IU Indianapolis ScholarWorks :: Browsing by Author "Brown, David T."

Browsing by Author "Brown, David T."

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Analysis of Bone Remodeling in the Mandibular Condyle of Female Retired-Breeder Rabbits Following Altered Loading
(1992) Hunt, J. Todd; Garetto, Lawrence P.; Roberts, W. Eugene; Arbuckle, Gordon R.; Brown, David T.; Shanks, James C.
Previous studies have associated increased occlusal loads with degenerative changes of the temporomandibular joint (TMJ). The purpose of this study was to analyze effects of increased occlusal loads in adult animals. It was hypothesized that increased functional loading would cause degeneration of the mandibular condyle. Twelve female retired-breeder rabbits (mean age = three years, one month) were divided equally into three experimental groups and one control group. Each of the experimental rabbits received maxillary and mandibular light-cured anterior splints at the beginning of the study to create a bilateral posterior openbite (~2 mm). Theoretically, this should have resulted in increased loads to the TMJ. The first two groups wore the appliances for six and 12 weeks, respectively, prior to euthanasia. The third group wore the appliances for 12 weeks and then had them removed for 12 weeks prior to being euthanized. Fluorescent bone labels were utilized, and the specimens were analyzed histomorphometrically. The cartilage thickness was not statistically different between groups, nor were there any signs of cartilage degeneration. There was a trend, however, toward thinner condylar cartilage in the 12-week group. The six-week group showed significantly less labeled subchondral bone than the control group (0.5 ± 0.1 % versus 2.6 ± 0.3%, respectively; p<.05). The six- and 12-week groups both revealed significantly less periosteal surface label of the condylar neck than the control group (1.5 ± 0.8% and 5.3 ± 1. 7% versus 22.0 ± 3.5%, respectively; p<.05). Likewise, they both showed significantly more label at the cartilage-bone interface (1.0 ± 0.2% and 1.4 ± 0.2% versus 0.4 ± 0.2%, respectively; p<.05) and moderately more label along the trabecular surfaces than the control group. These results indicated that the increased loading of the mandibular condyle initially (at six weeks) depressed remodeling of the subchondral bone and decreased periosteal bone formation. Modeling increased at the cartilage-bone interface and potentially along the trabecular bone surfaces. With continued elevated occlusal loads (at 12 weeks), modeling still was quite active at the cartilage-bone interface and on the trabecular surfaces. Periosteal surface modeling remained depressed compared to the control group, but remodeling in the subchondral bone region increased to that of the control group. The 12/12-week group tended to show findings similar to the control group. This suggests that once loading was returned to normal, the condyle also returned toward preexperimental physiologic conditions. Although this study did not show the obvious degenerative changes one typically equates with osteoarthrosis, the elevated modeling at the cartilage-bone interface following increased joint loads was consistent with the early degenerative changes observed by Radin et al. in their joint-loading model. However, the rapid osseous changes seen in this study refute the theory that the adult TMJ is unable to adapt to altered functional loading.
Bone regeneration in novel porous titanium implants
(2010) Khouja, Naseeba, 1981-; Chu, Tien-Min Gabriel; Brown, David T.; Platt, Jeffery A., 1958-; Blanchard, Steven B.; Levon, John A.
The objective of this study was to evaluate the in vivo performance of the novel press-fit dental implant fabricated via electron beam melting (EBM, Southern Methodist Univ.) and compare it to a commercially-available porous-coated press-fit dental implant (Endopore, Innova Corp.). Twelve cylindrical shaped implants 3 mm in diameter x 5 mm long were made by EBM (Southern Methodist Univ.) using Ti6Al4V ELI alloy. Twelve commercial implants (Endopore, Innova Corp.) of the same geometry were used as controls. Samples were implanted in rabbit tibia and retrieved six weeks postoperatively. Six specimens from each implant type were embedded undecalcified, sectioned, and stained with toluidine blue (Sigma) for histomorphometry analysis. Bone-to-implant contact (BIC) was measured. On the six remaining samples from each implant type, the mechanical properties were evaluated by pushout test on a material testing machine. The samples were loaded at a loading rate of 1 mm/min. The pushout strength was measured and the apparent shear stiffness was calculated. The results were analyzed with a paired-t test. The histology shows osteointegration of surrounding bone with both implant types. Bone was found to grow into the porous space between the beads. Both the Endopore (Innova Corp.) and the EBM (Southern Methodist Univ.) showed similar BIC. The mean BIC for the Endopore (Innova Corp.) and EBM (Southern Methodist Univ.) implant were 35 ± 6% and 32 ± 9%, respectively. It failed to reach statistical significance (p > 0.05). The peak pushout force for Endopore (Innova Corp.) and EBM (Southern Methodist Univ.) implants were 198.80 ± 61.29 N and 243.21 ± 69.75 N, respectively. The apparent shear stiffness between bone and implant for the Endopore (Innova Corp.) and EBM (Southern Methodist Univ.) implants were 577.36 ± 129.99 N/mm; and 584.48 ± 146.63 N/mm, respectively. Neither the peak pushout force nor the apparent shear stiffness of the implants was statistically different between the two groups (p > 0.05). The results suggest that the implants manufactured by EBM (Southern Methodist Univ.) perform equally well as the commercial implant Endopore (Innova Corp.) in this current animal model.
