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Antibacterial coatings for dental implants: A systematic review 牙种植体抗菌涂层:系统综述。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-09 DOI: 10.1016/j.dental.2024.12.001
Marta Teulé-Trull , Pablo Altuna , María Arregui , Xavier Rodriguez-Ciurana , Conrado Aparicio

Objectives

Despite the high survival rates of dental implants, peri-implantitis is a prevalent complication. Peri-implantitis is related to biofilm that adheres to the surface of implants and causes peri-implant chronic inflammation and bone destruction. Different surface treatments have been proposed to prevent biofilm formation. The objective of this systematic review was analyzing different types of antimicrobial coatings and identifying the most effective one(s) to control bacterial colonization over extended periods of analysis.

Data, sources and study selection

We performed a bibliographic search in Pubmed and Cochrane base of articles published after 2010 to answer, according to the PICO system, the following question: What is the most effective antibacterial surface coating for dental implants? Only papers including a minimum follow-up bacteria growth analysis for at least 48 h were selected. After selection, the studies were classified using the PRISMA system. A total of 40 studies were included.

Conclusions

Three main categories of coatings were identified: Antibacterial peptides, synthetic antimicrobial molecules (polymers, antibiotics, …), and metallic nanoparticles (silver). Antibacterial peptide coatings to modify dental implant surfaces have been the most studied and effective surface modification to control bacterial colonization over extended periods of incubation as they are highly potent, durable and biocompatible. However, more in vitro and pre-clinical studies are needed to assess their true potential as a technology for preventing peri-implant infections.
目的:尽管种植体的存活率很高,但种植体周围炎是一种常见的并发症。种植体周围炎与附着在种植体表面的生物膜有关,并引起种植体周围的慢性炎症和骨破坏。人们提出了不同的表面处理方法来防止生物膜的形成。本系统综述的目的是分析不同类型的抗菌涂层,并确定在长期分析中控制细菌定植的最有效涂层。数据、来源和研究选择:我们在Pubmed和Cochrane数据库中检索了2010年以后发表的文章,根据PICO系统回答以下问题:种植体最有效的抗菌表面涂层是什么?只有包含至少48小时的最低随访细菌生长分析的论文被选中。选择后,使用PRISMA系统对研究进行分类。共纳入40项研究。结论:涂层主要分为三类:抗菌肽、合成抗菌分子(聚合物、抗生素等)和金属纳米颗粒(银)。抗菌肽涂层修饰牙种植体表面是研究最多的一种有效的表面修饰,可以在长时间的培养过程中控制细菌定植,因为它们具有很强的效力,耐用性和生物相容性。然而,需要更多的体外和临床前研究来评估它们作为预防种植体周围感染技术的真正潜力。
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引用次数: 0
Surface and bulk viscoelastic stability of solvent-stored bulk-fill resin-based composite 溶剂储存的块状填充树脂基复合材料的表面和体积粘弹性稳定性。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-01 DOI: 10.1016/j.dental.2024.10.006
Halah Thanoon , Nikolaos Silikas , David C. Watts

Objective

Investigate the effect of solvent-storage on surface hardness and bulk creep of fast photo-cured bulk-fill resin-based composite (RBC) compared to conventionally irradiated bulk-fill RBCs.

Methods

Three bulk-fill RBCs were studied: Tetric® PowerFill (fast photo-cured bulk-fill RBC) (TPF), Tetric EvoCeram® (EVO), and GrandioSO® x-tra (GSOx) (conventional). Disk-shaped specimens of clinically realistic thickness (4 mm) were prepared from each material for: Group A: surface measurements (18 mm diameter) and Group B: 4 mm diameter for bulk compressive creep measurements. Group A disks were light-cured from the upper ‘occlusal’ surface for either 3 s or 20 s according to the manufacturer’s recommendation. Martens hardness (HM) of both top and bottom surfaces of each specimen were measured. Group B: 4 × 4 mm cylindrical specimens were fully cured to measure bulk creep (CB). A 20 MPa static compressive stress was applied for 2 h, followed by 2 h of unloading. Strain deformation was recorded continuously for 4 h. Both Martens and bulk creep studies were performed under the following storage conditions at 37 °C: (i) dry at 24 h post curing (baseline), and (ii) after 7 and 30 d of storage in two different media: distilled water (DW) and 75 % ethanol/water (75 % E/W).

Results

At baseline, HM for all materials ranged from 587 to 439 N/mm2 (top) and 398 to 342 N/mm2 (bottom). After 30 d of solvent-storage, more pronounced HM changes were observed, with the bottom surface being more affected. Normalised HM for TPF decreased by 44 % after 30 d in 75 % E/W. Maximum creep strain ranged from 1.1 % to 2.1 % at baseline, and after 30 d in 75 % E/W this increased from 1.9 % to 2.9 %. Depending on the material and storage condition, the percentage creep strain recovery after 30 d ranged between 65.2 % and 80 %. Increased filler loading in the bulk-fill RBCs decreased the creep strain magnitude and increased the surface hardness.

