Requirements for Selection/Development of a Biomaterial
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Presence of ROS in Inflammatory Environment of Peri-Implantitis Tissue
Journal of Clinical Medicine Article Presence of ROS in Inflammatory Environment of Peri-Implantitis Tissue: In Vitro and In Vivo Human Evidence 1, 2, 2, 3 4 Eitan Mijiritsky y, Letizia Ferroni y, Chiara Gardin y, Oren Peleg , Alper Gultekin , Alper Saglanmak 4, Lucia Gemma Delogu 5, Dinko Mitrecic 6, Adriano Piattelli 7, 8, 2,9, , Marco Tatullo z and Barbara Zavan * z 1 Head and Neck Maxillofacial Surgery, Department of Otoryngology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Weizmann street 6, 6423906 Tel-Aviv, Israel; [email protected] 2 Maria Cecilia Hospital, GVM Care & Research, Cotignola, 48033 Ravenna, Italy; [email protected] (L.F.); [email protected] (C.G.) 3 Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, 701990 Tel-Aviv, Israel; [email protected] 4 Istanbul University, Faculty of Dentistry, Department of Oral Implantology, 34093 Istanbul, Turkey; [email protected] (A.G.); [email protected] (A.S.) 5 University of Padova, DpT Biomedical Sciences, 35133 Padova, Italy; [email protected] 6 School of Medicine, Croatian Institute for Brain Research, University of Zagreb, Šalata 12, 10 000 Zagreb, Croatia; [email protected] 7 Department of Medical, Oral, and Biotechnological Sciences, University of Chieti-Pescara, via dei Vestini 31, 66100 Chieti, Italy; [email protected] 8 Marrelli Health-Tecnologica Research Institute, Biomedical Section, Street E. Fermi, 88900 Crotone, Italy; [email protected] 9 Department of Medical Sciences, University of Ferrara, via Fossato di Mortara 70, 44123 Ferara, Italy * Correspondence: [email protected] Co-first author. -
A Comparative Review of Natural and Synthetic Biopolymer Composite Scaffolds
polymers Review A Comparative Review of Natural and Synthetic Biopolymer Composite Scaffolds M. Sai Bhargava Reddy 1 , Deepalekshmi Ponnamma 2 , Rajan Choudhary 3,4,5 and Kishor Kumar Sadasivuni 2,* 1 Center for Nanoscience and Technology, Institute of Science and Technology, Jawaharlal Nehru Technological University, Hyderabad 500085, India; [email protected] 2 Center for Advanced Materials, Qatar University, Doha P.O. Box 2713, Qatar; [email protected] 3 Rudolfs Cimdins Riga Biomaterials Innovations and Development Centre of RTU, Faculty of Materials Science and Applied Chemistry, Institute of General Chemical Engineering, Riga Technical University, Pulka St 3, LV-1007 Riga, Latvia; [email protected] 4 Baltic Biomaterials Centre of Excellence, Headquarters at Riga Technical University, LV-1007 Riga, Latvia 5 Center for Composite Materials, National University of Science and Technology “MISiS”, 119049 Moscow, Russia * Correspondence: [email protected] Abstract: Tissue engineering (TE) and regenerative medicine integrate information and technology from various fields to restore/replace tissues and damaged organs for medical treatments. To achieve this, scaffolds act as delivery vectors or as cellular systems for drugs and cells; thereby, cellular material is able to colonize host cells sufficiently to meet up the requirements of regeneration and repair. This process is multi-stage and requires the development of various components to create the desired neo-tissue or organ. In several current TE strategies, biomaterials are essential compo- nents. While several polymers are established for their use as biomaterials, careful consideration of the cellular environment and interactions needed is required in selecting a polymer for a given Citation: Reddy, M.S.B.; Ponnamma, application. -
Overview of Biomaterials and Their Use in Medical Devices
© 2003 ASM International. All Rights Reserved. www.asminternational.org Handbook of Materials for Medical Devices (#06974G) CHAPTER 1 Overview of Biomaterials and Their Use in Medical Devices A BIOMATERIAL, as defined in this hand- shapes, have relatively low cost, and be readily book, is any synthetic material that is used to available. replace or restore function to a body tissue and Figure 1 lists the various material require- is continuously or intermittently in contact with ments that must be met for successful total joint body fluids (Ref 1). This definition is somewhat replacement. The ideal material or material restrictive, because it excludes materials used combination should exhibit the following prop- for devices such as surgical or dental instru- erties: ments. Although these