Safi IN, et al. J Periodontal Implant Sci. 2022 Jan;52:e5. https://doi.org/10.5051/jpis.2006080304

Per-implantitis is one of the implant treatment complications. Dentists have failed to restore damaged periodontium by using conventional therapies. Tissue engineering (stem cells, scaffold and growth factors) aims to reconstruct natural tissues. The paper aimed to isolate both periodontal ligament stem cells (PDLSCs) and bone marrow mesenchymal stem cells (BMMSCs) and use them in a co-culture method to create three-layered cell sheets for reconstructing natural periodontal ligament (PDL) tissue. BMMSCs were isolated from rabbit tibia and femur, and PDLSC culture was established from the lower right incisor. The cells were co-cultured to induce BMMSC differentiation into PDL cells. Cell morphology, stem cells and PDL-specific markers (CD90, CD34, and periostin) were also detected using immunofluorescent assay. Co-cultured cell monolayers were detached using temperature-responsive tissue culture dishes and collagen graft to create the three-layer construct. The 3D-engineered tissue was examined histologically and by field emission scanning electron microscopy (FESEM). BMMSCs co-cultured with PDLSCs successfully induced more PDL cells. The newly induced PDL cells exhibited periostin and CD90 expression. Fluorescence green intensity was measured for the co-cultured cells that were stained with periostin, the mean fluorescence green intensity (periostin expression) was significantly higher for the newly induced PDL cells after 1, 2, and 3 weeks when compared with control (BM-MSCs), at 21 days non-significant difference was measured when compared with control (PDLSCs).The results showed the successful formation of 3D multilayer PDL tissue. Histological cross-section showed cell sheets and the stable adhesion between them. FESEM examination was conducted for the cross-section, showing three-layered cell sheets with stable adhesion between cells. The results of this paper report that the three layered-cell sheets were successfully constructed by the novel use of collagen graft as a scaffold to be used in treatment of periodontitis and to envelop the dental implants to create biohybrid implant.

This work presents laser coating of grade 1 pure titanium (Ti) dental implant surface with sintered biological apatite beta-tricalcium phosphate (β-TCP), which has a chemical composition close to bone. Pulsed Nd:YAG laser of single pulse capability up to 70 J/10 ms and pulse peak power of 8 kW was used to implement the task. Laser pulse peak power, pulse duration, repetition rate and scanning speed were modulated to achieve the most homogenous, cohesive and highly adherent coat layer. Scanning electron microscopy (SEM), energy dispersive X-ray microscopy (EDX), optical microscopy and nanoindentation analyses were conducted to characterise and evaluate the microstructure, phases, modulus of elasticity of the coating layer and calcium-to-phosphate ratio and composition.Results showed that the laser power and scanning speed influenced coating adherence. The cross-sectional field-emission scanning electron microscopy images at low power and high speed showed poor adherence and improved as the laser power increased to 2 kW. Decreasing the scanning speed to 0.2 mm/s at the same power of 2 kW increased adherence. EDX results of the substrate demonstrated that the chemical composition of the coat layer did not change after processing. Moreover, the maps revealed proper distribution of Ca and P with some agglomeration on the surface. The sharp peaks on the X-ray diffraction patterns indicated that β-TCPs in the coat layer were mostly crystalline. The elastic modulus was low at the surface and increased gradually with depth to reach 19 GPa at 200 nm; this value was close to that of bone. The microhardness of the coated substrate increased by about 88%. The laser pulse energy of 8.3 J, pulse peak power of 2 kW, pulse duration of 4.3 min, repetition rate of 10 Hz and scanning speed of 0.2 ms-1 yielded the best results. Both processing and coating have potential use for dental implant applications.

