The effect of initial etching sites on the morphology of TiO2 nanotubes on Ti-6Al-4V alloy

10.1149/2.0011511jesAnodization was performed in phosphate and fluoride containing electrolytes at different pH and sweep rates with the aim of analyzing the variation in current density during the process continuously. The effect of pH and sweep rate on the morphology of titanium dioxide (TiO2) nanotubes, grown on Ti-6Al-4V alloy, has been explicitly examined in this study. At the same time a microscopic analysis of the different stages of the formation of the nanotubes was performed. A new perspective to the growth mechanisms of the nanotubes was brought about in this study. The morphology of the nanotubes was closely related to the density of initial etching sites

Antibacterial activity and biofilm inhibition by surface modified titanium alloy medical implants following application of silver, titanium dioxide and hydroxyapatite nanocoatings

peerreview_statement: The publishing and review policy for this title is described in its Aims & Scope. aims_and_scope_url: http://www.tandfonline.com/action/journalInformation?show=aimsScope&journalCode=inan2

Hydroxyapatite, fluor-hydroxyapatite and fluorapatite produced via the sol-gel method: dissolution behaviour and biological properties after crystallisation.

Hydroxyapatite (HA), fluor-hydroxyapatite (FHA) with varying levels of fluoride ion substitution and fluorapatite (FA) were synthesised by the sol-gel method as possible implant coating or bone-grafting materials. Calcium nitrate and triethyl phosphite were used as precursors under an ethanol-water based solution. Different amounts of ammonium fluoride were incorporated for the preparation of the FHA and FA sol-gels. After heating and powdering the sol-gels, dissolution behaviour was assessed using ion chromatography to measure Ca(2+) and PO4 (3-) ion release. Biological behaviour was assessed using cellular proliferation with human osteosarcoma cells and alamarBlue™ assay. Statistical analysis was performed with a two way analysis of variance and post hoc testing with a Bonferroni correction. Increasing fluoride substitution into an apatite structure decreased the dissolution rate. Increasing the firing temperature of the HA, FHA and FA sol-gels up to 1,000 °C decreased the dissolution rate. There was significantly higher cellular proliferation on highly substituted FHA and FA than on HA or Titanium. The properties of an implant coating or bone grafting material can be tailored to meet specific requirements by altering the amount of fluoride that is incorporated into the original apatite structure. The dissolution behaviour can further be altered by the temperature at which the sol-gel is fired

Sol-gel derived hydroxyapatite, fluorhydroxyapatite and fluorapatite coatings for titanium implants

Currently, most titanium implant coatings are made using hydroxyapatite and a plasma-spraying technique. There are however limitations associated with the plasma-spraying process including; poor adherence, high porosity and cost. An alternative - the sol-gel technique offers many potential advantages but is currently lacking research data for this application. Hydroxyapatite (HA), fluorhydroxyapatite (FHA) and fluorapatite (FA) have been synthesised by a sol-gel method. Calcium nitrate and triethyl phosphite were used as precursors under an ethanol-water based solution. Different amounts of ammonium fluoride (NH4F) were incorporated for the preparation of the FHA and FA sol-gels. Optimisation and characterisation of the sol-gels was carried out using, X-ray Diffraction (XRD), High Temperature X-Ray Diffraction (HTXRD), Fourier Transform Infrared Analysis (FTIR) and Differential Thermal Analysis (DTA). Rheology and hydrophilicity of the sol-gels showed that increasing fluoride ion substitution caused an increase in viscosity and contact angle. The dissolution (Ca2+ and PO4 3-rates) rates of the fluoride-substituted powders from the sol-gels were considerably lower than that of HA and all rates could be decreased by increasing the sintering temperature. This suggests the possibility of tailoring the solubility of any coatings made from the sol-gels through fluoride ion substitution and increased sintering temperature. A spin coating protocol has been established for coating the sol-gels onto titanium. Increasing the coating speed decreased the porosity and thickness of the coatings. Bond strengths to titanium were investigated. Fluoride substitution and sintering temperature were shown to be important factors. Cellular proliferation studies revealed that increasing the level of fluoride substitution in the apatite structure significantly increased the biocompatibility of the material. The sol-gel technique may be an alternative to plasma spraying for coating titanium implants. Furthermore it may also be suitable for producing HA, FHA and FA as bone grafting materials

