BACKGROUND The management of immature permanent teeth with open apices in pediatric patients presents unique challenges,particularly in cases of nonvital pulp.Modern advancements in materials and techniques have signi...BACKGROUND The management of immature permanent teeth with open apices in pediatric patients presents unique challenges,particularly in cases of nonvital pulp.Modern advancements in materials and techniques have significantly improved the predictability and success of apexification procedures.In this case,a 16-yearold patient presented with an immature necrotic tooth requiring apexification.Contemporary approaches incorporate calcium silicate-based materials such as mineral trioxide aggregate(MTA),Biodentine,and bioceramic putty,along with bioceramic sealers and enhanced canal cleaning including internal heating and ultrasonic activation with sodium hypochlorite(NaOCl)for disinfection,and sealing.Additionally,magnification tools such as dental operating microscopes ensure precise visualization for accurate material placement,while a micro-apical placement(MAP)system guarantees void-free MTA delivery.These advancements improve procedural outcomes and minimize the risk of iatrogenic errors,making apexification a more predictable and reliable treatment option in pediatric patients with immature teeth.CASE SUMMARY A 16-year-old patient presented with a nonvital maxillary central incisor with an open apex,secondary to trauma.Due to the lack of apical closure,traditional root canal obturation was not feasible.Apexification was chosen as the treatment modality to induce the formation of a calcified apical barrier,allowing for proper root canal sealing.Historically,calcium hydroxide was the material of choice for apexification,requiring multiple visits and prolonged treatment duration.However,the introduction of bioceramic materials such as MTA has revolutionized the procedure,offering superior outcomes with reduced treatment time.In this case,the apexification procedure involved thorough canal disinfection using NaOCl,enhanced by internal heating,ultrasonic activation,and double-sided vented needle irrigation.Under the dental operating microscope,MTA was precisely placed at the apex using a MAP system,ensuring a dense,void-free apical barrier.The remaining canal space was subsequently sealed with a bioceramic sealer to promote long-term stability and healing.CONCLUSION This case highlights the effectiveness of a modern approach for apexification in a pediatric patient.The use of advanced materials and techniques facilitated the formation of a stable apical barrier,ensuring long-term tooth retention and function.By incorporating precise irrigation protocols,internal heating,ultrasonic activation,and magnification tools,the treatment achieved thorough disinfection and optimal material placement.These advancements make apexification a predictable and reliable treatment option for young patients with immature necrotic teeth,preserving their natural dentition and preventing future complications.展开更多
In this editorial,we comment on the hard and soft tissue applications of different ceramic-based scaffolds prepared by different mechanisms such as 3D printing,sol-gel,and electrospinning.The new concept of regenerati...In this editorial,we comment on the hard and soft tissue applications of different ceramic-based scaffolds prepared by different mechanisms such as 3D printing,sol-gel,and electrospinning.The new concept of regenerative medicine relies on biomaterials that can trigger in situ tissue regeneration and stem cell recruitment at the defect site.A large percentage of these biomaterials is ceramic-based as they provide the essential requirements of biomaterial principles such as tailored multisize porosity,antibacterial properties,and angiogenic properties.All these previously mentioned properties put bioceramics on top of the hierarchy of biomaterials utilized to stimulate tissue regeneration in soft and hard tissue wounds.Multiple clinical applications registered the use of these materials in triggering soft tissue regeneration in healthy and diabetic patients such as bioactive glass nanofibers.The results were promising and opened new frontiers for utilizing these materials on a larger scale.The same results were mentioned when using different forms and formulas of bioceramics in hard defect regeneration.Some bioceramics were used in combination with other polymers and biological scaffolds to improve their regenerative and mechanical properties.All this progress will enable a larger scale of patients to receive such services with ease and decrease the financial burden on the government.展开更多
Bioceramics have attracted extensive attention for bone defect repair due to their excellent bioactivity and degradability.However,challenges remain in matching the rate between bioceramic degradation and new bone for...Bioceramics have attracted extensive attention for bone defect repair due to their excellent bioactivity and degradability.However,challenges remain in matching the rate between bioceramic degradation and new bone formation,necessitating a deeper understanding of their degradation properties.In this study,density functional theory(DFT)calculations was employed to explore the structural and electronic characteristics of silicate bioceramics.These findings reveal a linear correlation between the maximum isosurface value of the valence band maximum(VBM_(Fmax))and the degradability of silicate bioceramics.This correlation was subsequently validated through degradation experiments.Furthermore,the investigation on phosphate bioceramics demonstrates the potential of this descriptor in predicting the degradability of a broader range of bioceramics.This discovery offers valuable insights into the degradation mechanism of bioceramics and holds promise for accelerating the design and development of bioceramics with controllable degradation.展开更多
This article reviews and discusses the definition, classification, performance, properties of the bioce-ramics which began to be researched on and developed in seventies and has been applied to the medical clinic sinc...This article reviews and discusses the definition, classification, performance, properties of the bioce-ramics which began to be researched on and developed in seventies and has been applied to the medical clinic since then, and the present situation of research on and development of the biological requirement put forward to bioce-ramic performance by the biont and comes to that the bioce-ramics is the most promising biological material in the modern medical clinic application.展开更多
