PubMed · 7593016
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J Black. 1995. "Safe" biomaterials.. https://doi.org/10.1002/jbm.820290702
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To develop a dual-curing monomer system for the photopultrusion of reformable (soft) composites, a microhardness assay showed that in a blend with 2,2-Bis[4-2-hydroxy-3-methacryloxypropoxy)phenyl] propane (Bis-GMA), the substitution of methyl methacrylate (MMA) for triethylene glycol dimethacrylate (TEGDMA) delayed the onset of gelation during photopolymerization. Adding lauroyl peroxide permitted the completion of polymerization thermally. This system was used to form silicate-glass-fiber-reinforced composites, with varying degrees of conversion, by photopultruding over a range of pulling speeds. Sol-gel extractions demonstrated both fully soluble and insoluble matrices. For the soluble material, gel permeation chromatography elucidated a trimodal distribution of molecular weights that corresponded to MMA, Bis-GMA, and polymeric molecules with molecular weights in the tens of thousands. Composites with matrix solubilities above about 10% wt could be swaged after photopultrusion to change the cross section from circular to rectangular before thermal processing. The effect on the final elastic modulus was small (-44GPa, as measured in flexure for 57% vol-reinforced composites); but the final flexure strength was reduced by approximately 25% to a constant of about 1.2 GPa. Morphological characteristics that were seen in the circular-sectioned precursors were observed in the swaged rectangular products as well, including flaws when swaging was conducted at matrix solubilities above about 75%.
The feasibility of simple tests or analytical methods for prediction of residual stress states in metal-ceramic (MC) prostheses has not been demonstrated. Biomaterial metal-ceramic strips have been proposed to provide sensitive measures of transient and residual stress states through the measurement of midpoint deflection after cooling from the ceramic sintering temperature. The objective of this study was to apply the elastic-viscoelastic analogy to calculate transient and residual midpoint deflections in MC biomaterial strips and to compare these values with deflections measured with a beam-bending viscometer (BBV). Calculations and measurements were made for five MC systems that were found from a clinical study to be "thermally compatible" systems. Metal strips, 64 mm in length, 3 mm wide, and either 0.5 mm, 1.0 mm, or 2.0 mm in thickness, were veneered with four 0.25-mm thick layers of opaque porcelain. Midpoint deflection of the MC strips (ceramic oriented in the posterior position) was measured during cooling from an initial temperature of 700 degrees C. In general, the directions of the measured residual deflections did not agree with the "textbook" convention that negative deflections are associated with positive thermal contraction mismatch (alpha(M) - alpha(c) > 0) regardless of metal thickness. For a metal thickness of 0.5 mm, the residual midpoint deflection for all thermal contraction mismatch cases, except one, was positive (upward deflection) whereas the residual midpoint deflections were all negative when the metal thickness was increased to 1 or 2 mm, independent of the thermal contraction mismatch. The best agreement between calculated and measured values of residual midpoint deflection (+16 microns vs. +14 +/- 2.3 microns, respectively was obtained for MC biomaterial strips with a Ni-Cr alloy (0.5 mm thick) while the largest difference (+346 microns vs. +61 +/- 43.8 microns) was obtained for MC bimaterial strips with a Au-Pd allow (0.5 mm thick). In all but one case, changes in deflection direction as a function of metal thickness were correctly predicted by the viscoelastic analysis. The results of this study indicate that a viscoelastic model is useful for estimating thermal compatibility conditions of MC systems.
Flow cytometry (FCM) was examined as a possible procedure for measuring in vitro the biocompatibility of implant materials for orthopedic and dental surgery. The human osteoblast-like cell line MG63 was grown on hydroxyapatite (HA) and P2O5 glass-reinforced HA composite discs and compared with the same cells grown on polystyrene culture dishes. While morphological observation at the light and electron microscopic levels showed no major deleterious effects, FCM indicated that cell size was somewhat reduced, particularly by growth on the HA composite. Morever, this material also appeared to delay the progression of the cells from the G0/G1 into the S phase of the cell cycle. In addition to this low level of inhibition of cell growth relative to control cultures, FCM analysis also demonstrated that the glass-reinforced HA caused some down-regulation of the expression of osteocalcin and fibronectin, two antigens which play a vital part in the integrity and function of bone and soft connective tissue, respectively. These results thus show, first, that although HA and the HA composite used in these experiments were generally biocompatible, they nevertheless had certain suboptimal effects on the cells; and second, that FCM could be a highly useful procedure for effectively screening and evaluating important biological responses to implant materials.