Background: Understanding the structure of plant seeds cultivated for human consumption and food manufacturing is vital to provide sustainable products as well as to investigate early growth stages. This includes structural variation between different plant species, varieties and cultivars depending on genetic setup, as well as structural modifications upon germination, aging and storing or seed treatment during processing. For plant seeds as multi-component biological materials, structural characterization must extend across multiple length scales, from molecular organization to cellular architecture. Results: We apply scanning Small- and Wide-Angle X-ray Scattering (SWAXS) and X-ray Fluorescence (XRF) on yellow pea seeds to combine local structural information on the molecular scale with imaging of cellular structures on the micrometer scale, enabling a comprehensive analysis of hierarchical organization. To identify and characterize heterogeneous regions within the pea seeds, we implement a fitting-free, data-driven segmentation and analysis workflow based on machine learning tools. This approach allows for classification of structurally distinct domains and enables quantitative comparison across samples without relying on predefined models. Furthermore, we incorporate multi-modal analysis by combining structural imaging with complementary elemental information obtained from XRF. The integration of compositional and structural data provides deeper insight into structure-composition relationships. Conclusions: This multi-scale, multi-modal approach opens new possibilities for investigating hierarchical structures and their development under diverse conditions and enables systematic comparison between different species or seeds at different developmental stages or exposed to different processing steps. The approach is broadly applicable to various kinds of samples and other hierarchically organized biological materials, which makes it a valuable technique for plant science as well as plant-based food science.

Background: Inter-implant distance (IID) plays a crucial role in maintaining peri-implant bone stability and osseointegration. Narrower IIDs (< 3 mm) have been associated with increased bone loss, but the threshold varies with implant connection type. The undersized preparation protocol, which induces static strain in the bone, enhances primary stability but may lead to microstructural damage, remodelling, or necrosis. The effect of this technique on osseointegration in adjacent implants with varying IIDs is not well documented. This study investigates the impact of undersized and non-undersized preparation protocols on osseointegration at different IIDs.

Methods: The study utilized eight sheep, with 64 implants placed in the mandibles following two surgical protocols: undersized preparation (UP) and non-undersized preparation (NUP). Implants were positioned at two IIDs (2 mm and 4 mm). Biomechanical, histomorphometric, and micromorphometric analyses were performed five weeks post-surgery. Bone-to-implant contact (BIC), bone volume fraction (BVTV), and bone mineral density (BMD) were measured in the regions of interest (inner and outer portions relative to the IID). A linear mixed model approach was applied to analyse the data with statistical significance set at p < 0.05.

Results: The analyses showed no statistically significant differences between the surgical protocols or IIDs for the evaluated parameters ( p >0.05). Nevertheless, trends were observed, with higher BIC and increased bone remodelling in the inner regions at 2 mm IID, particularly when using the undersized preparation protocol. Additionally, BVTV values were higher in the inner portions at 4 mm IID, suggesting reduced bone remodelling compared to 2 mm IID. These results indicate that while mechanical stress influenced trends in bone response, the overall resilience of peri-implant bone healing was evident.

Conclusions: No significant differences in osseointegration were observed between surgical protocols or IIDs. However, the trend of increased remodelling and higher BIC at 2 mm IID highlights the mechanical impact of undersized preparation in close implant spacing. These findings emphasize the complexity of peri-implant bone response to mechanical forces, necessitating further clinical studies to validate these results in human models.

Objective: The objective was to assess the one year implant treatment outcome and patient-related outcome measures (PROMs) following maxillary sinus floor augmentation (MSFA) with autogenous bone graft (ABG) from the zygomatic buttress (control) compared with 1:1 mixture of ABG and anorganic porcine bone mineral (APBM) (Test I) or biphasic bone graft material (BBGM) (Test II). Materials and Methods: Sixty healthy patients (34 females, 26 males) were randomly allocated to either control or test groups. Outcome measures included survival of suprastructures and implants, implant stability quotient, health status of peri-implant tissue, peri-implant marginal bone loss, frequency of complications, and PROMs using Oral Health Impact Profile-14 combined with questionnaire assessing patient perception of peri-implant soft tissue, prosthetic solution, implant function, and implant treatment outcome using visual analogue scale. Mean differences were expressed with standard deviation and 95% confidence interval. Level of significance was .05. Results: All suprastructures and implants were well-functioning after one year of functional implant loading. There was no significant difference between control and test groups in any of the applied outcome measures. The implant stability significantly increased from implant placement to abutment connection within all groups (p < .001). High patient satisfaction and significant improvement in oral health-related quality of life was also reported within all groups. Conclusion: This study demonstrates that MSFA with composite grafts containing minimal amounts of ABG reveals comparable implant treatment outcomes as compared with ABG alone, after one year of functional implant loading. Extensive ABG harvesting in conjunction with MSFA therefore seems not to be needed.

