Papers by Author: Jean Michel Bouler

Abstract: Calcium phosphate cements have been widely used in medical and dental applications for decades. However, their intrinsic high brittleness and low strength prohibit their use in many stress-bearing locations, which would require an improvement in mechanical properties. The influence of microstructural parameters on the latter have nevertheless barely been investigated in a systematic manner. Furthermore, due to their inferior reproducibility which is sensitive to the variations introduced during the preparation and the way they are measured, mechanical properties of CPC cannot simply be characterized using mean values, but request a more reliable method. In this aim, apatite cements have been fabricated by mixing liquid and powders based on α-TCP (α-tricalcium phosphate), and their mechanical properties have been measured (Young’s modulus, fracture toughness, compressive strength and flexural strength) in wet environment as a function of various parameters (liquid-to-powder ratio; amount and morphology of porosity, including macropores created by porogens). The reliability of compressive strength of CPC is analysed using Weibull statistics. The above results indicate that fabrication and microstructural features of CPC significantly influence their mechanical properties.

Abstract: Several substituted â-tricalcium phosphates have been prepared with different cations (monovalent, divalent and trivalent) and at various levels of substitution. Structural investigations have proved that fewer than ~10% wt substitution, the substituted compounds are isostructural to â- TCP, leading to solid solutions. These samples have been characterized by infrared and Raman spectroscopies. The vibrational spectra show mainly the bands related to the vibrations of PO43- tetrahedrons present in the structure. As Raman scattering and infrared absorption are local probes, the bands are sensitive to the local environment of the distinct tetrahedrons, related to the site of substitution and to the nature of the cations.

Abstract: A novel gallium-doped -tricalcium phosphate (-TCP) ceramics with rhombohedral structure (R3c space group) can be obtained by the addition of a Ga precursor in the typical reaction protocols used for the preparation of -TCP. It was found, from the refinement of their XRD patterns, that the incorporation of Ga in the -TCP network occurs by substitution of one of the five calcium sites, while occupation of another Ca site decreases in inverse proportion to the gallium content in the structure. A decrease of the unit cell volume is observed with increasing gallium content, together with improved mechanical properties. Indeed, the compressive strength of these new bioceramics is enhanced in direct proportion of the Ga content, up to a 2.6-fold increase as compared to pure -TCP.

Abstract: The use of bone grafts is constantly increasing, their employ is principally linked to bone trauma, prosthesis revision surgery, and arthrodesis applications. In the case of biological bone grafts and depending on the origin of the graft, these grafts are classified as autografts, allografts, or xenografts. The autograft is the most commonly used and corresponds to a fresh bone graft harvesting taken from a second operating site, i.e. iliac crest, parietal bone, tibial plateaux or the fibula. The autograft has many advantages in terms of biotolerance and osteogenic potential, which justify its widespread utilization in reconstructive surgery[1]. From a practical point of view, sampling and grafting take place during the same surgical session. However, the longer exposure to the anesthetic and the surgical operation per se increases the risk of complications. For example, this procedure results in sever post-operation pain, iliac hernias, or even haemorrhages[2]. Furthermore, the volume of the bone graft taken is generally limited to 20 cm3. In the case of allografts, it generally leads to an acute inflammatory reaction which participates to the resorption/substitution process. Xenografts are less used since it involves a donor and a recipient from different species.

Abstract: The integration of drugs and devices is a growing force in the medical industry. The incorporation of pharmaceutical products not only promises to expand the therapeutic scope of device technology but to access combination products whose therapeutic value stem equally from both the structural attributes of the device and the intrinsic therapy of the drug. For example, the orthopedic industry is exploring drug-coated hip, knee and bone reconstruction implants capable of promoting healing as an added therapeutic benefit for device recipients. In this context, the drug is eluted locally, being targeted in a specific site of interest, thus offering a convenient strategy to avoid adverse effects commonly observed for systemic treatments of some diseases, as an additional benefit. In addition, these new technologies are generally well adapted to the development of minimally invasive surgery for their implantation. In this context, given the wide use of calcium phosphates (CaPs) and bisphosphonates (BPs) for the therapy of bone-related affections, there was great interest to investigate the chemistry taking place when combining the two systems since: (i) it could provide better insight in the mechanism of BP fixation on bones (ii) such combination could act as efficient BP delivery systems when implanted in bone defects.

Abstract: The infrared and Raman spectra of Na substituted β-TCP are presented for various levels of substitution. The influence of Na content on main vibrational modes appears significant and among them the ν1 symmetric stretching band is very sensitive to PO4 3- tetrahedrons environment. Thus, this mode was particularly investigated and has been decomposed using Lorentzian shapes components. We assigned the calculated components to the different types of PO4 3- tetrahedrons present in the crystalline structure.

Abstract: Macroporous biphasic calcium phosphate bioceramics, for use as bone substitutes, have been fabricated by cold isostatic pressing and conventional sintering, using naphthalene particles as a porogen to produce macropores. The resulting ceramics, composite materials made of hydroxyapatite and β-tricalcium phosphate containing various macroporosities and microporosities, have been submitted to compression and three-point bending tests. The mechanical tests performed on the sintered ceramics tend to validate the modelling approach and its hypothesis, i.e. the material can be considered as a microporous matrix containing isolated macropores, and the critical flaw is a macropore.

Abstract: Macroporous biphasic calcium phosphate bioceramics, for use as bone substitutes, have been fabricated by cold isostatically pressing and conventional sintering, using naphtalen or saccharose particles to produce macropores. The resulting ceramics, composite materials made of hydroxyapatite and b-tricalcium phosphate containing ~ 45% macropores and ~ 25% micropores, have been submitted to compression and three-point bending tests, toughness tests by single-edge-notched-bending, and spherical indentation tests. A new model is established to describe mechanical properties as a function of the amount and morphology of porosity, and propositions are made to optimise the fabrication procedure. Finally, those highly porous ceramics, although very brittle, exhibit a damage-tolerant contact behaviour, due to the compaction of the porous body under the indenter.

Abstract: An injectable bone substitute (IBS) made of a suspension of calcium phosphate ceramic was used to filled dental root canal after removing of canal pulp. Compared with current filling materials, which are toxic to periapical tissues, calcium phosphate materials, due to their biocompatibility and bioactive properties, may be viewed as possible alternatives. The aim of this study was first to determine if an injectable bone substitute could be used to obtain further healing of apical tissue by the neoformation of a mineralized barrier. In the next step, the paper will focus on rheological measurements as a tool for physical characterisation and on the improvement of the injection technique. Rheology concerns the flow and deformation of the suspension and, in particular, its behaviour in the transient area between solids and fluids. The results showed that injection is possible with a good level of BCP granules at the end of the root dental canal with extracted tooth. Other experiments with other animal models closer to a Human model have to be performed before human trials.