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Further interests
1. Classification of biomaterials:
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General introduction
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Classification of biomaterials
Relevant properties
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Types of biomaterials
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Deposition of coatings
Case studies: TiO2, PEEK, bioactive glass coatings, antibacterial coatings;
3. Processing of scaffolds
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Action MP1005
Dental implant
"!
Joint prosthesis
"!
Bone plates
"!
"!
"!
Vascular implants
"!
"!
Contact lens
"!
Dental fillings
"!
Earings, piercing,..
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"!
"!
"!
Vitalium:Co-Cr-Mo
alloy
by source
"! natural
!! Autograft - autologous (or autogenous): bone obtained from the same
individual receiving the graft
!! Allograft: harvested from an individual other than the one receiving the
graft
!! Xenografts: origin from a species other than human (e.g. bovine,
wood)
"! synthetic
by biological role
"! toxic
"! bioinert: does not interact with the body
"! bioactive: actively participate in tissue repair
"! bioresorbable: resorb and provide elements for the tissue repair
by the function (duration of use)
"! Temporary
!! Non-resorbable support to be removed
!! biodegradable support - scaffold
"! Permanent
by composition
"! Metals & alloys
"! Polymers
"! Ceramic, glass, glass-ceramic
"! Natural materials (from plants and animals)
by structure
"! bulk
!! stems, plates, screws, pins, ...
"! coatings
!! protective
!! bioactive (HA, BAG)
"! porous
!! porous metallic surface layer
!! scaffolds for tissue engineering
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1D.
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Chemical
"! corrosion resistance (Metals)
"! solubility and pH under physiological conditions:
Gastric content 1.0
Urine
4.5-6.0
Intracellular
6.8
Interstitial
7.0
Blood
7.17-7.35
"! ability for mineral bone (HA) formation
"! Polymers: molecular weight
Mechanical
"! "flexibility" (elastic modulus)
"! strength (compressive, shear, adhesion,..)
"! viscoelastic properties (soft scaffolds)
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Stainless steel
Co-Cr alloys
"! Ti and Ti-based alloys
"!
"!
!-Ti
"!
"!
Mg-alloys
"!
"!
"!
Amalgam (AgSnCuZnHg)
Advantages
High strength
Fatigue resistance
Relatively good wear resistance
Easy fabrication
Easy to sterilize
Shape memory (NiTi-Nitinol)
Issues
High elastic modulus
Corrosion - Metallosis
Metal ion sensitivity and toxicity
Low wetting
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Polymers
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PMMA
PVC
PLA/PGA
PE
PP
PA
PTFE
PET
PEG/PEO(water soluble)
PEEK
Silicones
Natural polymers:
Advantages
Easy to make complicated items
Tailorable physical & mechanical
properties
Surface modification
Biodegradable (some)
Issues
Leachable compounds
Absorb water & proteins etc.
Surface contamination
Wear & breakdown
Biodegradation (hydrolytically, encimatically)
Difficult to sterilize
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Alumina (Al2O3)
Zirconia (ZrO2)
Non-oxide (SiC, Si3N4)
(HAp, Ca-P)
Advantages
High compression strength
Wear & Corrosion resistance
Can be highly polished
Bioactive/Inert
Issues
High E modulus (stress
shielding)
Brittle -Low fracture toughness
Difficult to fabricate
16
Ca-phosphates, TCP
Hydroxyapatite (Ca10(PO4)6(OH)2
Ca-carbonate
Wollastonite (CaSiO3)
Bioactive glasses
SiO2-CaO-P2O5-MxOy..
!!
decades
18
250
E (GPa)
200
150
100
50
0
Brittleness:
"!
Reinforcement by particles
(e.g. ZrO2 in Al2O3 ceramics)
or by fibers
Zirconia
0
20
40
60
Porosity (%)
80
100
A. Gantar, .....
A. Gantar, IJS 19
Hydrophobicity
etching, photocatalitic coating
Cell attachment
roughnening
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HA formation
Highly bioactive coating (BAG)
Tailoring the roughness
Tailoring the surface chemistry
(surface charge, OH or COOH-)
Enhanced HA formation on Ti 21
by
NaOH
Protein attachements
Surface charge, hidrophilicity,
irradiation
Cell attachment
Bioactive coatings
Surface charge modification
Hydrophilicity
Inflammation
Antibacterial or bactericidal coating
Avoiding toxic and allergenic elements
Hydrophobicity
Day 3
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23
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Select an implant
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But you have to use the proper material and design it properly!
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# - good
$ - bad
% - neutral
Wear
parts
joints
Load-bearing parts
stems, plates,
screws
Defect fillers
dental posts
scaffolds
N/A
N/A
N/A
biodegradable
osseoconductive
ion release
strength
wear
strength
ion release
(catalysts)
strength
osseointegration
biodegradable
PDLLA
PEEK
..
N/A
BAG-coated metal
BAG-polymer
mechanical properties
degradation rate
Metals,
alloys
strength
wear
corrosion
dissolution
(metal release)
Ceramics
(Al2O3,
ZrO2)
strength
wear
corrosion
dissolution
(metal release)
Bioactive
glasses
strength
Polymers,
biopolymers
composites
strength
corrosion,
dissolution (metal release)
osseointegration (wetting, surface charge)
Issues to be
considered
strength
corrosion
dissolution (metal
release)
osseointegration
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