Materials in the Na2O-CaO-SiO2-P2O5 System for Medical Applications

Calcium phosphate materials and materials based on silicon dioxide have been actively studied for more than 50 years due to their high biocompatibility and bioactivity. Hydroxyapatite and tricalcium phosphate are the most known among calcium phosphate materials, and Bioglass 45S5 is the most known material in the Na2O-CaO-SiO2-P2O5 system. Each of these materials has its application limits; however, some of them can be eliminated by obtaining composites based on calcium phosphate and bioglass. In this article, we provide an overview of the role of silicon and its compounds, including Bioglass 45S5, consider calcium phosphate materials, talk about the limits of each material, demonstrate the potential of the composites based on them, and show the other ways of obtaining composite ceramics in the Na2O-CaO-SiO2-P2O5 system.

Physico-geometrical kinetic insight into multistep thermal dehydration of calcium hydrogen phosphate dihydrate

The origin of the multistep thermal dehydration of calcium hydrogen phosphate dihydrate (dibasic calcium phosphate dihydrate (DCPD)) to form γ-calcium diphosphate (γ-calcium pyrophosphate (γ-CPP)) via calcium hydrogen phosphate anhydride (dibasic calcium phosphate anhydride (DCPA)) was investigated from a specific viewpoint of physico-geometrical constraints generated during the reaction. The overall thermal dehydration was separated into five partially overlapping steps through systematic kinetic analysis. The first three steps and the residual two steps were attributed to the thermal dehydration of DCPD to form DCPA and of DCPA to form γ-CPP, respectively. The first to third steps were kinetically characterized by the surface reaction of plate-like particles controlled by nucleation and growth, the movement of the reaction interface inward to the plate by releasing water vapor through voids formed in the surface product layer, and the rapid escape of water vapor accompanied by the cleavage of plate-like particles into slices, respectively. The contributions of each component step varied with the heating conditions and atmospheric water vapor pressure. The subsequent dehydration of DCPA proceeded in two steps by the release of trapped water molecules in amorphous DCPA induced by its gradual crystallization and the dehydration of DCPA to form poorly crystalline γ-CPP, which continued to grow during the fifth mass loss step and exhibited a detectable exothermic phenomenon after the mass loss was completed. The possible causes of the variation in the multistep reaction features with reaction conditions were discussed by correlating the kinetic analysis results with the crystallographic and morphological findings.

Bioceramics Based on β-Calcium Pyrophosphate

Ceramic samples based on β-calcium pyrophosphate β-Ca₂P₂O₇ were prepared from powders of γ-calcium pyrophosphate γ-Ca₂P₂O₇ with preset molar ratios Ca/P = 1, 0.975 and 0.95 using firing at 900, 1000, and 1100 °C. Calcium lactate pentahydrate Ca(C₃H₅O₃)₂⋅5H₂O and monocalcium phosphate monohydrate Ca(H₂PO₄)₂⋅H₂O were treated in an aqua medium in mechanical activation conditions to prepare powder mixtures with preset molar ratios Ca/P containing calcium hydrophosphates with Ca/P = 1 (precursors of calcium pyrophosphate Ca₂P₂O₇). These powder mixtures containing calcium hydrophosphates with Ca/P = 1 and non-reacted starting salts were heat-treated at 600 °C after drying and disaggregation in acetone. Phase composition of all powder mixtures after heat treatment at 600 °C was presented by γ-calcium pyrophosphate γ-Ca₂P₂O₇ according to the XRD data. The addition of more excess of monocalcium phosphate monohydrate Ca(H₂PO₄)₂·H₂O (with appropriate molar ratio of Ca/P = 1) to the mixture of starting components resulted in lower dimensions of γ-calcium pyrophosphate (γ-Ca₂P₂O₇) individual particles. The grain size of ceramics increased both with the growth in firing temperature and with decreasing molar ratio Ca/P of powder mixtures. Calcium polyphosphate (t _melt = 984 °C), formed from monocalcium phosphate monohydrate Ca(H₂PO₄)₂⋅H₂O, acted similar to a liquid phase sintering additive. It was confirmed by tests in vitro that prepared ceramic materials with preset molar ratios Ca/P = 1, 0.975, and 0.95 and phase composition presented by β-calcium pyrophosphate β-Ca₂P₂O₇ were biocompatible and could maintain bone cells proliferation.