instruments are exposed A biocompatible chemical composition to to body fluids, they do not replace or augment • avoid adverse tissue reactions the function of human tissue. It should be noted, Excellent resistance to degradation (e.g., cor- however, that materials for surgical instru- • rosion resistance for metals or resistance to ments, particularly stainless steels, are reviewed biological degradation in polymers) briefly in Chapter 3, “Metallic Materials,” in Acceptable strength to sustain cyclic loading this handbook. Similarly, stainless steels and • endured by the joint shape memory alloys used for dental/endodon- A low modulus to minimize bone resorption tic instruments are discussed in Chapter 10, • High wear resistance to minimize wear- “Biomaterials for Dental Applications.” • debris generation Also excluded from the aforementioned defi- nition are materials that are used for external prostheses, such as artificial limbs or devices Uses for Biomaterials (Ref 3) such as hearing aids. -
When Does a Material Become a Biomaterial?
When does a material become a biomaterial? Prof. Dr. Ir. Jan Van Humbeeck MTM-K.U.Leuven 1 When it is allowed making contact with human tissue 2 The goal of using biomaterials: Assisting in • Regenerating • Repairing • Supporting • Replacing defect tissues and esthetic parts. 3 Origin of defects in the body • Life quality: – congenital defects – development defects – diseases – accidents – aesthetic reasons • Tissue degeneration due to aging: – Osteoporosis – Hart failure – Wear of joints 4 A problem of aging Czech expression: If you’re over 60 and wake up one morning and nothing hurts, then you’re probably dead. 5 What is a biomaterial? • A biomaterial is a nonviable material used in a (medical) device, intended to interact with biological systems (biofunctionality). (Williams, 1987) • A biomaterial is a material intended to interface with biological systems to evaluate, treat, augment or replace any tissue, organ or function of the body. • A biomaterial is a material that should perform an intended function over a definite amount of time in a specific biological environment, as good as possible. • Biomaterials are inorganic or organic materials that are biocompatible and can be implanted in the human body to replace or repair failing tissue. 6 History of biomaterials • 1° generation-materials: based on replacing tissue or replacing a function with as low as possible interaction with the surrounding tissue. Those materials were found in the classic industrial markets. Those materials were selected because of their corrosion resistance or inertness when in contact with a tissue. • metals: SS, Ti, Co-Cr • polymers: UHMWPE, PMMA, PMDS • ceramics: Al2O3 7 Did Georg Washingthon A false toe made of out of wood and leather had a wooden set of teeth? was found on a 3,000-year-old mummified body of an Egyptian noblewoman Cripple with supporting pole. -
CASODEX (Bicalutamide)
HIGHLIGHTS OF PRESCRIBING INFORMATION • Gynecomastia and breast pain have been reported during treatment with These highlights do not include all the information needed to use CASODEX 150 mg when used as a single agent. (5.3) CASODEX® safely and effectively. See full prescribing information for • CASODEX is used in combination with an LHRH agonist. LHRH CASODEX. agonists have been shown to cause a reduction in glucose tolerance in CASODEX® (bicalutamide) tablet, for oral use males. Consideration should be given to monitoring blood glucose in Initial U.S. Approval: 1995 patients receiving CASODEX in combination with LHRH agonists. (5.4) -------------------------- RECENT MAJOR CHANGES -------------------------- • Monitoring Prostate Specific Antigen (PSA) is recommended. Evaluate Warnings and Precautions (5.2) 10/2017 for clinical progression if PSA increases. (5.5) --------------------------- INDICATIONS AND USAGE -------------------------- ------------------------------ ADVERSE REACTIONS ----------------------------- • CASODEX 50 mg is an androgen receptor inhibitor indicated for use in Adverse reactions that occurred in more than 10% of patients receiving combination therapy with a luteinizing hormone-releasing hormone CASODEX plus an LHRH-A were: hot flashes, pain (including general, back, (LHRH) analog for the treatment of Stage D2 metastatic carcinoma of pelvic and abdominal), asthenia, constipation, infection, nausea, peripheral the prostate. (1) edema, dyspnea, diarrhea, hematuria, nocturia, and anemia. (6.1) • CASODEX 150 mg daily is not approved for use alone or with other treatments. (1) To report SUSPECTED ADVERSE REACTIONS, contact AstraZeneca Pharmaceuticals LP at 1-800-236-9933 or FDA at 1-800-FDA-1088 or ---------------------- DOSAGE AND ADMINISTRATION ---------------------- www.fda.gov/medwatch The recommended dose for CASODEX therapy in combination with an LHRH analog is one 50 mg tablet once daily (morning or evening). -
