Impact of manual toothbrush design on plaque removal efficacy.

BACKGROUND: Effective dental plaque removal is essential for oral health. Different toothbrush parameters including head-size, filament-diameter and interdent-height and different brushing movements like horizontal, rotating and vertical may affect plaque removal efficacy. The purpose of the study was to examine plaque removal efficacy of different design parameters of manual toothbrushes. METHODS: Eight manual toothbrushes were tested using a validated robot test to examine efficacy of toothbrush on replicated human teeth. Characteristics tested were: (i) head-size, (ii) filament-diameter, (iii) cutting-height, (iv) hardness, (v) interdental-height. Each test ran five times in horizontal, rotating, vertical movements. Simulated Plaque removal was evaluated using automated plaque planimetry: 30 fields/tooth, 13 areas representing buccal, lingual, proximal tooth sites. The Kolmogorov-Smirnov-test was applied to test tooth surface variables for normal distribution of plaque removal values. Parameters were analysed by independent two-sample t-test to assess mean differences. Where null hypothesis of normality was rejected, the Wilcoxon-Mann-Whitney-U-test was used. RESULTS: Plaque removal was significantly better with toothbrush having smaller head-size (compact vs. full-size); smaller filament-diameter (0.12 mm vs. 0.15 mm); larger cutting-height (12 mm vs. 9 mm); softer filaments (0.15 or 0.18 mm vs. 0.23 mm) and greater interdent-height difference (8.5/11 mm vs. 10/11 mm). CONCLUSIONS: Manual brushes allowing filaments free to flex with longer, softer and/or having a difference in filament length overall removed significantly more simulated plaque as compared to more standard flat trim, stiff brushes with shorter, harder bristles and a larger head size. While limited by the in vitro nature of the study design, this indicates that the advances in toothbrush design can further enhance plaque removal.

Exploring the degradation behavior of MgXAg alloys by in vitro electrochemical methods.

Magnesium as biodegradable biomaterial could serve as bone augmentation material in implant dentistry. The knowledge about the predictability of the biodegradation process is essential as this process needs to go hand in hand with the formation of new bone to gradually replace the augmentation material. Therefore, this work aimed to assess if the electrochemistry (EC) measurements of the corrosion process correlate with the surface features at various time points during the surface degradation, in order to describe the degradation process of Mg and Mg alloys more reliably, under the assumption that differences in EC behavior can be detected and related to specific patterns on the surface. In this test setup, a special optical chamber was used for electrochemical measurements on Mg and Mg-alloys (Mg2Ag, Mg4Ag, and Mg6Ag). Specimens were investigated using different circulating cell culture solutions as electrolytes, these were minimum essential medium (MEM), Hank's Balanced Salt Solution (HBSS), and MEM+ (MEM with added sodium hydrogen carbonate) at 37 °C. Open circuit potential measurements (OCP) over 30 min followed by cyclic polarization were performed. The electrochemistry data, including OCP, exchange current density and corrosion potential, were compared with visible changes at the surface during these treatments over time. The results show that the addition of silver (Ag) leads to a "standardization" of the degradation regardless of the selected test medium. It is currently difficult to correlate the visible microscopic changes with the data taken from the measurements. Therefore, further investigations are necessary.

Electrospun meshes of poly (n-butyl cyanoacrylate) and their potential applications for drug delivery and tissue engineering.

The aim of the present work was to develop novel meshes of poly (n-butyl cyanoacrylate) (PBCA) nanofibers for potential applications in drug delivery and tissue engineering taking into account the successful application of PBCA in other medical uses. Electrospinning was applied to solutions of PBCA, 103 and 106 Da. 5-fluorouracil was chosen as model drug for the delivery study because of its effectiveness against cancer, while human gingival fibroblasts (HFIB-G) to confirm the biocompatibility of drug-free PBCA meshes and their potential for tissue engineering. PBCA was able to be electrospun in a wide range of molecular weights, producing fibers free of defects with diameters between 380 nm and 6 µm. Meshes of PBCA (105-106 Da) showed high flexibility with Younǵs modulus and maximal tension values in the range of 0.3-1.6 MPa and 0.03-0.13 MPa respectively. Results from the drug delivery study suggested that 5-fluorouracil was homogeneously loaded into PBCA meshes. Its release was extremely slow, initially 20% in 7 days and the rest gradually (until 96 days) in physiological medium at 37 °C. HFIB-G were well attached and proliferated over PBCA nanofibers during 23 days. Results suggested that PBCA meshes serve as excellent frameworks for cell adhesion/proliferation, and for drug delivery extended periods.