This study evaluated radiographic graft changes following maxillary sinus floor augmentation with (A) autogenous bone, (B) 1:1 autogenous bone and deproteinized porcine bone mineral, or (C) 1:1 autogenous bone and biphasic bone graft material. Sixty patients were randomly allocated to groups A, B, and C (20 in each). CBCT scans were obtained at enrolment, after surgery (T1), after prosthetic rehabilitation (T2), and 1 year after implant loading (T3). Significant decreases in graft volume (3D) and graft height (2D) from T1 to T3 were observed in all groups (P < 0.05). However, at T2 and T3, graft volume was significantly higher in group B than in groups A and C (P < 0.05), and graft height was significantly higher in group B than in group A (P < 0.05). Bone density increased significantly from T1 to T2 in all groups (P < 0.001). However, bone density was significantly higher in group B than in groups A and C, at T2 and T3 (P < 0.05). No significant correlation between graft volume or height and implant protrusion length or residual bone height was found. In conclusion, 1:1 autogenous bone and porcine bone resulted in significantly higher graft volume, height, and bone density when compared with autogenous bone or a 1:1 ratio of autogenous bone and biphasic bone. However the higher graft volume, height, and bone density did not appear to lead to improved outcomes at 1 year of functional loading when compared to the other groups.

Purpose: To determine the biologic and biomechanical effects of two implant drilling protocols on the cortical bone around implants subjected to immediate loading. Materials and Methods: A total of 48 implants were inserted into the mandibles of six sheep following one of two drilling protocols: undersized preparation (US; n = 24) and nonundersized preparation (NUS; n = 24). Immediately after implant insertion, an abutment was placed on each implant and 36 implants were subjected to 10 sessions of dynamic vertical loads (1,500 cycles, 1 Hz) of 25 N or 50 N. Insertion torque value (ITV) was recorded at implant installation. Resonance frequency analysis (RFA) was measured at implant insertion and at each loading session. Fluorochrome was administered at day 17, and the animals were euthanized after 5 weeks. The removal torque values (RTVs) were measured, and samples underwent histomorphometric, mu CT (microcomputed tomography), and fluorescence image acquisition analyses. The bone volume density (BV/TV), bone-to-implant contact (BIC), bone area fraction occupancy (BAFO), and fluorochrome stained bone surface (MS) were calculated. A linear mixed model analysis was performed, and Pearson paired correlation was calculated. Results: Five implants from the NUS group failed, with a mean ITV of 8.8 Ncm and an RFA value of 57. The mean ITVs for US group and NUS group were 80.5 (+/- 14) Ncm and 45.9 (+/- 25) Ncm, respectively (P < .001). No differences were noted in the RFA values from the time of implant insertion until the end of the study. No differences in RTV, BV/TV, BAFO, or MS were observed between the groups. Intense new bone formation took place in the NUS group implants that were subjected to load. Conclusions: Undersized preparation of cortical bone ensured a greater BIC compared to a nonundersized preparation. Moreover, this study demonstrated that immediate loading did not interfere with the osseointegration process, but loading induced intense new bone formation in the NUS group. It is not recommended to immediately load the implants when the clinically perceived primary stability is lower than an ITV of 10 Ncm and an RFA value of 60.

OBJECTIVES: The aim of this study was to evaluate whether salivary contamination during placement of implants with different surface characteristics affects osseointegration in native and in augmented bone areas.

MATERIALS AND METHODS: Forty eight implants with machined surface (MS) and 48 implants with moderately rough surface (RS) were tested in the calvaria of 12 sheep. At the first surgery, 64 bony critical defects were randomly created and were subsequently augmented with two materials (autogenous or bovine bone). After 5 weeks of graft healing, 8 implants were placed per sheep, in native bone and in the centre of the augmented defects. Forty eight implants were soaked with saliva before placement (contaminated group [CG]), while 48 implants were not (non-contaminated group [NCG]). Five weeks after implant placement, bone-to-implant contact (BIC) and bone material area fraction occupancy (BMAFO) were calculated histomorphometrically.

