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Alzoubi F, Alhumaidan AA, AlRumaih HS, Alqarawi FK, Omar O. The relationship between the secondary implant stability quotient and oxidized implant-related factors: A retrospective study. Heliyon 2024; 10:e39156. [PMID: 39640737 PMCID: PMC11620092 DOI: 10.1016/j.heliyon.2024.e39156] [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: 01/25/2024] [Revised: 10/06/2024] [Accepted: 10/08/2024] [Indexed: 12/07/2024] Open
Abstract
Objective The present retrospective study aimed to determine the relationship between the secondary implant stability quotient and different parameters related to an oxidized implant. Methods A total of 135 patients (305 oxidized implants) were included. Implant-related factors (length, diameter, surgical and loading protocols, grafting, insertion torque, and primary stability) were used for comparisons and linear regression analyses, using secondary ISQ as the dependent variable. Results At the patient level, the mean time from implantation to secondary ISQ registration was 20.3 ± 29 weeks, and the mean secondary ISQ was 77.30 ± 7.22. The ISQ did not reveal significant differences regarding implant lengths, loading protocol, and simultaneous grafting. In contrast, platform diameters (3.5, 4.3, and 5.0), surgical protocols (one stage versus two stages), insertion torque (<35 Ncm versus >35 Ncm), and primary stability (achieved versus not achieved) all revealed significant secondary ISQ differences. Nevertheless, the regression analysis demonstrated that the platform diameter was the only variable significantly and positively predicted the secondary ISQ. Similar findings were found with the implant level analysis. Conclusions Among different implant- and protocol-related parameters, the platform diameter of the oxidized implant appears to be the only significant predictor of high secondary ISQ values at the time of superstructure connection.
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Affiliation(s)
- Fawaz Alzoubi
- Department of General Dental Practice, Faculty of Dentistry, Kuwait University, Kuwait
| | - Abdulkareem Abdullah Alhumaidan
- Department of Preventive Dental Sciences, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Hamad Saleh AlRumaih
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Firas Khalid Alqarawi
- Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
| | - Omar Omar
- Department of Biomedical Dental Sciences, College of Dentistry, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia
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2
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Gkioka M, Rausch-Fan X. Antimicrobial Effects of Metal Coatings or Physical, Chemical Modifications of Titanium Dental Implant Surfaces for Prevention of Peri-Implantitis: A Systematic Review of In Vivo Studies. Antibiotics (Basel) 2024; 13:908. [PMID: 39335082 PMCID: PMC11428254 DOI: 10.3390/antibiotics13090908] [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: 07/25/2024] [Revised: 09/08/2024] [Accepted: 09/16/2024] [Indexed: 09/30/2024] Open
Abstract
Introduction: Peri-implantitis poses a significant challenge for implant dentistry due to its association with bacterial colonization on implant surfaces and the complexity of its management. This systematic review aims to assess evidence from in vivo studies regarding the antimicrobial efficacy of titanium (Ti) dental implant surfaces following physical/chemical modifications or the application of various metal element coatings in preventing bacterial growth associated with peri-implantitis. Materials and Methods: A literature review was conducted across four scientific databases (PubMed, Embase, Scopus, Web of Science), encompassing in vivo studies published between 2013 and 2024, and 18 reports were included in the systematic review. Results: The findings suggest that titanium dental implant surfaces, following physical/chemical modifications and metal element coatings, exhibit antimicrobial effects against bacteria associated with peri-implantitis in humans and various animal models. Conclusions: The reviewed studies indicated a reduction in bacterial colonization, diminished biofilm formation, and decreased signs of inflammation in the peri-implant tissues, which provides evidence that physical/chemical alterations on titanium dental implant surfaces or metal element coatings, like silver (Ag), zinc (Zn), magnesium (Mg), and copper (Cu), demonstrate antimicrobial properties in in vivo studies. However, caution is warranted when translating findings to clinical practice due to methodological disparities and high bias risks. Further larger-scale clinical trials are imperative to assess their long-term efficacy and validate their clinical applicability.
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Affiliation(s)
- Maria Gkioka
- Department of Dentistry, Division of Oral and Maxillofacial Surgery, Vaud University Hospital Center, 1005 Lausanne, Switzerland
| | - Xiaohui Rausch-Fan
- Division of Conservative Dentistry and Periodontology, School of Dentistry, Medical University of Vienna, 1090 Vienna, Austria;
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3
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Golalipour S, Jalalian E, Koosha S, Khorshidi S, Torshabi M, Sayyari M. In vitro effect of anodization on surface roughness and bacterial adhesion to titanium abutments. J Prosthet Dent 2024:S0022-3913(24)00575-4. [PMID: 39277431 DOI: 10.1016/j.prosdent.2024.08.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 08/03/2024] [Accepted: 08/07/2024] [Indexed: 09/17/2024]
Abstract
STATEMENT OF PROBLEM Titanium abutments are considered the criterion standard for dental implants, yet the gray color poses esthetic concerns. Anodization has been proposed to enhance esthetics, but its effects on surface roughness and bacterial adhesion are unclear. PURPOSE The purpose of this in vitro study was to assess the effect of anodization on surface roughness and bacterial adhesion to titanium abutments. MATERIAL AND METHODS Sixteen titanium abutments were divided into test (anodized) and control (nonanodized) groups (n=8). Anodization used 63 V from seven 9 V batteries and an electrolyte of 250 mL distilled water with 1 g trisodium phosphate. Surface roughness was measured with a profilometer at 4 mN force and 0.5 mm/second, assessing 3 supragingival points per specimen. In addition, 1 specimen from each group was selected for field-emission scanning electron microscopy (FE-SEM). Sterilized abutments were exposed to a Staphylococcus aureus suspension (105 CFUs/mL) and then placed in phosphate-buffered saline (PBS), sonicated, vortexed, diluted, and cultured on agar. Bacterial adhesion was assessed after incubating 144 microplates at 37 °C for 24 hours. Colony counts were calculated using a dilution factor and serial dilution, and log 10 of CFUs/mL plotted. Data analysis used the Student t test for bacterial adhesion and the Mann-Whitney U test for surface roughness (α=.05). RESULTS The test and control groups showed no significant difference in surface roughness (P>.05). However, bacterial adhesion to anodized abutments was significantly lower than that to control abutments (P<.001). CONCLUSIONS Anodization of titanium abutments significantly decreased bacterial adhesion and had no significant effect on surface roughness.
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Affiliation(s)
- Shaghayegh Golalipour
- Prosthodontist, Department of Prosthodontics, Dental Branch, Islamic Azad University, Tehran, Iran
| | - Ezatollah Jalalian
- Associate Professor, Department of Prosthodontics, Dental Branch, Azad University, Tehran, Iran
| | - Sara Koosha
- Assistant Professor, Department of Prosthodontics, Dental Branch, Azad University, Tehran, Iran
| | - Sotude Khorshidi
- Prosthodontist, Department of Prosthodontics, Dental Branch, Islamic Azad University, Tehran, Iran.
| | - Maryam Torshabi
- Associate Professor, Department of Dental Biomaterials, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Maryam Sayyari
- Researcher, Tehran University of Medical Sciences, Tehran, Iran
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4
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Hong SO, Pyo JY, On SW, Seo JY, Choi JY. The Biocompatibility and the Effect of Titanium and PEKK on the Osseointegration of Customized Facial Implants. MATERIALS (BASEL, SWITZERLAND) 2024; 17:4435. [PMID: 39274824 PMCID: PMC11396195 DOI: 10.3390/ma17174435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/19/2024] [Revised: 08/30/2024] [Accepted: 09/05/2024] [Indexed: 09/16/2024]
Abstract
The purpose of this study was to investigate the optimization of computer-aided design/computer-aided manufacturing (CAD/CAM) patient-specific implants for mandibular facial bone defects and compare the biocompatibility and osseointegration of machined titanium (Ma), Sandblasted/Large-grit/Acid-etched (SLA) titanium, and polyetherketoneketone (PEKK) facial implants. We hypothesized that the facial implants made of SLA titanium had superior osseointegration when applied to the gonial angle defect and prevented the senile atrophy of the bone. Histologic findings of the soft-tissue reaction, hard-tissue reaction, and bone-implant contact (BIC (%) of 24 Ma, SLA, and PEKK facial implants at 8 and 12 weeks were investigated. There was no statistical difference in the soft tissue reaction. Bone was formed below the periosteum in all facial implants at 12 weeks and the BIC values were significantly different at both 8 and 12 weeks (p < 0.05). Ma, SLA, and PEKK facial implants are biocompatible with osseointegration properties. SLA can enhance osseointegration and provoke minimal soft tissue reactions, making them the most suitable choice. They provide an excellent environment for bone regeneration and, over the long term, may prevent atrophy caused by an aging mandible. The bone formation between the lateral surface of the facial implant and periosteum may assist in osseointegration and stabilization.
