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Yu YM, Lu YP, Zhang T, Zheng YF, Liu YS, Xia DD. Biomaterials science and surface engineering strategies for dental peri-implantitis management. Mil Med Res 2024; 11:29. [PMID: 38741175 DOI: 10.1186/s40779-024-00532-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 04/29/2024] [Indexed: 05/16/2024] Open
Abstract
Peri-implantitis is a bacterial infection that causes soft tissue inflammatory lesions and alveolar bone resorption, ultimately resulting in implant failure. Dental implants for clinical use barely have antibacterial properties, and bacterial colonization and biofilm formation on the dental implants are major causes of peri-implantitis. Treatment strategies such as mechanical debridement and antibiotic therapy have been used to remove dental plaque. However, it is particularly important to prevent the occurrence of peri-implantitis rather than treatment. Therefore, the current research spot has focused on improving the antibacterial properties of dental implants, such as the construction of specific micro-nano surface texture, the introduction of diverse functional coatings, or the application of materials with intrinsic antibacterial properties. The aforementioned antibacterial surfaces can be incorporated with bioactive molecules, metallic nanoparticles, or other functional components to further enhance the osteogenic properties and accelerate the healing process. In this review, we summarize the recent developments in biomaterial science and the modification strategies applied to dental implants to inhibit biofilm formation and facilitate bone-implant integration. Furthermore, we summarized the obstacles existing in the process of laboratory research to reach the clinic products, and propose corresponding directions for future developments and research perspectives, so that to provide insights into the rational design and construction of dental implants with the aim to balance antibacterial efficacy, biological safety, and osteogenic property.
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Affiliation(s)
- Ya-Meng Yu
- Department of Dental Materials, Peking University School and Hospital of Stomatology, Beijing, 100081, China
- National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing Key Laboratory of Digital Stomatology & NHC Key Laboratory of Digital Stomatology & NMPA Key Laboratory for Dental Materials, Beijing, 100081, China
| | - Yu-Pu Lu
- Department of Dental Materials, Peking University School and Hospital of Stomatology, Beijing, 100081, China
- National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing Key Laboratory of Digital Stomatology & NHC Key Laboratory of Digital Stomatology & NMPA Key Laboratory for Dental Materials, Beijing, 100081, China
| | - Ting Zhang
- School of Materials Science and Engineering, Peking University, Beijing, 100871, China
| | - Yu-Feng Zheng
- School of Materials Science and Engineering, Peking University, Beijing, 100871, China.
| | - Yun-Song Liu
- National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing Key Laboratory of Digital Stomatology & NHC Key Laboratory of Digital Stomatology & NMPA Key Laboratory for Dental Materials, Beijing, 100081, China.
- Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing, 100081, China.
| | - Dan-Dan Xia
- Department of Dental Materials, Peking University School and Hospital of Stomatology, Beijing, 100081, China.
- National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing Key Laboratory of Digital Stomatology & NHC Key Laboratory of Digital Stomatology & NMPA Key Laboratory for Dental Materials, Beijing, 100081, China.
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Kwon YS, Kim JH, Lee H, Scherrer SS, Lee HH. Strength-limiting damage and defects of dental CAD/CAM full-contour zirconia ceramics. Dent Mater 2024; 40:653-663. [PMID: 38378372 DOI: 10.1016/j.dental.2024.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 01/03/2024] [Accepted: 02/06/2024] [Indexed: 02/22/2024]
Abstract
OBJECTIVE This study aimed to compare the four-point flexural strength of CAM-milled and sintered (as-sintered, AS) specimens with those of high-polished (HP) specimens using chairside polishing systems to simulate clinical surface conditions. METHODS Seven full-contour zirconia CAM/CAM blanks with various yttria contents (3, 4, 5 mol%) including three high-translucent groups (5Y) were selected to prepare flexural specimens. The bend bar specimens (2.0 × 4.0 × 25.0 mm3) were fabricated by using STL file and dental CAM machine with the respective zirconia blanks (98 mm ϕ and 10-14 mm in height). Twelve bar specimens were machined from one zirconia puck and a total of 24 specimens were prepared from each group. The pre-sintered bar specimens were sintered by using a dental zirconia furnace at 1530-1550 °C for 2 h according to the instructions. All sintered specimens were divided into two groups: as-sintered (AS) group and high-polished (HP) groups (n = 12). HP groups were subjected to polishing one surface of specimens using a three-step polishing system and finally finished with diamond polishing. After cleaning and drying, the flexural strength of all specimens was determined by a fully articulating four-point flexure fixture consisting of a 1/4-point test configuration with an inner/outer span of 10/20 mm. Statistical differences between AS and HP groups were conducted with Weibull analysis. The fractured surfaces of zirconia specimens were observed using a field emission SEM and EDS to detect failure origins. RESULTS The mean AS flexural strength values were significantly lower than those of HP counterparts. However, Weibull moduli expressing the reliability of HP groups were generally decreased although not significantly in comparison to their AS. The fracture of the AS specimens mostly originated from extrinsic CAM-milling defects, while the HP specimens were fractured from intrinsic subsurface or volume defects including pores, large grain clusters, inclusions, and corner-located critical flaws. Two high-translucent (5Y) zirconia groups were not affected in their strength and reliability after polishing, whereas one 5Y zirconia significantly increased its strength but significantly lowered its reliability. SIGNIFICANCE The extrinsic and intrinsic strength-limiting defects should be considered in evaluating the flexural strength and reliability of dental CAD/CAM zirconia ceramics for full-contour restorations. For the materials tested in this study, more optimized processing of blanks and milling protocols of pre-sintered zirconia blanks should be developed including post-sintering surface finishing to reduce the flaw population regulating strength and reliability which will affect the survivability of dental zirconia prostheses.
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Affiliation(s)
- Young-Seok Kwon
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandaero, Cheonan, Chungnam 31116, Republic of Korea
| | - Jae-Heon Kim
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandaero, Cheonan, Chungnam 31116, Republic of Korea
| | - Hwalim Lee
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandaero, Cheonan, Chungnam 31116, Republic of Korea
| | - Susanne S Scherrer
- Division of Fixed Prosthodontics and Biomaterials, University Clinics of Dental Medicine, University of Geneva, Geneva, Switzerland.
| | - Hae-Hyoung Lee
- Department of Biomaterials Science, College of Dentistry, Dankook University, 119 Dandaero, Cheonan, Chungnam 31116, Republic of Korea; Institute of Tissue Regeneration Engineering, Dankook University, 119 Dandaero, Cheonan, Chungnam 31116, Republic of Korea.
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Liang Y, Leng Y, Zhang J. Influence of clinical zirconia surface treatments on microscopic characteristics and adhesion-proliferation behavior of human gingival fibroblasts. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2023; 124:101564. [PMID: 37453567 DOI: 10.1016/j.jormas.2023.101564] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 07/10/2023] [Accepted: 07/12/2023] [Indexed: 07/18/2023]
Abstract
Zirconia is favored in dental implant applications due to its biocompatibility, mechanical properties, and esthetic appeal, particularly in its interaction with soft oral tissues such as the gingiva. To optimize zirconia for clinical use, surface treatments like sanding and polishing are essential. The aim of this study was to investigate the effects of clinical surface treatments on the microscopic characteristics of zirconia and the adhesion and proliferation of human gingival fibroblasts (HGFs). Scanning electron microscopy (SEM) and fluorescence microscopy were utilized to examine the microscopic morphology and roughness resulting from various clinical surface treatment procedures on zirconia and to assess their impact on the microscopic appearance and behavior of HGFs. The results showed that the application of surface treatment procedures, particularly polishing treatments, resulted in the formation of a regular shallow groove morphology and a significant reduction in roughness in zirconia. This was accompanied by improved cell proliferation, cell adhesion, and the expression of integrin β1 in HGFs. The results suggest that smoother zirconia surfaces promote better cell-material interactions, potentially improving the clinical success of dental implants. This research contributes to our understanding of the optimal surface roughness for soft tissue adhesion and the effect of different micro-morphologies on HGF attachment.
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Affiliation(s)
- Yajing Liang
- School of Stomatology, Capital Medical University, Beijing, PR China
| | - Yanjun Leng
- School of Stomatology, Central South University, Changsha, PR China
| | - Jiebing Zhang
- School of Stomatology, Capital Medical University, Beijing, PR China.
