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Daood U, Aati S, Akram Z, Yee J, Yong C, Parolia A, Lin Seow L, Fawzy AS. Characterization of multiscale interactions between high intensity focused ultrasound (HIFU) and tooth dentin: the effect on matrix-metalloproteinases, bacterial biofilms and biological properties. Biomater Sci 2021; 9:5344-5358. [PMID: 34190236 DOI: 10.1039/d1bm00555c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
The aim of this study was to characterize multiscale interactions between high intensity focused ultrasound (HIFU) and dentin collagen and associated matrix-metalloproteinases, in addition to the analysis of the effect of HIFU on bacterial biofilms and biological properties. Dentin specimens were subjected to 5, 10 or 20 s HIFU. XPS spectra were acquired and TEM was performed on dentin slabs. Collagen orientation was performed using Raman spectroscopy. Calcium measurements in human dental pulpal cells (hDPCs) were carried out after 7 and 14 days. For macrophages, CD36+ and CD163+ were analysed. Biofilms were analyzed using CLSM. Tandem mass spectroscopy was performed for the detection of hydroxyproline sequences along with human MMP-2 quantification. Phosphorus, calcium, and nitrogen were detected in HIFU specimens. TEM images demonstrated the collagen network appearing to be fused together in the HIFU 10 and 20 s specimens. The band associated with 960 cm-1 corresponds to the stretching ν1 PO43-. The control specimens showed intensive calcium staining followed by HIFU 20 s > HIFU 10 s > HIFU 5 s specimens. Macrophages in the HIFU specimens co-expressed CD80+ and CD163+ cells. CLSM images showed the HIFU treatment inhibiting bacterial growth. SiteScore propensity determined the effect of HIFU on the binding site with a higher DScore representing better site exposure on MMPs. Multiscale mapping of dentin collagen after HIFU treatment showed no deleterious alterations on the organic structure of dentin.
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Affiliation(s)
- Umer Daood
- Clinical Dentistry, Restorative Division, Faculty of Dentistry, International Medical University Kuala Lumpur, 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Bukit Jalil, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
| | - Sultan Aati
- UWA Dental School, University of Western Australia, Nedlands, WA 6009, Australia.
| | - Zohaib Akram
- UWA Dental School, University of Western Australia, Nedlands, WA 6009, Australia.
| | - Joyce Yee
- Clinical Dentistry, Restorative Division, Faculty of Dentistry, International Medical University Kuala Lumpur, 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Bukit Jalil, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
| | - Celine Yong
- Clinical Dentistry, Restorative Division, Faculty of Dentistry, International Medical University Kuala Lumpur, 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Bukit Jalil, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
| | - Abhishek Parolia
- Clinical Dentistry, Restorative Division, Faculty of Dentistry, International Medical University Kuala Lumpur, 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Bukit Jalil, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
| | - Liang Lin Seow
- Clinical Dentistry, Restorative Division, Faculty of Dentistry, International Medical University Kuala Lumpur, 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Bukit Jalil, Kuala Lumpur, Wilayah Persekutuan, Malaysia.
| | - Amr S Fawzy
- UWA Dental School, University of Western Australia, Nedlands, WA 6009, Australia.
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Wang X, Zhou J, Kang D, Swain MV, Menčík J, Jian Y, Zhao K. The bulk compressive creep and recovery behavior of human dentine and resin-based dental materials. Dent Mater 2020; 36:366-376. [PMID: 31983468 DOI: 10.1016/j.dental.2020.01.003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Accepted: 01/09/2020] [Indexed: 10/25/2022]
Abstract
OBJECTIVE To evaluate and compare the viscoelastic properties of dentine and resin-based dental materials by bulk compressive test and the Burgers model. MATERIALS AND METHODS Sound dentine, three resin composites as well as a resin-based cement were prepared into cylindrical specimens (n = 8). A bulk compressive creep test was applied with a constant load of 300 N (23.9 MPa) for 2 h, followed by another 2 h recovery. The maximum strain, creep stain, percentage of recovery and permanent set was measured using a linear variable displacement transducer. The viscoelastic properties were characterized via the Burgers model, and the instantaneous elastic, viscous as well as elastic delayed deformation were separated from the total strain. Data were analysed via ANOVA (or Welch's Test) and Tukey (or Games-Howell Test) with a significance level of 0.05. RESULTS Sound dentine presented the lowest maximum strain, creep strain, permanent set and the highest percentage of recovery, followed by 3 resin composites with comparable parameters, while the cement showed a significantly higher maximum strain, permanent set and lower percentage of recovery (p < 0.001). The Burgers model presented acceptable fits for characterization viscoelastic processes of both dentine and resin-based dental materials. Viscous and elastic delayed strain of dentine was significantly lower than those for tested materials (p < 0.001) with the highest instantaneous elastic strain percentage. Similar viscous and delayed strain was found among the 4 resin-based materials (p > 0.05). SIGNIFICANCE Sound dentine exhibited superior creep stability compared to resin-based dental materials. The viscous deformation in sound dentine could be ignored when loading parallel to dentine tubules.
