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Liang J, Lu X, Zheng X, Li YR, Geng X, Sun K, Cai H, Jia Q, Jiang HB, Liu K. Modification of titanium orthopedic implants with bioactive glass: a systematic review of in vivo and in vitro studies. Front Bioeng Biotechnol 2023; 11:1269223. [PMID: 38033819 PMCID: PMC10686101 DOI: 10.3389/fbioe.2023.1269223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2023] [Accepted: 09/18/2023] [Indexed: 12/02/2023] Open
Abstract
Bioactive glasses (BGs) are ideal biomaterials in the field of bio-restoration due to their excellent biocompatibility. Titanium alloys are widely used as a bone graft substitute material because of their excellent corrosion resistance and mechanical properties; however, their biological inertness makes them prone to clinical failure. Surface modification of titanium alloys with bioactive glass can effectively combine the superior mechanical properties of the substrate with the biological properties of the coating material. In this review, the relevant articles published from 2013 to the present were searched in four databases, namely, Web of Science, PubMed, Embase, and Scopus, and after screening, 49 studies were included. We systematically reviewed the basic information and the study types of the included studies, which comprise in vitro experiments, animal tests, and clinical trials. In addition, we summarized the applied coating technologies, which include pulsed laser deposition (PLD), electrophoretic deposition, dip coating, and magnetron sputtering deposition. The superior biocompatibility of the materials in terms of cytotoxicity, cell activity, hemocompatibility, anti-inflammatory properties, bioactivity, and their good bioactivity in terms of osseointegration, osteogenesis, angiogenesis, and soft tissue adhesion are discussed. We also analyzed the advantages of the existing materials and the prospects for further research. Even though the current research status is not extensive enough, it is still believed that BG-coated Ti implants have great clinical application prospects.
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Affiliation(s)
- Jin Liang
- Department of Oral and Maxillofacial Surgery, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - XinYue Lu
- The CONVERSATIONALIST Club and Department of Stomatological Technology, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - XinRu Zheng
- The CONVERSATIONALIST Club and Department of Stomatological Technology, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - Yu Ru Li
- The CONVERSATIONALIST Club and Department of Stomatological Technology, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - XiaoYu Geng
- The CONVERSATIONALIST Club and Department of Stomatological Technology, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - KeXin Sun
- The CONVERSATIONALIST Club and Department of Stomatological Technology, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - HongXin Cai
- Department and Research Institute of Dental Biomaterials and Bioengineering, Yonsei University College of Dentistry, Seoul, Republic of Korea
| | - Qi Jia
- Department and Research Institute of Dental Biomaterials and Bioengineering, Yonsei University College of Dentistry, Seoul, Republic of Korea
| | - Heng Bo Jiang
- The CONVERSATIONALIST Club and Department of Stomatological Technology, School of Stomatology, Shandong First Medical University, Jinan, Shandong, China
| | - Kai Liu
- School of Basic Medicine, Shandong First Medical University, Jinan, Shandong, China
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Hou C, An J, Zhao D, Ma X, Zhang W, Zhao W, Wu M, Zhang Z, Yuan F. Surface Modification Techniques to Produce Micro/Nano-scale Topographies on Ti-Based Implant Surfaces for Improved Osseointegration. Front Bioeng Biotechnol 2022; 10:835008. [PMID: 35402405 PMCID: PMC8990803 DOI: 10.3389/fbioe.2022.835008] [Citation(s) in RCA: 16] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 03/08/2022] [Indexed: 12/24/2022] Open
Abstract
Titanium and titanium alloys are used as artificial bone substitutes due to the good mechanical properties and biocompatibility, and are widely applied in the treatment of bone defects in clinic. However, Pure titanium has stress shielding effect on bone, and the effect of titanium-based materials on promoting bone healing is not significant. To solve this problem, several studies have proposed that the surface of titanium-based implants can be modified to generate micro or nano structures and improve mechanical properties, which will have positive effects on bone healing. This article reviews the application and characteristics of several titanium processing methods, and explores the effects of different technologies on the surface characteristics, mechanical properties, cell behavior and osseointegration. The future research prospects in this field and the characteristics of ideal titanium-based implants are proposed.
