Glass-ceramics in dentistry: Fundamentals, technologies, experimental techniques, applications, and open issues

A new approach to bioceramics based on tissue reaction of tricalcium phosphate for biomedical and sport applications using machine learning modeling

Tricalcium phosphate (TCP) bioceramics have emerged as a promising option to meet the specific requirements associated with athlete bone fractures. Advanced computational modeling techniques, such as artificial neural networks (ANNs), have been leveraged to optimize the formulation, structural properties, and implantation strategies of TCP-based biomaterials. This personalized approach enables the tailoring of TCP implants and scaffolds to match the specific biomechanical and biological requirements of individual athletes, maximizing the potential for successful bone regeneration and a timely return to athletic competition. The strategic application of TCP-based biomaterials, combined with personalized computational modeling, holds great promise in revolutionizing the management of athlete bone fractures. This article investigates the use of an ANN to understand the complex relationships between various parameters, such as porosity and bone growth, and their effects on the biodegradation rate, compressive strength, and hardness of TCP-based bioceramics. The accuracy of the neural network's predictions was validated using linear regression analysis, confirming its applicability in guiding the design and optimization of these biomaterials for sports-related bone injury applications. The study developed an artificial neural network (ANN) model to accurately predict the biodegradation rate, compressive strength, and hardness of tricalcium phosphate (TCP) bioceramics as a function of porosity and bone growth. The ANN demonstrated high accuracy in forecasting these key bioceramic properties.

Clinician's Guide to Material Selection for All-Ceramics in Modern Digital Dentistry

All-ceramic restorations are the foundation of modern restorative aesthetic dentistry. The industry for dental materials now provides a large selection of biomaterials with a range of constantly improving qualities. Although this is undoubtedly advantageous, the vast array of materials may confuse even experienced dentists. Even if recently the demand of digital dentistry in daily dental practice has significantly increased, due to a lack of understanding concerning cementation techniques, which are different for each type of ceramic used, dentists are continuing to be hesitant to utilise these various CAD/CAM materials. This study analysed 58 articles from 2008 to 2025, focusing on narrative, comprehensive, and systematic reviews and in vitro studies on dental dentistry materials. English articles were included, but non-English articles and case reports were excluded. The analysis included articles from all journal categories, ensuring adherence to inclusion and exclusion criteria. The aim of the research is to assess material classifications and properties that guide practices concerning the adhesive cementation of all-ceramic restorations. In order to provide a clear overview of the composition, characteristics, clinical considerations, and current trends of contemporary dental materials, as well as some recommendations for future research in this area that would be relevant to dentists and the scientific community, the authors of the paper were guided by this structure when writing the article content. The key is to ensure the aesthetics, resistance, and long-term clinical success of the treatment plan by providing dental professionals with clear, accurate information and instructions about resin-luting materials and indirect restoration materials.

Comprehensive review of polyetheretherketone use in dentistry

PURPOSE

This study aimed to comprehensively summarize the current state, shortcomings, and challenges regarding the use of polyetheretherketone (PEEK) in various fields of stomatology.

STUDY SELECTION

This study reviewed articles retrieved from PubMed, Google Scholar, Web of Science, and ScienceDirect databases. The main keywords used during the search included "polyetheretherketone (PEEK)," "dental materials," "orthodontics," "prosthodontics," "oral implantology," "oral and maxillofacial surgery," "periodontics" "osseointegration," and "surface modification."

RESULTS

Numerous studies have highlighted the properties of PEEK that contribute to its usefulness in dentistry, including its high biocompatibility, fracture resistance, aesthetics, radiolucency, and bone-like mechanical properties. Promising applications of PEEK in dentistry include orthodontic archwires, interceptive orthodontic appliances, fixed lingual retainers, crowns, post and cores, fixed partial dentures, removable partial dentures, maxillofacial prostheses, dental implants, implant abutments, alveolar bone scaffolds, jaw reconstruction, temporomandibular joint reconstruction, periodontal splints, and occlusal splints. In addition, many in vitro and in vivo experiments have demonstrated that the in vivo bone integration capability can be effectively improved using advanced surface modification technologies.

