Search Results (840)

Background/Objectives: Previous studies have demonstrated that the cessation of liver damage after HCV cure can improve liver function, histological necroinflammation, and portal hypertension. However, scarce data about fibrosis stage or cirrhosis regression have been reported during follow-up. Methods: A prospective study evaluating hepatic biopsies and liver stiffness measurement by vibration-controlled transient elastography (VCTE-LSM) after the end of treatment (EOT) in patients with compensated advanced chronic liver disease (cACLD). Fibrosis was evaluated according to two semi-quantitative grading systems (METAVIR and Laennec) at 6 years after EOT (LB6) and compared with biopsies at 3 years (LB3). Results: Fifty-four patients with LB6 (34 with paired LB3–LB6) were included. Median (IQR) age was 53.9 (48.5–59.3), 38 (70.4%) were men, and 13 (24.1%) were HIV-coinfected. The VCTE-LSM was >15 kPa in 30 (55.6%). The LB6 (81.4 months after EOT) showed non-advanced fibrosis (F1–F2) in 12 (22.4%) patients, bridging (F3) in 26 (48.2%), and cirrhosis (F4) in 16 (29.6%): F4A in 7 (13.0%), F4B in 4 (7.4%), and F4C in 5 (9.3%). The 1-year post-EOT follow-up VCTE-LSM ≤ 8.6 kPa identifies patients without advanced fibrosis (AUROC = 0.929), with a negative predictive value of 88.9% and a positive predictive value of 95.2%. Paired biopsies showed regression in 9 (47.4%) out of 19 patients with cirrhosis: 8 (61.5%) of 13 with F4A but only 1 (16.7%) of 6 with F4B–F4C. Conclusions: Advanced fibrosis persists in most patients with advanced chronic liver disease after HCV eradication. Regression is possible in mild cirrhosis. However, it is a limited and slow event. Full article

To address the issues of slow curing rate, post-curing reactions, and suboptimal mechanical properties in the carboxyl-terminated polybutadiene (CTPB)/epoxy resin (EP) binder system used for solid propellants, this study optimized the curing system by introducing 593 aliphatic amine compounds containing primary and secondary amine groups as a cure accelerator. It is found that the incorporation of the cure accelerator improved the fracture strength and elongation at break of the CTPB/EP binder system. With the addition of 0.3 wt.% cure accelerator, the tensile fracture strength increased to 0.37 MPa, while the elongation at break reached 655%. Moreover, augmenting the quantity of cure accelerator can substantially elevate the crosslink density and gel fraction of the binder system. When the addition reaches 0.3 wt.%, the crosslink density is 4.3 × 10⁻⁴ mol/cm³. Further studies showed that 593 cure accelerator reduced the activation energy of the curing reaction of the CTPB/EP binder system, with higher levels of cure accelerator resulting in lower activation energy. This study established a preparation methodology for a CTPB/EP binder system with high elongation and tensile strength. These findings provide a solid scientific foundation for the application of CTPB-based binder systems in solid propellants. Full article

Objectives: The aim of this study was to present and describe a digital workflow integrating Digital Smile Design (DSD) with computer-aided design/computer-aided manufacturing (CAD/CAM) and additive manufacturing technologies for the fabrication of dental preparation guides, focusing on workflow feasibility, design reproducibility, and clinical handling. Materials and Methods: A digital workflow was implemented using intraoral scanning and Exocad DentalCAD 3.1 Elefsina software to design dental preparation guides based on digitally planned restorations. Preparation margins, insertion paths, and minimal material thickness were defined virtually. The guides were fabricated using both subtractive (PMMA milling) and additive (stereolithographic-based 3D printing) manufacturing techniques. Post-processing included chemical cleaning, support removal, additional light curing, and manual finishing. The evaluation was qualitative and descriptive, based on visual inspection, workflow performance, and guide adaptation to printed models. Results: The proposed digital workflow was associated with consistent fabrication of preparation guides and predictable transfer of the virtual design to the manufactured guides. Digital planning facilitated clear visualization of preparation margins and insertion axes, supporting controlled and minimally invasive tooth preparation. The workflow demonstrated good reproducibility and efficient communication between clinician and dental technician. No quantitative measurements or statistical analyses were performed. Conclusions: Within the limitations of this qualitative feasibility study, the integration of DSD with CAD/CAM and 3D printing technologies represents a viable digital approach for designing and fabricating dental preparation guides. The workflow shows potential for improving predictability and communication in restorative dentistry. Full article

