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Wang J, Zhang L, Wang K. Bioactive ceramic-based materials: beneficial properties and potential applications in dental repair and regeneration. Regen Med 2024; 19:257-278. [PMID: 39118532 PMCID: PMC11321270 DOI: 10.1080/17460751.2024.2343555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2023] [Accepted: 04/12/2024] [Indexed: 08/10/2024] Open
Abstract
Bioactive ceramics, primarily consisting of bioactive glasses, glass-ceramics, calcium orthophosphate ceramics, calcium silicate ceramics and calcium carbonate ceramics, have received great attention in the past decades given their biocompatible nature and excellent bioactivity in stimulating cell proliferation, differentiation and tissue regeneration. Recent studies have tried to combine bioactive ceramics with bioactive ions, polymers, bioactive proteins and other chemicals to improve their mechanical and biological properties, thus rendering them more valid in tissue engineering scaffolds. This review presents the beneficial properties and potential applications of bioactive ceramic-based materials in dentistry, particularly in the repair and regeneration of dental hard tissue, pulp-dentin complex, periodontal tissue and bone tissue. Moreover, greater insights into the mechanisms of bioactive ceramics and the development of ceramic-based materials are provided.
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Affiliation(s)
- Jiale Wang
- State Key Laboratory of Oral Diseases, National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Sichuan University, No.14, Section 3rd of Renmin South Road, Chengdu, 610041, China
| | - Linglin Zhang
- State Key Laboratory of Oral Diseases, National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Sichuan University, No.14, Section 3rd of Renmin South Road, Chengdu, 610041, China
| | - Kun Wang
- State Key Laboratory of Oral Diseases, National Clinical Research Centre for Oral Diseases, West China Hospital of Stomatology, Sichuan University, No.14, Section 3rd of Renmin South Road, Chengdu, 610041, China
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Liang J, Lu X, Zheng X, Li YR, Geng X, Sun K, Cai H, Jia Q, Jiang HB, Liu K. Modification of titanium orthopedic implants with bioactive glass: a systematic review of in vivo and in vitro studies. Front Bioeng Biotechnol 2023; 11:1269223. [PMID: 38033819 PMCID: PMC10686101 DOI: 10.3389/fbioe.2023.1269223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Accepted: 09/18/2023] [Indexed: 12/02/2023] Open
Abstract
Bioactive glasses (BGs) are ideal biomaterials in the field of bio-restoration due to their excellent biocompatibility. Titanium alloys are widely used as a bone graft substitute material because of their excellent corrosion resistance and mechanical properties; however, their biological inertness makes them prone to clinical failure. Surface modification of titanium alloys with bioactive glass can effectively combine the superior mechanical properties of the substrate with the biological properties of the coating material. In this review, the relevant articles published from 2013 to the present were searched in four databases, namely, Web of Science, PubMed, Embase, and Scopus, and after screening, 49 studies were included. We systematically reviewed the basic information and the study types of the included studies, which comprise in vitro experiments, animal tests, and clinical trials. In addition, we summarized the applied coating technologies, which include pulsed laser deposition (PLD), electrophoretic deposition, dip coating, and magnetron sputtering deposition. The superior biocompatibility of the materials in terms of cytotoxicity, cell activity, hemocompatibility, anti-inflammatory properties, bioactivity, and their good bioactivity in terms of osseointegration, osteogenesis, angiogenesis, and soft tissue adhesion are discussed. We also analyzed the advantages of the existing materials and the prospects for further research. Even though the current research status is not extensive enough, it is still believed that BG-coated Ti implants have great clinical application prospects.
