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[Bone mineral density and biomechanical characters of the augmented alveolar ridge by distraction osteogenesis using Ti-Ni shape memory alloy distractor].

OBJECTIVE: To evaluate the quality of the alveolar ridge augmented by Ti-Ni shape memory alloy (Ti-Ni SMA) distractor. METHODS: All of the mandibular premolars and the first molars were extracted from 12 adult mongrel canines. One month later, box-shaped osteotomy was carried out in the left mandibles and Ti-Ni SMA distractors were imbedded. The right sides served as blank control. The canines were killed 3 or 6 months later and specimens were taken from corresponding area of the experiment sides and the control. Bone mineral density and biomechanical function were measured. RESULTS: Bone mineral density, ultimate compressive strength and Young's Modules of the augmented ridge were lower than the blank control three months after distraction. But the indexes increased and showed no significant difference with the control six months after distraction. CONCLUSIONS: The canines mandibular posterior alveolar ridge could be augmented by distraction osteogenesis using Ti-Ni SMA distractor, and the new bone is strong enough for implant placement.

Alveolar Ridge Augmentation↗

Control of crystallinity of hydrated products in a calcium phosphate bone cement.

In this study, a calcium phosphate cement (CPC), consisting of partially crystallized calcium phosphate (PCCP), was synthesized. X-ray diffraction (XRD), Fourier transform infrared spectrometry (FTIR) and scanning electronic microscope (SEM) were used to characterize the cement. The results showed that by changing the ratio of amorphous calcium phosphate (ACP) to PCCP in the cement, hydrated products of controllable crystallinity were obtained. With increase in the relative amount of PCCP, the hydrated products changed gradually from very poor crystallinity with little needle-like hydroxyapatite (Hap) crystallites to relatively high crystallinity with more needle-like Hap crystallites; the compressive strength of the cement increased, and the degradation of the cement decreased. The cement was implanted into the tibia tubercle of healthy mature Zelanian white rabbits and the histological specimens were obtained after 4 and 16 weeks of implantation. The result revealed that this bone cement was biocompatible and showed very early osteoconductive properties. Thus, the CPC has potential for use in orthopedic surgery for filling non- load-bearing bone defects.

Animals↗

Mechanical properties and decay resistance of wood-polymer composites prepared from fast growing species in Turkey.

Some mechanical properties of wood-polymer composites from maritime pine (Pinus pinaster Ait.) and poplar (Populus x. euramericana cv. I-214) wood were investigated. Three different monomers; styrene (ST), methyl methacrylate (MMA) and styrene/methyl methacrylate (ST/MMA) mixture were used in preparation of wood-polymer composites (WPCs). Full-loading (FL), half-loading (HL) and quarter-loading (QL) were used as polymer content levels. Untreated pine and pine-polymer composite samples were tested in compression strength parallel to grain and static bending strength. WPCs mechanical properties increased compared to untreated wood. The polymer had greater effect on the strengths of the ST/MMA treated pine than on the ST and MMA treated pine samples. Increasing of the mechanical properties should improve the structural competitiveness of WPCs made from fast growing-low density woods. Weight losses due to fungal attack for pine and poplar-polymer composites were also determined. Although polymers at full and half loading levels helped decreasing weight losses due to both fungi for each wood species, weight losses were still found to be higher.

Compressive Strength↗

Calcium supplementation does not reproduce the pharmacological efficacy of alfacalcidol for the treatment of osteoporosis in rats.

