2019
DOI: 10.1038/s41598-019-53094-5
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Bioactive coating of zirconia toughened alumina ceramic implants improves cancellous osseointegration

Abstract: Bioactive coatings have the potential to improve the bony integration of mechanically loaded orthopedic ceramic implants. Using the concept of mimicking the natural bone surface, four different coatings of varying thickness on a zirconia toughened alumina (ZTA) ceramic implant were investigated regarding their osseointegration in a drill-hole model in sheep. The hypothesis that a bioactive coating of ZTA ceramics would facilitate cancellous bone integration was investigated. The bioactive coatings consisted of… Show more

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Cited by 47 publications
(27 citation statements)
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“…Recently, Pobloth et al used the mimic concept of natural bone surface for fabricating four differently coated zirconia‐toughened alumina (ZtA) ceramic implants with varied thickness and evaluated their osseointegration. [ 273 ] The study also investigated cancellous bone integration. Applicability of zirconia nanostructures in the field of bone implantation are mentioned in Table 2 .…”
Section: High‐performance Biomedical Applications Of Multimodel Zr‐nssmentioning
confidence: 99%
“…Recently, Pobloth et al used the mimic concept of natural bone surface for fabricating four differently coated zirconia‐toughened alumina (ZtA) ceramic implants with varied thickness and evaluated their osseointegration. [ 273 ] The study also investigated cancellous bone integration. Applicability of zirconia nanostructures in the field of bone implantation are mentioned in Table 2 .…”
Section: High‐performance Biomedical Applications Of Multimodel Zr‐nssmentioning
confidence: 99%
“…They exhibit pronounced resemblance to bone tissue minerals, excellent biocompatibility, good cell attachment properties for ensuring natural biodegradability, and bioresorption [98][99][100]. However, β-tricalcium phosphate is a bone substitute that has high biocompatibility, favorable resorption properties, and osteoconductivity [101][102][103]. In comparison with other bone substitutes, tricalcium phosphate, α-tricalcium phosphate (α-Ca 3 (PO 4 ) 2 ) and β-tricalcium phosphate (β-Ca 3 (PO 4 ) 2 ), are two polymorphs of tricalcium phosphate (TCP).…”
Section: β-Tricalcium Phosphate Implantsmentioning
confidence: 99%
“…However, bone ingrowth can also be observed in ceramic implants when they are coated with a harder, bioactive material. One in vivo study on bioceramic implantation in sheep found that covalent binding to phosphate molecules on one implant and 20 nm hydroxyapatite coating on another both produced strong osseointegration on the implant surface (Pobloth et al, 2019). Twelve weeks after operation, ultimate tensile strength of these bioactive implants was sevenfold that of the uncoated prostheses (Pobloth et al, 2019).…”
Section: Osseointegration In Ceramic Implantsmentioning
confidence: 99%