To investigate the efficiency of clodronate modifying HA bioceramics,and to evaluate the effect of clodronate modifying HA bioceramics on the cells in vitro,clodronate modified the porous HA bioceramics for bone scaff...To investigate the efficiency of clodronate modifying HA bioceramics,and to evaluate the effect of clodronate modifying HA bioceramics on the cells in vitro,clodronate modified the porous HA bioceramics for bone scaffold by chelation .The outermost layer of the specimens was analyzd by XPS and FI-IR ,The depth profile was investigated by the argon-ion sputtering method.The cell culture test was conducted using MC3T3-E1 osteoblastic cells,The cells were inoculated and cultured on the scaffolds.Morphological observation of the cells,MTT test and ALP activity test evaluated the cell attachment ,proliferation and activity on the scaffolds.The cell culture test in cell quantity and morphology indicated active proliferation of the cells on the scaffolds.The ALP activity of the cells cultured for 3d and 7d on clodronate-HA bioceramics was slightly higher than that on HA bioceramics ,but the difference was not signifcant,This result indicated that clodronate-HA bioeramics had favorable cytocompatibility to be used as bone scaffold with potential ability to improve asteogensis.展开更多
Dense natural wollastonite bioceramics (CaSiO3) were prepared by a sintering method, varying the pressing load and sintering temperature, in order to obtain different phases of wollastonite, and different physical pro...Dense natural wollastonite bioceramics (CaSiO3) were prepared by a sintering method, varying the pressing load and sintering temperature, in order to obtain different phases of wollastonite, and different physical properties in the materials. The products were characterized by TGA-DTA, XRD, FT-IR, SEM-EDS, TEM and XPS techniques. The results indicate the presence of two polymorphic phases of wollastonite, the β-wollastonite and α-wollastonite with a transition temperature of the β phase to α phase at approximately 1250℃. These materials were soaked in a simulated body fluid (SBF) during 1, 2 and 3 weeks, to study their solubility and bioactivity. The effect of different wollastonite phases on the solubility of Ca and Si, as well as the capacity of producing layers of “newly formed apatite” on the surfaces of these materials in SBF solution were analyzed.展开更多
BACKGROUND The objective of this work is displaying a successful treatment for an internal resorption case under operating microscope using bioceramic material.CASE SUMMARY Periapical radiograph showed radiolucent les...BACKGROUND The objective of this work is displaying a successful treatment for an internal resorption case under operating microscope using bioceramic material.CASE SUMMARY Periapical radiograph showed radiolucent lesion representing large internal resorption of the root.The respective defect was obturated using endoscquence bioceramic material follow up at the month 18 after treatment revealed no abnormal finings clinically and radiographically.CONCLUSION New generations bioceramics have many advantages that internal root resorption cases can benefit from.The use of operating microscope helps to apply obturating materials with precision.However,long term study on a large sample is required in future studies.展开更多
The article describes the performance, properties and application of bioceramics in the medical clinic and reviews and discusses the advance in the research into several typical bioceramics, such as aluminium oxide bi...The article describes the performance, properties and application of bioceramics in the medical clinic and reviews and discusses the advance in the research into several typical bioceramics, such as aluminium oxide bioceramics, carbons, bioactive glassceramics, calcium phosphate bioceramics, bioceramic composite materials etc, and comes to that bioceramics is the most promising bioactive material in the modern medical clinic application.展开更多
Hydroxyapatite bioceramics is simulated by using finite element method （FEM）. The influences of porosity, hole shape, angle of crack and other parameters on the ceramics are analyzed. The results show that with the ...Hydroxyapatite bioceramics is simulated by using finite element method （FEM）. The influences of porosity, hole shape, angle of crack and other parameters on the ceramics are analyzed. The results show that with the increase of the angle between crack and horizontal direction, the stress intensity factor KⅠ decreases gradually, but stress intensity factor KⅡ increases at first and then it decreases. The value of KⅡ reaches maximum when the angle between crack and horizontal direction is 45°. KⅠ and KⅡ rise with the increase of porosity, and they are almost the same for the circular and hexagonal holes. For elliptical holes, KⅠ and KⅡ reach maximum when the long axis of ellipse is perpendicular to the loading direction and they reach minimum when the same axis is parallel to the loading direction. Moreover, with the increase of the angle between the long axis and loading direction, KⅠ and KⅡ increase gradually.展开更多
Calcium phosphate microporous bioceramics and biphasic compositions of hydroxyapatite and β-calcium phosphate, in the form of microporous granular biomaterials, are research topics and present themselves as potential...Calcium phosphate microporous bioceramics and biphasic compositions of hydroxyapatite and β-calcium phosphate, in the form of microporous granular biomaterials, are research topics and present themselves as potential orthopedic and biomedical applications in rebuilding and repairing maxillofacial bones and tooth structure. This is associated with the characteristics of microstructure, biocompatibility, bioactivity and bone conductivity properties which these materials offer when applied in vivo or in a simulation environment. This study aimed to assess the behavior of bone neoformation of three types of calcium phosphate biomaterials in in vivo tests with sheep within 60 and 90 days, with the help of a scanning electron microscope. The biomaterials used were provided by the Group of Biomaterials at the Santa Catarina State University. The in vivo tests were carried out by generating, on sheep, tibial bone defects, three of which were filled with biomaterial (one different biomaterial for each bone defect generated), whilst the fourth received a bone fragment obtained during the generation of the defect in question, to serve as a control group. The scanning electron microscopy (SEM) technique was used for carrying out the preliminary characterization studies so as to observe new bone formation and osseointegration. The X-ray diffractometry (XRD) served as a support for the characterization of crystalline phases. The results obtained are encouraging and show that the biomaterials presented good performance in the process of bone formation, biomaterial osseointegration by a new tissue and bone mineralization.展开更多
