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Cyclic silicate active site and stereochemical match for apatite nucleation on pseudowollastonite bioceramic-bone interfaces.

Hydroxyapatite (Ca5(PO4)3(OH)) forms on pseudowollastonite (psW) (alpha-CaSiO3) in vitro in simulated body fluid, human parotid saliva and cell-culture medium, and in vivo in implanted rat tibias. We used crystallographic constraints with ab initio molecular orbital calculations to identify the active site and reaction mechanism for heterogeneous nucleation of the earliest calcium phosphate oligomer/phase. The active site is the planar, cyclic, silicate trimer (Si3O9) on the (001) face of psW. The trimer has three silanol groups (>SiOH) arranged at 60 degrees from each other, providing a stereochemical match for O atoms bonded to Ca2+ on the (001) face of hydroxyapatite. Calcium phosphate nucleation is modeled in steps as hydrolysis of surface Ca-O bonds with leaching of Ca2+ into solution, protonation of the surface Si-O groups to form silanols, calcium sorption as an inner-sphere surface complex and, attachment of HPO4(2-). Our model explains the experimental solution and high resolution transmission electron microscopy data for epitaxial hydroxyapatite growth on psW in vitro and in vivo. We propose that the cyclic silicate trimer is the universal active site for heterogeneous, stereochemically promoted nucleation on silicate-based bioactive ceramics. A critical active site-density and a point of zero charge of the bioceramic less than physiological pH are required for bioactivity.

Aluminum↗

The formation of an antibacterial agent-apatite composite coating on a polymer surface using a metastable calcium phosphate solution.

A percutaneous device with antibacterial activity and good biocompatibility is desired for clinical applications. Three types of antibacterial agent: lactoferrin (LF), tetracycline (TC), and gatifloxacin (GFLX) were immobilized on the surface of an ethylene-vinyl alcohol copolymer (EVOH) using a liquid phase coating process. In this process, an EVOH plate was alternately dipped in calcium and phosphate ion solutions, and then immersed in a metastable calcium phosphate solution supplemented with 4, 40, or 400 microg/mL of the antibacterial agent. As a result, the antibacterial agent was immobilized on the EVOH surface in the form of an antibacterial agent-apatite composite layer. The amount of immobilized antibacterial agent increased with increasing absorption affinity for apatite in the order: GFLX<TC<LF. On the other hand, the release rate of the antibacterial agent from the composite was ordered in the opposite sense; i.e., LF<TC<GFLX. The composites investigated in this study showed antibacterial activity against Escherichia coli and Staphylococcus aureus, and would be useful as materials in percutaneous devices having antibacterial activity and good biocompatibility.

Anti-Bacterial Agents↗

Oral L-arginine supplementation ameliorates urinary risk factors and kinetic modulation of Tamm-Horsfall glycoprotein in experimental hyperoxaluric rats.

BACKGROUND: Oral supplementation of l-arginine (l-arg) is found to be beneficial in many kidney disorders. We determined whether l-arg supplementation safeguards the renal epithelial cell damage induced by hyperoxaluria with excretion of urinary marker enzymes and lithogenic salts with special reference to Tamm-Horsfall glycoprotein (THP). METHODS: Hyperoxaluria was induced by 0.75% ethylene glycol (EG) in drinking water. l-Arg was co-supplemented at the dose of 1.25 g/kg b.w. orally for 28 days. At the end of experimental period, 24-h urine samples were collected in all the experimental groups. Isolation and purification of THP was carried in rat urine and were subjected to spectrophotometric crystallization assay and calcium-(14)C-oxalate binding studies. Determination of the lithogenic risk factors like calcium, oxalate, phosphorus, citrate, and marker enzymes such as lactate dehydrogenase (LDH) and gamma-glutamyltransferase (gamma-GT) were carried out in the collected urine sample. RESULTS: Urinary excretion of calcium and oxalate was significantly increased in EG-treated rats. In l-arg supplemented hyperoxaluric rats, these concentrations were significantly (p<0.001) decreased when compared to that of hyperoxaluric rats, and were moderately elevated from that of control rats. The activities of urinary marker enzymes, both LDH and gamma-GT were 2-fold increased in EG-treated rats, when compared to control rats, but these values were maintained near normal in l-arg supplemented EG-treated rats. Citrate excretion was enhanced in the l-arg co-supplemented hyperoxaluric rats. In spectrophotometric crystallization assay system, l-arg supplemented rat THP showed inhibition in nucleation and aggregation phases, whereas EG-treated rat THP showed promotion of both calcium oxalate nucleation and aggregation phases. In calcium-(14)C-oxalate binding assay, THP derived from hyperoxaluric rats exhibited 2-fold increase (p<0.001) in the Ca*Ox binding when compared to control and l-arg supplemented animals. CONCLUSIONS: l-Arg could act as a potent antilithic agent, by increasing the level of citrate in the hyperoxaluria-induced rats and decreasing calcium oxalate binding to the THP. l-Arg also effectively prevents the deposition of calcium oxalate crystals by curtailing the renal epithelial damage and protein oxidation as evidenced by the normal activities of urinary marker enzymes in l-arg supplemented hyperoxaluric rats.

