Search Results (207)

This prospective case series evaluated the short-term outcomes following percutaneous cementoplasty as the sole palliative treatment for appendicular osteosarcoma in 10 dogs. Synthetic self-hardening calcium phosphate bone substitute was injected into the osseous defect under fluoroscopic guidance after curettage of the bone tumor. Clinician assessment included a numerical rating score for lameness, offloading, and ease of lifting the contralateral limb as well as the 4A-VET postoperative pain scale. Owner assessment was obtained using three descriptive questionnaires, the Helsinki Chronic Pain Index (HCPI), the Canine Brief Pain Inventory (CBPI) and the Canine Symptom Assessment Scale (CSAS). Measures were recorded preoperatively and at 2, 4, 8, and 12 weeks following surgery. Early improvement in the 4A-Vet score was noted at the 2-, 4-, 8-, and 12-week time points for all major pain and function metrics. Similarly, the CBPI pain severity and interference scores demonstrated early postoperative improvement during the 2- and 4-week time points with partial attenuation by 8 and 12 weeks. Panting, difficulty sleeping, whining/moaning, and lack of appetite were significantly reduced when assessed via the CSAS. Cementoplasty as a monotherapy, affording early pain relief and improved structural integrity, supports its role as a palliative limb-preserving option for dogs unable to undergo amputation. Full article

This study investigated the feasibility of using hydroxyapatite (HAp) derived from pyrolyzed waste chicken bones as a sustainable cement replacement material for cement mortar. Commercial tricalcium phosphate (TCP), which belongs to the same calcium phosphate family but possesses distinct crystalline characteristics, was used as a comparative material. HAp and TCP were incorporated as partial cement replacements at 2, 5, 10, and 20% by weight, and the workability, compressive strength, flexural strength, microstructure, and CO₂ emission characteristics of the resulting mortars were evaluated. The results showed that low replacement ratios improved early-age strength owing to the micro-filler effect of fine calcium phosphate particles. In particular, the HAp mixtures exhibited superior long-term performance compared with the TCP mixtures, with the 2% HAp mixture achieving the highest compressive strength of 54.5 MPa at 56 days. Flexural strength results showed a similar trend, with HAp effectively suppressing microcrack propagation through improved matrix densification and interfacial bonding. However, replacement ratios exceeding 10% reduced mechanical performance due to cement dilution, increased porosity, and particle agglomeration. SEM observations confirmed that HAp replacement levels of 2–5% densified the mortar matrix, whereas excessive replacement caused localized agglomeration and microstructural defects. The carbon emission assessment indicated that pyrolysis reduced direct CO₂ emissions compared with incineration by immobilizing part of the carbon in solid char; however, laboratory-scale pyrolysis increased total emissions because of high electricity consumption. Nevertheless, process integration with cement clinker production could enable waste valorization and carbon reduction by utilizing existing high-temperature kiln systems. Overall, chicken bone-derived HAp–carbon composite demonstrated strong potential as an eco-friendly cement replacement material, with an optimal replacement ratio of 5% or less. Full article

Flotation tailings and metallurgical slags from mining often contain toxic Pb, Cd, and Zn. In this study, we evaluated the in situ immobilization of Pb, Cd, and Zn in a Pb–Zn flotation tailing and a smelting slag by adding representative amendments: phosphate-based (ammonium phosphate, phosphoric acid, glassy fertiliser), cementitious (Portland cement), and iron-based (bog iron ore) materials at 1–10% (w/w). Treated samples underwent EPA-TCLP and pH-dependent leaching tests (pH 3–10), with Pb, Cd, and Zn measured by atomic absorption spectroscopy. The untreated tailing leached hazardous Pb (~60 mg/L) and elevated levels of Cd (~0.7 mg/L) and Zn (~53 mg/L), whereas the untreated slag leached negligible metal concentrations. All amendments reduced metal release in a dose-dependent manner. Phosphate amendments were most effective (e.g., 10% H₃PO₄ cut tailing Pb by 80%, Cd by 60%, and Zn by 30%), while cement and iron additions had much weaker effects. Solid-phase XRD and SEM-EDS analyses indicated the formation of stable calcium–phosphate minerals on sulfide surfaces after phosphate treatment. These findings suggest that low-cost phosphate additives (~5–10%) can substantially immobilize Pb, Cd, and Zn in such wastes. However, under strongly acidic conditions (pH < 3), some remobilization occurred, highlighting the need for further validation. This work provides practical guidance for waste managers on selecting in situ stabilization strategies for Pb–Zn mine wastes. Full article

