Introducing Nanozymes: New Horizons in Periodontal and Dental Implant Care

The prevalence of periodontal and peri-implant diseases has been increasing worldwide and has gained a lot of attention. As multifunctional nanomaterials with enzyme-like activity, nanozymes have earned a place in the biomedical field. In periodontics and implantology, nanozymes have contributed greatly to research on maintaining periodontal health and improving implant success rates. To highlight this progress, we review nanozymes for antimicrobial therapy, anti-inflammatory therapy, tissue regeneration promotion, and synergistic effects in periodontal and peri-implant diseases. The future prospects of nanozymes in periodontology and implantology are also discussed along with challenges.     

Osteopontin on the Dental Implant Surface Promotes Direct Osteogenesis in Osseointegration

After dental implantation, osteopontin (OPN) is deposited on the hydroxyapatite (HA) blasted implant surface followed by direct osteogenesis, which is significantly disturbed in Opn-knockout (KO) mice. However, whether applying OPN on the implant surface promotes direct osteogenesis remains unclarified. This study analyzed the effects of various OPN modified protein/peptides coatings on the healing patterns of the bone-implant interface after immediately placed implantation in the maxilla of four-week-old Opn-KO and wild-type (WT) mice (n = 96). The decalcified samples were processed for immunohistochemistry for OPN and Ki67 and tartrate-resistant acid phosphatase histochemistry. In the WT mice, the proliferative activity in the HA binding peptide-OPN mimic peptide fusion coated group was significantly higher than that in the control group from day 3 to week 1, and the rates of OPN deposition and direct osteogenesis around the implant surface significantly increased in the recombinant-mouse-OPN (rOPN) group compared to the Gly-Arg-Gly-Asp-Ser peptide group in week 2. The rOPN group achieved the same rates of direct osteogenesis and osseointegration as those in the control group in a half period (week 2). None of the implant surfaces could rescue the direct osteogenesis in the healing process in the Opn-KO mice. These results suggest that the rOPN coated implant enhances direct osteogenesis during osseointegration following implantation.     

Preparation of Calcium Phosphate Compounds on Zirconia Surfaces for Dental Implant Applications

Titanium is widely used in medical implants despite the release of heavy metal ions over long-term use. Zirconia is very close to the color of teeth; however, its biological inertness hinders bonding with bone tissue. Alkaline treatment and coatings of calcium phosphate can be used to enhance bone regeneration adjacent to dental implants. This study examined the effects of alkaline treatment, calcium phosphate coatings, and sintering, on the physical properties of implant material. Our analysis confirmed that the calcium phosphate species were octacalcium phosphate (OCP). The sintering of calcium phosphate was shown to create B-type HAP, which is highly conducive toward the differentiation of mesenchymal stem cells (MSCs) into osteoblasts for the facilitation of bone integration. Conclusions: This study demonstrated the room-temperature fabrication of dental implants with superhydrophilic surfaces to enhance biocompatibility.     

Biocompatibility of Lithium Disilicate and Zirconium Oxide Ceramics with Different Surface Topographies for Dental Implant Abutments

Gingivafibroblasts were cultured on lithium disilicate, on zirconia dioxide, and on titanium with two different surface roughnesses (0.2 µm and 0.07 µm); Proliferation (MTT), Living/Dead staining, cytotoxicity (LDH), proliferation (FGF2), and inflammation (TNFα) were analyzed after 1 day and 21 days. Furthermore, alteration in cell morphology (SEM) was analyzed. The statistical analysis was performed by a Kruskal–Wallis test. The level of significance was set at p < 0.05. There were no distinct differences in cellular behavior between the tested roughness. There were slight differences between tested materials. Cells grown on zirconia dioxide showed higher cytotoxic effects. Cells grown on lithium disilicate showed less expression of TNFα compared to those grown on zirconia dioxide or titanium. These effects persisted only during the first time span. The results indicate that the two tested high-strength ceramics and surface properties are biologically suitable for transmucosal implant components. The findings may help clinicians to choose the most appropriate biomaterial as well as the most appropriate surface treatment to use in accordance with specific clinical dental applications.     

Influence of Nano,Micro, and Macro Topography of Dental Implant Surfaces on Human Gingival Fibroblasts

Current research on dental implants has mainly focused on the influence of surface roughness on the rate of osseointegration, while studies on the development of surfaces to also improve the interaction of peri-implant soft tissues are lacking. To this end, the first purpose of this study was to evaluate the response of human gingival fibroblasts (hGDFs) to titanium implant discs (Implacil De Bortoli, Brazil) having different micro and nano-topography: machined (Ti-M) versus sandblasted/double-etched (Ti-S). The secondary aim was to investigate the effect of the macrogeometry of the discs on cells: linear-like (Ti-L) versus wave-like (Ti-W) surfaces. The atomic force microscopy (AFM) and scanning electron microscopy (SEM) analysis showed that the Ti-S surfaces were characterized by a significantly higher micro and nano roughness and showed the 3D macrotopography of Ti-L and Ti-W surfaces. For in vitro analyses, the hGDFs were seeded into titanium discs and analyzed at 1, 3, and 5 days for adhesion and morphology (SEM) viability and proliferation (Cck-8 and MTT assays). The results showed that all tested surfaces were not cytotoxic for the hGDFs, rather the nano-micro and macro topography favored their proliferation in a time-dependent manner. Especially, at 3 and 5 days, the number of cells on Ti-L was higher than on other surfaces, including Ti-W surfaces. In conclusion, although further studies are needed, our in vitro data proved that the use of implant discs with Ti-S surfaces promotes the adhesion and proliferation of gingival fibroblasts, suggesting their use for in vivo applications.     