Significance

Solvent storage decreased the Martens hardness of both upper and lower surfaces and increased the bulk creep characteristics of bulk-fill RBCs. Nevertheless, there was a similar relative stability in surface hardness and viscoelastic stability of fast-cured PowerFill compared to conventionally irradiated RBCs.
目的:研究溶剂储存对快速光固化树脂基复合材料(RBC)表面硬度和体积蠕变的影响:与传统辐照散装填充树脂基复合材料(RBC)相比,研究溶剂储存对快速光固化散装填充树脂基复合材料(RBC)表面硬度和体积蠕变的影响:方法:研究了三种填充型 RBC:方法:研究了三种散装填充 RBC:Tetric® PowerFill(快速光固化散装填充 RBC)(TPF)、Tetric EvoCeram® (EVO) 和 GrandioSO® x-tra (GSOx)(传统)。每种材料都制备了符合临床实际厚度(4 毫米)的圆盘状试样,用于以下目的A 组:进行表面测量(直径 18 毫米);B 组:进行体积压缩蠕变测量,直径 4 毫米。根据制造商的建议,A 组圆盘从上 "咬合 "面开始光固化 3 秒或 20 秒。测量每个试样上下表面的马氏体硬度 (HM)。B 组:4 × 4 毫米圆柱形试样完全固化后测量体积蠕变 (CB)。施加 20 兆帕的静态压应力 2 小时,然后卸载 2 小时。马氏体和体积蠕变研究都是在 37 °C 下的以下储存条件下进行的:(i) 固化后 24 小时的干燥状态(基线),以及 (ii) 在两种不同介质(蒸馏水 (DW) 和 75% 乙醇/水 (75% E/W))中存放 7 天和 30 天后:基线时,所有材料的 HM 值介于 587 至 439 牛顿/平方毫米(上)和 398 至 342 牛顿/平方毫米(下)之间。溶剂储存 30 天后,观察到更明显的 HM 变化,底面受到的影响更大。在 75% E/W 条件下,30 天后 TPF 的归一化 HM 下降了 44%。基线最大蠕变应变从 1.1 % 到 2.1 % 不等,在 75 % E/W 中存放 30 天后,最大蠕变应变从 1.9 % 增加到 2.9 %。根据材料和储存条件的不同,30 天后蠕变应变恢复的百分比在 65.2 % 到 80 % 之间。散装填料 RBC 中填料含量的增加降低了蠕变应变的幅度,提高了表面硬度:溶剂储藏降低了上下表面的马顿硬度,增加了散装填充 RBC 的体积蠕变特性。然而,与传统辐照 RBC 相比,快速固化 PowerFill 的表面硬度和粘弹性稳定性具有相似的相对稳定性。
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引用次数: 0
Role of 3Y-TZP grain boundaries in glazing and layering 3Y-TZP 晶界在上釉和分层中的作用。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-01 DOI: 10.1016/j.dental.2024.10.005
R. Shahmiri , O.C. Standard , J.N. Hart , N. Gharagozlu , G. Bahmanrokh , Y. Yin , S.S. Mofarah , E. Adabifiroozjaei , R. Webster , C.C. Sorrell

Objectives

Monolithic 3 mol% Yttria-stabilized tetragonal zirconia polycrystal or 3Y-TZP exhibits transformation toughening phenomena which is suitable for dental restorations with minimizing the risk of fracture and to decrease reduction of natural tooth. However, the staining/glazing or layering is required to achieve of a match with the optical properties of natural dentition. The hypothesis under examination is that the physical, chemical, and structural aspects of the 3Y-TZP grain boundaries after the staining/glazing or layering.

Methods

The three sintering temperatures of 1400 °C, 1500 °C, and 1600 °C were considered followed by vacuum annealed at 750 °C for 1 min; and air post-annealed at 750 °C for 1 min

Results

The initial sintering step in the fabrication of zirconia restorations plays a critical role in the outcomes of the subsequent stages of glazing and layering.

