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Jin J, Wang D, Qian H, Ruan C, Yang Y, Li D, Wang G, Zhu X, Hu Y, Lei P. Precision pore structure optimization of additive manufacturing porous tantalum scaffolds for bone regeneration: A proof-of-concept study. Biomaterials 2024; 313:122756. [PMID: 39182327 DOI: 10.1016/j.biomaterials.2024.122756] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2024] [Revised: 07/09/2024] [Accepted: 08/12/2024] [Indexed: 08/27/2024]
Abstract
Currently, the treatment of bone defects in arthroplasty is a challenge in clinical practice. Nonetheless, commercially available orthopaedic scaffolds have shown limited therapeutic effects for large bone defects, especially for massiveand irregular defects. Additively manufactured porous tantalum, in particular, has emerged as a promising material for such scaffolds and is widely used in orthopaedics for its exceptional biocompatibility, osteoinduction, and mechanical properties. Porous tantalum has also exhibited unique advantages in personalised rapid manufacturing, which allows for the creation of customised scaffolds with complex geometric shapes for clinical applications at a low cost and high efficiency. However, studies on the effect of the pore structure of additively manufactured porous tantalum on bone regeneration have been rare. In this study, our group designed and fabricated a batch of precision porous tantalum scaffolds via laser powder bed fusion (LPBF) with pore sizes of 250 μm (Ta 250), 450 μm (Ta 450), 650 μm (Ta 650), and 850 μm (Ta 850). We then performed a series of in vitro experiments and observed that all four groups showed good biocompatibility. In particular, Ta 450 demonstrated the best osteogenic performance. Afterwards, our team used a rat bone defect model to determine the in vivo osteogenic effects. Based on micro-computed tomography and histology, we identified that Ta 450 exhibited the best bone ingrowth performance. Subsequently, sheep femur and hip defect models were used to further confirm the osteogenic effects of Ta 450 scaffolds. Finally, we verified the aforementioned in vitro and in vivo results via clinical application (seven patients waiting for revision total hip arthroplasty) of the Ta 450 scaffold. The clinical results confirmed that Ta 450 had satisfactory clinical outcomes up to the 12-month follow-up. In summary, our findings indicate that 450 μm is the suitable pore size for porous tantalum scaffolds. This study may provide a new therapeutic strategy for the treatment of massive, irreparable, and protracted bone defects in arthroplasty.
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Affiliation(s)
- Jiale Jin
- Department of Orthopedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China
| | - Dongyu Wang
- Department of Orthopedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China; Department of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, China
| | - Hu Qian
- Department of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, China
| | - Chengxin Ruan
- Department of Orthopedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China
| | - Yiqi Yang
- Department of Orthopedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China
| | - Dongdong Li
- Department of Orthopedic Surgery, Ningxia Medical University, Yinchuan, 200233, China
| | - Guohua Wang
- Hunan Huaxiang Medical Technology Co., Ltd, Changsha, 410008, China
| | - Xiaobo Zhu
- Department of Orthopedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
| | - Yihe Hu
- Department of Orthopedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China.
| | - Pengfei Lei
- Department of Orthopedic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310003, China; Department of Orthopedic Surgery, Xiangya Hospital Central South University, Changsha, 410008, China.
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Xu Q, Bai Y, Li S, Hou W, Hao Y, Yang R, Li X, Zhang X. Enhancing osteogenesis and angiogenesis functions for Ti-24Nb-4Zr-8Sn scaffolds with methacrylated gelatin and deferoxamine. Front Bioeng Biotechnol 2024; 12:1372636. [PMID: 38707506 PMCID: PMC11066197 DOI: 10.3389/fbioe.2024.1372636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Accepted: 04/08/2024] [Indexed: 05/07/2024] Open
Abstract
Repair of large bone defects remains challenge for orthopedic clinical treatment. Porous titanium alloys have been widely fabricated by the additive manufacturing, which possess the elastic modulus close to that of human cortical bone, good osteoconductivity and osteointegration. However, insufficient bone regeneration and vascularization inside the porous titanium scaffolds severely limit their capability for repair of large-size bone defects. Therefore, it is crucially important to improve the osteogenic function and vascularization of the titanium scaffolds. Herein, methacrylated gelatin (GelMA) were incorporated with the porous Ti-24Nb-4Zr-8Sn (Ti2448) scaffolds prepared by the electron beam melting (EBM) method (Ti2448-GelMA). Besides, the deferoxamine (DFO) as an angiogenic agent was doped into the Ti2448-GelMA scaffold (Ti2448-GelMA/DFO), in order to promote vascularization. The results indicate that GelMA can fully infiltrate into the pores of Ti2448 scaffolds with porous cross-linked network (average pore size: 120.2 ± 25.1 μm). Ti2448-GelMA scaffolds facilitated the differentiation of MC3T3-E1 cells by promoting the ALP expression and mineralization, with the amount of calcium contents ∼2.5 times at day 14, compared with the Ti2448 scaffolds. Impressively, the number of vascular meshes for the Ti2448-GelMA/DFO group (∼7.2/mm2) was significantly higher than the control group (∼5.3/mm2) after cultivation for 9 h, demonstrating the excellent angiogenesis ability. The Ti2448-GelMA/DFO scaffolds also exhibited sustained release of DFO, with a cumulative release of 82.3% after 28 days. Therefore, Ti2448-GelMA/DFO scaffolds likely provide a new strategy to improve the osteogenesis and angiogenesis for repair of large bone defects.
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Affiliation(s)
- Qian Xu
- Department of Materials Physics and Chemistry, School of Materials Science and Engineering, Key Laboratory for Anisotropy and Texture of Materials, Ministry of Education, Northeastern University, Shenyang, Liaoning, China
- Institute of Metal Research, Chinese Academy of Sciences, Shenyang, Liaoning, China
| | - Yun Bai
- Institute of Metal Research, Chinese Academy of Sciences, Shenyang, Liaoning, China
- School of Materials Science and Engineering, University of Science and Technology of China, Hefei, Anhui, China
| | - Shujun Li
- Institute of Metal Research, Chinese Academy of Sciences, Shenyang, Liaoning, China
- School of Materials Science and Engineering, University of Science and Technology of China, Hefei, Anhui, China
| | - Wentao Hou
- Institute of Metal Research, Chinese Academy of Sciences, Shenyang, Liaoning, China
- School of Materials Science and Engineering, University of Science and Technology of China, Hefei, Anhui, China
| | - Yulin Hao
- Institute of Metal Research, Chinese Academy of Sciences, Shenyang, Liaoning, China
- School of Materials Science and Engineering, University of Science and Technology of China, Hefei, Anhui, China
| | - Rui Yang
- Institute of Metal Research, Chinese Academy of Sciences, Shenyang, Liaoning, China
- School of Materials Science and Engineering, University of Science and Technology of China, Hefei, Anhui, China
| | - Xiaowu Li
- Department of Materials Physics and Chemistry, School of Materials Science and Engineering, Key Laboratory for Anisotropy and Texture of Materials, Ministry of Education, Northeastern University, Shenyang, Liaoning, China
| | - Xing Zhang
- Institute of Metal Research, Chinese Academy of Sciences, Shenyang, Liaoning, China
- School of Materials Science and Engineering, University of Science and Technology of China, Hefei, Anhui, China
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Młynarek-Żak K, Żmudzki J. The effect of porous compliance bushings in a dental implant on the distribution of occlusal loads. Sci Rep 2024; 14:1607. [PMID: 38238380 PMCID: PMC10796672 DOI: 10.1038/s41598-024-51429-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2022] [Accepted: 04/02/2023] [Indexed: 01/22/2024] Open
Abstract
Porous dental implants are clinically used, but the mechanism of load distribution for stepped implant shaft surrounded by compliance bushings is still not known, especially for different bone conditions. The aim of the study was to assess the impact of the design of a dental implant with compliance bushings (CBs) on the occlusal load distribution during primary and secondary stability using finite element simulation (FEA), with a distinction between low and high quality cervical support under primary stability. The FEA of the oblique occlusal load transfer (250 N; 45°) was carried out for implants under variable bone conditions. The stepped shaft in the intermediate part of the dental implant was surrounded by CBs with an increasing modulus of elasticity of 2, 10 and 50 GPa. With a smaller Young's modulus of the bushings the increase of stress in the trabecular bone indicated that more bone tissue can be protected against disuse. The beneficial effect for the trabecular bone derived from the reduction of the stiffness of the bushings in relation to the loss of the implant's load bearing ability can be assessed using the FEM method.
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Affiliation(s)
- Katarzyna Młynarek-Żak
- Department of Engineering Processes Automation and Integrated Manufacturing Systems, Silesian University of Technology, Konarskiego 18a St., 44-100, Gliwice, Poland
| | - Jarosław Żmudzki
- Department of Engineering Materials and Biomaterials, Silesian University of Technology, Konarskiego 18a St., 44-100, Gliwice, Poland.
