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Effect of Different Adhesive Systems and Resin Cements on the Push-Out Bond Strength of Fiber Reinforced Posts to Root Dentin 不同粘结体系及树脂胶合剂对纤维增强桩与牙根质的外推结合强度的影响。
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-10-01 DOI: 10.1002/jbm.b.35662
Maher S. Hajjaj

Good bond strength between fiber-reinforced posts (FRPs) and root dentin is essential for successful rehabilitation of endodontically treated teeth. 45 human premolar teeth were divided into three main groups (n = 15) based on bonding agent use: no bonding (control), light-cured (LC), and dual-cured (DC). Each group was further split by cement type: self-adhesive resin cement, bioactive resin cement, and core build-up material, totaling nine subgroups. The teeth were sectioned perpendicularly to the root surface to obtain two middle-root slices. After thermocycling, the push-out bond strength (PBS) test was performed and data were statistically analyzed with the ANOVA test followed by the post hoc Tukey test. Failure modes were examined under a stereomicroscope and statistically evaluated using the χ2 test. There was a significant difference in the PBS between test groups (p < 0.0001*). In control groups, core build-up material (Control/LZ = 7.6 ± 3.4 MPa) had significantly lower PBS than the rest of the groups, except Control/AB = 9.9 ± 3.3 MPa. The application of bonding agents significantly increased bond strength for bioactive cement (LC/AB = 14.8 ± 4.8 MPa and DC/AB = 17.7 ± 4.5 MPa) and core build-up material (LC/LZ = 20.4 ± 6.4 MPa and DC/LZ = 16.4 ± 3.8 MPa). Notably, self-adhesive resin cement achieved statistically similar PBS even without the application of bonding agent (Control/RX = 13.6 ± 3.1 MPa, LC/RX = 17.4 ± 5.5 MPa, and DC/RX = 17.0 ± 5.8 MPa). Self-adhesive resin cement can bond effectively to root dentin without additional bonding agents. However, bioactive and core build-up cements need bonding agents for optimal performance, highlighting the need to tailor bonding strategies to the specific cement used. Bonding FRPs to intra-radicular dentin was always a challenge. A strong bond to root dentin is an important factor to ensure the success and longevity of post and core restorations. This study provides great evidence for the significant influence of adhesive systems and resin cements on the bond strength of FRPs to root dentin. Using this study, clinicians will perform an informed choice of restorative materials for each clinical situation and select the best adhesive/cement combo to achieve good bond strength.

纤维增强桩与牙根之间良好的粘结强度是根管治疗后牙齿成功康复的关键。将45颗人类前磨牙根据粘结剂的使用情况分为3组(n = 15):无粘结组(control)、光固化组(LC)和双固化组(DC)。每组进一步按胶结物类型划分:自粘树脂胶结物、生物活性树脂胶结物和岩心构筑材料,共9个亚组。将牙齿垂直于根面切面,获得两根中间片。热循环后,进行推出键强度(PBS)检验,数据采用方差分析和事后Tukey检验进行统计分析。在体视显微镜下检查失效模式,并使用χ2检验进行统计评估。两组间PBS差异有统计学意义(p
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引用次数: 0
Formation of a Hard Photocatalytic Antibacterial TiO2 Layer on Ti Surface via Anodization in Hot Nitrate/Ethylene Glycol Electrolyte 热硝酸盐/乙二醇电解质阳极氧化在Ti表面形成硬光催化抗菌TiO2层。
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-30 DOI: 10.1002/jbm.b.35658
Naofumi Ohtsu, Ryota Kawakami, Mitsuhiro Hirano

Preventing bacterial infections on Ti-based medical products is crucial, driving the need for durable antibacterial surfaces with enhanced mechanical strength and photocatalytic activity. This study introduces an anodization process for fabricating a hard barrier-type TiO2 layer on a Ti substrate with visible-light-responsive photocatalytic activity. The core technology involves using an electrolyte comprising nitrate and ethylene glycol maintained at a high temperature to improve the layer hardness and photocatalytic performance. The layer characteristics, including thickness, crystallinity, and density, sensitively varied with increasing electrolyte temperature. For instance, raising the temperature to 100°C increased the layer thickness and density. By contrast, the thickness decreased beyond 100°C, leading to the deterioration of photocatalytic performance. Using ethylene glycol containing 100 mM nitrate maintained around 100°C was appropriate for maximizing layer hardness and photocatalytic performance. The resulting monolithic TiO2 layer exhibited a hardness of ~450 HV, approximately twice that of the Ti substrate. Moreover, it effectively reduced the number of living Escherichia coli to ~4/100 under ultraviolet (UV) light and ~4/10 under visible light after 4 h of illumination. These results provide a guideline for obtaining a semi-permanent antibacterial medium through anodization.

