In Vitro Assessment of the Effect of Implant Position on Biomechanical Behaviors of Implant-Supported Removable Partial Dentures in Kennedy Class II Condition.

The purpose of this study was to investigate the effects of implant position and loading position on biomechanical behaviors using implant-supported removable partial denture (ISRPD) models in a simulated Kennedy class Ⅱ partially edentulous mandible. Three types of Kennedy class Ⅱ mandibular acrylic resin models (a conventional RPD without support by an implant-CRPD; models with an implant placed at first molar (#46)-MP-ISRPD- and second molar (#47)-DP-ISRPD) were used to measure vertical displacement of the RPD, mesio-distal displacement of the abutment tooth, and bending moment of the abutment tooth and implant under one-point loading. The variables at three respective loading points (#45, #46 and #47) were compared statistically. Vertical displacement was suppressed in ISRPDs compared to the CRPD, and significant effects were identified under loading at the implant position. The largest meiso-distal displacement was observed in MP-ISRPD under #47 loading. Bending moments of the abutment tooth and implant were significantly higher in MP-ISRPD than in DP-ISPRD. In MP-ISRPD, a higher bending moment of the abutment tooth under #45 and #47 loading was detected, although the bending moment in DP-ISRPD was almost zero. The results of this study suggested that MP-ISRPD shows the specific biomechanical behaviors, although DP-ISRPD might provide biomechanical benefits under all one-point loading conditions.

The need for polishing and occlusal adjustment of zirconia prostheses for wear on antagonist teeth.

The attrition of enamel when opposed by ceramics is of great concern. The purpose of this study was to evaluate enamel wear against high translucent zirconia (Zr), lithium disilicate (LD), gold (Au), and enamel (E) with different surface and contact conditions. The materials were divided into two groups: polished and ground (n=8 each). Two-body wear tests were performed against human enamel with vertical and horizontal, horizontal, and vertical repetitive movements as experiments 1 to 3 respectively. The surface roughness of all materials except Zr changed throughout the experiments. In experiment 1, Zr and Au showed less antagonist wear when polished than when ground. In experiment 2, polished groups showed less antagonist wear than ground groups in all materials. In experiment 3, Zr and LD exerted greater antagonist wear than E, regardless of Ra. These findings confirm the importance of polishing and occlusal adjustment of zirconia.

Subsonic to Intersonic Transition in Sliding Friction for Soft Solids.

We perform friction experiments between a compliant gel and a rigid cylinder at sliding velocities comparable to the Rayleigh wave or secondary wave velocity of the gel. We find that, when the sliding velocity exceeds the wave velocities, the contact state transitions from Hertzian like to flat punch like, resulting in the breakdown of the lubricating oil film and the abrupt increase in the friction coefficient. We succeed in deriving theoretical solutions for the contact pressure distributions and the deformation profiles in the presence of friction, which are consistent with our experimental observations.

Topology and Toughening of Sparse Elastic Networks.

The toughening of sparse elastic networks, such as hydrogels, foams, or meshes against fracture is one of the most important problems in materials science. However, the principles of toughening have not yet been established despite urgent engineering requirements and several efforts made by materials scientists. Here we address the above-mentioned problem by focusing on the topology of a network. We perform fracture experiments for two-dimensional periodic lattices fabricated from rubber strings and connecters with well-defined topological structures. We find that systematic increase in the largest coordination number while maintaining the average coordination number (=4) as constant leads to significant improvement in toughness. We reproduce the observed toughening behavior through numerical simulations and confirm that the stress concentration in the vicinity of a crack tip can be controlled by the topology of the network. This provides a new strategy for creating tough sparse elastic networks, especially hydrogels.

The effective design of zirconia coping on titanium base in dental implant superstructure.

Zirconia exhibits good tissue compatibility and nontoxicity, making it a widely used esthetic replacement material for implant abutments. To avoid abutment-fracture, the parts composed of zirconia with a bonded metal component connected to the implant can be used. The purpose of this study was to design titanium and zirconia components with high fracture resistance at the zirconia component's edge line. Three edge line designs of the titanium base and zirconia sleeve were made: chamfer, shoulder, and back-taper. To assess the strength of the abutment design, static loads were applied vertically and 30 degrees from the vertical axis. A test of tensile strength was also performed after chewing simulation. Conventional zirconia components mounted on a chamfer-type titanium base showed significantly lower fracture resistance than shoulder and back-taper types. This study suggests that to improve the durability of zirconia abutments with a titanium base, a back-tapered edge design is recommended.