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Wang C, Liu J, Min S, Liu Y, Liu B, Hu Y, Wang Z, Mao F, Wang C, Ma X, Wen P, Zheng Y, Tian Y. The effect of pore size on the mechanical properties, biodegradation and osteogenic effects of additively manufactured magnesium scaffolds after high temperature oxidation: An in vitro and in vivo study. Bioact Mater 2023; 28:537-548. [PMID: 37457041 PMCID: PMC10344631 DOI: 10.1016/j.bioactmat.2023.06.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 05/30/2023] [Accepted: 06/16/2023] [Indexed: 07/18/2023] Open
Abstract
The effects of pore size in additively manufactured biodegradable porous magnesium on the mechanical properties and biodegradation of the scaffolds as well as new bone formation have rarely been reported. In this work, we found that high temperature oxidation improves the corrosion resistance of magnesium scaffold. And the effects of pore size on the mechanical characteristics and biodegradation of scaffolds, as well as new bone formation, were investigated using magnesium scaffolds with three different pore sizes, namely, 500, 800, and 1400 μm (P500, P800, and P1400). We discovered that the mechanical characteristics of the P500 group were much better than those of the other two groups. In vitro and in vivo investigations showed that WE43 magnesium alloy scaffolds supported the survival of mesenchymal stem cells and did not cause any local toxicity. Due to their larger specific surface area, the scaffolds in the P500 group released more magnesium ions within reasonable range and improved the osteogenic differentiation of bone mesenchymal stem cells compared with the other two scaffolds. In a rabbit femoral condyle defect model, the P500 group demonstrated unique performance in promoting new bone formation, indicating its great potential for use in bone defect regeneration therapy.
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Affiliation(s)
- Chaoxin Wang
- Department of Orthopedics, Peking University Third Hospital, Beijing, 100191, China
- Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, 100191, China
| | - Jinge Liu
- Department of Mechanical Engineering, Tsinghua University, Beijing, 100084, China
| | - Shuyuan Min
- Department of Orthopedics, Peking University Third Hospital, Beijing, 100191, China
- Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, 100191, China
| | - Yu Liu
- Department of Orthopedics, Peking University Third Hospital, Beijing, 100191, China
- Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, 100191, China
| | - Bingchuan Liu
- Department of Orthopedics, Peking University Third Hospital, Beijing, 100191, China
- Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, 100191, China
| | - Yuanyu Hu
- Department of Orthopedics, Peking University Third Hospital, Beijing, 100191, China
- Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, 100191, China
| | - Zhengguang Wang
- Department of Orthopedics, Peking University Third Hospital, Beijing, 100191, China
- Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, 100191, China
| | - Fengbiao Mao
- Institute of Medicine Innovation and Research, Peking University Third Hospital, Beijing, 100191, China
| | - Caimei Wang
- Beijing AKEC Medical Co., Ltd., Beijing, 102200, China
| | - Xiaolin Ma
- Beijing AKEC Medical Co., Ltd., Beijing, 102200, China
| | - Peng Wen
- Department of Mechanical Engineering, Tsinghua University, Beijing, 100084, China
| | - Yufeng Zheng
- School of Materials Science and Engineering, Peking University, Beijing, 100871, China
| | - Yun Tian
- Department of Orthopedics, Peking University Third Hospital, Beijing, 100191, China
- Engineering Research Center of Bone and Joint Precision Medicine, Ministry of Education, Beijing, 100191, China
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Torres-Sanchez C, Alabort E, Herring O, Bell H, Tam CY, Yang S, Conway PP. Multidimensional analysis for the correlation of physico-chemical attributes to osteoblastogenesis in TiNbZrSnTa alloys. BIOMATERIALS ADVANCES 2023; 153:213572. [PMID: 37566936 DOI: 10.1016/j.bioadv.2023.213572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 07/19/2023] [Accepted: 07/25/2023] [Indexed: 08/13/2023]
Abstract
Data-enabled approaches that complement experimental testing offer new capabilities to investigate the interplay between chemical, physical and mechanical attributes of alloys and elucidate their effect on biological behaviours. Reported here, instead of physical causation, statistical correlations were used to study the factors responsible for the adhesion, proliferation and maturation of pre-osteoblasts MC3T3-E1 cultured on Titanium alloys. Eight alloys with varying wt% of Niobium, Zirconium, Tin and Tantalum (Ti- (2-22 wt%)Nb- (5-20 wt%)Zr- (0-18 wt%)Sn- (0-14 wt%)Ta) were designed to achieve exemplars of allotropes (incl., metastable-β, β + α', α″). Following confirmation of their compositions (ICP, EDX) and their crystal structure (XRD, SEM), their compressive bulk properties were measured and their surface features characterised (XPS, SFE). Because these alloys are intended for the manufacture of implantable orthopaedic devices, the correlation focuses on the effect of surface properties on cellular behaviour. Physico-chemical attributes were paired to biological performance, and these highlight the positive interdependencies between oxide composition and proliferation (esp. Ti4+), and maturation (esp. Zr4+). The correlation reveals the negative effect of oxide thickness, esp. TiOx and TaOx on osteoblastogenesis. This study also shows that the characterisation of the chemical state and elemental electronic structure of the alloys' surface is more predictive than physical properties, namely SFE and roughness.
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Affiliation(s)
- C Torres-Sanchez
- Multifunctional Materials Manufacturing Lab, Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, LE11 3TU Loughborough, Leics, UK.
| | - E Alabort
- Alloyed Ltd., Unit 15, Oxford Industrial Park, Yarnton OX5 1QU, UK
| | - O Herring
- Multifunctional Materials Manufacturing Lab, Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, LE11 3TU Loughborough, Leics, UK
| | - H Bell
- Multifunctional Materials Manufacturing Lab, Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, LE11 3TU Loughborough, Leics, UK
| | - C Y Tam
- Multifunctional Materials Manufacturing Lab, Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, LE11 3TU Loughborough, Leics, UK
| | - S Yang
- Multifunctional Materials Manufacturing Lab, Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, LE11 3TU Loughborough, Leics, UK
| | - P P Conway
- Multifunctional Materials Manufacturing Lab, Wolfson School of Mechanical, Electrical and Manufacturing Engineering, Loughborough University, LE11 3TU Loughborough, Leics, UK
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Guo AXY, Cao B, Wang Z, Ma X, Cao SC. Fabricated High-Strength, Low-Elastic Modulus Biomedical Ti-24Nb-4Zr-8Sn Alloy via Powder Metallurgy. MATERIALS (BASEL, SWITZERLAND) 2023; 16:ma16103845. [PMID: 37241471 DOI: 10.3390/ma16103845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Revised: 05/05/2023] [Accepted: 05/14/2023] [Indexed: 05/28/2023]
Abstract
With the huge demands of an aging society, it is urgent to develop a new generation of non-toxic titanium alloy to match the modulus of human bone. Here, we prepared bulk Ti2448 alloys by powder metallurgy technology, and focused on the influence of the sintering process on the porosity, phase composition, and mechanical properties of the initial sintered samples. Furthermore, we performed solution treatment on the samples under different sintering parameters to further adjust the microstructure and phase composition, so as to achieve strength enhancement and reduction of Young's modulus. Solution treatment can effectively inhibit the continuous α phase precipitated along the grain boundaries of the β matrix, which is beneficial to the fracture resistance. Therefore, the water-quenched sample exhibits good mechanical properties due to the absence of acicular α-phase. Samples sintered at 1400 °C and subsequently water quenched have excellent comprehensive mechanical properties, which benefit from high porosity and the smaller feature size of microstructure. To be specific, the compressive yield stress is 1100 MPa, the strain at fracture is 17.5%, and the Young's modulus is 44 GPa, which are more applicable to orthopedic implants. Finally, the relatively mature sintering and solution treatment process parameters were screened out for reference in actual production.
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Affiliation(s)
- Amy X Y Guo
- Materials Genome Institute, Shanghai University, Shanghai 200444, China
| | - Bin Cao
- Materials Genome Institute, Shanghai University, Shanghai 200444, China
| | - Zihan Wang
- Materials Genome Institute, Shanghai University, Shanghai 200444, China
| | - Xiao Ma
- Institute for the Conservation of Cultural Heritage, Shanghai University, Shanghai 200444, China
| | - Shan Cecilia Cao
- Materials Genome Institute, Shanghai University, Shanghai 200444, China
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Tsuang FY, Li MJ, Chu PH, Tsou NT, Sun JS. Mechanical performance of porous biomimetic intervertebral body fusion devices: an in vitro biomechanical study. J Orthop Surg Res 2023; 18:71. [PMID: 36717827 PMCID: PMC9885572 DOI: 10.1186/s13018-023-03556-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 01/20/2023] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND Degenerative disc disease is one of the most common ailments severely affecting the quality of life in elderly population. Cervical intervertebral body fusion devices are utilized to provide stability after surgical intervention for cervical pathology. In this study, we design a biomimetic porous spinal cage, and perform mechanical simulations to study its performances following American Society for Testing and Materials International (ASTM) standards before manufacturing to improve design process and decrease cost and consumption of material. METHODS The biomimetic porous Ti-6Al-4 V interbody fusion devices were manufactured by selective laser melting (laser powder bed fusion: LPBF in ISO/ASTM 52900 standard) and subsequently post-processed by using hot isostatic pressing (HIP). Chemical composition, microstructure and the surface morphology were studied. Finite element analysis and in vitro biomechanical test were performed. FINDINGS The post heat treatment can optimize its mechanical properties, as the stiffness of the cage decreases to reduce the stress shielding effect between two instrumented bodies. After the HIP treatment, the ductility and the fatigue performance are substantially improved. The use of HIP post-processing can be a necessity to improve the physical properties of customized additive manufacturing processed implants. INTERPRETATION In conclusion, we have successfully designed a biomimetic porous intervertebral device. HIP post-treatment can improve the bulk material properties, optimize the device with reduced stiffness, decreased stress shielding effect, while still provide appropriate space for bone growth. CLINICAL SIGNIFICANCE The biomechanical performance of 3-D printed biomimetic porous intervertebral device can be optimized. The ductility and the fatigue performance were substantially improved, the simultaneously decreased stiffness reduces the stress shielding effect between two instrumented bodies; while the biomimetic porous structures provide appropriate space for bone growth, which is important in the patients with osteoporosis.
