12
INFLUENCE OF DIFFERENT PORE FORMING AGENTS ON BIPHASIC CALCIUM PHOSPHATE BIOCERAMIC SCAFFOLDS L. F. Cóta 1 , L. F. S. Paiva 2* , J. N. Lunz 2 , A. A. Ribeiro 2 , L. C. Pereira 1 , M. V. de Oliveira 2 1 Metallurgical and Materials Engineering Program, COPPE, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil; .2 Powder Technology Laboratory, Materials Processing and Characterization Division, National Institute of Technology, Rio de Janeiro, RJ, Brazil. * Av. Venezuela, 82 - Sala 602. Praça Mauá. CEP 20081-312 Rio de Janeiro, RJ, Brazil. [email protected] Abstract. Bone formation may be induced by adjusting the bioreactivity and biodegradability of biphasic calcium phosphate (BCP), which vary according to their phase composition and porosity. This work aimed to manufacture BCP scaffolds, composed of hydroxyapatite (HAp) and β-tricalcium phosphate (β-TCP), from HAp powders synthesized by sonochemical technique. HAp powders were mixed with pore forming agents (40 wt.%), such as ammonium bicarbonate (AB) or polyethylene wax (PE), and uniaxially cold pressed. In air furnace, AB and PE were vaporized by heat treatment, and sintering at 1000°C for 2h. The samples were characterized by X-Ray Diffraction (XRD), Fourier Transform Infrared Spectroscopy (FTIR), Scanning Electron Microscopy (SEM) and geometric method for porosity determination. XDR spectra presented HAp (20%) and β-TCP (80%) phases. FTIR spectra proved characteristic bands of phosphate groups. BCP/AB and BCP/PE samples exhibited porosity of 67% and 72%, respectively. The type of pore forming agent did not influence significantly on scaffolds porosity. Keywords: Biphasic calcium phosphate, Hydroxyapatite, Beta-tricalcium phosphate, Scaffolds, Biomaterials. 1. INTRODUCTION Synthetic materials based on calcium phosphates (CaP), such as hydroxyapatite [HAp - Ca 10 (PO 4 ) 6 (OH) 2 ], β-tricalcium phosphate [β-TCP - Ca 3 (PO 4 ) 2 ] and biphasic HAp/β-TCP ceramics have been frequently studied and clinically tested in the biomaterial research field (1) . The main reason is that CaP based materials promote a direct chemical connection between bone tissues and ceramic implants, because of their bioactivity. HAp sintered ceramics are widely used due to promotion of osteointegration, which is defined as the ability

INFLUENCE OF DIFFERENT PORE FORMING …slabo.org.br/cont_anais/anais_9_colaob/manuscript/11-002TT.pdf · BTP/AB and BTP/PE. The results indicate the HAp powder presented that exclusively

  • Upload
    dangbao

  • View
    216

  • Download
    0

Embed Size (px)

Citation preview

Page 1: INFLUENCE OF DIFFERENT PORE FORMING …slabo.org.br/cont_anais/anais_9_colaob/manuscript/11-002TT.pdf · BTP/AB and BTP/PE. The results indicate the HAp powder presented that exclusively

INFLUENCE OF DIFFERENT PORE FORMING AGENTS ON

BIPHASIC CALCIUM PHOSPHATE BIOCERAMIC SCAFFOLDS L. F. Cóta1, L. F. S. Paiva2*, J. N. Lunz2, A. A. Ribeiro2, L. C. Pereira1, M. V. de

Oliveira2 1 Metallurgical and Materials Engineering Program, COPPE, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil;.2 Powder Technology Laboratory, Materials Processing and Characterization Division, National Institute of Technology, Rio de Janeiro, RJ, Brazil.

* Av. Venezuela, 82 - Sala 602. Praça Mauá. CEP 20081-312 Rio de Janeiro, RJ, Brazil. [email protected]

Abstract. Bone formation may be induced by adjusting the bioreactivity and biodegradability of biphasic calcium phosphate (BCP), which vary according to their phase composition and porosity. This work aimed to manufacture BCP scaffolds, composed of hydroxyapatite (HAp) and β-tricalcium phosphate (β-TCP), from HAp powders synthesized by sonochemical technique. HAp powders were mixed with pore forming agents (40 wt.%), such as ammonium bicarbonate (AB) or polyethylene wax (PE), and uniaxially cold pressed. In air furnace, AB and PE were vaporized by heat treatment, and sintering at 1000°C for 2h. The samples were characterized by X-Ray Diffraction (XRD), Fourier Transform Infrared Spectroscopy (FTIR), Scanning Electron Microscopy (SEM) and geometric method for porosity determination. XDR spectra presented HAp (20%) and β-TCP (80%) phases. FTIR spectra proved characteristic bands of phosphate groups. BCP/AB and BCP/PE samples exhibited porosity of 67% and 72%, respectively. The type of pore forming agent did not influence significantly on scaffolds porosity. Keywords: Biphasic calcium phosphate, Hydroxyapatite, Beta-tricalcium phosphate, Scaffolds, Biomaterials.

