Timo Närhi

In vitro evaluation of poly(ε-caprolactone-co-dl-lactide)/ bioactive glass composites

In vitro bioactivity of composites of poly(e-caprolactone-co-DL-lactide) P(CL/DL-LA) containing different amounts (40, 60 and 70 wt%) of bioactive glass, S53P4, was evaluated. Two ranges of granule size of bioactive glass (<45 μm and 90–315 μm) were blended with P(CL/DL-LA) copolymer in a batch mixer. The composites were characterised by dynamic mechanical thermal analysis. The molecular weight and the melting temperature of the copolymer matrix were adjusted to enable the application of the composite material by injection below 50°C. Formation of Ca-P deposition on the surface of the composites after dissolution in simulated body fluid at 37°C was recorded by scanning electron microscopy. Degradation of the composite material was measured by water absorption and changes in the average molecular weights as a function of the dissolution time. In vitro bioactivity was found to be dependent on the weight fraction and granule size range of the bioactive glass used. The presence of the bioactive filler also accelerated the degradation compared with the neat polymer sample.

Biodegradable and bioactive porous scaffold structures prepared using fused deposition modeling

Three-dimensional printing (3DP) refers to a group of additive manufacturing techniques that can be utilized in tissue engineering applications. Fused deposition modeling (FDM) is a 3DP method capable of using common thermoplastic polymers. However, the scope of materials applicable for FDM has not been fully recognized. The purpose of this study was to examine the creation of biodegradable porous scaffold structures using different materials in FDM and to determine the compressive properties and the fibroblast cell response of the structures. To the best of our knowledge, the printability of a poly(ε-caprolactone)/bioactive glass (PCL/BAG) composite and L-lactide/ε-caprolactone 75/25 mol % copolymer (PLC) was demonstrated for the first time. Scanning electron microscope (SEM) images showed BAG particles at the surface of the printed PCL/BAG scaffolds. Compressive testing showed the possibility of altering the compressive stiffness of a scaffold without changing the compressive modulus. Compressive properties were significantly dependent on porosity level and structural geometry. Fibroblast proliferation was significantly higher in polylactide than in PCL or PCL/BAG composite. Optical microscope images and SEM images showed the viability of the cells, which demonstrated the biocompatibility of the structures.

In vitro Ca-P precipitation on biodegradable thermoplastic composite of poly(ε-caprolactone-co-dl-lactide) and bioactive glass (S53P4)

Bioactive properties of composites containing poly(epsilon-caprolactone-co-DL-lactide) with molar ratio 96/4 and bioactive glass (BAG), S53P4, were tested in vitro. The glass content in the tested materials was 40, 60 or 70 wt%, and two granule size ranges (<45 and 90-315 microm) were used. The composites were analysed for their apatite-forming ability. This was determined as a function of time by the dissolution pattern of Si and Ca ions and structural changes on the specimen surfaces. Composite specimens were immersed in simulated body fluid at 37 degrees C for up to 6 months. The changes in Si and Ca concentrations of the immersion medium were determined with UV-Vis and atomic absorption spectrophotometry. The calcium phosphate precipitation and apatite formation were evaluated by scanning electron microscopy (SEM) and infra-red spectroscopy (IR) using the attenuated total reflectance (ATR) system. The SEM and SEM-EDX analysis of the depositions formed on the composite surfaces was in line with the changes in ion concentrations. The clearest results with IR were seen in the material containing 60 wt% small glass particles. The results indicate that composites containing over 40 wt% BAG granules are bioactive, and that a higher BAG surface area/volume ratio favors the apatite formation in vitro.

Bone tissue responses to glass fiber‐reinforced composite implants – a histomorphometric study

OBJECTIVES The aims of this study were to evaluate bone-to-implant contact (BIC) and the osteoconductive capacity of bioactive fiber-reinforced composite implant (FRC) in vivo. MATERIAL AND METHODS Threaded sand-blasted FRC implants and threaded FRC implants with bioactive glass (BAG) were fabricated for the study. Titanium implants were used as a reference. Eighteen implants (diameter 4.1 mm, length 10 mm) were implanted in the tibia of six pigs using the press-fit technique. The animals were sacrificed after 4 and 12 weeks. Histomorphometric and scanning electron microscopic (SEM) analyses were performed to characterize BIC. RESULTS In general, the highest values of BIC were measured in FRC-BAG implants, followed by FRC and Ti implants. At 4 weeks, the BIC was 33% for threaded FRC-BAG, 27% for FRC and 19% for Ti. At 12 weeks, BIC was 47% for threaded FRC-BAG, 40% for FRC and 42% for Ti. Four weeks after implantation, all the implants appeared biologically fixed by a newly formed woven bone arranged in the thin bone trabeculae filling the gap between the implant and the bone of the recipient site. Twelve weeks after implantation, the thickness of the woven bone trabeculae had increased, especially around the FRC-BAG implants. CONCLUSION Our results suggest that the FRC implant is biocompatible in bone. The biological behavior of FRC was comparable to that of Ti after 4 and 12 weeks of implantation. Furthermore, the addition of BAG to the FRC implant increased peri-implant osteogenesis and bone maturation.

