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Topological optimization of hip spacer reinforcement 髋关节垫片加固的拓扑优化。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-30 DOI: 10.1016/j.jmbbm.2024.106763
Abdelhafid Mallek , Abdulmohsen Albedah , Mohammed Mokhtar Bouziane , Bel Abbes Bachir Bouiadjra , Sohail M.A.K. Mohammed , Richie H.S. Gill
The use of an antibiotic-enriched hip spacer represents the optimal treatment for periprosthetic joint infections (PJI). The addition of reinforcement significantly enhances its mechanical properties. Employing the explicit method enables accurate prediction of the mechanical behavior of both the spacer and its reinforcement. Topological optimization of the reinforcement emerges as the most effective strategy to prevent bone demineralization, enhance antibiotic diffusion, and improve spacer resistance. The objective of this study is to conduct topological optimization of a validated numerical model of a reinforced hip spacer and to select, from the obtained topologies, the one that best improves mechanical properties and prevents stress shielding while minimizing volume. The results indicate that an 8 mm thick titanium reinforcement, optimized to 70% of its original volume, proves to be the most effective choice.
使用富含抗生素的髋关节垫片是治疗假体周围关节感染(PJI)的最佳方法。添加加固材料可大大提高其机械性能。采用显式方法可以准确预测垫片及其增强材料的机械性能。加固材料的拓扑优化是防止骨质脱钙、增强抗生素扩散和提高垫片耐受性的最有效策略。本研究的目的是对经过验证的加固髋关节垫片数值模型进行拓扑优化,并从获得的拓扑结构中选择最能改善机械性能、防止应力屏蔽同时又能最大限度减少体积的拓扑结构。结果表明,厚度为 8 毫米的钛加固材料是最有效的选择,其体积优化为原来的 70%。
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引用次数: 0
One-step synthesis of a piezoelectric hybrid BNNT/BaTiO3 composite and its application in bone tissue engineering 一步法合成压电混合 BNNT/BaTiO3 复合材料及其在骨组织工程中的应用
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-30 DOI: 10.1016/j.jmbbm.2024.106758
Zehra Çobandede , Mustafa Çulha
Nanomaterials with piezoelectric properties can significantly improve the applicability of polymers used in tissue engineering applications. In this study, we report the one-step synthesis of a novel hybrid piezoelectric composite comprising barium titanates and boron nitride nanotubes. This composite is distinguished by its unique microstructures, including nanoflakes, triangular boron nitride structures, and fiber-like boron nitride nanotube configurations, which contribute to its enhanced piezoelectric properties. The composite was incorporated into a chitosan-based tissue scaffold and evaluated in vitro. Electric-responsive Human Osteoblast cells cultured on the scaffolds are exposed to low-frequency ultrasound stimulation during cell growth. The biocompatibility, cell adhesion, alkaline phosphatase activities, and mineralization of osteoblast cells on the piezo-composite scaffolds were evaluated. The results show that the hybrid piezoelectric composite significantly enhances the properties of chitosan-based scaffold.
具有压电特性的纳米材料可显著提高聚合物在组织工程应用中的适用性。在本研究中,我们报告了一步合成由钛酸钡和氮化硼纳米管组成的新型混合压电复合材料。这种复合材料具有独特的微观结构,包括纳米片、三角形氮化硼结构和纤维状氮化硼纳米管构型,有助于增强其压电特性。该复合材料被纳入壳聚糖基组织支架,并在体外进行了评估。在支架上培养的电反应人类成骨细胞在细胞生长过程中受到低频超声波刺激。评估了压电复合材料支架上成骨细胞的生物相容性、细胞粘附性、碱性磷酸酶活性和矿化度。结果表明,混合压电复合材料显著增强了壳聚糖基支架的性能。
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引用次数: 0
Nonlinear biomechanical behaviour of extracranial carotid artery aneurysms in the framework of Windkessel effect via FSI technique 通过 FSI 技术,在 Windkessel 效应框架内研究颅外颈动脉动脉瘤的非线性生物力学行为。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-30 DOI: 10.1016/j.jmbbm.2024.106760
