Nanostructured Ti-based multi-component alloys with potential for biomedical applications

Evaluation of graphene oxide-doped poly-lactic-co-glycolic acid (GO-PLGA) nanofiber absorbable plates and titanium plates for bone stability and healing in mandibular corpus fractures: An experimental study

BACKGROUND

Open reduction with internal fixation is the preferred treatment option for displaced facial bone fractures. The superior mechanical properties of metallic plates have made them the most widely used material in existing bone fixation systems. However, after the healing period, these permanent plates can cause various problems. Alternative bioresorbable materials are being investigated to reduce these potential problems. This study compares bone stability and viability by using graphene oxide (GO)-doped poly-lactic-co-glycolic acid (PLGA) nanofiber plates and titanium plates for rats with fractured mandibles.

MATERIALS AND METHODS

The study included 20 male Sprague-Dawley rats, divided into four groups: a control group (Group I), a mandibular fracture group with no additional application (Group II), a mandibular fracture group repaired with titanium plates (Group III), and a mandibular fracture group repaired with GO-PLGA plates (Group IV). After 2 months, all of the rats were euthanized. A bone compression test was performed to assess bone stability, and a histological examination was performed to evaluate bone healing.

RESULTS

The osteocyte lacunae, Haversian ducts, canaliculi, and vascular structures of Group IV were found to be higher. In the compression test, vertical compression was applied to the bone axis, and Group IV had a higher maximum load and maximum stretch. GO-PLGA plates were found to be statistically superior to titanium plates in terms of both bone stability and bone healing (p < 0.05).

CONCLUSIONS

The present study found that GO-PLGA plates are more effective than titanium plates for the treatment of mandibular corpus fractures.

Recent Progress on Nanocrystalline Metallic Materials for Biomedical Applications

Nanocrystalline (NC) metallic materials have better mechanical properties, corrosion behavior and biocompatibility compared with their coarse-grained (CG) counterparts. Recently, nanocrystalline metallic materials are receiving increasing attention for biomedical applications. In this review, we have summarized the mechanical properties, corrosion behavior, biocompatibility, and clinical applications of different types of NC metallic materials. Nanocrystalline materials, such as Ti and Ti alloys, shape memory alloys (SMAs), stainless steels (SS), and biodegradable Fe and Mg alloys prepared by high-pressure torsion, equiangular extrusion techniques, etc., have better mechanical properties, superior corrosion resistance and biocompatibility properties due to their special nanostructures. Moreover, future research directions of NC metallic materials are elaborated. This review can provide guidance and reference for future research on nanocrystalline metallic materials for biomedical applications.

Effect of Thermomechanical Treatments on Microstructure, Phase Composition, Vickers Microhardness, and Young’s Modulus of Ti-xNb-5Mo Alloys for Biomedical Applications

The development of new β-Ti alloys has been extensively studied in the medical field in recent times due to their more suitable mechanical properties, such as a relatively low Young’s modulus. This paper analyzes the influence of heat treatments (homogenization and annealing) and hot rolling on the microstructure, phase composition, and some mechanical properties of ternary alloys of the Ti-xNb-5Mo system, with an amount of Nb varying between 0 and 30 wt%. The samples are produced by argon arc melting. After melting, the samples are homogenized at 1000 °C for 24 h and are hot rolled and annealed at 1000 °C for 6 h with slow cooling. Structural and microstructural analyses are made using X-ray diffraction and optical and scanning electron microscopy. Mechanical properties are evaluated by Vickers microhardness and Young’s modulus. The amount of β phase increases after heat treatment and reduces after hot rolling. The microhardness and Young’s modulus of all heat-treated samples decrease when compared with the hot rolled ones. Some samples exhibit atypical Young’s modulus and microhardness values, such as 515 HV for the as-cast Ti-10Nb-5Mo sample, indicating the possible presence of ω phase in the microstructure. The Ti-30Nb-5Mo sample suffers less variation in its phase composition with thermomechanical treatments due to the β-stabilizing effect of the alloying elements. The studied mechanical properties indicate that the annealed Ti-30Nb-5Mo sample has potential for biomedical applications, exhibiting a Young’s modulus value of 69 GPa and a microhardness of 236 HV.

