A new potassium-based bioactive glass: Sintering behaviour and possible applications for bioceramic scaffolds

Providing structural support while maintaining bioactivity is one of the most important goals for bioceramic scaffolds, i.e. artificial templates which guide cells to grow in a 3D pattern, facilitating the formation of functional tissues. In the last few years, 45S5 Bioglass^® has been widely investigated as scaffolding material, mainly for its ability to bond to both hard and soft tissues. However, thermal treatments to improve the relatively poor mechanical properties of 45S5 Bioglass^® turn it into a glass-ceramic, decreasing its bioactivity. Therefore, the investigation of new materials as candidates for scaffold applications is necessary. Here a novel glass composition, recently obtained by substituting the sodium oxide with potassium oxide in the 45S5 Bioglass^® formulation, is employed in a feasibility study as scaffolding material. The new glass, named BioK, has the peculiarity to sinter at a relatively low temperature and shows a reduced tendency to crystallize. In this work, BioK has been employed to realize two types of scaffolds. The obtained samples have been fully characterized from a microstructural point of view and compared to each other. Additionally, their excellent bioactivity has been established by means of in vitro tests.     

Synthesis, characterization and in vitro bioactivity of magnesium-doped sol-gel glass and glass-ceramics

Bioactive glass and glass-ceramics in the system CaO-MgO-SiO₂-P₂O₅ have been prepared by the sol-gel and high temperature sintering techniques. The obtained samples were characterized by thermogravimetric and differential thermal analysis (TG/DTA), N₂-adsorption measurement, X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR) and scanning electron microscopy (SEM). In vitro bioactivity tests were also conducted in simulated body fluid (SBF). The studies of crystallization kinetics under non-isothermal conditions showed the activation energy for crystallization to be 381 kJ/mol and the crystallization mechanism gradually changed from three-dimension growth to two-dimension crystallization with the increase of heating rate. Sintering temperature had great influence on the samples texture and structure. In addition, the apatite-formation on glass and glass-ceramics was confirmed by in vitro tests, and crystallization decreased the samples bioactivity.     

Potassium based bioactive glass for bone tissue engineering

A fundamental issue for the restoration of bone defects according to a tissue engineering approach is the development of highly porous bioactive scaffolds. The polymer burning out method is widely employed to fabricate bioceramic scaffolds because of its versatility, simplicity and low cost. However, the resulting scaffolds may suffer low porosity and non-interconnected pores. In the present contribution a new fabrication method is presented. Thanks to a recently developed potassium-based bioactive glass, which has the peculiarity to be sintered at a relatively low temperature (i.e. ∼750 °C), it was possible to use sodium chloride particles as pore generating agents, which helped to maintain the shape of the struts during the entire sintering process. The salt particles can be easily removed by immersing the scaffold in water, giving place to a structure that combines high porosity (in the 70–80 vol.% range) with interconnected pores and an appreciable mechanical behaviour (Young's modulus in the 3.4–3.7 MPa range according to compression tests).     

Processing and in vitro bioactivity of high-strength 45S5 glass-ceramic scaffolds for bone regeneration

In this paper, the compressive strength and in vitro bioactivity of sintered 45S5 bioactive glass scaffolds produced by powder technology and polymer foaming were investigated. The sintering temperature of scaffolds was 975 °C. The characterization of scaffolds before immersion in SBF was performed by scanning electron microscopy (SEM) and microtomography (μCT). The scaffolds were also tested for compression, and their density and porosity were measured. After immersion, the samples were observed through SEM and analyzed using EDS, X-ray diffraction (XRD), and infrared spectroscopy (FT-IR). Mass variation was also estimated. The glass-ceramic scaffolds showed a 61.44±3.13% interconnected porosity and an average compressive strength of 13.78±2.43 MPa. They also showed the formation of a hydroxyapatite layer after seven days of immersion in SBF, demonstrating that partial crystallization during sintering did not suppress their bioactivity.     

Potassium-based composition for a bioactive glass

The increasing need for biomedical devices, required to face dysfunctions of natural tissues and organs caused by traumatic events, diseases and simple ageing, has drawn attention onto new materials, that could be able to positively interact with the human body. Among them, Bioglass^® is firmly diffused in medical practice, thanks to its high bioactivity. In particular, due to its brittleness, it is mainly applied as a coating onto tougher bionert substrates; nevertheless, its bioactivity may be altered by the crystallization phenomena that could be involved by its processing. With the aim of reducing the tendency to crystallize, a new glass composition, inspired by the 45S5 Bioglass^®, was formulated by substituting the sodium oxide with potassium oxide. A parallel characterization of the new glass and the 45S5 Bioglass^® was carried out in order to define the effect of the potassium oxide on the thermal behaviour, mechanical properties and bioactivity. The results proved that the thermo-mechanical properties, as well as the in vitro response of the two glasses were comparable; however, preliminary tests to produce glass coatings by enamelling evidenced a higher stability of the new glass that, unlike the 45S5 Bioglass^®, did not crystallize during processing.     

