Showing papers in "Journal of The Mechanical Behavior of Biomedical Materials in 2021"

3D printed auxetic nasopharyngeal swabs for COVID-19 sample collection.

Abstract: The COVID-19 pandemic has resulted in worldwide shortages of nasopharyngeal swabs required for sample collection. While the shortages are becoming acute due to supply chain disruptions, the demand for testing has increased both as a prerequisite to lifting restrictions and in preparation for the second wave. One of the potential solutions to this crisis is the development of 3D printed nasopharyngeal swabs that behave like traditional swabs. However, the opportunity to digitally conceive and fabricate swabs allows for design improvements that can potentially reduce patient pain and discomfort. The study reports the progress that has been made on the development of auxetic nasopharyngeal swabs that can shrink under axial resistance. This allows the swab to navigate through the nasal cavity with significantly less stress on the surrounding tissues. This is achieved through systematically conceived negative Poisson's ratio (-υ) structures in a biocompatible material. Finite element (FE) and surrogate modelling techniques were employed to identify the most optimal swab shape that allows for the highest negative strain (-elat) under safe stress (σvon). The influence and interaction effects of the geometrical parameters on the swab's performance were also characterised. The research demonstrates a new viewpoint for the development of functional nasopharyngeal swabs that can be 3D printed to reduce patient discomfort. The methodology can be further exploited to address various challenges in biomedical devices and redistributed manufacturing.

Recent advances of polymer-based piezoelectric composites for biomedical applications.

Abstract: Over the past decades, electronics have become central to many aspects of biomedicine and wearable device technologies as a promising personalized healthcare platform. Lead-free piezoelectric materials for converting mechanical into electrical energy through piezoelectric transduction are of significant value in a diverse range of technological applications. Organic piezoelectric biomaterials have attracted widespread attention as the functional materials in the biomedical devices due to their advantages of excellent biocompatibility. They include synthetic and biological polymers. Many biopolymers have been discovered to possess piezoelectricity in an appreciable amount, however their investigation is still preliminary. Due to their piezoelectric properties, better known synthetic fluorinated polymers have been intensively investigated and applied in biomedical applications including controlled drug delivery systems, tissue engineering, microfluidic and artificial muscle actuators, among others. Piezoelectric polymers, especially poly (vinylidene fluoride) (PVDF) and its copolymers are increasingly receiving interest as smart biomaterials due to their ability to convert physiological movements to electrical signals when in a controllable and reproducible manner. Despite possessing the greatest piezoelectric coefficients among all piezoelectric polymers, it is often desirable to increase the electrical outputs. The most promising routes toward significant improvements in the piezoelectric response and energy-harvesting performance of such materials is loading them with various inorganic nanofillers and/or applying some modification during the fabrication process. This paper offers a comprehensive review of the principles, properties, and applications of organic piezoelectric biomaterials (polymers and polymer/ceramic composites) with special attention on PVDF-based polymers and their composites in sensors, drug delivery and tissue engineering. Subsequently focuses on the most common fabrication routes to produce piezoelectric scaffolds, tissue and sensors which is electrospinning process. Promising upcoming strategies and new piezoelectric materials and fabrication techniques for these applications are presented to enable a future integration among these applications.

Evaluation of the mechanical properties and degree of conversion of 3D printed splint material.

Abstract: Objective To evaluate the effect of post-curing method, printing layer thickness, and water storage on the mechanical properties and degree of conversion of a light-curing methacrylate based resin material (IMPRIMO® LC Splint), used for the fabrication of 3D printed occlusal splints and surgical guides. Methods 96 bar-shaped specimens were 3D printed (Asiga MAX), half of them with a layer thickness of 100 μm (Group A), and half with 50 μm (Group B). Each group was divided in three subgroups based on the post-curing method used: post-curing with light emitting diode (LED) and nitrogen gas; post-curing with only LED; and non-post-curing. Half of the specimens from each subgroup were water-stored for 30 days while the other half was dry-stored (n = 8). Flexural strength and flexural modulus were evaluated. Additional specimens were prepared and divided in the same way for surface hardness (n = 96), fracture toughness, and work of fracture (n = 96). Five specimens were selected from each subgroup for evaluating the degree of conversion (DC). Data were collected and statistically analyzed with 1-way, 2-way ANOVA, and Tukey post-hoc analysis (α = 0.05). Results The 2-way ANOVA showed that the post-curing method and water storage significantly affected the investigated mechanical properties (P Conclusion The post-curing method, water storage, and printing layer thickness play a role in the mechanical properties of the investigated 3D Printed occlusal splints material. The combination of heat and light within the post-curing unit can enhance the mechanical properties and degree of conversion of 3D printed occlusal splints. Flexural strength and surface hardness can increase when decreasing printing layer thickness.

3D-printed PEEK implant for mandibular defects repair - a new method.

