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Marin E, Lanzutti A. Biomedical Applications of Titanium Alloys: A Comprehensive Review. MATERIALS (BASEL, SWITZERLAND) 2023; 17:114. [PMID: 38203968 PMCID: PMC10780041 DOI: 10.3390/ma17010114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Revised: 12/15/2023] [Accepted: 12/21/2023] [Indexed: 01/12/2024]
Abstract
Titanium alloys have emerged as the most successful metallic material to ever be applied in the field of biomedical engineering. This comprehensive review covers the history of titanium in medicine, the properties of titanium and its alloys, the production technologies used to produce biomedical implants, and the most common uses for titanium and its alloys, ranging from orthopedic implants to dental prosthetics and cardiovascular devices. At the core of this success lies the combination of machinability, mechanical strength, biocompatibility, and corrosion resistance. This unique combination of useful traits has positioned titanium alloys as an indispensable material for biomedical engineering applications, enabling safer, more durable, and more efficient treatments for patients affected by various kinds of pathologies. This review takes an in-depth journey into the inherent properties that define titanium alloys and which of them are advantageous for biomedical use. It explores their production techniques and the fabrication methodologies that are utilized to machine them into their final shape. The biomedical applications of titanium alloys are then categorized and described in detail, focusing on which specific advantages titanium alloys are present when compared to other materials. This review not only captures the current state of the art, but also explores the future possibilities and limitations of titanium alloys applied in the biomedical field.
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Affiliation(s)
- Elia Marin
- Ceramic Physics Laboratory, Kyoto Institute of Technology, Sakyo-ku, Kyoto 606-8585, Japan
- Department of Dental Medicine, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto 602-8566, Japan
- Department Polytechnic of Engineering and Architecture, University of Udine, 33100 Udine, Italy
- Biomedical Research Center, Kyoto Institute of Technology, Sakyo-ku, Kyoto 606-8585, Japan
| | - Alex Lanzutti
- Department Polytechnic of Engineering and Architecture, University of Udine, 33100 Udine, Italy
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Alhamad M, Barão VA, Sukotjo C, Yerokhin A, Mathew MT. Unpredictable Electrochemical Processes in Ti Dental Implants: The Role of Ti Ions and Inflammatory Products. ACS APPLIED BIO MATERIALS 2023; 6:3661-3673. [PMID: 37602778 DOI: 10.1021/acsabm.3c00235] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/22/2023]
Abstract
Peri-implantitis is a substantially prevailing condition. A potential risk factor for peri-implantitis is Ti implant corrosion. During inflammation, substantial quantities of reactive oxygen species (ROS) secretion and local acidification occur. Little is known about the interaction between the inflammatory and corrosion products on Ti surface corrosion. Therefore, the objective of the current study was to evaluate the synergistic effect of hydrogen peroxide (H2O2), lactic acid, and Ti ions on Ti corrosion. Twenty-seven commercially pure Ti samples were polished (Ra ≈ 45 nm) and divided into 9 groups as a function of electrolyte: (1) artificial saliva (AS) as control (C), (2) AS + Ti ions 20 ppm (Ti), (3) AS + lactic acid (pH = 5.5) (L), (4) AS + lactic acid + Ti ions 20 ppm (TiL), (5) AS + H2O2 0.5 mM (HP0.5), (6) AS + H2O2 1.0 mM (HP1.0), (7) AS + H2O2 0.5 mM + Ti ions 20 ppm (HP0.5Ti), (8) AS + H2O2 0.5 mM + lactic acid (HP0.5L), and (9) AS + H2O2 0.5 mM + Ti ions 20 ppm + lactic acid (HP0.5TiL). Electrochemical tests were performed following ASMT guidelines. Based on Tafel's method, current density (icorr) and corresponding potential (Ecorr) were acquired from potentiodynamic curves. Using electrochemical intensity spectroscopy (EIS), Nyquist and Bode plots were derived. Using a modified Randles circuit, charge transfer resistance (Rct) and capacitance (Cdl) were estimated. Based on open-circuit potential data, groups C and Ti had the lowest potentials (around -0.3 and -0.4 V vs SCE, respectively), indicating a lower passivation tendency compared to the other groups. From potentiodynamic curves, groups HP0.5 and HP1.0 increased icorr the most. From EIS data, groups HP0.5 and HP1.0 demonstrated the lowest impedance and phase angle on the Bode plot, indicating the highest corrosion kinetics. Based on EIS modeling, the combination of Ti ions, lactic acid, and H2O2 (group HP0.5TiL) significantly decreased Rct (p < 0.05). In conclusion, the concurrent presence of Ti ions, lactic acid, and H2O2 in the vicinity of the Ti surface increased the corrosion kinetics. High corrosion may produce more Ti products in the peri-implant tissues, which may increase the potential risk of peri-implantitis.