This study evaluates the performance of single concrete-filled frictional Fibre-Reinforced Polymer (FRP) piles embedded in saturated liquefiable sand and subjected to seismic loading using a shaking table. A unidirectional shaking table equipped with a 1000 mm × 1000 mm × 1000 mm laminar shear box with 27 lamina rings was utilized in the study. FRP tubes manufactured from epoxy-saturated Carbon Fibre-Reinforced Polymer (CFRP) and Glass Fibre-Reinforced Polymer (GFRP) fabrics were filled with 35 MPa concrete and allowed to cure for 28 days, serving as model piles for the experimental programme, with cylindrical concrete prisms employed to represent the behaviour of traditional piles. Pile dimensions and properties based on scaling relationships were selected to account for the nonlinear nature of soil–pile systems under seismic loading. Scaled versions of ground motions from the 2010 Val-des-Bois and 1995 Hyogo-Ken Nambu earthquakes were implemented as input motions in the tests. The results show limited variation in the inertial and kinematic responses of the piles, especially before liquefaction. Head rocking displacements were within 5% of each other during liquefaction. Post liquefaction, the concrete-filled FRP piles showed lower response compared to the traditional concrete pile. The results suggests that concrete-filled FRP piles, especially those made from carbon fibre, provide practical alternatives for use. Full article

Objectives: This systematic review and meta-analysis aimed to evaluate microbial adhesion and biofilm formation on additively manufactured composite-based orthodontic clear aligners compared with thermoformed aligners and other conventional polymeric materials. The influence of material composition, surface roughness, post-processing parameters, and cleaning protocols on microbial colonization was also assessed. Methods: A comprehensive search of PubMed, EMBASE, Scopus, Web of Science, and the Cochrane Library was conducted up to September 2025. Only in vitro studies investigating microbial adhesion, biofilm biomass, or microbiome changes on three-dimensional (3D)-printed aligner composites were included. Primary outcomes consisted of colony-forming units (CFU), optical density (OD) from crystal violet assays, viable microbial counts, and surface roughness. Risk of bias was assessed using the RoBDEMAT tool. Data were narratively synthesized, and a random-effects meta-analysis was performed for comparable datasets. Results: Five studies fulfilled the inclusion criteria, of which two in vitro studies were eligible for meta-analysis. Microbial adhesion and biofilm accumulation were influenced by the manufacturing technique, composite resin formulation, and surface characteristics. Certain additively manufactured aligners exhibited smoother surfaces and reduced bacterial adhesion compared with thermoformed controls, whereas others with increased surface roughness showed higher biofilm accumulation. Incorporating bioactive additives such as chitosan nanoparticles reduced Streptococcus mutans biofilm formation without compromising material properties. The meta-analysis, based on two in vitro studies, demonstrated higher OD values for bacterial biofilm on 3D-printed aligners compared with thermoformed aligners, indicating increased biofilm biomass (p < 0.05), but not necessarily viable bacterial load. Conclusions: Microbial adhesion and biofilm formation on 3D-printed composite clear aligners are governed by resin composition, additive manufacturing parameters, post-curing processes, and surface finishing. Although certain 3D-printed materials display antibacterial potential, the limited number of studies restricts the generalizability of these findings. Clinical Significance: Optimizing composite formulations for 3D printing, alongside careful post-curing and surface finishing, may help reduce microbial colonization. Further research is required before translating these findings into definitive clinical recommendations for clear aligner therapy. Full article

