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Mechanical properties of hydroxyapatite-reinforced gelatin as a model system of bone.

The elastic Young's modulus of hydroxyapatite-reinforced gelatin as a mechanical model system of bone was measured as a function of the volume fraction of hydroxyapatite, phi h. Initially, the Young's modulus gradually increased with an increase in phi h and then increased rapidly in the vicinity of phi h approximately 0.2. The phi h dependence of the Young's modulus was analysed by means of the theory of composite materials. It was found that with the increase in phi h the initial uniform stress deformation mode of the sample changed to the uniform strain deformation mode. The non-linear character in phi h dependence of the Young's modulus of this system was considered to reproduce well the novel behaviour of the mechanical properties of bone as a function of the mineral fraction. The situation was considered to be similar to a percolation problem. A preliminary analysis revealed that the critical exponent about the viscosity of the system accorded with the theoretically expected value. The result may present the evidence that the discontinuous point in mechanical properties of bone would be originated from an interaction such as a percolation of mineral particles on a matrix protein.

Biomechanical Phenomena↗

Tissue response to subperiosteal implantation of dense hydroxyapatite: case report.

Hydroxyapatite is becoming a popular implant material, yet reports on the tissue response it evokes in humans have been few in number and are based on relatively short periods of implantation. In the present case, implant material became available when it proved necessary to modify an alveolar ridge augmentation procedure carried out 18 month previously. Histology showed that whilst some parts of the implanted material were embedded only in fibrous tissue, others had become fully integrated within partly remodelled bony trabeculae. These findings confirm the status of hydroxyapatite as a biocompatible implant material and provide further evidence of its bone-bonding and osteoconductive capacities.

Adult↗

Cellular activity of osteoblasts in the presence of hydroxyapatite: an in vitro experiment.

The use of synthetic calcium phosphate as bone substitute calls for the knowledge of the influence on adjacent cells. Effects on monocytes, macrophages, synovial cells and fibroblasts have been largely described in vivo and in vitro but few data are available as concerns osteoblast responses. The present experiments tested the activity of MC3T3-E1, ROS 17/2.8 and mouse calvaria cells cultured in the presence of hydroxyapatite powders. The three osteoblast-like cells were shown to phagocytoze the calcium phosphate particles. As a consequence, they exhibit reduced cell growth and alkaline phosphatase activity. This response was different when compared with other cell types. The osteogenetic function of osteoblastic cells could be involved in these specific effects of hydroxyapatite.

3T3 Cells↗

Preparation and characterization of Al2O3 reinforced hydroxyapatite.

The microstructure of Al2O3 reinforced hydroxyapatite (HA-Ca5(PO4)3OH) was studied. It was demonstrated that in this composite the Al2O3 particles are uniformly distributed in a matrix of spherical HA agglomerates formed by primary needlelike HA particles present before making green compact. In the HA + 20 wt% Al2O3 system, hydroxyapatite is partially decomposed into alpha-Ca3(PO4)2 and CaO with H2O vapour during sintering. Subsequently, the CaO is combined with Al2O3 to produce calcium aluminates (CaAl2O4 and CaAl4O7).

Aluminum Oxide↗

Fabrication, characterization and fracture study of a machinable hydroxyapatite ceramic.

In this study the preparation of a machinable hydroxyapatite from mixtures of a fine, submicrometer powder and either a coarse powder composed of porous aggregates up to 50 microns or a medium powder composed of dense particles of 3 microns median size is described. These were characterized using X-ray diffraction, transmission and scanning electron microscopy and infra-red spectroscopy. Test-pieces were formed by powder pressing and slip casting mixtures of various combinations of the fine, medium and coarse powders. The fired test-pieces were subjected to measurements of firing shrinkage, porosity, bulk density, tensile strength and fracture toughness. The microstructure and composition were examined using scanning electron microscopy and X-ray diffraction. For both processing methods, a uniform interconnected microporous structure was produced of a high-purity hydroxyapatite. The maximum tensile strength and fracture toughness that could be attained while retaining machinability were 37 MPa and 0.8 MPa m1/2 respectively.

Biocompatible Materials↗

Effect of surface roughness of hydroxyapatite-coated titanium on the bone-implant interface shear strength.

We have investigated the bone-implant interface shear strength of hydroxyapatite (HA)-coated Ti-6Al-4V (HA-coating A) (roughness average, Ra = 3.4 +/- 0.5 microns) and HA-coated Ti-6Al-4V with a rougher surface (HA-coating B) (Ra = 8.4 +/- 1.8 microns). There was no significant difference between HA-coating A and HA-coating B implants with respect to the bone-implant interface shear strength as determined in push-out tests using the transcortical model in adult dogs. The bone-implant interface shear strength of bead-coated porous Ti-6Al-4V was significantly greater than that of both HA-coating A and HA-coating B implants. The failure site, as determined by scanning electron microscopy, was the coating-substrate interface, not the coating-bone interface. This indicates a need to protect the HA coating from the direct shear forces. HA coating enhances early bone growth into the porous surface of the implant. Long-term fixation should depend on bone anchoring to this porous surface. Hydroxyapatite coatings must be developed which do not obstruct the pores of the surface of the implant.

