Comparison of cell proliferation on modified dental ceramics

Evaluation of the biological behaviour of various dental implant abutment materials on attachment and viability of human gingival fibroblasts

OBJECTIVE

This study aimed to investigate the biological effects of yttria-stabilized zirconia (Y-TZP) compared to other dental implant abutment materials, i.e. lithium disilicate (LS2) and titanium alloy (Ti), as well as the effects of aging of Y-TZP on viability/proliferation and attachment properties of Human Gingival Fibroblasts (HGFs).

METHODS

Cylindrical specimens of each material were prepared as per manufacturer's instructions. Y-TZP specimens were divided into three groups: 1. no aging (Zr0), 2. aging for 5 h, 134 °C, 2 bars, 100% humidity (Zr5), 3. aging for 10 h under the same conditions (Zr10). Surface roughness was evaluated by optical profilometry; cell metabolic activity/viability by MTT assay, morphological changes by Scanning Electron Microscopy (SEM) and ratio of live/dead cells by confocal microscopy.

RESULTS

Results showed statistically significant reduction of HGF metabolic activity/viability in contact with Y-TZP after aging. Nevertheless, non-aged zirconia showed no significant differences compared with LS2, Ti and control cultures. In contrast, significant stimulation of cell metabolic activity/viability was observed in HGFs exposed to LS2 eluates. Differential morphological patterns were observed for HGF in contact with different materials/treatments, with obviously increased number of dead cells and sparser distribution of HGFs cultured on Zr10 specimens. These effects were not correlated with surface topography, since Y-TZP aging did not alter surface micro-roughness.

SIGNIFICANCE

These findings indicate that Y-TZP shows comparable biological properties to Ti and LS2 as implant abutment material. Nevertheless, Y-TZP aging might influence gingival cell attachment and proliferation properties, providing an alert to a potentially negative effect on the long-term maintenance of gingival architecture.

Evaluation of the micro-mechanical and bioactive properties of bioactive glass-dental porcelain composite

The aim of this study was to evaluate microhardness and elastic modulus of a novel sol-gel derived dental ceramic - 58S bioactive glass composite (BP67: Bioactive Glass:33.3%, Dental Ceramic:66.7%) BP67¹ material by micro-indentation and to investigate its microstructure and bioactivity. The research hypotheses were that the values of microhardness (1) and elastic modulus (2) of the novel bioceramic composite and the commercial dental ceramic will be of the same order. The experimental sol-gel derived ceramics showed similar microstructural characteristics to a commercial feldspathic porcelain, and presence of additional calcium phosphate phases, which contributed its bioactivity. The formation of an apatite-like layer on the materials' surface observed by Fourier Transform Infrared (FTIR)² spectroscopy, X-ray Diffraction (XRD)³ and Scanning Electron Microscopy-Energy Dispersive Spectroscopy (SEM-EDS)⁴ techniques after 12 days of maintenance in Conventional Simulated Body Fluid (cSBF)⁵ solution. The BP67 exhibited values of microhardness and modulus of elasticity which were not statistically significant different compared to dental ceramic, indicating the adequate mechanical integrity of the material. The results of this study suggest that the novel bioactive composite could be potentially applied in prosthetic dentistry, while its thermal and optical properties should be investigated in future studies.

A new method using insert-based systems (IBS) to improve cell behavior study on flexible and rigid biomaterials

In vitro studies about biomaterials biological properties are essential screening tests. Yet cell cultures encounter difficulties related to cell retention on material surface or to the observation of both faces of permeable materials. The objective of the present study was to develop a reliable in vitro method to study cell behavior on rigid and flexible/permeable biomaterials elaborating two specific insert-based systems (IBS-R and IBS-F respectively). IBS-R was designed as a specific cylindrical polytetrafluoroethylene (PTFE) system to evaluate attachment, proliferation and morphology of human gingival fibroblasts (HGFs) on grade V titanium and lithium disilicate glass-ceramic discs characteristics of dental prostheses. The number of cells, their covering on discs and their morphology were determined from MTS assays and microscopic fluorescent images after 24, 48 and 72 h. IBS-F was developed as a two components system to study HGFs behavior on guided bone regeneration polyester membranes. The viability and the membrane barrier effect were evaluated by metabolic MTS assays and by scanning electron microscopy. IBS-R and IBS-F were shown to promote (1) easy and rapid handling; (2) cell retention on biomaterial surface; (3) accurate evaluation of the cellular proliferation, spreading and viability; (4) use of non-toxic material. Moreover IBS-F allowed the study of the cell migration through degradable membranes, with an access to both faces of the biomaterial and to the bottom of culture wells for medium changing.