Abstract: Functional reconstruction of large-size mandibular continuity defect is still a major challenge in the oral and maxillofacial surgery due to the unsatisfactory repair effects and various complications. This study aimed to develop a new functional repair method for mandibular defects combined with 3D-printed polyetheretherketone (PEEK) implant and the free vascularized fibula graft, and evaluated the service performance of the implant under whole masticatory motion. The design criteria and workflows of the mandibular reconstruction were established based on the requirements of safety, functionality, and shape consistency. Both the biomechanical behavior and the mechanobiological property of mandibular reconstruction under various masticatory motion were investigated by the finite element analysis. The maximum von Mises stress of each component was lower than the yield strength of the corresponding material and the safety factor was more than 2.3 times, which indicated the security of the repair method can be guaranteed. Moreover, the actual deformation of the reconstruction model was lower than that of the normal mandible under most clenching tasks, which assured the primary stability. More than 80% of the volume elements in the bone graft can obtain effective mechanical stimulation, which benefited to reduce the risks of bone resorption. Finally, the novel repair method was applied in clinic and good clinical performances have been achieved. Compared with the conventional fibular bone graft for surgical mandibular reconstruction, this study provides excellent safety and stability to accomplish the functional reconstruction and aesthetic restoration of the mandible defect.

3D printed PEEK/HA composites for bone tissue engineering applications: Effect of material formulation on mechanical performance and bioactive potential.

Abstract: Polyetheretherketone (PEEK) is a biocompatible polymer widely used for biomedical applications Because it is biologically inert, bioactive phases, such as nano-hydroxyapatite (HA), have been added to PEEK in order to improve its bioactivity 3D printing (3DP) technologies are being increasingly used today to manufacture patient specific devices and implants However, processing of PEEK is challenging due to its high melting point which is above 340 °C In this study, PEEK-based filaments containing 10 wt% of pure nano-HA, strontium (Sr)- doped nano-HA and Zinc (Zn)-doped nano-HA were produced via hot-melt extrusion and subsequently 3D printed via fused deposition modelling (FDM), following an initial optimization process The raw materials, extruded filaments and 3D printed samples were characterized in terms of physicochemical, thermal and morphological analysis Moreover, the mechanical performance of 3D printed specimens was assessed via tensile tensing Although an increase in the melting point and a reduction in crystallization temperature was observed with the addition of HA and doped HA to pure PEEK, there was no noticeable increase in the degree of crystallinity Regarding the mechanical behavior, no significant differences were detected following the addition of the inorganic phases to the polymeric matrix, although a small reduction in the ultimate tensile strength (~14%) and Young's modulus (~5%) in PEEK/HA was observed in comparison to pure PEEK Moreover, in vitro bioactivity of 3D printed samples was evaluated via a simulated body fluid immersion test for up to 28 days; the formation of apatite was observed on the surfaces of sample surfaces containing HA, SrHA and ZnHA These results indicate the potential to produce bioactive, 3DP PEEK composites for challenging applications such as in craniofacial bone repair

Surface modification for osseointegration of Ti6Al4V ELI using powder mixed sinking EDM

Abstract: Biomedical implant rejection due to micromotion and inflammation around an implant leads to osteolysis and eventually has an implant failure because of poor osseointegration. To enhance osseointegration, the implant surface modification both at the nano and micro-scale levels is preferred to result in an enhanced interface between the body tissue and implant. The present study focuses on the modification of the surface of Titanium (α+β) ELI medical grade alloy using powder-mixed electric discharge machining (PMEDM). Pulse current, on/off time, and various silicon carbide (SiC) powder concentrations are used as input parameters to comprehend desired surface modifications. Powder concentration is considered as the most important factor to control surface roughness and recast layer depth. A significant decrease in surface fracture density and roughness is observed using a 20 g/l concentration of SiC particles. Elemental mapping analysis has confirmed the migration of Si and the generation of promising surface texture and chemistry. Oxides and carbides enriched surface improved the microhardness of the re-solidified layer from 320 HV to 727 HV. Surface topology reveals nano-porosity (50–200 nm) which enhances osseointegration due to the absorption of proteins especially collagen to the surface.

Mechanical interaction between additive-manufactured metal lattice structures and bone in compression: implications for stress shielding of orthopaedic implants.

Abstract: One of the main biomechanical causes for aseptic failure of orthopaedic implants is the stress shielding. This is caused by an uneven load distribution across the bone normally due to a stiff metal prosthesis component, leading to periprosthetic bone resorption and to implant loosening. To reduce the stress shielding and to improve osseointegration, biocompatible porous structures suitable for orthopaedic applications have been developed. Aim of this study was to propose a novel in-vitro model of the mechanical interaction between metal lattice structures and bovine cortical bone in compression. Analysis of the strain distribution between metal structure and bone provides useful information on the potential stress shielding of orthopaedic implants with the same geometry of the porous scaffold. Full density and lattice structures obtained by the repetition of 1.5 mm edge cubic elements via Laser Powder Bed Fusion of CoCrMo powder were characterized for mechanical properties using standard compressive testing. The two porous geometries were characterized by 750 μm and 1000 μm pores resulting in a nominal porosity of 43.5% and 63.2% respectively. Local deformation and strains of metal samples coupled with fresh bovine cortical bone samples were evaluated via Digital Image Correlation analysis up to failure in compression. Visualization and quantification of the local strain gradient across the metal-bone interface was used to assess differences in mechanical behaviour between structures which could be associated to stress-shielding. Overall stiffness and local mechanical properties of lattice and bone were consistent across samples. Full-density metal samples appeared to rigidly transfer the compression force to the bone which was subjected to large deformations (2.2 ± 0.3% at 15 kN). Larger porosity lattice was associated to lower stiffness and compressive modulus, and to a smoother load transfer to the bone. While tested on a limited sample size, the proposed in-vitro model appears robust and repeatable to assess the local mechanical interaction of metal samples suitable for orthopaedic applications with the bone tissue. CoCrMo scaffolds made of 1000 μm pores cubic cells may allow for a smoother load transfer to the bone when used as constitutive material of orthopaedic implants.

