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Calcium Phosphates in Oral Biology and Medicine
03 May 1991-
About: The article was published on 1991-05-03 and is currently open access. It has received 1480 citations till now. The article focuses on the topics: MEDLINE.
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TL;DR: A review of the past, present, and future of the hydroxyapatite (HAp)-based biomaterials from the point of view of preparation of hard tissue replacement implants is presented in this paper.
Abstract: This paper reviews the past, present, and future of the hydroxyapatite (HAp)-based biomaterials from the point of view of preparation of hard tissue replacement implants. Properties of the hard tissues are also described. The mechanical reliability of the pure HAp ceramics is low, therefore it cannot be used as artificial teeth or bones. For these reasons, various HAp-based composites have been fabricated, but only the HAp-coated titanium alloys have found wide application. Among the others, the microstructurally controlled HAp ceramics such as fibers/whiskers-reinforced HAp, fibrous HAp-reinforced polymers, or biomimetically fabricated HAp/collagen composites seem to be the most suitable ceramic materials for the future hard tissue replacement implants.
1,892 citations
TL;DR: Calcium phosphates have a great biological and medical significance and in this review, an overview of the current knowledge in this subject is given.
Abstract: The inorganic part of hard tissues (bones and teeth) of mammals consists of calcium phosphate, mainly of apatitic structure. Similarly, most undesired calcifications (i.e. those appearing as a result of various diseases) of mammals also contain calcium phosphate. For example, atherosclerosis results in blood-vessel blockage caused by a solid composite of cholesterol with calcium phosphate. Dental caries result in a replacement of less soluble and hard apatite by more soluble and softer calcium hydrogenphosphates. Osteoporosis is a demineralization of bone. Therefore, from a chemical point of view, processes of normal (bone and teeth formation and growth) and pathological (atherosclerosis and dental calculus) calcifications are just an in vivo crystallization of calcium phosphate. Similarly, dental caries and osteoporosis can be considered to be in vivo dissolution of calcium phosphates. On the other hand, because of the chemical similarity with biological calcified tissues, all calcium phosphates are remarkably biocompatible. This property is widely used in medicine for biomaterials that are either entirely made of or coated with calcium phosphate. For example, self-setting bone cements made of calcium phosphates are helpful in bone repair and titanium substitutes covered with a surface layer of calcium phosphates are used for hip-joint endoprostheses and tooth substitutes, to facilitate the growth of bone and thereby raise the mechanical stability. Calcium phosphates have a great biological and medical significance and in this review we give an overview of the current knowledge in this subject.
1,819 citations
TL;DR: In this article, the authors proposed a new model to explain how intrafibrillar mineralization of collagen can be achieved during bone formation, which is based on the concept of intra-fibrilar mineralisation, which refers to the fact that growth of the mineral phase is somehow directed by the collagen matrix.
Abstract: Bone is a hierarchically structured composite material which, in addition to its obvious biological value, has been well studied by the materials engineering community because of its unique structure and mechanical properties. This article will review the existing bone literature, with emphasis on the prevailing theories regarding bone formation and structure, which lay the groundwork for proposing a new model to explain how intrafibrillar mineralization of collagen can be achieved during bone formation. Intrafibrillar refers to the fact that growth of the mineral phase is somehow directed by the collagen matrix, which leads to a nanostructured architecture consisting of uniaxially oriented nanocrystals of hydroxyapatite embedded within and roughly [0 0 1] aligned parallel to the long collagen fibril axes. Secondary (osteonal) bone, the focus of this review, is a laminated organic–inorganic composite composed primarily of collagen, hydroxyapatite, and water; but minor constituents, such as non-collagenous proteins (NCPs), are also present and are thought to play an important role in bone formation. To date, there has been no clear understanding of the role of these NCPs, although it has been generally assumed that the NCPs regulate solution crystal growth via some type of ‘epitaxial’ relationship between specific crystallographic faces and specific protein conformers. Indeed, ‘epitaxial’ relationships have been calculated; but in practice, it has not been demonstrated that intrafibrillar mineralization can be accomplished via this route. Because