1. INTRODUCTION

Synthetic materials based on calcium phosphates (CaP), such as

hydroxyapatite [HAp - Ca10(PO4)6(OH)2], β-tricalcium phosphate [β-TCP -

Ca3(PO4)2] and biphasic HAp/β-TCP ceramics have been frequently studied and

clinically tested in the biomaterial research field (1). The main reason is that CaP

based materials promote a direct chemical connection between bone tissues

and ceramic implants, because of their bioactivity. HAp sintered ceramics are

widely used due to promotion of osteointegration, which is defined as the ability

Page 2: INFLUENCE OF DIFFERENT PORE FORMING …slabo.org.br/cont_anais/anais_9_colaob/manuscript/11-002TT.pdf · BTP/AB and BTP/PE. The results indicate the HAp powder presented that exclusively

to create a physico-chemical bond in the interface of materials and bones.

However, HAp bone remodeling and osteoconductivity are low in contrast with

TCP ceramics. Therefore, TCP ceramics have been suggested as scaffold

materials for supporting bone regeneration, and substitution for bone tissue (2-4).

The main idea of a biphasic calcium phosphate (BCP) ceramic is

determined by a balance of more stable phases (e.g., HAp) and more soluble

phases (e.g., any type of TCP). The usual way to prepare these biphasic

ceramics consists of sintering non-stoichiometric calcium orthophosphates, at

temperatures above ~700°C, followed by its partial decomposition into TCP

phase (5). Important properties of BCP bioceramics relating to their medical

applications include: macroporosity, microporosity, bioreactivity, dissolution and

osteoconductivity (6). Hence, the HA/β-TCP proportion between phases with

different dissolution rates is crucial for controlling BCP properties for bone

regeneration. The rate of bone formation can be induced by adjusting the

bioreactivity and biodegradability of BCP scaffolds, which vary according to their

phase composition and porosity.

In structural aspects, porosity and the interconnection of microspores, both

macro and micro-levels, are important factors for bone healing (7).

Manufacturing processes produce porous materials, based on pore forming

agents that are removed either by heating or by dissolution. All techniques lead

to samples presenting pores with amount, size and shape that are close to

those of the initial pore formers. Thus, it is possible to predict the volume and

pore size of a scaffold by controlling the particle size and % volume of the pore

forming agents (8).

Then, this work aimed to compare two pore forming agents in the

production of BCP scaffolds, composed of hydroxyapatite (HAp) and β-

tricalcium phosphate (β-TCP), from nanosized HAp powders synthesized by

sonochemical technique.

2. MATERIALS AND METHODS

Page 3: INFLUENCE OF DIFFERENT PORE FORMING …slabo.org.br/cont_anais/anais_9_colaob/manuscript/11-002TT.pdf · BTP/AB and BTP/PE. The results indicate the HAp powder presented that exclusively

Hydroxyapatite powders were synthesized by previously developed

sonochemical method (9), from the following precursors: Calcium Chloride

dehydrate (1 M) and Sodium Phosphate dodecahydrate (0.6 M), Eq. (A), with

estimated Ca/P molar ratio of 1.5.

The nanosized HAp powders were mixed with two different types of pore

forming agents, such as 40 wt.% of ammonium bicarbonate (AB) or 40 wt.% of

polyethylene wax (PE), in order to produce biphasic calcium phosphate (BCP)

scaffolds. Particle size of the pore forming agents, AB and PE, was within the

range of 250-300 µm. BCP/AB and BCP/PE samples were uniaxially cold

pressed at 100 MPa, using a cylindrical mold of ø 6.17 mm and pre-load of 17

MPa (500 N), in a universal testing machine (EMIC – DL 3000), load cell of 20

kN (LAMAP/INT).