Objectives: This study evaluated the effect of three root canal filling material (RCFM) removal techniques—mechanical, thermo-mechanical, and chemico-mechanical—on the micro push-out bond strength of fiber posts to root dentin in endodontically treated teeth. Materials and Methods: Forty-five single-rooted human premolars were endodontically treated and randomly allocated into three groups (n = 15) according to the RCFM removal technique used during post-space preparation: mechanical, thermo-mechanical, or chemico-mechanical. Fiber posts were luted using a dual-cure resin cement. Roots were embedded in resin and sectioned into coronal, middle, and apical thirds. Micro push-out bond strength was measured using a universal testing machine. Failure modes were examined under a stereomicroscope and validated using scanning electron microscopy. Statistical analysis used two-way ANOVA and Chi-square tests (α = 0.05). Results: Both the thermo-mechanical and mechanical groups showed significantly higher bond strength values than the chemico-mechanical group (p < 0.001). Across all groups, the coronal third recorded the highest bond strength, while the apical third presented the lowest values (p < 0.001). Adhesive failure at the dentin–cement interface was the most frequent failure mode. Conclusions: The gutta-percha removal technique and the root canal region significantly influence fiber-post bond strength. Solvent-based chemico-mechanical methods may adversely affect adhesion quality. Clinical Relevance: Thermo-mechanical and mechanical removal techniques may provide more reliable post retention during retreatment procedures, improving adhesion and reducing the risk of post debonding in daily practice. Full article

Background/Objectives: The purpose of this in vitro study is to evaluate the effect varying palatal vault depths have on the accuracy of complete maxillary denture bases fabricated using additive manufacturing technology. Methods: One hundred complete maxillary denture bases were manufactured on two different digital light processing (DLP) dental 3D printers at five different palatal depths. After manufacturing, the denture bases were post-cured, scanned, and then analyzed in metrology software. Statistically significant differences were determined using two-way ANOVA tests for normally distributed data and the Kruskal–Wallis test for non-normally distributed data. Color deviation maps were used to give clinical relevance to the results. Results: Significant differences were found for both printers among some groups for the different palatal depths. In relation to the negative mean deviation, the data revealed that the NextDent printers were the least accurate (0.047 ± 0.004) in the group with the deepest palate. The positive mean deviation revealed the most deviation (0.077 ± 0.009) in the group with the deepest palate, which was also mirrored in the Asiga printer (0.050 ± 0.002). The color deviation maps revealed areas of positive and negative average deviation in all groups. The effect of the printer model (p = 0.007) and palatal depth (p = 0.04) on negative average deviation was significant. The effect of the interaction of printer and palatal depth was also significant (p = 0.001). Conclusion: Deeper palatal vaults are associated with higher deviation in DLP 3D-printed complete maxillary denture bases manufactured through additive manufacturing. Full article