Significance

The current study revealed for first time the advantage of vacuum annealing by the presence of ferroelastic domain switching toughening mechanism.
目的:单片 3 摩尔%钇稳定四方氧化锆多晶体或 3Y-TZP 具有转化增韧现象,适用于牙科修复,可将断裂风险降至最低,并减少天然牙齿的缩减。然而,要达到与天然牙的光学特性相匹配的效果,需要进行染色/上釉或分层。研究假设是染色/上釉或分层后 3Y-TZP 晶界的物理、化学和结构方面:结果:氧化锆修复体制造过程中的初始烧结步骤对后续上釉和分层阶段的结果起着至关重要的作用:本研究首次揭示了真空退火的优势,即存在铁弹性域切换增韧机制。
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引用次数: 0
Current approaches to produce durable biomaterials: Trends in polymeric materials for restorative dentistry applications 目前生产耐用生物材料的方法:牙科修复用聚合材料的发展趋势。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-01 DOI: 10.1016/j.dental.2024.10.004
Carmem S. Pfeifer , Fernanda S. Lucena , Matthew G. Logan , Devatha Nair , Steven H. Lewis
Dental caries continues to be a public health issue, especially more evident in underserved populations throughout the U.S. Unfortunately, especially with an aging population, hundreds of thousands of resin composite restorations are replaced each year due to recurring decay and fracture. According to several cohort studies, the average life span of this type of restoration is 10 years or less, depending on the caries risk level of the patient and the complexity of the restorative procedure. Any new material development must depart from the simple restoration of form paradigm, in which the filling is simply inert/biocompatible. This review will discuss novel antibiofilm structures, based on a targeted approach specifically against dysbiotic bacteria. Biofilm coalescence can be prevented by using glycosyl transferase - GTF inhibitors, in a non-bactericidal approach. On the tooth substrate side, MMP-inhibiting molecules can improve the stability of the collagen in the hybrid layer. This review will also discuss the importance of testing the materials in a physiologically relevant environment, mimicking the conditions in the mouth in terms of mechanical loading, bacterial challenge, and the presence of saliva. Ultimately, the goal of materials development is to achieve durable restorations, capable of adapting to the oral environment and resisting challenges that go beyond mechanical demands. That way, we can prevent the unnecessary loss of additional tooth structure that comes with every re-treatment.

Clinical significance

While proper restorative technique and patient education in terms of diet and oral hygiene are crucial factors in increasing the longevity of esthetic direct restorations, materials better able to resist and interact with the conditions of the oral environment are still needed. Reproducing the success of dental amalgams with esthetic materials continues to be the Holy Grail of materials development.
遗憾的是,特别是随着人口老龄化的加剧,每年都有数十万颗树脂复合修复体因反复龋坏和断裂而被更换。根据多项队列研究,这种修复体的平均寿命为 10 年或更短,具体取决于患者的龋病风险水平和修复过程的复杂程度。任何新材料的开发都必须摆脱简单的外形修复模式,即充填物仅具有惰性/生物相容性。本综述将讨论新型的抗生物膜结构,这种结构是基于专门针对菌群失调的靶向方法。在非杀菌方法中,使用糖基转移酶(GTF)抑制剂可以防止生物膜凝聚。在牙齿基质方面,MMP 抑制分子可以提高混合层中胶原蛋白的稳定性。本综述还将讨论在生理相关环境中测试材料的重要性,模拟口腔中的机械负荷、细菌挑战和唾液存在等条件。归根结底,材料开发的目标是获得耐久的修复体,能够适应口腔环境并抵御超出机械要求的挑战。这样,我们就可以避免每次再治疗时不必要的额外牙齿结构损失。临床意义:虽然正确的修复技术以及饮食和口腔卫生方面的患者教育是延长直接美容修复体寿命的关键因素,但我们仍然需要能更好地抵抗口腔环境条件并与之相互作用的材料。用美学材料再现牙科汞合金的成功仍然是材料开发的圣杯。
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引用次数: 0
Biofilm modulation and demineralization reduction after treatment with a new toothpaste formulation containing fluoride, casein phosphopeptide-amorphous calcium phosphate, and sodium trimetaphosphate: In situ study 使用含氟、酪蛋白磷酸肽-无定形磷酸钙和三偏磷酸钠的新型牙膏配方治疗后的生物膜调节和脱矿化减少:原位研究。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-01 DOI: 10.1016/j.dental.2024.09.018
Francyenne Maira Castro Gonçalves , Eduarda Martins Fontes Cantarella de Almeida , Christian Hannig , Julia Paião Quinteiro , Alberto Carlos Botazzo Delbem , Mark Lloyd Cannon , Marcelle Danelon

Objective

This in situ study aimed to evaluate a new toothpaste formulation containing fluoride (F), casein phosphopeptide amorphous calcium phosphate (CPP-ACP) and sodium trimetaphosphate (TMP) on the process of dental demineralization and biofilm composition.

