Bioceramics Joon Park Bioceramics Properties, Characterizations, and Applications Joon Park University of Iowa Biomedical and Mechanical Engineering Iowa City, IA 52242-1414 USA [email protected] ISBN 978-0-387-09544-8 e-ISBN 978-0-387-09545-5 Library of Congress Control Number: 2008931285 © 2008 Springer Science+Business Media, LLC All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper. 9 8 7 6 5 4 3 2 1 springer.com To my wife, Hyonsook (Danielle) v P REFACE The writing of this book was begun in 1995. A course on “Ceramics and Glasses As Biomaterials (51:174)” was first offered during 1988 under the Department of Bio- medical Engineering at the University of Iowa. It was largely based on my Biomate- rials Science and Engineering (Plenum, 1984), especially Chapter 9, “Ceramic Im- plant Materials.” Needless to say, there have been a multitude of significant new developments, notably with regard to cubic zirconia, diamond-like carbon, tissue en- gineering, and nanotechnology. The use of ceramics in tissue engineering is a logical extension of bioceramics, as bone and teeth are composed of ceramics and organic materials. The development of nanotechnology has unlimited potential for future ap- plications. Already used as gemstones and in laser crystals, employment of bioceram- ics in sensory organ implants is promising. Their use means that cochlear implants can be made without electronic devices to feed sound waves to more than 20,000 nerve endings, as opposed to the 20 electrodes currently needed to stimulate the same num- ber of nerves (see Example 11.3). One day we will manufacture a “direct-sensing” device made with ceramics and organic matter (e.g., collagen) that has piezoelectric properties. Similarly, electromagnetic wave-sensing ceramics or polymers can be developed for such “direct transfer” of energy in the eye or the ear and with other nerve signals. The task of writing a textbook is difficult. One needs to cover all subjects in a bal- anced but adequate fashion. This author believes in mastering the basics and funda- mentals first before advancing to other areas. It is therefore wise to study Chapters 2– 5 before proceeding to Chapters 6–11, where specific bioceramics are presented and discussed. The final chapter (12) presents an amalgamation of all previous studies as applied to medicine and dentistry. The author has attempted to include as much re- lated material as possible without overburdening the reader. Any errors of commission or omission that remain in spite of my and my copyeditor’s utmost efforts are our re- sponsibility alone. The author is thankful to all the undergraduate and graduate students who took his course and helped in revising the book. My sincerest thanks go out to former and pre- sent PhD students D.N. Bingham, Jin C. Cho, Yoon H. Kang, Gilson Khang, Hyun S. Kim, Inae Hur, Jae H. Kim, Jeong K. Kim, NaJung Kim, Sung S. Kim, Young Kon Kim, Rong-Fu Kuo, Jin W. Lee, Tae-H. Lim, Kwideok Park, Sang Hyun Park, Young Il Park, Joseph A. Paulus, A. Suliman, and Seok-Jo Yang. Former students S.A Al- Husseini, J.C. Anderson, W. Barb, A. Berthusen, J.B. Bigelow, D. Black, G.J. Boys, J.A. Case, D.R. Clarke, J.P. Davies, M.F. DeMane, S.D. Ferguson, J.R. Frigstad, G.E. Gratzick, M.F. Grether, T. Hargens, R. Hart, D.E. Henrich, P.R. Iyer, J. Kuebler, Uyen Le, M.A. Looney, K. Markgraf, E.O. Martz, W.J. Whatley, J.M. Winterbottom, vii viii PREFACE T.J. Wroblewski, and S.O. Young worked with me on various biomaterials research projects. I am also indebted to Professor Merrill. L. Ebner of Boston University, who passed away on March 28, 2008, who introduced me to the materials field, and to Pro- fessors K.L. DeVries (Utah), W.O. Statton (Utah), and D.R. Uhlmann (MIT/Arizona), who taught me how to conduct research and to teach. Special thanks go to Professors S.R. Armstrong (Iowa), T.D. Brown (Iowa), E.Y.S. Chao (Johns Hopkins), Won W. Choi (Iowa), C.R. Clark (Iowa), F.W. Cooke (Clemson/Wichita State), E.A. Friis (Kansas), V.K. Goel (Toledo), N.M. Grosland (Iowa), V.J. Hetherington (Iowa/Ohio College of Podiatric Medicine), J.J. Callahan (Iowa), John C. Keller (Iowa), G.H. Kenner (Clemson/Utah), Gilson Khang (Chunbook National University), Jeong K. Kim (Inje University), Young Kon Kim (Inje University), Yong S. Kim (Catholic University), R.S. Lakes (Wisconsin), J.H. Lee (Dong-A University), Jae I. Ahn (Ajoo University), Tae-H. Lim (Iowa), Y.K. Liu (Iowa/University of Northern California), S.A. Loening (Iowa/Berlin), Sang Hyun Park (UCLA), A.K. Salem (Iowa), Whal Seo (Yonsei University), K.L. Shaull (Iowa), H.B. Skinner (UC Irvine), R.C. Tucker (Iowa), R.C. Turner (Clemson), A.F. von Recum (Clemson/Ohio State), J.N. Weinstein (Iowa/Dartmouth), D.G. Wilder (Iowa), and Seok-Jo Yang (Chungnam Na- tional University). Doctors Hae B. Lee (Korea Research Institute of Chemical Tech- nology), Jae H. Kim (Pennsylvania), Jin W. Lee (BISCo), Kwideok Park (Korea Insti- tute of Science & Technology), and Hong S. Shim (Carbomedics/Medtronics Inc.) deserve special thanks. Also, my sincere gratitude and respect go to Professor A.S. Hoffman (Washington), who introduced me to the bioengineering field, and Professor L.L. Hench (Florida/Imperial College of Science, Technology & Medicine, London), who introduced me to bioceramics when I started teaching in 1973 at the University of Illinois at Champagne-Urbana. I would also like to extend my respect and admiration to Professor H. Kawahara (Osaka Dental University), who has been the main pro- moter and researcher of ceramic (alumina) dental implants over the past four decades. Messrs. Aaron Johnson and Tim Oliver of Springer have been a great help, not only with this book but also with Biomaterials: An Introduction, 3rd edition (Springer, 2007). I am grateful for their tireless dedication and professionalism. This book would not be possible without the countless days and late evenings of work spent away from my most wonderful family: my wife Hyonsook, my daughters Misun and Na Jung, and my sons Yoon Ho and Yoon Il, to whom I am forever in- debted. Joon B. Park, PhD Coralville, Iowa May 2008 C ONTENTS Preface..................................................................................................................... vii 1: Introduction Problems....................................................................................................... 