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3D titanium implants

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https://www.readbyqxmd.com/read/28106524/the-utility-of-3d-printing-for-surgical-planning-and-patient-specific-implant-design-for-complex-spinal-pathologies-case-report
#1
Ralph J Mobbs, Marc Coughlan, Robert Thompson, Chester E Sutterlin, Kevin Phan
OBJECTIVE There has been a recent renewed interest in the use and potential applications of 3D printing in the assistance of surgical planning and the development of personalized prostheses. There have been few reports on the use of 3D printing for implants designed to be used in complex spinal surgery. METHODS The authors report 2 cases in which 3D printing was used for surgical planning as a preoperative mold, and for a custom-designed titanium prosthesis: one patient with a C-1/C-2 chordoma who underwent tumor resection and vertebral reconstruction, and another patient with a custom-designed titanium anterior fusion cage for an unusual congenital spinal deformity...
January 20, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28090442/can-mri-accurately-detect-pilon-articular-malreduction-a-quantitative-comparison-between-ct-and-3t-mri-bone-models
#2
Shairah Radzi, Constantin Edmond Dlaska, Gary Cowin, Mark Robinson, Jit Pratap, Michael Andreas Schuetz, Sanjay Mishra, Beat Schmutz
BACKGROUND: Pilon fracture reduction is a challenging surgery. Radiographs are commonly used to assess the quality of reduction, but are limited in revealing the remaining bone incongruities. The study aimed to develop a method in quantifying articular malreductions using 3D computed tomography (CT) and magnetic resonance imaging (MRI) models. METHODS: CT and MRI data were acquired using three pairs of human cadaveric ankle specimens. Common tibial pilon fractures were simulated by performing osteotomies to the ankle specimens...
December 2016: Quantitative Imaging in Medicine and Surgery
https://www.readbyqxmd.com/read/28071596/3d-bioprinting-of-gelma-scaffolds-triggers-mineral-deposition-by-primary-human-osteoblasts
#3
Christine McBeth, Jasmin Lauer, Michael Ottersbach, Jennifer Campbell, Andre Sharon, Alexis F Sauer-Budge
Due to its relatively low level of antigenicity and high durability, titanium has successfully been used as the major material for biological implants. However, because the typical interface between titanium and tissue precludes adequate transmission of load into the surrounding bone, over time, load-bearing implants tend to loosen and revision surgeries are required. Osseointegration of titanium implants requires presentation of both biological and mechanical cues that promote attachment of and trigger mineral deposition by osteoblasts...
January 10, 2017: Biofabrication
https://www.readbyqxmd.com/read/28046340/su-g-tep2-10-feasibility-of-newly-designed-applicator-for-high-dose-rate-brachytherapy-treatment-of-patients-with-vaginal-vault-recurrence
#4
V Lee, X Huang, M Wong, M Chan, E Chui, S Cheung, R Leung, K Lee, G Law, K Leung, S Tung, D Kwong
PURPOSE: To compare the dose of an in-house 3D-printed gynecology applicator (TMHGA) for vaginal vault recurrence of corpus cancer patients after operation for high dose rate brachytherapy treatment with commercially available applicators. METHODS: A newly designed applicator is made from 3D-printing methods using ABSM30i. The isodose of the applicator is compared with Elekta multi-channel (MC) applicator and titanium Rotterdam applicator with coupling central tube and vaginal cylinder (RC)...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28005765/functional-reconstruction-in-mandibular-avulsion-injuries
#5
Yoav Leiser, Dekel Shilo, Amir Wolff, Adi Rachmiel
The present report describes the planning and surgery as well as pitfalls and management of a patient with a near total mandibular avulsion injury that was rehabilitated using three-dimensional (3D) laser printing of a titanium lower jaw. Laser-sintering involves zapping layers of powdered metal to recreate a 3D implantable skeletal defect. The process involves using either mirror imaging of the unaffected side or using archival image database of healthy individuals. A 25-year-old man presented with a gunshot injury that left him with a near total avulsed mandible...
