Experimental Investigation of the Biomechanical Properties of a Newly Introduced Self-ligating Bracket

Orthodontic tooth movement is the result of a combination of biological and biomechanical phenomena, which occur under the application of specific forces by means of orthodontic appliances. Both the behavior of elastic materials and the mechanical factors, that control and influence the effectiveness of the applied forces, must be thoroughly considered in the design of an optimal orthodontic system. In addition, self-ligating brackets have gained lately a broad acceptation in the scientific society and have been extensively investigated. Nevertheless, in these days of multifaceted versatile brackets, the available evidence concerning the potential forces applied to the teeth by the various combinations of self-ligating mechanisms and archwires is limited. Under the perspective of the biomechanical principles applied to the orthodontic mechanotheraphy, an in-vitro study was designed and carried out, presenting mainly the following objectives: (a) comparative investigation of the forces generated during the initial stages of complex orthodontic tooth malalignment correction with various bracket-archwire combinations, by means of an experimental biomechanical set-up, (b) assessment of torque effectiveness in the sagittal plane during later stages of a simulated orthodontic tooth movement by utilizing diverse bracket designs combined with a variety of rectangular archwires. In terms of this experimental investigation have been used a newly introduced 0.016 inch twin slot bracket (Swiss Nonligating Bracket/ SNB), as well as 3 different kinds of 0.018 inch slot brackets (Speed, Mini mono, Brilliant). A variety of archwire combinations has been used in order to evaluate the amount of the correction of a complex malalignment and the torque efficiency of the above mentioned bracket systems. These archwires are differentiated basically according to both their material and cross-section dimensions. The Orthodontic Measurement and Simulation System (OMSS) allowed us in each measurement cycle simultaneously a three-dimensional registration of the force and moment systems, which affected the left mandibular incisor during the performance of a mock orthodontic tooth movement. Analyzing the obtained results on the whole, it is obvious that the various ligation types applied in each bracket system exert a significant influence on the degree of the malalignment’s correction. Specifically, the degree of correction concerning the self-ligating brackets ranges from 72 % - 98 %, respectively, whereas the same measurements for the conventional brackets demonstrate values of 51.7 % - 77.39 %. The constricting alignment capabilities by the conventional brackets can be attributed to the frictional forces generated between bracket and archwire. In the current study the values referring to the mean maximal forces in the inciso-gingival axis by using the 0.007" NiTi and the 0.009" NiTi combined with all bracket designs did not overcome 0.88 N. However, the relevant values by utilizing the 0.0135" NiTi archwires, as well as those with wider cross-sections, were significantly higher and reached magnitudes up to 6.55 N. The moments generated in this in vitro investigation approach principally the limits set from the previous investigations, including though some restrictions. In particular, all the evaluated moments exert greater magnitude than 10 N with an exception of the SNB combined with 0.016 x 0.016" BioTorque archwire, where the values are only 4.9 Nmm and cannot display sufficient clinical efficiency. On the contrary, SPEED brackets demonstrate enhanced torque capabilities by expressing torsional movement of 17 Nmm by application of a 0.016" x 0,016" stainless steel archwire and have reached the value of 35.2 Nmm by ligation of a 0.016" x 0.022" stainless steel archwire. The superiority of the self-ligating brackets against the conventional ones is suggested through this study, as far as the exertion of light and constant forces is concerned. Moreover, the active self-ligating brackets have demonstrated slightly better results as the passive ones. The qualities of the NiTi spring play a prominent role in the demonstration of these advantageous biomechanical properties. Additionally, it should be underlined that the greater impact factor on the expression of better torque capabilities is imposed by the archwire dimension, rather than its material properties