5 Definitions.................................................................................................... 7 References.................................................................................................... 8 2: Structure of Ceramics and Glasses 2.1. Atomic Bonding and Arrangement............................................................... 12 2.2. Characterization of Microstructure............................................................... 18 2.3. Quantitative Analysis of Single-Phase Microstructure................................. 21 2.4. Microstructure Determination...................................................................... 22 Problems....................................................................................................... 24 Symbols/Definitions..................................................................................... 25 References.................................................................................................... 27 3: Characterization of Ceramics and Glasses 3.1. Mechanical Properties.................................................................................. 30 3.2. Strengthening of ceramics and Glasses........................................................ 36 3.3. Weibull Statistics of Brittle Failure.............................................................. 38 3.4. Impact Strength, Hardness, Friction, and Wear Properties.......................... 43 3.5. Thermal Properties (Phase Changes)............................................................ 47 3.6. Surface Properties......................................................................................... 59 Problems....................................................................................................... 63 Symbols/Definitions..................................................................................... 66 References.................................................................................................... 68 ix x CONTENTS 4: Glass Formation and Characterization 4.1. Glass Formation............................................................................................ 70 4.2. Nucleation and Glass Formation.................................................................. 71 4.3. Strength of Glasses....................................................................................... 72 4.4. Static Fatigue of Glasses............................................................................... 74 Problems....................................................................................................... 77 Symbols/Definitions..................................................................................... 80 References.................................................................................................... 81 5: Hard Tissues: Structure, Properties, Healing, Remodeling, and Biocompatibility 5.1. Structure of Proteins..................................................................................... 85 5.2. Structure–Property Relationships................................................................. 90 5.3. Hard Tissue Healing and Remodeling.......................................................... 102 5.4. Biocompatibility........................................................................................... 109 Problems....................................................................................................... 112 Symbols/Definitions..................................................................................... 113 References.................................................................................................... 114 6: Aluminum Oxides (Alumina) 6.1. Source, Composition, and Structure............................................................. 118 6.2. Mechanical Properties.................................................................................. 120 6.3. Fatigue Properties and Service Life.............................................................. 124 6.4. Applications.................................................................................................. 128 6.5. Further Thoughts.......................................................................................... 132 Problems....................................................................................................... 133 Symbols/Definitions..................................................................................... 136 References.................................................................................................... 138 7: Zirconium Oxides (Zirconia) 7.1. Source and Manufacturing of Zirconia......................................................... 142 7.2. Structure and Properties of Zirconia............................................................. 142 7.3. Long-Term Stability and Implant Design..................................................... 