Under the global carbon-neutrality target, the technology of carbon capture, utilization, and storage-enhanced oil recovery (CCUS-EOR) faces a severe challenge of carbonation-induced degradation of oil-well cement in harsh downhole environments. Traditional cement suffers serious structural failure under high-temperature and high-pressure CO₂ conditions, whereas single-nanoparticle or polymer modification cannot meet long-term safety requirements. Meanwhile, the comparative study between the “matrix modification strategy” and the “cement system replacement strategy” is still insufficient under real CCUS-EOR conditions. In this study, experimental investigations including macroscopic performance testing, phase analysis, and multi-scale microstructural characterization were conducted. This study systematically evaluates the carbonation resistance of polyaniline@titanium dioxide-modified cement (P@T) and calcium aluminate phosphate cement (CAP). The results show that the carbonation resistance follows the descending order: CAP > P@T > silica-fume-containing Class G oil-well cement (PT). CAP seems to demonstrate a potential “corrosion-induced densification” effect. After 90 days of corrosion, its compressive strength increases to 62.5 MPa, and its permeability decreases to 13.3% of the initial value, indicating continuously improved performance. P@T indicates the possible decoupling of high carbonation degree (CaCO₃ content of 25.26%) and microstructural stability through a structural regulation mechanism of “physical filling–homogeneous distribution of carbonation products”. In contrast, PT undergoes complete structural failure after 60 days. This study fills a gap in comparative evaluation between modification and replacement schemes, reveals the multi-scale structural regulatory effects of P@T and the intrinsic stability of CAP, and provides two reliable cement solutions—“modification enhancement” and “system replacement”—for CCUS-EOR environments. The scientific validity is demonstrated through multi-scale characterization, offering key theoretical and technical support for ensuring long-term wellbore integrity. Full article

Magnesium phosphate cement (MPC) shows great potential for complex underground environments due to its rapid-hardening and early-strength properties. However, its large-scale application is hindered by several drawbacks, including high hydration heat, rapid setting, and insufficient long-term durability. To address these limitations, this study developed a novel MPC grouting material modified with steel slag (SS) and redispersible latex powder (LP). We systematically investigated the workability, mechanical properties, durability, and microstructural evolution of this modified system. Results indicate that incorporating SS and LP decreases both the fluidity and setting time of the grout. An optimal SS dosage accelerates reaction kinetics and raises the peak hydration temperature. Conversely, the LP-induced polymer film suppresses the overall temperature rise, delaying the first exothermic peak and advancing the second. The incorporation of 5% steel slag increased the 28-day compressive strength of the MPC to 54.86 MPa. Building on this, the combined addition of 0.15% latex powder further elevated the strength to 58.82 MPa. Microstructural and pore analyses confirmed that the steel slag enhanced interfacial bonding through physical filling and the formation of calcium phosphate crystals. Meanwhile, the latex powder formed a continuous polymer film, which tightly wrapped and bridged the hydration products and unreacted particles. This synergistic mechanism effectively sealed the capillary pores and reduced the proportion of harmful pores by 15.99% compared to the control group. Consequently, the densified MPC matrix laid a solid microstructural foundation for the material’s excellent durability. It offers reliable, high-performance material for seepage control and strata reinforcement in complex environments. Full article

Background/Objectives: Calcium phosphate cement (CPC) is extensively utilised in bone repair owing to its biocompatibility, osteoconductivity, and compositional similarity to native bone. Functionalisation of CPC with palm tocotrienol may enhance its regenerative potential. However, the incorporation of phytochemicals requires safety evaluation to exclude potential genotoxic risks. This study investigated the mutagenic potential of CPC and tocotrienol-enriched CPC (CPC-T3) using the bacterial reverse mutation assay. Methods: Mutagenicity was evaluated in five bacterial strains, including Salmonella typhimurium TA100, TA98, TA1535, TA1537, and Escherichia coli WP2 trp uvrA, under both non-metabolic and metabolic activation conditions. Revertant colonies were quantified at multiple concentrations and mutagenicity ratios were calculated relative to the negative control. Results: Across all strains and metabolic conditions, neither CPC nor CPC-T3 induced reproducible or concentration-dependent increases in revertant colony numbers. Although isolated elevations were detected at certain concentrations, these findings lacked dose–response relationships and did not meet the criteria for a positive mutagenic response according to Organisation for Economic Co-operation and Development (OECD) Test Guideline No. 471. The performance of negative and positive controls confirmed the validity and sensitivity of the assay. Notably, the inclusion of palm tocotrienol did not alter the overall mutagenicity profile of CPC. Conclusions: CPC and CPC-T3 demonstrated no evidence of mutagenic activity under the conditions of the bacterial reverse mutation assay. These findings represent preliminary genotoxicity screening. Further mammalian genotoxicity and in vivo studies are warranted to support future translational development as implantable medical devices. Full article

