Comparison between Two Different Manufactured Forms of β-Tricalcium Phosphate Bone Graft in Immediate Implant Placement

Objectives: The aim of this study was to compare the efficacy of using the synthetic β-TCP bone grafting material in two different manufacturing forms (putty and granular) in grafting the jumping zone around immediate implant. Patients and Method: A randomized controlled clinical and radiographic trial was conducted on 24 male patients aged from 45 - 55 with badly decayed non-restorable teeth in the posterior mandibular area and seeking for receiving immediate dental implant directly after extraction. Vertical bone height and bone density were taken at time of implant placement and 6 months postoperatively. Results: The Putty form group and the Granular form group did not differ statistically in terms of age, post-operative complications, or implant outcome six months postoperatively. Additionally, there was a statistically significant increase in Putty form group compared to the Granular form group regarding Marginal bone loss 6 months postoperatively, but there was no statistically significant difference between the Putty form group and the Granular form group regarding Bone density by CBCT. Conclusion: The β-TCP Putty material, compared to β-TCP granular, displayed better surgical handling properties, and both forms had no adverse effect on bone formation, bone tissue maturation or graft volume stability, The β-TCP granular material, compared to β-TCP putty, displayed less marginal bone loss 6 months post-operatively.

Effect of Phosphorus and Fluorine on Hydration Process of Tricalcium Silicate and Tricalcium Aluminate

By means of hydration heat, XRD and SEM, effect of phosphorus and fluorine （P205 and F-） in phosphorous slag on hydration process of tricalcium silicate （C3S） and tricalcium aluminate （C3A） was explored. The results indicated that the early hydration exothermic rate of C3S and C3A was obviously lowered by P205 and F- in phosphorous slag, the second peak occurring time of C3A was delayed by 0.9 h, the exothermal output of C3S was reduced by 25.04% and the time of accelerating stage was postponed by 0.86 h. The early hydration degree of C3S and C3A was also decreased. Due to the influence of P205 and F, more pores and thinner crystals can be observed in the microstructure of hardened paste and the chance of cracks was reduced.

Influence of Alkalis Doping on the Hydration Reactivities of Tricalcium Silicate

Influences of alkali oxides doping on the crystal structure, defects and hydration behavior of tricalcium silicate C_3S were investigated by X-ray powder diffraction with the Rietveld method, inductively coupled plasma optical emission spectroscopy, thermoluminescence and isothermal calorimetry. All the samples were stabilized as T1 form C_3S. Changes in the crystal structure of C_3S could mainly be monitored by changes in lattice parameters, which were closely correlated with the incorporation concentration and substitution types of alkalis. Although alkalis were incorporated at trace level in C_3S, the thermoluminescence and hydration behavior of C_3S were significantly influenced. Initial hydration activity was dramatically increased and highly related to the intensity of the irradiation-induced thermoluminescence peaks at low temperatures due to their direct correlation with defects. The oxygen vacancy sites resulting from the substitution of alkalis for Ca could readily account for the acceleration of the initial hydration of C_3S.

Effect of Barium Oxide on the Formation and Coexistence of Tricalcium Silicate and Calcium Sulphoaluminate

Formation and coexistence of tricalciurn silicate （C3S） and calcium sulphoaluminate （ C4 A3S^- ） minerals in Portland cement clinker containing calcium sulphoaluminate were investigated. Thef-CaO content, mineral composite and formation of mineral in the clinker were analyzed respectively by chemical analysis, differential scanning calorimetry（DSC） and X-ray diffraction. The results show that, adding a suitable amount of BaO can improve the burnability of raw meal and promote the f-CaO absorption. Tricalcium silicate and calcium sulphoaluminate minerals can form and coexist in clinkers at 1 234-1 317 ℃ by the addition of BaO to the raw meal. A suitable amount of BaO expanded the coexistence temperature of two minerals by 58 ℃.

