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Biocompatibility of xenogeneic bone, commercially available coral, a bioceramic and tissue sealant for human osteoblasts.

The drawbacks of freshly harvested autologous bone have resulted in the search for an alternative, capable of supporting osteogenic cell growth. This capability was examined in potential bone graft materials by culturing human osteoblasts on each material. Test materials included rat bone, Surgibone, Ostilit, Biocoral and Tisseel. After 3 days osteoblasts had adhered to all materials, except Ostilit. With increasing time the cells multiplied on the materials, to varying extents. Cell affinity was greatest for rat bone and Tisseel. Fewer cells attached to Biocoral and Surgibone. Thus all the materials, with the exception of Ostilit, were biocompatible for human osteoblasts.

Animals↗

Expansion behaviour of compomer restoratives.

This study measured the dimensional changes due to hygroscopic expansion that occur in five commercially available compomer restorative materials using a computer-controlled laser micrometer. The materials tested were; [C] = Compoglass-F (Vivadent); [D] = Dyract AP (Dentsply DeTrey); [E] = Elan (Kerr); [F] = F2000 (3M); [H] = Hytac (Espe). Twelve discs of each test material were prepared, 10 mm diameter x 1 mm thickness. All specimens were kept dry for 48 h during polymerisation. Two control specimens of each group were kept in a desiccating chamber; five specimens in deionized water at 37 degrees C and five specimens in artificial saliva (Salivace, Penn) at 37 degrees C. The diameter of each disc was measured automatically across 200 points by rotation through the laser beam. These measurements, together with weight measurements, were carried out at intervals over a 2 month period. At 2 months, the mean % changes in volume after water immersion were: [C] = 2.45% (SD = 0.10); [D] = 1.50% (SD = 0.12); [E] = 1.53% (SD = 0.09); [F] = 1.69% (SD = 0.12); [H] = 1.44% (SD = 0.18). Specimens immersed in artificial saliva showed expansion rates identical to those immersed in water with the exception of material [H] at 1.73% (SD = 0.02) (p = 0.01). All specimens immersed in saliva showed a greater weight gain than those in water. The time taken to reach 90% of the final expansion varied from 7 days [F] to 50 days [H].

Compomers↗

The nanoleakage phenomenon: influence of different dentin bonding agents, thermocycling and etching time.

"Nanoleakage" takes place within the hybrid layer zone of the dentin-composite interface in spaces not occupied by polymerized resin. The purpose of this study was to quantify the amount of nanoleakage in specimens treated with one of six different bonding agents. For one agent, different etching times were used, and for two agents results after thermocycling were obtained. Standardized class V cavities were prepared in 165 extracted human molars with cervical margins located in dentin. After placement of the composite using bonding agents, the teeth were stored in a 1% rhodamin-B-isothiocyanate solution for 24 h at 20 degrees C, embedded in methacrylate, and sectioned parallel to the long axis of the tooth. A confocal laser scanning microscope was used to visualize a layer 10 microm below the prepared surface of the section. The lengths of the penetrated pathways were measured, representing the amount of nanoleakage. In all materials tested, penetration pathways appeared within the hybrid layer in absence of gap formation. Penetration lengths of the tested materials were in a range from 69 +/- 24 microm to 469 +/- 333 microm. Thermocycling had no statistically significant influence, and etching for 15 s resulted in statistically significantly shorter penetration compared to longer etching.

Acid Etching, Dental↗

Microleakage of light-cured resin and resin-modified glass-ionomer dentin bonding agents applied with co-cure vs pre-cure technique.

This in vitro study evaluated the effect of dentin bonding agents in reducing microleakage after three months in Class V restorations restored with Z100 resin composite. Materials tested were three types of resin-based dentin bonding agents: a multi-step (Scotchbond Multi-Purpose); a one-step (Scotchbond One-Step); a self-etching, self-priming (Clearfil Liner Bond) and a resin-modified glass ionomer (GC Fuji Bond LC). Class V cavity preparations with occlusal margins in enamel and gingival margins in cementum were prepared both on labial and lingual surfaces of extracted premolar teeth. Restorations (two per tooth) were distributed randomly into nine test groups (n = 10) consisting of the various DBAs applied with co-cure and pre-cure techniques, and no dentin bonding as a negative control group. Samples were stored in saline for three months, thermocycled, stained with silver nitrate, then sectioned through the middle of the preparation to facilitate the removal of the composite resin restoration. For groups treated with the pre-cure technique, the differences between the enamel leakage values of SBMP-control, CFLB-control and SB1S-control subgroups were significant (p < 0.05). For enamel leakage values of groups treated with the co-cure technique, the differences between the SBMP-control, SB1S-control, CFLB-control and Fuji LC-control subgroups were significant (p < 0.05). For cementum leakage values of groups treated with pre-cure technique, the difference between the CFLB-control and the Fuji, SBMP and SB1S groups was significant (p < 0.05). No significant differences could be detected between the cementum leakage values of groups treated with the co-cure technique (p > 0.05). The differences between the values obtained with application of CFLB with the pre-cure and co-cure techniques at the cementum margins were found to be statistically significant (p = 0.02). No statistically significant differences could be detected between the pre-cure and co-cure values of the other test materials. Generally for every group, cementum microleakage values were greater than enamel microleakage values (p < 0.05). The use of Scotchbond Multi-Purpose, Scotchbond One-Step and Fuji Bond LC with the co-cure technique to decrease the application time did not cause any significant increase in microleakage. Only pre-curing using Clearfil Liner Bond provided better microleakage properties than the other pre-cured adhesives.