The purpose of this study was to assess whether a nutritional supply of calcium (Ca) could be substituted for alfacalcidol (ALF) administration in preventing bone loss due to estrogen deficiency. Female Wistar-Imamichi rats (8 months old) were ovariectomized (OVX) or sham-operated. OVX rats received ALF administration (0.025, 0.5, or 0.1 microg/kg, p.o., 5 times a week) with standard rodent chow [Ca 1.2%, phosphorus (P) 1.04%], a Ca-enriched diet containing 2%, 4%, or 6% Ca (Ca/P ratio of 2, 4, and 6, respectively), or a Ca/P-enriched diet (Ca/P ratio of 1.2). After 12 weeks of treatment, all rats were killed to harvest the spine, serum, and urine samples. Neither the ALF treatment nor the Ca supplement caused hypercalcemia. In the spine, ALF prevented decreases in bone mineral density (BMD) and compressive strength of lumbar spine induced by OVX. Micro-computed tomographic analysis confirmed that ALF significantly improved the trabecular bone pattern factor and the structure model index and suppressed bone destruction. In contrast, of particular interest, high-dose Ca administration did not have marked effects on bone fragility. Also, when both Ca and P were administered in high doses, BMD and mechanical strength decreased dose-dependently, urinary P excretion significantly increased, and serum parathyroid hormone level increased. Together, it is difficult to adjust the Ca supply through diet alone without disrupting the balance between serum Ca and P levels. Consequently, we conclude that ALF is beneficial for the treatment of osteoporosis, which is not achieved by the use of a Ca supplement.

Amino Acids↗

Static and fatigue mechanical behavior of bone cement with elevated barium sulfate content for treatment of vertebral compression fractures.

The use of bone cement to treat vertebral compression fractures in a percutaneous manner requires placement of the cement under fluoroscopic image guidance. To enhance visualization of the flow during injection and to monitor and prevent leakage beyond the confines of the vertebral body, the orthopedic community has described increasing the amount of radiopacifier in the bone cement. In this study, static tensile and compressive testing, as well as fully reversed fatigue testing, was performed on three PMMA-based bone cements. Cements tested were SimplexP with 10% barium sulfate (Stryker Orthopedics, Mahwah, NJ) which served as a control; SimplexP with 36% barium sulfate prepared according to the clinical recommendation of Theodorou et al.; and KyphX HV-R with 30% barium sulfate (Kyphon Inc., Sunnyvale, CA). Static tensile and compressive testing was performed in accordance with ASTM F451-99a. Fatigue testing was conducted in accordance with ASTM F2118-01a under fully reversed, +/-10-, +/-15-, and +/-20-MPa stress ranges. Survival analysis was performed using three-parameter Weibull modeling techniques. KyphX HV-R was found to have comparable static mechanical properties and significantly greater fatigue life than either of the two control materials evaluated in the present study. The static tensile and compressive strengths for all three PMMA-based bone cements were found to be an order of magnitude greater than the expected stress levels within a treated vertebral body. The static and fatigue testing data collected in this study indicate that bone cement can be designed with barium sulfate levels sufficiently high to permit fluoroscopic visualization while retaining the overall mechanical profile of a conventional bone cement under typical in vivo loading conditions.

Barium Sulfate↗

A hybrid zinc-calcium-silicate polyalkenoate bone cement.

A novel bone cement composed of sintered zinc-calcium-silicate phosphate and hybrid polyalkenoates has been developed. Synthesis and formulation of glass fillers, monomers and polymers as well as formulation of the cement were described. The effects of sintering, polymer content, glass powder/polymer liquid (P/L) ratio and comonomer on compressive strength (CS) and curing time (CT) were investigated. The effects of P/L ratio and comonomers on shrinkage as well as exotherm were also studied. Results show that the experimental cement was 61% higher in CS, 10% lower in diametral tensile strength, 35% lower in flexural strength, 62% less in exotherm, and 68% less in shrinkage, compared to conventional polymethylmethacrylate cement. With increasing polymer content and P/L ratio in the cement formulation CS of the cement increased but CT decreased. Curing time, shrinkage and exotherm of the cement decreased with increasing P/L ratio. It appears that this novel cement may be a potential candidate for orthopedic restoration if its biological performance is good and formulation is optimized.

Biocompatible Materials↗

A characterization of first-generation flowable composites.