防止钛基医疗产品上的细菌感染至关重要,这推动了对具有增强机械强度和光催化活性的耐用抗菌表面的需求。本研究介绍了一种在Ti衬底上制备具有可见光响应光催化活性的硬阻挡型TiO2层的阳极氧化工艺。核心技术是使用由硝酸盐和乙二醇组成的电解质,在高温下保持,以提高层硬度和光催化性能。层的特性,包括厚度、结晶度和密度,随着电解质温度的升高而敏感地变化。例如,将温度提高到100°C会增加层的厚度和密度。相比之下,超过100°C,厚度下降,导致光催化性能下降。使用含有100 mM硝酸盐的乙二醇保持在100°C左右,可以最大限度地提高层硬度和光催化性能。所得的单片TiO2层的硬度为~450 HV,约为Ti衬底的两倍。光照4 h后,有效地将紫外光下存活的大肠杆菌数量降至~4/100,可见光下降至~4/10。这些结果为通过阳极氧化获得半永久性抗菌介质提供了指导。
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引用次数: 0
Synthesis and Characterization of Amoxicillin-Functionalized Ag/AgCl Nanoparticles: A Promising Multifunctional Platform for Next-Generation Nanomedicine 阿莫西林功能化Ag/AgCl纳米颗粒的合成与表征:下一代纳米医学的多功能平台。
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-29 DOI: 10.1002/jbm.b.35661
Salah Eddine Laouini, Abderrhmane Bouafia, Manel Azzi, Ibtissam Laib, Mamoun Fellah, Mahmood M. S. Abdullah, Hamad A. Al-Lohedan, Johar Amin Ahmed Abdullah

This study synthesized and characterized amoxicillin-functionalized Ag/AgCl nanoparticles (Amoxicillin@Ag/AgCl NPs) for biomedical applications. The nanoparticles were prepared via a coprecipitation method and functionalized with amoxicillin to enhance therapeutic potential. Characterization techniques (X-ray diffraction [XRD], Fourier-transform infrared (FTIR), scanning electron microscopy [SEM], and UV–Vis) confirmed successful functionalization and improved physicochemical properties. The crystallite size increased from 17.29 ± 3.44 to 20.47 ± 4.17 nm, while the bandgap widened from 2.33 to 2.40 eV, indicating enhanced electronic interactions. Antioxidant activity was significantly improved, with 2,2′-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) radical scavenging reaching 97.87% and β-carotene bleaching inhibition at 95.47% (175 μg/mL). The antibiofilm efficacy was notable, with inhibition rates of 90.24% for E. coli (250 μg/mL), 81.47% for S. typhimurium (175 μg/mL), and 87.68% for B. subtilis (250 μg/mL). In enzymatic inhibition studies, Amoxicillin@Ag/AgCl NPs showed neuroprotective potential, inhibiting acetylcholinesterase (AChE) (93.74% at 160 μg/mL) and butyrylcholinesterase (BChE) (97.41% at 80 μg/mL), highlighting their potential in Alzheimer's treatment. Additionally, they exhibited anti-inflammatory effects, inhibiting lipoxygenase (LOX) by 90.47% (120 μg/mL). To the best of our knowledge, this is the first report on the synthesis of Amoxicillin@Ag/AgCl NPs that simultaneously demonstrate strong antioxidant, antibiofilm, neuroprotective, and anti-inflammatory properties, underscoring their novelty as next-generation nanomedicines.