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Affiliation(s)
- Fon-Yih Tsuang
- grid.412094.a0000 0004 0572 7815Division of Neurosurgery, Department of Surgery, National Taiwan University Hospital, No.7, Chung-Shan South Rd., Taipei, 10002 Taiwan, ROC
| | - Ming-Jun Li
- grid.260539.b0000 0001 2059 7017Department of Materials Science and Engineering, National Yang Ming Chiao Tung University, Hsinchu, Taiwan, ROC
| | - Po-Han Chu
- Research & Development, Ingrowth Biotech. Co., Ltd., 1F, No. 57, Luke 2nd Road, Luzhu District, Kaohsiung Science Park, Kaohsiung, 82151 Taiwan, ROC
| | - Nien-Ti Tsou
- grid.260539.b0000 0001 2059 7017Department of Materials Science and Engineering, National Yang Ming Chiao Tung University, Hsinchu, Taiwan, ROC
| | - Jui-Sheng Sun
- grid.411508.90000 0004 0572 9415Trauma and Emergency Center, China Medical University Hospital, No.2, Xueshi Rd., North Dist., Taichung City, 404018 Taiwan, ROC ,grid.254145.30000 0001 0083 6092Department of Orthopedic Surgery, College of Medicine, China Medical University, No. 2, Yu-Der Rd, Taichung City, 40447 Taiwan, ROC ,grid.412094.a0000 0004 0572 7815Department of Orthopedic Surgery, National Taiwan University Hospital, No.7, Chung-Shan South Rd., Taipei, 10002 Taiwan, ROC
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Development and Processing of New Composite Materials Based on High-Performance Semicrystalline Polyimide for Fused Filament Fabrication (FFF) and Their Biocompatibility. Polymers (Basel) 2022; 14:polym14183803. [PMID: 36145948 PMCID: PMC9505884 DOI: 10.3390/polym14183803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 09/08/2022] [Accepted: 09/09/2022] [Indexed: 11/17/2022] Open
Abstract
Samples of composite materials based on high-performance semicrystalline polyimide R-BAPB (based on the dianhydride R: 1,3-bis-(3′,4,-dicarboxyphenoxy)benzene and diamine BAPB: 4,4′-bis-(4″-aminophenoxy)diphenyl)) filled with carbon nanofibers and micron-sized discrete carbon fibers were obtained by FFF printing for the first time. The viscosity of melts of the composites based on R-BAPB, thermal, mechanical characteristics of the obtained composite samples, their internal structure, and biocompatibility were studied. Simultaneously with FFF printing, samples were obtained by injection molding. The optimal concentrations of carbon fillers in polyimide R-BAPB for their further use in FFF printing were determined. The effect of the incorporation of carbon fillers on the porosity of the printed samples was investigated. It was shown that the incorporation of carbon nanofibers reduces the porosity of the printed samples, which leads to an increase in deformation at break. Modification of polyimide with discrete carbon fibers increases the strength and Young’s modulus sufficiently but decreases the deformation at break. The cytotoxicity analysis showed that the obtained composite materials are bioinert.
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Biomechanical performance of Ti-PEEK dental implants in bone: An in-silico analysis. J Mech Behav Biomed Mater 2022; 134:105422. [PMID: 36037710 DOI: 10.1016/j.jmbbm.2022.105422] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Revised: 08/15/2022] [Accepted: 08/17/2022] [Indexed: 11/20/2022]
Abstract
Stress-shielding is caused by a significant mismatch in stiffness between bone tissue and Ti alloy dental implants. Therefore, in this study, a Ti-PEEK composite implant was examined and compared with conventional titanium, to determine the behavior of the host bone. Twelve 3D finite element models were modeled with two conditions of marginal cortical bone (with and without marginal bone loss). Six implant designs were constructed. Implant (A) was made with a conventional design (dense titanium), implants (B), (C) and (D) are designed with Ti-PEEK composite (outer layer made of PEEK and inner structures made of Ti with hexagonal, cylindrical, and cross shapes for implants (B), (C) and (D), respectively), the implant (E) is designed with Ti at the upper half section and PEEK at the bottom half section, and the implant (F) is designed with PEEK at the upper half section and Ti at the bottom half section. An axial load of 200 N was applied to the buccal cusp and central fossa of the occlusal surface. The displacements, stress, and equivalent strain were analyzed at the level of bone tissue. The mechanostat of Frost was used to determine the behavior of the cancellous bone under these biomechanical conditions. Results showed that strains were greater in cancellous bone with marginal bone loss than in healthy bone (w/o MBL). When compared to implants (B)-(F), conventional implant (A) did not produce as much strain. Thus, results and analyses suggest that the Ti-PEEK implants outperform compared with the implant (A) in the case of no marginal bone loss. However, the implants (A) and (E) perform equally in terms of bone loss.
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Metallic Implants Used in Lumbar Interbody Fusion. MATERIALS 2022; 15:ma15103650. [PMID: 35629676 PMCID: PMC9146470 DOI: 10.3390/ma15103650] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Revised: 05/12/2022] [Accepted: 05/13/2022] [Indexed: 02/07/2023]
Abstract
Over the last decade, pedicle fixation systems have evolved and modifications in spinal fusion techniques have been developed to increase fusion rates and improve clinical outcomes after lumbar interbody fusion (LIF). Regarding materials used for screw and rod manufacturing, metals, especially titanium alloys, are the most popular resources. In the case of pedicle screws, that biomaterial can be also doped with hydroxyapatite, CaP, ECM, or tantalum. Other materials used for rod fabrication include cobalt-chromium alloys and nitinol (nickel-titanium alloy). In terms of mechanical properties, the ideal implant used in LIF should have high tensile and fatigue strength, Young's modulus similar to that of the bone, and should be 100% resistant to corrosion to avoid mechanical failures. On the other hand, a comprehensive understanding of cellular and molecular pathways is essential to identify preferable characteristics of implanted biomaterial to obtain fusion and avoid implant loosening. Implanted material elicits a biological response driven by immune cells at the site of insertion. These reactions are subdivided into innate (primary cellular response with no previous exposure) and adaptive (a specific type of reaction induced after earlier exposure to the antigen) and are responsible for wound healing, fusion, and also adverse reactions, i.e., hypersensitivity. The main purposes of this literature review are to summarize the physical and mechanical properties of metal alloys used for spinal instrumentation in LIF which include fatigue strength, Young's modulus, and corrosion resistance. Moreover, we also focused on describing biological response after their implantation into the human body. Our review paper is mainly focused on titanium, cobalt-chromium, nickel-titanium (nitinol), and stainless steel alloys.
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Liu M, Wang Y, Zhang S, Wei Q, Li X. Success Factors of Additive Manufactured Root Analogue Implants. ACS Biomater Sci Eng 2022; 8:360-378. [PMID: 34990114 DOI: 10.1021/acsbiomaterials.1c01079] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Dental implantation is an effective method for the treatment of loose teeth, but the threaded dental implants used in the clinic cannot match with the tooth extraction socket. A root analogue implant (RAI) has the congruence shape, which reduces the damage to bone and soft tissue. Additive manufacturing (AM) technologies have the advantages of high precision, flexibility, and easy operation, becoming the main manufacturing method of RAI in basic research. The purpose of this systematic review is to summarize AM technologies used for RAI manufacturing as well as the factors affecting successful implantation. First, it introduces the AM technologies according to different operating principles and summarizes the advantages and disadvantages of each method. Then the influences of materials, structure design, surface characteristics, implant site, and positioning are discussed, providing reference for designers and dentists. Finally, it addresses the gap between basic research and clinical application for additive manufactured RAIs and discusses the current challenges and future research directions for this field.
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Affiliation(s)
- Minyan Liu
- Department of Industry Engineering, School of Mechanical Engineering, Northwestern Polytechnical University, Xi'an 710072, China
| | - Yanen Wang
- Department of Industry Engineering, School of Mechanical Engineering, Northwestern Polytechnical University, Xi'an 710072, China
| | - Shan Zhang
- Department of Industry Engineering, School of Mechanical Engineering, Northwestern Polytechnical University, Xi'an 710072, China
| | - Qinghua Wei
- Department of Industry Engineering, School of Mechanical Engineering, Northwestern Polytechnical University, Xi'an 710072, China
| | - Xinpei Li
- Department of Industry Engineering, School of Mechanical Engineering, Northwestern Polytechnical University, Xi'an 710072, China
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12
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Wang C, Xu D, Lin L, Li S, Hou W, He Y, Sheng L, Yi C, Zhang X, Li H, Li Y, Zhao W, Yu D. Large-pore-size Ti6Al4V scaffolds with different pore structures for vascularized bone regeneration. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2021; 131:112499. [PMID: 34857285 DOI: 10.1016/j.msec.2021.112499] [Citation(s) in RCA: 28] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2021] [Revised: 10/01/2021] [Accepted: 10/13/2021] [Indexed: 10/20/2022]
Abstract
Porous Ti6Al4V scaffolds are characterized by high porosity, low elastic modulus, and good osteogenesis and vascularization, which are expected to facilitate the repair of large-scale bone defects in future clinical applications. Ti6Al4V scaffolds are divided into regular and irregular structures according to the pore structure, but the pore structure more capable of promoting bone regeneration and angiogenesis has not yet been reported. The purpose of this study was to explore the optimal pore structure and pore size of the Ti6Al4V porous scaffold for the repair of large-area bone defects and the promotion of vascularization in the early stage of osteogenesis. 7 groups of porous Ti6Al4V scaffolds, named NP, R8, R9, R10, P8, P9 and P10, were fabricated by Electron-beam-melting (EBM). Live/dead staining, immunofluorescence staining, SEM, CCK8, ALP, and PCR were used to detect the adhesion, proliferation, and differentiation of BMSCs on different groups of scaffolds. Hematoxylin-eosin (HE) staining and Van Gieson (VG) staining were used to detect bone regeneration and angiogenesis in vivo. The research results showed that as the pore size of the scaffold increased, the surface area and volume of the scaffold gradually decreased, and cell proliferation ability and cell viability gradually increased. The ability of cells to vascularize on scaffolds with irregular pore sizes was stronger than that on scaffolds with regular pore sizes. Micro-CT 3D reconstruction images showed that bone regeneration was obvious and new blood vessels were thick on the P10 scaffold. HE and VG staining showed that the proportion of bone area on the scaffolds with irregular pores was higher than that on scaffolds with regular pores. P10 had better mechanical properties and were more conducive to bone tissue ingrowth and blood vessel formation, thereby facilitating the repair of large-area bone defects.
