Publications by authors named "Patrick Ammann"

Article Synopsis
  • The study compared the mechanical and intrinsic properties of cortical (Ct) and trabecular (Tb) bone in iliac biopsies from untreated postmenopausal osteoporotic women to better understand their contributions to overall bone strength.* -
  • It was found that the indentation modulus (elasticity) and dissipated energy were higher in Ct bone compared to Tb, while hardness showed no significant difference; mineral and collagen maturity were also greater in Ct than in Tb.* -
  • Overall, while Ct and Tb bones exhibited distinct mechanical properties, the differences within the bone tissue types (osteonal vs. interstitial) were more pronounced than those between the two bone compartments.*
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The need to consume adequate dietary protein to preserve physical function during ageing is well recognized. However, the effect of protein intakes on glucose metabolism is still intensively debated. During age-related estrogen withdrawal at the time of the menopause, it is known that glucose homeostasis may be impaired but the influence of dietary protein levels in this context is unknown.

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Bone quality is altered mainly by osteoporosis, which is treated with modulators of bone quality. Knowledge of their mechanisms of action is crucial to understand their effects on bone quality. The goal of our study was to compare the action of alendronate (ALN) and strontium ranelate (SrRan) on the determinants of bone quality.

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Sclerostin (Scl) antibodies (Scl-Ab) potently stimulate bone formation, but these effects are transient. Whether the rapid inhibition of Scl-Ab anabolic effects is due to a loss of bone cells' capacity to form new bone or to a mechanostatic downregulation of Wnt signaling once bone strength exceeds stress remains unclear. We hypothesized that bone formation under Scl-Ab could be reactivated by increasing the dose of Scl-Ab and/or by adding mechanical stimuli, and investigated the molecular mechanisms involved in this response, in particular the role of periostin (Postn), a co-activator of the Wnt pathway in bone.

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In osteogenesis imperfecta (OI), vertebrae brittleness causes thorax deformations and leads to cardiopulmonary failure. As sclerostin-neutralizing antibodies increase bone mass and strength in animal models of osteoporosis, their administration in two murine models of severe OI enhanced the strength of vertebrae in growing female Crtap mice but not in growing male Col1a1 mice. However, these two studies ignored the impact of antibodies on spine growth, fracture rates, and compressive mechanical properties.

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Objectives: This in vitro study aimed to compare changes in retentive force due to cyclic dislodging of three novel un-splinted attachments.

Materials And Methods: Experimental models simulating a mandibular two-implant overdenture situation, with implants positioned with various interimplant discrepancies (0°, 20°, 40°, and 60°) were fabricated. Three attachment systems were tested, "N": a straight or 15°-angulated stud; "L": a sole straight stud; and "C": a straight or individually angulated stud.

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Article Synopsis
  • Osteogenesis imperfecta type III (OI) is a genetic disorder causing fragile bones and high fracture rates in children.
  • A monoclonal antibody that neutralizes sclerostin (Scl-Ab) has been shown to improve bone strength and reduce fractures in OI mice models.
  • After 9 weeks of treatment, Scl-Ab significantly decreased long bone fractures and increased key bone properties, suggesting it could be a promising treatment for minimizing long-bone fractures in OI patients.
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Hip fracture in the elderly is associated with an increase in disability and mortality. Early intervention programs accelerate the recovery period and reduce mortality. The intervention of geriatricians, with direct responsibility during the acute phase, has demonstrated an optimal benefit, as well as joint management by a geriatrician and an orthopedist.

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The weightless environment during spaceflight induces site-specific bone loss. The 30-day Bion-M1 mission offered a unique opportunity to characterize the skeletal changes after spaceflight and an 8-day recovery period in mature male C57/BL6 mice. In the femur metaphysis, spaceflight decreased the trabecular bone volume (-64% vs.

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Objectives: (i) To assess the effects of mechanical overloading on implant integration in rat tibiae, and (ii) to numerically predict peri-implant bone adaptation.

Materials And Methods: Transcutaneous titanium implants were simultaneously placed into both tibiae of rats (n = 40). After 2 weeks of integration, the implants of the right tibiae were stimulated daily for 4 weeks with loads up to 5N (corresponding to peak equivalent strains of 3300 ± 500 με).

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Long term durability of osseointegrated implants depends on bone adaptation to stress and strain occurring in proximity of the prosthesis. Mechanical overloading, as well as disuse, may reduce the stability of implants by provoking bone resorption. However, an appropriate mechanical environment can improve integration.

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Bone fragility depends on bone mass, structure, and material properties, including damage. The relationship between bone turnover, fatigue damage, and the pattern and location of fractures, however, remains poorly understood. We examined these factors and their integrated effects on fracture strength and patterns in tibia.

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Objective: The aim of this in vitro pilot study was to evaluate the influence of an artificial saliva (AS) lubricant on the retentive force of a stud-type attachment (LOCATOR(®) ) for implant overdentures (IODs).