CONCLUSIONS

PEEK has been explored in several dentistry fields owing to its excellent properties. PEEK and its modifications are most frequently used in clinical dentistry. However, most of its applications are based on in vitro or short-term in vivo evaluations. Additional long-term clinical data are required to demonstrate the applicability and superiority of PEEK in dentistry.

Functional coatings for textiles: advancements in flame resistance, antimicrobial defense, and self-cleaning performance

The continuous evolution of textile technologies has led to innovative functional coatings that enhance protective textiles by integrating flame retardancy, antimicrobial efficacy, and self-cleaning properties. These multifunctional coatings address the growing demand for high-performance materials in healthcare, military, and industrial applications. This study reviews advancements in coating techniques, including dip-coating, spray-coating, sol-gel processes, and layer-by-layer assembly, highlighting their effectiveness in imparting durability, thermal stability, and biological activity to textile substrates. The incorporation of bioactive materials such as chitosan, silver nanoparticles, and plant-derived antimicrobials has demonstrated enhanced pathogen resistance and prolonged fabric functionality. Furthermore, recent developments in phosphorus-based flame retardants and photocatalytic self-cleaning agents, including titanium dioxide and silica nanoparticles, have contributed to the sustainability of functional textiles by reducing environmental impact. Challenges remain in achieving compatibility among diverse functional components while maintaining mechanical integrity and user comfort. Scalability and cost-efficiency also present barriers to commercialization, necessitating cross-disciplinary collaboration among material scientists, engineers, and regulatory experts. Future research should focus on biodegradable alternatives, smart-responsive coatings, and advanced nanomaterial integration to enhance the longevity and eco-friendliness of protective textiles. As industry standards shift towards sustainability, functional coatings are poised to redefine textile applications, offering tailored solutions that balance safety, performance, and environmental responsibility. This review underscores the transformative potential of multifunctional textile coatings and their role in advancing next-generation protective fabrics.

Bioactive Inorganic Materials for Innervated Multi-Tissue Regeneration

Tissue engineering aims to repair damaged tissues with physiological functions recovery. Although several therapeutic strategies are there for tissue regeneration, the functional recovery of regenerated tissues still poses significant challenges due to the lack of concerns of tissue innervation. Design rationale of multifunctional biomaterials with both tissue-induction and neural induction activities shows great potential for functional tissue regeneration. Recently, the research and application of inorganic biomaterials attracts increasing attention in innervated multi-tissue regeneration, such as central nerves, bone, and skin, because of its superior tunable chemical composition, topographical structures, and physiochemical properties. More importantly, inorganic biomaterials are easily combined with other organic materials, biological factors, and external stimuli to enhance their therapeutic effects. This review presents a comprehensive overview of recent advancements of inorganic biomaterials for innervated multi-tissue regeneration. It begins with introducing classification and properties of typical inorganic biomaterials and design rationale of inorganic-based material composites. Then, recent progresses of inorganic biomaterials in regenerating various nerves and nerve-innervated tissues with functional recovery are systematically reviewed. Finally, the existing challenges and future perspectives are proposed. This review may pave the way for the direction of inorganic biomaterials and offers a new strategy for tissue regeneration in combination of innervation.

