Nils Roar Gjerdet

Composition and in vitro corrosion of orthodontic appliances

The high incidence of nickel allergy and the increasing use of nickel-containing dental biomaterials has been of growing concern. The purpose of this investigation was to analyze different types of alloys used in orthodontics, and to study whether nickel and chromium will be released from these alloys when stored in physiologic saline. Face-bows, brackets, molar bands, and arch wires were analyzed. Most of the different parts in the face-bows, brackets, and molar bands were similar to conventional 18/8 stainless steel. Except the wires, most appliances included a variable amount of silver solder, the greatest in face-bows. After 14 days in 0.9% sodium chloride (NaCl), the largest amount of nickel and chromium were leached out from the face-bows and the least amount from the arch wires. Soldered stainless steel face-bows seemed to be very susceptible to corrosion. The release of nickel seemed to be related to both the composition and the method of manufacture of the appliances, but the release was not proportional to the nickel content.

Pinealectomy induces malformation of the spine and reduces the mechanical strength of the vertebrae in Atlantic salmon, Salmo salar

Abstract:  This study describes the long‐term effects of surgical ablation of the pineal gland on the spine of 3‐yr‐old Atlantic salmon (Salmo salar L.) with a mean weight of 3.2 kg. Radiographic examinations showed that 82% of the pinealectomized fish developed marked lateral (scoliosis) and dorso‐ventral spinal curvatures. The proportions of the individual vertebral bodies and their mechanical properties were also altered. The stiffness, yield limit and resilience of the vertebral bodies, as measured by compression in the cranio‐caudal direction, were significantly lower in the pinealectomized than in the sham‐pinealectomized group. Calcium, phosphorous and total mineral content of the vertebral bodies were also significantly lower in the pinealectomized fish, while these parameters were similar in scales in the two groups. Alterations of the spinal curve accompanied by changes in the proportions, mechanical strength and mineral content of the vertebral bodies of the pinealectomized salmon indicate that melatonin has several functions related to vertebral bone growth. As the lesions found in salmon are similar to the spinal malformations observed in avian species and mammals after pinealectomy, this study strengthens the hypothesis of a phylogenetically conserved function of the pineal gland related to skeletal development.

Induction of cell death by TiO2 nanoparticles : Studies on a human monoblastoid cell line

The cellular responses to degradation products from titanium (Ti) implants are important indicators for the biocompatibility of these widely used implantable medical devices. The potential toxicity of nanoparticulate matter released from implants has been scarcely studied. The aim of this study was to investigate the potential of TiO2 nanoparticles to induce modifications characteristic for death by apoptosis and/or necrosis in U937 human monoblastoid cells. Suspensions of TiO2 nanoparticles with a diameter <100nm were prepared in RPMI cell culture medium at concentrations that covered a range (0.005-4mg/ml) corresponding to concentrations found in blood, plasma, or in tissues surrounding Ti implants. The cells were exposed to the nanoparticulate suspensions for 24 and 48h and the responses were evaluated by flow cytometry and transmission electron microscopy. TiO2 nanoparticles induced both apoptotic and necrotic modifications in U937 cells.

Contraction stresses of composite resin filling materials

The polymerization shrinkage of composite resin filling materials and the tensile stresses developed when the shrinkage is restrained were measured in an in vitro experiment. This allows an estimation to be made of the forces exerted upon the enamel walls of cavities filled with the resin in the acid etch technique. The results indicate that the stresses acting on the enamel are low compared to the tensile strength of the enamel.

Nickel and iron in saliva of patients with fixed orthodontic appliances

Saliva was obtained from patients receiving treatment with fixed orthodontic appliances. One saliva sample was taken without appliances, and another at least 3 weeks after placement. In some patients samples were also taken immediately after insertion of the appliance. Nickel and iron were quantified by electrothermal atomic absorption spectroscopy. There was a large scatter in the results. No statistically significant differences were found either in the concentrations or in absolute masses of nickel or iron in samples taken without appliances and in those obtained when the appliances had been in the mouth for at least 3 weeks. For samples taken immediately after placement of the appliance, there was a significant increase in both concentrations and masses of nickel and iron. It thus seems that there is a high initial release of metals, and the effect diminishes with time.

