Browsing by Author "Liu, Wai-Ching"

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    The Effect of Diluted Triple and Double Antibiotic Pastes on Dental Pulp Stem Cells and Established Enterococcus faecalis Biofilm
    (Springer, 2015-11) Sabrah, Alaa H. A.; Yassen, Ghaeth H.; Liu, Wai-Ching; Goebel, W. Scott; Gregory, Richard L.; Platt, Jeffrey A.; Department of Restorative Dentistry, IU School of Dentistry
    Objectives To investigate the effect of various dilutions of antibiotic medicaments used in endodontic regeneration on the survival of human dental pulp stem cells (DPSCs) and to determine their antibacterial effect against established Enterococcus faecalis biofilm. Materials and methods The cytotoxic and antibacterial effects of different triple (TAP) and double antibiotic paste (DAP) dilutions (0.125, 0.25, 0.5, 1, and 10 mg/ml) were tested against Enterococcus faecalis established biofilm and DPSC. Established bacterial biofilm were exposed to antibiotic dilutions for 3 days. Then, biofilms were collected, spiral plated, and the numbers of bacterial colony forming units (CFU/ml) were determined. For the cytotoxic effect, lactate dehydrogenase activity assays (LDH) and cell viability assays (WST-1) were used to measure the percentage of DPSC cytotoxicity after 3-day treatment with the same antibiotic dilutions. A general linear mixed model was used for statistical analyses (α = 0.05). Results All antibiotic dilutions significantly decreased the bacterial CFU/ml. For WST-1 assays, all antibiotic dilutions except 0.125 mg/ml significantly reduced the viability of DPSC. For LDH assays, the three lowest tested concentrations of DAP (0.5, 0.25, 0.125 mg/ml) and the two lowest concentrations of TAP (0.25 and 0.125 mg/ml) were non-toxic to DPSC. Conclusions All tested dilutions had an antibacterial effect against E. faecalis. However, 0.125 mg/ml of DAP and TAP showed a significant antibacterial effect with no cytotoxic effects on DPSCs. Clinical relevance Using appropriate antibiotic concentrations of intracanal medicament during endodontic regeneration procedures is critical to disinfect root canal and decrease the adverse effects on stem cells.
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    Effects of Bioactive Glass Scaffold and BMP-2 in Segmental Defects
    (Office of the Vice Chancellor for Research, 2013-04-05) Liu, Wai-Ching; Robu, Irina S.; Leu, Ming C.; Valez, Mariano; Chu, Tien-Min Gabriel
    Reconstruction of segmental defects in the load-bearing area has long been a challenge in orthopaedics. We have demonstrated the feasibility of a biodegradable load-bearing scaffold fabricated from poly(propylene fumarate)/tricalcium phosphate (PPF/TCP) loaded with bone morphogenetic protein-2 (BMP-2) to successfully induce healing in those defects. However, there is limited osteoconduction observed with the PPF/TCP scaffold itself. Furthermore, a recent review on BMP-2 revealed greater risks in radiculities, ectopic bone formation, osteolysis and poor global outcome in association with the use of BMP-2 for spinal fusion. The aims of this study were to evaluate the potential use of a more osteoconductive material 13-93 bioactive glass and the potential side effects of locally delivered BMP-2 on adjacent bones. 13-93 glass scaffolds were fabricated by indirect selective laser sintering and implanted into critical size defects created in rat right femurs with and without 10 micrograms of BMP-2. The X-ray and micro-CT results showed that bridging callus was found as soon as 3 weeks and progressed gradually in the BMP group while minimal bone formation was observed in the control group. As expected, stiffness, peak load and energy to break of the BMP group were all higher than the control group. Higher healing rates in the 13-93 group was found compared to the healing rate in PPF/TCP group evaluated in the past indicating a more osteoconductive nature of the 13-93 scaffolds. The scaffolds of both control and BMP groups were partially degraded after 15 weeks as seen in the histological images. For the effects of local BMP-2 delivery to adjacent bones, no statistical difference in the bone area, mineral content and mineral density was found between control and BMP groups. In conclusion, a 13-93 bioactive glass scaffold with local BMP-2 delivery has been demonstrated for its potential application in treating large bone defects.
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    Mechanical Property and Biocompatibility of PLLA Coated DCPD Composite Scaffolds
    (Office of the Vice Chancellor for Research, 2013-04-05) Tanataweethum, Nida; Liu, Wai-Ching; Chu, Tien-Min Gabriel
    Introductions: Dicalcium phosphate dehydrate (DCPD) cements have been used for bone repair due to its excellent biocompatibility and resorability. However, DCPD cements are typically weak and brittleness. To address these limitations, the addition of sodium citrate as a regulator and polylactic acid (PLLA) as reinforcing agent has been proposed in this study. Objectives: 1) To develop composite PLLA/ DCPD scaffolds with enchanted toughness by PLLA coating. 2) To examine cell proliferation on the scaffolds. 3) To investigate the degradation behaviors of DCPD and PLLA/DCPD scaffolds. Materials and Methods: DCPD cements were synthesized with a 1:1 ratio of monocalcium phosphate monohydrate and 𝛽-tricalcium phosphate with and without 100 mM sodium citrate in the mixing liquid. The specimens were prepared with powder to liquid ratio (P/L) of 1.00, 1.25 and 1.50. To fabricate the PLLA/DCPD composite scaffolds, DCPD scaffolds were coated with 5 % PLLA. The chemical and mechanical properties of DCPD scaffolds with and without PLLA coating after the in-vitro degradation (day 1, week 1, 4, and 6) were investigated by measuring their porosity, diametral tensile strength, and energy to fracture. In addition, cell adhesion and proliferation on these scaffolds were examined by scanning electron microscopy. Results: the addition of sodium citrate and the infiltration of PLLA significantly increased the mechanical properties of DCPD scaffolds (p < 0.05). The range of diametral tensile strength was 0.50-2.70 MPa and the range of energy to fracture was 0.80 to 9.90 N-mm. The most effective improvement of tensile strength and energy to fracture was achieved with P/L of 1.50. Moreover, incorporating PLLA to DCPD scaffolds slowed down the weight loss in the vitro degradation. Conclusion: a combination of template-casting and polymer impregnation methods can be applied to fabricate a cement/polymer biodegradable scaffold for bone tissue regeneration with significantly slow down degradation and excellent biocompatibility.