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PubMedDate not supplied

Radiographic analysis of a two-piece apatite implant: Part II. Preliminary report of 2-year observation.

Marginal bone height and bone density were evaluated for 2 years after two-piece dense hydroxyapatite implant (Apaceram) placement using standardized radiography and digital image processing. The chronological changes in marginal bone height were divided into three groups: Group I-level was constant or became higher with time; Group II-bone decreased gradually after superstructure placement; and Group III-bone decreased in height rapidly after abutment placement. Bone density around the successful Apaceram implant, especially in the crestal region, increased clearly. The results suggest that bone resorption/formation around the implant is related to occlusal stress, and that adequate occlusal stress should be exerted on the implant at each phase after the implant placement.

Adult↗

PubMed1993

Combined use of hydroxy-apatite and Tisseel in experimental bone defects in the rabbit.

An experimental study in the rabbit has been undertaken to evaluate differences in bone regeneration in and around solid (Alveograf) and porous (Interpore 200) hydroxyapatite granulae. Material was placed into experimentally made bone defects and in half of the defects HA was also mixed with fibrin sealant (Tisseel). Material alone or mixed with Tisseel was also placed subperiosteally adjacent to the mandibular bone. The observation time was six months. The study showed, however, no difference in bone regeneration around solid or porous hydroxyapatite granula nor could we see differences when mixed with Tisseel or not. Implant material placed subperiosteally did not induce bone formation nor did it provoke bone resorption. The use of fibrin sealant (Tisseel) made the hydroxyapatite material much more easy to handle and to retain in the tissue.

Alveolar Bone Loss↗

PubMed1993

Observations on structural features and characteristics of biological apatite crystals. 7. Observation on lattice imperfection of human tooth and bone crystals II.

In a series of studies to investigate the structural features of the biological crystal, such as the tooth and bone, using an electron microscope, we examined the ultrastructure of the human enamel, dentin, and bone crystals at near atomic resolution and showed the configuration of the hydroxyapatite structure through the cross and longitudinal sections of the enamel, dentin, and bone crystals. Subsequently, based on the results of our observations of the ultrastructure of the tooth and bone crystals, we attempted to clarify the essential structural features and characteristics of the lattice imperfections in the hydroxyapatite structure composing of the human enamel, dentin, and bone crystals from the morphological viewpoint. Therefore, using the same approach, we examined the images of the lattice imperfection of the normal human enamel, dentin, and bone crystals. In this report, following the previous observation of the lattice imperfection on the point defect structure and the dislocations appearing in the inner structure of the crystal, we describe the image of the face defect structure obtained by using the same approach from the sections of the human enamel, dentin, and bone crystals, such as the stacking fault, grain boundary, and others. The materials used for this study were the human enamel, dentin, and bone crystals. The small cubes of the material were fixed in glutaraldehyde and osmium tetroxide and embedded in epoxy resin using the routine methods. The ultrathin sections were cut with a diamond knife without decalcification. The sections were examined with the HITACHI H-800 H and H-9000 type transmission electron microscopes operated at 200 kV and 300 kV respectively. Each crystal was observed at an initial magnification of 300,000 times and at a final magnification of 10,000,000 times and over. We sincerely believe that the electron micrographs shown in this report are the first to show the images of the lattice imperfections from the sections obtained from the hydroxyapatite crystal composing of the human enamel, dentin, and bone tissue, such as the grain boundary, stacking fault, and others, at near atomic resolution.

Bone and Bones↗

PubMed1993

Observations on structural features and characteristics of biological apatite crystals. 4. Observation on ultrastructure of human bone crystals.

In a series of studies to investigate the structural features of the biological crystals such as the tooth and bone, following the previous observations of the tooth crystal using an electron microscope, we examined the ultrastructure of the human bone crystals at near atomic resolution through the cross and longitudinal sections of the crystals. The materials used for this study were the normal bone tissue obtained from the buccal alveolar compact bone of the human mandible in the portion of the lower first molar. The small cubes of the bone tissue were fixed in glutaraldehyde and osmium tetroxide and embedded in epoxy resin using the routine methods. The ultrathin sections were cut with a diamond knife without decalcification. The sections were examined with the HITACHI H-800 type transmission electron microscope operated at 200 kV. Each crystal was observed at the initial magnification of 300,000 times and at the final magnification of 10,000,000 times and over. Using this approach, we showed the configuration of the hydroxyapatite structure in the cross and longitudinal sections of the bone crystals deposited within and between the collagen fibrils (intrafibrillar and interfibrillar crystals) in the bone tissue. Furthermore, using the same approach, we observed the crystal lattices of the hydroxyapatite structure appearing in the cross and longitudinal sections. We sincerely believe that the electron micrographs shown in this report are the first atomic images from the section obtained from the hydroxyapatite crystal from the human alveolar bone.