A plethora of new low-viscosity composite resin materials, or flowable composites, have been marketed during the last two years, but little has been published about them. The authors describe research in which they compared the properties--filler, depth or cure, flow, wear, compressive strength, diametral tensile strength, indented biaxial flexure strength and toughness--of flowable and hybrid composites. Mechanical property tests (ISO 4049, ISO/DIS 6872) of eight flowable composites and two hybrid composites were conducted. The flowable composite with the least flow was similar to traditional composites. Mechanical properties were generally about 60 to 90 percent of those of conventional composites. The authors conclude that flowable materials should be used with caution in high-stress applications for restorative dentistry.

Chemical Phenomena↗

Influence of glass composition on the properties of glass polyalkenoate cements. Part II: influence of phosphate content.

The influence of phosphate content of the glass on the formation of glass polyalkenoate cements was investigated. Glasses were synthesised based on (4.5 - 2X)SiO2-3.0 Al2O3-(3.0 - X)CaO-(1.5 + X)P2O5-2.0 CaF2 and X was varied from -1.5 to 0.8. The setting and working time of the cement pastes increased with the phosphate content of the glass (X). Increasing the phosphate content resulted in an initial increase in compressive strength followed by a sharp reduction in strength. Young's modulus and un-notched fracture strength exhibited a maximum at intermediate phosphate contents. Fracture toughness reduced at high phosphate contents, whilst toughness increased. Phosphate in the glass is thought to aid glass degradation by providing additional phosphorus-oxygen bonds for hydrolysis, but may also reduce the amount of aluminium released by reducing the susceptibility of aluminium-oxygen-silicon bonds to acid hydrolysis. The released phosphate may also compete with the carboxylate groups in the polysalt matrix cement for cations inhibiting the crosslinking reaction.

Chemical Phenomena↗

Comparative fixation of tibial plateau fractures using alpha-BSM, a calcium phosphate cement, versus cancellous bone graft.

OBJECTIVES: To compare the compressive strength of a bone substitute material (alpha-BSM) to cancellous bone when used to fill a defect void in a cadaver model of a Schatzker II split depression fracture of the lateral tibial plateau. DESIGN: Randomized, paired design. SETTING: Biomedical engineering laboratory. PATIENTS: Twenty-six human tibias were harvested from 13 cadavers. Three pairs of tibia fractured during preparation and were excluded. The remaining 10 matched pairs were randomized to fixation by using the bone substitute material or cancellous bone. INTERVENTION: A split depression fracture of the lateral tibial plateau was created in each tibia by using reproducible methods. This fracture was stabilized with a stainless steel L-plate and screws and either alpha-BSM or cancellous bone to fill the defect void. MAIN OUTCOME MEASUREMENTS: Stiffness of the elevated fragment in compression, total depression of the joint at 1000 N. RESULTS: The alpha-BSM bone substitute displayed significantly greater stiffness than cancellous bone constructs in Schatzker II split depression fractures of the lateral tibial plateau (P < 0.0001). Plateau defects displaced significantly less at 1000 N when using alpha-BSM in comparison to cancellous bone (P < 0.0001). CONCLUSIONS: In this cadaveric study, alpha-BSM is an effective bone substitute compared with cancellous bone graft for stabilizing split depression fractures of the lateral tibial plateau.

Bone Cements↗

Thermal treatment of toxic metals of industrial hazardous wastes with fly ash and clay.

Waste generated from galvanizing and metal finishing processes is considered to be a hazardous due to the presence of toxic metals like Pb, Cu, Cr, Zn, etc. Thermal treatment of such types of wastes in the presence of clay and fly ash can immobilizes their toxic metals to a maximum level. After treatment solidified mass can be utilized in construction or disposed off through land fillings without susceptibility of re-mobilization of toxic metals. In the present investigation locally available clay and fly ash of particular thermal power plant were used as additives for thermal treatment of both of the wastes in their different proportions at 850, 900 and 950 degrees C. Observed results indicated that heating temperature to be a key factor in the immobilization of toxic metals of the waste. It was noticed that the leachability of metals of the waste reduces to a negligible level after heating at 950 degrees C. Thermally treated solidified specimen of 10% waste and remaining clay have shown comparatively a higher compressive strength than clay fired bricks used in building construction. Though, thermally heated specimens made of galvanizing waste have shown much better strength than specimen made of metal finishing waste. The lechability of toxic metals like Cr, Cu, Pb and Zn became far below from their regulatory threshold after heating at 950 degrees C. Addition of fly ash did not show any improvement either in engineering property or in leachability of metals from the solidified mass. X-ray diffraction (XRD) analysis of the solidified product confirmed the presence of mixed phases of oxides of metals.

