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Chlorhexidine release from an experimental glass ionomer cement.

Glass ionomer cements (GIC) can potentially be used as matrices for the slow release of active species, as has been shown previously for fluoride ions. This study investigated the use of an experimental GIC as a carrier for the release of chlorhexidine acetate (CHA) at included concentrations ranging from 0.5% to 13.0% of CHA by weight. Release into water was examined using high-performance liquid chromatography. All measurable chlorhexidine was released within 22 h1/2, however this was less than 10% of the total mass incorporated in the specimens. An increased percentage of CHA incorporated into the powder gave an increased release into the surrounding water. The bulk of the CHA was retained within the cement. For comparison, the surface chemistry of a CHA-containing GIC was examined using X-ray photoelectron spectroscopy before and after prolonged immersion in water. This confirmed retention of a large amount of CHA. Spectra after leaching appeared very similar to those from a CHA-free GIC after immersion in a CHA solution. In order to explore the effect of CHA-inclusion on the cement properties, compressive strengths, working and setting times were also measured. In general, compressive strengths were found to be decreased in direct proportion to the quantity of CHA added, while working and setting times increased.

Anti-Infective Agents, Local↗

Prediction of vertebral body compressive fracture using quantitative computed tomography.

We performed quantitative computed tomography in vitro on the first and third lumbar vertebrae in human cadavera using a dibasic potassium phosphate phantom for calibration. The quantitative computed-tomography numbers exhibited a significant positive correlation (R2 = 0.89, p less than 0.0001) with direct measurements of the apparent density of the vertebral trabecular bone. We also conducted uniaxial compression tests to failure of the vertebral bodies after removal of the posterior elements, and found that vertebral compressive strength was also correlated at a high level of significance (R2 = 0.82, p less than 0.0001) with direct measurement of the trabecular apparent density. These findings suggested the possibility that the quantitative computed-tomography values might be directly predictive of vertebral compressive strength. However, when we correlated the quantitative computed-tomography values directly with vertebral compressive strength, the results (R2 = 0.46, p less than 0.061) were suggestive but not quite significant. All vertebral bodies failed by compression of the end-plate, suggesting only a modest structural role for the cortical shell under these loading conditions. This was confirmed by comparing the compressive load to failure of twenty additional pairs of vertebrae that were tested with and without an intact vertebral cortex. Removal of the cortex was associated with approximately 10 per cent reduction in vertebral load to failure.

Aged↗

Biomechanical characterization of a biodegradable calcium phosphate hydraulic cement: a comparison with porous biphasic calcium phosphate ceramics.

Biomechanical properties of a biodegradable calcium phosphate hydraulic cement (CPHC) were tested with rabbits. The cement was composed of beta-tricalcium phosphate (beta-TCP), monocalcium phosphate monohydrate (MCPM), and calcium sulfate hemihydrate (CSH), beta-TCP-MCPM-CSH cement. Cylinders of 4.7 mm in diameter and 10 mm in length were put into bone cavities created in the distal epiphysis of femurs in rabbits. Cylinders of the same size of porous biphasic calcium phosphate ceramics (BCPC, 75% hydroxyapatite and 25% beta-TCP) were implanted as references. Two, 4, 12, and 16 weeks after the operation, the rabbits were sacrificed. Histomorphometry showed that the cement was resorbed, leaving only 7.67 +/- 1.81% of bone cavity after 12 weeks. Newly formed bone occupied 34.59 +/- 4.00% of the cavity. Cylindrical bone-material composites were cut out with a small dental burr. Compressive force was applied to the specimens and compressive strength, elastic modulus, and toughness were calculated. The same tests were performed on cylinders of normal bone from the same site, which served as controls. The compressive strength and the toughness of the cement-bone composite were higher than those of normal bone and porous ceramics 12 weeks after the operation (p < 0.05). At 16 weeks the compressive strength and the toughness returned to the normal bone values. The elastic modulus of the porous ceramic-bone composite was higher than the normal bone at 4, 12, and 16 weeks after surgery (p < 0.05). We found that the beta-TCP-MCPM-CSH cement is replaced by new bone and that the cement-new bone composite has similar or better mechanical properties than normal bone within 16 weeks. This study suggests the usefulness of a particular cement for filling bone defects or for temporary fixation of orthopedic implants.

Animals↗

Effect of addition of hydroxyapatite on the physical properties of IRM.