Reconstruction of bone defects or fractures caused by ageing,trauma and tumour resection is still a great challenge in clinical treatment.Although autologous bone graft is considered as gold standard,the source of nat...Reconstruction of bone defects or fractures caused by ageing,trauma and tumour resection is still a great challenge in clinical treatment.Although autologous bone graft is considered as gold standard,the source of natural bone is limited.In recent years,regenerative therapy based on bioactive materials has been proposed for bone reconstruction.Specially,numerous studies have indicated that bioactive ceramics including silicate and phosphate bioceramics exhibit excellent osteoinductivity and osteoconductivity,further promote bone regeneration.In addition,magnesium(Mg)element,as an indispensable mineral element,plays a vital role in promoting bone mineralisation and formation.In this review,different types of Mg-containing bioceramics including Mg-containing calcium phosphate-based bioceramics(such as Mg-hydroxyapatite,Mg-biphasic calcium phosphate),Mg-containing calcium silicate-based bioceramics(such as Mg_(2)SiO_(4),Ca_(2)MgSi_(2)O_(7) and Mg-doped bioglass),Mg-based biocements,Mg-containing metal/polymer-bioceramic composites were systematacially summarised.Additionally,the fabrication technologies and their materiobiological effects were deeply discussed.Clinical applications and perspectives of magnesium-containing bioceramics for bone repair are highlighted.Overall,Mg-containing bioceramics are regarded as regenerative therapy with their optimised performance.Furthermore,more in-depth two-way researches on their performance and structure are essential to satisfy their clinical needs.展开更多
The success rate of apexification is primarily determined by multiple factors,including the material used,the size of the open apex compared to the length of the root,and the technique used in each case.The main objec...The success rate of apexification is primarily determined by multiple factors,including the material used,the size of the open apex compared to the length of the root,and the technique used in each case.The main objective of this review was to provide an update on the present management of open apex to identify factors and circumstances that may influence the success of apexification using different materials and techniques.Future research on apexification should focus on how to treat open apices with wide periapical lesions without surgery.Previously,the predictability of these parameters with non-surgical procedures was uncertain,but now,with the use of a dental operating microscope,it has become more predictable.Another reason could be that extra visits are no longer required due to major advances in the armamentarium and materials used for apexification.展开更多
BACKGROUND Advanced materials and techniques are used to successfully manage the apexification of immature teeth with open apices.The use of mineral trioxide aggregate(MTA),bioceramic sealers,and sodium hypochlorite(N...BACKGROUND Advanced materials and techniques are used to successfully manage the apexification of immature teeth with open apices.The use of mineral trioxide aggregate(MTA),bioceramic sealers,and sodium hypochlorite(NaOCl),combined with internal heating and ultrasonic activation,ensures that canals are cleaned,disinfected,and sealed properly.Magnification devices,such as dental operating microscopes(DOM),provide precise visualization for accurate material placement,while the micro apical placement system ensures void-free MTA delivery.This modern approach improves procedural outcomes,lowers iatrogenic errors,and increases long-term success in apexification,making it a dependable and predictable treatment option for immature teeth.CASE SUMMARY Apexification is a regenerative endodontic procedure that involves creating a calcified barrier at the apex of a nonvital tooth with an open apex.This technique is commonly used in immature teeth with necrotic pulps to ensure proper root canal sealing.Traditionally,calcium hydroxide was the preferred material,but advances have introduced bioceramic cements like MTA or Biodentine,which provide superior results with less treatment time.Apexification not only helps to maintain the tooth's structural integrity but also prevents further complications,making it an important procedure in such cases.CONCLUSION This case demonstrates the effectiveness of integrating advanced materials,precise irrigation protocols,and magnification tools in the apexification of immature teeth with open apices.The use of MTA created a stable apical barrier,while bioceramic sealers enhanced the seal and promoted long-term healing.NaOCl with internal heating,ultrasonic activation,and double-sided vented needles ensured thorough irrigation and disinfection,especially in complex canal anatomy.展开更多
Tissue engineering and regenera-tive medicine have shown signifi-cant potential for repairing and regenerating damaged tissues and can be used to provide personalized treatment plans,with broad applica-tion prospects....Tissue engineering and regenera-tive medicine have shown signifi-cant potential for repairing and regenerating damaged tissues and can be used to provide personalized treatment plans,with broad applica-tion prospects.In this special issue,Bin Li’s team outlines the latest advances in minimally invasive implantable biomaterials for bone regeneration and different methods of achieving osteogenesis,with a focus on bioceramics and polymer materials and their applications in bone healing,vertebral augmenta-tion,implant fixation,tumor treatment of bone,and treatment of infections related to bone defects.Xinquan Jiang’s team constructs a novel photo-responsive multifunctional polyetheretherketone(PEEK)-based implant material(sPEEK/BP/E7)through the self-assembly of black phosphorus(BP)nanoplatelets,bioinspired poly-dopamine(PDA),and the biologically active short peptide E7 on sPEEK.The material exhibits effective osteogenic effects and good sterilization performance,providing a new idea for clinical application.展开更多
Osteoporosis is caused by an osteoclast activation mechanism.People suffering from osteoporosis are prone to bone defects.Increasing evidence indicates that scavenging reactive oxygen species(ROS)can inhibit receptor ...Osteoporosis is caused by an osteoclast activation mechanism.People suffering from osteoporosis are prone to bone defects.Increasing evidence indicates that scavenging reactive oxygen species(ROS)can inhibit receptor activator of nuclear factorκB ligand(RANKL)-induced osteoclastogenesis and suppress ovariectomy-induced osteoporosis.It is critical to develop biomaterials with antioxidant properties to modulate osteoclast activity for treating osteoporotic bone defects.Previous studies have shown that manganese(Mn)can improve bone regeneration,and Mn supplementation may treat osteoporosis.However,the effect of Mn on osteoclasts and the role of Mn in osteoporotic bone defects remain unclear.In present research,a model bioceramic,Mn-containedβ-tricalcium phosphate(Mn-TCP)was prepared by introducing Mn intoβ-TCP.The introduction of Mn intoβ-TCP significantly improved the scavenging of oxygen radicals and nitrogen radicals,demonstrating that Mn-TCP bioceramics might have antioxidant properties.The in vitro and in vivo findings revealed that Mn^(2+)ions released from Mn-TCP bioceramics could distinctly inhibit the formation and function of osteoclasts,promote the differentiation of osteoblasts,and accelerate bone regeneration under osteoporotic conditions in vivo.Mechanistically,Mn-TCP bioceramics inhibited osteoclastogenesis and promoted the regeneration of osteoporotic bone defects by scavenging ROS via Nrf2 activation.These results suggest that Mn-containing bioceramics with osteoconductivity,ROS scavenging and bone resorption inhibition abilities may be an ideal biomaterial for the treatment of osteoporotic bone defect.展开更多
