Biocompatibility of (Ba,Ca)(Zr,Ti)O3 piezoelectric ceramics for bone replacement materials

Studying the electrical, mechanical, and biological properties of BCZT-HA composites

The piezoelectric properties of natural bone and their influence on bone growth have inspired researchers to study a range of bio-piezoelectric composite materials. By exploring these materials, researchers aim to understand better, how piezoelectricity can be controlled to promote bone growth and tissue regeneration. In this work, the prominent piezoelectric material, (Ba, Zr) TiO3 -x(Ba,Ca)TiO3 , abbreviated as BCZT, was selected as a possible bone growth enhancer in hydroxyapatite (HA) scaffolds. Initially, BCZT and hydroxyapatite (HA) powders were synthesized using the sol-gel method. Subsequently, various composite samples of BCZT-xHA were prepared using the conventional solid-state method. After sintering the samples at 1300°C, the phase structure, microstructure, density, and electrical properties were characterized. The samples' compressive strength was determined by analyzing the outcomes of basic compression tests. The biological behavior of the samples in terms of in vitro simulated body fluid immersion and MTT tests were evaluated. Our results revealed that among the BCZT-xHA samples, the BCZT-20HA sample had the best composition, considering its electrical, mechanical, and biological properties. A d33 value of 10 pC/N, dielectric permittivity of 110, and the g33 equal to 10.27 mV m/N resulted in the output voltage of 1.03 V. The results of the MTT assay test confirmed the noncytotoxic nature of the samples with the highest optical density in the BCZT-20HA sample.

Accelerated Osteogenic Response of Electrodynamically Stimulated Mg1-xCaxSi1-xZrxO3 (x = 0-0.4) Bioelectrets

MgSiO3-based biodegradable ceramics demonstrated remarkable potential for treating small-scale bone defects and temporary bone replacement. In addition, the dissolution behavior of MgSiO3 bioceramics can be tuned by doping of Ca and Zr elements at Mg and Si sites, respectively. The present study reported the influence of formation of Ca- and Zr-codoped Mg1-xCaxSi1-xZrxO3 (x = 0, 0.1, 0.2, 0.3, and 0.4) bioelectrets and electrodynamic stimulation toward improving their osteogenic response. Mg1-xCaxSi1-xZrxO3 electrets were successfully synthesized by a solid-state route. A detailed X-ray photoelectron spectroscopy (XPS) analyses revealed that the electrets produced oxygen-deficient active sites. The formation of Mg1-xCaxSi1-xZrxO3 electrets significantly increased the surface hydrophilicity. Inductively coupled plasma (ICP) analyses were used to examine the leaching behavior of Ca/Zr-codoped MgSiO3 bioceramics. In vitro cell culture analyses indicated that the osteogenesis of MG-63 cells was remarkably enhanced on the electrodynamic field-treated Mg1-xCaxSi1-xZrxO3 bioelectrets as compared to hydroxyapatite (HA). Moreover, a better osteogenic response was observed for higher concentrations of Ca (0.3 and 0.4) and Zr (0.3 and 0.4) doping in the MgSiO3 bioelectrets. Further, the mechanism of enhanced cellular functionality was revealed by the measurement of intracellular Ca2+.

Injectable and biodegradable piezoelectric hydrogel for osteoarthritis treatment

Osteoarthritis affects millions of people worldwide but current treatments using analgesics or anti-inflammatory drugs only alleviate symptoms of this disease. Here, we present an injectable, biodegradable piezoelectric hydrogel, made of short electrospun poly-L-lactic acid nanofibers embedded inside a collagen matrix, which can be injected into the joints and self-produce localized electrical cues under ultrasound activation to drive cartilage healing. In vitro, data shows that the piezoelectric hydrogel with ultrasound can enhance cell migration and induce stem cells to secrete TGF-β1, which promotes chondrogenesis. In vivo, the rabbits with osteochondral critical-size defects receiving the ultrasound-activated piezoelectric hydrogel show increased subchondral bone formation, improved hyaline-cartilage structure, and good mechanical properties, close to healthy native cartilage. This piezoelectric hydrogel is not only useful for cartilage healing but also potentially applicable to other tissue regeneration, offering a significant impact on the field of regenerative tissue engineering.