Kaveh Moghadasi , Mergen H. Ghayesh , Jiawen Li , Eric Hu , Marco Amabili , Krzysztof Kamil Żur , Robert Fitridge
Extracranial carotid artery aneurysms (ECCA) lead to rupture and neurologic symptoms from embolisation, with potentially fatal outcomes. Investigating the biomechanical behaviour of EECA with blood flow dynamics is crucial for identifying regions more susceptible to rupture. A coupled three-dimensional (3D) Windkessel-framework and hyperelastic fluid-structure interaction (FSI) analysis of ECCAs with patient-specific geometries, was developed in this paper with a particular focus on hemodynamic parameters and the arterial wall's biomechanical response. The blood flow has been modelled as non-Newtonian, pulsatile, and turbulent. The biomechanical characteristics of the aneurysm and artery are characterised employing a 5-parameter Mooney-Rivlin hyperelasticity model. The Windkessel effect is also considered to efficiently simulate pressure profile of the outlets and to capture the dynamic changes over the cardiac cycle. The study found the aneurysm carotid artery exhibited the high levels of pressure, wall shear stress (WSS), oscillatory shear index (OSI), and relative residence time (RRT) compared to the healthy one. The deformation of the arterial wall and the corresponding von Mises (VM) stress were found significantly increased in aneurysm cases, in comparison to that of no aneurysm cases, which strongly correlated with the hemodynamic characteristics of the blood flow and the geometric features of the aneurysms. This escalation would intensify the risk of aneurysm wall rupture. These findings have critical implications for enhancing treatment strategies for patients with extracranial aneurysms.
颅外颈动脉动脉瘤(ECCA)会导致栓塞引起破裂和神经症状,并可能造成致命后果。研究颈外动脉瘤的生物力学行为和血流动力学对于确定更容易破裂的区域至关重要。本文开发了一种三维 Windkessel 框架和超弹性流固耦合(FSI)分析方法,对患者特定几何形状的 ECCA 进行分析,重点关注血流动力学参数和动脉壁的生物力学响应。血流被模拟为非牛顿、脉动和湍流。动脉瘤和动脉的生物力学特征采用了 5 参数穆尼-里夫林超弹性模型。还考虑了 Windkessel 效应,以有效模拟出口的压力曲线,并捕捉心动周期的动态变化。研究发现,与健康动脉相比,动脉瘤颈动脉表现出高水平的压力、壁剪应力(WSS)、振荡剪切指数(OSI)和相对停留时间(RRT)。与无动脉瘤病例相比,动脉瘤病例的动脉壁变形和相应的冯-米塞斯(VM)应力明显增加,这与血流的血流动力学特征和动脉瘤的几何特征密切相关。这种升级会加剧动脉瘤壁破裂的风险。这些发现对加强颅外动脉瘤患者的治疗策略具有重要意义。
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引用次数: 0
Computationally derived endosteal strain and strain gradients correlate with increased bone formation in an axially loaded murine tibia model 在轴向加载的小鼠胫骨模型中,计算得出的骨内膜应变和应变梯度与骨形成增加相关。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-30 DOI: 10.1016/j.jmbbm.2024.106761
Murat Horasan , Kari A. Verner , Haisheng Yang , Russell P. Main , Eric A. Nauman
Osteoporosis is a common metabolic bone disorder characterized by low bone mass and microstructural degradation of bone tissue due to a derailed bone remodeling process. A deeper understanding of the mechanobiological phenomena that modulate the bone remodeling response to mechanical loading in a healthy bone is crucial to develop treatments. Rodent models have provided invaluable insight into the mechanobiological mechanisms regulating bone adaptation in response to dynamic mechanic stimuli. This study sheds light on these aspects by means of assessing the mechanical environment of the cortical and cancellous tissue to in vivo dynamic compressive