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Affiliation(s)
- Sung-Ok Hong
- Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental Hospital at Gangdong, Seoul 05278, Republic of Korea
| | - Ju-Yeon Pyo
- Department of Pathology, Catholic Kwandong University, International St. Mary's Hospital, Simgok-ro 100 Gil 25, Incheon 22711, Republic of Korea
| | - Sung-Woon On
- Division of Oral and Maxillofacial Surgery, Department of Dentistry, Hallym University Dongtan Sacred Heart Hospital, 7 Keunjaebong-gil, Hwaseong-si 18450, Republic of Korea
| | - Ja-Yeong Seo
- Department of Pathology, SD Lab, 53-21, Dongbaekjungang-ro, Gilheung-gu, Yonging-si 17013, Republic of Korea
| | - Jin-Young Choi
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Dental Research Institute, Seoul National University, Daehak-Ro #101, Chongno-gu, Seoul 03080, Republic of Korea
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5
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Zhang G, Deng L, Jiang Z, Xiang G, Zeng Z, Zhang H, Wang Y. Titanium nanoparticles released from orthopedic implants induce muscle fibrosis via activation of SNAI2. J Nanobiotechnology 2024; 22:522. [PMID: 39215337 PMCID: PMC11363368 DOI: 10.1186/s12951-024-02762-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2024] [Accepted: 08/09/2024] [Indexed: 09/04/2024] Open
Abstract
Titanium alloys represent the prevailing material employed in orthopedic implants, which are present in millions of patients worldwide. The prolonged presence of these implants in the human body has raised concerns about possible health effects. This study presents a comprehensive analysis of titanium implants and surrounding tissue samples obtained from patients who underwent revision surgery for therapeutic reasons. The surface of the implants exhibited nano-scale corrosion defects, and nanoparticles were deposited in adjacent samples. In addition, muscle in close proximity to the implant showed clear evidence of fibrotic proliferation, with titanium content in the muscle tissue increasing the closer it was to the implant. Transcriptomics analysis revealed SNAI2 upregulation and activation of PI3K/AKT signaling. In vivo rodent and zebrafish models validated that titanium implant or nanoparticles exposure provoked collagen deposition and disorganized muscle structure. Snai2 knockdown significantly reduced implant-associated fibrosis in both rodent and zebrafish models. Cellular experiments demonstrated that titanium dioxide nanoparticles (TiO2 NPs) induced fibrotic gene expression at sub-cytotoxic doses, whereas Snai2 knockdown significantly reduced TiO2 NPs-induced fibrotic gene expression. The in vivo and in vitro experiments collectively demonstrated that Snai2 plays a pivotal role in mediating titanium-induced fibrosis. Overall, these findings indicate a significant release of titanium nanoparticles from the implants into the surrounding tissues, resulting in muscular fibrosis, partially through Snai2-dependent signaling.
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Affiliation(s)
- Gengming Zhang
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China
| | - Linhua Deng
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China
| | - Zhongjing Jiang
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China
| | - Gang Xiang
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China
| | - Zhuotong Zeng
- College of Environmental Science and Engineering, Key Laboratory of Environmental Biology and Pollution Control (Hunan University), Hunan University, Ministry of Education, Changsha, 410082, PR China
- Department of Dermatology, Second Xiangya Hospital, Central South University, Changsha, 410011, PR China
| | - Hongqi Zhang
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China
| | - Yunjia Wang
- Department of Spine Surgery and Orthopaedics, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, China.
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Zieliński R, Kołkowska A, Sowiński J, Konieczny B, Kozakiewicz M, Simka W. Workflow for Maxilla/Mandible Individual [Mai ®] Implant by Integra Implants-How Individual Implants Are Manufactured. Biomedicines 2024; 12:1773. [PMID: 39200237 PMCID: PMC11352025 DOI: 10.3390/biomedicines12081773] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2024] [Revised: 07/31/2024] [Accepted: 08/01/2024] [Indexed: 09/02/2024] Open
Abstract
The newest technology allows the medical industry to manufacture innovative products such as milled titanium prosthodontic parts in an implant for a screw-retained suprastructure. In the literature, there are some articles on the clinical usage of subperiosteal implants, but none of these publications, either in PubMed or Google Scholar, thoroughly describe the workflow for the design and manufacture of individual implants for maxillofacial surgery with milled threads for a screw-retained prosthodontic bridge. The aim of the article is to present a step-by-step method of producing personalized implants, from the first steps of production to the implantation of the final product. The article includes information on patient qualification for surgery, computational preparation and skull printing, planning of Mai Implants®, meshing, 3D printing and milling, cleaning, rinsing, anodizing, and laser marking, as well as the cleaning and sterilization process in a hospital or dental clinic. A detailed description of implant production allows for the analysis of each step and the development of technology. The production of implants is an expensive procedure, but considering all the advantages of the Mai Implants® treatment and the disadvantages of alternatives, the product is worth the price.
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Affiliation(s)
- Rafał Zieliński
- Stomatologia na Ksiezym Mlynie, Lodz, 16D Tymienieckiego, 90-365 Lodz, Poland
| | - Agata Kołkowska
- Department of Inorganic Chemistry, Analytical Chemistry and Electrochemistry, Faculty of Chemistry, Silesian University of Technology, 44-100 Gliwice, Poland;
- Chemistry Students Research Society, Faculty of Chemistry, Silesian University of Technology, 44-100 Gliwice, Poland
| | - Jerzy Sowiński
- Private Dental Clinic, Tetmajera 3A Rd., 05-080 Izabelin C, Poland;
| | - Bartłomiej Konieczny
- University Laboratory of Materials Research, Medical University of Lodz, Pomorska Str. 251, 92-213 Lodz, Poland;
| | - Marcin Kozakiewicz
- Department of Maxillofacial Surgery, Medical University of Lodz, Żeromskiego Str. 113, 90-549 Lodz, Poland;
| | - Wojciech Simka
- Department of Inorganic Chemistry, Analytical Chemistry and Electrochemistry, Faculty of Chemistry, Silesian University of Technology, 44-100 Gliwice, Poland;
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Wang W, Liu H, Guo Z, Hu Z, Wang K, Leng Y, Yuan C, Li Z, Ge X. Various Antibacterial Strategies Utilizing Titanium Dioxide Nanotubes Prepared via Electrochemical Anodization Biofabrication Method. Biomimetics (Basel) 2024; 9:408. [PMID: 39056849 PMCID: PMC11274689 DOI: 10.3390/biomimetics9070408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2024] [Revised: 06/17/2024] [Accepted: 06/19/2024] [Indexed: 07/28/2024] Open
Abstract
Currently, titanium and its alloys have emerged as the predominant metallic biomaterials for orthopedic implants. Nonetheless, the relatively high post-operative infection rate (2-5%) exacerbates patient discomfort and imposes significant economic costs on society. Hence, urgent measures are needed to enhance the antibacterial properties of titanium and titanium alloy implants. The titanium dioxide nanotube array (TNTA) is gaining increasing attention due to its topographical and photocatalytic antibacterial properties. Moreover, the pores within TNTA serve as excellent carriers for chemical ion doping and drug loading. The fabrication of TNTA on the surface of titanium and its alloys can be achieved through various methods. Studies have demonstrated that the electrochemical anodization method offers numerous significant advantages, such as simplicity, cost-effectiveness, and controllability. This review presents the development process of the electrochemical anodization method and its applications in synthesizing TNTA. Additionally, this article systematically discusses topographical, chemical, drug delivery, and combined antibacterial strategies. It is widely acknowledged that implants should possess a range of favorable biological characteristics. Clearly, addressing multiple needs with a single antibacterial strategy is challenging. Hence, this review proposes systematic research into combined antibacterial strategies to further mitigate post-operative infection risks and enhance implant success rates in the future.
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Affiliation(s)
- Wuzhi Wang
- Key Laboratory of Mechanism Theory and Equipment Design of Ministry of Education, School of Mechanical Engineering, Tianjin University, Tianjin 300354, China
| | - Hanpeng Liu
- Tianjin Key Laboratory of Composite and Functional Materials, School of Materials Science and Engineering, Tianjin University, Tianjin 300072, China
| | - Zilin Guo
- Key Laboratory of Mechanism Theory and Equipment Design of Ministry of Education, School of Mechanical Engineering, Tianjin University, Tianjin 300354, China
| | - Zijun Hu
- School of Mechanical Engineering, Hebei University of Technology, Tianjin 300401, China
| | - Kefeng Wang
- National Engineering Research Center for Biomaterials, Sichuan University, Chengdu 610064, China
| | - Yujia Leng
- School of Precision Instrument and Opto-Electronics Engineering, Tianjin University, Tianjin 300072, China
| | - Caideng Yuan
- School of Chemical Engineering and Technology, Tianjin University, Tianjin 300350, China
| | - Zhaoyang Li
- Tianjin Key Laboratory of Composite and Functional Materials, School of Materials Science and Engineering, Tianjin University, Tianjin 300072, China
| | - Xiang Ge
- Key Laboratory of Mechanism Theory and Equipment Design of Ministry of Education, School of Mechanical Engineering, Tianjin University, Tianjin 300354, China
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8
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Jillek B, Szabó P, Kopniczky J, Krafcsik O, Szabó I, Patczai B, Turzó K. Characterizing Surface Morphological and Chemical Properties of Commonly Used Orthopedic Implant Materials and Determining Their Clinical Significance. Polymers (Basel) 2024; 16:1193. [PMID: 38732662 PMCID: PMC11085225 DOI: 10.3390/polym16091193] [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: 03/11/2024] [Revised: 04/14/2024] [Accepted: 04/18/2024] [Indexed: 05/13/2024] Open
Abstract
The goal of the study was to compare the surface characteristics of typical implant materials used in orthopedic surgery and traumatology, as these determine their successful biointegration. The morphological and chemical structure of Vortex plate anodized titanium from commercially pure (CP) Grade 2 Titanium (Ti2) is generally used in the following; non-cemented total hip replacement (THR) stem and cup Ti alloy (Ti6Al4V) with titanium plasma spray (TPS) coating; cemented THR stem Stainless steel (SS); total knee replacement (TKR) femoral component CoCrMo alloy (CoCr); cemented acetabular component from highly cross-linked ultrahigh molecular weight polyethylene (HXL); and cementless acetabular liner from ultrahigh molecular weight polyethylene (UHMWPE) (Sanatmetal, Ltd., Eger, Hungary) discs, all of which were examined. Visualization and elemental analysis were carried out by scanning electron microscopy (SEM), energy dispersive spectroscopy (EDS) and X-ray photoelectron spectroscopy (XPS). Surface roughness was determined by atomic force microscopy (AFM) and profilometry. TPS Ti presented the highest Ra value (25 ± 2 μm), followed by CoCr (535 ± 19 nm), Ti2 (227 ± 15 nm) and SS (170 ± 11 nm). The roughness measured in the HXL and UHMWPE surfaces was in the same range, 147 ± 13 nm and 144 ± 15 nm, respectively. EDS confirmed typical elements regarding the investigated prosthesis materials. XPS results supported the EDS results and revealed a high % of Ti4+ on Ti2 and TPS surfaces. The results indicate that the surfaces of prosthesis materials have significantly different features, and a detailed characterization is needed to successfully apply them in orthopedic surgery and traumatology.
