Stress relaxation and recovery behaviour of composite orthodontic archwires in bending. (33/4659)

The viscoelastic behaviour of prototype composite orthodontic archwires was evaluated using a bend stress relaxation test. Archwires having 10 different volume fractions of reinforcement were subjected to constant bending radii in a water bath at 37 degrees C for time periods of up to 90 days. The wires were subsequently released and left unconstrained for the same testing conditions. Creep-induced changes in the unconstrained bending radii of the wires were measured at specific times during both phases (stress relaxation and recovery) of the test. The statistical analysis showed that stress relaxation behaviour was strongly correlated with the archwire reinforcement level. The final relaxation varied, with decreasing reinforcement, from 2 to 8 per cent. Archwire recovery was not correlated with reinforcement level, and revealed a final viscous loss of only 1 per cent. The relaxed elastic moduli in bending of the composite wires were similar to the elastic moduli in bending of several conventional orthodontic archwire materials. Losses that were associated with the viscoelastic behaviour varied with decreasing reinforcement level from 1.2 to 1.7 GPa. Because these modulus losses were minimal, each archwire retained sufficient resilience to be applicable to the early and intermediate stages of orthodontic treatment.  (+info)

The inappropriateness of conventional orthodontic bond strength assessment protocols. (34/4659)

The purpose of this article is to examine the soundness of conventional orthodontic bonding assessment methods. A classification of bond strength studies is proposed with the testing environment (in vivo, in vitro, and ex vivo), loading mode (shear, tensile, and torsion), and bonding substrate (enamel, restorative, and prosthetic materials) serving as discriminating variables. Inconsistencies throughout the various stages of research protocols are analysed. These include the following: tooth selection, storage, and preparation; bonding; testing; and data analysis with regard to the clinical applicability of the reported information, as well as the scientific integrity of the testing procedure. Contradictory models may partially account for the considerable variability noted for reported bond strength values of different orthodontic bonding systems. Such discrepancies may also explain the conflicting evidence reported on the failure characteristics of the components of the bonding system in different trials examining the efficacy of nominally identical materials. A novel approach to study the fatigue life of materials is proposed to understand the processes occurring prior to bond failure. Mock research data manipulation is also utilized to illustrate the correct statistical treatment of findings, and recommendations for future research are made to ensure scientific soundness and clinical applicability of data.  (+info)

Monolithic microfabricated valves and pumps by multilayer soft lithography. (35/4659)

Soft lithography is an alternative to silicon-based micromachining that uses replica molding of nontraditional elastomeric materials to fabricate stamps and microfluidic channels. We describe here an extension to the soft lithography paradigm, multilayer soft lithography, with which devices consisting of multiple layers may be fabricated from soft materials. We used this technique to build active microfluidic systems containing on-off valves, switching valves, and pumps entirely out of elastomer. The softness of these materials allows the device areas to be reduced by more than two orders of magnitude compared with silicon-based devices. The other advantages of soft lithography, such as rapid prototyping, ease of fabrication, and biocompatibility, are retained.  (+info)

Ionogran in revision arthroplasty. (36/4659)

Glass ionomer cement (Ionocem) was developed for use in bone surgery and is reported to be notably biocompatible. Between 1991 and 1994 we performed revision operations for aseptic loosening of arthroplasties of the hip on 45 patients using this material in its granulate form (Ionogran) mixed with homologous bone as a bone substitute. Of these 45 patients, 42 were followed up for a mean of 42 months. Early reloosening of the acetabular component has occurred in ten after a mean of 30 months. Histological examination showed large deposits of aluminium in the adjacent connective tissue and bone. Osteoblastic function and bone mineralisation were clearly inhibited. The serum levels of aluminium were also increased. The toxic damage at the bone interface caused by high local levels of aluminium must be seen as an important factor in the high rate of early reloosening. Our findings cast doubt on the biocompatibility of this material and we do not recommend continuation of its further use in orthopaedic surgery.  (+info)

Osseointegration of Ti6Al4V alloy implants coated with titanium nitride by a new method. (37/4659)