Assessment of human gingival fibroblast interaction with dental implant abutment materials

The biocompatibility of dental implant abutment materials depends on numerous factors including the nature of the material, its chemical composition, roughness, texture, hydrophilicity and surface charge. The aim of the present study was to compare the viability and adhesion strength of human gingival fibroblasts (HGFs) grown on several dental materials used in implant prosthodontics. Surfaces of the tested materials were assessed using an optical imaging profiler. For material toxicity and cellular adhesion evaluation, primary human gingival fibroblast cells were used. To evaluate the strength of cellular adhesion, gingival fibroblasts were cultured on the tested materials and subjected to lateral shear forces by applying 300 and 500 rpm shaking intensities. Focal adhesion kinase (FAK) expression and phosphorylation in cells grown on the specimens were registered by cell-based ELISA. There was a tendency of fibroblast adhesion strength to decrease in the following order: sandblasted titanium, polished titanium, sandblasted zirconium oxide, polished zirconium oxide, gold-alloy, chrome-cobalt alloy. Higher levels of total as well as phospho-FAK protein were registered in HGFs grown on roughened titanium. Material type and surface processing technique have an impact on gingival fibroblast interaction with dental implant abutment materials.

In vitro cytotoxic response to lithium disilicate dental ceramics

OBJECTIVES

The use of lithium disilicate dental ceramics is increasing in dentistry and previous reports have suggested that they may have greater biological risks than previously thought. We tested a hypothesis that composition and processing influence the biological properties of these ceramics.

METHODS

The cytotoxicity of two machined and three pressed lithium disilicate materials (n=6) were tested in vitro using mouse fibroblasts in direct contact with the materials for 72h. Cellular response was estimated by mitochondrial succinate dehydrogenase activity (MTT method). Mitochondrial activity was expressed as a percentage of Teflon controls, then compared to Teflon using 2-sided t-tests (alpha=0.05). Polished materials were aged in artificial saliva and tested for cytotoxicity periodically over 6 weeks, then were repolished (320grit SiC paper), aged and tested again for 4 weeks.

RESULTS

All materials significantly (50-70%) suppressed cellular mitochondrial activity in the initial week, but suppression decreased by 25-30% over the next 2 weeks. In weeks 4 and 6 some materials exhibited a cytotoxic 'relapse' of 10-20%. The cytotoxic response was no different for machined or pressed materials, but the presence of ZnO had at least an association with longer-term cytotoxicity and relapse. Repolishing to 320grit did not increase cytotoxicity significantly.

SIGNIFICANCE

Our results suggest that lithium disilicates are not biologically inert, and that many have a similar cytotoxicity dynamic regardless of small differences in composition or processing.

Tracking cancer cell proliferation on a CMOS capacitance sensor chip

We report a novel technique for assessing cell proliferation that employs integrated capacitance sensors for monitoring the growth of anchorage-dependent living cells. The sensors measure substrate coupling capacitances of cells cultured on-chip in a standard in vitro environment. The biophysical phenomenon underlying the capacitive behavior of cells is the counterionic polarization around the insulating cell bodies when exposed to weak, low frequency electric fields. The sensors employ charge sharing for mapping sensed capacitance values in the fF range to output voltage signals. The sensor chip has been fabricated in a commercially available 0.5microm, 2-poly 3-metal CMOS technology. We report experimental results demonstrating sensor response to the adhesion of MDA-MB-231 breast cancer cells followed by their proliferation on the chip surface. On-chip capacitance sensing offers a non-invasive, label-free, easy-to-use, miniaturized technique with real-time monitoring capability for tracking cell proliferation in vitro.