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Affiliation(s)
- Chao Wang
- Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou 510050, China
| | - Duoling Xu
- Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou 510050, China
| | - Ling Lin
- Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou 510050, China
| | - Shujun Li
- Institute of Metal Research, Chinese Academy of Sciences, Shenyang 110016, China
| | - Wentao Hou
- Institute of Metal Research, Chinese Academy of Sciences, Shenyang 110016, China
| | - Yi He
- Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou 510050, China
| | - Liyuan Sheng
- Shenzhen Institute, Peking University, Shenzhen 518057, China
| | - Chen Yi
- Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou 510050, China
| | - Xiliu Zhang
- Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou 510050, China
| | - Hongyu Li
- Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou 510050, China
| | - Yiming Li
- Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou 510050, China
| | - Wei Zhao
- Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou 510050, China.
| | - Dongsheng Yu
- Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangzhou 510055, China; Guangdong Provincial Key Laboratory of Stomatology, Sun Yat-sen University, Guangzhou 510050, China.
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13
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Liu F, Wang X, Li S, Liao Y, Zhan X, Tao A, Zheng F, Li H, Su Y, Jiang J, Li C. Strontium-Loaded Nanotubes of Ti-24Nb-4Zr-8Sn Alloys for Biomedical Implantation. J Biomed Nanotechnol 2021; 17:1812-1823. [PMID: 34688326 DOI: 10.1166/jbn.2021.3160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Ti-24Nb-4Zr-8Sn (Ti2448) alloys, with a relatively low elastic modulus and unique mechanical properties, are desirable materials for oral implantation. In the current study, a multifaceted strontium-incorporating nanotube coating was fabricated on a Ti2448 alloy (Ti2-NTSr) through anodization and hydrothermal procedures. In vitro, the Ti2-NTSr specimens demonstrated better osteogenic properties and more favorable osteoimmunomodulatory abilities. Moreover, macrophages on Ti2-NTSr specimens could improve the recruitment and osteogenic differentiation of osteoblasts. In vivo, dense clots with highly branched, thin fibrins and small pores existed on the Ti2-NTSr implant in the early stage after surgery. Analysis of the deposition of Ca and P elements, hard tissue slices and the bone-implant contact rate (BIC%) of the Ti2-NTSr implants also showed superior osseointegration. Taken together, these results demonstrate that the Ti2-NTSr coating may maximize the clinical outcomes of Ti2448 alloys for implantation applications.
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Affiliation(s)
- Fei Liu
- Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, 100081, China
| | - Xinyu Wang
- Jiamusi University Affiliated Stomatological Hospital, Heilongjiang Key Laboratory of Oral Biomedical Materials and Clinical Application, Jiamusi, 154000, China
| | - Shujun Li
- Titanium Alloy Laboratory, Institute of Metal Research, Chinese Academy of Sciences, Shenyang, 110016, China
| | - Yiheng Liao
- Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, 100081, China
| | - Xinxin Zhan
- Department of Dental Materials, Peking University School and Hospital of Stomatology, Beijing, 100081, China
| | - Anqi Tao
- Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, 100081, China
| | - Fu Zheng
- Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, 100081, China
| | - Huazhi Li
- Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, 100081, China
| | - Yucheng Su
- Dental Implant Center, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, 100032, China
| | - Jiuhui Jiang
- Department of Orthodontics, Peking University School and Hospital of Stomatology, Beijing, 100081, China
| | - Cuiying Li
- Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, 100081, China
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Wu K, Li B, Guo JJ. Fatigue Crack Growth and Fracture of Internal Fixation Materials in In Vivo Environments-A Review. MATERIALS (BASEL, SWITZERLAND) 2021; 14:E176. [PMID: 33401437 PMCID: PMC7795221 DOI: 10.3390/ma14010176] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/16/2020] [Revised: 12/22/2020] [Accepted: 12/28/2020] [Indexed: 11/17/2022]
Abstract
The development of crack patterns is a serious problem affecting the durability of orthopedic implants and the prognosis of patients. This issue has gained considerable attention in the medical community in recent years. This literature focuses on the five primary aspects relevant to the evaluation of the surface cracking patterns, i.e., inappropriate use, design flaws, inconsistent elastic modulus, allergic reaction, poor compatibility, and anti-corrosiveness. The hope is that increased understanding will open doors to optimize fabrication for biomedical applications. The latest technological issues and potential capabilities of implants that combine absorbable materials and shape memory alloys are also discussed. This article will act as a roadmap to be employed in the realm of orthopedic. Fatigue crack growth and the challenges associated with materials must be recognized to help make new implant technologies viable for wider clinical adoption. This review presents a summary of recent findings on the fatigue mechanisms and fracture of implant in the initial period after surgery. We propose solutions to common problems. The recognition of essential complications and technical problems related to various approaches and material choices while satisfying clinical requirements is crucial. Additional investigation will be needed to surmount these challenges and reduce the likelihood of fatigue crack growth after implantation.
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Affiliation(s)
- Kailun Wu
- Department of Orthopedics, The First Affiliated Hospital of Soochow University, Suzhou 215000, China; (K.W.); (B.L.)
- Department of Orthopedics, Suzhou Dushuhu Public Hospital (Dushuhu Public Hospital Affiliated to Soochow University), Suzhou 215000, China
| | - Bin Li
- Department of Orthopedics, The First Affiliated Hospital of Soochow University, Suzhou 215000, China; (K.W.); (B.L.)
- Orthopedic Research Unit, Soochow University, Suzhou 215006, China
| | - Jiong Jiong Guo
- Department of Orthopedics, The First Affiliated Hospital of Soochow University, Suzhou 215000, China; (K.W.); (B.L.)
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15
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Oleshko O, Husak Y, Korniienko V, Pshenychnyi R, Varava Y, Kalinkevich O, Pisarek M, Grundsteins K, Pogorielova O, Mishchenko O, Simka W, Viter R, Pogorielov M. Biocompatibility and Antibacterial Properties of ZnO-Incorporated Anodic Oxide Coatings on TiZrNb Alloy. NANOMATERIALS (BASEL, SWITZERLAND) 2020; 10:E2401. [PMID: 33266240 PMCID: PMC7760791 DOI: 10.3390/nano10122401] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/24/2020] [Revised: 11/26/2020] [Accepted: 11/27/2020] [Indexed: 12/20/2022]
Abstract
In a present paper, we demonstrate novel approach to form ceramic coatings with incorporated ZnO nanoparticles (NPs) on low modulus TiZrNb alloy with enhanced biocompatibility and antibacterial parameters. Plasma Electrolytic Oxidation (PEO) was used to integrate ZnO nanoparticles (average size 12-27 nm), mixed with Ca(H2PO2)2 aqueous solution into low modulus TiZrNb alloy surface. The TiZrNb alloys with integrated ZnO NPs successfully showed higher surface porosity and contact angle. XPS investigations showed presence of Ca ions and absence of phosphate ions in the PEO modified layer, what explains higher values of contact angle. Cell culture experiment (U2OS type) confirmed that the surface of as formed oxide-ZnO NPs demonstrated hydrophobic properties, what can affect primary cell attachment. Further investigations showed that Ca ions in the PEO coating stimulated proliferative activity of attached cells, resulting in competitive adhesion between cells and bacteria in clinical situation. Thus, high contact angle and integrated ZnO NPs prevent bacterial adhesion and considerably enhance the antibacterial property of TiZrNb alloys. A new anodic oxide coating with ZnO NPs could be successfully used for modification of low modulus alloys to decrease post-implantation complications.