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Affiliation(s)
- Bertalan Jillek
- Department of Orthopedics, Somogy County Mór Kaposi Teaching Hospital, Tallián Gyula u. 20-32, H-7400 Kaposvár, Hungary
| | - Péter Szabó
- Szentágothai Research Center, Environmental Analytical and Geoanalytical Research Group, Ifjúság útja 20., H-7624 Pécs, Hungary;
| | - Judit Kopniczky
- Department of Optics and Quantum Electronics, University of Szeged, Dóm tér 9., H-6720 Szeged, Hungary;
| | - Olga Krafcsik
- Department of Atomic Physics, Budapest University of Technology and Economics, Budafoki út 8., H-1111 Budapest, Hungary
| | - István Szabó
- Department of Orthopedics, Somogy County Mór Kaposi Teaching Hospital, Tallián Gyula u. 20-32, H-7400 Kaposvár, Hungary
| | - Balázs Patczai
- Department of Traumatology and Hand Surgery, University of Pécs, Ifjúság u. 13., H-7624 Pécs, Hungary;
| | - Kinga Turzó
- Dental School, Medical Faculty, University of Pécs, Tüzér u. 1, H-7623 Pécs, Hungary;
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9
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Lima JHCD, Robbs PCM, Tude EMO, De Aza PN, Costa EMD, Scarano A, Prados-Frutos JC, Fernandes GVO, Gehrke SA. Fibroblasts and osteoblasts behavior after contact with different titanium surfaces used as implant abutment: An in vitro experimental study. Heliyon 2024; 10:e25038. [PMID: 38322837 PMCID: PMC10844044 DOI: 10.1016/j.heliyon.2024.e25038] [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: 05/04/2023] [Revised: 01/17/2024] [Accepted: 01/18/2024] [Indexed: 02/08/2024] Open
Abstract
Background The goal of this in vitro study was to compare three different surfaces: two types of implant surfaces commercially available ([a] smooth/machined and [b] acid-treated surface) versus (c) anodized surface. Discs were manufactured with commercially pure titanium (CP) grade IV, which were subsequently analyzed by scanning microscopy and fibroblastic and osteoblastic cell cultures. Methods Ninety-nine discs (5 × 2 mm) were manufactured in titanium grade IV and received different surface treatments: (i) Mach group: machined; (ii) AA group: double acid etch; and (iii) AN group: anodizing treatment. Three discs from each group were analyzed by Scanning Electron Microscopy (SEM) to obtain surface topography images and qualitatively analyzed by EDS. Balb/c 3T3 fibroblasts and pre-osteoblastic cells (MC3T3-E1 lineage) were used to investigate each group's biological response (n = 10/cellular type). The data were compared statistically using the ANOVA one-way test, considered as a statistically significant difference p < 0.05. Results The AA group had numerous micropores with diameters between 5 and 10 μm, while nanopores between 1 and 5 nm were measured in the AN group. The EDX spectrum showed a high titanium concentration in all the analyzed samples. The contact angle and wetting tension were higher in the AA, whereas similar results were observed for the other groups. A lower result was observed for base width in the AA, which was higher in the other two groups. The AN showed the best values in the fibroblast cells, followed by Mach and AA; whereas, in the culture of the MC3T3 cells, the result was precisely the opposite (AA > Mach > AN). There was similar behavior for cell adhesion for the test groups (Mach and AN), with greater adhesion of Balb/c 3T3 fibroblasts compared to MC3T3 cells; in the AA group, there was greater adherence for MC3T3 cells compared to Balb/c 3T3 fibroblasts. Conclusions The findings suggest that different surface characteristics can produce different biological responses, possibly cell-line dependent. These findings have important implications for the design of implantable medical devices, where the surface characteristics can significantly impact its biocompatibility.
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Affiliation(s)
| | | | | | - Piedad N. De Aza
- Instituto de Bioingenieria, Universidad Miguel Hernández, Elche, Alicante, Spain
| | - Eleani Maria da Costa
- Department of Materials Engineering, Pontificial Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
| | - Antonio Scarano
- Department of Innovative Technologies in Medicine & Dentistry, University of Chieti-Pescara, 66100, Chieti, Italy
| | - Juan Carlos Prados-Frutos
- Department of Medicine and Surgery, Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain
| | | | - Sergio Alexandre Gehrke
- Instituto de Bioingenieria, Universidad Miguel Hernández, Elche, Alicante, Spain
- Department of Materials Engineering, Pontificial Catholic University of Rio Grande do Sul, Porto Alegre, Brazil
- Department of Biotechnology, Universidad Católica de Murcia (UCAM), Murcia, Spain
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10
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Makurat-Kasprolewicz B, Ossowska A. Electrophoretically deposited titanium and its alloys in biomedical engineering: Recent progress and remaining challenges. J Biomed Mater Res B Appl Biomater 2024; 112:e35342. [PMID: 37905698 DOI: 10.1002/jbm.b.35342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Revised: 08/23/2023] [Accepted: 10/14/2023] [Indexed: 11/02/2023]
Abstract
Over the past decade, titanium implants have gained popularity as the number of performed implantation operations has significantly increased. There are a number of methods for modifying the surface of biomaterials, which are aimed at extending the life of titanium implants. The developments in this field in recent years have required a comprehensive discussion of all the properties of electrophoretically deposited coatings on titanium and its alloys, taking into account their bioactivity. The development that took place in this field in recent years required a comprehensive discussion of all the properties of coatings electrophoretically deposited on titanium and its alloys, with particular emphasis on their bioactivity. Herein, we attempt to assess the influence of the electrophoretic deposition (EPD) process parameters on these coatings' biological and mechanical properties. Particular attention has been addressed to the in-vitro and in-vivo studies conducted hitherto. We have seen an increased interest in using titanium alloys without the addition of toxic compounds and gaps in the EPD field such as the uncommon endeavors to develop a "Design of experiments" approach as well as the lack of assessment of the surface free energy and detailed topography of electrophoretically deposited coatings. The exact correlation of coating properties with EPD process parameters still seems explicitly not understood, necessitating more future investigations. Ipso facto, the exact mechanism of particle agglomeration and Hamaker's law need to be fathomable.
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Affiliation(s)
| | - Agnieszka Ossowska
- Faculty of Mechanical Engineering and Ship Technology, Gdansk University of Technology, Gdańsk, Poland
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11
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Pour HK, Ansari H, Tehrani AM. In vitro effect of anodization of titanium abutments on their tensile bond strength to implant-supported lithium disilicate all-ceramic crowns. Dent Res J (Isfahan) 2023; 20:99. [PMID: 38020253 PMCID: PMC10630546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 07/09/2023] [Accepted: 07/26/2023] [Indexed: 12/01/2023] Open
Abstract
Background The retention of cement-retained implant-supported restorations can be affected by surface treatments such as anodizing. This study aimed to assess the effect of the anodization of titanium abutments on their tensile bond strength to implant-supported lithium disilicate (LDS) all-ceramic crowns. Materials and Methods This in vitro, experimental study was conducted on 26 straight abutments in two groups of anodization and control. In the anodization group, seven flat 9 V batteries connected in series were used to generate 64 V energy. A glass container was filled with 250 mL of distilled water, and 1 g of trisodium phosphate was added to it to create an electrolyte solution. The anode was then disconnected and the abutment was rinsed with acetone and deionized water. The surface roughness of abutments was measured by a profilometer. The abutments were scanned by a laboratory scanner, and maxillary central incisor monolithic crowns were fabricated by inLab SW18 software. The crowns were seated on the abutments and temporarily cemented with TempBond. They were then incubated in artificial saliva and subjected to 5000 thermal cycles. The tensile bond strength of crowns was then measured. Data were analyzed by the Student's t-test and Mann-Whitney U-tests (α =0.05). Results The mean bond strength was significantly higher in anodized abutments (P = 0.003). The surface roughness of anodized abutments was slightly, but not significantly, higher than that of the control group (P > 0.05). The frequency of adhesive failure was almost twice higher in anodized abutments. Conclusion Anodization of titanium abutments significantly improved their tensile bond strength to implant-supported LDS all-ceramic crowns.
