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ix
© Woodhead Publishing Limited, 2011
x Contributor contact details
1 Chapter 5 Chapter 7
2
X. Chatzistavrou and A. R. S. Verrier
3
Boccaccini* Musculoskeletal Regeneration
4
Institute of Biomaterials AO Research Institute Davos
5 Department of Materials Science 7270 Davos
6 and Engineering Switzerland
7 University of Erlangen-Nuremberg
8 91058 Erlangen J. E. Gough
9 Germany School of Materials
10 E-mail: aldo.boccaccini@ww. University of Manchester
1 uni-erlangen.de Manchester M1 7HS
2 UK
3 P. Newby
4 Department of Materials A. R. Boccaccini*
5 Imperial College London Institute of Biomaterials
6 Prince Consort Road Department of Materials Science
7 London SW7 2BP and Engineering
8 UK University of Erlangen-Nuremberg
9 91058 Erlangen
20 Germany
Chapter 6
1 E-mail: aldo.boccaccini@ww.
2 M. Erol uni-erlangen.de
Department of Chemical
3
Engineering Chapter 8
4
Istanbul Technical University
5 J. Heikkilä
Maslak
6 Assistant Professor in Orthopaedics
34469 Istanbul
7 Turkey and Traumatology
8 E-mail: [email protected] Sports Clinic and Hospital
9 Mehiläinen Turku
30 Kauppiaskatu 8
A. R. Boccaccini*
1 Institute of Biomaterials 20100 Turku
2 Department of Materials Science Finland
3 and Engineering E-mail: [email protected]
4 University of Erlangen-Nuremberg [email protected]
5 91058 Erlangen
6 Germany
7 E-mail: aldo.boccaccini@ww.
8 uni-erlangen.de
9
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Chapter 9 Chapter 11 1
2
N. C. Lindfors T. Niemelä and M. Kellomäki*
3
Department of Orthopaedic and Department of Biomedical
4
Hand Surgery Engineering
Helsinki University Central Tampere University of Technology 5
Hospital PO Box 692 6
Töölö Hospital 33101 Tampere 7
Topeliuksenkatu 5 Finland 8
00260 Helsinki E-mail: [email protected] 9
Finland 10
E-mail: [email protected] 1
Chapter 12
2
M. Shah Mohammadi, C. Stähli and 3
Chapter 10 S. N. Nazhat* 4
M. J. Peltola* and Department of Mining and Materials 5
K. M. J. Aitasalo Engineering 6
Department of Otorhinolaryngology McGill University 7
– Head and Neck Surgery 3610 University Street 8
Turku University Hospital Montreal
9
20521 Turku Quebec H3A 2B2
20
Finland Canada
1
E-mail: [email protected] E-mail: [email protected]
2
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4
5
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xiii
© Woodhead Publishing Limited, 2011
xiv Introduction
3
© Woodhead Publishing Limited, 2011
4 Bioactive glasses
1 bioactive glasses (Hench, 1991, 1992). The subsequent reactions in the surface
2 layers lead to bonding between the glass and surrounding tissue. Ideally, the glass
3 will dissolve and be replaced by new tissue in time.
4 The kinds of materials that were capable of bonding directly to living tissue
5 were called bioactive materials. Bioactive materials are defined as (1) materials
6 that have been designed to induce special biological activity; or (2) biomaterials
7 that are designed to elicit or modulate biological activity (Williams 1999).
8 Bioactive glasses are capable of forming a bond with both hard and soft tissue in
9 vivo or in vitro environments by developing a surface layer of hydroxycarbonate
10 apatite by release of ionic species from the bulk material (Williams 1999).
1 Bioactive glass research deals in large part with developing a fundamental
2 understanding of the dissolution and surface reactions of the glass and the tissue
3 response to the dissolving material. Over the years, the interactions of several
4 glass compositions with biological solutions have been studied. However, the
5 research has been concentrated mainly on compositions close to that of the
6 bioactive glass 45S5. Li et al. (1991) reported that sol-gel-derived glasses within
7 the system Na2O-CaO-SiO2 show bioactivity within a much larger composition
8 range than melt-derived glasses. Since then, sol-gel derived glasses have been
9 studied intensively. Jones (2008, 2009) has summarized the use of sol-gel glasses
20 as materials for nanostructured bioactive scaffolds.
1 This chapter deals with the properties of melt-derived bioactive glasses. The
2 standpoint is more in glass science and technology than in biological sciences.
3 The goal is to summarize various criteria to be considered when developing
4 glass compositions for new products to various clinical applications. Controlled
5 bioactivity is the basis for development of glass compositions. However, the
6 tissue-engineering approach to manufacture porous thin-walled scaffold structures
7 of glasses or to use glasses as constituents in composites calls for a better
8 understanding of the overall properties of the glasses.
9 Generally, glasses have good chemical durability. However, one of the most
30 important properties of bioactive glasses is their controlled reactivity in body
1 solutions. The reactivity of glasses in aqueous solutions is strongly dependent on
2 the glass composition and thus one of the key factors for choice of composition.
3 Chemical durability as well as several other glass properties can be adjusted
4 smoothly by the composition within a certain range. Further, when using bioactive
5 glasses in clinical applications, other properties than chemical durability should
6 be considered. Mechanical strength and especially the ability to sustain a certain
7 mechanical impact and loading are important properties during surgery. Basically,
8 the strength of glasses is high, but due to their brittle nature they cannot be used
9 in load-bearing applications. As mechanical properties are basically more
40 dependent on the surface condition of the glass than on the glass composition,
1 they are not essential for the composition choice.
2 Today the medical uses of bioactive glasses are based mainly on crushed
43X fractions. The intense research on bioactive and biodegradable glasses as