Search Results (192)

Background and Objectives: Bone regeneration (BR) is a cornerstone technique in reconstructive dental surgery, traditionally using either barrier membranes, titanium meshes, or perforated non-resorbable membranes to facilitate bone regeneration. Recent advancements in 3D technology, including CAD/CAM and additive manufacturing, have enabled the development of customized scaffolds tailored to patient needs, potentially overcoming the limitations of conventional methods. Materials and Methods: A scoping review was conducted according to the PRISMA guidelines. Electronic searches were performed in MEDLINE (PubMed), the Cochrane Library, Scopus, and Web of Science up to January 2025 to identify studies on digital technologies applied to bone augmentation. Eligible studies encompassed randomized controlled trials, cohort studies, case series, and case reports, all published in English. Data regarding digital workflows, software, materials, printing techniques, and sterilization methods were extracted from 23 studies published between 2015 and 2024. Results: The review highlights a diverse range of digital workflows, beginning with CBCT-based DICOM to STL conversion using software such as Mimics and Btk-3D^®. Customized titanium meshes and other meshes like Poly Ether-Ether Ketone (PEEK) meshes were produced via techniques including direct metal laser sintering (DMLS), selective laser melting (SLM), and five-axis milling. Although titanium remained the predominant material, studies reported variations in mesh design, thickness, and sterilization protocols. The findings underscore that digital customization enhances surgical precision and efficiency in BR, with several studies demonstrating improved bone gain and reduced operative time compared to conventional approaches. Conclusions: This scoping review confirms that 3D techniques represent a promising advancement in BR. Customized digital workflows provide superior accuracy and support for BR procedures, yet variability in protocols and limited high-quality trials underscore the need for further clinical research to standardize techniques and validate long-term outcomes. Full article

Free-standing copper oxide (Cu₂O)-copper hydroxide (Cu(OH)₂) nanocomposites with enhanced catalytic and antibacterial functionalities were synthesized on copper mesh using a green method based on spinach leaf extract and glycerol. EDX, SEM, and TEM analyses confirmed the chemical composition and morphology. The resulting Cu2O-Cu(OH)₂@Cu mesh exhibited notable hydrophobicity, achieving a contact angle of 137.5° ± 0.6, and demonstrated the ability to separate thick oils, such as HD-40 engine oil, from water with a 90% separation efficiency. Concurrently, its photocatalytic performance was evaluated by the degradation of methylene blue (MB) under a weak light intensity of 5 mW/cm², achieving 85.5% degradation within 30 min. Although its application as a functional membrane in water treatment may raise safety concerns, the mesh showed significant antibacterial activity against both Gram-positive (Staphylococcus aureus) and Gram-negative (Escherichia coli) bacteria under both dark and light conditions. Using the disk diffusion method, strong bacterial inhibition was observed after 24 h of exposure in the dark. Upon visible light irradiation, bactericidal efficiency was further enhanced—by 17% for S. aureus and 2% for E. coli. These findings highlight the potential of the Cu₂O-Cu(OH)₂@Cu microfibers as a multifunctional membrane for industrial wastewater treatment, capable of simultaneously removing oil, degrading organic dyes, and inactivating pathogenic bacteria through photo-assisted processes. Full article

Background: Vertical ridge augmentations (VRAs), including guided bone regeneration (GBR) techniques, have been utilized in the reconstruction of deficient alveolar ridges for quite some time. GBR-based VRA procedures are technique-sensitive, operator-dependent, and often lead to complications detected during or after the treatment. The main objective of this systematic review was to include randomized and non-randomized human studies that investigated the regenerative outcome differences, as well as the incidence rates of healing and surgical complications of titanium meshes and/or titanium-reinforced membranes with and without collagen membranes utilized in GBR-based VRA. Methods: This systematic review has been prepared and organized according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) 2020 guidelines and is registered at PROSPERO (Registration ID: CRD420251002615). Medline via PubMed, Scopus, Web of Science, Embase, and the Cochrane Library were searched for eligible studies up to 5 June 2025. Randomized and non-randomized human clinical studies, except for case reports, focused on applying titanium meshes or titanium-reinforced membranes with or without collagen membranes in GBR-based VRA, were eligible. Results: A total of 119 patients from three human randomized clinical trials (RCTs) and one case series reported across nine articles were included. The addition of collagen membranes causes no significant differences in vertical bone gain or surgical/healing complication rates. Conclusions: The addition of collagen membranes on top of titanium meshes and titanium-reinforced membranes might not be necessary in GBR-based VRA. Further human RCTs are required to reach a reliable conclusion. Full article

