Reactivity of a wollastonite-tricalcium phosphate Bioeutectic ceramic in human parotid saliva.

In a previous study, a new ceramic material (Bioeutectic), prepared by slow solidification through the eutectic temperature region of the wollastonite-tricalcium phosphate system, was found to be reactive in a simulated body fluid. In the present study, the reactivity of the Bioeutectic was assessed in human parotid saliva. Samples of the material were soaked for one month in human parotid saliva at 37 degrees C. The experiments showed the formation of two separate zones of carbonate-hydroxyapatite-like phase on the periphery of the samples. The first zone was formed by reaction of the bioeutectic with the saliva and progressed inside the material. The other zone developed on the surface of the bioeutectic by precipitation from the media. The mechanism of carbonate-hydroxyapatite-like phase formation in human parotid saliva appeared to be similar to that of apatite-like phase found in a simulated body fluid.

Iodinated methacrylate copolymers as X-ray opaque denture base acrylics.

OBJECTIVES: The purpose of this study was to evaluate novel iodinated methacrylate copolymers as X-ray opaque denture base resins. METHODS: The synthesis of specific monomers and suspension copolymerization with methyl methacrylate to produce copolymer beads. The resulting beads were processed in an identical manner to standard PMMA to produce test-pieces for mechanical testing. RESULTS: Samples prepared from beads containing 25 wt% of the iodinated copolymer exhibited an X-ray opacity equivalent to that exhibited by a similar thickness of aluminium. Furthermore, the appearance and mechanical properties were comparable to standard PMMA, while thermal stability proved superior. CONCLUSION: These novel iodinated methacrylate monomers show promise not only as polymerizable additives to methyl methacrylate to produce an X-ray opaque denture base but also as thermally stable copolymerizable additives to other applications where X-ray opacity would be advantageous.

Bioactivity of pseudowollastonite in human saliva.

OBJECTIVES: Pseudowollastonite (CaO.SiO2) was found to be bioactive in a simulated body fluid environment. In the present study, 'in vitro' bioactivity of pseudowollastonite was further assessed in human parotid saliva. The main objective was to compare behaviour of the material in a natural medium of high protein content (human parotid saliva) with its behaviour in an acellular protein-free solution (simulated body fluid). METHODS: Samples of polycrystalline pseudowollastonite were immersed for one month in human parotid saliva at 37 degrees C. Changes in ionic concentrations in the human parotid saliva and the pH right at the interface of pseudowollastonite/human parotid saliva were determined. The products of the interfacial reactions were studied by thin-film X-ray diffraction, scanning and transmission electron microscopy. RESULTS: The results confirmed formation of a hydroxyapatite-like layer on the surface of the material, and also suggested that the mechanism of hydroxyapatite-like layer formation in saliva was similar to that showed in simulated body fluid. CONCLUSIONS: The hydroxyapatite-like layer formed at the interface was found to be compact, continuous and composed of many small crystallites with ultrastructure similar to that of natural cortical bone and dentine. The study also concluded that the high pH conditions (10.32) existing right at the pseudowollastonite/human parotid saliva interface promoted hydroxyapatite-like precipitation. At this stage of the study, similarities of the material behaviour in saliva and acellular simulated body fluid suggest that the pseudowollastonite could be of interest in specific periodontal applications for bone restorative purposes.

Morphological studies of pseudowollastonite for biomedical application.

Pseudowollastonite ceramic (psW) composed of CaO.SiO2 was found to be bioactive in a simulated body fluid environment. The chemical reaction initiated at the material surface resulted in hydroxyapatite (HA) formation. These bone-bonding properties are essential for securing the necessary physico-chemical integration of the material with living bone. Materials behaving in this way can be considered for potential biomedical application as bone tissue substitute for a natural bone repair or replacement as implant. A mechanism of hydroxyapatite formation on pseudowollastonite ceramics surface was investigated during exposure to a stimulated body fluid (SBF) for a period of 3 weeks. Morphology and structure of the surface product and its original substrate was examined by thin-film X-ray diffraction, scanning electron microscopy and high-resolution transmission electron microscopy. HA crystals were found to form on an amorphous silica intermediate layer. (100) lattice planes of HA were resolved and identified. Concentration of ions in the SBF and pH of the SBF were monitored throughout the exposure. Additional pH measurements were made at the interface of psW with SBF. The HA formation occurred when there was a sudden increase of pH from 7.25 to 10.5 at the interface of psW with SBF as a result of ionic exchange between 2H+ and Ca2+ within the psW network. This ionic exchange transformed the psW crystals into an amorphous silica phase. The appropriate pH and the ion concentrations were essential for partial dissolution of the amorphous silica phase and subsequent precipitation of a Ca-P rich phase which then transformed to HA.