loading within the mouse tibia using microCT-based finite element model in combination with diaphyseal strain gauge measures. Additionally, this work describes the relation between the mid-diaphyseal strains and strain gradients from the finite element analysis and bone formation measures from time-lapse in vivo tibial loading with a fluorochrome-derived histomorphometry analysis. The mouse tibial loading model demonstrated that cancellous strains were lower than those in the midshaft cortical bone. Sensitivity analyses demonstrated that the material property of cortical bone was the most significant model parameter. The computationally-modeled strains and strain gradients correlated significantly to the histologically-measured bone formation thickness at the mid-diaphyseal cross-section of the mouse tibia.
骨质疏松症是一种常见的代谢性骨病,其特点是骨量低、骨组织的微结构因骨重塑过程脱轨而退化。深入了解调节健康骨骼对机械负荷的骨重塑反应的机械生物学现象,对于开发治疗方法至关重要。啮齿动物模型为研究调节骨适应动态机械刺激的机械生物学机制提供了宝贵的见解。本研究采用基于 microCT 的有限元模型,结合骺端应变计测量,评估了小鼠胫骨内皮质和松质组织对体内动态压缩负荷的机械环境,从而揭示了这些方面的问题。此外,这项研究还描述了有限元分析得出的骺端中部应变和应变梯度与通过荧光色素组织形态测量分析得出的胫骨活体延时加载骨形成测量值之间的关系。小鼠胫骨加载模型表明,松质骨的应变低于中轴皮质骨的应变。敏感性分析表明,皮质骨的材料特性是最重要的模型参数。计算建模的应变和应变梯度与组织学测量的小鼠胫骨骺中横截面骨形成厚度有显著相关性。
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引用次数: 0
The influence of radiation-induced collagen chain fragmentation, crosslinking, and sequential irradiation on the high-cycle fatigue life of human cortical bone 辐射诱导的胶原链破碎、交联和连续辐照对人体皮质骨高循环疲劳寿命的影响。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-30 DOI: 10.1016/j.jmbbm.2024.106759
Dylan B. Crocker , Ozan Akkus , Megan E. Oest , Clare M. Rimnac
Both high-cycle fatigue life and fatigue crack propagation resistance of human cortical bone allograft are radiation dose-dependent between 0 and 25 kGy such that higher doses exhibit progressively shorter lifetimes. Recently, we have shown that collagen chain fragmentation and stable crosslink accumulation may contribute to the radiation dose-dependent loss in fatigue crack propagation resistance of human cortical bone. To our knowledge, the influence of these mechanisms on high-cycle fatigue life of cortical bone have not been established. Sequential irradiation has also been shown to mitigate the loss of fatigue life of tendons, however, whether this mitigates losses in fatigue life of cortical bone has not been explored. Our objectives were to evaluate the influence of radiation-induced collagen chain fragmentation and crosslinking on the high-cycle fatigue life of cortical bone in the dose range of 0–15 kGy, and to evaluate the capability of sequential irradiation at 15 kGy to mitigate the loss of high-cycle fatigue life and radiation-induced collagen damage. High-cycle fatigue life specimens from four male donor femoral pairs were divided into 5 treatment groups (0 kGy, 5 kGy, 10 kGy, 15 kGy, and 15 kGy sequentially irradiated) and subjected to high-cycle fatigue life testing with a custom rotating-bending apparatus at a cyclic stress of 35 MPa. Following fatigue testing, collagen was isolated from fatigue specimens, and collagen chain fragmentation and crosslink accumulation were quantified using SDS-PAGE and a fluorometric assay, respectively. Both collagen chain fragmentation (p = 0.006) and non-enzymatic crosslinking (p < 0.001) influenced high-cycle fatigue life, which decreased with increasing radiation dose from 0 to 15 kGy (p = 0.016). Sequential irradiation at 15 kGy did not offer any mitigation in high-cycle fatigue life (p = 0.93), collagen chain fragmentation (p = 0.99), or non-enzymatic crosslinking (p ≥ 0.10) compared to a single radiation dose of 15 kGy. Taken together with our previous findings on the influence of collagen damage on fatigue crack propagation resistance, collagen chain fragmentation and crosslink accumulation both contribute to radiation-induced losses in notched and unnotched fatigue life of cortical bone. To maximize the functional lifetime of radiation sterilized structural cortical bone allografts, pathways other than sequential radiation should be explored to mitigate collagen matrix damage.
人体皮质骨异体移植的高循环疲劳寿命和抗疲劳裂纹扩展能力在 0 至 25 kGy 之间与辐射剂量有关,剂量越高,寿命越短。最近,我们发现胶原链的断裂和稳定交联的积累可能会导致人体皮质骨的抗疲劳裂纹扩展能力随辐射剂量而下降。据我们所知,这些机制对皮质骨高循环疲劳寿命的影响尚未确定。序列辐照也被证明能减轻肌腱疲劳寿命的损失,但是否能减轻骨皮质疲劳寿命的损失还没有进行过研究。我们的目标是评估在 0-15 kGy 剂量范围内辐射诱导的胶原链断裂和交联对皮质骨高循环疲劳寿命的影响,并评估 15 kGy 连续辐照是否能减轻高循环疲劳寿命损失和辐射诱导的胶原损伤。来自四对男性供体股骨的高循环疲劳寿命试样被分为 5 个处理组(0 kGy、5 kGy、10 kGy、15 kGy 和 15 kGy 连续辐照),并在 35 MPa 的循环应力下使用定制的旋转弯曲仪器进行高循环疲劳寿命测试。疲劳测试后,从疲劳试样中分离出胶原蛋白,并分别使用 SDS-PAGE 和荧光测定法对胶原蛋白链的断裂和交联累积进行量化。胶原链破碎(p = 0.006)和非酶交联(p
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引用次数: 0
Exploring the optimal mechanical properties of triply periodic minimal surface structures for biomedical applications: A Numerical analysis 探索生物医学应用中三重周期性最小表面结构的最佳机械性能:数值分析
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-30 DOI: 10.1016/j.jmbbm.2024.106757
Babak Ziaie , Xavier Velay , Waqas Saleem
Currently, cutting-edge Additive Manufacturing techniques, such as Selective Laser Melting (SLM) and Electron Beam Melting (EBM), offer manufacturers a valuable avenue, especially in biomedical devices. These techniques produce intricate porous structures that draw inspiration from nature, boast biocompatibility, and effectively counter the adverse issues tied to solid implants, including stress shielding, cortical hypertrophy, and micromotions. Within the domain of such porous structures, Triply Periodic Minimal Surface (TPMS) configurations, specifically the Gyroid, Diamond, and Primitive designs, exhibit exceptional performance due to their bioinspired forms and remarkable mechanical and fatigue properties, outshining other porous counterparts. Consequently, they emerge as strong contenders for biomedical implants. However, assessing the mechanical properties and manufacturability of TPMS structures within the appropriate ranges of pore size, unit cell size, and porosity tailored for biomedical applications remains paramount. This study aims to scrutinize the mechanical behavior of Gyroid, Diamond, and Primitive structures in solid and sheet network iterations within the morphological parameter ranges suitable for tasks like cell seeding, vascularization, and osseointegration. A comparison with the mechanical characteristics of host bones is also undertaken. The methodology revolves around Finite Element Method (FEM) analysis. The six structures are originally modeled with unit cell sizes of 1, 1.5, 2, and 2.5 mm, and porosity levels ranging from 50% to 85%. Subsequently, mechanical properties, such as elasticity modulus and yield strength, are quantified through numerical analysis. The results underscore that implementing TPMS designs enables unit cell sizes between 1 and 