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A 60-year-old woman with a history of neurofibromatosis type 1, who was admitted with pulmonary hypertension, developed buttock pain and anemia, and contrast-enhanced computed tomography showed a large subcutaneous hematoma with minimal active extravasation. Angiography of the bilateral internal iliac arteries revealed diffuse, irregular blood vessels without extravasation. As the exact bleeding site could not be identified, the patient was managed conservatively. However, the patient's symptoms and anemia worsened the following day. Repeat angiography revealed two pseudoaneurysms in the right inferior gluteal artery, which were embolized using n-butyl-2-cyanoacrylate. Nonetheless, the patient's anemia further worsened the following day. Repeat contrast-enhanced CT revealed another site of extravasation in the enlarging hematoma, but no extravasation was observed on the subsequent angiography. Owing to the worsening anemia and enlarging hematoma, proximal embolization of the irregular bilateral inferior gluteal arteries was performed using gelatin sponge particles. The patient's anemia and symptoms improved. Vasculopathy associated with neurofibromatosis type 1 is rare, with an incidence of approximately 3%. In patients with neurofibromatosis type 1, the blood vessels become fragile because of tunica media thinning and elastic-lamina rupture. Histopathologically, neurofibromatosis type 1-associated vasculopathy is characterized by a mixture of normal and abnormal vessels. Abnormally fragile blood vessels may repeatedly rupture followed by physiological hemostasis, which may explain the diagnostic and therapeutic challenges during angiography in this case. In patients with neurofibromatosis type 1 with acute bleeding, irregular vessels without active extravasation on angiography may be indicated for embolization.

Severe hypertriglyceridemia is a pathological condition caused by genetic factors alone or in combination with environmental factors, sometimes leading to acute pancreatitis (AP). In this study, exome sequencing and biochemical analyses were performed in 4 patients with hypertriglyceridemia complicated by obesity or diabetes with a history of AP or decreased post-heparin LPL mass. In a patient with a history of AP, SNP rs199953320 resulting in LMF1 nonsense mutation and APOE rs7412 causing apolipoprotein E2 were both found in heterozygous form. Three patients were homozygous for APOA5 rs2075291, and one was heterozygous. ELISA and Western blot analysis of the serum revealed the existence of apolipoprotein A-V in the lipoprotein-free fraction regardless of the presence or absence of rs2075291; furthermore, the molecular weight of apolipoprotein A-V was different depending on the class of lipoprotein or lipoprotein-free fraction. Lipidomics analysis showed increased serum levels of sphingomyelin and many classes of glycerophospholipid; however, when individual patients were compared, the degree of increase in each class of phospholipid among cases did not coincide with the increases seen in total cholesterol and triglycerides. Moreover, phosphatidylcholine, lysophosphatidylinositol, and sphingomyelin levels tended to be higher in patients who experienced AP than those who did not, suggesting that these phospholipids may contribute to the onset of AP. In summary, this study revealed a new disease-causing gene mutation in LMF1, confirmed an association between overlapping of multiple gene mutations and severe hypertriglyceridemia, and suggested that some classes of phospholipid may be involved in the pathogenesis of AP.

The accident at the Fukushima Daiichi Nuclear Power Plant in 2011 led to a core meltdown, resulting in the significant release of radioactive materials into the environment, revealing the urgent need for further in-depth development of Level 2 probabilistic safety assessment technology. To help establish an effective source-term migration evaluation method, this study investigates fission product migration behavior across leak pathways. Specifically, an experimental line is developed, and experiments are performed under conditions that simulate the environmental and flow conditions in containment vessel penetrations and failure locations during a severe accident. The experiments are conducted in narrow circular pipes, which represent the leak pathways in the containment vessel and reactor building, to determine the impact of flow rate, particle size, and flow path size on the decontamination factors. Additionally, a turbulent deposition model that accounts for re-entrainment effects has been developed, and the experimentally obtained decontamination factors are compared with the developed model, as well as a conventional model. The predicted decontamination factors from the present model exhibit similar trends and values to the experimental results.

