Biphasic calcium phosphate bioceramics: preparation, properties and applications

R. Z. LeGeros1, S. Lin1, R. Rohanizadeh1, D. Mijares1, J. P. LeGeros1
1Department of Biomaterials and Biomimetics, New York University College of Dentistry, New York, NY, USA

Tóm tắt

Biphasic calcium phosphate (BCP) bioceramics belong to a group of bone substitute biomaterials that consist of an intimate mixture of hydroxyapatite (HA), Ca10(PO4)6(OH)2, and beta-tricalcium phosphate (β-TCP), Ca3(PO4)2, of varying HA/β-TCP ratios. BCP is obtained when a synthetic or biologic calcium-deficient apatite is sintered at temperatures at and above 700 °C. Calcium deficiency depends on the method of preparation (precipitation, hydrolysis or mechanical mixture) including reaction pH and temperature. The HA/β-TCP ratio is determined by the calcium deficiency of the unsintered apatite (the higher the deficiency, the lower the ratio) and the sintering temperature. Properties of BCP bioceramics relating to their medical applications include: macroporosity, microporosity, compressive strength, bioreactivity (associated with formation of carbonate hydroxyapatite on ceramic surfaces in vitro and in vivo), dissolution, and osteoconductivity. Due to the preferential dissolution of the β-TCP component, the bioreactivity is inversely proportional to the HA/β-TCP ratio. Hence, the bioreactivity of BCP bioceramics can be controled by manipulating the composition (HA/β-TCP ratio) and/or the crystallinity of the BCP. Currently, BCP bioceramics is recommended for use as an alternative or additive to autogeneous bone for orthopedic and dental applications. It is available in the form of particulates, blocks, customized designs for specific applications and as an injectible biomaterial in a polymer carrier. BCP ceramic can be used also as grit-blasting abrasive for grit-blasting to modify implant substrate surfaces. Exploratory studies demonstrate the potential uses of BCP ceramic as scaffold for tissue engineering, drug delivery system and carrier of growth factors.

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Tài liệu tham khảo

F. H. Albee, Ann. Surg. 71 (1920) 32.

E. B. Nery, K. L. Lynch and W. M. Hirthe, J. Periodontol. 63 (1975) 729.

H. W. Denissen, PhD Thesis, Amsterdam, Vrije Universiteit (1979).

M. Jarcho, Clin. Orthop. 157 (1981) 259.

K. Degroot, “Bioceramics of Calcium Phosphate” (CRC Press, Boca Raton, 1983).

S. D. Metsger, T. D. Driskell and J. R. Paulsrud, J. Am. Dent. Assoc. 105 (1982) 1035.

H. Aoki and K. Kato, Jpn. Ceram. Soc. 10 (1975) 469.

R. Z. Legeros, Adv. Dent. Res. 3 (1988) 164.

R. F. Ellinger, E. B. Nery and K. L. Lynch, J. Periodont. Restor. Dent. 3 (1986) 223.

E. B. Nery, K. K. Lee and S. Czajkowski, J. Periodontol. 61 (1990) 737.

R. Z. Legeros, E. Nery, G. Daculsi, K. Lynch and B. Kerebel, “Third World Biomaterials Congress” (1988) abstract 35.

R. Z. Legeros and G. Daculsi, in “CRC Handbook of Bioactive Ceramics”, edited by T. Yamamuro, L. Hench and J. Wilson-Hench (CRC Press, Boca Raton, 1990) p. 17.

G. Daculsi, R. Z. Legeros, E. Nery, K. Lynch and B. Kerebel, J. Biomed. Mater. Res. 23 (1989) 883.

E. B. Nery, R. Z. Legeros, K. L. Lynch and J. Kalbfleisch, J. Periodontol. 63 (1992) 729.

G. Daculsi and N. Passuti, Biomaterials 11 (1990) 86.

G. Daculsi, N. Passuti, S. Martin, C. Deudon and R. Z. Legeros, J. Biomed. Mater. Res. 24 (1990) 379.

G. Daculsi, M. Bagot D'Arc, P. Corlieu and M. Gersdorff, Ann. Orol. Rhinol. Laryngol. 101 (1992) 669.

M. Trecant, J. Delecrin, J. Royer, E. Goyenvalle and G. Daculsi, Clin. Mater. 15 (1994) 233.

F. Gouin, J. Delecrin, N. Passuti, S. Touchais, P. Poirier and J. V. Bainvel, Chir. Orthop. 81 (1995) 59.

Ransford, N. Passuti, D. Chopin and C. Morin, J. Bone Joint Surg. Br. 80 (1998) 13.