Effect of Cu and Ti electrodes on surface and electrochemical properties of Electro Discharge Machined (EDMed) structures made of Co-Cr and Ti dental alloys.

OBJECTIVES: Previous studies have shown that the use of Cu electrodes compromises the electrochemical properties of Co-Cr and Ti alloys used for the fabrication of implant retained superstructures by Electro Discharge Machining (EDM). A possible solution is the use of Ti instead of Cu electrodes and thus the aim of this study was to evaluate the effect of Cu and Ti electrodes on surface and electrochemical properties of two types of dental alloys used for fabrication of implant retained superstructures after EDM. METHODS: Three full arch frameworks were prepared from a Co-Cr and three from Ti6Al7Nb alloy. One framework from each alloy was used as control, one was subjected to EDM with Cu electrodes and the last one with Ti electrodes. Morphological and elemental characterization was studied by SEM/EDX. The electrochemical properties of the alloys were evaluated by Open Circuit Potential (OCP) and Linear Sweep Voltammetry (LSV) in Ringer's solution. Electrochemical data were analyzed statistically by one way ANOVA and SNK multiple comparison tests at a = 0.05 RESULTS: All groups demonstrate the typical surface after EDM treatment with almost circular valleys and an increase in C and O content compared to control groups. Both alloys demonstrated an uptake of C and Cu by Cu electrodes and C and Ti after treatment with Ti electrodes. The use of Cu electrodes had a detrimental effect on corrosion resistance of Ti alloy. SIGNIFICANCE: The use of Ti electrodes mitigates the degradation of electrochemical properties compared to Cu electrodes and from this standpoint is safer for the EDM of implant retained superstructures made of Co-Cr and Ti alloys.

Electrochemical characterization of novel Ag-based brazing alloys for dental applications.

OBJECTIVE: Taking into account that clinical data have proven the decomposition of Ag brazing alloys used in the production of orthodontic appliances the aim of this study was to develop new Ag based soldering alloys free of Cu and Zn. METHODS: Four commercially available Ag brazing alloys were selected and their electrochemical properties were compared to the following experimental alloys: Ag12Ga, Ag10Ga5Sn, Ag20In and Ag7Sn. 112 disk shape specimens were prepared for each alloy and their electrochemical properties were evaluated by Open Circuit Potential (OCP), linear sweep voltametry (LSV), cyclic polarization (CP) and electrochemical impedance spectroscopy (EIS) in a NaCl 0.9% and a Ringer's electrolyte solution. RESULTS: The experimental alloys combined higher OCP and Ecorr with lower Icorr values. The impedance values of the commercial alloys were lower showing that any surface layers formed are not protective and steady compared to those of the novel ones. In conclusion experimental alloys demonstrated enhanced electrochemical properties. SIGNIFICANCE: In and Sn showed a more beneficial effect on electrochemical properties compared to Ga and thus can be considered as a promising option for the development of a new family of Ag brazing alloys with increased biocompatibility.

The influence of MgH2 on the assessment of electrochemical data to predict the degradation rate of Mg and Mg alloys.

