Bioactive glasses (BGs) are being used in several biomedical applications, one of them being as antibacterial materials. BGs can be produced via melt-quenching technique or sol-gel method. Bactericidal silver-doped sol-gel derived mesoporous silica-based bioactive glasses were reported for the first time in 2000, having the composition 76SiO-19CaO-2PO-3AgO (wt%) and a mean pore diameter of 28nm. This review paper discusses studies carried out exploring the potential antibacterial applications of drug-free mesoporous silica-based BGs. Bioactive glasses doped with metallic elements such as silver, copper, zinc, cerium and gallium are the point of interest of this review, in which SiO, SiO-CaO and SiO-CaO-PO systems are included as the parent glass compositions. Key findings are that silica-based mesoporous BGs offer a potential alternative to the systemic delivery of antibiotics for prevention against infections. The composition dependent dissolution rate and the concentration of the doped elements affect the antibacterial efficacy of BGs. A balance between antibacterial activity and biocompatibility is required, since a high dose of metallic ion addition can cause cytotoxicity. Typical applications of mesoporous BGs doped with antibacterial ions include bone tissue regeneration, multifunctional ceramic coatings for orthopedic devices and orbital implants, scaffolds with enhanced angiogenesis potential, osteostimulation and antibacterial properties for the treatment of large bone defects as well as in wound healing.

Porous composite scaffolds with decoupled ion release of copper and strontium were fabricated and characterized: a reproducible and cost-effective approach to obtain constructs with tailored release profiles and promising biological properties.

Soluble Ga/Ce-doped phosphate glass fibres exhibiting controlled release of ions were developed and characterised for wound healing applications. Fibres did not disturb the proliferation and migration of cells and showed antibacterial properties.

Phosphate-based glasses (PBG) have low melting temperatures and can be obtained by meltquenching and sol-gel methods. The most significant characteristic of PBG is their ability to dissolve completely in aqueous solution within different timeframes. This solubility can reduce the need for revision surgeries and makes PBG well-suited for soft tissue regeneration. Phosphate glass fibres (PGF) due to their geometry and volume-surface area ratio are the subject of a growing number of studies on resorbable composites. Medical applications include bone fixation devices, nerve tissue scaffolds and wound healing. PBG can be doped with various ions to enhance their biological, chemical and structural properties allowing the preparation of fibres with designed properties and with the ability to release biologically active ions upon degradation. The aim of this review is to look in detail at the influence of different dopants on PGF behaviour, both at a structural and biological level.