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Affiliation(s)
- Oleksandr Oleshko
- Medical Institute, Sumy State University, 40018 Sumy, Ukraine; (O.O.); (Y.H.); (V.K.); (R.P.); (Y.V.); (O.P.)
| | - Yevheniia Husak
- Medical Institute, Sumy State University, 40018 Sumy, Ukraine; (O.O.); (Y.H.); (V.K.); (R.P.); (Y.V.); (O.P.)
| | - Viktoriia Korniienko
- Medical Institute, Sumy State University, 40018 Sumy, Ukraine; (O.O.); (Y.H.); (V.K.); (R.P.); (Y.V.); (O.P.)
| | - Roman Pshenychnyi
- Medical Institute, Sumy State University, 40018 Sumy, Ukraine; (O.O.); (Y.H.); (V.K.); (R.P.); (Y.V.); (O.P.)
| | - Yuliia Varava
- Medical Institute, Sumy State University, 40018 Sumy, Ukraine; (O.O.); (Y.H.); (V.K.); (R.P.); (Y.V.); (O.P.)
| | | | - Marcin Pisarek
- Institute of Physical Chemistry PAS, 01-224 Warsaw, Poland;
| | - Karlis Grundsteins
- Institute of Atomic Physics and Spectroscopy, University of Latvia, LV-1586 Riga, Latvia;
| | - Oksana Pogorielova
- Medical Institute, Sumy State University, 40018 Sumy, Ukraine; (O.O.); (Y.H.); (V.K.); (R.P.); (Y.V.); (O.P.)
| | | | - Wojciech Simka
- NanoPrime, 39-200 Dębica, Poland;
- Faculty of Chemistry, Silesian University of Technology, 44-100 Gliwice, Poland
| | - Roman Viter
- Medical Institute, Sumy State University, 40018 Sumy, Ukraine; (O.O.); (Y.H.); (V.K.); (R.P.); (Y.V.); (O.P.)
- Institute of Atomic Physics and Spectroscopy, University of Latvia, LV-1586 Riga, Latvia;
| | - Maksym Pogorielov
- Medical Institute, Sumy State University, 40018 Sumy, Ukraine; (O.O.); (Y.H.); (V.K.); (R.P.); (Y.V.); (O.P.)
- NanoPrime, 39-200 Dębica, Poland;
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16
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Zhenhuan W, Yu D, Junsi L, Xiaowei J, Zongyu X, Li L, Xiaoli X. Physiochemical and biological evaluation of SLM-manufactured Ti-10Ta-2Nb-2Zr alloy for biomedical implant applications. ACTA ACUST UNITED AC 2020; 15:045017. [PMID: 32168493 DOI: 10.1088/1748-605x/ab7ff4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Titanium alloys, such as Ti-10Ta-2Nb-2Zr (TTNZ), are promising biomaterials due to their excellent biocompatibility and low Young's modulus. The TTNZ samples herein were manufactured by selective laser melting and the novel material was evaluated as a dental implant in vitro and in vivo. The microstructure, mechanical properties, electrochemical behaviour, cytotoxicity, haemocompatibility and osteogenic differentiation were systematically investigated. Based on the tensile test results, the as-printed TTNZ samples had an elongation of 20.23% ± 1.95%, an ultimate tensile strength of 646.61 ± 24.96 MPa and a Young's modulus of 23.72 ± 1.18 GPa. According to the biocompatible value, the as-printed TTNZ sample exhibited no cell cytotoxicity and it showed even better cell adhesion ability than that of the as-printed Ti-6Al-4 V and wrought Ti-6Al-4 V samples. The haemolysis percentage of the as-printed TTNZ sample was 0.629% ± 0.363%. Moreover, the as-printed TTNZ sample facilitated protein adsorption and osteogenic differentiation of human osteoblast-like (MG-63) cells in vitro. The in vivo data also demonstrated the histocompatibility of the as-printed TTNZ. In summary, the as-printed TTNZ developed in this study demonstrated good biocompatibility, low stress shielding, excellent ductility and great osteogenic differentiation. These results indicated that as-printed TTNZ alloys can be promising for end-use human biomedical applications.
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Affiliation(s)
- Wu Zhenhuan
- Central South University Xiangya Stomatological Hospital, Central South University, Changsha 410078, People's Republic of China
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17
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Chen H, Han Q, Wang C, Liu Y, Chen B, Wang J. Porous Scaffold Design for Additive Manufacturing in Orthopedics: A Review. Front Bioeng Biotechnol 2020; 8:609. [PMID: 32626698 PMCID: PMC7311579 DOI: 10.3389/fbioe.2020.00609] [Citation(s) in RCA: 63] [Impact Index Per Article: 15.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2020] [Accepted: 05/18/2020] [Indexed: 12/15/2022] Open
Abstract
With the increasing application of orthopedic scaffolds, a dramatically increasing number of requirements for scaffolds are precise. The porous structure has been a fundamental design in the bone tissue engineering or orthopedic clinics because of its low Young's modulus, high compressive strength, and abundant cell accommodation space. The porous structure manufactured by additive manufacturing (AM) technology has controllable pore size, pore shape, and porosity. The single unit can be designed and arrayed with AM, which brings controllable pore characteristics and mechanical properties. This paper presents the current status of porous designs in AM technology. The porous structures are stated from the cellular structure and the whole structure. In the aspect of the cellular structure, non-parametric design and parametric design are discussed here according to whether the algorithm generates the structure or not. The non-parametric design comprises the diamond, the body-centered cubic, and the polyhedral structure, etc. The Voronoi, the Triply Periodic Minimal Surface, and other parametric designs are mainly discussed in parametric design. In the discussion of cellular structures, we emphasize the design, and the resulting biomechanical and biological effects caused by designs. In the aspect of the whole structure, the recent experimental researches are reviewed on uniform design, layered gradient design, and layered gradient design based on topological optimization, etc. These parts are summarized because of the development of technology and the demand for mechanics or bone growth. Finally, the challenges faced by the porous designs and prospects of porous structure in orthopedics are proposed in this paper.
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Affiliation(s)
- Hao Chen
- Department of Orthopedics, Second Hospital of Jilin University, Changchun, China
| | - Qing Han
- Department of Orthopedics, Second Hospital of Jilin University, Changchun, China
| | - Chenyu Wang
- Department of Dermatology, The First Hospital of Jilin University, Changchun, China
| | - Yang Liu
- Department of Orthopedics, Second Hospital of Jilin University, Changchun, China
| | - Bingpeng Chen
- Department of Orthopedics, Second Hospital of Jilin University, Changchun, China
| | - Jincheng Wang
- Department of Orthopedics, Second Hospital of Jilin University, Changchun, China
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Comparison of the osteoblastic activity of low elastic modulus Ti-24Nb-4Zr-8Sn alloy and pure titanium modified by physical and chemical methods. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2020; 113:111018. [PMID: 32487417 DOI: 10.1016/j.msec.2020.111018] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Revised: 04/13/2020] [Accepted: 04/24/2020] [Indexed: 02/07/2023]
Abstract
Ti-24Nb-4Zr-8Sn (Ti2448) alloy is a novel low elastic modulus β-titanium alloy without toxic elements. It also has the advantage of high strength, so it has potential application prospects for implantation. To develop its osteogenic effects, it can be modified by electrochemical, and physical processes. The main research aim of this study was to explore the bioactivity of Ti2448 alloy modified by sandblasted, large-grit, acid-etched (SLA), micro-arc oxidation (MAO) and anodic oxidation (AO), and to determine which of the three surface modifications is the best way for developing the osteogenesis of bone marrow mesenchymal stem cells (BMMSCs). In vitro studies, the cytoskeleton, focal adhesion and proliferation of BMMSCs showed that both pure titanium and Ti2448 alloy have good biocompatibility. The osteogenic differentiation of BMMSCs with the Ti2448 alloy were examined by detecting alkaline phosphatase (ALP), mineralization nodules and osteogenic proteins and were better than that with pure titanium. These results showed that the Ti2448 alloy treated by SLA has a better effect on osteogenesis than pure titanium, and AO is the best way of three surface treatments to improve osteogenesis in this study.
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Influence of chemical composition on cell viability on titanium surfaces: A systematic review. J Prosthet Dent 2020; 125:421-425. [PMID: 32178882 DOI: 10.1016/j.prosdent.2020.02.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 02/04/2020] [Accepted: 02/05/2020] [Indexed: 11/23/2022]
Abstract
STATEMENT OF PROBLEM A consensus on which dental implant alloy and surface treatment provide the best cell viability is unclear. PURPOSE The purpose of this systematic review was to provide information on the influence of surface and intrinsic titanium alloy chemical components on cell viability. MATERIAL AND METHODS The PubMed, LILACS, COCHRANE library, and Science Direct databases were electronically searched for the terms dental implants AND titanium AND cytotoxicity. Inclusion criteria were research articles that studied titanium or its alloys for chemical composition and cell viability and were published in English between 1999 and 2019. Articles that did not study titanium and its alloys, articles with nondental or biomedical implants, and articles that were not found in their entirety were excluded. RESULTS A total of 1226 articles selected by title or abstract according to the inclusion and exclusion criteria resulted in 51 articles that were reduced to 27 after reading in full. The treatments analyzed were arc fusion, electron beam physical deposition, plasma electrolytic oxidation, coating addition, micro arc oxidation, anodization, thermochemical process, BMP-2 immobilization, pressure-assisted sintering, and alkali heat treatment. CONCLUSIONS The evaluated literature did not allow a determination of the best surface treatment for cell viability because of the heterogeneity of the studies regarding the type of alloy, cell used in the MTT assay, study, and implant purpose (biomedical or dental). The cytotoxic effect of chemical components was dependent on dose, time, size, temperature, and cell type. The niobium, tantalum, zirconium, and molybdenum elements have been most often added in the development of less toxic Ti alloys with lower modulus of elasticity and increased strength.