Animals↗

Optimizing the specific surface area of fly ash-based sorbents for flue gas desulfurization.

High performance sorbents for flue gas desulfurization can be synthesized by hydration of coal fly ash, calcium sulfate, and calcium oxide. In general, higher desulfurization activity correlates with higher sorbent surface area. Consequently, a major aim in sorbent synthesis is to maximize the sorbent surface area by optimizing the hydration conditions. This work presents an integrated modeling and optimization approach to sorbent synthesis based on statistical experimental design and two artificial intelligence techniques: neural network and genetic algorithm. In the first step of the approach, the main and interactive effects of three hydration variables on sorbent surface area were evaluated using a full factorial design. The hydration variables of interest to this study were hydration time, amount of coal fly ash, and amount of calcium sulfate and the levels investigated were 4-32 h, 5-15 g, and 0-12 g, respectively. In the second step, a neural network was used to model the relationship between the three hydration variables and the sorbent surface area. A genetic algorithm was used in the last step to optimize the input space of the resulting neural network model. According to this integrated modeling and optimization approach, an optimum sorbent surface area of 62.2m(2)g(-1) could be obtained by mixing 13.1g of coal fly ash and 5.5 g of calcium sulfate in a hydration process containing 100ml of water and 5 g of calcium oxide for a fixed hydration time of 10 h.

Adsorption↗

Porosity evaluation and pore size distribution of a novel directly placed ceramic restorative material.

OBJECTIVES: The aim of this in vitro study was to compare porosity, i.e. voids or pores due to placement, of a new directly placed ceramic restorative material (DoxaDent, Doxa Certex AB, Uppsala, Sweden) to a glass ionomer (Fuji IX, GC Corporation, Tokyo, Japan), a hybrid composite control (Filtek Z250, 3M ESPE St Paul, MN, USA) and an amalgam control (Tytin, Kerr Orange, CA, USA). Pore distribution and size were determined for each material tested. METHODS: Standardized MOD preparations (one operator) on 20 extracted human molars had gingival margins located above and below the CEJ. Restored teeth (5 teeth/material) were sectioned in mesio-distal directions (two sections/tooth; n=10/group). Sections were polished through 1 microm Al2O3 abrasive. Porosity levels and size distributions were measured using SEM. Effects of different gingival extensions of inter-proximal boxes on porosity levels and distributions were investigated (mesial, occlusal, and distal regions). RESULTS: No MOD region was free of pores. Porosity in mesial, occlusal and distal boxes, respectively, for each restorative material were (vol%): Tytin: 1.3(0.9), 2.9(2.1), and 2.9(1.4); Filtek Z250: 2.6(1.0), 2.9(1.0), and 2.6(0.8); Fuji IX: 8.8(1.9), 7.9(1.7), and 7.7(1.8); Doxadent: 13.0(1.8), 12.4(1.7), and 11.5(1.4). Overall porosity ranged from 2.4(0.9)% for Kerr Tytin, 2.7(0.7)% for Filtek Z250, 8.0(1.1)% for GC Fuji IX, and 12.3(1.1)% for Doxadent. There was no difference between Z250 composite and Tytin amalgam, but differences existed between them with Fuji IX and Doxadent. No statistically significant difference (p>0.05) in porosity occurred among different restoration regions (mesial, distal and occlusal box) for any material. Total porosity levels for different measurement methods (point counting versus direct counting) were remarkable consistent (p>0.05). SIGNIFICANCE: Based on results of this limited study, the new directly placed ceramic restorative material (Doxadent) contains significantly (p<0.05) higher bulk porosity levels than both amalgam and composite. This may explain the lower than expected mechanical property values reported in other studies.