Methods

This crossover double-blind study consisted of five phases, in which 10 volunteers wore intraoral appliances containing four bovine enamel specimens. The cariogenic challenge was performed using 30 % sucrose solution. Blocks were treated 3 ×/day with the following toothpastes: 1) Placebo (No F-TMP-CPP-ACP), 2) 1100 ppm F (1100F), 3) 1100F + 3 %TMP (1100F-TMP), 4) 1100F + 10 %CPP-ACP (1100F-CPP-ACP) and 5) 1100F-CPP-ACP-TMP. After 7 days, the percentage loss of surface hardness (%SH), integrated loss of subsurface hardness (ΔKHN), F, calcium (Ca) and phosphorus (P) concentration in the enamel was determined. The concentration of F, Ca, P and insoluble extracellular polysaccharide (EPS) in the biofilm were analyzed.

Results

The addition of CPP-ACP-TMP to 1100F reduced %SH by 42 % and 39 % when compared to the 1100F and 1100F-CPP-ACP (p < 0.001); in addition, to a reduction in lesion body (ΔKHN) by 36 % for the same treatments. The treatment with 1100F-CPP-ACP-TMP led to a significant increase in the concentration of F, P and Ca in the enamel and biofilm, and reduced the concentration of EPS (p < 0.001).

Significance

Toothpaste formulation containing 1100F-CPP-ACP-TMP prevented the reduction of enamel hardness and significantly influenced the ionic biochemical composition and insoluble extracellular polysaccharide (EPS) in biofilm formed in situ. These results are promising and provide valuable insights for the design of further clinical trials.
研究目的这项原位研究旨在评估一种含有氟化物(F)、酪蛋白磷酸肽无定形磷酸钙(CPP-ACP)和三偏磷酸钠(TMP)的新型牙膏配方对牙齿脱矿过程和生物膜组成的影响:这项交叉双盲研究包括五个阶段,10 名志愿者佩戴了含有四种牛珐琅标本的口内装置。使用 30% 的蔗糖溶液进行致龋挑战。区块每天使用以下牙膏治疗 3 次:1)安慰剂(无 F-TMP-CPP-ACP);2)1100 ppm F(1100F);3)1100F + 3 %TMP (1100F-TMP);4)1100F + 10 %CPP-ACP (1100F-CPP-ACP);5)1100F-CPP-ACP-TMP。7 天后,测定珐琅质中的表面硬度损失百分比(%SH)、表面下硬度综合损失(ΔKHN)、F、钙(Ca)和磷(P)浓度。分析了生物膜中 F、Ca、P 和不溶性胞外多糖 (EPS) 的浓度:结果:与 1100F 和 1100F-CPP-ACP 相比,在 1100F 中添加 CPP-ACP-TMP 后,SH%分别降低了 42% 和 39%(p 显著性):含有 1100F-CPP-ACP-TMP 的牙膏配方可防止牙釉质硬度降低,并显著影响原位形成的生物膜中的离子生化成分和不溶性胞外多糖 (EPS)。这些结果很有希望,为设计进一步的临床试验提供了宝贵的见解。
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引用次数: 0
Effect of cross-head speed on the bond strength of dental resin to tooth structure – A review and re-analysis 十字头速度对牙科树脂与牙齿结构粘接强度的影响--回顾与再分析。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-01 DOI: 10.1016/j.dental.2024.09.020
H. Hassan Elnadif, B.W. Darvell

Objective

To review the published evidence for the role of cross-head speed on the apparent mechanical properties and bond strength of filled resins to tooth structure in order to identify the causes of inconsistency and contradictory results.

Method

The data for all available mechanical test results for studies involving dental resins at more than one strain rate was collected from 22 papers. Statistical reanalysis using linear regression was used to test the hypothesis that cross-head speed was correlated with the outcome, with the implication of causality, in each case.

Results

In many cases the expected trend was found, in others not. However, it was apparent that the quality of data was often less than can be achieved, and that known interferences have not been recognized.

Significance

Experimental work for the effect of cross-head speed on bond strength and other properties for dental resin-based materials has often failed to reach the standard which is required for useful data and thus better comprehension of behaviour. Other relevant conditions, such as temperature and water saturation, are in need of attention in this context.
目的回顾已发表的关于十字头速度对填充树脂与牙齿结构的表观机械性能和粘结强度的作用的证据,以找出结果不一致和相互矛盾的原因:方法:从 22 篇论文中收集了涉及牙科树脂在一种以上应变速率下的所有可用机械测试结果数据。使用线性回归进行统计再分析,以检验十字头速度与结果相关的假设,并在每种情况下暗示因果关系:结果:在许多情况下发现了预期的趋势,而在其他情况下则没有。然而,数据的质量显然往往不尽如人意,而且没有认识到已知的干扰因素:意义:横头速度对牙科树脂基材料粘接强度和其他性能影响的实验工作往往达不到有用数据所需的标准,因此无法更好地理解其行为。在这方面,还需要关注其他相关条件,如温度和水饱和度。
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引用次数: 0
Chemical analysis and performance evaluation of ClearCorrect® aligners as received and after intraoral use: Implications for durability, aesthetics, and patient safety 对收到的和口内使用后的 ClearCorrect® 矫正器进行化学分析和性能评估:对耐用性、美观和患者安全的影响。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-01 DOI: 10.1016/j.dental.2024.10.003
TSE. Bouchema , J. Saunier , J. Mauriello , A. Tfayli , B. Savard , N. Yagoubi