In vitro behavior of bioactive phosphate glass–ceramics from the system P2O5–Na2O–CaO containing titania

Soda lime phosphate bioglass–ceramics with incorporation of small additions of TiO₂ were prepared in the metaphosphate and pyrophosphate region, using an appropriate two-step heat treatment of controlled crystallization defined by differential thermal analysis results. Identification and quantification of crystalline phases precipitated from the soda lime phosphate glasses were performed using X-ray diffraction analysis. Calcium pyrophosphate (β-Ca₂P₂O₇), sodium metaphosphate (NaPO₃), calcium metaphosphate (β-Ca(PO₃)₂), sodium pyrophosphate (Na₄P₂O₇), sodium calcium phosphate (Na₄Ca(PO₃)₆) and sodium titanium phosphate (Na₅Ti(PO₄)₃) phases were detected in the prepared glass–ceramics. The degradation of the prepared glass–ceramics was carried out for different periods of time in simulated body fluid at 37 °C using granules in the range 0.300–0.600 mm. The released ions were estimated by atomic absorption spectroscopy and the surface textures were measured by scanning electron microscopy. Investigation of in vitro bioactivity of the prepared glass–ceramics was done by the measurement of the infrared reflection spectra for the samples after immersion in the simulated body fluid for different periods at 37 °C. The result showed that no apatite layer was formed on the surface of the samples and the dominant phase remained on the surface was β-Ca₂P₂O₇, which is known for its bioactivity.     

Macroporous Bioglass-derived scaffolds for bone tissue regeneration

Since it was introduced at the end of the ‘60s, the 45S5 Bioglass^® has played a fundamental role among the materials for orthopedic applications because of its ability to build a stable bond with the surrounding bone. The recent development of bone tissue engineering has led the interest of many scientists in the design of Bioglass^®-based scaffolds, i.e. porous systems able to drive and foster the bone tissue regrowth. Among the available techniques to realize scaffolds, the polymer burning out method, which employs organic particles as pore generating agents in a ceramic matrix, combines versatility and low cost. In spite of the advantages of the polymer burning out method, this technique has been rarely applied to 45S5 Bioglass^® and a systematic feasibility study has not been carried out on this issue yet. In order to fill this gap, in the present contribution the polymer burning out method was employed to design macroporous scaffolds based on 45S5 Bioglass^®. Different amounts of organic phase were used to obtain samples with different porosity. The samples were characterized from a microstructural point of view, in order to evaluate the pore morphology, dimension and degree of interconnectivity. Such findings proved that a proper setting of the processing parameters made it possible to achieve very high porosity values, among the best ones obtained in the literature with the same technique, together with an appreciable mechanical behaviour, according to compression tests. Finally, the scaffolds bioactivity was assessed by means of in vitro tests in a simulated body fluid (SBF) solution. Moreover, in the view of a potential application for bone tissue engineering, a preliminary biological evaluation of the obtained scaffolds to sustain cell proliferation was carried out.     

Characterization,in vitro bioactivity and biological studies of sol-gel synthesized SrO substituted 58S bioactive glass

Bioactive glasses (BGs) are considered as a high potential candidate in bone repair and replacement. In the present study, sol–gel derived BGs based on 60% SiO₂-(36%-x) CaO-4%P₂O₅-x SrO (where x = 0, 5 and 10 mol%) quaternary system were synthesized and characterized. The effect of Sr substitutions on bioactivity, proliferation, alkaline phosphatase activity of osteoblast cell line MC3T3-E1 and antibacterial activity were investigated. Dried gels were stabilized at 700 °C to eliminate the nitrates and prevent the crystallization of bioactive glasses. X-ray diffraction, Fourier transform infrared spectroscopy and scanning electron microscopy results confirmed the formation of hydroxycarbonate apatite on the BG surfaces. The 3-(4,5dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide and alkaline phosphate activity results showed that 5% SrO increased both differentiation and proliferation of MC3T3-E1 cells, while 10% SrO resulted in a decrease in bioactivity. Live/Dead and DAPI/Actin staining exhibited viable cell and the morphology of actin fibers and nuclei of MC3T3 cells treated with BG-0 and BG-5. The result of antibacterial test showed that strontium substituted 58S BG exhibited antibacterial effect against methicillin-resistant Staphylococcus aureus bacteria. Taken together, results suggest that 58S BG with 5 mol% SrO is a good candidate for bone tissue engineering with maximum cell proliferation and ALP activity, good bioactivity and high antibacterial efficiency.     