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Affiliation(s)
- Xiaodong Wang
- Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Engineering Research Center of Technology and Materials for Oral Reconstruction, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
| | - Jing Zhou
- Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Engineering Research Center of Technology and Materials for Oral Reconstruction, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
| | - Dehua Kang
- Department of Radiation Oncology, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China.
| | - Michael V Swain
- AMME, University of Sydney, NSW 2006, Australia; Don State Technical University, Rostov-on Don, Russia.
| | - Jaroslav Menčík
- Department of Mechanics, Materials and Machine Parts, Faculty of Transport Sciences, University of Pardubice, Czech Republic.
| | - Yutao Jian
- Institute of Stomatological Research, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou, China.
| | - Ke Zhao
- Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Engineering Research Center of Technology and Materials for Oral Reconstruction, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou, China.
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Deymier AC, Schwartz AG, Cai Z, Daulton TL, Pasteris JD, Genin GM, Thomopoulos S. The multiscale structural and mechanical effects of mouse supraspinatus muscle unloading on the mature enthesis. Acta Biomater 2019; 83:302-313. [PMID: 30342287 DOI: 10.1016/j.actbio.2018.10.024] [Citation(s) in RCA: 42] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Revised: 10/04/2018] [Accepted: 10/15/2018] [Indexed: 12/17/2022]
Abstract
The musculoskeletal system is sensitive to its loading environment; this is of particular concern under conditions such as disuse, paralysis, and extended-duration space flight. Although structural and mechanical changes to tendon and bone following paralysis and disuse are well understood, there is a pressing need to understand how this unloading affects the bone-tendon interface (enthesis); the location most prone to tears and injury. We therefore elucidated these effects of unloading in the entheses of adult mice shoulders that were paralyzed for 21 days by treatment with botulinum toxin A. Unloading significantly increased the extent of mechanical failure and was associated with structural changes across hierarchical scales. At the millimeter scale, unloading caused bone loss. At the micrometer scale, unloading decreased bioapatite crystal size and crystallographic alignment in the enthesis. At the nanometer scale, unloading induced compositional changes that stiffened the bioapatite/collagen composite tissue. Mathematical modeling and mechanical testing indicated that these factors combined to increase local elevations of stress while decreasing the ability of the tissue to absorb energy prior to failure, thereby increasing injury risk. These first observations of the multiscale effects of unloading on the adult enthesis provide new insight into the hierarchical features of structure and composition that endow the enthesis with increased resistance to failure. STATEMENT OF SIGNIFICANCE: The musculoskeletal system is sensitive to its loading environment; this is of particular concern under conditions such as disuse, paralysis, and extended-duration space flight. Although changes to tendon and bone following paralysis are understood, there is a pressing need to clarify how unloading affects the bone-tendon interface (enthesis), which is the location most prone to tears and injury. We elucidated the effects of enthesis unloading in adult mice shoulders showing, for the first time, that unloading significantly increased the risk and extent of mechanical failure and was associated with structural changes across hierarchical scales. These observations provide new insight into the hierarchical features of structure and composition that endow the enthesis with resilience. This knowledge can be used to develop more targeted treatments to improve mobility and function.
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Affiliation(s)
- Alix C Deymier
- Department of Biomedical Engineering, University of Connecticut, Farmington, CT, USA.
| | - Andrea G Schwartz
- Department of Orthopaedic Surgery, Washington University, St. Louis, MO, USA.
| | - Zhounghou Cai
- Advanced Photon Source, Argonne National Lab, Argonne, IL, USA.
| | - Tyrone L Daulton
- Department of Physics, Washington University, St. Louis, MO, USA; Institute of Materials Science and Engineering, Washington University, St. Louis, MO, USA.
| | - Jill D Pasteris
- Department of Earth and Planetary Science, Washington University, St. Louis, MO, USA.
| | - Guy M Genin
- Department of Mechanical Engineering and Materials Science, Washington University, St. Louis, MO, USA.
| | - Stavros Thomopoulos
- Department of Orthopedic Surgery, Columbia University, New York, NY, USA; Department of Biomedical Engineering, Columbia University, New York, NY, USA.
