Abstract

Nowadays, there is a large amount of research aimed at improving the multifunctional behavior of the biomaterials for bone contact, including the concomitant ability to induce apatite formation (bioactivity), fast and effective osteoblasts colonization, and antibacterial activity. The aim of this study is to develop antibacterial and bioactive surfaces (Ti6Al4V alloy and a silica-based bioactive glass) by chemical doping with strontium and/or silver ions. The surfaces were characterized by Scanning Electron Microscopy equipped with Energy Dispersive X ray Spectroscopy (SEM-EDS), X-ray photoelectron spectroscopy (XPS), and Transmission Electron Microscopy (TEM). To better focus on the cells–bacteria competition for the implant surface, in addition to the standard assays for the evaluation of the bacteria adhesion (ISO22196) and for single-cell cultures or biofilm formation, an innovative set of co-cultures of cells and bacteria is here proposed to simulate a competitive surface colonization. The results suggest that all the bioactive tested materials were cytocompatible toward the bone progenitor cells representative for the self-healing process, and that the doped ones were effective in reducing the surface colonization from a pathogenic drug-resistant strain of Staphylococcus aureus. The co-cultures experiments demonstrated that the doped surfaces were able to protect the adhered osteoblasts from the bacteria colonization as well as prevent the infection prior to the surface colonization by the osteoblasts.

Highlights

  • The dental and orthopedic implants are osseointegrated through various phases involving at first the interaction with the body fluids, acute inflammation, cell surface colonization, the production of new bone at the implant surface, and bone remodeling

  • Considering all that is written above, the rationale of this study is to develop antibacterial and bioactive surfaces (Ti6Al4V alloy and a silica-based bioactive glass) by chemical doping with strontium and/or silver ions and to test the competitive surface colonization of the osteoblast progenitors and Nanomaterials 2020, 10, 120 bacteria biofilm

  • Morphological, structural, and chemical characterization was performed through Transmission Electron Microscopy (TEM)-Energy Dispersive X-ray Spectroscopy (EDS), SEM-EDS, and X-ray photoelectron spectroscopy (XPS) analyses, in view of a better understanding of the biological results obtained in the same research; the results are reported and compared in Figures 2 and 3 and Table 1

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Summary

Introduction

The dental and orthopedic implants are osseointegrated through various phases involving at first the interaction with the body fluids, acute inflammation, cell surface colonization, the production of new bone at the implant surface, and bone remodeling. The implants may suffer from infection and the formation of a bacterial biofilm at the different stages of this process [1]. The bacterial infections represent a critical event that could affect the success of a dental or orthopedic implant. Even if the prosthetic infections occur with low frequency (

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