The aim of this study was to evaluate the effect of adding 10% and 20% hydroxyapatite (HAP) to Intermediate Restorative Material (IRM) on physical properties such as working time, setting time, compressive strength and disintegration rate. The working and setting times were determined by an indentation method. The ISO recommended method was used to determine compressive strength. The rate of disintegration in vitro was evaluated in buffered sodium citrate at pH 4.5, 5.8, buffered phosphate at pH 7.0 and in bovine serum (pH 6.8), and examined using a replica method and scanning electron microscopy. Kalzinol and EBA were used as control materials for the disintegration experiment. IRM had longer mean working (4 min 43.5 s) and mean setting (6 min 28.5 s) times than IRM + 10 or 20% HAP (P < 0.001), the mean reductions being 16% and 9% for IRM + 10% HAP, and 29% and 19% for IRM + 20% HAP, respectively. IRM had a greater compressive strength (68.5 MPa, P < 0.01) than IRM + 10% HAP (65.0 MPa) or IRM + 20% HAP (60.0 MPa, P < 0.001). Kalzinol, IRM + 10% HAP and IRM + 20% HAP were found to disintegrate after 8 weeks in buffered phosphate and in bovine serum. In contrast, IRM and EBA showed no noticeable signs of disintegration after 6 months in the same media. The physical properties of IRM + 10% HAP and IRM + 20% HAP were reduced compared with IRM but the reductions were not considered to be of clinical significance.

Analysis of Variance↗

Mechanical properties of three composite resins for the inlay/onlay technique.

The present study measured the diametral compressive strength, flexural strength, and modulus of elasticity of composite resins used in inlay/onlay systems. The effect of additional curing also was determined. SR-Isosit material had the highest diametral compressive strength, and SR-Isosit-Dentin material had the lowest flexural strength. The SR-Isosit composite resins had lowest elastic modulus and Estilux posterior C VS resin the highest. A negative correlation was found between diametral compressive strength and elastic modulus of the materials. It was concluded that the additional curing of Brilliant resin did not result in improved mechanical properties. For Estilux resin, additional curing increased flexural strength and modulus of elasticity.

Acrylic Resins↗

Effect of filler fraction on strength, viscosity and porosity of experimental compomer materials.

OBJECTIVE: The primary goal is to develop a self-cured polyacid-modified resin composite with good mechanical and rheological properties. To achieve such a goal, the aim of this study is to determine how volume filler fraction (VFF) affects mechanical properties and viscosities of such materials containing different filler volumes. METHODS: A series of self-cured polyacid-modified composites made from polyacid modified resins and TEGDMA, mixed with filler particles, were evaluated regarding compressive strength (CS), diametral compressive strength (DCS) and viscosity. The maximum filler content, which could be incorporated into the materials, was calculated from CS tests as well as from viscosity measurements using Mooney's equation. Porosity contents were also determined in an attempt to explain different failure behaviours. RESULTS: The CS values peaked at 18.9 vol.% filler particles and declined afterwards for self-cured polyacid-modified resin composites cured in air. Using photopolymerisation and barium filler in the polyacid-modified resin composites resulted in the highest CS and DCS values. The viscosity increased continuously with increased VFF. VFF results determined experimentally and with Mooney's equation at shear rates of 0.01, 0.1, 1.0, and 10.0 s(-1) revealed that the maximal filler fraction values were 54.9+/-1.8, 55.9+/-1.3, 56.3+/-0.9, and 56.8+/-0.8 vol.%, respectively. The largest porosity content occurred at a VFF value of 53 vol.% CONCLUSIONS: We conclude that an increase in filler fraction of the investigated experimental polyacid-modified resin composite materials above a certain value (20-30 vol.%) does not result in improved mechanical properties.

Analysis of Variance↗

Non-destructive testing techniques for the forensic engineering investigation of reinforced concrete buildings.

This study describes in detail the results of a laboratory investigation where the compressive strength of 150mm side-length cubes was evaluated. Non-destructive testing (NDT) was carried out using ultrasonic pulse velocity (UPV) and impact rebound hammer (IRH) techniques to establish a correlation with the compressive strengths of compression tests. To adapt the Schmidt hammer apparatus and the ultrasonic pulse velocity tester to the type of concrete used in Algeria, concrete mix proportions that are recommended by the Algerian code were chosen. The resulting correlation curve for each test is obtained by changing the level of compaction, water/cement ratio and concrete age of specimens. Unlike other works, the research highlights the significant effect of formwork material on surface hardness of concrete where two different mould materials for specimens were used (plastic and wood). A combined method for the above two tests, reveals an improvement in the strength estimation of concrete. The latter shows more improvement by including the concrete density. The resulting calibration curves for strength estimation were compared with others from previous published literature.

Journal Article↗

Mechanical properties of trabecular bone from the proximal femur: a quantitative CT study.

