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PubMed2004

Reuse of fresh water sludge in cement making.

With the increasing demand for high quality water, a large quantity of chemical agent must be added in the water purification process, which in turn generates enormous amount of fresh water sludge. Of all the options for sludge disposal, sludge reuse has been considered most economical and environmentally sound. This study evaluated the possibility of incorporating fresh water sludge in the making of Portland cement through the sintering process. The goal was to search for the optimal condition to maximize the replacement of clay with the fresh water sludge. Characteristics of fresh water sludge were collected and analyzed. The analysis showed that water source and water treatment process dominate th characteristics, particularly the chemical composition of the fresh water sludge. The fresh water sludge was mixed with the cement clay in various percentages, from 0% to 100%, as raw material for cement-making. The effects of its addition on the sintering condition and the quality of cement were evaluated. The analysis of the clinkers showed that the addition of the fresh water sludge did not change the phase form and the f-CaO content of the cement. The compressive strength of the masonry increased with the increasing addition of fresh water sludge. All cement products made from various replacement ratios met the Chinese National Standard of first degree Portland cement.

Aluminum Silicates↗

PubMed1996

Properties of resin-modified glass-ionomer restorative materials and two polyacid-modified resin composite materials.

The objective of the study was to evaluate the physical properties of four resin-modified glass-ionomer cements (Fuji II LC, Ionosit Fil, Vitremer, Photac-Fil) and two polyacid-modified resin composite materials (Dyract and Variglass VLC)). They were compared with a hybrid resin composite (blend-a-lux) and a chemically cured glass-ionomer cement (ChemFil Superior). The compressive strength, flexural strength, modulus of elasticity, and surface microhardness of the resin-modified glass-ionomer materials and the polyacid-modified resin-composite materials were inferior to those of the hybrid resin composite and similar to those of the conventional glass-ionomer cement. The hybrid resin composite exhibited the lowest resistance to wear caused by brushing. Some of the materials showed a marked decrease in hardness at depths exceeding 2.0 mm. Generally, the strength properties of the tested resin-modified glass-ionomer materials and the polyacid-modified resin composite materials were inferior to those of the hybrid resin composite.

Chemical Phenomena↗

PubMed2002

Structure analysis of high resolution magnetic resonance imaging of the proximal femur: in vitro correlation with biomechanical strength and BMD.

The purpose of this study was to use high resolution magnetic resonance imaging (HR-MRI) combined with structure analysis to investigate the trabecular structure of the human proximal femur and to compare this technique with bone mineral density (BMD) using dual energy X-ray absorptiometry (DXA) in the prediction of bone strength in vitro. Thirty-one fresh human proximal femur specimens were examined with HR-MRI using a T1-weighted 3D spinecho-sequence in a coronal plane (voxel size: 0.195 x 0.195 x 0.9 mm and 0.195 x 0.195 x 0.3 mm). In these images structure parameters analogous to standard bone histomorphometry were obtained in a femoral head, neck, and trochanteric region of interest (ROI). In addition, BMD measurements were obtained using DXA and finally, all specimens were tested biomechanically in a materials testing machine, and maximum compressive strength (MCS) was determined. Correlations between BMD and MCS were significant (p <0.01) with R-values up to 0.74. Correlating structure parameters and MCS R-values up to 0.69 (P <0.01) were obtained. Using multivariate regression analysis, combining structure parameters and BMD, improved correlations versus MCS substantially (up to R = 0.93; P <0.01). In conclusion, this study showed that in an experimental setting, structure parameters determined in high resolution MR images of the proximal femur correlated significantly with bone strength. The highest correlations, however, were obtained combining BMD and structure measures.

Aged↗

PubMed2002

Preparation of macroporous calcium phosphate cement tissue engineering scaffold.

Unlike sintered hydroxyapatite there is evidence to suggest that calcium phosphate cement (CPC) is actively remodelled in vivo and because CPC is formed by a low-temperature process, thermally unstable compounds such as proteins may be incorporated into the matrix of the cement which can then be released after implantation. The efficacy of a macroporous CPC as a bone tissue engineering scaffold has been reported; however, there have been few previous studies on the effect of macroporosity on the mechanical properties of the CPC. This study reports a novel method for the formation of macroporous CPC scaffolds, which has two main advantages over the previously reported manufacturing route: the cement matrix is considerably denser than CPC formed from slurry systems and the scaffold is formed at temperatures below room temperature. A mixture of frozen sodium phosphate solution particles and CPC powder were compacted at 106 MPa and the sodium phosphate was allowed to melt and simultaneously set the cement. The effect of the amount of porogen used during processing on the porosity, pore size distribution and compressive strength of the scaffold was investigated. It was found that macroporous CPC could reliably be fabricated using cement:ice ratios as low as 5:2.