Both pore forming agents, AB and PE, were vaporized from the BCP

samples when submitted to heat treatments at 170°C for 2h and 550°C for 4h,

respectively, with heating rate of 0.5°C/min, in order to obtain porous materials

(scaffolds). In the air furnace Jung (Model 0212), the samples were further

processed by sintering at 1000°C/2 hours with 2 °C/min heating rate.

The HAp powders and BCP scaffolds were characterized by X-Ray

Diffraction (XRD, Panalytical X’Pert Pro Diffractometer), in the range of

10°<2Ɵ<90° with a scan speed of 50 (s/step), and step size of 0.05°.

As a biphasic material was obtained after sintering, the XDR analyses

were used to semiquantitatively calculate the volumetric percentage,

considering the strongest peaks of each phase as reference. Relative Intensity

Ratio (RIR) of HAp and β-TCP phases was quantified according to Eqs. (B) and

(C), respectively. Where 𝐼𝐼𝐻𝐻𝐴𝐴𝑝𝑝 and 𝐼𝐼𝛽𝛽𝑇𝑇𝐶𝐶𝑃𝑃 represent the strongest peaks of each

crystalline phase, in which HAp was described as 2Ɵ = 31.774º, according to

JCPDS card #9-432 and β-TCP was described as 2Ɵ = 31.023º, according to

Page 4: INFLUENCE OF DIFFERENT PORE FORMING …slabo.org.br/cont_anais/anais_9_colaob/manuscript/11-002TT.pdf · BTP/AB and BTP/PE. The results indicate the HAp powder presented that exclusively

JCPDS card #9-169 (JCPDS – Join Commitee on Powder Diffraction Standart) (10).

(B)

(C)

The samples were also analyzed by Fourier Transform Infrared

Spectroscopy (FT-IR, Shimadzu IR Prestige-21 spectrometer). All FT-IR spectra

are averages of 128 scans performed in the range of 4000-400 cm-1, with

resolution of 4 cm-1.

The scaffold microstructures were also evaluated by Scanning Electron

Microscope/Field Emission Gun (FESEM, Quanta FEG 450). SEM micrographs

with magnification of 10,000 and 50,000 X were acquired at 20kV.

Porosities were determined by geometric method for green and sintered

samples, in order to observe modifications undergone after the heat treatment.

Theoretical density of the biphasic material formed by HAp and β-TCP was a

weighted value of the theoretical densities of each phase, Eq. (D), according to

volumetric fraction of those phases in the samples. and are the

volumetric percentage calculated for each phase, estimated by (B) and (C),

respectively. and are the theoretical densities of each phase,

3.16g/cm3 (JCPDS card #9-432) and 3.07g/cm3 (JCPDS card #9-169),

respectively.

(D)

To determine the relative density and porosity were made three

measurements of each dimension (height and diameter) of the cylindrical

samples using digital caliper (Marathon Management Model CO030150). With

Page 5: INFLUENCE OF DIFFERENT PORE FORMING …slabo.org.br/cont_anais/anais_9_colaob/manuscript/11-002TT.pdf · BTP/AB and BTP/PE. The results indicate the HAp powder presented that exclusively

these data, Eq. (E) was used to calculate the volume of the samples, where V is

the volume, D and h are the diameter and height, respectively.

(E)

Moreover, the samples were weighed on SHIMADZU scale Model

AUY220 to determine the mass, and density was calculated using Eq. (F),

where d is the geometrical density of the material, m is the mass and V is the

volume.

(F)

For calculation of relative density of the samples the Eq. (G) was used.

Next, the porosity was deduced based on Eq. (H).

(G)

(H)

3. RESULTS AND DISCUSSION

3.1 X-ray Diffraction (XRD)

Fig. 1 shows the X-ray diffratograms of HAp powders and both scaffolds,

BTP/AB and BTP/PE. The results indicate that the HAp powder presented

exclusively hydroxiapatite crystalline phase, since all peaks are attributed to

stoichiometric hydroxiapatite and no other calcium phosphate diffractions were

detected. Also, pre-sintered HAp powder exhibited low crystallinity, which was

inferred from the broad width of peaks (10). By the scaffolds analysis, a second

phase identified as β-TCP was observed along with HAp phase. Crystalline

Page 6: INFLUENCE OF DIFFERENT PORE FORMING …slabo.org.br/cont_anais/anais_9_colaob/manuscript/11-002TT.pdf · BTP/AB and BTP/PE. The results indicate the HAp powder presented that exclusively

phases are distinguished in Fig. 1, according to the X-ray diffraction patterns of

HAp (JCPDS card #9-432) and β-TCP (JCPDS card #9-169).