Background

Orthodontic treatment with transparent aligners is popular with patients. Any alteration of the plastic material, as subjected to the oral environment, could influence the treatment's durability, the aligner's aesthetic appearance, and the patient's safety.

Purpose

This study concerns the physicochemical properties of ClearCorrect® aligners before and after intraoral use, focusing on transparency, surface topography, leachable, polymer glass transition temperature, and viscoelastic properties.

Methods

Aligners were collected after two weeks of intraoral use. Unused samples were obtained from the manufacturers. Transparency was measured by UV–visible spectroscopy. Chemical modifications were studied using infrared and Raman spectroscopies. Thermal degradation, glass transition (Tg), and storage modulus (E') were characterized by thermal analysis (DSC, TGA, DMA). Surface morphology and roughness were studied thanks to SEM and AFM. Aligners were immersed in water-based solutions to identify and quantify organic leachable by HPLC chromatography and trace elements by atomic absorption spectroscopy.

Results

ClearCorrect® aligners have a three-layer structure (outer PETG/inner PU layers). Slight chemical alterations occurred after aging. There was also no significant evolution in Tg and thermal degradation temperatures and only a minimal evolution of E'. Surface and transparency alterations occurred. A difference in organic compound and trace element release levels between new and used aligners was evidenced, suggesting an intraoral release during use.

Significance

Intra-oral aging mainly impacts the aligner transparency and surface. The leachable study suggests significant ingestion of organic and non-organic compounds by the patient: investigations are needed to assess the impact of the long-term use of trays on patient health.
背景:使用透明矫治器进行正畸治疗深受患者欢迎。目的:本研究涉及口内使用前后透明矫治器的理化性质,重点是透明度、表面形貌、可浸出性、聚合物玻璃化转变温度和粘弹性:方法:口内使用两周后收集矫正器。未使用的样本从生产商处获得。用紫外可见光谱法测量透明度。使用红外光谱和拉曼光谱研究化学修饰。热分析(DSC、TGA、DMA)对热降解、玻璃化转变(Tg)和存储模量(E')进行了表征。利用扫描电镜和原子力显微镜对表面形态和粗糙度进行了研究。将对准器浸入水基溶液中,通过 HPLC 色谱法识别和量化有机浸出物,并通过原子吸收光谱法识别和量化痕量元素:结果:ClearCorrect®矫治器具有三层结构(外层 PETG/内层 PU)。老化后会发生轻微的化学变化。Tg 和热降解温度也没有明显变化,E'的变化很小。表面和透明度发生了变化。新旧矫正器的有机化合物和微量元素释放水平存在差异,这表明在使用过程中存在口内释放:意义:口内老化主要会影响矫正器的透明度和表面。可浸出研究表明,患者摄入了大量有机和非有机化合物:需要进行调查,以评估长期使用矫治器对患者健康的影响。
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引用次数: 0
Evaluation of polyaryletherketone materials as post-core abutments for removable partial dentures: A finite element analysis 聚芳醚酮材料作为可摘局部义齿核后基台的评估:有限元分析
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-01 DOI: 10.1016/j.dental.2024.10.011
Filiz Yagci , Ravza Eraslan , Emir Esim

Objective

The purpose was to compare the biomechanical behavior of single-piece post-core restorations made from polyaryletherketone materials with fiber post-core restorations when serving as abutments for RPD using finite element analysis (FEA).

Methods

Phantom maxillary central incisor and mandibular second premolar were trimmed 1-mm coronally to cemento-enamel junction; root canals were enlarged and the teeth were scanned. Data was transferred to a solid modeling software.Twenty four models, including six post-core restorations:glass-fiber post/composite core (GFH/GFL) and single-piece post-core groups as, PEKK(PKH/PKL);Ti02-reinforced PEEK(TH/TL);ceramic reinforced PEEK(CeH/CeL);carbon fiber reinforced PEEK(CaH/CaL);glass fiber reinforced PEEK(GFPH/GFPL) with hybrid ceramic/lithium disilicate crowns on each tooth were constructed.Loads of 100 N for central incisor, and 300 N for premolar in a 45°oblique direction were applied to simulate masticatory forces. Clasp removal force of a RPD was simulated as 5 N vertically.FEA was employed to evaluate the von Mises stresses.Strain at cement layer was also investigated.