Aluminum Compounds↗

Calcium fortification systems differ in bioavailability.

The objective of this study was to compare the bioavailability of calcium from two fortification systems used in orange juice. The design was randomized crossover, within-subject. The subjects were 25 healthy premenopausal women in an academic health sciences center. Two commercially marketed calcium-fortified orange juices, ingested in an amount providing 500 mg calcium, were taken at breakfast after an overnight fast. The two fortification systems tested were calcium citrate malate and a combination of tricalcium phosphate and calcium lactate (tricalcium phosphate/calcium lactate). The main outcome measure was the area under the curve (AUC) for the increase in serum calcium from 0 to 9 hours after ingesting the test calcium source. Statistical analyses performed were repeated measures analysis of variance, testing source, and sequence. AUC 9 was 48% greater for calcium citrate malate than for tricalcium phosphate/calcium lactate ( P < .001); absorbed calcium calculated from AUC 9 values (mean+/-standard error of the mean) was 148+/-9.0 mg and 100+/-8.9 mg for calcium citrate malate and tricalcium phosphate/calcium lactate, respectively. The results indicate that equivalent calcium contents on a nutritional label do not guarantee equivalent nutritional value. Nutritionists and dietetics professionals should encourage manufacturers of fortified products to provide information on bioavailability.

Adult↗

Cement burns.

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Burns, Chemical↗

Effect of improving flue gas cleaning on characteristics and immobilisation of APC residues from MSW incineration.

The flue gas cleaning system of a MSW incinerator with a capacity of 350 kt/year was changed to improve the HCl elimination efficiency. Instead of the semi-wet operating spray reactor and subsequent baghouse, a two-step wet flue gas cleaning was added behind the baghouse. Elemental composition, X-ray powder diffraction patterns and TGA measurements showed that the resulting APC residue was totally different from the former residue. As a consequence, leaching characteristics of both residues also differed and another treatment was required prior to disposal. For the former residue, mainly leaching of Pb (>100 mg/l), necessitated treatment prior to landfilling. The lower alkalinity of the new residue resulted in a leachate pH of 9.7 and a Pb concentration of 0.8 mg/l. The leachate pH of the former residue was 12.4. The leaching of Pb and Zn increased above 100 mg/l when immobilising the new residue with cement. Better results were obtained when immobilising with micro silica. The high CaCl2 x 2H2O content of the new residue brought along clogging of the bag filter system. Adding 1.4% of CaO (or 1.9% of Ca(OH)2) to the residue already improved these inconveniences but again significantly changed the leaching behaviour of the residue.

Calcium Carbonate↗

Elemental analysis of crystal precipitate from gray and white MTA.

Crystal growth and elemental dissolution characteristics of gray Mineral Trioxide Aggregate (GMTA), white MTA (WMTA), and an experimental material, Dentalcrete, were compared. For part A, comparing amount and composition of surface crystal growth, twelve cylinders of each material were suspended in Phosphate Buffered Saline (PBS) solution without Ca. The crystals were analyzed by Scanning Electron Microscopy (SEM), X-ray Diffraction (XRD), and Inductively Coupled Plasma--Atomic Emission Spectroscopy (ICP-AES). For part B, three cylinders of each material were suspended in distilled, deionized water. The water was analyzed by ICP-AES for Ca content at 24 h, 72 h, and 5, 7, 10, and 14 days. Data were analyzed using one-way ANOVA and Tukey test. Both MTA materials released more Ca initially, followed by a decline and then rise in elution. GMTA produced the most surface crystal, which may be clinically significant. The crystals on GMTA and WMTA were chemically and structurally similar to hydroxyapatite (HA).

Aluminum Compounds↗

Comparison of the sealing of Resilon, Pro Root MTA, and Super-EBA as root-end filling materials: a bacterial leakage study.