Coating titanium alloy implants with titanium nitride (TiN) by the method of Powder Immersion Reaction Assisted Coating (PIRAC) produces a stable layer on their surface. We have examined the ability of the new TiN coating to undergo osseointegration. We implanted TiN-coated and uncoated Ti6Al4V alloy pins into the femora of six-month-old female Wistar rats. SEM after two months showed a bone collar around both TiN-coated and uncoated implants. Morphometrical analysis revealed no significant differences between the percentage of the implant-bone contact and the area and volume of the bone around TiN-coated compared with uncoated implants. Electron-probe microanalysis indicated the presence of calcium and phosphorus at the implant-bone interface. Mineralisation around the implants was also confirmed by labelling with oxytetracycline. Strong activity of alkaline phosphatase and weak activity of tartrate-resistant acid phosphatase were shown histochemically. Very few macrophages were detected by the non-specific esterase reaction at the site of implantation. Our findings indicate good biocompatibility and bone-bonding properties of the new PIRAC TiN coatings which are comparable to those of uncoated Ti6Al4V alloy implants.  (+info)

Evaluation of in vivo biocompatibility of different devices for interventional closure of the patent ductus arteriosus in an animal model. (38/4659)

OBJECTIVE: To evaluate the in vivo biocompatibility of three different devices following interventional closure of a patent ductus arteriosus (PDA) in an animal model. MATERIALS AND METHODS: A medical grade stainless steel coil (n = 8), a nickel/titanium coil (n = 10), and a polyvinylalcohol foam plug knitted on a titanium wire frame (n = 11) were used for interventional closure of PDA in a neonatal lamb model. The PDA had been maintained by repetitive angioplasty. Between one and 278 days after implantation the animals were killed and the ductal block removed. In addition to standard histology and scanning electron microscopy, immunohistochemical staining for biocompatibility screening was also undertaken. RESULTS: Electron microscopy revealed the growth of a cellular layer in a cobblestone pattern on the implant surfaces with blood contact, which was completed as early as five weeks after implantation of all devices. Immunohistochemical staining of these superficial cells showed an endothelial cell phenotype. After initial thrombus formation causing occlusion of the PDA after implantation there was ingrowth of fibromuscular cells resembling smooth muscle cells. Transformation of thrombotic material was completed within six weeks in the polyvinylalcohol plug and around the nickel/titanium coil, and within six months after implantation of the stainless steel coil. An implant related foreign body reaction was seen in only one of the stainless steel coil specimens and in two of the nickel/titanium coil specimens. CONCLUSION: After implantation, organisation of thrombotic material with ingrowth of fibromuscular cells was demonstrated in a material dependent time pattern. The time it took for endothelium to cover the implants was independent of the type of implant. Little or no inflammatory reaction of the surrounding tissue was seen nine months after implantation.  (+info)

A method for determining the reference effective flow areas for mechanical heart valve prostheses: in vitro validation studies. (39/4659)

BACKGROUND: The anatomic opening area (AOA) is usually reported as the primary index of mechanical heart valve function. Because flow contracts immediately distal to an orifice as a result of the vena contracta effect, AOA may not be a good measure of true effective flow area. METHODS AND RESULTS: Laser flow imaging was used to visualize the contraction in the jet flow stream as it passed through bileaflet mechanical valves under steady and pulsatile conditions. Such visualization allowed clear measurement of the individual vena contracta areas (VCAs) of the 3 valve orifices. VCAs for side orifices were larger (94+/-2% of AOA) than those through the central orifice (34+/-8%). Formation of large radial vortices around the leaflet tips constricted the central orifice flow stream and appeared to be the main reason for smaller central VCA. Total VCA remained constant until approximately 0.5 orifice diameters ( approximately 1.0 cm) downstream, beyond which cross-sectional area increased as a result of entrainment of receiving chamber flow. Total VCA was larger for steady flow (89.6+/-2.7% of AOA) than for pulsatile flow (76.3+/-5.0% of AOA). CONCLUSIONS: This study further clarifies flow dynamics through bileaflet mechanical valves and provides previously unavailable reference information on VCAs for these valves. Such information should aid clinicians in explaining Doppler-derived and catheter-measured pressure discrepancies, validating clinical techniques for quantifying effective flow areas, and optimizing valve size for implantation. The method should also be useful for comparative studies of different valve designs.  (+info)

Effect of cooling condition on leucite crystals in dental porcelains. (40/4659)

X-ray diffractometry (XRD) was used to analyze the crystal phases of three commercial dentin and incisal porcelains prepared by normal cooling, quenching in water, and controlled slow annealing after normal firing. There were no remarkable differences in the contents of either tetragonal and cubic leucite in the fired porcelain discs prepared under the three cooling conditions. Furthermore, there were no significant differences in the parameters of the a-axis and c-axis of tetragonal leucite, and the a-axis of cubic leucite among them. These results suggest that the cooling condition has little effect on the microstructural changes of leucite crystals in the dental porcelains, since the leucite crystals were formed at a higher temperature range than the firing- and cooling-temperature range and were stabilized by incorporation of additives into the lattice.  (+info)