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1.
Bulking for stress urinary incontinence in men: A systematic review.
Toia, B, Gresty, H, Pakzad, M, Hamid, R, Ockrim, J, Greenwell, T
Neurourology and urodynamics. 2019;(7):1804-1811
Abstract
AIMS: An updated literature review on outcomes in men treated with currently commercially available bulking agents was performed to determine whether this is a reasonable option in selected patients. METHODS The review adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework of systematic reviews. A comprehensive search of PubMed, Medline, and Embase was undertaken. Abstracts were independently screened by two investigators to include men with stress urinary incontinence treated with a peri-urethral injection of bulking agents currently available in the market. RESULTS Only eight original articles met the inclusion criteria. The bulking agents used were Macroplastique in five studies (total 123 patients), Opsys, Durasphere, and Urolastic in one study each (10, 7, and 2 patients, respectively). Only one study was randomized; Macroplastique vs AUS in men with mild or total incontinence. The included populations were heterogeneous and encompassed endoscopic, perineal, abdominal and laparoscopic prostate surgery as well as spinal cord injuries and urethral sphincter insufficiency. Significant dissimilarity was evident for the duration of incontinence (9-108 months), mean volume of bulking agent used (2.3-13.5 mL), number of cushions (1-5), depth and position of the cushions. The outcomes varied significantly, with reported dry rates between 0% and 83%. Outcomes were limited by relatively short follow-up in most studies. CONCLUSION Following initial enthusiasm and then dismay with collagen-based compounds, sparse and heterogeneous literature data were produced on newer non-migrating and nonabsorbable bulking agents. Some studies have suggested encouraging, if short term outcomes, however, future studies are needed in this field to support recommendations for widespread use.
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Titanium dental implant surfaces obtained by anodic spark deposition - From the past to the future.
Kaluđerović, MR, Schreckenbach, JP, Graf, HL
Materials science & engineering. C, Materials for biological applications. 2016;:1429-41
Abstract
Commercial titanium-based dental implants are obtained applying various methods such as machining, acid etching, anodization, plasma spraying, grit blasting or combination techniques yielding materials with smooth or micro-roughened surfaces. Those techniques are used to optimize the surface properties and to maximize biocompatibility and bioactivity with bone tissue. Present review is focused on the material surfaces obtained by anodic spark deposition (ASD). From the early 1980s till present, the results of numerous studies have shown that anodically oxidized surfaces with different dopants express a positive effect on osteoblasts behavior in vitro and osseointegration in vivo. Those surfaces demonstrated a high biocompatibility and rapid osseointegration in clinical application. This paper provides an overview of the preparation of implant surfaces by employing ASD process. Moreover, reviewed are clinically used ASD implant surfaces (Ticer, TiUnite, Osstem, etc.). The electrolyte variations in ASD process and their influence on surface properties are given herein. Using different electrolytes, anode voltages and temperatures, the above fabrication process can yield various surface morphologies from smooth to rough, porous surfaces. Furthermore, ASD enables thickening of oxide layers and enrichment with different dopands from used electrolyte, which hinder release of potentially toxic titanium ions in surrounding tissue. Particularly exciting results were achieved by calcium and phosphorus doping of the oxide layer (Ticer, ZL Microdent; TiUnite, Nobel Biocare Holding AB) which significantly increased the osteocompatibility. Ticer, a dental implant with anodically oxidized surface and the first among similar materials employed in clinical practice, was found to promote fast osteoblast cell differentiation and mineralization processes. Moreover, Ticer accelerate the integration with the bone, increase the bone/implant contact and improve primary and secondary stability of the implants. Additionally, potential innovations in this field such as fabrication of nanotubes on the implant surfaces as well as novel approaches (e.g. coating with proteins, nanostructured topography; combining implant body and surface derived from titanium and zirconia) are elaborated in this review. Besides, biochemical aspects on implant surface cell/tissue interaction are summarized. From the clinical point of view implant surfaces fabricated by ASD technology possess fast and improved osseointegration, high healing rates and long term prognosis.
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Nanomaterials and neurodegeneration.