Analysis of the Chemical Composition and Morphological Characterization of Tissue Osseointegrated to a Dental Implant after 5 Years of Function

Osseointegration implies the coexistence of a biocompatible implant subjected to masticatory loads and living bone tissue adhered to its surface; this interaction is a critical process for the success of implants. The objective of this work is to analyze the osseoformation and osseointegration of a dental implant in operation for 5 years microscopically through morphological analysis of the surface and chemical composition through a variable pressure scanning electron microscope (VP-SEM) and energy dispersive X-ray spectrometry (EDX). The chemical composition and general characteristics of the structural morphology of random areas of the surfaces of an osseointegrated dental implant from an ex vivo sample were analyzed. On the surface of the implant free of bone tissue, titanium (TI) was mainly identified in the area of the implant threads and carbon (C) in the depth of the implant threads. Phosphorus (P), calcium (Ca), oxygen (O), carbon (C), with dense and homogeneous distribution, and, to a lesser extent, sodium (Na) were detected on the bone surface around the contour of the implant. Regarding the morphological characteristics of the implant surface, a rough structure with some irregularities and detachments of the implant lodged in the bone tissue was observed. Microscopic analysis showed calcified bone tissue distributed in an orderly manner on the coronal and medial surface and sinuous and irregular in the apical area, with the presence of red blood cells. The composition of the implant allows a dynamic process of bone remodeling and regeneration subject to the biological and mechanical needs of the operation. Dental implants are shown to have exceptional and long-lasting biocompatibility that enables the formation of mature peri-implant bone tissue.     

Effects of Self-Etching Adhesive Systems Used in the Dental Modelling Technique on the Cohesive Strength of Composite Resin

This study evaluated the cohesive strength of composite using self-etching adhesive systems (SE) in the lubrication of instruments between layers of composite. The specimens were made by using a Teflon® device. SE were used at the interface to lubricate the instruments: Group 1(G1) – control group, no lubricant was used; Group 2(G2) – Futurabond® M; Group 3(G3) – Optibond® All-In-One; Group 4(G4) – Clearfil® SE Bond; Group 5(G5) – Futurabond® NR; Group 6(G6) – Adper® SE Plus; Group 7(G7) – One Up Bond® F. Specimens were submitted to the tensile test to evaluate the cohesive strength. Data were submitted to the ANOVA and Tukey tests. ANOVA showed a value of p = 0.00. The average means (SD): G2 = 11.33(±3.44) a, G3 = 15.36(±4.06) ab, G4 = 18.9(±4.72) bc, G7 = 19.62(±4.46) bc, G5 = 21.02(±5.09) bc, G6 = 23.39(±4.17) cd, and G1 = 28.49(±2.89) d. All SE decreased the cohesive strength of the composite, except for Adper® SE Plus.     

口腔粘接材料

回顾了２０ 世纪６０ 年代以来口腔粘接材料的研究开发及临床应用状况,并对其发展趋势进行了探讨。     

牙科修复粘结性材料

牙科治疗和修复应用的粘结性材料包括粘固剂、合成粘结剂和复合树脂三大类。本文对上述三类材料的组成和性能,在牙科临床的应用情况,研究进展,改性方向等进行了介绍。     

Injectable Ovalbumin-Based Composite Implant for Photothermal Tumor Therapy

Polymeric hydrogels with three-dimensional network structures have found tremendous applications in biomedicine. Herein, we report the synthesis of a multifunctional implant based on ovalbumin (OVA) as a carrier capable of synergistically delivering a photothermal transducing agent (polydopamine, PDA) to tumors. The formation of PDA was achieved by utilizing the basicity of OVA, whereas the formation of the hydrogel implant was achieved through the in vitro/in vivo near-infrared (NIR) laser-induced hyperthermia of PDA. The as-prepared PDA@OVA implant exhibits high photothermal conversion efficiency (38.7 %). Once implanted in vivo, the OVA-based implant shows great versatility in the treatment of malignant tumors. Furthermore, a chemotherapeutic (doxorubicin, DOX) and a contrast agent (iohexol), dispersed in the OVA solution in advance, can also be firmly entrapped in the hydrogel along with the hydrogel formation. It is anticipated that the multifunctional OVA-based implant, not showing any obvious toxicity to healthy tissue, could be a promising system for synergistic cancer treatment.     

