Surface Of Implants Research Articles

Effect of non-contact induction heating on HA coatings and bone cement, an ex vivo study

Background Prosthetic joint infection is a serious complication that can arise after total joint replacement surgery. When bacteria colonise an orthopaedic implant, they form biofilms that protect them from their environment, making them difficult to remove. Treatment is further complicated by a global rise of antimicrobial resistance. These protective mechanisms make treatment of prosthetic joint infection increasingly complex. Non-contact induction heating is an upcoming technology that uses heat to eradicate bacteria that are present on the surface of metallic implants. This study aims to provide insight into the feasibility of using non-contact induction heating on metallic implants that are in direct contact with other biomaterials, such as coatings composed of hydroxyapatite and bone cement composed of poly (methyl methacrylate) (PMMA). Methods Characterisation of hydroxyapatite coatings and adhesion strength tests were conducted according to standards set by the International Organisation for Standardisation (ISO 13779-2). The fixation strength of acrylic bone cement was tested according to an adapted method from ISO. Results It was found that non-contact induction heating did not significantly affect the adhesion strength of hydroxyapatite coatings. In contrast to hydroxyapatite coatings, acrylic bone cement softened temporarily as the temperature exceeded the glass transition temperature (83.38 ± 10.88°C). However, the induction heating temperature had no significant effect on the fixation strength after the cement was allowed to cool down. Conclusion This study shows the feasibility of using non-contact induction heating up to 80°C when bone cement or ceramic coatings are present in contact with infected metallic implants.

Improved Biocompatibility in Laser-Polished Implants.

This research aims to enhance the surface quality, mechanical properties, and biocompatibility of PEEK (polyether-ether-ketone) biomimetic dental implants through laser polishing. The objective is to improve osseointegration and implant durability by reducing surface roughness, increasing hydrophilicity, and enhancing mechanical strength. The methodology involved fabricating PEEK implants via FDM and applying laser polishing. The significant findings showed a 66.7% reduction in surface roughness, Ra reduced from 2.4 µm to 0.8 µm, and a 25.3% improvement in hydrophilicity, water contact angle decreased from 87° to 65°. Mechanical tests revealed a 6.3% increase in tensile strength (96 MPa to 102 MPa) and a 50% improvement in fatigue resistance (100,000 to 150,000 cycles). The strength analysis result showed a 10% increase in stiffness storage modulus from 1400 MPa to 1500 MPa. Error analysis showed a standard deviation of ±3% across all tests. In conclusion, laser polishing significantly improves the surface, mechanical, and biological performance of PEEK implants, making it a promising approach for advancing biomimetic dental implant technology.

Risk of Late Implant Loss and Peri-Implantitis Based on Dental Implant Surfaces and Abutment Types: A Nationwide Cohort Study in the Elderly.

This nationwide population-based cohort study aimed to assess the incidence of implant complication treatments, including implant removal procedures and peri-implantitis treatments, in relation to implant surfaces and abutment types. Data from the National Health Insurance Service, covering approximately 50 million individuals, were used. Implants and abutments were categorized by codes, including surfaces such as resorbable blasting media, sandblasted large grit and acid-etched (SA) and hydroxyapatite coating, along with abutment structures (one-piece straight, two-piece straight, angled). The incidence of implant complication treatments was analysed using Kaplan-Meier curves and Cox proportional hazards regression (α = 0.05). The study included 2,354,706 implants. The SA group had the lowest hazard ratio for implant removal procedures (p < 0.0001). No significant differences were found in the risk of peri-implantitis treatments between implant surfaces (p = 0.0587). The risk of implant complication treatments did not differ significantly by the abutment type (p = 0.9542). The incidence rate of implant complication treatments was < 3.9 per 1000 implant-years across all groups. The SA group showed a slightly lower risk of late implant loss, whereas no significant association was found for the abutment type groups. All implant and abutment type groups showed an incidence rate of < 3.9 per 1000 implant-years for complication treatments.

Breast implant-associated anaplastic large cell lymphoma.

Breast implant-associated anaplastic large cell lymphoma is a subtype of non-Hodgkin's lymphoma that can occur around the surface of textured breast implants or in patients who have previously had textured breast implants. The condition should be suspected in cases of late-onset breast asymmetry and seroma formation around a breast implant. If the implant and surrounding connective tissue capsule is removed, the prognosis is usually very good. The purpose of this clinical review article is to provide a brief overview of the diagnosis and treatment of breast implant-associated anaplastic large cell lymphoma.

