Amin S. Rizkalla

The differential regulation of osteoblast and osteoclast activity by surface topography of hydroxyapatite coatings

The behavior of bone cells is influenced by the surface chemistry and topography of implants and scaffolds. Our purpose was to investigate how the topography of biomimetic hydroxyapatite (HA) coatings influences the attachment and differentiation of osteoblasts, and the resorptive activity of osteoclasts. Using strategies reported previously, we directly controlled the surface topography of HA coatings on polycaprolactone discs. Osteoblasts and osteoclasts were incubated on HA coatings having distinct isotropic topographies with submicrometer and micro-scale features. Osteoblast attachment and differentiation were greater on more complex, micro-rough HA surfaces (Ra ~2 μm) than on smoother topographies (Ra ~1 μm). In contrast, activity of the osteoclast marker tartrate-resistant acid phosphatase was greater on smoother than on micro-rough surfaces. Furthermore, scanning electron microscopy revealed the presence of resorption lacunae exclusively on smoother HA coatings. Inhibition of resorption on micro-rough surfaces was associated with disruption of filamentous actin sealing zones. In conclusion, HA coatings can be prepared with distinct topographies, which differentially regulate responses of osteoblasts, as well as osteoclastic activity and hence susceptibility to resorption. Thus, it may be possible to design HA coatings that induce optimal rates of bone formation and degradation specifically tailored for different applications in orthopedics and dentistry.

Mechanical properties of commercial high strength ceramic core materials

OBJECTIVE The objective of the present study is to evaluate and compare the flexural strength, dynamic elastic moduli and true hardness (H(o)) values of commercial Vita In-Ceram alumina core and Vita In-Ceram matrix glass with the standard aluminous porcelain (Hi-Ceram and Vitadur), Vitadur N and Dicor glass and glass-ceramic. METHODS The flexural strength was evaluated (n=5) using 3-point loading and a servo hydraulic Instron testing machine at a cross head speed of 0.5 mm/min. The density of the specimens (n=3) was measured by means of the water displacement technique. Dynamic Youngs shear and bulk moduli and Poissons ratio (n=3) were measured using a non-destructive ultrasonic technique using 10 MHz lithium niobate crystals. The true hardness (n=3) was measured using a Knoop indenter and the fracture toughness (n=3) was determined using a Vickers indenter and a Tukon hardness tester. Statistical analysis of the data was conducted using ANOVA and a Student-Newman-Keuls (SNK) rank order multiple comparative test. RESULTS The SNK rank order test analysis of the mean flexural strength was able to separate five commercial core materials into three significant groups at p=0.05. Vita In-Ceram alumina and IPS Empress 2 exhibited significantly higher flexural strength than aluminous porcelains and IPS Empress at p=0.05. The dynamic elastic moduli and true hardness of Vita In-Ceram alumina core were significantly higher than the rest of the commercial ceramic core materials at p=0.05. SIGNIFICANCE The ultrasonic test method is a valuable mechanical characterization tool and was able to statistically discriminate between the chemical and structural differences within dental ceramic materials. Significant correlation was obtained between the dynamic Youngs modulus and true hardness, p=0.05.

One- and three-dimensional growth of hydroxyapatite nanowires during sol-gel-hydrothermal synthesis.

Nanoscale hydroxyapatite (HA) is an optimal candidate biomaterial for bone tissue engineering because of its bioactive and osteoconductive properties. In this study, micro- and nanoscale HA particles with rod- and wirelike morphology were synthesized by a novel sol-gel-hydrothermal process. Sol-gel chemistry was used to produce a dry gel containing amorphous calcium phosphate (ACP), which was used as a precursor material in a hydrothermal process. The sol-gel-hydrothermal products were characterized by scanning electron microscopy (SEM), X-ray diffraction (XRD), and Fourier transform infrared spectroscopy (FTIR) to determine particle morphology, crystal structure, and the presence of chemical functional groups. A pure HA crystal was synthesized, which underwent both one- and three-dimensional growth, resulting in tunable microrod and nanorod, and wire morphologies. The effects of solution pH and reaction time on particle diameter and length were assessed. Particle diameter ranged from 25 to 800 nm and decreased with an increase in solution pH, whereas both particle length and diameter increased as the hydrothermal process was prolonged. Nanowire HA powders (10-50 wt %) were mixed with poly(ε-caprolactone) (PCL) to produce PCL/HA composites. Fracture surfaces of PCL/HA composites showed a well-dispersed and homogeneous distribution of HA nanowires within the PCL matrix. Mechanical testing revealed a significant (p < 0.05) increase in the Youngs and compressive moduli of PCL/HA composites compared to PCL alone, with 50 wt % HA producing a 3-fold increase in Youngs modulus from 193 to 665 MPa and 2-fold increase in compressive modulus from 230 to 487 MPa. These HA nanowires can be used to reinforce polymer composites and are excellent biomaterials for tissue engineering of bone.

