The purpose of this study was to investigate the fatigue life of an endosseous root-form dental implant using finite element analysis. A conventional Brånemark dental implant system was redesigned to utilize the biocompatible, lightweight magnesium alloy coating which promotes bone growth. ANSYS Workbench 11.0 was used to generate a three-dimensional mesh of a model created in Pro Engineer with the actual size specifications. Regulations and schematic of test set-up from ISO 14801 - "Fatigue test for endosseous dental implants" were strictly followed to simulate the fatigue test. To validate the credibility of calculated fatigue life, actual prototypes were built with the design specifications and tested using Material Test System 810. The main advantages of performed computer simulations are that it is fast, efficient and cheap. A comparison of the calculated fatigue life with experimental fatigue life data displayed the accuracy and reliability of the computer simulation method.

Upon forming a biofilm, bacteria undergo several changes that prevent them from being eradicated with antimicrobials alone. These biofilms manifest as persistent infections and biofouling in the medical and industrial world, respectively, constituting an ongoing medical crisis and creating a huge financial burden. Biofilms on implanted medical devices cause thousands of patients each year to undergo multiple surgeries to explant and replace the implant, driving billions of dollars in increased health care costs due to the lack of viable treatment options for in situ biofilm eradication. Heat has been used to reliably eliminate biofilms for many years, but the temperatures employed are infeasible for many applications, particularly in vivo medical treatment. Remotely activated localized heat can be applied through a superparamagnetic iron oxide nanoparticle polymer coating when paired with an alternating magnetic field. However, there is very little known about the temperatures required to kill the biofilms and the effects of the heat in conjunction with antibiotics. To better understand the required parameters to effectively kill off bacteria in biofilms a variety of heat treatments were investigated for a variety of Pseudomonas aeruginosa biofilms grown in different conditions. Additionally, these heat treatments were combined with antibiotics to better understand any combined effects of the two orthogonal treatment plans. It was found that heat is an effective method for killing the bacteria in biofilms. Temperatures ranging from body temperature, 37 °C, to 80 °C were used to heat shock the biofilms for 1 to 30 minutes. Higher temperatures for short exposure times yielded similar results to lower temperatures for longer exposure time. Biofilms grown in different conditions did vary in their susceptibility to the heat shocks; however, at the higher temperatures the differences became negligible. Therefore, the more effective treatments were the higher temperature heat shocks with shorter exposure times to maximize bacterial cell death and minimize the potential heat transfer to the surrounding tissue. Regrowth studies indicate a critical post-shock bacterial loading (~103 CFU/cm2) below which the biofilms were no longer viable, while films above that loading slowly regrew to their previous population density. Combined treatments with antibiotics had synergistic effects for all antibiotics across a window of heat shock conditions. Erythromycin in particular, which showed no effect on the biofilm alone, decreased biofilm population by six orders of magnitude at temperatures which had no effect in the absence of antibiotics. These studies will evolve the understanding of biofilms and how to efficiently eradicate them on implant surfaces. The introduction of such a novel coating in conjunction with antibiotics could obviate thousands of surgeries and save billions of dollars spent on explantation, recovery, and re-implantation.

<p>Implants are commonly used for orthopaedic and dental applications. There is however a problem with implants; they have a tendency to get loose after 10-15 years of usage. Bone that is not used will get weaker; this can be concluded from studies of people being immobilised or in microgravity. When an implant is put into bone, the surrounding bone does not experience any deformation and it will resorb. This is called stress shielding. Finally the implant will get loose. To avoid this problem we want to give electrical stimulation to the bone surrounding the implant. Electricity has been used before to stimulate bone, and it has been shown that immobilised bone can almost be maintained by using electric stimulation.</p><p>Piezoelectricity is a property of certain materials that make them generate electricity when they are deformed. When an implant is coated with a piezoelectric material, electrical stimulation can be achieved for the surrounding bone that is stress shielded.</p><p>In this diploma work, a test-equipment is built to stimulate cells. Cells will be grown on a piezoelectric plate that is bent by the test-equipment. Thus, the cells will be stimulated by both mechanical stress and electric potential since the piezoelectric material generates electricity when it is deformed. Piezoelectric samples and culture wells suitable for bending applications are prepared and tested in the equipment.</p><p>Some initial cell growth experiments have been performed to see that the material is suitable for cell growth.</p>

This study used the largest and youngest cohort of hearing impaired (HI) children to investigate the effect age at implantation had on the trajectories of expressive and receptive language, and externalizing behavior problems. In addition, the temporal relationship between language and externalizing behavior problems was examined in children implanted before and after the age of 2. Univariate latent difference score analyses were conducted to test the effect of age at implantation on each trajectory and bivariate difference score analyses were conducted to test the temporal effect between language and externalizing behavior problems. Results showed that age at implantation had an effect on the initial level and growth of expressive and receptive language trajectory and an effect on the initial level of externalizing behavior problems. Expressive language was found to have an influence on the changes in externalizing behavior problems for both groups, children implanted before and after the age of 2. However, the relationship between receptive language and externalizing behavior problems differed between the two age groups. The effect was bidirectional for the younger group but unidirectional for the older group, with externalizing behavior problems influenced the change in receptive language. Future research and potential interventions to improve behavior difficulties in deaf children are discussed.