Porous structure design and mechanical behavior analysis based on TPMS for customized root analogue implant.

Abstract: Compared with the traditional dental implant with screw structure, the root analogue implant (RAI) is customized to fit with the wall of the alveolar bone, which helps to accelerate the clinical implantation process. However, a solid RAI made of Ti6Al4V material has a much higher Young's modulus than the surrounding bone tissue, which can cause a stress shielding effect and thereby lead to implant failure. Also, a solid RAI is not conducive to the growth of osteoblasts. To overcome these problems, a porous structure design and optimization method for customized RAIs is proposed. A triply periodic minimal surface (TPMS) offers a smooth surface with pore interconnectivity, which can satisfy the biological/mechanical implantation requirements and efficiently construct many complex bone scaffolds. P and G structures with four degrees of porosity (30%, 40%, 50%, and 60%) were designed and prepared as cubic samples. The Young's modulus, Poisson's ratio, and yield strength of each sample were measured through compression experiments. Additionally, the stress distribution at the interface between the customized RAI and surrounding bone tissue under different pore structures and porosities was evaluated by finite element analysis (FEA). It was found that the quantitative relationships between the Young's modulus/Poisson's ratio and porosity of the P and G structures were consistent with the rules of the percolation model. The yield strengths of the P and G structures with four different porosities were all greater than the yield strength of cortical bone, which satisfies the implantation conditions. Furthermore, the P and G structures with 30% and 40% porosity were proved by FEA to have no stress shielding effect, promote the growth of surrounding bone tissue, and form long-term and stable osseointegration. It can be concluded that the porous RAI constructed with a TPMS can reduce the stress shielding effect, which is beneficial for accelerating the clinical implantation process.

Aramid nanofibers reinforced polyvinyl alcohol/tannic acid hydrogel with improved mechanical and antibacterial properties for potential application as wound dressing.

Abstract: The poor mechanical properties and the lack of antibacterial ability of hydrogels limit their applications as wound dressing. In this work, a novel and high strength polyvinyl alcohol (PVA)/tannic acid (TA) hydrogel with aramid nanofibers (ANFs) as the reinforcement was successfully fabricated. The surface composition and microstructure of the hydrogel were characterized by fourier transform infrared spectroscopy (FTIR), scanning electron microscopy (SEM), and transmission electron microscopy (TEM). The mechanical properties, water content and swelling behaviors, as well as the antibacterial abilities and biocompatibility of the prepared hydrogel were systematically analyzed as well. The results indicated that the prepared hydrogel showed excellent mechanical properties. The tensile strength and elongation of the prepared hydrogel can respectively reach 2.06 MPa and 950% owing to the formation of the multiple H bonds among PVA, ANFs and TA. What's more, PVA/ANFs/TA (PAT) hydrogel possessed shape memory and broad-spectrum antibacterial properties against S. aureus, E. coli and P. aeruginosa (100% antibacterial rate) at the concentration of 12 mg/mL. PAT hydrogels also had low cytotoxicity, affirming its potential application as wound dressing.

Mechanical properties of fused filament fabricated PEEK for biomedical applications depending on additive manufacturing parameters.

Abstract: Design of experiments was employed to investigate the combinations of 3D-printing parameters for Polyether ether ketone (PEEK) with a fused filament fabrication (FFF) process and to quantitatively evaluate the quality of 3D printed parts. This research was conducted using a newly developed FFF 3D printer and PEEK filament. Standard PEEK parts were 3D printed for bending and compression tests. Based on the Box-Behnken design, a three factors based experiment was designed using the Response Surface Methodology (RSM). Nozzle diameter, nozzle temperature and printing speed were involved. The density and dimensional accuracy of these printed parts were evaluated, and the bending and compression tests were conducted. The nozzle diameter was found to be the most significant parameter affecting the bending and compression performance of the printed PEEK samples, followed by printing speed and nozzle temperature. The highest accuracy in sample width was obtained with a 0.6 mm nozzle while the most accurate diameter was obtained with a 0.4 mm nozzle. A combination of a 0.4 mm nozzle diameter, 430 °C nozzle temperature and printing speed of 5 mm/s was beneficial to get the densest samples and therefore the highest bending strength; a reduction of internal defects was achieved with a 0.2 mm nozzle, a higher nozzle temperature of 440 °C and slower printing speed leading to better bending modulus. The best compression properties were achieved with a 0.6 mm nozzle, with relatively low influence of the other parameters. Different parameter combinations have been found to obtain optimal mechanical properties. Optimized parameters for better dimension accuracy of small additively manufactured PEEK parts were also achieved depending on the shape of the specimens.

Impact of sandblasting on the flexural strength of highly translucent zirconia.