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Affiliation(s)
- Jin Liang
- Department of Oral and Maxillofacial Surgery, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - XinYue Lu
- The CONVERSATIONALIST Club and Department of Stomatological Technology, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - XinRu Zheng
- The CONVERSATIONALIST Club and Department of Stomatological Technology, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - Yu Ru Li
- The CONVERSATIONALIST Club and Department of Stomatological Technology, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - XiaoYu Geng
- The CONVERSATIONALIST Club and Department of Stomatological Technology, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - KeXin Sun
- The CONVERSATIONALIST Club and Department of Stomatological Technology, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - HongXin Cai
- Department and Research Institute of Dental Biomaterials and Bioengineering, Yonsei University College of Dentistry, Seoul, Republic of Korea
| | - Qi Jia
- Department and Research Institute of Dental Biomaterials and Bioengineering, Yonsei University College of Dentistry, Seoul, Republic of Korea
| | - Heng Bo Jiang
- The CONVERSATIONALIST Club and Department of Stomatological Technology, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - Kai Liu
- School of Basic Medicine, Shandong First Medical University, Jinan, Shandong, China
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Kargozar S, Moghanian A, Rashvand A, Miri AK, Hamzehlou S, Baino F, Mozafari M, Wang AZ. Nanostructured bioactive glasses: A bird's eye view on cancer therapy. WILEY INTERDISCIPLINARY REVIEWS. NANOMEDICINE AND NANOBIOTECHNOLOGY 2023; 15:e1905. [PMID: 37259946 DOI: 10.1002/wnan.1905] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/22/2022] [Revised: 04/27/2023] [Accepted: 05/03/2023] [Indexed: 06/02/2023]
Abstract
Bioactive glasses (BGs) arewell known for their successful applications in tissue engineering and regenerative medicine. Recent experimental studies have shown their potential usability in oncology, either alone or in combination with other biocompatible materials, such as biopolymers. Direct contact with BG particles has been found to cause toxicity and death in specific cancer cells (bone-derived neoplastic stromal cells) in vitro. Nanostructured BGs (NBGs) can be doped with anticancer elements, such as gallium, to enhance their toxic effects against tumor cells. However, the molecular mechanisms and intracellular targets for anticancer compositions of NBGs require further clarification. NBGs have been successfully evaluated for use in various well-established cancer treatment strategies, including cancer hyperthermia, phototherapy, and anticancer drug delivery. Existing results indicate that NBGs not only enhance cancer cell death, but can also participate in the regeneration of lost healthy tissues. However, the application of NBGs in oncology is still in its early stages, and numerous unanswered questions must be addressed. For example, the impact of the composition, biodegradation, size, and morphology of NBGs on their anticancer efficacy should be defined for each type of cancer and treatment strategy. Moreover, it should be more clearly assessed whether NBGs can shrink tumors, slow/stop cancer progression, or cure cancer completely. In this regard, the use of computational studies (in silico methods) is highly recommended to design the most effective glass formulations for cancer therapy approaches and to predict, to some extent, the relevant properties, efficacy, and outcomes. This article is categorized under: Implantable Materials and Surgical Technologies > Nanomaterials and Implants Implantable Materials and Surgical Technologies > Nanotechnology in Tissue Repair and Replacement Therapeutic Approaches and Drug Discovery > Nanomedicine for Oncologic Disease.
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Affiliation(s)
- Saeid Kargozar
- Department of Radiation Oncology, Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas, USA
- Tissue Engineering Research Group (TERG), Department of Anatomy and Cell Biology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Amirhossein Moghanian
- Department of Materials Engineering, Imam Khomeini International University, Qazvin, Iran
| | - Ali Rashvand
- Department of Materials Engineering, Imam Khomeini International University, Qazvin, Iran
| | - Amir K Miri
- Department of Biomedical Engineering, New Jersey Institute of Technology, Newark, New Jersey, USA
| | - Sepideh Hamzehlou
- Department of Dermatology, UT Southwestern Medical Center, Dallas, Texas, USA
| | - Francesco Baino
- Institute of Materials Physics and Engineering, Applied Science and Technology Department, Politecnico di Torino, Torino, Italy
| | - Masoud Mozafari
- Research Unit of Health Sciences and Technology, Faculty of Medicine, University of Oulu, Oulu, Finland
| | - Andrew Z Wang
- Department of Radiation Oncology, Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, Texas, USA
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Kaou MH, Furkó M, Balázsi K, Balázsi C. Advanced Bioactive Glasses: The Newest Achievements and Breakthroughs in the Area. NANOMATERIALS (BASEL, SWITZERLAND) 2023; 13:2287. [PMID: 37630871 PMCID: PMC10459405 DOI: 10.3390/nano13162287] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Revised: 07/28/2023] [Accepted: 08/07/2023] [Indexed: 08/27/2023]
Abstract
Bioactive glasses (BGs) are especially useful materials in soft and bone tissue engineering and even in dentistry. They can be the solution to many medical problems, and they have a huge role in the healing processes of bone fractures. Interestingly, they can also promote skin regeneration and wound healing. Bioactive glasses are able to attach to the bone tissues and form an apatite layer which further initiates the biomineralization process. The formed intermediate apatite layer makes a connection between the hard tissue and the bioactive glass material which results in faster healing without any complications or side effects. This review paper summarizes the most recent advancement in the preparation of diverse types of BGs, such as silicate-, borate- and phosphate-based bioactive glasses. We discuss their physical, chemical, and mechanical properties detailing how they affect their biological performances. In order to get a deeper insight into the state-of-the-art in this area, we also consider their medical applications, such as bone regeneration, wound care, and dental/bone implant coatings.