R. Ravagna, G. Daculsi, J.-M. Bouler, J. Longterm Effects Med. Impl. 9 (1999) 403.

R. E. Grundel, M. W. Chapman, T. Yee and D. C. Moore, Clin. Orthop. Rel. Res. 256 (1991) 256.

M. Basle, D. Chappard, F. Grizon, R. Filmon, G. Daculsi and A. Rebel, Calcif. Tissue Int. 53 (1993) 348.

O. Gauthier, J.-M. Bouler, E. Aguado, P. Pilet and G. Daculsi, Biomaterials 19 (1998) 133.

M. Hashimoto-Uoshima, I. Ishikawa, A. Kinoshita, H. T. Weng and S. Oda, Int. J. Periodont. Res. Dent. 15 (1995) 204.

E. J. C. Soares, V. P. Franca, L. Wykrota and S. Stumpf, in “Bioceramics 11”, edited by R. Z. LeGeros and J. P. LeGeros (World Scientific, Singapore, 1998) p. 633.

L. L. Wykrota, C. A. Garrido and F. H. I. Wykrota, in “Bioceramics 11”, edited by R. Z. LeGeros and J. P. LeGeros (Singapore, World Scientific 1998) p. 641.

R. Z. Legeros, Prog. Crystal Growth Charact. 4 (1981) 1.

R. Z. Legeros, “Calcium Phosphates in Oral Biology and Medicine”, Monograph in Oral Science, Vol. 15 (Karger, Basel, 1991).

R. Z. Legeros, D. Lee, G. Quirolgico and W. P. Shirra, Scan. Electron Microscop. 3 (1983) 407.

J. M. Bouler, R. Z. Legeros and G. Daculsi, J. Biomed. Mater. Res. 51 (2000) 680.

R. Z. Legeros, J. P. Legeros, O. R. Trautz and W. P. Shirra, Adv X-ray Anal 14 (1971) 57.

R. Z. Legeros, I. Orly and G. Daculsi, Scan. Electron Microscop. 3 (1989) 129.

J.-M. Bouler, M. Trecant, J. Delecrin, J. Royer, N. Passuti and G. Daculsi, J. Biomed. Mater. Res. 32 (1996) 603.

R. Z. Legeros, J. Dent. Res. 65 (1986) 292.

R. Z. Legeros, R. Zheng, R. Kijkowska, D. Fan and J. P. Legeros, in “Characterization and Performance of Calcium Phosphate Coatings for Implants”, edited by E. Horowitz, J. E. Parr (American Society for Testing Materials STP 1198, Philadelphia, 1994) p. 43.

R. Z. Legeros, T. Sakae, C. Bautista, M. Retino and J. P. Legeros, Adv. Dent. Res. 10 (1996) 252.

O. Gauthier, J. M. Bouler, E. Aguado, R. Z. Legeros, P. Pilet and G. Daculsi, J. Mat. Sci: Mat. Med. 10 (1999) 199-204.

D. Fan, R. Z. Legeros and J. P. Legeros, J. Dent. Res. 74 (1995) 525.

W. G. Hubbard, PhD Thesis, Milwaukee, Marquette University (1974).

M. Schmitt, PhD Thesis, Nantes, Universite de Nantes (2000).

A. A. Driessen, C. P. A. T. Klein and De Groot, Biomaterials 3 (1982) 113.

R. Rohanizadeh, M. Padrines, J. M. Bouler, D. Couchourel, Y. Fortun and G. Daculsi, J. Biomed. Mater. Res. 42 (1998) 530.

