The effects of hydrochloric acid on all-ceramic restorative materials: an in-vitro study

OBJECTIVES

The aim of this in-vitro study was to assess the long-term effects of hydrochloric acid on the surface roughness of three all-ceramic restorative materials CEREC VITABLOC Mark II CAD, IPS Empress CAD and IPS e.max CAD.

MATERIALS AND METHODS

Six cylindrical specimens (10mm diameter, 3mm height) of each material type were prepared, using the CEREC CAD/CAM machine. The unpolished samples were immersed in 15ml hydrochloric acid (pH 2) at 37 degrees C. Before immersion (baseline) and at periods of 7.5 hours, 45 hours and 91 hours, the specimens were removed from the acid and two randomised areas (10 microm X 10 microm) were selected and tested on each. The atomic force microscope (Bruker Dimension icon) was used to assess surface roughness and surface area at baseline and after each exposure time. The materials were compared over time with respect to surface roughness and surface area (baseline, 1 month, 6 months, 1 year) in a repeated measures analysis of variance (ANOVA).

RESULTS

Sample groups differed significantly for roughness (p < 0.0001) and surface area (p < 0.0001). For both parameters a significant interaction also existed between material and time (surface roughness: p = 0.0085; surface area: p = 0.0014). CEREC VITABLOC Mark II CAD and IPS Empress CAD had substantially higher levels of roughness and surface area than IPS e.max CAD, which was also affected to a lesser extent over time.

CONCLUSION

The results showed that IPS e.max CAD was least affected by long-term exposure to hydrochloric acid.

Evaluation of surface characteristics of titanium and cobalt chromium implant abutment materials

INTRODUCTION

Micro-organism adhesion and plaque formation is affected by surface free energy (SFE), surface roughness, hydrophilicity, surface chemistry, surface charge and the presence of proteins.

AIMS

The aim of this study was to assess and compare surface characteristics of surgical grade cobalt chromium alloy (CCM) and of commercially pure titanium (cpTi).

METHOD

Nine metallic cylinders were machined to precise standards from each material. Surface roughness was measured at four different points on each sample and the average Ra value was calculated for each material. Contact angles were obtained using the sessile-drop method and applied in calculating the SFE. Surface hardness was evaluated by means of a Vickers hardness micro-indentation.

RESULTS

Surface roughness was similar for both metals, but total SFE values and Vickers surface hardness scores showed significant differences (p < 0.0001).

CONCLUSION

SFE analysis showed CCM to be more hydrophobic and that oral bacteria might therefore be less adherent than to cpTi. The mean Vickers Hardness scores of the cpTi were significantly lower (p < 0.0001), suggesting that CCM may be more resistant to surface modifications and surface roughening, thus remaining smoother with less plaque accumulation than cpTi. This study demonstrated that CCM might be a suitable alternative implant abutment material.

Effects of amitriptyline, fluoxetine, tranylcypromine and venlafaxine on rat vascular smooth muscle in vitro--the role of the endothelium

Hypotension is a frequent side effect of the antidepressant treatment. It is controversial whether this effect is attributable to interactions within the central nervous or the cardiovascular system. We examined often used antidepressants for their vasoactive properties in vitro in rat aortal rings with and without endothelium. The influence of pre-incubation with the antidepressants (0.5 μM) on adrenergic elicited smooth muscle contraction and the effects of cumulative concentrations (0.05 μM-500 μM) of the antidepressants on isometric tension were measured. In addition, conceivable modulation of the NO-cGMP, adrenergic and potassium channel pathways were examined. Amitriptyline and fluoxetine inhibited, whereas tranylcypromine enhanced adrenergic elicited responses of smooth muscle contraction. The antidepressants amitriptyline, fluoxetine and tranylcypromine showed, to a different extent, vasorelaxing properties in the preparations pre-contracted with phenylephrine 0.1 μM; the pEC50, (means and S.E.M.) in descending order of potency: amitriptyline 6.98 (0.13), fluoxetine 6.11 (0.05), tranylcypromine 5.33 (0.05) (n=8 each, preparations with endothelium); or after pre-contraction with KCl 20 mM: fluoxetine 6.00 (0.06), tranylcypromine 4.99 (0.30), amitriptyline, 4.89 (0.11), (n=7 each, preparations with endothelium). Venlafaxine did not relax the aortal rings and even lead to further contraction of the endothelium intact preparations. The observed effects were partially endothelium dependent via activation of the NO-cGMP pathway and some probably mediated through K+ channel activation. Amitriptyline, fluoxetine and tranylcypromine relax rat aorta in vitro. They partially delay vascular smooth muscle reactions to adrenergic agonists and can lead to sustained hypotension episodes despite administration of sympathomimetic drugs.

