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Effect of additive particles on mechanical, thermal, and cell functioning properties of poly(methyl methacrylate) cement

Authors Khandaker M, Vaughan MB, Morris TL, White JJ, Meng Z

Received 5 February 2014

Accepted for publication 29 March 2014

Published 27 May 2014 Volume 2014:9(1) Pages 2699—2712

DOI https://doi.org/10.2147/IJN.S61964

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Morshed Khandaker,1 Melville B Vaughan,2 Tracy L Morris,3 Jeremiah J White,1 Zhaotong Meng1

1Department of Engineering and Physics, 2Department of Biology, 3Department of Mathematics and Statistics, University of Central Oklahoma, Edmond, OK, USA

Abstract: The most common bone cement material used clinically today for orthopedic surgery is poly(methyl methacrylate) (PMMA). Conventional PMMA bone cement has several mechanical, thermal, and biological disadvantages. To overcome these problems, researchers have investigated combinations of PMMA bone cement and several bioactive particles (micrometers to nanometers in size), such as magnesium oxide, hydroxyapatite, chitosan, barium sulfate, and silica. A study comparing the effect of these individual additives on the mechanical, thermal, and cell functional properties of PMMA would be important to enable selection of suitable additives and design improved PMMA cement for orthopedic applications. Therefore, the goal of this study was to determine the effect of inclusion of magnesium oxide, hydroxyapatite, chitosan, barium sulfate, and silica additives in PMMA on the mechanical, thermal, and cell functional performance of PMMA. American Society for Testing and Materials standard three-point bend flexural and fracture tests were conducted to determine the flexural strength, flexural modulus, and fracture toughness of the different PMMA samples. A custom-made temperature measurement system was used to determine maximum curing temperature and the time needed for each PMMA sample to reach its maximum curing temperature. Osteoblast adhesion and proliferation experiments were performed to determine cell viability using the different PMMA cements. We found that flexural strength and fracture toughness were significantly greater for PMMA specimens that incorporated silica than for the other specimens. All additives prolonged the time taken to reach maximum curing temperature and significantly improved cell adhesion of the PMMA samples. The results of this study could be useful for improving the union of implant-PMMA or bone-PMMA interfaces by incorporating nanoparticles into PMMA cement for orthopedic and orthodontic applications.

Keywords: poly(methyl methacrylate), magnesium oxide, hydroxyapatite, chitosan, barium sulfate, silica, flexural strength, fracture toughness, curing temperature, cell viability

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