EBOOK - Nanostructural Bioceramics - Advances in Chemically Bonded Ceramics (Leif Hermansson)
Biomaterials are produced in situ and in vivo in the body using mainly hydration reactions, that is, reactions between phosphates, silicates or aluminates, and water. The nanostructural integration of these biomaterials in the body is controlled by six mechanisms. The biomaterial interaction with body liquid results in bioactivity and total closure of the contact zone between the biomaterial and hard tissue.
This book describes the new biomaterials based on nanostructural chemically bonded bioceramics and discusses their general and specific properties. It presents an overview of the nanostructural chemically bonded bioceramics, including their processing aspects, properties, integration with tissues, relation to other bioceramics and biomaterials, and nanostructural integration in different dental and orthopaedic applications. The book also describes the potential application areas for these new chemically bonded bioceramics.
1. Introduction to Nanostructural Chemically Bonded Bioceramics 1
1.1 Chemically Bonded Bioceramics: An Overview 1
1.2 Stable and Resorbable Chemically Bonded Ceramics 4
1.2.1 Stable Chemically Bonded Bioceramics 4
1.2.2 Resorbable Chemically Bonded Bioceramics 6
1.3 Summary and Conclusions 8
2. Structures of Hard Tissue and the Importance of in situ–, in vivo–Formed Bioceramics 11
2.1 Hard Body Tissue Structures: An Overview 11
2.2 Interaction between Chemically Bonded Ceramics and Hard Tissue 13
2.2.1 Contact Zone Reaction between Chemically Bonded Bioceramics and Hard Tissue 13
2.3 Summary and Conclusion 16
3. Overview of Chemical Reactions, Processing, and Properties 17
3.1 Chemical Reactions during Setting and Hardening: An Overview 17
3.1.1 Mechanism 1 18
3.1.2 Mechanisms 2 and 3 18
3.1.3 Mechanism 4 19
3.1.4 Mechanism 5 20
3.1.5 Mechanism 6 20
3.2 Property Features of Chemically Bonded Bioceramics 21
3.2.1 Property Profile Aspects 21
3.2.2 Practical Properties 23
3.3 Summary and Conclusion 25
4. Additives Used in Chemically Bonded Bioceramics 29
4.1 Additives Normally Used for Chemically Bonded Bioceramics 29
4.1.1 Complementary Binding Phases for Chemically Bonded Bioceramics 30
4.1.2 Processing Agents for Chemically Bonded Bioceramics 30
4.1.3 Fillers Used in Chemically Bonded Bioceramics 31
4.2 Summary 32
5. Test Methods with Special Reference to Nanostructural Chemically Bonded Bioceramics 33
5.1 Introduction 33
5.2 Test Methods and Nanostructures 34
5.2.1 Micro-/Nanostructural Evaluation 34
5.2.2 Mechanical Properties 34
5.2.3 Dimensional Stability: Shrinkage or Expansion? 36
5.3 Summary 36
6. Why Even Difficult to Avoid Nanostructures in Chemically Bonded Bioceramics? 6.1 Why Nanostructures in Chemically Bonded Bioceramics? 41
6.1.1 Calculations 42
6.2 Nanostructures in the Calcium Aluminate–Calcium Phosphate System 43
6.3 Conclusion 47
7. Nanostructures and Related Properties 49
7.1 Nanostructure, Including Crystal Size and Porosity Structure 49
7.1.1 Nanostructure, Including the Nanoporosity Developed 49
7.1.2 Microstructure and Gap (Contact Zone) Closure 50
7.2 Nanostructures and Mechanical Strength 51
7.3 Additional Property Features of Nanostructural Chemically Bonded Bioceramics 7.4 Conclusion 53
8. Nanostructures and Specific Properties 57
8.1 Nanostructures, Including Phases and Porosity for Specific Properties 57
8.1.1 Bioactivity and Anti-Bacterial Properties Simultaneously 58
8.1.1.1 Bioactivity 58
8.1.1.2 Anti-bacterial aspects 58
8.1.2 Microleakage 61
8.2 Drug Delivery Carriers 64
8.3 Haemocompatibility 64
8.4 Conclusions and Outlook 67
