PubMed · 237588
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D F Williams. 1975. Materials for reconstructive surgery.. https://pubmed.ncbi.nlm.nih.gov/237588/
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The osteoconductive nature of calcium phosphate ceramics (CPC) follows from several proven effects, such as a direct bone attachment and enhanced bone tissue formation. Mechanisms leading to these phenomena are still largely undiscovered. Specifically, little is known about the CPC surface and cell-driven reactions. These atomic and molecular level events are involved in tissue attachment and enhanced tissue formation. It is hypothesized that the zeta potential of these ceramics is directly related to the surface reactivity governing osteoconductivity. As a first step in our analysis, the zeta potential of stoichiometric and Ca-deficient hydroxyapatite was determined as a function of immersion time. It is concluded that, under the conditions of the experiment, the observations support the hypothesis in a dual way. First, the absolute values of the zeta potential which were measured are related to electrokinetic potentials known to cause substantial effect on the cellular activities and bone tissue formation when applied exogenously. Second, the magnitude and duration of the changes in zeta potential are related to an ion exchange between the hydrated layer around the ceramic and the ceramic surface, and a net precipitation of new material. If these findings could be confirmed in other solutions, i.e., solutions with a substantially equivalent composition as the fluids in developing bone tissue, a basis would be provided to explain the bridging of the ceramic surface with the surrounding developing tissue.
The effect of time at 600 degrees C and of small additions of Al2O3 and B2O3 on the sintering of two composite materials of (1) hydroxylapatite (Ca10(PO4)6(OH)2) and bioactive glass (SiO2-CaO-P2O5-Na2O) or (2) rhenanite (CaNaPO4) and bioactive glass were studied. Scanning microscopy, quantitative EDX, x-ray diffraction, helium gas density measurements, and diametral measurements were performed on the resulting composites. No reactions were observed with the SEM or XRD between the hydroxylapatite particles and the glass matrix within sufficient sintering times to achieve maximum density. The rheunanite-containing composites were observed to form Na2O2CaO3SiO2 crystals by x-ray diffraction, probably as a result of dissolution of the rhenanite particle surfaces into the glass phase, the crystals formed in the glass or at the interface of the glass, and the ceramic particles. However, within the short sintering times needed to achieve maximum density the rhenanite particles remained mostly intact. The rhenanite-containing materials gave better results than the hydroxylapatite-containing materials. The glass composition had a great effect on the densification process.