Color stability of light-activated bleach shade composites
(2010) Al-Yakoubi, Yaser; Levon, John A.; Platt, Jeffrey A., 1958-; Kim, Seok-jin, 1967-; Brown, David T.; Andres, Carl J., 1942-
This study evaluated the color stability of bleach shade composites when activated by a high-intensity quartz tungsten-halogen (QTH) light source after 1 day, 7 days, and 30 days of exposure to different conditions. The color stability of bleach shade composites depends on various factors, namely, the resin material, the shade of the resin material, the storage method, and the storage time.
A Comparison Study of Temporomandibular Joint Symptoms in Patients Following Mandibular Advancement by Bilateral Sagittal Split Osteotomies: Rigid Fixation Versus Nonrigid Fixation
(1989) Flynn, Brent Cameron; Roberts, W. Eugene; Brown, David T.; Nelson, Charles L.; Shanks, James C.; Hennon, David K.
Primary consideration must be given to the temporomandibular joint when planning and performing orthognathic surgical procedures. It has long been understood that the status of the temporomandibular joint can easily and unintentionally be altered during orthognathic surgery, regardless of the method of fixation used. With the advent of modern fixation techniques, many clinicians and investigators have questioned the effects of rigid fixation on the temporomandibular joint. To investigate this, a clinical study of 40 patients treated with mandibular advancement for retrognathism was performed. Twenty patients were treated with rigid fixation while another 20 patients had inferior border wires placed with anterior skeletal fixation. All patients were asked questions regarding the history of their temporomandibular joints. In addition, all patients received a clinical postoperative temporomandibular joints. In addition, all patients received a clinical postoperative temporomandibular joint evaluation. The results were statistically analyzed with the Chi-square analysis and Standard T test. It was determined that the Null Hypothesis could not be rejected for any of the symptoms evaluated in this study. The results support the belief that rigid fixation is no different when compared to wire osteosynthesis in terms of prevalence of temporomandibular joint symptoms.
Effect of Hydrofluoric Acid Etching Followed by Unfilled Resin Application on the Biaxial Flexural Strength of a Glass-based Ceramic
(2012) Posritong, Sumana, 1974-; Bottino, Marco C.; Brown, David T.; Hovijitra, Suteera, 1944-; Chu, Tien-Min Gabriel; Levon, John A.
Background: Numerous studies have reported the use of hydrofluoric (HF) acid as one of the most effective methods for the achievement of a durable bond between glass-based ceramics and resin cements. Nevertheless, there is little information available regarding the potential deleterious effect on the ceramic mechanical strength. Objectives: (1) to investigate the effect of HF acid etching regimens on the biaxial flexural strength of a low-fusing nanofluorapatite glass-ceramic (IPS e.max ZirPress, Ivoclar Vivadent), (2) to study the ability of an unfilled resin (UR) to restore the initial (i.e., before etching) mechanical strength, and (3) to evaluate the effect of HF acid etching on the ceramic surface morphology before and after UR treatment via scanning electron microscopy (SEM). Methods: One hundred and forty-four disc-shaped (15 ± 1 mm in diameter and 0.8 ± 0.1 mm in thickness) IPS e.max ZirPress specimens were allocated into 12 groups, as follows: G1-control (no etching), G2-30 s, G3-60 s, G4-90 s, G5-120 s, G6- 60 + 60 s. Meanwhile, groups (G7- G12) were treated in the same fashion as G1-G6, but followed by silane and UR applications. Surface morphology evaluation of non-etched and etched IPS e.max ZirPress (G1-G12) was carried out by scanning electron microscopy (SEM). The flexural strength was determined by biaxial testing as described in ISO 6872. Statistics were performed using two-way ANOVA and the Sidak multiple comparisons (α = 0.05). In addition, the Weibull statistics were estimated. Results: A significant effect of etching time (p=0.0290) on biaxial flexural strength was observed. Indeed, G4 led to a significantly (p=0.0392) higher flexural strength than G1. Correspondingly, G10 revealed a considerably higher flexural strength than G7 (p=0.0392). Furthermore, biaxial flexural strength was significantly higher for G7 – G12 than for G1 – G6 (p<0.0001). For G1 – G6, G4 showed the highest Weibull characteristic strength while the lowest Weibull characteristic strength was seen in G6. In G7 – G12, the highest Weibull characteristic strength was presented in G10 whereas G7 had the lowest. Finally, the SEM data revealed that the HF acid etching affected the surface of IPS e.max ZirPress by generating pores and irregularities and more importantly that the UR was able to penetrate into the ceramic microstructure. Conclusion: Within the limitations of this study, HF acid etching time did not show a damaging effect on the biaxial flexural strength of the IPS e.max ZirPress ceramic. Moreover, the ceramic biaxial flexural strength could be enhanced after UR treatment.