9. Dental Applications within Chemically Bonded Bioceramics 71
9.1 Chemically Bonded Bioceramics for Dental Applications: An Introduction 71
9.2 Dental Applications 73
9.2.1 Dental Cements 73
9.2.2 Endodontics 75
9.2.3 Dental Fillings 78
9.2.4 Dental Implant Coatings 79
9.3 Summary and Conclusion 79
10. Orthopaedic Applications within Nanostructural Chemically Bonded Bioceramics 10.1 Biomaterials for Orthopaedic Applications 83
10.2 Chemically Bonded Bioceramics for Orthopaedic Applications 84
10.2.1 Ca-Aluminate-Based Orthopaedic Materials 84
10.2.1.1 PVP 85
10.2.1.2 KVP 85
10.2.2 Ca-Aluminate-Based Orthopaedic Coating Materials 87
10.2.2.1 Point-welding 89
10.3 Summary and Conclusions 90
11. Carriers for Drug Delivery Based on Nanostructural Chemically Bonded Bioceramics 93
11.1 Chemically Bonded Bioceramics as Carriers for Drug Delivery: Introduction 93
11.2 Important Aspects of Carriers for Drug Delivery 94
11.2.1 General Aspects 95
11.2.2 Drug-Loading and Manufacturing Aspects 97
11.2.3 Drug Release Control Aspects 99
11.2.3.1 Types of chemically bonded ceramics 99
11.2.3.2 Grain size distribution 99
11.2.3.3 Microstructure of additional particles (additives) for drug incorporation 100
11.2.3.4 Pharmaceutical compositions 101
11.3 Summary and Conclusion 102
12. Clinical Observations and Testing 105
12.1 Clinical Evaluation: An Introduction 105
12.2 Dental Biomaterial Evaluation 106
12.2.1 Introduction 106
12.2.2 Dental Luting Cement: Prospective Observations 107
12.2.3 Endodontic Fillings: A Retrospective Investigation of a Ca-Aluminate-Based Material in Root Canal Sealing 113
12.3 Orthopaedic Biomaterial Evaluation 118
12.3.1 Introduction 118
12.3.2 Clinical Studies 119
12.3.2.1 A prospective clinical study in PVP 123
12.3.3 Presentation of clinical results 125
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Biomaterials are produced in situ and in vivo in the body using mainly hydration reactions, that is, reactions between phosphates, silicates or aluminates, and water. The nanostructural integration of these biomaterials in the body is controlled by six mechanisms. The biomaterial interaction with body liquid results in bioactivity and total closure of the contact zone between the biomaterial and hard tissue.
This book describes the new biomaterials based on nanostructural chemically bonded bioceramics and discusses their general and specific properties. It presents an overview of the nanostructural chemically bonded bioceramics, including their processing aspects, properties, integration with tissues, relation to other bioceramics and biomaterials, and nanostructural integration in different dental and orthopaedic applications. The book also describes the potential application areas for these new chemically bonded bioceramics.
1. Introduction to Nanostructural Chemically Bonded Bioceramics 1
1.1 Chemically Bonded Bioceramics: An Overview 1
1.2 Stable and Resorbable Chemically Bonded Ceramics 4
1.2.1 Stable Chemically Bonded Bioceramics 4
1.2.2 Resorbable Chemically Bonded Bioceramics 6
1.3 Summary and Conclusions 8
2. Structures of Hard Tissue and the Importance of in situ–, in vivo–Formed Bioceramics 11
2.1 Hard Body Tissue Structures: An Overview 11
2.2 Interaction between Chemically Bonded Ceramics and Hard Tissue 13
2.2.1 Contact Zone Reaction between Chemically Bonded Bioceramics and Hard Tissue 13
2.3 Summary and Conclusion 16
3. Overview of Chemical Reactions, Processing, and Properties 17
3.1 Chemical Reactions during Setting and Hardening: An Overview 17
3.1.1 Mechanism 1 18
3.1.2 Mechanisms 2 and 3 18
3.1.3 Mechanism 4 19