Alveolar Process↗

PubMed1993

Observations on structural features and characteristics of biological apatite crystals. 5. Three-dimensional observation on ultrastructure of human enamel crystals.

In a series of studies to investigate the structural features of the biological crystals, such as the tooth and bone, using an electron microscope, we examined the ultrastructure of the enamel, dentin, and bone crystals at near atomic resolution and showed the configuration of the hydroxyapatite structure through the cross and longitudinal sections of the crystals. Thereafter, based on the results of the observations by the authors of the ultrastructure of the tooth and bone crystals, thinking that it might be possible to conduct direct three-dimensional observation of the configuration composing the unit cell of the hydroxyapatite crystals, we conducted a study on this. These results indicated that it was possible to sterically observe the configuration of the hydroxyapatite structure composing the enamel crystal. The materials used for this study were the middle layer of the noncarious enamel from the freshly extracted human erupted permanent molars. The small cubes of the enamel were fixed in glutaraldehyde and osmium tetroxide and embedded in epoxy resin using the routine methods. The ultrathin sections were cut with a diamond knife without decalcification and were examined with the HITACHI H-9000 H type transmission electron microscope operated at 300 kV. Each crystal was observed at an initial magnification of 500,000 times and at the final magnification of 10,000,000 times and over. We sincerely believe that the electron micrographs shown in this report are the first to show three-dimensionally the configuration of the hydroxyapatite structure composing the crystal in the cross and longitudinal sections of an enamel crystal.

Dental Enamel↗

PubMed1990

Resolution-enhanced Fourier transform infrared spectroscopy study of the environment of phosphate ions in the early deposits of a solid phase of calcium-phosphate in bone and enamel, and their evolution with age. I: Investigations in the upsilon 4 PO4 domain.

In order to investigate the possible existence in biological and poorly crystalline synthetic apatites of local atomic organizations different from that of apatite, resolution-enhanced, Fourier transform infrared spectroscopy studies were carried out on chicken bone, pig enamel, and poorly crystalline synthetic apatites containing carbonate and HPO4(2-) groups. The spectra obtained were compared to those of synthetic well crystallized apatites (stoichiometric hydroxyapatite, HPO4(2-)-containing apatite, type B carbonate apatite) and nonapatitic calcium phosphates which have been suggested as precursors of the apatitic phase [octacalcium phosphate (OCP), brushite, and beta tricalcium phosphate and whitlockite]. The spectra of bone and enamel, as well as poorly crystalline, synthetic apatite in the upsilon 4 PO4 domain, exhibit, in addition to the three apatitic bands, three absorption bands that were shown to be independent of the organic matrix. Two low-wave number bands at 520-530 and 540-550 cm-1 are assigned to HPO4(2-). Reference to known calcium phosphates shows that bands in this domain also exist in HPO4(2-)-containing apatite, brushite, and OCP. However, the lack of specific absorption bands prevents a clear identification of these HPO4(2-) environments. The third absorption band (610-615 cm-1) is not related to HPO4(2-) or OH- ions. It appears to be due to a labile PO4(3-) environment which could not be identified with any phosphate environment existing in our reference samples, and thus seems specific of poorly crystalline apatites. Correlation of the variations in band intensities show that 610-615 cm-1 band is related to an absorption band at 560 cm-1 superimposed on an apatite band. All the nonapatitic phosphate environments were shown to decrease during aging of enamel, bone, and synthetic apatites. Moreover, EDTA etching show that the labile PO4(3-) environment exhibited a heterogeneous distribution in the insoluble precipitate.

Aging↗

PubMed1990

Chemical and crystallographic events in the caries process.

