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Barbieri Thesis - BioMedical Materials program (BMM)

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CChapter<br />

3 – Instructive<br />

composit tes: effect of filller<br />

content on osteoinduction<br />

Table 5. Bone<br />

incidence, histoomorphometry<br />

an nd fluorescent reesults<br />

after 12–we eek implantation in dogs.<br />

0% Ca aP 10% CaP 20% CaP 40% CaP<br />

Bone iincidence<br />

0/7 0/7 0/7 7/7<br />

Bone iin<br />

available space<br />

[%] 0±0 0±0 0±0 4.9±4.5<br />

Time ffor<br />

bone formatioon<br />

no bone formmation<br />

between 3–6 weeks w<br />

Figure 9. Byy<br />

comparing micrrographs<br />

of the same s region of ann<br />

unstained sect tion under fluores scent (a) and<br />

transmitted ligght<br />

(b), correlatioons<br />

between the composite (40% CaP) and the zo one coloured in green g (calcein,<br />

C, 3 weeks), , and between thhe<br />

bone tissue ( Bone) with the zzones<br />

coloured in<br />

red (xylenol orange,<br />

XO, 6<br />

weeks) and yyellow<br />

(tetracyclinne,<br />

T, 9 weeks) are a possible. Thiis<br />

leads to the co onclusion that bo one started to<br />

form after 3 wweeks<br />

but beforee<br />

6 weeks from th he implantation, wwhile<br />

surface mineralization<br />

may have started<br />

to occur durinng<br />

the first 3 weeeks.<br />

The resultss<br />

showed thatt<br />

titanium imp<br />

induced boone<br />

formation in vivo. Conve<br />

not trigger any bone formmation.<br />

mineralizattion<br />

and bone<br />

vitro in SBF,<br />

only the su<br />

that apatitte–based<br />

mat<br />

formation oof<br />

mineralized<br />

its surface,<br />

40% CaP h<br />

here studieed.<br />

We canno<br />

mineralize: : it might be th<br />

time to mmineralize.<br />

O<br />

hydroxyapaatite/poly(L–la<br />

mineralizedd<br />

layer onto<br />

observed ppreviously<br />

with<br />

the startingg<br />

of bone form<br />

have enhanced<br />

surface<br />

allowed boone<br />

induction<br />

[234] We<br />

e induction in o<br />

urface of 40%<br />

terials contai<br />

d layers onto t<br />

ad the fastest<br />

ot now conclu<br />

hat, by virtue<br />

Our results a<br />

actide) comp<br />

their surface<br />

h polyHEMA, [<br />

lants capable of forming ap<br />

ersely, those tthat<br />

did not m<br />

e showed a similar<br />

relation<br />

our compositees.<br />

Amongst t<br />

CaP composiites<br />

could min<br />

n functional groups that<br />

heir surfaces. .<br />

t surface mine<br />

de that 0, 10<br />

of their lower<br />

are in line w<br />

posites rapid<br />

es when imm<br />

[221] 40% CaP<br />

mation (Figure 9). Thus, hig<br />

mineralization n of the 40% C<br />

n. This is in n line with th<br />

[245] patite layers in<br />

ineralize in vit<br />

between in vi<br />

the composite<br />

neralize. It is w<br />

allow the sp<br />

Having more m apatite ex<br />

eralization tha an the other c<br />

and 20% CaP<br />

composites<br />

r apatite conte ents, they req<br />

with the find dings that m<br />

ly formed (within one<br />

mersed in SBF.<br />

may have m<br />

h contents of<br />

CaP composit<br />

he suggestio<br />

[320] n SBF also<br />

tro also did<br />

tro surface<br />

es tested in<br />

well–known<br />

pontaneous<br />

xposure on<br />

composites<br />

s will never<br />

uire longer<br />

micro–sized<br />

week) a<br />

Similarly<br />

to what<br />

ineralized in vivo v before<br />

nano–sized apatite a may<br />

tes in vivo, and d therefore<br />

n that in viv vo surface<br />

65

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