本研究合成并表征了用于生物医学应用的阿莫西林功能化Ag/AgCl纳米颗粒(Amoxicillin@Ag/AgCl NPs)。通过共沉淀法制备纳米颗粒,并用阿莫西林功能化以增强治疗潜力。表征技术(x射线衍射[XRD],傅里叶变换红外(FTIR),扫描电子显微镜[SEM]和UV-Vis)证实了成功的功能化和改善的物理化学性质。晶体尺寸从17.29±3.44 nm增加到20.47±4.17 nm,带隙从2.33 eV扩大到2.40 eV,表明电子相互作用增强。抗氧化活性显著提高,2,2′-氮基-双(3-乙基苯并噻唑啉-6-磺酸)(ABTS)自由基清除率达97.87%,β-胡萝卜素漂白抑制率达95.47% (175 μg/mL)。抑菌效果显著,对大肠杆菌(250 μg/mL)、鼠伤寒沙门氏菌(175 μg/mL)和枯草芽孢杆菌(250 μg/mL)的抑菌率分别为90.24%、81.47%和87.68%。在酶抑制研究中,Amoxicillin@Ag/AgCl NPs显示出神经保护潜力,抑制乙酰胆碱酯酶(AChE) (160 μg/mL时为93.74%)和丁基胆碱酯酶(BChE) (80 μg/mL时为97.41%),显示出其治疗阿尔茨海默病的潜力。此外,它们还具有抗炎作用,抑制脂氧合酶(LOX)达90.47% (120 μg/mL)。据我们所知,这是合成Amoxicillin@Ag/AgCl NPs的第一份报告,同时显示出强大的抗氧化、抗生物膜、神经保护和抗炎特性,强调了它们作为下一代纳米药物的新颖性。
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引用次数: 0
Exploring the 3D Bioprinting Landscape in the Delivery of Active Pharmaceutical Compounds for Therapeutic and Regenerative Medicine Applications 探索3D生物打印在治疗和再生医学应用中提供活性药物化合物的前景
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-26 DOI: 10.1002/jbm.b.35654
Khonzisizwe Somandi, Yahya E. Choonara

Three-dimensional (3D) bioprinting is transforming the delivery of active pharmaceutical compounds and regenerative medicine by enabling patient-specific solutions that enhance treatment efficacy and safety. This review explores recent advancements in 3D bioprinting for targeted therapy, focusing on its ability to fabricate complex delivery systems of drugs, cells, and various biomolecules with controlled and sustained release profiles. By leveraging bioinks with tunable properties, 3D bioprinting allows for localized drug administration, reducing systemic side effects while improving bioavailability. Additionally, in situ 3D bioprinting facilitates the direct deposition of therapeutic agents at the site of injury or disease, enhancing precision medicine approaches and supporting tissue regeneration. The integration of biocompatible bioinks and nanomedicines minimizes toxicity, enhances drug retention, reduces adverse effects, and enables personalized treatments, significantly improving therapeutic outcomes and, in some cases, improving pharmacokinetics. Despite these advancements, challenges remain in obtaining ideal biomaterial properties, post-printing modifications, printability, and biodegradability, which are critical for clinical translation. Addressing these barriers will be key to expanding the application of 3D bioprinting in precision medicine. This review provides insights into the recent pre-clinical progress, current clinical milestones, limitations, and future directions of 3D bioprinted delivery systems of active pharmaceutical compounds, highlighting their potential to revolutionize patient-centered therapies.

三维(3D)生物打印正在改变活性药物化合物和再生医学的输送方式,使患者特异性解决方案能够提高治疗效果和安全性。这篇综述探讨了生物3D打印在靶向治疗方面的最新进展,重点关注其制造药物、细胞和各种生物分子的复杂递送系统的能力,这些系统具有控制和持续释放的特征。通过利用具有可调特性的生物墨水,3D生物打印允许局部给药,减少全身副作用,同时提高生物利用度。此外,原位3D生物打印有助于在损伤或疾病部位直接沉积治疗剂,增强精准医学方法并支持组织再生。生物相容性生物墨水和纳米药物的整合可以最大限度地减少毒性,增强药物保留,减少不良反应,并实现个性化治疗,显著改善治疗结果,在某些情况下,还可以改善药代动力学。尽管取得了这些进步,但在获得理想的生物材料特性、打印后修饰、可打印性和生物降解性方面仍然存在挑战,这些对临床翻译至关重要。解决这些障碍将是扩大3D生物打印在精准医学中的应用的关键。本文综述了活性药物化合物生物3D打印给药系统的临床前进展、当前临床里程碑、局限性和未来发展方向,强调了它们在以患者为中心的治疗方面的革命性潜力。
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引用次数: 0
Towards Mechanical Compatibility: Optimization of an Implant Used in Ventral Hernia Repair 迈向机械相容性:用于腹疝修补的植入物的优化。
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-25 DOI: 10.1002/jbm.b.35650
Szymon Kalinowski, Katarzyna Szepietowska, Éric Florentin, Izabela Lubowiecka