Abstract We conducted a six-month clinical follow-up on computer-aided design/computer-aided manufacturing-fabricated molar polyetheretherketone PEEK crowns to investigate their therapeutic effect. Only the PEEK crowns were examined as our study focused on short-term clinical evaluation of the new PEEK material. Twenty-three cases of PEEK crowns placed on the molars of 20 subjects (7 males and 13 females, mean age: 60.6 ± 14.2 years) were included in the study. The evaluation items were the condition of the crowns at the time of cementation and after six months, patient satisfaction, masticatory ability, and occlusal force. Mann–Whitney U tests with a significance level of 5% were used to examine the difference in glucose concentration by masticatory ability, occlusal pressure, and occlusal force, with and without PEEK crowns. The occlusion, margin fit, and contact of all 23 cases at the time of cementing were good. Six months after cementation, there was no crown desorption, fracture or crack, and prosthodontics was not needed in the 22 cases (one patient dropped out). No wear of the dental antagonist was observed. Patient satisfaction was generally high. There was no significant difference in masticatory ability between the groups with and without PEEK crowns. The subject's occlusal force was within the normal range. PEEK crowns used on molars can replace metal crowns and hold promise for an appropriate and effective treatment.

Abstract This paper proposes a new simplified restoring force characteristic model of the bending moment–rotation angle relationship for square concrete‐filled steel tube (CFT) beam‐columns to estimate the elastoplastic flexural‐shear behavior from short to slender beam‐columns. The square CFT beam‐column model incorporates a reduction in strength after the ultimate strength. The proposed simplified model is multilinear and involves a cracking strength point, a yield strength point, an ultimate strength point, and strength reduction points. In the proposed model, each flexural strength is calculated by a general superposed strength method, and new empirical expressions for each rotation angle are proposed from the results of previous experimental cyclic and monotonic loading tests. The proposed model for the bending moment–rotation angle relation is found to agree approximately with experimental results up to large rotation angles.

High strength transparent Y2O3 ceramics were fabricated from commercial powders using spark plasma sintering (SPS) technique by optimizing the heating rate. The heating rate significantly influenced the microstructures and the optical/mechanical properties of the Y2O3 ceramics. Grain growth was limited accordingly with increasing the heating rate. The ball milling process of the commercial Y2O3 powders is likely to further enhance the sinterability during the SPS processing. The dense Y2O3 ceramics, which were sintered by SPS with 100 °C/min, showed good transmittance range from visible to near infrared (IR). For a high heating rate of 100 °C/min, the in-line transmittance at a visible wavelength of 700 nm was 66%, whereas for a slow heating rate of 10 °C/min, it reduced to 46%. The hardness Hv tends to increase with increasing the heating rate and rigorously followed the Hall–Petch relationship; that is, it is enhanced with a reduction of the grain size. The toughness KIC, on the other hand, is less sensitive to both the heating rate and the grain size, and takes a similar value. This research highlighted that the high heating rate SPS processing can fabricate fully dense fine-grained Y2O3 ceramics with the excellent optical and mechanical properties.

Multifocal osteomyelitis and pyomyositis usually arise from hematogenous dissemination, especially in patients with immunodeficiency, trauma, or injection drug abuse. We report the case of a 75-year-old man with multifocal pyomyositis and osteomyelitis, which were due to Staphylococcus aureus and were presumably related to multiple fractures. The patient had no risk factors for these hematogenous infections. He was treated with antibiotic therapy for about 80 days and drainage of the abscesses. Regarding the cause of his multipe fractures, he was found to have hypophosphatemia and eventually diagnosed as osteomalacia. To our best knowledge, this case was the first report on multifocal osteomyelitis and pyomyositis around the fracture sites in an osteomalacic adult. Osteomalacia should be considered as one of the differential diagnoses when osteoarticular infection with multifocal fractures is detected.