After sintering, decomposition of HAp into β-TCP was expected due to the

low Ca/P ratio of initial HAp powder, as it was already described by several

authors (11-14). By the XRD analysis, it was possible to obtain the phase

proportion of each group of scaffolds, BTP/AB and BTP/PE, as shown in Table

1, with the Relative Intensity Ratios (RIR) of HAp and TCP extracted from Eqs.

(B) and (C), respectively, and expressed in %. It is noted that these samples

have similar phase proportion of commercially available bioceramics.

Fig. 1 XRD spectra of the Hap powder and BCPs scaffolds.

Table 1 Relative Intensity Ratio (RIR).

Sample RIR HAp RIR β-TCP

BPC/AB 21 % 79 %

BPC/PE 22 % 78 %

3.2 Fourier Transform Infrared Spectroscopy (FT-IR)

Page 7: INFLUENCE OF DIFFERENT PORE FORMING …slabo.org.br/cont_anais/anais_9_colaob/manuscript/11-002TT.pdf · BTP/AB and BTP/PE. The results indicate the HAp powder presented that exclusively

FT-IR spectra of samples in the range 4000–400 cm−1 are displayed in

Fig. 2. Identification of the peaks aimed to compare HAp powder with both

sintered BCP samples. FT-IR data are in agreement with XRD patterns (Fig. 1).

The broad absorption band between 3700 and 2500 cm-1 assigned to the O-H

stretch vibration of OH- groups, together with the absorption peak at 1637 cm-1

ascribed to H-O-H bending mode, both are evidence of the presence of

absorbed water in the HAp powder that disappeared after thermal treatment at

1000°C. The sharp peaks observed at 3570 cm-1 are attributed to the

characteristic stretching modes of structural OH- groups, and it is correlated with

crystallinity of HAp phase (13, 15).

In the HAp powder spectrum, the double peak at 603, 563 cm-1 belongs to

PO4-3 ν4, 940 cm-1 for PO4

-3 ν1 and the peaks at 1095 and 1031 cm-1 for PO4-3 ν3

vibrational modes. In the BCP scaffolds, the sharp bands at 1120, 1080 and

1035 cm−1 correspond to ν3 asymmetric stretching modes of PO4 in β-TCP

phase. After sintering, the peaks first observed in HAp powder at 603 and 563

cm-1 were shifted to 605 cm-1/590 cm-1 and 570 cm-1/550 cm-1 for PO4-3 ν4

vibrational modes of β -TCP phase, suggesting a partial HAp→β-TCP phase

transformation. The absorption bands at 971 cm-1 is related to ν1 symmetric

stretching mode of PO4-3 and confirms crystallinity of the β-TCP phase. In the

HAp powder spectrum, bands at 1415, 1460 and 870 cm-1 suggest the

presence of CO32- vibrational modes, respectively CO3 ν3 and CO3 ν2, from the

carbonate HAp structure. Those bands disappeared after the sintering (16-19).

Page 8: INFLUENCE OF DIFFERENT PORE FORMING …slabo.org.br/cont_anais/anais_9_colaob/manuscript/11-002TT.pdf · BTP/AB and BTP/PE. The results indicate the HAp powder presented that exclusively

Fig. 2 FT-IR spectra of the HAp powder and the BCPs scaffolds.

Thermal decomposition of HAp is known to occur when a critical

dehydration point is achieved. In the temperatures less than the critical point,

crystal structure of HAp remains unchanged in spite of the stage of dehydration.

Achieving the critical point, a complete and irreversible dehydroxillation occurs,

which results damage of HAp structure, decomposing onto tricalcium phosphate

(β-TCP under 1200 °C and α-TCP at higher temperatures) and tetracalcium

phosphate (TTCP) (5). Moreover, residual contaminations from pore forming

agents were not observed in FTIR spectra of BCP scaffolds, suggesting that AB

and PE were effectively eliminated by heat treatment.

3.3 Scanning Electron Microscope/Field Emission Gun (FESEM)

The significance of variables related to the composition of the pore

forming agent on porosity of both materials was analyzed. Fig. 3 displays

FESEM images of the BCP scaffolds. Figs. 3A and 3C display comparatively

BCP/AB scaffold microstructure to that of BCP/PE scaffold in Figs. 3B and 3D.