Synthesis and characterization of spray pyrolyzed mesoporous bioactive glass

Mesoporous bioactive glasses (MBGs) have recently been applied as important bone implant materials due to their high reactive surface areas and superior bioactivities. Various processes have been developed to fabricate MBGs. Among them, the sol–gel process is one of most popular. However, sol–gel has the drawbacks of discontinuous processing and long processing time, making it unsuitable for mass production. This study demonstrates a successful synthesis of MBGs using a spray pyrolysis (SP) method to overcome these problems. The bioactivities of the SP synthesized MBGs are correlated with the main SP processing parameter of calcination temperatures and their structures. Comparisons of the surface areas and bioactivities for the MBG particles prepared from the sol–gel and the SP process are included. Finally, the MBG formation mechanism using SP is proposed.     

Studies on novel bioactive glasses and bioactive glass-nano-HAp composites suitable for coating on metallic implants

A series of novel zinc oxide (ZnO) containing bioactive glass compositions in SiO₂-Na₂O-CaO-P₂O₅ system and composite with hydroxyapatite (HAp) nano-particles were developed and applied as coating on Ti-6Al-4V substrates. The bioactive glasses and their composites were also processed to yield dense scaffolds, porous scaffolds and porous bone filler materials. The coating materials and the coatings were characterized and evaluated by different in vitro techniques to establish their superior mechanical properties. The cytotoxicity test of the coating material, porous and dense scaffolds and coated specimens showed non-cytotoxicity, biocompatibility and promising in vitro bioactivity for all tested samples. The dissolution behaviour studies of the bioactive glasses and the composites in simulated body fluid showed promising in vitro release pattern and bioactivity for all tested samples. Addition of nanosized HAp improves mechanical properties of the bioactive glass coating without affecting the in vitro bioactivity.     

Development of macroporous nanocomposite scaffolds of gelatin/bioactive glass prepared through layer solvent casting combined with lamination technique for bone tissue engineering

In this study, macroporous bioactive nanocomposite scaffolds were developed using cross-linked gelatin and bioactive glass (BaG) nanoparticles. First, BaG nanoparticles were synthesized via sol–gel method and characterized. Then, macroporous nanocomposites were prepared through layer solvent casting combined with freeze-drying and lamination techniques. This research has developed a new composition to produce a new bioactive nanocomposite which is porous with three-dimensional (3D) inter-connected microstructure, pore sizes are 200–500 μm, porosity are 72–86% and BaG nanoparticles are dispersed evenly among cross-linked gelatin matrices. It is mentionable that in this study, we have reported the formation of chemical bonds between BaG nanoparticles and gelatin for the first time. Finally, the in vitro cytocompatibility of the nanocomposite scaffolds was tested using SaOS-2 cell line.     

Structural, optical and bioactive properties of calcium borosilicate glasses

Glass of composition 40SiO₂–20B₂O₃–30CaO–10M₂O₃ (M = Al, Cr, Y and La) were prepared by the splat quenching technique to investigate the effect of M₂O₃ on their bioactivity, structural and optical properties. Y₂O₃ and Cr₂O₃ containing glasses formed a crystalline hydroxyapatite (HA) layer after dipping in simulating body fluid (SBF) for 25 days. On the other hand, HA layer could not form in Al₂O₃ and La₂O₃ glasses. However, during soaking in SBF solution, these glasses exhibit higher dissolution rate, lower density and increased optical band gap as compared to unsoaked glasses. Their oxygen molar volume was also higher than for Y₂O₃ and Cr₂O₃ glasses. The change in composition affects the cross-link formation in the glass matrix and finally its durability and bioactivity in SBF. The results show that M₂O₃ plays an important role in controlling chemical durability and bioactivity of the glasses.     