Abstract The objective of this study was to clarify the cyclic behavior of square concrete‐filled steel tube (CFT) beam‐columns subjected to lateral loads with constant cyclic displacement under constant axial load. The test parameters included the effective length‐section depth ratio, axial compression ratio, and rotation angle amplitude. The relationship between the lateral load and the rotation angle are indicated along with the axial strain and load deterioration behavior in this paper. Furthermore, the relationship between the axial strain and load deterioration behaviors is discussed. Moreover, the experimental load is compared with the cross‐section strength, ultimate strength, and allowable strength, as presented in the Architectural Institute of Japan's recommendations for the design and construction of CFT structures; and the relationship between the experimental load and load deterioration behavior is examined.

Background/purpose: Stress in the elderly is caused by loss of physical and psychological health. Although there have been many reports on the intraoral environment affecting physical health, few reports exist on stress and the intraoral environment in the elderly. The aim of this study was to investigate the relationship between salivary α-amylase as an index of stress value and the intraoral environment. Materials and methods: Three hundred and nineteen participants were community-dwelling independent individuals over 65 years old. The outcome variable was salivary α-amylase. After measurement, salivary α-amylase was classified into four groups (0 = 0–30, 1 = 31–45, 2 = 46–60, 3 = 61–200). The predictor variables were physical status (which includes age and male body-mass index) and subjective and objective symptoms (which include present teeth, torus palatinus, torus mandibularis, temporomandibular joint noise, bruxism, and dental attrition). These variables were compared among participants using univariate analysis and multiple logistic regression analysis. Results: The participants included 77 men and 242 women, with a mean age of 75.8 ± 5.4 years (65–94 years). Although temporomandibular joint noise and dental attrition were significantly positively correlated with salivary α-amylase, bruxism was significantly negatively correlated with salivary α-amylase (p

Abstract Background Few studies have investigated spinal cord autoregulation using near-infrared spectroscopy (NIRS). Here, we assessed spinal cord autoregulation under normal, hypovolemic, and post-fluid resuscitation conditions compared with cerebral autoregulation. Methods Ten pigs (36.1 ± 1.1 kg) were anesthetized with 2.5% isoflurane, before phenylephrine administration at 0.5, 1, 2, and 5 μg kg−1 min−1 in a stepwise fashion at 10-min intervals (baseline), followed by similar administration of sodium nitroprusside (SNP). Hypovolemia was induced by a 600-ml bleed (25% estimated total blood volume). Only phenylephrine was readministered (same protocol). Hypovolemia was reversed by infusing 600 ml hydroxyethyl starch, before readministering phenylephrine and SNP. The relationships between mean arterial pressure (MAP) and cerebral, thoracic, and lumbar spinal cord tissue oxygenation indices (TOIs) were evaluated. Results Thoracic and lumbar spinal cord TOIs were approximately 15% and 10% lower, respectively, than the cerebral TOI at similar MAPs. The average relationship between MAP and each TOI showed an autoregulatory pattern, but negative correlations were observed in the cerebral TOI during phenylephrine infusion. A 600-ml bleed lowered each relationship

In implant treatment, primary stability and osseointegration are improved by continual intermittent administration of parathyroid hormone (PTH) in patients with osteoporosis. However, the histological and histomorphometric aspects are not clear. The aim of this study was to investigate the histological and histomorphometric effects of intermittent PTH administration on osseointegration in a glucocorticoid-induced osteoporotic rabbit model. Fifteen female New Zealand rabbits were prepared for the osteoporosis model with ovariectomy and glucocorticoid administration. After 1 week, five rabbits were intermittently administered PTH for 8 weeks until the end point (PTHa group) and five for 4 weeks until implant placement (PTHb group). The remaining rabbits were intermittently administered saline for 8 weeks until the end point (Control group). Dental implants were inserted into the femoral epiphyses 11 weeks after ovariectomy. After 4 weeks, the maximum removal torque (RT) of the placed implant and bone implant contact (BIC) ratio were evaluated. In addition micro-computed tomography and histomorphometric analyses were performed. The RT and BIC values were significantly higher in the PTHa group compared with those of the PTHb and Control groups (p< 0.05). Furthermore, the bone mineral densities and Hounsfield units were significantly higher in the PTHa group than those in the PTHb and Control groups. Histologic and histomorphometric measurements revealed that continuous administration of PTH improved bone density and bone formation around the implant placement site, as well as systemic bone formation. Therefore, favorable implant stability was achieved under osteoporosis.