Migliore, L, Uboldi, C, Di Bucchianico, S, Coppedè, F
Environmental and molecular mutagenesis. 2015;(2):149-70
Abstract
The increasing application of nanotechnology in various industrial, environmental, and human settings raises questions surrounding the potential adverse effects induced by nanosized materials to human health, including the possible neurotoxic and neuroinflammatory properties of those substances and their capability to induce neurodegeneration. In this review, a panel of metal oxide nanoparticles (NPs), namely titanium dioxide, silicon dioxide, zinc oxide, copper oxide, iron NPs, and carbon nanotubes have been focused. An overview has been provided of the in vitro and in vivo evidence of adverse effects to the central nervous system. Research indicated that these nanomaterials (NMs) not only reach the brain, but also can cause a certain degree of brain tissue damage, including cytotoxicity, genotoxicity, induction of oxidative stress, and inflammation, all potentially involved in the onset and progression of neurodegeneration. Surface chemistry of the NMs may play an important role in their localization and subsequent effects on the brain of rodents. In addition, NM shape differences may induce varying degrees of neurotoxicity. However, one of the potential biomedical applications of NMs is nanodevices for early diagnostic and novel therapeutic approaches to counteract age related diseases. In this context, engineered NMs were promising vehicles to carry diagnostic and therapeutic compounds across the blood-brain barrier, thereby representing very timely and attractive theranostic tools in neurodegenerative diseases. Therefore, a careful assessment of the risk-benefit ratio must be taken into consideration in using nanosized materials.
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Optimal Shaping of Root Canal Systems: Demonstrating the Use of Controlled Memor Ni-Ti Files.
Mounce, R
Dentistry today. 2015;(7):110, 112, 114
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Surface characterization and corrosion behavior of calcium phosphate-base composite layer on titanium and its alloys via plasma electrolytic oxidation: A review paper.
Rafieerad, AR, Ashra, MR, Mahmoodian, R, Bushroa, AR
Materials science & engineering. C, Materials for biological applications. 2015;:397-413
Abstract
In recent years, calcium phosphate-base composites, such as hydroxyapatite (HA) and carbonate apatite (CA) have been considered desirable and biocompatible coating layers in clinical and biomedical applications such as implants because of the high resistance of the composites. This review focuses on the effects of voltage, time and electrolytes on a calcium phosphate-base composite layer in case of pure titanium and other biomedical grade titanium alloys via the plasma electrolytic oxidation (PEO) method. Remarkably, these parameters changed the structure, morphology, pH, thickness and crystallinity of the obtained coating for various engineering and biomedical applications. Hence, the structured layer caused improvement of the biocompatibility, corrosion resistance and assignment of extra benefits for Osseo integration. The fabricated layer with a thickness range of 10 to 20 μm was evaluated for physical, chemical, mechanical and tribological characteristics via XRD, FESEM, EDS, EIS and corrosion analysis respectively, to determine the effects of the applied parameters and various electrolytes on morphology and phase transition. Moreover, it was observed that during PEO, the concentration of calcium, phosphor and titanium shifts upward, which leads to an enhanced bioactivity by altering the thickness. The results confirm that the crystallinity, thickness and contents of composite layer can be changed by applying thermal treatments. The corrosion behavior was investigated via the potentiodynamic polarization test in a body-simulated environment. Here, the optimum corrosion resistance was obtained for the coating process condition at 500 V for 15 min in Ringer solution. This review has been summarized, aiming at the further development of PEO by producing more adequate titanium-base implants along with desired mechanical and biomedical features.
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Production of hydroxyapatite layers on the plasma electrolytically oxidized surface of titanium alloys.
Lugovskoy, A, Lugovskoy, S
Materials science & engineering. C, Materials for biological applications. 2014;:527-32
Abstract
Hydroxyapatite (HA) is a bioactive material that is widely used for improving the osseointegration of titanium dental implants. Titanium can be coated with HA by various methods, such as chemical vapor deposition (CVD), thermal spray, or plasma spray. HA coatings can also be grown on titanium surfaces by hydrothermal, chemical, and electrochemical methods. Plasma electrolytic oxidation (PEO), or microarc oxidation (MAO), is an electrochemical method that enables the production of a thick porous oxide layer on the surface of a titanium implant. If the electrolyte in which PEO is performed contains calcium and phosphate ions, the oxide layer produced may contain hydroxyapatite. The HA content can then be increased by subsequent hydrothermal treatment. The HA thus produced on titanium surfaces has attractive properties, such as a high porosity, a controllable thickness, and a considerable density, which favor its use in dental and bone surgery. This review summarizes the state of the art and possible further development of PEO for the production of HA on Ti implants.
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Perspectives on resorbable osteosynthesis materials in craniomaxillofacial surgery.
