N.H. Abu Kasim

Differentiation of Dental Pulp Stem Cells into Islet-like Aggregates

The post-natal dental pulp tissue contains a population of multipotent mesenchymal progenitor cells known as dental pulp stromal/stem cells (DPSCs), with high proliferative potential for self-renewal. In this investigation, we explored the potential of DPSCs to differentiate into pancreatic cell lineage resembling islet-like cell aggregates (ICAs). We isolated, propagated, and characterized DPSCs and demonstrated that these could be differentiated into adipogenic, chondrogenic, and osteogenic lineage upon exposure to an appropriate cocktail of differentiating agents. Using a three-step protocol reported previously by our group, we succeeded in obtaining ICAs from DPSCs. The identity of ICAs was confirmed as islets by dithiozone-positive staining, as well as by expression of C-peptide, Pdx-1, Pax4, Pax6, Ngn3, and Isl-1. There were several-fold up-regulations of these transcription factors proportional to days of differentiation as compared with undifferentiated DPSCs. Day 10 ICAs released insulin and C-peptide in a glucose-dependent manner, exhibiting in vitro functionality. Our results demonstrated for the first time that DPSCs could be differentiated into pancreatic cell lineage and offer an unconventional and non-controversial source of human tissue that could be used for autologous stem cell therapy in diabetes.

Soft skills and dental education

Soft skills and hard skills are essential in the practice of dentistry. While hard skills deal with technical proficiency, soft skills relate to a personal values and interpersonal skills that determine a persons ability to fit in a particular situation. These skills contribute to the success of organisations that deal face-to-face with clients. Effective soft skills benefit the dental practice. However, the teaching of soft skills remains a challenge to dental schools. This paper discusses the different soft skills, how they are taught and assessed and the issues that need to be addressed in their teaching and assessment. The use of the module by the Faculty of Dentistry, University of Malaya for development of soft skills for institutions of higher learning introduced by the Ministry of Higher Education, Malaysia.

The current status of the case report: Terminal or viable

The case report, which has a long history in medicine, has seen its fortune wax and wane with time. We discuss the challenges facing the continued survival of the case report, including the inability of journals to cope with the increased load and increased cost of publication, ethical issues, the impact factor and the rise of evidence-based medicine. We highlight the important role that the case report will continue to play in medical research and education, as a means of sharing information and detecting novelty through observations. Most importantly, the case report serves as a stepping stone for young physicians and practitioners into the world of medical writing.

Finite element analysis of different surgical approaches in various occlusal loading locations for zygomatic implant placement for the treatment of atrophic maxillae.

The aim of this study was to compare two different types of surgical approaches, intrasinus and extramaxillary, for the placement of zygomatic implants to treat atrophic maxillae. A computational finite element simulation was used to analyze the strength of implant anchorage for both approaches in various occlusal loading locations. Three-dimensional models of the craniofacial structures surrounding a region of interest, soft tissue and framework were developed using computed tomography image datasets. The implants were modelled using computer-aided design software. The bone was assumed to be linear isotropic with a stiffness of 13.4 GPa, and the implants were assumed to be made of titanium with a stiffness of 110 GPa. Masseter forces of 300 N were applied at the zygomatic arch, and occlusal loads of 150 N were applied vertically onto the framework surface at different locations. The intrasinus approach demonstrated more satisfactory results and could be a viable treatment option. The extramaxillary approach could also be recommended as a reasonable treatment option, provided some improvements are made to address the cantilever effects seen with that approach.

Stress distributions in maxillary central incisors restored with various types of post materials and designs

Different dental post designs and materials affect the stability of restoration of a tooth. This study aimed to analyse and compare the stability of two shapes of dental posts (parallel-sided and tapered) made of five different materials (titanium, zirconia, carbon fibre and glass fibre) by investigating their stress transfer through the finite element (FE) method. Ten three-dimensional (3D) FE models of a maxillary central incisor restored with two different designs and five different materials were constructed. An oblique loading of 100 N was applied to each 3D model. Analyses along the centre of the post, the crown-cement/core and the post-cement/dentine interfaces were computed, and the means were calculated. One-way ANOVAs followed by post hoc tests were used to evaluate the effectiveness of the post materials and designs (p=0.05). For post designs, the tapered posts introduced significantly higher stress compared with the parallel-sided post (p<0.05), especially along the centre of the post. Of the materials, the highest level of stress was found for stainless steel, followed by zirconia, titanium, glass fibre and carbon fibre posts (p<0.05). The carbon and glass fibre posts reduced the stress distribution at the middle and apical part of the posts compared with the stainless steel, zirconia and titanium posts. The opposite results were observed at the crown-cement/core interface.