Mg and Mg alloys are becoming more and more of interest for several applications. In the case of biomaterial applications, a special interest exists due to the fact that a predictable degradation should be given. Various investigations were made to characterize and predict the corrosion behavior in vitro and in vivo. Mostly, the simple oxidation of Mg to Mg2+ ions connected with adequate hydrogen development is assumed, and the negative difference effect (NDE) is attributed to various mechanisms and electrochemical results. The aim of this paper is to compare the different views on the corrosion pathway of Mg or Mg alloys and to present a neglected pathway based on thermodynamic data as a guideline for possible reactions combined with experimental observations of a delay of visible hydrogen evolution during cyclic voltammetry. Various reaction pathways are considered and discussed to explain these results, like the stability of the Mg+ intermediate state, the stability of MgH2 and the role of hydrogen overpotential. Finally, the impact of MgH2 formation is shown as an appropriate base for the prediction of the degradation behavior and calculation of the corrosion rate of Mg and Mg alloys.

n-Butyl cyanoacrylate synthesis. A new quality step using microwaves.

Alkyl cyanoacrylates are interesting products for use in industry because of their properties enabling them to stick together a wide range of substrates. n-Butyl cyanoacrylate is one of the most successfully used tissue adhesives in the field of medicine because it exhibits bacteriostatic and haemostatic characteristics, in addition to its adhesive properties. At present, its synthesis is performed with good yields via Knoevenagel condensation using conventional sources of heating, but this requires a long processing time. The aim of this work was to look for a new way of synthesising n-butyl cyanoacrylate using microwave irradiation as the source of heating. This non-conventional source of heating most likely reduces the process time of the synthesis. In comparison with a conventional heating source, such as an oil bath, the results showed the advantages of this method whereby the n-butyl cyanoacrylate gave the same yield and quality with a reduction in the reaction time by a factor of 3-5-fold.

Metallurgical and electrochemical characterization of contemporary silver-based soldering alloys.

OBJECTIVE: To investigate the microstructure, hardness, and electrochemical behavior of four contemporary Ag-based soldering alloys used for manufacturing orthodontic appliances. MATERIALS AND METHODS: The Ag-based alloys tested were Dentaurum Universal Silver Solder (DEN), Orthodontic Solders (LEO), Ortho Dental Universal Solder (NOB), and Silver Solder (ORT). Five disk-shaped specimens were produced for each alloy, and after metallographic preparation their microstructural features, elemental composition, and hardness were determined by scanning electron microscopy with energy-dispersive X-ray (EDX) microanalysis, X-ray diffraction (XRD) analysis, and Vickers hardness testing. The electrochemical properties were evaluated by anodic potentiodynamic scanning in 0.9% NaCl and Ringer's solutions. Hardness, corrosion current (Icorr), and corrosion potential (Ecorr) were statistically analyzed by one-way analysis of variance and Tukey test (α=.05). RESULTS: EDX analysis showed that all materials belong to the Ag-Zn-Cu ternary system. Three different mean atomic contrast phases were identified for LEO and ORT and two for DEN and NOB. According to XRD analysis, all materials consisted of Ag-rich and Cu-rich face-centered cubic phases. Hardness testing classified the materials in descending order as follows: DEN, 155±3; NOB, 149±3; ORT, 141±4; and LEO, 136±8. Significant differences were found for Icorr of NOB in Ringer's solution and Ecorr of DEN in 0.9% NaCl solution. CONCLUSION: Ag-based soldering alloys demonstrate great diversity in their elemental composition, phase size and distribution, hardness, and electrochemical properties. These differences may anticipate variations in their clinical performance.

Mechanical properties of contemporary composite resins and their interrelations.