Two-step modification process to improve mechanical properties and bioactivity of hydroxyfluorapatite scaffolds

Porous ceramic scaffolds are synthetic implants, which support cell migration and establish sufficient extracellular matrix (ECM) and cell-cell interactions to heal bone defects. Hydroxyapatite (HA) scaffolds is one of the most suitable synthetic scaffolds for hard tissue replacement due to their bioactivity, biocompatibility and biomimetic features. However, the major disadvantages of HA is poor mechanical properties as well as low degradability rate and apatite formation ability. In this study, we developed a new method to improve the bioactivity, biodegradability and mechanical properties of natural hydroxyfluorapatite (HFA) by applying two-step coating process including ceramic and polymer coats. The structure, morphology and bioactivity potential of the modified and unmodified nanocomposite scaffolds were evaluated using transmission electron microscopy (TEM), scanning electron microscopy (SEM), X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR) and energy dispersive spectroscopy (EDS). The scaffold with optimized mechanical properties was HFA-30?wt%HT (HT stands for hardystonite) with a total porosity and pore size of 89?±?1 and 900–1000?µm, respectively. The compressive modulus and strength of HFA (porosity ~ 93?±?1) were improved from 108.81?±?11.12–251.45?±?12.2?MPa and 0.46?±?0.1–1.7?±?0.3?MPa in HFA-30?wt%HT sample, respectively. After applying poly(ε-caprolactone fumarate) (PCLF) polymer coating, the compressive strength and modules increased to 2.8?±?0.15 and 426.1?±?15.14?MPa, respectively. The apatite formation ability of scaffolds was investigated using simulated body fluid (SBF). The results showed that applying the hardystonite coating improve the apatite formation ability; however, the release of ions increased the pH. Whereas, modified scaffolds with PCLF could control the release of ions and improve the apatite formation ability as well.     

Coefficient of thermal expansion of bioactive glasses: Available literature data and analytical equation estimates

Bioactive glasses are able to develop a tenacious bond with human bone tissues and therefore they are largely used in orthopaedic and dental implants. However, due to their brittleness, they are mainly applied as coatings on tough substrates, such as titanium, alumina and zirconia. The reliability of bioactive glass coatings is deeply influenced by their thermodilatometric compatibility with the substrate, which may govern the development of dangerous thermal stresses at the interface. In spite of the technological relevance of the coefficient of thermal expansion (CTE) of bioactive glasses, few papers are specifically dedicated to such topic. In the present contribution, more than 70 bioactive glasses were reviewed in the literature, in order to investigate the relation existing between their composition and their CTE. Then four analytical models were applied to estimate the CTE of the same glasses and the calculated values were compared to the experimental results, in order to assess the reliability of the models and define an effective tool to predict the CTE. In particular, on the basis of the literature data and calculated values, the effect of modifier oxides and intermediate oxides, such as K₂O and MgO, on the CTE was discussed.     

Fabrication and characterization of bioactive glass/hydroxyapatite nanocomposite foam by gelcasting method

Bioceramic foams have been applied for drug releasing agents, cell loading, and widely for hard tissue scaffold. The aim of this study was fabrication and characterization of nanostructure bioceramic composite foam (BCF) consisting of hydroxyapatite (HA) and bioactive glass (BG) via gelcasting method for applications in tissue engineering. X-ray diffraction (XRD), scanning electron microscopy (SEM), and transmission electron microscopy (TEM) analysis techniques were utilized in order to evaluate respectively, phase composition, dimension, morphology, and interconnectivity of pores, and particle size of synthesized HA, BG, and BCF. The results showed that fabrication of the BCF with a particle size in the range 20-42 nm and pore size in the range 100-250 μm was successfully performed. The maximum values of compressive strength and elastic modulus of the BCF were found to be about 1.95 MPa and 204 MPa, respectively, related to a sample sintered at 900 °C for 4 h. The mean values of the true (total) and apparent (interconnected) porosity were calculated in the range 86-91% and 60-71%, respectively. It seems that the measured properties make the BCF a good candidate for tissue engineering applications, preferentially in drug delivery, cell loading, and other nonloading applications.     

Preparation,characterization and in vitro biological response of simultaneous co-substitution of Zr+4/Sr+2 58S bioactive glass powder

