Physicochemical characterization of two deproteinized bovine xenografts

Calcium phosphate salts, or more specifically hydroxyapatite, are products of great interest in the fields of medical and dental science due to their biocompatibility and osteoconduction property. Deproteinized xenografts are primarily constituted of natural apatites, sintered or not. Variations in the industrial process may affect physicochemical properties and, therefore, the biological outcome. The purpose of this work was to characterize the physical and chemical properties of deproteinized xenogenic biomaterials, Bio-Oss (Geistlich Biomaterials, Wolhuser, Switzerland) and Gen-Ox (Baumer S.A., Brazil), widely used as bone grafts. Scanning electron microscopy, infrared region spectroscopy, X-ray diffraction, thermogravimetry and degradation analysis were conducted. The results show that both materials presented porous granules, composed of crystalline hydroxyapatite without apparent presence of other phases. Bio-Oss presented greater dissolution in Tris-HCl than Gen-Ox in the degradation test, possibly due to the low crystallinity and the presence of organic residues. In conclusion, both commercial materials are hydroxyapatite compounds, Bio-Oss being less crystalline than Gen-Ox and, therefore, more prone to degradation. Descriptors: Dental implantation; Hydroxyapatite; Chemical analysis; Physical analysis. Thais Accorsi-Mendonça(a) Márcio Baltazar Conz(b) Teresa Cristina Barros(c) Lídia Ágata de Sena(d) Glória de Almeida Soares(e) José Mauro Granjeiro(f) (a)MSc in Endodontics, Department of Endodontics, School of Dentistry of Bauru, University of São Paulo, Bauru, SP, Brazil. (b)PhD, Metallurgy and Materials Engineering Program (COPPE), Federal University of Rio de Janeiro, RJ, Brazil. (c)PhD, Health Science Institute, Paulista University, Bauru, SP, Brazil. (d)PhD, Scientific Metrology Directory (Inmetro), Duque de Caxias, RJ, Brazil. (e)PhD, Metallurgy and Materials Engineering Program (COPPE), Federal University of Rio de Janeiro, RJ, Brazil. (f)PhD in Cell and Molecular Biology, Biology Institute, Fluminense Federal University, RJ, Brazil. Biochemistry Corresponding author: José Mauro Granjeiro Outeiro de São João Baptista, s/n. Campus do Valonguinho Niterói RJ Brasil CEP: 24020-150 E-mail: jmgranjeiro@vm.uff.br Received for publication on Jun 20, 2006 Accepted for publication on Apr 18, 2007 Physicochemical characterization of two deproteinized bovine xenografts Braz Oral Res 2008;22(1):5-10 6 Introduction Calcium phosphate salts, in particular hydroxyapatite (HA), are materials of great interest for treatment of osseous deficiencies due to their biocompatibility and osteoconduction property.1 Grafts of xenogenic origin have been widely studied due to abundant sources and accessible processing costs. However, bovine bone processing should be quite well controlled in order to avoid disease transmission,2 and to assure adequate physicochemical properties for the intended use.3 It is important to mention that the structure of apatite is similar among different species.4 Several papers in the literature have shown the biocompatibility of deproteinized bovine matrix as bone graft material,5-7 which, besides providing a supportive structure for osteoconduction, releases calcium and phosphate ions essential for osteogenesis.8 The presence of pores in bone graft biomaterials has been shown as a requisite of great importance for repairing osseous deficiency, favoring the osteoconduction through osseous growth also inside the pores.9,10 In order to allow the penetration of repairing tissue and osseous neoformation in the pores, they should be greater than 100 m.11-13 Bio-Oss® (Geistlich Biomaterials, Wolhusen, Switzerland) is a widely studied bovine xenograft consisting of a mineral osseous matrix obtained after the removal of the organic components of medullar bovine bone during a thermal treatment at 300 C.14 Another bovine xenograft available in the Brazilian market is Gen-Ox® (Baumer S.A., São Paulo, Brazil) obtained through deproteinization at high temperatures (between 950 and 1,000 C). The increased processing temperature enhances material crystallinity4,15 being also concurrent with the decomposition of the hydroxyapatite in other phases like tricalcium phosphate (TCP). The most crystalline biomaterial will be the least degradable, but the presence of other phases (usually more soluble than HA) may compensate or null this effect.16 The correct indication of a biomaterial shall depend on its physicochemical properties. Thus, the aim of this study was the physicochemical characterization of the products Bio-Oss and Gen-Ox, which are both deproteinized xenografts used as bone grafts. Material and Methods Materials The two commercial biomaterials used in this study derived from inorganic medullar bovine bone: 1) Bio-Oss, consisting of granules (250 to 450 m) deproteinized at 300 C, according to the manufacturer’s data; 2) Gen-Ox, consisting of granules (with particles from 250 to 1,000 m) deproteinized at 950 – 1,000 C, according to the manufacturer’s data (Baumer S.A. – Brazil, Registration at the Ministry of Health No. 10345500001). Physicochemical characterization Morphological characterization of the materials was carried out through scanning electron microscopy (Zeiss, model DSM 940A, Oberkochen, BadenWürttemberg, Germany) operating at 20 kV of electrons acceleration. The presence of residues from the organic phase or different species of phosphate was assessed through the use of thermogravimetry and infrared spectroscopy, respectively. Thermogravimetry was performed from 50 to 950 C with a heating rate of 10 C/minute in a dynamic atmosphere of nitrogen (50 ml min-1) (TA Instruments, model TGA 2950, coupled to a thermal analyzer of TA Instruments, Model TA 2000), while Fourier-transformed infrared spectroscopy (FTIR) was obtained in a Perkin-Elmer (model 1000, Waltham, Massachusetts, USA) equipment. In order to identify the crystalline phases in the xenografts, an X-ray diffractometer (DRX-Miniflex, Rigaku, Tokyo, Japan) was operated at 30 kV, 15 mA and radiation CuK , and the data was collected from 5-100 2 . The crystallinity of the materials was determined from the DRX patterns according to the methodology proposed by Landi17 (2000); whereas the rate of degradation was determined threefold using protocol ISO/FDIS 10993-14:2001 (in buffer Tris-HCl, pH 7.3 for 120 hours). Results Figure 1 shows the morphology of the materials studied. Bio-Oss presents particles of regular dimensions with canaliculus and ridge (Figure 1, A – D); the presence of micrometric fragments is also observed. The pores are sized 20-200 m (Figure 1A). Accorsi-Mendonça T, Conz MB, Barros TC, Sena LA, Soares GA, Granjeiro JM Braz Oral Res 2008;22(1):5-10 7 Inorganic Gen-Ox (Figure 1, E – H) also looks porous (Figure 1, E and F); when magnified (Figure 1, G and H), the coalescence of the grains taken place during the calcination of the material at high temperatures can also be seen. In the Fourier Transform infrared spectroscopy (FTIR), bands can be identified in the wavelength ranges of 1,554-1,569, 1,400-1,420 and 850 cm-1 corresponding to the functional group CO3 -2 of HA for Bio-Oss (Graph 1A). The phosphate group appears in both materials, but Gen-Ox (Graph 1B) presents better-defined bands between 600 and 1,100 cm-1. Bands around 3,571 cm-1 are also highlighted indicating the presence of the structural OH stretch, as well as bands in 1,172, 1,088, 1,025 and 963 cm-1, indicating the presence of PO4 -3 groups. Bio-Oss and Gen-Ox thermogravimetric analysis (Graph 1, C and D, respectively) showed the materials’ loss of mass due to the increase in temperature. Bio-Oss’ loss of mass was about 2.6, 0.5 and 2.4% between 30 C to 420 C, 420 C to 635 C (temperature range between loss 1 and 2) and 630 C to 950 C, respectively. The residual mass at 950 C was 94.3%. Gen-Ox presented loss of mass at about 0.35% between the initial temperature and 384 C, increasing up to 0.6% from 665 C to 950 C, resulting in a residual mass of 99.4%. In the patterns obtained for X-ray diffraction (Graph 1, E – F), the major peaks identified were related to synthetic HA that according to card data JCPDS 9-432 (JCPDS-ICDD1, 1992) are placed at 2 = 32, 33 and 26 , with relative intensity of 100, 60 and 40%, respectively. From X-ray diffraction B C