MEMS Technology for Physiologically Integrated Devices
A BioMEMS Review: MEMS Technology for Physiologically Integrated Devices AMY C. RICHARDS GRAYSON, REBECCA S. SHAWGO, AUDREY M. JOHNSON, NOLAN T. FLYNN, YAWEN LI, MICHAEL J. CIMA, AND ROBERT LANGER Invited Paper MEMS devices are manufactured using similar microfabrica- I. INTRODUCTION tion techniques as those used to create integrated circuits. They often, however, have moving components that allow physical Microelectromechanical systems (MEMS) devices are or analytical functions to be performed by the device. Although manufactured using similar microfabrication techniques as MEMS can be aseptically fabricated and hermetically sealed, those used to create integrated circuits. They often have biocompatibility of the component materials is a key issue for moving components that allow a physical or analytical MEMS used in vivo. Interest in MEMS for biological applications function to be performed by the device in addition to (BioMEMS) is growing rapidly, with opportunities in areas such as biosensors, pacemakers, immunoisolation capsules, and drug their electrical functions. Microfabrication of silicon-based delivery. The key to many of these applications lies in the lever- structures is usually achieved by repeating sequences of aging of features unique to MEMS (for example, analyte sensitivity, photolithography, etching, and deposition steps in order to electrical responsiveness, temporal control, and feature sizes produce the desired configuration of features, such as traces similar to cells and organelles) for maximum impact. In this paper, (thin metal wires), vias (interlayer connections), reservoirs, we focus on how the biological integration of MEMS and other valves, or membranes, in a layer-by-layer fashion. The implantable devices can be improved through the application of microfabrication technology and concepts. -
Biomaterial Scaffolds in Pediatric Tissue Engineering
0031-3998/08/6305-0497 Vol. 63, No. 5, 2008 PEDIATRIC RESEARCH Printed in U.S.A. Copyright © 2008 International Pediatric Research Foundation, Inc. Biomaterial Scaffolds in Pediatric Tissue Engineering MINAL PATEL AND JOHN P. FISHER Fischell Department of Bioengineering, University of Maryland, College Park, Maryland 20742 ABSTRACT: This article reviews recent developments and major immune system is not completely developed. However, pedi- issues in the use and design of biomaterials for use as scaffolds in atric patients have exhibited a higher regenerative capacity com- pediatric tissue engineering. A brief history of tissue engineering and pared with adults because younger cells have undergone less the limitations of current tissue-engineering research with respect to stress and age damage. This review studies novel biomaterials as pediatric patients have been introduced. An overview of the charac- scaffolds and pediatric tissue-engineering applications. teristics of an ideal tissue-engineering scaffold for pediatric applica- tions has been presented, including a description of the different types of scaffolds. Applications of scaffolds materials have been high- CHARACTERISTICS OF AN IDEAL SCAFFOLD lighted in the fields of drug delivery, bone, cardiovascular, and skin tissue engineering with respect to the pediatric population. This Before developing a scaffold for any tissue-engineering review highlights biomaterials as scaffolds as an alternative treatment application, the material and biologic properties have to be method for pediatric surgeries due to the ability to create a functional evaluated. Initially, depending upon the application, mechan- cell-scaffold environment. (Pediatr Res 63: 497–501, 2008) ical properties should be studied keeping in mind the sur- rounding environment of the scaffold once placed in an in vivo he field of tissue engineering involves replacement of system. -
Biocompatibility of Polyimides: a Mini-Review