Fluorapatite Glass-Ceramics in Dentistry: Synthesis, Properties, Forming Technology, Applications, Challenges, and Future Perspectives

Fluorapatite glass-ceramics (FGC) have been widely used in dental ceramics due to their excellent aesthetic properties and biocompatibility. In recent years, new synthesis methods, forming technologies, and the continuous optimization of performance attributes have driven the application of FGC in dental veneers, coatings, composites, and other restorations. This review summarizes the current research and applications of this material in the dental field and looks forward to its future optimization directions. The article focuses on five aspects: the development of preparation techniques for FGC; advances in their application in dental restoration shaping technologies; the performance advantages and limitations of these materials as dental materials; the current application status in veneers, coatings, composites, and other restorations; as well as the challenges in the current applications and prospects. In addition, additive manufacturing technology shows extremely broad application potential in FGC molding and applications. This review is hoped to provide strong guidance for the further application of FGC in the dental field, promoting the integration of related research and industry upgrades better to meet the needs of clinical practice and patients.

Design and Development of Infiltration Resins: From Base Monomer Structure to Resin Properties

The resin infiltration concept is one of the most widely used minimally invasive restorative techniques in restorative dentistry with the most outstanding therapeutic effect, and it is also one of the key research directions in restorative dentistry. "Infiltration resin" is the specialty restorative material for the technology, which is the key factor to success. The specialized restorative material is commonly known as "infiltrant/infiltration resins" "resins infiltrant" "infiltrant" or "resins," which will be consistently referred to as "infiltration resins" throughout the article. The paper aims to provide a comprehensive overview of infiltration resins by introducing the development of their therapeutic mechanisms, basic components, current challenges, and future trends, Based on existing literature, we analyze and compare how changes in the base monomer's structure and ratio affect the effectiveness of infiltration resins, from the material's structure-effective relationship. After compiling the information, the existing solution strategies have been listed to offer substantial support and guidance for future research endeavors.

Effect of crystallization and finish line curvature on the marginal integrity of lithium disilicate crowns

PURPOSE

This study aimed to investigate the effect of crystallization and finish line curvature on the integrity of lithium disilicate crowns fabricated by using partially crystallized (P) and fully crystallized (F) blocks.

MATERIALS AND METHODS

Forty-eight lithium disilicate crowns were fabricated based on the designated lithium disilicate blocks and finish line curvatures. The specimens were divided into four groups (n = 12 each): P block with a curved finish line (PC), P block with a straight finish line (PS), F block with a curved finish line (FC), and F block with a straight finish line (FS). Using the silicone replica technique and triple scan method, the absolute marginal discrepancy was measured at four surfaces. Using the triple scan method, five sections were segmented for each surface. Global deviation was measured by using a best fit alignment. Three-way mixed analysis of variance followed by Fisher least significant difference test and the Kruskal-Wallis test were used for statistical analyses (α = 0.05).

RESULTS

The block crystallization had a significant impact on the marginal integrity in the triple scan method, showing a greater marginal discrepancy in the F block crowns (p < 0.001). The finish line curvature significantly influenced the marginal integrity in both measurement methods, with curved finish line crowns exhibiting a greater marginal discrepancy (p < 0.05). However, the areas with the greatest marginal discrepancies differed depending on the analytical method used.

CONCLUSIONS

The marginal discrepancies of the crowns differed according to the fabricated blocks and finish line curvature.

A review of cleaner production of glass-ceramics prepared from MSWI fly ash

Municipal solid waste incineration (MSWI) fly ash, classified as a hazardous waste due to its high toxicity, poses a significant environmental challenge that existing treatment methods struggle to manage effectively. Although high-temperature thermal treatment has proven effective in handling hazardous waste, its large-scale industrial adoption is hindered by the associated high costs and energy demands. A promising alternative is the conversion of MSWI fly ash into high-value glass-ceramic materials, which presents both environmental and economic benefits. This review provides insights into a cleaner production technique for glass-ceramics derived from MSWI fly ash. It begins with an analysis of the physical and chemical characteristics of MSWI fly ash and its environmental impact. The review then explores advancements in MSWI fly ash-based glass-ceramic production, mainly focusing on the processes of crystallization and the immobilization of heavy metals. Furthermore, the potential for heat recovery is considered, with a discussion on optimizing the heat treatment process for sustainable and cleaner production. The review concludes by proposing a systematic approach to reduce energy consumption, demonstrating the potential to save approximately 39.5 % at least compared to traditional methods.

