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(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.
Calcium alkali phosphates Ca(Na,K)PO4 are main constituents of bioceramics and thermochemically produced phosphorus fertilizers because of their bioavailability. Sparse thermodynamic data are available for the endmembers CaNaPO4 and CaKPO4. In this work, the missing data were determined for the low-temperature phase modifications of the endmembers CaNaPO4 and CaKPO4 and three intermediate Ca(Na,K)PO4 compositions. Standard enthalpy of formation ranges from - 2018.3 ± 2.2 kJ mol-1 to - 2030.5 ± 2.1 kJ mol-1 and standard entropy from 137.2 ± 1.0 J mol-1 K-1 to 148.6 ± 1.0 J mol-1 K-1 from sodium endmember b-CaNaPO4 to potassium endmember b0-CaKPO4.
Thermodynamic functions are calculated up to 1400 K for endmembers and the sodium-rich intermediate phase b-Ca(Na0.93K0.07)PO4. Functions above 640 K are extrapolated because of the phase transition from low- to high-temperature phase. Impurities in the synthesized intermediate phases c-Ca(Na0.4K0.6)PO4 and c-Ca Na0.35K0.65)PO4 and one additional phase transition around 500 K impeded the determination of high-temperature thermodynamic functions. In general, data for phase transition temperatures agree with the previously reported phase diagrams.
Biomaterials for bone replacement and grafting should possess sufficient strength, be bioresorbable and demonstrate osteoconductive and osteoinductive properties. However, resorption of modern materials for bone grafting (hydroxyapatite (HA) and tricalcium phosphate (TCP)) is reported, in some cases, to be not enough, this is why the search for more soluble compounds compared to HA and TCP looks very perspective. A possible way to increase ceramics solubility leads to partial substitution of Ca2+ -ions in Ca3(PO4)2 by alkali cations, like Na+ or/and K+. Improvement of solubility stems from decreasing lattice energy of a substituted phase, as well as the increase in hydration energy of the ions releasing from the phase to ambient solution. From this viewpoint, bioceramics based on compositions from Ca3(PO4)2 - CaKPO4 - CaNaPO4 ternary system seems to be prospective for bone replacement and grafting in the sense of resorption properties. At the same time, one should bear in mind that solubility level (resorbability) is governed not only by reduction of lattice energy but also by microstructure features. Grain sizes and porosity contribute much to dissolution rate making the study of sintering of the ceramics mentioned above highly important.
To control Ca3(PO4)2 - CaKPO4 - CaNaPO4 based ceramic microstructure it is necessary to know possible phase transformations in the system and the way to manage microstructure by sintering schedule or sintering process.
In this work, an isothermal section for phase diagram of Ca3(PO4)2 - CaKPO4 - CaNaPO4 ternary system is studied with several techniques. According to the XRD of quenched samples, this phase triangle has four single-phase areas at 1200˚C (Figure 1). It was shown that single-phase CaK0.6Na0.4PO4 cannot be sintered to full-dense ceramics by conventional sintering regardless time-temperature schedule. Two-step sintering technique, beneficial in the case of HA-ceramics, was unsuccessful in all cases of calcium-alkali phosphate compositions. However, field-assisted sintering techniques like, e.g. Spark Plasma Sintering (SPS), can overcome this problem due to significant impact on grain boundary diffusion. In connection with this fact, grains grow much slower retaining sintering process in a pore control regime. In this work CaK0.6Na0.4PO4 low-porous ceramics was also fabricated by FAST-methods of sintering. Moreover, other alternative sintering techniques, such as reaction sintering, may be useful in accelerating ions diffusion but stopping excessive grain growth.Strength properties of ceramics were evaluated by B3B-testing, micro- and nanoindentation techniques. Fracture toughness also becomes higher with potassium content increase, guiding porosity level.
Resorption properties of sintered ceramics were studied in different solutions with pH=5 and 7.4.
Acknowledgements. The research of sintering processes in calcium phosphate materials were funded by RFBR according to the research project № 18-33-00974.
An investigation of the two-component phase diagram of the CaNaPO4- CaKPO4system performed using various analysis techniques is reported. The continuous solid solution series of α-CaMPO4 existing above 700 °C undergoes eutectoid decomposition during cooling to β-CaMPO4-based solid solutions enriched with Na and K, and to an intermediate nonstoichiometric compound with an ideal composition of CaK0.6Na0.4PO4. All three compounds exhibit significant volumetric effects associated with first-order phase transitions, with positive volume changes under cooling for the intermediate compound. Increased K content in ceramics based on CaKyNa1-yPO4 compositions enhances the strength properties of those ceramics, including their fracture toughness, which is associated with increased density. Increased K content also has a smaller effect of inducing phase transformations accompanied by strong volume changes.
