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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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Dubey A, Jaiswal S, Lahiri D. Promises of Functionally Graded Material in Bone Regeneration: Current Trends, Properties, and Challenges. ACS Biomater Sci Eng 2022; 8:1001-1027. [PMID: 35201746 DOI: 10.1021/acsbiomaterials.1c01416] [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: 11/28/2022]
Abstract
Functionally graded materials (FGMs) are emerging materials systems, with structures and compositions gradually changing in a particular direction. Consequently, the properties of the materials gradually change in the desired direction to achieve particular nonhomogeneous service demands without abrupting the compositional and behavioral interface at the macroscale. FGMs have been found to have high potential as orthopedic implants; because the functional gradient can be adapted in such a manner that the core of FGM should be compatible with the density and strength of bone, interlayers can maintain the structural integrity and outermost layers would provide bioactivity and corrosion resistance, thus overall tailoring the stress shielding effect. This review article discusses the typical FGM systems existing in nature and the human body, focusing on bone tissue. Further, the reason behind the application of these FGMs systems in orthopedic implants is explored in detail, considering the physical and biological necessities. The substantial focus of the present critical review is devoted to two primary topics related to the usage of FGMs for orthopedic implants: (1) the synthesizing techniques currently available to produce FGMs for load-bearing orthopedic applications and (2) the properties, such as mechanical, structural, and biological behavior of the FGMs. This review article gives an insight into the potential of FGMs for orthopedic applications.
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Affiliation(s)
- Anshu Dubey
- Biomaterials and Multiscale Mechanics Laboratory, Department of Metallurgical and Materials Engineering, Indian Institute of Technology Roorkee, Uttarakhand 247667, India
| | - Satish Jaiswal
- Biomaterials and Multiscale Mechanics Laboratory, Department of Metallurgical and Materials Engineering, Indian Institute of Technology Roorkee, Uttarakhand 247667, India
| | - Debrupa Lahiri
- Biomaterials and Multiscale Mechanics Laboratory, Department of Metallurgical and Materials Engineering, Indian Institute of Technology Roorkee, Uttarakhand 247667, India
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A Comprehensive Review of Bioactive Glass Coatings: State of the Art, Challenges and Future Perspectives. COATINGS 2020. [DOI: 10.3390/coatings10080757] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Bioactive glasses are promising biomaterials for bone and tissue repair and reconstruction, as they were shown to bond to both hard and soft tissues stimulating cells towards a path of regeneration and self-repair. Unfortunately, due to their relatively poor mechanical properties, such as brittleness, low bending strength and fracture toughness, their applications are limited to non-load-bearing implants. However, bioactive glasses can be successfully applied as coatings on the surface of metallic implants to combine the appropriate mechanical properties of metal alloys to bioactivity and biocompatibility of bioactive glasses. In this review, several available coating techniques to coat metal alloys using bioactive glasses are described, with a special focus on thermal spraying, which nowadays is the most used to deposit coatings on metallic implants.
