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Bioactive ceramics
Bioactive ceramics: calcium phosphates, bioactive glasses, and bioactive glass ceramics Common property: ability to bond to bone and enhance bone tissue formation Structural and compositional variations rate of bone bonding,
Chemical composition of selected bioactive ceramics
Bioactivity *
Bioactivity property: ability of the materials to bond directly to bone and enhance bone formation Bioactive ceramics are characterized by a dynamic surface Ionic dissolution of the material surface calcium phosphate (Ca-P) layer Dissolution property: precipitation of a
Deposited Ca-P mimic those of the mineral phase of bone in many aspects Bone deposition is enhanced by the high pool of calcium ions
Bone formation
Similarity between the mineral phase of bone and the surface chemistry of bioactive materials no fibrous capsule formed around the implant Bone cells attach deposit extensive bone matrix directly on the material surface
Histomicrograph of rabbit femoral bone defect grafted with bioactive glass granules for 3 weeks. The spaces between the bioactive glass particles (G) are filled with new mature bone tissue (B) containing Haversian systems and blood vessels.
The interface between PMMA bone cement and bone after 2 weeks of implantation in the cortical bone of the tibial diaphysis in goats. A thin fibrous layer (arrow heads) was always present at the interface between bone and PMMA implant
Bone formation..*
Bioactive ceramic stimulation of the activity of bone cells in contact also stimulation away from the material surface Surface of the granules of bioactive ceramic new bone formation starts fills the space between the granules Bone growth inside pores begins at the wall of the pores grows until it fills the pores Resorbable bioactive ceramics graft material resorbs space for bone cells to deposit new bone allows complete tissue regeneration
Histomicrograph of a critical size bone defect created in the rabbit femur and grafted with granules of silicacalcium phosphate nanocomposite (SCPC75) for 3 weeks. The grafted defect was extensively filled with new bone. ( : vascular cavities; * : new bone) * more in next chapter
Bioactive ceramic in SBF a HA layer on the material surface similar to that of biological apatite
The ionic concentration of simulated body fluid and human blood plasma
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Rate of formation of the HA surface layer in SBF correlates well with the rate of bone bonding in vivo a measure of the degree of bioactivity of bone implant materials Two components involved in deposition of HA layer in-vitro: Dissolution of the material surface Precipitation of a Ca-P layer Dissolution of Ca and P ions increase in the local ionic concentration at the implant interface the precipitation of amorphous calcium phosphate layer matures by time to the more thermodynamically stable HA
Bioactive Glasses
Composition of Bioactive Glasses:
Most common components of bioactive glass are SiO2, CaO,Na2O, and P2O5 SiO2 content determines the chemical stability and bioactivity of the glass SiO2 content larger than 60 wt% is chemically stable not bioactive (region B) Glass with 45wt% SiO2 is highly bioactive (A)
A ternary phase diagram for silicate glass in the system SiO2Na2OCaO. The composition of a bioactive glass containing 24.5% Na2O, 24.5% CaO, and 45% SiO2 in weight percent Phase diagrams for Na2OCaOSiO2 showing four composition regions A, B, C, D, and the corresponding bone-bioactivity property (C: resorbable D: devitrification)
Bioactive Glasses..
Structure of Bioactive Glass:
An amorphous material with short range atomic order SiO2 serves as a network former, responsible for chemical stability CaO and Na2O serve as network modifiers Two types of oxygen, bridging and nonbridging Ratio of bridging oxygen to non bridging oxygen controls the rate of bioactivity reaction in vitro and the resorbability
schematic showing the silicate structure of bioactive glass. The bridging oxygen in the SiOSi bond stabilizes the material. Non-bridging oxygen in the -SiONa and -SiOCa- enhances the dissolution in physiological solutions.
Decrease in concentration of the SiO2 Increase in Na2O or CaO Increase in the rate of reactivity
In Vitro Bioactivity
Ion exchange and dissolution precipitation reaction:
Ionic character in NaO bond is high (85%) Na ions can easily exchange with H+ ion of the H2O of tissue fluid 45% of Si-O bond is covalent limits the dissolution of silica Dual effects of enhanced release of Na ions: material surface rich on SiO-. . .+H groups Increase in the pH of the interfacial fluids Surface SiOH and the alkaline pH synergistically enhance the precipitation of a Ca-P
A schematic showing the surface modifications of bioactive glass due to interaction with simulated body fluid.
