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Common Use of Ceramics in Dental and Orthopaedic Applications

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Ceramics are most commonly used in dental applications as restorative materials for crowns, cements and dentures.
Some ceramics are used in orthopaedic applications such as bone repair, bone augmentation and joint replacement but their use in this field is not as extensive or widespread as metals and polymers because ceramics have poor fracture toughness. This severely limits the use of ceramics in load bearing applications (Davis, 2003).
Ceramics have high hardness and wear resistance, making them suitable for applications such as the articulating surfaces in joints and bone bonding surfaces in implants. Ceramics like alumina and zirconia are more appropriate to use in joint replacements and dentistry whereas hydroxyapatite or calcium …show more content…

However, being a ceramic, pyrolytic carbon is brittle and therefore once a crack has initiated, it will propagate through the material which will inevitably cause the mechanical heart valve to fail which will lead to dangerous consequences such as the death of the patient. This is highly unlikely to occur though because the increased ductility of pyrolytic carbon would make it difficult for crack initiation to occur in the first place. Along with the mechanical tests, biological tests have also shown that pyrolytic carbon also had less platelet aggregation and therefore lower risk of blood clotting occurring than other materials that were tested like titanium alloys, polycrystalline diamond. This proved that pyrolytic carbon is highly biocompatible and therefore suitable for this application as well as being safe within the body (Davis, 2003; Snyder and Helmus, 2004; Ritchie, 1996).
As biomaterials, metals are normally used for load bearing applications such as pins and plates for bone fixation devices, femoral stems for hip replacement prosthetic devices. They have also been widely used in dentistry as part of orthodontic devices as well as pins for anchoring tooth implants. In order to be successful in load bearing applications such as hip or knee replacements, the metallic biomaterials must have satisfactory fatigue strength in order to endure the forces placed upon the body by daily activities like walking or chewing (Czernuszka, 1996).

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