Application of piezoelectric materials in the field of bone: a bibliometric analysis

In the past 4 decades, many articles have reported on the effects of the piezoelectric effect on bone formation and the research progress of piezoelectric biomaterials in orthopedics. The purpose of this study is to comprehensively evaluate all existing research and latest developments in the field of bone piezoelectricity, and to explore potential research directions in this area. To assess the overall trend in this field over the past 40 years, this study comprehensively collected literature reviews in this field using a literature retrieval program, applied bibliometric methods and visual analysis using CiteSpace and R language, and identified and investigated publications based on publication year (1984-2022), type of literature, language, country, institution, author, journal, keywords, and citation counts. The results show that the most productive countries in this field are China, the United States, and Italy. The journal with the most publications in the field of bone piezoelectricity is the International Journal of Oral & Maxillofacial Implants, followed by Implant Dentistry. The most productive authors are Lanceros-Méndez S, followed by Sohn D.S. Further research on the results obtained leads to the conclusion that the research direction of this field mainly includes piezoelectric surgery, piezoelectric bone tissue engineering scaffold, manufacturing artificial cochleae for hearing loss patients, among which the piezoelectric bone tissue engineering scaffold is the main research direction in this field. The piezoelectric materials involved in this direction mainly include polyhydroxybutyrate valerate, PVDF, and BaTiO3.

3D printing of piezoelectric and bioactive barium titanate-bioactive glass scaffolds for bone tissue engineering

Bone healing is a complex process orchestrated by various factors, such as mechanical, chemical and electrical cues. Creating synthetic biomaterials that combine several of these factors leading to tailored and controlled tissue regeneration, is the goal of scientists worldwide. Among those factors is piezoelectricity which creates a physiological electrical microenvironment that plays an important role in stimulating bone cells and fostering bone regeneration. However, only a limited number of studies have addressed the potential of combining piezoelectric biomaterials with state-of-the-art fabrication methods to fabricate tailored scaffolds for bone tissue engineering. Here, we present an approach that takes advantage of modern additive manufacturing techniques to create macroporous biomaterial scaffolds based on a piezoelectric and bioactive ceramic-crystallised glass composite. Using binder jetting, scaffolds made of barium titanate and 45S5 bioactive glass are fabricated and extensively characterised with respect to their physical and functional properties. The 3D-printed ceramic-crystallised glass composite scaffolds show both suitable mechanical strength and bioactive behaviour, as represented by the accumulation of bone-like calcium phosphate on the surface. Piezoelectric scaffolds that mimic or even surpass bone with piezoelectric constants ranging from 1 to 21 pC/N are achieved, depending on the composition of the composite. Using MC3T3-E1 osteoblast precursor cells, the scaffolds show high cytocompatibility coupled with cell attachment and proliferation, rendering the barium titanate/45S5 ceramic-crystallised glass composites promising candidates for bone tissue engineering.

Bio-Piezoelectric Ceramic Composites for Electroactive Implants-Biological Performance