Page 9: INFLUENCE OF DIFFERENT PORE FORMING …slabo.org.br/cont_anais/anais_9_colaob/manuscript/11-002TT.pdf · BTP/AB and BTP/PE. The results indicate the HAp powder presented that exclusively

Fig. 3 FESEM images of the (A and C) BCP/AB and (B and D) BCP/PE scaffolds.

Both pore forming agents, ammonium bicarbonate or polyethylene wax,

assigned a porous structure to the scaffolds. Both BCP scaffolds showed fully

interconnected micropore structures with submicron-sized grains.

Microstructures of the samples are similar in both magnifications (10,000 X and

50,000 X), with uniform pore size distribution.

3.4 Relative Density and Porosity

The porosities determined by geometric method are shown in Table 2.

Differences in porosity among the samples are not significant, with values

A B

C D

Page 10: INFLUENCE OF DIFFERENT PORE FORMING …slabo.org.br/cont_anais/anais_9_colaob/manuscript/11-002TT.pdf · BTP/AB and BTP/PE. The results indicate the HAp powder presented that exclusively

ranging from 68 to 72 % for BCP/AB and BCP/PE, respectively. Thus, results

are within the range found in the literature of porous bioceramics for bone

regeneration (1).

Table 2 Density and porosity of BCP scaffolds determined by geometric method.

Sample Pore

forming agent

Particle size Proportion Density Porosity

(µm) (% wt.) Green Sintered Green Sintered

BCP/AB Ammonium bicarbonate

250-300 40

46.42 32.19 53.58 67.81

BCP/PE Polyethylene wax 39.15 27.93 60.85 72.07

Microporosity enhances the specific surface area, thereby promoting

protein adsorption to the material. Zhu et al. (20) suggest that microporous

distribution on the macroporous surfaces is important to low molecular weight

protein adsorption, such as TGF-β1 (tumoral growth factor). Li et al. (21) reported

BCP disks with high specific surface area (almost 50 % of porosity) tend to have

more adsorbed proteins than those of low specific surface area (24 % of

porosity). In recent study (22), donut shape BCP bone substitutes made of a

central macro-pore (about 300 ~ 400 μm) and micro-pores (about 20–60 μm)

showed greater new bone formation when compared with similar BCP

composition with micro-pores. This aspect is of great importance since the

adsorption of proteins to the material facilitates cell proliferation and

differentiation.

4. CONCLUSIONS

In this study, it was observed that the utilization of a pore forming agent,

followed by sintering of the HAp powder, is a suitable technique for

manufacturing BCP scaffolds. XRD and FT-IR data indicated that both HAp and

Page 11: INFLUENCE OF DIFFERENT PORE FORMING …slabo.org.br/cont_anais/anais_9_colaob/manuscript/11-002TT.pdf · BTP/AB and BTP/PE. The results indicate the HAp powder presented that exclusively

β-TCP phases are present in the sintered scaffolds, suggesting a partial

HAp→β-TCP phase transformation. FT-IR spectrum showed the presence of

carbonate hydroxyapatite only in pre-sintered HAp powder.

In addition, analysis of the microstructure and porosity of the scaffolds

proved satisfactory pores interconnectivity in both BCP scaffolds, indicating that

the type of pore forming agent did not influence significantly on the porosity

features.

ACKNOWLEGDE

The authors thank to FAPERJ and CNPQ for financial support and

Labiomat/CBPF for technical assistance.

REFERENCES 1 DOROZHKIN, S. V. Calcium orthophosphates: occurrence, properties, biomineralization, pathological calcification and biomimetic applications. Biomatter, v. 1, n. 2, p. 121-64, 2011. ISSN 2159-2535. 2 OGOSE, A. et al. Comparison of hydroxyapatite and beta tricalcium phosphate as bone substitutes after excision of bone tumors. J. Biomed. Mater. Res. B Appl. Biomater., v. 72, n. 1, p. 94-101, Jan 2005. ISSN 1552-4973. 3 KAMITAKAHARA, M.; OHTSUKI, C.; MIYAZAKI, T. Behavior of ceramic biomaterials derived from tricalcium phosphate in physiological condition. J. Biomater. Appl., v. 23, n. 3, p. 197-212, Nov 2008. ISSN 0885-3282. 4 LIU, Y.; PEI, G.; JIANG, S. New porous beta-tricalcium phosphate as scaffold for bone tissue engineering. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi, v. 21, n. 10, p. 1123-7, Oct 2007. ISSN 1002-1892. 5 DOROZHKIN, S. V. Biphasic, triphasic and multiphasic calcium orthophosphates. Acta Biomater., v. 8, n. 3, p. 963-77, Mar 2012. ISSN 1878-7568. 6 LEGEROS, R. Z. et al. Biphasic calcium phosphate bioceramics: preparation, properties and applications. J. Mater. Sci. Mater. Med., v. 14, n. 3, p. 201-9, Mar 2003. ISSN 0957-4530. 7 YANG, D. J. et al. Effects of collagen grafting on cell Behaviors in BCP scaffold with interconnected pore structure. Biomater. Res., v. 20, p. 3, 2016. ISSN 2055-7124. 8 CHEVALIER, E. et al. Fabrication of porous substrates: a review of processes using pore forming agents in the biomaterial field. J. Pharm. Sci., v. 97, n. 3, p. 1135-54, Mar 2008. ISSN 0022-3549. 9 LUNZ, J. et al. Effect of sonochemical technique on the morphology and crystallinity of hydroxyapatite nanoparticles. Materials Science Forum (Online) v. 820, p. 287-292, 2015. 10 VICTORIA, E.; GNANAM, F. Synthesis and characterisation of biphasic calcium phosphate. Trends in Biomaterials and Artificial Organs, v. 16, n. 1, p. 12-14, 2002.