Cell vs. bacterial viability in the presence of host defence peptides and RGD

yesMore than 2 million people/year suffer a bone fracture in the UK1. Reconstruction of bone defects represents a major clinical challenge and is addressed using a number of medical devices. Although medical device compositions and applications may differ widely, all attract microorganisms and represent niches for medical device associated infections. For open fractures, the risk of infection can be 55%2. These infections are often resistant to many of the currently available antibiotics and represent a huge and growing financial and healthcare burden. The aim of this study was a fundamental understanding of how the presence of host defence peptides (HDPs)3 and/or RGD can influence the outcome of cell vs. bacterial viability and proliferation.Presented at the conference: eCM XVI - Bone and Implant Infection June 24-26, 2015, Convention Centre, Davos Platz, Switzerland

Physicochemical and Antibacterial Characterisation of a Novel Fluorapatite Coating

Peri-implantitis remains the major impediment to the long-term use of dental implants. With increasing concern over growing antibiotic resistance there is considerable interest in the preparation of antimicrobial dental implant coatings that also induce osseointegration. One such potential coating material is fluorapatite (FA). The aim of this study was to relate the antibacterial effectiveness of FA coatings against pathogens implicated in peri-implantitis to the physicochemical properties of the coating. Ordered and disordered FA coatings were produced on the under and upper surface of stainless steel (SS) discs respectively, using a hydrothermal method. Surface charge, surface roughness, wettability and fluoride release were measured for each coating. Surface chemistry was assessed by X-ray photoelectron spectroscopy and FA crystallinity by X-ray diffraction. Antibacterial activity against periodontopathogens was assessed in vitro using viable counts, confocal and scanning electron (SEM) microscopies. SEM showed that the hydrothermal method produced FA coatings predominately aligned perpendicular to the SS substrate or disordered FA coatings consisting of randomly aligned rod-like crystals. Both FA coatings significantly reduced the growth of all the examined bacterial strains in comparison to the control. The FA coatings, and especially the disordered ones, presented significantly lower charge, higher roughness and area when compared to the control, enhancing bacteria–material interactions and therefore bacterial deactivation by fluoride ions. The ordered FA layer reduced not only bacterial viability but adhesion too. Ordered FA crystals produced as a potential novel implant coating showed significant antibacterial activity against bacteria implicated in peri-implantitis which could be explained by a detailed understanding of their physicochemical properties

Mechanism of action of an antioxidant active packaging prepared with Citrus extract

yesActive packaging consisting of polyethylene terephthalate (PET) trays coated with a Citrus extract, without and with plasma pre-treatment, can reduce lipid oxidation in cooked meat. The mechanism of action of the packaging was investigated by quantifying the extent of transfer of antioxidant components from the active packaging into cooked turkey meat. Kinetic studies revealed the affinity for water of phenolic compounds and carboxylic acids in the Citrus extract, suggesting their diffusion into the water phase of the meat facilitated their antioxidant effect. Analysis by high-performance liquid chromatography permitted the identification of carboxylic acids and flavanones as major components of the extract. Their quantification in meat after contact with the trays revealed a release of 100% of the total coated amount for citric acid, 30% for salicylic acid, 75% for naringin and 58% for neohesperidin, supporting the release of these components into cooked meat as a mechanism of action of the antioxidant active packaging

Storage Stability of an Antioxidant Active Packaging Coated with Citrus Extract Following a Plasma Jet Pretreatment

yesAntioxidant active packaging was prepared by coating a citrus extract on the surface of polyethylene terephthalate (PET) trays which had been either treated with an atmospheric pressure plasma jet or left untreated. The surface characteristics of the packaging were examined, as were its stability and antioxidant efficacy following storage for up to 24 weeks under the following three storage conditions: room temperature, 0 % relative humidity (RH) or 50 °C. Plasma pretreatment increased coating density, thickness and roughness, and oxygenated functional groups at the polymer surface, whereas water contact angle decreased. Trays stored at room temperature did not lose their antioxidant efficacy over 24 weeks and plasma pretreatment enhanced the efficacy from week 8 onwards. Gravimetric analysis of the coating revealed a loss of antioxidant compounds only after 16 weeks. Trays stored at 0 % RH lost coating from week 1 onwards, with lower loss in plasma pretreated trays, while loss of coating was highest at 50 °C, with lower loss in plasma pretreated trays only after 24 weeks. Overall, the surface characteristics of the antioxidant active packaging were modified by plasma pretreatment of the PET surface, with some improvement in antioxidant efficacy, and the efficacy of the packaging in delaying oxidative deterioration in cooked meats was retained during storage at ambient temperature