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Affiliation(s)
- Hamed Karimi Pour
- Department of Prosthodontics, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Homeira Ansari
- Department of Prosthodontics, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
| | - Azita Mazaheri Tehrani
- Department of Prosthodontics, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran
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12
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Sheng X, Li C, Wang Z, Xu Y, Sun Y, Zhang W, Liu H, Wang J. Advanced applications of strontium-containing biomaterials in bone tissue engineering. Mater Today Bio 2023; 20:100636. [PMID: 37441138 PMCID: PMC10333686 DOI: 10.1016/j.mtbio.2023.100636] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Revised: 04/04/2023] [Accepted: 04/14/2023] [Indexed: 07/15/2023] Open
Abstract
Strontium (Sr) and strontium ranelate (SR) are commonly used therapeutic drugs for patients suffering from osteoporosis. Researches have showed that Sr can significantly improve the biological activity and physicochemical properties of materials in vitro and in vivo. Therefore, a large number of strontium containing biomaterials have been developed for repairing bone defects and promoting osseointegration. In this review, we provide a comprehensive overview of Sr-containing biomaterials along with the current state of their clinical use. For this purpose, the different types of biomaterials including calcium phosphate, bioactive glass, and polymers are discussed and provided future outlook on the fabrication of the next-generation multifunctional and smart biomaterials.
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Affiliation(s)
| | | | - Zhonghan Wang
- Department of Orthopedics, The Second Hospital of Jilin University, Changchun, 130041, Jilin, China
| | - Yu Xu
- Department of Orthopedics, The Second Hospital of Jilin University, Changchun, 130041, Jilin, China
| | - Yang Sun
- Department of Orthopedics, The Second Hospital of Jilin University, Changchun, 130041, Jilin, China
| | - Weimin Zhang
- Department of Orthopedics, The Second Hospital of Jilin University, Changchun, 130041, Jilin, China
| | - He Liu
- Department of Orthopedics, The Second Hospital of Jilin University, Changchun, 130041, Jilin, China
| | - Jincheng Wang
- Department of Orthopedics, The Second Hospital of Jilin University, Changchun, 130041, Jilin, China
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13
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Basir A, Muhamad N, Sulong AB, Jamadon NH, Foudzi FM. Recent Advances in Processing of Titanium and Titanium Alloys through Metal Injection Molding for Biomedical Applications: 2013-2022. MATERIALS (BASEL, SWITZERLAND) 2023; 16:3991. [PMID: 37297124 PMCID: PMC10254049 DOI: 10.3390/ma16113991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Revised: 05/14/2023] [Accepted: 05/23/2023] [Indexed: 06/12/2023]
Abstract
Metal injection molding (MIM) is one of the most widely used manufacturing processes worldwide as it is a cost-effective way of producing a variety of dental and orthopedic implants, surgical instruments, and other important biomedical products. Titanium (Ti) and Ti alloys are popular modern metallic materials that have revamped the biomedical sector as they have superior biocompatibility, excellent corrosion resistance, and high static and fatigue strength. This paper systematically reviews the MIM process parameters that extant studies have used to produce Ti and Ti alloy components between 2013 and 2022 for the medical industry. Moreover, the effect of sintering temperature on the mechanical properties of the MIM-processed sintered components has been reviewed and discussed. It is concluded that by appropriately selecting and implementing the processing parameters at different stages of the MIM process, defect-free Ti and Ti alloy-based biomedical components can be produced. Therefore, this present study could greatly benefit future studies that examine using MIM to develop products for biomedical applications.
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Affiliation(s)
| | | | - Abu Bakar Sulong
- Department of Mechanical and Manufacturing Engineering, Faculty of Engineering and Built Environment, Universiti Kebangsaan Malaysia, Bangi 43600, Selangor, Malaysia; (A.B.); (N.M.); (N.H.J.); (F.M.F.)
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14
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Inchingolo AM, Malcangi G, Ferrante L, Del Vecchio G, Viapiano F, Inchingolo AD, Mancini A, Annicchiarico C, Inchingolo F, Dipalma G, Minetti E, Palermo A, Patano A. Surface Coatings of Dental Implants: A Review. J Funct Biomater 2023; 14:jfb14050287. [PMID: 37233397 DOI: 10.3390/jfb14050287] [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: 04/18/2023] [Revised: 05/17/2023] [Accepted: 05/19/2023] [Indexed: 05/27/2023] Open
Abstract
Replacement of missing teeth is possible using biocompatible devices such as endosseous implants. This study aims to analyze and recognize the best characteristics of different implant surfaces that ensure good peri-implant tissue healing and thus clinical success over time. The present review was performed on the recent literature concerning endosseous implants made of titanium, a material most frequently used because of its mechanical, physical, and chemical characteristics. Thanks to its low bioactivity, titanium exhibits slow osseointegration. Implant surfaces are treated so that cells do not reject the surface as a foreign material and accept it as fully biocompatible. Analysis of different types of implant surface coatings was performed in order to identify ideal surfaces that improve osseointegration, epithelial attachment to the implant site, and overall peri-implant health. This study shows that the implant surface, with different adhesion, proliferation, and spreading capabilities of osteoblastic and epithelial cells, influences the cells involved in anchorage. Implant surfaces must have antibacterial capabilities to prevent peri-implant disease. Research still needs to improve implant material to minimize clinical failure.
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Affiliation(s)
| | - Giuseppina Malcangi
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Laura Ferrante
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Gaetano Del Vecchio
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Fabio Viapiano
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | | | - Antonio Mancini
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Ciro Annicchiarico
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Francesco Inchingolo
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Gianna Dipalma
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
| | - Elio Minetti
- Department of Biomedical, Surgical, and Dental Science, University of Milan, 20122 Milan, Italy
| | - Andrea Palermo
- College of Medicine and Dentistry Birmingham, University of Birmingham, Birmingham B4 6BN, UK
| | - Assunta Patano
- Department of Interdisciplinary Medicine, University of Bari "Aldo Moro", 70124 Bari, Italy
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15
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Ali A, Chowdhury S, Carr MA, Janorkar AV, Marquart M, Griggs JA, Bumgardner JD, Roach MD. Antibacterial and biocompatible polyaniline-doped titanium oxide layers. J Biomed Mater Res B Appl Biomater 2023; 111:1100-1111. [PMID: 36585829 DOI: 10.1002/jbm.b.35217] [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: 09/26/2022] [Revised: 12/07/2022] [Accepted: 12/15/2022] [Indexed: 01/01/2023]
Abstract
Titanium anodization has been shown to produce crystalline oxides exhibiting photocatalytic reactions that form reactive oxygen species (ROS) when exposed to UV light. The ROS subsequently attack bacteria cells, and thus reduce bacteria attachment on titanium implant surfaces. Polyaniline (PANI) is a conductive polymer that has shown antibacterial properties when electropolymerized onto titanium. Our research group hypothesized the addition of PANI to crystalline titanium oxide surfaces would increase the available free electrons and thus increase photocatalytic activity (PCA). This research led to the development of a novel single-step anodization approach for PANI doping crystalline titanium oxide layers. The objective of the present study was to determine the proper aniline electrolyte concentration needed to maximize the PCA and reduce bacterial attachment on the formed oxides. Aniline concentrations up to 1 M were added into a 1 M sulfuric acid electrolyte. The formed oxides exhibited increased PANI surface coverage but decreased anatase and rutile crystalline titanium oxide phase formation with increasing aniline electrolyte concentrations. Despite exhibiting the lowest levels of anatase and rutile formation, the 0.75 M and 1 M aniline oxides with the greatest PANI surface coverage also exhibited the highest PCA levels. 1 M aniline oxides showed significantly higher PCA under UVA irradiation compared to oxides formed from aniline concentrations up to 0.5 M (p < 0.001). 0.75 M aniline oxides exhibited significant reductions in Staphylococcus aureus attachment with or without UVA irradiation compared to control oxides without PANI. MTT and live/dead assays confirmed cytocompatibility and nearly 100% cell viability for the PANI doped oxides.