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Characterization and preparation of Fe3O4 nanoparticles loaded bioglass-chitosan nanocomposite coating on Mg alloy and in vitro bioactivity assessment. Int J Biol Macromol 2020; 151:519-528. [DOI: 10.1016/j.ijbiomac.2020.02.208] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2020] [Revised: 02/18/2020] [Accepted: 02/19/2020] [Indexed: 12/15/2022]
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Fernandes HR, Gaddam A, Rebelo A, Brazete D, Stan GE, Ferreira JMF. Bioactive Glasses and Glass-Ceramics for Healthcare Applications in Bone Regeneration and Tissue Engineering. MATERIALS (BASEL, SWITZERLAND) 2018; 11:E2530. [PMID: 30545136 PMCID: PMC6316906 DOI: 10.3390/ma11122530] [Citation(s) in RCA: 98] [Impact Index Per Article: 16.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Revised: 12/04/2018] [Accepted: 12/06/2018] [Indexed: 12/12/2022]
Abstract
The discovery of bioactive glasses (BGs) in the late 1960s by Larry Hench et al. was driven by the need for implant materials with an ability to bond to living tissues, which were intended to replace inert metal and plastic implants that were not well tolerated by the body. Among a number of tested compositions, the one that later became designated by the well-known trademark of 45S5 Bioglass® excelled in its ability to bond to bone and soft tissues. Bonding to living tissues was mediated through the formation of an interfacial bone-like hydroxyapatite layer when the bioglass was put in contact with biological fluids in vivo. This feature represented a remarkable milestone, and has inspired many other investigations aiming at further exploring the in vitro and in vivo performances of this and other related BG compositions. This paradigmatic example of a target-oriented research is certainly one of the most valuable contributions that one can learn from Larry Hench. Such a goal-oriented approach needs to be continuously stimulated, aiming at finding out better performing materials to overcome the limitations of the existing ones, including the 45S5 Bioglass®. Its well-known that its main limitations include: (i) the high pH environment that is created by its high sodium content could turn it cytotoxic; (ii) and the poor sintering ability makes the fabrication of porous three-dimensional (3D) scaffolds difficult. All of these relevant features strongly depend on a number of interrelated factors that need to be well compromised. The selected chemical composition strongly determines the glass structure, the biocompatibility, the degradation rate, and the ease of processing (scaffolds fabrication and sintering). This manuscript presents a first general appraisal of the scientific output in the interrelated areas of bioactive glasses and glass-ceramics, scaffolds, implant coatings, and tissue engineering. Then, it gives an overview of the critical issues that need to be considered when developing bioactive glasses for healthcare applications. The aim is to provide knowledge-based tools towards guiding young researchers in the design of new bioactive glass compositions, taking into account the desired functional properties.
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Affiliation(s)
- Hugo R Fernandes
- Department of Materials and Ceramic Engineering, CICECO, University of Aveiro, 3810-193 Aveiro, Portugal.
| | - Anuraag Gaddam
- Department of Materials and Ceramic Engineering, CICECO, University of Aveiro, 3810-193 Aveiro, Portugal.
| | - Avito Rebelo
- Department of Materials and Ceramic Engineering, CICECO, University of Aveiro, 3810-193 Aveiro, Portugal.
| | - Daniela Brazete
- Department of Materials and Ceramic Engineering, CICECO, University of Aveiro, 3810-193 Aveiro, Portugal.
| | - George E Stan
- National Institute of Materials Physics, RO-077125 Magurele, Romania.
| | - José M F Ferreira
- Department of Materials and Ceramic Engineering, CICECO, University of Aveiro, 3810-193 Aveiro, Portugal.
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Rizwan M, Hamdi M, Basirun WJ. Bioglass® 45S5-based composites for bone tissue engineering and functional applications. J Biomed Mater Res A 2017; 105:3197-3223. [DOI: 10.1002/jbm.a.36156] [Citation(s) in RCA: 52] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2017] [Revised: 07/02/2017] [Accepted: 07/03/2017] [Indexed: 12/13/2022]
Affiliation(s)
- M. Rizwan
- Department of Mechanical Engineering; Faculty of Engineering, University of Malaya; Kuala Lumpur 50603 Malaysia
- Department of Metallurgical Engineering; Faculty of Chemical and Process Engineering, NED University of Engineering and Technology; Karachi 75270 Pakistan
| | - M. Hamdi
- Center of Advanced Manufacturing and Material Processing, University of Malaya; Kuala Lumpur 50603 Malaysia
| | - W. J. Basirun
- Department of Chemistry; Faculty of Science, University of Malaya; Kuala Lumpur 50603 Malaysia
