In vivo resorption of biomimetic hydroxyapatite/collagen composites: injectable cements versus pre-set microspheres

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Effect of drill speed on the strain distribution during drilling of bovine and human bones

Drilling is an operation commonly required in orthopaedic surgery for insertion of screws and internal fixation of bone fractures. Induced damage is one of the undesired effects of drilling mainly due to the use of inadequate drilling parameters. During the recent years, scientists have been trying to describe the relationship between drilling parameters and bone injury. However, no studies have examined the level of strain generated in the bone during the drilling process. This paper focuses on the analysis of different drill speeds during drilling of fresh bovine femora and human cadaveric tibiae. The main contribution of this work is to determine how differences in applied drill speeds affect the strain of cortical tissue near the drilling site and the drill bit temperature.This research was supported by the Portuguese Foundation of Science and Technology under the research project UID/EMS/50022/2013. The authors acknowledge the funding of Project NORTE-01-0145-FEDER-000022-SciTech-Science and Technology for Competitive and Sustainable Industries, NORTE2020, through Fundo Europeu de Desenvolvimento Regional (FEDER). The authors gratefully acknowledge the generosity of the body donors.info:eu-repo/semantics/publishedVersio

Evaluation of bone loss in antibacterial coated dental implants: An experimental study in dogs

The aim of this study was to evaluate the in vivo effect of antibacterial modified dental implants in the first stages of peri-implantitis. Thirty dental implants were inserted in the mandibular premolar sites of 5 beagle dogs. Sites were randomly assigned to Ti (untreated implants, 10 units), Ti_Ag (silver electrodeposition treatment, 10 units), and Ti_TSP (silanization treatment, 10 units). Coated implants were characterized by scanning electron microscopy, interferometry and X-ray photoelectron spectroscopy. Two months after implant insertion, experimental peri-implantitis was initiated by ligature placement. Ligatures were removed 2 months later, and plaque formation was allowed for 2 additional months. Clinical and radiographic analyses were p¬erformed during the study. Implant-tissue samples were prepared for micro computed tomography, backscattered scanning electron microscopy, histomorphometric and histological analyses and ion release measurements. X-ray, SEM and histology images showed that vertical bone resorption in treated implants was lower than in the control group (P < 0.05). This effect is likely due to the capacity of the treatments to reduce bacteria colonization on the implant surface. Histological analysis suggested an increase of peri-implant bone formation on silanized implants. However, the short post-ligature period was not enough to detect differences in clinical parameters among implant groups. Within the limits of this study, antibacterial surface treatments have a positive effect against bone resorption induced by peri-implantitis.Peer ReviewedPostprint (author's final draft

Effect of drill speed on the strain distribution during drilling of bovine and human bones

Drilling is an operation commonly required in orthopaedic surgery for insertion of screws and internal fixation of bone fractures. Induced damage is one of the undesired effects of drilling mainly due to the use of inadequate drilling parameters. During the recent years, scientists have been trying to describe the relationship between drilling parameters and bone injury. However, no studies have examined the level of strain generated in the bone during the drilling process. This paper focuses on the analysis of different drill speeds during drilling of fresh bovine femora and human cadaveric tibiae. The main contribution of this work is to determine how differences in applied drill speeds affect the strain of cortical tissue near the drilling site and the drill bit temperature. Strains were measured in ex-vivo material during the osteotomy preparation with three drill speeds (520, 900 and 1370 r.p.m.). Additionally, a thermographic camera was used to measure the drill bit temperature. As the drilling operations are blind in nature with unknown depth, the osteotomies were performed using a drill press machine without control of the feed rate or depth. Drill bit geometry was kept constant with 4 mm of diameter, point angle 120⁰ and helix angle 30⁰. The tests were conducted at room temperature without applying cooling at the drilling zone. Bone strains near to the drilling sites were recorded with high accuracy using linear strain gages mounted around the diaphyseal cortex. It was noted that the bone strain and drill bit temperature increased with an increasing drill speed. Human and bovine bone samples presented significantly different levels of strain and temperature. Both strain and temperature were higher when drilling bovine femora than when drilling human cadaveric tibiae