Results

CaH/CaL groups revealed the lowest stress for both teeth at root while TH/TL groups revealed the highest stress. The lowest stress values in the post-core were in GFH/GFL groups while the highest stress occurred in the CaH/CaL groups for both teeth.

Significance

Glass-fiber post-cores exhibited the lowest stresses in the post under masticatory and clasp removal forces. It may suggest a potentially lower risk of post fracture compared to polyaryletherketone group materials. TiO2-reinforced PEEK post-cores exhibited the lowest stresses among PAEK materials, indicating a potentially high fracture resistance.
目的目的是使用有限元分析(FEA)比较聚芳醚酮材料制成的单件式后牙髓修复体与纤维后牙髓修复体在用作RPD基台时的生物力学行为:方法:将上颌中切牙和下颌第二前磨牙的假牙在牙本质-釉质交界处修剪1毫米,放大根管并进行扫描。共制作了 24 个模型,包括 6 个后核修复体:玻璃纤维桩/复合材料核(GFH/GFL)和单片后核修复体组,分别为 PEKK(PKH/PKL);Ti02 增强 PEEK(TH/TL);陶瓷增强 PEEK(CeH/CeL);碳纤维增强 PEEK(CaH/CaL);玻璃纤维增强 PEEK(GFPH/GFPL),每个牙齿上都有陶瓷/二硅酸锂混合冠。对中切牙施加 100 N 的荷载,对前磨牙施加 300 N 的荷载,以 45° 斜方向模拟咀嚼力。采用有限元分析评估了冯米塞斯应力,并研究了骨水泥层的应变:结果:CaH/CaL 组显示两颗牙齿根部的应力最低,而 TH/TL 组显示的应力最高。GFH/GFL组的后牙髓应力值最低,而CaH/CaL组的后牙髓应力值最高:意义:在咀嚼力和咬合去除力的作用下,玻璃纤维后牙冠的应力最小。这可能表明,与聚芳醚酮组材料相比,玻璃纤维基桩断裂的潜在风险更低。在 PAEK 材料中,TiO2 增强的 PEEK 后芯显示出最低的应力,这表明其可能具有较高的抗断裂性。
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引用次数: 0
Development and characterization of nitazoxanide-loaded poly(ε-caprolactone) membrane for GTR/GBR applications 用于 GTR/GBR 应用的硝唑氧酰胺负载聚(ε-己内酯)膜的开发与表征。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-01 DOI: 10.1016/j.dental.2024.10.007
Varuni Arora , Ruby Yu-Tong Lin , Yi Ling Tang , Kai Soo Tan , Vinicius Rosa , Gopu Sriram , Nileshkumar Dubey

Objective

Guided tissue/guided bone regeneration (GTR/GBR) membranes are widely used for periodontal bone regeneration, but their success depends on a bacteria-free environment. Systemic antibiotic treatment often proves inadequate, moreover, the increasing prevalence of antibiotic resistance in oral infections exacerbates this challenge. This study aimed to fabricate antibacterial membranes using a new class of antibiotics for local drug delivery, to eradicate infections and promote tissue regeneration.

Methods

Membranes loaded with nitazoxanide (NTZ) were fabricated via electrospinning using poly(ε-caprolactone) (PCL) with varying concentrations of NTZ (0 %, 2.5 %, and 5 % w/w) relative to the polymer weight. Morphochemical of NTZ-loaded membranes were assessed using scanning electron microscopy-energy dispersive spectroscopy (SEM-EDS) and Fourier Transform Infrared spectroscopy (FTIR). Mechanical properties were evaluated using universal testing machine and NTZ release profile from membranes was determined by spectrophotometer (λmax = 444) for 14 days. Antimicrobial efficacy against periodontal pathogens, cell compatibility and mineralization were evaluated using periodontal ligament stem cells (PDLSCs).

Results

Optimized spinning parameter maintained a uniform fiber diameter and successful loading of NTZ was confirmed by SEM-EDS and FTIR. NTZ incorporation did not significantly affect mechanical properties, whereas the drug release kinetics showed an initial burst, followed by sustained release over 14 days. NTZ-loaded membranes demonstrated antibacterial activity against Aggregatibacter actinomycetemcomitans (Aa) and Fusobacterium nucleatum (Fn). Importantly, the presence of NTZ showed minimal cell toxicity; however, it reduced the mineralization potential compared with that of the pure PCL membrane, which increased over time.