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Affiliation(s)
- Aya Ali
- Department of Biomedical Materials Science, University of Mississippi Medical Center, Jackson, Mississippi, USA
| | - Sheetal Chowdhury
- Department of Biomedical Materials Science, University of Mississippi Medical Center, Jackson, Mississippi, USA
| | - Mary A Carr
- Department of Cell and Molecular Biology, University of Mississippi Medical Center, Jackson, Mississippi, USA
| | - Amol V Janorkar
- Department of Biomedical Materials Science, University of Mississippi Medical Center, Jackson, Mississippi, USA
| | - Mary Marquart
- Department of Cell and Molecular Biology, University of Mississippi Medical Center, Jackson, Mississippi, USA
| | - Jason A Griggs
- Department of Biomedical Materials Science, University of Mississippi Medical Center, Jackson, Mississippi, USA
| | - Joel D Bumgardner
- Biomedical Engineering, University of Memphis, Memphis, Tennessee, USA
| | - Michael D Roach
- Department of Biomedical Materials Science, University of Mississippi Medical Center, Jackson, Mississippi, USA
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16
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Titanium dioxide nanotubes increase purinergic receptor P2Y6 expression and activate its downstream PKCα-ERK1/2 pathway in bone marrow mesenchymal stem cells under osteogenic induction. Acta Biomater 2023; 157:670-682. [PMID: 36442823 DOI: 10.1016/j.actbio.2022.11.045] [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: 07/27/2022] [Revised: 10/25/2022] [Accepted: 11/21/2022] [Indexed: 11/27/2022]
Abstract
Titanium dioxide (TiO2) nanotubes can improve the osseointegration of pure titanium implants, but this exact mechanism has not been fully elucidated. The purinergic receptor P2Y6 is expressed in bone marrow mesenchymal stem cells (BMSCs) and participates in the regulation of bone metabolism. However, it is unclear as to whether P2Y6 is involved in the osteogenic differentiation of BMSCs induced by TiO2 nanotubes. TiO2 nanotubes were prepared on the surface of titanium specimens using the anodizing method and characterized their features. Quantitative reverse transcriptase polymerase chain reaction and western blotting were used to detect the expression of P2Y6, markers of osteogenic differentiation, and PKCα-ERK1/2. A rat femoral defect model was established to evaluate the osseointegration effect of TiO2 nanotubes combined with P2Y6 agonists. The results showed that the average inner diameter of the TiO2 nanotubes increased with an increase in voltage (voltage range of 30-90V), and the expression of P2Y6 in BMSCs could be upregulated by TiO2 nanotubes in osteogenic culture. Inhibition of P2Y6 expression partially inhibited the osteogenic effect of TiO2 nanotubes and downregulated the activity of the PKCα-ERK1/2 pathway. When using in vitro and in vivo experiments, the osteogenic effect of TiO2 nanotubes when combined with P2Y6 agonists was more pronounced. TiO2 nanotubes promoted the P2Y6 expression of BMSCs during osteogenic differentiation and promoted osteogenesis by activating the PKCα-ERK1/2 pathway. The combined application of TiO2 nanotubes and P2Y6 agonists may be an effective new strategy to improve the osseointegration of titanium implants. STATEMENT OF SIGNIFICANCE: Titanium dioxide (TiO2) nanotubes can improve the osseointegration of pure titanium implants, but this exact mechanism has not been fully elucidated. The purinergic receptor P2Y6 is expressed in bone marrow mesenchymal stem cells (BMSCs) and participates in the regulation of bone metabolism. However, it is unclear as to whether P2Y6 is involved in the osteogenic differentiation of BMSCs induced by TiO2 nanotubes. For the first time, this study revealed the relationship between TiO2 nanotubes and purine receptor P2Y6, and further explored its mode of action, which may provide clues as to the regulatory role of TiO2 nanotubes on osteogenic differentiation of BMSCs. These findings will help to develop novel methods for guiding material design and biosafety evaluation of nano implants.
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17
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Farazin A, Zhang C, Gheisizadeh A, Shahbazi A. 3D bio-printing for use as bone replacement tissues: A review of biomedical application. BIOMEDICAL ENGINEERING ADVANCES 2023. [DOI: 10.1016/j.bea.2023.100075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
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18
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Surface Modification of Additively Fabricated Titanium-Based Implants by Means of Bioactive Micro-Arc Oxidation Coatings for Bone Replacement. J Funct Biomater 2022; 13:jfb13040285. [PMID: 36547545 PMCID: PMC9781821 DOI: 10.3390/jfb13040285] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 11/28/2022] [Accepted: 12/04/2022] [Indexed: 12/13/2022] Open
Abstract
In this work, the micro-arc oxidation method is used to fabricate surface-modified complex-structured titanium implant coatings to improve biocompatibility. Depending on the utilized electrolyte solution and micro-arc oxidation process parameters, three different types of coatings (one of them-oxide, another two-calcium phosphates) were obtained, differing in their coating thickness, crystallite phase composition and, thus, with a significantly different biocompatibility. An analytical approach based on X-ray computed tomography utilizing software-aided coating recognition is employed in this work to reveal their structural uniformity. Electrochemical studies prove that the coatings exhibit varying levels of corrosion protection. In vitro and in vivo experiments of the three different micro-arc oxidation coatings prove high biocompatibility towards adult stem cells (investigation of cell adhesion, proliferation and osteogenic differentiation), as well as in vivo biocompatibility (including histological analysis). These results demonstrate superior biological properties compared to unmodified titanium surfaces. The ratio of calcium and phosphorus in coatings, as well as their phase composition, have a great influence on the biological response of the coatings.
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19
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Brocklebank M, Feltham H, Noël J, Goncharova L. Mechanism of titanium electrochemical oxidation via isotopic labeling, high resolution ion depth profiling, and impedance spectroscopy. Electrochim Acta 2022. [DOI: 10.1016/j.electacta.2022.141342] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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20
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Peptides for Coating TiO 2 Implants: An In Silico Approach. Int J Mol Sci 2022; 23:ijms232214048. [PMID: 36430525 PMCID: PMC9693858 DOI: 10.3390/ijms232214048] [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: 10/09/2022] [Revised: 10/29/2022] [Accepted: 11/08/2022] [Indexed: 11/16/2022] Open
Abstract
Titanium is usually used in the manufacturing of metal implants due to its biocompatibility and high resistance to corrosion. A structural and functional connection between the living bone and the surface of the implant, a process called osseointegration, is mandatory for avoiding prolonged healing, infections, and tissue loss. Therefore, osseointegration is crucial for the success of the implantation procedure. Osseointegration is a process mediated by bone-matrix progenitor cells' proteins, named integrins. In this study, we used an in silico approach to assemble and test peptides that can be strategically used in sensitizing TiO2 implants in order to improve osseointegration. To do so, we downloaded PDB structures of integrins α5β1, αvβ3, and αIIbβ3; their biological ligands; and low-cost proteins from the Protein Data Bank, and then we performed a primary (integrin-protein) docking analysis. Furthermore, we modeled complex peptides with the potential to bind to the TiO2 surface on the implant, as well as integrins in the bone-matrix progenitor cells. Then we performed a secondary (integrin-peptide) docking analysis. The ten most promising integrin-peptide docking results were further verified by molecular dynamics (MD) simulations. We recognized 82 peptides with great potential to bind the integrins, and therefore to be used in coating TiO2 implants. Among them, peptides 1 (GHTHYHAVRTQTTGR), 3 (RKLPDATGR), and 8 (GHTHYHAVRTQTLKA) showed the highest binding stability during the MD simulations. This bioinformatics approach saves time and more effectively directs in vitro studies.
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21
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Pawłowski Ł, Rościszewska M, Majkowska-Marzec B, Jażdżewska M, Bartmański M, Zieliński A, Tybuszewska N, Samsel P. Influence of Surface Modification of Titanium and Its Alloys for Medical Implants on Their Corrosion Behavior. MATERIALS (BASEL, SWITZERLAND) 2022; 15:7556. [PMID: 36363148 PMCID: PMC9655659 DOI: 10.3390/ma15217556] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Revised: 10/22/2022] [Accepted: 10/24/2022] [Indexed: 06/16/2023]
Abstract
Titanium and its alloys are often used for long-term implants after their surface treatment. Such surface modification is usually performed to improve biological properties but seldom to increase corrosion resistance. This paper presents research results performed on such metallic materials modified by a variety of techniques: direct voltage anodic oxidation in the presence of fluorides, micro-arc oxidation (MAO), pulse laser treatment, deposition of chitosan, biodegradable Eudragit 100 and poly(4-vinylpyridine (P4VP), carbon nanotubes, nanoparticles of TiO2, and chitosan with Pt (nano Pt) and polymeric dispersant. The open circuit potential, corrosion current density, and potential values were determined by potentiodynamic technique, and microstructures of the surface layers and coatings were characterized by scanning electron microscopy. The results show that despite the applied modifications, the corrosion current density still appears in the region of very low values of some nA/cm2. However, almost all surface modifications, designed principally for the improvement of biological properties, negatively influence corrosion resistance. The reasons for observed effects can vary, such as imperfections and permeability of some coatings or accelerated degradation of biodegradable deposits in simulated body fluids during electrochemical testing. Despite that, all coatings can be accepted for biological applications, and such corrosion testing results are presumed not to be of major importance for their applications in medicine.