Analysis of Variance↗

Preparing hydroxyapatite powders with controlled morphology.

We developed a synthesis method for hydroxyapatite particles with different morphologies. The process involved chemical precipitation and spray drying, which produced spherical, agglomerated hydroxyapatite granules with controlled particle sizes and structures. These granules contained nanoparticles with an average crystalline size of about 10 nm. We controlled the morphologies of the granules by adjusting the spray-drying conditions, such as the volume fraction of feed slurry and the atomization pressure. The spray-dried granules were doughnut shapes, solid spheres, or hollow spheres, and their sizes were controlled by varying the atomization pressure and the concentration of the feed slurry.

Adhesiveness↗

Interfacial shear strength and histology of plasma sprayed and sintered hydroxyapatite implants in vivo.

The interfaces of bone with sintered hydroxyapatite (SHA) and plasma sprayed hydroxyapatite-coated (HAC) implants in the femora of six dogs were examined by light microscopy, scanning electron microscopy, energy dispersive X-ray analysis, and push-out tests. The results demonstrated that there was no significant difference at 12 and 24 weeks after insertion between the interfacial shear strengths with bone for the two types of implants, however, the histological characteristics of the bone around the plasma sprayed HA could be distinguished from that of the sintered HA. The HAC implants showed an early surface biodegradation as compared with the SHA implants. The observed differences in the interfacial zones may be attributed to different bone cell activities and variations in the dynamics of bone formation, possibly resulting from a higher level of dissolution/reprecipitation along the plasma sprayed HA surface.

Animals↗

Thermal behavior of bone and synthetic hydroxyapatites submitted to magnesium interaction in aqueous medium.

The thermal behavior of the products obtained from magnesium interaction with powdered femoral bone and carbonate containing synthetic hydroxyapatite under conditions of pH fluctuation in aqueous medium has been investigated. The products, heat treated at different temperatures from 100 to 1300 degrees C, have been characterized by infrared spectroscopy and X-ray diffraction technique. The results show that the interaction with magnesium ion destabilizes the apatitic structure and favours its thermal conversion into beta-tricalcium phosphate (beta-TCP). The replacement of magnesium with calcium in the beta-TCP crystal lattice hinders its subsequent thermal conversion into the alpha form. The influence of magnesium on the thermal stability is much more evident for carbonate-containing synthetic hydroxyapatite than for bone apatite.

Animals↗

Maxillary stability following downgraft and/or advancement procedures with stabilization using rigid fixation and porous block hydroxyapatite implants.

The stability of results using bone plates for skeletal stabilization and porous block hydroxyapatite implants as a bone graft substitute were evaluated in maxillary downgrafts, maxillary advancements, and modified LeFort III midface advancements. The records of 24 patients with greater than 5 mm of forward or downward movement were evaluated cephalometrically, analyzing the presurgical, immediate postsurgical, and longest follow-up radiographs. The 11 maxillary downgraft, 14 maxillary advancement, and three midface advancement procedures all showed less than 1 mm of relapse. Biopsies of the porous block hydroxyapatite grafts were taken on six patients in this study at 6 to 10 months postsurgery. All showed connective tissue ingrowth and 11.3% to 36.1% bone ingrowth throughout the pores of the implants, and no inflammatory response.

Adolescent↗

Bone response to hydroxyapatite particles of different shapes in rabbit tibia.

Four holes drilled in rabbit tibia were filled with different commercial hydroxyapatite products. All particles caused a mild inflammatory reaction, which disappeared in 2 months. The line between the new and original bone was visible even after 6 months. No differences in healing pattern were discovered for the various products. When bone cavities are filled with hydroxyapatite particles, the shape of the particles does not seem to affect the healing process.

Animals↗

Inhibition of adhesion-promoting activity of a human salivary protein which promotes adhesion of Streptococcus mutans JBP to hydroxyapatite.

The adhesion-promoting proteins (APP) (molecular mass approx. 300 kDa), which promote adhesion of Streptococcus mutans JBP (serotype c) to hydroxyapatite, were isolated from human submandibular-sublingual (SMSL) saliva by gel filtration on a Trisacryl GP2000 M column. The effects of hexoses, pentoses, methyl-pentoses, hexosamines, N-acetylhexosamines, a basic amino acid, polyamines and ammonium chloride on the bacterial adhesion-promoting activity of the APP were examined. Galactosamine, mannosamine, L-lysine, spermine, putrescine, and ammonium chloride inhibited the adhesion-promoting activities of the APP. The other sugars, including the N-acetylhexosamines, were without effect. Thus, compounds containing a primary amino-group appear to have a specific inhibitory effect on adhesion of S. mutans JBP to APP adsorbed onto hydroxyapatite, an activity which is lost if the amino-group is acetylated.

Bacterial Adhesion↗

Separation of human serum lipoproteins into three major classes by hydroxyapatite chromatography.