Significance

Taken together, these findings established that NTZ-loaded membranes could be promising barrier membrane to counteract microbial environment and aid periodontal bone regeneration.
目的:引导组织/引导骨再生(GTR/GBR)膜被广泛用于牙周骨再生,但其成功与否取决于无菌环境。系统性抗生素治疗往往证明是不够的,此外,口腔感染中抗生素耐药性的日益普遍加剧了这一挑战。本研究旨在利用新型抗生素制造抗菌膜,用于局部给药,以消除感染并促进组织再生:方法:使用聚(ε-己内酯)(PCL)通过电纺丝制造出负载有硝唑沙内酯(NTZ)的膜,NTZ相对于聚合物重量的浓度各不相同(0%、2.5%和5% w/w)。使用扫描电子显微镜-能量色散光谱法(SEM-EDS)和傅立叶变换红外光谱法(FTIR)评估了负载 NTZ 的膜的形态化学性质。使用万能试验机对机械性能进行了评估,并使用分光光度计(λmax = 444)测定了 14 天内膜的 NTZ 释放曲线。使用牙周韧带干细胞(PDLSCs)评估了对牙周病原体的抗菌效果、细胞相容性和矿化度:优化后的纺丝参数保持了纤维直径的一致性,SEM-EDS 和傅立叶变换红外光谱证实成功加入了 NTZ。NTZ的加入并没有对机械性能产生明显影响,而药物释放动力学则显示出最初的爆发,随后在14天内持续释放。添加了 NTZ 的膜对放线菌(Aa)和核酸镰刀菌(Fn)具有抗菌活性。重要的是,NTZ 的存在对细胞的毒性极小,但与纯 PCL 膜相比,它降低了矿化电位,而矿化电位会随着时间的推移而增加:综上所述,这些研究结果表明,NTZ负载膜是一种很有前景的屏障膜,可抵御微生物环境,帮助牙周骨再生。
{"title":"Development and characterization of nitazoxanide-loaded poly(ε-caprolactone) membrane for GTR/GBR applications","authors":"Varuni Arora ,&nbsp;Ruby Yu-Tong Lin ,&nbsp;Yi Ling Tang ,&nbsp;Kai Soo Tan ,&nbsp;Vinicius Rosa ,&nbsp;Gopu Sriram ,&nbsp;Nileshkumar Dubey","doi":"10.1016/j.dental.2024.10.007","DOIUrl":"10.1016/j.dental.2024.10.007","url":null,"abstract":"<div><h3>Objective</h3><div>Guided tissue/guided bone regeneration (GTR/GBR) membranes are widely used for periodontal bone regeneration, but their success depends on a bacteria-free environment. Systemic antibiotic treatment often proves inadequate, moreover, the increasing prevalence of antibiotic resistance in oral infections exacerbates this challenge. This study aimed to fabricate antibacterial membranes using a new class of antibiotics for local drug delivery, to eradicate infections and promote tissue regeneration.</div></div><div><h3>Methods</h3><div>Membranes loaded with nitazoxanide (NTZ) were fabricated via electrospinning using poly(ε-caprolactone) (PCL) with varying concentrations of NTZ (0 %, 2.5 %, and 5 % w/w) relative to the polymer weight. Morphochemical of NTZ-loaded membranes were assessed using scanning electron microscopy-energy dispersive spectroscopy (SEM-EDS) and Fourier Transform Infrared spectroscopy (FTIR). Mechanical properties were evaluated using universal testing machine and NTZ release profile from membranes was determined by spectrophotometer (λ<sub>max</sub> = 444) for 14 days. Antimicrobial efficacy against periodontal pathogens, cell compatibility and mineralization were evaluated using periodontal ligament stem cells (PDLSCs).</div></div><div><h3>Results</h3><div>Optimized spinning parameter maintained a uniform fiber diameter and successful loading of NTZ was confirmed by SEM-EDS and FTIR. NTZ incorporation did not significantly affect mechanical properties, whereas the drug release kinetics showed an initial burst, followed by sustained release over 14 days. NTZ-loaded membranes demonstrated antibacterial activity against <em>Aggregatibacter actinomycetemcomitans (Aa)</em> and <em>Fusobacterium nucleatum (Fn)</em>. Importantly, the presence of NTZ showed minimal cell toxicity; however, it reduced the mineralization potential compared with that of the pure PCL membrane, which increased over time.</div></div><div><h3>Significance</h3><div>Taken together, these findings established that NTZ-loaded membranes could be promising barrier membrane to counteract microbial environment and aid periodontal bone regeneration.</div></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 12","pages":"Pages 2164-2172"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142491941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of metal elements in coloring liquids used in the infiltration method on the physical properties of zirconia 浸润法所用着色液中的金属元素对氧化锆物理性质的影响。
IF 4.6 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Pub Date : 2024-12-01 DOI: 10.1016/j.dental.2024.10.001
Takayuki Sugiki , Shohei Suzuki , Munetsugu Seto , Kazuhiko Ueda

Objectives

This study aimed to clarify the effect of metal elements in the coloring liquids used in the infiltration method on the physical properties of zirconia.