Next generation sequencing identifies an increased diversity of microbes in post lavage specimens in infected TKA using a biofilm disrupting irrigant

BackgroundPeriprosthetic joint infection (PJI) is a devastating complication of joint arthroplasty. In chronic PJI, a biofilm envelops the surface of implants, which contains microbiota within an extra-microbial polymeric matrix (EMPM). Microbial identification is paramount for effective treatment. In this study, we use a multi-modal, EMPM disrupting, neoadjuvant irrigant and compare the microbiota detected pre-lavage to post-lavage by two techniques: culture and Next Generation Sequencing (NGS). We suspect more organisms to be identified after applying an EMPM disrupting irrigant. MethodsA multicenter, prospective study was conducted on 38 patients with known Total Knee Arthroplasty PJI. At initial arthrotomy, synovial fluid was obtained and analyzed for quantitative cultures and microbial NGS. Joint was then irrigated with Bactisure Lavage followed by Normal Saline. Post-lavage samples were similarly obtained and analyzed. ResultsIn pre-lavage samples for cultures, 55.3% of samples were positive, identifying 11 unique organisms. In post-lavage samples for cultures, 13.2% of samples were positive, identifying 5 unique organisms. In pre-lavage samples for NGS, 79% were DNA signal positive, identifying 126 unique organisms. In post-lavage samples for NGS, 74% of samples were DNA signal positive, identifying 177 unique organisms. Moreover, 135/177 of these organisms were not identified pre-lavage. ConclusionIn this pre-to-post irrigant study, culture showed a decrease in the number of identifiable organisms post-lavage. In contrast NGS revealed an increase in the number of identifiable organisms post-lavage. Furthermore, NGS identified 135 additional organisms, not detected pre-lavage. This suggests an increased diversity of microbes may exist within EMPM, which are not cultivable.

Enhancement of corrosion, biocompatibility and drug delivery properties of nitinol implants surface by Al-Zn-LDH nanohybrids

This study investigates the enhancement of drug delivery and corrosion resistance by incorporating dexamethasone sodium phosphate into aluminum-zinc layered double hydroxide (LDH) coated nickel-titanium alloys. The nickel-titanium samples were fabricated from titanium and nickel powders using spark plasma sintering (SPS) and cold press sintering (CPS), followed by electrophoretic deposition of LDH nanoparticles. This composite construction aims to utilize the biocompatibility and mechanical properties of nickel-titanium, combined with the controlled drug release and corrosion resistance properties of LDH coatings. Structural and microstructural characterizations were performed using X-ray diffraction and scanning electron microscopy. The results indicated that SPS samples exhibited superior microstructural homogeneity and corrosion resistance compared to CPS samples. Dexamethasone sodium phosphate was successfully intercalated into the LDH layers, as evidenced by an increase in layer spacing from 7.14 Å to 20.130 Å. The LDH-coated nickel-titanium with intercalated dexamethasone sodium phosphate demonstrated a 5 % lower drug release rate and significantly improved corrosion resistance compared to uncoated samples. Cell adhesion studies confirmed good biocompatibility between cells and the coated surface. This composite material shows promise for enhanced performance in biomedical applications, particularly in drug delivery and corrosion resistance.

STUDY ON THE PROPERTIES OF DIAMOND FILMS ON CEMENTED CARBIDE SUBSTRATES BY SURFACE IMPLANTATION PRETREATMENT PROCESS

The deposition of diamond films on tungsten carbide-based tools can greatly improve the life and performance of cutting tools. However, the deposition of diamond coatings on cemented carbide (WC-Co) suffers from poor film-base bond strength. In this paper, diamond coatings were deposited of phytocrystalline metal micropowders (pure, Nb, Ti, Ta) pretreatment method and the properties of diamond films were analyzed by energy spectrometry (EDS), scanning electron microscopy (SEM), Raman spectroscopy and bonding strength test of diamond films. The results show that through the experiment of the pretreatment process of surface implanted crystal metal micropowder, the best implanted crystal metal micropowder was obtained, the surface quality of implanted crystal titanium (Ti) coating was improved, the diamond Raman peaks were sharp and the indentation cracks had a crack diameter of 389 [Formula: see text]m, which is small and has the highest bond strength. The pretreatment process of phytocrystalline diamond micropowder can deposit high-performance diamond coatings and improve the bonding strength between the coating and the substrate film base.

Antifungal Ability of Novel Silane on Titanium Implant Surface

Titanium and its alloys are commonly used in dentistry for implants due to their strength, lightweight nature, durability, corrosion resistance, and biocompatibility. These implants can osseointegrate after surface treatments such as SLA, plasma-spray, and nanotubes, providing a stable foundation for prostheses. However, Candida albicans, an opportunistic fungal pathogen, can threaten the success of titanium dental implants, causing oral infections in vulnerable individuals. A dual novel silane blend of 3-acryloxypropyltrimethoxysilane (ACPS) and bis-1,2-(triethoxysilyl)ethane (BTSE) has been shown to improve the shear bond strength in resin cement bonds with titanium and ceramics. This study evaluated the effects of Candida albicans colonization on blended silane-coated SLA-Ti surfaces compared to non-coated SLA-Ti (positive control) and flat titanium (negative control). Candida albicans biofilms were cultured on all surfaces, and it was found that silane-coated SLA-Ti had significantly lower CFU counts than non-coated SLA-Ti. However, no significant differences were observed in the RT-PCR results. In conclusion, a combination of 1.0 vol% ACPS and 0.3 vol% BTSE shows promise as a silane coupling agent with potential antifungal properties for inhibiting Candida albicans proliferation.