J. J. Klawitter and S. F. Hulbert, J. Biomed. Mater. Res. 2 (1971) 161.

P. S. Eggli, W. Muller and R. K. Schenk, Clin. Orthop. 232 (1988) 127.

A. Ravaglioli, A. Krajewski, “Bioceramics: Materials, Properties, Applications” (Chapman and Hall, London, 1992) p. 432

R. Z. Legeros, Clin. Mater. 14 (1993) 65.

A. Soueidan, O. I. Gan, J. M. Bouler, F. Gouin and G. Daculsi, Cells Mater. 5 (1995) 31.

M. Benahmed, J. M. Bouler, D. Heymann, O. Gan and G. Daculsi, Biomaterials 17 (1996) 2173.

S. Yamada, D. Heymann, J.-M. Bouler and G. Daculsi, ibid. 18 (1997) 1037.

Y. L. Chang, C. M. Stanford and J. C. Keller, J. Biomed. Mater. Res. 52 (2000) 270.

L. L. Hench, Am. Ceram. Soc. Bull. 72 (1993) 93.

J. F. Osborn and H. Newesely, Biomaterials 1 (1980) 108.

G. Daculsi, R. Z. Legeros and C. Deudon, Scan. Electron Microscop. 4 (1990) 309.

T. Kokubo, Thermochim. Acta 280 (1996) 479.

R. Z. Legeros, I. Orly, M. Gregoire and G. Daculsi, in “The Bone-Biomaterial Interface”, edited by J. E. Davies (1991) p. 76.

M. Heughebaert, R. Z. Legeros and M. Gineste, J. Biomed. Mater. Res. 22 (1988) 257.

R. Rohanizadeh, M. Trecant-Viana and G. Daculsi, Calcif. Tissue Int. 64 (1999) 430.

H. T. Weng, M. Uoahima and C. T. Lin, Dent. Jpn. 28 (1991) 155.

R. Z. Legeros, Clin. Orthopaed. Rel. Res. (in press).

M. R. Urist, Science 150 (1965) 893.

R. A. Kenley, K. Yim, J. Abrams, E. Ron, T. Turek, L. J. Marden and J. O. Hollinger, Pharmaceut. Res. 10 (1993) 1393.

A. H. Reddi, Tissue Eng. 6 (2000) 351.

J. M. Toth, K. L. Lynch and D. A. Hackbarth, Bioceramics 6 (1993) 9.

Y. Kuboki, H. Takita and D. Kobayashi, J. Biomed. Mater. Res. 39 (1998) 190.

U. Ripamonti, S. Ma and A. H. Reddi, Matrix 12 (1992) 202.

G. Daculsi, Biomaterials 19 (1998) 1473.

P. Weiss, M. Lapkowski, R. Z. Legeros, J. M. Bouler, A. Jean and G. Daculsi, J. Mat. Sci. Mat. Med. 8 (1997) 621.

G. Daculsi, P. Weiss, J. Delacrin, G. Grimandi, N. Passuti and F. Guerin, Patent no. 94-01-414 (1994) France.

K. Suzuki, M. Yamada, K. Yamamoto and T. Tanaka, in “Bioceramics 11”, edited by R. Z. LeGeros, J. P. LeGeros (World Scientific Singapore, 1998) 629.

T. Salgado, J. P. Legeros and J. Wang, in “Bioceramics 11”, edited by R. Z. LeGeros, J. P. LeGeros (World Scientific Singapore, 1998) 683.

M. I. Alam, I. Asahina, K. Ohmmaiuda and S. Enomoto, J. Biomed. Mater. Res. 54 (2000) 129.

O. Gauthier, J. Guicheux, G. R Grimandi, A. Faivre-Cahuvet and G. Daculsi, ibid. 40 (1998) 606.

S. P. Bruder, N. Jaiswal, N. S. Ricalton, J. D. Mosca, K. H. Kraus and S. Kadiyala, Clin Orthop. 355 (1998) S247-56.

H. Ohgushi and Kaplan, J. Biomed. Mater. Res. Appl. Biomater. 48 (1999) 913.

S. Gronthos, M. Mankani, J. Brahim, P. Gehron Robey and S. Shi, PNAS 97(25) (2000) 13625

G. Daculsi, O. Gauthier, P. Pilet, C. Gobin, S. Kadilaya and T. Linvingstone, in “14th European Conference on Biomaterials” (London, UK, 2001).