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Affiliation(s)
- Łukasz Pawłowski
- Department of Construction Materials, Institute of Manufacturing and Materials Technology, Faculty of Mechanical Engineering and Ship Technology, Gdańsk University of Technology, 80-233 Gdańsk, Poland
| | - Magda Rościszewska
- Department of Biomaterials Technology, Institute of Manufacturing and Materials Technology, Faculty of Mechanical Engineering and Ship Technology, Gdańsk University of Technology, 80-233 Gdańsk, Poland
| | - Beata Majkowska-Marzec
- Department of Biomaterials Technology, Institute of Manufacturing and Materials Technology, Faculty of Mechanical Engineering and Ship Technology, Gdańsk University of Technology, 80-233 Gdańsk, Poland
| | - Magdalena Jażdżewska
- Department of Biomaterials Technology, Institute of Manufacturing and Materials Technology, Faculty of Mechanical Engineering and Ship Technology, Gdańsk University of Technology, 80-233 Gdańsk, Poland
| | - Michał Bartmański
- Department of Biomaterials Technology, Institute of Manufacturing and Materials Technology, Faculty of Mechanical Engineering and Ship Technology, Gdańsk University of Technology, 80-233 Gdańsk, Poland
| | - Andrzej Zieliński
- Department of Biomaterials Technology, Institute of Manufacturing and Materials Technology, Faculty of Mechanical Engineering and Ship Technology, Gdańsk University of Technology, 80-233 Gdańsk, Poland
| | - Natalia Tybuszewska
- Department of Biomaterials Technology, Institute of Manufacturing and Materials Technology, Faculty of Mechanical Engineering and Ship Technology, Gdańsk University of Technology, 80-233 Gdańsk, Poland
| | - Pamela Samsel
- Department of Biomaterials Technology, Institute of Manufacturing and Materials Technology, Faculty of Mechanical Engineering and Ship Technology, Gdańsk University of Technology, 80-233 Gdańsk, Poland
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22
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Wang Y, Teng W, Zhang Z, Ma S, Jin Z, Zhou X, Ye Y, Zhang C, Gou Z, Yu X, Ye Z, Ren Y. Remote Eradication of Bacteria on Orthopedic Implants via Delayed Delivery of Polycaprolactone Stabilized Polyvinylpyrrolidone Iodine. J Funct Biomater 2022; 13:jfb13040195. [PMID: 36278664 PMCID: PMC9589933 DOI: 10.3390/jfb13040195] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Revised: 10/08/2022] [Accepted: 10/15/2022] [Indexed: 11/16/2022] Open
Abstract
Bacteria-associated late infection of the orthopedic devices would further lead to the failure of the implantation. However, present ordinary antimicrobial strategies usually deal with early infection but fail to combat the late infection of the implants due to the burst release of the antibiotics. Thus, to fabricate long-term antimicrobial (early antibacterial, late antibacterial) orthopedic implants is essential to address this issue. Herein, we developed a sophisticated MAO-I2-PCLx coating system incorporating an underlying iodine layer and an upper layer of polycaprolactone (PCL)-controlled coating, which could effectively eradicate the late bacterial infection throughout the implantation. Firstly, micro-arc oxidation was used to form a microarray tubular structure on the surface of the implants, laying the foundation for iodine loading and PCL bonding. Secondly, electrophoresis was applied to load iodine in the tubular structure as an efficient bactericidal agent. Finally, the surface-bonded PCL coating acts as a controller to regulate the release of iodine. The hybrid coatings displayed great stability and control release capacity. Excellent antibacterial ability was validated at 30 days post-implantation via in vitro experiments and in vivo rat osteomyelitis model. Expectedly, it can become a promising bench-to-bedside strategy for current infection challenges in the orthopedic field.
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Affiliation(s)
- Yikai Wang
- Department of Orthopedics, Renmin Hospital of Wuhan University, Jiefang Road 238, Wuhan 430060, China
| | - Wangsiyuan Teng
- Department of Orthopedics, Centre for Orthopaedic Research, Orthopedics Research Institute of Zhejiang University, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
- Key Laboratory of Motor System Disease Research and Precision Therapy of Zhejiang Province, Hangzhou 310009, China
| | - Zengjie Zhang
- Department of Orthopedics, Centre for Orthopaedic Research, Orthopedics Research Institute of Zhejiang University, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
- Key Laboratory of Motor System Disease Research and Precision Therapy of Zhejiang Province, Hangzhou 310009, China
| | - Siyuan Ma
- Department of Orthopedics, Renmin Hospital of Wuhan University, Jiefang Road 238, Wuhan 430060, China
| | - Zhihui Jin
- Department of Orthopedics, Renmin Hospital of Wuhan University, Jiefang Road 238, Wuhan 430060, China
| | - Xingzhi Zhou
- Department of Orthopedics, Centre for Orthopaedic Research, Orthopedics Research Institute of Zhejiang University, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
- Key Laboratory of Motor System Disease Research and Precision Therapy of Zhejiang Province, Hangzhou 310009, China
| | - Yuxiao Ye
- School of Material Science and Engineering, University of New South Wales, Sydney 2052, Australia
| | - Chongda Zhang
- New York University Medical Center, New York University, New York, NY 10016, USA
| | - Zhongru Gou
- Bio-Nanomaterials and Regenerative Medicine Research Division, Zhejiang-California International Nanosystem Institute, Zhejiang University, Hangzhou 310058, China
| | - Xiaohua Yu
- Department of Orthopedics, Centre for Orthopaedic Research, Orthopedics Research Institute of Zhejiang University, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
- Key Laboratory of Motor System Disease Research and Precision Therapy of Zhejiang Province, Hangzhou 310009, China
| | - Zhaoming Ye
- Department of Orthopedics, Centre for Orthopaedic Research, Orthopedics Research Institute of Zhejiang University, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China
- Key Laboratory of Motor System Disease Research and Precision Therapy of Zhejiang Province, Hangzhou 310009, China
- Correspondence: (Z.Y.); (Y.R.); Tel.: +86-571-8778-3777 (Z.Y.); +86-027-8804-1911 (ext. 83380) (Y.R.)
| | - Yijun Ren
- Department of Orthopedics, Renmin Hospital of Wuhan University, Jiefang Road 238, Wuhan 430060, China
- Correspondence: (Z.Y.); (Y.R.); Tel.: +86-571-8778-3777 (Z.Y.); +86-027-8804-1911 (ext. 83380) (Y.R.)
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23
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Chávez Díaz MP, Henche SA, Yanchuck MR, de Arriba CC, Sierra RC, Rincón MLE, Hallen JM. Implantation of heat treatment Ti6al4v alloys in femoral bone of Wistar rats. JOURNAL OF MATERIALS SCIENCE. MATERIALS IN MEDICINE 2022; 33:70. [PMID: 36190567 PMCID: PMC9529715 DOI: 10.1007/s10856-022-06691-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Accepted: 08/24/2022] [Indexed: 06/16/2023]
Abstract
Two heat treatments were carried out at below (Ti6Al4V800) and above (Ti6Al4V1050) the beta-phase transformation temperature (TTRANSUS = 980 °C), to study the effect of microstructural changes on osseointegration. The alloys were implanted in the femurs of hind legs of Wistar rats for 15, 30, and 60 days. Histology of the femur sections obtained for the first 15 days showed inflammatory tissue surrounding the implants and tissue contraction, which prevented osseointegration in early stages. After 30 days, trabecular bone, reduction of inflammatory tissue around the implants, and osseointegration were observed in Ti6Al4V as received and Ti6Al4V1050 alloys, while osseointegration was detected for the three alloys after 60 days. These results were supported through morphometric studies based on the analysis of Bone Implant Contact (BIC), where there was a larger bone contact after 60 days for the Ti6Al4V1050 alloy; indicating that microstructural features of the Ti6Al4V alloys influence their osseointegration, with the lamellar microstructure (Ti6Al4V1050), being the most responsive. Graphical abstract.
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Affiliation(s)
- Mercedes Paulina Chávez Díaz
- Centro de Estudios Científicos y Tecnológicos Número 7 Cuauhtémoc (CECyT 7), Ermita Iztapalapa 3241, Sta. María Aztahuacan, Iztapalapa, Ciudad de México, 09570, Mexico.
- Centro Nacional de Investigaciones Metalúrgicas (CENIM-CSIC). Departamento de Ingeniería de Superficies, Corrosión y Durabilidad, 28040, Madrid, Spain.