In the present study, structure of zirconium-containing bioactive glass (58S-BG (Zr-BG)) with optimal fixed Zr content (5 mol.%) was modified by incorporation of strontium (Sr). These Zr and Sr-containing BGs (ZS-BGs) were synthesized by sol-gel method and substitution of Ca with modifier ions (Sr content = 0, 3, 6, 9, and 12 mol.%). The results obtained from characterization by X-ray diffraction (XRD), scanning electron microscopy (SEM), Fourier-transform infrared (FTIR), and energy-dispersive X-ray spectroscopy (EDS) techniques from surface of all the ZS-BGs revealed formation of hydroxyapatite (HA) after 7 days of immersion in the simulated body fluid (SBF) solution. Evaluation of changes in the SBF solution, by monitoring pH variations and ions? concentration, was in agreement with the results of morphological and structural investigations. The in-vitro biological function of synthesized BGs was studied through (MTT) assay and alkaline phosphatase (ALP) activity analysis. The results showed that all the specimens significantly stimulated proliferation and viability of MC3T3 osteoblast-like cells. Furthermore, antibacterial studies confirmed less resistance of methicillin-resistant Staphylococcus aureus (MRSA) bacteria against ZS-BGs. Eventually, the results of in-vitro bio-analysis were clarified and confirmed by two cell staining techniques of Live/Dead and Dapi/Actin. This confirmation was achieved by observing the increased quantity of live cells and their nuclei as well as the decreased number of dead cells after co-culturing with all ZS-BGs.     

Preparation and characterization of some multicomponent silicate glasses and their glass–ceramics derivatives for dental applications

The chemical corrosion and UV–vis absorption and infrared absorption spectra of binary and multicomponent lithium silicate glasses and corresponding glass–ceramics were investigated. The chemical durability of the glasses and derived glass–ceramics was found to be excellent to all leaching media. The IR absorption spectra of the glass and glass–ceramic samples reveal absorption bands of characteristic groups mainly due to major silicate network besides the possible sharing of network units due to some involving oxide constituents. X-ray analysis of glass–ceramics indicates the separation of lithium disilicate phase as the main constituent beside other phases according to the specimen chemical constituents. The obvious promising investigated chemical and physical properties are correlated with the presence of multioxides such as Al₂O₃, TiO₂, MgO and ZrO₂. Transmission and reflectivity properties reveal acceptable data. The prepared glass–ceramics are recommended for dental applications.     

PMMA composite bone cement containing bioactive and ferrimagnetic glass-ceramic particles: Effect of temperature and of the additional phase on some physical and mechanical properties

In this work, PMMA-based composite bone cements, embedding bioactive and ferrimagnetic glass-ceramic particles, have been prepared and characterized. Bioactivity, wettability, density, curing parameters, viscoelastic behaviour, bending strengths and creep have been investigated at 37 °C. The growth of a layer of HA on the samples surface after immersion in SBF has been confirmed. The presence of glass-ceramic particles improved the wetting behaviour of the composite cements. Shorter curing times and lower maximum temperatures for the three composite cements, in comparison to the plain one, have been detected. Almost unaffected mechanical properties of the composite bone cements have been found in comparison to those of the plain commercial cement both at room and at 37 °C. A little increase of the viscous flow has been evidenced in the composite samples at 37 °C. Radiographic imaging confirmed the intrinsic radiopacity of the composite cements.     

Influence of concentration of hydroxyapatite surface modifier agent on bioactive composite characteristics

The characterization of chitosan – hydroxyapatite (CH – HAp) composite sponges prepared via freeze-drying methodology is reported in this study. Stearic acid (SA), added as a surface modifier of the HAp nanoparticles, induced changes in the TG/DTG results, particle size distribution and particle morphology. Composite sponges prepared with SA coated HAp demonstrated enhanced biocompatibility and structural properties, as compared to the composites prepared with uncoated HAp. SA coating modified the morphology of the composite, promoting a better dispersion of HAp particles within the composite sponges, and better homogeneity of the polymeric cover with HAp particles. The viability of the composites for cell culture applications was analyzed, and the results suggest that the sponges are biocompatible. Therefore, SA proved to be a good candidate for surface coating of HAp nanoparticles prevent agglomerations, and could be used effectively in the preparation of biocompatible composite sponges with chitosan.     

A comparative physico-chemical study of bioactive glass and bone-derived hydroxyapatite

This study aimed at comparing the physico-chemical properties of bioactive glass and bone-derived hydroxyapatite (HA). 63S bioglass particles were obtained by sol-gel process and HA samples were derived from bovine bone. The chemical composition and the crystalline structure of both bioceramics were evaluated. Then the zeta potential in physiological saline and at different pH values was determined. It was found that the negativity of zeta potential for 63S bioglass is higher than that of bone-derived HA. The exothermal behavior through the hydration process was evaluated by isothermal microcalorimetry. The results showed that the librated heat during bioactive glass hydration process and its rate are almost ten times higher than HA. It could be related to different hydration mechanisms of bioglass and HA. However, for both bioglass and HA, this value is in the safe range and cannot be harmful for the adjacent tissues in the body.