2.5 mm, facilitating pore sizes within the suitable range of approximately 300–1500 μm for biomedical implants. Elasticity modulus spans from 1.5 to 33.8 GPa, while yield strength ranges around 20–304.5 MPa across the 50%–85% porosity spectrum. Generally, altering the unit cell size exhibits minimal impact on mechanical properties within the range above; however, it's noteworthy that smaller porosities correspond to heightened defects in additively manufactured structures. Thus, for an acceptable pore size range of 500–1000 μm and a minimum wall thickness of 150 μm, a prudent choice would involve adopting a 2.5 mm unit cell size.
目前,选择性激光熔融(SLM)和电子束熔融(EBM)等尖端增材制造技术为制造商提供了一条宝贵的途径,尤其是在生物医学设备方面。这些技术能制造出复杂的多孔结构,这些结构从大自然中汲取灵感,具有生物兼容性,能有效解决与固体植入物相关的不利问题,包括应力屏蔽、皮质肥厚和微动。在此类多孔结构领域,三周期极小表面(TPMS)结构,特别是陀螺型、钻石型和原始型设计,因其生物启发形式和卓越的机械和疲劳特性而表现出非凡的性能,超越了其他多孔结构。因此,它们成为生物医学植入物的有力竞争者。然而,评估 TPMS 结构在适合生物医学应用的孔径、单胞尺寸和孔隙率范围内的机械性能和可制造性仍然至关重要。本研究的目的是在适合细胞播种、血管化和骨结合等任务的形态参数范围内,仔细研究Gyroid、Diamond和Primitive结构在实体和片状网络迭代中的机械行为。此外,还与宿主骨骼的机械特性进行了比较。该方法围绕有限元法(FEM)进行分析。这六种结构的最初建模单元尺寸分别为 1、1.5、2 和 2.5 毫米,孔隙率从 50%到 85%不等。随后,通过数值分析量化了弹性模量和屈服强度等力学性能。研究结果表明,采用 TPMS 设计可实现 1 至 2.5 毫米之间的单胞尺寸,使孔隙尺寸在生物医学植入物的合适范围(约 300-1500 μm)内。在 50%-85%的孔隙率范围内,弹性模量介于 1.5 至 33.8 GPa 之间,屈服强度约为 20-304.5 MPa。一般来说,在上述范围内,改变单胞尺寸对机械性能的影响极小;但值得注意的是,孔隙率越小,加成制造结构中的缺陷就越多。因此,对于可接受的 500-1000 μm 的孔径范围和 150 μm 的最小壁厚,谨慎的选择是采用 2.5 mm 的单元格尺寸。
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引用次数: 0
Influence of muscle packing on the three-dimensional architecture of rabbit M. plantaris 肌肉包装对兔跖跗关节三维结构的影响
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-29 DOI: 10.1016/j.jmbbm.2024.106762
Mischa Borsdorf , Stefan Papenkort , Markus Böl , Tobias Siebert
In their physiological condition, muscles are surrounded by connective tissue, other muscles and bone. These tissues exert transverse forces that change the three-dimensional shape of the muscle compared to its isolated condition, in which all surrounding tissues are removed. A change in shape affects the architecture of a muscle and therefore its mechanical properties. The rabbit M. plantaris is a multi-pennate calf muscle consisting of two compartments. A smaller, bi-pennate inner muscle compartment is embedded in a larger, uni-pennate outer compartment (Böl et al., 2015). As part of the calf, the plantaris is tightly packed between other muscles. It is unclear how packing affects the shape and architecture of the plantaris. Therefore, we examined the isolated and packed plantaris of the contralateral legs of three rabbits to determine the influence of the surrounding muscles on its shape and architectural properties using photogrammetric reconstruction and manual digitization, respectively. In the packed condition, the plantaris showed a 27% increase in fascicle pennation and a 54% increase in fascicle curvature compared to the isolated condition. Fascicle length was not affected by muscle packing. The change in muscle architecture occurred mainly in the outer compartment of the plantaris. Furthermore, the isolated plantaris showed a more circular shape and a reduced width of its muscle belly. It can be concluded that the packed plantaris is flattened by the forces exerted by the surrounding muscles, causing a complex architectural change. The data provided improve our understanding of muscle packages in general and can be used to develop and validate realistic three-dimensional muscle models.