Abstract Background On 18F-fluorodeoxyglucose (FDG)-positron emission tomography (PET), diffuse uptake in the thyroid gland is often observed in patients with Hashimoto’s thyroiditis. In this study, we evaluated the factors associated with diffuse uptake by comparing Hashimoto’s thyroiditis patients with or without diffuse uptake in the thyroid. Methods A retrospective study was conducted of 18 patients with Hashimoto’s thyroiditis who underwent blood tests, thyroid ultrasonography, and FDG-PET during the period from 2014 to 2015. The patients were divided into two groups: one with diffuse thyroid uptake (group 1, n = 13) and one without diffuse thyroid uptake (group 2, n = 5). Clinical and laboratory parameters, including maximum standardized uptake in the thyroid (SUVmax), which was defined as the higher value obtained in either the right or left thyroid lobe, were compared in the two groups. Results The frequency of abnormal findings, such as a rough or heterogeneous pattern, was significantly higher in group 1 (p

Pertukaran panas yang melibatkan perubahan fasa pada fluida mengalir merupakan fenomena penting dalam bidang sains dan rekayasa. Beberapa metode komputasi dinamika fluida telah dikembangkan untuk mensimulasikan fenomena ini, baik yang berbasis kisi maupun tanpa kisi. Penelitian ini bertujuan untuk membuat simulasi aliran fluida yang disertai aliran panas dengan menggunakan metode Finite Volume Particle (FVP). Mula-mula, dibuat kode simulasi pertukaran panas yang disebabkan oleh konduksi pada rongga persegi dan memvalidasi hasilnya dengan solusi analitis konduksi panas 1D. Dari proses validasi ini, diketahui bahwa hasil simulasi dan solusi analitis menunjukkan kesesuaian yang sangat baik. Kode yang sudah divalidasi ini kemudian dikembangkan untuk mensimulasikan pertukaran panas yang disebabkan oleh aliran fluida (konveksi). Hasil dari simulasi konveksi ini dibandingkan secara kualitatif dengan referensi dan menunjukkan hasil yang memuaskan. Dengan demikian, pada penelitian ini telah dihasilkan kode simulasi pertukaran panas karena konduksi dan konveksi dengan metode FVP yang telah tervalidasi dengan baik. FLUID FLOWS SIMULATION WITH HEAT TRANSFER USING FINITE VOLUME PARTICLE (FVP) METHOD Heat transfer involving phase change on flowing fluids is an important phenomena in science and engineering. Several methods on computational fluid dynamics has been developed to simulate this phenomena, either with mesh and/or meshless-based methods. This research is aimed to build a simulation code to simulate fluid flows with heat transfer using Finite Volume Particle (FVP) method. First, a simulation code simulating heat transfer due to conduction in a square cavity was built, and the results were validated with analytical solution of 1D heat conduction. This validation results showed a reasonably good agreement between simulation result and analytical solution. This validated code then was improved to simulate heat transfer due to fluid flows (convection). Results from this convection simulation was compared qualitatively with reference and showed good agreement. Therefor, this research has resulted in simulation code of heat transfer due to conduction and convection with FVP method and has been fairly validated. Key words: fluid flow simulation, heat transfer, finite volume particle method