RESULTS: Saliva contamination showed a significant negative effect (p = .000) on BIC, especially in augmented areas. RS showed significant positive effect on BIC, compared to MS (p = .000), while there were no significant differences for different bone conditions (p = .103). For BMAFO, the contamination showed a significantly negative affect (p = .000), while there were no significant differences for surface characteristics (p = .322) and for bone condition (p = .538).

CONCLUSION: Saliva contamination during dental implant placement has a negative effect on osseointegration in augmented areas. Moderately rough surface has a possible advantage in the aspect of initial bone to implant contact. However, it seems to be advisable to avoid saliva contamination especially for implants placed in augmented bone areas.

Objectives: Estimating blood loss is an important factor in several surgical procedures. The accuracy of blood loss measurements in situations where blood is mixed with saliva and saline is however uncertain. The purpose of this laboratory study was to ascertain if blood loss measurements in mixtures of blood, saline, and saliva are reliable and could be applicable in a clinical setting.

Material and Methods: Venous blood and resting saliva were collected from six volunteers. Saliva, saline, and combinations thereof were mixed with blood to obtain different concentrations. A portable spectrophotometer was first used to measure the haemoglobin concentration in undiluted venous blood followed by measurements of the haemoglobin concentration after each dilution. To examine the strength of linear relationships, linear regression and Pearson correlations were used.

Results: The measurements of haemoglobin concentrations in mixtures of blood, saline, and saliva were proven to be accurate for haemoglobin measurements > 0.3 g/dl (correlation = 0.986 to 1). For haemoglobin measurements < 0.3 g/dl, a small increase in haemoglobin values were reported, which was directly associated to the saliva concentration in the solution (correlation = 0.983 to 1). This interference of saliva was significantly eliminated by diluting the samples with saline, mimicking the clinical situation.

Conclusions: The results suggest that a portable spectrophotometer can be used clinically to preoperatively measure the haemoglobin value of a venous blood sample and postoperatively measure the haemoglobin value of the collected liquids, including shed blood, thereby achieving a highly accurate method of measuring blood loss during oral and maxillofacial surgery.

BACKGROUND: Autogenous bone graft is considered as the preferred grafting material for maxillary sinus floor augmentation (MSFA). However, harvesting of extraoral or intraoral autogenous bone graft is associated with risk of donor site morbidity and supplementary surgery. From a clinical and patient perspective, it would therefore be an advantage, if postoperative discomfort could be minimized by diminishing the need for autogenous bone graft harvesting. The objective of the present study was to test the hypothesis of no difference in patient's perception of recovery after MSFA with autogenous bone graft from the zygomatic buttress (control) compared with 1:1 mixture of autogenous bone graft and deproteinized porcine bone mineral (DPBM) (Test I) or biphasic bone graft material (BBGM) (Test II). Sixty healthy patients were randomly allocated to either control or test groups. Oral Health-related Quality of Life (OHRQoL) was evaluated by Oral Health Impact Profile-14 (OHIP-14) at enrollment. Recovery was estimated by self-administrated questionnaires and visual analog scale assessing pain, social and working isolation, physical appearance, eating and speaking ability, diet variations, sleep impairment and discomfort after 1 week and 1 month. Descriptive statistics was expressed as mean with standard deviation (SD). Correlation between OHRQoL at enrollment and recovery were assessed by linear regression. p-value below 0.05 was considered significant.

RESULTS: Treatment satisfaction and willingness to undergo similar surgery were high in all groups. Average numbers of days with pain and sick leave were 3.5 (SD 3.9) and 0.5 (SD 1.2), respectively, with no significant difference between groups. Moreover, no significant difference in eating and speaking ability, physical appearance, work performance and sleep impairment were seen between groups. Mean OHIP-14 score at enrollment was 9.30 (SD 9.25) (control), 9.95 (SD 7.96) (Test I) and 8.15 (SD 9.37) (Test II), with no significant differences between groups. Impaired OHRQoL, gender or age seems not to predispose for delayed recovery or increased postoperative discomfort.

