The Effect of Low Levels of Zirconia Addition on the Mechanical Properties of Hydroxyapatite

The effect of low levels of zirconia addition on the mechanical properties of hydroxyapatite was analyzed. Optimum amount of zirconia required to prevent decomposition of hydroxyapatite during sintering was determined. The particle size, morphology and surface area were measured and calcium to phosphorus ratio and trace element impurity content were determined by x-ray fluorescence. Low level addition of zirconia resulted in composites with better mechanical properties and minimum levels of decomposition

The Influence of Ultrasonic Setting on Fluoride Release from Glass Polyalkenoate Cements

The effects of ultrasonic setting on fluoride release from glass polyalkenoate cements (GPC) were investigated. Cements based on two different aluminosilicate glasses that contained silica, alumina, phosphate, and strontia were used for the experiment. A series of GPCs were examined to show that increased release F- ion occurs, regardless of GPC composition. The results show that there is a greater release of fluoride from the ultrasonically set samples than those set chemically, regardless of the chemical composition. The snap set caused by the ultrasound is likely to be due to a combination of cavitation, improved mixing of the constituents, and better compaction. A reduction in mean particle size was observed, which may be due to the breaking up of agglomerates of particles

The Processing, Mechanical Properties and Bioactivity of Zinc based Glass Ionomer Cements

The suitability of Glass Ionomer Cements (GICs) for use in orthopaedics is retarded by the presence in the glass phase of aluminium, a neurotoxin. Unfortunately, the aluminium ion plays an integral role in the setting process of a GIC and its absence is likely to hinder cement formation. However, zinc oxide, a bacteriocide, can act both as a network modifying oxide and an intermediate oxide in a similar fashion to alumina and so ternary systems based on zinc silicates often have extensive regions of glass formation. The purpose of this research was to produce novel GICs based on calcium zinc silicate glasses and to evaluate their rheological, mechanical and biocompatible properties with the ultimate objective of developing a new range of cements for skeletal applications. The work reported shows that GICs based on two different glasses, A and B (0.05CaO · 0.53ZnO · 0.42SiO2 and 0.14CaO · 0.29ZnO · 0.57SiO2, respectively), exhibited handling properties and flexural strengths comparable to conventional GICs. Upon immersion in simulated body fluid of a GIC based on glass B, an amorphous calcium phosphate layer nucleated on the surface of the cement indicating that these cements are bioactive in nature. © 2005 Springer Science + Business Media, Inc

Common Treatments and Procedures Used for Fractures of the Distal Radius and Scaphoid: A Review

The distal radius and the scaphoid are the most commonly injured carpal bones among both active adults and the osteoporotic elderly. The purpose of surgical treatment is to restore form and function to the wrist. Depending on the nature of the fracture, either topical procedures or invasive surgery can be applied. This article critiques the treatments currently used for fixation of wrist fractures in order to drive the development of new materials to improve patient outcomes

A Novel Tantalum-Containing Bioglass. Part I. Structure and Solubility

Bio glasses are employed for surgical augmentation in a range of hard tissue applications. Tantalum is a bioactive and biocompatible transition metal that has been used as an orthopedic medical device. It has a range of biological and physical properties that make its incorporation into ionic form into bioactive glass systems promising for various clinical applications. The work herein reports the characterization and properties of novel tantalum-containing glasses. A series of glasses based on the system 48SiO2-(36-X)ZnO-6CaO-8SrO-2P2O5-XTa2O5 with X varying from 0 mol% (TA0) to 0.5 mol% (TA2) were synthesized. The addition of small amounts of Ta2O5 did not cause crystallization of the glasses but increasing Ta2O5 content at the expense of ZnO was found to result in an increased number of bridging oxygens (BOs). This, along with the data recorded by differential thermal analysis (DTA) and magic angle spinning-nuclear magnetic resonance (MAS-NMR), confirms that Ta acts as a glass former in this series. Solubility experiments showed that minor changes in the glass structure caused by Ta incorporation (0.5 mol%) exhibited greater cumulative % weight loss, pH values and cumulative Zn2+ and Sr2+ ion concentration over a period of 30 days of maturation, when compared to Ta2O5-free glasses. The results presented in this article confirm that replacing ZnO with Ta2O5 in silicate glasses results in the formation of stronger bonds within the glass network without any adverse effects on the solubility of the glasses prepared from them

Materials and Techniques Used in Cranioplasty Fixation: A Review

Cranioplasty is the surgical repair of a deficiency or deformity of the skull. The purpose of cranioplasty is to provide protection for the brain following cranial surgery, and to offer relief to psychological disadvantages while increasing social performance. There are several materials that had been used for cranioplasty, but an ideal product has yet to be developed, hence the ongoing research into biologic and non-biologic alternatives to the existing materials. This article critiques the products currently used for cranioplasty in order to facilitate the development of new materials, which can improve patient outcomes

