Biocompatibility of Dental Biomaterials

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is formed when a genotoxic material damages chromosomes during cell division?

  • Daughter cells
  • Chromosome fragments
  • Clastogenic changes
  • Micronucleus (correct)

Animal tests are considered less relevant than in vitro tests for studying biocompatibility.

False (B)

What assay is recommended for testing all dental devices and materials?

Hemolysis assay

Hemocompatibility tests are performed to study the compatibility of materials with ______.

<p>blood</p> Signup and view all the answers

Match the following terms with their definitions:

<p>Micronucleus = A separate structure formed from damaged chromosomes Hemolysis = The release of hemoglobin from red blood cells Clastogenic changes = Structural changes due to chromosome breakage Aneugenic changes = Numerical changes resulting from chromosome loss</p> Signup and view all the answers

Which type of test allows the material to interact with biological systems within an animal's body?

<p>Animal test (B)</p> Signup and view all the answers

The hemolysis assay measures the number of red blood cells present in the blood sample.

<p>False (B)</p> Signup and view all the answers

Which animals are commonly used for biocompatibility testing?

<p>Mice, rats, rabbits, guinea pigs</p> Signup and view all the answers

What does the local lymph node assay measure in response to allergens?

<p>Increase in proliferating lymphocytes (D)</p> Signup and view all the answers

The Buehler occluded patch test requires intradermal injection of the test material.

<p>False (B)</p> Signup and view all the answers

What type of animal is primarily used in the local lymph node assay?

<p>mice</p> Signup and view all the answers

The inflammatory effects of materials on mucous membranes can be assessed using the ________ test.

<p>Chinese hamster cheek pouch irritation</p> Signup and view all the answers

Match the type of test with their primary purpose:

<p>Buehler occluded patch test = Sensitization potential in guinea pigs Local lymph node assay = Evaluate lymphocyte proliferation Chinese hamster cheek pouch test = Assess mucous membrane irritation Implantation tests = Evaluate material compatibility with tissues</p> Signup and view all the answers

Which of the following represents a criterion for selecting animal species in implantation tests?

<p>Size of samples to be implanted (D)</p> Signup and view all the answers

A chemical is only considered a sensitizer if it causes a twofold increase in cell numbers in the lymph node assay.

<p>False (B)</p> Signup and view all the answers

What is a potential advantage of the local lymph node assay compared to guinea pig tests?

<p>Fewer animals used and decreased pain</p> Signup and view all the answers

What is the role of dental pulp stem cells when there is a pulp assault?

<p>They differentiate into secondary odontoblasts. (C)</p> Signup and view all the answers

The only factor affecting inflammation in gingival tissues during usage tests is the test material.

<p>False (B)</p> Signup and view all the answers

What test is performed to classify tissue responses into slight, moderate, or severe?

<p>Mucosa and gingiva usage tests</p> Signup and view all the answers

In endodontic usage tests, radiographic analysis and histologic appraisal are used to assess the _______ of the material.

<p>biocompatibility</p> Signup and view all the answers

Match the following types of tests with their descriptions:

<p>Primary tests = First tests for cytotoxicity and mutagenicity Secondary tests = Carried out in experimental animals Usage tests = Involves direct contact with tissues In vitro tests = Conducted in a controlled environment outside a living organism</p> Signup and view all the answers

What is a disadvantage of mucosa and gingiva usage tests?

<p>There is a chance of inflammation due to several factors. (D)</p> Signup and view all the answers

Animal models are used in endodontic usage tests to evaluate material compatibility.

<p>True (A)</p> Signup and view all the answers

What is considered the most effective method for characterizing the biocompatibility of a new material?

<p>A combination of primary, secondary, and usage tests</p> Signup and view all the answers

What is one property of bacterial cellulose/chitosan composite that makes it suitable for use as a wound dressing?

<p>It has antibacterial properties (A)</p> Signup and view all the answers

Polyethylene glycol (PEG) and polyethylene oxide (PEO) are non-biodegradable materials.

<p>False (B)</p> Signup and view all the answers

Name one of the synthetic polymers used in the manufacturing of hydrogels.

<p>Polyethylene glycol (PEG)</p> Signup and view all the answers

The degradation products of poly-lactic acid (PLA) and poly-glycolic acid (PGA) are _____ and _____ acids.

<p>lactic, glycolic</p> Signup and view all the answers

Match each polymer with its distinguishing feature:

<p>PEG = High water absorption PGA = Biodegradable product is glycolic acid PLA = Biodegradable product is lactic acid PVA = Used for creating hydrogels</p> Signup and view all the answers

What is a primary advantage of using synthetic polymers over natural polymers in hydrogel manufacturing?