RETRACTED: In vitro corrosion resistance and in vivo osseointegration testing of new multifunctional beta-type quaternary TiMoZrTa alloys

This article has been retracted: please see Elsevier Policy on Article Withdrawal (https://www.elsevier.com/about/our-business/policies/article-withdrawal). This article has been retracted at the request of authors. Due to communication issues between Professor dr. Lucia Carmen Trincă and Professor dr. Vizureanu Petrica and Assist. dr. Bălţatu Simona, the first author was not aware that the specimens processed by corrosion by Assoc. Professor dr. Daniel Mareci and evaluated in the aforementioned article would be included by Assistant dr. Bălţatu Simona in her PhD thesis that was defended in June 2017 and then in an international patent application (Indonesia) No: PI 2019006569, in November 2019. The authors understand and respect the intellectual property rights of the international (Indonesia) patent application holders no: PI 2019006569/2019 and thus request the retraction of the article.

Effect of Build Orientation on the Corrosion Behavior and Mechanical Properties of Selective Laser Melted Ti-6Al-4V

Ti-6Al-4V alloys with different build orientations have been fabricated by selective laser melting (SLM). The corrosion behavior and mechanical properties have been studied. Investigation of microstructures were characterized by optical microscopy (OM), scanning electron microscopy (SEM), and X-ray diffraction (XRD) analysis. Electrochemical results show that the vertical sample and horizontal sample possess excellent corrosion resistance in the cross section and longitudinal section respectively, which can be attributed to the presence of less acicular α′ martensite and more β phase. Mechanical properties of all samples were determined by compression testing and hardness measurements. The compression strength (σc) and plastic deformation (εp) of the horizontal sample were higher than those of the vertical sample and the sample with building direction of 45°, because the molten pool boundaries (MPBs) play a significant role in the microscopic slipping at the loading SLM parts. In addition, the sample with building orientation of 45° achieved highest hardness. Therefore, distinct anisotropy due to different build orientations.

Corrosion behavior of novel Ti-24Nb-4Zr-7.9Sn alloy for dental implant applications in vitro

Ti-24Nb-4Zr-7.9Sn (TNZS) alloy is a newly developed β-titanium alloy considered suitable for dental implant applications due to its low elastic modulus and high strength. The aim of this study was to investigate the corrosion behavior of TNZS alloy through a static immersion test in various simulated physiological solutions, namely, artificial saliva, lactic acid solution, fluoridated saliva, and fluoridated acidified saliva for 7 days. The corrosion behavior of commercially pure titanium and Ti-6Al-4V alloy were also examined for comparison. The elemental release was measured with inductively coupled plasma mass spectroscopy, and the changes of alloy surface were observed with scanning electron microscopy (SEM). The test results showed that the quantity of each metal element released from TNZS alloy into fluoridated solutions was much higher than the solutions without fluoride ions. It was highest in fluoridated acidified saliva and lowest in artificial saliva (p < 0.01). The total elemental release from TNZS alloy was lower than commercially pure titanium and Ti-6Al-4V alloy in the same solution (p < 0.01). SEM micrographs indicated that TNZS alloy possessed better corrosion resistant performance. It can be concluded that fluoridated solutions have a negative influence on the corrosion behavior of TNZS alloy. Compared with commercially pure titanium and Ti-6Al-4V alloy, TNZS alloy demonstrates better corrosion resistance in various simulated physiological solutions, so it has greater potential for dental implant applications.

