“… 14 , 15 A major focus has been on the inclusion and testing of various additives or fillers designed to improve or remediate the mechanical, thermal and biological deficiencies in conventional PMMA. 16 , 17 Researchers have studied combinations of PMMA bone cement and several micro- and nanoparticles, including barium sulfate, 18 carbon nanotubes, 19 , 20 chitosan, 21 collagen, 22 clays, 23 , 24 hydroxyapatite, 25 , 26 magnesium oxide, 27 silica 28 , 29 and silver nanoparticles 30 (refer the study by Lewis 17 for an extensive review of these, and other additives, and their effects on PMMA).…”