Effective treatment of abdominal hernia with synthetic implants requires a prosthetic material biologically and mechanically compatible with the tissue. The mechanical compatibility is particularly important because the human abdominal wall is a complex multilayer structure and its properties may have individual characteristics that are not fully known. To address this issue, we propose a novel approach to optimal implant design for hernia repair by modifying locally the implant thickness to adapt it to the applied loads. Compatibility criteria are translated to an objective function that is to be minimized in the optimization procedure. The objective function is designed to equalize and minimize forces at the tissue-implant interface and minimize implant deflection. This reduces vulnerability to failure without hindering functionality. The input data are taken from in vivo tests on human subjects performed using digital image correlation and applied to a computational model of the implant defined by means of the Finite Element Method. The results show that the material distribution varies across models with different properties in two perpendicular directions (i.e., orthotropy) and across individuals, suggesting the potential for patient-specific design of the implant and a patient-specific approach to hernia repair. This approach takes into account abdominal wall heterogeneity and anisotropy, which in practice may help to reduce the ventral hernia recurrence rate.

用合成植入物有效治疗腹疝需要一种与组织生物和机械兼容的假体材料。机械相容性尤其重要,因为人体腹壁是一个复杂的多层结构,其特性可能具有尚未完全了解的个体特征。为了解决这个问题,我们提出了一种新的方法,通过局部修改种植体的厚度来适应所施加的载荷,从而优化疝修补的种植体设计。在优化过程中,相容性标准被转化为一个目标函数,该目标函数要最小化。目标函数旨在平衡和最小化组织-种植体界面上的力,并最小化种植体挠度。这在不妨碍功能的情况下减少了对失败的脆弱性。输入数据取自使用数字图像相关技术对人体受试者进行的体内测试,并应用于通过有限元方法定义的植入物的计算模型。结果表明,材料分布在两个垂直方向(即正交异性)和个体之间具有不同特性的模型之间存在差异,这表明可能存在针对患者的植入物设计和针对患者的疝修复方法。这种方法考虑了腹壁的异质性和各向异性,在实践中可能有助于降低腹壁疝的复发率。
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引用次数: 0
Mechanical Evaluation of Boron Nanoparticle-Modified Silicone Elastomers for Maxillofacial Prostheses 纳米硼改性有机硅弹性体用于颌面修复的力学性能评价。
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-25 DOI: 10.1002/jbm.b.35659
Naim Berker Altuntaş, Canan Akay, Esra Nur Avukat

This study evaluated the effects of boron nanoparticles (BNPs) on the mechanical properties of two silicone elastomers, A-2000 and A-2006. Tensile, tear, hardness, and elongation tests were conducted in accordance with ASTM and ISO standards. A total of 180 specimens were prepared, comprising control groups without BNPs and experimental groups containing 1 and 3 wt% BNPs. Tensile and tear strength tests were performed using a device with a 1 kN capacity at a crosshead speed of 100 mm/min; hardness was measured using Shore A tests, and Atomic Force Microscopy (AFM) was employed to assess surface roughness. Tensile testing revealed that the A-2000 control group exhibited the highest tensile strength, with significant reductions observed in both BNP-incorporated subgroups. In A-2006, tensile strength decreased significantly with 1 wt% BNPs but partially recovered at 3 wt%. Tear strength in A-2000 significantly decreased at 1 wt% but returned to control levels at 3 wt%, whereas no statistically significant differences were observed among the A-2006 subgroups. Hardness significantly increased with 3 wt% BNPs in A-2000 and with both 1 and 3 wt% BNPs in A-2006. Regarding elongation, A-2000 showed no significant change compared with the control, although the 1 and 3 wt% groups differed significantly from each other. In A-2006, both 1 and 3 wt% BNP groups showed significant reductions in elongation compared with the control. Overall, A-2000 exhibited superior tensile and tear strength, while A-2006 demonstrated greater elongation capacity. These findings indicate that BNP incorporation depends on both the elastomer type and concentration, with potential trade-offs between improved hardness and decreased flexibility. Both A-2000 and A-2006 remain viable options for maxillofacial prostheses, although optimization of BNP concentration is essential to balance strength, durability, and flexibility.