Effects of UV photofunctionalization on the nanotopography enhanced initial bioactivity of titanium

This study addresses the control of the biological capabilities of titanium through specific nanosurface features and its potential modulation by UV photofunctionalization. Rat bone marrow derived osteoblasts were cultured on titanium disks with micropits alone, micropits with 100 nm nodules, micropits with 300 nm nodules, or micropits with 500 nm nodules, with or without UV treatment. After a 24 h incubation protein adsorption, as well as the attachment, retention, and spread of osteoblasts were examined in correlation with the topographical parameters of the titanium substrates. Each of the biological events was governed by a different set of multiple surface topographical factors with a distinctive pattern of regulation. For instance, without UV treatment the protein adsorption and cell attachment capability of titanium substrates increased linearly with increasing average roughness (Ra) and surface area of titanium disks, but increased polynomially with increasing nanonodule diameter. The cell retention capability increased polynomially with increasing nanonodular diameter and Ra, but increased linearly with increasing surface area. Consequently, the micropits with 300 nm nodules created the most favorable environment for this initial osteoblast behavior and response. UV treatment of the nanonodular titanium surfaces resulted in considerable enhancement of all biological events. However, the pattern of UV-mediated enhancement was disproportionate; exponential and overriding effects were observed depending upon the biological event and topographical parameter. As an example of overriding enhancement, the cell retention capability, which fluctuated with changes in various topographical parameters, became invariably high after UV treatment. The present data provide a basis for understanding how to optimize nanostructures to create titanium surfaces with increased biological capabilities and uncover a novel advantage of UV photofunctionalization of titanium substrates that synergistically increases its nanotopography enhanced biological capabilities whereby most of the initial biological events of osteoblasts were overwhelmingly enhanced beyond a simple proportional increase.

Synergistic effects of UV photofunctionalization and micro-nano hybrid topography on the biological properties of titanium

Titanium surfaces with micro-nano hybrid topography (nanoscale nodules in microscale pits) have been recently demonstrated to show higher biological capability than those with microtopography alone. On the other hand, UV treatment of titanium surfaces, which is called UV photofunctionalization, has recently been introduced to substantially increase the biological capability and osteoconductivity of titanium surfaces. However, synergistic effects of these two advanced surface modification technologies and regulatory factors to potentially modulate the mutual effects have never been addressed. In this study, utilization of a recently discovered controllable self-assembly of TiO(2) nanonodules has enabled the exploration of the relative contribution of different sizes of nanostructures to determine the biological capability of titanium surfaces and their relative responsiveness to UV photofunctionalization. Rat bone marrow-derived osteoblasts were cultured on titanium disks with either micropits alone, micropits with 100-nm nodules, micropits with 300-nm nodules, or micropits with 500-nm nodules, with or without UV treatment. Although UV treatment increased the attachment, spread, proliferation, and mineralization of these cells on all titanium surfaces, these effects were more accentuated (3-5 times) on nanonodular surfaces than on surfaces with micropits alone and were disproportionate depending on nanonodule sizes. For instance, on UV-treated micro-nano hybrid surfaces, cell attachment correlated with nanonodule sizes in a quadratic approximation with its peak for 300-nm nodules followed by a decline for 500-nm nodules, while cell attachment exponentially correlated with surface roughness with its plateau achieved for 300-nm nodules without a subsequent decline. Moreover, cell attachment increased in a linear correlation with the surface area, while no significant effect of the inter-irregularities space or degree of hydrophilicity was observed on cell attachment. These results suggest that the effect of UV photofunctionalization can be multiplied on micro-nano hybrid titanium surfaces compared with the surfaces with micropits alone. This multiplication is disproportionately regulated by a selected set of topographical parameters of the titanium surfaces. Among the nanonodules tested in this study, 300-nm nodules seemed to create the most effective morphological environment for responding to UV photofunctionalization. The data provide a systematic platform to effectively optimize nanostructures on titanium surfaces in order to enhance their biological capability as well as their susceptibility to UV photofunctionalization.

Corrosion behaviour of β-Ti20Mo alloy in artificial saliva

To evaluate the potential of β-Ti20Mo alloy as a dental material, we tested its corrosion behaviour in artificial saliva in comparison to that of cp-Ti. Open-circuit potential (E(OC)), potentiodynamic polarization and electrochemical impedance spectroscopy (EIS) were used as electrochemical methods to characterize the corrosion behaviour of Ti20Mo alloy and cp-Ti, respectively. Corrosion current and passive current densities obtained from the polarization curves showed low values indicating a typical passive behaviour for Ti20Mo alloy. The EIS technique enabled us to study the nature of the passive film formed on the binary Ti20Mo alloy at various imposed potentials. The Bode phase spectra obtained for Ti20Mo alloy in artificial saliva exhibited two-time constants at higher potential (0.5 V, 1.0 V), indicating a two-layer structure. According to our experimental measurements, Ti20Mo alloy appears to possess superior corrosion resistance to that of cp-Ti in artificial saliva.