Highly-branched poly(N-isopropyl acrylamide) functionalised with pendant Nile red and chain end vancomycin for the detection of Gram-positive bacteria

YesThis study shows how highly branched poly(N-isopropyl acrylamide) (HB-PNIPAM) with a chain pendant solvatochromic dye (Nile red) could provide a fluorescence signal, as end groups bind to bacteria and chain segments become desolvated, indicating the presence of bacteria. Vancomycin was attached to chain ends of HB-PNIPAM or as pendant groups on linear polymers each containing Nile red. Location of the dye was varied between placement in the core of the branched polymer coil or the outer domains. Both calorimetric and fluorescence data showed that branched polymers responded to binding of both the peptide target (D-Ala-D-Aa) and bacteria in a different manner than analogous linear polymers; binding and response was more extensive in the branched variant. The fluorescence data showed that only segments located in the outer domains of branched polymers responded to binding of Gram-positive bacteria with little response when linear analogous polymer or branched polymer with the dye in the inner core was exposed to Staphylococcus aureus.Innovate UK/Smith and Nephew Ltd. (UK) (TSB 103988) and by MRC (MR/N501888/2)

Fluorescence spectroscopy analysis of the bacteria-mineral interface: adsorption of lipopolysaccharides to silica and alumina

YesWe present here a quantification of the sorption process and molecular conformation involved in the attachment of bacterial cell wall lipopolysaccharides (LPSs), extracted from Escherichia coli, to silica (SiO2) and alumina (Al2O3) particles. We propose that interfacial forces govern the physicochemical interactions of the bacterial cell wall with minerals in the natural environment, and the molecular conformation of LPS cell wall components depends on both the local charge at the point of binding and hydrogen bonding potential. This has an effect on bacterial adaptation to the host environment through adhesion, growth, function, and ability to form biofilms. Photophysical techniques were used to investigate adsorption of fluorescently labeled LPS onto mineral surfaces as model systems for bacterial attachment. Adsorption of macromolecules in dilute solutions was studied as a function of pH and ionic strength in the presence of alumina and silica via fluorescence, potentiometric, and mass spectrometry techniques. The effect of silica and alumina particles on bacterial growth as a function of pH was also investigated using spectrophotometry. The alumina and silica particles were used to mimic active sites on the surface of clay and soil particles, which serve as a point of attachment of bacteria in natural systems. It was found that LPS had a high adsorption affinity for Al2O3 while adsorbing weakly to SiO2 surfaces. Strong adsorption was observed at low pH for both minerals and varied with both pH and mineral concentration, likely in part due to conformational rearrangement of the LPS macromolecules. Bacterial growth was also enhanced in the presence of the particles at low pH values. This demonstrates that at a molecular level, bacterial cell wall components are able to adapt their conformation, depending on the solution pH, in order to maximize attachment to substrates and guarantee community survival.The authors thank the Libyan Ministry of Education for financial support during the experimental study. We thank the EPSRC funded consortium “Hard-soft matter interfaces: from understanding to engineering” (EP/I001514/1) for financial support. Emily Caseley, who assisted in the preparation and characterization of AmNS-LPS particles as an MRC Confidence in Concept funded postdoctoral researcher at the University of Bradford, (MC_PC_16038)

Nanostructure and paramagnetic centres in diamond-like carbon: Effect of Ar dilution in PECVD process

