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Bioactive Glasses

Bioactive Glasses

Aldo R Boccaccini | Delia S Brauer | Leena Hupa

(2016)

Abstract

The global ageing society has significantly increased the need for implant materials, which not only replace damaged or lost tissue but are also able to regenerate it. The field of bioactive glasses has been expanding continuously over recent years as they have been shown to bond with hard and soft tissue, release therapeutically active ions, and be capable of enhancing bone formation and regeneration. In addition, they are successfully being used to re-mineralise teeth, thereby making bioactive glasses highly attractive materials in both dentistry and medicine.

Understanding the multidisciplinary requirements set by the human body’s environment and the special characteristics of the different families of bioactive glasses is a key in developing new compositions to novel clinical applications. Bioactive Glasses aims to bridge the different scientific communities associated with the field of bioactive glasses with focus on the materials science point of view.  Emerging applications covered include soft tissue regeneration, wound healing, vascularisation, cancer treatment and drug delivery devices.

This book provides a comprehensive overview of the latest applications of bioactive glasses for material scientists.


Table of Contents

Section Title Page Action Price
Cover Cover
Contents ix
Preface v
Acknowledgements vii
Chapter 1 Melt-derived Bioactive Silicate Glasses 1
1.1 Introduction 1
1.1.1 Glass – A Versatile Biomaterial 1
1.1.2 Glass and Properties 2
1.1.3 Bioactivity of Glass 3
1.2 Properties Essential for Fabrication 4
1.2.1 Definition of Glass 4
1.2.2 Glass Transformation and Liquidus Temperatures 4
1.2.3 Crystallization 6
1.2.4 Crystallization of Bioactive Glasses 45S5, S53P4 and 13-93 7
1.2.5 Glass Stability 8
1.2.6 Time-Temperature-Transformation 10
1.2.7 Crystals in Thermal Treatment 10
1.2.8 Viscosity 10
1.3 Properties Essential in the Final Application 13
1.3.1 Mechanical Strength 14
1.3.2 Dissolution Reactions 14
1.3.3 Dissolution Measurements 18
1.3.4 Dissolution in Continuously Flowing Solution 18
1.3.5 In vitro Studies of 45S5, S53P4 and 13-93 19
1.4 Conclusions and Outlook 21
References 21
Chapter 2 Bioactive Glass-ceramics: Processing, Properties and Applications 27
2.1 Glass-ceramic Fabrication Methods 27
2.2 Bioactivity 29
2.3 Background 32
2.4 Commercial Bioactive Glass-ceramics 34
2.5 Miscellaneous Bioactive Glass-ceramics 38
2.6 Magnetic Bioactive Glass-ceramics 42
2.7 Radiopaque Bioactive Glass-ceramics 44
2.8 Bioactive Glass-ceramic Coatings 44
2.9 Bioactive Glass-ceramic Composites 46
2.10 Bioactive Glass-ceramic Scaffolds 48
2.11 Gel-derived Bioactive Glass-ceramics 49
2.12 Conclusions and Outlook 50
Acknowledgments 53
References 53
Chapter 3 Introduction to the Structure of Silicate, Phosphate and Borate Glasses 61
3.1 Introduction 61
3.2 Basics of Silicate and Phosphate Glasses 62
3.3 Structure and Properties of Silicate Glasses 63
3.3.1 Structure, Solubility and Bioactivity 66
3.3.2 Sol–Gel Silicate Glasses 69
3.4 Structure and Properties of Phosphate Glasses 69
3.4.1 Structure and Dissolution 72
3.5 Borate Glasses 75
3.5.1 Effect of Structure on Borate Glass Properties 77
3.6 Mixed Glass Former Systems 80
3.7 Conclusions and Outlook 83
References 83
Chapter 4 Molecular Dynamics Simulations of Bioactive Glass Structure and In vitro Reactivity 89
4.1 Introduction 89
4.2 Structure 91
4.2.1 Simulation Methods and Aims 91
4.2.2 Structural Descriptors of Bioactivity and Glass Durability 92
4.2.3 Bioglass Nanoparticles 95