In the safety analysis of sodium-cooled fast reactors, numerical simulations of various thermal-hydraulic phenomena with multicomponent and multiphase flows in core disruptive accidents (CDAs) are regarded as particularly difficult. In the material relocation phase of CDAs, core debris settle down on a core support structure and/or an in-vessel retention device and form a debris bed. The bed’s shape is crucial for the subsequent relocation of the molten core and heat removal capability as well as re-criticality. In this study, a hybrid numerical simulation method, coupling the multi-fluid model of the three-dimensional fast reactor safety analysis code SIMMER-IV with the discrete element method (DEM), was applied to analyze the sedimentation and bed formation behaviors of core debris. Three-dimensional simulations were performed and compared with results obtained in a series of particle sedimentation experiments. The present simulation predicts the sedimentation behavior of mixed particles with different properties as well as homogeneous particles. The simulation results on bed shapes and particle distribution in the bed agree well with experimental measurements. They demonstrate the practicality of the present hybrid method to solid particle sedimentation and bed formation behaviors of mixed as well as homogeneous particles.

During a hypothetical core-disruptive accident (CDA) in a sodium-cooled fast reactor (SFR), degraded core materials can form roughly conically-shaped debris beds over the core-support structure and/or in the lower inlet plenum of the reactor vessel from rapid quenching and fragmentation of the core material pool. However, coolant boiling may ultimately lead to leveling of the debris bed, which is crucial to the relocation of the molten core and heat-removal capability of the debris bed. To clarify the mechanisms underlying this self-leveling behavior, a large number of experiments were performed within a variety of conditions in recent years, under the constructive collaboration between the Japan Atomic Energy Agency (JAEA) and Kyushu University (Japan). The present contribution synthesizes and gives detailed comparative analyses of those experiments. Effects of various experimental parameters that may have potential influence on the leveling process, such as boiling mode, particle size, particle density, particle shape, bubbling rate, water depth and column geometry, were investigated, thus giving a large palette of favorable data for the better understanding of CDAs, and improved verifications of computer models developed in advanced fast reactor safety analysis codes.

BackgroundWe hypothesized that cross-clamping of the descending thoracic aorta (CcDTA) would result in significant changes in plasma propofol concentrations (Cp) proximal and distal to the cross-clamp. We investigated the effect of CcDTA on Cp centrally and distally, including the pulmonary artery and the cardiopulmonary bypass (CPB) cannula.MethodsThe bispectral index (BIS) was recorded during CcDTA in eight patients undergoing thoracic aortic surgery using target-controlled total intravenous anesthesia with propofol. The calculated Cp was maintained at 3 µg/ml. Cp was measured in blood samples drawn from the right radial artery, left dorsalis pedis artery, pulmonary artery, and the long venous CPB cannula.ResultsComplete data were obtained from six patients. BIS decreased significantly in all cases 5 minutes after initiating CcDTA. BIS continued to decrease in association with increasing propofol concentrations. During CcDTA, Cp in samples from the radial and pulmonary arteries (3.5 ± 0.50 and 2.9 ± 0.63 µg/ml, mean ± SD) was significantly higher than in samples from the dorsalis pedis artery and the venous cannula (1.1 ± 0.22 and 1.4 ± 0.02 µg/ml) (P < 0.05).ConclusionsThe results suggest that almost all of the blood returning from the superior vena cava during CcDTA directly enters the pulmonary circulation without mixing with blood from the inferior vena cava. Observed changes in anesthetic blood concentrations could be due to the presence of a split circulation and asymmetrical distribution of propofol induced by CcDTA and CPB.