| | - Soledad Aguado Henche
- Departamento de Cirugía, Ciencias Médicas y Sociales. Área Anatomía y Embriología Humana de la Facultad de Medicina, Universidad de Alcalá (UAH), Ctra. Mad-Barc Km 33,600. Campus Universitario, Alcalá de Henares, 28805, Madrid, Spain
| | - Mónica Rubio Yanchuck
- Hospital Universitario La Paz. Servicio de Cirugía Plástica, Reparadora y Quemados, Paseo de la Castellana 261, 28046, Madrid, Spain
| | - Celia Clemente de Arriba
- Departamento de Cirugía, Ciencias Médicas y Sociales. Área Anatomía y Embriología Humana de la Facultad de Medicina, Universidad de Alcalá (UAH), Ctra. Mad-Barc Km 33,600. Campus Universitario, Alcalá de Henares, 28805, Madrid, Spain
| | - Román Cabrera Sierra
- Departamento de Ingeniería Química Industrial y Metalurgia y Materiales, UPALM Edificio 7, Instituto Politécnico Nacional, Ciudad de México, 07738, Mexico
| | - María Lorenza Escudero Rincón
- Centro Nacional de Investigaciones Metalúrgicas (CENIM-CSIC). Departamento de Ingeniería de Superficies, Corrosión y Durabilidad, 28040, Madrid, Spain
| | - José M Hallen
- Departamento de Ingeniería Química Industrial y Metalurgia y Materiales, UPALM Edificio 7, Instituto Politécnico Nacional, Ciudad de México, 07738, Mexico
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Kolarovszki B, Sándor A, Szabó P, Kopniczky J, Frank D, Nagy Á, Turzó K. Energy drinks alter the surface morphology and roughness of composites, fissure sealants and titanium: An in vitro study. Heliyon 2022; 8:e10764. [PMID: 36193518 PMCID: PMC9525914 DOI: 10.1016/j.heliyon.2022.e10764] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 07/29/2022] [Accepted: 09/22/2022] [Indexed: 11/29/2022] Open
Abstract
Objectives The influence of energy drinks on dental materials are relatively under addressed. Our aim was to investigate the effect of energy drinks on dental materials used intraorally in young individuals. Commonly used preventive, restorative, and orthodontic materials were tested in vitro. Methods The effect of two commercially available energy drinks (HELL, BURN) was investigated on different dental materials: machined, anodized Titanium (grade 5: Ti6Al4V) and composites (Grandio Seal, VOCO; Filtek Z250, 3M ESPE; Estelite SQ, TOKUYAMA). The roughness (Ra) and morphological changes were examined by atomic force microscopy (AFM) and scanning electron microscopy (SEM). Results AFM and SEM revealed significant differences in the Ra and morphology of the samples. AFM results for the machined and anodized titanium samples showed that the two energy drinks modified the surface roughness differently; BURN changed the roughness of machined samples significantly, while anodized discs were not altered significantly by the two energy drinks. In case of composite samples there was no significant difference for the Estelite SQ, relative low differences for the Filtek Z250 and significant changes in the morphology and surface roughness of Grandio Seal. Significance On all tested materials, changes in the surface roughness and morphology were more or less detected, proving energy drinks do in fact have a harmful effect. It can be concluded that material erosion depends on the material composition and particle arrangement. Where the surface is characterized by a regular, uniform particle arrangement, energy drinks are less able to influence the roughness, while for samples where the surface is rich in aggregates, the material erodes the surface much more easily. Consumption of energy drinks is increasing amongst children and young individuals. Preventive, restorative, and orthodontic materials used in young individuals are affected by energy drinks. Roughness and morphological change of dental materials is observed in case of Hell and Burn impact. Burn damages more titanium, fissure sealant and composite materials.
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Affiliation(s)
- Béla Kolarovszki
- Dental School, Medical Faculty, University of Pécs, H-7623 Pécs, Tüzér u. 1., Hungary
| | - Alíz Sándor
- Dental School, Medical Faculty, University of Pécs, H-7623 Pécs, Tüzér u. 1., Hungary
| | - Péter Szabó
- Szentágothai Research Center, Environmental Analytical and Geoanalytical Research Group, H-7624 Pécs, Ifjúság útja 20., Hungary
| | - Judit Kopniczky
- Department of Optics and Quantum Electronics, University of Szeged, H-6720 Szeged, Dóm tér 9., Hungary
| | - Dorottya Frank
- Dental School, Medical Faculty, University of Pécs, H-7623 Pécs, Tüzér u. 1., Hungary
| | - Ákos Nagy
- Dental School, Medical Faculty, University of Pécs, H-7623 Pécs, Tüzér u. 1., Hungary
| | - Kinga Turzó
- Dental School, Medical Faculty, University of Pécs, H-7623 Pécs, Tüzér u. 1., Hungary
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25
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Qi H, Ke Q, Tang Q, Yin L, Yang L, Ning C, Su J, Fang L. Magnetic field regulation of mouse bone marrow mesenchymal stem cell behaviours on TiO
2
nanotubes via surface potential mediated by Terfenol‐D/P(VDF‐TrFE) film. BIOSURFACE AND BIOTRIBOLOGY 2022. [DOI: 10.1049/bsb2.12042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Haisheng Qi
- School of Materials Science and Engineering South China University of Technology Guangzhou China
| | - Qi Ke
- National Engineering Research Center for Tissue Restoration and Reconstruction Guangzhou China
| | - Qiwen Tang
- School of Materials Science and Engineering South China University of Technology Guangzhou China
| | - Lei Yin
- China‐Singapore International Joint Research Institute Guangzhou China
| | - Lixin Yang
- School of Mechanical & Automotive Engineering South China University of Technology Guangzhou China
| | - Chengyun Ning
- National Engineering Research Center for Tissue Restoration and Reconstruction Guangzhou China
| | - Jianyu Su
- China‐Singapore International Joint Research Institute Guangzhou China
| | - Liming Fang
- School of Materials Science and Engineering South China University of Technology Guangzhou China
- National Engineering Research Center for Tissue Restoration and Reconstruction Guangzhou China
- Guangdong Provincial Key Laboratory of Technique and Equipment for Macromolecular Advanced Manufacturing Guangzhou China
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26
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Mühl A, Szabó P, Krafcsik O, Aigner Z, Kopniczky J, Ákos Nagy, Marada G, Turzó K. Comparison of surface aspects of turned and anodized titanium dental implant, or abutment material for an optimal soft tissue integration. Heliyon 2022; 8:e10263. [PMID: 36042714 PMCID: PMC9420512 DOI: 10.1016/j.heliyon.2022.e10263] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 07/06/2022] [Accepted: 08/08/2022] [Indexed: 11/25/2022] Open
Abstract
Objectives Soft tissue integration of dental implants lags behind natural biological integration of teeth mainly because of non-optimal surface features. Peri-implant infections resulting in loss of supporting bone jeopardize the success of implants. Our aim was to compare an anodized surface design with a turned one for a more optimal surface. Methods Morphological and chemical structures of turned and anodized Ti surfaces (grade 5: Ti6Al4V) discs were examined by scanning electron microscopy (SEM-EDS), energy dispersive X-ray spectroscopy (EDS), and atomic force microscopy (AFM). The hydrophilic or hydrophobic features of the surfaces were determined by dynamic contact angle measurement. Results SEM and AFM revealed significant differences in the morphology and roughness (Ra) of the samples. Anodized discs presented a granular structure, while turned ones had circular grooves. The roughness was significantly higher for the anodized samples compared to the turned ones. XPS and EDS confirmed typical elements for both Ti6Al4V samples. Due to anodization, the amount of Ti (IV) had increased and Ti (III) had decreased in the thicker oxide layer. Anodized samples resulted in a more hydrophilic surface than the turned ones. Significance The results suggest that the tested anodized samples present optimal surface characteristics to be used as abutment material for an optimal soft tissue integration. Optimization of soft tissue barrier is a crucial factor in long-term dental implant success and peri-implant health. The applied anodization is an easy-to-use process to change the color of titanium to a more favorable yellow. Changes in surface morphology and hydrophilic features were favorable for soft tissue attachment. Anodized samples presented optimal surface composition to be used as abutment material of dental implants.
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Affiliation(s)
- Attila Mühl
- Private Dental Office, H-7300 Pécsi út 1., Komló, Hungary
| | - Péter Szabó
- Szentágothai Research Center, Environmental Analytical and Geoanalytical Research Group, Ifjúság útja 20., H-7624, Pécs, Hungary
| | - Olga Krafcsik
- Department of Atomic Physics, Budapest University of Technology and Economics, Budafoki út 8., H-1111, Budapest, Hungary
| | - Zoltán Aigner
- Institute of Pharmaceutical Technology and Regulatory Affairs, Faculty of Pharmacy, University of Szeged, Zrínyi u. 9., H-6720, Szeged, Hungary
| | - Judit Kopniczky
- Department of Optics and Quantum Electronics, University of Szeged, Dóm tér 9., H-6720, Szeged, Hungary
| | - Ákos Nagy
- Dental School, Medical Faculty, University of Pécs, Dischka Gy. u. 5., H-7621, Pécs, Hungary
| | - Gyula Marada
- Dental School, Medical Faculty, University of Pécs, Dischka Gy. u. 5., H-7621, Pécs, Hungary
| | - Kinga Turzó
- Dental School, Medical Faculty, University of Pécs, Dischka Gy. u. 5., H-7621, Pécs, Hungary
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27
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Shear Bond Strength of Lithium Disilicate Bonded with Various Surface-Treated Titanium. Int J Dent 2022; 2022:4406703. [PMID: 35437442 PMCID: PMC9013295 DOI: 10.1155/2022/4406703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 02/01/2022] [Accepted: 03/28/2022] [Indexed: 11/17/2022] Open
Abstract
Purpose Retention is one of the most important factors for fixed dental prostheses, especially in implant dentistry. Accordingly, the goal of this study was to evaluate the level of shear bond strength between titanium (Ti) subjected to different surface treatments and lithium disilicate glass-ceramics. Materials and Methods In this work, 90 titanium alloy specimens were divided into six groups as follows: the control group (CT), 50 μm alumina airborne-particle abrasion group (SB), silica-coated group (CJ), anodization group (AN), anodization followed by alumina 50 μm airborne-particle abrasion group (ANSB), and anodization followed by silica coating group (ANCJ). Titanium specimens were bonded to lithium disilicate specimens with resin cement (Multilink N). The specimens were restored in water at 37°C for 24 h, and then, shear bond strength (SBS) tests were performed using a universal testing machine (Shimadzu, Japan). The SBS values were statistically analyzed. The failure mode of the debonded titanium was classified after viewing the samples under a stereoscope. Results The results demonstrated that the mean SBSs of CT and AN were significantly lower than those of the other groups (p < 0.05). The SB group showed the highest SBS (29.47 ± 2.41 MPa); however, there was no significant difference between SB, ANSB, ANCJ, and CJ. The stereoscopic analysis demonstrated that the failure mode of AN was predominantly adhesive failure; whereas, the other groups showed cohesive and mixed failures. Conclusions In this study, it was found that the surface treatment with 50 μm alumina airborne-particle abrasion, silica coating with Cojet™ sand, anodization followed by 50 μm alumina airborne-particle abrasion, and anodization followed by silica coating with Cojet™ sand improved the SBS between titanium and lithium disilicate luted with Multilink N resin cement.