在生理状态下,肌肉周围有结缔组织、其他肌肉和骨骼。这些组织产生的横向力会改变肌肉的三维形状,而在孤立状态下,周围的组织都会被移除。形状的改变会影响肌肉的结构,从而影响其机械特性。兔跖腓肠肌是一种多瓣小腿肌肉,由两部分组成。一个较小的双瓣内肌区嵌入一个较大的单瓣外肌区中(Böl 等人,2015 年)。作为小腿的一部分,足底肌紧紧包裹在其他肌肉之间。目前还不清楚包装如何影响足底肌的形状和结构。因此,我们研究了三只兔子对侧腿的孤立足底肌和包装足底肌,分别使用摄影测量重建和手动数字化确定周围肌肉对其形状和结构特性的影响。与孤立状态相比,在包裹状态下,足底筋膜笔直度增加了 27%,筋膜弯曲度增加了 54%。束带长度不受肌肉包装的影响。肌肉结构的变化主要发生在足底外侧。此外,孤立的足底肌显示出更圆的形状,其肌腹的宽度也有所减少。由此可以得出结论,包装后的足底肌肉在周围肌肉的作用下变得扁平,从而导致复杂的结构变化。所提供的数据增进了我们对一般肌肉包的了解,可用于开发和验证逼真的三维肌肉模型。
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引用次数: 0
Articular cartilage fatigue causes frequency-dependent softening and crack extension 关节软骨疲劳会导致随频率变化的软化和裂纹扩展。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-26 DOI: 10.1016/j.jmbbm.2024.106753
Dipul Chawla , Alexandria K. Thao , Melih Eriten , Corinne R. Henak
Soft biological polymers, such as articular cartilage, possess exceptional fracture and fatigue resistance, offering inspiration for the development of novel materials. However, we lack a detailed understanding of changes in cartilage material behavior and of crack propagation following cyclic compressive loading. We investigated the structure and mechanical behavior of cartilage as a function of loading frequency and number of cycles. Microcracks were initiated in cartilage samples using microindentation, then cracks were extended under cyclic compression. Thickness, apparent stiffness, energy dissipation, phase angle, and crack length were measured to determine the effects of cyclic loading at two frequencies (1 Hz and 5 Hz). To capture the fatigue-induced material response (thickness, stiffness, energy dissipation, and phase angle), material properties were compared between pre-and-post diagnostic tests. The findings indicate that irreversible structural damage (reduced thickness), cartilage softening (reduced apparent stiffness), and reduced energy dissipation (including phase angle) increased with an increase in the number of cycles. Higher frequency loading resulted in less reduction in energy dissipation, phase angle, and thickness change. Crack lengths, quantified through brightfield imaging, increased with number of cycles and frequency. This study sheds light on the complex response of cartilage under cyclic loading resulting in softening, structural damage, and altered dynamic behavior. The findings provide better understanding of failure mechanisms in cartilage and thus may help in diagnosis and treatment of osteoarthritis.
软生物聚合物(如关节软骨)具有优异的抗断裂和抗疲劳性能,为新型材料的开发提供了灵感。然而,我们对软骨材料行为的变化以及循环压缩加载后的裂纹扩展缺乏详细了解。我们研究了软骨的结构和机械行为与加载频率和循环次数的关系。利用微压痕法在软骨样本中产生微裂纹,然后在循环压缩下扩展裂纹。测量厚度、表观刚度、能量耗散、相位角和裂缝长度,以确定两种频率(1 赫兹和 5 赫兹)的循环加载的影响。为了捕捉疲劳引起的材料反应(厚度、刚度、能量耗散和相位角),对诊断测试前后的材料特性进行了比较。研究结果表明,随着循环次数的增加,不可逆转的结构损伤(厚度减少)、软骨软化(表观刚度降低)和能量耗散降低(包括相位角)也在增加。频率越高,能量耗散、相位角和厚度变化的减少程度越小。通过明视野成像量化的裂缝长度随着循环次数和频率的增加而增加。这项研究揭示了软骨在循环加载下的复杂反应,导致软化、结构损伤和动态行为改变。这些发现让人们更好地了解软骨的破坏机制,从而有助于骨关节炎的诊断和治疗。
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引用次数: 0
Influence of silver coated zeolite fillers on the chemical and mechanical properties of 3D-printed polyphenylene sulfone restorations 银涂层沸石填料对 3D 打印聚苯砜修复体化学和机械性能的影响。
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-26 DOI: 10.1016/j.jmbbm.2024.106756
Felicitas Mayinger , Andrea Lösch , Elena Reznikova , Christian Wilhelm , Bogna Stawarczyk