The postulated core disruptive accidents (CDAs) are regarded as particular difficulties in the safety analysis of liquid-metal fast reactors (LMFRs). In the CDAs, the self-leveling behavior of debris bed is a crucial issue, which greatly affects the relocation process and heat-removal capability of molten core. SIMMER-III is a fast reactor safety analysis code and successfully applied to a series of the CDA assessments. It is a 2D, multi-velocity-field, multiphase, multicomponent, Eulerian, fluid dynamics code coupled with a fuel-pin model and a space- and energy-dependent neutron kinetics model. However, strong interactions between solid particles, as well as particle characteristics, in multiphase flows with particles are not taken into consideration in SIMMER-III. In this article, a hybrid method is developed by coupling the discrete element method (DEM) with the multi-fluid model of SIMMER-III, and the numerical simulation of a simplified self-leveling experiment is presented. In the coupling algorithm, the governing equations of gas and liquid phases are solved by a time-factorization (time-splitting) method. Contact forces between particles and interactions between particles and fluid are considered in the DEM. Reasonable agreement between simulation results and corresponding experimental data can demonstrate the validity of the present method in simulating the self-leveling behavior of debris bed.

Studies on the self-leveling behavior of debris bed are crucial in the assessment of core disruptive accident (CDA) that could occur in sodium-cooled fast reactors (SFR). To clarify the mechanisms underlying this behavior, several series of experiments were elaborately designed and conducted within a variety of conditions in recent years, under the close collaboration between Japan Atomic Energy Agency (JAEA) and Kyushu University (Japan). The current contribution, including knowledge from both experimental analyses and empirical model development, is focused on a recently developed comparatively larger-scale experimental facility using gas-injection to simulate the coolant boiling. Compared to the previous investigations, this facility can achieve a much wider range of gas velocities (presently up to a flow rate of around 300 L/min). Based on the experimental observation and quantitative data obtained, influence of various experimental parameters, including gas flow rate (～ 300 L/min), water depth (180 mm and 400 mm), bed volume (3 ～ 7 L), particle size (1 ～ 6 mm), particle density (beads of alumina, zirconia and stainless steel) along with particle shape (spherical and non-spherical) on the leveling is checked and compared. As for the empirical model development, aside from a base model which is restricted to predictions of spherical particles, the status of potential considerations on how to cover more realistic conditions (esp. debris beds formed with non-spherical particles), is also presented and discussed. This work, which gives a large palette of favorable data for a better understanding and an improved estimation of CDAs in SFRs, is expected to benefit future analyses and verifications of computer models developed in advanced fast reactor safety analysis codes.

Aryl hydrocarbon receptor (AhR) is classically known to be activated by xenobiotics such as dioxins and polycyclic aromatic hydrocarbons (PAHs). Although it has been reported that PAHs are contained in roasted coffee beans, in general coffee beverages are not considered to be AhR activators. We tested whether exposure to coffee would activate AhR in cultured cells.HepG2 cells stably expressing an AhR-responsive reporter gene were treated with coffee samples. Also, expression of CYP1A1, an endogenous AhR-responsive gene, was quantitated by RT-PCR and Western blotting in HepG2, Caco-2, and MCF-7 cells, after treatment with coffee. In order to obtain sensitive and reproducible results, all the experiments were performed with the cells placed in either phosphate-buffered saline (PBS) or pure serum, instead of routinely-used culture medium, whose intrinsic AhR-stimulating activity turned out to be so strong as to interfere with the analyses.All the coffee samples tested robustly stimulated AhR-mediated transcription in the reporter gene assays. Of note, to what extent coffee and other AhR agonists activated AhR was different, depending on whether the experiments were done in PBS or serum. CYP1A1 mRNA was induced by coffee, in HepG2, Caco-2, and MCF-7 cells placed in either PBS or serum. CYP1A1 protein expression, which was not detected in these cells incubated in PBS, was also increased by coffee in cells placed in serum.By using culture medium-free experimental settings, we have shown that coffee is a strong AhR activator. Our observation may help elucidate as-yet-unrecognized effects of coffee on human health.