研究了硼纳米颗粒(BNPs)对A-2000和A-2006两种有机硅弹性体力学性能的影响。拉伸,撕裂,硬度和伸长率测试按照ASTM和ISO标准进行。共制备180个标本,分为不含BNPs的对照组和含有1 wt% BNPs和3 wt% BNPs的实验组。拉伸强度和撕裂强度试验采用容量为1 kN的装置,十字速度为100 mm/min;硬度测量采用邵氏A试验,并采用原子力显微镜(AFM)评估表面粗糙度。拉伸测试显示,A-2000对照组的拉伸强度最高,两个纳入bnp的亚组的拉伸强度都有显著降低。在A-2006中,1 wt% BNPs的拉伸强度显著下降,但在3 wt%时部分恢复。A-2000的撕裂强度在1 wt%时显著下降,但在3 wt%时恢复到对照水平,而在A-2006亚组中没有观察到统计学上的显著差异。在A-2000中添加3 wt%的BNPs,在A-2006中添加1 wt%和3 wt%的BNPs,硬度显著增加。在伸长率方面,A-2000与对照相比没有显著变化,尽管1 wt%和3 wt%组之间存在显著差异。在A-2006中,与对照组相比,1 wt%和3 wt% BNP组的伸长率均显著降低。总体而言,A-2000表现出优异的拉伸和撕裂强度,而A-2006表现出更大的延伸能力。这些发现表明,BNP的掺入取决于弹性体的类型和浓度,在硬度的提高和柔韧性的降低之间存在潜在的权衡。A-2000和A-2006仍然是颌面假体的可行选择,尽管优化BNP浓度对于平衡强度、耐久性和柔韧性至关重要。
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引用次数: 0
Comparison of Bovine and Porcine Collagen Membranes for Potential Applications in Guided Bone Regeneration: An In Vivo Pre-Clinical Evaluation 牛和猪胶原膜在引导骨再生中的潜在应用比较:体内临床前评估
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-22 DOI: 10.1002/jbm.b.35651
Vasudev Vivekanand Nayak, Joao Arthur Kawase De Queiroz Goncalves, Nicholas A. Mirsky, Aris R. L. Arakelians, Edmara T. P. Bergamo, Andrea Torroni, Daniel Boczar, Paulo G. Coelho, Lukasz Witek

In an effort to improve bone response, predictably regenerate lost tissue, and provide an anatomically pleasing ridge contour for biomechanically favorable and prosthetically driven implant placement, guided bone regeneration (GBR) procedures have been indicated. This study provides the first direct in vivo comparison of the biocompatibility of an experimental porcine-derived collagen membrane (CMI, Regenity Biosciences, Paramus, NJ, USA) and a commercially available bovine-derived collagen membrane (CopiOs, ZimVie, Palm Beach Gardens, FL, USA) in a beagle mandibular model for the purposes of GBR. Four bilateral defects of 10 mm × 10 mm through the mandibular thickness were placed in each of n = 16 adult beagle dogs. Defects were filled with a deproteinized porcine-derived particulate graft and were covered either with CMI or CopiOs to allow compartmentalized healing. Animals were euthanized after 4, 8, 12, or 16 weeks post-operatively (n = 4 beagles/time point). Bone regenerative capacity, graft, and soft tissue presence were evaluated by histomorphometric and microtomographic analyses. Outcome variables were compared using a mixed model analysis with fixed factor variables of time and material. Qualitatively, no histomorphological differences in healing were observed between the membrane groups at any time point. Histomorphometrically, CMI and CopiOs presented statistically significant differences in bone (mean ± SD: 38.27% ± 15.20 vs. 17.43% ± 15.49, respectively, p = 0.016) and soft tissue presence (mean ± SD: 50.88% ± 11.83 vs. 68.21% ± 16.98, respectively, p = 0.026) at 8 weeks. These results might influence treatment timing in clinical practice, by enabling early implant placement or shorter healing intervals. No significant differences were detected in these parameters at any other healing time point (p > 0.05). CMI and CopiOs showed no signs of adverse immune response and led to similar trends in bone regeneration after 16 weeks of permitted healing. Both membranes minimized soft tissue infiltration and maintained defect stability over the observed healing periods without adverse events such as inflammation and/or foreign body reaction.