Wear particle-induced inflammation leading to periprosthetic osteolysis remains a major cause of hip implant failure. As polyethylene particles from conventional metal-on-polyethylene implants have been associated with these failures, an interest in lower wear metal-on-metal (MM) bearings has emerged. However, the biological effects of nanometer-size chromium oxide particles, predominant type of wear particles produced by MM implants, remain mostly unknown. Therefore, this study aimed to determine the cytotoxicity of nanometer-size Cr2O3 particles on macrophages in vitro, by analyzing their effects on cell mortality and cytokine release and comparing them with those of similarly-sized alumina (Al2O3) particles (known to be relatively bioinert). Results showed that at high concentrations, nanometer-size Cr2O3 particles can be cytotoxic to macrophages, inducing significant decreases in total cell numbers and increases in necrosis. Results also showed that, at high concentrations, the cytotoxicity of Cr2O3 particles was overall higher than that of Al2O3 particles, even though Cr2O3 and Al2O3 are both stable forms of ceramic materials. However, it appeared to be lower than that of previously reported conventional polyethylene and CoCrMo particles. Therefore, chromium oxide particles may not be the main culprit in initiating the inflammatory reaction in MM periprosthetic tissues.

No description available.

Wear particle-induced inflammation leading to periprosthetic osteolysis remains a major cause of hip implant failure. As polyethylene particles from conventional metal-on-polyethylene implants have been associated with these failures, an interest in lower wear metal-on-metal (MM) bearings has emerged. However, the biological effects of nanometer-size chromium oxide particles, predominant type of wear particles produced by MM implants, remain mostly unknown. Therefore, this study aimed to determine the cytotoxicity of nanometer-size Cr2O3 particles on macrophages in vitro, by analyzing their effects on cell mortality and cytokine release and comparing them with those of similarly-sized alumina (Al2O3) particles (known to be relatively bioinert). Results showed that at high concentrations, nanometer-size Cr2O3 particles can be cytotoxic to macrophages, inducing significant decreases in total cell numbers and increases in necrosis. Results also showed that, at high concentrations, the cytotoxicity of Cr2O3 particles was overall higher than that of Al2O3 particles, even though Cr2O3 and Al2O3 are both stable forms of ceramic materials. However, it appeared to be lower than that of previously reported conventional polyethylene and CoCrMo particles. Therefore, chromium oxide particles may not be the main culprit in initiating the inflammatory reaction in MM periprosthetic tissues.

Pure magnesium (Mg) and its alloys with calcium (Ca) and both Ca and zinc (Zn) have potential as bioresorbable bone implant materials provided the corrosion rate can be controlled. Thus, corrosion behaviour was investigated for pure Mg, Mg-2Ca, and Mg-2Ca-1Zn cast alloys subjected to either no heat treatment or to solutionizing and aging heat treatment. In addition, corrosion behaviour was investigated for surface modifications involving the deposition of silver (Ag) nanoparticles. These materials and constructs were all nominally biocompatible in that they would not elicit a strong and immediate adverse tissue reaction when implanted in bone. Static immersion tests in Hanks’ balanced salt solution were performed to evaluate the corrosion behaviour. The Mg-2Ca alloy exhibited the highest corrosion rate when compared with pure Mg and Mg-2Ca-1Zn for any length of immersion time. For short immersion times (48 hours), solutionizing followed by natural aging reduced the corrosion rate of Mg-2Ca alloy, but this heat treatment did not seem to have an effect on the corrosion rate of Mg-2Ca-1Zn alloy. As well, for short immersion times (48 hours), solutionizing and artificial aging also did not seem to have a large effect on corrosion rates for either Mg-2Ca or Mg-2Ca-1Zn, when compared to solutionizing and natural aging. Corrosion behaviour of surface-modified samples was sensitive to certain features of the Ag depositions. It was found that when the deposited Ag tracks were thick and wide, the corrosion rate of Ag-deposited samples increased significantly when compared to samples without any Ag deposition. However, when the Ag tracks were thinner and somewhat narrower, the corrosion rate did not appear to be much higher than that of samples without Ag deposition. Therefore, controlled Ag deposition may not be too detrimental to the corrosion behaviour of Mg and Mg alloys. The corrosion product morphology appeared to be similar for both the samples deposited with Ag and samples without any Ag. Needle-like formations were observed in small areas on the corroded surfaces. X-ray diffraction revealed Mg(OH)₂ as the main corrosion product. Because energy dispersive X-ray analysis consistently revealed multiple elements in the corrosion products (such as Mg, O, Ca, P, small amounts of C, and sometimes Cl), it was concluded that other compounds (possibly hydroxyapatite, magnesium chloride, and/or magnesium- and calcium-containing phosphates) may have formed in addition to the Mg(OH)₂.