Barium titanate (BaTiO3) piezoelectric ceramic may be a potential alternative for promoting osseointegration due to its piezoelectric properties similar to bone electric potentials generated in loading function. In this sense, the aim of this in vitro study was to evaluate the cellular response of human osteoblasts and gingival fibroblasts as well as the impact on S. oralis when in contact with BaTiO3 functionalized zirconia implant surfaces with piezoelectric properties. Zirconia discs with BaTiO3 were produced and contact poling (piezo activation) was performed. Osteoblasts (hFOB 1.19), fibroblasts (HGF hTERT) and S. oralis were culture on discs. Cell viability and morphology, cell differentiation markers, bacterial adhesion and growth were evaluated. The present study suggests that zirconia composite surfaces with the addition of piezoelectric BaTiO3 are not cytotoxic to peri-implant cells. Also, they seem to promote a faster initial osteoblast differentiation. Moreover, these surfaces may inhibit the growth of S. oralis by acting as a bacteriostatic agent over time. Although the piezoelectric properties do not affect the cellular inflammatory profile, they appear to enable the initial adhesion of bacteria, however this is not significant over the entire testing period. Furthermore, the addition of non-poled BaTiO3 to zirconia may have a potential reduction effect on IL-6 mediated-inflammatory activity in fibroblasts.

Piezocatalytic Medicine: An Emerging Frontier using Piezoelectric Materials for Biomedical Applications

Emerging piezocatalysts have demonstrated their remarkable application potential in diverse medical fields. In addition to their ultrahigh catalytic activities, their inherent and unique charge-carrier-releasing properties can be used to initiate various redox catalytic reactions, displaying bright prospects for future medical applications. Triggered by mechanical energy, piezocatalytic materials can release electrons/holes, catalyze redox reactions of substrates, or intervene in biological processes to promote the production of effector molecules for medical purposes, such as decontamination, sterilization, and therapy. Such a medical application of piezocatalysis is termed as piezocatalytic medicine (PCM) herein. To pioneer novel medical technologies, especially therapeutic modalities, this review provides an overview of the state-of-the-art research progress in piezocatalytic medicine. First, the principle of piezocatalysis and the preparation methodologies of piezoelectric materials are introduced. Then, a comprehensive summary of the medical applications of piezocatalytic materials in tumor treatment, antisepsis, organic degradation, tissue repair and regeneration, and biosensing is provided. Finally, the main challenges and future perspectives in piezocatalytic medicine are discussed and proposed, expecting to fuel the development of this emerging scientific discipline.

Comparative review of piezoelectric biomaterials approach for bone tissue engineering

Bone as a minerals' reservoir and rigid tissue of the body generating red and white blood cells supports various organs. Although the self-regeneration property of bone, it cannot regenerate spontaneously in severe damages and still remains as a challenging issue. Tissue engineering offers several techniques for regenerating damaged bones, where various biomaterials are examined to fabricate scaffolds for bone repair. Piezoelectric characteristic plays a crucial role in repairing and regenerating damaged bone by mimicking the bone niche behavior. Piezoelectric biomaterials show significant potential for bone tissue engineering. Herein we try to have a comparative review on piezoelectric and non-piezoelectric biomaterials used in bone tissue engineering, classified them, and discussed their effects on implanted cells and manufacturing techniques. Especially, Polyvinylidene fluoride (PVDF) and its composites are the most practically used piezoelectric biomaterials for bone regeneration. PVDF and its composites have been summarized and discussed to repair damaged bone tissues.

Giant Functional Properties in Porous Electroceramics through Additive Manufacturing of Capillary Suspensions

Dedicated hierarchical structuring of functional ceramics can be used to shift the limits of functionality. This work presents the manufacturing of highly open porous, hierarchically structured barium titanate ceramics with 3-3 connectivity via direct ink writing of capillary suspension-type inks. The pore size of the printed struts (∼1 μm) is combined with a printed mesostructure (∼100 μm). The self-organized particle network, driven by strong capillary forces in the ternary solid/fluid/fluid ink, results in a high strut porosity, and the distinct flow properties of the ink allow for printing high strut size to pore size ratios, resulting in total porosities >60%. These unique and highly porous additive manufactured log-pile structures with closed bottom and top layers enable tailored dielectric and electromechanical coupling, resulting in an energy harvesting figure of merit FOM₃₃ more than four times higher than any documented data for barium titanate. This clearly demonstrates that combining additive manufacturing of capillary suspensions in combination with appropriate sintering allows for creation of complex architected 3D structures with unprecedented properties. This opens up opportunities in a broad variety of applications, including electromechanical energy harvesting, electrode materials for batteries or fuel cells, thermoelectrics, or bone tissue engineering with piezoelectrically stimulated cell growth.

