Calcium phosphate
phases are among the most widely accepted compounds
for biomaterial applications, of which the resorbable phases have
gained particular attention in recent years. Brushite and its anhydrous
form monetite are among the most interesting resorbable calcium phosphate
phases that can be applied as cements and for
in situ
fabrication of three-dimensional (3D) implants. Of these two dicalcium
phosphate compounds, monetite is more stable and undergoes slower
degradation than brushite. The purpose of the current study is to
synthesize and dope monetite with the antimicrobial elements silver
and zinc and the osteoinductive element strontium and investigate
the possible structural variations as well as their biocompatibility
and antimicrobial effectiveness. For this, powder X-ray diffraction
(PXRD), energy-dispersive X-ray spectroscopy (EDX), scanning electron
microscopy (SEM), and cryo-transmission electron microscopy (cryo-TEM)
were used to thoroughly study the synthesized structures. Moreover,
the ASTM E-2149-01 protocol and a cell proliferation assay were used
to determine the minimum inhibitory concentration (MIC) and minimum
bactericidal concentration (MBC) and the cytocompatibility of the
different phases with the Soas-2 cell line, respectively. The results
confirm the successful synthesis and doping procedures, such that
zinc was the most incorporated element into the monetite phase and
strontium was the least incorporated element. The microbiological
studies revealed that silver is a very effective antimicrobial agent
at low concentrations but unsuitable at high concentrations because
its cytotoxicity would prevail. On the other hand, doping the compounds
with zinc led to a reasonable antimicrobial activity without compromising
the biocompatibility to obviously high concentrations. The study also
highlights that strontium, widely known for its osteoinductivity,
bears an antimicrobial effect at high concentrations. The generated
doped compounds could be beneficial for prospective studies as bone
cements or for scaffold biomaterial applications.