of the difficulty in examining biomineralization processes in vivo , the authors of this article have turned to using in vitro model systems to investigate the possible physicochemical mechanisms that may be involved in biomineralization. In the case of bone biomineral, we have now been able to duplicate the most fundamental level of bone structure, the interpenetrating nanostructured architecture, using relatively simple anionic polypeptides that mimic the polyanionic character of the NCPs. We propose that the charged polymer acts as a process-directing agent, by which the conventional solution crystallization is converted into a precursor process. This polymer-induced liquid-precursor (PILP) process generates an amorphous liquid-phase mineral precursor to hydroxyapatite which facilitates intrafibrillar mineralization of type-I collagen because the fluidic character of the amorphous precursor phase enables it to be drawn into the nanoscopic gaps and grooves of collagen fibrils by capillary action. The precursor then solidifies and crystallizes upon loss of hydration waters into the more thermodynamically stable phase, leaving the collagen fibrils embedded with nanoscopic hydroxyapatite (HA) crystals. Electron diffraction patterns of the highly mineralized collagen fibrils are nearly identical to those of natural bone, indicating that the HA crystallites are preferentially aligned with [0 0 1] orientation along the collagen fibril axes. In addition, studies of etched samples of natural bone and our mineralized collagen suggest that the long accepted “deck of cards” model of bone's nanostructured architecture is not entirely accurate. Most importantly, this in vitro model demonstrates that a highly specific, epitaxial-type interaction with NCPs is not needed to stimulate crystal nucleation and regulate crystal orientation, as has long been assumed. Instead, we propose that collagen is the primary template for crystal organization, but with the important caveat that this templating occurs only for crystals formed from an infiltrated amorphous precursor. These results suggest that the 25-year-old debate regarding bone formation via an amorphous precursor phase needs to be revisited. From a biomedical perspective, in addition to providing possible insight into the role of NCPs in bone formation, this in vitro system may pave the way toward the ultimate goal of fabricating a synthetic bone substitute that not only has a composition similar to bone, but has comparable mechanical properties and bioresorptive potential as natural bone. From a materials chemistry perspective, the non-specificity of the PILP process and capillary infiltration mechanism suggests that non-biological materials could also be fabricated into nanostructured composites using this “biomimetic” strategy.
1,299 citations
TL;DR: Current biomedical applications of calcium orthophosphate bioceramics include replacements for hips, knees, teeth, tendons and ligaments, as well as repair for periodontal disease, maxillofacial reconstruction, augmentation and stabilization of the jawbone, spinal fusion and bone fillers after tumor surgery.
1,019 citations
Cites background or result from "Calcium Phosphates in Oral Biology ..."
...Further details on the sintering process of calcium orthophosphates are available elsewhere [14,27,33,34,100,101]....
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...When compared to both a- and b-TCP, HA is a more stable phase under the physiological conditions, as it has a lower solubility (Table 1) and, thus, a slower resorption kinetics [33,81,82]....
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...In this frame, the use of calcium orthophosphates is logical due to their similarity with the mineral phase of bone and teeth [19,20,33,42,43]....
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TL;DR: Strontium isotope analysis of archaeological skeletons has provided useful and exciting results in archaeology in the last 20 years, particularly by characterizing past human migration and mobility as mentioned in this paper.
Abstract: Strontium isotope analysis of archaeological skeletons has provided useful and exciting results in archaeology in the last 20 years, particularly by characterizing past human migration and mobility. This review covers the biogeochemical background, including the origin of strontium isotope compositions in rocks, weathering and hydrologic cycles that transport strontium, and biopurification of strontium from to soils, to plants, to animals and finally into the human skeleton, which is subject to diagenesis after burial. Spatial heterogeneity and mixing relations must often be accounted for, rather than simply ``matching'' a measured strontium isotope value to a presumed single-valued geologic source. The successes, limitations and future potential of the strontium isotope technique are illustrated through case studies from geochemistry, biogeochemistry, ecology and archaeology.
947 citations