Local anesthetics induce autophagy in young permanent tooth pulp cells

Pulp cells are essential for tooth development, and dentin repair and regeneration. In addition these cells have been identified as an important stem cell source. Local anesthetics are widely used in dental clinics, as well as the other clinical disciplines and have been suggested to interfere with human permanent tooth development and induce tooth agenesis through unknown mechanisms. Using pig model and human young permanent tooth pulp cells, our research has identified that the local anesthetics commonly used in clinics can affect cell proliferation. Molecular pathway profiling suggested that LC3II is one of the earliest molecules induced by the agents and p62 is the only common downstream target identified for all the drugs tested. The effect of the drugs could be partially recovered by V-ATPase inhibitor only if early intervention is performed. Our results provide novel evidence that local anesthetics could affect tooth cell growth that potentially can have impacts on tooth development

Academic performance of undergraduate dental students with learning disabilities

© 2017 British Dental Association. All rights reserved.Aims To compare the academic performance of undergraduate dental students with known learning disabilities (LDs) to their peers.Methods This study analysed the results of students in applied dental knowledge (ADK) progress tests across four cohorts of dental students. A mixed model analysis of variance (ANOVA) was conducted to compare the performance of students with known disability to their peers. ADK test sitting was treated as a repeated measures variable, and the outcome variable of interest was percentage score on the ADK.Results Students' performance data on five ADK test sittings (ADK15, ADK16, ADK17, ADK18, and ADK19) by disability showed a significant main effect of test but no significant effect of disability or any interaction between disability and test.Conclusions This is the first study that explores the academic performance of dental students with a diagnosis of disability. The findings give reassurance to all stakeholders that, within the study population, students with LDs are not disadvantaged in knowledge-based assessments, demonstrating compliance with the legal obligations. Further research is required to explore how generalisable these findings are, as well as assess academic, clinical, and behavioural attributes of students with learning disabilities

Low toxicity of dissolved silver from silver-coated titanium dental implants to human primary osteoblast cells.

UNLABELLED: the controlled release of silver as a biocide from Ag-coated medical implants is desirable. However, the biocompatibility of Ag leachates is poorly understood. This study investigated the toxicity of silver released from the silver plated titanium implants to human primary osteoblast cells; and the effect of cell culture medium on the silver speciation and bioavailability. METHODS: Ti6Al4V discs were coated with Ag nanoparticles (NPs), silver plus hydroxyapatite (HA) nanoparticles (Ag+nHA), or Ag NPs plus microparticles (Ag+mHA). Primary human osteoblast cells were exposed to the leachates from the various discs for up to 7 days. RESULTS: the total Ag concentrations released as leachate from the silver-plated titanium discs were 0.7-1.6 mg L-1, regardless of treatment. Cumulative silver release over 7 days was approximately 3 mg L-1 in all treatments. The concentration of total Ag in the cell homogenates from all the Ag-containing treatments was modest, ∼ 0.1 µg mg protein-1 or less at day 7. Cells showed normal healthy morphology with no appreciable leak of LDH or ALP activity into the external media compared to the reference control. Similarly, there was no significant differences (Kruskal Wallis, p > 0.05) in the LDH or ALP activity in the cell homogenate between treatments. CONCLUSIONS: overall, there was a controlled release of Ag into the external media, but this remained biocompatible with no deleterious effects on the osteoblast cells, which means that the released silver to the peri-implant environment is not toxic making the coating potential for clinical use

Cracked Tooth Syndrome: Assessment, Prognosis and Predictable Management Strategies.

Cracked tooth syndrome (CTS) is a common presentation in general practice. The diagnosis and management of teeth with CTS may be difficult due to the unknown extent of the crack. This article reviews the aetiology, diagnosis, management and prognosis of teeth with CTS. A thorough examination is required to effectively assess CTS. Intervention should aim to relieve symptoms and brace the remaining tooth structure effectively against further flexion. Restored teeth with CTS have a guarded prognosis due to the risk of further crack propagation, but the chances of survival at 5-years is acceptable (74.1-96.8%)