Diamond-like carbon (DLC) films were deposited utilising plasma enhanced chemical vapour deposition (PECVD) with acetylene precursor, diluted with 0 – 45% argon. Electron paramagnetic resonance (EPR) measurements show the presence of one paramagnetic centre with no change in spin population over the range of film deposition conditions. However, the EPR linewidth decreases with increasing argon content of the precursor mix, suggesting an enhancement of motional narrowing due to an increase in electron delocalization, related to an increase in the sp2 cluster size. Atomic force microscopy (AFM) measurements indicate the surface of the DLC is formed of nanoscale asperities of material. With radii of tens of nanometres for films deposited with zero argon, the size of the features increases with the argon dilution of the acetylene. Energy dispersive x-ray analysis and electrical measurements further elucidate the changes in film structure

Metal-organic frameworks and their biodegradable composites for controlled delivery of antimicrobial drugs

YesAntimicrobial resistance (AMR) is a growing global crisis with an increasing number of untreatable or exceedingly difficult-to-treat bacterial infections, due to their growing resistance to existing drugs. It is predicted that AMR will be the leading cause of death by 2050. In addition to ongoing efforts on preventive strategies and infection control, there is ongoing research towards the development of novel vaccines, antimicrobial agents, and optimised diagnostic practices to address AMR. However, developing new therapeutic agents and medicines can be a lengthy process. Therefore, there is a parallel ongoing worldwide effort to develop materials for optimised drug delivery to improve efficacy and minimise AMR. Examples of such materials include functionalisation of surfaces so that they can become self-disinfecting or non-fouling, and the development of nanoparticles with promising antimicrobial properties attributed to their ability to damage numerous essential components of pathogens. A relatively new class of materials, metal-organic frameworks (MOFs), is also being investigated for their ability to act as carriers of antimicrobial agents, because of their ultrahigh porosity and modular structures, which can be engineered to control the delivery mechanism of loaded drugs. Biodegradable polymers have also been found to show promising applications as antimicrobial carriers; and, recently, several studies have been reported on delivery of antimicrobial drugs using composites of MOF and biodegradable polymers. This review article reflects on MOFs and polymer-MOF composites, as carriers and delivery agents of antimicrobial drugs, that have been studied recently, and provides an overview of the state of the art in this highly topical area of research

Zirconium-based MOFs and their biodegradable polymer composites for controlled and sustainable delivery of herbicides

YesAdsorption and controlled release of agrochemicals has been studied widely using different nanomaterials and a variety of formulations. However, the potential for application of high surface-area metal-organic frameworks (MOFs) for the controlled release of agrochemicals has not been thoroughly explored. Herein, we report controlled and sustainable release of a widely used herbicide (2-methyl-4-chlorophenoxyacetic acid, MCPA) via incorporation in a range of zirconium-based MOFs and their biodegradable polymer composites. Three Zr-based MOFs, viz., UiO-66, UiO-66-NH2, and UiO-67 were loaded with MCPA either postsynthetically or in situ during synthesis of the MOFs. The MCPA-loaded MOFs were then incorporated into a biodegradable polycaprolactone (PCL) composite membrane. All three MOFs and their PCL composites were thoroughly characterized using FT-IR, TGA, SEM, PXRD, BET, and mass spectrometry. Release of MCPA from each of these MOFs and their PCL composites was then studied in both distilled water and in ethanol for up to 72 h using HPLC. The best performance for MCPA release was observed for the postsynthetically loaded MOFs, with PS-MCPA@UiO-66-NH2 showing the highest MCPA concentrations in ethanol and water of 0.056 and 0.037 mg/mL, respectively. Enhanced release of MCPA was observed in distilled water when the MOFs were incorporated in PCL. The concentrations of herbicides in the release studies provide us with a range of inhibitory concentrations that can be utilized depending on the crop, making this class of composite materials a promising new route for future agricultural applications.L.A.M.M. and S.N. acknowledge funding for a studentship by the Erasmus+ KA107 Student Mobility programme. V.P.T and L.R.T. acknowledge funding from the EPSRC (EP/R01650X/1