Water sorption,solubility and dimensional changes of denture base polymers reinforced with short glass fibers

The aim of this study was to determine water sorption, solubility and dimensional stability of injection and compression-molded polymethyl methacrylate based denture base polymer that was reinforced with various concentrations and lengths of E-glass fibers. For water sorption and solubility, 20 test groups with different fiber contents and lengths of fibers were prepared. Test specimens without fibers were used as a control. The water sorption and solubility was measured after 90 days water storage. For dimensional stability, rhombic test specimens were prepared and the dimensional changes were measured after processing, drying and storing in water for 4 days and 30 days and were compared with those on the brass model. The water sorption and solubility of injection-molded denture base polymer was lower compared to compression-molded specimens (p < 0.05). The dimensional accuracy of denture base polymer was not affected with fiber reinforcement (p > 0.05).     

Water sorption, solubility and effect of post-curing of glass fibre reinforced polymers.

Different polymer matrices are used for dental glass fibre composites. The aims of this study were to determine water sorption and solubility of glass fibre composites with different polymer matrices. In addition, the effect of post-curing of matrix polymers with heat on the water sorption and solubility values was investigated. Commercial one-phase and two-phase (powder-liquid) monomer systems were used in polymer matrix of E-glass fibre composite. Rhombic unreinforced and fibre reinforced test specimens were polymerized by autopolymerization or by light only, or additionally post-cured with heat. Water sorption and solubility determination method was based on ISO/DIS 1567-1997 draft for international standard with 7 d immersion time. In addition, water sorption was measured at second time for 30 d immersion time to determine saturation time of test specimens by water. Five test specimens of unreinforced polymer and reinforced polymer were tested and the quantity of fibres was determined by combustion analysis. Water sorption values of different brands of polymer matrices ranged from 0.9 to 8.3 wt% (P < 0.001, ANOVA). High sorption values were explained by microscopic voids in the polymer matrix and by composition of polymer matrix. Solubility values ranged from 0.02 to 2.5 wt% (P < 0.001, ANOVA). Generally, fibre inclusion and post-curing of polymer matrix reduced water sorption and solubility. The results of this study suggest that the water sorption and solubility of fibre composites varies according to the brand of polymer matrix and homogenity of polymer matrix. Water sorption of polymer matrix might influence hydrolytic stability of polymer-glass fibre composite.     

Effect of water storage of E-glass fiber-reinforced composite on adhesion of Streptococcus mutans

This study investigated the effect of water storage of fiber-reinforced composite on the adhesion of Streptococcus mutans (S. mutans) and its ability to stay adhered and multiply on the FRC. The materials (E-glass fibers and denture base polymer) were stored in water for 14 or 30 days or left dry. Water contact angles of the materials before and after water storage were determined. Test specimens, with or without parotid saliva or serum pellicle, were incubated in a suspension of S. mutans allowing initial adhesion to occur. Bacterial adhesion and multiplication was studied using scanning electron microscopy. Contact angles of both materials were significantly reduced after water storage indicating an increase in surface free energy. When studied without a surface pellicle, water storage significantly increased adhesion of S. mutans to both glass and polymer. Saliva coating of the materials resulted in higher degree of adhesion to glass fibers in comparison with polymer and after 14 days water storage glass bound over twice as much S. mutans cells than the polymer matrix. Bacterial growth and biofilm formation occurred equally on both materials. The results of this in vitro study suggest that in order to avoid the possible increase in S. mutans adhesion, the reinforcing glass fibers should be covered with the matrix polymer of the composite.     

