(1) Does poragen fraction change antimicrobial release? |
Hanssen and Spangehl [7] |
2004 |
Multiple different antimicrobials |
N/A |
increasing dose of antimicrobials increases amtimicrobial delivery to the patient |
Keuchle et al. [11] |
1999 |
Dextran |
25 wt% |
25% dextran increases antimicrobial delivery |
McLaren et al. [18] |
2006 |
Xylitol, glycine |
32 vol% |
28 g of xylitol or glycine both increase porosity; porosity increase was greater for xylitol than glycine |
McLaren et al. [17] |
2007 |
Xylitol |
32 vol% |
sucrose and xylitol causes similar increase in porosity when controlled for particle size |
McLaren et al. [16] |
2007 |
Sucrose, xylitol, erythritol |
32 vol% |
all three fillers increase porosity of PMMA |
Nugent et al. [current study] |
2009 |
Xylitol |
0.75, 1.50, 3, 5.75, 11 vol% |
xylitol (100–200 μm particle size) produced porosity leading to dose dependent increased antimicrobial delivery |
(2) Does poragen fraction change compressive strength? |
Lautenschlager et al. [12] |
1976 |
Gentamicin sulfate |
0, 3, 7, 14 wt% |
gentamicin sulfate caused dose dependent loss in compressive strength but elution did not decrease strength. |
Lewis and Bhattaram [13] |
2006 |
Gentamicin sulfate |
4.22 wt% |
low dose ALBC did not decrease mechanical properties for multiple different t cements |
Nugent et al. [current study] |
2009 |
Xylitol |
0.75, 1.50, 3, 5.75, 11 vol% |
increasing amounts of xylitol caused dose dependant decrease in compressive strength |
(3) Does the effect of poragen fraction on compressive strength change over time? |
Lewis and Janna [14] |
2006 |
Gentamicin |
2.2, 4.25, 11/50 wt% |
increasing antibiotic load causes a dose dependent reduction in fatigue life under elution |
He et al. [8] |
2002 |
Gentamicin |
0, 1.7, 3.4, 6.5, 9.4 wt% |
above 3–4 wt%, compressive strength decreases with time in elution |
Nugent et al. [current study] |
2009 |
Xylitol |
0.75, 1.50, 3, 5.75, 11 vol% |
increasing poragen fraction caused dose dependent loss of compressive strength and that loss of compressive strength progressed with time in elution |