Nano apatite growth on demineralized bone matrix capped with curcumin and silver nanoparticles: Dental implant mechanical stability and optimal cell growth analysis

Development of Hydroxyapatite as a Bone Implant Biomaterial for Triggering Osteogenesis

Over the past decade, the occurrence of bone defects has seen a notable rise. In both developed and developing nations, their prevalence tends to increase in parallel with population density and levels of physical activity. Various therapeutic approaches have been implemented to address bone fractures, focusing on preventing infections, promoting faster healing, and restoring normal bone function. Among these, bone grafting-a surgical technique involving the use of biomaterials-remains a widely utilized method for bone replacement. This review aims to identify biomaterials that have biocompatibility with bone, osteoinductive, and osteoconductive properties so that they can trigger good osteogenesis. This review is based on a compilation of publications from various databases related to factors affecting the process of bone ossification. This study also evaluates the characteristics of hydroxyapatite biomaterials that play a role in inducing osteogenesis. The phosphate/calcium ratio close to 1.67, porosity in the range of 40 to 60%, pore diameter of 200 to 900 nm, and crystallinity of 40 to 60% will help the osteogenesis to perform well. The results of this study highlight the advantages of hydroxyapatite in terms of its osteoconductive, osteoinductive, and osteointegrative properties, which can trigger osteogenesis.

Optomechanical evaluation of knot security in Monocryl and Maxon sutures under varying pH conditions

Knot stability and security are crucial factors in surgical suture performance, ensuring optimal tension distribution and minimizing the risk of wound dehiscence. The mechanical behavior of surgical knots is influenced by suture material properties, knot configuration, and environmental factors such as localized pH deviations, which can accelerate material degradation. This study investigates the impact of pH-induced degradation on the mechanical and optomechanical performance of square and surgeon's knots tied with Maxon and Monocryl sutures under acidic (pH 5) and neutral (pH 7) conditions. Stress-strain analysis and Mach-Zehnder interferometry were employed to assess Young's modulus, mechanical loss percentages, tensile strength, toughness, phase maps, and 3D refractive index profiles over 20 d. Young's modulus results revealed significant reductions in acidic conditions. Maxon's surgeon knot decreased from 516 MPa to 228 MPa, while Monocryl's surgeon knot dropped from 434 MPa to 132 MPa over 20 d. Mechanical loss was notably higher in acidic conditions, with Maxon's surgeon knot exhibiting a 65.30% reduction and Monocryl's surgeon knot showing an 82.3% decrease. Toughness declined similarly, particularly in knotted configurations. Phase maps revealed substantial structural distortion, especially in Monocryl's perpendicular orientation at pH 5, indicating severe degradation. 3D refractive index profiles demonstrated that Maxon maintained greater internal uniformity, while Monocryl showed pronounced structural disruption under acidic conditions. Maxon's stability under different pH conditions makes it suitable for long-term applications, while Monocryl's rapid degradation suggests its suitability for scenarios requiring faster material breakdown. These findings provide valuable insights for suture selection in diverse wound conditions.

Chemical, optical, and morphological properties of TPU and PET-G samples after aging in artificial saliva: an in vitro study

BACKGROUND

Thermoplastic materials, such as glycol-modified polyethylene terephthalate (PET-G) and thermoplastic polyurethane (TPU), undergo alterations due to environmental factors in the oral cavity, which can affect their composition and surface properties over time. While previous studies have explored these changes, a comprehensive characterization of TPU and PET-G properties, particularly after immersion in artificial saliva, remains limited. This study aimed to evaluate the aging process of 24 TPU and 24 PET-G dumbbell-shaped specimens before and after exposure to artificial saliva. The analysis focused on the morphological, chemical, and optical properties of the samples, including thickness, weight, and surface roughness.

METHODS

The study examined 48 thermoplastic samples, equally divided between PET-G and TPU. The samples were thermoformed into standardized shapes and analyzed at three time points: after thermoforming (T0), after 7 days (T1), and after 14 days (T2) of immersion in artificial saliva at 37 °C. Measurements included weight, thickness, surface roughness, absorbance, and Fourier transform infrared spectroscopy (FTIR). Data were analyzed using one-way ANOVA to identify significant changes over time, with a significance level of p < 0.01.

