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 - Bernardino, R. A1 - Wirth, C. A1 - Stares, S.L. A1 - Salmoria, G.V. A1 - Hotza, D. A1 - Günster, Jens T1 - Manufacturing of SiO2-Coated b-TCP Structures by 3D Printing using a Preceramic Polymer as Printing Binder and Silica Source JF - Journal Ceramic Science Technology N2 - Tricalcium phosphate (b-TCP) can be used as bone graft, exhibiting suitable bioabsorption and osteoconduction properties. The presence of silica may induce the formation of a hydroxyapatite layer, enhancing the integration between implant and bone tissue. Preceramic polymers present silicon in their composition, being a source of SiO2 after thermal treatment. Using the versatility of 3D printing, b-TCP and a polysiloxane were combined to manufacture a bulkb-TCP with a silica coating. For the additive manufacturing process, PMMA powder was used as passive binder for the b-TCP particles, and polymethylsilsesquioxane (MK), dissolved in an organic solvent, was used both as a printing binder (ink) and as the source of SiO2 for the coating. Five distinct coating compositions were printed with increasing amounts of MK. The structures were then submitted to heat treatment at 1180 °C for 4 h. XRD and FTIR showed no chemical reaction between the calcium phosphate and silica. SEM allowed observation of a silicon-based ating on the structure surface. Mechanical strength of the sintered porous structures was within the range of that of trabecular bones. KW - Tricalcium Phosphate KW - 3D-Printing KW - Preceramic polymer KW - Bone regeneration PY - 2018 DO - https://doi.org/10.4416/JCST2017-00056 VL - 9 IS - 1 SP - 37 EP - 41 PB - Göller Verlag CY - 76532 Baden-Baden AN - OPUS4-45715 LA - eng AD - Bundesanstalt fuer Materialforschung und -pruefung (BAM), Berlin, Germany ER -