Biomaterials can modulate the local immune and repair-supportive microenvironments to promote peripheral nerve regeneration. Inorganic bioceramics have been widely used for regulating tissue regeneration and local imm...Biomaterials can modulate the local immune and repair-supportive microenvironments to promote peripheral nerve regeneration. Inorganic bioceramics have been widely used for regulating tissue regeneration and local immune response. However, little is known on whether inorganic bioceramics can have potential for enhancing peripheral nerve regeneration and what are the mechanisms underlying their actions. Here, the inorganic lithium-magnesium-silicon (Li-Mg-Si, LMS) bioceramics containing scaffolds are fabricated and characterized. The LMS-containing scaffolds had no cytotoxicity against rat Schwann cells (SCs), but promoted their migration and differentiation towards a remyelination state by up-regulating the expression of neurotrophic factors in a β-catenin-dependent manner. Furthermore, using single cell-sequencing, we showed that LMS-containing scaffolds promoted macrophage polarization towards the pro-regenerative M2-like cells, which subsequently facilitated the migration and differentiation of SCs. Moreover, implantation with the LMS-containing nerve guidance conduits (NGCs) increased the frequency of M2-like macrophage infiltration and enhanced nerve regeneration and motor functional recovery in a rat model of sciatic nerve injury. Collectively, these findings indicated that the inorganic LMS bioceramics offered a potential strategy for enhancing peripheral nerve regeneration by modulating the immune microenvironment and promoting SCs remyelination.展开更多
Mechanical strength and its long-term stability of bioceramic scaffolds is still a problem to treat the osteonecrosis of the femoral head.Considering the long-term stability of diopside(DIO)ceramic but poor mechanical...Mechanical strength and its long-term stability of bioceramic scaffolds is still a problem to treat the osteonecrosis of the femoral head.Considering the long-term stability of diopside(DIO)ceramic but poor mechanical strength,we developed the DIO-based porous bioceramic composites via dilute magnesium substituted wollastonite reinforcing and three-dimensional(3D)printing.The experimental results showed that the secondary phase(i.e.10%magnesium substituting calcium silicate;CSM10)could readily improve the sintering property of the bioceramic composites(DIO/CSM10-x,x=0-30)with increasing the CSM10 content from 0%to 30%,and the presence of the CSM10 also improved the biomimetic apatite mineralization ability in the pore struts of the scaffolds.Furthermore,the flexible strength(12.5 -30 MPa)and compressive strength(14-37 MPa)of the 3D printed porous bioceramics remarkably increased with increasing CSM10 content,and the compressive strength of DIO/CSM10-30 showed a limited decay(from 37 MPa to 29 MPa)in the Tris buffer solution for a long time stage(8 weeks).These findings suggest that the new CSM10-reinforced diopside porous constructs possess excellent mechanical properties and can potentially be used to the clinic,especially for the treatment of osteonecrosis of the femoral head work as a bioceramic rod.展开更多
For the research of biomaterials in bone tissue engineering,it is still a challenge to fabricate bioceramics that overcome brittleness whilemaintaining the great biological performance.Here,inspired by the toughness o...For the research of biomaterials in bone tissue engineering,it is still a challenge to fabricate bioceramics that overcome brittleness whilemaintaining the great biological performance.Here,inspired by the toughness of naturalmaterials with hierarchical laminated structure,we presented a directional assembly-sintering approach to fabricate laminated MXene/calcium silicate-based(L-M/CS)bioceramics.Benefiting from the orderly laminated structure,the LM/CS bioceramics exhibited significantly enhanced toughness(2.23MPa·m^(1/2))and high flexural strength(145MPa),which were close to the mechanical properties of cortical bone.Furthermore,the L-M/CS bioceramics possessed more suitable degradability than traditional CaSiO_(3)bioceramics due to the newly formed CaTiSiO_(5)after sintering.Moreover,the L-M/CS bioceramics showed good biocompatibility and could stimulate the expression of osteogenesisrelated genes.The mechanism of promoting osteogenic differentiation had been shown to be related to theWnt signaling pathway.This work not only fabricated calciumsilicate-based bioceramics with excellentmechanical and biological properties for bone tissue engineering but also provided a strategy for the combination of bionics and bioceramics.展开更多
Pulmonary fibrosis(PF)is a chronic and progressively fatal disease,but clinically available therapeutic drugs are limited due to efficacy and side effects.The possible mechanism of pulmonary fibrosis includes the dama...Pulmonary fibrosis(PF)is a chronic and progressively fatal disease,but clinically available therapeutic drugs are limited due to efficacy and side effects.The possible mechanism of pulmonary fibrosis includes the damage of alveolar epithelial cells II(AEC2),and activation of immune cells such as macrophages.The ions released from bioceramics have shown the activity in stimulating soft tissue derived cells such as fibroblasts,endothelia cells and epithelia cells,and regulating macrophage polarization.Therefore,this study proposes an“ion therapy”approach based on the active ions of bioceramic materials,and investigates the therapeutic effect of bioactive ions derived from calcium silicate(CS)bioceramics on mouse models of pulmonary fibrosis.We demonstrate that silicate ions significantly reduce pulmonary fibrosis by simultaneously regulating the functions of AEC2 and macrophages.This result suggests potential clinical applications of ion therapy for lung fibrosis.展开更多
Zirconia(ZrO_(2))ceramics have potential applications in the field of oral medicine owing to their desirable me-chanical properties,biocompatibility,chemical stability,and aesthetic properties.To realize clinical appl...Zirconia(ZrO_(2))ceramics have potential applications in the field of oral medicine owing to their desirable me-chanical properties,biocompatibility,chemical stability,and aesthetic properties.To realize clinical applications,ZrO_(2)(3Y)/Al_(2)O_(3)bioceramics for all-ceramic dental implants were prepared using vat photopolymerization 3D printing technology,and their process optimization,microstructure,mechanics,tribology,and biological proper-ties were studied.The results indicate that when the sintering temperature and holding time are 1600℃and 3 h,respectively,the density of ZrO_(2)(3Y)/Al_(2)O_(3)bioceramics reaches 98.79%,and its Vickers hardness,compressive strength,flexural strength,and fracture toughness also reach their maximum values.Furthermore,the in vitro sim-ulated oral environment wear tests showed that artificial saliva provides a lubricating effect on ZrO_(2)(3Y)/Al_(2)O_(3)bioceramics and improves wear resistance.The biosafety of ZrO_(2)(3Y)/Al_(2)O_(3)bioceramics was evaluated and ZrO_(2)(3Y)/Al_(2)O_(3)had no obvious cytotoxicity and promoted cell proliferation,growth,and adhesion.In addition,its surface has appropriate roughness and good wettability.In conclusion,ZrO_(2)(3Y)/Al_(2)O_(3)bioceramics prepared by vat photopolymerization are promising biomaterials with broad application prospects in dental restoration.展开更多