3.1.4 Mechanism 5 20
3.1.5 Mechanism 6 20
3.2 Property Features of Chemically Bonded Bioceramics 21
3.2.1 Property Profile Aspects 21
3.2.2 Practical Properties 23
3.3 Summary and Conclusion 25
4. Additives Used in Chemically Bonded Bioceramics 29
4.1 Additives Normally Used for Chemically Bonded Bioceramics 29
4.1.1 Complementary Binding Phases for Chemically Bonded Bioceramics 30
4.1.2 Processing Agents for Chemically Bonded Bioceramics 30
4.1.3 Fillers Used in Chemically Bonded Bioceramics 31
4.2 Summary 32
5. Test Methods with Special Reference to Nanostructural Chemically Bonded Bioceramics 33
5.1 Introduction 33
5.2 Test Methods and Nanostructures 34
5.2.1 Micro-/Nanostructural Evaluation 34
5.2.2 Mechanical Properties 34
5.2.3 Dimensional Stability: Shrinkage or Expansion? 36
5.3 Summary 36
6. Why Even Difficult to Avoid Nanostructures in Chemically Bonded Bioceramics? 6.1 Why Nanostructures in Chemically Bonded Bioceramics? 41
6.1.1 Calculations 42
6.2 Nanostructures in the Calcium Aluminate–Calcium Phosphate System 43
6.3 Conclusion 47
7. Nanostructures and Related Properties 49
7.1 Nanostructure, Including Crystal Size and Porosity Structure 49
7.1.1 Nanostructure, Including the Nanoporosity Developed 49
7.1.2 Microstructure and Gap (Contact Zone) Closure 50
7.2 Nanostructures and Mechanical Strength 51
7.3 Additional Property Features of Nanostructural Chemically Bonded Bioceramics 7.4 Conclusion 53
8. Nanostructures and Specific Properties 57
8.1 Nanostructures, Including Phases and Porosity for Specific Properties 57
8.1.1 Bioactivity and Anti-Bacterial Properties Simultaneously 58
8.1.1.1 Bioactivity 58
8.1.1.2 Anti-bacterial aspects 58
8.1.2 Microleakage 61
8.2 Drug Delivery Carriers 64
8.3 Haemocompatibility 64
8.4 Conclusions and Outlook 67
9. Dental Applications within Chemically Bonded Bioceramics 71
9.1 Chemically Bonded Bioceramics for Dental Applications: An Introduction 71
9.2 Dental Applications 73
9.2.1 Dental Cements 73
9.2.2 Endodontics 75
9.2.3 Dental Fillings 78
9.2.4 Dental Implant Coatings 79
9.3 Summary and Conclusion 79
10. Orthopaedic Applications within Nanostructural Chemically Bonded Bioceramics 10.1 Biomaterials for Orthopaedic Applications 83
10.2 Chemically Bonded Bioceramics for Orthopaedic Applications 84
10.2.1 Ca-Aluminate-Based Orthopaedic Materials 84
10.2.1.1 PVP 85
10.2.1.2 KVP 85
10.2.2 Ca-Aluminate-Based Orthopaedic Coating Materials 87
10.2.2.1 Point-welding 89
10.3 Summary and Conclusions 90
11. Carriers for Drug Delivery Based on Nanostructural Chemically Bonded Bioceramics 93
11.1 Chemically Bonded Bioceramics as Carriers for Drug Delivery: Introduction 93
11.2 Important Aspects of Carriers for Drug Delivery 94
11.2.1 General Aspects 95
11.2.2 Drug-Loading and Manufacturing Aspects 97
11.2.3 Drug Release Control Aspects 99
11.2.3.1 Types of chemically bonded ceramics 99
11.2.3.2 Grain size distribution 99
11.2.3.3 Microstructure of additional particles (additives) for drug incorporation 100
11.2.3.4 Pharmaceutical compositions 101
11.3 Summary and Conclusion 102
12. Clinical Observations and Testing 105
12.1 Clinical Evaluation: An Introduction 105
12.2 Dental Biomaterial Evaluation 106
12.2.1 Introduction 106
12.2.2 Dental Luting Cement: Prospective Observations 107
12.2.3 Endodontic Fillings: A Retrospective Investigation of a Ca-Aluminate-Based Material in Root Canal Sealing 113
12.3 Orthopaedic Biomaterial Evaluation 118
12.3.1 Introduction 118
12.3.2 Clinical Studies 119
12.3.2.1 A prospective clinical study in PVP 123
12.3.3 Presentation of clinical results 125
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