Mechanical properties of oligomer-modified acrylic bone cement

The aim of this study was to determine the mechanical properties of acrylic bone cement modified with an experimental oligomer filler, based on an amino acid of trans-4-hydroxy-L-proline synthesized in the laboratory. The test specimens were tested either dry, or after being stored in distilled water or in simulated body fluid (SBF) for 1 week and then tested in distilled water. The three-point bending test was used to measure the flexural strength and flexural modulus of the cement, and the compression tests were used to measure the compression strength and modulus. One test specimen from each group was examined under a scanning electron microscope (SEM) to determine the nature of the oligomer filler in the polymethylmethacrylate-polymethylacrylate copolymer-based (PMMA-PMA/PMMA) polymer blend. In dry conditions, the flexural strength of the test specimens tested in air was 66 MPa, and the compression strength was 93 GPa (p<0.001) for the plain bone cement. For the test specimens including 20 wt% of oligomer filler, the flexural strength was 37 MPa, and the compression strength was 102 MPa(p<0.001) in dry conditions. The storage in wet conditions (in distilled water and the SBF) decreased the flexural strength of the test specimens with 20 wt% of oligomer filler (p<0.001) by 60% and the flexural modulus by 44% compared to the plain bone cement specimens stored in the same conditions. The reduction in compression strength in wet conditions was 32%, and that of the compression modulus was 30% (p<0.001). No significant differences were found between test specimens stored in distilled water or SBF (ANOVA, p<0.001). In the SEM examinations, random voids were observed in the oligomer-PMMA-PMA/PMMA polymer blend after water or SBF storage. The results suggest that both water and SBF storage decrease the mechanical properties of the PMMA-PMA/PMMA bone cement modified with oligomer, while at the same time, there was porous formation in the bone cement structure.     

The bond strength of light-curing composite resin to finally polymerized and aged glass fiber-reinforced composite substrate

OBJECTIVE: This study examines the shear bond strength of visible light-curing composite resin (VCR) to aged glass fiber-reinforced composite (FRC) substrate with multi-phase polymer matrix. METHODS: Linear polymethyl methacrylate and dimethacrylate monomer preimpregnated unidirectional glass fiber reinforcement was used as an adhesion substrate for low-viscosity diacrylate veneering composite resin and restorative composite resin. A total of 60 test specimens were divided into three groups according to the brand and the use of an intermediate monomer resin (IMR). The used IMRs were either BisGMA-HEMA-resin, BisGMA-TEGDMA resin or the controls were left without the IMR treatment. Dry- and water-stored FRC-substrates were used for adhering the VCR with or without the IMR. The shear bond strength of the VCR to the substrate was measured for dry and thermocycled specimens and the results were analyzed with multi-variate ANOVA. RESULTS: The highest mean shear bond strength (23.9 +/- 4.8 MPa) was achieved with FRC/BisGMA-HEMA/VCR combination when the FRC substrate was water stored and the test specimen was thermocycled. FRC/BisGMA-TEGDMA/VCR combination resulted in 15.7 +/- 6.0 MPa with the water-stored FRC substrate and after thermocycling of the test specimens. The lowest shear bond strength (1.0 +/- 0.5 MPa) was obtained with FRC/VCR combination with water-stored substrate and after thermocycling of the test specimens. Significant differences were found between the mean values of three groups according to the use of IMR (p<0.001). The storage conditions of the FRC substrate were related to brand of the IMR or the composite (p<0.001). High mean values of the shear bond strength after thermocycling fatigue were related to the type of IMR (p<0.001). SIGNIFICANCE: The results suggest that the IMRs used in this study greatly influence the mean shear bond strength values when the test specimens are thermocycled.     

Reinforcement of a self-setting calcium phosphate cement with different fibers

A water-based calcium phosphate cement (CPC) has been used in a number of medical and dental procedures due to its excellent osteoconductivity and bone replacement capability. However, the low tensile strength of CPC prohibits its use in many unsupported defects and stress-bearing locations. Little investigation has been carried out on the fiber reinforcement of CPC. The aims of the present study, therefore, were to examine whether fibers would strengthen CPC, and to investigate the effects of fiber type, fiber length, and volume fraction. Four different fibers were used: aramid, carbon, E-glass, and polyglactin. Fiber length ranged from 3-200 mm, and fiber volume fraction ranged from 1.9-9.5%. The fibers were mixed with CPC paste and placed into molds of 3 x 4 x 25 mm. A flexural test was used to fracture the set specimens and to measure the ultimate strength, work-of-fracture, and elastic modulus. Scanning electron microscopy was used to examine specimen fracture surfaces. Fiber type had significant effects on composite properties. The composite ultimate strength in MPa (mean +/- SD; n = 6) was (62+/-16) for aramid, (59+/-11) for carbon, (29+/-8) for E-glass, and (24+/-4) for polyglactin, with 5.7% volume fraction and 75 mm fiber length. In comparison, the strength of unreinforced CPC was (13+/-3). Fiber length also played an important role. For composites containing 5.7% aramid fibers, the ultimate strength was (24+/-3) for 3 mm fibers, (36+/-13) for 8 mm fibers, (48 +/-14) for 25 mm fibers, and (62+/-16) for 75 mm fibers. At 25 mm fiber length, the ultimate strength of CPC composite was found to be linearly proportional to fiber strength. In conclusion, a self-setting calcium phosphate cement was substantially strengthened via fiber reinforcement. Fiber length, fiber volume fraction, and fiber strength were found to be key microstructural parameters that controlled the mechanical properties of CPC composites.     

