Axial compressive strength of human vertebrae trabecular bones classified as normal, osteopenic and osteoporotic by quantitative ultrasonometry of calcaneus

Abstract Introduction Biomechanical assessment of trabecular bone microarchitecture contributes to the evaluation of fractures risk associated with osteoporosis and plays a crucial role in planning preventive strategies. One of the most widely clinical technics used for osteoporosis diagnosis by health professionals is bone dual-energy X-ray absorptiometry (DEXA). However, doubts about its accuracy motivate the introduction of congruent technical analysis such as calcaneal ultrasonometry (Quantitative Ultrasonometry - QUS). Methods Correlations between Bone Quality Index (BQI), determined by calcaneal ultrasonometry of thirty (30) individuals classified as normal, osteopenic and osteoporotic, and elastic modulus (E) and ultimate compressive strength (UCS) from axial compression tests of ninety (90) proof bodies from human vertebrae trabecular bone, which were extracted from cadavers in the twelfth thoracic region (T12), first and fourth lumbar (L1 and L4). Results Analysis of variance (ANOVA) showed significant differences for E (p = 0.001), for UCS (p = 0.0001) and BQI. Spearman's rank correlation coefficient (rho) between BQI and E (r = 0.499) and BQI and UCS (r = 0.508) were moderate. Discussion Calcaneal ultrasonometry technique allowed a moderate estimate of bone mechanical strength and fracture risk associated with osteoporosis in human vertebrae.

Corrosion and microstructural characterization of martensitic stainless steels submitted to industrial thermal processes for use in surgical tools

INTRODUCTION: The mechanical properties and corrosion resistance of a material are dependent on its microstructure and can be modified by phase transformation. When a phase transformation occurs in a material it usually forms at least one new phase, with physical-chemical characteristics that differ from the original phase. Moreover, most phase transformations do not occur instantly. This paper presents an evaluation of the phase transformation of martensitic stainless steels ASTM 420A and ASTM 440C when submitted to different thermal processes. METHODS: Dilatometry tests were performed with several continuous heating and cooling rates in order to obtain the profiles of the continuous heating transformation (CHT) and continuous cooling transformation (CCT) diagrams for these two types of steel. Also, the temperature ranges for the formation of the different phases (ferrite and carbides; ferrite; austenite and carbides; non-homogeneous and homogeneous austenite phases) were identified. Rockwell hardness (HRC) tests were performed on all thermally treated steels. Anodic and cathodic potential dynamic polarization measurements were carried out through immersion in enzymatic detergent as an electrolyte for different samples submitted to the thermal processes in order to select the best routes for the heat treatment and to recommend steels for the manufacture of surgical tools. RESULTS: The martensitic transformation temperature tends to increase with increasing temperature for the initiation of cooling. The 440C steel had a higher hardness value than the 420A steel at the austenitizing temperature of 1100 °C. Above the austenitizing temperature of 1100 °C, the material does not form martensite at the cooling rate used, which explains the sharp decline in the hardness values. CONCLUSION: The study reported herein achieved its proposed objectives, successfully investigating the issues and indicating solutions to the industrial problems addressed, which are frequently encountered in the manufacture of surgical instruments.

Mathematical modeling of dilatometric behavior of 420A and 440C martensitic stainless steels used in surgical tools / Modelamento matemático de ensaio dilatométrico em aços inoxidáveis martensíticos 420A e 440C utilizados em ferramental cirúrgico

This research consisted of implementing and evaluating an empirical mathematical model to reproduce analytically the dilatometric behavior of ASTM 420A and ASTM 440C martensitic stainless steels, widely used for manufacturing surgical tools. Martensitic stainless steels can be subdivided into three subgroups: low-carbon, medium-carbon and high-carbon steels. The microstructure of each group is also characteristic as needlelike martensitic; very fine martensitic; and ultra-fine martensitic containing carbides. The proposed method was based on experimental data obtained from the dilatometric testing of the steel samples applying low heating rates. It was possible to determine the formation of phase fields near the equilibrium conditions. The method, being based on empirical data, ensured a greater approximation to the experimental values, verifying that it can be applied as a useful tool in the evaluation of industrial heat treatments for surgical tools.

O presente trabalho consistiu em implementar e avaliar um modelo matemático empírico que reproduz analiticamente o comportamento dilatométrico dos aços inoxidáveis martensíticos ASTM 420A e ASTM 440C, utilizados em ferramental cirúrgico. Aços inoxidáveis martensíticos podem ser subdivididos em três subgrupos, ou seja, baixo carbono; médio carbono e alto carbono. A microestrutura de cada grupo é caracterizada por martensita em forma de agulha; martensita fina e martensita ultra-fina contendo carbetos. A elaboração do método matemático se baseou em dados extraídos de ensaios dilatométricos sob baixas taxas de aquecimento. Foi possível determinar a formação dos campos de fase próximos às condições de equilíbrio. Os resultados obtidos garantiram boa aproximação com os valores experimentais, evidenciando que o modelo aplicado é um instrumento útil na avaliação dos tratamentos térmicos industriais para ferramental cirúrgico.