We have investigated the relationships between trabecular bone compressive strength and elastic modulus and the directly measured apparent density and noninvasively measured CT equivalent mineral density for 49 cylindrical specimens harvested from fresh human proximal femora. Compressive strength demonstrated a high positive correlation with both densities, being proportional to the apparent density raised to the 1.8 power (R2 = 0.93) and equivalent mineral density to the 1.5 power (R2 = 0.89). Similarly, the compressive modulus demonstrated a high correlation with both density measures, being proportional to the apparent density raised to the 1.4 power (R2 = 0.91) and CT equivalent mineral density to the 1.2 power (R2 = 0.90). Though variations in architecture and bone marrow fat were observed to influence trabecular properties, the data presented here demonstrate that apparent density, compressive strength, and elastic modulus can be determined accurately using single energy quantitative CT. We expect that the use of these noninvasive data will result in improved estimates of that component of hip fracture risk that is attributable to bone strength.

Biomechanical Phenomena↗

In vitro evaluation of antibiotic elution from polymethylmethacrylate (PMMA) and mechanical assessment of antibiotic-PMMA composites.

OBJECTIVE: To determine whether different methods of sterilization of antibiotic vials or the heat of polymerization altered the antimicrobial activity or mechanical properties of antibiotic/polymethylmethacrylate (PMMA) composites when compared to antibiotic-free PMMA. STUDY DESIGN: In vitro study. METHODS: Steam-sterilized, gas-sterilized, and non-sterilized 1 gram vials of cefazolin and injectable gentamicin sulfate (high and low doses) were mixed with PMMA to prepare composites for antibiotic elution evaluation, compression, and elongation testing. Blocks of PMMA that contained antibiotic were assayed for antibacterial activity using an agar gel diffusion method or were placed in phosphate buffered saline (PBS) to assess elution of antibiotic. Phosphate buffered saline samples from steam-sterilized cefazolin and high-dose gentamicin groups were assayed on days 1, 2, 5, and 9 for cefazolin or gentamicin concentration by high-pressure liquid chromatography or fluorescent polarization immunoassay, respectively. RESULTS: PMMA blocks containing antibiotic inhibited bacterial growth of Staphylococcus aureus 25923 for an average of 9 days. Cefazolin and gentamicin concentration in PBS decreased dramatically after the first 24 hours, but remained above minimum inhibitory concentration (MIC) throughout the experiment for all groups except low-dose gentamicin. Compressive strength of plugs made from plain cement and plugs made from PMMA mixed with untreated and steam-sterilized cefazolin was similar, but was significantly different from the other groups. There appeared to be an inverse relationship between compressive strength and elongation. CONCLUSION: PMMA/antibiotic composites inhibited bacterial growth for 7 to 10 days. Compressive strength was affected by different additions of antibiotic. CLINICAL RELEVANCE: Bacteria introduced during a surgical procedure may be inhibited by elution of antibiotic from PMMA at the time of contamination.

Animals↗

Biomechanical characteristics of iliac crest bone in elderly women according to osteoarthritis grade at the hand joints.

Postmortem iliac crest trabecular bone specimens were tested in compression to determine their mechanical characteristics. Trabecular bone volume and width were evaluated by histomorphometry and radiographic grading of osteoarthritis (OA) of hand joints was also done. Patients were divided into 2 groups: no or low grade OA (Group 1) and manifest OA Grades II-IV (Group 2). From the 27 specimens tested (women 56-80 years old), 17 were in Group 1 and 10 in Group 2. Significant differences in stiffness (E), compressive strength, trabecular bone volume and trabecular width between the 2 groups were found. In the group with manifest OA, bone was significantly stiffer, had a significantly increased compressive strength value, a significantly higher trabecular bone volume and trabecular width, compared to the group with no or low OA grade. Significant correlations were found between elastic modulus and trabecular bone volume and width, and also between compressive strength and trabecular bone volume and width. Our findings support the hypothesis that the primary defect in OA is not in the articular cartilage but in the subchondral bone and that primary OA is part of a more general bone disease.

Aged↗

Development of a strontium-containing hydroxyapatite bone cement.