Schumann, P, Lindhorst, D, Wagner, ME, Schramm, A, Gellrich, NC, Rücker, M
Pathobiology : journal of immunopathology, molecular and cellular biology. 2013;(4):211-7
Abstract
Since introduction to the clinics in the 1990s, resorbable osteosynthesis systems have undergone extensive improvements in order to establish their use as a standard treatment, especially in craniomaxillofacial surgery. However, the development of osteosynthesis systems made of poly(α-hydroxy acid) polymers has been hindered by the lack of information on the mechanical properties and biocompatibility of these materials. Moreover, magnesium-based degredable osteosynthesis materials have not yet been integrated into clinical practice owing to biocompatibility problems. Osteosynthesis systems made from nonresorbable titanium alloys have shown excellent biocompatibility, stability and individual fitting to the implant bed, so these materials are currently considered the 'gold standard'. The procedure of plate removal has been subjected to intense scrutiny and controversy. Bioresorbable materials are indicated for special conditions, such as osteosynthesis of the growing skull or orbital floor reconstructions. This paper presents an overview of the currently available and investigated resorbable osteosynthesis materials in comparison with the nonresorbable 'gold standard' titanium. The main problem areas such as sterilization, biocompatibility and stability are highlighted and perspectives for further improvements are provided.
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8.
[Safety and skin penetration of nanoparticles].
Kimura, E, Todo, H, Sugibayashi, K
Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan. 2012;(3):319-24
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Abstract
Human beings are exposed or otherwise a subjected to a various chemical compounds. Various nanomaterials are contained in the chemical compounds which are used in many fields. Nanomaterials are also used in cosmetics: titanium dioxide and zinc oxide are examples. Consumers who apply cosmetics to their skin as well as workers at industrial plants may thus be exposed to these nanoparticles. Therefore, it is of great importance to evaluate the safety of these nanoparticles. In this review, we describe the possibility of nanoparticle penetration to skin following exposure, which makes it urgent to evaluate the safety factors. In general, it is necessary to take account of the desquamation rate of the stratum corneum and the permeation pathway and size of nanoparticles when considering such penetration. One layer of the human stratum corneum is peeled off per day. Therefore, a chemical compound of which the skin penetration is lower than the desquamation rate does not permeate through the skin, when the compound infiltrates the stratum corneum. Hence, compounds with a molecular weight of more than 500 Daltons do not permeate through the stratum corneum. However, we must also pay attention to the appendage routes, although the aforementioned layer is the primary permeation route of nanoparticles. The contribution of appendage routes must be taken into consideration.
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Effect of topical fluoride application on titanium alloys: a review of effects and clinical implications.
Fragou, S, Eliades, T
Pediatric dentistry. 2010;(2):99-105
Abstract
The purposes of this review were to: summarize the currently available evidence on the effect of fluoride on titanium alloys; discuss the mechanisms involved; and assess the clinical relevance and validity of statements deriving from in vitro approaches. The spectrum of effects noted include: morphological variations, such as increased roughness with adverse effects on sliding mechanics; mechanical properties of the wires, which may entail effects on the superelastic plateau of nickel-titanium wires, or reduction in the strength of wires, which can result in frequent intraoral failures; and release of ions during service. Reduced nickel release rates have been documented, however, from retrieved nickel-titanium wires presumably due to the passive layer formed. In relevant research, forming oxide on titanium alloys has been proposed to provide immunity to further degradation and ionic release, since nickel ions must diffuse through this layer to be released. The described evidence of fluoride on titanium alloys derives mostly from in vitro research, which includes oversimplifications in simulating the oral environment. The reactivity in laboratory experiments is dramatically increased relative to the actual clinical conditions, which exaggerates the effects noted. The effects shown have not been validated in vivo, since the only available evidence on intraorally fractured nickel-titanium archwires did not support the implication of hydrogen embrittlement as a failure mechanism. Rather, fractures were found to be related to: (1) mechanical factors associated with loading of the wire in specific arch sites; and (2) the masticatory forces. Clinically, the use of fluoride varnishes at specific, caries-risk sites may provide protection while minimizing the potential risk of adverse effects.
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Biological nano-functionalization of titanium-based biomaterial surfaces: a flexible toolbox.
Beutner, R, Michael, J, Schwenzer, B, Scharnweber, D
Journal of the Royal Society, Interface. 2010;(Suppl 1):S93-S105
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Abstract
Surface functionalization with bioactive molecules (BAMs) on a nanometre scale is a main field in current biomaterial research. The immobilization of a vast number of substances and molecules, ranging from inorganic calcium phosphate phases up to peptides and proteins, has been investigated throughout recent decades. However, in vitro and in vivo results are heterogeneous. This may be at least partially attributed to the limits of the applied immobilization methods. Therefore, this paper highlights, in the first part, advantages and limits of the currently applied methods for the biological nano-functionalization of titanium-based biomaterial surfaces. The second part describes a new immobilization system recently developed in our groups. It uses the nanomechanical fixation of at least partially single-stranded nucleic acids (NAs) into an anodic titanium oxide layer as an immobilization principle and their hybridization ability for the functionalization of the surface with BAMs conjugated to the respective complementary NA strands.