CONCLUSIONS: MSFA with diminutive autogenous bone graft harvesting is associated with high patient satisfaction, limited postoperative discomfort and willingness to undergo similar surgery. Presurgical OHRQoL, gender or age seems not to be associated with impaired patient's perception of recovery.

Purpose: Patients who have a vertical growth pattern are more prone to complete alveolar bone growth later and run a higher risk for inhibition of growth and infraposition after implants have been placed. Moreover, it has been suggested for the same category of patients that craniofacial height may influence the alveolar bone morphology of the anterior maxilla during growth. Hence, it is important to identify such patients early when considering implant treatment in young patients. The purpose of this study was to investigate the height and width of the alveolar bone in the anterior maxilla in subjects with different craniofacial heights to assess if there is a relation between craniofacial height and the dimensions of the alveolar bone in the anterior part of the maxilla. Materials and Methods: Measurements on cephalograms and cone beam computed tomography (CBCT) images of the maxilla from 180 fully dentate subjects were analyzed and categorized into three angle groups based on the craniofacial height: low-, normal-, and high-angle groups. Measurements of the alveolar bone were taken interradicular, at six reference points distributed between the first premolar regions in the maxilla. The height and width of the alveolar bone were measured with a standardized technique at 3, 6, 9, and 12 mm from the top of the alveolar process. Results: Significant differences were found regarding the height of the alveolar bone in all the subgroups and regarding the width in the 9- and 12-mm subgroups, and between low-/normal- and low-/high-angle groups, where the high-angle group represented the thinnest alveolar bone. A significant difference was found between male and female patients concerning all dimensions of the alveolar bone. Conclusion: There is a relation between craniofacial height and the dimensions of the alveolar bone in the anterior part of the maxilla. Craniofacial height is an important factor to analyze when implant treatment is considered in the maxillary anterior region. This identification can preferably be carried out early in young patients who are still growing when various treatment options can still be considered.

Background: Bone overheating during osteotomy preparation for dental implant has been extensively investigated. However, thermal changes during implant insertion were seldom reported. Several factors might influence heat generation, such as the osteotomy dimension, implant surface and the friction between implant and bone. A common approach to reach high levels of primary stability is to undersize the implant osteotomy and the use of rough implant surfaces, which might increase the risk of bone overheating.

Aim/Hypothesis: The aim was to evaluate the in vivo bone temperature change at implant placement using different osteotomy dimensions, implant surfaces and frictional characteristics. It is hypothesized that the insertion in an undersized osteotomy would generate a greater temperature change.

Materials and Methods: On ten female Finnish Dorset crossbred sheep, four implants were placed in both metatarsal bones. To modify the implant-bone friction, the presence of a lubricant body fluid (sheep saliva) was tested. Eight experimental groups were created based on the following features- undersized and conventional osteotomy, moderately rough and turned surface, presence and absence of a lubricant fluid on the implant surface (Table 1). Intraosseous bone temperature was measured with a type-K thermocouple. The position of the sensor tip was at the distance of 1 mm from implant surface and depth of 2 mm from bone surface. Bone temperature was continuously measured from just before implant placement until 1 minute after the implant placement. Maximum and minimum values were registered. The values of temperature change for each implant were calculated. Three-way ANOVA was used to evaluate the influence of the osteotomy preparation, implant surface and frictional characteristics.

Results: The mean values of temperature change were 6.4 8,2, 4.0, 5.1, 8.1, 9.6, 3.4, and 5.2 degrees Celsius increase respectively from Group 1 to 8 (Figure 1). Regarding the surgical drilling protocol, the overall test showed that undersized groups showed significantly higher temperature than conventional osteotomy groups (P value = 0.000). In the presence or absence of a lubricant body fluid, the overall test showed that absence of a lubricant body fluid, showed significant higher temperature change than when it was present (P value = 0.002). Differences of implant surface topography, the overall test presented no statistical differences between moderately rough surface and turned surface (P value = 0.651).

Conclusion and Clinical Implications: Intraosseous temperature change during implant insertion was mainly affected by osteotomy dimension. Undersized osteotomy induces a greater risk of bone overheating. The presence of a lubricant fluid on implant surface reduced the temperature increase, while surface characteristics did not show any influence on temperature modifications. To reduce the risk of implant failure due to bone overheating, implant installation in undersized sites should be cautiously performed in cortical bone.