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mechanically. Glycolic acid and lactic acid copolymer are successful scaffold
[21].
1.2.6.3 Orthopaedics
In orthopaedic applications ceramic, metallic and polymeric biomaterials
are used. Pins, plates and femoral stems etc. are normally used when load bearing
capacity or property of metallic biomaterials is required, similarly when wear
applications in joint replacements is required then ceramics such as alumina and
zirconia are used to assist implant integration hydroxyapatite (HA) is used for
bone bonding applications.
1.2.6.4 Dental Applications
Ceramics including dental porcelains and alumina are uses as tooth
implants. Generally for metallic pins hydroxyapatite has been used for coating
purpose and also use to fill large bone voids resulting from trauma or disease. In
orthodontic devices like plates and dentures polymers are also used for different
purposes.
1.3 Ceramics and Bioceramics
The word ceramic means “burnt stuff” identify from the Greek word
keramos intimating to the fact that the raw materials must be fired by high
temperature heating to form a material with good properties which having useful
range of different engineering properties and applications. Ceramics are basically
homogeneous mixture of two or more metallic or non-metallic elements, which
results in more complex crystal structures. The bond nature in ceramics are of
the atomic bonding which varies from primary, strong bonding between
oppositely charged ions (primarily ionic) to primary, strong bonds formed by
sharing of electrons (primarily covalent) with different ceramics having a
combination of the two types of bond. The bond strength imparts the different
characteristics and properties such as thermal and electrical resistance, high
hardness to the ceramic materials [22, 23]. Bioceramics are the ceramic materials
which are used in biomedical applications. The Bioceramics are used in implant,
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Bone is a solid, dense and firm connective tissue that achieve three main
functions such as,
(i) It hold up the body structure,
(ii) It act as a protection shield in opposition to external loadings,
(iii) It supplies a framework that enables skeletal motion.
Bone is having so many degrees of organization which creates difficulty to
analyse it. Especially in the bone composition major components are 69 (wt.) %
calcium phosphate and 21 (wt.) % collagen. In addition to this some other organic
materials alike polysaccharides, proteins, lipids and water are more over present
in some quantities. Collagen is the matrix in the form of fine microfibers. It is
very hard to notice distinct collagen fibers due to its appearance i.e. net–like
mass. The collagen microfiber diameter is differ from 100 to 2000 nm [46].
1.4. Hydroxyapatite
Hydroxyapatite (Ca10(PO4)6(OH)2) also known as hydroxylapatite. It is
non-poisonous bioactive inorganic ceramic compound which having similar
chemical composition of the bone [47]. It provides storage for the control of
calcium uptake and release for the human body. Hydroxyapatite is the hydroxyl
end member of the complex apatite group. The stoichiometric Ca/P molar ratio
is 1.67, and the calculated density is about 3.219 g/cm3. HAP crystallite
possesses a hexagonal structure with the unit cell dimensions of: a = b = 0.9432
nm and c = 0.6881 nm [48, 49]. In the orthepaedics use hydroxyapatite (HA) is
a preferred biomaterial other than any bioceramics such as A–W glass–ceramic
or bio glass or due to its excellent osteoconductivity, bioactivity and
biocompatibility with muscle tissues and some hard tissues. It is applicable as
particulate forms in biomedical applications particularly for bone alternative
material in orthopedics, dentistry and as covering for metallic prosthesis to
enhance their biological properties [47].
Bioactive is a specific type of materials that will make strong chemical
bond with surrounding bone contrary to other different materials like zirconia
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and alumina, which are recognized as alien materials and become enclosed by
fibrous tissue [50].
The hypothesis for application of hydroxyapatite as a biomaterial in the
orthopaedics is the circumstance of using a material i.e. bioactive material having
same composition and crystalline structure as natural calcified tissues. Very
precisely, hydroxyapatite is the only insoluble calcium phosphate compound in
human physiological body fluid while others are soluble and hence, it actively
encourages the bone regeneration at the surface of an implant. It has been
proposed that the use of HAP ceramics biomaterial strength replace the
utilization of bone grafts. The chemistry of this material is logically well
established [51] and significant animal experiments have shown this material to
be both biocompatible and bioactive.
1.4.1 Properties of hydroxyapatite
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Figure 1.1 Schematics of the crystal structure of hydroxyapatite unit cell [54]
and hexagonal format.
1.4.1.2 Chemical Properties
HA is regarded as bioactive material, intimating that the ceramic material
may suffer ionization in vivo. The rate of dissolution of material may be depends
on different factors, such as crystallite size, degree of crystallinity, porosity and
processing pressure, temperature, partial water pressure and some other
conditions. Hydroxyapatite is insoluble in an alkaline solution while highly
soluble in an acidic solution, sparingly soluble in distilled water.
• In distilled water solubility of hydroxyapatite increases with the addition
of electrolytes. Beside it, the solubility of HA changes in the presence of
amino acids, proteins, enzymes, and other organic compounds.
• These solubility characters are nearly related to the biocompatibility of
HA with tissues and its chemical reactivity with other compounds.
However, the rate of solubility depends on differences in porosity,
crystallinity, crystallite size, crystal size and shape. The sintered HA
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1.5 Composites
Composites are the materials which have been widely used in dentistry.
Composites were incorporated for various applications by prosthesis designers.
Generally carbon fiber are reinforced with a matrix of ultrahigh-molecular-
weight polyethylene (UHMWPE). These carbon fibres are made by pyrolizing
acrylic fiber to obtain oriented graphitic structure of high modulus of elasticity
and tensile strength. The carbon fibres were 6 – 15 mm in diameter, and they are
irregularly oriented in the matrix. In order for the high modulus property of the
reinforcing fiber to matrix strength, a sufficient interfacial bond between the fiber
and matrix must be achieved during the manufacturing process. This fibre
reinforced composite can then be used to make a variety of implants such as intra-
medullary rods and artificial joint. Since the mechanical properties of these
composites with the proportion of carbon fiber in the composites, it is possible
to modify the material design flexibility to suit the ultimate design of prostheses.
Composites have unique properties and are usually stronger than any of the single
material from which they are made. Workers in this field have taken advantages
of this fact and applied it to some difficult problems where tissue in-growth is
necessary.
Examples:
• Deposited Al2O3 onto carbon
• Carbon / PTFE
• Al2O3 / PTFE
• PLA-coated carbon fiber
The use of composite technology has led to a wide range of new biomaterials,
namely, bio composites materials that offer a great promise to improve the
quality of life of many people. The ceramic materials alone do not possess the
required mechanical properties of the artificial materials to replace natural bone.
Therefore, in order to increase the strength of the artificial material,
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References
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[19] Hench, L.L, J. Am. Ceram. Soc., 81 (1998) 1705.
[20] J.F. Osborne, H. Newesely, Biomaterials 1 (1980) 108.
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