TY - JOUR A1 - Knabe, Christine A1 - Adel-Khattab, Doaa A1 - Rezk, Mohamed A1 - Cheng, Jia A1 - Berger, Georg A1 - Gildenhaar, Renate A1 - Wilbig, Janka A1 - Günster, Jens A1 - Rack, Alexander A1 - Heiland, Max A1 - Knauf, Tom A1 - Stiller, Michael T1 - Osteogenic Effect of a Bioactive Calcium Alkali Phosphate Bone Substitute in Humans JF - Bioengineering N2 - (1) Background: The desire to avoid autograft harvesting in implant dentistry has prompted an ever-increasing quest for bioceramic bone substitutes, which stimulate osteogenesis while resorbing in a timely fashion. Consequently, a highly bioactive silicon containing calcium alkali orthophosphate (Si-CAP) material was created, which previously was shown to induce greater bone cell maturation and bone neo-formation than β-tricalcium phosphate (β-TCP) in vivo as well as in vitro. Our study tested the hypothesis that the enhanced effect on bone cell function in vitro and in sheep in vivo would lead to more copious bone neoformation in patients following sinus floor augmentation (SFA) employing Si-CAP when compared to β-TCP. (2) Methods: The effects of Si-CAP on osteogenesis and Si-CAP resorbability were evaluated in biopsies harvested from 38 patients six months after SFA in comparison to β-TCP employing undecalcified histology, histomorphometry, and immunohistochemical analysis of osteogenic marker expression. (3) Results: Si-CAP as well as β-TCP supported matrix mineralization and bone formation. Apically furthest away from the original bone tissue, Si-CAP induced significantly higher bone formation, bone-bonding (bone-bioceramic contact), and granule resorption than β-TCP. This was in conjunction with a higher expression of osteogenic markers. (4) Conclusions: Si-CAP induced higher and more advanced bone formation and resorbability than β-TCP, while β-TCP’s remarkable osteoconductivity has been widely demonstrated. Hence, Si-CAP constitutes a well-suited bioactive graft choice for SFA in the clinical arena. KW - Silicon release KW - Bioceramics KW - Calcium alkali orthophosphate materials KW - Bioactive bone grafting material KW - Bioactivity KW - Osteogenesis KW - Bone regeneration KW - Sinus floor augmentation PY - 2023 UR - https://nbn-resolving.org/urn:nbn:de:kobv:b43-591015 DO - https://doi.org/10.3390/bioengineering10121408 VL - 10 IS - 12 SP - 1 EP - 15 PB - MDPI AN - OPUS4-59101 LA - eng AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany ER - TY - JOUR A1 - Cestari, F. A1 - Yang, Y. A1 - Wilbig, Janka A1 - Günster, Jens A1 - Motta, A. A1 - Sglavo, V. T1 - Powder 3D printing of bone scaffolds with uniform and gradient pore sizes using cuttlebone-derived calcium phosphate and glass-ceramic JF - Materials N2 - The pore geometry of bone scaffolds has a major impact on their cellular response; for this reason, 3D printing is an attractive technology for bone tissue engineering, as it allows for the full control and design of the porosity. Calcium phosphate materials synthesized from natural sources have recently attracted a certain interest because of their similarity to natural bone, and they were found to show better bioactivity than synthetic compounds. Nevertheless, these materials are very challenging to be processed by 3D printing due to technological issues related to their nanometric size. In this work, bone scaffolds with different pore geometries, with a uniform size or with a size gradient, were fabricated by binder jetting 3D printing using a biphasic calcium phosphate (BCP) nanopowder derived from cuttlebones. To do so, the nanopowder was mixed with a glass-ceramic powder with a larger particle size (45–100 µm) in 1:10 weight proportions. Pure AP40mod scaffolds were also printed. The sintered scaffolds were shown to be composed mainly by hydroxyapatite (HA) and wollastonite, with the amount of HA being larger when the nanopowder was added because BCP transforms into HA during sintering at 1150 ◦C. The addition of bio-derived powder increases the porosity from 60% to 70%, with this indicating that the nanoparticles slow down the glass-ceramic densification. Human mesenchymal stem cells were seeded on the scaffolds to test the bioactivity in vitro. The cells’ number and metabolic activity were analyzed after 3, 5 and 10 days of culturing. The cellular behavior was found to be very similar for samples with different pore geometries and compositions. However, while the cell number was constantly increasing, the metabolic activity on the scaffolds with gradient pores and cuttlebone-derived powder decreased over time, which might be a sign of cell differentiation. Generally, all scaffolds promoted fast cell adhesion and proliferation, which were found to penetrate and colonize the 3D porous structure. KW - Bioactivity KW - Cuttlefish KW - Biphasic calcium phosphate KW - Binder jetting KW - Scaffold geometry KW - Hausner ratio PY - 2022 UR - https://nbn-resolving.org/urn:nbn:de:kobv:b43-553627 DO - https://doi.org/10.3390/ma15155139 SN - 1996-1944 VL - 15 IS - 15 SP - 1 EP - 16 PB - MDPI CY - Basel AN - OPUS4-55362 LA - eng AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany ER -