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28
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Accioni F, Vázquez J, Merinero M, Begines B, Alcudia A. Latest Trends in Surface Modification for Dental Implantology: Innovative Developments and Analytical Applications. Pharmaceutics 2022; 14:455. [PMID: 35214186 PMCID: PMC8876580 DOI: 10.3390/pharmaceutics14020455] [Citation(s) in RCA: 24] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2022] [Revised: 02/15/2022] [Accepted: 02/18/2022] [Indexed: 12/27/2022] Open
Abstract
An increase in the world population and its life expectancy, as well as the ongoing concern about our physical appearance, have elevated the relevance of dental implantology in recent decades. Engineering strategies to improve the survival rate of dental implants have been widely investigated, focusing on implant material composition, geometry (usually guided to reduce stiffness), and interface surrounding tissues. Although efforts to develop different implant surface modifications are being applied in commercial dental prostheses today, the inclusion of surface coatings has gained special interest, as they can be tailored to efficiently enhance osseointegration, as well as to reduce bacterial-related infection, minimizing peri-implantitis appearance and its associated risks. The use of biomaterials to replace teeth has highlighted the need for the development of reliable analytical methods to assess the therapeutic benefits of implants. This literature review considers the state-of-the-art strategies for surface modification or coating and analytical methodologies for increasing the survival rate for teeth restoration.
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Affiliation(s)
- Francesca Accioni
- Departamento de Química Orgánica y Farmacéutica, Universidad de Sevilla, 41012 Seville, Spain; (F.A.); (M.M.)
| | - Juan Vázquez
- Departamento de Química Orgánica, Universidad de Sevilla, 41012 Seville, Spain;
| | - Manuel Merinero
- Departamento de Química Orgánica y Farmacéutica, Universidad de Sevilla, 41012 Seville, Spain; (F.A.); (M.M.)
- Departamento de Citología e Histología Normal y Patológica, Universidad de Sevilla, 41012 Seville, Spain
| | - Belén Begines
- Departamento de Química Orgánica y Farmacéutica, Universidad de Sevilla, 41012 Seville, Spain; (F.A.); (M.M.)
| | - Ana Alcudia
- Departamento de Química Orgánica y Farmacéutica, Universidad de Sevilla, 41012 Seville, Spain; (F.A.); (M.M.)
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OUP accepted manuscript. Metallomics 2022; 14:6515965. [DOI: 10.1093/mtomcs/mfac002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Accepted: 01/14/2022] [Indexed: 11/14/2022]
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Morphological and Optical Characterization of Colored Nanotubular Anodic Titanium Oxide Made in an Ethanol-Based Electrolyte. MATERIALS 2021; 14:ma14226992. [PMID: 34832388 PMCID: PMC8619895 DOI: 10.3390/ma14226992] [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: 10/21/2021] [Revised: 11/14/2021] [Accepted: 11/16/2021] [Indexed: 11/19/2022]
Abstract
In this paper, the possibility of color controlling anodic titanium oxide by changing anodizing conditions of titanium in an ethanol-based electrolyte is demonstrated. Colored anodic titanium oxide was fabricated in an ethanol-based electrolyte containing 0.3 M ammonium fluoride and various amounts of deionized water (2, 3.5, 5, or 10 vol%), at voltages that varied from 30 to 60 V and at a constant anodization temperature of 20 °C. Morphological characterization of oxide layers was established with the use of a scanning electron microscope. Optical characterization was determined by measuring diffusion reflectance and calculating theoretical colors. The resulting anodic oxides in all tested conditions had nanotubular morphology and a thickness of up to hundreds of nanometers. For electrolytes with 3.5, 5, and 10 vol% water content, the anodic oxide layer thickness increased with the applied potential increase. The anodic titanium oxide nanotube diameters and the oxide thickness of samples produced in an electrolyte with 2 vol% water content were independent of applied voltage and remained constant within the error range of all tested potentials. Moreover, the color of anodic titanium oxide produced in an electrolyte with 2 vol% of water was blue and was independent from applied voltage, while the color of samples from other electrolyte compositions changed with applied voltage. For samples produced in selected conditions, iridescence was observed. It was proposed that the observed structural color of anodic titanium oxide results from the synergy effect of nanotube diameter and oxide thickness.
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31
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Anodized Biomedical Stainless-Steel Mini-Implant for Rapid Recovery in a Rabbit Model. METALS 2021. [DOI: 10.3390/met11101575] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
Abstract
The study aimed to analyze the recovery period of the anodized 316L biomedical stainless steel (BSS) mini-implant through its implantation on femur of rabbit model. The 316L BSS mini-implant was modified by an electrochemical anodization approach with different voltages. The anodized samples were characterized via field-emission scanning electron microscopy, X-ray diffractometry, and X-ray photoelectron spectroscopy. The biocompatibility was assessed by cell culture assay. The anodized mini-implant was implanted on rabbit’s femur then evaluated histologically after 4 and 8 weeks. Analytical results indicated that the topography of the anodized mini-implant at 5 V for 5 min consisted of a dual (micro/nano) porous structure. Oxide film of Cr2O3 was formed on the surface of anodized mini-implant after anodizing with 5 V for 5 min. In vitro cell culture assay revealed that fibroblast cells (NIH-3T3) on the anodized samples were more firmly attached as compared with the control sample. Moreover, histological analysis demonstrated that the anodized mini-implant improved bone recovering at 4 weeks after implantation. Thus, this study suggests that the anodized 316L BSS mini-implant could be a potential choice as anchorage device for effective and efficient orthodontic treatment.
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32
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Kunrath MF, Muradás TC, Penha N, Campos MM. Innovative surfaces and alloys for dental implants: What about biointerface-safety concerns? Dent Mater 2021; 37:1447-1462. [PMID: 34426019 DOI: 10.1016/j.dental.2021.08.008] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2021] [Revised: 08/04/2021] [Accepted: 08/06/2021] [Indexed: 02/06/2023]
Abstract
OBJECTIVES The present review article aimed to discuss the recent technologies employed for the development of dental implants, mainly regarding innovative surface treatments and alternative alloys, emphasizing the bio-tribocorrosion processes. METHODS An electronic search applying specific MeSH terms was carried out in PubMed and Google Scholar databases to collect data until August 2021, considering basic, pre-clinical, clinical and review studies. The relevant articles (n=111), focused on innovative surface treatments for dental implants and their potential undesirable biological effects, were selected and explored. RESULTS Novel texturization methodologies for dental implants clearly provided superficial and structural atomic alterations in micro- and nanoscale, promoting different mechanical-chemical interactions when applied in the clinical set. Some particulate metals released from implant surfaces, their degradation products and/or contaminants exhibited local and systemic reactions after implant installation and osseointegration, contributing to unexpected treatment drawbacks and adverse effects. Therefore, there is an urgent need for development of pre-clinical and clinical platforms for screening dental implant devices, to predict the biointerface reactions as early as possible during the development phases. SIGNIFICANCE Modern surface treatments and innovative alloys developed for dental implants are not completely understood regarding their integrity during long-term clinical function, especially when considering the bio-tribocorrosion process. From this review, it is possible to assume that degradation and contamination of dental surfaces might be associated within peri-implant inflammation and cumulative long-lasting systemic toxicity. The in-depth comprehension of the biointerface modifications on these novel surface treatments might preclude unnecessary expenses and postoperative complications involving osseointegration failures.
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Affiliation(s)
- Marcel F Kunrath
- Programa de Pós-Graduação em Odontologia, Escola de Ciências da Saúde e da Vida, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil; Centro de Pesquisa em Toxicologia e Farmacologia, Escola de Ciências da Saúde e da Vida, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil.
| | - Thaís C Muradás
- Centro de Pesquisa em Toxicologia e Farmacologia, Escola de Ciências da Saúde e da Vida, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil; Programa de Pós-Graduação em Medicina e Ciências da Saúde, Escola de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | | | - Maria M Campos
- Programa de Pós-Graduação em Odontologia, Escola de Ciências da Saúde e da Vida, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil; Centro de Pesquisa em Toxicologia e Farmacologia, Escola de Ciências da Saúde e da Vida, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil; Programa de Pós-Graduação em Medicina e Ciências da Saúde, Escola de Medicina, Pontifícia Universidade Católica do Rio Grande do Sul, Porto Alegre, RS, Brazil
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