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Affiliation(s)
- Maroua H. Kaou
- Centre for Energy Research, Institute of Technical Physics and Materials Science, Konkoly-Thege M. Str. 29-33, 1121 Budapest, Hungary; (M.H.K.); (M.F.); (K.B.)
- Doctoral School of Materials Science and Technologies, Óbuda University, Bécsi Str. 96/B, 1030 Budapest, Hungary
| | - Mónika Furkó
- Centre for Energy Research, Institute of Technical Physics and Materials Science, Konkoly-Thege M. Str. 29-33, 1121 Budapest, Hungary; (M.H.K.); (M.F.); (K.B.)
| | - Katalin Balázsi
- Centre for Energy Research, Institute of Technical Physics and Materials Science, Konkoly-Thege M. Str. 29-33, 1121 Budapest, Hungary; (M.H.K.); (M.F.); (K.B.)
| | - Csaba Balázsi
- Centre for Energy Research, Institute of Technical Physics and Materials Science, Konkoly-Thege M. Str. 29-33, 1121 Budapest, Hungary; (M.H.K.); (M.F.); (K.B.)
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Tan S, Chen S, Lei Q, Ma D. A novel rapidly mineralized biphasic calcium phosphate with high acid-resistance stability for long-term treatment of dentin hypersensitivity. Dent Mater 2023; 39:260-274. [PMID: 36710096 DOI: 10.1016/j.dental.2023.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 01/15/2023] [Accepted: 01/22/2023] [Indexed: 01/29/2023]
Abstract
OBJECTIVES Treating dental hypersensitivity (DH) rapidly and maintaining long-term effectiveness remains challenging. We aimed to address this problem by fabricating a novel rapidly mineralized biphasic calcium phosphate (RMBCP), which could rapidly elicit mineralization to form hydroxyapatite (HA) and perform excellent acid-resistant stability, thus effectively blocking the exposed dental tubules and protecting them from acid attack. METHODS RMBCP was firstly synthesized by precisely adjusting the molar ratio of acetic acid and calcium hydroxide and characterized by X-ray diffraction (XRD), X-ray fluorescence microprobe (XRF), Fourier-transform infrared (FTIR) spectrometer, scanning electron microscope (SEM), and transmission electron microscope (TEM). Subsequently, using a commercialized desensitizing agent, 45S5 bioglass (BG), as the control group, the mineralization performance of RMBCP was investigated in simulated body fluid (SBF), Dulbecco's modified eagle medium (DMEM), and even slightly acidic artificial saliva (pH=6.6). Moreover, the biocompatibility of RMBCP was studied. Finally, the tubule occlusion effect and acid-resistant stability of RMBCP were evaluated in vitro and in vivo. RESULTS The rapid mineralization behavior of RMBCP could easily adhere to the dentin surface and block the dentinal tubules completely in vitro and in vivo within 7days. RMBCP performed high acid-resistant stability to maintain the long-term therapeutic effect of DH treatment. SIGNIFICANCE Developing novel bioactive calcium phosphate materials with the ability to trigger mineralization for HA formation rapidly will be an effective strategy for the long-term treatment of dentin hypersensitivity.
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Affiliation(s)
- Shenglong Tan
- Department of Endodontics, Stomatological Hospital, Southern Medical University, Guangzhou, Guangdong, China; School of Stomatology, Southern Medical University, Guangzhou, Guangdong, China
| | - Shangsi Chen
- Department of Mechanical Engineering, The University of Hong Kong, Hong Kong, China
| | - Qian Lei
- Department of Endodontics, Stomatological Hospital, Southern Medical University, Guangzhou, Guangdong, China; School of Stomatology, Southern Medical University, Guangzhou, Guangdong, China
| | - Dandan Ma
- Department of Endodontics, Stomatological Hospital, Southern Medical University, Guangzhou, Guangdong, China; School of Stomatology, Southern Medical University, Guangzhou, Guangdong, China.