Influence of microstructure on optical properties of CAD-CAM lithium disilicate glass-ceramics

OBJECTIVES

To evaluate the influence of microstructure and chemical composition on the optical properties of CAD-CAM lithium disilicate glass-ceramics.

METHODS

Samples (n = 5; 1.0 mm thickness) of shades A1, A2, and A3 were fabricated from CAD-CAM ceramic blocks (Ivoclar Vivadent): IPS e.max® CAD LT (emLT) and HT (emHT). Samples were polished to 1.0 ± 0.01 mm in thickness. The optical properties (R- reflectance; T- transmittance; μs'- reduced scattering and μa- absorption coefficients) from the post-crystallized samples were determined using the inverse adding-doubling (IAD) method based on integrating-sphere measurements. Additionally, scanning electron microscopy (SEM) and X-ray diffraction (XRD) techniques were used to evaluate the microstructural properties. Energy-dispersive X-ray (EDX) was employed to analyze the chemical composition. The chemical and structural characterization were performed before and after crystallization of the ceramic samples.

RESULTS

emLT showed higher values of μs'and lower values of μa and T than emHT for each shade in all wavelengths (p < 0.003). Considering T for emHT, there were no statistical differences for shades A1 and A2 at 488 nm and 514.5 nm (p > 0.003) and shades A1 and A3 at 457.9 nm (p > 0.003). emLT showed particle length ranging from 0.74 to 2.78 µm (mean = 1.57 µm and RF-relative frequency = 28 %) and particle width ranging from 0.21 to 0.74 µm (mean = 0.30 µm and RF = 31 %). emHT showed particle length ranging from 0.83 to 3.08 µm (mean = 1.86 µm and RF = 21 %) and particle width ranging from 0.24 to 1.12 µm (mean = 0.56 µm and RF = 28 %). In comparison with emHT, emLT showed greater vol% for C, K, and Zr and lower vol% for O and Al.

SIGNIFICANCE

The optical properties of CAD-CAM lithium disilicate glass-ceramics are influenced by the chemical composition and, consequently, by the material microstructure.

Advances in Zinc-Containing Bioactive Glasses: A Comprehensive Review

Bioactive glasses (BGs) have attracted significant attention in the biomaterials field due to their ability to promote soft and hard tissue regeneration and their potential for various clinical applications. BGs offer enriched features through the integration of different therapeutic inorganic ions within their composition. These ions can trigger specific responses in the body conducive to a battery of applications. For example, zinc, a vital trace element, plays a role in numerous physiological processes within the human body. By incorporating zinc, BGs can inhibit bacterial growth, exert anti-inflammatory effects, and modify bioactivity, promoting better integration with surrounding tissues when used in scaffolds for tissue regeneration. This article reviews recent developments in zinc-containing BGs (ZBGs), focusing on their synthesis, physicochemical, and biological properties. ZBGs represent a significant advancement in applications extending beyond bone regeneration. Overall, their biological roles hold promise for various applications, such as bone tissue engineering, wound healing, and biomedical coatings. Ongoing research continues to explore the potential benefits of ZBGs and to optimize their properties for diverse clinical applications.

The unexplored role of alkali and alkaline earth elements (ALAEs) on the structure, processing, and biological effects of bioactive glasses

Bioactive glass has been employed in several medical applications since its inception in 1969. The compositions of these materials have been investigated extensively with emphasis on glass network formers, therapeutic transition metals, and glass network modifiers. Through these experiments, several commercial and experimental compositions have been developed with varying chemical durability, induced physiological responses, and hydroxyapatite forming abilities. In many of these studies, the concentrations of each alkali and alkaline earth element have been altered to monitor changes in structure and biological response. This review aims to discuss the impact of each alkali and alkaline earth element on the structure, processing, and biological effects of bioactive glass. We explore critical questions regarding these elements from both a glass science and biological perspective. Should elements with little biological impact be included? Are alkali free bioactive glasses more promising for greater biological responses? Does this mixed alkali effect show increased degradation rates and should it be employed for optimized dissolution? Each of these questions along with others are evaluated comprehensively and discussed in the final section where guidance for compositional design is provided.