Impact strength of an experimental polyurethane- based polymer

The impact strength of a newly developed experimental polyurethane-based polymer which is derived from palm oil (Experimental PU) was compared with denture polymers; heat-cured and self cured polymethyl methacrylate (PMMA) and Eclipse ® , light-activated urethane dimethacrylate prosthetic resin system. Ten specimens were prepared using heat-cured PMMA (Meliodent ® Heat

Fabrication of 316L stainless steel parts by Injection Moulding for Biomedical Application using a Novel Binder

This paper focuses on the usage of a novel binder system base on palm oil product to produce sintered parts of stainless steel 316L produced by vertical injection molding technique for biomedical application. The stainless steel 316L powder was mixed using z-blade mixer with the thermoplastic binder system comprising of polyethylene, paraffin wax, stearic acid and palm stearin which was derived from palm oil at different volume percent (%). The feedstock then was studied in term of viscosity and shear rate using capillary rheometer. The feedstock was molded using vertical injection molding machine. After molding, the green molded part was immersed into the solvent to extract part of the binder system followed by sintering under vacuum atmosphere at the temperature of 1360°C. The physical and mechanical properties of the sintered part such as density, hardness, shrinkage, ultimate tensile strength and elongation were measured. Biocompatibility study of in vitro test using cell osteosarcoma MG-63 was observed and discussed.

Thermomechanical advantages of functionally graded dental posts: A finite element analysis

ABSTRACT This study aimed to fabricate dental posts with functionally graded structures comprised of zirconia, titanium, and hydroxyapatite and compare their thermomechanical behavior with homogeneous zirconia and titanium posts in simulated models of upper central incisor. The results indicated the gradual behavior of functionally graded dental posts in terms of physical and mechanical properties. The finite element analysis revealed a more efficient equilibration to the oral environment after removing the thermal stress in functionally graded dental post compared to the homogeneous counterparts. Therefore, the functionally graded structures could reduce the stress/strain concentrations and interfacial stresses in root canal and minimize the likelihood of root fracture.

Porosity reduction model in titanium - hydroxyapatite FGM composites using shrinkage measurement

Abstract A multilayered titanium (Ti)–hydroxyapatite (HA) functionally graded material was produced via pressureless sintering at 1100°C. The initial and final porosities were determined via shrinkage measurements. The final porosity verification was carried out by the Archimedes method. The experimental porosity measurements were compared with two proposed models. The macroscopic and microstructure features and the measured porosities confirmed that the volume fraction porosity was associated with both matrix and reinforcing particles in all cases. The percolation threshold was observed at x = 0·75 in the xTi+(1−x)HA mixture.

Development of Craniofacial Implants Produced by Metal Injection Molding of Titanium Alloy Using Novel Binder System Based on Palm Oil

Metal Injection Molding (MIM) is a cost-effective technique for producing small, complex, precision parts in high volumes. MIM consists of four main processing steps: mixing, injection molding, debinding and sintering. In the mixing step, the powder titanium alloy (Ti6Al4V) medical grade is mixed with a binder system based on palm stearin to form a homogeneous feedstock. The rheological studies of the feedstock have been determined properly in order to success during injection into injection molding machine. After molding, the binder holds the particles in place. The binder systems then have to be removed completely through debinding step. Any contamination of the binder systems will affect the final properties of the parts. During debinding step, solvent extraction debinding has been used to remove partly of the binder systems. The debound part is then sintered at high temperature under control atmosphere furnace. The properties of the sintered craniofacial implants then was measured and compared. The sintered craniofacial implants also then were determined in term of in-vitro cytotoxicity study using mouse fibroblast lines L-929. The results show that the sintered craniofacial implants of titanium alloy produced by MIM fullfill the in-vitro cytotoxicity test.