Authors: Yoshinori Gonda, Koji Ioku, Takatoshi Okuda, Giichiro Kawachi, Ikuho Yonezawa, Hisashi Kurosawa, Tohru Ikeda
Abstract: Globular-shaped beta-tricalcium phosphate (β-TCP) granules were synthesized using a unique
dropping slurry method and the biological response was analyzed by implantation into the rat femur. Two
kinds of globular-shaped β-TCP granules, composed of either rod-shaped particles or conventional
non-rod-shaped particles were synthesized, implanted into the left femurs of 8-week-old female Wistar rats,
and analyzed histologically. Commercially available β-TCP granules composed of conventional
non-rod-shaped particles were also implanted as a control experiment. Four weeks after the operation,
part of each implant was already resorbed and the resorbed area was replaced by newly formed bone tissue
and bone marrow. Eight weeks after the operation, the resorption and replacement were advanced in each
implant. At 12 weeks after the operation, residual globular-shaped β-TCP granules composed of
rod-shaped particles were resorbed into compact petrotic bone tissue almost completely. The formation of
less compact petrotic bone tissue was observed in specimens implanted with globular-shaped β-TCP
granules composed of conventional non-rod-shaped particles. Commercially available β-TCP granules
composed of conventional non-rod-shaped particles were mostly resorbed into trabecular bone and the
formation of compact petrotic bone tissue was rarely observed. These data suggested that both the unique
spherical shape and microstructure of β-TCP particles affected bone-forming activity after the operation.
1013
Authors: Koji Ioku, Masanobu Kamitakahara, Giichiro Kawachi, Yoshinori Gonda, Takatoshi Okuda, Ikuho Yonezawa, Hisashi Kurosawa, Tohru Ikeda
Abstract: Porous materials of β-tricalcium phosphate (β-Ca3(PO4)2; β-TCP) were prepared from
porous hydroxyapatite (Ca10(PO4)6(OH)2; HA) with calcium deficient composition of Ca/P molar
ratio of 1.50 synthesized by hydrothermal method. The porous β-TCP was composed of rod-shaped
particles of about 10-20 μm in length. Rod-shaped particles were locked together to make
micro-pores, and the size of micro-pores formed by tangling of rod-shaped particles was about
0.1-0.5 μm. The particle size and micro-pore size could be controlled by our unique method. It must
be suitable for the bone graft material and as the scaffold of cultured bone.
989
Authors: C.S. Lim, S.G. Kim, Sung Chul Lim
Abstract: We evaluated the bone healing effect of grafting with synthetic β-tricalcium phosphate
(β-TCP; Cerasorb®), bovine-derived hydroxyapatite (HA; Bio-Oss®), and a mixture of β-TCP and
HA in rats. Each material was grafted in prepared 8-mm frontal bone defects in 15 rats. The control
group underwent surgery without any grafting materials and was examined after 4 weeks, whereas
the experimental groups received grafting materials and were examined after 1, 2, and 4 weeks.
After implantation, the rats were sacrificed for histomorphometric studies using light microscopy,
and the data were analyzed using analysis of variance. Considerable inflammation and fibrosis were
observed after 1 and 2 weeks in all experimental groups, whereas the inflammation was reduced and
fibrosis was stabilized after 4 weeks. New bone formation was observed at the defect margin.
Statistically, there was no difference in new bone formation among the three experimental groups.
In conclusion, there was no difference in new bone formation using Bio-Oss®, Cerasorb®, and a
mixture of Bio-Oss® and Cerasorb®.