The purpose of this in vitro study was to compare the root-end sealing of the Resilon/Epiphany system (RES) to Pro Root MTA and Super-EBA using a bacterial leakage system. Fifty-five extracted teeth were instrumented and root-ends were resected and ultrasonically prepared. Test materials were placed in the root-end preparations; Streptococcus salivarius was introduced coronally and the apical 4 mm were immersed in BHI culture medium with phenol red indicator. Bacterial leakage was monitored every 24 h for 4 wk. All positive controls leaked within 24 h; none of the negative controls leaked. Based on chi2 analysis (p < 0.05), RES and MTA leaked significantly less than Super-EBA. There was no statistical difference between RES and MTA. RES may be a viable option as a root-end filling material with good surgical isolation.

Aluminum Compounds↗

Antibacterial effect of selected root-end filling materials.

The purpose of this study was to evaluate the antibacterial activity of leachable components of selected root-end filling materials: amalgam, ProRoot MTA (mineral trioxide aggregate), Intermediate Restorative Material (IRM), Super Bond C&B, Geristore, Dyract, Clearfil APX composite with SE Bond, or Protect Bond. The direct contact test (DCT) with Staphylococcus aureus, Enterococcus faecalis, and Pseudomonas aeruginosa, was used. The materials were tested immediately after application to the microtiter wells (fresh samples) and after setting for 3 days (set samples). Ten microliters of bacterial suspension was added to each well for direct contact with each material for 1 h at 37 degrees C. Growth of surviving bacteria was then measured in a microplate spectrophotometer hourly at 620 nm for 15 h. Twelve uncoated wells using identical inoculum size served as positive controls. The data obtained at the end of 15 h was subjected to one-way ANOVA and post hoc comparisons were done using Tamhane's T2 test. Fresh samples of all materials showed a 3-h delay in exponential growth of both E. faecalis and S. aureus, and a 5-h delay in growth of P. aeruginosa. Set samples of IRM and ProRoot MTA cements showed generally greater antibacterial activity than the other materials: both completely inhibited P. aeruginosa, and both delayed or limited growth of E. faecalis. The DCT, by being quantitative and virtually independent of solubility and diffusion, was found suitable to assay solid root-end filling materials. IRM and ProRoot MTA were generally more potent inhibitors of bacterial-growth than the other tested materials.

Aluminum Compounds↗

Effect of setting conditions on mineral trioxide aggregate flexural strength.

This study evaluated the effect of setting conditions (time and hydration) on mineral trioxide aggregate (MTA) flexural strength. MTA beam specimens were allowed to set for either 24 or 72 hours with specimens exposed to moisture on either one or two specimen surfaces. These moisture conditions were used to simulate MTA setting with only external tissue moisture (one-sided moisture) versus tissue moisture in combination with a moistened intracanal cotton pellet (two-sided moisture). Ten specimens were stored at 37 degrees C under each of the four experimental setting conditions (1) 24-hour/moist/2-sided; (2) 24-hour/moist/1-sided; (3) 72-hour/moist/2-sided; (4) 72-hour/moist/1-sided. After storage at respective setting conditions, MTA specimens were tested to failure with three-point bend test to measure flexural strength. Flexural strength of the 24h/moist/2-sided specimens, 14.27 +/- 1.96 MPa, was significantly higher (p < or = 0.05) than the flexural strength values associated with conditions two, three, and four, respectively, 10.77 +/- 1.44, 11.16 +/- 0.96, 11.18 +/- 0.99 MPa, which were not significantly different from each other (p > 0.05). Clinically, these results suggest that a moistened cotton pellet should be placed on the intracanal MTA surface under a temporary restoration; and if possible, to optimize flexural strength, the moistened pellet should only remain in place for 24 hours.

Aluminum Compounds↗

Furcation perforation repair comparing gray and white MTA: a dye extraction study.

The purpose of this study was to evaluate the ability of gray and white ProRoot MTA to seal furcation perforations in mandibular molars using a dye extraction leakage model. Sixty-four mandibular molars were randomly divided into four experimental groups. Six teeth with perforations were used as positive controls and six teeth without perforations were used as negative controls. Perforations in groups 1 and 2 were repaired with white MTA. Groups 3 and 4 were repaired with gray MTA. Dye leakage was tested from an orthograde direction (groups 1 and 3) and a retrograde direction (groups 2 and 4). After dye extraction, absorbance was measured on a spectrophotometer at 550 nm. No statistically significant difference in leakage was found between gray and white MTA when used as a furcation perforation repair material. However, there was significantly more leakage when the perforations were challenged from the orthograde than the retrograde direction (p < 0.001).