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Understanding nature's residual strain engineering at the human dentine-enamel junction interface. Acta Biomater 2016; 32:256-263. [PMID: 26779888 DOI: 10.1016/j.actbio.2016.01.009] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2015] [Revised: 12/23/2015] [Accepted: 01/08/2016] [Indexed: 11/23/2022]
Abstract
Human dental tissue is a hydrated biological mineral composite. In terms of volume and mass, a human tooth mainly consists of dentine and enamel. Human dental tissues have a hierarchical structure and versatile mechanical properties. The dentine enamel junction (DEJ) is an important biological interface that provides a durable bond between enamel and dentine that is a life-long success story: while intact and free from disease, this interface does not fail despite the harsh thermo-mechanical loading in the oral cavity. The underlying reasons for such remarkable strength and durability are still not fully clear from the structural and mechanical perspectives. One possibility is that, in an example of residual stress engineering, evolution has led to the formation of a layer of inelastic strain adjacent to the DEJ during odontogenesis (tooth formation). However, due to significant experimental and interpretational challenges, no meaningful quantification of residual stress in the vicinity of the DEJ at the appropriate spatial resolution has been reported to date. In this study, we applied a recently developed flexible and versatile method for measuring the residual elastic strain at (sub)micron-scale utilising focused ion beam (FIB) milling with digital image correlation (DIC). We report the results that span the transition from human dentine to enamel, and incorporate the material lying at and in the vicinity of the DEJ. The capability of observing the association between internal architecture and the residual elastic strain state at the micrometre scale is useful for understanding the remarkable performance of the DEJ and may help the creation of improved biomimetic materials for clinical and engineering applications. STATEMENT OF SIGNIFICANCE We studied the micron-scale residual stresses that exist within human teeth, between enamel (outer tooth shell, hardest substance in the human body) and dentine (soft bone-like vascularised tooth core). The dentine-enamel junction (DEJ) is an extremely interesting example of nature's design in terms of hierarchical structuring and residual stress management. Key developments reported are systematic focused ion beam (FIB) milling and digital image correlation (DIC) micrometre scale residual strain evaluation, and the determination of principal strain direction near DEJ, correlated with internal architecture responsible for remarkable strength. This work helps understanding DEJ performance and improving biomimetic materials design for clinical and engineering applications.
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Chuang SF, Lin SY, Wei PJ, Han CF, Lin JF, Chang HC. Characterization of the elastic and viscoelastic properties of dentin by a nanoindentation creep test. J Biomech 2015; 48:2155-61. [PMID: 25911251 DOI: 10.1016/j.jbiomech.2015.01.034] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2014] [Revised: 12/23/2014] [Accepted: 01/24/2015] [Indexed: 11/30/2022]
Abstract
Dentin is the main supporting structure of teeth, but its mechanical properties may be adversely affected by pathological demineralization. The purposes of this study were to develop a quantitative approach to characterize the viscoelastic properties of dentin after de- and re-mineralization, and to examine the elastic properties using a nanoindentation creep test. Dentin specimens were prepared to receive both micro- and nano-indentation tests at wet and dry states. These tests were repeatedly performed after demineralization (1% citric acid for 3 days) and remineralization (artificial saliva immersion for 28 days). The nanoindentation test was executed in a creep mode, and the resulting displacement-time responses were disintegrated into primary (transient) and secondary (viscous) creep. The structural changes and mineral densities of dentin were also examined under SEM and microCT, respectively. The results showed that demineralization removed superficial minerals of dentin to the depth of 400 μm, and affected its micro- and nano-hardness, especially in the hydrate state. Remineralization only repaired the minerals at the surface layer, and partially recovered the nanohardness. Both the primary the secondary creep increased in the demineralized dentin, while the hydration further enhanced creep deformation of untreated and remineralized dentin. Remineralization reduced the primary creep of dentin, but did not effectively increase the viscosity. In conclusion, water plasticization increases the transient and viscous creep strains of demineralized dentin and reduces load sustainability. The nanoindentation creep test is capable of analyzing the elastic and viscoelastic properties of dentin, and reveals crucial information about creep responses.
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Affiliation(s)
- Shu-Fen Chuang
- Institute of Oral Medicine, Department of Stomatology, Medical College and Hospital, Center for Micro/Nano Science and Technology, National Cheng Kung University, Tainan, Taiwan.
| | - Shih-Yun Lin
- Institute of Oral Medicine, National Cheng Kung University, Tainan, Taiwan
| | - Pal-Jen Wei
- Institute of Nanotechnology and Microsystems Engineer, National Cheng Kung University, Tainan, Taiwan
| | - Chang-Fu Han
- Department of Mechanical Engineering, National Cheng Kung University, Tainan, Taiwan
| | - Jen-Fin Lin
- Department of Mechanical Engineering, National Cheng Kung University, Tainan, Taiwan
| | - Hsien-Chang Chang
- Department of Biomedical Engineering, National Cheng Kung University, Tainan 701, Taiwan
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