Load-bearing capacity of screw-retained CAD/CAM-produced titanium implant frameworks (I-Bridge®2) before and after cyclic mechanical loading

Implant-supported screw-retained fixed dental prostheses (FDPs) produced by CAD/ CAM have been introduced in recent years for the rehabilitation of partial or total endentulous jaws. However, there is a lack of data about the long-term mechanical characteristics. OBJECTIVE: The aim of this study was to investigate the failure mode and the influence of extended cyclic mechanical loading on the load-bearing capacity of these frameworks. MATERIAL AND METHODS: Ten five-unit FDP frameworks simulating a free-end situation in the mandibular jaw were manufactured according to the I-Bridge®2-concept (I-Bridge®2, Biomain AB, Helsingborg, Sweden) and each was screw-retained on three differently angulated Astra Tech implants (30º buccal angulation/0º angulation/30º lingual angulation). One half of the specimens was tested for static load-bearing capacity without any further treatment (control), whereas the other half underwent five million cycles of mechanical loading with 100 N as the upper load limit (test). All specimens were loaded until failure in a universal testing machine with an occlusal force applied at the pontics. Load-displacement curves were recorded and the failure mode was macro- and microscopically analyzed. The statistical analysis was performed using a t-test (p=0.05). RESULTS: All the specimens survived cyclic mechanical loading and no obvious failure could be observed. Due to the cyclic mechanical loading, the load-bearing capacity decreased from 8,496 N±196 N (control) to 7,592 N±901 N (test). The cyclic mechanical loading did not significantly influence the load-bearing capacity (p=0.060). The failure mode was almost identical in all specimens: large deformations of the framework at the implant connection area were obvious. CONCLUSION: The load-bearing capacity of the I-Bridge®2 frameworks is much higher than the clinically relevant occlusal forces, even with considerably angulated implants. However, the performance under functional loading in vivo depends on additional aspects. Further studies are needed to address these aspects

Geschichte und Positionierung des NIFE : Eine Einführung

[no abstract available

Enzyme-Responsive Nanoparticles and Coatings Made from Alginate/Peptide Ciprofloxacin Conjugates as Drug Release System

Infection-controlled release of antibacterial agents is of great importance, particularly for the control of peri-implant infections in the postoperative phase. Polymers containing antibiotics bound via enzymatically cleavable linkers could provide access to drug release systems that could accomplish this. Dispersions of nanogels were prepared by ionotropic gelation of alginate with poly-L-lysine, which was conjugated with ciprofloxacin as model drug via a copper-free 1,3-dipolar cy-cloaddition (click reaction). The nanogels are stable in dispersion and form films which are stable in aqueous environments. However, both the nanogels and the layers are degraded in the presence of an enzyme and the ciprofloxacin is released. The efficacy of the released drug against Staphylococcus aureus is negatively affected by the residues of the linker. Both the acyl modification of the amine nitrogen in ciprofloxacin and the sterically very demanding linker group with three annel-lated rings could be responsible for this. However the basic feasibility of the principle for enzyme-triggered release of drugs was successfully demonstrated

Influence of 10-MDP Adhesive System on Shear Bond Strength of Zirconia-Composite Interfaces

Abstract Introduction: This in-vitro study investigated the initial 24h bond strength between different composites and zirconia after application of four different adhesive systems. Methods: A total of 120 specimens of zirconia (InCoris, Sirona, Germany, Bernsheim) were ground with a 165 µm grit rotating diamond disc. Thirty specimens were each additionally treated with Cimara Zircon "CZ" (VOCO GmbH, Germany, Cuxhaven), Futurabond U "FBU" (VOCO GmbH), Futurabond M+ "FBM" (VOCO GmbH) or Futurabond M+ in combination with the DCA activator "FBMD" (VOCO GmbH). One of three different types of compositesBifixSE ("BS"), BifixQM ("BQ") or GrandioSO ("G") (VOCO GmbH) -was bonded to ten specimens each in every group. Shear bond strength (SBS) was determined in a universal testing machine. Statistical analysis was performed with ANOVA and the Tukey test. Results: FBM and FBMD gave higher SBS than CZ and FBU in combination with all tested composites. In comparison to FBU, FBM gave statistically significant increases in SBS with BifixSE (19.4±5.7 MPa) (P<0.013) and with GrandioSO (19.1±4.4 MPa) (P<0.021). None of the other comparisons was statistically significant. Conclusion: The new 10-MDP-containing adhesive systems FBM and FBMD increases initial SBS between composites and zirconia in comparison to CZ and FBU