1261
Authors: Gaku Tamazawa, Atsuo Ito, Takahiro Miyai, Tomonori Matsuno, Yu Sogo, Tazuko Satoh
Abstract: A composite of co-polymer of lactic and glycolic acids (PLGA) loaded with gatifloxacine
(GFLX), an antibiotics, and a β-tricalcium phosphate (βTCP) porous ceramic body was prepared by
a solvent-free process in which no toxic solvent was used. The GFLX-loaded PLGA released GFLX
for 8 weeks in Hanks’ balanced solution. The inhibitory zone diameter (26.25±0.95 mm) for
GFLX-containing PLGA disk against S. milleri was significantly larger than 18 mm, and
comparable to that (24.88±1.6 mm) for the KB paper disk containing 5 μg of GFLX/disk. This
means that the GFLX-containing PLGA has the clinical efficacy. The molten PLGA containing
GFLX was successfully loaded in the pores and on the surface of the porous βTCP ceramic at
120 °C at a reduced pressure of 0.02 MPa. The composite of GFLX-loaded porous βTCP ceramic
would be promising for treating osteomyelitis.
515
Authors: T. Lin, S.M. Zhang, J. Li, L. Zhang, Y.H. Liu, Y.H. Xue
Abstract: The composite scaffolds with nine different ratios of nano-HA and ß-TCP content were fabricated
by using lyophilization method. Their microscopy, physical and chemical properties were investigated by
using scanning electron microscopy (SEM), X-ray diffraction (XRD), and fourier transformed infrared
(FTIR) spectroscopy. MTT test was applied to quantitatively assess the number of viable cells attached and
grown on the scaffolds. And the result showed that the amount of cells on the scaffold containing 30% by
mass of nano-HA was significantly higher than the other samples.
463
Authors: Aline P. Oliveira, M. Motisuke, Claudinete V. Leal, Marisa Masumi Beppu
Abstract: It is well known that calcium phosphate compounds are widely used as bone substitute due to their
biocompatibility and bioactivity. Furthermore, recent studies have shown that slight changes in morphology
or crystal structure can lead to several in vivo behaviours. Therefore, the purpose of this study was to
investigate two different β-TCP synthesis routes (solid state reaction and aqueous solution precipitation) and
their consequences on the final cement properties. It was found out that both routes are equivalent as there
were no significant differences on their cement properties, except for mechanical resistance. The latter
difference can also be attributed to the difference on the particle size distributions of the obtained β-TCP.
These facts indicate that solid state reaction route is more interesting given its simplicity and yield.
355
Authors: Sun Ae Lee, Tai Joo Chung, Kee Ahn Lee, Hyun Min Kim, Kyung Sik Oh
Abstract: β-tricalcium phosphate (β-TCP) based cement features unique biodegradability and mild
temperature rise as a material for bone reconstruction. However, the bone cement often raises a shelf
life issue and therefore study was made focusing on the temperature and humidity during storage.
With the increase of storing days, the density and compressive strength of hardened cement were
found to drastically decrease for the cement powder stored in a mixed state. In addition, the setting
property was finally lost at the same time. Such a degradation was more evident at higher temperature
and was the result of the formation of dicalcium phosphate anhydrous (DCP) instead of dicalcium
phosphate dehydrate (DCPD) during the storage. On the contrary, for the cement stored in an
unmixed state, very slight changes were detected in density, compressive strength and setting time
with the increase of storing days even if the powders were kept in a humid environment. In the
unmixed ones, DCP was not precipitated regardless of the storing temperature. Discussion was made
on the condition for precipitating either DCPD or DCP in terms of the amount of water supplied
during setting. Practically the work suggested that the β-TCP based cement needs to be conserved at
lower temperature and in dry environment as possible to effectively increase the shelf life.
351
Authors: Shinji Kamakura, Kazuo Sasaki, Yoshitomo Honda, Taisuke Masuda, Takahisa Anada, Tadashi Kawai, Aritsune Matsui, Keiko Matsui, Seishi Echigo, Osamu Suzuki
Abstract: Our previous studies showed that synthetic octacalcium phosphate (OCP) enhances bone
regeneration more than hydroxyapatite (HA) and β-tricalcium phosphate (β-TCP). Also, a synthetic
bone substitute constructed of synthetic octacalcium phosphate (OCP) and porcine atelocollagen
sponge (OCP/Col) showed stable bone regeneration. The present study was designed to investigate
the difference of bone regeneration by OCP/Col and other calcium phosphate-collagen composites.