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Mishchenko O, Ovchynnykov O, Kapustian O, Pogorielov M. New Zr-Ti-Nb Alloy for Medical Application: Development, Chemical and Mechanical Properties, and Biocompatibility. MATERIALS 2020; 13:ma13061306. [PMID: 32183125 PMCID: PMC7142640 DOI: 10.3390/ma13061306] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Revised: 02/25/2020] [Accepted: 02/27/2020] [Indexed: 02/06/2023]
Abstract
The concept of mechanical biocompatibilities is considered an important factor for orthopedics and dental implants. The high Young modulus of traditional Ti-based alloys can lead to stress-shielding syndrome and late postoperative complications. The development of new Al- and V-free Ti alloys with a low elastic modulus is a critical task for implantology. Despite the relatively low Young modulus and appropriate biological response of metastable beta-Ti alloys, their production requires complex metallurgical solutions and a high final cost that limit commercial application. The current research aimed to develop a Zr-Ti-Nb system with a low Young modulus suitable for biomedical application, including orthopedics and dental implantology. Two different charges were used for new alloy production with melting in a vacuum-arc furnace VDP-1 under atmospheric control (argon + helium) with a non-consumable tungsten electrode and a water-cooled copper crystallizer. Post-treatment included a forging-rolling process to produce a bar suitable for implant production. SEM with EDX and the mechanical parameters of the new alloy were evaluated, and a cell culture experiment provided a biocompatibility assessment. The chemical composition of the new alloy can be represented as 59.57-19.02-21.41 mass% of Zr-Ti-Nb. The mechanical properties are characterized by an extremely low Young modulus—27,27 GPa for the alloy and 34.85 GPa for the bar. The different master alloys used for Zr-Ti-Nb production did not affect the chemical compound and mechanical parameters so it was possible to use affordable raw materials to decrease the final price of the new product. The cell culture experiment demonstrated a full biocompatibility, indicating that this new alloy can be used for dental and orthopedics implant production.
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Affiliation(s)
- Oleg Mishchenko
- NanoPrime, 25 Metalowcow Str., Dedice 39-200, Poland;
- Department of Surgical and Propaedeutic Dentistry, Zaporizhzhia State Medical University, 26, Prosp.Mayakovskogo, Zaporizhzhia 69035, Ukraine
| | - Oleksandr Ovchynnykov
- Department of Physics and Engineering, Zaporizhzhia Polytechnic National University, 64 Zhukovsky Str, Zaporizhzhia 69063, Ukraine; (O.O.); (O.K.)
| | - Oleksii Kapustian
- Department of Physics and Engineering, Zaporizhzhia Polytechnic National University, 64 Zhukovsky Str, Zaporizhzhia 69063, Ukraine; (O.O.); (O.K.)
| | - Maksym Pogorielov
- NanoPrime, 25 Metalowcow Str., Dedice 39-200, Poland;
- Centre of Collective Use of Scientific Equipment, Sumy State University, 2 R-Korsakova Str, Sumy 40007, Ukraine
- Correspondence: or ; Tel.: +38-066-900-5448
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21
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Trincă LC, Mareci D, Solcan C, Fantanariu M, Burtan L, Vulpe V, Hriţcu LD, Souto RM. RETRACTED: In vitro corrosion resistance and in vivo osseointegration testing of new multifunctional beta-type quaternary TiMoZrTa alloys. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2020; 108:110485. [PMID: 31924054 DOI: 10.1016/j.msec.2019.110485] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2017] [Revised: 07/26/2018] [Accepted: 11/21/2019] [Indexed: 02/02/2023]
Abstract
This article has been retracted: please see Elsevier Policy on Article Withdrawal (https://www.elsevier.com/about/our-business/policies/article-withdrawal). This article has been retracted at the request of authors. Due to communication issues between Professor dr. Lucia Carmen Trincă and Professor dr. Vizureanu Petrica and Assist. dr. Bălţatu Simona, the first author was not aware that the specimens processed by corrosion by Assoc. Professor dr. Daniel Mareci and evaluated in the aforementioned article would be included by Assistant dr. Bălţatu Simona in her PhD thesis that was defended in June 2017 and then in an international patent application (Indonesia) No: PI 2019006569, in November 2019. The authors understand and respect the intellectual property rights of the international (Indonesia) patent application holders no: PI 2019006569/2019 and thus request the retraction of the article.
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Affiliation(s)
- Lucia Carmen Trincă
- "Ion Ionescu de la Brad" University of Agricultural Science and Veterinary Medicine, Exact Sciences Department, 700490, Iasi, Romania.
| | - Daniel Mareci
- "Gheorghe Asachi" Technical University of Iasi, Department of Chemical Engineering, 700050, Iasi, Romania
| | - Carmen Solcan
- "Ion Ionescu de la Brad" University of Agricultural Science and Veterinary Medicine, Preclinics Department, 700489, Iasi, Romania
| | - Mircea Fantanariu
- "Ion Ionescu de la Brad" University of Agricultural Science and Veterinary Medicine, Clinics Department, 700489, Iasi, Romania
| | - Liviu Burtan
- "Ion Ionescu de la Brad" University of Agricultural Science and Veterinary Medicine, Clinics Department, 700489, Iasi, Romania.
| | - Vasile Vulpe
- "Ion Ionescu de la Brad" University of Agricultural Science and Veterinary Medicine, Clinics Department, 700489, Iasi, Romania
| | - Luminiţa-Diana Hriţcu
- "Ion Ionescu de la Brad" University of Agricultural Science and Veterinary Medicine, Clinics Department, 700489, Iasi, Romania
| | - Ricardo Manuel Souto
- Department of Chemistry, Universidad de La Laguna, Avda. Astrofisico Sanchez s/n, 38205 La Laguna, Tenerife (Canary Islands), Spain; Instituto Universitario de Materiales y Nanotecnologias, Universidad de La Laguna, P.O. Box 456, 38200 La Laguna, Tenerife (Canary Islands), Spain.
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Chernozem RV, Surmeneva MA, Ignatov VP, Peltek OO, Goncharenko AA, Muslimov AR, Timin AS, Tyurin AI, Ivanov YF, Grandini CR, Surmenev RA. Comprehensive Characterization of Titania Nanotubes Fabricated on Ti–Nb Alloys: Surface Topography, Structure, Physicomechanical Behavior, and a Cell Culture Assay. ACS Biomater Sci Eng 2020; 6:1487-1499. [DOI: 10.1021/acsbiomaterials.9b01857] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Roman V. Chernozem
- Physical Materials Science and Composite Materials Centre, National Research Tomsk Polytechnic University, 634050 Tomsk, Russia
| | - Maria A. Surmeneva
- Physical Materials Science and Composite Materials Centre, National Research Tomsk Polytechnic University, 634050 Tomsk, Russia
| | - Viktor P. Ignatov
- The Kizhner Research Center, National Research Tomsk Polytechnic University, 634050 Tomsk, Russia
| | - Oleksii O. Peltek
- RASA Center, Peter the Great St. Petersburg Polytechnic University, Polytechnicheskaya, 29, 195251 St. Petersburg, Russian Federation
| | - Alexander A. Goncharenko
- RASA Center, Peter the Great St. Petersburg Polytechnic University, Polytechnicheskaya, 29, 195251 St. Petersburg, Russian Federation
| | - Albert R. Muslimov
- RASA Center, Peter the Great St. Petersburg Polytechnic University, Polytechnicheskaya, 29, 195251 St. Petersburg, Russian Federation
- First I. P. Pavlov State Medical University of St. Petersburg, Lev Tolstoy str., 6/8, 197022 St. Petersburg, Russian Federation
| | - Alexander S. Timin
- Physical Materials Science and Composite Materials Centre, National Research Tomsk Polytechnic University, 634050 Tomsk, Russia
- First I. P. Pavlov State Medical University of St. Petersburg, Lev Tolstoy str., 6/8, 197022 St. Petersburg, Russian Federation
| | - Alexander I. Tyurin
- Research Institute for Nanotechnologies and Nanomaterials, G.R. Derzhavin Tambov State University, 392000 Tambov, Russia
| | - Yurii F. Ivanov
- Institute of High Current Electronics (IHCE), 2/3 Akademichesky Avenue, Tomsk 634055, Russia
| | - Carlos R. Grandini
- Departamento de Fesica, Universidade Estadual Paulista, campus de Bauru, 17033-360 Bauru, São Paulo, Brazil
| | - Roman A. Surmenev
- Physical Materials Science and Composite Materials Centre, National Research Tomsk Polytechnic University, 634050 Tomsk, Russia
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Li J, Jansen JA, Walboomers XF, van den Beucken JJ. Mechanical aspects of dental implants and osseointegration: A narrative review. J Mech Behav Biomed Mater 2019; 103:103574. [PMID: 32090904 DOI: 10.1016/j.jmbbm.2019.103574] [Citation(s) in RCA: 63] [Impact Index Per Article: 12.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2018] [Revised: 09/23/2019] [Accepted: 11/29/2019] [Indexed: 12/28/2022]
Abstract
With the need of rapid healing and long-term stability of dental implants, the existing Ti-based implant materials do not meet completely the current expectation of patients. Low elastic modulus Ti-alloys have shown superior biocompatibility and can achieve comparable or even faster bone formation in vivo at the interface of bone and the implant. Porous structured Ti alloys have shown to allow rapid bone ingrowth through their open structure and to achieve anchorage with bone tissue by increasing the bone-implant interface area. In addition to the mechanical properties of implant materials, the design of the implant body can be used to optimize load transfer and affect the ultimate results of osseointegration. The aim of this narrative review is to define the mechanical properties of dental implants, summarize the relationship between implant stability and osseointegration, discuss the effect of metallic implant mechanical properties (e.g. stiffness and porosity) on the bone response based on existing in vitro and in vivo information, and analyze load transfer through mechanical properties of the implant body. This narrative review concluded that although several studies have presented the advantages of low elastic modulus or high porosity alloys and their effect on osseointegration, further in vivo studies, especially long-term observational studies are needed to justify these novel materials as a replacement for current Ti-based implant materials.