Monetite, an important calcium phosphate compound-Its synthesis, properties and applications in orthopedics

This review recognizes a unique calcium phosphate (CaP) phase known as monetite or dicalcium phosphate anhydrous (DCPA, CaHPO₄), and presents an overview of its properties, processing, and applications in orthopedics. The motivation for the present effort is to highlight the state-of-the-art research and development of monetite and propel the research community to explore more of its potentials in orthopedics. After a brief introduction of monetite, we provide a summary of its various synthesis routes like dehydration, solvent-based, energy-assisted processes and also discuss the formation of different crystal structures with respect to the synthesis conditions. Subsequently, we discuss the material's noteworthy physico-chemical properties including the crystal structure, vibrational spectra, solubility, thermal decomposition, and conversion to other phases. Of note, we focus on the biological (in vitro and in vivo) properties of monetite, given its ever-increasing popularity as a biomaterial for medical implants. Appropriately, we discuss various orthopedic applications of monetite as bone cement, implant coatings, granules for defect fillers, and scaffolds. Many in vitro and in vivo studies confirmed the favorable osteointegration and osteoconduction properties of monetite products, along with a better balance between implant resorption and new bone formation as compared to other CaP phases. The review ends with translational aspects of monetite and presents thoughts about its possible future research directions. Further research may explore but not limited to improvements in mechanical strength of monetite-based scaffolds, using monetite particles as a therapeutic agent delivery, and tissue engineering strategies where monetite serves as the biomaterial. STATEMENT OF SIGNIFICANCE: This is the first review that focusses on the favorable potential of monetite for hard tissue repair and regeneration. The article accurately covers the "Synthesis-Structure-Property-Applications" correlations elaborating on monetite's diverse material properties. Special focus is put on the in vitro and in vivo properties of the material highlighting monetite as an orthopedic material-of-choice. The synthesis techniques are discussed which provide important information about the different fabrication routes for monetite. Most importantly, the review provides comprehensive knowledge about the diverse biomedical applications of monetite as granules, defect--specific scaffolds, bone cements and implant coatings. This review will help to highlight monetite's potential as an effective regenerative medicine and catalyze the continuing translation of this bioceramic from the laboratory to clinics.

Calcium phosphate powders synthesized from CaCO3 and CaO of natural origin using mechanical activation in different media combined with solid-state interaction

The highly pure and crystalline calcium carbonate (CaCO₃) and calcium oxide (CaO) with small amounts of As, Cd, Hg, and Pb were prepared by calcinating shells of a golden apple snail. Solid-state reaction and mechanical activation between the CaCO₃ and CaO from calcined golden apple snail shells and dibasic calcium phosphate dihydrate (CaHPO₄•2H₂O, DCPD) were performed to develop calcium phosphate powders. The effects of the milling media used on the mechanical activation were examined. A solid-state reaction of manually mixed CaCO₃ or CaO with DCPD powders at a temperature of 1100 °C produced mostly β-tricalcium phosphate (β-TCP). Hydroxyapatite (HAp) with a small quantity of β-TCP could be produced from a mixed CaCO₃ + DCPD powder using dry and wet mechanical activations with distilled water, alcohol and acetone and from a mixed CaO + DCPD powder using dry mechanical activation combined with a solid-state reaction at a temperature of 1100 °C. A phase change of milled powders to β-TCP was clearly observed from a wet mechanical activation of CaO + DCPD powder with distilled water or alcohol in a solid-state reaction. The thermal instability of HAp powders from a combined mechanical activation with solid-state reaction of CaCO₃ or CaO and DCPD powders could result from two factors. The first is that the pollution was released from the balls and pot mill materials during the mechanical process. Another factor is a reduced level of calcium in the CaO + DCPD mixed powder due to a reaction between CaO and water or alcohol during mechanical milling.