Background/Objectives: The clinical application of CAD/CAM restorative materials continues to evolve due to increasing demand for aesthetic, durable, and minimally invasive indirect restorations. Hybrid nanoceramics, such as Grandio disc (VOCO GmbH, Cuxhaven, Germany), are increasingly used in indirect restorative dentistry due to their favourable combination of mechanical strength, polishability, wear resistance, and bonding potential. One challenge associated with adhesive protocols for CAD/CAM materials lies in achieving durable bonds with resin cements. Extensive post-polymerization during fabrication reduces the number of unreacted monomers available for chemical interaction, thereby limiting the effectiveness of traditional adhesive strategies and necessitating specific surface conditioning approaches. This study aimed to evaluate, in a preliminary, non-inferential manner, the influence of several combined conditioning protocols on surface micromorphology, elemental composition, and descriptive SBS trends of a CAD/CAM hybrid nanoceramic. This work was designed as a preliminary pilot feasibility study. Due to the limited number of specimens (two discs per protocol, each providing two independent enamel bonding measurements), all bond strength outcomes were interpreted descriptively, without inferential statistical testing. This in vitro study investigated the effects of various surface conditioning protocols on the adhesive performance of CAD/CAM hybrid nanoceramics (Grandio disc, VOCO GmbH, Cuxhaven, Germany) to dental enamel. Hydrofluoric acid (HF) etching was performed to improve adhesion to indirect resin-based materials using two commercially available gels: 9.5% Porcelain Etchant (Bisco, Inc., Schaumburg, IL, USA) and 4.5% IPS Ceramic Etching Gel (Ivoclar Vivadent, Schaan, Liechtenstein), in combination with airborne-particle abrasion (APA), silanization, and universal adhesive application. HF may selectively dissolve the inorganic phase, while APA increases surface texture and micromechanical retention. However, existing literature reports inconsistent results regarding the optimal conditioning method for hybrid composites and nanoceramics, and the relationship between micromorphology, elemental surface changes, and adhesion remains insufficiently clarified. Methods: A total of ten composite specimens were subjected to five conditioning protocols combining airborne-particle abrasion with varying hydrofluoric acid (HF) concentrations and etching times. Bonding was performed using a dual-cure resin cement (BiFix QM) and evaluated by shear bond strength (SBS) testing. Surface morphology was examined through environmental scanning electron microscopy (ESEM), and elemental composition was analyzed via energy-dispersive X-ray spectroscopy (EDS). Results: indicated that dual treatment with HF and sandblasting showed descriptively higher SBS, with values ranging from 5.01 to 6.14 MPa, compared to 1.85 MPa in the sandblasting-only group. ESEM revealed that higher HF concentrations (10%) created more porous and irregular surfaces, while EDS indicated an increased fluorine presence trend and silicon reduction, indicating deeper chemical activation. However, extending HF exposure beyond 20 s did not further improve bonding, suggesting the importance of protocol optimization. Conclusions: The preliminary observations suggest a synergistic effect of mechanical and chemical conditioning on hybrid ceramic adhesion, but values should be interpreted qualitatively due to the pilot nature of the study. Manufacturer-recommended air abrasion alone may provide limited adhesion under high-stress conditions, although this requires confirmation in studies with larger sample sizes and ageing simulations. Future studies should address long-term durability and extend the comparison to other hybrid CAD/CAM materials and to other etching protocols. Full article

This work characterizes hybrid hydrogels prepared via the combination of natural and synthetic polymers. By incorporating a biocompatible compound, poly(ethylene glycol) diacrylate (PEGDA, M_n = 400), into alginate and carboxymethyl cellulose (CMC)-based hydrogels, the in situ UV crosslinking of these materials was assessed. A custom direct-write (DW) 3D bioprinter was utilized to prepare hybrid hydrogel constructs and scaffolds. A control sample, which consisted of 4% w/v alginate and 4% w/v CMC, was prepared and evaluated in addition to three PEGDA (4.5, 6.5, and 10% w/v)-containing hybrid hydrogels. Rotational rheology was utilized to evaluate the thixotropic behavior of these materials. Filament fusion tests were employed to generate bilayer constructs of various pore sizes, providing metrics for the printability and diffusion rate of hydrogels post-extrusion. Printability indicates the shape fidelity of pore geometry, whereas diffusion rate represents material spreading after deposition. Curing kinetics of PEGDA-containing hydrogels were evaluated using photo-Differential Scanning Calorimetry (DSC) and photorheology. The Kamal model was fitted to photo-DSC results, enabling an assessment and comparison of the curing kinetics for PEGDA-containing hydrogels. Photorheological results highlight the increase in hydrogel stiffness concomitant with PEGDA content. The range of obtained complex moduli (G*) provides utility for the development of brain, kidney, and heart tissue (620–4600 Pa). The in situ UV irradiation of PEGDA-containing hydrogels improved the shape fidelity of printed bilayers and decreased filament diffusion rates. In situ UV irradiation enabled 10-layer scaffolds with 1 × 1 mm pore sizes to be printed. Ultimately, this study highlights the utility of PEGDA-containing hybrid hydrogels for high-resolution DW 3D bioprinting and potential application toward customizable tissue analogs. Full article