Aluminum Silicates↗

Evaluation of changes in trabecular bone architecture and mechanical properties of minipig vertebrae by three-dimensional magnetic resonance microimaging and finite element modeling.

The study objective was to analyze the three-dimensional (3D) trabecular architecture and mechanical properties in vertebral specimens of young and mature Sinclair minipigs to assess the relative contribution of architecture to bone strength. We used 3D magnetic resonance microimaging (MRmicroI) and direct image analysis to evaluate a set of standard structural measurements and new architectural descriptors of trabecular bone in biopsy specimens from L2, L3, and L4 vertebrae (n = 16 in each group) from young (mean age, 1.2 years) and mature (mean age, 4.8 years) minipigs. The measurements included bone volume/tissue volume (BV/TV), marrow star volume (Ma.St.V), connectivity density (ConnD), and two new parameters, percent platelike trabeculae (% plate) and percent bone in the load direction (% boneLD). The % plate, calculated from surface curvature, allowed the delineation of plates from rods. The % boneLD quantified the percentage of bone oriented along the long axis of the vertebral body. We showed that 3D MRmicroI can detect the subtle changes in trabecular architecture between the two age groups. ConnD, star volume, % plate, % boneLD, and BV/TV were found to be more effective than the model-based, derived indices (trabecular thickness [Tb.Th], trabecular separation [Tb.Sp], and trabecular number [Tb.N]) in differentiating the structural changes. BV/TV, % plate, and % boneLD significantly increased (p < 0.05) in all three vertebral sites of the mature minipigs. The significant decrease in ConnD and star volume in the mature vertebra was consistent with the concurrent increase of platelike trabecular bone (p < 0.05). Overall, ConnD, star volume, % plate, and % boneLD provided a coherent picture of the architectural changes between the two age groups. Apparent modulus and maximum stress were determined experimentally on biopsy specimens from L2 vertebrae (n = 16). When apparent modulus was predicted using 3D MRmicroI data sets as input for finite element modeling (FEM), the results were similar to the experimentally determined apparent modulus (p = 0.12). Both methods were then used to compare the young and the mature animals; the experimental and predicted apparent modulus were significantly higher for the mature group (p = 0.003 and 0.012, respectively). The experimental maximum stress in the vertebra of the mature animals was twice as high as that for the young animals (p = 0.006). Bone quantity (BV/TV or bone mineral content [BMC]) alone could explain approximately 74-85% of the total variability in stress and modulus. The inclusion of either ConnD or % boneLD with BV/TV in a multiple regression analysis significantly improved the predictability of maximum stress, indicating that architecture makes additional contributions to compressive strength in normal minipig vertebra.

Aging↗

Hydration properties of eco-cement pastes from waste sludge ash clinkers.

Three types of hydraulic cements have been developed by incorporating sludge ash from a primary sewage treatment plant and a water purification plant, as well as slag from steelworks (ferrate), as a partial replacement for clay, silica, alumina, and iron oxide in raw cement meal. The raw meal for the pre-determined recipes was prepared by heating it to 1400 degrees C for 6 hr in a clinkerization process, using a simulated incinerator and smelter. The major components of ordinary Portland cement, C3S, C2S, C3A, and C4AF, were all found in the clinkers. Of the three types of eco-cements, the eco-cement A paste was most similar to ordinary Portland cement in terms of composition and compressive strength development, while the eco-cement B paste showed early strength development. The differential thermal analysis species analyses indicated that the hydrates in the eco-cement pastes were mainly calcium hydroxide and CSH gels, like those found in ordinary Portland cement paste. Moreover, the degree of hydration, as determined by nuclear magnetic resonance, increased in all eco-cement pastes with an increasing curing age. The results indicate that it indeed is feasible to use sludge ash and ferrate to replace up to 20% of the mineral components of raw materials for cement.