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Chen X, Liu Y, Zhao Y, Ouyang Z, Zhou H, Li L, Li L, Li F, Xie X, Hill RG, Wang S, Chen X. Halide-containing bioactive glasses enhance osteogenesis in vitro and in vivo. BIOMATERIALS ADVANCES 2022; 143:213173. [PMID: 36356468 DOI: 10.1016/j.bioadv.2022.213173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/27/2022] [Revised: 10/17/2022] [Accepted: 10/23/2022] [Indexed: 06/16/2023]
Abstract
The application of bone substitutes to reconstruct bone defects is a strategy for repairing alveolar bone loss caused by periodontal disease. Bioactive glasses (BGs) are attractive synthetic bone substitutes owing to their abilities to degrade, form bone-like mineral and stimulate bone regeneration. Our previous studies showed that the incorporation of fluoride into alkali-free bioactive silicate glass promoted osteogenesis to some extent in vitro, while the incorporation of chloride facilitated glass degradation and accelerated the formation of hydroxyapatite. However, whether there is a synergistic effect of incorporating fluoride and chloride on further enhancement of osteogenesis and angiogenesis in vitro and in vivo was not known. Therefore, we synthesized three halide-containing BGs with fluoride only, or chloride only, or mixed fluoride and chloride, investigated their physicochemical properties and osteogenic and angiogenic effects both in vitro and in vivo. The results showed that the addition of both fluoride and chloride in a bioactive silicate glass could combine the structural roles of both, leading to a faster apatite formation than the glass with the presence of fluoride only and a more stable fluorapatite formation than the glass with the presence of chloride only, which formed hydroxyapatite upon immersion. The studied BGs were cytocompatible, as suggested by the cytotoxicity evaluation of hPDLSCs cultivated in the extracted BGs-conditioned culture media. More importantly, these BGs stimulated osteogenic differentiation of hPDLSCs without adding growth factors as indicated by the fact that BGs-conditioned media up-regulated the expression of BMP-2, OPN and VEGF of hPDLSCs and promoted the formation of bone nodules and collagen in vitro. By comparison, the incorporation of fluoride facilitated the expression of osteogenic-related biomarkers and bone nodule formation preferentially, while the incorporation of chloride induced the expression of angiogenic-related biomarkers and collagen formation. The in vivo investigation results demonstrated that the developed halide-containing BGs accelerated the process of bone regeneration, while the glass with mixed fluoride and chloride showed the most significant promotion effect among the three BGs. Therefore, our findings revealed a synergistic effect of incorporating fluoride and chloride into a BG on osteogenesis and angiogenesis in vitro and in vivo and highlighted the potential of fluoride and chloride containing bioactive glasses being bone substitutes for clinical use.
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Affiliation(s)
- Xiaojing Chen
- Xiangya School of Stomatology, Central South University, Changsha 410008, Hunan, China; Xiangya Stomatological Hospital, Central South University, Changsha 410008, Hunan, China; Hunan Key Laboratory of Oral Health Research, Central South University, Changsha 410008, Hunan, China; Academician Workstation for Oral-maxillofacial and Regenerative Medicine, Central South University, Changsha 410008, Hunan, China.
| | - Yuting Liu
- Xiangya School of Stomatology, Central South University, Changsha 410008, Hunan, China; Xiangya Stomatological Hospital, Central South University, Changsha 410008, Hunan, China; Hunan Key Laboratory of Oral Health Research, Central South University, Changsha 410008, Hunan, China
| | - Yue Zhao
- Xiangya School of Stomatology, Central South University, Changsha 410008, Hunan, China; Xiangya Stomatological Hospital, Central South University, Changsha 410008, Hunan, China; Hunan Key Laboratory of Oral Health Research, Central South University, Changsha 410008, Hunan, China
| | - Zechi Ouyang
- Xiangya School of Stomatology, Central South University, Changsha 410008, Hunan, China; Xiangya Stomatological Hospital, Central South University, Changsha 410008, Hunan, China; Hunan Key Laboratory of Oral Health Research, Central South University, Changsha 410008, Hunan, China
| | - Hongbo Zhou
- Xiangya School of Stomatology, Central South University, Changsha 410008, Hunan, China; Xiangya Stomatological Hospital, Central South University, Changsha 410008, Hunan, China; Hunan Key Laboratory of Oral Health Research, Central South University, Changsha 410008, Hunan, China
| | - Lisha Li
- Xiangya School of Stomatology, Central South University, Changsha 410008, Hunan, China; Xiangya Stomatological Hospital, Central South University, Changsha 410008, Hunan, China; Hunan Key Laboratory of Oral Health Research, Central South University, Changsha 410008, Hunan, China
| | - Long Li
- Xiangya School of Stomatology, Central South University, Changsha 410008, Hunan, China; Xiangya Stomatological Hospital, Central South University, Changsha 410008, Hunan, China; Hunan Key Laboratory of Oral Health Research, Central South University, Changsha 410008, Hunan, China
| | - Fenghua Li
- Xiangya School of Stomatology, Central South University, Changsha 410008, Hunan, China; Xiangya Stomatological Hospital, Central South University, Changsha 410008, Hunan, China; Hunan Key Laboratory of Oral Health Research, Central South University, Changsha 410008, Hunan, China
| | - Xiaoli Xie
- Xiangya School of Stomatology, Central South University, Changsha 410008, Hunan, China; Xiangya Stomatological Hospital, Central South University, Changsha 410008, Hunan, China; Hunan Key Laboratory of Oral Health Research, Central South University, Changsha 410008, Hunan, China
| | - Robert G Hill
- Institute of Dentistry, Dental Physical Sciences Unit, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, UK
| | - Songlin Wang
- Academician Workstation for Oral-maxillofacial and Regenerative Medicine, Central South University, Changsha 410008, Hunan, China; Beijing Laboratory of Oral Health, Capital Medical University, Beijing 100069, China; Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Capital Medical University, Beijing 100069, China.
