Previously we developed an alumina bead composite (ABC) consisting of alumi
na bead powder (AL-P) and bisphenol-alpha-glycidyl methacrylate (Bis-GMA)-b
ased resin and reported its excellent osteoconductivity in rat tibiae. In t
he present study, are evaluated histologically and mechanically the effect
of alumina crystallinity on the osteoconductivity and bone-bonding strength
of the composite. AL-P was manufactured by fusing crushed alpha-alumina po
wder and quenching it. The AL-P was composed mainly of amorphous and delta-
crystal phases of alumina. Its average particle size was 3.5 mu m, and it t
ook a spherical form. Another composite (alpha ALC), filled with pure alpha
-alumina powder (alpha AL-P), was used as a referential material. The propo
rtion of powder added to each composite was 70% w/w. Mechanical testing of
ABC and alpha ALC indicated that they would be strong enough for use under
weight-bearing conditions. The affinity indices for ABC, determined using m
ale Wistar rat tibiae, were significantly higher than those for alpha ALC (
p < 0.0001) up to 8 weeks. Composite plates (15 x 10 x 2 mm) that had an un
cured surface layer on one side were made in situ in a rectangular mold. On
e of the plates was implanted into the proximal metaphysis of the tibia of
a male Japanese white rabbit, and the failure load was measured by a detach
ing test 10 weeks after implantation. The failure loads for ABC on its uncu
red surface [1.91 +/- 1.23 kgf (n = 8)] were significantly higher than thos
e for alpha ALC on its uncured surface [0.35 +/- 0.33 kgf (n = 8); (p < 0.0
001)], and they also were significantly higher than those for ABC on the ot
her (cured surface) side (p < 0.0001). Histological examinations using rabb
it tibiae revealed bone ingrowth into the composite only on the uncured sur
face of ABC. This study revealed that the amorphous phase of alumina and fo
rmation of an uncured surface layer are needed for the osteoconductive and
bone-bonding ability of ABC. ABC shows promise as a basis for the developme
nt of a highly osteoconductive and mechanically strong biomaterial. (C) 199
9 John Wiley & Sons, Inc.