Biomaterials

Which statement correctly describes the idea of biocompatibility for biomaterials?

  1. AOnly materials that do not react with the body at all inside it are biocompatible
  2. BThe ability to perform the required function in a specific application with an appropriate host response
  3. CA material that contains no toxic elements can be said to be biocompatible in any application
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Answer: B. The ability to perform the required function in a specific application with an appropriate host response

Biocompatibility is not an intrinsic property of a material; it is defined as "the ability of a material to perform with an appropriate host response in a specific application". Alumina and zirconia, which do not react with bone, suit the femoral heads of artificial hip joints, but materials that fill bone defects are actually expected to react, by bonding to bone or by being resorbed and replaced by bone. Because the desirable response differs by application in this way, not reacting at all is not a requirement. And even a material with no toxic elements is not compatible with an application if it is so stiff that it causes stress shielding, if its wear debris causes inflammation, or if it forms thrombi in contact with blood. The shape, surface condition and location of use are evaluated as well.

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  1. Which of these is a bioactive ceramic that bonds directly and chemically to bone?
  2. What is the Ca/P molar ratio of hydroxyapatite, Ca₁₀(PO₄)₆(OH)₂?
  3. Which statement correctly describes osseointegration, as the term is used for pure titanium in dental implants and similar devices?
  4. When a metal with a Young's modulus far higher than that of bone is used for the stem of an artificial hip joint, which statement correctly describes the resulting problem of stress shielding?
  5. A rod of cortical bone (Young's modulus 20 GPa) and a rod of Ti-6Al-4V (Young's modulus 110 GPa) with the same cross-sectional area are joined in parallel and together carry a tensile load along their length. If both have the same strain, which value is closest to the fraction of the total load carried by the bone?