Biocompatibility of Dental Materials Flashcards

1
Q

Three uses for Methacrylate materials in dentistry and medicine.

A
  1. dental composite
  2. bone cement
  3. adhesives
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2
Q

What are the common monomers used for methacrylate materials?

A
MMA
BisGMA
TEGDMA
BisEMA
HEMA

(…or blah, blah, blah, blah)

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3
Q

________ - the ability of a material to function in a specific application in the presence of appropriate host response

A

biocompatibility

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4
Q

True or False: Biocompatibility means inert to the body.

A

False, that was previously desired but now we want a POSITIVE interaction, not inert

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5
Q

What are the classifications of various tissue reactions (3)?

A

none (bioinert)
positive
negative

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6
Q

True or False: Reactions can take years to manifest and are difficult to detect.

A

True

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7
Q

Multiple exposures result in huge _____.

A

permutations

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8
Q

What are three examples of positive interactions?

A

promote healing
integration with tissue
restoration of function

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9
Q

What are five examples of negative interactions?

A
tissue necrosis
allergic reaction
immune reaction
systemic toxicity
mutagenicity
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10
Q

Materials function in 1 of 5 ways. What are the five functionalities?

A
  • functional
  • restorative/structural
  • esthetic
  • drug delivery
  • scaffolding/tissue engineering

(FRED’S 5 ways)

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11
Q

Which agencies set standards for regulatory compliance?

A

FDA
EU (European Union?)
ISO/ADA

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12
Q

How is a material’s biocompatibility determined?

A

cell culture
animal testing
clinical testing

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13
Q

True or False: Cell culture tests are lower cost.

A

True

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14
Q

True or False: Cell culture tests can model in vivo resposes of a material

A

True

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15
Q

To detect a 0.1% incident rate, how many patients are needed?

A

4000

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16
Q

Cell culture tests measure _____ interactions.

A

specific (particular cell lines are used)

17
Q

True or False: Cell cultures allow for large, quick screenings.

18
Q

What is a major downfall for cell cultures?

A

only testing one cell line, difficult to model immune response or long term effects

19
Q

Which type of cell culture is better at modeling in vivo conditions?

A

primary cell cultures

permanent are less variable

20
Q

______ is determined by measuring cell viability in the presence of a given material.

A

cytotoxicity

21
Q

The cell number and growth test observes cell _____ as a function of _____ to the material.

A

density

proximity

22
Q

The MTT Test measures the activity of ____ in the cell.

A

an enzyme

  1. MTT (yellow) added
  2. Cell reduces MTT to Formazan (blue color)
  3. measure Formazan by UV-vis
  4. high concentration of Formazan = high cell action
23
Q

True or False: The Alamar Blue Test is a destructive measure of cell metabolism.

A

False, non-destructive

24
Q

True or False: Metabolic tests are an indirect measure of cell viability.

A

True, resting cells don’t show activity and few cells of high or low activity can skew results as a whole

25
What is "splat deposition" and what is it used for?
injected powder particles are melted into plasma and impact substrate at high velocity used for HA coating on implants
26
True or False: Splat deposition results in incomplete coalescence of particular regions
True, gives the surface high texture (some say porosity)
27
True or False: Surface roughness improves integration.
True
28
True or False: Thick calcium phosphate appears to have a detrimental effect.
False, is not detrimental, but thin calcium phosphate appears to have a benefit over thick
29
True or False: The most significant issue with metal alloys is leaching of ions from corroding metal.
True, but it is not a systemic concern
30
What is estrogenicity?
the concept that certain chemicals can act as estrogen or other hormones and will disrupt the endocrine system
31
True or False: TEGMA and HEMA can cause apoptosis.
True! | the pathway is uncertain and it is concentration dependent
32
A possible mechanism for TEGMA/HEMA caused apoptosis is the increase in _____.
Reactive Oxygen Species (ROS)
33
True or False: Composites, Polymer Surfaces, and Leached Monomers can influence growth and regulation of bacteria and fungus.
True
34
Hydro_____ monomers inhibit bacterial growth.
phobic
35
Which monomers leach at a greater rate and cause bacterial growth? (hydrophilic vs hydrophobic)
hydrophilic
36
In the study of curing levels compared to bacterial colonization, the results showed...?
higher curing power (800) and longer cure time (80s) resulted in lower bacteria density