Antimicrobial efficacy and irrigating potential of irrigation solutions using different activation methods

The objective of this in vitro study was to establish the antimicrobial efficacy and the effect of different activation methods on the smear layer at the coronal level of straight root canals of four different root canal irrigation solutions. The four irrigation solutions were 3.5% sodium hypochlorite liquid (NaOCl), 2% sodium hypochlorite gel, chlorhexidine gluconate liquid and a mixture of 100 mg doxycycline capsules with 2 ml sterile water. ANTIMICROBIAL EFFECTS: The surfaces of four agar plates were inoculated with Enterococcus faecalis and divided into four equal quadrants. Ten microlitres of each test solution was dispensed onto the four filter paper disks on each agar plate. The antibacterial activity of materials was apparent from circular clear inhibition zones forming around the filtration paper. The diameters of these inhibition zones were measured using a micrometer gauge. EFFECT ON SMEAR LAYER: Access cavities were prepared on fifty, extracted, single rooted, human teeth and the root canals prepared with rotary files. The teeth were randomly divided into five groups (n = 10) and each group irrigated with a different irrigation solution. Different activation methods were used in the coronal portion of each root canal. The solutions were activated in the canals using one of the following methods: a 30 gauge needle (Control), a sonic scaler tip, and a rotary brush. After sampling, the roots of the treated teeth were fractured and prepared for Scanning Electron Microscopy (SEM) according to standard methods. The one-way ANOVA test was used to determine whether there were any statistical significant differences between the different groups. The average zones of inhibition for 3.5% NaOCl, 2% NaOCl, 2.5% chlorhexidine and doxycycline were 2.7mm, 2.0 mm, 11.2 mm and 12.4 mm respectively. Sterile water, 3.5% NaOCl and 2% NaOCl had no significant effect on the smear layer. However, when chlorhexidine and doxycycline solutions were activated with a rotary brush, 90 and 80 per cent of the observed surfaces were free of smear layer respectively. Doxycyline and 2.5% chlorhexidine demonstrated the highest antimicrobial activity against Enterococcus faecalis and removed most of the smear layer when the solutions were activated with a rotary brush.

Evaluation of a new method to achieve optimal passivity of implant-supported superstructures

Statement of problem. Passive fit of implant-supported superstructures has been suggested as a prerequisite for maintenance of osseo-integration and for successful prosthetic reconstruction.

PURPOSE

This study evaluated the degree of fit of superstructures cemented onto titanium abutments, compared to structures cast onto gold cylinders.

MATERIAL AND METHODS

An impression was taken and a master cast made of five implants mounted in a stainless steel model. Six similar porcelain fused to metal superstructures with standardised dimensions were then fabricated. One group featured castings onto gold UCLA abutments, while in the other group the structures were cemented onto tapering titanium abutments. Vertical discrepancies between implants and both types of superstructures were measured on at six locations around each implant using a reflex microscope. Measurements were taken after securing the structures to the model with a single screw (torqued to 32 Ncm) placed in various locations and also after tightening all the retaining screws simultaneously to 10 Ncm.

RESULTS

With the new single-screw procedure, no significant difference in mean gap size was noted between the two groups. The discrepancies were significantly larger for certain screw locations (1 and 5), indicating that the one-screw test might be an inaccurate way of assessing fit. After tightening all the retaining screws simultaneously to 10 Ncm, the mean gaps were 11.9 microns for the cemented group and 17.8 microns for the cast group.

CONCLUSION

Although not statistically significant, cementing of superstructures onto titanium abutments improved the fit up to 50% compared to casting the structures onto gold UCLA-abutments. Tightening one terminal abutment screw and evaluating the discrepancies at the other abutments (one-screw test) distorted the results when evaluating the fit of long-span, implant-supported ceramo-metal superstructures.

CLINICAL IMPLICATIONS

The results of this study indicate that cementing superstructures onto titanium abutments will lead to an improved degree of fit, compared to casting superstructures onto gold cylinders. In addition, the one-screw test may not be an accurate method of determining the level of passivity of long-span, ceramo-metal, implant-supported superstructures.

Evaluation of impression accuracy for osseointegrated implant supported superstructures

STATEMENT OF PROBLEM

An often-debated issue still exists concerning implant impression techniques, whether to splint impression copings. Different configurations are available for these copings for a variety of manufacturers' implant systems.