149 7.4. Further Thoughts.......................................................................................... 161 Problems....................................................................................................... 162 Symbols/Definitions..................................................................................... 163 References.................................................................................................... 165 CONTENTS xi 8: Glass-Ceramics 8.1. Formation of Glass-Ceramics....................................................................... 168 8.2. Properties of Glass-Ceramics....................................................................... 170 8.3. Coatings and Composites............................................................................. 176 8.4. Further Thoughts.......................................................................................... 176 Problems....................................................................................................... 177 Definitions.................................................................................................... 178 References.................................................................................................... 179 9: Hydroxyapatite 9.1. Source, Composition, and Structure............................................................. 184 9.2. Properties of Hydroxyapatite........................................................................ 191 9.3. Applications.................................................................................................. 192 9.4. Further Thoughts.......................................................................................... 197 Problems....................................................................................................... 197 Definitions.................................................................................................... 200 References.................................................................................................... 201 10: Carbons and Diamond-Like Carbon Coatings 10.1. Source and Structure of Carbons.................................................................. 206 10.2. Properties of Carbons................................................................................... 209 10.3. Manufacture of Carbon Implants.................................................................. 212 10.4. Diamond-Like Carbon (DLC) Coatings....................................................... 214 10.5. Further Thoughts.......................................................................................... 221 Problems....................................................................................................... 221 Definitions.................................................................................................... 222 References.................................................................................................... 223 11: Sulfates and Titanates 11.1. Source, Composition, and Structure............................................................. 228 11.2. Structure and Properties of Titanates............................................................ 232 11.3. Applications.................................................................................................. 236 11.4. Further Thoughts.......................................................................................... 241 Problems....................................................................................................... 241 Symbols/Definitions..................................................................................... 243 References.................................................................................................... 244 xii CONTENTS 12: Composites, Tissue Substitutes, and Scaffolds 12.1. Fundamentals of Composite Theory............................................................. 248 12.2. Applications of Composites.......................................................................... 253 12.3. Composite Scaffolds..................................................................................... 274 12.4. Fabrication of Bone Scaffolds...................................................................... 281 12.5. Biocompatibility of Composite Biomaterials............................................... 284 12.6. Further Thoughts.......................................................................................... 285 Problems....................................................................................................... 285 Symbols/Definitions..................................................................................... 290 References.................................................................................................... 295 Appendices Appendix I: Physical Constants and Conversions.............................................. 303 Appendix II: SI Units........................................................................................... 304 Appendix III: Common Prefixes........................................................................... 305 Appendix IV: Properties of Selected Elements..................................................... 306 Bibliography........................................................................................................... 307 Name Index............................................................................................................. 327 Subject Index.......................................................................................................... 339