Synthesis and Electrospinning of ε-Polycaprolactone-Bioactive Glass Hybrid Biomaterials via a Sol−Gel Process

Strategies of bone tissue engineering and regeneration rely on bioactive scaffolds to mimic the natural extracellular matrix (ECM) as templates onto which cells attach, multiply, migrate, and function. For this purpose, hybrid biomaterials based on smart combinations of biodegradable polymers and bioactive glasses (BGs) are of particular interest, since they exhibit tailored physical, biological, and mechanical properties, as well as predictable degradation behavior. In this study, hybrid biomaterials with different organic-inorganic ratios were successfully synthesized via a sol-gel process. Poly(ε-caprolactone) (PCL) and tertiary bioactive glass (BG) with a glass composition of 70 mol % SiO(2), 26 mol % CaO, and 4 mol % of P(2)O(5) were used as the polymer and inorganic phases, respectively. The polymer chains were successfully introduced into the inorganic sol while the networks were formed. Fourier transform infrared spectroscopy (FTIR), X-ray diffraction (XRD), thermogravimetric analyses (TGA), scanning electron microscopy (SEM), and energy dispersive X-ray spectroscopy (EDX) were used to investigate the presence of different chemical groups, structural crystallinity, thermal property, elemental composition, and homogeneity of the synthesized hybrid biomaterials. Identification of chemical groups and the presence of molecular interaction by hydrogen bonding between the organic and inorganic phases was confirmed by FTIR. The XRD patterns showed that all PCL/BG hybrids (up to 60% polymer content) were amorphous. The TGA study revealed that the PCL/BG hybrid biomaterials were thermally stable, and good agreement was observed between the experimental and theoretical organic-inorganic ratios. The SEM/EDX results also revealed a homogeneous elemental distribution and demonstrated the successful incorporation of all the elements in the hybrid system. Finally, these synthesized hybrid biomaterials were successfully electrospun into 3D scaffolds. The resultant fibers have potential use as scaffolds for bone regeneration.

Bioactive and biodegradable nanocomposites and hybrid biomaterials for bone regeneration.

Strategies for bone tissue engineering and regeneration rely on bioactive scaffolds to mimic the natural extracellular matrix and act as templates onto which cells attach, multiply, migrate and function. Of particular interest are nanocomposites and organic-inorganic (O/I) hybrid biomaterials based on selective combinations of biodegradable polymers and bioactive inorganic materials. In this paper, we review the current state of bioactive and biodegradable nanocomposite and O/I hybrid biomaterials and their applications in bone regeneration. We focus specifically on nanocomposites based on nano-sized hydroxyapatite (HA) and bioactive glass (BG) fillers in combination with biodegradable polyesters and their hybrid counterparts. Topics include 3D scaffold design, materials that are widely used in bone regeneration, and recent trends in next generation biomaterials. We conclude with a perspective on the future application of nanocomposites and O/I hybrid biomaterials for regeneration of bone.

Indentation fracture toughness and dynamic elastic moduli for commercial feldspathic dental porcelain materials

OBJECTIVE The purpose of this study was to evaluate and compare the indentation fracture toughness, true hardness and dynamic elastic moduli for 14 commercial dental porcelain materials. METHODS The specimens were fired according to manufacturer instructions. The density of the specimens (n=3) was measured by means of the water displacement technique. Dynamic Youngs shear and bulk moduli and Poissons ratio (n=3) were measured using a non-destructive ultrasonic technique using 10 MHz lithium niobate crystals. The true hardness (n=3) was measured using a Knoop indenter and the fracture toughness (n=3) was determined using a Vickers indenter and a Tukon hardness tester. Statistical analysis of the data was conducted using ANOVA and a Student-Newman-Keuls (SNK) rank order multiple comparative test. RESULTS The SNK rank test analysis for the mean dynamic Youngs modulus and fracture toughness was able to separate 14 dental porcelain materials into seven and nine groups, respectively, at p=0.05. The elastic moduli, true hardness and indentation fracture toughness for opaque porcelains were significantly higher than incisal; and body materials at p=0.05. SIGNIFICANCE The indentation fracture toughness and the ultrasonic test methods exhibit lower coefficient of variation compared to conventional methods and have considerable advantage for ceramic dental materials in that only small specimens are required to produce an acceptable number of data for statistical analysis.