<p>More manageable physical and chemical properties (B)</p> Signup and view all the answers

Bacterial cellulose can be used as scaffolds for _____ repair.

<p>cartilage</p> Signup and view all the answers

Synthetic hydrogels cannot include bioactive materials.

<p>False (B)</p> Signup and view all the answers

Which of the following biopolymers is noted for having a wide range of biomedical applications?

<p>Hyaluronic acid (A)</p> Signup and view all the answers

Bioglass is primarily an inorganic material used in orthodontics.

<p>False (B)</p> Signup and view all the answers

What is one significant application of chitin and chitosan in healthcare?

<p>Wound healing and drug delivery</p> Signup and view all the answers

The study of _______ ceramic for use as biomaterial in vivo was investigated by nuclear magnetic resonance.

<p>bioactive glass</p> Signup and view all the answers

Which material is specifically used for its biodegradable properties as a biomaterial?

<p>Synthetic polymers (B)</p> Signup and view all the answers

Match the following materials with their primary application:

<p>Chitosan = Wound healing Bioglass = Bone repair Hyaluronic acid = Joint lubrication Oxycellulose = Drug delivery</p> Signup and view all the answers

Dentin hypersensitivity can be effectively managed with recent innovations in dental materials.

<p>True (A)</p> Signup and view all the answers

What is the benefit of using mesenchymal stem cells in tissue engineering?

<p>They can promote tissue regeneration and repair.</p> Signup and view all the answers

What is the focus of Hiemstra et al.'s 2007 study?

<p>In vitro and in vivo protein delivery systems (A)</p> Signup and view all the answers

Novel bioactive composite bone cements are based on the β-tricalcium phosphate-monocalcium phosphate monohydrate system.

<p>True (A)</p> Signup and view all the answers

What medical evaluation standard is indicated by ISO 10993-5?

<p>Tests for in vitro cytotoxicity</p> Signup and view all the answers

Cellulose is considered a ________ biopolymer and sustainable raw material.

<p>fascinating</p> Signup and view all the answers

Match the following authors with their research focus:

<p>Kang, E. = Microfluidic spinning of alginate fibers Khaled, M. = Application of composites Kirker, K.R. = Bio-interactive dressings for wound healing Klemm, D. = Sustainable raw materials</p> Signup and view all the answers

What endpoint is used in the modified local lymph node assay by Idehara et al.?

<p>ATP content (A)</p> Signup and view all the answers

The research by Jones in 2015 reviews bioactive glass advancements.

<p>True (A)</p> Signup and view all the answers

Which substance is explored by Jong et al. in terms of biological safety evaluation?

<p>Biomaterials and medical devices</p> Signup and view all the answers

Flashcards

Micronucleus Test

A test that detects chromosomal damage. This test involves examining cells for micronuclei, which are small nuclei that form when chromosome fragments or whole chromosomes fail to properly integrate into the daughter cells during cell division.

Aneugenic Change

A type of chromosomal change that results in an abnormal number of chromosomes. It's like losing or gaining a chromosome.

Clastogenic Change

A type of chromosomal change that results from breakage or damage to a chromosome. It involves changes in the structure of a chromosome.

Hemocompatibility Test

A test used to assess the compatibility of a material with blood and its components. This test examines how a material might affect red blood cells, which could lead to the release of hemoglobin.

Signup and view all the flashcards

Hemolysis

The process of releasing hemoglobin from red blood cells. It can be caused by interactions between a material and blood.

Signup and view all the flashcards

In Vitro Tests

Laboratory tests that use cells or tissues grown in culture to assess the compatibility of a material with biological systems. These tests can be more controllable and provide specific insights into how a material interacts with cells and tissues.

Signup and view all the flashcards

Animal Tests

Tests that evaluate the compatibility of a material with a living organism. These tests involve introducing the material into the body of an animal and observing its effects.

Signup and view all the flashcards

Cellular and Molecular Interactions

Tests that provide information about how a material interacts with cells and tissues on a molecular level. These tests are often used in early stages of biocompatibility testing.

Signup and view all the flashcards

Buehler Occluded Patch Test

A test that measures the sensitization potential of chemicals by applying the test material to the skin of guinea pigs under an occlusive patch.

Signup and view all the flashcards

Local Lymph Node Assay (LLNA)

A test that measures the allergic response of chemicals by detecting increased lymphocyte activity in lymph nodes draining the application site.

