LASER as a tool for surface modification of dental biomaterials: A review

Fostering tissue engineering and regenerative medicine to treat musculoskeletal disorders in bone and muscle

The musculoskeletal system, which is vital for movement, support, and protection, can be impaired by disorders such as osteoporosis, osteoarthritis, and muscular dystrophy. This review focuses on the advances in tissue engineering and regenerative medicine, specifically aimed at alleviating these disorders. It explores the roles of cell therapy, particularly Mesenchymal Stem Cells (MSCs) and Adipose-Derived Stem Cells (ADSCs), biomaterials, and biomolecules/external stimulations in fostering bone and muscle regeneration. The current research underscores the potential of MSCs and ADSCs despite the persistent challenges of cell scarcity, inconsistent outcomes, and safety concerns. Moreover, integrating exogenous materials such as scaffolds and external stimuli like electrical stimulation and growth factors shows promise in enhancing musculoskeletal regeneration. This review emphasizes the need for comprehensive studies and adopting innovative techniques together to refine and advance these multi-therapeutic strategies, ultimately benefiting patients with musculoskeletal disorders.

Effects and underlying mechanism of micro-nano-structured zirconia surfaces on biological behaviors of human gingival fibroblasts under inflammatory conditions

Zirconia is one of the most commonly used materials for abutments of dental implants, especially in the anterior region. Soft tissue integration to the zirconia abutment surface remains a challenge. Peri-implant soft tissue integration serves as a physiological barrier, attenuating pathogen penetration and preventing peri‑implant disease. The surface microstructure of zirconia has significant effects on the biological behaviors of human gingival fibroblasts (HGFs), but the effects under inflammatory conditions are still unclear. In this study, we established two micro-nano structures on zirconia surfaces using a femtosecond laser, including microgrooves with widths of 30 µm (G3) and 60 µm (G6) and depths of 5 µm, and nanoparticles inside the microgrooves. Polished surfaces were used as controls. HGFs were seeded onto the three groups of zirconia specimens and stimulated with lipopolysaccharide. The HGFs on micro-nano-structured zirconia surfaces exhibited lower inflammatory responses and higher cell adhesion, proliferation, and migration under inflammatory conditions compared with the polished surfaces. Additionally, the G3 group exhibited lower inflammatory responses and higher cell adhesion and migration than the G6 group. The micro-nano-structured zirconia surface exhibited decreased neutrophil infiltration and increased M2-type macrophage polarization in vivo. To explore the molecular mechanism, RNA sequencing and gene silencing were utilized, which revealed two critical target genes regulated by the G3 group. Overall, we proposed an innovative micro-nano-structured zirconia surface that reduced the in vitro and in vivo inflammatory responses and promoted HGF adhesion, migration, and proliferation under inflammatory conditions, in which TRAFD1 and NLRC5 were the underlying key genes. STATEMENT OF SIGNIFICANCE: Zirconia is one of the most commonly used materials for abutments, especially in the anterior region. The surface microstructure of zirconia has significant effects on the biological behaviors of human gingival fibroblasts (HGFs), but few studies have investigated these effects under inflammatory conditions, and the mechanism remains unclear. In this study, we developed an innovative micro-nano-structured zirconia surface using a femtosecond laser, which reduces the in vitro and in vivo pro-inflammatory responses and promotes HGFs adhesion, migration, and proliferation under inflammatory conditions compared with the polished zirconia surface. The potential underlying mechanism was also investigated. This work has provided some theoretical basis for the micro-nano-structured zirconia surface in potentially reducing the inflammation and enhancing peri‑implant soft-tissue integration under inflammatory conditions.

Soft and Hard Tissue Integration around Percutaneous Bone-Anchored Titanium Prostheses: Toward Achieving Holistic Biointegration

A holistic biointegration of percutaneous bone-anchored metallic prostheses with both hard and soft tissues dictates their longevity in the human body. While titanium (Ti) has nearly solved osseointegration, soft tissue integration of percutaneous metallic prostheses is a perennial problem. Unlike the firm soft tissue sealing in biological percutaneous structures (fingernails and teeth), foreign body response of the skin to titanium (Ti) leads to inflammation, epidermal downgrowth and inferior peri-implant soft tissue sealing. This review discusses various implant surface treatments/texturing and coatings for osseointegration, soft tissue integration, and against bacterial attachment. While surface microroughness by SLA (sandblasting with large grit and acid etched) and porous calcium phosphate (CaP) coatings improve Ti osseointegration, smooth and textured titania nanopores, nanotubes, microgrooves, and biomolecular coatings encourage soft tissue attachment. However, the inferior peri-implant soft tissue sealing compared to natural teeth can lead to peri-implantitis. Toward this end, the application of smart multifunctional bioadhesives with strong adhesion to soft tissues, mechanical resilience, durability, antibacterial, and immunomodulatory properties for soft tissue attachment to metallic prostheses is proposed.