Impacts of substituting magnesium with zinc on crystallization behaviors in an aluminosilicate glass

A series of zinc-magnesium mixed aluminosilicate glasses with the molar composition (1-r)MgO·rZnO·Al2O3·2.5SiO2, where r = 0.00, 0.25, 0.50, 0.65, 0.75, and 1.00, were fabricated to probe the effects of substitution of magnesium with zinc on crystallization behaviors. Based on the evolution of phase compositions as revealed by calorimetric behaviors and X-ray diffraction patterns, a series of transparent surface crystallized glasses ranging from high transparency for the pure Zn-end member to heavy translucency for the pure Mg-end member were fabricated through heat treatment at the first crystallization peak temperature for 20 min. With the substitution of Mg with Zn, the evolution of morphology unveiled by optical microscopy is ascribed to the alteration of crystal phases formed from the sole metastable Zn-β quartz solid solution to the coexistence of polycrystal phases containing Zn-β quartz solid solution, μ-cordierite, or α-cordierite. These findings are very helpful for optimizing the performance of crystallized aluminosilicate glasses.

Tailoring antimicrobial characteristic and mechanical behavior with silver in leucite–glass–ceramics for hard tissue engineering

Leucite glass–ceramics are excellent dental restorative materials, but they have relatively poor fracture toughness and high hardness, which leads to lower damage tolerance and counter‐tooth wear, respectively. These materials are also susceptible to bacterial infections and biofilm formations. Here, we report a versatile material leucite–silver‐based glass–ceramic to address the aforementioned shortcomings. Silver was incorporated in leucite (K2O·Al2O3·4SiO2) glass–ceramic to improve the fracture toughness, reduce hardness, and impart antibacterial characteristics. Silver (2, 5, 10, and 15 wt.%) was added into the leucite glass matrix by two approaches, that is, using silver nanoflakes (AgNFs) and using precursor (AgNO3), via thermal decomposition, followed by a sintering process. The incorporation of silver was confirmed by X‐ray diffraction, transmission electron microscopy, and energy‐dispersive spectroscopy. Results showed that the hardness of the leucite‐silver composite material was reduced by 30% and indentation toughness improved by 47% as determined by Vickers indentation. Antibacterial characteristics of the material were investigated against Staphylococcus aureus and Escherichia coli bacteria. Scanning electron microscopy was done to see the morphology of damaged bacteria and colonies. Further, antibacterial activity was quantified using the colony formation unit counting method. All the samples showed antibacterial activity and the sample with the highest silver content, that is, 15 wt.% showed maximum potential to damage the bacteria. Inductively coupled plasma‐atomic emission spectroscopy analysis is done in phosphate buffer saline solution to quantify the amount of silver leached out from the leucite‐silver glass–ceramic samples. It was seen that the cumulative leached‐out silver over 3 days was less than 4 μg/cm2 which is well within the daily tolerance limit (5 μg/kg/day) of silver for the human body. Further, to confirm the cell viability, a cytocompatibility test is performed using L929 fibroblast and AW8507 oral cell lines. Cell viability of more than 80% was achieved, suggesting their suitability for biomedical applications. It is believed that the developed material can be a potential candidate for various applications like dental restorations, implants, and coating material for different substrates (SS 304, SS 316, Ti6Al4V, etc.) to protect them from bacterial infections and biofilm formation, etc.

Novel bioactive nanospheres show effective antibacterial effect against multiple endodontic pathogens

Aim

The current study evaluated the antibacterial activity of a newly developed quaternary ammonium polymethacrylate (QAPM)-containing bioactive glasses (BGs) via a two-step method by our group, namely BGs-HAEMB, and explored its cytotoxicity and biocompatibility.