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Hafezeqoran A, Sabanik P, Koodaryan R, Ghalili KM. Effect of sintering speed, aging processes, and different surface treatments on the optical and surface properties of monolithic zirconia restorations. J Prosthet Dent 2023; 130:917-926. [PMID: 35109985 DOI: 10.1016/j.prosdent.2021.12.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 12/01/2021] [Accepted: 12/01/2021] [Indexed: 11/24/2022]
Abstract
STATEMENT OF PROBLEM Advances in dentistry have led to more esthetic and biocompatible restorative materials such as translucent zirconia and to faster and more accurate manufacturing methods. How changes in the surface and optical properties of translucent zirconia affect the esthetics and durability of these restorations under different conditions and manufacturing processes is unclear. PURPOSE The purpose of this in vitro study was to evaluate the effect of the sintering speed, aging process, and different surface treatments on the translucency and surface structure of monolithic zirconia restorations. MATERIAL AND METHODS Prepared typodont teeth were scanned, and 40 three-unit fixed partial dentures (FPDs) and 40 disk specimens were designed and prepared from monolithic zirconia blanks. The specimens were divided into traditional or speed sintering groups (20 FPDs and 20 disks each); half of each group (10 FPDs and 10 disks) was polished with a handpiece at 10 000 rpm, and the other half was glazed. Half of the specimens were thermocycled with 3500 cycles in 5 °C and 55 °C water baths, and the remaining half were not thermocycled. Translucency was measured with a spectrophotometer. Surface free energy was calculated in mNm with a contact angle device; surface roughness was measured in nm with an atomic force microscope. Translucency data were analyzed by the Kruskal-Wallis and Mann-Whitney tests, while surface free energy and surface roughness data were analyzed by 3-way ANOVA (α=.05). RESULTS The highest transmittance was in the speed sintered, polished, nonthermocycled group, and the lowest transmittance was in the speed sintered, polished, thermocycled group (P=.029). The transmittance of the traditionally sintered, polished, nonthermocycled group was significantly higher than that in all the speed sintered, glazed groups; the traditionally sintered, glazed groups; and the traditionally sintered, polished, thermocycled group (P=.029). The transmittance of the traditionally sintered, polished, thermocycled group was significantly higher than that of all traditionally sintered, glazed groups (P=.029). The mean surface free energy in the traditionally sintered groups was higher than that in the speed sintered groups (P=.002); also, it was higher in the glazed groups than in the polished groups (P<.001). The aging process decreased surface free energy (P=.023). The mean surface roughness in the speed sintered groups was significantly lower than that in the traditionally sintered groups (P=.004). No significant difference in surface roughness was found between the polished and glazed groups and between the 2 variables of the aging process (P>.05). CONCLUSIONS Speed sintering and polishing may decrease the surface free energy and increase the translucency of the monolithic zirconia restoration. Also, speed sintering creates a smoother surface. Aging had a more significant effect on decreasing the surface free energy of the specimens and could make the least translucent restorations.
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Affiliation(s)
- Ali Hafezeqoran
- Associate Professor, Prosthodontics, Department of Prosthodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, East Azerbaijan Province, Iran
| | - Pouya Sabanik
- Private practice, Tabriz, East Azerbaijan Province, Iran.
| | - Roodabeh Koodaryan
- Associate Professor, Prosthodontics, Department of Prosthodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, East Azerbaijan Province, Iran
| | - Kambiz M Ghalili
- Clinical Professor, Prosthodontics, Department of Prosthodontics, College of Dentistry, New York University, New York City, NY; Private practice, New York City, NY
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Sabzehmeidani MM, Kazemzad M. Recent advances in surface-mounted metal-organic framework thin film coatings for biomaterials and medical applications: a review. Biomater Res 2023; 27:115. [PMID: 37950330 PMCID: PMC10638836 DOI: 10.1186/s40824-023-00454-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 10/22/2023] [Indexed: 11/12/2023] Open
Abstract
Coatings of metal-organic frameworks (MOFs) have potential applications in surface modification for medical implants, tissue engineering, and drug delivery systems. Therefore, developing an applicable method for surface-mounted MOF engineering to fabricate protective coating for implant tissue engineering is a crucial issue. Besides, the coating process was desgined for drug infusion and effect opposing chemical and mechanical resistance. In the present review, we discuss the techniques of MOF coatings for medical application in both in vitro and in vivo in various systems such as in situ growth of MOFs, dip coating of MOFs, spin coating of MOFs, Layer-by-layer methods, spray coating of MOFs, gas phase deposition of MOFs, electrochemical deposition of MOFs. The current study investigates the modification in the implant surface to change the properties of the alloy surface by MOF to improve properties such as reduction of the biofilm adhesion, prevention of infection, improvement of drugs and ions rate release, and corrosion resistance. MOF coatings on the surface of alloys can be considered as an opportunity or a restriction. The presence of MOF coatings in the outer layer of alloys would significantly demonstrate the biological, chemical and mechanical effects. Additionally, the impact of MOF properties and specific interactions with the surface of alloys on the anti-microbial resistance, anti-corrosion, and self-healing of MOF coatings are reported. Thus, the importance of multifunctional methods to improve the adhesion of alloy surfaces, microbial and corrosion resistance and prospects are summarized.
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Affiliation(s)
- Mohammad Mehdi Sabzehmeidani
- Department of Energy, Materials and Energy Research Center, Karaj, Iran.
- Department of Chemical Engineering, University of Science and Technology of Mazandaran, Behshahr, Iran.
| | - Mahmood Kazemzad
- Department of Energy, Materials and Energy Research Center, Karaj, Iran.
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Bannunah AM. Biomedical Applications of Zirconia-Based Nanomaterials: Challenges and Future Perspectives. Molecules 2023; 28:5428. [PMID: 37513299 PMCID: PMC10383095 DOI: 10.3390/molecules28145428] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 07/09/2023] [Accepted: 07/10/2023] [Indexed: 07/30/2023] Open
Abstract
ZrO2 nanoparticles have received substantially increased attention in every field of life owing to their wide range of applications. Zirconium oxide is a commercially economical, non-hazardous, and sustainable metal oxide having diversified potential applications. ZrO2 NPs play a vast role in the domain of medicine and pharmacy such as anticancer, antibacterial, and antioxidant agents and tissue engineering owing to their reliable curative biomedical applications. In this review article, we address all of the medical and biomedical applications of ZrO2 NPs prepared through various approaches in a critical way. ZrO2 is a bio-ceramic substance that has received increased attention in biomimetic scaffolds owing to its high mechanical strength, excellent biocompatibility, and high chemical stability. ZrO2 NPs have demonstrated potential anticancer activity against various cancer cells. ZrO2-based nanomaterials have exhibited potential antibacterial activity against various bacterial strains and have also demonstrated excellent antioxidant activity. The ZrO2 nanocomposite also exhibits highly sensitive biosensing activity toward the sensing of glucose and other biological species.
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Affiliation(s)
- Azzah M Bannunah
- Department of Pharmaceutics, College of Pharmacy, Umm Al-Qura University, Makkah 21955, Saudi Arabia
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Aung LM, Lin JCY, Salamanca E, Wu YF, Pan YH, Teng NC, Huang HM, Sun YS, Chang WJ. Functionalization of zirconia ceramic with fibronectin proteins enhanced bioactivity and osteogenic response of osteoblast-like cells. Front Bioeng Biotechnol 2023; 11:1159639. [PMID: 37180046 PMCID: PMC10167021 DOI: 10.3389/fbioe.2023.1159639] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 04/13/2023] [Indexed: 05/15/2023] Open
Abstract
Introduction: To overcome the genuine bioinert properties of zirconia ceramic, functionalization of the surface with the bioactive protein fibronectin was conducted. Methods: Glow discharge plasma (GDP)-Argon was first used to clean the zirconia surface. Then allylamine was treated at three different powers of 50 W, 75 W, and 85 W and immersed into 2 different fibronectin concentrations (5 µg/ml and 10 µg/ml). Results and Discussion: After surface treatment, irregularly folded protein-like substances were attached on the fibronectin coated disks, and a granular pattern was observed for allylamine grafted samples. Infrared spectroscopy detected C-O, N-O, N-H, C-H, and O-H functional groups for fibronectin treated samples. Surface roughness rose and hydrophilicity improved after the surface modification, with MTT assay showing the highest level of cell viability for the A50F10 group. Cell differentiation markers also showed that fibronectin grafted disks with A50F10 and A85F10 were the most active, which in turn encouraged late-stage mineralization activity on 21d. Up-regulation of osteogenic related mRNA expression from 1d to 10d can be observed in RT-qPCR data for ALP, OC, DLX5, SP7, OPG and RANK biomarkers. These physical and biological properties clearly indicate that an allylamine and fibronectin composite grafted surface significantly stimulated the bioactivity of osteoblast-like cells, and can be utilized for future dental implant applications.
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Affiliation(s)
- Lwin Moe Aung
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
| | - Jerry Chin-Yi Lin
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
- Department of Oral Medicine, Infection and Immunity, Harvard School of Dental Medicine, Boston, MA, United States
| | - Eisner Salamanca
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
| | - Yi-Fan Wu
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
| | - Yu-Hwan Pan
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
- Department of Dentistry, Chang Gung Memorial Hospital, Taipei, Taiwan
- Graduate Institute of Dental and Craniofacial Science, Chang Gung University, Taoyuan, Taiwan
- School of Dentistry, College of Medicine, China Medical University, Taichung, Taiwan
| | - Nai-Chia Teng
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
- Department of Dentistry, Taipei Medical University Hospital, Taipei, Taiwan
| | - Haw-Ming Huang
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
| | - Ying-Sui Sun
- School of Dental Technology, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
| | - Wei-Jen Chang
- School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan
- Dental Department, Shuang-Ho Hospital, Taipei Medical University, New Taipei City, Taiwan
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Zhang Y, Yang T, Li B, Li J. Surface modifications of zirconia with plasma pretreatment and polydopamine coating to enhance the bond strength and durability between zirconia and titanium. Dent Mater J 2023. [PMID: 37032104 DOI: 10.4012/dmj.2022-185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/11/2023]
Abstract
The aim of this study was to assess the shear bond strength and durability between plasma-pretreated and polydopamine (PDA)-coated zirconia and titanium. Four groups were prepared according to the different surface treatments (untreated ZrO2, plasma-pretreated ZrO2, PDA-coated ZrO2, and plasma-pretreated and PDA-coated ZrO2 (PP+PDA-ZrO2). The surface topography and roughness, contact angle, and elemental analysis of the coatings of the four groups were investigated, and the bond strength and durability of the specimens were evaluated based on shear bond strength and thermocycle tests. Physical and chemical characterization results confirmed that PDA coatings can be successfully formed on zirconia substrates. The roughness and hydrophilicity were significantly higher in the PP+PDA-ZrO2 group, which demonstrated better shear bond strength and durability between zirconia and titanium. The plasma pretreatment of zirconia substrates can enhance the stability of the PDA coating layer, and hybrid surface modifications can provide several bonding advantages for clinical use.