Abstract: The objective of this study was to assess the influence of alumina sandblasting on the flexural strength of the latest generation of highly translucent yttria partially stabilized dental zirconia (Y-PSZ). Fully-sintered zirconia disk-shaped specimens (14.5-mm diameter; 1.2-mm thickness) of four Y-PSZ zirconia grades (KATANA HT, KATANA STML, KATANA UTML, all Kuraray Noritake; and Zpex Smile, Tosoh) were sandblasted at 0.2 MPa with 50-μm alumina (Al2O3) sand (Kulzer) or left as-sintered (control). For each zirconia grade, the yttria (Y2O3) content was determined using X-ray fluorescence (XRF). Surface roughness was assessed using 3D confocal laser microscopy. Micro-Raman spectroscopy (μ-Raman) and X-ray diffraction (XRD) were used to assess potentially induced residual stresses. Biaxial flexural strength (n = 20) was statistically compared by Weibull analysis. Focused ion beam - scanning electron microscopy (FIB/SEM) was used to observe the subsurface microstructure. Fracture surfaces after biaxial flexural strength testing were observed by SEM. KATANA UTML had the highest Y2O3 content (6 mol%), followed by KATANA STML and Zpex Smile (5 mol%), and KATANA HT (4 mol%). Al2O3-sandblasting significantly increased surface roughness of KATANA UTML and Zpex Smile. μRaman and XRD revealed the presence of residual compressive stress on all Al2O3-sandblasted surfaces. FIB/SEM revealed several sub-surface microcracks in the sandblasted specimens. Weibull analysis revealed that Al2O3-sandblasting increased the characteristic strength of KATANA HT, KATANA STML, whereas it decreased the strength of KATANA UTML. The strength enhancement after Al2O3-sandblasting of KATANA HT was the highest, followed by KATANA STML. For Zpex Smile, the influence was statistically insignificant. The impact of Al2O3-sandblasting on the Weibull modulus was controversial. The strength of zirconia after Al2O3-sandblasting is determined by the balance between microcrack formation (decreased strength) and surface compressive stress build-up (increased strength).

Fabrication of tissue-engineered tympanic membrane patches using 3D-Printing technology.

Abstract: In recent years, scaffolds produced in 3D printing technology have become more widespread tool due to providing more advantages than traditional methods in tissue engineering applications. In this research, it was aimed to produce patches for the treatment of tympanic membrane perforations which caused significant hearing loss by using 3D printing method. Polylactic acid(PLA) scaffolds with Chitosan(CS) and Sodium Alginate(SA) added in various ratios were prepared for artificial eardrum patches. Different amounts of chitosan and sodium alginate added to PLA increased the biocompatibility of the produced scaffolds. The created patches were designed by mimicking the thickness of the natural tympanic membrane thanks to the precision provided by the 3D printed method. The produced scaffolds were analyzed separately for chemical, morphological, mechanical and biocompatibility properties. Scanning electron microscope (SEM), Fourier-transform infrared (FT-IR) spectroscopy was performed to observe the surface morphology and chemical structure of the scaffolds. Mechanical, thermal and physical properties, swelling and degradation behaviors were examined to fully analyze whole characteristic features of the samples. Cell culture study was also performed to demonstrate the biocompatibility properties of the fabricated scaffolds with human adipose tissue-derived mesenchymal stem cells (hAD-MSCs). 15 wt % PLA was selected as the control group and among all concentrations of CS and SA, groups containing 3 wt% CS and 3 wt% SA showed significantly superior and favorable features in printing quality. The research continued with these two scaffolds (3 wt% CS, and 3 wt% SA), which showed improved print quality when added to PLA. Overall, these results show that PLA/CS and PLA/SA 3D printed artificial patches have the potential to tissue engineering solutions to repair tympanic membrane perforation for people with hearing loss.

Compressive anisotropy of sheet and strut based porous Ti-6Al-4V scaffolds.

Abstract: Porous metallic scaffolds show promise in orthopedic applications due to favorable mechanical and biological properties. In vivo stress conditions on orthopedic implants are complex, often including multiaxial loading across off axis orientations. In this study, unit cell orientation was rotated in the XZ plane of a strut-based architecture, Diamond Crystal, and two sheet-based, triply periodic minimal surface (TPMS) architectures, Schwartz D and Gyroid. Sheet-based architectures exhibited higher peak compressive strength, yield strength and strain at peak stress than the strut-based architecture. All three topologies demonstrated an orientational dependence in mechanical properties. There was a greater degree of anisotropy (49%) in strut-based architecture than in either TPMS architectures (18-21%). These results support the superior strength and advantageous isotropic mechanical properties of sheet-based TPMS architectures relative to strut-based architectures, as well as highlighting the importance of considering anisotropic properties of lattice scaffolds for use in tissue engineering.

Effect of heat treatment on mechanical properties of 3D printed PLA.

Abstract: Polylactic acid (PLA) is one of the predominant filaments used in the process of 3D printing which is a type of Additive Manufacturing (AM) technology in which a printer prints the semi-molten filament on the bed, layer by layer forming a part of the desired dimension. The final 3D printed parts generally have lower mechanical properties than conventional manufacturing techniques such as injection moulding. The primary reasons for the comparatively poor mechanical property are the poor formation of bonds between inter-filaments and the residual thermal stresses induced due to the temperature difference while 3D printing the filament. Heat treatment of the 3D printed part can significantly reduce the internal stresses developed during the process of printing and also improve the formation of bonds between inter-filaments. The mechanical properties of the PLA, particularly tensile properties can be enhanced to about 80% by heat treating to about 100 °C for 4 h. Heat distortion temperature (HDT) test is used to analyze the heat resistance of the specimens. HDT test also showed an improvement of the heat resistance of heat-treated parts compared to the non-heat treated of about 73%. There is a significant improvement in the mechanical properties just by heat-treating the 3D printing parts compared to the parts that were not heat treated.