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Affiliation(s)
- Chuang Hou
- Department of Orthopedics, The Fourth Affiliated Hospital of China Medical University, Shenyang, China
| | - Jing An
- Nursing Teaching and Research Department, The Fourth Affiliated Hospital of China Medical University, Shenyang, China
| | - Duoyi Zhao
- Department of Orthopedics, The Fourth Affiliated Hospital of China Medical University, Shenyang, China
| | - Xiao Ma
- Department of Orthopedics, The Fourth Affiliated Hospital of China Medical University, Shenyang, China
| | - Weilin Zhang
- Department of Orthopedics, The Fourth Affiliated Hospital of China Medical University, Shenyang, China
| | - Wei Zhao
- Department of Orthopedics, The Fourth Affiliated Hospital of China Medical University, Shenyang, China
| | - Meng Wu
- Department of Orthopedics, The Fourth Affiliated Hospital of China Medical University, Shenyang, China
| | - Zhiyu Zhang
- Department of Orthopedics, The Fourth Affiliated Hospital of China Medical University, Shenyang, China
- *Correspondence: Zhiyu Zhang, ; Fusheng Yuan,
| | - Fusheng Yuan
- Department of Orthopedics, The Fourth Affiliated Hospital of China Medical University, Shenyang, China
- *Correspondence: Zhiyu Zhang, ; Fusheng Yuan,
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Safaee S, Valanezhad A, Nesabi M, Jafarnia S, Sano H, Shahabi S, Abe S, Watanabe I. Fabrication of bioactive glass coating on pure titanium by sol-dip method: Dental applications. Dent Mater J 2021; 40:949-956. [PMID: 33716277 DOI: 10.4012/dmj.2020-323] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This study aimed to assess the mechanical and biological properties of bioactive glass (BG) coating on titanium (Ti). Bioinert Ti substrates were coated by BG to induce bioactivity to the surface. The sol-gel derived BG 58S sol was successfully prepared and coated on the abraded and blasted Ti surface using the sol-dip method. The characterization and cell study for all substrates' surface was carried out. Adhesion test confirmed that a firmly adhered BG coating layer was formed on the abraded and blasted Ti. The measured bonding strength between the coating and the blasted Ti substrate was the highest among all samples, which was 41.03±2.31 MPa. In-vitro cell viability and alkaline phosphatase activity (ALP) tests results also showed that BG coating on the Ti substrate improved the biological properties of the surface. The BG sol-dip coating method could be used to fabricate Ti substrate with a bioactive surface.
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Affiliation(s)
- Sirus Safaee
- Department of Dental and Biomedical Materials Science, Graduate School of Biomedical Sciences, Nagasaki University
| | - Alireza Valanezhad
- Department of Dental and Biomedical Materials Science, Graduate School of Biomedical Sciences, Nagasaki University
| | - Mahdis Nesabi
- Department of Dental and Biomedical Materials Science, Graduate School of Biomedical Sciences, Nagasaki University
| | - Shiva Jafarnia
- Department of Dental and Biomedical Materials Science, Graduate School of Biomedical Sciences, Nagasaki University
| | - Hideaki Sano
- Division of Chemistry and Materials Science, Graduate School of Engineering, Nagasaki University
| | - Sima Shahabi
- Department of Dental Biomaterials, School of Dentistry, Tehran University of Medical Sciences
| | - Shigeaki Abe
- Department of Dental and Biomedical Materials Science, Graduate School of Biomedical Sciences, Nagasaki University
| | - Ikuya Watanabe
- Department of Dental and Biomedical Materials Science, Graduate School of Biomedical Sciences, Nagasaki University
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Kodama K, Valanezhad A, Khodaei M, Safaee S, Jafarnia S, Nesabi M, Abe S, Watanabe I, Murata H. A novel coating layer on zirconia using modified zinc phosphatizing method. Dent Mater J 2021; 40:870-876. [PMID: 33692225 DOI: 10.4012/dmj.2020-253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Yttria doped ZrO2 was deposited using an acidic zinc phosphatizing solution and the hydrothermal treatment. The coating was analyzed using a field emission-scanning electron microscope (FE-SEM), X-ray diffraction (XRD), energy-dispersive X-ray spectroscopy (EDX) and X-ray photoelectron spectroscopy (XPS). A piston on three balls (ISO 6872) was used for the measurement of biaxial flexural strength. MC3T3-E1 cells attachment was evaluated by SEM, and cell proliferation were assessed using MTS assay™. SEM images confirmed that the zinc phosphate coating layer was successfully prepared and fully covered the surface. The measured adhesive strength of the coating was 79.11 MPa. In vitro cell study indicated that the coated sample had better cell morphology and proliferation. XRD and EDS analysis revealed that the crystalline coating structure indexed as zinc phosphate (hopeite) and the substrate was assigned as zirconia. The flexural strength test showed that the strength of zirconia before and after hydrothermal treatment was not affected.
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Affiliation(s)
- Kouta Kodama
- Department of Prosthetic Dentistry, Graduate School of Biomedical Sciences, Nagasaki University
| | - Alireza Valanezhad
- Department of Dental and Biomedical Materials Science, Graduate School of Biomedical Sciences, Nagasaki University
| | - Mohammad Khodaei
- Department of Materials Science and Engineering, Golpayegan University of Technology
| | - Sirus Safaee
- Department of Dental and Biomedical Materials Science, Graduate School of Biomedical Sciences, Nagasaki University
| | - Shiva Jafarnia
- Department of Dental and Biomedical Materials Science, Graduate School of Biomedical Sciences, Nagasaki University
| | - Mahdis Nesabi
- Department of Dental and Biomedical Materials Science, Graduate School of Biomedical Sciences, Nagasaki University
| | - Shigeaki Abe
- Department of Dental and Biomedical Materials Science, Graduate School of Biomedical Sciences, Nagasaki University
| | - Ikuya Watanabe
- Department of Dental and Biomedical Materials Science, Graduate School of Biomedical Sciences, Nagasaki University
| | - Hiroshi Murata
- Department of Prosthetic Dentistry, Graduate School of Biomedical Sciences, Nagasaki University
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Native Osseous CaP Biomineral Coating on a Biomimetic Multi-Spiked Connecting Scaffold Prototype for Cementless Resurfacing Arthroplasty Achieved by Combined Electrochemical Deposition. MATERIALS 2019; 12:ma12233994. [PMID: 31810185 PMCID: PMC6927003 DOI: 10.3390/ma12233994] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/22/2019] [Revised: 11/22/2019] [Accepted: 11/27/2019] [Indexed: 11/29/2022]
Abstract
The multi-spiked connecting scaffold (MSC-Scaffold) prototype with spikes mimicking the interdigitations of articular subchondral bone is an essential innovation in surgically initiated fixation of resurfacing arthroplasty (RA) endoprosthesis components. This paper aimed to present a determination of the suitable range of conditions for the calcium phosphate (CaP) potentiostatic electrochemical deposition (ECDV=const) on the MSC-Scaffold prototype spikes to achieve a biomineral coating with a native Ca/P ratio. The CaP ECDV=const process on the MSC-Scaffold Ti4Al6V pre-prototypes was investigated for potential VECDfrom −9 to −3 V, and followed by 48 h immersion in a simulated body fluid. An acid–alkaline pretreatment (AAT) was applied for a portion of the pre-prototypes. Scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDS) and X-ray diffraction (XRD) studies of deposited coatings together with coatings weight measurements were performed. Themost suitable VECD range, from −5.25 to −4.75 V, was determined as the native biomineral Ca/P ratio of coatings was achieved. AAT increases the weight of deposited coatings (44% for VECD = −5.25 V, 9% for VECD = −5.00 V and 15% for VECD = −4.75 V) and the coverage degree of the lateral spike surfaces (40% for VECD = −5.25 V, 14% for VECD = −5.00 V and 100% for VECD = −4.75 V). XRD confirmed that the multiphasic CaP coating containing crystalline octacalcium phosphate is produced on the lateral surface of the spikes of the MSC-Scaffold. ECDV=const preceded by AAT prevents micro-cracks on the bone-contacting surfaces of the MSC-Scaffold prototype, increases its spikes’ lateral surface coverage, and results in the best modification effect at VECD = −5.00 V. To conclude, the biomimetic MSC-Scaffold prototype with desired biomineral coating of native Ca/P ratio was obtained for cementless RA endoprostheses.