The Processing, Mechanical Properties and Bioactivity of Strontium based Glass Polyalkenoate Cements

The suitability of zinc-based glass polyalkenoate cements (GPCs) for use in orthopaedics can be improved by the substitution of strontium into the glass phase which should impart improved radiopacity and bone forming properties to the cements without retarding strength. The purpose of this research was to produce novel GPCs based on calcium-strontium-zinc-silicate glasses and to evaluate their mechanical properties and biocompatibility with the ultimate objective of developing a new range of cements for skeletal applications. Three glass compositions, based on incremental substitutions of strontium for calcium, were synthesized; BT100 (0.16CaO, 0.36ZnO, 0.48SiO2), BT101 (0.04SrO, 0.12CaO, 0.36ZnO, 0.48SiO2) and BT102 (0.08SrO 0.08CaO, 0.36ZnO, 0.48SiO2). Each glass was then mixed with varying concentrations and molecular weights of polyacrylic acids in order to determine the working times, setting times, compressive strengths and biaxial flexural strengths of the novel cements. The maximum working time and setting time achieved was 29 and 110 s respectively; which, at present is inadequate for current clinical procedures. However, the optimum compressive and biaxial flexural strengths were up to 75 and 34 MPa respectively indicating that these formulations have potential in load bearing applications. Importantly, the substitution of Ca with Sr in the glasses did not have a deleterious effect on strengths or working times. Finally, the bioactivity of the best performing cements was determined in vitro using simulated body fluid. It was found that all cements facilitate the formation of an amorphous calcium phosphate at their surface which increases in density and coverage with time, indicating that these cement will bond directly to bone in vivo. © 2007 Springer Science+Business Media, LLC

Comparison of Failure Mechanisms for Cements Used in Skeletal Luting Applications

Glass Polyalkenoate Cements (GPCs) based on strontium calcium zinc silicate (Sr-Ca-Zn-SiO2) glasses and low molecular weight poly (acrylic acid) (PAA) have been shown to exhibit suitable compressive strength (65 MPa) and flexural strength (14 MPa) for orthopaedic luting applications. In this study, two such GPC formulations, alongside two commercial cements (Simplex ® P and Hydroset™) were examined. Fracture toughness and tensile bond strength to sintered hydroxyapatite and a biomedical titanium alloy were examined. Fracture toughness of the commercial Poly(methyl methacrylate) cement, Simplex® P, (3.02 MPa m1/2) was superior to that of the novel GPC (0.36 MPa m1/2) and the commercial calcium phosphate cement, Hydroset™, for which no significant fracture toughness was obtained. However, tensile bond strengths of the novel GPCs (0.38 MPa), after a prolonged period (30 days), were observed to be superior to commercial controls (Simplex™ P: 0.07 MPa, Hydroset™: 0.16 MPa). © 2009 Springer Science+Business Media, LLC

Biofilm Inhibitory Coatings Formulated from Glass Polyalkenoate Cement Chemistry: An Evaluation of their Adhesive Nature

Researchers evaluated the adhesive nature of the biofilm inhibitory coatings formulated from glass polyalkenoate cement (GPC) chemistry with the aim to establish the novel testing modality by modifying the conventional T-peel tests. Special consideration was given to determine the resistance of a bonded assembly of two adherents having at least one adherent flexible to quantify the bond between tape and a surgical metal substrate bonded by a luting GPC. The delaminated tape surface was examined by scanning electron microscopy (SEM) with an accelerating voltage of 20 K V to determine whether failure of the bond was adhesive of cohesive in nature. Researchers have also evaluated the cements against Ti6A14V, as they are designed as surgical coatings. The load testing evaluation in excess of 5500 Pa, showed the failure of the novel GPC adhered to rigid and flexible substrates

Influence of Morphology and Processing on XPS Characterisation of SrO-Ca-ZnO-SiO2 Glass

A study was conducted to demonstrate the influence of morphology and processing on X-ray photoelectron spectroscopic (XPS) characterization SrO-Ca-ZnO-SiO2 glass. The glass formulation being investigated was originally synthesized for developing a novel glass polyalkenoate cement (GPC). High resolution photoelectron spectra of Zn 2p, Ca 2p, Sr 3d, Si 2p, O 1s, and C 1s were recorded for the different forms of glass. It was observed that there was preferential enrichment of Zn2+ with an increase in the proportion of NBO for the investigated BT101 glass. The relative atomic concentration of Zn in BT101 glass was high and resulted in a steeper diffusion gradient. Zn2+ Zn2+ was small as compared to Ca2+, revealing that smaller cations migrated and enriched the surface