Attachment and proliferation of human periodontal ligament fibroblasts on bioactive glass modified ceramics

In this study, six groups of modified ceramic specimens were constructed and were studied comparatively with dental porcelain (P:control) for their ability to support human periodontal ligament fibroblasts attachment and proliferation. The dental porcelain was initially coated with bioactive glass (PCB) or with a mixture of porcelain and bioactive glass (PCBP) and then calcium-phosphate rich (Ca-P) or hydroxy-carbonate apatite (HCAp) layers were bio-mimetically developed on both surfaces (PCB and PCBP) after immersion in simulated body fluid. The development and characterization of Ca-P and HCAp layers on PCBCa-P, PCBHCAp, PCBPCa-P, PCBPHCAp specimens' surfaces were evaluated by Scanning Electron Microscopy (SEM) and further confirmed by Fourier Transform Infrared Spectroscopy (FTIR). The modified ceramics differed from their controls concerning their surface morphology as evaluated by SEM, and their surface chemical composition (Al, P, Si, Ca, Na and K) as evaluated by Energy Dispersive Spectroscopy (EDS). Almost all modified specimens supported cell attachment, spreading and proliferation at higher extent than the control porcelain specimens. The additional layers of Ca-P or HCAp on PCBP and PCB specimens were found to positively affect cell attachment and proliferation. The highest cell population, of all specimens tested, was observed on PCBPCa-P and PCBPHCAp. The Ca-P particles present on all Ca-P and HCAp coated specimens seemed to be involved in cell adhesion.

In vitro cytotoxicity of traditional versus contemporary dental ceramics

STATEMENT OF PROBLEM

The biocompatibility of new dental ceramics has not been assessed with the same scrutiny as has been applied to alloys and composites. Yet, the biocompatibility of ceramics is critical to the long-term success of dental prostheses because ceramics are in close contact with oral tissues for extended periods.

MATERIAL AND METHODS

Five dental ceramics (2 traditional feldspathic veneer porcelains [Vita Omega and Duceragold], 2 lithium disilicate pressable materials [Stylepress and Empress-2], and a pressable leucite-based material [Empress-1]) were tested for their ability to alter cellular mitochondrial dehydrogenase activity after fabrication using a tetrazolium assay, after aging for 2 weeks in a biologic solution and after post-aging polishing with either a fine diamond or diamond polishing paste. Cellular responses were compared with polytetrafluoroethylene controls (analysis of variance, Tukey pairwise post-hoc comparison, alpha=.05).

RESULTS

The feldspathic porcelains caused only mild (<25% of controls) mitochondrial suppression regardless of aging or polishing. The pressable leucite-based material initially caused a 5% stimulation (not significant) of mitochondrial activity, which decreased significantly (P<.05) by 30% with aging to levels comparable to the feldspathic porcelains, and did not change with polishing. Both lithium disilicate materials caused an initial suppression of mitochondrial activity that decreased significantly with aging, but Empress-2 was severely cytotoxic initially (<20% of controls, P<.01), and became more cytotoxic again after polishing. Stylepress was less cytotoxic initially (85% of controls, not significant) and did not become cytotoxic again after polishing.

CONCLUSIONS

Dental ceramics are not equivalent in their in vitro biologic effects, even within the same class of material, and biologic safety should not be assumed. Most ceramics caused only mild in vitro suppression of cell function to levels that would be acceptable on the basis of standards used to evaluate alloys and composites. However, 1 Li-disilicate material (Empress-2) exhibited cytotoxicity that would not be deemed biologically acceptable on the basis of prevailing empirical standards for dental alloys and composites.

Apatite formation on dental ceramics modified by a bioactive glass

Restorative dental materials are considered biocompatible without exhibiting any bioactive behaviour. The aim of this study was the investigation of surface structure changes on conventional dental ceramics used in metal-ceramic restorations modified by a bioactive glass, after immersion in SBF for various time periods. Bioactive glass powder was mixed with porcelain powder with three different weight ratios: 1:1, 1:2, and 2:1. The two powders were mixed with porcelain modelling liquid and the mixture was transferred and spread on the surface of pre-fabricated ceramic disks. Coated ceramic specimens after being exposed to a specific thermal cycle as it is recommended for dental ceramics were soaked in Simulated Body Fluid (SBF) at 37 degrees C for various periods of time. After soaking, specimens were studied using Fourier Transform Infrared Spectroscopy (FTIR), Scanning Electron Microscopy (SEM) and Energy Dispersive Spectroscopy (EDS). Results revealed the development of a non-stoichiometric, biological apatite layer on their surface after exposure in SBF for several time periods. The onset of apatite-layer formation is directly dependent on the amount of bioglass in the coating and its thickness reduces within the specimens of the same bioactive glass-porcelain proportion with time, reaching an average thickness of 15 microm at the longest immersion time, for all the specimens.