Introduction
Calcium phosphate salts, in particular hydroxyapatite (HA), are materials of great interest for treatment of osseous deficiencies due to their biocompatibility and osteoconduction property. 1Grafts of xenogenic origin have been widely studied due to abundant sources and accessible processing costs.However, bovine bone processing should be quite well controlled in order to avoid disease transmission, 2 and to assure adequate physicochemical properties for the intended use. 3 It is important to mention that the structure of apatite is similar among different species. 4Several papers in the literature have shown the biocompatibility of deproteinized bovine matrix as bone graft material, [5][6][7] which, besides providing a supportive structure for osteoconduction, releases calcium and phosphate ions essential for osteogenesis. 8he presence of pores in bone graft biomaterials has been shown as a requisite of great importance for repairing osseous deficiency, favoring the osteoconduction through osseous growth also inside the pores. 9,10In order to allow the penetration of repairing tissue and osseous neoformation in the pores, they should be greater than 100 m. [11][12][13] Bio-Oss ® (Geistlich Biomaterials, Wolhusen, Switzerland) is a widely studied bovine xenograft consisting of a mineral osseous matrix obtained after the removal of the organic components of medullar bovine bone during a thermal treatment at 300 C. 14 Another bovine xenograft available in the Brazilian market is Gen-Ox ® (Baumer S.A., São Paulo, Brazil) obtained through deproteinization at high temperatures (between 950 and 1,000 C).The increased processing temperature enhances material crystallinity 4,15 being also concurrent with the decomposition of the hydroxyapatite in other phases like tricalcium phosphate (TCP).The most crystalline biomaterial will be the least degradable, but the presence of other phases (usually more soluble than HA) may compensate or null this effect. 16The correct indication of a biomaterial shall depend on its physicochemical properties.Thus, the aim of this study was the physicochemical characterization of the products Bio-Oss and Gen-Ox, which are both deproteinized xenografts used as bone grafts.