Signup and view all the flashcards

LLNA Animal Welfare Benefits

An animal welfare advantage of the LLNA compared to guinea pig tests due to fewer animals used and decreased pain and distress.

Signup and view all the flashcards

Mucous Membrane Irritation Tests

A group of tests that assess the irritating effects of materials on mucous membranes like the mouth, rectum, or vagina.

Signup and view all the flashcards

Chinese Hamster Cheek Pouch Irritation Test

A specific test used to evaluate the irritancy of dental materials on the oral mucosa using the cheek pouch of a hamster.

Signup and view all the flashcards

Implantation Tests

Tests that involve surgically implanting materials into bone, subcutaneous tissue, or muscle of a laboratory animal.

Signup and view all the flashcards

Animal Species Selection for Implantation Tests

The selection of animal species for implantation tests is guided by factors such as the size and number of samples, and the expected duration of the test.

Signup and view all the flashcards

Test Duration in Implantation Tests

The duration of implantation tests is adjusted to match the projected lifespan of the animal used.

Signup and view all the flashcards

Odontoblast damage

Stronger irritants, like bacteria or chemicals, can damage the odontoblasts (cells that form dentin), leading to their death.

Signup and view all the flashcards

Secondary odontoblasts

When the pulp is injured, stem cells within the pulp differentiate into secondary odontoblasts. These new cells create reparative dentin, which is less organized than normal dentin.

Signup and view all the flashcards

Mucosa and gingiva usage tests

Tests where materials are directly placed on the gingiva or buccal/palatal mucosa for different time periods. The inflammation response is then observed and categorized (slight, moderate, or severe).

Signup and view all the flashcards

Endodontic usage tests

Tests using animal models (e.g., primates, dogs) to investigate the biocompatibility of materials with periapical tissues. The material is placed in the root canal after traditional cleaning and shaping procedures.

Signup and view all the flashcards

Combined Biocompatibility Testing

The process of evaluating a new material's biocompatibility by combining multiple tests. This approach is considered the most effective as no single test can fully assess all aspects.

Signup and view all the flashcards

Primary Biocompatibility Tests

The first set of biocompatibility tests conducted on a material. These usually include in vitro tests like cytotoxicity and mutagenicity testing.

Signup and view all the flashcards

Secondary Biocompatibility Tests

Tests conducted in experimental animals to further investigate the biocompatibility of a material. These tests may include tissue implantation and organ function evaluation.

Signup and view all the flashcards

Usage Tests

The final stage of biocompatibility evaluation where the material is tested under actual usage conditions. This involves clinical trials and long-term safety monitoring.

Signup and view all the flashcards

Hemolysis Testing

A method used to assess the compatibility of a material with blood, specifically its effect on red blood cells.

Signup and view all the flashcards

Standardization of Incubation Conditions

A standardized set of conditions crucial to ensure consistent and reliable results when evaluating biomaterials' compatibility with blood.

Signup and view all the flashcards

Biocompatibility Testing

A test evaluating a material's safety and compatibility when placed in contact with living tissue or organisms.

Signup and view all the flashcards

In Vitro Cytotoxicity Test

A test method that involves directly contacting a material with living cells in a laboratory setting to assess its potential toxicity.

Signup and view all the flashcards

Immunocompatibility Tests

Tests focusing on how a material interacts with the body's immune system, potentially triggering an immune response.

Signup and view all the flashcards

Sensitization Tests

A test method that examines the potential of a material to cause an allergic reaction in an individual.

Signup and view all the flashcards

Hemocompatibility

Refers to the ability of a material to interact with blood without causing harmful reactions like red blood cell destruction.

Signup and view all the flashcards

Bacterial cellulose/chitosan composite

A type of naturally occurring polymer that exhibits antibacterial properties, forms a barrier, and promotes wound healing due to its optimal moisture retention.

Signup and view all the flashcards

Synthetic polymers for Hydrogel Production

Synthetic polymers are often preferred for creating hydrogels because their properties can be easily controlled and predicted, but they may lack natural biological activity.

Signup and view all the flashcards

Bioactive materials in Synthetic Hydrogels

Adding naturally occurring substances like proteins or biomolecules to synthetic hydrogels can improve their ability to interact with cells and enhance their biological function.

Signup and view all the flashcards

Poly Ethylene Glycol (PEG)

A synthetic polymer commonly used in biomaterials, PEG is known for its excellent water-absorbing properties, biocompatibility, and ability to regulate cell growth.

Signup and view all the flashcards

Poly Ethylene Oxide (PEO)

This polymer is similar to PEG and can be used to create networks that trap cells, which makes it suitable for tissue engineering and drug delivery.