En stimulant le nerf vestibulo-cochléaire, les électrodes de l'implant cochléaire contribuent à la restauration, au moins partielle, de la conscience sonore en permettant aux afférences acoustiques de recevoir un traitement cortical. Ce projet de recherche avait comme visée principale d'effectuer un suivi longitudinal à moyen terme d'enfants sourds pré-linguaux issus de milieux francophones et ayant reçu un implant cochléaire dans le but de décrire les patrons de développement au cours des premières années d'expérience auditive. Un second objectif était de clarifier le rôle de l'âge à l'implantation sur les productions. Le langage spontané de participants a été enregistré et filmé au cours d'une séance de jeu libre standardisé et les séquences de parole ont ensuite été soumis à diverses analyses. L'étude des inventaires vocaliques et consonantiques 6, 12 et 18 mois post-chirurgie montre des progrès manifestes dès 6 mois post-implantation. Tant pour les voyelles que pour les consonnes, la visibilité des phonèmes semble avoir influencé l'ordre d'acquisition dans les premiers mois d'expérience auditive, mais les patrons de développement se sont graduellement normalisés. Dans la seconde étude, 40 auditeurs naïfs et 2 transcripteurs expérimentés ont été soumis à un test de perception visant à identifier les syllabes produites par un groupe de 12 enfants sourds, 6, 18 et 36 mois suivant leur restauration sensorielle. Il était prédit qu'une augmentation du taux d'accord inter-juges entre les auditeurs naïfs et expérimentés reflétait une amélioration de l'intelligibilité. Les analyses ont révélé des améliorations plus importantes pour les voyelles que pour les consonnes. Dans les 2 études, l'impact de l'âge à l'implantation ne s'est pas révélé significatif suggérant que des variables liées à l'environnement étaient susceptibles d'être de meilleurs prédicteurs que ceux liés à des facteurs strictement physiologiques.

Many things might happen in the body when a titanium implant is inserted into bone. Examples are activation of the immune system and imbalance between bone formation and bone resorption, which might lead to damaged bone around the implant and at worse, loosening of the implant. Bisphosphonates, BP’s, is a class of drugs that is able to decrease the osteoclast (bone resorption cell) activity and thereby strengthen the bone. FibMat2.0 is a fibrinogen matrix and consists of a thin protein layer which can be applied on an implant and act as a local drug delivery system. The work in this thesis was divided into two parts where aim of the first part was to study FibMat2.0 with integrated BP’s, and their effect in the presence of blood. The aim for the second part was to determine whether it was possible to incorporate antithrombotic drugs into the fibrinogen matrix. No detection method for the amount of drugs incorporated into the fibrinogen matrix was used but the fact that the drugs gave effect was verifying that it is possible to integrate other drugs than BP’s into FibMat2.0. Methods that have been used in the experiments in presence of blood are imaging of coagulation, fluorescence microscopy and cone-and-plate. For the first part, the results showed that surfaces incubated with fibrinogen and fibrinogen with integrated BP’s act alike in regard to coagulation and platelet adhesion. Compared to titanium, which is known to be a biocompatible material, the surfaces with fibrinogen and fibrinogen with BP’s behave similar in regard to platelet adhesion. When it comes to coagulation, the surfaces coated with fibrinogen with or without an addition of BP’s have shown a longer coagulation time compared to the clean titanium surface. For the second part, some conclusions have been drawn according to the results. Heparin and hirudin have shown anticoagulant effects when integrated in the matrix. The platelet inhibitor cangrelor seemed to have better effect when added in blood and incubated compared to incubation with the platelet inhibitor on the surface before incubation in blood. Finally, when combining heparin and cangrelor, very clear differences in regard to formation of fibrin network could be seen. It seems promising to be able to load different kind of drugs in FibMat2.0.