文摘BACKGROUND The management of immature permanent teeth with open apices in pediatric patients presents unique challenges,particularly in cases of nonvital pulp.Modern advancements in materials and techniques have significantly improved the predictability and success of apexification procedures.In this case,a 16-yearold patient presented with an immature necrotic tooth requiring apexification.Contemporary approaches incorporate calcium silicate-based materials such as mineral trioxide aggregate(MTA),Biodentine,and bioceramic putty,along with bioceramic sealers and enhanced canal cleaning including internal heating and ultrasonic activation with sodium hypochlorite(NaOCl)for disinfection,and sealing.Additionally,magnification tools such as dental operating microscopes ensure precise visualization for accurate material placement,while a micro-apical placement(MAP)system guarantees void-free MTA delivery.These advancements improve procedural outcomes and minimize the risk of iatrogenic errors,making apexification a more predictable and reliable treatment option in pediatric patients with immature teeth.CASE SUMMARY A 16-year-old patient presented with a nonvital maxillary central incisor with an open apex,secondary to trauma.Due to the lack of apical closure,traditional root canal obturation was not feasible.Apexification was chosen as the treatment modality to induce the formation of a calcified apical barrier,allowing for proper root canal sealing.Historically,calcium hydroxide was the material of choice for apexification,requiring multiple visits and prolonged treatment duration.However,the introduction of bioceramic materials such as MTA has revolutionized the procedure,offering superior outcomes with reduced treatment time.In this case,the apexification procedure involved thorough canal disinfection using NaOCl,enhanced by internal heating,ultrasonic activation,and double-sided vented needle irrigation.Under the dental operating microscope,MTA was precisely placed at the apex using a MAP system,ensuring a dense,void-free apical barrier.The remaining canal space was subsequently sealed with a bioceramic sealer to promote long-term stability and healing.CONCLUSION This case highlights the effectiveness of a modern approach for apexification in a pediatric patient.The use of advanced materials and techniques facilitated the formation of a stable apical barrier,ensuring long-term tooth retention and function.By incorporating precise irrigation protocols,internal heating,ultrasonic activation,and magnification tools,the treatment achieved thorough disinfection and optimal material placement.These advancements make apexification a predictable and reliable treatment option for young patients with immature necrotic teeth,preserving their natural dentition and preventing future complications.
文摘In this editorial,we comment on the hard and soft tissue applications of different ceramic-based scaffolds prepared by different mechanisms such as 3D printing,sol-gel,and electrospinning.The new concept of regenerative medicine relies on biomaterials that can trigger in situ tissue regeneration and stem cell recruitment at the defect site.A large percentage of these biomaterials is ceramic-based as they provide the essential requirements of biomaterial principles such as tailored multisize porosity,antibacterial properties,and angiogenic properties.All these previously mentioned properties put bioceramics on top of the hierarchy of biomaterials utilized to stimulate tissue regeneration in soft and hard tissue wounds.Multiple clinical applications registered the use of these materials in triggering soft tissue regeneration in healthy and diabetic patients such as bioactive glass nanofibers.The results were promising and opened new frontiers for utilizing these materials on a larger scale.The same results were mentioned when using different forms and formulas of bioceramics in hard defect regeneration.Some bioceramics were used in combination with other polymers and biological scaffolds to improve their regenerative and mechanical properties.All this progress will enable a larger scale of patients to receive such services with ease and decrease the financial burden on the government.
基金National Key Research and Development Program of China (2023YFB3813000)National Natural Science Foundation of China (52272256)State Key Laboratory of Advanced Technology for Materials Synthesis and Processing (Wuhan University of Technology)(2022-KF-77)。
文摘Bioceramics have attracted extensive attention for bone defect repair due to their excellent bioactivity and degradability.However,challenges remain in matching the rate between bioceramic degradation and new bone formation,necessitating a deeper understanding of their degradation properties.In this study,density functional theory(DFT)calculations was employed to explore the structural and electronic characteristics of silicate bioceramics.These findings reveal a linear correlation between the maximum isosurface value of the valence band maximum(VBM_(Fmax))and the degradability of silicate bioceramics.This correlation was subsequently validated through degradation experiments.Furthermore,the investigation on phosphate bioceramics demonstrates the potential of this descriptor in predicting the degradability of a broader range of bioceramics.This discovery offers valuable insights into the degradation mechanism of bioceramics and holds promise for accelerating the design and development of bioceramics with controllable degradation.
文摘This article reviews and discusses the definition, classification, performance, properties of the bioce-ramics which began to be researched on and developed in seventies and has been applied to the medical clinic since then, and the present situation of research on and development of the biological requirement put forward to bioce-ramic performance by the biont and comes to that the bioce-ramics is the most promising biological material in the modern medical clinic application.
文摘To investigate the efficiency of clodronate modifying HA bioceramics,and to evaluate the effect of clodronate modifying HA bioceramics on the cells in vitro,clodronate modified the porous HA bioceramics for bone scaffold by chelation .The outermost layer of the specimens was analyzd by XPS and FI-IR ,The depth profile was investigated by the argon-ion sputtering method.The cell culture test was conducted using MC3T3-E1 osteoblastic cells,The cells were inoculated and cultured on the scaffolds.Morphological observation of the cells,MTT test and ALP activity test evaluated the cell attachment ,proliferation and activity on the scaffolds.The cell culture test in cell quantity and morphology indicated active proliferation of the cells on the scaffolds.The ALP activity of the cells cultured for 3d and 7d on clodronate-HA bioceramics was slightly higher than that on HA bioceramics ,but the difference was not signifcant,This result indicated that clodronate-HA bioeramics had favorable cytocompatibility to be used as bone scaffold with potential ability to improve asteogensis.