为了改善骨反应,可预测地再生丢失的组织,并为生物力学有利和假体驱动的种植体放置提供解剖学上令人愉悦的脊轮廓,引导性骨再生(GBR)程序已被提出。本研究首次直接在体内比较了实验性猪源性胶原膜(CMI, Regenity Biosciences, Paramus, NJ, USA)和市售牛源性胶原膜(CopiOs, ZimVie, Palm Beach Gardens, FL, USA)在beagle下颌GBR模型中的生物相容性。在n = 16只成年比格犬的下颌各放置4个10 mm × 10 mm的双侧缺损。缺损用去蛋白的猪源颗粒移植物填充,并用CMI或copio覆盖,以允许分区愈合。动物在术后4周、8周、12周或16周被安乐死(n = 4只比格犬/时间点)。通过组织形态学和显微层析分析评估骨再生能力、移植物和软组织的存在。结果变量比较采用混合模型分析与固定因素变量的时间和材料。在质量上,在任何时间点,膜组之间的愈合没有观察到组织形态学差异。8周时,CMI和CopiOs在骨骼(平均±SD分别为38.27%±15.20和17.43%±15.49,p = 0.016)和软组织存在(平均±SD分别为50.88%±11.83和68.21%±16.98,p = 0.026)方面存在统计学差异。这些结果可能会影响临床实践中的治疗时机,通过早期植入或缩短愈合间隔。在其他任何愈合时间点,这些参数均无显著差异(p > 0.05)。CMI和CopiOs未显示出不良免疫反应的迹象,并且在允许愈合16周后导致骨再生的趋势相似。这两种膜都能最大限度地减少软组织浸润,并在观察到的愈合期间保持缺陷的稳定性,无炎症和/或异物反应等不良事件。
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引用次数: 0
Effect of Resin Composite Filling Thickness in Zirconia Abutment Screw-Access on the Fatigue Behavior of a Cement-Retained Lithium Disilicate Material 氧化锆基台螺旋通道树脂复合填充厚度对水泥固载二硅酸锂材料疲劳性能的影响
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-19 DOI: 10.1002/jbm.b.35657
Maria Gabriela Packaeser, Fernanda Cocco, Lucas Saldanha da Rosa, João Paulo Mendes Tribst, Cornelis Johannes Kleverlaan, Luiz Felipe Valandro, Gabriel Kalil Rocha Pereira, Pablo Machado Soares

This study evaluates the effect of varying resin composite thicknesses for sealing the screw-access hole of zirconia abutments on the fatigue mechanical behavior of a lithium disilicate cement-retained material. One hundred lithium disilicate discs (Ø = 10 mm, 1 mm thickness; IPS e.max CAD, Ivoclar AG) were prepared, alongside zirconia abutments (Ø = 10 mm, 3 mm thickness, 2.5 mm of screw-access hole diameter; IPS e.max ZirCAD MO, Ivoclar AG). The specimens were randomly assigned to five groups based on the thickness of sealing resin composite (Tetric N-Ceram Bulk fill, Ivoclar AG): Ctrl (only PTFE tape); PTFE tape +0.5 mm composite; PTFE tape +1.0 mm composite; PTFE tape +1.5 mm composite; and PTFE tape +2.0 mm composite. Surface treatments were conducted on ceramics before luting with dual-cure resin cement (Multilink N, Ivoclar AG). Monotonic testing was conducted at a loading rate of 1.0 mm/min until crack detection (n = 5). Cyclic fatigue testing was performed (n = 15; 100 N for 5000 cycles, followed by increments of 100 N every 10,000 cycles at 20 Hz) until failure. Finite element and Scanning Electron Microscopy analyses were also performed. One-way ANOVA and Tukey post hoc tests were used for monotonic data, while Kaplan–Meier and Mantel-Cox tests assessed survival rates (α = 0.05) based on fatigue test. No significant differences in monotonic tests were found. However, the 1.5 mm and 2.0 mm groups exhibited significantly higher fatigue failure loads compared to the Ctrl, 0.5 mm, and 1.0 mm groups (0.5 mm: 1093 N = Ctrl: 1120 N = 1.0 mm: 1127 N < 1.5 mm: 1426 N = 2.0 mm: 1307 N, p ≤ 0.05). To improve the fatigue behavior of lithium disilicate restorations bonded to zirconia abutments, more than half of the screw-access hole (greater than 1.5 mm) should be filled with resin composite.