Metal particles and tissue changes adjacent to miniplates A retrieval study

Peri-implant soft tissue and bone from 12 patients undergoing removal of stainless steel miniplates and screws after healing of jaw fractures were studied with regard to histomorphology and metal content. Three patients with titanium plates were also included. Light microscopy and scanning electron microscopy with energy-dispersive X-ray microanalysis were used. Non-osseous tissue adjacent to devices of both materials showed fibrosis, including areas of mild chronic inflammation. The cellular picture was dominated by fibroblasts with small aggregates of lymphocytes and scattered macrophages. A connective tissue collar was found between the bone tissue and the screws of both stainless steel and titanium. Bone formation was also evident adjacent to screws of both materials. Stainless steel or titanium particles 5-50 microns in diameter were found in both soft tissue and bone next to implants of their corresponding bulk material. The amount of metal impregnation varied between individual sections, and fewer particles were found in the bone specimens than in soft tissue. The mild inflammatory changes were not restricted to areas of metal impregnation.

Corrosion of silver soldered orthodontic wires

The amounts of metals liberated from silver soldered stainless steel and cobalt-chromium orthodontic wires were measured. Measurements were taken after 3 days and 24 days immersion in 0.9% sodium chloride solution. High amounts of copper and zinc and some cadmium from the silver solder were found. The silver soldered stainless steel wire corroded more than the cobalt-chromium type, and liberated more nickel and chromium than did the cobalt-chromium wires.

Effect of Instability on Experimental Fracture Healing

Bilateral tibial osteotomy with fracturing of the fibula was performed on ten Wistar rats weighing 300--350 g. Intramedullary nailing was performed with 1.4 mm nails after reaming. On the left side solid stainless rods were used, while on the right side the nails had a middle part made of titanium-nickel wire covered with polyvinylchloride (PVC), giving the nail a high degree of flexibility. After 8 weeks, nine of the ten flexible nails showed fracture of the central wire. The continuity was, however, maintained by the PVC tube. The bones with flexible nailing always showed hypertrophic callus while there was only scanty callus on the side with rigid nailing. Strength, deformation at fracture and stiffness were measured in a three-point bending test after removal of the solid nails and the fibulae. The strength of the tibiae was greatest on the side with flexible nailing, as was the deformation at fracture. The mean stiffness was higher in the bones with rigid nails, but the difference here was not statistically discernible.

Metal release from heat-treated orthodontic archwires

Stainless steel and cobalt-chromium orthodontic archwires were subjected to an immersion corrosion test. Wires in the as-received state and wires subjected to a 1-min heat treatment at different temperatures were tested. Iron from the stainless steel and cobalt from the cobalt-chromium product were analyzed in artificial saliva after 1 week of immersion. Both products were analyzed for nickel. The results showed that the cobalt-chromium wire in the as-received state released more metals than the stainless steel. The metal release from the stainless steel wire increased rapidly when subjected to 400 degrees C or higher. For the cobalt-chromium product the increase started at about 500 degrees C. At temperatures above 500 degrees C the release of metals was 15 to 60 times higher than the lowest values. The present results should be considered in procedures involving application of heat to orthodontic wires.

Role of physicochemical characteristics in the uptake of TiO2 nanoparticles by fibroblasts.

The relation between the physico-chemical properties of nanoparticles (NPs) and the degree of cellular uptake is incompletely elucidated. In this study, we investigated the influence on the cellular uptake of a wide range of fully characterized TiO2 NPs. L929 fibroblasts were exposed for 24 h to clinically relevant concentrations of nano-TiO2 and the degree of their association was assessed by ultrahigh resolution imaging microscopy (URI), scanning (SEM) and transmission (TEM) electron microscopy, as well as inductivity coupled plasma-mass spectroscopy (ICP-MS). The role of actin polymerization, a central feature of active internalization, was also studied and the results indicated that the internalization of TiO2 NPs involves a combination of actin-dependent uptake of large agglomerates as well as non actin-dependent uptake of small agglomerates. SEM and TEM revealed that the agglomerates of all NPs types were attached to the cellular membrane as well as internalized and confined inside cytoplasmic vesicles. URI and ICP-MS demonstrated that the particle association with cells was dose-dependent. The highest association was observed for spherical particles having mixed anatase-rutile crystallographic phase and the lowest for spindle-shaped rutile particles. ICP-MS revealed that the association was size-dependent in the order 5>10>40 nm for anatase spherical nanoparticles.