Nanoporous silica nanoparticles with spherical and anisotropic shape as fillers in dental composite materials

The objective of this study was to test whether nanoporous silica nanoparticles can be employed as fillers in dental composite materials to improve their mechanical properties. These nanoporous silica nanoparticles were synthesized using sol-gel methods, in part modified by silanization, and thoroughly characterized. The nanoporous nanoparticles were added to dental resins to form nanocomposites (resins impregnated with nanoparticles) and hybrid composites (containing in addition conventional microfillers). The incorporation of these nanoporous nanoparticles in dental resins or composites was characterized by investigation of the complex viscosity and double bond conversion as well as by determination of flexural strength and Young's modulus. The dispersion of the nanofillers was examined by SEM and EDX imaging of fracture surfaces. Incorporation of small contents (1-3 wt%) of unmodified nanoporous particles leads to improved mechanical properties. However, the incorporation of larger contents results in particle agglomeration and declining mechanical properties. This effect is less pronounced when the surface of the particles is modified with methacrylate residues, resulting in a lower agglomeration tendency and a more homogeneous filler dispersion. Surface properties and, concomitantly, dispersibility of the nanoparticles have a strong influence on mechanical properties. But the incorporation of nanoporous instead of solid nanoparticles into dental composite materials is indeed a possibility to improve the mechanical behavior. However, modification of the surface is necessary and the key to achieving uniform dispersion and, thereby, improving mechanical properties

Nonlinear laser scanning microscopy of oral multispecies-biofilms: Fixative induced fluorescence as a fast and economical in vitro screening method

In this letter we report a fast and easy method which could be used for initial screening of multispecies-biofilm development on putative new dental implant materials. Most staining methods require numerous washing steps that can result in detachment of loosely bound biofilms and therefore falsify the results. Thus, we used glutaraldehyde fixation, which induces autofluorescence through bacterial membrane protein cross-linking and concurrently stabilizes the biofilm structure. We analyzed the biofilms with nonlinear laser scanning microscopy and were able to (I) evaluate the multispecies-biofilm growth and (II) distinguish between bacterial species based on different two-photon autofluorescence intensities. © 2016 by De Gruyter

Numerical and experimental investigation of multi-species bacterial co-aggregation

This paper deals with the mathematical modeling of bacterial co-aggregation and its numerical implementation in a FEM framework. Since the concept of co-aggregation refers to the physical binding between cells of different microbial species, a system composed of two species is considered in the modeling framework. The extension of the model to an arbitrary number of species is straightforward. In addition to two-species (multi-species growth) dynamics, the transport of a nutritional substance and the extent of co-aggregation are introduced into the model as the third and fourth primary variables. A phase-field modeling approach is employed to describe the co-aggregation between the two species. The mathematical model is three-dimensional and fully based on the continuum description of the problem without any need for discrete agents which are the key elements of the individual-based modeling approach. It is shown that the use of a phase-field-based model is equivalent to a particular form of classical diffusion-reaction systems. Unlike the so-called mixture models, the evolution of each component of the multi-species system is captured thanks to the inherent capability of phase-field modeling in treating systems consisting of distinct multi-phases. The details of numerical implementation in a FEM framework are also presented. Indeed, a new multi-field user element is developed and implemented in ANSYS for this multiphysics problem. Predictions of the model are compared with the experimental observations. By that, the versatility and applicability of the model and the numerical tool are well established