Bone Cements↗

PubMed2004

Degradable injectable bone cement in maxillofacial surgery: indications and clinical experience in 27 patients.

BACKGROUND: A carbonated apatite cement (NORIAN SRS) was used as a bone mineral substitute for the calvaria or viscerocranium in 27 patients. It has the consistency of a paste and hardens at physiologic pH and body temperature due to dahllite crystallization, which has the stoichiometric formula Ca(8.8)(HPO(4))(0.7)(PO(4))(4.5)(CO(3))(0.7)(OH)(1.3). MATERIAL AND METHODS: The cement was used for posttraumatic bone defects in the orbital, periorbital or malar regions (nine patients), posttraumatic deformities of the frontal bone (six patients), tumour-dependent bony defects of the calvaria (two patients) and posttraumatic or cystic defects of the mandible (five patients). In another five patients, the material was used to augment the atrophic anterior mandible in combination with the insertion of dental implants. Follow-up varied between 6 and 40 months (mean: 29 months). RESULTS: There was no inflammatory reaction surrounding the implanted material. There was no sign of infection in any of the patients and only one case of partial wound dehiscence with superficially exposed material. The defect fillings and augmentations were successful in all patients. None of the 19 dental implants which were inserted in combination with the material showed any sign of infection or loosening. Also, there was no loosening of the implants after loading (mean follow-up: 15 months). From the check-up radiographs, the material could be seen as a dense, radio-opaque structure. There were no material fractures or dislocations. Radiologically, the material seemed to be completely replaced by bony tissue after 30 months. CONCLUSION: Our 5-year clinical experience suggests that the material is a suitable bone mineral substitute for cranio-maxillofacial surgery especially for moderate-sized defects of the calvaria and forehead bone. It has advantages over preformed, solid bone substitute materials, and, due to its initial plasticity and eventual great compressive strength, it can also stabilize dental endosseous implants in the atrophic mandible.

Absorbable Implants↗

PubMed1999

The properties of polymerizable luting cements.

The properties of a polyacid-modified composite resin and two resin-modified luting cements have been studied. The polyacid-modified composite resin had the slowest setting reaction and, in this respect, it did not conform to the current international standard for luting cements. The compressive strength of all of the materials was studied after varying periods of storage from 24 h to 1 year. The polyacid-modified composite resin showed a distinct dip in strength at 1 month in all of the storage media, but otherwise it showed no significant variation with either age or storage medium. The resin-modified glass-ionomers showed variation at 24 h with storage medium (deionized water, 0.9% NaCl or 20 mmol dm(-3) lactic acid), but thereafter they showed little variation, until 1 year, when Vitremer luting showed a significant decline in strength in pure water. However, at 24 h and when stored in water, all of the materials had strengths that easily exceeded the minimum requirement of the current standard (70 MPa). They all took up water on storage, with diffusion coefficients ranging from 1.32 to 17. 19x10(-7) cm2 s(-1). These values were found to depend on whether the specimens were stored in pure water or in physiological saline. However, equilibrium water contents varied only slightly between water and saline. The polyacid-modified composite resin, Dyract-Cem, took up the least water, as well as showing the smallest variation in strength with age. By contrast, it was more difficult to mix than the other materials and the high viscosity of the paste led to the formation of voids and other imperfections in the specimens.

Compomers↗

PubMed2002

The peak-amplitude method of vibration analysis for nondestructively studying the structural integrity of dental gypsum.

