Ceramic hydroxyapatite implants for the release of bisphosphonate

Bone Miner. 1994 May;25(2):123-34. doi: 10.1016/s0169-6009(08)80254-1.

Abstract

Maintaining bone mass after extraction of teeth is a major problem in the prevention of oral disease. Maintenance theoretically could be enhanced by immediate implantation of submerged ceramic hydroxyapatite (HA) implants releasing the bone resorption-inhibiting agent bisphosphonate (P-C-P). Four different types of ceramic HA implants were designed as release systems for an in vitro study and assayed in saline at a temperature of 37 degrees C during 3 months. The implants were either rod- or tube-shaped, with densities of 3.104 g/cm3 and 1.408 g/cm3 (microporous) or 2.369 g/cm3 (macro/microporous). Loading of the implants with the P-C-P was done by adsorption into the ceramic (rod-shaped implants) or by filling the reservoir of the implant (tube-shaped implants). Despite the fact that P-C-P has a high bonding affinity to HA it appeared that the release of adsorbed P-C-P from the ceramic HA occurred steady, controlled and over a long period of time. The rod-shaped implants had much better release properties than the tube-shaped implants. Microporous ceramic HA rods sintered at 800 degrees C and macro/microporous rods sintered at 1300 degrees C are considered to be promising release systems for P-C-Ps.

MeSH terms

  • Adsorption
  • Bone Density / physiology*
  • Ceramics
  • Dental Implants*
  • Diphosphonates / chemistry
  • Diphosphonates / metabolism*
  • Durapatite*
  • Hot Temperature
  • In Vitro Techniques
  • Microscopy, Electron
  • Porosity

Substances

  • Dental Implants
  • Diphosphonates
  • Durapatite