Methods

The antibacterial effects of the BGs-HAEMB against planktonic bacteria, bacterial biofilm formation, and experimental root canal biofilms of persistent pathogens (Enterococcus faecalis, Streptococcus sanguis and Porphyromonas endodontalis) associated with endodontic infection were evaluated in vitro by agar diffusion tests, direct contact tests and live/dead staining. The cytotoxicity and biocompatibility of BGs-HAEMB were evaluated by CCK-8 assays in vitro and a skin implantation model in vivo.

Results

Compared to three clinically used endodontic sealers (Endofill, AH Plus, and iRoot SP), BGs-HAEMB exhibited the relatively strongest antibacterial effect against E. faecalis, S. sanguis and P. endodontalis after sitting for 14 and 28 days (P < 0.01). SEM images and CLSM images also showed that for each tested bacteria, BGs-HAEMB killed the most microorganism among all the experimental groups, regardless of treatment for 7 days or 28 days (P < 0.05). Besides, the BGs-HAEMB-treated groups showed a relatively low cytotoxicity (RGRs ranging from 88.6% to 102.9%) after 1, 3, and 7 days of exposure. Meanwhile, after 28 days of implantation, the inflammatory grade in BGs-HAEMB treated group was assessed as Grade I, in which the average numbers of inflammatory cells (6.7 ± 2.1) were less than 25.

Conclusions

BGs-HAEMB exerted a long-term and stable antibacterial effect. The remarkable biocompatibility of BGs-HAEMB in vitro and in vivo confirmed its possible clinical application as a potential alternative in the development of the next generation of endodontic sealers.

Emerging polymeric materials for treatment of oral diseases: design strategy towards a unique oral environment

Oral diseases are prevalent but challenging diseases owing to the highly movable and wet, microbial and inflammatory environment. Polymeric materials are regarded as one of the most promising biomaterials due to their good compatibility, facile preparation, and flexible design to obtain multifunctionality. Therefore, a variety of strategies have been employed to develop materials with improved therapeutic efficacy by overcoming physicobiological barriers in oral diseases. In this review, we summarize the design strategies of polymeric biomaterials for the treatment of oral diseases. First, we present the unique oral environment including highly movable and wet, microbial and inflammatory environment, which hinders the effective treatment of oral diseases. Second, a series of strategies for designing polymeric materials towards such a unique oral environment are highlighted. For example, multifunctional polymeric materials are armed with wet-adhesive, antimicrobial, and anti-inflammatory functions through advanced chemistry and nanotechnology to effectively treat oral diseases. These are achieved by designing wet-adhesive polymers modified with hydroxy, amine, quinone, and aldehyde groups to provide strong wet-adhesion through hydrogen and covalent bonding, and electrostatic and hydrophobic interactions, by developing antimicrobial polymers including cationic polymers, antimicrobial peptides, and antibiotic-conjugated polymers, and by synthesizing anti-inflammatory polymers with phenolic hydroxy and cysteine groups that function as immunomodulators and electron donors to reactive oxygen species to reduce inflammation. Third, various delivery systems with strong wet-adhesion and enhanced mucosa and biofilm penetration capabilities, such as nanoparticles, hydrogels, patches, and microneedles, are constructed for delivery of antibiotics, immunomodulators, and antioxidants to achieve therapeutic efficacy. Finally, we provide insights into challenges and future development of polymeric materials for oral diseases with promise for clinical translation.