Propagation of Fatigue Cracks in Friction of Brittle Hydrogels.

In order to understand fatigue crack propagation behavior in the friction of brittle hydrogels, we conducted reciprocating friction experiments between a hemi-cylindrical indenter and an agarose hydrogel block. We found that the fatigue life is greatly affected by the applied normal load as well as adhesion strength at the bottom of the gel⁻substrate interface. On the basis of in situ visualizations of the contact areas and observations of the fracture surfaces after the friction experiments, we suggest that the mechanical condition altered by the delamination of the hydrogel from the bottom substrate plays an essential role in determining the fatigue life of the hydrogel.

Improved wear resistance of functional diamond like carbon coated Ti-6Al-4V alloys in an edge loading conditions.

This study investigates the durability of functional diamond-like carbon (DLC) coated titanium alloy (Ti-6Al-4V) under edge loading conditions for application in artificial hip joints. The multilayered (ML) functional DLC coatings consist of three key layers, each of these layers were designed for specific functions such as increasing fracture strength, adapting stress generation and enhancing wear resistance. A 'ball-on-disk' multi-directional wear tester was used in the durability test. Prior to the wear testing, surface hardness, modulus elasticity and Raman intensity were measured. The results revealed a significant wear reduction to the DLC coated Ti-6Al-4V disks compared to that of non-coated Ti-6Al-4V disks. Remarkably, the counterpart Silicon Nitride (Si3N4) balls also yielded lowered specific wear rate while rubbed against the coated disks. Hence, the pairing of a functional multilayered DLC and Si3N4 could be a potential candidate to orthopedics implants, which would perform a longer life-cycle against wear caused by edge loading.

Biphasic and boundary lubrication mechanisms in artificial hydrogel cartilage: A review.

Various studies on the application of artificial hydrogel cartilage to cartilage substitutes and artificial joints have been conducted. It is expected in clinical application of artificial hydrogel cartilage that not only soft-elastohydrodynamic lubrication but biphasic, hydration, gel-film and boundary lubrication mechanisms will be effective to sustain extremely low friction and minimal wear in daily activities similar to healthy natural synovial joints with adaptive multimode lubrication. In this review article, the effectiveness of biphasic lubrication and boundary lubrication in hydrogels in thin film condition is focused in relation to the structures and properties of hydrogels. As examples, the tribological behaviors in three kinds of poly(vinyl alcohol) hydrogels with high water content are compared, and the importance of lubrication mechanism in biomimetic artificial hydrogel cartilage is discussed to extend the durability of cartilage substitute.

Effects of both vitamin C and mechanical stimulation on improving the mechanical characteristics of regenerated cartilage.

The present work describes the influence of both vitamin C (VC) and mechanical stimulation on development of the extracellular matrix (ECM) and improvement in mechanical properties of a chondrocyte-agarose construct in a regenerating tissue disease model of hyaline cartilage. We used primary bovine chondrocytes and two types of VC, ascorbic acid (AsA) as an acidic form and ascorbic acid 2-phosphate (A2P) as a non-acidic form, and applied uniaxial compressive strain to the tissue model using a purpose-built bioreactor. When added to the medium in free-swelling culture conditions, A2P downregulated development of ECM and suppressed improvement of the tangent modulus more than AsA. By contrast, application of mechanical stimulation to the construct both increased the tangent modulus more than the free-swelling group containing A2P and enhanced the ECM network of inner tissue to levels nearly as high as the free-swelling group containing AsA. Thus, mechanical stimulation and strain appears to enhance the supply of nutrients and improve the synthesis of ECM via mechanotransduction pathways of chondrocytes. Therefore, we suggest that mechanical stimulation is necessary for homogenous development of ECM in a cell-associated construct with a view to implantation of a large-sized articular cartilage defect.

Relationship between magnitude of immediate loading and peri-implant osteogenesis in dogs.