OBJECTIVE: To characterize a spectrum of mechanical properties of four representative types of modern dental resin composites and to investigate possible interrelations. METHODS: Four composite resins were used, a microhybrid (Filtek Z-250), a nanofill (Filtek Ultimate), a nanohybrid (Majesty Posterior) and an ormocer (Admira). The mechanical properties investigated were Flexural Modulus and Flexural Strength (three point bending), Brinell Hardness, Impact Strength, mode I and mode II fracture toughness employing SENB and Brazilian tests and Work of Fracture. Fractographic analysis was carried out in an SEM to determine the origin of fracture for specimens subjected to SENB, Brazilian and Impact Strength testing. The results were statistically analyzed employing ANOVA and Tukey post hoc test (a=0.05) while Pearson correlation was applied among the mechanical properties. RESULTS: Significant differences were found between the mechanical properties of materials tested apart from mode I fracture toughness measured by Brazilian test. The latter significantly underestimated the mode I fracture toughness due to analytical limitations and thus its validity is questionable. Fractography revealed that the origin of fracture is located at notches for fracture toughness tests and contact surface with pendulum for Impact Strength testing. Pearson analysis illustrated a strong correlation between modulus of elasticity and hardness (r=0.87) and a weak negative correlation between Work of Fracture and Flexural Modulus (r=-0.46) and Work of Fracture and Hardness (r=-0.44). Weak correlations were also allocated between Flexural Modulus and Flexural Strength (r=0.40), Flexural Strength and Hardness (r=0.39), and Impact Strength and Hardness (r=0.40). SIGNIFICANCE: Since the four types of dental resin composite tested exhibited large differences among their mechanical properties differences in their clinical performance is also anticipated.

Tetragonal and cubic zirconia multilayered ceramic constructs created by EPD.

The interest in electrophoretic deposition (EPD) for nanomaterials and ceramics production has widely increased due to the versatility of this technique to effectively combine different materials in unique shapes and structures. We successfully established an EPD layering process with submicrometer sized powders of Y-TZP with different mol percentages of yttrium oxide (3 and 8%) and produced multilayers of alternating tetragonal and cubic phases with a clearly defined interface. The rationale behind the design of these multilayer constructs was to optimize the properties of the final ceramic by combining the high mechanical toughness of the tetragonal phase of zirconia together with the high ionic conductivity of its cubic phase. In this work, a preliminary study of the mechanical properties of these constructs proved the good mechanical integrity of the multilayered constructs obtained as well as crack deflection in the interface between tetragonal and cubic zirconia layers.

The effect of Electro Discharge Machining (EDM) on the corrosion resistance of dental alloys.

OBJECTIVE: The aim of the present study was to evaluate the effect of Electro Discharge Machining (EDM) on the corrosion resistance of two types of dental alloys used for fabrication of implant retained superstructures. METHODS: Two groups of specimens were prepared from a Co-Cr (Okta-C) and a grade II cpTi (Biotan) alloys respectively. Half of the specimens were subjected to EDM with Cu electrodes and the rest were conventionally finished (CF). The corrosion resistance of the alloys was evaluated by anodic polarization in Ringer's solution. Morphological and elemental alterations before and after corrosion testing were studied by SEM/EDX. Six regions were analyzed on each surface before and after corrosion testing and the results were statistically analyzed by paired t-test (a=0.05). RESULTS: EDM demonstrated inferior corrosion resistance compared to CF surfaces, the latter being passive in a wider range of potential demonstrating higher polarization resistance and lower I(corr) values. Morphological alterations were found before and after corrosion testing for both materials tested after SEM analysis. EDX showed a significant decrease in Mo, Cr, Co, Cu (Co-Cr) and Ti, Cu (cpTi) after electrochemical testing plus an increase in C. SIGNIFICANCE: According to the results of this study the EDM procedure decreases the corrosion resistance of both the alloys tested, increasing thus the risk of possible adverse biological reactions.

Critical discussion of the results from different corrosion studies of Mg and Mg alloys for biomaterial applications.

The aim of this work was to collect and compare data from different published reports which focused on the description of the influence of different electrochemical setups for the assessment of magnesium corrosion. Based on this, a comparison with our own results, obtained for LAE 442 and AZ 31, was made and discussed. As the collection of data has shown, the reported inconsistencies between in vivo and electrochemical data depend greatly on the electrochemical medium used, on the alloy composition and on surface preparation. Nevertheless, these differences also exist when comparing different in vitro results using different methodologies and even different Mg alloys, and need therefore to be discussed more thoroughly in the future. The simulation of transport conditions of the in vivo interface should become a focus of research interest in order to gain a better understanding of the influence of connecting processes on the degradation of the biomaterials.

