Evidence map›Paper›PMID 42273329›Full record

ArticleMaterials & design2026

A multi-modal strategy for enhancing titanium-bone interface strength and antimicrobial properties of PMMA bone cements.

Samuel Weber, Steven H Lewis, Fernanda Sandes de Lucena, Henrico B Strazzi-Sahyon, Fernanda M Tsuzuki, Sivashankari P Rajasekaran, Matthew G Logan, Ana Paula P Fugolin, Karina H Nakayama, Carmem S Pfeifer

Abstract read
In one paragraph

Article in Materials & design, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Samuel WeberSchool of Dentistry, Biomaterial and Biomedical Sciences, Oregon Health & Science University, USA.
Steven H LewisSchool of Dentistry, Biomaterial and Biomedical Sciences, Oregon Health & Science University, USA.ORCID 0000-0002-9015-3048
Fernanda Sandes de LucenaSchool of Dentistry, Biomaterial and Biomedical Sciences, Oregon Health & Science University, USA.
Henrico B Strazzi-SahyonBauru School of Dentistry, Department of Prosthodontics and Periodontology, University of São Paulo, Brazil.ORCID 0000-0001-7014-0437
Fernanda M TsuzukiSchool of Dentistry, Biomaterial and Biomedical Sciences, Oregon Health & Science University, USA.ORCID 0000-0001-8880-8036
Sivashankari P RajasekaranSchool of Dentistry, Biomaterial and Biomedical Sciences, Oregon Health & Science University, USA.
Matthew G LoganSchool of Dentistry, Biomaterial and Biomedical Sciences, Oregon Health & Science University, USA.
Ana Paula P FugolinSchool of Dentistry, Biomaterial and Biomedical Sciences, Oregon Health & Science University, USA.ORCID 0000-0002-3107-5430
Karina H NakayamaSchool of Medicine, Biomedical Engineering, Oregon Health & Science University, USA.
Carmem S PfeiferSchool of Dentistry, Biomaterial and Biomedical Sciences, Oregon Health & Science University, USA.ORCID 0000-0002-1587-3838

Funding

Novel polymeric materials with improved durability in the oral environment: tailoring responses to host and bacterial enzymes with anti-proteolytic and ecology-based antimicrobial approaches.R35DE029083 · NIDCR · OREGON HEALTH & SCIENCE UNIVERSITY · PI Carmem S. Pfeifer · 2019 to 2026
$8.1M
NIDCR NIH HHS R35 DE029083
6 · The paper itself

Abstract

Infection prevention and retention at the bone-device interface are critical for long-term stability of titanium-based biomedical implants. This study utilized a multifactorial approach to assess bond strength and antibacterial activity of polymethyl methacrylate (PMMA) bone cements modified with polymerizable antimicrobials (quaternary ammonium methacrylate, QAM) for sustained antibiofilm effects. Four commercial dental adhesives (Gen 4, Gen 5, Gen 6, Gen 7) were tested between porcine cortical bone and PMMA bone cements (Jet Acrylic or Biomet Bone Cement R). Shear bond strength (SBS), interface analysis (SEM, FTIR/ATR) and cytotoxicity (MTT) were evaluated and compared to controls without dental adhesive, which is the current standard of care. Top performing materials were subjected to stringent mechanical cycling in a bioreactor, followed by SBS assessment. Finally, bone cements were modified with QAMs and evaluated with or without dental adhesive for physical properties, antibiotic activity and SBS. Refobacin was used as an antibiotic-containing commercial control. Results showed more than a twenty-fold increase in SBS after 24 h and up to a fifteen-fold improvement after mechanical cycling with the Gen 6 adhesive, compared to commercial control cements. Refobacin and the QAM-modified cement significantly reduced

Indexed as

Antimicrobial materialBiomaterialsBond strengthBone cementsDental adhesivesImplants

Identifiers

PMID42273329
PMCPMC13249459

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.