Analysis of Variance↗

Determination of the aerobic biodegradability of polymeric material in aquatic batch tests.

Results of an international ring-test of two laboratory methods are presented for investigating the biodegradability of organic polymeric test materials in aquatic test systems based on respirometry and the evolution of carbon dioxide. These methods are developed further from the well-known standardized biodegradation tests ISO 9408 (1999) and ISO 9439 (1999), which have been successfully used for many years. The most important improvements are the extension of the test period up to six months, the increase of the buffer capacity and nutrient supply of the inorganic medium, an optimization of the inoculation, and optionally, the possibility of a carbon balance. A ring test, organized by the International Biodeterioration Research Group (IBRG), was run using a poly(,-caprolactone)-starch blend and an aliphatic-aromatic co-polyester as test materials and a microcrystalline cellulose powder as a reference material. The test results and the experience gained by the participants showed that the methods are suitable and practicable. The test methods have been meanwhile established as standards ISO 14851 (1999) and ISO 14852 (1999).

Aerobiosis↗

Transmission electron microscopic study of in vivo pellicle formation on dental restorative materials.

This electron microscopic investigation was performed to examine the ultrastructure of the in vivo formed salivary pellicle on 15 different dental materials. Test pieces of amalgam alloys, casting alloys, titanium, ceramics, resins, composite resins, glass polyalkenoate cement, and bovine enamel were attached to the buccal and lingual surfaces of the upper first molars in three adults using removable intraoral splints. The splints were carried over periods of 2 and 6 h. Pellicle-like structures could be identified on all tested material surfaces by transmission electron microscopic analysis. The pellicle layer showed a high degree of similarity on different kinds of surfaces with regard to the ultrastructural appearance. However, distinct differences could be detected in the ultrastructural pattern and thickness of the pellicle layer formed on buccally and lingually mounted specimens. Pellicles adsorbed on buccally carried test pieces were characterized by a heterogeneous, globular appearance and a thickness ranging from 500 to 1,000 nm after 6 h. In contrast, all lingually mounted test pieces were covered by a granular pellicle of about 100 nm thickness after 6 h. It is concluded that the ultrastructural pattern and extent of salivary pellicle formation are influenced by locally available salivary biopolymers and locally effective shearing forces rather than by material-dependent parameters.

Adsorption↗

Bond strength of light-cure fluoride-releasing base-liners as orthodontic bracket adhesives.

Fluoride-releasing bracket adhesives are desirable for their ability to minimize the potential for subsurface enamel demineralization adjacent to a bonded bracket. Self-applications with topical fluoride rinses, pastes, and gels have been documented to minimize and eliminate subsurface caries adjacent to bonded brackets. However, the success of these mediums are limited by patient compliance. A urethane with fluoride (TimeLine) and a glass ionomer with methyl methacrylate (Vitrabond), both of which are light cured and exhibit sustained fluoride ion release, were compared with a non-fluoride-releasing light-cured bracket adhesive (Transbond). Premolar brackets with mesh pads (A-Company) were positioned on the buccal surface of the premolars and placed in a PVC ring with polymethyl methacrylate. Two groups of 10 samples each of the tested material were prepared and immersed in distilled water immediately after in vitro bonding. Samples of each material were evaluated for enamel shear strength (Instron) at 24 hours and at 30 days. Bond strengths to enamel at 24 hours measured in megapascals (MPa) were 5.98 for TimeLine, 11.58 for Vitrabond, and 11.35 for Transbond. Bond strength to enamel at 30 days was found to be significantly less for TimeLine and Vitrabond: 3.05 for TimeLine, 5.39 for Vitrabond, and 10.80 for Transbond. The two fluoride-releasing, light-cured materials tested have low bond strengths after 30 days and are not acceptable as orthodontic bracket bonding agents. However, for patients with high caries risk, these materials may be placed around already bonded brackets.