Methods

Two types of zirconia discs 5Y-PSZ (SHOFU Disc ZR Lucent FA, SHOFU, Kyoto, Japan) were used: with monolayer shades from W2 to W3 (Pearl White) and 5Y-PSZ with multilayer shades from A3 to A4 (L). Five kinds of coloring liquid were used to infiltrate into semi-sintered Pearl White (T-glass [CT], A4 [CA], White-Opaque [CW], Gingiva 1 [CG], and Blue X [CB]). In addition, uncolored Pearl White set to as the control (C). These specimens were analyzed using a three-point bending test (3PBT), and the fracture surface after the test was analyzed by scanning electron microscopy, elemental analysis, and crystal structure analysis. In addition, from the polished surface part of the after the 3PBT specimens, the elemental composition was analyzed using X-ray fluorescence spectroscopy (XRF).

Results

The flexural strength of CB and CG were lower than that of C (p < 0.05). XRF results showed that the Erbium (Er) content of CG was significantly greater than that of C (p < 0.05). CB exhibited a significantly higher Yttrium (Y) content compared with C (p < 0.05), and numerous pores were observed in the micrographs of the fracture surface of CG and CB.

Significance

In zirconia, where the content of Y and Er was significantly increased by infiltration with a coloring liquid, pores were observed between the zirconia crystals, and the mechanical strength decreased.
研究目的本研究旨在阐明浸润法所用着色液中的金属元素对氧化锆物理性质的影响:使用了两种类型的氧化锆盘 5Y-PSZ(SHOFU Disc ZR Lucent FA,SHOFU,日本京都):单层色调从 W2 到 W3(珍珠白)和多层色调从 A3 到 A4(L)的 5Y-PSZ。在半烧结珍珠白中渗入了五种着色液(T-glass [CT]、A4 [CA]、White-Opaque [CW]、Gingiva 1 [CG] 和 Blue X [CB])。此外,未着色的珍珠白设为对照组(C)。对这些试样进行了三点弯曲试验(3PBT)分析,并对试验后的断裂面进行了扫描电子显微镜分析、元素分析和晶体结构分析。此外,还利用 X 射线荧光光谱(XRF)分析了三点弯曲试验后试样表面抛光部分的元素组成:结果:CB 和 CG 的抗弯强度低于 C(p):在用着色液浸润的氧化锆中,Y 和 Er 的含量显著增加,氧化锆晶体之间出现气孔,机械强度降低。
{"title":"Effect of metal elements in coloring liquids used in the infiltration method on the physical properties of zirconia","authors":"Takayuki Sugiki ,&nbsp;Shohei Suzuki ,&nbsp;Munetsugu Seto ,&nbsp;Kazuhiko Ueda","doi":"10.1016/j.dental.2024.10.001","DOIUrl":"10.1016/j.dental.2024.10.001","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to clarify the effect of metal elements in the coloring liquids used in the infiltration method on the physical properties of zirconia.</div></div><div><h3>Methods</h3><div>Two types of zirconia discs 5Y-PSZ (SHOFU Disc ZR Lucent FA, SHOFU, Kyoto, Japan) were used: with monolayer shades from W2 to W3 (Pearl White) and 5Y-PSZ with multilayer shades from A3 to A4 (L). Five kinds of coloring liquid were used to infiltrate into semi-sintered Pearl White (T-glass [CT], A4 [CA], White-Opaque [CW], Gingiva 1 [CG], and Blue X [CB]). In addition, uncolored Pearl White set to as the control (C). These specimens were analyzed using a three-point bending test (3PBT), and the fracture surface after the test was analyzed by scanning electron microscopy, elemental analysis, and crystal structure analysis. In addition, from the polished surface part of the after the 3PBT specimens, the elemental composition was analyzed using X-ray fluorescence spectroscopy (XRF).</div></div><div><h3>Results</h3><div>The flexural strength of CB and CG were lower than that of C (p &lt; 0.05). XRF results showed that the Erbium (Er) content of CG was significantly greater than that of C (p &lt; 0.05). CB exhibited a significantly higher Yttrium (Y) content compared with C (p &lt; 0.05), and numerous pores were observed in the micrographs of the fracture surface of CG and CB.</div></div><div><h3>Significance</h3><div>In zirconia, where the content of Y and Er was significantly increased by infiltration with a coloring liquid, pores were observed between the zirconia crystals, and the mechanical strength decreased.</div></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"40 12","pages":"Pages 2114-2121"},"PeriodicalIF":4.6,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142491942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Dental Materials
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