Degradation of magnesium and its alloys: dependence on the composition of the synthetic biological media.

Magnesium and its alloys are highly degradable metals that are potentially useful as biomaterials, especially in orthopaedic and cardiovascular applications. However, the in vivo corrosion has proved to be too high. Because of the complexity of in vivo conditions, a careful study of the corrosion of magnesium in synthetic solutions that simulate the in vivo environment is necessary as a first approach to predict the actual in vivo situation. The aim of this work was to evaluate the influence of the electrolyte composition on the corrosion behavior of magnesium and two Mg-alloys in synthetic biological media. Pure magnesium and its alloys (AZ31 and LAE442) were employed in the experiments. Electrochemical potentiodynamic polarization curves were recorded in sodium chloride and PBS electrolytes with different chloride ion and albumin concentration. Optical and SEM observations complemented by EDX analysis were made. The results showed that magnesium corrosion is localized in chloride- and albumin-containing buffer solutions. They also showed that the chloride concentration and the presence of buffer and protein strongly affect the electrochemical behavior of magnesium and magnesium alloys.

Electrochemical characterization of cobalt-based alloys using the mini-cell system.

OBJECTIVES: The aim of this work was to investigate the electrochemical behavior of cobalt-based alloys of different compositions using the mini-cell system (MCS) and to test the sensitivity of this technique in the detection of variations in the electrochemical behavior caused by the different compositions of cobalt-based alloys. METHODS: The electrochemical measurements were performed on two cobalt-based alloys, having a small content of gold (Bärlight and Gold Core); one cobalt-platinum-ruthenium alloy (Porta Smart) and one classical Co-based alloy (Wironit), in two different electrolytes, 1% NaCl and phosphate buffered solution (PBS). RESULTS: Based on I versus E curves, enhanced pitting corrosion capability was observed for the cobalt-based alloys, especially for those with lower chromium content and with the addition of a small amount of gold. The alloying of Co with Pt and Ru (Porta Smart), and the standard Co-based alloy do not show any critical instability; in contrast, a small addition of Au enhanced the pitting corrosion activity and reduced the corrosion stability. For higher alloy stability, a minimum 30% atomic ratio of chromium in the alloy composition is necessary. Furthermore, it was shown that MCS has sensitivity for the qualitative comparison of the alloys as well as in the electrochemical characterization of each alloy. SIGNIFICANCE: Electrochemical measurements are essential to assess the quality of an alloy. MCS might help in understanding the role the elements play in the electrochemical behavior of the alloys and at the same time contribute to the selection of the alloys in terms of their quality, even before more complex tests in vitro or in vivo are applied, and might reduce the costs for materials research.

Electrochemical characterisation of dental alloys: its possibilities and limitations.

Dental alloys are metallic biomaterials which have a broad variation of composition compared to technical alloys. It is therefore in the interest of patients and technicians to conduct a good assessment of the electrochemical behaviour of dental alloys in order to collect information about their corrosion resistance. The purpose of this work was to demonstrate possibilities and limitations of two electrochemical techniques: the voltammetry of immobilised microparticles (ViMP) onto lead, and cyclic voltammetry measurements with the help of the mini-cell system (MCS). Based on fingerprints obtained from ViMP it was possible to analyse and differentiate the dental alloys. The results obtained by MCS were comparable with ViMP, but give a better understanding of the corrosion behaviour of the materials.

Evaluation of the interface between bone and titanium surfaces being blasted by aluminium oxide or bioceramic particles.

The surface structure, in particular the surface roughness, and the surface chemistry of titanium implants influence their anchoring in bone. The aim of this study was to analyse metal-bone contact (MBC) after modification of the implant surface, using different materials for blasting. The surface modification of titanium was produced by blasting it with particles made of Al2O3 or bioceramics. The biological effects were then investigated experimentally using 27 rabbits, analysed after 7, 28 and 84 days after the implantation of titanium cylinders treated accordingly. The MBC showed a tendency for more bone after bioceramics were used as a blasting material, compared to Al2O3.