PURPOSE

This study evaluated and compared 4 impression techniques in terms of their dimensional accuracy to reproduce implant positions on working casts.

MATERIAL AND METHODS

A master model was designed to simulate a clinical situation. Impressions were made using 4 techniques: (1) tapered impression copings not splinted; (2) squared impression copings not splinted; (3) squared impression copings splinted with autopolymerizing acrylic resin; and (4) squared impression copings with a lateral extension on one side not splinted. Reference points machined onto the master model and onto special healing abutments were compared after abutments were transferred to casts using the 4 techniques. Measurements were made using a Reflex microscope, capable of recording in the x-, y-, and z-dimensions.

RESULTS

The dimensional accuracy was high and, although statistically significant (P =.022; power > 80%), a maximum distortion difference of only 0.31% was registered.

CONCLUSION

The dimensional accuracy of all the techniques was exceptional and the observed differences can be regarded as clinically negligible.

Design and SAR of novel potassium channel openers targeted for urge urinary incontinence. 2. Selective and potent benzylamino cyclobutenediones

A novel series of benzylamine, potassium channel openers (KCOs) is presented as part of our program toward designing new, bladder-selective compounds for the treatment of urge urinary incontinence (UUI). We have found that the in vitro potency of (R)-4-[3,4-dioxo-2-(1,2, 2-trimethyl-propylamino)-cyclobut-1-enylamino]-3-ethyl-benzo nitrile 1 in the relaxation of precontracted rat detrusor strips can also be obtained with cyanobenzylamine derivative 4 (IC(50) = 0.29 microM) (Figure 3). Addition of a 2-Cl substituted benzylamine moiety and changing the alkylamino substituent of 4 to a t-Bu amine gives 31 (IC(50) = 0.14 microM)-a compound with similar in vitro potency as 4 as well as relaxant activity on bladder smooth muscle in vivo when administered orally (31, ED(50) = 3 mg/kg) in a rodent model of bladder instability. Further modifications, particularly the replacement of the t-Bu amino substituent with a tert-amylamine, gave a similarly active compound 60 (IC(50) = 0.10 microM) which shows excellent in vivo efficacy (ED(50) = 0.6 mg/kg). Moreover, 60, 3-(2,4-dichloro-6-methyl-benzylamino)-4-(1, 1-dimethyl-propylamino)-cyclobut-3-ene-1,2-dione (WAY-151616), shows excellent tissue selectivity for bladder K channels over arterial tissue (60, MAP ED(20) = 100 mg/kg; selectivity: MAP ED(20)/bladder ED(50) = 166). Other manipulations of the benzylamino cyclobutenediones, acylation of the benzylamine, conversion of the benzylamine substituent to a benzamide, homologation of the benzylamine to a phenethylamine, and incorporation of a methyl group at the benzyl carbon, all led to substantial loss of in vitro activity, although some in vivo activity was maintained in the acylated analogues. Compound 60 represents an attractive candidate for development in the treatment of UUI.

Production of mouse monoclonal antibodies using a continuous cell culture fermenter and protein G affinity chromatography

The production of anti-alpha-fetoprotein monoclonal antibodies for diagnostic use was carried out in a stirred tank fermenter equipped with a double membrane stirrer for bubble free aeration and continuous medium perfusion. A serum-free medium supplemented with 4 mM L-glutamine and 2.0 milligrams glucose with a protein content of only 780 micrograms/ml was used for the production process. The harvested antibodies were concentrated 50-fold using a tangential ultrafiltration system and were then purified in a one step purification process by protein G affinity chromatography. The purity of the final product (90%) was controlled by SDS-polyacrylamide gel electrophoresis, gel exclusion chromatography and isoelectric focussing. For further quality controls of the product the immunoglobulin subclass and the isoelectric point were determined and the specificity of the purified mAb was tested by RIA using 125I labelled alpha-fetoprotein. 1.87 g of purified monoclonal antibodies were produced (90% purity) within 2 weeks. It was found that the use of this type of stirred tank fermenter combined with a one step purification process using protein G affinity chromatography represents a suitable method for the fast production of medium scale quantities (500 mg-5 g) of monoclonal antibodies for diagnostic use.