Biodegradation of Tricalcium Phosphate Ceramics by Osteoclasts

Biodegradation of tricalcium phosphate (TCP) ceramics was observed through mixed culture of osteoclasts and TCP discs in vitro in this study. Osteo-clasts were isolated from newborn SD rat's marrow of long bone and cultured on TCP discs. The culture terminated at the 48th h and 96th h respectively. Under an inverted microscope, the osteoclasts imparted round or oval body with multinu-clear and many thin processes. These cells were positively stained for tartrate-re-sistance acid phosphatase (TRAP). Scanning electron microscope showed that many resorption lacunae on TCP disc surface and their diameters were smaller than 20 μm. Osteoclasts were located in the lacunae. At the 96th h, the resorption lacunae become larger and osteoclasts showed degeneration. It is suggested that osteoclasts possess ability to re-absorb TCP ceramics under in vitro culturing condition.

Preparation of tricalcium silicate and investigation of hydrated cement

Tricalcium silicate cement(TSC)has been widely used in dental materials because of its self-setting behavior,good bioactivity,biocompatibility,osteoinductivity,and antibacterial effect.Tricalcium silicate(C3S)powder was prepared by Pechini technique with a calcining temperature of 1300℃ for 3 h.The influence of liquid/powder(L/P)rate on the setting time and the mechanical property of TSC was studied.Characterization methods including XRD,FTIR,SEM-EDS,TEM,and ICP-AES were utilized to study the properties of C3S powder and its hydrated cement.The bioactivity and biocompatibility of the cement were investigated by soaking test and cell culture,respectively.The results show that the L/P rate plays an important role in the setting time and the compressive strength of TSC.The surface of TSC was covered by hydroxyapatite deposition during the immersion experiment and the cells attachment on the surface of TSC was well,which indicated that TSC has good bioactivity and biocompatibility.In addition,TSC has excellent antibacterial properties against Staphylococcus aureus.In conclusion,TSC is a promising candidate for root canal filling materials.

Optimization of the Content of Tricalcium Silicate of High Cementing Clinker

Optimization of the content of tricalcium silicate（C 3 S）of high cementing clinker was investigated.The content of free-CaO（f-CaO）,mineral composite,the content of C 3 S in the clinker and the hydration product were analyzed by chemical analysis and X-ray diffraction（XRD）.＂K Value＂method of QXRD was selected as a quantitative analysis way to measure the content of C 3 S,and the strength of cement paste was determined.The results show that at a water cement ratio of 0.29,the strength of cement paste with 73%C 3 S can be up to 97.5 MPa at 28 days age.The strength at 28 d of cement with 73%C 3 S is 16%higher than that with 78%C 3 S at water requirement for normal consistency.The relationship between the strength of high cementing Portland cement and the content of C 3 S in the clinker is nonlinear.According to the strength of cement paste,the optimal content of C 3 S in cement clinker is around 73%in this paper.

Osteogenesis process of tricalcium phosphate ceramics in vivo

To investigate the osteogenesis of calcium phosphate ceramics, β-TCP ceramics were implanted into the condyle femur of rabbits, and tetracycline was injected termly. Specimens were host at 1, 2, 3, 4, 5, 6 months after implanted. The new bone formation and osteogenesis process were observed by the histomorphology, fluorescent microscope, SEM and EPMA. The results demonstrate that, osteogenesis is active, there are abundant osteoblasts on the surface of osteoid, mesenchymal cell hyperplasia and incursion is found in materials after 1 month. After 2 months, there is blood vessel formation and macrophage soakage within materials. Bone-island appears and connects by bone-bridge after 3 months. β-TCP ceramics degrade and are dispersed by new formation bone. Woven bone turns into bone lamella by rebuilding and calcification. The materials entirely change their original shape and combines with bone tissue as a whole after 6 months. The typical structure of spongy bone forms. It is confirmed that β-TCP is a degradable biocompatible artificial bone material which can incorporating in life.