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Sunarso, Tsuchiya A, Fukuda N, Toita R, Tsuru K, Ishikawa K. Effect of micro-roughening of poly(ether ether ketone) on bone marrow derived stem cell and macrophage responses, and osseointegration. JOURNAL OF BIOMATERIALS SCIENCE-POLYMER EDITION 2018; 29:1375-1388. [DOI: 10.1080/09205063.2018.1461448] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Sunarso
- Faculty of Dental Science, Department of Biomaterials, Kyushu University, Fukuoka, Japan
- Faculty of Dentistry, Department of Dental Materials Science and Technology, Padjadjaran Unversity, Sumedang, Indonesia
| | - Akira Tsuchiya
- Faculty of Dental Science, Department of Biomaterials, Kyushu University, Fukuoka, Japan
| | - Naoyuki Fukuda
- Faculty of Dental Science, Department of Biomaterials, Kyushu University, Fukuoka, Japan
| | - Riki Toita
- Faculty of Dental Science, Department of Biomaterials, Kyushu University, Fukuoka, Japan
- Biomedical Research Institute, National Institute of Advanced Industrial Science and Technology (AIST), Ikeda, Japan
| | - Kanji Tsuru
- Faculty of Dental Science, Department of Biomaterials, Kyushu University, Fukuoka, Japan
| | - Kunio Ishikawa
- Faculty of Dental Science, Department of Biomaterials, Kyushu University, Fukuoka, Japan
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Gao C, Li C, Wang C, Qin Y, Wang Z, Yang F, Liu H, Chang F, Wang J. Advances in the induction of osteogenesis by zinc surface modification based on titanium alloy substrates for medical implants. JOURNAL OF ALLOYS AND COMPOUNDS 2017; 726:1072-1084. [DOI: 10.1016/j.jallcom.2017.08.078] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/28/2023]
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Yu J, Xu L, Xie N, Li K, Xi Y, Liu X, Zheng X, Chen X, Ye X, Wei D. Optimal Zn-Modified Ca–Si-Based Ceramic Nanocoating with Zn Ion Release for Osteoblast Promotion and Osteoclast Inhibition in Bone Tissue Engineering. JOURNAL OF NANOMATERIALS 2017; 2017:1-9. [DOI: 10.1155/2017/7374510] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/21/2023]
Abstract
We investigated the slow release of Zn ion (Zn2+) from nanocoatings and compared the in vitro response of osteoblasts (MC3T3-E1) and proosteoclasts (RAW 264.7) cultured on Ca2ZnSi2O7 nanocoated with different Zn/Ca molar ratios on a Ti-6Al-4V (i.e., Ti) substrate to optimize cell behaviors and molecule levels. Significant morphology differences were observed among samples. By comparing with pure Ti and CaSiO3 nanocoating, the morphology of Ca2ZnSi2O7 ceramic nanocoatings was rough and contained small nanoparticles or aggregations. Slow Zn2+ release from nanocoatings was observed and Zn2+ concentration was regulated by varying the Zn/Ca ratios. The cell-response results showed Ca2ZnSi2O7 nanocoating at different Zn/Ca molar ratios for osteoblasts and osteoclasts. Compared to other nanocoatings and Ti, sample Zn/Ca (0.3) showed the highest cell viability and upregulated expression of the osteogenic differentiation genes ALP, COL-1, and OCN. Additionally, sample Zn/Ca (0.3) showed the greatest inhibition of RAW 264.7 cell growth and decreased the mRNA levels of osteoclast-related genes OAR, TRAP, and HYA1. Therefore, the optimal Zn-Ca ratio of 0.3 in Ca2ZnSi2O7 ceramic nanocoating on Ti had a dual osteoblast-promoting and osteoclast-inhibiting effect to dynamically balance osteoblasts/osteoclasts. These optimal Zn-Ca ratios are valuable for Ca2ZnSi2O7 ceramic nanocoating on Ti-coated implants for potential applications in bone tissue regeneration.