Hydrothermal and mechanical stresses degrade fiber-matrix interfacial bond strength in dental fiber-reinforced composites

Fiber-reinforced composites (FRCs) show great promise as long-term restorative materials in dentistry and medicine. Recent evidence indicates that these materials degrade in vivo, but the mechanisms are unclear. The objective of this study was to investigate mechanisms of deterioration of glass fiber-polymer matrix bond strengths in dental fiber-reinforced composites during hydrothermal and mechanical aging. Conventional three-point bending tests on dental FRCs were used to assess flexural strengths and moduli. Micro push-out tests were used to measure glass fiber-polymer matrix bond strengths, and nanoindentation tests were used to determine the modulus of elasticity of fiber and polymer matrix phases separately. Bar-shaped specimens of FRCs (EverStick, StickTech, and Vectris Pontic, Ivoclar-Vivadent) were either stored at room temperature, in water (37 and 100 degrees C) or subjected to ageing (10(6) cycles, load: 49 N), then tested by three-point bending. Thin slices were prepared for micro push-out and nanoindentation tests. The ultimate flexural strengths of both FRCs were significantly reduced after aging (p < 0.05). Both water storage and mechanical loading reduced the interfacial bond strengths of glass fibers to polymer matrices. Nanoindentation tests revealed a slight reduction in the elastic modulus of the EverStick and Vectris Pontic polymer matrix after water storage. Mechanical properties of FRC materials degrade primarily by a loss of interfacial bond strength between the glass and resin phases. This degradation is detectable by micro push-out and nanoindentation methods.     

Novel nano-particles as fillers for an experimental resin-based restorative material

The purpose of this study is to compare the properties of two experimental materials, nano-material (Nano) and Microhybrid, and two trade products, Clearfil AP-X and Filtek Supreme XT. The flexural strength and modulus after 24h water storage and 5000 thermocycles, water sorption, solubility and X-ray opacity were determined according to ISO 4049. The volumetric behavior (DeltaV) after curing and after water storage was investigated with the Archimedes principle. ANOVA was calculated with p<0.05. Clearfil AP-X showed the highest flexural strength (154+/-14 MPa) and flexural modulus (11,600+/-550 MPa) prior to and after thermocycling (117+/-14 MPa and 13,000+/-300 MPa). The flexural strength of all materials decreased after thermocycling, but the flexural modulus decreased only for Filtek Supreme XT. After thermocycling, there were no significant differences in flexural strength and modulus between Filtek Supreme XT, Microhybrid and Nano. Clearfil AP-X had the lowest water sorption (22+/-1.1 microg mm(-3)) and Nano had the highest water sorption (82+/-2.6 microg mm(-3)) and solubility (27+/-2.9 microg mm(-3)) of all the materials. No significant differences occurred between the solubility of Clearfil AP-X, Filtek Supreme XT and Microhybrid. Microhybrid and Nano provided the highest X-ray opacity. Owing to the lower filler content, Nano showed higher shrinkage than the commercial materials. Nano had the highest expansion after water storage. After thermocycling, Nano performed as well as Filtek Supreme XT for flexural strength, even better for X-ray opacity but significantly worse for flexural modulus, water sorption and solubility. The performances of microhybrids were superior to those of the nano-materials.     

Bioactive glass surface for fiber reinforced composite implants via surface etching by Excimer laser

Biostable fiber-reinforced composites (FRC) prepared from bisphenol-A-glycidyldimethacrylate (BisGMA)-based thermosets reinforced with E-glass fibers are promising alternatives to metallic implants due to the excellent fatigue resistance and the mechanical properties matching those of bone. Bioactive glass (BG) granules can be incorporated within the polymer matrix to improve the osteointegration of the FRC implants. However, the creation of a viable surface layer using BG granules is technically challenging. In this study, we investigated the potential of Excimer laser ablation to achieve the selective removal of the matrix to expose the surface of BG granules. A UV–vis spectroscopic study was carried out to investigate the differences in the penetration of light in the thermoset matrix and BG. Thereafter, optimal Excimer laser ablation parameters were established. The formation of a calcium phosphate (CaP) layer on the surface of the laser-ablated specimens was verified in simulated body fluid (SBF). In addition, the proliferation of MG63 cells on the surfaces of the laser-ablated specimens was investigated. For the laser-ablated specimens, the pattern of proliferation of MG63 cells was comparable to that in the positive control group (Ti6Al4V). We concluded that Excimer laser ablation has potential for the creation of a bioactive surface on FRC-implants.     