OCP/Col, β-TCP$-collagen% composite (β-TCP/Col), or HA$-collagen% composite (HA/Col) sponge
was prepared from pepsin-digested atelocollagen isolated from the porcine dermis and OCP, β-TCP,
or HA granules, respectively. A standardized critical-sized defect was made in the rat calvarium, and
various calcium phosphate-collagen composites were implanted into the defect. The rats were fixed
at four weeks after implantation and radiographic and histological examinations were performed by
undecalcified cross sections of implants. Radiographic examination showed that uniform radiopaque
masses were observed in the created defects treated with OCP/Col, whereas granulous and foggy
radiopacity was observed in β-TCP/Col and HA/Col. Histological examination showed that newly
formed bone was observed in the reticulum of OCP/Col and around the implanted OCP. The
regenerated bone by β-TCP/Col or HA/Col seemed to be less than that by OCP/Col and would not to
be nucleated by the granules of β-TCP or HA. The present study indicated that bone regeneration by
OCP/Col was different from those of β-TCP/Col and HA/Col. Application of OCP/Col would be
expected for clinical use in the future.
1229
Authors: Y.W. Hong, J.H. Kim, B.H. Lee, Yong Keun Lee, B.J. Choi, Jae Hoon Lee, H.J. Choi
Abstract: This study aimed to evaluate the anticariogenic and remineralization effects of the glass
ionomer dental luting cement containing nano-β-TCP in vitro. The β-Tricalcium Phosphate (β-TCP)
are the components of dental enamel and bone mineral as biological apatites. In addition, β-TCP
contains a significant amount of calcium and phosphate, which can promote remineralization of
enamel subsurface lesions in animal and human. RelyXTM glass ionomer cement(3M/ESPE, USA)
was used as dental luting cement. Film thickness, setting time, and compressive strength was
measured for each group of pure glass GIC, 15% nano-β-TCP GIC. Human molars were prepared in
box-shaped cavities that were filled with the GIC with and without the 15% nano-β-TCP were placed
in 25ml of pH 5.0 acid buffer for 4 days at 37°C. After 4 days, longitudinal sections (1007m) were
obtained through the center of each restoration. The sections were analyzed using a scanning
electronic microscope (SEM) and confocal laser scanning microscopy (CLSM) to identify the change
in the enamel surface. A significant difference in the CLSM images between pure GIC and
nano-β-TCP-GIC. CLSM allows the demineralized surface layers of sound enamel to be visualized
down to approximately 100 μm. The pure GIC specimens had a relatively thick fluorescent layer. On
the other hand, the fluorescent layer of the nano-β-TCP-GIC specimens were thinner. The SEM
images of micro surfaces demonstrate that nano-β-TCP-GIC is less rough than pure GIC. Therefore,
the addition of nano-β-TCP enhanced protection against acid demineralization and promoted
remineralization of enamel surface.
861
Authors: Ana Maria Minarelli Gaspar, Sybele Saska, J. Jimenez, L.R. da Cunha, P.D.A. Bolini, Claudinete V. Leal, L. Morejón-Alonso, R. García Carrodeguas, A. López-Bravo, Cecília A.C. Zavaglia
Abstract: The biological behavior of a new bioactive material composed of calcium-deficient
hydroxyapatite, octacalcium phosphate, and β-tricalcium phosphate was investigated by in vitro
indirect and direct cytotoxicity, cell adhesion and proliferation tests, and by in vivo subcutaneous
and bone implantation in rats. The results of the in vitro studies showed that the material is
biocompatible and no cytotoxic. Slightly poorer initial cell adhesion and lower cell proliferation
than in control was observed, which were attributed to the reactivity and roughness of the material
surface. In vivo results showed that the material is biodegradable and bioactive in bone tissue, but
only biocompatible and partially biodegradable in soft tissue.
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