MATERIALS SCIENCE and
ENGINEERING
“ BIOMATERIALS”
Topics:
Definition of Biomaterials
Characteristics of Biomaterials
History
Uses of Biomaterials
Synthetic Biomaterials
Biomaterials Generation
Examples of Biomaterials Applications
Biomaterials: An Example
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Definition
A biomaterial is any material, natural or man-made, that comprises
whole or part of a living structure or biomedical device which performs,
augments, or replaces a natural function. Biomaterials can be metals
and alloys, polymers (synthetic or natural), ceramics and composites.
Often single materials cannot fulfill all the requirements imposed by a
specific application.
Characteristics of Biomaterials
Physical requirements
Hard material
Flexible material
Chemical requirements
Must not react with any tissue in the body
Must be non-toxic to the body
History
A decade into the twenty-first century, biomaterials are widely
used throughout medicine, dentistry. The word “biomaterial” was not
used. There were no medical device manufacturers (except for external
prosthetics such as limbs, fracture fixation devices, glass eyes, and
dental fillings and devices), no formalized regulatory approval
processes, no understanding of biocompatibility, and certainly no
academic courses on biomaterials.
More than 2000 years ago, Romans, Chinese, and Aztec’s used gold in
dentistry.
1958, Rob suggests Dacron Fabrics can be used to fabricate an arterial
prosthetic
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Late 1960 – early 1970’s biomaterial field solidified
1975 society for biomaterials formed
Uses of Biomaterials
Replacement of diseased or damaged part
Aid to treatment
Aid to diagnosis
Correct cosmetic problem
Assist in healing
Improve function
Correct functional abnormality
Synthetic Biomaterials
Metals
Dental implants
Orthopaedic screws/fixation
Polymers
Drug delivery devices
Skin/cartilage
Ocular implants
Ceramics
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Bone replacements
Heart valves
Dental implants
Semiconductor materials
Implantable microelectrodes
Biosensors]
Biomaterials generations
First generation of biomaterials When synthetic materials were first used
in biomedical applications, the using requirements were a suitable
physical properties to
match those of the replaced tissue with a minimal toxic response of the
host, so
biologically inert or nearly inert materials were used in order to reduce
the corrosion
and the releasing ions and particles after implantation to minimise the
immune
response and foreign body reaction. Mechanical properties and toxicity
also play a
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leading role in the selection of materials for implant manufacture. When
inert
biomaterials placed inside the body, it would elicit a foreign fibrous
capsule around
the material which isolates it from the surrounding tissue.
Examples for the first generation biomaterials:
Metals (stainless steel and cobalt–chrome-based alloys, Ti and Ti
alloys).
Ceramics (Alumina Al2O3 and Zirconia ZrO2).
Polymers (silicone rubber, acrylic resins).
The second generation of biomaterials used bioactive materials ‘ability
to interact
with the biological environment to enhance the biological response and
the
tissue/surface bonding’, and resorbable biomaterials that have ability to
degradation
while new tissue regenerates and heals.
Examples for the second generation biomaterials:
Metals (None of the biometallic materials are bioactive; However, two
approaches
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can be considered to obtain bioactive metals. The first one consists of
coating the
surface of the metal with a bioactive ceramic. The second one is to
chemically modify
the surface of the metal so as to induce proteins and cell adhesion and
other
tissue/material interactions.
Ceramics (Bioactive glass, glass–ceramics and calcium
phosphates (CaPs)).
Polymers (Biodegradable polymers of synthetic and natural origin
such as
polyglycolide (PGA), polylactide (PLA).
The third-generation biomaterials used bioactive and bioresorbable
materials as
temporary three-dimensional porous structures which are able to
activate genes that
stimulate regeneration of living tissue. For these biomaterials, the
bioactivity and
biodegradability concepts are combined, so the combination of
bioactivity and
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biodegradability is the most characteristics of the third-generation
biomaterials.
Metals have been used in the development of porous structures that
focused on
titanium and titanium alloys.
Examples of Biomaterial Applications
Heart valve
Fabricated from carbons, metals, elastomers, fabrics, and natural valves
Must not react with chemicals in body
Attached by polyester mesh
Almost as soon as valve implanted cardiac function is restored to near
normal
Bileaflet tilting disk heart valve used most widely
More than 45,000 replacement valves implanted every year in the united
states.
Problems with heart valve’s
Degeneration of tissues
Mechanical failure
Postoperative infection
Induction of blood clots
Dental implants
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Small titanium fixture that serves as replacement for the root portion of
missing tooth.
Implant is placed in the bone of the upper or the lower jaw and allowed
to bond with the bone.
Most dental implants are: pure titanium screw-shaped cylinders that act
as roots for crowns and bridges, or as supports for dentures.
Intraocular lenses
Made of PMM, silicone elastomer, and other materials.
By age 75 more thank 50% suffer from cataracts.
1.4 million implantations in the united states yearly.
Good vision is generally restored almost immediately after lens is
inserted.
Implantation often performed on outpatient basis.
Vascular grafts
Must be flexible.
Designed with open porous structure.
Achieve and maintain homeostasis
Good structure retention.
Adequate burst strength
High fatigue resistance.
Good handling properties.
Biostable.
Hip- replacements
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Most common medical practice using biomaterials.
Corrosion resistant high strength metal alloys.
Very high molecular weight polymers.
Thermostat plastics.
Biomaterials: An Example
Biomechanics of artificial joints
Normal versus arctic hip
Sir john charnel: 1960’s, fundamental principles of the artidicial hip
Frank Gunston: 1969, developed one of the artificial knee joints.
Hip replacements done in the world per year: between 250,000 and
500,000
Of all the factors leading to total hip replacement, osteoarthritis is the
most common, accounting for 65% of all total hips.
Biocompatibility
The ability of a material to elicit an appropriate biological response in a
specific application by NOT producing a toxic, injurious, or
immunological response in living tissue.
Strongly determined by primary chemical structure.
What are some of the challenges?
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To more closely replicate complex tissue architecture and arrangement
in vitro.
To better understand extracellular and intracellular modulators of cell
function.
To develop novel materials and processing techniques that are
compatible with biological interfaces.
To find better strategies for immune acceptance.
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