A Regenerative Endodontic Approach in Mature Ferret Teeth Using Rodent Preameloblast-conditioned Medium

Background: This study evaluated the effectiveness of a regenerative endodontic approach to regenerate the pulp tissue in mature teeth of ferret. The presence of odontoblast-like cells in the newly-formed tissue of teeth treated with or without preameloblast-conditioned medium was evaluated based on morphological criteria. Materials and methods: Twenty-four canines from six ferrets were treated. The pulp was removed, and the apical foramen was enlarged. After inducing the formation of a blood clot, a collagen sponge with or without preameloblast-conditioned medium was placed underneath the cementoenamel junction. The samples were analyzed at the eighth week of follow-up. Results: Vascularized connective tissue was observed in 50% of teeth, without differences between groups. The tissue occupied the apical third of the root canals. Odontoblast-like cells were not observed in any group. Conclusion: Revitalization of mature teeth is possible, at least in the apical third of the root canal. Further experimental research is needed to produce more reliable outcomes

Human Amnion Epithelial Cells: A Potential Cell Source for Pulp Regeneration?

The aim of this study was to analyze the suitability of pluripotent stem cells derived from the amnion (hAECs) as a potential cell source for revitalization in vitro. hAECs were isolated from human placentas, and dental pulp stem cells (hDPSCs) and dentin matrix proteins (eDMPs) were obtained from human teeth. Both hAECs and hDPSCs were cultured with 10% FBS, eDMPs and an osteogenic differentiation medium (StemPro). Viability was assessed by MTT and cell adherence to dentin was evaluated by scanning electron microscopy. Furthermore, the expression of mineralization-, odontogenic differentiation- and epithelial-mesenchymal transition-associated genes was analyzed by quantitative real-time PCR, and mineralization was evaluated through Alizarin Red staining. The viability of hAECs was significantly lower compared with hDPSCs in all groups and at all time points. Both hAECs and hDPSCs adhered to dentin and were homogeneously distributed. The regulation of odontoblast differentiation- and mineralization-associated genes showed the lack of transition of hAECs into an odontoblastic phenotype; however, genes associated with epithelial-mesenchymal transition were significantly upregulated in hAECs. hAECs showed small amounts of calcium deposition after osteogenic differentiation with StemPro. Pluripotent hAECs adhere on dentin and possess the capacity to mineralize. However, they presented an unfavorable proliferation behavior and failed to undergo odontoblastic transitio

Computed tomography and histological evaluation of xenogenic and biomimetic bone grafts in three-wall alveolar defects in minipigs

Objectives This study aimed to compare the performance of a xenograft (XG) and a biomimetic synthetic graft (SG) in three-wall alveolar defects in minipigs by means of 3D computerised tomography and histology. Materials and methods Eight minipigs were used. A total of eight defects were created in the jaw of each animal, three of which were grafted with XGs, three with SGs, and two were left empty as a negative control. The allocation of the different grafts was randomised. Four animals were euthanised at 6 weeks and four at 12 weeks. The grafted volume was then measured by spiral computed tomography to assess volume preservation. Additionally, a histological analysis was performed in undecalcified samples by backscattered scanning electron microscopy and optical microscopy after Masson’s trichrome staining. Results A linear mixed-effects model was applied considering four fixed factors (bone graft type, regeneration time, anatomic position, and maxilla/mandible) and one random factor (animal). The SG exhibited significantly larger grafted volume (19%) than the XG. The anterior sites preserved better the grafted volume than the posterior ones. Finally, regeneration time had a positive effect on the grafted volume. Histological observations revealed excellent osseointegration and osteoconductive properties for both biomaterials. Some concavities found in the spheroidal morphologies of SGs were associated with osteoclastic resorption. Conclusions Both biomaterials met the requirements for bone grafting, i.e. biocompatibility, osseointegration, and osteoconduction. Granule morphology was identified as an important factor to ensure a good volume preservation. Clinical relevance Whereas both biomaterials showed excellent osteoconduction, SGs resulted in better volume preservation.Peer ReviewedPostprint (author's final draft