Biomaterials In The Human Body And Tissue Engineering Flashcards

1
Q

Anatomical structure of tooth

A

Enamel - hard outer coating which is wear resistant
Dentine - core structure that is tough and resilient
Pulp - nutrition, sensory and repair system (odontoblasts make dentin)
Cementum - anchorage site for periodontal ligament
Periodontal ligament - load absorbing and distributing membrane

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2
Q

Material selection for modern dentures

A
  • Polymethylmethacrylate
    • Perspex, plexiglass
    • tough, shatter resistant polymer variant of glass
    • cheap and chemically resistant
  • Metal coated with ceramic
    • mitigates problems with toughness of ceramic and plasticity of metal
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3
Q

Material selection of modern tooth fillings

A
  • composite resin
    • matrix (normally photocurable polymer), filler, coupling agent
  • glass ionomer
    • matrix of polyacrylate, filler of glass particles
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4
Q

Metal corrosion and factors in body that lead to it

A
  • continued oxidation of metal to metal oxides,
    hydroxides or other compounds
  • known as redox reaction
  • tissue fluid contains: water, oxygen, proteins, ions, chloride and hydroxide
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5
Q

Redox reactions

A
  • oil rig
  • anode oxidation - loss of electrons
  • cathode reduction - gain of electrons
    In corrosion:
    M -> M+ + e- (oxidation of metal to form metallic cations)
    02 + 2H2O + 4e- -> 4OH- (reduction of oxygen)
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6
Q

Mechanism of corrosion

A
  • materials have tendency to reach lowest free energy
  • alloys, hydroxides, sulphides have negative free energy of formation and are thermodynamically favoured over pure metal
  • metal atoms ionise and combine with oxygen
  • propensity of metal to oxidise is given by electrochemical series
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7
Q

Objective of tissue engineering

A
  • repair, regenerate or replace damaged or diseased tissues to their original state and function
  • generate natural tissues in sufficient quantity and of desired shape that are structurally and functionally equal or better than the tissue
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8
Q

Tissue engineering procedure

A
  • human stem cells taken from patient
  • cells are proliferated and differentiated
  • cells are attached to a scaffold
  • extracellular matrix is laid down to give a biocomposite
  • tissue is implanted
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9
Q

Cell sources for tissue engineering

A
  • mature cells from patient - nullipotent
  • adult, mesenchymal stem cells from patients bone marrow - multipotent
  • umbilical cord blood stem cells - hematopoietic multipotent
  • embryonic stem cells - pluripotent
  • induced pluripotent stem cells
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10
Q

Nullipotent vs multipotent vs pluripotent

A

Nullipotent - can only differentiate into its own cell type
Multipotent - can differentiate into a limited number of cells of closely related lineage
Pluripotent -can differentiate into 3 germ layer cells, endoderm (gastrointestinal, stomach lining and lungs), mesoderm (muscle, bone, blood), ectoderm (epidermal tissues and nervous tissues)

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11
Q

Advantages and disadvantages of adult cells for tissue engineering

A

+ : easily obtained from patient, no need for immuno suppression
- : only used for autologous tissue transplants, poor growth, difficult to get enough cells, tendency to turn into unwanted cell types

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12
Q

Functions of the skin

A
  • sensor system
  • thermal control system
  • protection
  • maintains shape and enables movement
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13
Q

Layers of the skin

A
  • epidermis: surface layer, tough, stiff, physical barrier
    • keratinocytes: stem cells that generate epidermal cells and keratin
  • dermis: collagen fibres and fibroblasts that help bind epidermis, blood vessels, hair roots, sebaceous glands, nerves
  • hypodermis: looser connective tissue, insulating and cushioning, larger blood vessels, fatty tissue
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14
Q

Layers of the skin

A
  • epidermis: surface layer, tough, stiff, physical barrier
    • keratinocytes: stem cells that generate epidermal cells and keratin
  • dermis: collagen fibres and fibroblasts that help bind epidermis, blood vessels, hair roots, sebaceous glands, nerves
  • hypodermis: looser connective tissue, insulating and cushioning, larger blood vessels, fatty tissue
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15
Q

Degrees of burns

A

1st: only epidermis
2nd: epidermis and part of dermis
3rd: epidermis and dermis destroyed
4th: damage to underlying tissue and nerve endings destroyed

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16
Q

Process of skin engineering

A
  • patient has skin biopsy
  • skin is peeled and separated into epidermis and dermis
  • keratinocytes and fibroblasts isolated from one another
  • transferred into culture on top of a scaffold
17
Q

Tissue engineering products on the market

A

Integra: placed on wounded area, provides collagen scaffold allowing for victims cells to grow new dermis, protective layer is removed after 2 to 4 weeks and victims epithelial cells are applied
Myskin: keratinocytes grown on treated silicone, treated silicone applied to would to provide keratinocytes

18
Q

Common materials for scaffolds in tissue engineering

A
  • Polyglycolide - degrades to glycolic acid
  • Polylactide - degrades to lactic acid
  • degradation happens by hydrolysis
  • degradation products occur naturally in the body