Calcium phosphate cement (CPC), composed of silica-modified hydroxyapatite (HA-SiO2), cerium oxide (CeO2), and silica (SiO2), was developed as an osteoporosis bone filler. The effect of CeO2 and SiO2 content on the CPC's properties, such as crystal parameters, surface properties, antibacterial activity, and toxicity properties, were studied. HA-SiO2 was prepared using the sol-gel method, while CeO2 was prepared using the precipitation method. HA in HA-SiO2 has crystal properties similar to pure HA. Synthesized CeO2 contains Ce3+ and Ce4+ ions with Ce3+/Ce4+ = 0.34. Computational calculation predicted that the CeO2 (111) surface and glycine molecule interaction was categorized as chemisorption. Moreover, CeO2 has antibacterial activity toward Escherichia coli and Staphylococcus aureus. Combining HA-SiO2 and CeO2 did not change the adsorption-desorption isotherm curve type, but slightly decreased the surface area, total pore volume, and average pore. Increasing the percentage of CeO2 and adding 10 % SiO2 (w/w) affected the particle's size and CeO2 distribution. However, CPC lost antibacterial activity toward Staphylococcus aureus but adding 10 % SiO2 (w/w) increases the bacterial activity toward Escherichia coli close to that of pure CeO2. The MTT assay using pre-osteoblast MC3T3E1 cells showed that the CPC has IC50 = 4227 μg/ml or is nontoxic.
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