本研究评估了不同树脂复合材料厚度对氧化锆基台螺钉孔密封材料疲劳力学性能的影响。制备了100个二硅酸锂片(Ø = 10 mm,厚度1 mm; IPS e.max CAD, Ivoclar AG),以及氧化锆基台(Ø = 10 mm,厚度3 mm,螺纹孔直径2.5 mm; IPS e.max ZirCAD MO, Ivoclar AG)。根据密封树脂复合材料(tritric N-Ceram Bulk fill, Ivoclar AG)的厚度随机分为5组:Ctrl(仅PTFE胶带);聚四氟乙烯带+0.5 mm复合;PTFE带+1.0 mm复合;聚四氟乙烯胶带+1.5 mm复合;与聚四氟乙烯带+2.0 mm复合。采用双固化树脂水泥(Multilink N, Ivoclar AG)对陶瓷进行表面处理。以1.0 mm/min的加载速率进行单调试验,直至发现裂纹(n = 5)。进行循环疲劳试验(n = 15; 100 n, 5000次循环,随后每10000次循环增加100 n,在20 Hz下),直到失效。并进行了有限元和扫描电镜分析。单调数据采用单因素方差分析和Tukey事后检验,疲劳检验采用Kaplan-Meier检验和Mantel-Cox检验评估生存率(α = 0.05)。单调试验无显著性差异。然而,与Ctrl、0.5 mm和1.0 mm组相比,1.5 mm和2.0 mm组表现出更高的疲劳破坏载荷(0.5 mm: 1093 N = Ctrl: 1120 N = 1.0 mm: 1127 N)
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引用次数: 0
Clinical Application of 3D-Printed Patient-Specific Instruments in Nasal Bone Fracture Reduction: A Randomized Controlled Trial 3d打印患者专用器械在鼻骨折复位中的临床应用:一项随机对照试验
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-13 DOI: 10.1002/jbm.b.35655
Yuting Ge, Chenjie Xu, Peihua Wang

To investigate the efficacy of a 3D-printed reduction instrument for nasal bone reduction, comparing it with conventional Boies elevators. A prospective, randomized, controlled trial was conducted on 78 patients with nasal bone fractures at Shanghai Ninth People's Hospital (2017–2020). Patients were assigned to either the 3D group (3D-printed reduction instrument, n = 39) or the BE group (Boies elevators, n = 39). Preoperative and postoperative nasal alignment and fracture parameters were analyzed using Mimics software, while patient satisfaction was assessed via a visual analog scale (VAS). Postoperative condition was graded using CT imaging. Statistical comparisons were performed using t-tests, Mann–Whitney U tests, and generalized estimating equations. Both groups showed significant improvements in fracture displacement (BE: 1.94–1.12 mm, 3D: 1.93–0.90 mm, p = 0.000), fracture angle (BE: 151.79°–169.91°, 3D: 149.34°–177.47°, p = 0.000), and midline displacement (BE: 7.79–4.42 mm, 3D: 7.44–0.00 mm, p = 0.000). The 3D group demonstrated significantly better postoperative midline displacement (p = 0.007), fracture angle (p = 0.003), and overall postoperative condition (p = 0.029). However, there was no significant difference in postoperative patient satisfaction scores (nasal obstruction: p = 0.053; nasal appearance: p = 0.318). The 3D-printed reduction instrument provides superior anatomical reduction and postoperative outcomes compared to Boies elevators. While both techniques effectively improve nasal alignment, patient satisfaction did not significantly differ. The 3D instrument offers a promising alternative when precision is required in nasal bone reduction.

探讨3d打印鼻骨复位器在鼻骨复位中的应用效果,并与传统Boies升降器进行比较。对上海市第九人民医院2017-2020年收治的78例鼻骨骨折患者进行前瞻性、随机、对照试验。患者被分为3D组(3D打印复位器,n = 39)和BE组(Boies升降机,n = 39)。使用Mimics软件分析术前和术后鼻腔对齐和骨折参数,并通过视觉模拟量表(VAS)评估患者满意度。采用CT影像对术后情况进行分级。采用t检验、Mann-Whitney U检验和广义估计方程进行统计比较。两组骨折位移(BE: 1.94 ~ 1.12 mm, 3D: 1.93 ~ 0.90 mm, p = 0.000)、骨折角度(BE: 151.79°~ 169.91°,3D: 149.34°~ 177.47°,p = 0.000)和中线位移(BE: 7.79 ~ 4.42 mm, 3D: 7.44 ~ 0.00 mm, p = 0.000)均有显著改善。3D组术后中线位移(p = 0.007)、骨折角度(p = 0.003)和术后整体情况(p = 0.029)明显改善。但术后患者满意度评分差异无统计学意义(鼻塞:p = 0.053;鼻外观:p = 0.318)。与Boies升降机相比,3d打印复位仪提供了更好的解剖复位和术后效果。虽然这两种技术都有效地改善了鼻腔排列,但患者满意度没有显着差异。当需要精确的鼻骨复位时,3D仪器提供了一个有前途的选择。
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引用次数: 0
Surface Treatment With Cell Culture Medium: A Biomimetic Approach to Enhance the Resistance to Biocorrosion in Mg and Mg-Based Alloys—A Review 细胞培养基表面处理:提高镁及镁基合金耐生物腐蚀性能的仿生方法综述
IF 3.4 4区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2025-09-13 DOI: 10.1002/jbm.b.35617
Vida Khalili, Sannakaisa Virtanen, Aldo R. Boccaccini