The direct ink writing of an ink composed of a preceramic polymer and fillers was used to produce hardystonite (Ca2Zn-Si2O7) bioceramic scaffolds. Suitable formulations were developed for the extrusion of fine filaments (350 µm diameter) through a nozzle. The preceramic polymer was employed with the double purpose of contributing to the rheology of the ink by increasing its viscosity and of forming the hardystonite phase upon heat treatment by reacting with the fillers. A control of the rheology is essential when spanning features have to be produced, and therefore the main rheological characteristics of the inks were measured (flow curves, dynamic oscillation tests, viscosity recovery tests) and compared to models reported in the literature. Highly porous scaffolds (up to 80% total porosity) were produced and heat treated in air or in nitrogen atmosphere. The influence of the heat-treatment atmosphere on the morphology, crystalline phase assemblage, and compressive strength of the scaffolds was investigated.
In this work, we demonstrated that the hardystonite (Ca2ZnSi2O7) bioceramics can be produced withhigh phase purity, starting from different preceramic polymers and suitable fillers (precursors for CaOand ZnO) after heating at 1200◦C in air. Open-celled hardystonite foams were easily prepared from a filler-containing silicone resin using hydrazine as foaming agent. The fabrication of cellular structures using a preceramic polymer and fillers was possible because the polymeric melt allowed for the entrapment of the gases generated by the decomposition of hydrazine, and the simultaneous cross-linking of the preceramic polymer enabled the retention of the foam structure. Samples with a well-developed hierarchical porous structure, with an open porosity ranging from ∼65 to ∼81 vol% and an average cell window size ranging from 150 to 500 µm were produced. The hardystonite components possessed a compressive strength ranging from ∼1.4 to ∼2.1 MPa.
The surface of a titanium alloy (Ti6Al4V) implant material was covered with a bioactive calcium alkali phosphate ceramic with the aim to accelerate the healing and to form a stronger bond to living bone tissue. To fix the ceramic powder we used a femtosecond laser, which causes a thin surface melting of the metal. It is a requirement to prove that the laser irradiation would not reduce the lifetime of implants. Here we present the results of mechanical stability tests, determined by the rotating bending fatigue strength of sample rods. After describing the sample surfaces and their modifications caused by the laser treatment we give evidence for an unchanged mechanical stability. This applies not only to the ceramic fixation but also to a comparatively strong laser ablation.
In this paper, we report X-ray diffraction investigations as well as Raman and solid-state 31P and 23Na magic angle spinning nuclear magnetic resonance (NMR) characterization of three series of calcium orthophosphates. The general formulae of the studied compounds are Ca10.5-x/2Mx(PO4)7, where M = K or Na and x = 0, 0.25, 0.50, 0.75, 1.0; and Ca10KxNa1-x(PO4)7, where x = 0, 0.25, 0.5, 0.75, 1.0. These calcium orthophosphates are found to be isostructural with β-tricalcium phosphate (β-TCP, Ca3(PO4)2) with the substitution of some calcium sites by potassium and/or sodium cations. The unit cell parameters vary continuously with the level of substitution, a characteristic of these solid solutions. The Raman spectra show the different vibrational bands of the phosphate groups PO4, while the NMR chemical shifts are sensitive to the non-equivalent phosphorus and sodium ions present in these substituted samples. As both Raman and NMR spectroscopies are local probes, they offer tools to distinguish between these different phosphorus and phosphate groups, according to their structural site and local environment, especially the type of cation substituent. A convenient decomposition of the Raman and NMR spectra into GaussianLorentzian components leads us to propose an assignment of the main observed bands of these substituted β-TCPs.
Biocompatible materials such as porous bioactive calcium phosphate ceramics or titanium are regularly applied in dental surgery: ceramics are used to support the local bone regeneration in a given defect, afterwards titanium implants replace lost teeth. The current gold standard for bone reconstruction in implant dentistry is the use of autogenous bone grafts. But the concept of guided bone regeneration (GBR) has become a predictable and well documented surgical approach using biomaterials (bioactive calcium phosphate ceramics) which qualify as bone substitutes for this kind of application as well. We applied high resolution synchrotron microtomography and subsequent 3d image analysis in order to investigate bone formation and degradation of the bone substitute material in a three-dimensional manner, extending the knowledge beyond the limits of classical histology. Following the bone regeneration, titanium-based implants to replace lost teeth call for high mechanical precision, especially when two-piece concepts are used in order to guaranty leak tightness. Here, synchrotron-based radiography in comparison with classical laboratory radiography yields high spatial resolution in combination with high contrast even when exploiting micro-sized features in these kind of highly attenuating objects. Therefore, we could study micro-gap formation at interfaces in two-piece dental implants with the specimen under different mechanical load. We could prove the existence of micro-gaps for implants with conical connections as well as to study the micromechanical behavior of the mating zone of conical implants during loading. The micro-gap is a potential issue of failure, i. e. bacterial leakage which can induce an inflammatory process.
The surface structure, in particular the surface roughness, and the surface chemistry of titanium implants influence their anchoring in bone. The aim of this study was to analyse metal-bone contact (MBC) after modification of the implant surface, using different materials for blasting. The surface modification of titanium was produced by blasting it with particles made of Al2O3 or bioceramics. The biological effects were then investigated experimentally using 27 rabbits, analysed after 7, 28 and 84 days after the implantation of titanium cylinders treated accordingly. The MBC showed a tendency for more bone after bioceramics were used as a blasting material, compared to Al2O3.