INTRODUCTIONCalcium phosphate ceramics, especially synthetic apatites, have been studied as biocompatible materials for bone reconstruction and bone filling 1-5) . It has been demonstrated that hydroxyapatite (HA) coatings on titanium implants facilitate rapid bone formation due to their osteoconductive property 6-10) . Plasma-sprayed HA-coated dental implants have been used clinically, and good results have been obtained 11-13) . Physical vapor deposition techniques, such as ion implantation 14) , ion beam mixing
15), and ion beam dynamic mixing 16) have recently been used for fabricating thin HA layers with strong adherence on titanium substrates. These dry process techniques, including plasma spraying, are suitable for forming uniform HA films on implants with smooth surfaces. However, uniform coatings of thin HA layer on irregularly shaped implants and within the pores of porous-surfaced implants cannot be achieved by using these techniques. The formation of a thin and uniform HA layer on the inner surfaces of pores as well as the outside surface would facilitate bone ingrowth into the porous layer, thus improving the implant fixation due to improved mechanical retention. Wet process techniques for HA film coating are therefore attractive for coating of poroussurfaced implants.Many methods for HA film coating by a wet process, including dip coating 17,18) , electrolytic deposition 19,20) , and anodic oxidation followed by hydrothermal treatment 21) , have been proposed.These methods, however, have not been employed in clinical practice. This is probably because they do not satisfy all the requirements for clinical application, such as sufficient bonding between HA coating and underlying substrate, uniformity of the coated HA layer, a simple and quick coating process, and long-term stability of the coated HA layer. The solubility product of HA decreases with increase in temperature above 16℃
22). As such, an HA film can be quickly formed from heterogeneous nucleation on a titanium substrate when the substrate is electrically heated in a metastable calcium phosphate solution. Based on this principle, Kuroda et al.23) demonstrated that HA crystals could be deposited on a polished titanium plate. However, they did not obtain a dense and uniform HA film when the titanium plate was electrically heated at 45 -160℃ in a calcium phosphate solution
23). This was probably due to insufficient induction of heterogeneous HA nucleation on the polished titanium plate by electrical heating.In the present study, we chemically modified the surface of a titanium substrate prior to heating it in a metastable calcium phosphate solution. The purpose of which was to promote heterogeneous HA nucleation and thus form a uniform HA film rapidly. The titanium substrate was alkaline-treated in 5 M NaOH at 60℃ for 24 hours, and then heated at 60 ℃ for 0.5 -3 hours in a metastable calcium phosphate solution that does not precipitate spontaneously. The HA film that formed on the substrate was examined by scanning electron mic...