Characterization of tricalcium phosphate solubilization by Stenotrophomonas maltophilia YC isolated from phosphate mines

The phosphate solubilizing characteristics of a strain YC, which was isolated from phosphate mines (Hubei, China), were studied in National Botanical Research Institute’s phosphate (NBRIP) growth medium containing tricalcium phosphate (TCP) as sole phosphorus (P) source. The strain YC is identified as Stenotrophomonas maltophilia (S. maltophilia) based upon the results of morphologic, physiological and biochemical characteristics and 16S rRNA sequences analysis. The results show that the strain S. maltophilia YC can solubilize TCP and release soluble P in NBRIP growth medium. A positive correlation between concentration of soluble P and population of the isolate and a negative correlation between concentration of soluble P and pH in the culture medium are observed from statistical analysis results. Moreover, gluconic acid is detected in the culture medium by HPLC analysis. It indicates that the isolate can release gluconic acid during the solubilizing experiment, which causes acidification of the culture medium and then TCP solubilization. S. maltophilia YC has a maximal TCP solubilizing capability when using maltose as carbon source and ammonium nitrate as nitrogen source, respectively, in NBRIP growth medium.

Effect of Zn,Cu,Cr and Pb Chlorides on the Formation of Tricalcium Aluminate Trisulfate Hydrate

The effect of addition of Zn, Cu, Pb and Cr chlorides as admixtures on the hydration reaction of the system 3CaO·Al2O3-gypsum with molar ratio 1：3 was studied. Different ratios of each salt were used, namely 0.5%, 2% and 4% by weight of the solid mixture. Hydration reaction was carried out at 35℃ for various time intervals from 0.5 h to up to 7 d. Hydration rate of the system 3CaO·Al2O3-CaSO4·2H2O in absence and presence of different salts was studied via the determination of the combined water contents. X-ray diffraction analysis showed that the ettringite was the only hydration product formed in the different mixes. The hydration products were investigated by scanning electron microscopy （SEM） and thermal gravimetric analysis. The results indicated that the rate of formation of ettringite and its microstructure depend on the admixture and its dosage.

The Bacterial Inhibitory Ability and In Vivo Drug Release Pattern of a New Drug Delivery System:Ciprofloxacine/tricalcium Phosphate Delivery Capsule

The bacterial inhibitory ability of a new drug delivery system (DDS):Ciprofloxacine/tricalcium phosphate delivery capsule (CTDC), its in vivo drug release pattern, and the influence of ultrasonic irradiation on its drug release were investigated. It was found that CTDC had a strong and sustained inhibitory ability to some common pathogens of bone and joint infections, such as staphylococcus aureus, escherichia coli and pseudomonas aeruginosa. In vivo drug-release study in animals demonstrated a high concentration of ciprofloxacine in the bone tissue surrounding CTDC which was placed in the greater trochanter of the rabbit and continued to release ciprofloxacine for at least 5 weeks and the blood level of ciprofloxacine was low. In vivo study also showed ultrasonic irradiation could increase the amount of ciprofloxacine released from CTDC, which may be an economical, effecient and safe new method to achieve the control of drug release from DDS.

Osteoinduction and Osteoconduction with Porous Beta-Tricalcium Phosphate Implanted after Fibular Resection in Humans

Osteoinductive properties of β-TCP remain unknown in humans. It is important to improve the bone grafts which have been the standard treatment for bone defect due to their biocompatibility and bone-healing properties. The purpose of this study was to radiologically clarify the bone forming property of β-TCP by evaluating the replacement of β-TCP by newly formed bone in the defect after fibular resection and to examine the histological features of a β-TCP specimen three months after grafting. Radiographs of 17 patients who underwent β-TCP grafting were evaluated. Osteoinductive and osteoconductive properties were assessed by examining bone formation from the remnant fibula, periosteum, and β-TCP alone. In one case, β-TCP was removed later because of postoperative complications and was evaluated histologically. Twenty two of 34 sites between the remnant fibula and β-TCP had achieved good bone regeneration. Five of 14 sites between the periosteum and β-TCP had achieved good bone regeneration. We found immature but evident bone formation in three cases with no osseous and periosteal sites. Histological analysis revealed bone formation on the outer macropore surface of β-TCP. Some blood vessels formed in the macropores expressed CD31 and CD34, while a few lymphatic vessels expressed CD34 and podoplanin. Thus, the osteoinductive ability of β-TCP alone was demonstrated in humans radiographically for the first time. The histological morphology of β-TCP was demonstrated at an early stage after grafting in humans.

