Synthesis, Characterisation and Performance of Calcium Phosphate Bone Graft Substitutes


Book Description

"Synthetic bone graft substitutes are frequently used to fill defects with significant bone loss to prevent fibrous tissue ingrowth and loss of function. Bone grafts are often used to augment deficient alveolar ridges allowing placement of dental implants subsequent to prior bone loss. Although autografts, allografts and xenografts have been used and researched extensively, they have inherent limitations. To overcome these, synthetic alternatives, such as calcium phosphate cement-based biomaterials are being developed. Brushite and monetite are acidic calcium phosphates having similar chemical composition. However, their in vivo behavior differs in terms of resorption and bone response. Although brushite and monetite have been shown to resorb faster in vivo than hydroxyapatite (HA), a significant reduction in the rate of resorption occurs following phase conversion of brushite to insoluble HA. As such differences between bone grafts are attributed to material composition even though physical properties such as surface area and porosity invariably differ. This thesis focuses on determining the factors and mechanisms that makes these chemically similar materials behave differently in vivo. We produced brushite cement grafts and converted them to two types of monetite by using wet (autoclaving) and dry heat (under vacuum) dehydration which resulted in materials with differing physicochemical properties. These grafts were then aged in vitro using bovine serum and phosphate buffered saline (PBS) solutions, implanted subcutaneously, in femoral condyles and onlay grafted on calvaria. The dissolution, resorption and bone formation potential of these dicalcium phosphate cement grafts was assessed and compared. Also, we developed a new alkali ion (sodium and potassium) substituted calcium phosphate cement, reinforced with silica and set using phytic acid. The set cement blocks were aged in PBS solutions and their in vitro dissolution and degradation along with other physico-chemical properties was assessed.Results presented in this Ph.D thesis discuss and shed light on the fundamental yet not understood questions regarding the relative contributions from chemico- vs physico-biomaterial properties in graft resorption and bone regeneration. This will allow in future the preparation of improved calcium phosphate-based bone substitute grafts with potential to achieve higher clinical efficiency. " --




Bone graft substitutes


Book Description




Advanced Synthesis and Medical Applications of Calcium Phosphates


Book Description

Calcium phosphate materials are used in many medical and dental applications. Advanced Synthesis and Medical Applications of Calcium Phosphates covers the structure, chemistry, synthesis, and properties of both natural and synthetic calcium-based biomaterials and details a variety of medical applications. Depicts the latest advances in using calcium phosphates in bone regeneration and tissue engineering Includes the latest generation of regenerative biomaterials with an integrated perspective combining both research and clinical issues Provides an understanding of the clinical targets and requirements for regenerative medicine Detailing fundamentals through applications, this book helps biomaterials researchers to better understand the clinical targets and requirements for use of these materials for optimal synthesis and development.




New Generation Silicate and Carbonate Co-substituted Calcium Phosphate Synthetic Bone Substitutes


Book Description

The silicate and carbonate co-substituted materials and their dissolution products were not toxic to either of the cell lines, and cell proliferation was observed with all materials studied. The effect of the synthesis route on the purity of silicate-substituted hydroxyapatite (SiHA) was also assessed, with a particular focus on the role of tetraethyl orthosilicate (TEOS) as the source of silicate. The outcomes of this study showed that the final composition of SiHA was strongly dependent on how and when the tetraethyl orthosilicate (TEOS) solution was incorporated during the precipitation reaction.




Calcium Orthophosphates


Book Description

Due to a great chemical similarity with the biological calcified tissues, many calcium orthophosphates possess remarkable biocompatibility and bioactivity. Materials scientists use this property extensively to construct artificial bone grafts that are either entirely made of or only surface-coated with the biologically relevant calcium orthophospha




Developments and Applications of Calcium Phosphate Bone Cements


Book Description

This book presents a state-of-the-art review of the latest advances in developing calcium- phosphate bone cements and their applications. It covers the synthesis methods, characterization approaches, material modification and novel binders, as well as the fabrication technologies of calcium-phosphate-based biomaterials in regenerative medicine and their clinical applications. It also highlights methodologies for fabricating scaffolds, biofunctional surfaces/interfaces and subsequently modulating the host response to implantable/injectable materials, and integrates a series of discussions and insights into calcium-phosphate cements and constructs in bone regenerative medicine. As such, the book not only covers the fundamentals but also opens new avenues for meeting future challenges in research and clinical applications.