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Affiliation(s)
- Yuan Zhang
- Department of Dental Implant Center, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University
- Stomatological Medical Center, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vessel Diseases
| | - Tao Yang
- Department of Dental Implant Center, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University
| | - Beibei Li
- Department of Dental Implant Center, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University
| | - Jun Li
- Department of Dental Implant Center, Beijing Stomatological Hospital, School of Stomatology, Capital Medical University
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Shailaja N, Arulmozhi M, Balraj B, Siva C. Corallocarpus epigaeus mediated synthesis of ZnO/CuO integrated ZrO2 nanoparticles for enhanced in-vitro antibacterial, antifungal and antidiabetic activities. J INDIAN CHEM SOC 2023. [DOI: 10.1016/j.jics.2023.100991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/08/2023]
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PEREIRA RM, RIBAS RG, MONTANHEIRO TLDA, SCHATKOSKI VM, RODRIGUES KF, KITO LT, KOBO LK, CAMPOS TMB, BONFANTE EA, GIERTHMUEHLEN PC, SPITZNAGEL FA, THIM GP. An engineering perspective of ceramics applied in dental reconstructions. J Appl Oral Sci 2023; 31:e20220421. [PMID: 36820784 PMCID: PMC9972857 DOI: 10.1590/1678-7757-2022-0421] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 01/04/2023] [Indexed: 02/22/2023] Open
Abstract
The demands for dental materials continue to grow, driven by the desire to reach a better performance than currently achieved by the available materials. In the dental restorative ceramic field, the structures evolved from the metal-ceramic systems to highly translucent multilayered zirconia, aiming not only for tailored mechanical properties but also for the aesthetics to mimic natural teeth. Ceramics are widely used in prosthetic dentistry due to their attractive clinical properties, including high strength, biocompatibility, chemical stability, and a good combination of optical properties. Metal-ceramics type has always been the golden standard of dental reconstruction. However, this system lacks aesthetic aspects. For this reason, efforts are made to develop materials that met both the mechanical features necessary for the safe performance of the restoration as well as the aesthetic aspects, aiming for a beautiful smile. In this field, glass and high-strength core ceramics have been highly investigated for applications in dental restoration due to their excellent combination of mechanical properties and translucency. However, since these are recent materials when compared with the metal-ceramic system, many studies are still required to guarantee the quality and longevity of these systems. Therefore, a background on available dental materials properties is a starting point to provoke a discussion on the development of potential alternatives to rehabilitate lost hard and soft tissue structures with ceramic-based tooth and implant-supported reconstructions. This review aims to bring the most recent materials research of the two major categories of ceramic restorations: ceramic-metal system and all-ceramic restorations. The practical aspects are herein presented regarding the evolution and development of materials, technologies applications, strength, color, and aesthetics. A trend was observed to use high-strength core ceramics type due to their ability to be manufactured by CAD/CAM technology. In addition, the impacts of COVID-19 on the market of dental restorative ceramics are presented.
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Affiliation(s)
- Raíssa Monteiro PEREIRA
- Instituto Tecnológico de AeronáuticaLaboratório de Plasma e ProcessosSão José dos CamposBrasilInstituto Tecnológico de Aeronáutica (ITA), Laboratório de Plasma e Processos (LPP), São José dos Campos, Brasil
| | - Renata Guimarães RIBAS
- Instituto Tecnológico de AeronáuticaLaboratório de Plasma e ProcessosSão José dos CamposBrasilInstituto Tecnológico de Aeronáutica (ITA), Laboratório de Plasma e Processos (LPP), São José dos Campos, Brasil
| | - Thaís Larissa do Amaral MONTANHEIRO
- Instituto Tecnológico de AeronáuticaLaboratório de Plasma e ProcessosSão José dos CamposBrasilInstituto Tecnológico de Aeronáutica (ITA), Laboratório de Plasma e Processos (LPP), São José dos Campos, Brasil
| | - Vanessa Modelski SCHATKOSKI
- Instituto Tecnológico de AeronáuticaLaboratório de Plasma e ProcessosSão José dos CamposBrasilInstituto Tecnológico de Aeronáutica (ITA), Laboratório de Plasma e Processos (LPP), São José dos Campos, Brasil
| | - Karla Faquine RODRIGUES
- Instituto Tecnológico de AeronáuticaLaboratório de Plasma e ProcessosSão José dos CamposBrasilInstituto Tecnológico de Aeronáutica (ITA), Laboratório de Plasma e Processos (LPP), São José dos Campos, Brasil
| | - Letícia Terumi KITO
- Instituto Tecnológico de AeronáuticaLaboratório de Plasma e ProcessosSão José dos CamposBrasilInstituto Tecnológico de Aeronáutica (ITA), Laboratório de Plasma e Processos (LPP), São José dos Campos, Brasil
| | - Lucas Kazunori KOBO
- Instituto Tecnológico de AeronáuticaLaboratório de Plasma e ProcessosSão José dos CamposBrasilInstituto Tecnológico de Aeronáutica (ITA), Laboratório de Plasma e Processos (LPP), São José dos Campos, Brasil
| | - Tiago Moreira Bastos CAMPOS
- Instituto Tecnológico de AeronáuticaLaboratório de Plasma e ProcessosSão José dos CamposBrasilInstituto Tecnológico de Aeronáutica (ITA), Laboratório de Plasma e Processos (LPP), São José dos Campos, Brasil
| | - Estevam Augusto BONFANTE
- Universidade de São PauloFaculdade de Odontologia de BauruDepartamento de Prótese e PeriodontiaBauruSPBrasilUniversidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Prótese e Periodontia, Bauru, SP, Brasil.
| | - Petra Christine GIERTHMUEHLEN
- Heinrich-Heine-UniversityMedical FacultyUniversity Hospital DüsseldorfDüsseldorfGermanyHeinrich-Heine-University, Medical Faculty and University Hospital Düsseldorf, Düsseldorf, Department of Prosthodontics, Germany.
| | - Frank Akito SPITZNAGEL
- Heinrich-Heine-UniversityMedical FacultyUniversity Hospital DüsseldorfDüsseldorfGermanyHeinrich-Heine-University, Medical Faculty and University Hospital Düsseldorf, Düsseldorf, Department of Prosthodontics, Germany.
| | - Gilmar Patrocínio THIM
- Instituto Tecnológico de AeronáuticaLaboratório de Plasma e ProcessosSão José dos CamposBrasilInstituto Tecnológico de Aeronáutica (ITA), Laboratório de Plasma e Processos (LPP), São José dos Campos, Brasil
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Tuna T, Wein M, Altmann B, Steinberg T, Fischer J, Att W. Effect of Hydrogen Peroxide on the Surface and Attractiveness of Various Zirconia Implant Materials on Human Osteoblasts: An In Vitro Study. MATERIALS (BASEL, SWITZERLAND) 2023; 16:961. [PMID: 36769968 PMCID: PMC9918077 DOI: 10.3390/ma16030961] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 01/12/2023] [Accepted: 01/17/2023] [Indexed: 06/18/2023]
Abstract
The aim of this in vitro study was to investigate the effect of hydrogen peroxide (H2O2) on the surface properties of various zirconia-based dental implant materials and the response of human alveolar bone osteoblasts. For this purpose, discs of two zirconia-based materials with smooth and roughened surfaces were immersed in 20% H2O2 for two hours. Scanning electron and atomic force microscopy showed no topographic changes after H2O2-treatment. Contact angle measurements (1), X-ray photoelectron spectroscopy (2) and X-ray diffraction (3) indicated that H2O2-treated surfaces (1) increased in hydrophilicity (p < 0.05) and (2) on three surfaces the carbon content decreased (33-60%), while (3) the monoclinic phase increased on all surfaces. Immunofluorescence analysis of the cell area and DNA-quantification and alkaline phosphatase activity revealed no effect of H2O2-treatment on cell behavior. Proliferation activity was significantly higher on three of the four untreated surfaces, especially on the smooth surfaces (p < 0.05). Within the limitations of this study, it can be concluded that exposure of zirconia surfaces to 20% H2O2 for 2 h increases the wettability of the surfaces, but also seems to increase the monoclinic phase, especially on roughened surfaces, which can be considered detrimental to material stability. Moreover, the H2O2-treatment has no influence on osteoblast behavior.
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Affiliation(s)
- Taskin Tuna
- Department of Prosthodontics and Biomaterials, School of Dentistry, RWTH University Aachen, Pauwelsstr. 30, 52062 Aachen, Germany
| | - Martin Wein
- Division of Oral Biotechnology, Center for Dental Medicine, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany
| | - Brigitte Altmann
- G.E.R.N. Research Center for Tissue Replacement, Regeneration & Neogenesis, Department of Prosthetic Dentistry, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany
| | - Thorsten Steinberg
- Division of Oral Biotechnology, Center for Dental Medicine, Medical Center—University of Freiburg, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany
| | - Jens Fischer
- Division of Biomaterials and Technology, Clinic for Reconstructive Dentistry University Center for Dental Medicine UZB, University of Basel, 4058 Basel, Switzerland
| | - Wael Att
- Department of Prosthodontics, School of Dental Medicine Tufts University, Boston, MA 02111, USA
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Wiessner A, Wassmann T, Wiessner JM, Schubert A, Wiechens B, Hampe T, Bürgers R. In Vivo Biofilm Formation on Novel PEEK, Titanium, and Zirconia Implant Abutment Materials. Int J Mol Sci 2023; 24:ijms24021779. [PMID: 36675292 PMCID: PMC9865206 DOI: 10.3390/ijms24021779] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 12/16/2022] [Accepted: 01/11/2023] [Indexed: 01/18/2023] Open
Abstract
The formation of biofilms on the surface of dental implants and abutment materials may lead to peri-implantitis and subsequent implant failure. Recently, innovative materials such as polyether-ether-ketone (PEEK) and its modifications have been used as abutment materials. However, there is limited knowledge on microbial adhesion to PEEK materials. The aim of this in vivo study was to investigate biofilm formation on the surface of conventional (titanium and zirconia) and PEEK implant abutment materials. Split specimens of titanium, zirconia, PEEK, and modified PEEK (PEEK-BioHPP) were manufactured, mounted in individual removable acrylic upper jaw splints, and worn by 20 healthy volunteers for 24 h. The surface roughness was determined using widefield confocal microscopy. Biofilm accumulation was investigated by fluorescence microscopy and quantified by imaging software. The surface roughness of the investigated materials was <0.2 µm and showed no significant differences between the materials. Zirconia showed the lowest biofilm formation, followed by titanium, PEEK, and PEEK-BioHPP. Differences were significant (p < 0.001) between the investigated materials, except for the polyether-ether-ketones. Generally, biofilm formation was significantly higher (p < 0.05) in the posterior region of the oral cavity than in the anterior region. The results of the present study show a material-dependent susceptibility to biofilm formation. The risk of developing peri-implantitis may be reduced by a specific choice of abutment material.