Initial adhesion of glass-fiber-reinforced composite to the surface of porcine calvarial bone

The aim of this preliminary study was to compare the initial bond strength of the glass-fiber-reinforced composite veil to the surface of the porcine calvarial compact bone using different adhesives. Fiber-reinforced composite (FRC) made of E-glass fiber veil with the BisGMA-PMMA resin system was used in the study. For the shear bond strength test, porcine calvarial bone cubes were mounted into resin matrix. FRC-veil discs were bonded to compact bone with different types of adhesives: (A) BisGMA-HEMA based (3M-ESPE Scotchbond Multi-Purpose Adhesive), (B) 4-META/UDMA/BisGMA based (Unifil Bond Bonding Agent) and MDP based (Clearfil Se Bond adhesive), (C) UDMA/BisGMA/PMMA-based experimental adhesive, and (D) silane-based (APS, ICS, MPS) experimental adhesives. The surface of the bone was mechanically roughened and was either used as such, treated with dental primers (Unifil Bond Self-etching Primer, Clearfil Se Bond Primer), or treated with an experimental silane mixture (APS, ICS, MPS), or with a mixture of the experimental silane liquid and Clearfil Se Bond Primer. The 3M-ESPE Scotchbond Multi-Purpose Adhesive and UDMA/BisGMA/PMMA experimental adhesive gave poor results in the shear bond test (0.58 and 0.40 MPa, respectively). Unifil Bond Bonding Agent and Clearfil Se Bond adhesive with respective primers markedly improved the shear bond strength; with Unifil the result was 3.40 MPa, and with Clearfil it was 6.19 MPa. When the bone surface was primed with a mixture of Clearfil Se Bond Primer and Clearfil Porcelain Bond Activator, the Clearfil Se Bond adhesive-impregnated FRC veil gave the best adhesion to the bone surface in this test: 9.50 MPa. The addition of bioactive glass granules between the veil and the bone lowered the shear bond strength in the test system described above to 6.72 MPa. The test systems with the silane mixture were also promising. In the SEM study, it was found that the mechanical treatment reveals the pores of the bone surface. Chemical treatments of the bone surface improved the adhesion of the FRC veil to the bone. The results showed that the adhesion of the FRC to the surface of the bone can be significantly improved with mechanical roughening and with special chemical treatments of the bone surface.     

明胶联合壳聚糖纤维对磷酸钙骨水泥力学性能的影响

背景：已有多种纤维被用于提高磷酸钙骨水泥的强度及抗断裂性能。 目的：了解明胶联合壳聚糖纤维对磷酸钙骨水泥力学性能的影响,寻找较为合适的配比。 方法：采用2×4析因设计,将质量比为0(蒸馏水),5%的明胶,体积比为0,10%,30%和50%的壳聚糖纤维分别混入磷酸钙骨水泥,检测复合物的抗弯曲强度,扫描电子显微镜观察各组试样断口形态并进行电子能谱分析。 结果与结论：各明胶组间抗弯强度差异有非常显著性意义(P < 0.001);各体积比纤维间抗弯强度差异有非常显著性意义(P < 0.001),其中5%明胶和30%壳聚糖纤维构成的复合物抗弯曲强度最大,达 12.31 MPa。以蒸馏水为液相的磷酸钙骨水泥固化后,表面可见不规则颗粒,平均微孔直径小于5 μm,添加明胶后颗粒似乎黏在一起,微孔直径与前者相似,但是数目少于前者。磷酸钙骨水泥-5%明胶-30%纤维复合物的断口扫描可见拔出纤维的表面黏附有大量颗粒,磷酸钙骨水泥-蒸馏水-30%纤维复合物拔出纤维表面的颗粒明显减少。表明明胶与壳聚糖纤维可提高磷酸钙骨水泥的抗弯曲强度,5%明胶和30%壳聚糖纤维为这种增强模式较为合适的比例。     