OBJECTIVES: The purpose of this study was to investigate the influence of the magnitude of immediate loading on peri-implant bone in an animal model of dental implantation. MATERIAL AND METHODS: Eight weeks after the extraction of maxillary and mandibular premolars, three implants were inserted bilaterally in the mandibles of six Beagle dogs. One implant was unloaded (UL) as a control, and two implants were loaded immediately with 10 N (mild loading: ML) or 50 N (excessive loading: EL) laterally using a cyclic loading device twice a week for 3 weeks. Fluorescent bone markers were injected to examine bone formation around the implants. The animals were sacrificed 3 weeks after implantation. Peri-implant osteogenesis was assessed by histomorphometric procedures, i.e., measuring bone-implant contact (BIC) and bone density (BD). RESULTS: The UL and ML groups had no peri-implant infection, and newly formed bone was observed over a wide area from the implant neck toward the tip, and in direct contact with the implant surface. In contrast, in the EL group, newly formed bone was rarely observed around the implant neck and there were signs of infection. Both BIC and BD in the ML group were significantly greater than those in the other groups. BIC and BD in the EL group were significantly lower than those in the other groups. CONCLUSION: A suitable magnitude of load applied immediately after dental implantation promotes peri-implant osteogenesis.

Effects of mucosal thickness on the stress distribution and denture stability of mandibular implant-supported overdentures with unsplinted attachments in vitro.

The aim of this study was to compare the effects of mucosal thickness on the stress pattern around implants and movement of implant-supported overdentures with ball/female and three different types of magnetic attachments. After insertion of two root-form implants into a mandibular model, the surface of the model was covered with a 1.5- or 3-mm layer of impression material to simulate the oral mucosa, and removable overdentures were fabricated on each model. A 50-N vertical force was applied to the right first molar, and the resultant stress distribution and denture movement were measured. In the 1.5-mm mucosal model, the magnetic attachments showed significantly lower bending moments than did the ball attachment. The denture base displacement was the lowest on a magnetic attachment. In this study, use of magnetic attachments could be advantageous for mandibular implant-supported overdentures based on lower stress and better denture stability especially in the thin mucosal model.

Enzymatically fabricated and degradable microcapsules for production of multicellular spheroids with well-defined diameters of less than 150 microm.

Microcapsules with a single, spherical hollow core less than 150 microm in diameter were developed to obtain multicellular spheroids with well-defined sizes of less than 150 microm in diameter. An aqueous solution of phenolic hydroxyl derivative of carboxymethylcellulose (CMC-Ph) containing human hepatoma cell line (HepG2) cells and horse radish peroxidase (HRP) was injected into a coflowing stream of liquid paraffin, containing H(2)O(2), resulting in cell-enclosing CMC-Ph microparticles, 135 microm in diameter, via a peroxidase-catalyzed crosslinking reaction. The CMC-Ph microparticles were then coated with a phenolic hydroxyl derivative of alginate (Alg-Ph) gel membrane several dozen micrometers in thickness, crosslinked via the same enzymatic reaction process, followed by further crosslinking between the carboxyl groups of alginate by Sr(2+). A hollow core structure was achieved by immersing the resultant microcapsules in a medium containing cellulase, which degrades the enclosed CMC-Ph microparticles. The HepG2 cells in the microcapsules then grew and completely filled the hollow core. Multicellular spheroids the same size as the CMC-Ph microparticles, with living cells at their outer surface, were collected within 1 min by soaking them in a medium containing alginate lyase to degrade the Alg-Ph gel microcapsule membrane.

Confocal analysis of local and cellular strains in chondrocyte-agarose constructs subjected to mechanical shear.

Although numerous previous studies have investigated cell deformation and mechanotransduction within isolated chondrocytes compressed in agarose gel, no published studies have examined the cellular response to shear. In the present study, a novel experimental system has been used to apply precise magnitudes of simple shear strain to isolated bovine articular chondrocytes seeded in agarose. Specimens were gelled between porous endplates which enabled the specimen to be gripped within a specially designed test rig mounted on an inverted microscope. Confocal imaging of individual chondrocytes was used to determine the local and cellular shear strains at gross static shear strains up to 15%. The central region of the specimens experienced uniform local shear strain equal to the applied gross shear strain. An image analysis technique was developed to quantify the level of cell shear strain based upon the shear-induced rotation of a best-fit ellipse. Cell deformation occurred such that the magnitude of the cellular shear strain was equal to gross shear strain. This study is the first to describe the deformation of isolated articular chondrocytes subjected to shear strain. This validated experimental system will enable future studies to examine the influence of shear on chondrocyte function and the associated mechanotransduction signalling pathways.