The chemical and crystallographic events associated with the caries process can be described based on the results from the following studies: (a) effects of carbonate, magnesium, fluoride, and strontium on the physico-chemical properties--lattice parameters, crystallinity (crystal size and strain); dissolution properties of synthetic apatites; (b) factors influencing the in vitro formation and transformation of DCPD, OCP, AP (Ca-deficient apatites), FAP, beta-TCMP (Mg-substituted), and CaF2; and (c) studies on properties (crystallinity, composition, chemical, and thermal stabilities) of enamel, dentin, and bone. The dissolution of CO3-rich/Mg-rich/F-poor dental apatite crystals and re-precipitation of CO3-poor/Mg-poor/F-rich apatite in the presence of F- ions in solution contribute to a more acid-resistant surface layer of the caries lesion. Fluoride promotes the formation of less Ca-deficient and more stable apatite crystals. The presence of Ca, P, and F in solution inhibits dissolution of apatite more than does the presence of F alone. Low levels of F in solution promote the formation of (F, OH)-apatite, even under very acid conditions; an increase in F levels causes the formation of CaF2 at the expense of DCPD or apatite, especially in acid conditions. F in apatite and/or in solution suppresses extensive dissolution of dental apatite and enhances the formation of (F, OH)-apatite crystals which are more resistant against acid-dissolution than are F-free apatite crystals.

Apatites↗

PubMed2004

Enhanced contaminant desorption induced by phosphate mineral additions to sediment.

Apatite, Ca10(PO4)6(OH,F)2, has been successfully used as a soil amendment at numerous sites to immobilize metals and radionuclides. Such sites commonly contain multiple contaminants; the impact of apatite on these contaminants is expected to vary greatly. The objective of this study was to determine the influence of apatite on nontargeted sediment contaminants. Laboratory batch experiments were conducted under oxidized (several weekly wet/dry cycles) and reduced (water-saturated) conditions with a sediment collected from a wetland contaminated with numerous metals and radionuclides. Apatite additions resulted in the significant (p < or = 0.05) reduction of porewater Cd, Co, Hg, Pb, and U concentrations. However, apatite additions also resulted in the enhanced desorption of As, Se, and Th. Increases in porewater As and Se concentrations were the result of phosphate competitive exchange and not to the release of these contaminants directly from the apatite, which contained 29 mg kg(-1) As and 0.2 mg kg(-1) Se. Apatite additions increased porewater Th and organic C concentrations under oxidized (Eh = 497 mV) but not reduced (Eh = 65 mV) conditions. In the oxidized system, the leachate from the apatite treatment had a brown coloration and contained 226 mg L(-1) organic C, as compared to 141 mg L(-1) in the unamended samples. The desorbed organic C likely contained significant quantities of Th. This conclusion was supported by (i) the observation that porewater Th partitioned to hydrophobic resins, (ii) thermodynamic calculations which predicted that essentially all porewater Th existed as organic matter complexes, and (iii) there were significant correlations (r = 0.91, n = 8, p < or = 0.01) between porewater organic C and Th concentrations. Sediment additions of zero-valent iron particles along with the apatite eliminated the enhanced desorption of As, Se, and Th observed when only apatite was added. This study underscores the importance of monitoring the influence of sediment amendments on nontarget contaminants and provides examples of how the sediment additions of apatite can effectively immobilize some contaminants while enhancing the mobility of others.

Apatites↗

PubMed2001

Process of calcification on artificial materials.

CaO, SiO2-based glasses form the bonelike apatite on their surfaces in an acellular simulated body fluid (SBF) with ion concentrations nearly equal to those of the human blood plasma. The apatite formation of the former glasses is attributed to the catalytic effect of the Si-OH groups, which are formed on their surfaces in SBF, for the apatite nucleation. The gels of SiO2, TiO2, ZrO2, Ta2O5, and Nb2O5 formed the apatite on their surfaces in SBF, but Al2O3 gel did not. This indicates that the Ti-OH, Zr-OH, Ta-OH, and Nb-OH groups besides the Si-OH groups are also effective for the apatite nucleation, but Al-OH groups are not effective. Apatite formation on self-assembled monolayer terminated with various functional groups in SBF showed that COOH and H2PO4 groups are also effective for the apatite nucleation. All these groups are negatively charged around pH 7.40. Their apatite nucleating ability is varied with their arrangements. Among the Ti-OH groups, those in anatase structure are most effective for the apatite nucleation. Transmission electron microscope attached with energy dispersive X-ray spectrometer showed that these functional groups induce the apatite nucleation not directly, but through formation of their calcium compounds and subsequent formation of amorphous calcium phosphate with low Ca/P atomic ratios.

Apatites↗

PubMed2000

Bioactive tantalum metal prepared by NaOH treatment.