Purpose: To evaluate the clinical and histological outcomes of patients that receive implant-supported crowns after vacuum plasma surface treatment (VPST) of biomaterials used in socket preservation (SP) and guided bone regeneration (GBR). Materials and methods: This study was designed as a case series. Patients in need of tooth extraction and socket preservation or guided bone regeneration were enrolled. The socket preservation technique was performed after tooth extraction using a heterologous collagen bone graft and a collagen xenomatrix, both activated with vacuum plasma. Meanwhile, a two-stage horizontal ridge augmentation was performed using a customized titanium mesh and a mix of autologous (untreated) and heterologous (treated) bone grafts, along with a treated collagen membrane. ACTILINK Reborn with Universal Vortex Holder (Plasmapp Co., Ltd., Daejeon, Republic of Korea) was used to treat all biomaterials. The outcome measures were implant and prosthesis failures, complications, and histological examination. Soft and hard tissue samples were collected at the time of implant placement only in patients treated with SP. Results: A total of six patients were treated—three with socket preservation and delayed implant placement, and three with staged GBR. No implant or prosthesis failed. One customized titanium mesh broke after plasma treatment, requiring replacement with a pericardium membrane. No other complications occurred. Histological analysis at three months post-surgery revealed well-vascularized newly formed bone at different stages of maturation with integrated bone graft particles, while the soft tissue appeared to be physiologically structured. Conclusion: VPST may enhance the hydrophilicity of biomaterials, supporting favorable healing outcomes in SP and GBR. Further randomized controlled trials with appropriate sample size calculations are needed to confirm these preliminary results. Full article

In this study, the applicability of an integrated-hybrid process was performed in a divided electrochemical cell for removing organic matter from a polluted effluent with simultaneous production of green H₂. After that, the depolluted water was reused, for the first time, in the cathodic compartment once again, in the same cell to be a viable environmental alternative for converting water into energy (green H₂) with higher efficiency and reasonable cost requirements. The production of green H₂ in the cathodic compartment (Ni-Fe-based steel stainless (SS) mesh as cathode), in concomitance with the electrochemical oxidation (EO) of wastewater in the anodic compartment (boron-doped diamond (BDD) supported in Nb as anode), was studied (by applying different current densities (j = 30, 60 and 90 mA cm⁻²) at 25 °C) in a divided-membrane type electrochemical cell driven by a photovoltaic (PV) energy source. The results clearly showed that, in the first step, the water anodically treated by applying 90 mA cm⁻² for 180 min reached high-quality water parameters. Meanwhile, green H₂ production was greater than 1.3 L, with a Faradaic efficiency of 100%. Then, in a second step, the water anodically treated was reused in the cathodic compartment again for a new integrated-hybrid process with the same electrodes under the same experimental conditions. The results showed that the reuse of water in the cathodic compartment is a sustainable strategy to produce green H₂ when compared to the electrolysis using clean water. Finally, two implied benefits of the proposed process are the production of green H₂ and wastewater cleanup, both of which are equally significant and sustainable. The possible use of H₂ as an energetic carrier in developing nations is a final point about sustainability improvements. This is a win-win solution. Full article

With daily oil consumption approaching 100 million barrels, the global demand continues to generate significant quantities of oily wastewater during oil extraction, refining, and transportation, and the development of effective oil–water separation technologies has become crucial. However, membrane corrosion is a challenge under the harsh conditions involved. Here, we are inspired by the lotus leaf to create a corrosion-resistant and robust superhydrophobic membrane using a general spraying method. By using this spraying process to apply the Graphene@PDMS heptane dispersion onto the mesh substrate, we create a biomimetic corrosion-resistant and robust superhydrophobic stainless steel mesh (SSM). The modified SSM can still maintain superhydrophobic properties after soaking in a strong acidity solution (pH = 1), robust alkalinity solution (pH = 14), or NaCl solution (15 days), which demonstrates excellent chemical stability. Moreover, the modified SSM shows strong mechanical stability during ultrasonic treatment for 2 h. The superhydrophobic SSM can be used to separate various kinds of oils from water with high flux and separation efficiency. It shows a high flux of 27,400 L·m⁻²·h⁻¹ and high separation efficiency of 99.42% for soybean oil–water separation using 400-mesh SSM. The biomimetic modified SSM demonstrates great potential for oil–water separation under harsh conditions, which gives it promise as a candidate in practical applications of oil–water separation. Full article