Correlation between metal-ceramic bond strength and coefficient of linear thermal expansion difference

The purpose of this study was to evaluate the metal-ceramic bond strength (MCBS) of 6 metal-ceramic pairs (2 Ni-Cr alloys and 1 Pd-Ag alloy with 2 dental ceramics) and correlate the MCBS values with the differences between the coefficients of linear thermal expansion (CTEs) of the metals and ceramics. Verabond (VB) Ni-Cr-Be alloy, Verabond II (VB2), Ni-Cr alloy, Pors-on 4 (P), Pd-Ag alloy, and IPS (I) and Duceram (D) ceramics were used for the MCBS test and dilatometric test. Forty-eight ceramic rings were built around metallic rods (3.0 mm in diameter and 70.0 mm in length) made from the evaluated alloys. The rods were subsequently embedded in gypsum cast in order to perform a tensile load test, which enabled calculating the CMBS. Five specimens (2.0 mm in diameter and 12.0 mm in length) of each material were made for the dilatometric test. The chromel-alumel thermocouple required for the test was welded into the metal test specimens and inserted into the ceramics. ANOVA and Tukey's test revealed significant differences (p=0.01) for the MCBS test results (MPa), with PI showing higher MCBS (67.72) than the other pairs, which did not present any significant differences. The CTE (10-6 oC-1) differences were: VBI (0.54), VBD (1.33), VB2I (-0.14), VB2D (0.63), PI (1.84) and PD (2.62). Pearson's correlation test (r=0.17) was performed to evaluate of correlation between MCBS and CTE differences. Within the limitations of this study and based on the obtained results, there was no correlation between MCBS and CTE differences for the evaluated metal-ceramic pairs.

Effects of aluminum-copper alloy filtration on photon spectra, air kerma rate and image contrast

Este estudo avaliou a redução da taxa de kerma no ar, o espectro de energia dos raios X e alterações na qualidade da imagem radiográfica. Comparações com várias espessuras do filtro de liga de alumínio-cobre em três diferentes porcentagens foram feitas com o filtro de alumínio. Os experimentos foram feitos utilizando-se um aparelho de raios X odontológico convencional, obtendo radiografias com auxílio de um fantoma de segmento de mandíbula e de uma escala de densidade confeccionada com alumínio laminado. Dependendo da espessura da filtração da liga de alumínio-cobre, o feixe de raios X pôde ser endurecido em relação ao filtro de alumínio. O uso do filtro de liga de alumínio-cobre resultou em 8,40% a 47,33% de redução da taxa média de kerma no ar e indicou contraste da imagem radiográfica sem alteração, quando comparado com a filtração de alumínio, mostrando que os filtros de liga de alumínio-cobre tornam-se alternativas aceitáveis em relação aos filtros de alumínio.

Restauraçäo metalocerâmica: um estudo comparativo da compatibilidade térmica de ligas Ni-Cr e porcelanas odontológicas / Metal-ceramic restoration: comparative thermal compatibility of Ni-Cr alloys and porcelains

Uma das aplicaçöes tecnológicas em que é necessário haver compatibilidade entre um material cerâmico e um material metálico é a confeçäo de restauraçöes odontológicas do tipo metalocerâmica. Neste caso, uma porcelana é fundida sobre um substrato metálico para obtençäo da prótese de um dente. O requisito fundamental para o sucesso da uniäo metalocerâmica é a adequaçäo dos dos coeficientes de expansäo térmica de cada um dos materiais, de forma a se obter um estado de tensäo de compressäo adequado na camada cerâmica. Este trabalho propôs-se a levantar as curvas de expansäo térmica de ligas Ni-Cr e porcelanas odontológicas, através da técnica de dilatometria e verificar a possível compatibilidade térmica dos pares metal/cerâmica. Simulando a entrada de um novo produto no mercado, desenvolveu-se uma liga Ni-Cr experimental denominada SR, que foi comparada a uma liga comercial de Ni-Cr bastante utilizada em restauraçöes metalocerâmicas...

Potencialidade do elemento tóxico berílio, usado em prótese dentárias / Potentiality of the toxic element beryllium, used in dental prosthesis

Neste trabalho, foi estudado o efeito do berílio sobre a microestrutura e a temperatura de fusäo em ligas Ni-Cr-Mo-Co e suas propriedades de corrosäo. O estudo consistiu na obtençäo das diversas ligas através de fusäo sob vácuo, seguidas de forjamento em condiçöes industriais. Após o forjamento, as ligas foram tratadas termicamente em diversas temperaturas e resfriadas em água, ar e forno. Nas ligas Ni-Cr-Mo-Co, a presença do Be altera a microestrutura, proporcionando a formaçäo de fases intermetálicas. Foi constatado que, nas ligas estudadas, o Be abaixa a temperatura de fusäo e as torna susceptíveis à corrosäo por pite