Methods: Twenty custom-made models simulating a two-IOD with parallel implant situation were fabricated using LOCATOR(®) attachments. The in vitro testing was carried out with an Instron(®) universal testing machine for a total of 10,000 insertion-removal cycles, for each model, in two different aqueous test mediums (Group 1: 0.

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Metabolic and bone effects were investigated in growing (G, n = 45) and mature (M, n = 45) rats fed a high-fat/high-sucrose diet (HFS) isocaloric to the chow diet of controls (C, n = 30 per group). At week 19, a subset of 15 rats in each group (HFS or C, at both ages) was analyzed. Then one-half of the remaining 30 HFS rats in each groups continued HFS and one-half were shifted to C until week 27.

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Article Synopsis
  • The study investigated how different implant angulations affect the retention of two types of overdenture attachments during repetitive removal and insertion cycles.
  • Models were tested with angulations ranging from 0° to 60° and two types of attachments: LOCATOR(®) and SFI-Anchor(®), revealing that LOCATOR(®) showed significant variations in retention based on angulation while SFI-Anchor(®) did not.
  • Results suggest that SFI-Anchor(®) maintains consistent retention regardless of implant angulation, making it suitable for cases with significant axial discrepancies.
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Rapid bone defect filling with normal bone is a challenge in orthopaedics and dentistry. Strontium ranelate (SrRan) has been shown to in vitro decrease bone resorption and increase bone formation, and represents a potential agent with the capacity to accelerate bone defect filling. In this study, bone tibial defects of 2.

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Implanted rat bones play a key role in studies involving fracture healing, bone diseases or drugs delivery among other themes. In most of these studies the implants integration also depends on the animal daily activity and musculoskeletal loads, which affect the implants mechanical environment. However, the tissue adaption to the physiological loads is often filtered through control groups or not inspected.

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Article Synopsis
  • Low protein intake negatively affects bone microstructure and material properties, potentially altering how bones respond to mechanical stress.
  • The study involved testing the strength of bone samples from 6-month-old female rats on different protein diets (15% casein vs. 2.5% casein) by applying cyclic loading followed by a failure test.
  • Results showed that cyclic loading decreased strength and flexibility in bones from the low protein group, indicating that protein deficiency can worsen the impact of repeated mechanical stress on bone health.
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Background/aim: In a previous study we showed that mandibular alveolar (trabecular) bone appears to be less sensitive to estrogen deficiency than the proximal tibia spongiosa. We hypothesized that the mechanical loading of the alveolar process during mastication may protect the alveolar bone from the detrimental effects observed in other skeletal sites. To test this hypothesis we compared the effect of ovariectomy on the mandibular alveolar bone and the proximal tibia spongiosa of rats fed either a normal (hard) or a soft diet.

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Purpose: To assess the effect of external mechanical microstimuli of controlled magnitude on the microarchitecture of the peri-implant bone beds in rat tibiae.

Materials And Methods: Tibiae of forty rats were fitted with two transcutaneous titanium cylinders. After healing, the implants were loaded to 1 to 3 N, five days/week for four weeks.

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Article Synopsis
  • Periostin (Postn) is a protein important for bone's response to fatigue loading, which helps prevent fractures by mediating bone damage repair and callus formation.
  • In experiments with Postn(+/+) and Postn(-/-) mice subjected to fatigue loading, Postn(+/+) mice showed increased damage and subsequent recovery of bone strength over time, while Postn(-/-) mice had persistent damage and poorer recovery.
  • The findings suggest that higher levels of periostin expression enhance bone's ability to adapt and repair itself after fatigue, potentially reducing the risk of fractures.
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Article Synopsis
  • The authors introduce a protocol for creating finite element models from micro CT scans of rat bones with implants.
  • A semi-automated process segments the scans using specific bone mineral density thresholds and generates high-quality tetrahedral meshes in an open-source environment.
  • The protocol is validated through simulations of stiffness in both bare and implanted rat tibiae, showing strong correlation with experimental data on mean values and variability.
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Objectives: The aims were to investigate whether the use of platelet-rich fibrin membranes (PRF) for socket filling could improve microarchitecture and intrinsic bone tissue quality of the alveolar bone after premolar extraction and to assess the influence of the surgical procedure before implant placement.

Material And Methods: Twenty-three patients requiring premolar extraction followed by implant placement were randomized to three groups: (1) simple extraction and socket filling with PRF, (2) extraction with mucosal flap and socket filling with PRF, and (3) controls with simple extraction without socket filling. Implant placement was performed at week 8, and a bone biopsy was obtained for histomorphometric analysis.

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Background: Mandibular two-implant-retained overdentures were suggested as first choice of treatment for edentulous mandibles. However, wear of the attachments may reduce their retention and compromise long-term clinical success.

Aim: The aim of this in vitro study was to compare the change in the retentive force and removal torque of three attachment systems during simulation of insertion-removal cycles.

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