This work investigates the potential of wollastonite-based brushite cement (WBC) for the stabilization and solidification of radioactive waste contaminated by ⁹⁰Sr. This phosphate binder was formed by the reaction of wollastonite (CaSiO₃) with a phosphoric acid solution containing borax and metallic cations (Al³⁺, Zn²⁺). Two cement pastes were investigated: a commercial binder (WBC-C) and an optimized formulation (WBC-O), produced using a zinc-free mixing solution with a higher aluminum content than that of WBC-C. Mineralogical characterizations using XRD, TGA, XRF, SEM-EDX, and Raman spectroscopy showed that both materials mainly contained amorphous hydrated silica and calcium aluminophosphate, along with crystalline brushite, residual wollastonite, and quartz. The stability of WBC-C under γ-irradiation was evaluated up to a dose of 1 MGy. The only observable effect was water radiolysis, leading to dihydrogen production at yields comparable to Portland cement matrices and geopolymers. Strontium leaching, assessed using the ANSI/ANS-16.1-2003 (R2008) procedure, followed a two-stage release mechanism combining surface wash-off and diffusion. The apparent diffusion coefficient D_a of Sr in WBC-C was markedly lower than typical values reported for Portland cement matrices. WBC-O exhibited enhanced Sr retention, possibly due to its higher aluminum content, which refines mesopores and reduces diffusion pathways accessible to Sr. WBC binders therefore appear to be promising candidates for strontium immobilization. Full article

Orthodontic treatment with fixed appliances increases the risk of enamel demineralization and biofilm accumulation around brackets and other devices. Conventional orthodontic bonding materials provide adequate mechanical retention but limited bioactive protection. This narrative review summarizes current in vitro, in vivo, and clinical evidence on nanoparticles (NPs) incorporated into orthodontic adhesives and cements, focusing on antimicrobial and remineralizing effects, mechanical performance, potential clinical relevance, and safety. Electronic searches of PubMed, Science Direct and Google Scholar identified laboratory, animal, and human studies evaluating NP-modified orthodontic bonding systems. Most available data derive from in vitro experiments, which consistently show that silver, zinc oxide, titanium dioxide, calcium phosphate-based particles, and related nanoparticles can inhibit cariogenic biofilms, reduce enamel demineralization surrogates, and, in many formulations, maintain clinically acceptable shear bond strength while enabling fluoride or calcium/phosphate ion release. A smaller number of in vivo and short-term clinical studies suggest reduced plaque accumulation and fewer or less severe white-spot lesions when nanoparticle-containing materials are used, although study designs and outcome measures are heterogeneous. Overall, NP-enhanced orthodontic bonding materials appear promising for combining mechanical durability with biological protection. However, the current level of evidence is limited by the predominance of in vitro data, small sample sizes, and short follow-up in clinical studies. Well-designed, long-term clinical trials with standardized outcomes are required before routine clinical adoption can be recommended. Full article

This study evaluated the bond strength of self-adhesive resin cement (SARC) containing 10-methacryloyloxydecyl dihydrogen phosphate (MDP) and calcium silicate, with and without zirconia primer, before and after thermocycling. Sintered zirconia specimens (n = 180) were sequentially polished, sandblasted, and bonded with TheraCem (TC), Clearfil SA Luting (SA), or Rely X U200 (RU), with and without Z-Prime Plus primer. Specimens were stored in water at 37 °C or subjected to 10,000 thermocycles (5–55 °C). Shear bond strength (SBS), failure modes, fracture surfaces, flexural strength, and Vickers hardness were assessed. Bonding performance was governed by material-specific interactions rather than a complex three-factor interplay between resin cement type, primer application, and thermocycling. SBS followed the order TC > SA > RU and was significantly higher with primer application. Thermocycling significantly reduced SBS in all groups. Premature failure occurred in the RU and SA groups. Mixed failure was predominant across all conditions. The flexural strength and Vickers hardness were highest in the RU group, followed by the TC and SA groups, with RU maintaining significantly higher hardness even after thermocycling. Overall, SARCs containing MDP and calcium silicate demonstrated favorable bonding performance, which was further enhanced by zirconia primer application. Full article