4.3 Dynamics and Reactivity 97
4.3.1 Surface and Ion-exchange Processes 97
4.3.2 Ion Migration 99
4.4 Conclusions and Outlook 101
Acknowledgments 101
References 101
Chapter 5 Sol–Gel Glass and Nano–Macro Porous Bioscaffolds 105
5.1 Introduction 105
5.1.1 Tailored Amorphous Multi-Porous (TAMP) Bioscaffolds 106
5.2 Chemistry and Mechanisms of Fabrication of Sol–Gel Bioactive Glasses 109
5.2.1 Basic Concepts of Sol-Gel Processing 109
5.2.2 Modified Sol–Gel Process: Introduction of Multimodal Porosity via Multiscale Spinodal Phase Separation 110
5.3 Biodegradation of TAMP Bioscaffolds Fabricated by Modified Sol-Gel Method 113
5.4 Cell Response to TAMP Bioscaffolds 116
5.4.1 The Effect of Chemical Composition: Bioactive Glasses Substituted with Boron 117
5.4.2 The Effect of Surface Topology on Attachment and Proliferation of Osteoblast Cells to Bioactive Glasses 118
5.4.3 The Role of Bioactive Glass Nanostructure (Nanopore Size and Phase Separation) on Cell and Protein Attachment 119
5.4.4 Challenges of Investigating Cells on Porous Glasses 123
5.5 In vivo Experimental Animal Studies and Clinical Trial 125
5.6 Conclusions and Outlook 129
Acknowledgments 130
References 130
Chapter 6 Tailoring of Bioactive Glasses 136
6.1 Introduction 136
6.2 Development of the Bioactive Glasses 45S5 and S53P4 138
6.3 Requirements for a Bioactive Glass 139
6.4 Properties from Glass Structure 141
6.4.1 Glass Network and Bioactivity 141
6.4.2 Molecular Dynamics Simulations and Bioactivity 142
6.5 Property-Composition Models 143
6.5.1 In vivo Models 143
6.5.2 In vitro Models 145
6.5.3 Dissolution in Dynamic Solutions 148
6.5.4 Models for Hot-working Properties 151
6.6 Tailoring of Glass Composition 152
6.7 Conclusions and Outlook 156
References 157
Chapter 7 Bioactive Glass Products Produced via Sintering 161
7.1 Introduction 161
7.2 Glass Sintering Principles 162
7.2.1 Viscous Sintering 162
7.2.2 Viscous Sintering with Crystallization 164
7.2.3 Viscous Sintering of Composites 166
7.3 Formation of Bioactive Glass Products by Sintering 167
7.3.1 Spherical Particles and Granules 167
7.3.2 Coatings 173
7.3.3 Composites 173
7.3.4 Three-dimensional Scaffolds 175
7.4 Conclusions and Outlook 178
Acknowledgments 179
References 179
Chapter 8 Bioactive Nanoparticles, Nanofibers, and Polymeric Nanocomposites 183
8.1 Introduction 183
8.2 Bioactive Glass Nanoparticles 186
8.2.1 Sol–Gel 188
8.2.2 Flame Spray Synthesis 188
8.2.3 Microemulsion 189
8.3 Bioactive Glass Nanofibers 189
8.3.1 Electrospinning 190
8.3.2 Laser Spinning 191
8.4 Polymer Nanocomposites 192
8.4.1 Mechanical Properties 195
8.4.2 Degradation Properties 195
8.4.3 Biological Properties 196
8.4.4 Synthetic Polymer Nanocomposites 196
8.4.5 Natural Polymer Nanocomposites 200
8.4.6 Blends of Synthetic and Natural Polymeric Nanocomposites 207
8.5 Conclusions and Outlook 209
Acknowledgments 209
References 209
Chapter 9 Surface Functionalization of Bioactive Glasses: Reactive Groups, Biomolecules and Drugs on Bioactive Surfaces for Smart and Functional Biomaterials 221
9.1 Bioactive Glasses and their Surface Reactivity 221
9.2 Introduction of Specific Reactive Functionalities and/or Spacer Molecules 224
9.3 Surface Grafting of Biomolecules and Drugs 231
9.4 Conclusions and Outlook 232
References 233
Chapter 10 Bioactive Glass Particulate-incorporated Polymer Composites 236
10.1 Introduction 236
10.2 Techniques for the Processing of Dense Composites Incorporating Bioactive Glass 239
10.2.1 Melt Blending and Injection Moulding 239
10.2.2 Melt Blending and Compression Moulding 239
10.2.3 Solvent Casting 240
10.2.4 Coatings 241
10.3 Techniques for the Processing of Porous Composite Scaffolds Incorporating Bioactive Glass 242