A new route was developed to synthesis a new type of strontium-containing hydroxyapatite (Sr-HAP) bone cement with precursors of tetracalcium phosphate (TTCP), strontium hydrogen phosphate (DSPA), dicalcium phosphate (DCPA), phosphate acid and water. The processing parameters and fundamental properties including pH value, setting time, compressive strength of final hardened body and the cytotoxicity for serial extracts of each cements were investigated. The result shows that the final product of the cement after setting for 24h is nonstoichiometic Sr-containing hydroxyapatite (Ca(10-m-x)Sr(x) square(m)(HPO4)y(PO4)6-y(OH)2-2m square2m, 0<x<1, nSr-HAP) and no other harmful impurities were detected. The pH value of Sr-containing cement pastes approaches to 7.0-7.6 when they are mixed with a ratio of 1:1 of powder to liquid (P/L) in weight. The setting time of the cement pastes is 4-11 min for the initial one and 10-17 min for the final one when the concentration of diluted phosphate is in a range of 0.5-1.0 mol/l. The compressive strengths of the hardened cements with different molar ratios of Sr/(Sr+Ca) after subjected an immersion in simulated body fluid (SBF) increase uniformly from 1 day to 5 days, where they get maximum values, respectively, but then decrease till to 2 weeks. Especially for the CPC-1, with a Sr/(Sr+Ca) molar ratios of 5% in cement powder composition, the largest compressive strength gained at 5 days is 66.57 MPa and the lowest one gained at 2 weeks is 44.75 MPa, which matches the value of human bones and can be expected to use in clinic application in repairing the nonloading sites on account of the positive result of cytotoxicity test of the extracts of Sr-containing calcium phosphate cement (Sr-CPC).

Animals↗

[Study on gypsum hardener].

The purpose of this study was to search for an appropriate condition for shortening the treatment time of gypsum hardener, Plaster Aid. In order to keep the increased strength of plaster with this new hardener, compressive strength and dimensional change in various conditions of heating temperature, heating time and drying time were examined. The following results were obtained. 1. High compressive strength was maintained in the condition of 70 degrees C of heating temperature, with more than 15 minutes of heating time and more than 15 minutes of drying time. In this condition up to 90 minutes could be saved in comparison with the conventional method. 2. Plaster models had a tendency to shrink in the condition of 70 degrees C of heating temperature.

Calcium Sulfate↗

Feasibility study of using brick made from municipal solid waste incinerator fly ash slag.

This study deals with the effect of MSWI slag on fired clay bricks. Brick samples were heated to temperatures which varied from 800 to 1,000 degrees C for 6h, with a heating rate of 10 degrees C/min. The material properties of the resultant material then determined, including speciation variation, loss on ignition, shrinkage, bulk density, 24-h absorption rate and compressive strength. Toxicity Characteristic Leaching Procedure tests were also conducted. The results indicate that the heavy metal concentrations in the leachates met the current regulatory thresholds. Increasing the amount of MSWI slag resulted in a decrease in the water absorption rate and an increase in the compressive strength of the MSWI-slag bricks. The 24-h absorption rate and compressive strength of the MSWI-slag brick made from samples containing slag sintered at 1,000 degrees C all met the Chinese National Standard (CNS) building requirements for second-class brick. The addition of MSWI slag to the mixture reduced the degree of firing shrinkage. This indicates that MSWI slag is indeed suitable for the partial replacement of clay in bricks.

Adsorption↗

Mechanical properties of perforated and partially demineralized bone grafts.

Changes in flexural rigidity and compression strength of 18 sheep tibias were investigated after laser perforation and partial demineralization. Test bones were divided into three groups: Group 1, no treatment; Group 2, laser hole grid; and Group 3, laser hole grid and partial demineralization. Starting in the anterior direction at the tibial tuberosity, the flexural rigidity was determined using a nondestructive four-point bending test. The elliptical distribution of the flexural rigidity before and after a specific treatment was compared. After the bending test, a cylindrical center section of each test bone was loaded axially to failure to determine subsequent changes in compression strength. Results showed that perforation alone produced minimal reduction of rigidity and insignificant changes in compression strength. However, additional partial demineralization resulted in larger reductions. In compression testing, perforated and partially demineralized bone specimen showed marked decrease of the ultimate failure stress. The observed increase in failure strain appeared to be related to compression of the laser holes. The findings of this study suggest that partial demineralization and perforation can be applied to diaphyseal bone grafts and that their decreased mechanical properties are a function of the bone volume reductions produced by both processes.

Animals↗

Design variables for mechanical properties of bone tissue scaffolds.