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Chellappa M, Vijayalakshmi U. Electrophoretic deposition of silica and its composite coatings on Ti-6Al-4V, and its in vitro corrosion behaviour for biomedical applications. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2017; 71:879-890. [DOI: 10.1016/j.msec.2016.10.075] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2016] [Revised: 09/28/2016] [Accepted: 10/30/2016] [Indexed: 10/20/2022]
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Functionally graded materials for orthopedic applications – an update on design and manufacturing. Biotechnol Adv 2016; 34:504-531. [DOI: 10.1016/j.biotechadv.2015.12.013] [Citation(s) in RCA: 179] [Impact Index Per Article: 22.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2015] [Revised: 12/23/2015] [Accepted: 12/23/2015] [Indexed: 12/26/2022]
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Preparation of bone-implants by coating hydroxyapatite nanoparticles on self-formed titanium dioxide thin-layers on titanium metal surfaces. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2016; 63:172-84. [DOI: 10.1016/j.msec.2016.02.053] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2015] [Revised: 01/14/2016] [Accepted: 02/17/2016] [Indexed: 12/25/2022]
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Turdean GL, Fort IC, Simon V. In vitro short-time stability of a bioactive glass-chitosan composite coating evaluated by using electrochemical methods. Electrochim Acta 2015. [DOI: 10.1016/j.electacta.2015.09.132] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Electrophoretic bilayer deposition of zirconia and reinforced bioglass system on Ti6Al4V for implant applications: An in vitro investigation. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2013; 33:4160-6. [DOI: 10.1016/j.msec.2013.06.010] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/22/2013] [Revised: 05/31/2013] [Accepted: 06/06/2013] [Indexed: 11/17/2022]
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Gomez Sanchez A, Schreiner W, Duffó G, Ceré S. Surface modification of titanium by anodic oxidation in phosphoric acid at low potentials. Part 1. Structure, electronic properties and thickness of the anodic films. SURF INTERFACE ANAL 2013. [DOI: 10.1002/sia.5210] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- A. Gomez Sanchez
- División corrosión - INTEMA; Universidad Nacional del Mar del Plata - CONICET; Juan B. Justo 4302; 7600; Mar del Plata; Argentina
| | - W. Schreiner
- LSI - LANSEN; Departamento de Física UFPR; Curitiba; Brasil
| | | | - S. Ceré
- División corrosión - INTEMA; Universidad Nacional del Mar del Plata - CONICET; Juan B. Justo 4302; 7600; Mar del Plata; Argentina
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Braem A, Mattheys T, Neirinck B, Čeh M, Novak S, Schrooten J, Van der Biest O, Vleugels J. Bioactive glass–ceramic coated titanium implants prepared by electrophoretic deposition. MATERIALS SCIENCE & ENGINEERING. C, MATERIALS FOR BIOLOGICAL APPLICATIONS 2012. [DOI: 10.1016/j.msec.2012.06.013] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Boccaccini AR, Keim S, Ma R, Li Y, Zhitomirsky I. Electrophoretic deposition of biomaterials. J R Soc Interface 2010; 7 Suppl 5:S581-613. [PMID: 20504802 PMCID: PMC2952181 DOI: 10.1098/rsif.2010.0156.focus] [Citation(s) in RCA: 243] [Impact Index Per Article: 17.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2010] [Accepted: 05/05/2010] [Indexed: 12/24/2022] Open
Abstract
Electrophoretic deposition (EPD) is attracting increasing attention as an effective technique for the processing of biomaterials, specifically bioactive coatings and biomedical nanostructures. The well-known advantages of EPD for the production of a wide range of microstructures and nanostructures as well as unique and complex material combinations are being exploited, starting from well-dispersed suspensions of biomaterials in particulate form (microsized and nanoscale particles, nanotubes, nanoplatelets). EPD of biological entities such as enzymes, bacteria and cells is also being investigated. The review presents a comprehensive summary and discussion of relevant recent work on EPD describing the specific application of the technique in the processing of several biomaterials, focusing on (i) conventional bioactive (inorganic) coatings, e.g. hydroxyapatite or bioactive glass coatings on orthopaedic implants, and (ii) biomedical nanostructures, including biopolymer-ceramic nanocomposites, carbon nanotube coatings, tissue engineering scaffolds, deposition of proteins and other biological entities for sensors and advanced functional coatings. It is the intention to inform the reader on how EPD has become an important tool in advanced biomaterials processing, as a convenient alternative to conventional methods, and to present the potential of the technique to manipulate and control the deposition of a range of nanomaterials of interest in the biomedical and biotechnology fields.
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Affiliation(s)
- A R Boccaccini
- Institute of Biomaterials, Department of Materials Science and Engineering, University of Erlangen-Nuremberg, Erlangen, Germany.
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