Dental implant systems

Among various dental materials and their successful applications, a dental implant is a good example of the integrated system of science and technology involved in multiple disciplines including surface chemistry and physics, biomechanics, from macro-scale to nano-scale manufacturing technologies and surface engineering. As many other dental materials and devices, there are crucial requirements taken upon on dental implants systems, since surface of dental implants is directly in contact with vital hard/soft tissue and is subjected to chemical as well as mechanical bio-environments. Such requirements should, at least, include biological compatibility, mechanical compatibility, and morphological compatibility to surrounding vital tissues. In this review, based on carefully selected about 500 published articles, these requirements plus MRI compatibility are firstly reviewed, followed by surface texturing methods in details. Normally dental implants are placed to lost tooth/teeth location(s) in adult patients whose skeleton and bony growth have already completed. However, there are some controversial issues for placing dental implants in growing patients. This point has been, in most of dental articles, overlooked. This review, therefore, throws a deliberate sight on this point. Concluding this review, we are proposing a novel implant system that integrates materials science and up-dated surface technology to improve dental implant systems exhibiting bio- and mechano-functionalities.

Calcium phosphate-based coatings on titanium and its alloys

Use of titanium as biomaterial is possible because of its very favorable biocompatibility with living tissue. Titanium implants having calcium phosphate coatings on their surface show good fixation to the bone. This review covers briefly the requirements of typical biomaterials and narrowly focuses on the works on titanium. Calcium phosphate ceramics for use in implants are introduced and various methods of producing calcium phosphate coating on titanium substrates are elaborated. Advantages and disadvantages of each type of coating from the view point of process simplicity, cost-effectiveness, stability of the coatings, coating integration with the bone, cell behavior, and so forth are highlighted. Taking into account all these factors, the efficient method(s) of producing these coatings are indicated finally.

Biomechanical and Biocorrosion Properties of Nanostructured Titanium

The nanostructured titanium was fabricated via the surface mechanical attrition treatment (SMAT) process and the effect of nano-crystalline structure on the biomechanical and biocorrosion properties were studied. It was found that the Young’s modulus of nanostructured Ti decreased significantly and thus the biomechanical property was improved. The electrochemical results revealed that the corrosion resistance of Ti became worse after SMAT process, which is contributed to the higher activation of the nanostructured surface.

In vitro culture of mesenchymal cells onto nanocrystalline hydroxyapatite-coated Ti13Nb13Zr alloy

In this study we coated a new biocompatible, nanostructured titanium alloy, Ti13Nb13Zr, with a thin layer of hydroxyapatite nanocrystals and we investigated the response of human bone-marrow-derived mesenchymal cells. The coating was realized using a slightly supersaturated CaP solution, which provokes a fast deposition of nanocrystalline hydroxyapatite. A thin layer of deposition is appreciable on the etched Ti13Nb13Zr substrates after just 1.5 h soaking in the CaP solution, and it reaches a thickness of 1-2 mum after 3 h soaking. The coating seems thinner than that deposited on Ti6Al4V, which was examined for comparison, likely because of the different roughness profiles of the two etched alloys, and it is constituted of elongated HA nanocrystals, with a mean length of about 100 nm. Mesenchymal stem cells were seeded onto coated and uncoated Ti alloys and cultured for up to 35 days. Cell morphology, proliferation and differentiation were evaluated. The cells display good adhesion and proliferation on the uncoated substrates, whereas the presence of hydroxyapatite coating slightly reduces cell proliferation and induces differentiation of MSCs towards a phenotypic osteoblastic lineage, in agreement with the increase of the expression of osteopontin, osteonectin and collagen type I, evaluated by means of rt-PCR. Type I collagen expression is higher in Ti13Nb13Zr MSC culture compared to Ti6Al4V, standing for a more efficient extracellular matrix deposition.