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Affiliation(s)
- Jinmeng Li
- Department of Biomaterials, Radboudumc, P.O. Box 9101, 6500, Nijmegen, HB, the Netherlands
| | - John A Jansen
- Department of Biomaterials, Radboudumc, P.O. Box 9101, 6500, Nijmegen, HB, the Netherlands
| | - X Frank Walboomers
- Department of Biomaterials, Radboudumc, P.O. Box 9101, 6500, Nijmegen, HB, the Netherlands
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Qin W, Li Y, Ma J, Liang Q, Tang B. Mechanical properties and cytotoxicity of hierarchical carbon fiber-reinforced poly (ether-ether-ketone) composites used as implant materials. J Mech Behav Biomed Mater 2018; 89:227-233. [PMID: 30296704 DOI: 10.1016/j.jmbbm.2018.09.040] [Citation(s) in RCA: 41] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2018] [Revised: 09/19/2018] [Accepted: 09/25/2018] [Indexed: 11/27/2022]
Abstract
Weak mechanical properties affect the application of PEEK as an implant. Carbon fiber (CFR) reinforcement provides an excellent solution to improve the mechanical strength of PEEK and to provide perfect matching of elastic modulus between CFR-PEEK composites and human bone. To investigate the effect of carbon fiber content on the mechanical, thermal properties and cytotoxicity of CFR reinforced PEEK composites, a series of CFR-PEEK composites with different carbon fiber content (25 wt%, 30 wt%, 35 wt%, 40 wt%) was prepared in this work. Thermal decomposition behavior and melting temperature were studied by thermogravimetric analysis (TGA) and differential scanning calorimetry (DSC), respectively. Subsequently, mechanical properties including bending strength, compressive strength, impact strength and hardness were tested respectively. Afterwards, the fracture morphology of the bending test samples was observed by scanning electron microscopy (SEM). In addition, murine fibroblast L929 cells were adopted for cytotoxicity test by CCK-8 assay in vitro, and the morphology of cells was observed by inverted fluorescence microscope simultaneously, cell compatibility of CFR-PEEK composites was tested.
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Affiliation(s)
- Wen Qin
- School of Material Science and Engineering, Taiyuan University of Technology, Taiyuan 030024, China
| | - Ying Li
- Department of Prosthodontics, The First Hospital of Shanxi Medical University, Taiyuan 030001, China
| | - Jing Ma
- School of Material Science and Engineering, Taiyuan University of Technology, Taiyuan 030024, China.
| | - Qian Liang
- School of Material Science and Engineering, Taiyuan University of Technology, Taiyuan 030024, China
| | - Bin Tang
- School of Material Science and Engineering, Taiyuan University of Technology, Taiyuan 030024, China
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25
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Kauschke V, Gebert A, Calin M, Eckert J, Scheich S, Heiss C, Lips KS. Effects of new beta-type Ti-40Nb implant materials, brain-derived neurotrophic factor, acetylcholine and nicotine on human mesenchymal stem cells of osteoporotic and non osteoporotic donors. PLoS One 2018; 13:e0193468. [PMID: 29489907 PMCID: PMC5873971 DOI: 10.1371/journal.pone.0193468] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Accepted: 02/12/2018] [Indexed: 01/14/2023] Open
Abstract
Introduction Treatment of osteoporotic fractures is still challenging and an urgent need
exists for new materials, better adapted to osteoporotic bone by adjusted
Young’s modulus, appropriate surface modification and pharmaceuticals. Materials and methods Titanium-40-niobium alloys, mechanically ground or additionally etched and
titanium-6-aluminium-4-vanadium were analyzed in combination with
brain-derived neurotrophic factor, acetylcholine and nicotine to determine
their effects on human mesenchymal stem cells in vitro over
21 days using lactate dehydrogenase and alkaline phosphatase assays, live
cell imaging and immunofluorescence microscopy. Results Cell number of human mesenchymal stem cells of osteoporotic donors was
increased after 14 d in presence of ground titanium-40-niobium or
titanium-6-aluminium-4-vanadium, together with brain-derived neurotrophic
factor. Cell number of human mesenchymal stem cells of non osteoporotic
donors increased after 21 d in presence of titanium-6-aluminium-4-vanadium
without pharmaceuticals. No significant increase was measured for ground or
etched titanium-40-niobium after 21 d. Osteoblast differentiation of
osteoporotic donors was significantly higher than in non osteoporotic donors
after 21 d in presence of etched, ground titanium-40-niobium or
titanium-6-aluminium-4-vanadium accompanied by all pharmaceuticals tested.
In presence of all alloys tested brain-derived neurotrophic factor,
acetylcholine and nicotine increased differentiation of cells of
osteoporotic donors and accelerated it in non osteoporotic donors. Conclusion We conclude that ground titanium-40-niobium and brain-derived neurotrophic
factor might be most suitable for subsequent in vivo
testing.
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Affiliation(s)
- Vivien Kauschke
- Experimental Trauma Surgery, Justus-Liebig-University Giessen, Giessen,
Germany
- * E-mail:
| | - Annett Gebert
- Leibniz Institute for Solid State and Materials Research Dresden,
Dresden, Germany
| | - Mariana Calin
- Leibniz Institute for Solid State and Materials Research Dresden,
Dresden, Germany
| | - Jürgen Eckert
- Erich Schmid Institute of Materials Science, Austrian Academy of
Sciences, Leoben, Austria
- Department Materials Physics, Montanuniversität Leoben, Leoben,
Austria
| | - Sebastian Scheich
- Experimental Trauma Surgery, Justus-Liebig-University Giessen, Giessen,
Germany
| | - Christian Heiss
- Experimental Trauma Surgery, Justus-Liebig-University Giessen, Giessen,
Germany
- Department of Trauma Hand and Reconstructive Surgery, University Hospital
of Giessen-Marburg, Campus: Giessen, Giessen, Germany
| | - Katrin Susanne Lips
- Experimental Trauma Surgery, Justus-Liebig-University Giessen, Giessen,
Germany
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Abstract
Tantalum films were deposited on negatively biased Ti6Al4V substrates using filtered cathodic vacuum arc deposition to enhance the corrosion resistance of the Ti6Al4V alloy. The effect of substrate voltage bias on the microstructure, mechanical and corrosion properties was examined and the cytocompatibility of the deposited films was verified with mammalian cell culturing. The Ta films deposited with substrate bias of -100V and -200V show a mixture of predominantly β phase and minority of α phase. The Ta/-100V film shows adhesive failure at the Ti/Ta interface and a cohesive fracture is observed in Ta/-200V film. The Ta/-100V showed a significant improvement in corrosion resistance, which is attributed to the stable oxide layer. The in-vitro cytocompatibility of the materials was investigated using rat bone mesenchymal stem cells, and the results show that the Ta films have no adverse effect on mammalian cell adhesion and spreading proliferation.
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Ti-24Nb-4Zr-8Sn Alloy Pedicle Screw Improves Internal Vertebral Fixation by Reducing Stress-Shielding Effects in a Porcine Model. BIOMED RESEARCH INTERNATIONAL 2018; 2018:8639648. [PMID: 29581988 PMCID: PMC5822754 DOI: 10.1155/2018/8639648] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/04/2017] [Revised: 01/09/2018] [Accepted: 01/11/2018] [Indexed: 12/29/2022]
Abstract
To ensure the biomechanical properties of Ti-24Nb-4Zr-8Sn, stress-shielding effects were compared between Ti-24Nb-4Zr-8Sn and Ti-6Al-4V fixation by using a porcine model. Twelve thoracolumbar spines (T12–L5) of 12-month-old male pigs were randomly divided into two groups: Ti-24Nb-4Zr-8Sn (EG, n = 6) and Ti-6Al-4V (RG, n = 6) fixation. Pedicle screw was fixed at the outer edge of L4-5 vertebral holes. Fourteen measuring points were selected on the front of transverse process and middle and posterior of L4-5 vertebra. Electronic universal testing machine was used to measure the strain resistance of measuring points after forward and backward flexion loading of 150 N. Meanwhile, stress resistance was compared between both groups. The strain and stress resistance of measurement points 1, 2, 5, 6, 9, and 10–14 in Ti-24Nb-4Zr-8Sn fixation was lower than that of Ti-6Al-4V fixation after forward and backward flexion loading (P < 0.05). The strain and stress resistance of measurement points 3, 4, 7, and 8 was higher in Ti-24Nb-4Zr-8Sn fixation than that of Ti-6Al-4V fixation (P < 0.05). Stress-shielding effects of Ti-24Nb-4Zr-8Sn internal fixation were less than that of Ti-6Al-4V internal fixation. These results suggest that Ti-24Nb-4Zr-8Sn elastic fixation has more biomechanical goals than conventional Ti-6Al-4V internal fixation by reducing stress-shielding effects.