RESULTS

Both materials exhibited significant reductions in surface roughness, with TPU showing a decrease in average roughness (Ra) from 99.43 nm at T0 to 76.53 nm at T2 (-23.02%) and PET-G decreasing from 33.25 nm to 20.19 nm (-39.27%). The root mean square roughness (Rq) in TPU declined by 41.67% (from 126.91 nm to 74.02 nm), while PET-G showed a reduction of 28.06% (from 44.98 nm to 32.35 nm). Peak-to-valley roughness (Rt) also decreased by 10.5% in TPU and 27.96% in PET-G. No statistically significant changes were observed in thickness, weight, optical density, or chemical composition (p > 0.01). The roughness disparity between TPU and PET-G persisted even after immersion in saliva.

CONCLUSIONS

Following the simulated intraoral aging process, significant changes in surface roughness were observed in TPU and PET-G specimens. The reduction in roughness, particularly a 39.27% decline in PET-G and 23.02% in TPU, has been clinically associated with decreased plaque accumulation and reduced friction between the aligner and the teeth.

Microstomia Release in Post-burn Contractures: A Case Report

Microstomia following orofacial and neck burns with subsequent contractures poses a significant challenge to the anesthesiologist as well as the plastic surgeon. Fibrosed external nares, microstomia, and contracture bands make a difficult airway. Deformed facial structure and raw area of burns make ventilation difficult. One of the significant causes of morbidity and mortality under anesthesia is the "cannot intubate, cannot ventilate" scenario. Further reconstruction of oral commissures in such cases is always challenging because it provides good functional and acceptable aesthetic results. Here, we present a case of microstomia having limited mouth opening in which fiberoptic nasal intubation and bilateral oral commissuroplasty were performed for microstomia release. In our case, we achieved mouth opening, which was preoperatively 15 mm to 55 mm postoperatively using Dieffenbach commissuroplasty.

Use of Antimicrobial Nanoparticles for the Management of Dental Diseases

Dental diseases represent a significant global health concern, with traditional treatment methods often proving costly and lacking in long-term efficacy. Emerging research highlights nanoparticles as a promising, cost-effective therapeutic alternative, owing to their unique properties. This review aims to provide a comprehensive overview of the application of antimicrobial and antioxidant nanoparticles in the management of dental diseases. Silver and gold nanoparticles have shown great potential for inhibiting biofilm formation and thus preventing dental caries, gingivitis, and periodontitis. Various dental products can integrate copper nanoparticles, known for their antimicrobial properties, to combat oral infections. Similarly, zinc oxide nanoparticles enhance the antimicrobial performance of dental materials, including adhesives and cements. Titanium dioxide and cerium oxide nanoparticles possess antimicrobial and photocatalytic properties, rendering them advantageous for dental materials and oral hygiene products. Chitosan nanoparticles are effective in inhibiting oral pathogens and reducing inflammation in periodontal tissues. Additionally, curcumin nanoparticles, with their antimicrobial, anti-inflammatory, and antioxidant properties, can enhance the overall performance of dental materials and oral care products. Incorporating these diverse nanoparticles into dental materials and oral care products holds the potential to significantly reduce the risk of infection, control biofilm formation, and improve overall oral health. This review underscores the importance of continued research and development in this promising field to realize the full potential of nanoparticles in dental care.

An Up-to-Date Review of Materials Science Advances in Bone Grafting for Oral and Maxillofacial Pathology

Bone grafting in oral and maxillofacial surgery has evolved significantly due to developments in materials science, offering innovative alternatives for the repair of bone defects. A few grafts are currently used in clinical settings, including autografts, xenografts, and allografts. However, despite their benefits, they have some challenges, such as limited availability, the possibility of disease transmission, and lack of personalization for the defect. Synthetic bone grafts have gained attention since they have the potential to overcome these limitations. Moreover, new technologies like nanotechnology, 3D printing, and 3D bioprinting have allowed the incorporation of molecules or substances within grafts to aid in bone repair. The addition of different moieties, such as growth factors, stem cells, and nanomaterials, has been reported to help mimic the natural bone healing process more closely, promoting faster and more complete regeneration. In this regard, this review explores the currently available bone grafts, the possibility of incorporating substances and molecules into their composition to accelerate and improve bone regeneration, and advanced graft manufacturing techniques. Furthermore, the presented current clinical applications and success stories for novel bone grafts emphasize the future potential of synthetic grafts and biomaterial innovations in improving patient outcomes in oral and maxillofacial surgery.

