Bioactive glasses and glass-ceramics

Since the late 1960's, a great interest in the use of bioceramic materials for biomedical applications has been developed. In a previous paper, the authors reviewed crystalline bioceramic materials "sensus stricto", it is to say, those ceramic materials, constituted for non-metallic inorganic compounds, crystallines and consolidates by thermal treatment of powders at high temperature. In the present review, the authors deal with those called bioactive glasses and glass-ceramics. Although all of them are also obtained by thermal treatment at high temperature, the first are amorphous and the second are obtained by devitrification of a glass, although the vitreous phase normally prevails on the crystalline phases. After an introduction to the concept of bioactive materials, a short historical review of the bioactive glasses development is made. Its preparation, reactivity in physiological media, mechanism of bonding to living tissues and mechanical strength of the bone-implant interface is also reported. Next, the concept of glass-ceramic and the way of its preparation are exposed. The composition, physicochemical properties and biological behaviour of the principal types of bioactive glasses and glass-ceramic materials: Bioglass (R), Ceravital (R), Cerabone (R), Ilmaplant and Bioverit are also reviewed. Finally, a short review on the bioactive-glass coatings and bioactive-composites and most common uses of bioactive-glasses and glass-ceramics are carried out too.