In response to infection, macrophages produce a series of inflammatory mediators, including nitric oxide (NO), to eliminate pathogens. The production of these molecules is tightly regulated via various mechanisms, as excessive responses are often detrimental to host tissues. Here, we report that inorganic polyphosphate [poly(P)], a linear polymer of orthophosphate ubiquitously found in mammalian cells, suppresses inducible nitric oxide synthase (iNOS) expression induced by lipopolysaccharide (LPS), a cell wall component of Gram-negative bacteria, in mouse peritoneal macrophages. Poly(P) with longer chains is more potent than those with shorter chains in suppressing LPS-induced iNOS expression. In addition, poly(P) decreased LPS-induced NO release. Moreover, poly(P) suppressed iNOS mRNA expression induced by LPS stimulation, thereby indicating that poly(P) reduces LPS-induced iNOS expression by down-regulation at the mRNA level. In contrast, poly(P) did not affect the LPS-induced release of TNF, another inflammatory mediator. Poly(P) may serve as a regulatory factor of innate immunity by modulating iNOS expression in macrophages.

BACKGROUND: Dental implant has been successfully used to replace missing teeth. However, in some clinical situations, implant placement may be difficult because of a large bone defect. We designed novel complex biomaterial to simultaneously restore bone and place implant. This complex was incorporated implant into interconnected porous calcium hydroxyapatite (IP-CHA). We then tested this Implant/IP-CHA complex and evaluated its effect on subsequent bone regeneration and implant stability in vivo. METHODOLOGY/PRINCIPAL FINDINGS: A cylinder-type IP-CHA was used in this study. After forming inside of the cylinder, an implant was placed inside to fabricate the Implant/IP-CHA complex. This complex was then placed into the prepared bone socket in the femur of four beagle-Labrador hybrid dogs. As a control, implants were placed directly into the femur without any bone substrate. Bone sockets were allowed to heal for 2, 3 and 6 months and implant stability quotients (ISQ) were measured. Finally, tissue blocks containing the Implant/IP-CHA complexes were harvested. Specimens were processed for histology and stained with toluidine blue and bone implant contact (BIC) was measured. The ISQs of complex groups was 77.8±2.9 in the 6-month, 72.0±5.7 in the 3-month and 47.4±11.0 in the 2-month. There was no significant difference between the 3- or 6-month complex groups and implant control groups. In the 2-month group, connective tissue, including capillary angiogenesis, was predominant around the implants, although newly formed bone could also be observed. While, in the 3 and 6-month groups, newly formed bone could be seen in contact to most of the implant surface. The BICs of complex groups was 2.18±3.77 in the 2-month, 44.03±29.58 in the 3-month, and 51.23±8.25 in the 6-month. Significant difference was detected between the 2 and 6-month. CONCLUSIONS/SIGNIFICANCE: Within the results of this study, the IP-CHA/implant complex might be able to achieve both bone reconstruction and implant stability.

ABSTRACT Artificial bone has been employed to reconstruct bone defects. However, only few reports on implant placement after block bone grafting exist. Objectives The purpose of this study was to evaluate the osseointegration of dental implant in bone reconstructions with interconnected porous calcium hydroxyapatite (IP-CHA). Material and Methods The IP-CHA cylinders (D; 4.3 mm, H; 10.0 mm) were placed into bone sockets in each side of the femurs of four male dogs. The IP-CHA on the right side was a 24-week sample. Twelve weeks after placement, a titanium implant was placed into a socket that was prepared in half of the placed IP-CHA cylinder on the right side. On the left side, another IP-CHA cylinder was placed as a 12-week sample. After another 12 weeks, the samples were harvested, and the bone regeneration and bone-implant contact (BIC) ratios were measured. Results New bone formation area was superior in the 24-week IP-CHA compared with the 12-week IP-CHA. BIC was not significantly different between IP-CHA and the parent sites. Osseointegration was detected around the implant in IP-CHA-reconstructed bone. Conclusion Our preliminary results suggest that IP-CHA may be a suitable bone graft material for reconstructing bones that require implant placement.