Background: This study aimed to investigate the dimensional deformation that can occur during the fabrication of a 3D-printed aligner made with the TC-85 DAC resin (Graphy Inc., Seoul, Republic of Korea) and determine if the manual removal of the print supports before final aligner curing affects the dimensional accuracy. Methods: 10 subjects with permanent dentition were selected, and a set of aligners was digitally designed using the uDesign Direct Aligner beta software (Graphy Inc., Seoul, Republic of Korea). Each aligner was 3D-printed using TC-85 DAC resin (Graphy Inc., Seoul, Republic of Korea) twice: one copy was produced removing the print supports before final curing, whereas the other was cured with the supports still attached. The aligners were digitized and compared to the original design of the digitally designed aligner using RMS and Inter-second molar distance data to identify variations between 3D-produced aligners and their respective digital design. Results: the comparison between aligners produced in two different ways was statistically significant with a p-value < 0.0001 for both the records used. Conclusions: the manual removal of the print supports before final curing affects the dimensional accuracy of aligners made by direct 3D printing, permanently altering the aligner’s internal geometry, confirming that post-processing conditions significantly affect dimensional stability. Full article

Background/Objectives: Surgical treatment of chronic osteomyelitis of the proximal tibia is challenging due to limited soft tissue coverage, poor blood supply, and the weight-bearing function of the bone. Moreover, structural instability following curettage may necessitate fixation with metallic implants, which carries a risk of biofilm formation and often requires multi-stage surgeries. Methods: To address these challenges, we developed a new surgical technique combining an anterior approach with establishment of bone marrow communication via intramedullary reaming. The anterior approach provides central access to the infection site, minimizing cortical and cancellous bone loss and eliminating the need for internal fixation. Intramedullary reaming connects the infection site to the systemic circulation, enhancing local blood supply, facilitating intravenous antibiotic delivery, and promoting host immunity. Results: Fourteen patients with proximal tibia osteomyelitis were analyzed. The new surgical technique enabled precise targeting of the infection site, substantially reduced unnecessary bone loss, and eliminated the need for internal fixation. Excluding five cases with Cierny–Mader (C-M) classification IV that required fixation due to inherent structural instability, all nine cases with C-M classification III were treated without internal fixation. Two out of three patients with severe post-traumatic osteomyelitis following Gustilo–Anderson type III open fractures were successfully cured. At a mean follow-up of 53.7 months (range: 2.6–104.9 months), 11 of 14 patients were completely cured with a single surgical intervention, corresponding to a 78.6% cure rate. Conclusions: This new surgical approach enables one-step surgery, avoids the risks of biofilm formation associated with additional fixation, and enhances treatment efficacy through enhancing host immunity, representing an effective strategy for managing proximal tibia osteomyelitis. Full article

Additive manufacturing is increasingly integrated into dental technology, yet the mechanical performance of 3D-printed denture base resins remains strongly influenced by printing orientation and post-curing duration. This study evaluated the combined effect of three printing orientations (0°, 45°, 90°) and three post-curing times (30, 45, 60 min) on the flexural strength and surface microhardness of a denture base resin. Specimens designed in Blender and fabricated using NextDent Denture 3D+ resin were subjected to three-point bending tests (n = 5 per group) and Vickers microhardness measurements (n = 10 per group). One-way ANOVA assessed main and interaction effects. Printing orientation had a significant influence on flexural strength, with horizontally printed specimens exhibiting the highest values, whereas vertically printed specimens were consistently weaker. Post-curing time did not significantly affect flexural strength within any orientation. In contrast, microhardness increased progressively with longer post-curing durations, regardless of orientation, indicating continued surface polymerisation. Because flexural strength and hardness responded differently to curing duration, no single post-curing time was universally optimal; however, 0° printing consistently produced the strongest specimens for this resin–printer system. This trade-off is clinically relevant, because dentures require high flexural strength to resist fracture and sufficient hardness to minimise wear. Full article