Untreated tantalum metal formed an apatite on its surface in simulated body fluid (SBF) with ion concentrations nearly equal to those of human blood plasma. However, it took an induction period as long as 4 weeks for apatite formation. The tantalum metal formed the apatite within 1 week when it was previously soaked in a 0.2 or 0.5M NaOH aqueous solution at 60 degrees C for 24 h to form a sodium tantalate hydrogel layer on its surface. The decrease in the induction period of apatite formation was attributed to the catalytic effect of the Ta-OH groups on the surface of the tantalum metal for apatite nucleation and acceleration of the apatite nucleation by an increased ionic activity product of the apatite in the fluid due to the release of Na(+) ions. The NaOH-treated tantalum metal can form apatite in a short period even in the living body and bond to the bone through this apatite layer. This indicates that a highly bioactive tantalum metal can be obtained by a simple chemical treatment.

Apatites↗

PubMed1999

Hydrolysis of alpha-tricalcium phosphate in NaF solutions.

Controlling the incorporation of Na and fluoride in apatite-based dental restoratives and analogs of bone formed under physiologic conditions may be desirable in controlling their long-term in vivo responses. Formation of these analogs was investigated. Hydrolysis of alpha-tricalcium phosphate (alpha-TCP) was carried out at physiologic temperature in NaF solutions and the solids product(s) were analyzed. alpha-TCP hydrolysis was complete within 48 h and the only solid products identified were apatites. Changes in solution chemistry were determined at 48 h and 4 weeks. Na and Ca concentrations were determined by spectrometric methods, P and F concentrations were determined by ion chromatography; pH values were obtained. The extent of fluoride and sodium incorporation in the apatites formed varied depending on the NaF concentration of the solution. Both increased with increasing NaF concentration. Apatite compositions ranged from Ca9.06(HPO4)0.94(PO4)5.06OH1.06 for hydrolysis in water to Ca9.28Na0.56(HPO4)(x)(PO4)(6-x)F0.920Hy for hydrolysis in 0.1 M NaF solution. The proportions of PO4, HPO4 and OH in Na- and F-containing apatites are indeterminate but obey the equation (y = constant+x). The (Ca+Na)/P ratio of the apatite formed by alpha-TCP hydrolysis in 0.1M NaF approaches 1.67 indicating the vacant Ca sites become almost completely filled by the Na ions. The surface areas of these apatites initially remain constant with increasing NaF concentrations; at elevated concentrations apatite surface areas decrease with increasing NaF concentration. This is consistent with the removal of Na from solution by its incorporation in the apatites, not by its adsorption onto their surfaces.

Adsorption↗

PubMed1998

Histological, chemical, and crystallographic analysis of four calcium phosphate cements in different rabbit osseous sites.

Four calcium phosphate cement formulations were implanted in the rabbit distal femoral metaphysis and middiaphysis. Chemical, crystallographic, and histological analyses were made at 2, 4, and 8 weeks after implantation. When implanted into the metaphysis, part of the brushite cement was converted into carbonated apatite by 2 weeks. Some of the brushite cement was removed by mononuclear macrophages prior to its conversion into apatite. Osteoclastlike cell mediated remodeling was predominant at 8 weeks after brushite had converted to apatite. The same histological results were seen for brushite plus calcite aggregate cement, except with calcite aggregates still present at 8 weeks. However, when implanted in the diaphysis, brushite and brushite plus calcite aggregate did not convert to another calcium phosphate phase by 4 weeks. Carbonated apatite cement implanted in the metaphysis did not transform to another calcium phosphate phase. There was no evidence of adverse foreign body reaction. Osteoclastlike cell mediated remodeling was predominant at 8 weeks. The apatite plus calcite aggregate cement implanted in the metaphysis that was not remodeled remained as poorly crystalline apatite. Calcite aggregates were still present at 8 weeks. There was no evidence of foreign body reaction. Osteoclastlike cell remodeling was predominant at 8 weeks. Response to brushite cements prior to conversion to apatite was macrophage dominated, and response to apatite cements was osteoclast dominated. Mineralogy, chemical composition, and osseous implantation site of these calcium phosphates significantly affected their in vivo host response.

Animals↗

PubMed1980

Crystallographic nature of fluoride in enameloids of fish.