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Affiliation(s)
- Andreas Wiessner
- Department of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany
| | - Torsten Wassmann
- Department of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany
- Correspondence:
| | - Johanna Maria Wiessner
- Department of Orthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany
| | - Andrea Schubert
- Department of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany
| | - Bernhard Wiechens
- Department of Orthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany
| | - Tristan Hampe
- Department of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany
| | - Ralf Bürgers
- Department of Prosthodontics, University Medical Center Göttingen, 37075 Göttingen, Germany
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13
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Thangavel M, Elsen Selvam R. Review of Physical, Mechanical, and Biological Characteristics of 3D-Printed Bioceramic Scaffolds for Bone Tissue Engineering Applications. ACS Biomater Sci Eng 2022; 8:5060-5093. [PMID: 36415173 DOI: 10.1021/acsbiomaterials.2c00793] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
This review focuses on the advancements in additive manufacturing techniques that are utilized for fabricating bioceramic scaffolds and their characterizations leading to bone tissue regeneration. Bioscaffolds are made by mimicking the human bone structure, material composition, and properties. Calcium phosphate apatite materials are the most commonly used scaffold materials as they closely resemble live bone in their inorganic composition. The functionally graded scaffolds are fabricated by utilizing the right choice of the 3D printing method and material combinations to achieve the requirement of the bioscaffold. To tailor the physical, mechanical, and biological properties of the scaffold, certain materials are reinforced, doped, or coated to incorporate the functionality. The biomechanical loading conditions that involve flexion, torsion, and tension exerted on the implanted scaffold are discussed. The finite element analysis (FEA) technique is used to investigate the mechanical property of the scaffold before fabrication. This helps in reducing the actual number of samples used for testing. The FEA simulated results and the experimental result are compared. This review also highlights some of the challenges associated while processing the scaffold such as shrinkage, mechanical instability, cytotoxicity, and printability. In the end, the new materials that are evolved for tissue engineering applications are compiled and discussed.
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Affiliation(s)
- Mahendran Thangavel
- School of Mechanical Engineering, Vellore Institute of Technology, Vellore, Tamil Nadu 632014, India
| | - Renold Elsen Selvam
- School of Mechanical Engineering, Vellore Institute of Technology, Vellore, Tamil Nadu 632014, India
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Yoo SK, Jo YH, Yeo ISL, Yoon HI, Lee JH, Ahn JS, Han JS. Analysis of surface characteristics of (Y, Nb)-TZP after finishing and polishing. J Adv Prosthodont 2022; 14:335-345. [PMID: 36685792 PMCID: PMC9832147 DOI: 10.4047/jap.2022.14.6.335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 10/25/2022] [Accepted: 10/27/2022] [Indexed: 12/28/2022] Open
Abstract
PURPOSE This in vitro study aimed to evaluate the surface characteristics of a full veneer crown fabricated chairside (CS) from a (Y, Nb)-TZP zirconia block in response to conventional zirconia grinding and polishing. MATERIALS AND METHODS Zirconia crowns (n = 40) were first prepared and divided into two groups of materials: Labside (LS) and CS, after which each specimen went through a five-step grinding and polishing procedure. Following each surface treatment, surface characteristics were analyzed using confocal laser microscopy (CLSM), average surface roughness (Ra) values were processed from the profile data through Gaussian filtering, and X-ray diffraction pattern analysis was performed to evaluate the monoclinic (M) phase content. Then, a representative specimen was selected for field-emission scanning electron microscopy (FE-SEM), followed by a final analysis of the roughness and X-ray diffraction of the specimens using the independent t-test and repeated measures analysis of variance (RM-ANOVA). RESULTS In every group, polishing significantly reduced the Ra values (P < .001). There was no significant difference in Ra between the polished state CS and LS. Furthermore, CLSM and FE-SEM investigations revealed that even though grain exposure was visible in CS specimens throughout the as-delivered and ground states, the exposure was reduced after polishing. Moreover, while no phase transformation was visible in the LS, phase transformation was visible in CS after every surface treatment, with the M phase content of the CS group showing a significant reduction after polishing (P < .001). CONCLUSION Within the limits of this study, clinically acceptable level of surface finishing of (Y, Nb)-TZP can be achieved after conventional zirconia polishing sequence.
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Affiliation(s)
- Seong-keun Yoo
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
| | - Ye-Hyeon Jo
- Dental Research Institute, Seoul National University School of Dentistry, Seoul, Republic of Korea
| | - In-Sung Luke Yeo
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
| | - Hyung-In Yoon
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
| | - Jae-Hyun Lee
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
| | - Jin-Soo Ahn
- Department of Dental Biomaterials Science and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea
| | - Jung-Suk Han
- Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea
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15
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Rice A, Kiourti A. High-Contrast Low-Loss Antenna: A Novel Antenna for Efficient Into-Body Radiation. IEEE TRANSACTIONS ON ANTENNAS AND PROPAGATION 2022; 70:10132-10140. [PMID: 36407055 PMCID: PMC9674308 DOI: 10.1109/tap.2022.3188354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
We present a biocompatible high-contrast low-loss antenna (HCLA) designed for efficient into-body radiation for applications as diverse as medical telemetry, sensing, and imaging. The HCLA is wearable with a compact size of 2.62 cm3 and operates across the 1 to 5 GHz bandwidth. The quasi-bowtie antenna is loaded with a high-contrast (i.e., alternating layers of high and low permittivity materials) and low-loss dielectric to improve directivity and gain into the biological tissues. Measurement results at 2.4 GHz are in good agreement with simulations and show 5.72 dB improvement in transmission loss over the most efficient into-body radiator reported in the past. At the high end of the frequency bandwidth, simulation results for two antennas placed across each other with tissue in between show ~12.5 dB improvement in transmission loss. The HCLA is fabricated with stable, low-loss materials that allow for repeatability and consistency in the fabrication process, thus, addressing limitations of the current state-of-the-art. It is also made from biocompatible materials that enable it to be placed directly on the skin for real-world implementation. In this paper, we discuss the operation principle and design of the HCLA, its transmission performance, radiation patterns, and specific absorption rate.
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Affiliation(s)
- Allyanna Rice
- ElectroScience Laboratory, Department of Electrical and Computer Engineering, The Ohio State University, Columbus, OH 43210 USA
| | - Asimina Kiourti
- ElectroScience Laboratory, Department of Electrical and Computer Engineering, The Ohio State University, Columbus, OH 43210 USA
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Dantas T, Rodrigues F, Araújo J, Vaz P, Silva F. Customized root-analogue dental implants - Procedure and errors associated with image acquisition, treatment, and manufacturing technology in an experimental study on a cadaver dog mandible. J Mech Behav Biomed Mater 2022; 133:105350. [DOI: 10.1016/j.jmbbm.2022.105350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2022] [Revised: 06/21/2022] [Accepted: 06/28/2022] [Indexed: 11/30/2022]
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17
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TiO2 Nanocoatings with Controllable Crystal Type and Nanoscale Topography on Zirconia Implants to Accelerate Bone Formation. Bioinorg Chem Appl 2022; 2022:8650659. [PMID: 35529315 PMCID: PMC9068347 DOI: 10.1155/2022/8650659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Accepted: 03/04/2022] [Indexed: 11/18/2022] Open
Abstract
In dentistry, zirconia implants have emerged as a promising alternative for replacing missing teeth due to their superior aesthetic performance and chemical stability. To improve the osseointegration of zirconia implants, modifying their surface with hierarchical micro/nanotopography and bioactive chemical composition are two effective ways. In this work, a microscale topography was prepared on a zirconia surface using hydrofluoric acid etching, and then a 50 nm TiO2 nanocoating was deposited via atomic layer deposition (ALD). Subsequently, an annealing treatment was used to transform the TiO2 from amorphous to anatase and simultaneously generate nanoscale topography. Various investigations into the coating surface morphology, topography, wettability, and chemical composition were carried out using scanning electron microscopy, white light interferometry, contact-angle measurement, X-ray diffraction, and X-ray photoelectron spectroscopy. In addition, in vitro cytocompatibility and osteogenic potential performance of the coatings were evaluated by human bone marrow mesenchymal stem cells (hBMSCs), and in vivo osseointegration performance was assessed in a rat femoral condyle model. Moreover, the possible mechanism was also investigated. The deposition of TiO2 film with/without annealing treatment did not alter the microscale roughness of the zirconia surface, whereas the nanotopography changed significantly after annealing. The in vitro studies revealed that the anatase TiO2 coating with regular wavelike nanostructure could promote the adhesion and proliferation of osteoblasts and further improve the osteogenic potential in vitro and osseointegration in vivo. These positive effects may be caused by nanoscale topography via the canonical Wnt/β-catenin pathway. The results suggest that using ALD in combination with annealing treatment to fabricate a nanotopographic TiO2 coating is a promising way to improve the osteogenic properties of zirconia implants.