Large-scale preparation of recombinant platelet-derived growth factor AA secreted from recombinant baby hamster kidney cells

The short isoform of platelet-derived growth factor A (PDGF-A) was expressed in a mammalian host (BHK-21 cell). A cell line was obtained that secreted up to 0.3 micrograms/10(6) cells recombinant PDGF-A chain homodimer/day into the medium. For large-scale production of supernatant, cells were grown either in roller bottles or in 2.5-1 stirred tank fermenters. A simple two-step procedure was developed to purify recombinant PDGF-AA (rPDGF-AA). The first step was adsorption onto porous glass and the final step was reversed-phase high-performance liquid chromatography. The yield was 0.2 mg/l supernatant. A total amount of 20-30 mg pure rPDGF-AA may be obtained from a single fermenter run. Sequence analysis showed the correct amino terminus and no internal proteolytic cleavages. The specific activity was 5 ng/ml for mouse AKR-2B cells. [125I]rPDGF-AA had an affinity constant of approximately 0.5 nM to these cells and 25,000 binding sites were estimated/cell.

[Significance of serum fructosamine in the metabolic control of children and adolescents with type I diabetes mellitus]

In 1982 Johnson et al. described a simple colorimetric assay for measuring glycated proteins, termed fructosamine, in the serum of adults with diabetes mellitus and demonstrated this to be a useful index of intermediate glucose control (1-3 weeks). Our study was designed to show this as well in children and adolescents with type I diabetes mellitus. Serum fructosamine was determined in 76 children and adolescents with diabetes mellitus, and 111 age-matched controls. In the controls an age-dependency but not sex-dependency could be demonstrated. In the diabetic patients we found a significant correlation between serum fructosamine and HbA1 values (r = 0.87, p less than 0.001). In 6 patients with newly diagnosed diabetes mellitus serum fructosamine concentrations decreased at a faster rate than HbA1 values. The fructosamine assay is rapid, technically simple and inexpensive, and is at least a useful addition or perhaps an alternative to HbA1 estimation.

Platelet-derived growth factor. Phorbol ester induces the expression of the B-chain but not of the A-chain in HEL cells

It was shown previously [(1984) EMBO J. 3, 453-459] that after treatment of the human erythroleukemia cell line HEL with phorbol ester and dimethyl sulfoxide there was a marked increase in the amounts of megakaryocytic markers, especially of platelet alpha-granule proteins and platelet glycoproteins. In order to investigate this differentiation process further we have studied the expression of the mRNA encoding PDGF-A and PDGF-B (c-sis). Upon addition of the phorbol ester to the culture medium the expression of the c-sis transcript was enhanced about 7-fold over a period of 4 days. With dimethyl sulfoxide there was no significant stimulation of the expression. Addition of cycloheximide to HEL cells treated for a short period with phorbol ester superinduced the expression of the c-sis gene. The HEL cells did not express the A-chain mRNA even in the presence of phorbol ester or dimethyl sulfoxide. This leads us to propose that synthesis of the PDGF-A chain and PDGF-B chain is differentially regulated in the megakaryocytic-like HEL cell line.

Bacillus stearothermophilus Disc Assay for Detection of Inhibitors in Milk: Collaborative Study

A 2-part (A and B) collaborative study was conducted on a Bacillus stearothermophilus paper disc (12.7 mm) method to detect residual inhibitors in milk. The 18 participating collaborators assayed raw milk samples spiked with a beta-lactam (penicillin G). Of the 18 collaborators, 14 participated in part A and 16 in part B. Part A demonstrated that either Antibiotic Medium No. 4 or PM Indicator Agar is suitable for use in the assay. The lowest concentration detectable, not significantly different from 100% at the α = 0.05 level, was 0.008 unit/mL with either medium. Part B demonstrated that the sensitivity of the method is equal to that of the current AOAC method (16.131- 16.136). The concentration of beta-lactam detected by 50% of the analysts was 0.003-0.005 unit/mL in this study, compared with 0.005 unit/mL reported in an earlier collaborative study on the current AOAC method. No false positive results were reported in part A or part B. All samples found positive by the confirmatory test in part B were correctly identified as a beta-lactam with commercial Penase discs. The lowest concentration detectable by the method, not significantly different from 100% at the α = 0.05 level, was 0.008 unit/mL. The method was adopted official first action.

Detection of penicillin G and ampicillin as contaminants in tetracyclines and penicillamine

A method was developed to detect residual levels of ampicillin and penicillin G in various tetracyclines and penicillamine. Residues are detected by reversed-phase TLC followed by bioautography. The directness of the techniques makes this method a good means of detecting residual contaminants in drugs.

Disjunct Foliar Veins in Hawaiian Euphorbias

Isolated segments of veins occur in the leaf mesophyll of several Hawaiian species of Euphorbia. These anomalous structures appear to consist entirely of tracheids and are a normal feature of the anatomy of species native to mesic and wet areas, but not to xeric, dry habitats.