Effect of interim fixed prosthodontics materials and flowable composite resins on polymerization of polyvinyl siloxane impressions
(2017) Alsayed, Hussain D.; Platt, Jeffrey A.; Levon, John A.; Haug, Steven P.; Brown, David T.
The effect of polymerization methods and fiber types on the mechanical behavior of fiber-reinforced composite resin
(2015) Huang, Nan-Chieh; Chu, Tien-Min Gabriel; Hara, Anderson T.; Brown, David T.; Bottino, Marco C.; Levon, John A.
Background: Interim restoration for a lost anterior tooth is often needed for temporary esthetic and functional purposes. Materials for interim restorations usually have less strength than ceramic or gold and can suffer from fracture. Several approaches have been proposed to reinforce interim restorations, among which fiber reinforcement has been regarded as one of the most effective methods. However, some studies have found that the limitation of this method is the poor polymerization between the fibers and the composite resin, which can cause debonding and failure. 64 Purpose: The purpose of this study was to investigate the effects of different polymerization methods as well as fiber types on the mechanical behavior of fiberreinforced composite resin. Material and Methods: A 0.2-mm thick fiber layer from strip fibers or mesh fibers embedded in uncured monomers w as fabricated with polymerization (two-step method) or without polymerization (one-step method), on top of which a 1.8-mm composite layer was added to make a bar-shape sample, followed by a final polymerization. Seventy-five specimens were fabricated and divided into one control group and four experimental groups (n=15), according to the type of glass fiber (strip or mesh) and polymerization methods (one-step or two-step). Specimens were tested for flexural strength, flexural modulus, and microhardness. The failure modes of specimens were observed by scanning electron microscopy (SEM). Results: The fiber types showed significant effect on the flexural strength of test specimens (F = 469.48; p < 0.05), but the polymerization methods had no significant effect (F = 0.05; p = 0.82). The interaction between these two variables was not significant (F = 1.73; p = 0.19). In addition, both fiber types and polymerization steps affected the flexural modulus of test specimens (F = 9.71; p < 0.05 for fiber type, and F = 12.17; p < 0.05 for polymerization method). However, the interaction between these two variables was not significant (F = 0.40; p = 0.53). Both fiber types and polymerization steps affected the Knoop hardness number of test specimens (F = 5.73; p < 0.05 for polymerization method. and F = 349.99; p < 0.05 for fiber type) and the interaction between these two variables was also significant (F = 5.73; p < 0.05). SEM images revealed the failure mode tended to become repairable while fiber reinforcement was 65 existed. However, different polymerization methods did not change the failure mode. Conclusion: The strip fibers showed better mechanical behavior than mesh fibers and were suggested for use in composite resin reinforcement. However, different polymerization methods did not have significant effect on the strength and the failure mode of fiber-reinforced composite
Effect of Silica Filler on the Mechanical Properties of Silicone Maxillofacial Prothesis
(2014) Yeh, Hsin-Chi; Chu, Tien-Min Gabriel; Ando, Masatoshi; Brown, David T.; Bottino, Marco C.; Levon, John A.
Background: VST-50 (a room temperature-vulcanizing silicone (RTV) by Factor II Inc.) has long been proposed as a potential alternative material for MDX4-4210, another RTV by Dow Corning Corp. and the current material of choice for maxillofacial prosthesis. Though VST-50 has similar chemistry and flexibility as MDX4-4210, its mechanical properties is still too low for it to be used in the clinic. An improvement in the mechanical property of VST-50 is a critical step to bring the material to clinical application. Objective: To investigate the effect of AEROSIL® R 812S (colloid silica) addition on the mechanical properties of VST-50 and compared to that of MDX4-4210. Methods: The VST-50 was mixed with AEROSIL® R 812S at 2 or 4 parts per hundred parts of rubber. That material was mixed with the catalyst under vacuum. The mixture was poured onto a machined plastic mold to produce a silicone sheet 3.0 ± 0.2 mm thick. All samples were prepared by manufacturer recommended method. Testing samples were prepared and tested following ISO 37 for tensile strength, ASTM D624 for tear strength and ASTM D2240 for shore A hardness test. One way ANOVA was used to compare the groups (Alpha=0.05). Result: Significant differences (P<0.001) were found between MDX4-4210 and modified VST-50 groups. The mean value of tensile strength, tear strength and hardness of VST-50 (4phr colloid silica) were 7.43(MPa), 34.82(N/mm) and 40.4 respectively, compared to MDX4-4210 were 3.67(MPa), 5.48(N/mm) and 31.5, respectively. Conclusion: Modified VST-50 with 4phr silica revealed improved mechanical properties to use as a maxillofacial prosthetic silicone elastomer.