materials Review Biocompatibility of Polyimides: A Mini-Review Catalin P. Constantin 1 , Magdalena Aflori 1 , Radu F. Damian 2 and Radu D. Rusu 1,* 1 “Petru Poni” Institute of Macromolecular Chemistry, Romanian Academy, Aleea Grigore Ghica Voda 41A, Iasi-700487, Romania; [email protected] (C.P.C.); mafl[email protected] (M.A.) 2 SC Intelectro Iasi SRL, Str. Iancu Bacalu, nr.3, Iasi-700029, Romania; [email protected] * Correspondence: [email protected]; Tel.: +40-232-217454 Received: 14 August 2019; Accepted: 25 September 2019; Published: 27 September 2019 Abstract: Polyimides (PIs) represent a benchmark for high-performance polymers on the basis of a remarkable collection of valuable traits and accessible production pathways and therefore have incited serious attention from the ever-demanding medical field. Their characteristics make them suitable for service in hostile environments and purification or sterilization by robust methods, as requested by most biomedical applications. Even if PIs are generally regarded as “biocompatible”, proper analysis and understanding of their biocompatibility and safe use in biological systems deeply needed. This mini-review is designed to encompass some of the most robust available research on the biocompatibility of various commercial or noncommercial PIs and to comprehend their potential in the biomedical area. Therefore, it considers (i) the newest concepts in the field, (ii) the chemical, (iii) physical, or (iv) manufacturing elements of PIs that could affect the subsequent biocompatibility, and, last but not least, (v) in vitro and in vivo biocompatibility assessment and (vi) reachable clinical trials involving defined polyimide structures. The main conclusion is that various PIs have the capacity to accommodate in vivo conditions in which they are able to function for a long time and can be judiciously certified as biocompatible. -
A Mini-Review of Dental Implant Biomaterials
Mini Review Modifying an Implant: A Mini-review of Dental Implant Biomaterials Oliver K. Semisch-Dieter1, Andy H. Choi1, Besim Ben-Nissan1 and Martin P. Stewart1,* Abstract 1School of Life Sciences, Faculty of Science, University Dental implants have been used as far back as 2000BC, and since then have developed into highly sophisti- of Technology Sydney, Ultimo, cated solutions for tooth replacement. It is becoming increasingly important for the materials used in dental implants to exhibit and maintain favorable long-term mechanical, biological and more recently, aesthetic NSW, Australia properties. This review aims to assess the biomaterials used in modern dental implants, introducing their properties, and concentrating on modifications to improve these biomaterials. Focus is drawn to the promi- nent biomaterials, titanium (Ti) and zirconia due to their prevalence in implant dentistry. Additionally, novel coatings and materials with potential use as viable improvements or alternatives are reviewed. An effective *Correspondence to: dental biomaterial should osseointegrate, maintain structural integrity, resist corrosion and infection, and not Martin P. Stewart cause systemic toxicity or cytotoxicity. Current materials such as bioactive glass offer protection against bio- E-mail: martin.stewart@uts. film formation, and when combined with a titanium–zirconium (TiZr) alloy, provide a reliable combination edu.au of properties to represent a competitive alternative. Further long-term clinical studies are needed to inform the development of next-generation materials. Received: September 7 2020 Revised: December 7 2020 Keywords Accepted: January 4 2021 Biocompatibility, biomaterials, dental implant, titanium, zirconia. Published Online: March 19 2021 Significance Statement Available at: Biomaterials have become essential for modern implants. -
Biocompatibility of Plastics
SPECIAL EDITION RESINATE Your quarterly newsletter to keep you informed about trusted products, smart solutions, and valuable updates. BIOCOMPATIBILITY OF PLASTICS REVISED AND EDITED BY KEVIN J. BIGHAM, PhD. © 2010; © 2017 BIOCOMPATIBILITY OF PLASTICS 2 INTRODUCTION Plastics have many unique properties regarding their manufacturability and production potential. These properties are increasingly being utilized in the production of medical devices and medical packaging. The medical device industry is one of the fastest growing areas for plastics with growth rates exceeding gross domestic product growth for several years. This trend is predicted to continue into the future due to developments of increasingly innovative medical devices, improvements in plastics technology (both materials and processing), and an aging population. Despite this significant growth, one