November 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27995137/biomechanical-consequences-of-the-elastic-properties-of-dental-implant-alloys-on-the-supporting-bone-finite-element-analysis
#6
Esteban Pérez-Pevida, Aritza Brizuela-Velasco, David Chávarri-Prado, Antonio Jiménez-Garrudo, Fernando Sánchez-Lasheras, Eneko Solaberrieta-Méndez, Markel Diéguez-Pereira, Felipe J Fernández-González, Borja Dehesa-Ibarra, Francesca Monticelli
The objective of the present study is to evaluate how the elastic properties of the fabrication material of dental implants influence peri-implant bone load transfer in terms of the magnitude and distribution of stress and deformation. A three-dimensional (3D) finite element analysis was performed; the model used was a section of mandibular bone with a single implant containing a cemented ceramic-metal crown on a titanium abutment. The following three alloys were compared: rigid (Y-TZP), conventional (Ti-6Al-4V), and hyperelastic (Ti-Nb-Zr)...
2016: BioMed Research International
https://www.readbyqxmd.com/read/27986443/3d-printed-simulation-device-for-orbital-surgery
#7
Juergen Thomas Lichtenstein, Alexander Nicolai Zeller, Juliana Lemound, Thorsten Enno Lichtenstein, Majeed Rana, Nils-Claudius Gellrich, Maximilian Eberhard Wagner
OBJECTIVES: Orbital surgery is a challenging procedure because of its complex anatomy. Training could especially benefit from dedicated study models. The currently available devices lack sufficient anatomical representation and realistic soft tissue properties. Hence, we developed a 3D-printed simulation device for orbital surgery with tactual (haptic) correct simulation of all relevant anatomical structures. DESIGN, SETTING, AND PARTICIPANTS: Based on computed tomography scans collected from patients treated in a third referral center, the hard and soft tissue were segmented and virtually processed to generate a 3D-model of the orbit...
January 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/27973346/3d-bioprinting-of-gelma-scaffolds-triggers-mineral-deposition-by-primary-human-osteoblasts
#8
Christine McBeth, Jasmin Lauer, Michael Ottersbach, Jennifer Campbell, Andre Sharon, Alexis Sauer-Budge
Due to its relatively low level of antigenicity and high durability, titanium has successfully been used as the major material for biological implants. However, because the typical interface between titanium and tissue precludes adequate transmission of load into the surrounding bone, over time, load-bearing implants tend to loosen and revision surgeries are required. Osseointegration of titanium implants requires presentation of both biological and mechanical cues that promote attachment of and trigger mineral deposition by osteoblasts...
December 14, 2016: Biofabrication
https://www.readbyqxmd.com/read/27930868/laser-surface-pattering-of-titanium-for-improving-the-biological-performance-of-dental-implants
#9
Christoph Zwahr, Denise Günther, Tina Brinkmann, Nikolai Gulow, Steffen Oswald, Marzellus Grosse Holthaus, Andrés Fabián Lasagni
Direct laser interference patterning (DLIP) is used to produce periodic line-like patterns on titanium surfaces. An Nd:YAG laser operating at 532 nm wavelength with a pulse duration of 8 ns is used for the laser patterning process. The generated periodic patterns with spatial periods of 5, 10, and 20 µm are produced with energy densities between 0.44 and 2.6 J cm(-)(2) with a single laser pulse. With variation of energy density, different shapes of the arising topography are observed due to the development of the solidification front of the molten material at the maxima positions...
December 8, 2016: Advanced Healthcare Materials
https://www.readbyqxmd.com/read/27928834/fast-fourier-based-simulation-of-off-resonance-artifacts-in-steady-state-gradient-echo-mri-applied-to-metal-object-localization
#10
Frank Zijlstra, Job G Bouwman, Ieva Braškutė, Max A Viergever, Peter R Seevinck
PURPOSE: To accelerate simulation of off-resonance artifacts in steady-state gradient echo MRI by using fast Fourier transforms and demonstrate its applicability to metal object localization. THEORY AND METHODS: By exploiting the repetitive nature of steady-state pulse sequences it is possible to use fast Fourier transforms to calculate the MR signal. Based on this principle, a method for fast simulation of off-resonance artifacts was designed. The method was validated against Bloch simulations and MRI scans...
December 7, 2016: Magnetic Resonance in Medicine: Official Journal of the Society of Magnetic Resonance in Medicine
https://www.readbyqxmd.com/read/27925441/anodized-3d-printed-titanium-implants-with-dual-micro-and-nano-scale-topography-promote-interaction-with-human-osteoblasts-and-osteocyte-like-cells
#11
Karan Gulati, Matthew Prideaux, Masakazu Kogawa, Luis Lima-Marques, Gerald J Atkins, David M Findlay, Dusan Losic
The success of implantation of materials into bone is governed by effective osseointegration, requiring biocompatibility of the material and the attachment and differentiation of osteoblastic cells. To enhance cellular function in response to the implant surface, micro- and nano-scale topography have been suggested as essential. In this study, we present bone implants based on 3D-printed titanium alloy (Ti6Al4V), with a unique dual topography composed of micron-sized spherical particles and vertically aligned titania nanotubes...