Crystallization of experimental bioactive glass compositions

Crystallization kinetics studies for six experimental glass formulations in the system Na2O-CaO-SiO2-P2O5 synthesized by wet chemistry were conducted by means of differential thermal analysis. These glasses had CaO/P2O5 and SiO2/ (CaO + Na2O) ratios ranging from 8.74-3.38 and 0.92-3.03, respectively. Samples of each glass (n = 30 were heated from 23 to 1250 degrees C under N2 atmosphere at heating rates ranging from 10 to 50 degrees C/min. Glass-ceramics were obtained after heat treating the initial glasses at temperatures determined from their DTA exotherms. The activation energy of crystallization for each glass composition was calculated from an expression-relating log-heating rate and the reciprocal of the exothermic peak temperature. The compositions of the six glasses were significantly different (p = 0.05). The activation energy of crystallization (Q) values ranged from 196 to 782 kJ/mole. A correlation was obtained between Q and CaO/P2O5 and between Q and the Youngs modulus (P < 0.001). Two of the six glasses exhibited bulk crystallization. X-ray diffraction studies showed that four of the six glasses exhibited different proportions of crystalline phases following heat treatment. These phases were wollastonite (CaSiO3), Na2CaSi3O9, combeite [Na4Ca3SI6O16(OH)2], and some unidentifiable phases. Two of the six bioceramic materials had a mixture of unknown crystalline phases.

Versatile Biodegradable Poly(ester amide)s Derived from α-Amino Acids for Vascular Tissue Engineering

Biodegradable poly(ester amide) (PEA) biomaterials derived from α-amino acids, diols, and diacids are promising materials for biomedical applications such as tissue engineering and drug delivery because of their optimized properties and susceptibility for either hydrolytic or enzymatic degradation. The objective of this work was to synthesize and characterize biodegradable PEAs based on the α-amino acids l-phenylalanine and l-methionine. Four different PEAs were prepared using 1,4-butanediol, 1,6-hexanediol, and sebacic acid by interfacial polymerization. High molecular weight PEAs with narrow polydispersity indices and excellent film-forming properties were obtained. The incubation of these PEAs in PBS and chymotrypsin indicated that the polymers are biodegradable. Human coronary artery smooth muscle cells were cultured on PEA films for 48 h and the results showed a well-spread morphology. Porous 3D scaffolds fabricated from these PEAs were found to have excellent porosities indicating the utility of these polymers for vascular tissue engineering.

Hydroxyapatite formation on sol-gel derived poly(ε-caprolactone)/bioactive glass hybrid biomaterials.

Investigation of novel biomaterials for bone regeneration is based on the development of scaffolds that exhibit bone-bonding ability, biocompatibility, and sufficient mechanical strength. In this study, using novel poly (ε-caprolactone)/bioactive glass (PCL/BG) hybrids with different organic/inorganic ratios, the effects of BG contents on the in vitro bone-like hydroxyapatite (HA) formation, mechanical properties, and biocompatibility were investigated. Rapid precipitation of HA on the PCL/BG hybrid surfaces were observed after incubating in simulated body fluid (SBF) for only 6 h, as confirmed by scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDX), Fourier-transform infrared spectroscopy (FTIR), and inductively coupled plasma atomic emission spectroscopy (ICPS). The ICPS elemental analysis results were further analyzed in terms of the Ca(2+) and PO4(3-) which were consumed to form the apatite layer. The results revealed that the rate and total amount of HA deposition decreased with an increase in PCL content. The compressive modulus and strength of the PCL/BG hybrids increased with the decrease in PCL content. The highest values were achieved at the lowest PCL content (10 wt %) and were around, 90 MPa and 1.4 GPa, respectively. To evaluate the cytotoxicity of PCL/BG bioactive hybrids, MC3T3-E1 osteoblast-like cells were cultured for up to 72 h. Our data indicated that whereas initial cell attachment was marginally lower than the control tissue culture poly styrene (TCPS) surface, the hybrid materials promoted cell growth in a time-dependent manner. Cell viability within the different PCL/BG hybrid samples appeared to be influenced by compositional differences whereby higher PCL contents correlated with slight reduction in cell viability. Taken together, this study adds important new information to our knowledge on hydroxyapatite formation, mechanical properties, and cytotoxic effects of PCL/BG hybrids prepared by the sol-gel process using a tertiary glass composition and may have considerable potential for bone tissue regeneration applications.

Characterization of experimental composite biomaterials

A comparison was made among the elastic moduli of various combinations of dimethacrylates that may be used as matrix resins in dental restorative composite biomaterials systems. Two ceramic filler materials with contrasting shape and size were synthesized by wet chemistry; these were used to produce a range of experimental composite systems. Dynamic elastic moduli determinations were used to study the influence of filler volume, filler size/shape, use of silane coupling agents, and storage in water. The filler was varied from 0 to 59% by volume for filler A and from 0 to 48% volume for filler B. Silane treatment was found to have a significant effect on modulus. Moduli for composite materials containing silane-treated filler were higher compared to materials containing the same volume loading of non-silane-treated filler. Using a light curing resin as a matrix gave a significantly higher modulus for a filler loading of 38% by volume. Storage in water for 29 days was found to have only a slight effect on moduli for composite systems containing in excess of 20% by volume of filler. The experimental composite systems produced slightly higher values for moduli than were predicted by the theoretical Reuse constant stress model.