Epoxy resin bioactive dental implant capped with hydroxyapatite and curcumin nanoparticles: a novel approach

OBJECTIVE

In this study, the developed bioactive dental implant (BDI) from epoxy resin (ER), hydroxyapatite (HA), and curcumin nanoparticles (CUNPs).

MATERIALS AND METHODS

The prepared BDI were characterized using their physicochemical, mechanical, antimicrobial, bioactive, and biocompatibility study. The scanning electron microscopy (SEM) morphology of the BDI was observed HA mineralized crystal layer after being immersed in the stimulated body fluids (SBF) solution.

RESULTS

The mechanical properties of the BDI exhibited tensile strength (250.61 ± 0.43 MPa), elongation at break (215.66 ± 0.87%), flexural modulus (03.90 ± 0.12 GPa), water absorption (05.68 ± 0.15%), and water desorption (06.42 ± 0.14%). The antimicrobial activity of BDI was observed in excellent zone of inhibition against the gram-negative (15.33 ± 0.04%) and gram- positive (15.98 ± 0.07%) bacteria. The biocompatibility study of BDI on osteoblasts cell line (MG-63) was analyzed using MTT (3-[4, 5-dimethylthiazol-2-yl]-2,5 diphenyl tetrazolium bromide) assay. The results were observed 85% viable cells present in the BDI compared to the control (only ER) samples.

CONCLUSIONS

Based on the research outcome, the BDI could be used for biomaterials application, particularly tooth dental implantation.

Silk fibroin sponge impregnated with fish bone collagen: A promising wound healing scaffold and skin tissue regeneration

In the present study, porous silk fibroin sponges (SFS) were prepared using silk fibroin (SF), fish bone collagen (FBC), and olive oil (OO). The study investigates the potential use of using this sponge as skin tissue regeneration. The sponge was characterized for its physicochemical, mechanical, antimicrobial, and drug release properties. An in vitro study was carried out using human keratinocyte cell line (HaCaT). Biodegradation study using enzymatic method was carried out. The results showed that the mechanical properties such as tensile strength (23.40 ± 0.05 MPa), elongation at break (14.25 ± 0.02%), and water absorption (30.23 ± 0.01%) of the SFS were excellent, indicating promising performance. The 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assays proved the biocompatible nature of the SFS. The SFS exhibited outstanding antibacterial properties against E. coli (4.72 ± 0.05 mm) and S. aureus (4.98 ± 0.07 mm). The developed SFS promote a promising solution for skin tissue regeneration and wound dressing.

Evaluation and In Vitro Study of an Electrospun Bone Tissue Membrane for Bone Regeneration: A Novel Perspective

Objectives In the present study, electrospun bone tissue membrane (EBTM) was prepared using polyvinylidene fluoride (PVDF), gelatin (gel), and demineralized bone matrix (DBM) by electrospinning method for its potential application in bone tissue regeneration. Materials and methods The prepared EBTM was evaluated using high-resolution scanning electron microscopy (HR-SEM), energy-dispersive X-ray spectroscopy (EDX; Silicon Drift 2017, USA), thermogravimetric analysis (TGA), and mechanical properties such as tensile strength (MPa), elongation at break (%), flexibility (%), and water absorption (%). In vitro bioactivity testing of EBTM using simulated body fluid (SBF) was performed after 14 days of immersion. Cell viability was tested using human osteoblast-like cells (MG-63) to prove biocompatibility. Results EBTM had superior surface morphology, thermal stability, and mechanical strength. The mechanical properties of EBTM were promising, enabling its use in tissue engineering. Bioactivity test showed that the EBTM surface developed calcium (Ca) and phosphate (P) after 14 days of being immersed in SBF. Additionally, a biocompatibility investigation revealed that EBTM was covered with more viable cells. Conclusion EBTM with sufficient mechanical strength, thermal stability, surface morphology, Ca deposition, and biocompatibility could serve as a plausible material for bone tissue engineering (skin, ligament, cartilage, and bone).