Introduction: Dental hard and soft tissues have been successfully removed by using the Er,Cr:YSGG laser, but there is a controversy about using lasers over conventional tooth surface preparation for bonding aesthetic restoration. Surface roughness and wettability in response to Er,Cr:YSGG laser irradiation are essential properties for restoration longevity. Methods: Fifty-one intact human premolars removed in orthodontic treatment were included in this study and divided into three groups (n=17). The first group (G1) was the control without surface treatment, (G2) was treated with 37% phosphoric acid for 15 seconds, and (G3) was treated with the Er,Cr:YSGG laser using the following parameters: 2 W or 3 W at 20 Hz, 10% air and water ratio using the MZ6 laser tip. The standardization of laser irradiation was accomplished by a computerized numerical control unit. The surface of the samples was evaluated by using a light microscope, profilometer, atomic force microscopy (AFM), SEM, and wettability tests. Results: The SEM examination revealed that the lased enamel surface was clean, irregular, and devoid of a smear layer, while the acid etch surface was relatively smooth and covered with a smear layer. The surface roughness of the lased enamel surface was significantly higher than that of other groups, according to the results of the profilometer as well as the AFM tests. The wettability test showed that the lased enamel surface recorded a significant reduction in the contact angle in comparison to the other groups. Conclusion: It can be concluded that the Er,Cr:YSGG laser can be used as an alternative and safe method to the acid-etching technique for surface treatment.

Objectives Dental implant is a revolution in dentistry; some shortages are still a focus of research. This study use long duration of radiofrequency (RF)–magnetron sputtering to coat titanium (Ti) implant with hydroxyapatite (HA) to obtain a uniform, strongly adhered in a few micrometers in thickness. Materials and Methods Two types of substrates, discs and root form cylinders were prepared using a grade 1 commercially pure (CP) Ti rod. A RF–magnetron sputtering device was used to coat specimens with HA. Magnetron sputtering was set at 150 W for 22 hours at 100°C under continuous argon gas flow and substrate rotation at 10 rpm. Coat properties were evaluated via field emission scanning electron microscopy (FESEM), scanning electron microscopy–energy dispersive X-ray (EDX) analysis, atomic force microscopy, and Vickers hardness (VH). Student’s t-test was used. Results All FESEM images showed a homogeneous, continuous, and crack-free HA coat with a rough surface. EDX analysis revealed inclusion of HA particles within the substrate surface in a calcium (Ca)/phosphorus (P) ratio (16.58/11.31) close to that of HA. Elemental and EDX analyses showed Ca, Ti, P, and oxygen within Ti. The FESEM views at a cross-section of the substrate showed an average of 7 µm coat thickness. Moreover, these images revealed a dense, compact, and uniform continuous adhesion between the coat layer and the substrate. Roughness result indicated highly significant difference between uncoated Ti and HA coat (p-value < 0.05). A significant improvement in the VH value was observed when coat hardness was compared with the Ti substrate hardness (p-value < 0.05). Conclusion Prolonged magnetron sputtering successfully coat Ti dental implants with HA in micrometers thickness which is well adhered essentially in excellent osseointegration.

Introduction: This study was performed to compare the effect of Fractional CO2 laser or Q switched Nd:YAG laser of surface treatment on the shear bond strength of zirconia-porcelain interface. Methods: Fractional CO2 laser at 30 W, 2 ms, time interval 1 ms, distance between spots 0.3 mm, and number of scans is (4) or Q switched Nd:YAG laser at 30 J/mm2 and 10 Hz were used to assess the shear bond strength of zirconia to porcelain. Pre-sintered zirconia specimens were divided into three groups (n = 10) according to the surface treatment technique used: (a) untreated (Control) group; (b) CO2 group; (c) Nd:YAG group. All samples were then sintered and veneered with porcelain according to the manufacturer’s instructions. Surface morphology was examined using a light microscope, the surface roughness test was done by the atomic force microscope (AFM), and the shear bond strength (SBS) test was done by a universal testing machine. After debonding following shear bond test, zirconia surfaces were examined under a light microscope to determine their fracture mode. Results: The Results of this study showed that the lowest SBS was recorded in the control group, and the highest SBS recorded in the Fractional CO2 group, followed by the Q switched Nd:YAG laser group, as well as an increase in surface roughness and change in the morphology and mode of failure in the experimental groups . Conclusion: This study shows that Fractional CO2 laser and Q switched Nd:YAG laser treatments significantly increase the bond strength than untreated zirconia .