10.3.1 Particulate Leaching 242
10.3.2 Gas Foaming 242
10.3.3 Thermally Induced Phase Separation 243
10.3.4 Solid Freeform Fabrication 245
10.3.5 Microsphere Sintering 246
10.3.6 Coated Porous Scaffold 246
10.3.7 Electrospinning 247
10.4 Hydrogel-based Composite with Bioactive Glasses 249
10.5 Conclusions and Outlook 250
References 250
Chapter 11 Phosphate Glass Fibres and Their Composites 257
11.1 Introduction 257
11.2 Phosphate Glass Fibres (PGFs) 258
11.2.1 Manufacture of Phosphate Glass Fibres 258
11.2.2 Properties of Phosphate Glass Fibres 260
11.2.3 Biomedical Applications of Phosphate Glass Fibres 262
11.3 Phosphate Glass Fibre-reinforced Composites 264
11.3.1 Manufacturing PGF Composites 266
11.3.2 Properties of PGF-based composites 268
11.4 Biomedical Applications of PGF Composites 273
11.4.1 Bone Repair 273
11.4.2 Dental Applications 276
11.4.3 Soft Tissue Repair 276
11.5 Conclusions and Outlook 277
Abbreviations 278
References 278
Chapter 12 Organic–Inorganic Hybrid Biomaterials 286
12.1 Introduction 286
12.1.1 Lessons From Nature 286
12.1.2 Silica Hybrids and Their Classes 287
12.2 Polymer Source and Silanisation Reactions 289
12.2.1 Incorporation of Alkoxysilane Moieties 289
12.2.2 Bottom-up Design of Polymers 292
12.3 Inorganic Bioactive Source 293
12.3.1 Metal Alkoxide 294
12.3.2 Polymers with Cation Chelating Property 296
12.4 Structure and Properties of O-I Hybrid Materials 296
12.4.1 Organic-Inorganic Interfacial Region 297
12.5 Conclusions and Outlook 299
References 300
Chapter 13 Cell Interactions with Calcium Phosphate Glasses 303
13.1 Biomaterials on the Regeneration Cosmos 303
13.2 Introduction to Calcium Phosphate Glasses 304
13.3 CaP Glass and Its Biological Interactions 307
13.3.1 Mesenchymal and Bone Cells 307
13.3.2 Fibroblast Cells 309
13.3.3 Endothelial and Vascular Cells 310
13.4 Conclusions and Outlook 313
Acknowledgments 313
References 314
Chapter 14 Bioactive Glasses in Infection Treatment 316
14.1 Introduction 316
14.2 Chronic Osteomyelitis: Basic Principles and Limits of Current Treatments 317
14.3 Bioactive Glass in Bone Infection Treatment 320
14.4 Antibacterial Properties of Bioactive Glasses 321
14.4.1 Bioactive Glasses as Antimicrobial Agents 321
14.4.2 Broad Spectrum Antimicrobial Efficacy 323
14.4.3 Bioactive Glasses as an Enemy of Bacterial Biofilm 323
14.4.4 Bioactive Glasses: Wide Antimicrobial Spectrum But No Resistance Induction 325
14.4.5 Biofilm and Multidrug Resistance (MDR): A Harmful Combination 326
14.5 Bioactive Glass in Spinal Infections 326
14.5.1 Introduction 326
14.5.2 Bioactive Glass in Spinal Infections 326
14.6 Evaluation of S53P4 Bioactive Glass as a Filler Material in Mastoid Obliteration for Chronic Otitis Media and Cholesteatoma 328
14.6.1 Introduction 328
14.6.2 BAG-S53P4 in Mastoid Obliteration 329
References 331
Chapter 15 Bioactive Glasses for Soft Tissue Engineering Applications 336
15.1 Introduction 336
15.2 Interactions Between BGs and Soft Tissues 338
15.3 Applications of Bioactive Glasses in Soft Tissue Engineering 339
15.3.1 Skin Repair and Wound Healing 339
15.3.2 Nerve Tissue Regeneration 341
15.3.3 Other Applications 343
15.4 Angiogenic Activity of Bioactive Glasses 345
15.4.1 In vitro Evidence in Bone and Soft Tissues 345
15.4.2 In vivo Evidence in Bone and Soft Tissues 349
15.5 Existing Patents Involving Bioactive Glasses for Soft Tissue Repair 352
15.5.1 Hemostatic 353
15.5.2 Cosmetic 353
15.5.3 Wound/Burn Healing 353
15.5.4 Percutaneous Fixation 353
15.5.5 Gastrointestinal Ulcers 354
15.6 Conclusions and Future Scope 354
References 355
Chapter 16 Bioactive Glasses as Carriers of Therapeutic Ions and the Biological Implications 362