Commercial-Scale Modification of NdFeB Magnets under Laser-Assisted Conditions

Rare Earth elements (REE) such as NdFeB are commonly used to produce permanent magnets. Thanks to their superior properties, these materials are highly desirable for green energy applications such as wind power generators or electric cars. Currently, REEs are critical for the ongoing development of eco-friendly solutions in different industrial branches. The emerging issue of REE depletion has led to a need for new methods to enable the life cycle elongation, resistance to wear, and external factors improvement of NdFeB magnets. This can be achieved by advanced, nanostructured coating formation of magnet surfaces to increase their functionality and protect from humidity, pressure, temperature, and other factors. The aim of the following research was to develop a new, scalable strategy for the modification of NdFeB magnets using laser-assisted technique, also known as Laser cladding. For this purpose, four different micropowders were used to modify commercial NdFeB samples. The products were investigated for their morphology, structure, chemical composition, and crystallography. Moreover, magnetic flux density was evaluated. Our results showed that laser cladding constitutes a promising strategy for REE-based permanent magnets modification and regeneration and may help to improve durability and resistance of NdFeB components.

Performance of textured dual mobility total hip prosthesis with a concave dimple during Muslim prayer movements

The single mobility bearing as a previous bearing design of total hip prosthesis has severe mobility constraints that can result in dislocation during Muslim (people who follow the Islam as religion) prayer movements, specifically shalat that requires intense movement. There are five intense movements (i.e., bowing, prostration, sitting, transition from standing to prostration, and final sitting) during Muslim prayer that may generate an impingement problem for patients with total hip prosthesis. In this work, textured dual mobility total hip prosthesis with two textured cases (i.e., textured femoral head and textured inner liner) are presented and their performances are numerically evaluated against untextured surface model during Muslim prayer movement. The concave dimple design is chosen for surface texturing, while for simulating femoral head materials, SS 316L and CoCrMo is choosen. To represent the real condition, three-dimensional computational fluid dynamics (CFD) coupled with two-way fluid-structure interaction (FSI) methods are employed to analyze elastohydrodynamic lubrication problem with non-Newtonian synovial fluid model. The main aim of the present study is to investigate the tribological performance on dual mobility total hip prosthesis with applied textured surface with concave dimple in femoral head and inner liner surface under Muslim prayer movements. It is found that applying surface texturing has a beneficial effect on the lubrication performance for some intense movements. The textured femoral head model performs better than textured inner liner model and untextured model (both femoral head and inner liner). The numerical results also indicate superior performance of CoCrMo femoral head compared to SS 316L femoral head. These findings can be used as a reference for biomedical engineers and orthopedic surgeons in designing and choosing suitable total hip prosthesis for Muslims makes they can carry out Muslim prayer movements like humans in general who have normal hip joints.

The Influence of Selected Laser Engraving Parameters on Surface Conditions of Hybrid Metal Matrix Composites

Hybrid metal matrix composites (HMMCs) are a special type of material, possessing combined properties that belong to alloys and metals according to market demands. Therefore, they are used in different areas of industry and the properties of this type of material are useful in engineering applications, e.g., in aircraft engines and electrotechnical parts. The structure of the material requires a number of scientific studies to develop an appropriate processing technology. The paper presents the susceptibility of material from the HMMCs group with the EN AC-44300 (AISi12(Fe)) aluminum alloy matrix with a two-component reinforcement made of alumina particles (AP) and aluminosilicate fibers (AF) to thermal treatment with a laser beam. During this process, laser engraving of the researched material with variable beam power Pav and variable speed of the laser head vl were carried out. A metallographic analysis of the material was carried out. After laser engraving, surface structural changes of the material were determined. The properties of the surface geometric structure of processed material were also examined. Presented studies concern laser engraving on the surface of composite from the HMMC group, which was made by vacuum infiltration. Thanks to this method, it is possible both to produce shaped and precise composite castings with saturated reinforcement and to consequently minimize machining losses. Metal-ceramic composites from the HMMC group are hard-to-machine materials which create problems during machining. The aim of these studies was to develop a laser engraving technology with Al matrix composite with the addition of Al2O3 particles and aluminosilicate fibers, which constitute the reinforcement. The focus was on the selection of engraving parameters (beam power and speed of movement of the laser head). Clear examples of engraving, suitable for macro-assessment, were obtained with minimal change in the initial surface structure of the composite.