Compressive Strength↗

Spontaneously forming hydrogel from water-soluble random- and block-type phospholipid polymers.

The mixed aqueous solutions of two water-soluble phospholipid polymers, such as poly[2-methacryloyloxyethyl phosphorylcholine(MPC)-co-methacrylic acid(MA)] (rPMA) and poly[MPC-co-n-butyl methacrylate(BMA)] (PMB), spontaneously form a hydrogel at room temperature without any chemical treatment due to hydrogen bonding formation between the carboxyl groups. With the objective of enhancing the hydrogen bonding efficiency, we have focused on the density of the carboxyl groups by controlling the chemical structure and monomer unit sequence. Thus, a random and an ABA-block-type MPC copolymer having carboxylic acids, poly[MPC-co-4-(2-methacryloyloxyethyl) trimellitic acid(MET)] (rPMT) and poly(MA)-poly(MPC)-poly(MA) (bPMA), have been designed. The purpose of this study is to investigate the gelation mechanism and physical properties of a hydrogel composed of rPMA and PMB (ABgel), one of bPMA and PMB (bABgel), and one of rPMT and poly(MPC-co-benzyl methacrylate) (PMBz) (TZgel). The Raman spectroscopic analysis and the rheological study of the dissolution behaviors indicated that the TZgel formation occurred due to inter- and intra-molecular hydrogen bonding formation between the carboxyl groups in the rPMT. The gelation mechanism of the bABgel was investigated by the dynamic light scattering measurement, the scanning electron microscopy observation and the rheological study. The results showed that the bPMA chains aggregate in the aqueous medium and transform into a hydrogel network structure. The bPMA needed much more gelation time than the rPMA due to this transformation. There was no difference between the gelation periods of the ABgel and the TZgel. The compression strengths of the ABgel and the bABgel showed no significant difference, while that of TZgel was lower than ABgel. The reason for this is that the polymer chains and bulky side chains of rPMT inhibit rearranging into a planar conformation and forming hydrogen bondings. These results lead to the conclusion that the properties of these MPC polymer hydrogels can be controlled by not only the chemical structure of the polymer but also the monomer unit sequence containing carboxyl groups.

Biocompatible Materials↗

Physicochemical, mechanical, and biological properties of bone cements prepared with functionalized methacrylates.

Bone cements prepared with methyl methacrylate (MMA) as a base monomer and either methacrylic acid (MAA) or diethyl amino ethyl methacrylate (DEAEMA) as comonomers were characterized in terms of curing behavior, mechanical properties, and their in vitro biocompatibility. The curing time and setting temperature were found to be composition dependent while the residual monomer was not greatly affected by the presence of either acidic or alkaline comonomers in the bone cements. For samples with MAA comonomer, a faster curing time and higher setting temperature were observed when compared to the cement with DEAEMA comonomer. In terms of mechanical properties, the highest compressive strength was exhibited by formulations containing MAA, while the highest impact strength was shown by the formulations prepared with DEAEMA. There were no differences observed between the two formulations for tensile, shear, and bending strength values. Similarly, fatigue crack propagation studies did not reveal differences with the addition of either DEAEMA or MAA.No differences were observed in the initial number of attached primary rat femur osteoblasts on the different bone cements and positive controls. However, after 48 h there was a reduced proliferation in the cells grown on bone cements containing MAA.

Animals↗

Radioactively contaminated electric arc furnace dust as an addition to the immobilization mortar in low- and medium-activity repositories.