文摘Dense natural wollastonite bioceramics (CaSiO3) were prepared by a sintering method, varying the pressing load and sintering temperature, in order to obtain different phases of wollastonite, and different physical properties in the materials. The products were characterized by TGA-DTA, XRD, FT-IR, SEM-EDS, TEM and XPS techniques. The results indicate the presence of two polymorphic phases of wollastonite, the β-wollastonite and α-wollastonite with a transition temperature of the β phase to α phase at approximately 1250℃. These materials were soaked in a simulated body fluid (SBF) during 1, 2 and 3 weeks, to study their solubility and bioactivity. The effect of different wollastonite phases on the solubility of Ca and Si, as well as the capacity of producing layers of “newly formed apatite” on the surfaces of these materials in SBF solution were analyzed.
文摘BACKGROUND The objective of this work is displaying a successful treatment for an internal resorption case under operating microscope using bioceramic material.CASE SUMMARY Periapical radiograph showed radiolucent lesion representing large internal resorption of the root.The respective defect was obturated using endoscquence bioceramic material follow up at the month 18 after treatment revealed no abnormal finings clinically and radiographically.CONCLUSION New generations bioceramics have many advantages that internal root resorption cases can benefit from.The use of operating microscope helps to apply obturating materials with precision.However,long term study on a large sample is required in future studies.
文摘The article describes the performance, properties and application of bioceramics in the medical clinic and reviews and discusses the advance in the research into several typical bioceramics, such as aluminium oxide bioceramics, carbons, bioactive glassceramics, calcium phosphate bioceramics, bioceramic composite materials etc, and comes to that bioceramics is the most promising bioactive material in the modern medical clinic application.
基金Supported by National Natural Science Foundation of China (No.10772133 and No.11072172)Specialized Research Fund for the Doctoral Program of Higher Education of China (No. 20090032110006)
文摘Hydroxyapatite bioceramics is simulated by using finite element method （FEM）. The influences of porosity, hole shape, angle of crack and other parameters on the ceramics are analyzed. The results show that with the increase of the angle between crack and horizontal direction, the stress intensity factor KⅠ decreases gradually, but stress intensity factor KⅡ increases at first and then it decreases. The value of KⅡ reaches maximum when the angle between crack and horizontal direction is 45°. KⅠ and KⅡ rise with the increase of porosity, and they are almost the same for the circular and hexagonal holes. For elliptical holes, KⅠ and KⅡ reach maximum when the long axis of ellipse is perpendicular to the loading direction and they reach minimum when the same axis is parallel to the loading direction. Moreover, with the increase of the angle between the long axis and loading direction, KⅠ and KⅡ increase gradually.
文摘Calcium phosphate microporous bioceramics and biphasic compositions of hydroxyapatite and β-calcium phosphate, in the form of microporous granular biomaterials, are research topics and present themselves as potential orthopedic and biomedical applications in rebuilding and repairing maxillofacial bones and tooth structure. This is associated with the characteristics of microstructure, biocompatibility, bioactivity and bone conductivity properties which these materials offer when applied in vivo or in a simulation environment. This study aimed to assess the behavior of bone neoformation of three types of calcium phosphate biomaterials in in vivo tests with sheep within 60 and 90 days, with the help of a scanning electron microscope. The biomaterials used were provided by the Group of Biomaterials at the Santa Catarina State University. The in vivo tests were carried out by generating, on sheep, tibial bone defects, three of which were filled with biomaterial (one different biomaterial for each bone defect generated), whilst the fourth received a bone fragment obtained during the generation of the defect in question, to serve as a control group. The scanning electron microscopy (SEM) technique was used for carrying out the preliminary characterization studies so as to observe new bone formation and osseointegration. The X-ray diffractometry (XRD) served as a support for the characterization of crystalline phases. The results obtained are encouraging and show that the biomaterials presented good performance in the process of bone formation, biomaterial osseointegration by a new tissue and bone mineralization.
基金supported by the National Key R&D Program of China(No.2023YFC2414106)National Natural Science Foundation of China(Nos.32271379,82072396)+5 种基金Science and Technology Commission of Shanghai Municipality(Nos.21140900102,21490711700,21140900103)Disciplinary Characteristic Biobank Project of Ninth People’s Hospital affiliated to Shanghai Jiao Tong University School of Medicine(No.YBKB202110)the Interdisciplinary Program of Shanghai Jiao Tong University(No.YG2021ZD12)Cross disciplinary Research Fund of Shanghai Ninth People’s Hospital,Shanghai Jiao Tong University School of Medicine(No.JYJC202219)Shanghai’s Top Priority Research Center(No.2022ZZ01017)CAMS Innovation Fund for Medical Sciences(No.CIFMS,2019-I2M-5-037).
文摘Reconstruction of bone defects or fractures caused by ageing,trauma and tumour resection is still a great challenge in clinical treatment.Although autologous bone graft is considered as gold standard,the source of natural bone is limited.In recent years,regenerative therapy based on bioactive materials has been proposed for bone reconstruction.Specially,numerous studies have indicated that bioactive ceramics including silicate and phosphate bioceramics exhibit excellent osteoinductivity and osteoconductivity,further promote bone regeneration.In addition,magnesium(Mg)element,as an indispensable mineral element,plays a vital role in promoting bone mineralisation and formation.In this review,different types of Mg-containing bioceramics including Mg-containing calcium phosphate-based bioceramics(such as Mg-hydroxyapatite,Mg-biphasic calcium phosphate),Mg-containing calcium silicate-based bioceramics(such as Mg_(2)SiO_(4),Ca_(2)MgSi_(2)O_(7) and Mg-doped bioglass),Mg-based biocements,Mg-containing metal/polymer-bioceramic composites were systematacially summarised.Additionally,the fabrication technologies and their materiobiological effects were deeply discussed.Clinical applications and perspectives of magnesium-containing bioceramics for bone repair are highlighted.Overall,Mg-containing bioceramics are regarded as regenerative therapy with their optimised performance.Furthermore,more in-depth two-way researches on their performance and structure are essential to satisfy their clinical needs.