The reconstruction of segmental defect in long bone is a clinical challenge. Multiple surgeries are typically required to restore the structure and function of the affected defect site. In order to overcome this defect a biodegradable bone tissue engineering scaffold is used. This scaffold acts as a carrier of proteins and growth factors, while also supporting the load that the bone would normally sustain, until the natural bone can regenerate in its place. Work was done to optimize an existing solid free-form scaffold design. The goal of the optimization was to increase the porosity of the scaffold while maintaining the strength of a previously-tested prototype design. With this in mind, eight new designs were created. These designs were drawn using CAD software and then through the use of finite element analysis the theoretical ultimate compressive strength of each design was obtained. Each scaffold design was constructed by casting a thermal-curable poly(propylene fumarate)/tricalcium phosphate (PPF/TCP) suspension into wax molds fabricated on inkjet printing rapid prototyping machine. The constructs were then experimentally tested by applying a uniaxial compressive load. The theoretical and experimental values of ultimate compressive strength and specific strength of each design were compared. Theoretically, the best scaffold design produced from this work improved upon the current design by increasing the porosity by 46% and also increasing the ultimate compressive strength by 27%. The experimental data was found to match the theoretical strength in four designs, but deviate from the theoretical strength in five designs. The reasons for the deviations and their relation to the rapid prototyping manufacturing technique were discussed. The results of this work show that it is possible to increase the porosity and strength of a bone tissue engineering scaffold through simple iterations in architectural design.

Biocompatible Materials↗

Influence of powder/liquid mixing ratio on the performance of a restorative glass-ionomer dental cement.

The influence of powder/liquid mixing regime on the performance of a hand-mixed restorative glass-ionomer cement (GIC) was evaluated in terms of compressive strength, working characteristics and the porosity distribution. Mean compressive fracture strengths, standard deviations and associated Weibull moduli (m) were determined from series of 20 cylindrical specimens (6mm height, 4mm diameter) prepared by hand-mixing the relative proportions of the powder and liquid constituents. Working characteristics were assessed using an oscillating rheometer whilst scanning electron microscopy and image analysis were used to investigate the influence of the mixing regime on pore distribution. For a constant volume of liquid (1ml) the mean compressive strength decreased from 102.1+/-23.1MPa for 7.4g of powder, to 93.8+/-22.9, 82.6+/-18.5 and 55.7+/-17.2MPa for 6.66, 5.94 and 3.7g of powder, respectively. A concomitant increase in both the working and setting times was also observed.GICs manipulated to a powder/liquid mixing consistency below the manufacturers' recommend ratio, for a constant volume of liquid, resulted in reduced porosity levels in the cement mass and extended working and setting times. Unfortunately, a reduction in the concentration of reinforcing glass particles in the set material below that specified by the manufacturers decreases the cements' load bearing capacity so that they fail at lower compressive stress levels in the posterior region of the mouth.

Biocompatible Materials↗

Strength properties of concrete incorporating coal bottom ash and granulated blast furnace slag.

Coal bottom ash (CBA) and fly ash (FA) are by-products of thermal power plants. Granulated blast-furnace slag (GBFS) is developed during iron production in iron and steel plants. This research was conducted to evaluate the compressive strength property and some durability characteristics of concrete incorporating FA, CBA, and GBFS. FA is used as an effective partial cement replacement; CBA and GBFS are used as partial replacement for fine aggregate without grinding. Water absorption capacity, unit weight and compressive strengths in 7, 28, and 90-day ages were assessed experimentally. For these experiments, concrete specimens were produced in the laboratory in appropriate shapes. The samples are divided into two main categories: M1, which incorporated CBA and GBFS; and M2, which incorporated FA, CBA, and GBFS. Remarkable decreases are observed in compressive strength and water absorption capacity of the concrete; bulk density of the concrete is also decreased. It can be concluded that if the content of CBA and GBFS is limited to a reasonable amount, the small decreases in strength can be accepted for low strength concrete works.

Carbon↗

Patellofemoral contact pressures exceed the compressive yield strength of UHMWPE in total knee arthroplasties.

To address mechanisms involved in wear and permanent deformation of patellofemoral components in total knee arthroplasties, a previously reported knee joint loading model and pressure-sensitive film were used to measure patellofemoral contact areas and pressures in human cadaver knee joints after implantation with six different total knee joint designs. The joints were tested at three different Q angles (physiologic, -10 degrees, and +10 degrees) and four different flexion angles (30 degrees, 60 degrees, 90 degrees, and 120 degrees). Patellofemoral contact areas at normal Q angles ranged from 0.13 to 0.68 cm2 and increased with flexion angle up to 90 degrees. These contact areas differed significantly with flexion angle but not with Q angle. Variations in contact area with type of knee system were only marginally significant (P < .04), and post hoc tests showed no significant differences between individual knee designs. Contact pressures at normal Q angle also increased with flexion angle and ranged from 10 MPa to more than 49 MPa. Contact pressures at flexion angles greater than 60 degrees were, for all systems, well in excess of the compressive yield strength of ultrahigh-molecular-weight polyethylene and at least three to four times greater than the recommended maximum compressive stress level of 10 MPa.

Adult↗