Metformin is a promising small molecule for dentin regeneration, but an effective local delivery system for pulp applications has been underexplored. This study encapsulated metformin in poly(lactic-co-glycolic acid) (PLGA) microspheres and incorporated them into calcium phosphate–chitosan cement (CPCC) as a direct pulp-capping material (DPC). Metformin-PLGA microspheres were prepared by double emulsion and mixed with CPCC at a concentration of 0% to 20% by weight. Microsphere morphology, encapsulation efficiency, chemical composition, and physico-mechanical properties were characterized, and compatibility with human dental pulp stem cells (hDPSCs) was evaluated by live/dead assay and SEM. The microspheres were spherical (5.43 ± 0.17 µm) with (51 ± 3.69%) encapsulation efficiency, and FTIR confirmed metformin incorporation. The 15% Met-PLGA-CPCC group showed flexural strength (15.22 ± 1.98 MPa), elastic modulus (4.60 ± 0.73 GPa), and work of fracture (104.96 ± 12.48 J/m²) comparable to or higher than CPCC and MTA, while all Met-PLGA-CPCC groups had shorter setting times ranging from 18 min to 27 min than CPCC (39.15 ± 2.10 min) and MTA (123 ± 4.2 min). Metformin release increased proportionally with Met-PLGA content. hDPSCs exhibited good attachment and high viability on all materials over the evaluated period. In conclusion, Met-PLGA-CPCC provides fast-setting and favorable physico-mechanical properties, sustained metformin delivery, and excellent hDPSC compatibility. These properties support its potential as a bioactive direct pulp-capping material and as a versatile platform for regenerative applications. Full article

Calcium magnesium phosphate cements (CMPCs) were obtained starting from dolomite (alone or mixed with fly ash) thermally treated at two different temperatures. Dolomite calcination at 750 °C for 3 h determined the formation of a mixture of MgO and CaCO₃. The mixing of dolomite with fly ash and the increase in the calcination temperature at 1200 °C determined the formation of new compounds (calcium aluminum silicate and calcium magnesium silicates), which are present along with MgO and small amounts of CaO in the thermally treated material. These two precursors were mixed with KH₂PO₄ solution and borax (as a retardant admixture) to obtain the CMPCs. The setting time and compressive strengths of these CMPCs were assessed and the XRD analyses provided insights into their mineralogical composition after hardening and thermal treatment. The cements, as so or mixed with perlite, were applied on steel plates, to assess their behavior when put in direct contact with a flame. The compatibility of these materials with the steel substrate was evaluated by scanning electron microscopy (SEM). The direct contact with the flame up to 60 min provided information regarding the CMPCs’ ability to prevent the rapid increase in the substrate (steel plate) temperature. The findings indicate that CMPC pastes and composites containing perlite can offer a degree of protection for steel structures in the event of a fire. Full article

The aim of the study was to investigate the synergistic effect of conditioned medium (CM) and two types of calcium phosphate biocements on the osteogenic properties of a composite material through rat bone marrow-derived mesenchymal stem cells (MSCs). Briefly, MSCs were cultured for 7 and 17 days in extracts derived from the two biocement types. These extracts were supplemented with 5% (v/v) of concentrated CM. The CM was obtained from rat bone marrow MSC cultures after a 48 h conditioning period. The results showed that the addition of CM had a significant positive impact on the osteoblastic differentiation of MSCs, particularly in the extracts from the tetracalcium phosphate/monetite/calcium sulfate hemihydrate biocement (designated as CAS cement) compared to the other tested cement extract (designated C cement). After 17 days of culturing, a notable increase in cell viability and alkaline phosphatase (ALP) activity, as well as the upregulation of osteoblastic-related gene expression, was found. This enhancement in osteogenic activity was likely driven by the growth factors and bioactive molecules present in the CM. The study concluded that supplementing the biocement extracts with only 5% of 10X concentrated CM is sufficient to significantly influence and improve the in vitro characteristics, cell behavior, gene expression, and synthesis of cell products. It was demonstrated that, especially in the CAS supplemented with CM (CAS + CM) extract system, the improvement in osteogenic properties was due to the synergistic effect between the higher concentration of calcium ions in extracts released from the calcium sulfate hemihydrate-containing cement and the bioactive molecules supplied by the CM. Full article