The Experimental Study on Mixed Culture of Osteoblasts and Tricalcium Phosphate Ceramics In Vitro

To study the effects of tricalcium phosphate (TCP) ceramics on osteoblasts, the rat osteoblasts were cultured with the TCP ceramics in vitro . Scanning electron microscopy and the colorimetric methyl thiazol tetrazolium assay showed that the osteoblasts could adhere well to the surface of the ceramics and the culture dish, and the proliferation of the cells was not inhibited. The results demonstrated that TCP ceramics possessed an excellent cytocompatibility with the osteoblasts, and had some promoting effects on proliferation of osteoblasts.

The Role of Microstructure of Highly Purified Beta-Tricalcium Phosphate for Osteoinduction in Canine Dorsal Muscles

Porous β-tricalcium phosphate (TCP) displays osteoinductivity in certain animals in the absence of osteoinductive agents. We evaluated whether the microstructure may be an important determinant of osteoinduction, and also investigated how bone formation was promoted using β-TCP combined with bone marrow aspirates. We prepared two types of β-TCP, namely, β-TCP A, which possessed interconnected macropores and micropores, and β-TCP B, which possessed macropores but had less detectable micropores. These were implanted with or without marrow in canine muscles. Bone formation and the resorption of each β-TCP implant were evaluated histologically. Newly formed bone began to appear at day 42 in the implants of β-TCP A alone, but the implants of β-TCP B alone did not show any bone formation by day 42. Meanwhile, bone formation was already evident on day 14 by loading with bone marrow aspirates with or without micropores. By immunohistochemistry, the number of cathepsin K-positive cells (osteoclasts) increased as time passed in the implants of β-TCP A alone, while the number of the osteoclasts did not change obviously in the implants of β-TCP B alone from day 14 to 56. Reticular fibrils were evident within the β-TCP A, and were barely observed in the β-TCP B in the silver impregnation. The present result would bring about the possible role to enhance the importance of the surface microstructure for the better osteoinductivity. Our findings suggest that the combination of porous β-TCP and bone marrow facilitates bone formation.

Expression of TGF-β in Region of Bone Defect Repaired by Collagen/Nano-beta-Tricalcium Phosphate Composite Artificial Bone

The distribution and function of transforming growth factor-beta (TGF-β) in the region of bone defect repaired by collagen/nano-beta-tricalcium phosphate composite artificial bone (Co/N-TCP) and the ability of Co/N-TCP recruiting osteoblasts to precipitate the repair of bone defect were investigated Twenty-four domestic rabbits were operated on bilateral cranial bone to create an experimental bone defect of 8 0 mm in diameter through the whole bone On the left, Co/N-TCP was implanted as experimental group, but on the right, Co/TCP was implanted as control group At 2nd, 4th, 8th, 12th week after operation, all animals were sacrificed and the implanted materials with surrounding bone were taken out Immunohistochemical staining was performed for TGF-β assay by avidin-biotin complex method (SABC) Simultaneously, TGF-β was quantitatively analyzed by HPIAS-1000 imaging analysis system The inmmunohistochemical staining for TGF-β revealed that osteoblasts and immature osteocytes highly expressed TGF-β Diffused TGF-β positive staining particles appeared in the mesenchymal and fibrous-tissue There was no significant difference in the TGF-β positive staining between two groups in the medial region to original osseous beds at different time points ( P >0 05) However, in distal original osseous bed of the defected region, the positive expression of TGF-β in the Co/N-TCP group was significantly stronger than in the control group ( P <0 05 or 0 01) The Co/N-TCP has good bioactivities and ability of stimulating and conducting TGF-β to aggregate and precipitate the healing of bone defect