New Diluents for Dental Composites

Five new urethane groups containing monomers 1 – 5 , acetylated glycerol dimethacrylate (AGDMA), and glycerol trimethacrylate (GTMA) are synthesized as alternative diluents to triethylene glycol dimethacrylate (TEGDMA) for dental resins or composites. The synthesized monomers are characterized by means of ¹H NMR, ¹³C NMR, and IR spectroscopy. The secondary acrylamide group containing hybrid monomers 1 and 2 are solids. However, the monomers 3 – 5 , AGDMA and GTMA are colorless and relatively low‐viscosity liquids. They are not mutagenic in the Ames test and show a lower cytotoxicity and a lower polymerization shrinkage compared to TEGDMA. The tertiary amide group containing crosslinker 3 shows a significantly higher photopolymerization rate compared to that of TEGDMA in the presence of the monomolecular Ge‐based photoinitiator Ivocerin. The synthesized diluents are evaluated in experimental dental formulations for resins, cements, and direct filling composites using a conventional binary camphorquinone/amine photoinitiator.

     

A Novel Light-Cured Dental Material Based on Maleic Copolymer Functionalized With Urethane Derivative for Dental Applications

The purpose of this work was to obtain a polymeric material aimed at being easily applied in a thin film on an organic substrate for dental applications. A maleic anhydride copolymer functionalized with a urethane derivative bearing methacrylate groups was synthesized, and by its mixing with commercial dental monomers, two light-curing formulations were prepared and investigated. The surface morphology and physicochemical properties of the obtained materials are affected by their composition. An increase of the diffusion coefficient from 0.38 at 3.58 µm²/s (estimated by fluorescence recovery after photobleaching) could ensure minimal moisture of an organic injectable paste situated under this polymer film.     

经皮植入体对大鼠皮肤成纤维细胞的作用研究

对自行研制的新型经皮通路植入材料致密增强羟基磷灰石基陶瓷、医用硅橡胶/羟基磷灰石复合材料进行体外细胞毒性评价.原代培养大鼠皮肤成纤维细胞,并与材料的浸提液相互作用,用MTT法测定新型经皮通路材料的细胞毒性.结果表明,致密增强羟基磷灰石基陶瓷、医用硅橡胶/羟基磷灰石复合材料均无细胞毒性.     

用于牙硬组织的弥补物材料

生物活性陶瓷或玻璃取代物和生物可降解的有机材料是人工制造的,可以转换成一定形状作为牙硬组织的弥补物,此时嵌进一个生物金属或其他生物材料支撑,是生物相容性的。并被认为有极好的力学性质,对矫形学或牙修补物是有用的。     

Comparison of Biomechanical Properties of Native Menisci and Bacterial Cellulose Implant

The menisci are crescent shaped fibrocartilaginous structures in the knee that may become damaged due to traumatic injury or degeneration resulting in pain and a loss of joint function. The goal of this study is to evaluate the mechanical properties of bacterial cellulose (BC) produced by Gluconacetobacter xylinus as a meniscus implants and compare it to native menisci from pigs, sheep, and human. The modulus of BC was varied by controlling water content and tested at four different stiffness values. The modulus of BC ranged from 2.2 MPa for native hydrogel (1% cellulose) to 242 MPa for BC with 30% cellulose. SEM showed a much denser network as the cellulose content increased. Suture retention tests gave a load to break of 20 N and 30 N for 10% and 20% BC, respectively. This study shows promising results for the potential use of BC as a meniscus implant.     

Development of Implant Materials with a Gradient Porous Structure for Neurosurgery

Biocomposite materials with a gradient pore structure based on a silicate feldspar matrix and hydroxyapatite are analyzed. Porosity and pore size intervals are determined with respect to implants used in neurosurgery, taking into account differences in the process of osteogenesis occurring on different surfaces. In contrast to osteoconductive calcium-phosphate biocomposites with a uniform pore structure, a gradient pore structure provides for a multiple increase in strength of materials.     

Hybrid Process of Microarc Oxidation and Hydrothermal Treatment of Titanium Implant

A duplex process was proposed with which a titania containing calcium and phosphate on the surface of titanium alloy was formed by microarc oxidation in aqueous electrolytes, and finally converted to bioactive layer containing hydroxyapatite by subsequent hydrothermal synthesis. The layer is porous in micro scale and composed of crystals in nanometer size. There was no distinct interface between the hydroxyapatite layer and the substrate.     

Mechanical Properties of Tape-Cast Alumina-Glass Dental Composites

Alumina-glass dental composites were prepared by tape casting and sintering at 1120°C, followed by glass infiltration at 1100°C. Flexural strength and fracture toughness of the composites were investigated in terms of the influence of tape constituents, namely, alumina powder, binder, and plasticizer, on the mechanical properties. Both strength and toughness increased with increasing alumina fraction in tapes and decreased with increasing binder content in binder/plasticizer mixtures. These observations were consistent with the influence of the constituents on mean alumina particle distance in tapes, suggesting that the high strength of glass-infiltrated alumina composites is related to toughening by crack bowing. The strength and fracture toughness of the tape-cast composites, optimized for forming dental crowns, were 508 MPa and 3.1 MPa·m^1/2, respectively, obtained from biaxial tests. Shrinkage of the composites decreased with increasing thermocompression pressure, applied to the tapes prior to sintering, and heating rate to the sintering temperature.