Papers by Keyword: Biphasic Calcium Phosphate Ceramic

Abstract: In this study the degradation behaviour of pure hydroxyapatite (HA), pure tricalcium phosphate (β-TCP) and four biphasic calcium phosphate ceramics was studied to gain information about the influence of the phase composition on this property with the aim to tailor individually adapted bone substitute materials. The chemical dissolution of each ceramic composition was measured by its release of calcium ions into a buffered solution. With decreasing HA content in the ceramics the degradation rate increased. Cell experiments were carried out with stimulated osteoclast-like RAW 264.7 cells. Using biochemical, genetic and microscopic analysis, the differentiation of the cells on the ceramic samples was studied. The monocytic precursor cells differentiated into osteoclast-like cells on all ceramics. The strongest cell differentiation into osteoclast-like cells was found on ceramics with HA/β-TCP ratios of 80/20, 60/40 and 40/60. Cells on these ceramics had many nuclei and the largest cell size. As a result of resorption, lacunas were found on all ceramics except β-TCP. All these experimental results proved the influence of the phase composition on degradation and resorption of calcium phosphate ceramics. Biphasic calcium phosphate ceramics with HA/β-TCP ratios of 80/20 and 60/40 exhibited the most promising properties to serve as synthetic bone substitute materials because for integration in the physiological bone remodeling process the implanted bone substitute materials should have optimized dissolution and resorption properties.

Abstract: A revised dynamic immersion device was designed, and the effects of flowing speed of SBF in inner pores of ceramics on the formation of apatite in the pores were investigated in this study. The results showed some crystals were overlaid on the walls of inner pores. The crystal shape changed with flow rate of RSBF. When flow rates of RSBF were 2 ml/min, some stamen-like crystals formed on the inner walls of ceramics. In the ceramics in RSBF with flow rate of 5ml/min, besides more stamen -like crystals, a thin layer of fine deposits was overlaid on the walls of inner holes and the surface of the stamen -like crystals. But when the flow rate was 8 ml/min, only a thick layer of fine deposits on the walls of inner pores could be found. Energy dispersive spectroscopy (EDS) and Fourier Transform Infrared spectroscopy (FTIR) results revealed the deposits obtained in this study are carbonate hydroxyapatite (CHA).

Abstract: Bone invasion is common in case of Squamous Cell Carcinomas (SCC) of the upper aero-digestive tract. Radiotherapy is required in addition to large surgical tumor removal. This treatment usually generates irreversible injuries on the reparation properties of the tissues, especially on bone. The quality of life of patients undergoing major surgery and radiotherapy in maxillary and mandible areas is reduced, but could be improved by bone reconstruction. The aim of this study was to evaluate the bone reconstruction possibilities by Macroporous Biphasic Calcium-Phosphate (MBCPÔ). The MBCP substitute was evaluated as granules and associated to autologous bone marrow (BM) graft in irradiated areas, in an inbreeding rodent model. Radiation sequels were created on inferior members of half of the rats. 3 weeks later, 3-mm osseous defects were created on each animal. The inbreeding model allows BM to be grafted without graft-versus-host reaction. Defects were filled either with MBCP alone, BM alone or a mixture of MBCP and BM. Six weeks after implantation, animals were sacrificed: bone repair and ceramic degradation were evaluated by qualitative and quantitative study. Results showed that bioceramics were well osteointegrated. Filling the defects with BM alone showed a significant increased of newly-formed bone formation but only after irradiation, whereas filling defects with MBCP alone increased new-bone formation only without previous irradiation. Associating MBCP to BM provided the best new-bone formation rates after irradiation. Degradation of the ceramic was the most important in case of BM grafting. This study demonstrated that BM added to MBCP constitute an appropriate material to be considered in case of bone defect occurring in irradiated tissue, and could be foreseen for use after bone removal for oncologic obligations.