文摘The success rate of apexification is primarily determined by multiple factors,including the material used,the size of the open apex compared to the length of the root,and the technique used in each case.The main objective of this review was to provide an update on the present management of open apex to identify factors and circumstances that may influence the success of apexification using different materials and techniques.Future research on apexification should focus on how to treat open apices with wide periapical lesions without surgery.Previously,the predictability of these parameters with non-surgical procedures was uncertain,but now,with the use of a dental operating microscope,it has become more predictable.Another reason could be that extra visits are no longer required due to major advances in the armamentarium and materials used for apexification.
文摘BACKGROUND Advanced materials and techniques are used to successfully manage the apexification of immature teeth with open apices.The use of mineral trioxide aggregate(MTA),bioceramic sealers,and sodium hypochlorite(NaOCl),combined with internal heating and ultrasonic activation,ensures that canals are cleaned,disinfected,and sealed properly.Magnification devices,such as dental operating microscopes(DOM),provide precise visualization for accurate material placement,while the micro apical placement system ensures void-free MTA delivery.This modern approach improves procedural outcomes,lowers iatrogenic errors,and increases long-term success in apexification,making it a dependable and predictable treatment option for immature teeth.CASE SUMMARY Apexification is a regenerative endodontic procedure that involves creating a calcified barrier at the apex of a nonvital tooth with an open apex.This technique is commonly used in immature teeth with necrotic pulps to ensure proper root canal sealing.Traditionally,calcium hydroxide was the preferred material,but advances have introduced bioceramic cements like MTA or Biodentine,which provide superior results with less treatment time.Apexification not only helps to maintain the tooth's structural integrity but also prevents further complications,making it an important procedure in such cases.CONCLUSION This case demonstrates the effectiveness of integrating advanced materials,precise irrigation protocols,and magnification tools in the apexification of immature teeth with open apices.The use of MTA created a stable apical barrier,while bioceramic sealers enhanced the seal and promoted long-term healing.NaOCl with internal heating,ultrasonic activation,and double-sided vented needles ensured thorough irrigation and disinfection,especially in complex canal anatomy.
文摘Tissue engineering and regenera-tive medicine have shown signifi-cant potential for repairing and regenerating damaged tissues and can be used to provide personalized treatment plans,with broad applica-tion prospects.In this special issue,Bin Li’s team outlines the latest advances in minimally invasive implantable biomaterials for bone regeneration and different methods of achieving osteogenesis,with a focus on bioceramics and polymer materials and their applications in bone healing,vertebral augmenta-tion,implant fixation,tumor treatment of bone,and treatment of infections related to bone defects.Xinquan Jiang’s team constructs a novel photo-responsive multifunctional polyetheretherketone(PEEK)-based implant material(sPEEK/BP/E7)through the self-assembly of black phosphorus(BP)nanoplatelets,bioinspired poly-dopamine(PDA),and the biologically active short peptide E7 on sPEEK.The material exhibits effective osteogenic effects and good sterilization performance,providing a new idea for clinical application.
基金the Key Program of National Natural Science Foundation of China(81930067)the Youth Program of National Natural Science Foundation of China(grant number 82002316)+1 种基金the Youth Cultivation Project of Army Medical University(2020XQN08)General Program of Natural Science Foundation of Chongqing(cstc2019jcyj-msxmX0176).
文摘Osteoporosis is caused by an osteoclast activation mechanism.People suffering from osteoporosis are prone to bone defects.Increasing evidence indicates that scavenging reactive oxygen species(ROS)can inhibit receptor activator of nuclear factorκB ligand(RANKL)-induced osteoclastogenesis and suppress ovariectomy-induced osteoporosis.It is critical to develop biomaterials with antioxidant properties to modulate osteoclast activity for treating osteoporotic bone defects.Previous studies have shown that manganese(Mn)can improve bone regeneration,and Mn supplementation may treat osteoporosis.However,the effect of Mn on osteoclasts and the role of Mn in osteoporotic bone defects remain unclear.In present research,a model bioceramic,Mn-containedβ-tricalcium phosphate(Mn-TCP)was prepared by introducing Mn intoβ-TCP.The introduction of Mn intoβ-TCP significantly improved the scavenging of oxygen radicals and nitrogen radicals,demonstrating that Mn-TCP bioceramics might have antioxidant properties.The in vitro and in vivo findings revealed that Mn^(2+)ions released from Mn-TCP bioceramics could distinctly inhibit the formation and function of osteoclasts,promote the differentiation of osteoblasts,and accelerate bone regeneration under osteoporotic conditions in vivo.Mechanistically,Mn-TCP bioceramics inhibited osteoclastogenesis and promoted the regeneration of osteoporotic bone defects by scavenging ROS via Nrf2 activation.These results suggest that Mn-containing bioceramics with osteoconductivity,ROS scavenging and bone resorption inhibition abilities may be an ideal biomaterial for the treatment of osteoporotic bone defect.
基金supported by a grant from the National Natural Science Foundation of China(81900968)Shanghai Sailing Program(20YF1409900)Shanghai Anticancer Association EYAS PROJECT(SACA-CY21A01 and SACA-CY22A01).
文摘Biomaterials can modulate the local immune and repair-supportive microenvironments to promote peripheral nerve regeneration. Inorganic bioceramics have been widely used for regulating tissue regeneration and local immune response. However, little is known on whether inorganic bioceramics can have potential for enhancing peripheral nerve regeneration and what are the mechanisms underlying their actions. Here, the inorganic lithium-magnesium-silicon (Li-Mg-Si, LMS) bioceramics containing scaffolds are fabricated and characterized. The LMS-containing scaffolds had no cytotoxicity against rat Schwann cells (SCs), but promoted their migration and differentiation towards a remyelination state by up-regulating the expression of neurotrophic factors in a β-catenin-dependent manner. Furthermore, using single cell-sequencing, we showed that LMS-containing scaffolds promoted macrophage polarization towards the pro-regenerative M2-like cells, which subsequently facilitated the migration and differentiation of SCs. Moreover, implantation with the LMS-containing nerve guidance conduits (NGCs) increased the frequency of M2-like macrophage infiltration and enhanced nerve regeneration and motor functional recovery in a rat model of sciatic nerve injury. Collectively, these findings indicated that the inorganic LMS bioceramics offered a potential strategy for enhancing peripheral nerve regeneration by modulating the immune microenvironment and promoting SCs remyelination.