Preparation and Characterization of Calcium Phosphate Ceramics and Composites as Bone Substitutes


Book Description

Marine CaCO3 skeletons have tailored architectures created by nature, which give them structural support and other functions. For example, seashells have dense lamellar structures, while coral, cuttlebone and sea urchin spines have interconnected porous structures. In our experiments, seashells, coral and cuttlebone were hydrothermally converted to hydroxyapatite (HAP), and sea urchin spines were converted to Mg-substituted tricalcium phosphate [beta]-TCMP, while maintaining their original structures. Partially converted shell samples have mechanical strength, which is close to that of compact human bone. After implantation of converted shell and spine samples in rat femoral defects for 6 weeks, there was newly formed bone growth up to and around the implants. Some new bone was found to migrate through the pores of converted spine samples and grow inward. These results show good bioactivity and osteoconductivity of the implants, indicating the converted shell and spine samples can be used as bone defect fillers. Calcium phosphate powders were prepared through different synthesis methods. Micro-size HAP rods were synthesized by hydrothermal method through a nucleation-growth mechanism. On the other hand, HAP particles, which have good crystallinity, were prepared by wet precipitation with further hydrothermal treatment. [beta]-TCP or [beta]-TCMP powders were prepared by a two-step process: wet precipitation of apatitic tricalcium phosphate ('precursor') and calcination of the precursor at 800°C for 3 hours. [beta]-TCMP or [beta]-TCP powders were also prepared by solid-state reactions from CaHPO4 and CaCO3 with/without MgO. Biphasic calcium phosphate, which is mixture of HAP and [beta]-TCP, can be prepared though mechanical mixing of HAP and [beta]-TCP powders synthesized as above. Dense [beta]-TCP and [beta]-TCMP ceramics can be produced by pressing green bodies at 100MPa and further sintering above 1100°C for 2 hours. [beta]-TCMP ceramics ~99.4% relative dense were prepared by this method. Dense [beta]-TCP ceramics have average strength up to 540MPa. Macroporous [beta]-TCMP ceramics were produced with sucrose as the porogen following a two-step pressing method. Porous [beta]-TCMP ceramics were also prepared by replication of polyurethane sponge. [beta]-TCMP ceramics with porous structures in the center surrounded by dense structures were created. The outside dense structures give the scaffold mechanical strength, while the central porous structures enable cells migration and vascular infiltration, and finally in-growth of new bone into the scaffold.







Advances in Calcium Phosphate Biomaterials


Book Description

Advances in Calcium Phosphate Biomaterials presents a comprehensive, state-of-the-art review of the latest advances in developing calcium phosphate biomaterials and their applications in medicine. It covers the fundamental structures, synthesis methods, characterization methods, and the physical and chemical properties of calcium phosphate biomaterials, as well as the synthesis and properties of calcium phosphate-based biomaterials in regenerative medicine and their clinical applications. The book brings together these new concepts, mechanisms and methods in contributions by both young and “veteran” academics, clinicians, and researchers to forward the knowledge and expertise on calcium phosphate and related materials. Accordingly, the book not only covers the fundamentals but also open new avenues for meeting future challenges in research and clinical applications. Besim Ben-Nissan is a Professor of Chemistry and Forensic Science at the University of Technology, Sydney, Australia




Calcium Phosphate Bone Filling Materials


Book Description

Calcium phosphate based materials are clinically accepted ceramics and have been widely used in biomedical application. Apart from brittleness, calcium phosphate ceramics are introduced in the forms of coating, porous, granule, dense, powder and paste. Various methods have been developed to produce calcium phosphate ceramics for bone filler application. This work developed a novel technique which straightforwardly provided the calcium phosphate as bone filling materials from one pot low temperature hydrothermal synthesis. Calcium oxide, CaO, and ammonium dihydrogen phosphate, NH4H2PO4, were used as calcium and phosphorus precursors respectively with the media of stirred distilled water at 80-100°C. The amount of CaO was varied at 0, 1, 2, 10 and 20 mol-% excess. Synthesis condition has shown remarkable effects on phase, crystal physics, mechanical strength, hardening by aging in moist and simulated body fluid (SBF) environments, water washout resistance, cohesivity, injectability, bioactivity and Vero cell proliferation capacity. The characterization involved X-ray diffraction (XRD), energy dispersive X-ray (EDX), thermogravimetry/differential thermal analyses (TGA/DTA), Fourier transform infra red spectroscopy (FTIR), scanning electron microscopy (SEM) and Brunnauer-Emmet-Teller (BET) methods. Bone fillers were produced through two types of strategies: mixing between the precipitated powder, p, and water, w, (called as Mixture) at variation of p/w ratios and direct synthesis (called as Paste). The syntheses resulted in non crystalline apatite or Ca-deficient hydoxyapatite (CDHA) as the main phase of the non sintered product in all the excess CaO variations. The maximum compression strength after aging for Mixture was 2.0 MPa in the moist and 3.4 MPa in SBF, while for Paste, it was 2.3 MPa in the moist and 2.7 MPa in SBF. Paste showed as better performance in aspects of mechanical strength, resistance to watering, less fluctuation of the lattice crystal after aging and being injectable after 60 min waiting time. The precursors regulated the products to be single, non-single phase or potential as the candidate of antibacterial material. The apatite cell forming capacity that was affected by the pressure of the pellet compaction was also reported. The study showed that the filler materials are mechanically and biochemically suitable for non-load bearing bone implant applications and Paste is excellent in flexible handling time.