In contemporary orthopedics, the demand for temporary biodegradable bone implants has driven the development of materials capable of supporting bone regeneration while gradually resorbing in the body, thereby eliminating the need for secondary removal surgery. Magnesium (Mg) and its alloys have emerged as promising candidates due to their bioactivity, osteoconductivity, and mechanical properties that closely match those of natural bone. Furthermore, the release of Mg2+ ions during degradation has been shown to stimulate osteoblast activity and enhance bone remodeling. Despite the advantages associated with Mg as a bone implant, there are also constraints on its clinical application. The elevated pH values inherent to the Mg corrosion process may adversely affect biocompatibility, in addition to general concerns about the burst release of H2 gas that originates from the cathodic reaction of Mg corrosion. To address these challenges, biomimetic surface modifications have emerged as a promising strategy to modulate the degradation behavior of Mg and its alloys. In particular, Dulbecco's Modified Eagle Medium (DMEM) cell culture medium serves as an effective biomimetic environment for forming corrosion-resistant layers on Mg-based implants, maintaining physiological pH and mimicking in vivo degradation behavior by facilitating the formation of a carbonated Ca/Mg-phosphate layer with superior resistance to Cl attack compared to Mg(OH)2. Immersion in DMEM has been shown to induce the formation of calcium phosphate rich protective layers that mimic the natural bone environment and mitigate the rapid biodegradation of Mg and its alloys. This paper provides a review of recent advancements in DMEM modification of Mg-based alloys, including ex situ and in situ formation of protective layers, and in vitro biocorrosion behavior in cell culture medium. Key findings emphasize that synthetic buffers like Tris/HCl and HEPES accelerate corrosion and hinder calcium phosphate formation, while protein-rich media risk contamination during prolonged use. Additionally, electrostatic interactions in DMEM promote hydroxyapatite crystallization, functionalized intermediate layers enhance calcium phosphate deposition, and fluid dynamics must be carefully controlled to stabilize the protective layer. Despite recent progress, key knowledge gaps remain, including limited understanding of the long-term performance and mechanical stability of biomimetic layers under dynamic physiological conditions, as well as the unclear impact of complex in vivo factors like immune responses and enzymatic activity on their degradation.

在当代骨科中,对临时可生物降解骨植入物的需求推动了能够支持骨再生同时在体内逐渐吸收的材料的发展,从而消除了对二次移除手术的需要。镁(Mg)及其合金因其生物活性、骨导电性和力学性能与天然骨非常接近而成为有希望的候选者。此外,降解过程中Mg2+离子的释放已被证明可以刺激成骨细胞活性并增强骨重塑。尽管镁作为骨植入物有其优点,但其临床应用也存在限制。Mg腐蚀过程中固有的pH值升高可能会对生物相容性产生不利影响,此外人们还担心Mg腐蚀的阴极反应会产生氢气的爆裂释放。为了解决这些挑战,仿生表面修饰已经成为一种有前途的策略来调节Mg及其合金的降解行为。特别是,Dulbecco的Modified Eagle Medium (DMEM)细胞培养基作为一种有效的仿生环境,可以在镁基植入物上形成耐腐蚀层,维持生理pH值,并通过促进碳酸化Ca/Mg-磷酸盐层的形成,模拟体内降解行为,与Mg(OH)2相比,该层具有更强的抗Cl -侵蚀能力。研究表明,浸泡在DMEM中可以诱导形成富含磷酸钙的保护层,模拟自然骨环境,减缓Mg及其合金的快速生物降解。本文综述了DMEM改性镁基合金的最新进展,包括非原位和原位保护层的形成,以及在细胞培养基中的体外生物腐蚀行为。主要研究结果强调,合成缓冲剂如Tris/HCl和HEPES加速腐蚀并阻碍磷酸钙的形成,而富含蛋白质的介质在长期使用过程中有污染风险。此外,DMEM中的静电相互作用促进羟基磷灰石结晶,功能化中间层促进磷酸钙沉积,必须仔细控制流体动力学以稳定保护层。尽管最近取得了进展,但关键的知识差距仍然存在,包括对动态生理条件下仿生层的长期性能和机械稳定性的了解有限,以及免疫反应和酶活性等复杂体内因素对其降解的影响尚不清楚。
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引用次数: 0
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Journal of biomedical materials research. Part B, Applied biomaterials
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