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Affiliation(s)
- Jiangming Yu
- Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
- National Engineering Research Center for Nanotechnology, Shanghai 200241, China
| | - Lizhang Xu
- Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
| | - Ning Xie
- Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
| | - Kai Li
- Key Laboratory of Inorganic Coating Materials, Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai 200003, China
| | - Yanhai Xi
- Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
| | - Xiling Liu
- Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
| | - Xuebin Zheng
- Key Laboratory of Inorganic Coating Materials, Shanghai Institute of Ceramics, Chinese Academy of Sciences, Shanghai 200003, China
| | - Xiongsheng Chen
- Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
| | - Xiaojian Ye
- Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
| | - Daixu Wei
- Tsinghua-Peking Center for Life Sciences, Tsinghua University, Beijing 100084, China
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Toita R, Tsuru K, Ishikawa K. A superhydrophilic titanium implant functionalized by ozone gas modulates bone marrow cell and macrophage responses. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2016; 27:127. [PMID: 27344451 DOI: 10.1007/s10856-016-5741-2] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/23/2016] [Accepted: 06/18/2016] [Indexed: 06/06/2023]
Abstract
Bone-forming cells and Mϕ play key roles in bone tissue repair. In this study, we prepared a superhydrophilic titanium implant functionalized by ozone gas to modulate osteoconductivity and inhibit inflammatory response towards titanium implants. After 24 h of ozone gas treatment, the water contact angle of the titanium surface became zero. XPS analysis revealed that hydroxyl groups were greatly increased, but carbon contaminants were largely decreased 24 h after ozone gas functionalization. Also, ozone gas functionalization did not alter titanium surface topography. Superhydrophilic titanium (O3-Ti) largely increased the aspect ratio, size and perimeter of cells when compared with untreated titanium (unTi). In addition, O3-Ti facilitated rat bone marrow derived MSCs differentiation and mineralization evidenced by greater ALP activity and bone-like nodule formation. Interestingly, O3-Ti did not affect RAW264.7 Mϕ proliferation. However, naive RAW264.7 Mϕ cultured on unTi produced a two-fold larger amount of TNFα than that on O3-Ti. Furthermore, O3-Ti greatly mitigated proinflammatory cytokine production, including TNFα and IL-6 from LSP-stimulated RAW264.7 Mϕ. These results demonstrated that a superhydrophilic titanium prepared by simple ozone gas functionalization successfully increased MSCs proliferation and differentiation, and mitigated proinflammatory cytokine production from both naive and LPS-stimulated Mϕ. This superhydrophilic surface would be useful as an endosseous implantable biomaterials and as a biomaterial for implantation into other tissues.
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Affiliation(s)
- Riki Toita
- Department of Biomaterials, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan.
- Biomedical Research Institute, National Institute of Advanced Industrial Science and Technology (AIST), 1-8-31 Midorigaoka, Ikeda, Osaka, 563-8577, Japan.
| | - Kanji Tsuru
- Department of Biomaterials, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan
| | - Kunio Ishikawa
- Department of Biomaterials, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan
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