Na2CO3
Na2O +CO2
Processing steps
Byproduct CO2 diffuses as bubbles through the glass melt help to mix melt Prepared Bioactive glass is dense and free of organic components and water Granules have better bioactivity than bulk
Chemical composition and selected raw materials
Significant decrease in the solubility of bioactive glass as the percentage of crystallization increased
Composition of Hydroxyapatite
Stoichiometric HA has a rigid hexagonal di -pyramidal crystalline structure Molecular formula: Ca5(PO4)3OH Unit cell: ten Ca ions (10 Ca+2) Stoichiometry of HA Non-stoichiometric HA dissolution Chemical formula: Ca10(PO4)6(OH)2 enhanced exact atomic ratio of Ca/P (10/6 or 1.67) in the unit cell destabilization of the crystal
Structure of hydroxyapatite
(a) Defect-free 1 X 1 X 2 supercell of the monoclinic modification of hydroxyapatite as obtained from full geometry optimization. The phosphate ions are illustrated as transparent tetrahedra. Two types of calcium ions are discriminated, that is, Ca(1) sites which are located between the phosphate ions and Ca(2) sites which form staggered triangles (dashed lines) resulting in channels parallel to the c-axis. (b) illustrates that each Ca(2)-triangle embeds a hydroxide ion.
Preparation of Hydroxyapatite
Solid state reaction between Ca(OH)2 or CaCO3 and CaHPO4.2H2O or -Ca3(PO4)2 above 950 oC forms HA Wet precipitation method: 10Ca(OH)2 + 6H3PO4 Ca10(PO4)6(OH)2 + 18H2O An alternate method (pH~11):
10Ca(NO3)2.4H2O + 6NH4.2HPO4 + 8NH4OH Ca10(PO4)6(OH)2 + 20NH4NO3 + 6H2O
Precipitate is dried and calcined at 400 oC for 1 h to obtain HA The nature and crystallinity depends on processing parameters, temperature, pH, and reaction durations
X-ray diffraction pattern of hydroxyapatite prepared by wet method and sintered at 1200 C
Three polymorphic structures of TCP: -TCP, -TCP, and -TCP All have higher resorption rate than most other calcium phosphate ceramics -TCP and to a lesser extent -TCP are widely used as bone grafts Stoichiometric formula of -TCP is Ca3(PO4)2; Ca/P ratio 1.5
Bioactivity of TCP
Dissolution, precipitation, and ion exchange in physiological media Calcium phosphate ceramics can be transformed into biological apatite Substitution of Ca by Mg, Zn, Si, and Y enhance the solubility and bioactivity Dissolution rate of calcium: TTCP > -TCP > OHA > -TCP > CDHA > s-HA Dissolution rate of phosphate: TTCP > OHA > s-HA > CDHA > -TCP > -TCP The degradation of HA composition, crystal size, porosity, and preparation methods Amorphous HA: gradual surface degradation; crystalline HA: negligible degradation
SEM images of apatite growth on the surface of -TCP when soaked in SBF
Differences in the experimental design, conditions discrepancies in the results related to the in vitro deposition of the HA surface layer Degradation of TCP is solution-mediated and cell-mediated
Apatite Formation..
Doping with metal ions (Mg, Zn, Sr, Si): stabilization of -TCP structure The ability of calcium phosphate ceramics to adsorb proteins is an important factor that mediates initial cell response to the material
Decrease in the dissolution rate of -TCP upon substitution of Ca with 0.11.0 mol Zn
Histogram showing the adsorption of (a) fibronectin and (b) BMP-2 on various biphasic ceramics. The biphasic ceramics are (1) 100% HA; (2) 95% HA/5% -TCP; (3) 25%-TCP/70% TCP/5% Ca2P2O7; (4) 30%-TCP, 70%-TCP; (5) 90%-TCP/ 10% HA, and (6) 85%-TCP/15%HA
Excellent bioactivity of Si rich SCPC are due to physicochemical properties of its phases and the controlled release of Si from the substrate The crystalline structure of SCPC is complex, as it contains solid solutions instead of pure phases Highly defective and immature phases; poor crystallization at low temperature synthesis
Crystalline Structure
a) A grain boundary in the SCPC nanocomposite. (b) Lorentzian fitting curves of elemental distributions along the grain boundary in (a). X-ray microanalysis showed that the grain boundary had maximum counts for Ca, Na, and P, whereas the grain bulk was rich in Si.
(a) SEM micrographs of the SCPC at different magnifications: a- two pores 100 mm in diameter on the surface of the material. b- the walls of the large pores are very porous. c- higher magnification of the wall of the pores showing homogeneously distributed interconnected pores 3 mm in diameter (arrows). d- single hexagonal calcium phosphate crystals (0.7 mm) (white arrows) and round-shaped silica crystals (0.2 mm)(black arrows) are in close contact. (b) TEM micrograph of the porous structure of SCPC showing nanopores in the size range 50100 nm