December 7, 2016: Journal of Tissue Engineering and Regenerative Medicine
https://www.readbyqxmd.com/read/27890357/effect-of-cement-space-on-stress-distribution-in-y-tzp-based-crowns
#12
Carlos Eduardo Edwards Rezende, Ana Flávia Sanches Borges, Carla Castiglia Gonzaga, Yuanyuan Duan, José Henrique Rubo, Jason Alan Griggs
OBJECTIVE: To evaluate the stress distribution in bi-layered Y-TZP based crowns, according to the occlusal internal spacing between coping and abutment. METHODS: Twelve premolar shaped Y-TZP copings were made by a CAD/CAM system and seated on an abutment to evaluate the internal fit at the occlusal third using micro-CT images. Considering the fitting range obtained experimentally, two 3D finite element models, consisting on bone tissue, a titanium implant, a zirconia abutment, cement layer and a bi-layered Y-TZP ceramic crown were constructed based on the micro-CT images, one corresponding to the thinnest cement space and other representing the specimen with the thickest cement space obtained experimentally...
November 24, 2016: Dental Materials: Official Publication of the Academy of Dental Materials
https://www.readbyqxmd.com/read/27885781/cellular-response-of-osteoblasts-to-low-modulus-ti-24nb-4zr-8sn-alloy-mesh-structure
#13
K C Nune, R D K Misra, S J Li, Y L Hao, R Yang
Titanium alloys (Ti-6Al-4V and Ti-6Al-7Nb) are widely used for implants, which are characterized by high elastic modulus (∼110 GPa) with (α + β) structure and that may induce undesirable stress shielding effect and immune responses associated with the presence of toxic elements. In this regard, we have combined the attributes of a new alloy design and the concept of additive manufacturing to fabricate 3D scaffolds with an interconnected porous structure. The new alloy is a β-type Ti-24Nb-4Zr-8Sn (Ti2448) alloy with significantly reduced modulus...
November 25, 2016: Journal of Biomedical Materials Research. Part A
https://www.readbyqxmd.com/read/27872014/the-bone-implant-interface-of-dental-implants-in-humans-on-the-atomic-scale
#14
Gustav Sundell, Christer Dahlin, Martin Andersson, Mattias Thuvander
: Osseointegration of dental implants occurs on a hierarchy of length scales down to the atomic level. A deeper understanding of the complex processes that take place at the surface of an implant on the smallest scale is of interest for the development of improved biomaterials. To date, transmission electron microscopy (TEM) has been utilized for examination of the bone-implant interface, providing details on the nanometer level. In this study we show that TEM imaging can be complemented with atom probe tomography (APT) to reveal the chemical composition of a Ti-based dental implant in a human jaw on the atomic level of resolution...
November 19, 2016: Acta Biomaterialia
https://www.readbyqxmd.com/read/27848100/stress-distribution-difference-between-lava-ultimate-full-crowns-and-ips-e-max-cad-full-crowns-on-a-natural-tooth-and-on-tooth-shaped-implant-abutments
#15
Ivo Krejci, René Daher
The goal of this short communication is to present finite element analysis comparison of the stress distribution between CAD/CAM full crowns made of Lava Ultimate and of IPS e.max CAD, adhesively luted to natural teeth and to implant abutments with the shape of natural teeth. Six 3D models were prepared using a 3D content-creating software, based on a micro-CT scan of a human mandibular molar. The geometry of the full crown and of the abutment was the same for all models representing Lava Ultimate full crowns (L) and IPS e...