X-ray diffraction studies on calcified tissues (teeth and/or scales) of fish and of shark showed that the presence of fluoride affects the crystallite size and lattice parameters of the apatite phase. An inverse correlation between F contents (ranging from 0.2 to 3.8 wt% F) and alpha-axis dimensions (9.441 to 9.375 +/- 0.003 A) exists for both synthetic and enameloid apatites and is consistent with the F-for-OH substitution in the apatite, idealized as Ca10(PO4)6(OH)2 and Ca10(PO4)6F2, for fluoride-free and maximum fluoride-substituted apatite, respectively. In synthetic systems, the incorporation of F is found to be dependent on the F concentration of the media from which the apatite formed. This dependency is also observed between F content of the dentine apatites and the F concentration of the water from which the fish can (i.e., less than 0.08 ppmF in fresh water, about 1.3 ppm in seawater). However, no such dependency was observed between the F incorporation in fish enameloid apatite and the F concentration in the water of origin. In some cases, the F incorporated in the enameloid apatite is much in excess of what can be expected from the F concentration of water. These observations suggest that in some fish, a fluoride-concentrating mechanism is operative during the formation of the enameloid but not during the formation of the dentine, and this mechanism appears to be specie-related.

Animals↗

PubMed1997

Matrix vesicles promote mineralization in a gelatin gel.

Extracellular matrix vesicles (MVs) are associated with initial calcification in a variety of tissues, but the mechanisms by which they promote mineralization are not certain. In this study, MVs isolated from fourth passage rat growth plate chondrocyte cultures were included within a gelatin gel into which calcium and phosphate ions diffused from opposite ends. In this gel, apatite formation occurs by 3.5 days in the absence of mineralization promoters, allowing measurement of the ability of different factors to "nucleate" apatite before this time or to assess the effects of molecules which modulate the rate and extent of mineral deposition. Mineral ion accumulation and crystal type are assayed at 5 days. In this study, MV protein content in the central band of a 10% gelatin gel was varied by including 100 microliters of a Tris-buffered solution containing 0-300 micrograms/ml MV protein. There was a concentration-dependent increase in mineral accretion. Whereas 10 micrograms MV protein in the gel did not significantly promote apatite formation as compared with vesicle-free gels, 20 and 30 micrograms MV protein in the gel did promote apatite deposition. Inclusion of 10 mM beta-glycerophosphate in the gels, along with MVs, did not significantly increase apatite formation despite the demonstrable alkaline phosphatase activity of the MVs. In contrast, MVs at all concentrations significantly increased apatite accumulation when proteoglycan aggregates or ATP, inhibitors of apatite formation and proliferation, were included in the gel. Slight increases in calcium, but not phosphate accumulation, were also noted when an ionophore was included with the MVs to facilitate Ca ion transport into the vesicles. FT-IR analysis of the mineral formed in the vesicle-containing gels revealed the presence of a bone-like apatite. These data suggest that MVs facilitate mineralization by providing enzymes that modify inhibitory factors in the extracellular matrix, as well as by providing a protected environment in which mineral ions can accumulate.

Adenosine Triphosphate↗

PubMed1998

Healing of large (2 mm) gaps around calcium phosphate-coated bone implants: a study in goats with a follow-up of 6 months.

Plasma-sprayed hydroxylapatite (HA) coatings are known for their ability to demonstrate osseointegration with bone. Recently it was found that the amount of bone apposition was strongly reduced 6 weeks after implantation in a goat model if gaps of two millimeters between bone and apatite coating existed. Stability of the apatite coatings examined did not influence the gap-healing ability. This study investigated whether a longer follow-up period of 24 weeks would be sufficient for the restoration of bone apposition on apatite coatings in an identical surgical model with 2 mm gaps, and whether bone apposition on the apatite coatings is influenced by the coating stability. Three coatings were investigated: 25-30% crystalline HA (aHA), 60-63% crystalline HA (cHA), and 85-90% crystalline fluorapatite (FA). Uncoated Ti-6A1-4V implants were used as controls. Implants were inserted in the femoral condyles of both femora of eight goats. Each goat received four implants. Histology revealed that bone formation on each of the apatite coatings remained low and did not increase with an extended follow-up period of 24 weeks. The coatings showed significantly (P < 0.01) more bone contact than the uncoated control implants. The three different coatings did not show significant differences in bone apposition. The aHA coating in most cases had disappeared completely after 24 weeks. Despite the disappearance of the aHA coating, bone contact was seen on the substrate surface without fibrous tissue interposition. The cHA coating showed minor signs of degradation while the FA coatings showed no visible degradation. It is concluded that non-press-fit implantation of apatite-coated implants leads to more bone apposition as compared to uncoated Ti-6A1-4V implants. However, it is suggested by these results that the upper limit of gaps around apatite implants is 2 millimeters in a non-weight-bearing model in goats. Bone apposition will not increase by extending the follow-up period more than six weeks, nor will it be altering the stability of the apatite coatings used.