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18
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da Cruz MB, Marques JF, Silva N, Madeira S, Carvalho Ó, Silva FS, Caramês J, Mata A. Human Gingival Fibroblast and Osteoblast Behavior on Groove-Milled Zirconia Implant Surfaces. MATERIALS 2022; 15:ma15072481. [PMID: 35407819 PMCID: PMC9000173 DOI: 10.3390/ma15072481] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/06/2022] [Revised: 03/23/2022] [Accepted: 03/24/2022] [Indexed: 12/25/2022]
Abstract
Two type of cells representing periodontal hard tissues (osteoblasts) and soft tissues (fibroblasts) were evaluated in response to microgroove-milled zirconia surfaces. A total of 90 zirconia discs were randomly assigned to four width-standardized milling microgroove-textured groups and a control group without grooves (UT). The sandblast and acid-etch protocol were applied to all samples. Both cell lines were cultured on zirconia discs from 1 day up to 14 days. Cell morphology and adhesion were evaluated after 1 day of culturing. Cell viability and proliferation of the cells were measured. Alkaline phosphatase activity, collagen I, osteopontin, interleukin 1β and interleukin 8 secretions were assessed at predefined times. The results obtained were presented in the form of bar graphs as means and standard deviations. Multi comparisons between groups were evaluated using two-away ANOVA or Mann−Whitney tests, and a p-value < 0.05 was established. Group comparisons with regard to cell viability, proliferation and secretion of collagen I, interleukin-1β and interleukin 8 revealed no statistically significant differences. The alkaline phosphatase activity and osteopontin secretion were significantly higher in the group with a large groove compared to the small one and the control group. Nevertheless, the viability of gingival and bone cells did not appear to be affected by the milled microgroove texture compared to the conventional sandblasted and acid-etched texture, but they seem to influence osteoblasts’ cellular differentiation.
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Affiliation(s)
- Mariana Brito da Cruz
- Universidade de Lisboa, Faculdade de Medicina Dentária, Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), LIBPhys-FTC UID/FIS/04559/2013, Rua Professora Teresa Ambrósio, 1600-277 Lisboa, Portugal; (J.F.M.); (J.C.); (A.M.)
- Correspondence: ; Tel.: +351-911-042-881
| | - Joana Faria Marques
- Universidade de Lisboa, Faculdade de Medicina Dentária, Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), LIBPhys-FTC UID/FIS/04559/2013, Rua Professora Teresa Ambrósio, 1600-277 Lisboa, Portugal; (J.F.M.); (J.C.); (A.M.)
| | - Neusa Silva
- Universidade de Lisboa, Faculdade de Medicina Dentária, Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), Rua Professora Teresa Ambrósio, 1600-277 Lisboa, Portugal;
| | - Sara Madeira
- Center for Microelectromechanical Systems (CMEMS), Department of Mechanical Engineering, University of Minho, 4800-058 Guimarães, Portugal; (S.M.); (Ó.C.); (F.S.S.)
| | - Óscar Carvalho
- Center for Microelectromechanical Systems (CMEMS), Department of Mechanical Engineering, University of Minho, 4800-058 Guimarães, Portugal; (S.M.); (Ó.C.); (F.S.S.)
| | - Filipe Samuel Silva
- Center for Microelectromechanical Systems (CMEMS), Department of Mechanical Engineering, University of Minho, 4800-058 Guimarães, Portugal; (S.M.); (Ó.C.); (F.S.S.)
| | - João Caramês
- Universidade de Lisboa, Faculdade de Medicina Dentária, Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), LIBPhys-FTC UID/FIS/04559/2013, Rua Professora Teresa Ambrósio, 1600-277 Lisboa, Portugal; (J.F.M.); (J.C.); (A.M.)
- Universidade de Lisboa, Faculdade de Medicina Dentária, Bone Physiology Research Group, Rua Professora Teresa Ambrósio, 1600-277 Lisboa, Portugal
| | - António Mata
- Universidade de Lisboa, Faculdade de Medicina Dentária, Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), LIBPhys-FTC UID/FIS/04559/2013, Rua Professora Teresa Ambrósio, 1600-277 Lisboa, Portugal; (J.F.M.); (J.C.); (A.M.)
- Universidade de Lisboa, Faculdade de Medicina Dentária, Cochrane Portugal, Instituto de Saúde Baseada na Evidência (ISBE), Avenida Professor Egas Moniz, 1649-028 Lisboa, Portugal
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Hydrothermal synthesis of zirconia-based nanocomposite powder reinforced by graphene and its application for bone scaffold with 3D printing. ADV POWDER TECHNOL 2021. [DOI: 10.1016/j.apt.2021.103406] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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20
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Dantas T, Padrão J, da Silva MR, Pinto P, Madeira S, Vaz P, Zille A, Silva F. Bacteria co-culture adhesion on different texturized zirconia surfaces. J Mech Behav Biomed Mater 2021; 123:104786. [PMID: 34428693 DOI: 10.1016/j.jmbbm.2021.104786] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Revised: 08/13/2021] [Accepted: 08/16/2021] [Indexed: 10/20/2022]
Abstract
Zirconia is becoming reckoned as a promising solution for different applications, in particular those within the dental implant investigation field. It has been proved to successfully overcome important limitations of the commonly used titanium implants. The adhesion of microorganisms to the implants, in particular of bacteria, may govern the success or the failure of a dental implant, as the accumulation of bacteria on the peri-implant bone may rapidly evolve into periodontitis. However, bacterial adhesion on different zirconia architectures is still considerably unknown. Therefore, the adhesion of Escherichia coli, Staphylococcus aureus and Pseudomonas aeruginosa to zirconia surfaces with different finishings was evaluated and compared to a titanium surface. The adhesion interaction between S. aureus and P. aeruginosa was also evaluated using a co-culture since these bacteria are infamous due to their common presence in chronic wound infections. Results showed that different bacterium species possess different properties which influence their propensity to adhere to different roughness levels and architectures. E. coli revealed a higher propensity to adhere to zirconia channelled surfaces (7.15 × 106 CFU/mL), whereas S. aureus and P. aeruginosa adhered more to the titanium control group (1.07 × 105 CFU/mL and 8.43 × 106 CFU/mL, respectively). Moreover, the co-culture denoted significant differences on the adhesion behaviour of bacteria. Despite not having shown an especially better behaviour regarding bacterial adhesion, zirconia surfaces with micro-channels are expected to improve the vascularization around the implants and ultimately enhance osseointegration, thus being a promising solution for dental implants.
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Affiliation(s)
- Telma Dantas
- CMEMS - Center for MicroElectroMechanical Systems, University of Minho, Portugal; MIT Portugal Program - School of Engineering, University of Minho, Portugal.
| | - Jorge Padrão
- 2C2T-Centre for Textile Science and Technology, University of Minho, 4800-058, Guimarães, Portugal
| | | | - Paulo Pinto
- CMEMS - Center for MicroElectroMechanical Systems, University of Minho, Portugal
| | - Sara Madeira
- CMEMS - Center for MicroElectroMechanical Systems, University of Minho, Portugal
| | - Paula Vaz
- Fixed Prosthodontics, Genetics- Faculty of Dental Medicine, University of Porto, Portugal
| | - Andrea Zille
- 2C2T-Centre for Textile Science and Technology, University of Minho, 4800-058, Guimarães, Portugal
| | - Filipe Silva
- CMEMS - Center for MicroElectroMechanical Systems, University of Minho, Portugal
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21
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da Cruz MB, Marques JF, Fernandes BF, Pinto P, Madeira S, Carvalho Ó, Silva FS, Caramês JMM, da Mata ADSP. Laser surface treatment on Yttria-stabilized zirconia dental implants: Influence on cell behavior. J Biomed Mater Res B Appl Biomater 2021; 110:249-258. [PMID: 34278714 DOI: 10.1002/jbm.b.34909] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Revised: 05/29/2021] [Accepted: 07/08/2021] [Indexed: 11/08/2022]
Abstract
Yttria-stabilized zirconia (YSZ) is being proposed as an alternative material to Titanium for dental implants due to its aesthetic and biocompatibility properties. However, is it yet to define the optimal surface treatment to improve YSZ bioactivy. Texturization is a promising approach, but the biological role of patterned YSZ surfaces in cell cultures is yet to be determined. Thus, cellular behavior of osteoblasts and fibroblasts in contact with groove-texturized YSZ surfaces was investigated. YSZ discs were groove-textured by conventional milling and Nd:YAG laser. All samples including control were sandblasted and acid-etched. Human osteoblasts and fibroblasts were cultured on discs for 14 days. Morphology and cellular adhesion were observed. Cell viability, interleukin-1β, osteopontin, collagen type I prodution, alkaline phosphatase activity, and interleukin-8 were measured. YSZ texturization by conventional milling improved osteoblasts viability and differentiation when compared to laser texturization. Fibroblasts behavior did not seem to be influenced by the texturing technique. Compared to sandblasting and acid etching currently used as gold standard for zirconia dental implants no superiority of macrotexturization was found.
