Laser cladding of bioactive glass coating on pure titanium substrate with highly refined grain structure

Advances in Multifunctional Bioactive Coatings for Metallic Bone Implants

To fix the bone in orthopedics, it is almost always necessary to use implants. Metals provide the needed physical and mechanical properties for load-bearing applications. Although widely used as biomedical materials for the replacement of hard tissue, metallic implants still confront challenges, among which the foremost is their low biocompatibility. Some of them also suffer from excessive wear, low corrosion resistance, infections and shielding stress. To address these issues, various coatings have been applied to enhance their in vitro and in vivo performance. When merged with the beneficial properties of various bio-ceramic or polymer coatings remarkable bioactive, osteogenic, antibacterial, or biodegradable composite implants can be created. In this review, bioactive and high-performance coatings for metallic bone implants are systematically reviewed and their biocompatibility is discussed. Updates in coating materials and formulations for metallic implants, as well as their production routes, have been provided. The ways of improving the bioactive coating performance by incorporating bioactive moieties such as growth factors, osteogenic factors, immunomodulatory factors, antibiotics, or other drugs that are locally released in a controlled manner have also been addressed.

Anti-inflammatory properties of S53P4 bioactive glass implant material

OBJECTIVES

To assess whether the dissolution products of S53P4 bioactive glass (BG) affect cellular response of macrophages and clinically relevant peri‑implant cell populations to dental implant particles in vitro. Cells chosen were human gingival fibroblasts (HGFs), osteoblasts and bone marrow derived stromal cells (HBMSCs).

METHODS

Melt-derived S53P4 bioactive glass were prepared. HGFs, Saos-2 human osteoblastic cell line, HBMSCs and macrophages, derived from THP-1 human monocytic cell line, were cultured in the presence of particles from commercially pure titanium (Ti-CP4), grade 5 titanium alloy (Ti-6Al-4V), titanium-zirconium alloy (Ti-15Zr) or zirconia (Zr) (with respective diameters of 34.1 ± 3.8, 33.3 ± 4.4, 97.8 ± 8.2 and 71.3 ± 6.1 µm) with or without S53P4 dissolution products (conditioned media contained 327.30 ± 2.01 ppm Ca, 51.34 ± 0.41 ppm P and 61.48 ± 1.17 ppm Si, pH 8.01 ± 0.21). Inflammatory and macrophage polarisation markers including TNF-ɑ, IL-1, IL-6 and CD206 were quantified using enzyme-linked immunosorbent assay (ELISA).

RESULTS

The presence of Ti-6Al-4V implant particles significantly induced the expression of pro-inflammatory markers in all tested cell types. S53P4 BG dissolution products regressed the particle induced up-regulation of pro-inflammatory markers and, appeared to suppress M1 macrophage polarisation.

CONCLUSIONS

Implant particles, Ti-6Al-4V in particular, resulted in significant inflammatory responses from cells. S53P4 BG may possess anti-inflammatory properties and potentially mediate macrophage polarisation behaviour.

CLINICAL SIGNIFICANCE

The findings highlight that the use and benefits of BG is a promising field of study. Authors believe more collective efforts are required to fully understand the reliability, efficiency and exact mechanisms of action of BG in the search for new generation of treatment modalities in dentistry.

Surface Modification of Biomedical Ti and Ti Alloys: A Review on Current Advances

Ti is widely used as a material for orthopedic implants. As rapid and effective osseointegration is a key factor for the successful application of implants, biologically inert Ti materials start to show inherent limitations, such as poor surface cell adhesion, bioactivity, and bone-growth-inducing capabilities. Surface modification can be an efficient and effective approach to addressing the biocompatibility, mechanical, and functionality issues of the various Ti implant materials. In this study, we have overviewed more than 140 papers to summarize the recent progress in the surface modification of Ti implants by physical and/or chemical modification approaches, aiming at optimizing their wear resistance, biocompatibility, and antimicrobial properties. As an advanced manufacturing technology for Ti and Ti alloys, additive manufacturing was particularly addressed in this review. We also provide an outlook for future research directions in this field as a contribution to the development of advanced Ti implants for biomedical applications.

Laser Surface Modification of TC21 (α/β) Titanium Alloy Using a Direct Energy Deposition (DED) Process

The TC21 alloy (Ti-6Al-3Mo-1.9Nb-2.2Sn-2.2Zr-1.5Cr) is considered a new titanium alloy that replaced the commercial Ti-6Al-4V alloy in aerospace applications due to its higher operating temperatures. Recently, direct energy deposition was usually applied to enhance the hardness, tribological properties, and corrosion resistance for many alloys. Consequently, this study was performed by utilizing direct energy deposition (DED) on TC21 (α/β) titanium alloy to improve their mechanical properties by depositing a mixture powder of stellite-6 (Co-based alloy) and tungsten carbides particles (WC). Different WC percentages were applied to the surfaces of TC21 using a 4 kW continuous-wave fiber-coupled diode laser at a constant powder feeding rate. This study aimed to obtain a uniform distribution of hard surfaces containing undissolved WC particles that were dispersed in a Co-based alloy matrix to enhance the wear resistance of such alloys. Scanning electron microscopy, energy dispersive X-ray analysis (EDAX), and X-ray diffractometry (XRD) were used to characterize the deposited layers. New constituents and intermetallic compounds were found in the deposited layers. The microhardness was measured for all deposited layers and wear resistance was evaluated at room temperature using a dry sliding ball during a disk abrasion test. The results showed that the microstructure of the deposited layer consisted of a hypereutectic structure and undissolved tungsten carbide dispersed in the matrix of the Co-based alloy that depended on the WC weight fraction. The microhardness values increased with increasing WC weight fraction in the deposited powder by more than threefold as compared with the as-cast samples. A notable enhancement of wear resistance of the deposited layers was thus achieved.