Recent advances in glass-ceramics: Performance and toughening mechanisms in restorative dentistry

The use of glass-ceramics in the medical field has grown significantly since the 1980s. With excellent aesthetic properties, semi-translucency, outstanding mechanical properties, corrosion resistance, wear resistance and great biocompatibility and workability glass-ceramics is one of the most commonly used materials in restorative dentistry and is widely used in veneers, inlays, onlays, all-ceramic crowns, and implant abutments. This review provides an overview of the research progress of glass-ceramics in restorative dentistry, focusing on the classification, performance requirements, toughening mechanisms and their association with clinical performance, as well as the manufacturing and fabrication of glass-ceramics in restorative dentistry. Finally, the developments and prospects of glass-ceramics in restorative dentistry are summarized and discussed.

Rational Design of Bioactive Materials for Bone Hemostasis and Defect Repair

Everyday unnatural events such as trauma, accidents, military conflict, disasters, and even medical malpractice create open wounds and massive blood loss, which can be life-threatening. Fractures and large bone defects are among the most common types of injuries. Traditional treatment methods usually involve rapid hemostasis and wound closure, which are convenient and fast but may result in various complications such as nerve injury, deep infection, vascular injury, and deep hematomas. To address these complications, various studies have been conducted on new materials that can be degraded in the body and reduce inflammation and abscesses in the surgical area. This review presents the latest research progress in biomaterials for bone hemostasis and repair. The mechanisms of bone hemostasis and bone healing are first introduced and then principles for rational design of biomaterials are summarized. After providing representative examples of hemostatic biomaterials for bone repair, future challenges and opportunities in the field are proposed.

Phase transformation and mechanical properties of new bioactive glass-ceramics derived from CaO-P2O5-Na2O-B2O3-SiO2 glass system

This work investigates the role of sintering temperature on bioactive glass-ceramics derived from the new composition CaO-P2O5-Na2O-B2O3-SiO2 glass system. The sintering behaviour of the samples' physical, structural, and mechanical properties is highlighted in this study. The experimental results indicated that the sintering process improved the crystallization and hardness of the final product. Results from XRD and FTIR showed the existence of carbonate apatite, pseudo-wollastonite, and wollastonite phases. From the results, the bioglass-ceramics sintered at 700 °C obtained the highest densification and optimum mechanical results. It had the value of 5.34 ± 0.21 GPa regarding microhardness and 2.99 ± 0.24 MPa m1/2 concerning fracture toughness, which falls in the range of the human enamel. Also, the sintered samples maintained their bioactivity and biodegradability after being tested in the PBS medium. The bioactivity does not affect but slows down the apatite formation rate. Overall results promoted the novel bioglass-ceramics as a candidate material for dental application.

Antibacterial Borosilicate Glass and Glass Ceramic Materials Doped with ZnO for Usage in the Pharmaceutical Industry

The aim of this study is producing and characterizing borosilicate glass and glass ceramic materials with enhanced antibacterial properties by using the conventional melting method. First of all, borosilicate glass doped with ZnO was obtained and after that the crystallization temperature was detected by using differential thermal analysis for the production of borosilicate glass ceramic doped with ZnO. The antibacterial and leaching tests showed that the glass and glass ceramic doped with 5% ZnO were suitable samples according to test results. Physical, thermal, and mechanical properties of the glass and glass ceramic doped with 5% ZnO were also determined. Overall results indicated that the obtained antibacterial borosilicate glass could be a remarkable product for the pharmaceutical industry, especially for usage in drug packaging.