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Affiliation(s)
- Mariana Brito da Cruz
- Oral Biology and Biochemistry Research Group-UICOB, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisbon, Portugal
| | - Joana Faria Marques
- Oral Biology and Biochemistry Research Group-UICOB, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisbon, Portugal
| | - Beatriz Ferreira Fernandes
- Oral Biology and Biochemistry Research Group-UICOB, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisbon, Portugal
| | - Paulo Pinto
- Center for Microelectromechanical Systems (CMEMS), Department of Mechanical Engineering, University of Minho, Guimarães, Portugal
| | - Sara Madeira
- Center for Microelectromechanical Systems (CMEMS), Department of Mechanical Engineering, University of Minho, Guimarães, Portugal
| | - Óscar Carvalho
- Center for Microelectromechanical Systems (CMEMS), Department of Mechanical Engineering, University of Minho, Guimarães, Portugal
| | - Filipe Samuel Silva
- Center for Microelectromechanical Systems (CMEMS), Department of Mechanical Engineering, University of Minho, Guimarães, Portugal
| | - João Manuel Mendez Caramês
- Implant & Tissue Regeneration Group-Unidade de Investigação em Ciências Orais e Biomédicas (UICOB); LIBPhys-FCT UID/FIS/04559/2013, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisbon, Portugal
| | - António Duarte Sola Pereira da Mata
- Oral Biology and Biochemistry Research Group - UICOB; LIBPhys-FTC UID/FIS/04559/2013, Faculdade de Medina Dentária, Universidade de Lisboa, Lisbon, Portugal.,CEMDBE - Cochrane Portugal, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisbon, Portugal
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22
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Three-Dimensional Zirconia-Based Scaffolds for Load-Bearing Bone-Regeneration Applications: Prospects and Challenges. MATERIALS 2021; 14:ma14123207. [PMID: 34200817 PMCID: PMC8230534 DOI: 10.3390/ma14123207] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Revised: 05/30/2021] [Accepted: 06/01/2021] [Indexed: 02/05/2023]
Abstract
The design of zirconia-based scaffolds using conventional techniques for bone-regeneration applications has been studied extensively. Similar to dental applications, the use of three-dimensional (3D) zirconia-based ceramics for bone tissue engineering (BTE) has recently attracted considerable attention because of their high mechanical strength and biocompatibility. However, techniques to fabricate zirconia-based scaffolds for bone regeneration are in a stage of infancy. Hence, the biological activities of zirconia-based ceramics for bone-regeneration applications have not been fully investigated, in contrast to the well-established calcium phosphate-based ceramics for bone-regeneration applications. This paper outlines recent research developments and challenges concerning numerous three-dimensional (3D) zirconia-based scaffolds and reviews the associated fundamental fabrication techniques, key 3D fabrication developments and practical encounters to identify the optimal 3D fabrication technique for obtaining 3D zirconia-based scaffolds suitable for real-world applications. This review mainly summarized the articles that focused on in vitro and in vivo studies along with the fundamental mechanical characterizations on the 3D zirconia-based scaffolds.
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Bhaduri SB, Sikder P. Biomaterials for Dental Applications. Biomed Mater 2021. [DOI: 10.1007/978-3-030-49206-9_14] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Chen C, Enrico A, Pettersson T, Ek M, Herland A, Niklaus F, Stemme G, Wågberg L. Bactericidal surfaces prepared by femtosecond laser patterning and layer-by-layer polyelectrolyte coating. J Colloid Interface Sci 2020; 575:286-297. [PMID: 32380320 DOI: 10.1016/j.jcis.2020.04.107] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 04/24/2020] [Accepted: 04/25/2020] [Indexed: 11/15/2022]
Abstract
Antimicrobial surfaces are important in medical, clinical, and industrial applications, where bacterial infection and biofouling may constitute a serious threat to human health. Conventional approaches against bacteria involve coating the surface with antibiotics, cytotoxic polymers, or metal particles. However, these types of functionalization have a limited lifetime and pose concerns in terms of leaching and degradation of the coating. Thus, there is a great interest in developing long-lasting and non-leaching bactericidal surfaces. To obtain a bactericidal surface, we combine micro and nanoscale patterning of borosilicate glass surfaces by ultrashort pulsed laser irradiation and a non-leaching layer-by-layer polyelectrolyte modification of the surface. The combination of surface structure and surface charge results in an enhanced bactericidal effect against both Gram-positive Staphylococcus aureus and Gram-negative Escherichia coli bacteria. The laser patterning and the layer-by-layer modification are environmentally friendly processes that are applicable to a wide variety of materials, which makes this method uniquely suited for fundamental studies of bacteria-surface interactions and paves the way for its applications in a variety of fields, such as in hygiene products and medical devices.
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Affiliation(s)
- Chao Chen
- Department of Fiber and Polymer Technology, KTH Royal Institute of Technology, Teknikringen 56-58, 100 44 Stockholm, Sweden.
| | - Alessandro Enrico
- Department of Micro and Nanosystems, KTH Royal Institute of Technology, Malvinas väg 10, 100 44 Stockholm, Sweden.
| | - Torbjörn Pettersson
- Department of Fiber and Polymer Technology, KTH Royal Institute of Technology, Teknikringen 56-58, 100 44 Stockholm, Sweden; Department of Fiber and Polymer Technology, Wallenberg Wood Science Centre, KTH Royal Institute of Technology, Teknikringen 56-58, 100 44 Stockholm, Sweden.
| | - Monica Ek
- Department of Fiber and Polymer Technology, KTH Royal Institute of Technology, Teknikringen 56-58, 100 44 Stockholm, Sweden.
| | - Anna Herland
- Department of Micro and Nanosystems, KTH Royal Institute of Technology, Malvinas väg 10, 100 44 Stockholm, Sweden; Swedish Medical Nanoscience Center, Department of Neuroscience, Karolinska Institute, 17177 Stockholm, Sweden.
| | - Frank Niklaus
- Department of Micro and Nanosystems, KTH Royal Institute of Technology, Malvinas väg 10, 100 44 Stockholm, Sweden.
| | - Göran Stemme
- Department of Micro and Nanosystems, KTH Royal Institute of Technology, Malvinas väg 10, 100 44 Stockholm, Sweden.
| | - Lars Wågberg
- Department of Fiber and Polymer Technology, KTH Royal Institute of Technology, Teknikringen 56-58, 100 44 Stockholm, Sweden; Department of Fiber and Polymer Technology, Wallenberg Wood Science Centre, KTH Royal Institute of Technology, Teknikringen 56-58, 100 44 Stockholm, Sweden.
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25
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Kalaivani S, Kannan S. Structure, mechanical, optical, and imaging contrast features of Yb 3+ , Dy 3+ , Tb 3+ , Gd 3+ , Eu 3+ , and Nd 3+ substituted Y 2 O 3 -Ln 2 O 3 solid solution. J Biomed Mater Res B Appl Biomater 2020; 108:2656-2669. [PMID: 32134567 DOI: 10.1002/jbm.b.34597] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2019] [Accepted: 02/22/2020] [Indexed: 01/24/2023]
Abstract
Bulk ceramic that possess the combined features of structural stability at elevated temperatures, appropriate mechanical stability, luminescence features, magnetic resonance (MR) and computed tomography (CT) imaging capacity in a single platform is considered an exciting prospect in biomedical applications. In this study, six different lanthanides (Ln3+ :Yb3+ , Dy3+ , Tb3+ , Gd3+ , Eu3+ , and Nd3+ ) were combined together to yield a Y2 O3 :Ln2 O3 solid solution and subsequently tested for the proposed application. Three different Y2 O3 :Ln2 O3 solid solutions were formed by varying the concentrations of Ln3+ precursors. A unique cubic crystal structure with Ia-3 (206) space setting is retained until 1500 °C and moreover an expanded lattice is accomplished with the gradual inclusion of six different Ln3+ . Optical analysis inferred the characteristic electronic transitions of all the Ln3+ and moreover up-conversion and down-conversion emission behavior were also attributed by the material during excitation at 795 and 350 nm. Nanoindentation studies exercised on the material envisaged reasonably enhanced hardness and Young's modulus values. Further, the enhanced CT imaging potential alongside in vitro MRI study deliberating the longitudinal (T1 ) and transverse (T2 ) relaxivity ability of the material is also established.
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Affiliation(s)
| | - Sanjeevi Kannan
- Centre for Nanoscience and Technology, Pondicherry University, Puducherry, India
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Petersen RC, Liu PR, Reddy MS. An Advanced Fiber-Reinforced Composite Solution for Gingival Inflammation and Bone Loss Related to Restorative Crowns. EC DENTAL SCIENCE 2020; 19:https://www.ecronicon.com/ecde/pdf/ECDE-19-01347.pdf. [PMID: 33196061 PMCID: PMC7665114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Soaring gold prices have created an almost impossible void in the Dental Materials supply reserves for affordable patient posterior crowns. Fortunately, aerotech fiber-reinforced composite (FRC) materials in use for many diverse structural applications can be developed for dentistry to replace gold with computer-assisted design/computer-assisted manufacture (CAD/CAM) technology. Current dental ceramics or high-strength oxide ceramics like alumina and zirconia available for CAD/CAM have extremely poor fracture-toughness properties and can propagate microscopic cracks rapidly to sudden adverse brittle failure. As a highly promising alternative, exceptional FRC fracture toughness properties counteract brittle failure with high-strength fibers that act as major barriers to crack propagation. In addition, excellent rapid FRC CAD/CAM machining can offer one-patient appointments for single crowns. FRCs have high-strength fibers coupled into a polymer matrix with the ability to form strong covalent bonds with resin adhesives whereas ceramics do not bond well and oxide ceramics have non-reactive inert surfaces making resin bonding extremely difficult. Prominent adhesive free-radical covalent bonding by FRCs then provides a great opportunity to achieve a crown marginal reline directly on the patienťs clinical tooth for possible near zero-gap defect tolerances. To place crown gingival marginal defects in proper perspective, gaps between the tooth and crown expose luting cements that can wash out and provide space for microbial plaque growth. Bacterial toxins released from a crown-tooth interface can subsequently produce secondary decay, gingival inflammation and eventually under severe plaque environments breed periodontal disease with bone loss.