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Takizawa T, Nakayama N, Haniu H, Aoki K, Okamoto M, Nomura H, Tanaka M, Sobajima A, Yoshida K, Kamanaka T, Ajima K, Oishi A, Kuroda C, Ishida H, Okano S, Kobayashi S, Kato H, Saito N. Titanium Fiber Plates for Bone Tissue Repair. ADVANCED MATERIALS (DEERFIELD BEACH, FLA.) 2018; 30:1703608. [PMID: 29215204 DOI: 10.1002/adma.201703608] [Citation(s) in RCA: 54] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Revised: 09/13/2017] [Indexed: 05/18/2023]
Abstract
Titanium plates are widely used in clinical settings because of their high bone affinity. However, owing to their high elastic modulus, these plates are not suitable for bone repair since their proximity to the bone surface for prolonged periods can cause stress shielding, leading to bone embrittlement. In contrast, titanium fiber plates prepared by molding titanium fibers into plates by simultaneously applying compression and shear stress at normal room temperature can have an elastic modulus similar to that of bone cortex, and stress shielding will not occur even when the plate lies flush against the bone's surface. Titanium fibers can form a porous structure suitable for cell adhesion and as a bone repair scaffold. A titanium fiber plate is combined with osteoblasts and shown that the titanium fiber plate is better able to facilitate bone tissue repair than the conventional titanium plate when implanted in rat bone defects. Capable of being used in close contact with bone for a long time, and even capable of promoting bone repair, titanium fiber plates have a wide range of applications, and are expected to make great contributions to clinical management of increasing bone diseases, including bone fracture repair and bone regenerative medicine.
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Affiliation(s)
- Takashi Takizawa
- Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan
| | - Noboru Nakayama
- Mecganicl Systems Engineering, Shinshu University Faculty of Engineering, Wakasato 4-17-1, Nagano, 380-8553, Japan
| | - Hisao Haniu
- Institute for Biomedical Sciences, Interdisciplinary Cluster for Cutting Edge Research, Shinshu University, Matsumoto, 390-8621, Japan
| | - Kaoru Aoki
- Department of Applied Physical Therapy, Shinshu University School of Health Sciences, Asahi 3-1-1, Matsumoto, 390-8621, Japan
| | - Masanori Okamoto
- Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan
| | - Hiroki Nomura
- Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan
| | - Manabu Tanaka
- Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan
| | - Atsushi Sobajima
- Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan
| | - Kazushige Yoshida
- Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan
| | - Takayuki Kamanaka
- Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan
| | - Kumiko Ajima
- Institute for Biomedical Sciences, Interdisciplinary Cluster for Cutting Edge Research, Shinshu University, Matsumoto, 390-8621, Japan
| | - Ayumu Oishi
- Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan
| | - Chika Kuroda
- Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan
- Institute for Biomedical Sciences, Interdisciplinary Cluster for Cutting Edge Research, Shinshu University, Matsumoto, 390-8621, Japan
| | - Haruka Ishida
- Institute for Biomedical Sciences, Interdisciplinary Cluster for Cutting Edge Research, Shinshu University, Matsumoto, 390-8621, Japan
| | - Satomi Okano
- Institute for Biomedical Sciences, Interdisciplinary Cluster for Cutting Edge Research, Shinshu University, Matsumoto, 390-8621, Japan
| | - Shinsuke Kobayashi
- Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan
| | - Hiroyuki Kato
- Department of Orthopaedic Surgery, Shinshu University School of Medicine, Asahi 3-1-1, Matsumoto, 390-8621, Japan
| | - Naoto Saito
- Institute for Biomedical Sciences, Interdisciplinary Cluster for Cutting Edge Research, Shinshu University, Matsumoto, 390-8621, Japan
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Cordeiro JM, Beline T, Ribeiro ALR, Rangel EC, da Cruz NC, Landers R, Faverani LP, Vaz LG, Fais LMG, Vicente FB, Grandini CR, Mathew MT, Sukotjo C, Barão VAR. Development of binary and ternary titanium alloys for dental implants. Dent Mater 2017; 33:1244-1257. [PMID: 28778495 DOI: 10.1016/j.dental.2017.07.013] [Citation(s) in RCA: 55] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 07/10/2017] [Accepted: 07/13/2017] [Indexed: 01/21/2023]
Abstract
OBJECTIVE The aim of this study was to develop binary and ternary titanium (Ti) alloys containing zirconium (Zr) and niobium (Nb) and to characterize them in terms of microstructural, mechanical, chemical, electrochemical, and biological properties. METHODS The experimental alloys - (in wt%) Ti-5Zr, Ti-10Zr, Ti-35Nb-5Zr, and Ti-35Nb-10Zr - were fabricated from pure metals. Commercially pure titanium (cpTi) and Ti-6Al-4V were used as controls. Microstructural analysis was performed by means of X-ray diffraction and scanning electron microscopy. Vickers microhardness, elastic modulus, dispersive energy spectroscopy, X-ray excited photoelectron spectroscopy, atomic force microscopy, surface roughness, and surface free energy were evaluated. The electrochemical behavior analysis was conducted in a body fluid solution (pH 7.4). The albumin adsorption was measured by the bicinchoninic acid method. Data were evaluated through one-way ANOVA and the Tukey test (α=0.05). RESULTS The alloying elements proved to modify the alloy microstructure and to enhance the mechanical properties, improving the hardness and decreasing the elastic modulus of the binary and ternary alloys, respectively. Ti-Zr alloys displayed greater electrochemical stability relative to that of controls, presenting higher polarization resistance and lower capacitance. The experimental alloys were not detrimental to albumin adsorption. SIGNIFICANCE The experimental alloys are suitable options for dental implant manufacturing, particularly the binary system, which showed a better combination of mechanical and electrochemical properties without the presence of toxic elements.
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Affiliation(s)
- Jairo M Cordeiro
- University of Campinas (UNICAMP), Piracicaba Dental School, Department of Prosthodontics and Periodontology, Av. Limeira, 901, Piracicaba, São Paulo 13414-903, Brazil; Institute of Biomaterials, Tribocorrosion and Nanomedicine (IBTN), Brazil and USA
| | - Thamara Beline
- University of Campinas (UNICAMP), Piracicaba Dental School, Department of Prosthodontics and Periodontology, Av. Limeira, 901, Piracicaba, São Paulo 13414-903, Brazil; Institute of Biomaterials, Tribocorrosion and Nanomedicine (IBTN), Brazil and USA
| | - Ana Lúcia R Ribeiro
- Faculdade de Ciências do Tocantins (FACIT), Rua D 25, Qd 11, Lt 10, Setor George Yunes, Araguaína, Tocantins 77818-650, Brazil; Faculdade de Ciências Humanas, Econômicas e da Saúde de Araguaína/Instituto Tocantinense Presidente Antônio Carlos (FAHESA/ITPAC), Av. Filadélfia, 568, Araguaína, Tocantins 77816-540, Brazil
| | - Elidiane C Rangel
- Univ Estadual Paulista (UNESP), Engineering College, Laboratory of Technological Plasmas, Av. Três de Março, 511, Sorocaba, São Paulo 18087-180, Brazil
| | - Nilson C da Cruz
- Univ Estadual Paulista (UNESP), Engineering College, Laboratory of Technological Plasmas, Av. Três de Março, 511, Sorocaba, São Paulo 18087-180, Brazil
| | - Richard Landers
- University of Campinas (UNICAMP), Institute of Physics Gleb Wataghin, Cidade Universitária Zeferino Vaz-Barão Geraldo, Campinas, São Paulo 13083-859, Brazil
| | - Leonardo P Faverani
- Univ Estadual Paulista (UNESP), Aracatuba Dental School, Department of Surgery and Integrated Clinic, R. José Bonifácio, 1193, Aracatuba, São Paulo 16015-050, Brazil
| | - Luís Geraldo Vaz
- Univ Estadual Paulista (UNESP), Araraquara Dental School, Department of Dental Materials and Prosthodontics, R. Humaitá, 1680, Araraquara, São Paulo 14801-903, Brazil
| | - Laiza M G Fais
- Univ Estadual Paulista (UNESP), Araraquara Dental School, Department of Dental Materials and Prosthodontics, R. Humaitá, 1680, Araraquara, São Paulo 14801-903, Brazil
| | - Fabio B Vicente
- Institute of Biomaterials, Tribocorrosion and Nanomedicine (IBTN), Brazil and USA; Universidade Paulista (UNIP), Av. Nossa Sra. de Fátima, 9-50, Bauru, São Paulo 17017-337, Brazil
| | - Carlos R Grandini
- Institute of Biomaterials, Tribocorrosion and Nanomedicine (IBTN), Brazil and USA; Univ Estadual Paulista (UNESP), Laboratório de Anelasticidade e Biomateriais, Av. Eng. Luiz Edmundo Carrijo Coube, Bauru, São Paulo 17033-360, Brazil
| | - Mathew T Mathew
- Institute of Biomaterials, Tribocorrosion and Nanomedicine (IBTN), Brazil and USA; University of Illinois College of Medicine at Rockford, Department of Biomedical Sciences, 1601 Parkview Avenue, Rockford, IL 61107, USA; University of Illinois at Chicago, College of Dentistry, Department of Restorative Dentistry, 801 S Paulina, Chicago, IL 60612, USA
| | - Cortino Sukotjo
- Institute of Biomaterials, Tribocorrosion and Nanomedicine (IBTN), Brazil and USA; University of Illinois at Chicago, College of Dentistry, Department of Restorative Dentistry, 801 S Paulina, Chicago, IL 60612, USA
| | - Valentim A R Barão
- University of Campinas (UNICAMP), Piracicaba Dental School, Department of Prosthodontics and Periodontology, Av. Limeira, 901, Piracicaba, São Paulo 13414-903, Brazil; Institute of Biomaterials, Tribocorrosion and Nanomedicine (IBTN), Brazil and USA.
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