Objectives

To investigate the chemical and mechanical properties of polyphenylene sulfone (PPSU) depending on its composition and manufacturing.

Methods

Unfilled–PPSU1 and with antimicrobial silver coated zeolites filled–PPSU2 specimens were made of granulate–GR, filament–FI, or printed–3D. Scanning microscopy and X-ray spectroscopy were performed. Martens hardness–HM, elastic indentation modulus–EIT and flexural strength–FS were determined initially and after aging. Shear bond strength–SBS to veneering and luting composite after conditioning with 7 adhesive systems were examined after aging. Silver leaching was tested after 1-, 3-, 7-, 14-, 21-, 28- and 42 days. Analyses of variance, Kolmogorov–Smirnov, Kruskal–Wallis, Mann–Whitney U, unpaired t-tests and Weibull modulus were computed (p < 0.05).

Results

Zeolites were homogeneously distributed. PPSU1-GR and PPSU1-FI showed the highest HM/EIT, followed by PPSU2-GR, PPSU1-3D and PPSU2-3D. PPSU2-FI presented the lowest HM/EIT, displaying micro pits. Aging showed reduced HM/EIT in PPSU1 and no impact on PPSU2, while FS increased (PPSU1) or decreased (PPSU2). PPSU2-3D presented lower FS than PPSU1-3D. High SBS to the luting (7.0–16.2 MPa) and veneering composite (11.8–22.2 MPa), except for adhesive system PR, were observed. PPSU2-3D showed the highest silver release (9.6%), with all compositions dispensing silver over 42 days.

Conclusions

For the examined period of 6 weeks, antimicrobial silver ions were released from filled PPSU. The high SBS between PPSU and veneering/luting composite confirmed the feasibility of esthetically veneering and luting filled PPSU. To achieve mechanical properties like unfilled PPSU, the processing parameters of filled PPSU require refinement.

Clinical significance

This investigation provides proof of principle that PPSU can be successfully doped with silver-coated zeolites. The combination of 3D-printing with an antimicrobial thermoplastic constitutes a great opportunity in the field of prosthetic dentistry. Potential applications include clasps for removable dental prostheses, provisional or permanent fixed dental prostheses and implant abutments.
目的:研究聚苯砜(PPSU)的化学和机械性能取决于其成分和制造工艺:研究聚苯砜(PPSU)的化学和机械性能取决于其成分和制造方法:方法:将未填充的聚苯硫醚 1 和填充了抗菌银涂层沸石的聚苯硫醚 2 制成颗粒状-GR、丝状-FI 或印刷型-3D 试样。对试样进行了扫描显微镜和 X 射线光谱分析。测定了初始和老化后的马顿硬度-HM、弹性压入模量-EIT 和抗弯强度-FS。用 7 种粘合剂系统调节后,老化后检测了与贴面和胶合复合材料的剪切粘接强度-SBS。在 1 天、3 天、7 天、14 天、21 天、28 天和 42 天后对银浸出进行了测试。计算了方差分析、Kolmogorov-Smirnov、Kruskal-Wallis、Mann-Whitney U、非配对 t 检验和 Weibull 模量(p 结果:沸石呈均匀分布。PPSU1-GR 和 PPSU1-FI 显示出最高的 HM/EIT,其次是 PPSU2-GR、PPSU1-3D 和 PPSU2-3D。PPSU2-FI 的 HM/EIT 最低,显示出微凹坑。老化显示 PPSU1 的 HM/EIT 减少,对 PPSU2 没有影响,而 FS 则增加(PPSU1)或减少(PPSU2)。PPSU2-3D 的 FS 低于 PPSU1-3D。除粘合剂系统 PR 外,敷贴(7.0-16.2 兆帕)和贴面复合材料(11.8-22.2 兆帕)的 SBS 都很高。PPSU2-3D 显示出最高的银释放率(9.6%),所有成分都在 42 天内释放出银:结论:在 6 周的考察期内,填充的 PPSU 释放出了抗菌银离子。PPSU 与贴面/粘接复合材料之间的高 SBS 证实了对填充 PPSU 进行美学贴面和粘接的可行性。为了获得与未填充聚苯硫醚相同的机械性能,需要对填充聚苯硫醚的加工参数进行改进:这项研究证明了聚苯硫醚可以成功掺入银涂层沸石。三维打印与抗菌热塑性塑料的结合为修复牙科领域带来了巨大机遇。潜在的应用领域包括活动义齿扣、临时或永久固定义齿扣和种植基台。
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引用次数: 0
Validation of finite-element-simulated orthodontic forces produced by thermoplastic aligners: Effect of aligner geometry and creep 验证热塑性矫治器产生的有限元模拟正畸力:矫治器几何形状和蠕变的影响
IF 3.3 2区 医学 Q2 ENGINEERING, BIOMEDICAL Pub Date : 2024-09-23 DOI: 10.1016/j.jmbbm.2024.106755
N. Ye , B.E. Brown , S.C. Mantell , B.E. Larson , T. Gruenheid , A.S. Fok