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Affiliation(s)
- Richard C Petersen
- Biomaterials and Restorative Sciences, School of Dentistry, University of Alabama at Birmingham, United States of America
| | - Perng-Ru Liu
- Restorative Sciences, School of Dentistry, University of Alabama at Birmingham, United States of America
| | - Michael S Reddy
- Office of the Dean, School of Dentistry, University of California at San Francisco, United States of America
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27
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Sun L, Jiao X, Liu W, Wang Y, Cao Y, Bao SJ, Xu Z, Kang Y, Xue P. Novel Oxygen-Deficient Zirconia (ZrO 2-x) for Fluorescence/Photoacoustic Imaging-Guided Photothermal/Photodynamic Therapy for Cancer. ACS APPLIED MATERIALS & INTERFACES 2019; 11:41127-41139. [PMID: 31610123 DOI: 10.1021/acsami.9b16604] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
Theranostic nanoplatforms that integrate therapy and diagnosis in a single composite have become increasingly attractive in the field of precise and efficient tumor treatment. Herein, a novel oxygen-deficient zirconia (ZrO2-x) nanosystem based on the conjugation of thiol-polyethylene glycol-amine (SH-PEG-NH2) and chlorin e6 (Ce6) was elaborately designed and established for efficacious photothermal/photodynamic therapy (PTT/PDT) and fluorescence/photoacoustic (FL/PA) bimodal imaging for the first time. The crystalline-disordered, PEGylated ZrO2-x nanoparticles (ZP NPs) displayed strong optical absorption in the near-infrared (NIR) window and were featured with significant photothermal conversion capacity. The ZP NPs were further covalently conjugated with Ce6 to form ZrO2-x@PEG/Ce6 (ZPC) NPs, which displayed a long circulatory half-life, efficient tumor accumulation, and outstanding FL/PA imaging performance. Moreover, the nanocomposites effectively generated cytotoxic intracellular reactive oxygen species (ROS) responsive to laser activation. Both cell studies and animal experiments explicitly demonstrated that ZPC NPs mediated remarkable tumor ablation with minimal systemic toxicity thanks to their tumor-specific PTT/PDT effect. Collectively, these findings may open up new avenues to broaden the application of oxygen-deficient ZrO2-x nanostructures as high-performance photothermal agents in tumor theranostics through rational design and accurate control of their physiochemical properties.
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Affiliation(s)
- Lihong Sun
- Key Laboratory of Luminescent and Real-Time Analytical Chemistry, Ministry of Education, School of Materials and Energy , Southwest University , Chongqing 400715 , China
- Chongqing Engineering Research Center for Micro-Nano Biomedical Materials and Devices , Southwest University , Chongqing 400715 , China
| | - Xiaodan Jiao
- Key Laboratory of Luminescent and Real-Time Analytical Chemistry, Ministry of Education, School of Materials and Energy , Southwest University , Chongqing 400715 , China
- Chongqing Engineering Research Center for Micro-Nano Biomedical Materials and Devices , Southwest University , Chongqing 400715 , China
| | - Weiwei Liu
- Chongqing Key Laboratory of Ultrasound Molecular Imaging, Institute of Ultrasound Imaging, Second Affiliated Hospital , Chongqing Medical University , Chongqing 400010 , China
| | - Ying Wang
- Key Laboratory of Luminescent and Real-Time Analytical Chemistry, Ministry of Education, School of Materials and Energy , Southwest University , Chongqing 400715 , China
| | - Yang Cao
- Chongqing Key Laboratory of Ultrasound Molecular Imaging, Institute of Ultrasound Imaging, Second Affiliated Hospital , Chongqing Medical University , Chongqing 400010 , China
| | - Shu-Juan Bao
- Key Laboratory of Luminescent and Real-Time Analytical Chemistry, Ministry of Education, School of Materials and Energy , Southwest University , Chongqing 400715 , China
| | - Zhigang Xu
- Key Laboratory of Luminescent and Real-Time Analytical Chemistry, Ministry of Education, School of Materials and Energy , Southwest University , Chongqing 400715 , China
- Chongqing Engineering Research Center for Micro-Nano Biomedical Materials and Devices , Southwest University , Chongqing 400715 , China
| | - Yuejun Kang
- Key Laboratory of Luminescent and Real-Time Analytical Chemistry, Ministry of Education, School of Materials and Energy , Southwest University , Chongqing 400715 , China
- Chongqing Engineering Research Center for Micro-Nano Biomedical Materials and Devices , Southwest University , Chongqing 400715 , China
| | - Peng Xue
- Key Laboratory of Luminescent and Real-Time Analytical Chemistry, Ministry of Education, School of Materials and Energy , Southwest University , Chongqing 400715 , China
- Chongqing Engineering Research Center for Micro-Nano Biomedical Materials and Devices , Southwest University , Chongqing 400715 , China
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Semetse L, Obadele BA, Raganya L, Geringer J, Olubambi PA. Fretting corrosion behaviour of Ti-6Al-4V reinforced with zirconia in foetal bovine serum. J Mech Behav Biomed Mater 2019; 100:103392. [PMID: 31430704 DOI: 10.1016/j.jmbbm.2019.103392] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2019] [Revised: 07/08/2019] [Accepted: 08/06/2019] [Indexed: 01/09/2023]
Abstract
Fretting corrosion is a critical challenge in the design of hip prosthesis used in total hip arthroplasty (THA) surgeries. Currently, the design of hip implants includes a tapered junction which introduces additional interfaces that connect different parts of the hip implant such as the femoral neck and head or stem and neck interface. Micro motions that occur under the influence of load, together with chemical changes in the host environment, make these interfaces susceptible to tribocorrosion processes, particularly fretting corrosion. Commonly used metallic biomaterials are based on stainless steels, cobalt chrome-based alloys as well as titanium and titanium alloys. Each of these materials possess some degree of limitations, particularly where tribocorrosion events are concerned. Titanium alloy Ti-6Al-4V is widely used in biomedical applications for non-bearing components of total joint arthroplasty (TJA) surgeries. Its poor wear resistance continues to remain a challenge in load-bearing joints where parts articulate against one another as in the case of modular junctions. Some of the attempts made to improve the wear properties of Ti-6Al-4V is through the incorporation of second phase particles like ceramics in its matrix to produce metal matrix composites of Ti-6Al-4V. The aim of this work is to investigate the effect of zirconia reinforcement on spark plasma sintered Ti-6Al-4V composites (zirconium oxide particles incorporated into Ti-6Al-4V matrix) on the fretting corrosion properties of Ti-6Al-4V. Fretting corrosion tests were carried out on as-sintered Ti-6Al-4V and Ti-6Al-4V with 5 and 10 wt.% ZrO2. The tests were carried out in foetal bovine serum under applied normal loads of 85 and 115 N using the cylinder-on-flat contact configuration. The evolution of OCP, dissipated energy and friction coefficient were recorded throughout the test. Microstructural analysis of the samples before fretting corrosion tests showed the presence of globular agglomerates throughout the Ti-6Al-4V matrix due to zirconia additions; the volume of the agglomerates was higher in the composites having 10 wt.% ZrO2. Ti-6Al-4V composites having zirconia additions produced a nobler OCP during fretting in foetal bovine serum, compared to pure Ti-6Al-4V. Furthermore, the fretting corrosion results showed a significant improvement in the tribocorrosion resistance of Ti-6Al-4V with 10 wt.% ZrO2 at all loads. This composition also produced the least amount of degradation. and metal ion release. Mechanical data showed that increasing the applied normal load promoted a transition from gross slip to partial slip conditions for all compositions. Partial slip was found to be prevalent at a higher normal load (drastic decrease of the dissipated energy and consequently the friction coefficient). This mechanical condition prevents a large amount of degradation.
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Affiliation(s)
- Lerato Semetse
- Centre for Nanoengineering and Tribocorrosion, School of Mining, Metallurgy and Chemical Engineering, University of Johannesburg, Doornfontein Campus, Johannesburg, South Africa.
| | - Babatunde Abiodun Obadele
- Centre for Nanoengineering and Tribocorrosion, School of Mining, Metallurgy and Chemical Engineering, University of Johannesburg, Doornfontein Campus, Johannesburg, South Africa
| | - Lerato Raganya
- Centre for Nanoengineering and Tribocorrosion, School of Mining, Metallurgy and Chemical Engineering, University of Johannesburg, Doornfontein Campus, Johannesburg, South Africa; Light Metals, Materials Science & Manufacturing, Council for Scientific and Industrial Research, Meiring Naudé Road, Brummeria, Pretoria, 0185, South Africa
| | - Jean Geringer
- Univ Lyon, IMT Mines Saint-Etienne, Centre CIS, [STBio] Univ Jean Monnet, INSERM, SainBioSE, F-42023, Saint-Etienne, France
| | - Peter Apata Olubambi
- Centre for Nanoengineering and Tribocorrosion, School of Mining, Metallurgy and Chemical Engineering, University of Johannesburg, Doornfontein Campus, Johannesburg, South Africa
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Pfefferle R, Lümkemann N, Wiedenmann F, Stawarczyk B. Different polishing methods for zirconia: impact on surface, optical, and mechanical properties. Clin Oral Investig 2019; 24:395-403. [PMID: 31102049 DOI: 10.1007/s00784-019-02953-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Accepted: 05/06/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVES To test the impact of polishing strategies on zirconia properties. MATERIALS AND METHODS One hundred eight zirconia specimens were divided into nine groups (n = 12/group). Seven groups were polished in the white-stage with either (1) a felt wheel (FW), (2) a felt wheel combined with a polishing paste (FWP), (3) a goat hair brush (GB), (4) a goat hair brush combined with a polishing paste (GBP), (5) a green-state finishing kit (FK), (6) a universal polisher (UP), or (7) with SiC polishing paper (PP), and sintered. Thereafter, the seven groups were divided into two subgroups each and polished using (1) a fine polisher (one-step, n = 6) or (2) a rough and fine polisher (two-steps, n = 6). The positive control group (polish-lab-kit, PLK) was sintered and polished in two-steps. The no polished group (NP) acted as negative control group. Translucency (T%) was measured after white-stage polishing and sintering, and after sintered-stage polishing. Surface free energy (SFE), surface roughness (SR), and flexural strength (FS) were determined. Data were analyzed using one-way ANOVA with Tukey-B post-hoc, t test, and Wilcoxon-test (p < 0.05). RESULTS FWP, GB, FK, UP, and PP presented decreased T% after one-step, while FWP, GB, GBP, FK, and UP presented decreased T% following two-steps polishing. FW showed the highest T% after white-stage, one-, and two-steps polishing. PP presented the lowest SFE. Two-steps polishing resulted in a lower SR for FW, FWP, GB, FK, UP, and PP and increased FS in all groups. CONCLUSIONS White-stage polishing improved zirconia properties. Two-steps polishing in the sintered stage, especially when combined with a polishing paste, can decrease SR and increase T% and FS. CLINICAL RELEVANCE With polishing in the sintered-stage impairing the polishing material and being time consuming, alternatives such as white-stage polishing should be investigated.