Trends and perspectives on the commercialization of bioactive glasses

At least 25 bioactive glass (BG) medical devices have been approved for clinical use by global regulatory agencies. Diverse applications include monolithic implants, bone void fillers, dentin hypersensitivity agents, wound dressing, and cancer therapeutics. The morphology and delivery systems of bioactive glasses have evolved dramatically since the first devices based on 45S5 Bioglass®. The particle size of these devices has generally decreased with the evolution of bioactive glass technology but primarily lies in the micron size range. Morphologies have progressed from glass monoliths to granules, putties, and cements, allowing medical professionals greater flexibility and control. Compositions of these commercial materials have primarily relied on silicate-based systems with varying concentrations of sodium, calcium, and phosphorus. Furthermore, therapeutic ions have been investigated and show promise for greater control of biological stimulation of genetic processes and increased bioactivity. Some commercial products have exploited the borate and phosphate-based compositions for soft tissue repair/regeneration. Mesoporous BGs also promise anticancer therapies due to their ability to deliver drugs in combination with radiotherapy, photothermal therapy, and magnetic hyperthermia. The objective of this article is to critically discuss all clinically approved bioactive glass products. Understanding essential regulatory standards and rules for production is presented through a review of the commercialization process. The future of bioactive glasses, their promising applications, and the challenges are outlined. STATEMENT OF SIGNIFICANCE: Bioactive glasses have evolved into a wide range of products used to treat various medical conditions. They are non-equilibrium, non-crystalline materials that have been designed to induce specific biological activity. They can bond to bone and soft tissues and contribute to their regeneration. They are promising in combating pathogens and malignancies by delivering drugs, inorganic therapeutic ions, and heat for magnetic-induced hyperthermia or laser-induced phototherapy. This review addresses each bioactive glass product approved by regulatory agencies for clinical use. A review of the commercialization process is also provided with insight into critical regulatory standards and guidelines for manufacturing. Finally, a critical evaluation of the future of bioactive glass development, applications, and challenges are discussed.

Gelatin and Bioactive Glass Composites for Tissue Engineering: A Review

Nano-/micron-sized bioactive glass (BG) particles are attractive candidates for both soft and hard tissue engineering. They can chemically bond to the host tissues, enhance new tissue formation, activate cell proliferation, stimulate the genetic expression of proteins, and trigger unique anti-bacterial, anti-inflammatory, and anti-cancer functionalities. Recently, composites based on biopolymers and BG particles have been developed with various state-of-the-art techniques for tissue engineering. Gelatin, a semi-synthetic biopolymer, has attracted the attention of researchers because it is derived from the most abundant protein in the body, viz., collagen. It is a polymer that can be dissolved in water and processed to acquire different configurations, such as hydrogels, fibers, films, and scaffolds. Searching "bioactive glass gelatin" in the tile on Scopus renders 80 highly relevant articles published in the last ~10 years, which signifies the importance of such composites. First, this review addresses the basic concepts of soft and hard tissue engineering, including the healing mechanisms and limitations ahead. Then, current knowledge on gelatin/BG composites including composition, processing and properties is summarized and discussed both for soft and hard tissue applications. This review explores physical, chemical and mechanical features and ion-release effects of such composites concerning osteogenic and angiogenic responses in vivo and in vitro. Additionally, recent developments of BG/gelatin composites using 3D/4D printing for tissue engineering are presented. Finally, the perspectives and current challenges in developing desirable composites for the regeneration of different tissues are outlined.

Radiopaque Crystalline, Non-Crystalline and Nanostructured Bioceramics

Radiopacity is sometimes an essential characteristic of biomaterials that can help clinicians perform follow-ups during pre- and post-interventional radiological imaging. Due to their chemical composition and structure, most bioceramics are inherently radiopaque but can still be doped/mixed with radiopacifiers to increase their visualization during or after medical procedures. The radiopacifiers are frequently heavy elements of the periodic table, such as Bi, Zr, Sr, Ba, Ta, Zn, Y, etc., or their relevant compounds that can confer enhanced radiopacity. Radiopaque bioceramics are also intriguing additives for biopolymers and hybrids, which are extensively researched and developed nowadays for various biomedical setups. The present work aims to provide an overview of radiopaque bioceramics, specifically crystalline, non-crystalline (glassy), and nanostructured bioceramics designed for applications in orthopedics, dentistry, and cancer therapy. Furthermore, the modification of the chemical, physical, and biological properties of parent ceramics/biopolymers due to the addition of radiopacifiers is critically discussed. We also point out future research lacunas in this exciting field that bioceramists can explore further.