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Affiliation(s)
- Mostafa Alhamad
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, Illinois 60612, United States
- Department of Restorative Dental Sciences, Imam Abdulrahman Bin Faisal University, College of Dentistry, Dammam 34212, Saudi Arabia
| | - Valentim Adelino Barão
- Department of Prosthodontics and Periodontology, Piracicaba Dental School, University of Campinas, (UNICAMP), Piracicaba 13414-903, São Paulo, Brazil
| | - Cortino Sukotjo
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, Illinois 60612, United States
| | - Aleksey Yerokhin
- Department of Materials, University of Manchester, Oxford Road, Manchester M13 9PL, U.K
| | - Mathew Thoppil Mathew
- Department of Restorative Dentistry, University of Illinois at Chicago, College of Dentistry, Chicago, Illinois 60612, United States
- Department of Biomedical Sciences, University of Illinois, College of Medicine, Rockford, Illinois 61107, United States
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Matsko A, Shaker N, Fernandes ACBCJ, Haimeur A, França R. Nanoscale Chemical Surface Analyses of Recycled Powder for Direct Metal Powder Bed Fusion Ti-6Al-4V Root Analog Dental Implant: An X-ray Photoelectron Spectroscopy Study. Bioengineering (Basel) 2023; 10:379. [PMID: 36978770 PMCID: PMC10045388 DOI: 10.3390/bioengineering10030379] [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: 01/29/2023] [Revised: 03/15/2023] [Accepted: 03/16/2023] [Indexed: 03/30/2023] Open
Abstract
Over the past couple of decades, additive manufacturing and the use of root-analogue-printed titanium dental implants have been developed. Not all powder particles are sintered into the final product during the additive manufacturing process. Reuse of the remaining powder could reduce the overall implant manufacturing cost. However, Ti-6Al-4V powder particles are affected by heat, mechanical factors, and oxidization during the powder bed fusion manufacturing process. Degradation of the powder may harm the final surface composition and decrease the biocompatibility and survival of the implant. The uncertainty of the recycled powder properties prevents implant fabrication facilities from reusing the powder. This study investigates the chemical composition of controlled, clean, and recycled titanium alloy powder and root-analogue implants (RAI) manufactured from these powders at three different depths. The change in titanium's quantity, oxidization state, and chemical composition in powder and RAI implants have been demonstrated and analyzed. While not identical, the surface chemical composition of the recycled powder implant and the implant manufactured from unused powder are similar. The results also indicate the presence of TiO2 on all surfaces. Many studies confirmed that titanium dioxide on the implant's surface correlates with better osteointegration, reduced bacterial infection, and increased corrosion resistance. Considering economic and environmental aspects, surface chemical composition comparison of clean and reused powder is crucial for the future manufacturing of cost-effective and biocompatible implants.
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Affiliation(s)
- Anastasia Matsko
- Biomedical Engineering Program, Faculty of Engineering University of Manitoba, Winnipeg, MB R3T 2N2, Canada
| | - Nader Shaker
- Department of Restorative Dentistry, College of Dentistry, University of Manitoba, Winnipeg, MB R3E 0W2, Canada
| | | | - Asmaa Haimeur
- Department of Restorative Dentistry, College of Dentistry, University of Manitoba, Winnipeg, MB R3E 0W2, Canada
| | - Rodrigo França
- Department of Restorative Dentistry, College of Dentistry, University of Manitoba, Winnipeg, MB R3E 0W2, Canada
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Kotsakis GA, Olmedo DG. Peri-implantitis is not periodontitis: Scientific discoveries shed light on microbiome-biomaterial interactions that may determine disease phenotype. Periodontol 2000 2021; 86:231-240. [PMID: 33690947 DOI: 10.1111/prd.12372] [Citation(s) in RCA: 93] [Impact Index Per Article: 31.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Peri-implantitis is an immune-mediated biological complication that is attributed to bacterial biofilms on the implant surface. As both periodontitis and peri-implantitis have similar inflammatory phenotypes when assessed cross-sectionally, treatment protocols for peri-implantitis were modeled according to those used for periodontitis. However, lack of efficacy of antimicrobial treatments targeting periodontal pathogens coupled with recent discoveries from open-ended microbial investigation studies create a heightened need to revisit the pathogenesis of peri-implantitis compared with that of periodontitis. The tale of biofilm formation on intraoral solid surfaces begins with pellicle formation, which supports initial bacterial adhesion. The differences between implant- and tooth-bound biofilms appear as early as bacterial adhesion commences. The electrostatic forces and ionic bonding that drive initial bacterial adhesion are fundamentally different in the presence of titanium dioxide or other implant alloys vs mineralized organic hydroxyapatite, respectively. Moreover, the interaction between metal surfaces and the oral environment leads to the release of implant degradation products into the peri-implant sulcus, which exposes the microbiota to increased environmental stress and may alter immune responses to bacteria. Clinically, biofilms found in peri-implantitis are resistant to beta-lactam antibiotics, which are effective against periodontal communities even as monotherapies and demonstrate a composition different from that of biofilms found in periodontitis; these facts strongly suggest that a new model of peri-implant infection is required.