Acid Etching, Dental↗

The Performance-Perceptual Test (PPT) and its relationship to aided reported handicap and hearing aid satisfaction.

OBJECTIVE: Results of objective clinical tests (e.g., measures of speech understanding in noise) often conflict with subjective reports of hearing aid benefit and satisfaction. The Performance-Perceptual Test (PPT) is an outcome measure in which objective and subjective evaluations are made by using the same test materials, testing format, and unit of measurement (signal-to-noise ratio, S/N), permitting a direct comparison between measured and perceived ability to hear. Two variables are measured: a Performance Speech Reception Threshold in Noise (SRTN) for 50% correct performance and a Perceptual SRTN, which is the S/N at which listeners perceive that they can understand the speech material. A third variable is computed: the Performance-Perceptual Discrepancy (PPDIS); it is the difference between the Performance and Perceptual SRTNs and measures the extent to which listeners "misjudge" their hearing ability. Saunders et al. in 2004 examined the relation between PPT scores and unaided hearing handicap. In this publication, the relations between the PPT, residual aided handicap, and hearing aid satisfaction are described. DESIGN: Ninety-four individuals between the ages of 47 and 86 yr participated. All had symmetrical sensorineural hearing loss and had worn binaural hearing aids for at least 6 wk before participating. All subjects underwent routine audiological examination and completed the PPT, the Hearing Handicap Inventory for the Elderly/Adults (HHIE/A), and the Satisfaction for Amplification in Daily Life questionnaire. Sixty-five subjects attended one research visit for participation in this study, and 29 attended a second visit to complete the PPT a second time. RESULTS: Performance and Perceptual SRTN and PPDIS scores were normally distributed and showed excellent test-retest reliability. Aided SRTNs were significantly better than unaided SRTNs; aided and unaided PPDIS values did not differ. Stepwise multiple linear regression showed that the PPDIS, the Performance SRTN, and age were significant predictors of scores on the HHIE/A such that greater reported handicap is associated with underestimating hearing ability, poorer aided ability to understand speech in noise, and being younger. Scores on the Satisfaction with Amplification in Daily Life were not well explained by the PPT, age, or audiometric thresholds. When individuals were grouped by their HHIE/A scores, it was seen that individuals who report more handicap than expected based on their audiometric thresholds, have a more negative PPDIS, i.e., underestimate their hearing ability, relative to individuals who report expected handicap, who in turn have a more negative PPDIS than individuals who report less handicap than expected. No such patterns were apparent for the Performance SRTN. CONCLUSIONS: The study showed the PPT to be a reliable outcome measure that can provide more information than a performance measure and/or a questionnaire measure alone, in that the PPDIS can provide the clinician with an explanation for discrepant objective and subjective reports of hearing difficulties. The finding that self-reported handicap is affected independently by both actual ability to hear and the (mis)perception of ability to hear underscores the difficulty clinicians encounter when trying to interpret outcomes questionnaires. We suggest that this variable should be measured and taken into account when interpreting questionnaires and counseling patients.

Aged↗

In vivo biocompatibility evaluation of nickel-titanium shape memory metal alloy: muscle and perineural tissue responses and encapsule membrane thickness.

Nickel-titanium shape memory alloy (Nitinol) has properties that could be very useful in surgical applications. Thermal shape memory, superelasticity, and high damping properties make such alloys behave differently compared to other implant metals. There has previously been a lack of sufficient evidence on the biocompatibility of Nitinol. The purpose of this study was to evaluate general soft tissue response and biocompatibility to Nitinol in vivo, and to clarify neural and perineural responses, previously unreported. Seventy-five rats were randomized into three groups. Test specimens were implanted into paravertebral muscle and near the sciatic nerve. A comparison was made between Nitinol, stainless steel, and Ti-6Al-4V. The animals were euthanized at 2, 4, 8, 12, and 26 weeks after implantation. General morphologic and histologic observations were made under light microscopy. Semiautomatic computerized image analysis was used to measure the encapsule membrane thickness around the implants. The muscular tissue response to Nitinol was clearly nontoxic, regardless of the time period. The overall inflammatory response to Nitinol was very similar to that of stainless steel and Ti-6Al-4V alloy. There were no necroses, granulomas, or signs of dystrophic soft tissue clacification. The immune cell response to Nitinol remained low. Only a few foreign-body giant cells were present. The detected neural and perineural responses were also clearly nontoxic and nonirritating with Nitinol. No qualitative differences in histology between the different test materials could be seen. At 8 weeks, the encapsule membrane of Nitinol was thicker than that of stainless steel (mean 62 +/- 25 microns vs. 41 +/- 8 microns). At the end of the study, the encapsule thickness was equal to all the materials tested. We concluded that Nitinol had good in vivo biocompatibility after intramuscular and perineural implantation in rats in the 26-week follow-up. Based on the results of the present study, Nitinol appears to have good potential for clinical use.

