Natural food mastication capability in preschool children according to their oral condition: A preliminary study

This study investigated, for the first time, the masticatory capability of preschool children using natural foods, and the impact of an early oral health alteration (early childhood caries: ECC) on the granulometry of ready-to-swallow food boluses. Thirteen children with ECC were compared to 13 preschool children with a healthy oral condition. Oral health criteria and NOT-S scores (Nordic Orofacial dysfunction Test-Screening) were recorded. For each child, number of masticatory cycles (Nc), chewing time (Ti), and frequency (Fq = Nc/Ti) were recorded during mastication of raw carrot (CAR), cheese (CHS) and breakfast cereals (CER) samples. Food boluses were collected by stopping children at their food-dependent individual swallowing threshold (Nc), and the median food bolus particle size value (D50) was calculated. Correlations were sought between oral health and masticatory criteria. In the ECC group, mean Fq values were significantly decreased for all three foods (p ≤ .001) and mean D50 values were significantly increased (p ≤ .001) compared to the control group (i.e., D50 CAR = 4,384 μm ± 929 vs. 2,960 μm ± 627). These alterations were related to the extent of ECC. The NOT-S mean global score was significantly increased in children with ECC (2.62 ± 1.37 vs. 1 ± 0.91 in the control group, p ≤ .01), due to “Mastication and swallowing” domain impairment. This study gives granulometric normative values for three foods in preschool children and shows the impact of ECC on D50 values. The progression of children's masticatory capability after dental treatment, and the impact of such modifications of sensory input on future eating habits should be explored.     

Healing Pattern Analysis for Dental Implants Using the Mechano-Regulatory Tissue Differentiation Model

(1) Background: Our aim is to reveal the influence of the geometry designs on biophysical stimuli and healing patterns. The design guidelines for dental implants can then be provided. (2) Methods: A two-dimensional axisymmetric finite element model was developed based on mechano-regulatory algorithm. The history of tissue differentiation around eight selected implants can be predicted. The performance of the implants was evaluated by bone area (BA), bone-implant contact (BIC); (3) Results: The predicted healing patterns have very good agreement with the experimental observation. Many features observed in literature, such as soft tissues covering on the bone-implant interface; crestal bone loss; the location of bone resorption bumps, were reproduced by the model and explained by analyzing the solid and fluid biophysical stimuli and (4) Conclusions: The results suggested the suitable depth, the steeper slope of the upper flanks, and flat roots of healing chambers can improve the bone ingrowth and osseointegration. The mechanism related to solid and fluid biophysical stimuli were revealed. In addition, the model developed here is efficient, accurate and ready to extend to any geometry of dental implants. It has potential to be used as a clinical application for instant prediction/evaluation of the performance of dental implants.     

Microstructure and flexural strength of the Y:TZP/BG composite

The addition of bioactive glasses to a Y:TZP matrix represents a feasible alternative to provide bioactivity to this material and optimize osseointegration. This work evaluated the effect of the BG concentration (0 and 10 wt%) and the sintering temperature (1200°C and 1300°C) on the microstructure, relative density, and flexural strength of the composite Y:TZP/BG. The Y:TZP and Y:TZP/BG powders were uniaxially pressed and sintered at 1200°C or 1300°C for 1 h. The microstructure was characterized by X-ray diffraction analysis, scanning electron microscopy, and energy-dispersive X-ray Spectroscopy. Relative density was calculated from density values obtained using the Archimedes’ principle. For the flexural strength, specimens (n = 6) were fractured in a biaxial flexural setup using a piston-on-three-balls fixture in a universal testing machine. Bioactivity test was performed in simulated body fluid solution. The results suggested that BG addition decreased the grain size of the composite, increased porosity and caused a significant decrease in the relative density and flexural strength. Crystalline phases of calcium stabilized cubic zirconia and sodium zirconium silicate were formed after the addition of BG. Finally, it was concluded that composite specimens sintered at 1300°C showed the highest density values and larger grains compared to those sintered at 1200°C.     

Design and optimization of zirconia functional surfaces for dental implants applications

Zirconia is becoming a promising solution for biomedical applications, namely for dental implants, due to its biocompatibility, and mechanical and aesthetical properties. Despite the constant developments in the dentistry field, strategies to promote an effective vascularization at the implant's surface and consequently improved osseointegration are still not enough.In this sense, with the aim of promoting the vascularization at the implant's surface, zirconia surfaces with micro-channels were designed and evaluated regarding their hydrophilicity and capillarity. A CAD/CAM system was used to design and produce the specimens and different techniques were used to characterize the surfaces. The obtained average surface roughnesses are in accordance with the literature for similar materials. Results revealed that the produced materials present high levels of hydrophilicity, whether in contact with water or FBS - Fetal Bovine Serum. Additionally, micro-channels with 200 μm of width and 100 μm of depth were the ones that presented higher capillarity, thus being promising solutions for the promotion of implants vascularization, and consequently improved osseointegration.     