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Affiliation(s)
- Georgios A Kotsakis
- Department of Periodontics, University of Texas Health San Antonio, San Antonio, Texas, USA
| | - Daniel G Olmedo
- Universidad de Buenos Aires. Facultad de Odontología. Cátedra de Anatomía Patológica, Buenos Aires, Argentina & CONICET, Buenos Aires, Argentina
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Benzing JT, Maryon OO, Hrabe N, Davis PH, Hurley MF, DelRio FW. Impact of grain orientation and phase on Volta potential differences in an additively manufactured titanium alloy. AIP ADVANCES 2021; 11:10.1063/5.0038114. [PMID: 34249471 PMCID: PMC8272250 DOI: 10.1063/5.0038114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Accepted: 01/08/2021] [Indexed: 06/13/2023]
Abstract
This work introduces a method for co-localized multi-modal imaging of sub-μm features in an additively manufactured (AM) titanium alloy. Ti-6Al-4V parts manufactured by electron beam melting powder bed fusion were subjected to hot isostatic pressing to seal internal porosity and machined to remove contour-hatch interfaces. Electron microscopy and atomic force microscopy-based techniques (electron backscatter diffraction and scanning Kelvin probe force microscopy) were used to measure and categorize the effects of crystallographic texture, misorientation, and phase content on the relative differences in the Volta potential of α-Ti and β-Ti phases. Given the tunability of additive manufacturing processes, recommendations for texture and phase control are discussed. In particular, our findings indicate that the potential for micro-galvanic corrosion initiation can be regulated in AM Ti-6Al-4V parts by minimizing both the total area of {111} prior-β grains and the number of contact points between {111} β grains and α laths that originate from {001} prior-β grains.
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Affiliation(s)
- Jake T. Benzing
- Material Measurement Laboratory, National Institute of Standards and Technology, Boulder, Colorado 80305, USA
| | - Olivia O. Maryon
- Micron School of Materials Science and Engineering, Boise State University, Boise, Idaho 83725, USA
| | - Nik Hrabe
- Material Measurement Laboratory, National Institute of Standards and Technology, Boulder, Colorado 80305, USA
| | - Paul H. Davis
- Micron School of Materials Science and Engineering, Boise State University, Boise, Idaho 83725, USA
| | - Michael F. Hurley
- Micron School of Materials Science and Engineering, Boise State University, Boise, Idaho 83725, USA
| | - Frank W. DelRio
- Material Measurement Laboratory, National Institute of Standards and Technology, Boulder, Colorado 80305, USA
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Influence of Two-Stage Anodization on Properties of the Oxide Coatings on the Ti–13Nb–13Zr Alloy. COATINGS 2020. [DOI: 10.3390/coatings10080707] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
The increasing demand for titanium and its alloys used for implants results in the need for innovative surface treatments that may both increase corrosion resistance and biocompatibility and demonstrate antibacterial protection at no cytotoxicity. The purpose of this research was to characterize the effect of two-stage anodization—performed for 30 min in phosphoric acid—in the presence of hydrofluoric acid in the second stage. Scanning electron microscopy, atomic force microscopy, energy-dispersive X-ray spectroscopy, X-ray diffraction, Raman spectroscopy, glow discharge optical emission spectroscopy, nanoindentation and nano-scratch tests, potentiodynamic corrosion studies, and water contact angle measurements were performed to characterize microstructure, mechanical, chemical and physical properties. The biologic examinations were carried out to determine the cytotoxicity and antibacterial effects of oxide coatings. The research results demonstrate that two-stage oxidation affects several features and, in particular, improves mechanical and chemical behavior. The processes influencing the formation and properties of the oxide coating are discussed.
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