Animals↗

Chemical analysis of powder and set forms of Portland cement, gray ProRoot MTA, white ProRoot MTA, and gray MTA-Angelus.

OBJECTIVE: To evaluate the chemical composition and crystalline structures of Portland cement, gray ProRoot MTA (gray MTA), white ProRoot MTA (white MTA), and gray MTA-Angelus. STUDY DESIGN: X-ray diffraction analysis was used to identify and characterize crystalline phases, and energy dispersive x-ray spectrometer was used to determine the chemical composition of the test materials. Both powder form and set form were examined. RESULTS: The crystalline structure and chemical composition of gray and white MTA were similar except for the presence of iron in gray MTA. Both were composed mainly of bismuth oxide and calcium silicate oxide. Portland cement was composed mainly of calcium silicate oxide and did not contain bismuth oxide. Gray MTA-Angelus had a lower content of bismuth oxide than ProRoot MTA. There were no noticeable differences in the chemical composition and crystalline structures between the powder and set forms of any of the material tested. CONCLUSION: Portland cement differed from the MTA by the absence of bismuth ions and presence of potassium ions. Gray MTA contained a significant amount of iron when compared with white MTA. In addition, gray MTA-Angelus had a lower content of bismuth oxide than ProRoot MTA.

Aluminum Compounds↗

In vivo induction of macrophage Ia antigen (MHC class II) expression by biomedical polymers in the cage implant system.

Examination of the cellular components in the inflammatory exudate, which infiltrates subcutaneous cages, can be used to monitor the progress of an inflammatory response to an implanted material. Of particular interest is the study of monocyte/macrophage infiltration into the implanted cages containing biomaterials, as macrophages may initiate a wide spectrum of responses upon interaction with a foreign material. In this study, the authors propose a technique using subcutaneous tissue cages in conjunction with cytofluorimetric analysis of exudate leukocytes to evaluate the monocyte/macrophage cell activation in response to different materials. The studies reported here used several materials (thermoplastic and elastomeric polymers) as the challenging agent, to demonstrate whether polymers, chemically different from each other, could differentially activate macrophages to carry out their proinflammatory role more effectively. The materials tested included: poly(etherurethane ureas) (PEUU A'), poly(etherurethane ureas) with a surface active additive, Methacrol, (PEUU C'), polymethylsiloxane (PDMS), polyetherimide, (PEI), and polyetheretherketone, (PEEK). For all tested materials, the maximum numbers of exudate cells and of Ia-positive macrophages were found on day 7, although the entity of the cell increase was associated with the material used for the implant. Similarly, the percentage of Ia-positive macrophages varied according to the specific polymer present in the cages after 7 days. By day 14, the percentage of Ia-positive macrophages decreased with individual exudates showing 19-32% Ia-positive cells depending on the different type of material. Only in the case of PDMS did the percentage of Ia-positive macrophages remain the same as compared with control empty cage macrophages.

Animals↗

Four fluorochromes for the demonstration and microfluorometric estimation of RNA.

Microfluorometric estimates of total RNA were made in selected test material stained with berberine sulfate, acridine orange, and Hoechst 33258. These measurements were compared with those obtained with propidium iodide, which is known to interact only with double-stranded nucleic acids. It was observed that all of the fluorochromes, including propidium iodide, yielded very similar patterns of fluorescence in the various types of material tested. In isolated thymocyte and hepatocyte nuclei stained with either propidium iodide or Hoechst 33258 at pH 2, it was evident that RNA could be estimated only indirectly by measuring the amount of fluorescence before and after extraction with RNase. It was apparent that the total fluorescence of small thymocyte nuclei was affected much less by RNase extraction than that of 2c hepatocyte nuclei. Attempts to obtain direct estimates of RNA by exposing the preparations to DNase were not successful: the fluorescence of thymocyte nuclei dropped almost to zero, and hepatocyte nuclei could no longer be assigned to distinct ploidy classes. In addition, since the highly condensed chromatin of thymocyte nuclei was stained much more prominently than the looser chromatin of hepatocyte nuclei with Hoechst 33258, it was apparent that this fluorochrome - when used at pH 2 - has potential usefulness as a "probe" of organizational differences in chromatin.