Guided bone regeneration (GBR) is a procedure used for the treatment of bone deficiencies. Computer-Aided Designed–Computer-Aided Manufacturing (CAD-CAM) allows us to design a titanium mesh (TM) for GBR directly on a 3D bone defect model (3DBM). The design and printing of TMs are often delegated to specialized 3D printing centers, thus preventing the surgeon from controlling surgical parameters such as the thickness, pore width, texture, and stiffness. Therefore, we have here proposed a personalized digital workflow for designing a TM. The 3DBM was uploaded to an open-source CAD-CAM software. Following a GBR simulation, a TM was designed as a Standard Tesselation Language (STL) file and 3D laser-printed. The TM was applied to a graft of 50/50% autologous/xenogenic bone, fixed with a bone screw, and covered with a dermal membrane. No TM exposure was observed during the healing phase. The regenerated bone volume was 970 cc, and pseudoperiosteum was class 1. At the 6-month reentry, a 4.1 × 10 standard dental implant with a primary stability of 40 N/cm was placed and after 3 months a zirconia crown screw-on implant was placed. This proposed digital workflow enabled us to successfully tackle this clinical case. However, further clinical investigations will be necessary to confirm the long-term benefits of this procedure. Full article

Reconstructing neuronal morphology from microscopy image stacks is essential for understanding brain function and behavior. While existing methods are capable of tracking neuronal tree structures and creating membrane surface meshes, they often lack seamless processing pipelines and suffer from stitching artifacts and reconstruction inconsistencies. In this study, we propose a new approach utilizing implicit neural representation to directly extract neuronal isosurfaces from raw image stacks by modeling signed distance functions (SDFs) with multi-layer perceptrons (MLPs). Our method accurately reconstructs the tubular, tree-like topology of neurons in complex spatial configurations, yielding highly precise neuronal membrane surface meshes. Extensive quantitative and qualitative evaluations across multiple datasets demonstrate the superior reliability of our approach compared to existing methods. The proposed method achieves a volumetric reconstruction accuracy of up to 98.2% and a volumetric IoU of 0.90. Full article

Background: Pheochromocytoma and paraganglioma are catecholamine-secreting tumors, rarely presenting with pheochromocytoma multisystem crisis (PMC), a life-threatening endocrine emergency. The severity of the condition includes a refractory cardiogenic shock and may therefore require the use of temporary mechanical circulatory support. The aim of this review is to describe the incidence of pheochromocytoma and paraganglioma crises associated with refractory cardiogenic shock, the physiopathological impact of this condition on the myocardial function, the role of temporary mechanical circulatory support (tMCS) in its management, and the outcomes of this specific population. Methods: For the purpose of this narrative review, a literature search of PubMed was conducted as of 16 November 2024. Medical Subject Headings (MeSH) terms used included extracorporeal circulation”, “Impella”, “pheochromocytoma”, “paraganglioma”, and “cardiogenic shock”, combined with Boolean “OR” and “AND”. Data from case series, retrospective studies, and systematic reviews were considered. Seven studies reporting on 45 patients who developed PMC with cardiogenic shock requiring tMCS were included. Patients were young, with a median age of 43 years (range 25–65) at presentation. Most cases presented with severe hemodynamic instability, blood pressure lability, and rapid progression to severe left ventricular dysfunction. Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) was the most common tMCS used to stabilize patients, initiate specific pheochromocytoma treatments, and, in some cases, provide circulatory support during emergent surgery. The median duration of VA-ECMO support was 4 days (range 1–7) and the reported mean in-hospital survival rate was 93.5%. Following VA-ECMO weaning, survivors showed full recovery of the left ventricular ejection fraction (LVEF). Conclusions: The cardiac dysfunction observed in PMC-associated cardiogenic shock may be severe and life-threatening but appears reversible. tMCS should therefore be considered in eligible cases, as a bridge to recovery, treatment, or surgery. The reported survival rates are impressively high, suggesting possibly a substantial risk of publication bias. Full article