thing remains constant: The application of any material in a medical device must meet stringent safety requirements. BIOCOMPATIBILITY Biocompatibility is a general term used to describe the suitability of a material for exposure to the body or bodily fluids with an acceptable host response. Biocompatibility is dependent on the specific application and circumstance of the material in question: A material may be biocompatible in one particular usage but may not be in another. In general, a material may be considered biocompatible if it causes no harm to the host. This is distinct, however, from causing no side effects or other consequences. Frequently, material that is considered biocompatible once implanted in the body will result in varying degrees of inflammatory and immune responses. For a biocompatible material, these responses are not harmful and are part of body’s normal responses. Materials that are not biocompatible are those that do result in adverse (harmful) effects to the host. -
Scientific Summary, Digital Implant Solutions
Atlantis® Simplant® Scientific Summary Digital Implant Solutions Comprehensive solutions for all phases of implant dentistry Welcome Are you looking for information about the excellent results with our individually designed Atlantis abutments and suprastructures and how to achieve simplicity, freedom, esthetics, and reliability when treating your patients? Or do you want to explore the research findings behind Simplant, a comprehensive digitial 3D system developed to accomplish more accurate and predictable implant treatment? You will find the answers here, and much more. This Scientific Summary provides a synopsis of the key research findings supporting our digital solutions including Atlantis patient-specific prosthetic solutions and computer guided implant treatment with Simplant. Each summary is based on facts retrieved from the original research article. The Scientific Summary focuses on the following topics: Atlantis® 9 Simplant® 23 References 30 Summary by Dentsply Sirona Implants of facts retrieved from the original articles. For a more comprehensive view of the documentation and research on our products, please refer to our Scientific Reviews. The Scientific Reviews are available for download at www.dentsplyimplants.com/science To improve readability for our customers, Dentsply Sirona does not use ® or ™ in body copy. However, Dentsply Sirona Implants does not waive any right to the trademark and nothing herein shall be interpreted to the contrary. Ongoing innovation For two decades, the Atlantis products and services have been -
Mechanical Properties of Biomaterials
Mechanical Properties of Biomaterials Academic Resource Center Determining Biomaterial Mechanical Properties • Tensile and Shear properties • Bending properties • Time dependent properties Tensile and Shear properties • Types of forces that can be applied to material: a) Tensile b) Compressive c) Shear d) Torsion Tensile Testing • Force applied as tensile, compressive, or shear. • Parameters measured: Engineering stress (σ) and Engineering strain (ԑ). • σ = F/A0 : Force applied perpendicular to the cross section of sample • ԑ = (li-l0)/l0: l0 is the length of sample before loading, li is the length during testing. Compression Testing • Performed mainly for biomaterials subjected to compressive forces during operation. E.g. orthopedic implants. • Stress and strain equations same as for tensile testing except force is taken negative and l0 larger than li. • Negative stress and strain obtained. Shear Testing • Forces parallel to top and bottom faces • Shear stress (τ) = F/A0 • Shear strain (γ)= tanθ ; θ is the deformation angle. • In some cases, torsion forces may be applied to sample instead of pure shear. Elastic Deformation • Material 1: Ceramics • Stress proportional to strain. • Governed by Hooke’s law: σ = ԑE; τ=Gγ • E :Young’s modulus G: Shear modulus - measure of material stiffness. • Fracture after applying small values of strain: ceramics are brittle in nature. Elastic and Plastic deformation. • Material 2: Metal • Stress proportional to strain with small strain; elastic deformation. • At high strain, stress increases very slowly with increased strain followed by fracture: Plastic deformation. Elastic and Plastic deformation. • Material 3: Plastic deformation polymer • Stress proportional to strain with small strain; elastic deformation. • At high strain, stress nearly independent of strain, shows slight increase: Plastic deformation.