Materials
The two commercial biomaterials used in this study derived from inorganic medullar bovine bone: 1) Bio-Oss, consisting of granules (250 to 450 m) deproteinized at 300 C, according to the manufacturer's data; 2) Gen-Ox, consisting of granules (with particles from 250 to 1,000 m) deproteinized at 950 -1,000 C, according to the manufacturer's data (Baumer S.A. -Brazil, Registration at the Ministry of Health No. 10345500001).

Physicochemical characterization
Morphological characterization of the materials was carried out through scanning electron microscopy (Zeiss, model DSM 940A, Oberkochen, Baden-Württemberg, Germany) operating at 20 kV of electrons acceleration.The presence of residues from the organic phase or different species of phosphate was assessed through the use of thermogravimetry and infrared spectroscopy, respectively.Thermogravimetry was performed from 50 to 950 C with a heating rate of 10 C/minute in a dynamic atmosphere of nitrogen (50 ml min -1 ) (TA Instruments, model TGA 2950, coupled to a thermal analyzer of TA Instruments, Model TA 2000), while Fourier-transformed infrared spectroscopy (FTIR) was obtained in a Perkin-Elmer (model 1000, Waltham, Massachusetts, USA) equipment.
In order to identify the crystalline phases in the xenografts, an X-ray diffractometer (DRX-Miniflex, Rigaku, Tokyo, Japan) was operated at 30 kV, 15 mA and radiation CuK , and the data was collected from 5-100 2 .The crystallinity of the materials was determined from the DRX patterns according to the methodology proposed by Landi 17 (2000); whereas the rate of degradation was determined threefold using protocol ISO/FDIS 10993-14:2001 (in buffer Tris-HCl, pH 7.3 for 120 hours).

Results
Figure 1 shows the morphology of the materials studied.Bio-Oss presents particles of regular dimensions with canaliculus and ridge (Figure 1, A -D); the presence of micrometric fragments is also observed.The pores are sized 20-200 m (Figure 1A).Inorganic Gen-Ox (Figure 1, E -H) also looks porous (Figure 1, E and F); when magnified (Figure 1, G and H), the coalescence of the grains taken place during the calcination of the material at high temperatures can also be seen.
In the Fourier Transform infrared spectroscopy (FTIR), bands can be identified in the wavelength ranges of 1,554-1,569, 1,400-1,420 and 850 cm -1 corresponding to the functional group CO 3 -2 of HA for Bio-Oss (Graph 1A).The phosphate group appears in both materials, but Gen-Ox (Graph 1B) presents better-defined bands between 600 and 1,100 cm -1 .Bands around 3,571 cm -1 are also highlighted indicating the presence of the structural O-H stretch, as well as bands in 1,172, 1,088, 1,025 and 963 cm -1 , indicating the presence of PO 4 -3 groups.
Bio-Oss and Gen-Ox thermogravimetric analysis (Graph 1, C and D, respectively) showed the materials' loss of mass due to the increase in temperature.Bio-Oss' loss of mass was about 2.6, 0.5 and 2.4% between 30 C to 420 C, 420 C to 635 C (temperature range between loss 1 and 2) and 630 C to 950 C, respectively.The residual mass at 950 C was 94.3%.Gen-Ox presented loss of mass at about 0.35% between the initial temperature and 384 C, increasing up to 0.6% from 665 C to 950 C, resulting in a residual mass of 99.4%.
In the patterns obtained for X-ray diffraction (Graph 1, E -F), the major peaks identified were related to synthetic HA that according to card data JCPDS 9-432 (JCPDS-ICDD1, 1992) are placed at 2 = 32, 33 and 26 , with relative intensity of 100, 60 and 40%, respectively.From X-ray diffraction A G E F H patterns the crystallinity was determined 17 for each material, resulting in 40% and 96% for Bio-Oss and Gen-Ox, respectively.The degradation test in Tris-HCl (120 h, pH 7.3, 37 C) indicated the loss of mass, the average of 4.7% ( 1.61) for Bio-Oss; however, no alteration of Gen-Ox mass was detected after 120 hours of degradation assay.

