Abstract

Calcium phosphate materials (CaPs) are similar to inorganic part of human mineralized tissues (i.e., bone, enamel, and dentin). Owing to their high biocompatibility, CaPs, mainly hydroxyapatite (HA), have been investigated for their use in various medical applications. One of the most widely used ways to improve the biological and physicochemical properties of HA is ionic substitution with trace ions. Recent developments in bioceramics have already demonstrated that introducing foreign ions is also possible in other CaPs, such as tricalcium phosphates (amorphous as well as α and β crystalline forms) and brushite. The purpose of this paper is to review recent achievements in the field of non-apatitic CaPs substituted with various ions. Particular attention will be focused on tricalcium phosphates (TCP) and “additives” such as magnesium, zinc, strontium, and silicate ions, all of which have been widely investigated thanks to their important biological role. This review also highlights some of the potential biomedical applications of non-apatitic substituted CaPs.

Highlights

  • Calcium phosphates (CaPs) are commonly used biomaterials in various medical fields, i.e., mineralized tissue surgery, implantology, orthopaedics, and stomatology

  • These materials differ in Ca/P molar ratio and both physicochemical and biological properties, such as solubility, biodegradability, and bioactivity [1]. They are stable in various pHs: for example, HA is chemically stable in aqueous solution in pH > 8, whereas octacalcium phosphate (OCP) and dicalcium phosphate dihydrate (DCPD) in neutral and pH < 6, respectively

  • In comparison with unmodified calcium phosphates phosphates cements (CPCs), 25% of previously introduced drug remained in the SiCPC matrix

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Summary

Introduction

Calcium phosphates (CaPs) are commonly used biomaterials in various medical fields, i.e., mineralized tissue surgery, implantology, orthopaedics, and stomatology Due to their special properties, such as biocompatibility, bioactivity, nontoxicity, and osteoconductivity, they play a crucial role as bone grafts, bone fillers, and coating materials [1,2]. Most commonly, they are applied in a form of porous granules, scaffolds, or hydraulic, ready-to-use, mouldable cements. CaPs can be obtained in different crystalline or amorphous phases, depending on the synthesis conditions (see Scheme 1) These materials differ in Ca/P molar ratio and both physicochemical and biological properties, such as solubility, biodegradability, and bioactivity [1].

Calcium
The Most Relevant Ionic Substitution within the CaPs Crystal Structure
Non-Apatitic Calcium Phosphates
Ionic Substitutions in Non-Apatitic Calcium Phosphates
Release of vancomycin fromfrom different
TCP Substituted with Foreign Ions
Typical
Findings
Conclusions
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