Additively manufactured Ti-6Al-4V thin struts via laser powder bed fusion: Effect of building orientation on geometrical accuracy and mechanical properties.

Abstract: Porous metal lattice structures have a very high potential in biomedical applications, setting as innovative new generation prosthetic devices Laser powder bed fusion (L-PBF) is one of the most widely used additive manufacturing (AM) techniques involved in the production of Ti6Al4V lattice structures The mechanical and failure behavior of lattice structures is strongly affected by geometrical imperfections and defects occurring during L-PBF process Due to the influence of multiple process parameters and to their combined effect, the mechanical properties of these structures are not yet properly understood Despite the major commitment to characterize and better comprehend lattice structures, little attention has been paid to the impact that single struts have on the overall lattice properties In this work, the authors have investigated the tensile strength and fatigue behavior of thin L-PBF Ti6Al4V lattice struts at different building orientations (0°, 15°, 45°, and 90°) This investigation has been focused on the effect that microstructural defects (particularly porosity) and actual surface geometry (including surface texture and geometrical errors such as varying cross-section shape and size) have on the mechanical performances of the struts in relation to their building direction The results have shown that there is a tendency, particularly for low printing angles, of fatigue life to decrease with decreasing of the building angle This is mainly due to the surge in surface texture and loss in cross-sectional regularity On the other hand, the monotonic tensile test results have shown a low sensitivity to these factors The strut failure behavior has been examined employing dynamic digital image correlation (DIC) of tensile tests and scanning electron imaging (SEM) of the fracture surfaces

Bioinspired energy absorbing material designs using additive manufacturing.

Abstract: Nature provides many biological materials and structures with exceptional energy absorption capabilities. Few, relatively simple molecular building blocks (e.g., calcium carbonate), which have unremarkable intrinsic mechanical properties individually, are used to produce biopolymer-bioceramic composites with unique hierarchical architectures, thus producing biomaterial-architectures with extraordinary mechanical properties. Several biomaterials have inspired the design and manufacture of novel material architectures to address various engineering problems requiring high energy absorption capabilities. For example, the microarchitecture of seashell nacre has inspired multi-material 3D printed architectures that outperform the energy absorption capabilities of monolithic materials. Using the hierarchical architectural features of biological materials, iterative design approaches using simulation and experimentation are advancing the field of bioinspired material design. However, bioinspired architectures are still challenging to manufacture because of the size scale and architectural hierarchical complexity. Notwithstanding, additive manufacturing technologies are advancing rapidly, continually providing researchers improved abilities to fabricate sophisticated bioinspired, hierarchical designs using multiple materials. This review describes the use of additive manufacturing for producing innovative synthetic materials specifically for energy absorption applications inspired by nacre, conch shell, shrimp shell, horns, hooves, and beetle wings. Potential applications include athletic prosthetics, protective head gear, and automobile crush zones.

Synthesis and sintering of B, Sr, Mg multi-doped hydroxyapatites: Structural, mechanical and biological characterization

Abstract: Hydroxyapatite (HA, Ca10(PO4)6(OH)2) is the main constituent mineral of bone and teeth in mammals. Due to its outstanding biocompatibility and osteoconductive capabilities, it is preferred for bone repair and replacement. Owing to high potential to have excellent biological properties, ternary ions-doped HAs have just begun to be investigated in the biomedical field and preparing multi-doped HAs is a fairly new approach. Boron (B, BO33-), strontium (Sr, Sr2+) and magnesium (Mg, Mg2+) provide a beneficial effect on bone growth, bone strength, biocompatibility and positively affect bone microstructure. The motivation of this study is taking advantages of the potential of the combine effects of these bivalent ions. In this study, 8 different compositions of BO33-, Sr2+, Mg2+ multi-doped HAs were synthesized by microwave irradiation method to investigate the structural, mechanical and biological features of bone substitutes. This is the first time we report the effect of boron, strontium and magnesium ions multi-doping on the structure of HA and its biological properties. Samples were sintered at 700, 900 and 1100 °C. The effect of varying ion contents and sintering temperature on structural and biological properties of the multi-doped samples was investigated. B, Sr and Mg ions were successfully doped into the HA structure according to X-Ray Diffraction (XRD) and Fourier Transform Infrared Spectroscopy (FTIR) analyses. A biphasic structure was obtained with increasing amount of ion-doping. Increasing the sintering temperature affected the crystallinity and the density of the samples gradually. Vicker's microhardness and diametral strength of the samples increased at high sintering temperatures. B–Sr–Mg multi-doped HA promoted osteoblast-like Saos-2 cell proliferation, and as the sintering temperatures of the samples increased, the osteogenic differentiation level of the cultured cells also increased. Overall, results showed that the biological properties of HA were improved with the doping of Sr, Mg and B ions, and for bone implant applications samples sintered at 1100 °C were suggested to have potential as a biomaterial.

New Ti-Mo-Si materials for bone prosthesis applications.