The aim of this work was to estimate the internal friction of dental gypsum products by measuring their loss factor with the use of the peak-amplitude method of vibration analysis. Cylindrical specimens for the measurement of compressive strength and rectangular specimens for the measurement of loss factor were constructed from plaster, dental stone, and high-strength dental stone. The loss factor was measured by vibrating specimens up to their resonance frequency, where the peak-amplitude method was applied. It was found that the peak-amplitude method is a simple, quick, and reliable method for measuring the loss factor of dental gypsum products. Furthermore, it was also found that the drying process of these materials reduces their internal friction and hence lowers the loss factor, whereas the use of excess water in their formulation has the reverse result. The correlation between strength and loss factor was found to be strongly negative. The results of this study are in agreement with the results from research on the microstructure of dental gypsum.

Biocompatible Materials↗

PubMedDate not supplied

Properties of a dental resin composite with a spherical inorganic filler.

This study compared the mechanical properties, generalized wear resistance and polymerization shrinkage of a resin composite filled with spherical inorganic filler to other commercial resin composites. Six dental resin composites were tested, including a submicron filled composite (Estelite sigma, Estelite), 1 nano-composite (Filtek Supreme, Supreme), 2 microfilled composites (Heliomolar; Renamel Microfill, Renamel) and 2 microhybrid composites (Esthet X Improved; Tetric Ceram). Compressive strength (CS), diametral tensile strength (DTS), flexural strength (FS), flexural modulus (FM), generalized wear resistance (WV) and polymerization shrinkage (PS) were evaluated for the 6 materials. The specimens were cured according to the manufacturers' instructions in appropriate molds, stored (37 degrees C water, 24 hours), then tested on an Instron testing machine (0.5 mm/minute). PS was tested according to the Archimedes method at 1, 24 and 48 hours continually after polymerization. Data were analyzed by analysis of variance. The results showed that CS values ranged from 252 to 298 MPa, DTS ranged from 35 to 54 MPa, FS from 73 to 140 MPa, FM from 4.8 to 11.1 GPa, WV from 0.037 to 0.086 mm(3) and PS at 24 hours from 2.17 to 3.96 vol%. Composite had statistically significant influence on the in vitro properties tested. Estelite performed similarly to nano-composite and microhybrid composites in mechanical properties and generalized wear resistance, while Estelite and Supreme had the lowest PS among the materials tested. The 2 microhybrid materials had similar properties, while the 2 microfilled composites were different for most properties tested. Overall, the microfilled composites had lower strength than the other composites except Renamel for CS. All the materials had a similar shrinkage pattern in that about 99% of shrinkage occurred in less than 24 hours.

Analysis of Variance↗

PubMed2004

Effect of adding spherical silica filler on physico-mechanical properties of resin modified glass-ionomer cement.

This study investigated the effects of spherical silica fillers on the physical and mechanical properties of resin-modified glass-ionomer cement (RMGIC). Specimens were fabricated by mixing untreated (UF) or silanized (SF) spherical silica filler into the powder of a commercially prepared RMGIC. The original RMGIC and a preparation containing 20 wt% spherical silica filler were also examined with regard to their fractured surface and fluoride release. The fillers increased the compressive strength remarkably: up to 17% in the case of SF and 9% in the case of UF. Both UF and SF increased the flexural strength by up to 17%. The addition of SF increased the DTS up to 38%, but UF decreased the DTS. The addition of SF improved the workability and the mechanical properties of the RMGIC.

Analysis of Variance↗

PubMed2004

The effect of surface treatment of hydroxyapatite on the properties of a bioactive bone cement.

Bioactive bone cements based on a paste-paste system for orthopaedic applications have been developed. They consist of hydroxyapatite (HA) filler particles in a methacrylate matrix comprising urethane dimethacrylate (UDMA) and triethylene glycol dimethacrylate (TEGDMA). To improve the interface between inorganic filler and organic matrix the HA particles were subjected to two different surface treatment methods, using polyacrylic acid (PAA) and gamma-methacryloxypropyltrimethoxy silane (gammaMPS). The aim of the present study was to determine the influence of surface treatment on the mechanical properties, namely compressive strength (CS), diametral tensile strength (DTS) and three-point flexural strength (FS) of the cements and the effect of ageing in simulated body fluid (SBF). Comparing the mechanical properties of the two cements after fabrication, the gammaMPS-HA cement showed higher strength values for all tests conducted (CS = 185+/-19.6 MPa, DTS = 27+/-2.5 MPa, FS=50.2+/-4.9 MPa), whereas PAA-HA containing cement had strength values around 20% lower. However, poly(acrylic acid) surface treatment was found to be more effective in improving the interface, and PAA-HA cements maintained their mechanical properties after immersion in SBF whereas gammaMPS-HA cement showed a reduction in strength values post ageing. From the results of this study, it is concluded that PAA treatment of the HA filler is a viable alternative to silanation with gammaMPS which may provide increased durability in aqueous environments.