Calcium phosphate cements (CPCs) and biomaterials, such as mesoporous bioactive glass (MBG), are critical for bone tissue engineering. This study aimed to 3D-print CPC scaffolds modified with MBG to enhance their osteogenic potential and regenerative ability. MBG powder was synthesized and characterized using transmission electron microscopy (TEM), X-ray diffraction (XRD), and nitrogen adsorption–desorption techniques. A commercial CPC ink (hydroxyapatite/α-tricalcium phosphate) was mixed with 5% MBG (w/w; CPC/MBG), and, after rheological assessment, the mixture was used to obtain scaffolds via 3D printing. These scaffolds were then tested for chemical, morphological, and mechanical properties, as well as ion release analysis. Unmodified CPC 3D-printed scaffolds served as controls. Biological experiments, including cell viability, DNA content, cell adhesion/spreading, and osteogenic gene expression, were performed by seeding alveolar bone-derived mesenchymal stem cells onto the scaffolds. Statistics were performed using Student’s t-test and ANOVA with post hoc tests (α = 5%). MBG characterization showed a typical mesoporous structure with aligned microchannels and an amorphous structure. Both formulations released calcium and phosphate ions; however, CPC/MBG also released silicon. Cell viability, adhesion/spreading, and DNA content were significantly greater in CPC/MBG scaffolds compared to CPC (p < 0.05) after 3 and 7 days of culture. Furthermore, CPC/MBG supported increased expression of key osteogenic genes, including collagen (COL1A1), osteocalcin (OCN), and Runt-related transcription factor 2 (RUNX2), after 14 days (p < 0.05). The combination of CPC ink with MBG particles effectively enhances the biocompatibility and osteogenic potential of the scaffold, making it an innovative bioceramic ink formulation for 3D printing personalized scaffolds for bone regeneration. Full article

Bone cements based on polymethyl methacrylate (PMMA) remain the clinical standard for joint replacement and vertebral augmentation but suffer from several major challenges. These include excessive stiffness compared with cancellous bone, lack of resorption and osteoconductivity, and thermal necrosis during curing. Calcium phosphate cements (CPCs) are bioactive and resorbable but tend to exhibit low mechanical strength, poor injectability and brittle fracture. The work reported herein developed an injectable composite bone cement by combining spherical, porous, sintered β-tricalcium phosphate (β-TCP) particles with a cyanoacrylate adhesive. The β-TCP granules provided bioactivity and a favorable microarchitecture while the cyanoacrylate ensured strong adhesion and rapid setting. Ion substitution with Mg, Na and Si was found to modify the surface acidity of the material while also inhibiting cyanoacrylate polymerization, thereby extending the setting time and lowering the exotherm temperature. This composite exhibited high chemical stability, smooth injectability and early surface reactivity indicative of osteoconductivity. The compressive strength of the material stabilized at approximately 40 MPa and so exceeded that of cancellous bone. This new material also showed ductility, energy absorption and superior impact resistance, although its tensile and fatigue resistance remained limited. Importantly, the composite provided strength comparable to that of PMMA in cemented models during fixation tests and significantly outperformed CPCs in cementless tibial tray fixation experiments. These findings demonstrate that the present β-TCP/cyanoacrylate cement bridges the gap between PMMA and CPCs by combining injectability and mechanical reliability with bioactivity. This cement is therefore a promising next-generation option for minimally invasive osteoporotic fracture treatment and revision arthroplasty. Full article

Developing bone substitutes that are mechanically strong, highly biocompatible and capable of controlled degradation is crucial for successful bone regeneration. Magnesium phosphate cements (MPCs) and calcium magnesium phosphate cements (CMPCs) offer higher strength and solubility than established calcium phosphate cements (CPCs). This study aimed to evaluate the in vivo degradation, osteoregeneration and biocompatibility of 3D powder-printed Mg3d (Mg₃(PO₄)₂) and Mg275d (Ca_0.25Mg_2.75(PO₄)₂) scaffolds with alkaline post-treatment, using structurally identical TCP (Ca₃(PO₄)₂) scaffolds as the control. The scaffolds were implanted into the lateral femoral condyle of adult female Zika rabbits and analysed up to 6, 12 and 24 weeks using radiography, microCT, histology, EDX and SEM. All materials demonstrated good biocompatibility. Mg3d and Mg275d scaffolds degraded significantly faster than the TCP scaffolds, with nearly complete degradation after 12 weeks. A cell-rich reconstruction zone formed during degradation, which was subsequently replaced by new bone. The degradation rate of the scaffolds corresponded closely to bone regeneration. Notably, the Mg3d and Mg275d scaffolds supported the faster formation of mature lamellar bone compared to the TCP scaffolds. These results indicate that magnesium phosphate (MgP)-based scaffolds represent a promising alternative to conventional calcium phosphate (CP)-based bone substitutes, given their rapid and almost complete degradation and their effective support of bone regeneration. Full article