Objectives: This study aimed to synthesize polylactic acid (PLA) nanofibrillar scaffolds loaded with ibuprofen (IBU) using electrospinning (ES) and air-jet spinning (AJS). The scaffolds were evaluated for their physicochemical properties, drug release profiles, and biocompatibility to assess their potential for local analgesic applications. Methods: Solutions of 10% (w/v) PLA combined with IBU at concentrations of 10%, 20%, and 30% were processed into nanofibrillar membranes using ES and AJS. The scaffolds were characterized using scanning electron microscopy (SEM), differential scanning calorimetry (DSC), thermogravimetric analysis (TGA), and Fourier-transformed infrared (FT-IR) spectroscopy. The drug release profile was assessed by ultraviolet-visible spectrophotometry (UV-Vis), and cell adhesion and viability were evaluated using fibroblast culture assays. Statistical analyses included qualitative analyses, t-tests, and Likelihood ratio tests. Results: SEM revealed randomly arranged nanofibers forming reticulated meshes, with more uniform dimensions observed in the AJS group. TGA and DSC analyses confirmed the thermodynamic stability of the scaffolds and enthalpy changes consistent with IBU incorporation, which FT-IR and UV-Vis validated. Drug release was sustained over 384 h, showing no significant differences between ES and AJS scaffolds (p > 0.05). Cytotoxicity and cell viability assays confirmed scaffold biocompatibility, with cellular responses proportional to drug concentration but within safe limits. Conclusions: PLA-IBU nanofibrillar scaffolds were successfully synthesized using ES and AJS. Both methods yielded biocompatible systems with stable properties and controlled drug release. Further, in vivo studies are necessary to confirm their clinical potential. Full article

Short-chain fatty acids (SCFAs) are valuable metabolic intermediates that are produced during dark fermentation of sludge, which, when capitalized on, can be used as chemical precursors for biotechnological applications. However, high concentrations of solids with SCFAs in hydrolyzed sludge can be highly detrimental to downstream recovery processes. This pilot-scale study addresses this limitation and explores the recovery of SCFAs from primary sludge into a particle-free permeate through a combination of chamber filter-press (material: polyester; mesh size: 100 µm) and cross-flow microfiltration (material: α-Al₂O₃; pore size: 0.2 µm; cross-flow velocity: 3 m∙s⁻¹; pressure = 2.2 bars). Firstly, primary sludge underwent dark fermentation yielding a hydrolyzate with a significant concentration of SCFAs along with total solids (TS) concentration in the range of 20 to 30 g∙L⁻¹. The hydrolyzate was conditioned with hydroxypropyl trimethyl ammonium starch (HPAS), and then dewatered using a filter press, reducing TS by at least 60%, resulting in a filtrate with a suspended solids concentration ranging from 100 to 1300 mg∙L⁻¹. Despite the lower suspended solids concentration, the microfiltration membrane underwent severe fouling due to HPAS’s electrostatic interaction. Two methods were optimized for microfiltration: (1) increased backwashing frequency to sustain a permeate flux of 20 L∙m⁻²∙h⁻¹ (LMH), and (2) surface charge modification to maintain the flux between 70 and 80 LMH. With backwashing, microfiltration can filter around 900 L∙m_eff⁻² (without chemical cleaning), with the flux between 50 and 60 LMH under semi-continuous operation. Evaluating the particle-free permeate obtained from the treatment chain, around 4 gC_SCFAs∙capita⁻¹∙d⁻¹ can be recovered from primary sludge with a purity of 0.85 to 0.97 C_SCFAs∙DOC⁻¹. Full article

One of the main objectives of the ion mobility spectrometry (IMS) technique is to reduce moisture in detection systems, which causes the formation of ion clusters and ion water and a reduction in formed clusters’ activity. Thus, one of the methods limiting moisture in a sampling injection system is to use hydrophobic polymeric membranes. The use of membranes with high permeability relative to the analysed organic compounds is required, including toxic agents in air (TAAs). Such requirements align with those of polydimethylsiloxane (PDMS) membranes. Unfortunately, thin PDMS membranes are not mechanically resistant. In this study, relatively thin PDMS membranes were reinforced with fine mesh fabric supports. These supports were chemically modified with selected oligoglycol derivatives and finally coated with PDMS. The obtained membranes were tested for water permeability and TAA simulants. Full article

Polyethylene terephthalate (PET) is a widely utilized synthetic polymer, favored in various applications for its desirable physicochemical characteristics and widespread accessibility. However, its extensive utilization, coupled with improper waste disposal, has led to the alarming pollution of the environment. Thus, recycling PET products is essential for diminishing global pollution and turning waste into meaningful materials. Therefore, this study proposes the fabrication of electrospun membranes made of recycled PET nanofibers as a cost-effective valorization method for PET waste. ZnO nanoparticles were coated onto polymeric materials to enhance the antimicrobial properties of the PET fibers. Morphostructural investigations revealed the formation of fibrillar membranes made of unordered nanofibers (i.e., 40–100 nm in diameter), on the surface of which zinc oxide nanoparticles of 10–20 nm were attached. PET@ZnO membranes demonstrated effective antimicrobial and antibiofilm activity against Gram-positive and Gram-negative bacteria, yeasts, and molds, while imparting no toxicity to amniotic fluid stem cells. In vivo tests confirmed the materials’ biocompatibility, as no side effects were observed in mice following membrane implantation. Altogether, these findings highlight the potential of integrating ZnO nanoparticles into recycled PET to develop multifunctional materials suitable for healthcare facilities (such as antimicrobial textiles) and biomedical devices, including applications such as textiles, meshes, and sutures. Full article