Animals↗

PubMed1986

Crystallinity and solubility behavior of iron-containing fluoridated hydroxyapatites.

Iron-containing fluoridated hydroxyapatites with various fluoride contents were synthesized at 80 degrees C and pH 7.4 using FeCl2 X nH2O as a source of iron. The Fe2+ uptake of fluoridated apatites was independent of fluoride concentration in the solution. a-Axis dimensions of Fe-containing apatites decreased with the degree of fluoridation in addition to the decrease related to the substitution of Fe2+ ions. All Fe-containing fluoridated apatites were less well crystallized than Fe-free fluoridated apatites previously reported, although with increasing degree of fluoridation, the crystallinity behavior of the former apatites appeared analogous to that of the latter apatites. In contrast to this inhibited crystallinity behavior, the apparent solubility of Fe-containing fluoridated apatites decreased more than that of Fe-free fluoridated apatites at low fluoride content.

Biocompatible Materials↗

PubMed2006

Bioactivity in in situ hydroxyapatite-polycaprolactone composites.

In our previous work, hydroxyapatite (HAP) was synthesized under two conditions: one in the presence of polyacrylic acid (in situ HAP) and the other in the absence of polyacrylic acid (ex situ HAP). Composites of both HAPs with polycaprolactone (PCL) were investigated for their applicability as scaffolds for bone tissue engineering. In the current work, bioactivity of these composites has been investigated by soaking them in simulated body fluid for different intervals of time. Nucleation and growth mechanism of apatite on these composites has also been investigated. Fourier transform infrared spectroscopy study suggests that although apatite growth starts with an intermediate phase, it completely transforms to HAP after 4 days of soaking. Nanoindentation results suggest that the apatite growing on in situ HAP/PCL composites has much higher hardness and elastic modulus as compared to the apatite growing on ex situ HAP/PCL composites. The apatite grown on the ex situ composites has a net-like interconnected structure. The observed differences in mechanical properties and morphology of apatite have been described on the basis of nucleation mechanisms. The nucleation of apatite on the in situ HAP/PCL composites proceeds through the formation of a complex between Ca2+ and COO- groups; on the other hand, nucleation occurs because of dissolution reaction of apatite in ex situ HAP/PCL composites.

Durapatite↗

PubMed1998

Effects of novel calcium phosphate cements on human bone marrow fibroblastic cells.

The identification and characterization of biocompatible materials that augment bone cell proliferation and osteogenic activity have important therapeutic implications in skeletal reconstruction and joint replacement. In the present study, we have examined the effects of three biocements, biocement H, calcium-deficient apatite; biocement F, apatite + CaHPO(4); biocement D, carbonated apatite + CaHPO(4) + CaCO(3) and an amorphous calcium phosphate (ACP) proposed as implant fixing materials, on the growth, differentiation, and cell surface interaction of human bone marrow fibroblastic cells. These cells are known to be progenitors of osteoblasts, chondroblasts, adipocytes, myoblasts, and reticulocytes. Alkaline phosphatase enzyme activity, a marker of the osteoblast phenotype, was increased by a factor of two- to sixfold on carbonated apatite, one- to sixfold on apatite and three- to 10-fold on calcium-deficient apatite, over levels observed on plastic. Cell proliferation was significantly reduced. Photomicroscopic examination indicated high biocompatibility with close adhesion of the bone marrow fibroblastic cells to composites D, F, and H. Longer term marrow cultures (15 days) confirmed the stimulation of cell differentiation, as assessed by collagen production, over cell proliferation, of cells grown on carbonated apatite. Enhanced osteoblastic differentiation was observed on a 70% carbonated apatite, which has a composition similar to bone mineral, whereas cell toxicity was observed on cells grown on amorphous calcium phosphate. This in vitro human bone marrow fibroblast culture system provides a simple and effective method for the evaluation of new biomaterials. The development of these novel cements may be of potential use in orthopedic implants.

Alkaline Phosphatase↗