Signup and view all the flashcards

Poly-Lactic Acid (PLA) and Poly-Glycolic Acid (PGA)

PLA and PGA are biodegradable polymers whose breakdown products are naturally occurring in the body, making them suitable for medical applications.

Signup and view all the flashcards

Biodegradability of PLA and PGA

PLA and PGA are very versatile when used in the body because their breakdown products, lactic and glycolic acid, are naturally processed and eliminated by the body.

Signup and view all the flashcards

Hydrogel Formation

The process of creating a network of polymers that can trap water and form a gel-like structure, often used in biomaterials, is called hydrogel formation.

Signup and view all the flashcards

Study Notes

Biocompatibility of Dental Biomaterials

  • Biocompatibility is the ability of a biomaterial to not harm the host during its use.
  • It should elicit a beneficial/positive response from the host tissue.
  • Harmful responses from tissue reactions can lead to failure of the biomaterial or prosthesis and harm the host.
  • Biocompatibility assessment measures the degree of unfavorable changes in the host's homeostatic mechanisms.
  • The primary factor of biocompatibility is that the material does no harm, irrespective of its intended purpose.
  • For implantable devices, biocompatibility means achieving intended function without harmful effects.
  • For tissue engineering scaffolds, biocompatibility is enabling positive tissue responses to enhance therapy.

Concepts of Biocompatibility Testing

  • Biological risks associated with dental materials have spurred safety assessment.
  • Multiple, sophisticated tests are needed to establish biocompatibility, as a single test won't suffice.
  • Standards like ISO 7405, ANSI/ADA Document No. 41, and ISO 10993 provide guidelines for biological testing on dental and medical devices.
  • Biocompatibility evaluation progresses from in vitro to animal studies, and finally to usage tests.

In Vitro Tests

  • In vitro tests happen outside a living organism, where materials interact with cells or components of living systems.
  • Primary cells are derived from living organisms and cultivated in an artificial environment.
  • Continuous cell lines are transformed primary cells with unlimited growth potential.
  • In vitro tests are faster, cheaper, and more reproducible than in vivo tests, but relevance to clinical situations can be questionable.

Cytotoxicity Tests

  • ISO 10993-5 provides guidelines for cytotoxicity testing.
  • Cytotoxicity is measured by incubating material samples with cultured cells.
  • Direct contact tests involve placing the sample directly on the cells. Indirect tests use barriers between the sample and cells.
  • Toxicity is assessed by microscopic examination of cellular changes (vacuolization, detachment, lysis).
  • Quantitative assessment involves measuring cell viability, cell proliferation, cell metabolism, etc. (MTT assay - a colorimetric method).

Mutagenicity and Genotoxicity Tests

  • Genotoxicity and mutagenicity describe a material's damaging effects on a cell's genetic material (DNA).
  • A mutagenic material causes permanent changes in genetic components (DNA mutations).
  • A genotoxic material causes genome damage but doesn't always result in mutations.
  • The Ames test assesses mutagenic effects of a material using salmonella strains.
  • The micronucleus test detects chromosomal damage in the cells, identifying structural and numerical changes.

Hematocompatibility Testing

  • Hematocompatibility testing determines a material's compatibility with blood and blood components.
  • Hemolysis occurs when chemicals or leachables from a device interact with red blood cells, releasing hemoglobin.
  • The hemolysis assay evaluates hemocompatibility by incubating testing materials with whole blood, and measuring released hemoglobin.

Animal Tests

  • Animal tests, using mammals like mice, rats, rabbits, or guinea pigs, assess material interactions with biological systems.
  • In animal tests, materials interact with the body, assessing factors such as blood interaction, infection, wound healing, and hypersensitivity, among other host responses.
  • Results from animal tests aren't always directly applicable to humans because responses can vary.

Usage Tests

  • Usage tests mimic clinical situations by placing materials in specified locations for predefined duration.
  • Different outcomes such as localized or systemic effects in host/patient are assessed during clinical implementation of the material.
  • Usage tests assess how materials respond in realistic clinical use cases.
  • Dental pulp irritation tests assess material effects on the dental pulp.
  • Mucous membrane irritation tests examine material effects on mucous membranes.
  • Endodontic tests examine materials' effects on periapical tissues.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Biomaterials and Biocompatibility
3 questions
Dentistry: Cavity Outlines and Biocompatibility
10 questions
Biocompatibility Mechanisms and Agents
24 questions
Use Quizgecko on...
Browser
Browser