基金This work was supported by the Zhejiang Provincial Natural Science Foundation of China(LZ14E020001,LQ14H060003)gs2:National Science Foundation of China(51372218,81271956,81301326)the Science and Technology Department of Zhejiang Province Foundation(2015C33119,2014C33202).
文摘Mechanical strength and its long-term stability of bioceramic scaffolds is still a problem to treat the osteonecrosis of the femoral head.Considering the long-term stability of diopside(DIO)ceramic but poor mechanical strength,we developed the DIO-based porous bioceramic composites via dilute magnesium substituted wollastonite reinforcing and three-dimensional(3D)printing.The experimental results showed that the secondary phase(i.e.10%magnesium substituting calcium silicate;CSM10)could readily improve the sintering property of the bioceramic composites(DIO/CSM10-x,x=0-30)with increasing the CSM10 content from 0%to 30%,and the presence of the CSM10 also improved the biomimetic apatite mineralization ability in the pore struts of the scaffolds.Furthermore,the flexible strength(12.5 -30 MPa)and compressive strength(14-37 MPa)of the 3D printed porous bioceramics remarkably increased with increasing CSM10 content,and the compressive strength of DIO/CSM10-30 showed a limited decay(from 37 MPa to 29 MPa)in the Tris buffer solution for a long time stage(8 weeks).These findings suggest that the new CSM10-reinforced diopside porous constructs possess excellent mechanical properties and can potentially be used to the clinic,especially for the treatment of osteonecrosis of the femoral head work as a bioceramic rod.
基金supported by the National key Research and Development Program of China(2021YFA0715700)the Natural Science Foundation of China(32130062)Shanghai Pilot Program for Basic Research-Chinese Academy of Science,Shanghai Branch(JCYJ-SHFY-2022-003).
文摘For the research of biomaterials in bone tissue engineering,it is still a challenge to fabricate bioceramics that overcome brittleness whilemaintaining the great biological performance.Here,inspired by the toughness of naturalmaterials with hierarchical laminated structure,we presented a directional assembly-sintering approach to fabricate laminated MXene/calcium silicate-based(L-M/CS)bioceramics.Benefiting from the orderly laminated structure,the LM/CS bioceramics exhibited significantly enhanced toughness(2.23MPa·m^(1/2))and high flexural strength(145MPa),which were close to the mechanical properties of cortical bone.Furthermore,the L-M/CS bioceramics possessed more suitable degradability than traditional CaSiO_(3)bioceramics due to the newly formed CaTiSiO_(5)after sintering.Moreover,the L-M/CS bioceramics showed good biocompatibility and could stimulate the expression of osteogenesisrelated genes.The mechanism of promoting osteogenic differentiation had been shown to be related to theWnt signaling pathway.This work not only fabricated calciumsilicate-based bioceramics with excellentmechanical and biological properties for bone tissue engineering but also provided a strategy for the combination of bionics and bioceramics.
基金This study was financially supported by the Ministry of Science and Technology of the People’s Republic of China(Grant Nos.2016YFC1100200 and 2016YFC1100204 and 2016YFC1100201)the National Natural Science Foundation of China(Grant Nos.81730002,81670055,81670056,91442103,81500052,32000945 and 81570057)+2 种基金National Science&Technology Major Project for Key New Drug Creation and Manufacturing Program(No:2018ZX09201002-006)National Science Foundation of Shanghai(18ZR143400)Shanghai Family Planning Commission Health Industry Clinical Research Project(Grant No.20184Y0084).
文摘Pulmonary fibrosis(PF)is a chronic and progressively fatal disease,but clinically available therapeutic drugs are limited due to efficacy and side effects.The possible mechanism of pulmonary fibrosis includes the damage of alveolar epithelial cells II(AEC2),and activation of immune cells such as macrophages.The ions released from bioceramics have shown the activity in stimulating soft tissue derived cells such as fibroblasts,endothelia cells and epithelia cells,and regulating macrophage polarization.Therefore,this study proposes an“ion therapy”approach based on the active ions of bioceramic materials,and investigates the therapeutic effect of bioactive ions derived from calcium silicate(CS)bioceramics on mouse models of pulmonary fibrosis.We demonstrate that silicate ions significantly reduce pulmonary fibrosis by simultaneously regulating the functions of AEC2 and macrophages.This result suggests potential clinical applications of ion therapy for lung fibrosis.
基金supported by Beijing Municipal Science and Tech-nology Project(Grant No.KM202010005003)General Program of Science and Technology Development Project of the Beijing Municipal Education Commission.
文摘Zirconia(ZrO_(2))ceramics have potential applications in the field of oral medicine owing to their desirable me-chanical properties,biocompatibility,chemical stability,and aesthetic properties.To realize clinical applications,ZrO_(2)(3Y)/Al_(2)O_(3)bioceramics for all-ceramic dental implants were prepared using vat photopolymerization 3D printing technology,and their process optimization,microstructure,mechanics,tribology,and biological proper-ties were studied.The results indicate that when the sintering temperature and holding time are 1600℃and 3 h,respectively,the density of ZrO_(2)(3Y)/Al_(2)O_(3)bioceramics reaches 98.79%,and its Vickers hardness,compressive strength,flexural strength,and fracture toughness also reach their maximum values.Furthermore,the in vitro sim-ulated oral environment wear tests showed that artificial saliva provides a lubricating effect on ZrO_(2)(3Y)/Al_(2)O_(3)bioceramics and improves wear resistance.The biosafety of ZrO_(2)(3Y)/Al_(2)O_(3)bioceramics was evaluated and ZrO_(2)(3Y)/Al_(2)O_(3)had no obvious cytotoxicity and promoted cell proliferation,growth,and adhesion.In addition,its surface has appropriate roughness and good wettability.In conclusion,ZrO_(2)(3Y)/Al_(2)O_(3)bioceramics prepared by vat photopolymerization are promising biomaterials with broad application prospects in dental restoration.