Abstract: Several newly obtained titanium alloys were characterized in order to evaluate the biocompatibility and their possible application as implants. For improvement of the performances of the TiMo alloys compared to other alloys, silicon was added, targeting good mechanical and technological properties, avoiding the toxic effects for human body. Titanium is very used in medical applications, due to their extremely low toxicity and good chemical stability in different body fluids. Four Ti15MoxSi (where x = 0, 0.5, 0.75, 1.0 wt %), alloys were developed and investigated regarding microstructure, mechanical, chemical and biological behavior (in vitro and in vivo evaluation). By increasing the Si content from 0 to 1% wt., the mechanical properties of the Ti15Mo alloys were significantly improved. By increasing the Si content from 0 to 1% wt., the mechanical properties of the Ti15Mo alloys were significantly improved (about 50%) from 44.50 GPa to 19.81 GPa modulus of elasticity and the hardness values 361.28 to 188.52 HV. The cytocompatibility assessment on human line osteoblasts indicated good cell-material interactions and in vivo tests indicated a successful osseointegration, the surrounding newly bone being formed without any significant inflammatory reaction. Expression of osteopontin in the peri-implant area highlights the presence of osteogenesis and bone mineralization. Metalloproteinase-2 (gelatinase A) and metallopeptidase-9 (gelatinase B) overexpression in osteoblasts, osteoclasts and osteocytes represent the markers of normal bone remodeling. All these results suggest that the TiMoSi alloys are promising materials for orthopedics devices, since mechanical properties and biocompatibility offer conditions for applying them as biomaterial.

Effects of printing path and material components on mechanical properties of 3D-printed polyether-ether-ketone/hydroxyapatite composites.

Abstract: Polyether-ether-ketone (PEEK) exhibits excellent mechanical properties and biocompatibility. Three-dimensional (3D) printing of PEEK bone substitutes has been widely used in clinical application. However, the inertness of pure PEEK hinders its integration with the surrounding bone tissue. In this study, for the first time, PEEK/hydroxyapatite (HA) composite specimens were fabricated using fused filament fabrication (FFF) technology. PEEK/HA filaments with HA contents of 0–30 wt% were fabricated via mechanical mixing and extrusion. The HA distributions inside the composite matrix and the surface morphology characteristics of the PEEK/HA composites were examined. The effects of the printing path and HA content on the mechanics of the PEEK/HA composites were systematically investigated. The results indicated that the HA particles were uniformly distributed on the composite matrix. With an increase in the HA content, the modulus of the PEEK/HA composite increased, while the strength and failure strain concomitantly decreased. When the HA content increased to 30 wt%, the tensile modulus of the composite increased by 68.6% compared with that of pure PEEK printed along the horizontal 90° path, while the tensile strength decreased by 48.2% compared with that of pure PEEK printed along the vertical 90° path. The fracture elongation of the printed specimens with different HA contents decreased in the following order: horizontal 0° > horizontal 90° > vertical 90°. The best comprehensive mechanical properties were achieved for pure PEEK fabricated along the horizontal 0° path. The results indicate that FFF technology is applicable for additive manufacturing of PEEK/HA composites with controllable compositions. Printed PEEK/HA composites have potential for applications in the design and manufacturing of personalized bone substitutes.

Design, evaluation, and optimization of 3D printed truss scaffolds for bone tissue engineering.

Abstract: One of tissue engineering's main goals is to fabricate three-dimensional (3D) scaffolds with interconnected pores to reconstruct and regenerate damaged or deformed tissues and organs. In this regard, 3D printing is a promising technique for the fabrication of tissue scaffolds, which can precisely make predetermined and complicated architectures. This study aims to investigate and optimize the physical, mechanical, and biological properties of 3D truss architecture tissue scaffolds with different pore geometries. The mechanical properties of poly (methyl methacrylate) scaffolds are analysed experimentally and numerically. Furthermore, the mechanical and physical properties of scaffolds are optimized with response surface methodology (RSM), and cell adhesion of the 3D truss scaffold studies. Results demonstrate that mechanical properties of the simple and gradient scaffolds have different mechanical behaviors that are strongly correlated with pore size and their architectures, rather than merely the values of the porosity. It is also observed that the RSM technique can enable designers to enhance mechanical and physical properties of scaffolds at low cost. Moreover, the results of biological behaviour can endorse the reliability of 3D truss architecture in bone tissue engineering.

Repairability of a 3D printed denture base polymer: Effects of surface treatment and artificial aging on the shear bond strength.

Abstract: Objectives The present study aimed to evaluate the repairability of a 3D printed denture base material. The effects of surface treatments and artificial aging on the shear bond strength (SBS) were investigated. Methods A total of 224 specimens were printed by digital light processing technology (Rapid Shape D30II) using a 3D printing denture base material (FREEPRINT denture). To evaluate the repairability, the SBS and failure modes were measured after surface treatment and artificial aging. Specifically, half of the specimens were further performed with thermocycling (5–55 °C, 5000 cycles) for artificial aging. The aged and non-aged specimens were further divided into four subgroups (n = 28) to simulate a denture base repair with one of the following treatments: control (without surface treatment), monomer (applying methylmethacrylate for 120 s), P600 (grinding with P600 silicon carbide paper) and sandblasting (blasted with 125 μm aluminum oxide with 2 bar), respectively. Surface roughness was measured (n = 6) and surface topography was observed by scanning electron microscopy (n = 2). A test rod was built on the sample surface using the same 3D printing material. Afterward, all specimens further underwent thermocycling (5–55 °C, 10,000 cycles). Results For non-aged groups, no significant differences in SBS could be found (p Conclusions The 3D printed denture base material exhibited favorable repairability. For the realignment surface, the SBS at the bonding interface is satisfying and additional surface treatments could be not necessary. In contrast, the aged surface could significantly decrease the SBS; hence subtractive surface treatments are highly recommended.