Background: Giant cell tumor of bone (GCTB) is a locally aggressive tumor. It accounts for only 5% of all bony tumors. Early diagnosis, and follow-up for recurrence is often difficult due to a lack of biogenetic markers. Giant cells are multinucleated epithelioid cells derived from macrophages. Histologically, giant cells are also present in other pathologies of bone, e.g., aneurysmal bone cyst, chondroblastoma, giant cell granuloma, and malignant giant cell tumor, etc. Similarly, radiographic findings overlap with other osteolytic lesions, making the diagnosis and prognosis of giant cell tumor very challenging. Aims and Objectives: The purpose of this study was to explore biological and genetic markers which can be used for detection, differentiation, recurrence, and prognosis of GCTB. This will help to better understand the clinical outcome of GCTB and minimize the need for interventions. Methods: We conducted a literature search using Google, Google Scholar, PubMed, Wiley Library, Medline, Clinical trials.org, and Web of Science. Our search strategy included MeSH terms and key words for giant cell tumor and biogenetic markers from date of inception to September 2020. After excluding review articles, 246 duplicates, and non-relevant articles, we included 24 articles out of 1568 articles, summarizing the role of biogenetic markers in the prognosis of GCT. Results: P63 is 98.6% sensitive and relatively specific for GCT as compared to other multinucleated giant cells containing neoplasms. MDM2 (mouse double minute 2 homolog), IGF1 (insulin-like growth factor 1), STAT1 (signal transducer and activator of transcription 1), and RAC1 (Ras-related C3 botulinum toxin substrate 1) are associated with GCTB recurrence, and might serve as biomarkers for it. Increased expression of the proteins STAT5B, GRB2, and OXSR1 was related to a higher probability of metastasis. H3F3A and H3F3B mutation analysis appears to be a highly specific, although less sensitive, diagnostic tool for the distinction of giant cell tumor of bone (GCTB) and chondroblastoma from other giant cell-containing tumors. A neutrophil to lymphocyte ratio (NLR) > 2.70, platelet to lymphocyte ratio (PLR) > 215.80, lymphocyte to monocyte ratio (LMR) ≤ 2.80, and albumin to globulin ratio (AGR) < 1.50 were significantly associated with decreased disease-free survival (DFS) (p < 0.05). Large amounts of osteoclast-related mRNA (cathepsin K, tartrate-resistant acid phosphatase, and matrix metalloproteinase9) in GCTs (p < 0.05) are associated with the grade of bone resorption. We propose that subarticular primary malignant bone sarcomas with H3.3 mutations represent true malignant GCTB, even in the absence of a benign GCTB component. IMP3 and IGF2 might be potential biomarkers for GCT of the spine in regulating the angiogenesis of giant cell tumor of bone and predicting patients’ prognosis. Conclusions: This review study shows serological markers, genetic factors, cell membrane receptor markers, predictive markers for malignancy, and prognostic protein markers which are highly sensitive for GCT and relatively specific for giant cell tumor. MDM2, IGF1, STAT1, RAC1 are important makers in determining recurrence, while P63 and H3F3A differentiate GCT from other giant cell-containing tumors. STAT5B, GRB2, and OXSR1 are significant in determining the prognosis of GCT. Apart from using radiological and histological parameters, we can add them to tumor work-up for definitive diagnosis and prognosis. Full article

Background and Clinical Significance: Currently, maxillary sinus floor elevation is one of the most common procedures used in implantology practice. Despite its predictability, the technique is not without complications, such as graft material dispersion in the sinus cavity, wound dehiscence, hematoma, fenestrations, oroantral fistulas, epistaxis, acute sinusitis, and Schneider membrane perforations. The treatment of the latter can be complex, and depending on its extent, surgery deferral may be necessary, leading to increased patient morbidity. Case Presentation: A patient with apical surgery underwent sinus floor elevation with a significant Schneider membrane perforation using a new approach involving titanium mesh, resorbable membrane, and xenograft. This allowed the continuation of surgery, reducing the number of interventions and patient morbidity. Conclusions: Despite limitations due to a small sample size, this case report demonstrates that addressing large Schneider membrane perforations and placing implants is effective and predictable using the technology and approach of mesh formwork with titanium. Full article