Tissue Microstructure

Tissue Microstructure and Mechanical Properties

Overview of the Lecture

Lecturer: John L. Ricci, PhD, FBSE
Affiliation: Division of Biomaterials and Regenerative Biology, Department of Molecular Pathobiology, New York University College of Dentistry

Why Study Mechanical Properties of Tissues?
  • The understanding of mechanical properties is crucial for interfacing biomaterials with tissues.

  • Knowing the comparative properties allows for better insights into their interactions.

Finite Element Analysis (FEA) Modeling of 3 or 4 Unit Fixed Prosthesis
  1. Assign Physical Properties to Each Material:

    • Elastic Modulus

    • Poisson’s Ratio

  2. Assign Force, Magnitude, Direction to Elements

  3. Failure Points:

    • The four unit restoration is likely to fail at the highest stress points.

    • Location of failure: unsupported unit interfaces with adjacent units.

    • Characteristic: Smallest cross-sectional area corresponds to the highest stress (illustrated by blue arrows).

Mechanical Properties of Biomaterials

All Tissues are Viscoelastic
  • Viscoelasticity: Mechanical properties depend on the rate of loading; tissues become stiffer at higher strain rates.

Key Concepts
  • Creep: Materials change shape under a constant load.

  • Stress Relaxation: The load decreases at constant strain.

  • Anisotropy: Tissues exhibit different mechanical properties in various directions.

Tissue Microstructure
  • Understanding tissue microstructure is essential to grasp the mechanical properties.

  • All tissues are composed of cells and extracellular matrix (ECM).

  • The ECM is a composite consisting of several components and it determines mechanical properties.

Bone Structure and Organization

  1. General Composition:

    • Bone Structure is a 3-D organization of:

      • Cells

      • Extracellular Matrix

  2. Inorganic Components:

    • Hydroxyapatite mineral represented as Ca<em>10(PO</em>4)<em>6(OH)</em>2Ca<em>{10}(PO</em>4)<em>6(OH)</em>2

  3. Organic Components:

    • Type I collagen mixed with various other proteins.

  4. Stability:

    • Bone mineral maintains stability in body fluid at physiological pH but dissolves in low pH environments.

    • Can be stabilized by certain ions (e.g., fluoride) and can turn into ceramic at high temperatures.

  5. Denaturation of Bone Collagen:

    • Heat: Above 40-45°C

    • Enzymatic Action: Protease enzymes (collagenases, gelatinases, metalloproteinases)

Microscopic Forms of Bone:
  • Woven Bone:

    • Immature, temporary, highly cellular structure.

  • Lamellar Bone:

    • Layered, remodeled, mature structure with fewer cells.

Types of Bone Structure
  1. Haversian Bone

  2. Trabecular Bone

  3. Cortical vs. Trabecular Arrangement

  4. Cell Types:

    • Osteoblasts: Mesenchymal-origin cells that synthesize and mineralize bone.

    • Osteocytes: Mature bone cells derived from osteoblasts.

    • Osteoclasts: Multinucleated cells formed from fused monocyte precursors that resorb bone through protease degradation and acid dissolution.

Mechanical Properties of Bone
  • Cortical and cancellous bone's mechanical properties vary based on structure and organization.

  • Bone Repair: Focus on Primary Bone Formation in a dog premolar tooth socket observed at 3 weeks.

Enamel and Dentin versus Bone

  • E (Elastic Modulus):

    • Cortical Bone = 17 GPa

    • Cancellous Bone = 1.5 - 5 GPa

    • Titanium Alloy = 110 GPa

  • Anisotropic Nature: Bone has different mechanical properties based on orientation.

  • Failure Modes: Bone is weaker under tension compared to compression.

Clinical Observations: Human Mandible
  • Dentate versus Edentulous structures.

  • Implant Stability in Cancellous Bone:

    • 5 x 13mm Implant placed in density 12 sawbones (slight over-drilling) performing Finite Element Analysis.

    • Stress Results: Under Axial Loading:

    • Stress Concentration resulting in:

      • Maximum Stress = 3.8 MPa

      • Maximum Stress = 4.6 MPa

      • For side load silhouette vs. V thread:

      • Max Stress = 91.9 MPa

      • Max Stress = 140.2 MPa.

Soft Tissue Mechanical Properties

Ligaments and Tendons
  • These structures are highly organized with a linear orientation and function primarily in tension.

  • Composed of organized Type I collagen (with some Type III) and minimal amounts of proteoglycans.

  • Functional Roles:

    • Tendons: Connect muscle to bone.

    • Ligaments: Connect bone to bone.

General Mechanical Comparison of Bone and Soft Tissue
  • Soft Tissues in Compression:

    • Cartilage serves as a composite of 3-D organized collagen reinforcement (Type II) paired with large quantities of proteoglycans (hydrogel).

    • These function primarily to absorb shocks and facilitate movement of bone on bone.

  • Properties of Cartilage:

    • Exhibits a mechanical response in compression; contains a large toe region related to collagen organization, characterized by low stiffness and notable creep and stress relaxation behavior.

Specific Soft Tissue Properties
  • Periodontal Ligament (PDL) Properties:

    • Multicomponent structure operating under both compression and tension.

    • High cellularity, extensive vasculature, and nerve supply.

Mechanical Properties of Mineralized Tissues

Comparison of Tissues
  • Mineralized Tissues (e.g., enamel, dentin, bone) function optimally in compression but poorly in tension.

  • Their properties are determined by several factors including form, orientation, and microstructure.

  • Comparative Mechanical Properties:

    • Cortical bone's properties are akin to those of dentin, whereas enamel is stiffer and more brittle.

    • Cancellous bone has a variable range of properties depending on its density, demonstrating lower stiffness while being able to endure large strains.

Hard and Soft Tissue Summary
  • Hard Tissues: Tend to function entirely in compression with limited capacity for tensile resilience.

  • Soft Tissues: Tendon and ligament are primarily tensile and exhibit differing mechanical behaviors due to microstructural organization.

Soft Tissue Mechanics
  • Tissues like skin and gingiva exhibit very low stiffness, able to deform (strain) up to 40-50%.

  • Keratinized epithelium exhibits greater stiffness compared to non-keratinized.

Skin Specific Stress/Strain Characteristics
  • The stress/strain curve for skin reveals a consistent toe region attributed to the random orientation of fibers.

Gingiva Mechanical Properties

  • Gingiva: Notably compliant, which is important for obtaining accurate impressions in dental procedures. Proper denture retention relies on accurate impressions that maintain a thin, uniform film of saliva.

Conclusion
  • Understanding tissue mechanical properties is essential for developing restorative materials and implants.

  • It is imperative to compare properties of biomaterials with those of bodily tissues.


Contact Information:
John.Ricci@NYU.edu