Mobile Corona-Analytik made in Hannover : Universitäre Forschungslabore im Einsatz zur Pandemiebekämpfung

An der Leibniz Universität Hannover wurden in enger Kooperation mit dem NIFE und der Medizinischen Hochschule Hannover mobile SARS-CoV-2 Teststationen entwickelt und betrieben. Dank dieses Projekts konnten wichtige Bereiche öffentlicher Institutionen, medizinischer Einrichtungen und kritischer Infrastruktur im südlichen Niedersachsen ihren Betrieb fortführen und Forschungsfragen unter anderem zur Verbreitung des Corona-Virus untersucht werden

Antibacterial properties and abrasion-stability: Development of a novel silver-compound material for orthodontic bracket application

Purpose: Bacteria-induced white spot lesions are a common side effect of modern orthodontic treatment. Therefore, there is a need for novel orthodontic bracket materials with antibacterial properties that also resist long-term abrasion. The aim of this study was to investigate the abrasion-stable antibacterial properties of a newly developed, thoroughly silver-infiltrated material for orthodontic bracket application in an in situ experiment. Methods: To generate the novel material, silver was vacuum-infiltrated into a sintered porous tungsten matrix. A tooth brushing simulation machine was used to perform abrasion equal to 2 years of tooth brushing. The material was characterized by energy dispersive X‑ray (EDX) analysis and roughness measurement. To test for antibacterial properties in situ, individual occlusal splints equipped with specimens were worn intraorally by 12 periodontal healthy patients for 48 h. After fluorescence staining, the quantitative biofilm volume and live/dead distribution of the initial biofilm formation were analyzed by confocal laser scanning microscopy (CLSM). Results: Silver was infiltrated homogeneously throughout the tungsten matrix. Toothbrush abrasion only slightly reduced the material’s thickness similar to conventional stainless steel bracket material and did not alter surface roughness. The new silver-modified material showed significantly reduced biofilm accumulation in situ. The effect was maintained even after abrasion. Conclusion: A promising, novel silver-infiltrated abrasion-stable material for use as orthodontic brackets, which also exhibit strong antibacterial properties on in situ grown oral biofilms, was developed. The strong antibacterial properties were maintained even after surface abrasion simulated with long-term toothbrushing

Influence of the Available Surface Area and Cell Elasticity on Bacterial Adhesion Forces on Highly Ordered Silicon Nanopillars

[Image: see text] Initial bacterial adhesion to solid surfaces is influenced by a multitude of different factors, e.g., roughness and stiffness, topography on the micro- and nanolevel, as well as chemical composition and wettability. Understanding the specific influences and possible interactive effects of all of these factors individually could lead to guidance on bacterial adhesion and prevention of unfavorable consequences like medically relevant biofilm formation. On this way, the aim of the present study was to identify the specific influence of the available surface area on the adhesion of clinically relevant bacterial strains with different membrane properties: Gram-positive Staphylococcus aureus and Gram-negative Aggregatibacter actinomycetemcomitans. As model surfaces, silicon nanopillar specimens with different spacings were fabricated using electron beam lithography and cryo-based reactive ion etching techniques. Characterization by scanning electron microscopy and contact angle measurement revealed almost defect-free highly ordered nanotopographies only varying in the available surface area. Bacterial adhesion forces to these specimens were quantified by means of single-cell force spectroscopy exploiting an atomic force microscope connected to a microfluidic setup (FluidFM). The nanotopographical features reduced bacterial adhesion strength by reducing the available surface area. In addition, the strain-specific interaction in detail depended on the bacterial cell’s elasticity and deformability as well. Analyzed by confocal laser scanning microscopy, the obtained results on bacterial adhesion forces could be linked to the subsequent biofilm formation on the different topographies. By combining two cutting-edge technologies, it could be demonstrated that the overall bacterial adhesion strength is influenced by both the simple physical interaction with the underlying nanotopography and its available surface area as well as the deformability of the cell