Page 12: INFLUENCE OF DIFFERENT PORE FORMING …slabo.org.br/cont_anais/anais_9_colaob/manuscript/11-002TT.pdf · BTP/AB and BTP/PE. The results indicate the HAp powder presented that exclusively

11 DUAN, C. et al. Study on phase transformation and controllable synthesis of calcium phosphate using a sol–gel approach. Journal of Sol-Gel Science and Technology, v. 63, n. 1, p. 126-134, 2012. ISSN 1573-4846. 12 MOSTAFA, N. Y. Characterization, thermal stability and sintering of hydroxyapatite powders prepared by different routes. Materials Chemistry and Physics, v. 94, n. 2–3, p. 333-341, 2005. ISSN 0254-0584. 13 PANG, Y. X.; BAO, X. Influence of temperature, ripening time and calcination on the morphology and crystallinity of hydroxyapatite nanoparticles. Journal of the European Ceramic Society, v. 23, n. 10, p. 1697-1704, 2003. ISSN 0955-2219. 14 OLIVEIRA, R. N.; ALENCASTRO, F. S.; SOARES, G. D. A. Estudo da significância de variáveis de compactação e sinterização de pastilhas de beta-TCP utilizando planejamento de experimentos. Cerâmica, v. 58, p. 357-362, 2012. ISSN 0366-6913. 15 SALMA, K.; BERZINA-CIMDINA, L.; BORODAJENKO, N. Calcium phosphate bioceramics prepared from wet chemically precipitated powders. Processing and Application of Ceramics, v. 4, n. 1, p. 45–51, 2010. 16 LAYROLLE, P.; DACULSI, G. Physicochemistry os apatite ans its related calcium phosphates. In: LÉON, B. e JASEN, J. (Ed.). Thin Calcium phosphate coatings for medical implants. New York: Springer Science, 2009. cap. 2, p.9-24. 17 CHEN, J. et al. A simple sol-gel technique for synthesis of nanostructured hydroxyapatite, tricalcium phosphate and biphasic powders. Materials Letters, v. 65, n. 12, p. 1923-1926, 2011. ISSN 0167-577X. 18 FARZADI, A. et al. Synthesis and characterization of hydroxyapatite/beta-tricalcium phosphate nanocomposites using microwave irradiation. Ceramics International, v. 37, n. 65–71, 2011. 19 BOILET, L. et al. Processing and properties of transparent hydroxyapatite and β tricalcium phosphate obtained by HIP process. Ceramics International, v. 39, n. 1, p. 283-288, 2013. ISSN 0272-8842. 20 ZHU, X. D. et al. Effect of phase composition and microstructure of calcium phosphate ceramic particles on protein adsorption. Acta biomaterialia, v. 6, n. 4, p. 1536-1541, 2010. ISSN 1742-7061. 21 LI, X. et al. The effect of calcium phosphate microstructure on bone-related cells in vitro. Biomaterials, v. 29, n. 23, p. 3306-3316, 2008. ISSN 0142-9612. 22 PARK, J. W. et al. Healing of rabbit calvarial bone defects using biphasic calcium phosphate ceramics made of submicron-sized grains with a hierarchical pore structure. Clin. Oral Implants Res., v. 21, n. 3, p. 268-76, Mar 2010. ISSN 1600-0501.