Residual monomers and degree of conversion of partially bioresorbable fiber-reinforced composite

The aim of this study was to evaluate the total quantity of residual monomer (bis-phenyl glycidyl dimethacrylate, i.e. Bis-GMA, and triethylene glycol dimethacrylate, i.e. TEGDMA), residual monomer release into water and the degree of monomer conversion (DC%) of glass fiber-reinforced composites (FRC) with a partially bioresorbable polymer matrix. Another aim was to find out whether the curing mode affects the quantity of residual monomer and degree of conversion. Glass fibers were preimpregnated with a bioresorbable poly(hydroxyproline) amide and non-resorbable Bis-GMA-TEGDMA resin system. Specimens were immersed in water for 1, 3 or 7 days (37 degrees C) to determine the quantity of leached residual monomers, or in the solvent tetrahydrofuran for 3 days to determine the total quantity of residual monomers by high performance liquid chromatography. DC% was measured by Fourier transform infrared spectroscopy. The quantity of residual monomer of the specimens decreased when the specimens contained glass fibers, and/or poly(hydroxyproline) amide, and/or when it was post-cured. The majority of the residual monomers were leached out during the first 24 h of immersion in water. The DC% of the specimens increased when post-cured. Also glass fibers in the composite increased the DC% in contrast to Bis-GMA-TEGDMA resin only. In conclusion, use of poly(hydroxyproline) amide as a sizing of the glass fibers in FRC does not increase the quantity of residual monomers. These results suggest that this new kind of partially bioresorbable FRC has potential for biomedical applications.     

Evaluation of a new fiber-reinforced resin composite

Efficacy of the usage of an experimental fiber-reinforced composite (FRC) on mechanical properties of an indirect composite was investigated by means of three-point bending and Charpy impact tests. Bond strength between the FRC and the indirect composite was also evaluated by tensile testing. The FRC consisted of a matrix resin with 25% silanized milled glass fiber (11-microm diameter, 150-microm length) and 5% colloidal silica. The values of strain of proportional limit, total strain, and fracture energy of the FRC during the bending test (1.2%, 10.4%, and 41.6 x 10(-3) J) were significantly higher than those of the indirect composite (0.1%, 2.5%, and 11.9 x 10(-3) J). The impact strengths of the 1-mm specimens with FRC ranged from 15.2 to 15.9 kJ/m(2), and were significantly higher than that of the control (3.1 kJ/m(2)). The 2-mm specimens showed significant difference from the control when the FRC thickness was equal or greater than 0.5 mm. The bond strength after the thermocycling was 15.2 MPa, and all of the specimens exhibited cohesive fracture inside the indirect composite. Based upon the results, it was concluded that the FRC tested in this study improved toughness and impact resistance of the indirect composite. The interfacial bonding between the FRC and the indirect composite was strong enough to prevent delamination.     

Diffusion coefficient of water through dental composite resin

Water sorption of polymer filling materials affects dimensional stability, mechanical properties and bonding strength with tooth structures. To clarify the effect of the degradation on service life and micro-leakage, the diffusion coefficient of water through the resin should be identified. Distributions of time-dependent water concentrations in the resin were computed. Water sorption of composite resin discs with different thicknesses was measured and compared with the solution of Fick's second law. The diffusion coefficient of water through the resin discs was computed to be D=3.9-5.0 x 10(-13)m(2)/s from the measurements of specimens with different thicknesses. Results of water sorption measurements for the discs with different thicknesses were in good agreement with the theoretical results. The relationship among the thickness of the disc, the diffusion coefficient and the water sorption ratio was shown clearly. The testing method for water sorption by International Standard ISO 4049 for resin-based filling materials was discussed.     

Al2O3/GdAlO3 fiber for dental porcelain reinforcement

The aim of this study was to test the hypothesis that the addition of continuous or milled GdAlO₃/Al₂O₃ fibers to a dental porcelain increases its mechanical properties. Porcelain bars without reinforcement (control) were compared to those reinforced with long fibers (30 vol%). Also, disk specimens reinforced with milled fibers were produced by adding 0 (control), 5 or 10 vol% of particles. The reinforcement with continuous fibers resulted in significant increase in the uniaxial flexural strength from 91.5 to 217.4 MPa. The addition of varied amounts of milled fibers to the porcelain did not significantly affect its biaxial flexural strength compared to the control group. SEM analysis showed that the interface between the continuous fiber and the porcelain was free of defects. On the other hand, it was possible to note the presence of cracks surrounding the milled fiber/porcelain interface. In conclusion, the reinforcement of the porcelain with continuous fibers resulted in an efficient mechanism to increase its mechanical properties; however the addition of milled fibers had no significant effect on the material because the porcelain was not able to wet the ceramic particles during the firing cycle.     