Discussion
Both materials analyzed are classified as xenografts from inorganic bovine bone, and are indicated as bone defect filling materials 18,19 due to their osteoconductive properties. 5,7][22] Recent studies have shown that fast absorption of the biomaterial may jeopardize adequate repair. 20On the other hand, non-resorbable materials can make some clinical procedures like grafts unfeasible. 23Thus, the processing way used by the manufacturers of natural and synthetic apatites affects both the physicochemical properties and the degradation rate of these biomaterials, possibly affecting bone repair. 10,24t was observed through scanning electron microscopy that both materials presented pores on their surfaces (Figure 1).The degree of microporosity depends on the compaction method of the starting powder and the temperature of synthetic materials or the use of natural materials on which the pores were biologically designed.The presence of pores in the granules increases the surface area of the xenograft material, favoring osteoconduction, enabling bone growth also in the pores. 10Porosity was similar in both materials, but the effect of increased temperature of sintering over the coalescence of apatite crystals is clear for Gen-Ox (Figures 1G and 1H).
Infrared spectral analysis has shown that both Bio-Oss and inorganic Gen-Ox have typical HA bands. 3,24,25Bands resolution is better in Gen-Ox, suggesting high crystallinity, and no bands related to other compounds are observed.Preliminary data about material crystallinity may be obtained through infrared spectrum, especially from the bands that are in the 590-610 cm -1 and 1,000 cm -1 regions. 3,16Diffractograms of the materials assessed confirm the presence of hydroxyapatite (according to ICDD data, 9-432); however, again, the bands have better resolution for Gen-Ox.Wide bands observed in the Bio-Oss diffractogram may be related to the different characteristics of the material, like the presence of non-crystalline phases (like organic residues), nanometric dimensioned crystals or defective powder structure. 15,24,25he loss of mass (nearly fourfold higher than that of Gen-Ox) observed in the thermogravimetric assay suggests the presence of residual organic material in Bio-Oss graft (around 3%).As it is expected for calcinated apatites (treatment temperature above 900 C), Gen-Ox showed a loss of mass above 700 C only; however, this loss is virtually none, about 0.3% of the sample.No reflections related to other phases of calcium phosphates were detected.It was confirmed through Landi's 17 (2000) method that Gen-Ox presented higher crystallinity than Bio-Oss, which confirmed the results of infrared and morphology of the crystals through scanning electron microscopy.This result is coherent with the calcination process to which it was submitted, since crystallinity is directly proportional to the processing temperature of the biomaterial.According to the manufacturers' data, Bio-Oss is processed in a lower temperature than Gen-Ox, 300 and 1,000 C, respectively.The effect of processing temperature is related to the elimination of carbonate content in the bone, which happens at temperatures above 400 C only. 4,15ata about materials crystallinity is important, as the bioabsorption rate shall be compatible with the repairing process of the recipient tissue.Calcium phosphates solubility depends on the relation Ca/P and, for the same composition, it depends on the crystallinity degree; so less crystalline materials are more soluble. 4herefore, the presence of second phases (usually more soluble than HA) may compensate or null this effect. 15n this case there was no composition effect of the HA, prevailing the effect of crystallinity in in vitro degradation.Thus, the degradation test indicated the loss of mass, at an average of 4.7% ( 1.61) for Bio-Oss, while no alteration of mass was detected in Gen-Ox.
The results suggest that the content of non-crystalline phases, probably organic matter and carbonate, identified through thermogravimetric, infrared and X-ray diffraction analyses, generates a biomaterial of lower crystallinity and, consequently, more prone to degradation.Thus, the processing temperature may be a way to change the physicochemical properties of the material, producing materials with different reabsorption levels.

Conclusions
Both commercial materials are hydroxyapatite compounds.Bio-Oss is less crystalline than Gen-Ox and is, therefore, more prone to degradation.