Effect of surface treatments on microtensile bond strength of repaired aged silorane resin composite
(2010) Palasuk, Jadesada; Platt, Jeffrey A., 1958-; Levon, John A.; Brown, David T.; Hovijitra, Suteera, 1944-; Cho, Sopanis D.
Background: A silorane based resin composite, Filtek LS restorative, has been introduced to overcome the polymerization shrinkage of the methacrylate based resin composite. The repair of resin composite may hold clinical advantages. Currently, there is no available information regarding the repair potential of silorane resin composite with either silorane or methacrylate based resin composite. Objectives: The purpose of this study was to compare the repaired microtensile bond strength of aged silorane resin composite using different surface treatments and either silorane or methacrylate based resin composite. Methods: One hundred and eight silorane resin composite blocks (Filtek LS) were fabricated and aged by thermocycling between 8oC and 48oC (5000 cycles). A control (solid resin composite) and four surface treatment groups (no treatment, acid treatment, aluminum oxide sandblasting and diamond bur abrasion) were tested. Each treatment group was randomly divided in half and repaired with either silorane resin composite (LS adhesive) or methacrylate based resin composite (Filtek Z250/Single Bond Plus). Specimens were 12 blocks and 108 beams per group. After 24 hours in 37oC distilled water, microtensile bond strength testing was performed using a non-trimming technique. Fracture surfaces were examined using an optical microscopy (20X) to determine failure mode. Data was analyzed using Weibull-distribution survival analysis. Results: Aluminum oxide sandblasting followed by silorane or methacrylate based resin composite and acid treatment with methacrylate based resin composite provided insignificant differences from the control (p>0.05). All other groups were significantly lower than the control. Failure was primarily adhesive in all groups. Conclusion: Aluminum oxide sandblasting produced comparable microtensile bond strength compared to the cohesive strength of silorane resin composite. After aluminum oxide sandblasting, aged silorane resin composite can be repaired with either silorane resin composite with LS system adhesive or methacrylate based resin composite with methacrylate based dentin adhesive.
Effectiveness of universal adhesive bonding agents on the shear bond strength to lithium disilicate ceramics
(2015) AlRabiah, Mohammed A.; Platt, Jeffery A.; Levon, John A.; Brown, David T.; Chu, Tien-Min Gabriel; Bottino, Marco C.
Background: All-ceramic restorations have excellent esthetic outcomes compared with other restorative materials. Lithium disilicate is classified as one of many silica-based all-ceramic materials. Currently, companies have provided single-step adhesives, known as universal adhesives, compatible with different restorative materials including lithium disilicate. Many studies have reported greater bond strengths when using a silane to treat the lithium disilicate before applying the bonding agent. Moreover, few studies were published comparing the bond strength when using the universal adhesive alone. Purpose: The objective of this study was to evaluate and compare shear bond strength of three universal adhesives to lithium disilicate ceramic restorative material. Materials and Methods: Three universal adhesive bonding agents were selected from commercially available adhesives. 408 IPS e.max CAD ceramic discs were processed, fired, and etched for 20s. The specimens were divided into six groups. The first three groups used the universal adhesive directly. The remaining three groups were treated with silane. Then, a composite resin cylinder was placed on top of the adhesive using a bonding jig. Each group was subdivided into four equal subgroups (n = 17), subjected to different aging simulation procedures: 24 h, one month with 5000 thermocycles, two months with 5000 cycles, and three months with 5000 cycles. Then, specimens were debonded using shear force by a universal testing machine (MTS). Results: Shear bond strength was greater with silane than without silane (p < 0.0001), regardless of the levels of adhesive or time. Shear bond strength was significantly greater at 24h and 1m than at 2m (p < 0.0001) or 3m (p < 0.0001) regardless of the adhesive or the presence of silane. Debonded specimens were examined under a stereomicroscope at X45 magnification to evaluate the fracture pattern. SEM was used to prove the results were considered as mixed failure. Conclusion: The optimal bonds to lithium disilicate are achieved by application of silane prior to application of a universal adhesive. Although the constituent silane in the universal adhesive was not effective in optimizing the resin to ceramic bond, silane should always be applied to lithium disilicate prior to bonding.

Browsing by Author "Brown, David T."

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