Frontal bone defect repair with experimental glass-fiber-reinforced composite with bioactive glass granule coating

OBJECTIVE: The aim of this preliminary study was to test the bioactive glass-coated fiber-reinforced composite (FRC) as a reconstruction material in the treatment of experimental defects in the frontal bone of rabbits. METHODS: FRC made of E-glass fiber and BisGMA-PMMA resin matrix system was used in the study. Pieces of nonpolymerized FRC were coated with particulate bioactive glass granules S53P4 (BAG), and then the FRC was polymerized and post-cured by heat in air to reduce the quantity of residual monomers, and to sterilize the material for the animal study. Two round defects (5 mm in diameter) were drilled in the upper bony walls of 12 NZW rabbits' frontal sinuses, and rectangular FRC plates were applied over the defects. In the control group, no FRC plates were used. The bone defect healing process was evaluated on histological sections at 3, 6, and 8 weeks, postoperatively. SEM-EDX analysis was used to determine reactive layers of bioactive glass granules. RESULTS: The healing progressed from the fibroconnective tissue phase at 3 weeks to lamellar bone formation at 6 and 8 weeks. The difference in new bone formation between the implantation groups and control groups was not statistically significant, although in some animals the effect of the implant on bone healing was clearly positive. A moderate foreign body reaction was seen on the implant surface where BAG granules did not uniformly cover the implant's polymer matrix. CONCLUSIONS: This study suggests that the tested FRC implant with bioactive glass coating provides an alternative for bone defect reconstruction. However, more research on this composite material and its biocompatibility is needed.     

The effect of fiber reinforcement type and water storage on strength properties of a provisional fixed partial denture resin

Fracture resistance of provisional restorations is an important clinical concern. This property is directly related to transverse strength. Strengthening of provisional fixed partial dentures may result from reinforcement with various fiber types. This study evaluated the effect of fiber type and water storage on the transverse strength of a commercially available provisional resin under two different conditions. The denture resin was reinforced with either glass or aramid fiber or no reinforcement was used. Uniform samples were made from a commercially available autopolymerizing provisional fixed partial denture resin. Sixteen bar-shaped specimens (60 x 10 x 4 mm) were reinforced with pre-treated epoxy resin-coated glass fibers, with aramid fibers, or with no fibers. Eight specimens of each group, with and without fibers, were tested after 24 h of fabrication (immediate group), and after 30-day water storage. A three-point loading test was used to measure the transverse strength, the maximal deflection, and the modulus of elasticity. The Kruskal-Wallis Analysis of Variance was used to examine differences among the three groups, and then the Mann-Whitney U Test and Wilcoxon Signed Ranks Test were applied to determine pair-wise differences. The transverse strength and the maximal deflection values in the immediate group and in the 30-day water storage group were not statistically significant. In the group tested immediately, the elasticity modulus was found to be significant (P = 0.042). In the 30-day water storage group, all the values were statistically insignificant. The highest transverse strength was displayed by the glass-reinforced resin (66.25MPa) in the immediate group. The transverse strength value was 62.04MPa for the unreinforced samples in the immediate group. All the specimens exhibited lower transverse strength with an increase in water immersion time. The transverse strength value was 61.13 MPa for the glass-reinforced resin and was 61.24 MPa for the unreinforced resin. The aramid-reinforced resin decreased from 62.29 to 58.77 MPa. The addition of fiber reinforcement enhanced the physical properties (the transverse strength, the maximal deflection, the modulus of elasticity) of the processed material over that seen with no addition of fiber. Water storage did not statistically affect the transverse strength of the provisional denture resin compared to that of the unreinforced resin. The transverse strength was lowered at water storage but it was not statistically significant. The transverse strength was enhanced by fiber addition compared to the unreinforced resin. The glass fiber was superior to the other fiber. Also the modulus of elasticity was enhanced by fiber addition compared to the unreinforced resin.     

