistical differences were found between the tensile strength of the bonds on the teeth cleansed with the air-powder polisher and those cleansed with a rubber cup and pumice. However, a double exposure of the tooth to phosphoric acid may lower the tensile bond strength by a significant amount.

Acid Etching, Dental

Metallurgical evaluation of a copper-based alloy for dental castings.

The present study was designed to evaluate the metallurgical properties of an experimental, low-cost copper-zinc-aluminum-nickel alloy for dental castings. Some specimens were subjected to heat treatment after induction casting. The extent of corrosion was determined by measuring weight loss of specimens stored in a sodium sulfite solution. In the as-cast specimens, tests demonstrated the presence of three phases: the first consisted of copper-zinc-aluminum, the second was similar but lower in copper and aluminum, and the third consisted of an intermetallic compound of manganese-nickel-phosphorus. After heat treatment, the first phase remained relatively constant, the second was converted to Cu3Al, and the third increased in volume. The weight loss from the as-cast specimens was eight times that of the heat-treated specimens. It was concluded that the heat treatment substantially changed the microstructure and improved the corrosion resistance of the experimental alloy.

Copper

Effectiveness of a method used in bonding resins to metal.

Currently, several methods are available for bonding resin veneers to dental casting alloys. Recently a new system (Silicoater) has been developed that involves the chemical bonding of polymers to dental substrates. This study determined bond strengths of several proprietary composite resin luting agents to three different types of casting alloys. The results were compared with those obtained using electrolytic etching techniques. The pyrogenically silica-treated specimens generated the highest bond strengths.

Acid Etching, Dental

Effects of calcium hydroxide paste as an intracanal medicament on apical seal.

Seventy-six extracted human permanent canines and premolars with single canals were used in this study. The crowns were removed, the canals were instrumented, and the roots were randomly divided into four groups of 18 each. Three groups were medicated with Ca(OH)2 USP, Calasept, and Vitapex, respectively, while the control group was not medicated. The roots were incubated in 100% relative humidity at 37 degrees C for 1 wk, after which the medicaments were removed and the canals were enlarged to the next file size. One tooth in each group was examined in the scanning electron microscope while the remaining roots were filled with gutta-percha using a lateral condensation technique. The roots were placed in 2% methylene blue solution for 2 wk and both linear and volumetric dye penetration evaluated. A highly significant correlation between linear and volumetric leakage was observed. The leakage among the experimental groups was not significantly different, but was significantly less than in the control group.

Bicuspid

Hydroxyapatite coatings.

Four coating techniques were evaluated to determine which is most suitable for producing a dense, highly adherent coating onto metallic and ceramic implant materials. Two of the selected coating methods have serious limitations for use in this particular application, and did not meet the specified criteria for satisfactory coating as defined in the initial stages of the study. For example, the dip coating-sintering technique was judged to be unsatisfactory because of the adverse effect of the high-temperature sintering cycle on the mechanical properties of the metallic substrate materials. These materials could not be used in load-bearing applications because of the excessive grain growth and loss of the wrought structure of both the commercially pure Ti and Ti-6Al-4V substrates, and the loss of ductility in the cast Co-Cr-Mo alloy. Another area of concern was that bond strength between the HA coating and the substrate was not high enough to insure that interfacial failure would not occur during the lifetime of the implant. The immersion-coating technique, in which the metal substrate is immersed into the molten ceramic, was shown in a previous study to be the best method of coating a bioreactive glass onto a Co-Cr-Mo implant. Heating HA above its melting temperature, however, caused undesired compositional and structural changes, and upon solidification very limited adherence between the modified ceramic and substrate material occurred under the conditions of this study. The HIP technique, in which the Ti powder substrate and the HA powder coating are sintered together in a high-pressure autoclave, shows great promise for the fabrication of high-quality composite implants. Initial studies have indicated that high-density Ti substrates with a small grain size that are well bonded to a dense HA coating can be produced under optimum conditions. Sintering and densification additives, such as SiO2 powder, do not appear to be necessary. The main drawback to this technique appears to be the reaction of the encapsulating material--whether soda glass, steel, or fused silica--to the HA coating. More extensive testing will necessary to determine the ideal conditions for the HIP technique, as efforts on this technique were discontinued in order to concentrate on the HIP technique, as efforts on this technique were discontinued in order to concentrate on the optimization of the sputter-coating technique so that coated implants for an animal study could be produced on schedule. Based on the results of this study, sputter coating appears to be the method of choice for forming a dense, adherent coating of HA onto a metal substrate.(ABSTRACT TRUNCATED AT 400 WORDS)

Adhesiveness

The bonding of Bioglass to a cobalt-chromium surgical implant alloy.

A biocompatible composite implant system was developed by coating Bioglass onto cobalt-chromium alloy substrates. Strong bonding between glass and metal was obtained by immersion of preoxidized implants into molten Bioglass under controlled conditions. The thin, adherent Bioglass coating provides the capability of bonding directly to bone, while the underlying metal substrate gives the composite implants sufficient strength to be used in load bearing applications.

Biocompatible Materials