November 15, 2016: Odontology
https://www.readbyqxmd.com/read/27843356/virtual-surgical-planning-and-3d-printing-in-prosthetic-orbital-reconstruction-with-percutaneous-implants-a-technical-case-report
#16
Yu-Hui Huang, Rosemary Seelaus, Linping Zhao, Pravin K Patel, Mimis Cohen
Osseointegrated titanium implants to the cranial skeleton for retention of facial prostheses have proven to be a reliable replacement for adhesive systems. However, improper placement of the implants can jeopardize prosthetic outcomes, and long-term success of an implant-retained prosthesis. Three-dimensional (3D) computer imaging, virtual planning, and 3D printing have become accepted components of the preoperative planning and design phase of treatment. Computer-aided design and computer-assisted manufacture that employ cone-beam computed tomography data offer benefits to patient treatment by contributing to greater predictability and improved treatment efficiencies with more reliable outcomes in surgical and prosthetic reconstruction...
2016: International Medical Case Reports Journal
https://www.readbyqxmd.com/read/27821857/establishing-antibacterial-multilayer-films-on-the-surface-of-direct-metal-laser-sintered-titanium-primed-with-phase-transited-lysozyme
#17
Binbin Guan, Haorong Wang, Ruiqing Xu, Guoying Zheng, Jie Yang, Zihao Liu, Man Cao, Mingyao Wu, Jinhua Song, Neng Li, Ting Li, Qing Cai, Xiaoping Yang, Yanqiu Li, Xu Zhang
Direct metal laser sintering is a technology that allows the fabrication of titanium (Ti) implants with a functional gradation of porosity and surface roughness according to three-dimensional (3D) computer data. The surface roughness of direct metal laser sintered titanium (DMLS-Ti) implants may provide abundant binding sites for bacteria. Bacterial colonization and subsequent biofilm formation can cause unsatisfactory cell adhesion and implant-related infections. To prevent such infections, a novel phase-transited lysozyme (PTL) was utilized as an initial functional layer to simply and effectively prime DMLS-Ti surfaces for subsequent coating with antibacterial multilayers...
November 8, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27796072/time-efficiency-analysis-of-the-treatment-with-monolithic-implant-crowns-in-a-digital-workflow-a-randomized-controlled-trial
#18
Tim Joda, Urs Brägger
OBJECTIVES: The aim of the randomized controlled trial was to analyze time-efficiency of a treatment with implant crowns made of monolithic lithium disilicate (LS2) plus titanium base vs. porcelain fuse to zirconium dioxide (ZrO2 ) in a digital workflow. MATERIALS AND METHODS: Twenty study participants were included for single-tooth replacement in premolar and molar sites. Baseline was the start of the prosthetic treatment. All patients received transocclusal screw-retained implant reconstructions on a soft tissue level-type implant...
November 2016: Clinical Oral Implants Research
https://www.readbyqxmd.com/read/27788122/incorporating-simvastatin-poloxamer-407-hydrogel-into-3d-printed-porous-ti6al4v-scaffolds-for-the-promotion-of-angiogenesis-osseointegration-and-bone-ingrowth
#19
Hao Liu, Wei Li, Can Liu, Jie Tan, Hong Wang, Bao Hai, Hong Cai, Hui-Jie Leng, Zhong-Jun Liu, Chun-Li Song
Three-dimensional porous titanium alloys printed via electron beam melting have low stiffness similar to that of cortical bone and are promising scaffolds for orthopedic applications. However, the bio-inert nature of titanium alloy is poorly compatible with bone ingrowth. We previously observed that simvastatin/poloxamer 407 thermosensitive hydrogel induces endogenous angiogenic/osteogenic growth factors and promotes angiogenesis and osteogenesis, but the mechanical properties of this hydrogel are poor. The purpose of this study was to construct 3D-printed porous titanium scaffolds (pTi scaffolds) filled with simvastatin/hydrogel and evaluate the effects of this composite on osseointegration, bone ingrowth and neovascularization using a tibial defect rabbit model...
October 27, 2016: Biofabrication
https://www.readbyqxmd.com/read/27769722/the-use-of-patient-specific-implants-in-orthognathic-surgery-a-series-of-32-maxillary-osteotomy-patients
#20
Juho Suojanen, Junnu Leikola, Patricia Stoor
The use of virtual surgery, patient-specific saw and drill guides, and custom-made osteosynthesis plates is rapidly spreading from deformity surgery to orthognathic surgery. Most of the commercially available systems are using computer-aided design/computer-aided manufacture (CAD/CAM) wafers to produce patient-specific saw guides. However, most plate systems provided are still the conventional "in stock" mini plates that can be individually designed by pre-bending according to the stereolithographic model of the patient...
December 2016: Journal of Cranio-maxillo-facial Surgery
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