Nanostructured Bioceramics |
Nano-bioglasses |
Biocompatible |
Suboptimal Biodegradation |
Vallet-Regí et al., 2003; Izquierdo-Barba et al., 2013; Ducheyne, 2015; Islam et al., 2017; Mancuso et al., 2017
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Enhanced bone integration |
Poor mechanical properties |
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Improved biodegradation |
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Hydroxyapatite |
High biocompatibility |
Poor mechanical properties |
Liou et al., 2004; Capuccini et al., 2008; Boanini et al., 2010; Tampieri et al., 2012; Zofková et al., 2013
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Resembles mineral phase of bone |
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Can be doped with multiple ions to closely mimic bone mineral |
Slow degradation rates in vivo
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Osteoconductive |
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Can be used in a plethora of formulations (e.g., powder, solid scaffold, cement, coatings) |
Limited osteoinductivity |
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High biocompatibility |
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Tricalcium phosphate |
Provides main bulding blocks for new matrix deposition |
Poor mechanical properties |
Shepherd and Best, 2011; Sadat-Shojai et al., 2013; Vahabzadeh and Bose, 2017; Sergi et al., 2018
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Can be doped with multiple ions to tune bioactivity and degradation |
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Osteoconductive |
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Can be used in a plethora of formulations (e.g., powder, solid scaffold, cement, coatings) |
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Faster in vivo degradation |
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Nanocomposites |
Ceramic/polymer composites (e.g., HA/PLGA, HA/Alginate) |
High biocompatibility |
May have limited osteoinductivity |
Kim et al., 2005; Miao et al., 2005; Tampieri et al., 2005; Heo et al., 2009; Akman et al., 2010; Bernstein et al., 2010; Cruz, 2010; Bhumiratana et al., 2011; Wang Z. et al., 2016; Zhu et al., 2017; Bian et al., 2019
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Ease of fabrication |
Fabrication requires organic solvents |
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Can be used to prepare scaffolds with complex 3D architecture |
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Improved mechanical properties of scaffolds |
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Tunable degradation rate |
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Bio-hybrid composites |
High biocompatibility |
Poor mechanical properties (not load bearing) |
Tampieri et al., 2008; Tampieri et al., 2011; Minardi et al., 2015a; Minardi et al., 2019
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Fabrication not requiring organic solvents |
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Highly biomimetic |
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Excellent bioactivity |
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