| | - Xiaohui Chen
- Division of Dentistry, School of Medical Sciences, The University of Manchester, Manchester, UK.
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Chen X, Wang M, Kenny C, Chen X, Karpukhina N, Hill RG. Novel Fluoride- and Chloride-containing Bioactive Glasses for Use in Air Abrasion. J Dent 2022; 125:104252. [PMID: 36030643 DOI: 10.1016/j.jdent.2022.104252] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Revised: 08/06/2022] [Accepted: 08/10/2022] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES To investigate the degradation, fluorapatite formation, biological safety and cutting efficiency on dentine of the mixed fluoride- and chloride-containing bioactive glasses (BGs). METHODS Two series of mixed fluoride- and chloride-containing glasses (GPFCl and GPF2.3Cl series) were synthesized using a melt-quench method. Glass transition temperature (Tg) and the bioactivity in term of glass degradation and fluorapatite formation were evaluated in Tris buffer solution. The cutting efficiency of the powdered BGs (GPF2.3Cl series) on dentine via air abrasion was investigated using white light profilometry and scanning electron microscope. The cytotoxicity of GPF2.3Cl series on human periodontal ligament stem cells (hPLSCs) and oral fibroblasts (OFB) were examined by MTT. RESULTS These BGs are highly degradable and able to form fluorapatite within 3h of immersion. The formation of CaF2 was also found in the high fluoride-containing BGs. The faster glass degradation was evidenced in the BGs with higher chloride. A significant reduction of Tg from 790°C to 463°C was seen with increasing in calcium halide content. Air abrasion on dentine using the low and intermediate chloride-containing glasses demonstrates clear depressions, while no depression was found using the high chloride-containing glass. Moreover, the studied BGs showed no cytotoxicity to hPLSCs and OFB. CONCLUSIONS The glasses with mixed fluoride and chloride integrate the benefits from the presence of both, showing rapid glass degradation, fast fluorapatite formation, excellent biocompatibility and controllable hardness to provide a selective cutting efficiency on dentine. CLINICAL SIGNIFICANCE The developed BGs air abrasive with tunable hardness by varying chloride content can selectively cut different dental tissues. In clinic, a relatively hard BG is of great interest for caries preparation, while a soft glass is attractive for tooth cleaning.
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Affiliation(s)
- Xiaojing Chen
- Hunan Key Laboratory of Oral Health Research & Academician Workstation for Oral-maxillofacial and Regenerative Medicine & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008, Hunan, China; Institute of Dentistry, Dental Physical Sciences Unit, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, E1 4NS, UK.
| | - Minyuan Wang
- Hunan Key Laboratory of Oral Health Research & Academician Workstation for Oral-maxillofacial and Regenerative Medicine & Xiangya Stomatological Hospital & Xiangya School of Stomatology, Central South University, Changsha, 410008, Hunan, China
| | - Catherine Kenny
- Institute of Dentistry, Dental Physical Sciences Unit, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, E1 4NS, UK
| | - Xiaohui Chen
- Division of Dentistry, School of Medical Sciences, The University of Manchester, Manchester, M13 9PL, UK
| | - Natalia Karpukhina
- Institute of Dentistry, Dental Physical Sciences Unit, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, E1 4NS, UK
| | - Robert G Hill
- Institute of Dentistry, Dental Physical Sciences Unit, Barts & The London School of Medicine and Dentistry, Queen Mary University of London, E1 4NS, UK
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