Aluminum Compounds↗

Internal resorption treated with mineral trioxide aggregate in a primary molar tooth: 18-month follow-up.

Mineral trioxide aggregate (MTA) repair of a mandibular second-primary molar tooth with an inflammatory resorptive defect in the coronal third of the root canal is reported in this case. After the root canals were obturated with zinc oxide eugenol sealer, MTA was applied to the resorption cavity. The coronal cavity was then restored with a stainless steel crown. At an 18-month follow-up, the tooth was asymptomatic clinically and radiographically. According to this result, it can be concluded that MTA may be a suitable material for use in the treatment of internal resorption in the coronal third of the root canal in primary teeth.

Aluminum Compounds↗

Influence of humidity and setting time on the push-out strength of mineral trioxide aggregate obturations.

The aim of this study is to assess how a wet environment curing affects the retention characteristics of mineral trioxide aggregate (MTA), and also to determine the time needed for curing. MTA obturations were carried out in perforated dentine slices and cured under different conditions (presence or absence of humidity and several time intervals). The obturations were then subjected to an increasing mechanical strength until they were displaced from the perforations. The push-out strength was determined as the ration of the dislodging force to the MTA-dentine contact surface. The influence of the different curing conditions on the push-out strength was then analyzed for statistical significance. Humidity significantly increased the push-out strength of MTA obturations. The effect of curing time depended on humidity: while in the absence of humidity the push-out strength did not increase after 3 days, in the presence of humidity a lengthening of the curing time up to 21 days produced a moderate increase over and above the large initial increase obtained in the first 3 days.

Aluminum Compounds↗

The effect of CO2 laser irradiation on PDL cell attachment to resected root surfaces.

OBJECTIVES: The effect of CO2 laser irradiation on PDL attachment to resected root ends was evaluated. STUDY DESIGN: Forty dentin wafers were divided into 4 equal groups. Groups I and II were not subjected to laser irradiation. Groups III and IV were subjected to irradiation with CO2 laser (wave length 10.6 mm). PDL cells attachment to the resected root surface (lased/non lased) and cell attachment to the root end filling material (gutta percha and MTA) were evaluated utilizing immunoflouresence microscopy and SEM. RESULTS: PDL cell attachment was observed on dentin surfaces (control samples) and dentin away from the laser strikes (irradiated samples). PDL cell attachment was observed on MTA but was absent on gutta percha. CONCLUSION: Absence of PDL attachment to laser irradiated dentin could be attributed to morphological surface changes in dentin produced by laser irradiation.

Aluminum Compounds↗

An investigation of microleakage from root-end fillings in ultrasonic retrograde cavities with or without finishing: a quantitative analysis.

OBJECTIVE: The aim of this study was to make a quantitative assessment of the sealing ability of Super-EBA, IRM, and Pro Root MTA root-end fillings subjected to 3 different finishing techniques. STUDY DESIGN: Eighty-one ultrasonically prepared root-end cavities in human canines were separated randomly into 3 test groups of 27 roots each. The cavities were filled with Super-EBA, IRM, or Pro Root MTA and finished by ball burnishing. Sequentially, 18 roots from each group received a final smoothing with either a 30-fluted tungsten carbide finishing bur or a Zekrya carbide 28-mm bur. Samples were prepared and immersed in 2% methylene blue dye neutral solution for 12 hours. Roots were ground into a powder and prepared for analysis in an absorbency spectrophotometer. RESULTS: The results revealed that Pro Root MTA displayed significantly less mean dye microleakage ( P < .05) than Super-EBA and IRM root-end fillings. The Super-EBA root-end fillings, although presenting a greater mean dye microleakage, did not differ significantly from IRM ( P > .05). The finishing technique did not significantly ( P > .05) affect the incidence of microleakage among the materials tested. CONCLUSIONS: The favorable results obtained with MTA in leakage studies may be related to its good marginal adaptation. Spectrophotometric analysis may provide valuable information about the sealing capacity of root-end fillings. None of the procedures tested were able to avoid leakage, a finding that stresses the importance of the eradication of irritants within the root canal system.

Aluminum Compounds↗