SU-8 photoresist is extensively used as a structural and passivation layer in microelectromechanical systems, microfluidic devices, and related microscale technologies. The long-term reliability of these devices critically depends on the mechanical integrity and viscoelastic behaviour of the SU-8 coating. In this study, the mechanical and viscoelastic behaviour of SU-8 polymer thin films was systematically investigated using nanoindentation at different baking stages representative of standard photolithographic processing. SU-8 layers were spin-coated on silicon wafers and subjected to pre-bake, post-bake, and hard-bake treatments to evaluate the effects of progressive cross-linking. Static nanoindentation revealed that the elastic modulus did not change significantly during the baking phases and remained near 6.2 GPa; however, a significant change in hardness was observed from 0.173 ± 0.012 GPa after pre-bake to 0.365 ± 0.011 GPa and 0.364 ± 0.016 GPa after post- and hard bake, respectively. Creep tests analysed by the Burgers viscoelastic model showed a significant increase in both the retarded modulus and viscosity parameters with thermal curing, indicating the suppression of long-term viscoelastic deformation. The combined results demonstrate that nanoindentation provides a sensitive, nondestructive tool for monitoring the evolution of cross-linking and viscoelastic stability in SU-8 films, offering valuable insight for process optimization and mechanical reliability in MEMS and microfluidic applications. Full article

Denture base resins are susceptible to microbial colonization, and current antibacterial additives often lose effectiveness and may weaken material properties. This study evaluated whether immersion in a quaternary ammonium methacryloxy silane (QAMS)-containing monomer can enhance antibacterial activity without compromising the mechanical properties of digital light processing–printed urethane dimethacrylate denture base resin. Specimens of printed denture base resin were immersed in mixtures of denture base resin and a QAMS-containing monomer at ratios of 10:0 (Control), 7:3 (K3), 5:5 (K5), 3:7 (K7), and 0:10 (K10), followed by post-curing. Flexural strength and modulus were measured by three-point bending, and surface hardness was assessed by Vickers microhardness testing. Antibacterial activity against Streptococcus mutans was assessed by inhibition-zone and colony-counting assays. All QAMS-treated groups preserved flexural strength, with a slight reduction in modulus in K5 (p < 0.05), while hardness remained unchanged. Antibacterial activity improved in all QAMS-treated groups; K5 and K7 showed the strongest results. Surface analyses using scanning electron microscopy and energy-dispersive X-ray spectroscopy verified formation of a Si-rich modified layer. QAMS immersion followed by post-curing produced a stable, contact-active antibacterial surface without reducing mechanical properties. Among the formulations, K7 (~21 wt% QAMS) provided the most favorable balance of antibacterial activity and mechanical performance. Full article

The study presented an analysis of the behaviour of cellular structures under bending, produced using the PolyJet Matrix (PJM) additive manufacturing method with photopolymer resin. Structures with regular cell geometry were designed to achieve a balance between stiffness, weight reduction, and energy absorption capacity. The aim of this study was to investigate the influence of unit-cell topology (quasi-similar, spiral, hexagonal honeycomb, and their core–skin hybrid combinations) on the flexural properties and deformation mechanisms of PolyJet-printed photopolymer beams under three-point bending. Additionally, all cellular configurations were fully infiltrated with a low-modulus platinum-cure silicone to evaluate the effect of complete polymer–elastomer interpenetration on load-bearing capacity, stiffness, ductility, and energy absorption. All tests were performed according to bending standard on specimens fabricated using a Stratasys Objet Connex350 printer with RGD720 photopolymer at 16 µm layer thickness. The results showed that the dominant failure mechanism was local buckling and gradual collapse of the cell walls. Among the silicone-filled cellular beams, the QS-Silicone configuration exhibited the best overall flexural performance, achieving a mean peak load of 37.7 ± 4.2 N, mid-span deflection at peak load of 11.4 ± 1.1 mm, and absorbed energy to peak load of 0.43 ± 0.06 J. This hybrid core–skin design (quasi-similar core + spiral skin) provided the optimum compromise between load-bearing capacity and deformation capacity within the infiltrated series. In contrast, the fully dense solid reference reached a significantly higher peak load of 136.6 ± 10.2 N, but failed in a brittle manner at only ~3 mm deflection, characteristic of UV-cured rigid photopolymers. All open-cell silicone-filled lattices displayed pseudo-ductile behaviour with extended post-peak softening, enabled by large-scale elastic buckling and silicone deformation and progressive buckling of the thin photopolymer struts. The results provided a foundation for optimising the geometry and material composition of photopolymer–silicone hybrid structures for lightweight applications with controlled stiffness-to-weight ratios. Full article