Acrylic Resins↗

PubMedDate not supplied

The spline implant: design, engineering, and evaluation.

The design and engineering characteristics of the Spline dental implant were investigated. Compressive strength, rotational movement, resistance to cyclic loading and torsional strength were evaluated. The results of the mechanical test indicated that this implant/abutment complex is mechanically stable, has minimal rotational movement, improved resistance to screw loosening, and good interface fidelity. The data for the new design are compared with published data for other implant/abutment connections.

Compressive Strength↗

PubMed2003

Spent ion exchange resin-its treatment from the point of view of safe disposal.

Ion exchange process is one of the treatment methods for radioactive waste. The resin becomes no longer useful after number of cycles of usage. At the same time the regenerated resin cannot be considered as non active waste for disposal. Hence it is felt necessary that the regenerated resin is treated in a fashion so as to result in a form which can be considered as inactive material. It is possible to convert this spent resin into multivalent ionic form which are generally non leachable, thus providing the necessary properties for meeting the disposal criteria. Studies were carried out for the exchange of radioactive ions on these resins with ions like Al3+, Sn4+, Pb2+ and Fe3+ etc. The studies included leachability aspects, exchange with other active ions, thermal characteristics, compressive strength of the cement blocks loaded with the resin etc. Our studies indicated that the order of the stability of the resin with respect to properties like leachability, exchange properties etc. follow the trend as follows: Sn4+ > Pb2+ > Al3+ > Fe3+.

Compressive Strength↗

PubMed2003

Fiber-enriched double-setting calcium phosphate bone cement.

Calcium phosphate bone cements are useful in orthopedics and traumatology, their main advantages being their biocompatibility and bioactivity, which render bone tissue osteoconductive, providing in situ hardening and easy handling. However, their low mechanical strength, which, in the best of cases, is equal to the trabecular bone, and their very low toughness are disadvantages. Calcium phosphate cement compositions with mechanical properties more closely resembling those of human bone would broaden the range of applications, which is currently limited to sites subjected to low loads. This study investigated the influence of added polypropylene, nylon, and carbon fibers on the mechanical properties of double setting alpha-tricalcium phosphate-based cement, using calcium phosphate cement added to an in situ polymerizable acrylamide-based system recently developed by the authors. Although the addition of fibers was found to reduce the compression strength of the double-setting calcium phosphate cement because of increased porosity, it strongly increased the cement's toughness (J(IC)) and tensile strength. The composites developed in this work, therefore, have a potential application in shapes subjected to flexure.

Biocompatible Materials↗

PubMed2003

Copolymerization of photocrosslinkable anhydride monomers for use as a biodegradable bone cement.

A multifunctional anhydride monomer, methacrylated sebacic anhydride (MSA), was synthesized and copolymerized with methacrylic anhydride via photoinitiated polymerization to form highly crosslinked, degradable networks. This material system was investigated as a potential degradable bone cement. Several aspects were examined, including curing characteristics, degradation rates and mechanical properties. These copolymer networks reached high double-bond conversions on clinically acceptable time scales (<5 min). Furthermore, these divinyl monomer copolymerizations exhibit features of classical crosslinking polymerizations, including autoacceleration, autodeceleration and limited double-bond conversion. Additionally, the networks degrade via a surface erosion mechanism by which the degradation rate can be controlled through varying the degree of oligomerization of the multifunctional monomer backbone, varying the copolymer precursor composition and changing the monomer backbone chemistry. Finally, the copolymer was found to have improved mechanical properties over homopolymerized MSA. Compressive strengths as high as 78 +/- 5 MPa were attained with a 70/30 wt% MSA/methacrylic anhydride copolymer, which are comparable to measured (91 +/- 7 MPa) and literature (approx. 100 MPa) values for conventional poly(methyl methacrylate) bone cement.

Biocompatible Materials↗

PubMed2000

BoneSource for craniomaxillofacial reconstruction.