Transmission electron microscopy of the interface between bone and pseudowollastonite implant.

This paper reports on the structural morphology of the interface in vivo between implants composed of bioactive synthetic pseudowollastonite ceramic and bone in rat tibias. Thin sections of the interfaces were examined after 6 and 8 weeks of implantation period in a high resolution transmission electron microscope up to the lattice plane resolution level. The interfaces developed normal biological and chemical activities and remained reactive over the 8-week period. The regions showing direct bone tissue bonding to the implant contained nanocrystals of hydroxyapatite-like phase growing epitaxially across the interface in the [002] direction. The nanocrystals were also identified in the bone tissue formed in the interfacial area. The reactivity of the implant caused in the first instance formation of an amorphous woven type of bone, which transformed into a crystalline lamellar type containing collagen fibres. The Ca/P ratio of the interfacial region was found to be between 1.67 in the mature bone tissue formed about 5 microm from the interface, and 2.06 in the regions right at the interface.

Morphological and structural study of pseudowollastonite implants in bone.

In vitro experiments show that pseudowollastonite (alpha-CaSiO3) is a highly bioactive material that forms a hydroxyapatite surface layer on exposure to simulated body fluid and also to human parotid saliva. This finding is very significant, as it indicates that the pseudowollastonite can be physically and chemically integrated into the structure of living bone tissue, and therefore could be suitable for repair or replacement of living bone. The physical and chemical nature of the remodelled interface between the pseudowollastonite implants and the surrounding bone has been studied after in vivo implantation of 20 pseudowollastonite cylinders into rat tibias. The interfaces formed after 3, 6, 8 and 12 weeks of implantation were examined histologically using an optical microscope and also by analytical scanning electron microscopy. SEM and X-ray elemental analysis showed that the new bone was growing in direct contact with the implants. Other examinations found that the bone was fully mineralized. The ionic exchange taking place at the implant interface with the body fluids was essential in the process of the implant integration through a dissolution-precipitation-transformation mechanism. The study found the interface biologically and chemically active over the 12-week implantation period. The rate of new bone formation decreased after the first 3 weeks and reached constant value over the following 9 weeks. The osteoblastic cells migrated towards the interface and colonized the surface at the contact areas with the cortical regions and also bone marrow.

Indirect cytotoxicity evaluation of pseudowollastonite.

This study aimed to evaluate the cytotoxicity of substances leached by pseudowollastonite (CaSiO(3)). It has been previously shown that calcium (Ca(2+)) and silicate (SiO(3)(-)) ions are released from pseudowollastonite into biological solutions. Both of these ions are known to influence the biological metabolism of osteoblastic cells essential in the mineralization process and bone-bonding mechanism. The indirect toxicity evaluation was performed by extraction method, according to International Standard Organization (ISO). Pseudowollastonite pellets obtained by solid-state reaction were incubated, in culture medium, during 24, 48, 72 or 168 h at different concentrations (5, 10, 15, 50, 100, 200 mg/ml). The cytotoxicity of each extract in presence of human osteoblastic cell line (SaOS-2) was quantitatively assessed by measuring the viability (succinate dehydrogenase activity, MTT), the membrane integrity (the uptake of the neutral red by viable cells, NR) as well as the cell necrosis by measuring the lactate dehydrogenase (LDH) released in the culture medium. No significant alteration of membrane integrity or cell suffering was detectable. However, increased cell metabolism was observed for cells exposed to pseudowollastonite extract with longest extraction time (168 h). In conclusion, mineral elements leached by pseudowollastonite do not significantly affect the metabolism of osteoblastic cells.