Acridine Orange↗

Statistical consequences of reducing the number of rabbits utilized in eye irritation testing: data on 67 petrochemicals.

Data from 67 six-rabbit eye irritation tests were used to generate two-, three-, and four-rabbit Draize scores. The 15 two-rabbit, 20 three-rabbit, and 15 four-rabbit "subsample" scores for each of the 67 petrochemicals tested were used to establish prediction intervals for the original six-rabbit scores. Prediction interval length shortens with increasing sample size, is widest in the middle portion of the Draize scale, and can be used to select the minimum number of rabbits necessary to satisfy a required level of precision. Also, the ability of each subsample size to correctly classify the test materials according to an in-house irritation classification system was evaluated. Results indicate that subsamples of size 2, 3, 4, and 5 were 88, 93, 95%, and 96% accurate, respectively (compared to six rabbits), at correctly classifying the irritation potential of the materials tested.

Animals↗

Development of engineered natural organic sorbents for environmental applications. 2. Sorption characteristics and capacities with respect to phenanthrene.

The effects of superheated water processing on enhancement of phenanthrene sorption by various source materials of natural organic matter (NOM) were systematically examined. Sorption capacities and subsequent phenanthrene retention characteristics of all organic materials tested were markedly increased by superheated water processing. Temperature effects on enhancement of the sorption behaviors of the test materials were greater than those of processing time, moisture content, and the presence of mineral catalysts. Greatest enhancement was observed for processing at 250 degrees C for 5 h with a moisture content of 50%. Strong correlations of sorption capacities and isotherm nonlinearities with processing temperature, and with the atomic ratios of oxygen to carbon (O/C), aromaticity, and hydrophobicity of the processed materials were observed. The sorption/desorption hysteresis indices of the processed materials also increased linearly with processing temperatures and O/C ratios. This is consistent with our observations of increased condensation and aromatization of NOM during superheated water processing presented in the first paper of this series. The relationships described provide direct experimental evidence that the sorption-desorption properties of NOM geosorbents are closely related to their degree of aromatization and condensation, and the work suggests strong potential for production of efficient and cost-effective engineered natural organic sorbents for environmental applications.

Ecology↗

An industrial approach to evaluation of pyrolysis and combustion hazards.

In addition to the usual toxicology studies necessary for the safe manufacture and use of polymers at room temperature, special studies are needed for polymers which will be used at elevated temperatures. This paper discusses various areas to be investigated and principles for deciding on test materials, tests, and test conditions, polytetrafluoroethylene (PTFE) and fluorinated polyethylene-propylene (PFEP) pyrolysis studies being used as an illustrative case history. Some limitations of animal testing also are mentioned. A toxicological spectrum relating toxicological determinants to PTFE temperature is developed.

Animals↗

Effects of nonfibrous minerals in the V79-4 cytotoxicity test.

The use of the V79-4 system as a primary screen for fiber carcinogenicity is dependent on the observed correlation between cytotoxicity of the test material in the system and mesothelioma following intrapleural injection in animals. This correlation has been established for relatively pure samples of fibrous minerals. The wider application of the system as a screen for industrial dusts may depend on the ability of the system to show an unequivocal response to small yet significant percentages of fibrous dust in the presence of a large excess of nonfibrous material. Some materials tested, including platy minerals, show a response in the test which, while clearly less than that from UICC asbestos samples, could be construed as a positive result. Some, though not all, of these minerals show a nonlinear dose response in the test. This anomalous dose response may aid in the identification of some false positive results but the variety of responses to nonfibrous minerals places a limit on the predictive value of the test mixtures. Results obtained from mixtures of "standard" dust samples suggest this limit is reached at or above 10% fibrous content. Such levels would be significant in terms of human exposure. Extension of the concentration range tested does not improve the predictive value of the test.

Aluminum Silicates↗

[Determination of material-dependent germ multiplication in the stand test].

Materials used in drinking water may lead to an increase of microorganisms. Microbiological examinations of material in jar tests have been repeatedly dealt with in literature. However they yielded contradictory results. Within the scope of these examinations it was to be found out if and under which conditions an experimental examination of materials, the criterion of test being microbial growth in water, is possible. For the examinations in jar tests it is necessary to have a minimal concentration of mineral salt in the water and to use germs which can degrade the components issued by the materials.

Acetates↗