16.1 Introduction 362
16.2 Bioinorganics and Metallic Ions for Biomedical Applications 364
16.3 Bioactive Glasses as Carriers for Therapeutic Ions 367
16.4 Osteogenic Response to Bioactive Glasses (BGs) 370
16.4.1 Effect of Ca, Si and P from Standard Silicate Glass Compositions 370
16.4.2 Osteogenic Agents Released from BGs 373
16.5 Angiogenic Potential of BGs 374
16.5.1 Angiogenesis in Bone Tissue Engineering 374
16.5.2 Angiogenic Potential of Standard Silicate Bioactive Glasses 375
16.5.3 BGs Doped with Angiogenic Agents 376
16.6 Antibacterial Properties of BGs 379
16.7 BGs Beyond Orthopaedics and Bone Tissue Engineering (BTE) 380
16.8 Conclusion and Outlook 381
References 383
Chapter 17 Mesoporous Bioactive Glasses in Tissue Engineering and Drug Delivery 393
17.1 What are Mesoporous Bioactive Glasses 393
17.2 Textural Properties of the MBGs 397
17.3 Bioactivity of MBGs 399
17.4 Improvement of MBGs by Adding Inorganic Ions 403
17.5 Applications of the MBGs in Tissue Engineering of Bone 406
17.6 Bactericide Capacity of MBG Scaffolds Enriched with Zn2+ or Ga3 410
17.7 Application of MBGs in Drug Delivery Systems 412
17.8 Conclusions and Outlook 414
Acknowledgments 415
References 415
Chapter 18 Bioactive Glasses for Nerve Regeneration 420
18.1 Introduction 420
18.2 Glass Tube for Nerve Regeneration 423
18.3 Glass Powders for Nerve Regeneration 424
18.4 Glass Fibres for Nerve Regeneration 426
18.4.1 Glass Fibre Wrap for the Treatment of Nerve Injuries 427
18.4.2 Aligned Glass Fibres to Support Axonal Regeneration 428
18.4.3 Hollow Glass Fibres for Growth Factor and Drug Release 433
18.5 Potential of Bioactive Glass for Release of Nerve Therapeutic Ions 435
18.6 Conclusions and Outlook 437
References 438
Chapter 19 Bioactive Silicate Glass in Implantable Medical Devices: From Research to Clinical Applications 442
19.1 Background 442
19.2 Bioactive Glass Coatings on Metallic Implants 443
19.2.1 Spray Coating 443
19.2.2 Enameling 446
19.2.3 Immersion Casting 448
19.2.4 Laser Cladding 448
19.2.5 Enameling by Direct Laser Treatment 449
19.2.6 Electrophoretic Deposition 451
19.2.7 Clinical Relevance of Bioactive Coatings on Metallic Implants 452
19.3 Fiber-reinforced Composite Implants 454
19.3.1 Load-bearing Fiber-reinforced Composite Implants 454
19.3.2 Fiber-reinforced Calvarial Implants 456
19.4 Conclusions and Outlook 458
References 459
Chapter 20 Glass Materials in Interventional Radiology and Interventional Oncology 471
20.1 Transarterial Embolization with Embolic Particles 471
20.2 ‘Bland' Embolization of Hypervascular Tumors/Uterine Fibroids 472
20.3 Clinical Challenges in TAE and Potential Areas for Glass Technology Innovation 473
20.4 Glass Materials as Image-able Beads for TAE 473
20.5 Embolization of Malignant Tumors 479
20.6 Glass Materials for Selective Therpauetic Efficacy in Malignant Tumors 481
20.7 Composition-Structure-Property Relationships for Yttrium Aluminosilicate Glasses 482
20.8 Clinical Efficacy of 90Y Glass Microspheres Therapy in Oncology 484
20.9 Emerging Opportunities for Therapeutic Glasses in Interventional Oncology 485
20.10 Conclusions and Outlook 488
References 488
Chapter 21 Sol-Gel-Derived Glasses for Bone Tissue Engineering 496
21.1 Introduction 496
21.2 Bone 497
21.2.1 Calcium 499
21.2.2 Phosphorous 500
21.2.3 Silica 500
21.3 Bioactive Glasses 500
21.3.1 Sol-Gel-Derived Bioactive Glasses 501
21.4 Scaffold Production 503
21.4.1 Foam Scaffolds 504
21.4.2 Fibrous Scaffolds 506
21.5 Mesoporous Bioactive Glasses 507
21.6 Sol-Gel-Derived Coatings for Biomedical Applications 510
21.7 Other Sol-Gel Glasses 511
21.8 Conclusions and Outlook 513
References 513
Subject Index 522