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Item Fatigue failure load of lithium disilicate restorations cemented on a chairside titanium-base(2017) Kaweewongprasert, Peerapat; Morton, Dean; Levon, John A.; Phasuk, Kamolphob; Bottino, Marco C.PURPOSE: To evaluate the fatigue failure load of distinct lithium disilicate restoration designs cemented on a chairside titanium-base (VariobaseTM for CEREC®, Straumann® LLC, USA) for restoring anterior implant restoration. MATERIALS AND METHODS: Left maxillary incisor restoration was virtually designed in 3 groups (n=10; CTD: lithium disilicate crowns cemented on custom-milled titanium abutments; VMLD: monolithic full-contour lithium disilicate crowns cemented on titanium-base; and VCLD: lithium disilicate crowns cemented on lithium disilicate customized anatomic structures then cemented on titanium-base). The titanium-base was air-abraded with aluminum oxide particles, 50 µm at 2 bars. Subsequently the titanium-base was steamed, air-dried and a thin coat of silane (Monobond Plus, Ivoclar Vivadent®, USA). All ceramic components were surface treated with hydrofluoric acid etching gel, follow by silanized, and bonded with resin cement (Multilink Automix, Ivoclar Vivadent®, USA). Specimens were fatigued at 20 Hz, starting with a load of 100 N (×5000 cycles), followed by stepwise loading up to 1400 N at a maximum of 30,000 cycles each. The failure loads, number of cycles, and fracture analysis were recorded. Data were statistically analyzed using one-way ANOVA followed by pair-wise comparisons (p < 0.05). Kaplan-Meier survival plots and Weibull survival analyses were reported. RESULT: For catastrophic fatigue failure load and total number of cycles for failure, VMLD (1260 N, 175231 cycles) was significantly higher than VCLD (1080 N, 139965 cycles) and CDT (1000 N, 133185 cycles). VMLD had higher Weibull modulus (11.6), demonstrating higher structural reliability. CONCLUSIONS: VMLD performed the best fatigue behavior when compared with the two other groups.Item Investigating the Response of Human Neutrophils to Hydrophilic and Hydrophobic Micro-Rough Titanium Surfaces(MDPI, 2020-08-03) El Kholy, Karim; Buser, Daniel; Wittneben, Julia-Gabriella; Bosshardt, Dieter D.; Van Dyke, Thomas E.; Kowolik, Michael J.; Periodontology, School of DentistryVarious treatments have been used to change both the topography and chemistry of titanium surfaces, aiming to enhance tissue response and reduce healing times of endosseous implants. Most studies to date focused on bone healing around dental implants occurring later during the healing cascade. However, the impact of the initial inflammatory response in the surgical wound site on the success and healing time of dental implants is crucial for implant integration and success, yet it is still poorly understood. The purpose of this study was to investigate the effect of titanium surface hydrophilicity on the response of human neutrophils by monitoring oxygen radical production, which was measured as chemiluminescence activity. Materials and Methods: Neutrophils were isolated from human donors’ blood buffy coats using the double sucrose gradient method. Neutrophils were exposed to both hydrophilic and hydrophobic titanium surfaces with identical topographies in the presence and absence of human serum. This resulted in six experimental groups including two different implant surfaces, with and without exposure to human serum, and two control groups including an active control with cells alone and a passive control with no cells. Two samples from each group were fixed and analyzed by SEM. Comparisons between surface treatments for differences in chemiluminescence values were performed using analysis of variance ANOVA. Results and Conclusion: In the absence of exposure to serum, there was no significant difference noted between the reaction of neutrophils to hydrophilic and hydrophobic surfaces. However, there was a significant reduction in the mean and active chemiluminescence activity of neutrophils to serum-coated hydrophilic titanium surfaces than to serum-coated hydrophobic titanium surfaces. This suggests that surface hydrophilicity promotes enhanced adsorption of serum proteins, which leads to decreased provocation of initial immune cells and reduction of local oxygen radical production during wound healing. This can help explain the faster osseointegration demonstrated by hydrophilic titanium implants.Item Synthesis of multifunctional chlorhexidine-doped thin films for titanium-based implant materials(Elsevier, 2020-12) Oliveira Matos, Adaias; Bandeira de Almeida, Amanda; Beline, Thamara; Tonon, Caroline C.; Casarin, Renato Corrêa Viana; Windsor, Lester Jack; Duarte, Simone; Nociti, Francisco Humberto, Jr.; Rangel, Elidiane Cipriano; Gregory, Richard L.; Barão, Valentim Adelino Ricardo; Cariology, Operative Dentistry and Dental Public Health, School of DentistryOur goal was to create bio-functional chlorhexidine (CHX)-doped thin films on commercially pure titanium (cpTi) discs using the glow discharge plasma approach. Different plasma deposition times (50, 35 and 20 min) were used to create bio-functional surfaces based on silicon films with CHX that were compared to the control groups [no CHX and bulk cpTi surface (machined)]. Physico-chemical and biological characterizations included: 1. Morphology, roughness, elemental chemical composition, film thickness, contact angle and surface free energy; 2. CHX-release rate; 3. Antibacterial effect on Streptococcus sanguinis biofilms at 24, 48 and 72 h; 4. Cytotoxicity and metabolic activity using fibroblasts cell culture (NIH-F3T3 cells) at 1, 2, 3 and 4 days; 5. Protein expression by NIH-F3T3 cells at 1, 2, 3 and 4 days; and 6. Co-culture assay of fibroblasts cells and S. sanguinis to assess live and dead cells on the confocal laser scanning microscopy, mitochondrial activity (XTT), membrane leakage (LDH release), and metabolic activity (WST-1 assay) at 1, 2 and 3 days of co-incubation. Data analysis showed that silicon films, with or without CHX coated cpTi discs, increased surface wettability and free energy (p < 0.05) without affecting surface roughness. CHX release was maintained over a 22-day period and resulted in a significant inhibition of biofilm growth (p < 0.05) at 48 and 72 h of biofilm formation for 50 min and 20 min of plasma deposition time groups, respectively. In general, CHX treatment did not significantly affect NIH-F3T3 cell viability (p > 0.05), whereas cell metabolism (MTT assay) was affected by CHX, with the 35 min of plasma deposition time group displaying the lowest values as compared to bulk cpTi (p < 0.05). Moreover, data analysis showed that films, with or without CHX, significantly affected the expression profile of inflammatory cytokines, including IL-4, IL-6, IL-17, IFN-y and TNF-α by NIH-F3T3 cells (p < 0.05). Co-culture demonstrated that CHX-doped film did not affect the metabolic activity, cytotoxicity and viability of fibroblasts cells (p > 0.05). Altogether, the findings of the current study support the conclusion that silicon films added with CHX can be successfully created on titanium discs and have the potential to affect bacterial growth and inflammatory markers without affecting cell viability/proliferation rates.