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Affiliation(s)
- Regina Pfefferle
- Department of Prosthetic Dentistry, Klinikum der Universität München, LMU München, Goethestraße 70, 80336, Munich, Germany
| | - Nina Lümkemann
- Department of Prosthetic Dentistry, Klinikum der Universität München, LMU München, Goethestraße 70, 80336, Munich, Germany
| | - Felicitas Wiedenmann
- Department of Prosthetic Dentistry, Klinikum der Universität München, LMU München, Goethestraße 70, 80336, Munich, Germany.
| | - Bogna Stawarczyk
- Department of Prosthetic Dentistry, Klinikum der Universität München, LMU München, Goethestraße 70, 80336, Munich, Germany
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30
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郑 苗, 詹 凌, 刘 志, 李 和, 谭 建. [Effect of different plasma treated zirconia on the adhensive behaviour of human gingival fibroblasts]. BEIJING DA XUE XUE BAO. YI XUE BAN = JOURNAL OF PEKING UNIVERSITY. HEALTH SCIENCES 2019; 51:315-320. [PMID: 30996375 PMCID: PMC7441189 DOI: 10.19723/j.issn.1671-167x.2019.02.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 10/09/2018] [Indexed: 06/09/2023]
Abstract
OBJECTIVE To evaluate the effect of different cold atmospheric plasma (CAP) treatment on the surface chemical and physical properties of zirconia and adhensive behaviour of human gingival fibroblasts (HGFs) cultured on zirconia disks. METHODS The zirconia disks were divided into four groups and treated using helium, argon and mixture of argon and oxygen cold atmospheric plasma for 90 s or left untreated. The surface morphology, wettability and chemical elements were analyzed right after treatment. Human gingival fibroblasts were grown from biopsies obtained from a periodontally healthy human subject during periodontal surgery. HGFs were seeded on zirconia disk, and cells density was measured at the time point of 3 hours. Indirect immunofluorescence (IIF) was performed for morphometric examination at the time point of 3 hours. RESULTS The crystallographic structure of zirconia was analyzed previously and the results suggested that it fitted the properties of zirconium yttrium oxide. After helium, argon and mixture of argon and oxygen cold atmospheric plasma treatment, the surface morphology and roughness of zirconia disks remained the same. The contact angle of zirconia decreased significantly(P<0.05)after CAP treatment: from 68.38° to 17.90°. After different CAP plasmas treatment, the atomic percentage of carbon on the outermost surface of the three groups decreased, as did the surface C/O ratio. The surface C/O ratio of zirconia decreased from 1.07 to 0.33. Fibroblasts density increased on CAP treated disks, especially the ones treated by mixture of argon and oxygen CAP(P<0.05). Cells of the three CAP plasma treatment groups spread better and had more protrusions, as well as larger surficial areas. CONCLUSION Based on the results of this study after being treated by different kinds of CAP plasmas for 90 s, the surface wettability increased and the elements changed significantly with no changes in the tomography and roughness of the materials. The CAP treatment enhances the adhensive behavior of fibroblasts on zirconia by increasing the oxygen functional groups and promoting the cell density. Wettability of zirconia, an important physicochemical property, has a vital influence on the cell behaviors.
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Affiliation(s)
- 苗 郑
- 北京大学第三医院口腔科, 北京 100191Department of Stomatology, Peking University Third Hospital, Beijing 100191, China
| | - 凌璐 詹
- 北京大学口腔医学院·口腔医院修复科, 北京 100081;Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing 100081, China
| | - 志强 刘
- 清华大学工程物理系, 北京 100084Department of Engineering Phy-sics, Tsinghua University, Beijing 100084, China
- 华北理工大学机械工程学院, 河北唐山 063210College of Mechanical Engineering, North China University of Science and Technology, Tangshan 063210, Hebei, China
| | - 和平 李
- 清华大学工程物理系, 北京 100084Department of Engineering Phy-sics, Tsinghua University, Beijing 100084, China
| | - 建国 谭
- 北京大学口腔医学院·口腔医院修复科, 北京 100081;Department of Prosthodontics, Peking University School and Hospital of Stomatology, Beijing 100081, China
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31
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Zirconia Use in Dentistry - Manufacturing and Properties. CURRENT HEALTH SCIENCES JOURNAL 2019; 45:28-35. [PMID: 31297259 PMCID: PMC6592671 DOI: 10.12865/chsj.45.01.03] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Received: 01/22/2019] [Accepted: 03/11/2019] [Indexed: 01/01/2023]
Abstract
Several types of metal-free ceramics have been developed to meet the patients demand for natural looking appearance restorations. Owing to their biocompatibility and good mechanical properties zirconia has been successfully used in recent years as a dental biomaterial. Due to its high opacity zirconia cores are generally covered with ceramic veneers that provide a more natural appearance but have frequent incidence of chipping. As an alternative to veneered zirconia full-contour zirconia restorations become more widely used nowadays. The paper reviews the current knowledge and scientific data of the zirconia use in dentistry in order to compare the zirconia based dental restorations with the metal-ceramic ones and also the two types of dental restoration based on zirconia, veneered or monolithic zirconia.
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Schünemann FH, Galárraga-Vinueza ME, Magini R, Fredel M, Silva F, Souza JCM, Zhang Y, Henriques B. Zirconia surface modifications for implant dentistry. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2019; 98:1294-1305. [PMID: 30813009 DOI: 10.1016/j.msec.2019.01.062] [Citation(s) in RCA: 129] [Impact Index Per Article: 25.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/13/2018] [Revised: 01/13/2019] [Accepted: 01/14/2019] [Indexed: 02/07/2023]
Abstract
BACKGROUND Zirconia has emerged as a versatile dental material due to its excellent aesthetic outcomes such as color and opacity, unique mechanical properties that can mimic the appearance of natural teeth and decrease peri-implant inflammatory reactions. OBJECTIVE The aim of this review was to critically explore the state of art of zirconia surface treatment to enhance the biological and osseointegration behavior of zirconia in implant dentistry. MATERIALS AND METHODS An electronic search in PubMed database was carried out until May 2018 using the following combination of key words and MeSH terms without time periods: "zirconia surface treatment" or "zirconia surface modification" or "zirconia coating" and "osseointegration" or "biological properties" or "bioactivity" or "functionally graded properties". RESULTS Previous studies have reported the influence of zirconia-based implant surface on the adhesion, proliferation, and differentiation of osteoblast and fibroblasts at the implant to bone interface during the osseointegration process. A large number of physicochemical methods have been used to change the implant surfaces and therefore to improve the early and late bone-to-implant integration, namely: acid etching, gritblasting, laser treatment, UV light, CVD, and PVD. The development of coatings composed of silica, magnesium, graphene, dopamine, and bioactive molecules has been assessed although the development of a functionally graded material for implants has shown encouraging mechanical and biological behavior. CONCLUSION Modified zirconia surfaces clearly demonstrate faster osseointegration than that on untreated surfaces. However, there is no consensus regarding the surface treatment and consequent morphological aspects of the surfaces to enhance osseointegration.
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Affiliation(s)
- Fernanda H Schünemann
- School of Dentistry (DODT), Post-Graduate Program in Dentistry (PPGO), Federal University of Santa Catarina (UFSC), Campus Trindade, 88040-900 Florianópolis, SC, Brazil
| | - María E Galárraga-Vinueza
- School of Dentistry (DODT), Post-Graduate Program in Dentistry (PPGO), Federal University of Santa Catarina (UFSC), Campus Trindade, 88040-900 Florianópolis, SC, Brazil
| | - Ricardo Magini
- School of Dentistry (DODT), Post-Graduate Program in Dentistry (PPGO), Federal University of Santa Catarina (UFSC), Campus Trindade, 88040-900 Florianópolis, SC, Brazil
| | - Márcio Fredel
- Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Campus Trindade, 88040-900, Florianópolis, SC, Brazil
| | - Filipe Silva
- CMEMS-UMinho, University of Minho, Campus de Azurém, 4800-058 Guimarães, Portugal
| | - Júlio C M Souza
- CMEMS-UMinho, University of Minho, Campus de Azurém, 4800-058 Guimarães, Portugal; Department of Dental Sciences, University Institute of Health Sciences (IUCS), CESPU, 4585-116, Gandra, Portugal
| | - Yu Zhang
- Department of Biomaterials and Biomimetics, New York University College of Dentistry, NYU, New York, NY 10010, USA
| | - Bruno Henriques
- Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Campus Trindade, 88040-900, Florianópolis, SC, Brazil; CMEMS-UMinho, University of Minho, Campus de Azurém, 4800-058 Guimarães, Portugal.
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