Manufacture and mechanical properties of knee implants using SWCNTs/UHMWPE composites.

Abstract: This article focuses on obtaining ultra high molecular weight polyethylene (UHMWPE) material reinforced with functionalized single-walled carbon nanotubes (f-SWCNTs) and the manufacturing of unicompartmental knee implants via Single-Point Incremental Forming process (SPIF). The physicochemical properties of the developed UHMWPE reinforced with 0.01 and 0.1 wt% concentrations of f-SWCNTs are investigated using Raman and Thermogravimetic Analysis (TGA). Tensile mechanical tests performed in the nanocomposite material samples reveal a 12% improvement in their Young's modulus when compare to that of the pure UHMWPE material samples. Furthermore, the surface biocompatibility of the UHMWPE reinforced with f-SWCNTs materials samples was evaluated with human osteoblast cells. Results show cell viability enhancement with good cell growth and differentiation after 14 incubation days, that validates the usefulness of the developed nanocomposite material in the production of hip and knee artificial implants, and other biomedical applications.

Development of rare-earth oxide reinforced magnesium nanocomposites for orthopaedic applications: A mechanical/immersion/biocompatibility perspective.

Abstract: Magnesium-Zinc based nanocomposites containing cerium oxide nanoparticles were developed in the present work. A systematic study on their microstructure, mechanical properties, in vitro degradation behaviour, and cytotoxicity are presented. It was found that the developed nanocomposites exhibited excellent strength and toughness that are superior to the commercially available magnesium alloys. From corrosion perspective, nanocomposites exhibited reduced pH increase compared to pure Mg with Mg-0.5Zn/0.5CeO2 showing the least corrosion rate. Moreover, the developed nanocomposites exhibited no cytotoxicity to MC3T3-E1 pre-osteoblast cells. Based on the above findings, the feasibility of Mg-Zn/CeO2 nanocomposites for use as orthopaedic implants is systematically discussed. This study provides an insight into the development of new high-performance Mg alloy-rare earth oxide (REO)-based nanocomposites with superior mechanical properties and corrosion resistance while effectively avoiding the possible standing toxic effect of RE elements.

Effects of reinforcement of sodium alginate functionalized halloysite clay nanotubes on thermo-mechanical properties and biocompatibility of poly (vinyl alcohol) nanocomposites

Abstract: In the present work sodium alginate functionalized halloysite nanotubes (HNTs) reinforced poly (vinyl alcohol) nanocomposite films were prepared by solution casting technique. Sodium alginate surface functionalizing on the HNTs through hydrogen bonding was confirmed by spectroscopic and morphological analysis. The functionalized HNTs were successfully incorporated into the PVA matrix. Further, the films were characterized by using FTIR, TGA, XRD, SEM, AFM, UTM, WCA and swelling ratio analysis. The obtained results indicated improved physico-thermal properties, and uniform distribution of nanotubes in the matrix and roughness of the surface compared with the pristine PVA films. After inclusion of functionalized nanotubes causes enhancement of tensile strength as well as young's modulus of the nanocomposite films. Water contact angle measurement was carried out to know the hydrophilic or hydrophobic nature of the films and results were correlated with swelling ratio analysis. Furthermore, the films were analyzed for in-vitro biocompatibility studies. In -vitro enzymatic degradation was carried out in PBS media and cellular behaviour studies were analyzed using NIH3T3 cell lines. The results showed enhancement in the enzymatic degradation, proliferation, adhesion activity compared to that of pristine PVA films. In extension, nanocomposite films were subjected to hemocompatibility studies using human erythrocyte. The results revealed that nanocomposite films were biocompatible and hemocompatible. The fabricated films can be used in biomedical application.

Metformin-loaded nanospheres-laden photocrosslinkable gelatin hydrogel for bone tissue engineering.

Abstract: The aim of this investigation was to engineer metformin (MF)-loaded mesoporous silica nanospheres (MSNs)-laden gelatin methacryloyl (GelMA) photocrosslinkable hydrogels and test their effects on the mechanical properties, swelling ratio, drug release, cytocompatibility, and osteogenic differentiation of stem cells from human exfoliated deciduous teeth (SHEDs). As-received and carboxylated MSNs (MSNs-COOH) were characterized by scanning and transmission electron microscopies (SEM and TEM), as well as Fourier-transform infrared spectroscopy (FTIR) prior to hydrogel modification. MF-MSNs-COOH were obtained by loading MF into MSNs at a 1:1 mass ratio. Upon MSNs-COOH laden-hydrogels fabrication, the mechanical properties, swelling ratio and MF release were evaluated. SHEDs were seeded on the hydrogels and cytocompatibility was examined. The effects of the MF-MSNs-COOH/GelMA on the osteogenic differentiation of SHEDs were measured by ALP activity, Alizarin Red assay, and Real-time PCR. Statistics were performed using one-way ANOVA (α = 0.05). Morphological (SEM and TEM) analyses of pristine and carboxylated MSNs revealed a mean particle size of 200 nm and 218 nm, respectively. Importantly, an intrinsic nanoporous structure was noticed. Incorporation of MSNs-COOH at 1.5 mg/mL in GelMA led to the highest compressive modulus and swelling ratio. The addition of MSNs-COOH (up to 3 mg/mL) in GelMA did not impact cell viability. The presence of MF in MSNs-COOH/GelMA significantly promoted cell proliferation. Significant upregulation of osteogenic-related genes (except OCN) were seen for modified (MSNs-COOH and MF-MSNs-COOH) hydrogels when compared to GelMA. Altogether, the engineered MF-MSNs-COOH/GelMA shows great promise in craniomaxillofacial applications as an injectable, cell-free and bioactive therapeutics for bone regeneration.