Purpose

Finite element (FE) models for determining the orthodontic forces delivered by clear aligners often lack validation. The aim of this study was to develop and validate accurate FE models for clear aligners, considering the small but important geometrical variations from the thermoforming process and the creep behavior of the aligner material.

Methods and materials

The tooth misalignment considered was a 2.4° torque aberration (rotation about the mesial-distal axis at the level of the center of resistance) of the maxillary left central incisor. FE models were created from Micro-CT scans of a model dental arch and five nominally identical aligners with the aforementioned misfit. Fitting of the aligners onto the dental arch was simulated using Abaqus's Interference Fit function, followed by surface-to-surface frictional interaction. Stress relaxation of the aligner material was measured using double-cantilever beam bending and modeled with a Prony series. The assembled FE models were validated by comparing the predicted forces and moments delivered to the maxillary left central incisor with experimental data, obtained with a custom-built but fully calibrated apparatus.

Results

Good agreement between prediction and measurement was obtained for both the short- and long-term forces and moments. In the short-term, i.e., after 30 s, the dominant force in the labial-lingual direction had a maximum difference of 2.9% between experiment and simulation, and the dominant moment about the mesial-distal axis had a maximum difference of 8.3%. In the long-term, i.e., after 4 h, the experimental and numerical forces had a maximum difference of 8.4%. There were statistically significant differences in the forces delivered among the nominally identical aligners, which were predicted by the geometrically accurate FE models and attributed to the variations in the points of contact between the aligners and the dental arch. The decay in force applied was affected by both the viscoelastic material behavior and friction between the aligner and arch.

Conclusion

For accurate prediction of the forces and moments delivered by thermoplastic aligners, FE models that can accurately capture the point contacts between the aligners and the underlying teeth are essential. Stress relaxation of the aligners could be adequately modeled using the Prony series to represent the temporal changes of their elastic modulus.
目的用于确定透明矫治器矫治力的有限元(FE)模型往往缺乏验证。本研究的目的是开发和验证透明矫治器的精确有限元模型,同时考虑热成型过程中微小但重要的几何变化以及矫治器材料的蠕变行为。方法和材料考虑的牙齿错位是上颌左中切牙的 2.4° 扭矩畸变(在阻力中心水平围绕中-远轴旋转)。根据模型牙弓和五个名义上相同的矫正器的显微 CT 扫描创建了上述错位的 FE 模型。使用 Abaqus 的干涉拟合功能模拟了矫正器与牙弓的拟合,然后进行了表面与表面的摩擦相互作用。使用双悬臂梁弯曲测量了矫正器材料的应力松弛,并用 Prony 系列进行了建模。通过比较上颌左侧中切牙所受的力和力矩的预测值与实验数据,对装配好的 FE 模型进行了验证。在短期内,即 30 秒后,实验与模拟之间在唇舌方向上的主要力的最大差异为 2.9%,围绕中-远轴的主要力矩的最大差异为 8.3%。从长期来看,即 4 小时后,实验力和数值力的最大差异为 8.4%。名义上完全相同的矫治器所产生的力在统计学上存在显著差异,这是由几何精确的有限元模型预测的,并归因于矫治器与牙弓之间接触点的变化。结论要准确预测热塑矫治器产生的力和力矩,必须使用能准确捕捉矫治器与下层牙齿之间点接触的有限元模型。矫治器的应力松弛可以使用 Prony 系列模型来表示其弹性模量的时间变化。
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引用次数: 0
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Journal of the Mechanical Behavior of Biomedical Materials
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