Effect on Hydration and Hardening of Tricalcium Phosphate Bone Cement

The bioactive α-Ca3（ PO4 ）2 bone cement was studied by XRD , SEM and isothermal calorimetric measurements. The results showed that a mixed pattern of TCP and hydroxylapatite were obtained after hydration and hardening. The mechanism of hydration and hardening of the α-Ca3 （ PO4）2 was dissolution-precipitation, （ NH4 ） 112 PO4 was the best set accelerator to the α-Ca3 （ PO4）2 cement, and the HAP powers and the （ NH4）H2 PO4 concentration had a great effect on the hydration rate of a-Ca3（ PO4）2.

Osteogenesis and Degradation Behavior of rhBMP-27/β-Tricalcium Phosphate Porous Composite Materials

Ultrafine-tricalcium phosphate(β-TCP)powders with good crystalline structure were produced by a new process through bone tissue engineering approach rorous β-TCPcermic was combined with recombined human bone morphogenetic proteins-2(rhBMP-2)to develop a novel composite material ,osteogenesis capacity of the composite was investigated intramuscularly in rat with histological analyses and SEM examination pureβ-TCP porous carmic wsa investigated as the control results show that the compostie materials possess good bilcompatibility biodegradation and strong osteogenesis capacity through inductive process after implantation material degradation began from 2 weeks post-implantation accompanying with the changing o pore structure with the enwrapping and separation fo materials by hyperplatic mesenchymal cells and fibroblast and with the phagocytose reaction of multinucleated giant cells early in 72h immature cartilage could be found within novel composite mature lamellar bone was induced to generate after 3 weeks with strong osteoinduction capacity and controlable bildegradation the novel rhBMP-2\β-TCP porous ceramic is expected to be a promising bone grafting substitute for bone tissue engineering

Hydroxyapatite/β-tricalcium Phosphate Composite for Guiding Bone Tissue Growth into a Titanium Tube in 8 mm Dog Tibia Cavity Defects

We developed a fixation method and evaluate bone regrowth in the cavities of a Ф4 mm× 8 mm titanium（Ti）tube through porous hydroxyapatite（HAP）/β-tricalcium phosphate（β-TCP）composite filling（group A）,chitosan/calcium phosphate composite filling（group B）,and HAP particle modification（group C）.After 2 and 5 months of implantation in dog tibia defects,new bone formation in the three groups was studied by histology and histomorphometry.Group A displayed the most bone regenerated area in both 2 and 5 months post-operation.The chitosan/calcium phosphate composite in group B mostly degraded 2 months after implantation,leading to fibrous tissue invasion after 5 months.By contrast,less bone formation was observed in group C.These results indicated that filling the cavities of metalprostheses with a porous HAP/β-TCP composite can be used for stable long-term fixation in clinicalsettings.

Preparation and properties of β-tricalcium phosphate porous bioceramic

Porous β-tricalcium phosphate bioceramic （PTCP） has important roles in surgical implants because of good biocompatibility. But the low compressive strength of the ceramic limits its application. The preparation of PTCP was improved with the adjustment of the constituents and the sintering-process. A new type of PTCP material with high compressive strength was made. The compositions, microstructure and properties of PTCP were analyzed by TG-DSC, XRD, TEM, SEM and so on. The result indicates that stearic acid burns sufficiently and gives out carbon dioxide and water vapor when slowly heated between 200 ℃ and 400 ℃ so that the porous structure like coral in β-TCP bioceramic is formed. Through crystallization at 470 ℃ and 570 ℃, more CaO-P2O5 glass-cement is converted into crystallite-glass, which is beneficial for improving the compressive strength of β-TCP bioceramic. PTCP can form a support action in bone imperfect section with good solubility.