Mechanical properties of oligomer-modified acrylic bone cement.

The aim of this study was to determine the mechanical properties of acrylic bone cement modified with an experimental oligomer filler, based on an amino acid of trans-4-hydroxy-L-proline synthesized in the laboratory. The test specimens were tested either dry, or after being stored in distilled water or in simulated body fluid (SBF) for 1 week and then tested in distilled water. The three-point bending test was used to measure the flexural strength and flexural modulus of the cement, and the compression tests were used to measure the compression strength and modulus. One test specimen from each group was examined under a scanning electron microscope (SEM) to determine the nature of the oligomer filler in the polymethylmethacrylate-polymethylacrylate copolymer-based (PMMA-PMA/PMMA) polymer blend. In dry conditions, the flexural strength of the test specimens tested in air was 66 MPa, and the compression strength was 93 GPa (p<0.001) for the plain bone cement. For the test specimens including 20 wt% of oligomer filler, the flexural strength was 37 MPa, and the compression strength was 102 MPa(p<0.001) in dry conditions. The storage in wet conditions (in distilled water and the SBF) decreased the flexural strength of the test specimens with 20 wt% of oligomer filler (p<0.001) by 60% and the flexural modulus by 44% compared to the plain bone cement specimens stored in the same conditions. The reduction in compression strength in wet conditions was 32%, and that of the compression modulus was 30% (p<0.001). No significant differences were found between test specimens stored in distilled water or SBF (ANOVA, p<0.001). In the SEM examinations, random voids were observed in the oligomer-PMMA-PMA/PMMA polymer blend after water or SBF storage. The results suggest that both water and SBF storage decrease the mechanical properties of the PMMA-PMA/PMMA bone cement modified with oligomer, while at the same time, there was porous formation in the bone cement structure.

The effect of high fiber fraction on some mechanical properties of unidirectional glass fiber-reinforced composite

OBJECTIVES This study was designed to evaluate the effect of an increase of fiber-density on some mechanical properties of higher volume fiber-reinforced composite (FRC). METHODS Five groups of FRC with increased fiber-density were fabricated and two additional groups were prepared by adding silanated barium-silicate glass fillers (0.7 μm) to the FRC. The unidirectional E-glass fiber rovings were impregnated with light-polymerizable bisGMA-TEGDMA (50-50%) resin. The fibers were pulled through a cylindrical mold with an opening diameter of 4.2mm, light cured for 40s and post-cured at elevated temperature. The cylindrical specimens (n=12) were conditioned at room temperature for 2 days before testing with the three-point bending test (Lloyd Instruments Ltd.) adapted to ISO 10477. Fiber-density was analyzed by combustion and gravimetric analyzes. RESULTS ANOVA analysis revealed that by increasing the vol.% fraction of E-glass fibers from 51.7% to 61.7% there was a change of 27% (p<0.05) in the modulus of elasticity, 34% (p<0.05) in the toughness, and 15% (p<0.05) in the load bearing capacity, while there was only 8% (p<0.05) increase in the flexural strength although it was statistically insignificant. The addition of particulate fillers did not improve the mechanical properties. SIGNIFICANCE This study showed that the properties of FRC could be improved by increasing fibervolume fraction. Modulus of elasticity, toughness, and load bearing capacity seem to follow the law of ratio of quantity of fibers and volume of the polymer matrix more precisely than flexural strength when high fiber-density is used.