Electric arc furnace dust (EAFD), generated by the steel-making industry, is in itself an intrinsic hazardous waste; however, the case may also be that scrap used in the process is accidentally contaminated by radioactive elements such as cesium. In this case the resulting EAFD is to be handled as radioactive waste, being duly confined in low- and medium-activity repositories (LMAR). What this paper studies is the reliability of using this radioactive EAFD as an addition in the immobilization mortar of the containers of the LMAR, that is, from the point of view of the durability. Different mixes of mortar containing different percentages of EAFD have been subjected to flexural and compressive strength, initial and final setting time, XRD study, total porosity and pore size distribution, determination of the chloride diffusion coefficient, dimensional stability tests, hydration heat, workability of the fresh mix, and leaching behavior. What is deduced from the results is that for the conditions used in this research, (cement + sand) can be replaced by EAFD upto a ratio [EAFD/(cement + EAFD)] of 46% in the immobilization mortar of LMAR, apparently without any loss in the long-term durability properties of the mortar.

Cementation↗

Reuse of wastewater sludge with marine clay as a new resource of construction aggregates.

The disposal of sludge from wastewater treatment presents highly complex problems to any municipality. Most of the sludge disposal methods have varying degrees of environmental impact. Hence, it is necessary to explore potential areas of reuse in order to alleviate sludge disposal problems and to conserve natural resources. Industrial sludge and marine clay are two forms of high-volume wastes. Using these wastes as a resource of raw materials to produce construction aggregates would enable large-scale sludge reuse. The aggregates were produced at various sludge-clay combinations containing 0, 20, 50, 80 and 100% clay contents, respectively. The pelletized aggregates displayed lower particle densities ranged between 1.48 and 2.25 g/cm3, compared to the density of granite at 2.56 g/cm3. Good 28-day concrete compressive strength of 38.5 N/mm2 achieved by the 100% sludge aggregate was comparable to the value of 38.0 N/mm2 achieved of the granite control specimens. The leachate contamination levels from the aggregates after 150 days were found acceptable when used in concrete, indicating insignificant environmental contamination. The heat flow study showed increases in heat flow at the temperatures of 480 degrees C and between 660 degrees C and 900 degrees C, indicating a need for the extension of heating time around these temperatures.

Aluminum Silicates↗

Thermal expansion typed investments for casting titanium.

New investments for titanium were developed by adding ZrC and ZrN as additives for thermal expansion to an MgO cement base investment with setting shrinkage and low thermal expansion. Setting, thermal and residual expansion, X-ray diffraction and compressive strength of these experimental investments, surface roughness of the cast plate and casting accuracy of titanium crowns were evaluated. Thermal expansion of investments increased with additive amounts, and residual expansion occurred even when cooling to room temperature after firing in an air atmosphere by the oxidation to ZrO2 of these additives. The casting accuracy of full-crowns cast into molds at room temperature correlated with the content of ZrC and ZrN. As the result the cast titanium crown could be obtained with low surface roughness and good adaptability.

Analysis of Variance↗

Compressive properties and degradability of poly(epsilon-caprolatone)/hydroxyapatite composites under accelerated hydrolytic degradation.

Hydroxyapatite (HA) was incorporated as filler into polycaprolactone (PCL) matrix to improve the bioactivity as well as the compressive properties of the polymer composites that can be typically used in tissue engineering scaffolds. The compressive properties of five PCL/HA composites of different compositions were investigated in conjunction with the study of their rate of degradation. As PCL has a slow degradation rate, the experiment was conducted in a concentrated 5M sodium hydroxide medium to accelerate the degradation process. The compressive strength and modulus of all PCL/HA compositions were observed to decrease as the degradation experiment progressed, with samples having high HA content degraded most significantly as compared with samples with lower HA content. Pure PCL samples, however, were found to retain their mechanical properties comparatively well in the same degradation experiments. Although the addition of HA as filler into the PCL matrix was shown to have improved mechanical properties and bioactivity initially, these results do raise concerns of material properties being compromise during hydrolytic degradation.

Biocompatible Materials↗