A finite element investigation on design parameters of bare and polymer-covered self-expanding wire braided stents

Abstract: Self-expanding covered braided stents are routinely used across a diverse range of clinical applications, but few computational studies have attempted to replicate their complex behaviour. In this study, a computational framework was developed to predict the functional performance of bare and covered self-expanding wire braided stents, with a systematic evaluation on the effect of various braid and cover parameters presented. Simulated radial force and kink deformation tests show good agreement to experimental data for covered braided stents across a range of braid angles and cover thicknesses. Our results demonstrate that braid angle is a key governing parameter that dictates the radial and kink performance of both bare-metal and covered wire braided stents. It was also demonstrated that addition of a polymeric cover to a wire braided stent causes a stiffer radial response across all braid angles, particularly when thicker and/or stiffer covering systems were considered. This study represents the first experimentally-validated computational model for covered wire braided stent systems and has excellent potential to be used in future design of these devices for a range of applications.

Analytical model for the prediction of permeability of triply periodic minimal surfaces.

Abstract: Triply periodic minimal surfaces (TPMS) are mathematically defined cellular structures whose geometry can be quickly adapted to target desired mechanical response (structural and fluid). This has made them desirable for a wide range of bioengineering applications; especially as bioinspired materials for bone replacement. The main objective of this study was to develop a novel analytical framework which would enable calculating permeability of TPMS structures based on the desired architecture, pore size and porosity. To achieve this, computer-aided designs of three TPMS structures (Fisher-Koch S, Gyroid and Schwarz P) were generated with varying cell size and porosity levels. Computational Fluid Dynamics (CFD) was used to calculate permeability for all models under laminar flow conditions. Permeability values were then used to fit an analytical model dependent on geometry parameters only. Results showed that permeability of the three architectures increased with porosity at different rates, highlighting the importance of pore distribution and architecture. The computed values of permeability fitted well with the suggested analytical model (R2>0.99, p<0.001). In conclusion, the novel analytical framework presented in the current study enables predicting permeability values of TPMS structures based on geometrical parameters within a difference <5%. This model, which could be combined with existing structural analytical models, could open new possibilities for the smart optimisation of TPMS structures for biomedical applications where structural and fluid flow properties need to be optimised.

Mechanical strength improvement of chitosan/hydroxyapatite scaffolds by coating and cross-linking.

Abstract: Coating and cross-linking have been widely used to improve the properties of materials in tissue engineering. A chitosan/hydroxyapatite (CS/HA) comby scaffold with high porosity was prepared via a 3D printed pore-forming mold. The scaffold was then treated with gelatin (Gel) coating and was cross-linked by glutaraldehyde (GA) in order to improve the mechanical strength. The materials were characterized by infrared spectroscopy (IR) and X-ray diffraction (XRD). The structure of the scaffolds was observed by Scanning Electron Microscopy (SEM). Compression tests were carried out to evaluate the strength of the scaffolds. The behaviors and responses of preosteoblast cells on the scaffolds were studied as well. The results showed that gelatin coating and cross-linking significantly enhanced the mechanical strength of the porous scaffolds. Cell culture experiment indicated that the scaffold had good cytocompatibility. The combined application of 3DP structure construction and biopolymer coating/cross-linking would offer some new ideas in fabrication of porous scaffolds with enhanced strength and good biocompatibility for tissue engineering.

Performance of stereolithography and milling in fabricating monolithic zirconia crowns with different finish line designs

Abstract: Subtractive manufacturing has become the dominant method in fabricating zirconia dental restorations while additive manufacturing is emerging as a potential alternative. The aim of this in vitro study was to investigate the performance of stereolithography (SLA) and milling in fabricating monolithic zirconia crowns with different finish line designs. Full-contour crowns with three finish lines (chamfer, rounded shoulder, knife-edge) were designed and fabricated by SLA and milling. Fabrication accuracy was accessed by 3D deviation analysis and margin quality was characterized under microscopes. The obtained root mean square value was significantly influenced by finish line design (P

A whole blood thrombus mimic: Constitutive behavior under simple shear

Abstract: Deep vein thrombosis and pulmonary embolism affect 300,000-600,000 patients each year in the US. To better understand the highly mechanical pathophysiology of pulmonary embolism, we set out to develop an in-vitro thrombus mimic and to test this mimic under large deformation simple shear. In addition to reporting on the mechanics of our mimics under simple shear, we explore the sensitivity of their mechanics to coagulation conditions and blood storage time, and compare three hyperelastic material models for their ability to fit our data. We found that thrombus mimics made from whole blood demonstrate strain-stiffening, a negative Poynting effect, and hysteresis when tested quasi-statically to 50% strain under simple shear. Additionally, we found that the stiffness of these mimics does not significantly vary with coagulation conditions or blood storage times. Of the three hyperelastic constitutive models that we tested, the Ogden model provided the best fits to both shear stress and normal stress. In conclusion, we developed a robust protocol to generate regularly-shaped, homogeneous thrombus mimics that lend themselves to simple shear testing under large deformation. Future studies will extend our model to include the effect of maturation and explore its fracture properties toward a better understanding of embolization.