Effect of shading the zirconia framework on biaxial strength and surface microhardness

Objective. Zirconia ceramics for frameworks of fixed partial dentures can be color shaded to better match the shade of veneering porcelain. The aim of this study was to evaluate the effect of color shading the green-stage zirconia ceramic on some mechanical properties. Material and Methods. Zirconia disks (diameter 19 mm, thickness 0.8 mm) were divided into 10 groups of 10 disks each according to the color shade of the zirconia ceramic. The disks were shaded with the same color liquid using either the recommended shading time (3 s) or prolonged shading time (60 s). Nine control disks were tested without color. Composition of the color liquids was determined with EDX analysis. All the disks were sintered at 1500°C and their biaxial flexural strength was measured dry and at room temperature. Surface Vickers microhardness was measured. Data were evaluated using ANOVA analysis. Results. Disks of shade D4 (Vita Classic-scale) revealed the highest strength (1007 MPa) of the shaded disks, but the strength did not differ statistically from that of the control group (1132 MPa). Other color shades had values of A3: 898 MPa, B1: 918 MPa, C4: 885 MPa, and D2: 897 MPa. Prolonging the shading time from 3 s to 60 s lowered the strength even more. Shading time had no effect on microhardness, but there were some differences among the different color shade groups (p<0.05). EDX analysis showed slight differences between compositions of different color liquids. Conclusions. Some variation was found in strength and surface hardness of zirconia that had been color shaded to different shades.

Release of silica, calcium, phosphorus, and fluoride from glass ionomer cement containing bioactive glass

The aim of this study was to examine the release of silica (Si), calcium (Ca), phosphorous (P), and fluoride (F) from conventional glass ionomer cement (GI) and resin-modified glass ionomer cement (LCGI), containing different quantities of bioactive glass (BAG). Further aim was to evaluate in vitro biomineralization of dentine. The release of Si increased with the increasing immersion time from the specimens containing BAG, whereas the amount of Ca and P decreased indicating in vitro bioactivity of the materials. LCGI with 30wt% of BAG showed highest bioactivity. It also showed CaP-like precipitation on both the surface of the test specimens and on the dentin discs immersed with the material. Within the limitations of this study, it can be concluded that a dental restorative material consisting of glass ionomer cements and BAG is bioactive and initiates biomineralization on dentin surface in vitro.

Peri-implant tissue response to TiO2 surface modified implants.

OBJECTIVES The objective of this study was to evaluate peri-implant soft tissue attachment and alveolar bone height on nanoporous TiO(2) thin film on commercial titanium dental implants compared with unmodified standard implants. MATERIAL AND METHODS In six adult beagle dogs, the mandibular premolars P2-P4 were extracted bilaterally. Sol-gel-derived nanoporous TiO(2) thin film was produced on smooth coronal part of standard ITI Straumann implants (4.1 mm x 8.0 mm) by dip coating method. After 3 months healing period of the extraction sockets modified (n=24) and unmodified (n=11) control implants were placed bilaterally. The animals were killed after 8 weeks and the samples were retrieved and processed for histologic/histomorfometric and TEM/SEM evaluations. RESULTS Histological examination showed mild or absent inflammatory reaction in peri-implant connective tissues around the surface modified implants. Further, junctional epithelium (JE)/connective tissue (CT) appeared to be in immediate contact with the experimental implants. Of the experimental implants, 22% were judged to be detached from the implant surface while 45% of the untreated control implants were detached. Dense plaques of hemidesmosomes were found in TEM evaluation of the JE cell membrane facing the surface-treated implants. In the histomorfometric analysis, the distance between the implant margin and alveolar bone crest was significantly shorter in surface-treated implants than in the control implants (P<0.02). CONCLUSION Nanoporous sol-gel-derived TiO(2) thin film on ITI Straumann dental implants improved soft tissue attachment in vivo.

Fiber glass–bioactive glass composite for bone replacing and bone anchoring implants

OBJECTIVE Although metal implants have successfully been used for decades, devices made out of metals do not meet all clinical requirements, for example, metal objects may interfere with some new medical imaging systems, while their stiffness also differs from natural bone and may cause stress-shielding and over-loading of bone. METHODS Peer-review articles and other scientific literature were reviewed for providing up-dated information how fiber-reinforced composites and bioactive glass can be utilized in implantology. RESULTS There has been a lot of development in the field of composite material research, which has focused to a large extent on biodegradable composites. However, it has become evident that biostable composites may also have several clinical benefits. Fiber reinforced composites containing bioactive glasses are relatively new types of biomaterials in the field of implantology. Biostable glass fibers are responsible for the load-bearing capacity of the implant, while the dissolution of the bioactive glass particles supports bone bonding and provides antimicrobial properties for the implant. These kinds of combination materials have been used clinically in cranioplasty implants and they have been investigated also as oral and orthopedic implants. SIGNIFICANCE The present knowledge suggests that by combining glass fiber-reinforced composite with particles of bioactive glass can be used in cranial implants and that the combination of materials may have potential use also as other types of bone replacing and repairing implants.