Hydroxyapatite cement (HAC) is a calcium phosphate cement whose properties overcome the inherent limitations of previous forms of hydroxyapatite. HAC (BoneSource, Leibinger Corp., Dallas, TX) is prepared as a powder that forms an easily applicable paste which hardens in six to 20 minutes. HAC exhibits excellent biocompatibility, is easily contoured in situ, is highly stable, and allows osteoconduction. The use of calcium phosphate cements (CPC) for reconstruction of craniofacial defects has intrinsic appeal owing to the chemical and physical properties of hydroxyapatite. Difficulty in contouring CPC implants, their lack of compressive strength, and their failure to allow osteoinduction were significant limitations in the use of earlier forms of hydroxyapatite for skeletal reconstruction. HAC offers an excellent reconstructive option for repair of various craniofacial defects.

Biocompatible Materials↗

PubMed2005

Alkali ion substituted calcium phosphate cement formation from mechanically activated reactants.

Potassium and sodium containing nanoapatite cements were produced from Ca2KNa(PO4)2 by prolonged high energy ball milling of the compound for up to 24 h. This mechanical treatment resulted in the decrease of the crystal size and a partial amorphisation of the cement reactant as shown by X-ray diffraction analysis and the appearance of strong exothermic peaks in differential scanning calorimetry measurements. The pH of water saturated with Ca2KNa(PO4)2 was 12.5 when the material was mechanically activated but was only 9.5 for the untreated compound suggesting an increase in solubility following milling. The cements set following mixing with a 2.5% Na2HPO4 solution in clinically acceptable times between 5-12 min and showed compressive strengths of up to 11 MPa after 24 h setting. The strong alkaline pH value of the cements may provide antimicrobial potential for an application in dentistry as pulp capping agents or cavity liners or for the treatment of infected bone sites.

Alkalies↗

PubMed2004

Ionic modification of calcium phosphate cement viscosity. Part II: hypodermic injection and strength improvement of brushite cement.

Brushite-forming calcium phosphate cements are of great interest as bone replacement materials because they are resorbable in physiological conditions. However, their short setting times, low mechanical strengths and limited injectability limit broad clinical application. In this study, we showed that a significant improvement of these properties of brushite cement could be achieved by the use of sodium citrate or citric acid as setting retardants, such that workable cement pastes with a powder to liquid ratio of up to 5 could be manufactured. The cement used in this study consisted of an equimolar powder mixture of beta-tricalcium phosphate and monocalcium phosphate hydrate The use of 500 mM-1M retardant solutions as liquid phase enabled initial setting times of 8-12 min. Wet compressive strength were found to be in the range between 12-18 MPa after immersion of uncompacted cement samples in serum for 24 h. A further strength improvement to 32 MPa was obtained by compaction of the cement paste during samples preparation. This is significant because high-temperature processes cannot be used to fabricate hydrated calcium phosphate materials. Cement pastes were injectable through a hypodermic needle at a powder to liquid ratio of 3.3 g/ml when a 1M citric acid was used as liquid phase, thus enabling precise controlled delivery to small defects.

Biocompatible Materials↗

PubMed2006

The mechanically stable steam sterilization of bone grafts.

Bone allografts are the standard material used in augmentative bone surgery. However, steam-sterilized bone has a low mechanical stability and limited ossification based on low strain-adapted bone remodelling. Here we describe a new technique which allows the bone to be autoclaved without losing its mechanical stability and osteoconductivity. The compression strength of the new material was compared with steam-sterilized and fresh bone based on mechanical testing using bone cylinders (n=30/group). Allogeneic new material and fresh bone were press-fit implanted into rabbit patellar grooves and examined under fluorescent light and conventional microscopy. Initial healing was assessed after 30 d (n=5/group). Osseous integration and remodelling was studied after 100 d (n=12/group). Steam-sterilized bone showed no mechanical stability, whereas the new material was stiff and had compression curves similar to fresh bone; both groups showed equal degrees of direct ossification after 30 d, advanced bony ingrowth and remodelling after 100 d, and similar ingrowth depths on histomorphometric analysis. The new method preserved the stiffness and osteoconductivity of bone after steam sterilization, and microstructure, mineralization, and composition were conserved. This technique could be useful for bone banking in Third World countries.

Animals↗