Biologically Compatible Lead-Free Piezoelectric Composite for Acoustophoresis Based Particle Manipulation Techniques

This research paper is concentrated on the design of biologically compatible lead-free piezoelectric composites which may eventually replace traditional lead zirconium titanate (PZT) in micromechanical fluidics, the predominantly used ferroelectric material today. Thus, a lead-free barium-calcium zirconate titanate (BCZT) composite was synthesized, its crystalline structure and size, surface morphology, chemical, and piezoelectric properties were analyzed, together with the investigations done in variation of composite thin film thickness and its effect on the element properties. Four elements with different thicknesses of BCZT layers were fabricated and investigated in order to design a functional acoustophoresis micromechanical fluidic element, based on bulk acoustic generation for particle control technologies. Main methods used in this research were as follows: FTIR and XRD for evaluation of chemical and phase composition; SEM-for surface morphology; wettability measurements were used for surface free energy evaluation; a laser triangular sensing system-for evaluation of piezoelectric properties. XRD results allowed calculating the average crystallite size, which was 65.68 Å3 confirming the formation of BCZT nanoparticles. SEM micrographs results showed that BCZT thin films have some porosities on the surface with grain size ranging from 0.2 to 7.2 µm. Measurements of wettability showed that thin film surfaces are partially wetting and hydrophilic, with high degree of wettability and strong solid/liquid interactions for liquids. The critical surface tension was calculated in the range from 20.05 to 27.20 mN/m. Finally, investigations of piezoelectric properties showed significant results of lead-free piezoelectric composite, i.e., under 5 N force impulse thin films generated from 76 mV up to 782 mV voltages. Moreover, an experimental analysis showed that a designed lead-free BCZT element creates bulk acoustic waves and allows manipulating bio particles in this fluidic system.

Enhanced ferroelectric and piezoelectric performance of (Ba0.85Ca0.15)(Zr0.1Ti0.9)O3 lead-free ceramics upon Ce and Sb co-doping

(Ba_0.85Ca_0.15)(Zr_0.1Ti_0.9−xCe_x)O₃+ySb (abbreviated as BCZTC_xS_y) ceramics were prepared by the conventional solid-state reaction. The effect of the co-doping of Ce and Sb on the phase structure, microstructure, dielectric, and ferroelectric and piezoelectric performances of BCZTC_xS_y ceramics were investigated systematically. The results indicated that the obtained ceramics are composed of coexisting rhombohedral and tetragonal phases. Significant improvements were also observed in the growth of grain, relative density, as well as electrical performance. After co-doping 0.05 mol% Ce and 0.10 mol% Sb, the sizes of crystalline grains reached the maximum. The following optimal properties were obtained: ε_r = 2353, tan δ = 0.026, T_c = 109.4 °C, P_max = 17.65 μC cm⁻², P_r = 10.43 μC cm⁻², E_c = 2.88 kV cm⁻¹, S_max = 0.125%, = 417 pm V⁻¹, d₃₃ = 372 pC N⁻¹. With the increase in dopants, the diffuseness γ increased from 1.663 to 1.733, indicating a more relaxed ferroelectric characteristic. All improvements show that BCZT ceramics co-doped with Ce and Sb could be promising candidates in lead-free devices.

(Ba_0.85Ca_0.15)(Zr_0.1Ti_0.9−xCe_x)O₃+ySb ceramics prepared by the conventional solid-state reaction.

Electroconductive scaffolds for tissue engineering applications

Materials that conduct electricity are studied in the context of tissue engineering. The mechanisms by which they interact with tissues are unclear and the complexity of the interface between biological and artificial systems is often underestimated.