The separation of normolipidemic male serum lipoprotein fraction, prepared by ultracentrifugal flotation, was studied on hydroxyapatite columns. Potassium phosphate buffers in the pH range 5.6-7.4 were evaluated as eluents. The three main classes of the lipoproteins (high density, low density and very low density) can be separated on the Tiselius-type hydroxyapatite (Bio-Gel HTP DNA grade) column by elution with 75, 250 and 300 mM potassium phosphate buffer (pH 7.4), respectively.

Buffers↗

Complementary use of counter-current chromatography and hydroxyapatite chromatography for the separation of three main classes of lipoproteins from human serum.

High-density, low-density and very-low-density lipoproteins (HDLs, LDLs and VLDLs) were purified from human serum by the combined use of counter-current chromatography (CCC) and hydroxyapatite chromatography. Polymer-phase CCC of human serum using the cross-axis coil planet centrifuge yielded two lipoprotein fractions, one containing HDLs and LDLs and the other VLDLs and serum proteins. Each fraction was concentrated and subjected to hydroxyapatite chromatography to obtain three lipoprotein fractions, all free from serum proteins. Each lipoprotein was confirmed by agarose gel electrophoresis.

Chromatography↗

The effect of fluoride contents in fluoridated hydroxyapatite on osteoblast behavior.

Fluoridated hydroxyapatite (FHA) discs with various fluoride contents (0-0.567 mol F(-)/mol) [corrected] have been used to investigate the effect of fluoride content on osteoblastic cell behavior. SAOS-3 rat osteosarcoma cells were cultured on FHA discs for different time periods. The cell behavior was examined in terms of cell attachment, proliferation, morphology and differentiation. The fluoride content in FHA discs strongly affected the cell activities. More cell attachment and proliferation were observed on the fluoride-containing FHA discs than on pure hydroxyapatite (HA). The fluoride content also affected the differentiation behavior of osteoblastic cells. Cells on FHA discs demonstrated a higher alkaline phosphatase (ALP) activity than those on pure HA after 2 [corrected] weeks of culturing. These results suggested that fluoride ions have a significant impact on different osteoblastic cell activities.

Alkaline Phosphatase↗

Sol-gel derived fluor-hydroxyapatite biocoatings on zirconia substrate.

Fluor-hydroxyapatite (FHA) film was coated on a zirconia (ZrO(2)) substrate by a sol-gel method. An appropriate amount of F ions was incorporated into the hydroxyapatite (HA) during the preparation of the sols. The apatite phase began to crystallize after heat treatment at 400 degrees C, and increased in intensity above 500 degrees C. No decomposition was detected by X-ray diffraction analyses up to 800 degrees C, which illustrates the high thermal stability of the FHA films. The films showed a uniform and dense morphology with a thickness of approximately 1 microm after a precisely controlled heat treatment process. These FHA films adhered firmly to the zirconia substrate, representing notable adhesion strengths of approximately 70 MPa after heat treatment above 500 degrees C. The dissolution rate of the FHA coating layer varied according to the heat treatment temperature, which was closely related to the film crystallinity. The dissolution rate of the FHA film was lower than that of the HA film, suggesting the possibility of a functional gradient coating of HA and FHA. The MG63 cells seeded onto the FHA films proliferated in a similar manner to those seeded onto pure HA ceramic and a plastic control.

Adhesiveness↗

Fluor-hydroxyapatite sol-gel coating on titanium substrate for hard tissue implants.

Hydroxyapatite (HA) and fluor-hydroxyapatite (FHA) films were deposited on a titanium substrate using a sol-gel technique. Different concentrations of F- were incorporated into the apatite structure during the sol preparation. Typical apatite structures were obtained for all coatings after dipping and subsequent heat treatment at 500 degrees C. The films obtained were uniform and dense, with a thickness of approximately 5 microm. The dissolution rate of the coating layer decreased with increasing F- incorporation within the apatite structure, which demonstrates the possibility of tailoring the solubility by a functional gradient coating of HA and FHA. The cell proliferation rate on the coating layer decreased slightly with increasing F- incorporation. The alkaline phosphatase (ALP) activity of the cells on all the HA and FHA coated samples showed much higher expression levels compared to pure Ti. This confirmed the improved activity of cell functions on the substrates with the sol-gel coating treatment.

Adsorption↗

Morphology of sol-gel derived nano-coated coralline hydroxyapatite.

Current bone graft materials are mainly produced from coralline hydroxyapatite (HAp). Due to the nature of the conversion process, commercial coralline HAp has retained coral or CaCO(3,) and the structure possesses nanopores within the inter-pore trabeculae, resulting in high dissolution rates. Under certain conditions these features reduce durability and strength and are not utilised where high structural strength is required. To overcome these limitations, a new coral double-conversion technique has been developed. The technique involves a two-stage application route where, in the first stage, complete conversion of coral to pure HAp is achieved. In the second, a new sol-gel-derived HAp nano-coating is directly applied to cover the micro- and nano-pores within the intra-pore material, whilst maintaining the large pores. Biaxial strength was improved two-fold due to this unique double treatment. This application is expected to result in enhanced durability and longevity due to the monophasic hydroxyapatite structure and strength in the physiological environment. It is anticipated that this new material can be applied to load-bearing bone graft applications where high strength requirements are pertinent.

Animals↗