Carbon/graphite fiber reinforced poly(methyl methacrylate): properties under dry and wet conditions

The flexural properties of poly(methyl methacrylate) (PMMA) reinforced with carbon/graphite (C/G) fibers with three different surface treatments were investigated by transverse bend testing after dry and wet storage. The fibers used were (1) commercially available fibers, (2) cleaned fibers, and (3) cleaned and sized fibers. The coating agents of commercial unidirectional and braided C/G fibers as well as impurities on C/G fibers for medical uses were characterized by means of high-performance liquid chromatography (HPLC). The agar overlay technique was used to assess the cytotoxicity of leachable elements from different fibers and processed composites. Composites with both unidirectional and braided tubular C/G fibers were investigated after storage in water. Fracture stress and flexural modulus decreased when "commercial" fibers were used as reinforcing material. Composites with cleaned and sized fibers gave only minor differences in flexural properties after dry and wet storage. By means of SEM micrographs the adhesion behavior of unsized C/G fibers, epoxy sized fibers, cleaned fibers, and cleaned and sized fibers were assessed. After water storage a substantial part of the cleaned fibers adhered to the matrix material. The adhesion capacity of the other fibers was reduced since the water absorption caused separation of fiber and matrix.     

Mechanical and biocompatible influences of chitosan fiber and gelatin on calcium phosphate cement

Calcium phosphate cement (CPC) is a widely used bone substitute in the clinic; however, the low strength of CPC limits its utilization. In this study, we investigated mechanical influences of chitosan fiber combined with gelatin on CPC, and examined the biocompatibility of the new composite with rat bone marrow stromal cells. Compared to the fiber impregnated in phosphate buffered saline (80.5 MPa), our study showed that tensile strength of chitosan fiber increased 106 and 114% with the impregnation of gelatin at the mass fraction 5 and 10%, although this increase was not statistically significant. It was demonstrated by Fourier transform infrared spectroscopy that the characteristic absorption bands of chitosan were changed with the addition of gelatin. The optimal flexural strength enhancement was obtained when CPC was reinforced with fiber at volume fraction of 30% and gelatin at mass fraction of 5% (maximum: 12.31 MPa). The fiber morphology was more compact when the chitosan fibers impregnated with gelatin at mass fraction of 5 or 10% than chitosan alone. The fracture analysis showed that the new CPC-chitosan fiber-gelatin composite presented many remnants of CPC adhered to fibers. Short minimum essential medium extract test showed no cell growth inhibition after the addition of the new composite. Rat bone marrow stromal cells retain the ability to spread and grow on the composite. Our studies demonstrated that the flexural strength is greatly increased by using CPC incorporated with proper ratio of CF and gelatin. More over, the new composite demonstrated biocompatibility in vitro.     

Development of a multi-component fiber-reinforced composite implant for load-sharing conditions

Fiber-reinforced composites (FRC) have the potential for use as load-bearing orthopaedic implants if the high strength and elastic modulus of FRC implant can be matched with local requirements. This study tested the in vivo performance of novel FRC implants made of unidirectional glass fibers (E-glass fibers in Bis-GMA and TEGDMA polymeric matrix). The implant surface was covered with bioactive glass granules. Control implants were made of surface-roughened titanium. Stress-shielding effects of the implants were predicted by finite element modelling (FEM). Surgical stabilization of bone metastasis in the subtrochanteric region of the femur was simulated in 12 rabbits. An oblong subtrochanteric defect of a standardized size (reducing the torsional strength of the bones approximately by 66%) was created and an intramedullary implant made of titanium or the FRC composite was inserted. The contralateral femur served as the intact control. At 12 weeks of healing, the femurs were harvested and analyzed by radiography, torsional testing, micro-CT imaging and hard tissue histology. The functional recovery was unremarkable in both groups, although the final analysis revealed two healed undisplaced peri-implant fractures in the group of FRC implants. FEM studies demonstrated differences in stress-shielding effects of the titanium and FRC implants, but the expected biological consequences did not become evident during the follow-up time of the animal study. Biomechanical testing of the retrieved femurs showed no significant differences between the groups. The torsional strength of the fixed bones had returned the level of contralateral intact femurs. Both implants showed ongrowth of intramedullary new bone. No adverse tissue reactions were observed. Based on these favorable results, a large-scale EU-project (NewBone, www.hb.se/ih/polymer/newbone) has been launched for development of orthopaedic FRC implants.