Ultrastructural changes in the cemento‐enamel junction caused by acidic beverages: An in vitro study

The present in vitro study was aimed at evaluating the morphological changes in the cemento‐enamel junction (CEJ) after exposure to acidic beverages using the scanning electron microscopy (SEM). The initial pH and titratable acidity (TA) was analyzed from follow groups: (I) Coca cola, (II) orange juice, (III) Cedevita, (IV) Red Bull, (V) Somersby cider, and (VI) white wine. The CEJ samples (n = 64), obtained from unerupted third molars, were allocated to one control (artificial saliva, n = 16) and six experimental groups (n = 8). The experimental samples were immersed in beverages (50 ml) for 15 min, three times daily, 10 days, and in artificial saliva between immersions. SEM analysis was performed in a blind manner, according to scoring scale. One‐way ANOVA and Tukey's post hoc tests, as well as Kruskal–Wallis and Mann–Whitney U test used for statistical analysis. The pH values of the acidic beverages ranged from 2.65 (Coca cola) to 3.73 (orange juice), and TA ranged from 1.90 ml (Coca cola) to 5.70 ml (orange juice) of NaOH to reach pH 7.0. The SEM analysis indicated statistically significant differences between the control samples and those immersed in acidic beverages. The Groups IV, I, and II, showed the highest CEJ damage grade while those of the Group VI were the lowest. All the tested acidic beverages caused morphological changes in the CEJ with a smaller or larger exposure of dentine surface, and were not always related to the pH or TA of acidic beverages.     

Metallization and Ar‐O plasma effects on dental enamel roughness evaluated with SEM and MeX™ for 3D reconstruction

The MeX? software is a useful tool for tridimensional data collection for surface evaluation and could be relevant to evaluate the same specimen in different phases of the study, assuming repeated measures of dental enamel roughness. The aim of this study was to evaluate the influence of sample metallization for dental enamel roughness analysis with 3D images reconstructed using MeX? software from Scanning Electron Microscopy (SEM) images. The influence of 74.98% (%mol/mol) argon?oxygen plasma for carbon layer removal on surface roughness of the metallized specimen was also evaluated. Dental enamel specimens were prepared for SEM analysis with and without carbon metallization using conventional or environmental modes. Argon?oxygen plasma for carbon layer removal was used and surface roughness was re‐evaluated. Roughness obtained by SEM and MeX? reconstructed images, with or without metallization, did not differ. No significant alteration on surface roughness after carbon layer removal using plasma was found. SEM baseline evaluation using conventional mode without sample preparation and in environmental mode were not comparable. Roughness of enamel 3D images reconstructed with MeX? software from SEM images, with or without metallization was similar. The 74.98% (%mol/mol) argon?oxygen plasma removed the carbon layer with no effect on enamel roughness.     

Solidification of Be-free Ni-based dental alloy

A novel, Nb- and Si-rich and Be-free Ni-based alloy was cast by two methods of investment casting and continuous casting to study the microstructure evolution during solidification and its mechanical properties. The solidification of the alloy started with the primary crystallization of FCC-γ, followed by a binary eutectic reaction, with the formation of a heterogeneous constituent: FCC-γ+G-phase, which replaced the low-melting eutectic (FCC-γ+NiBe) in the Be-bearing alloys. AlNi₆Si₃ and γ′ formed during the terminal stages of solidification by investment casting, while the formation of AlNi₆Si₃ was suppressed by continuous casting. The Scheil solidification model agreed very well with the experimental results.     

Fabrication of highly bioactive zirconia ceramics via grain-boundary activation for dental implants

Yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) ceramics with outstanding mechanical properties and aesthetic origins are expected to be used in dental implant applications. However, tetragonal zirconia ceramics are not bioactive, which affect the osseointegration and reliability as dental implant materials. Herein, in this study, Y-TZP ceramics were modified by grain-boundary activation via coating a bioactive glass (BG) sol with different content on the crystal surfaces of zirconia powder and followed by being gelled, dried, granulated, low-temperature treated, molded and sintered at 1450°C for 3 h in air. The effects of BG content on the morphology, phase compositions, mechanical properties, in vitro mineralization ability and cell biological properties of the bioactivity modified Y-TZP ceramics were evaluated. The BG additive did not affect the tetragonal–monoclinic phase transformation of ZrO₂. However, the addition of BG decreased the flexural strength of the modified Y-TZP ceramics compared to that of Y-TZP. The in vitro mineralization results showed that a homogeneous apatite layer was produced on the surface of the Y-TZP ceramics when they were immersed in the simulated body fluid for 21 days. The cell response results indicated that the bioactive surface modification of Y-TZP ceramics could promote cell adhesion, propagation and osteogenic differentiation performance. Thus, our research results suggest that the highly bioactive Y-TZP ceramics could be a potential candidate for dental implant material.     

A novel strategy for fabricating zirconia implants with a trabecular biomimetic porous surface

For successful osseointegration of load-bearing implants, an improved bone–implant contact area through a trabecular porous surface resulting in minimized stress shielding effect is highly desirable. We propose a novel strategy of green net shaping a ceramic dough, combined with a reticular foam replica method and gradient coating, to fabricate biomimetic porosity in a customizable ceramic dental implant for the first time. About 85 vol% porosity and 300–600-μm pore size were evident in microCT and electron microscopy of the sintered samples, suitable for bone ingrowth. Excellent integrity at the interface along with homogeneous distribution of secondary alumina phase in zirconia matrix was achieved, despite the difference in the green state powder loading between the dough and the slurry.