The promising application of pectin/ɛ-polylysine as coating material on anodized titanium surfaces for orthopedic implants: Preparation, characterization and biomedical properties

The increasing demands for implants due to aging and orthopedic necessitate advancements in coating technologies to enhance implant performance, especially when it comes to the infections and inflammation at the implantation site. The development of bioactive coatings with antibacterial properties, superior adhesion, and the controlled release of antibacterial agents is of significant importance. This study investigates the application of pectin/ɛ-polylysine (ɛ-PL) composite coatings on anodized titanium surfaces, with the aim of improving the bioactivity, biocompatibility, and antibacterial properties of the anodized surface. The multifunctional nature of these coatings addresses critical challenges associated with successful implantatins and offers promising solutions for biomedical applications. The anodization was first carried out at 40 V, followed by the dip coating of the pectin/ɛ-PL layer. Fourier-transform infrared (FTIR) analysis, field emission scanning electron microscope (FE-SEM), energy-dispersive X-ray spectroscopy (EDS) analysis, and laser profilometry were used to investigate the surface structure and the roughness of the applied layer. Corrosion tests, and MTT/anti-bacterial assays were utilized to investigate the electrochemical and biomedical properties of applied coating layers. Results indicated that pectin-1 % ɛ-PL exhibited excellent anti-bacterial properties, with cell viability above 50 %. Apatite crystals were also formed on coated specimens after 2-weeks of immersion in simulated body fluid (SBF), implying that applied coating layers are bioactive. Adhesion tests showed a remarkable improvement in mechanical properties of pectin top layer with the addition of ɛ-PL. Overall, the pectin-ɛ-PL composite coating exhibited some interesting properties, making it a promising easy-to-apply top coat on anodized surfaces in biomedical applications.

Evaluation of tensile bond strength of two different cements used for luting zirconia coping to one-piece zirconia implant - An in vitro study

Aim: The purpose of this in vitro study was the evaluation of the tensile bond strength of two different cements used for luting zirconia coping to one-piece zirconia implant. Settings and Design: The study was designed in an in vitro study setting. Materials and Methods: A one-piece zirconia implant was scanned on laboratory scanner, and thirty zirconia implants were milled by computer aided manufacturing (CAM). Subsequently, the abutment surface of each zirconia implants were scanned in laboratory scanner and coping with a hole was designed by computer-aided designing software, which was used for milling by computer-aided manufacturing (CAM). After various surface treatments of abutment and intaglio surface of coping, fifteen sets were cemented by glass ionomer cement (Group I) and the other fifteen sets by adhesive resin cement (Group II). All thirty samples after thermocycling were dried and pulled out in a universal testing machine, and tensile retention force is noted in pounds per square inch (psi). Statistical Analysis Used: Values for tensile retention force were tabulated for both the groups. Mean and standard deviation are calculated. Independent t-value and P value were calculated. Results: The least tensile retention force was reported in Group I (165.86 ± 25.74 psi). Maximum tensile retention force was received for Group II (396.81 ± 78.32 psi). Independent t-test was applied from which t-value calculated was 10.85 and P value obtained was 0.001, which means that there exists a very high difference in tensile bond strength of cement in Group I and Group II. Conclusions: Better tensile retention forces were observed in samples cemented with adhesive resin cement when compared to samples cemented with glass ionomer cement.

Evaluation of anti-inflammatory properties on the surface of dental implants depending on the type of processing

Evaluation of anti-inflammatory properties on the surface of dental implants depending on the type of processing

RECENT ADVANCES IN THE ELECTROPHORETIC DEPOSITION OF CHITOSAN-SILVER NANOCOMPOSITE COATINGS ON METALLIC IMPLANTS WITH ENHANCED BIOCIDAL PROPERTIES

This review covers the latest issues related to the development of medical technologies based on chitosan coatings. The progress of modern implantology requires medicine to adapt constantly to new opportunities and challenges. Infections may occur at the implantation site or in the body and may require treatment with antibiotics or surgery to resolve them. Due to its unique properties, such as biocompatibility, biodegradability, non-toxicity and antibacterial activity, chitosan has been proposed to be co-deposited with biocidal silver nanoparticles in the form of nanocomposite coatings on the surface of metallic implants to extinguish local inflammations. The mechanism of co-deposition of chitosan with metal ions and particles using electrophoretic deposition has not yet been thoroughly explained. This, among others, results from a number of factors that influence the process and their mutual relations. Therefore, the present review aims at a deeper understanding of the mechanism of creating chitosan-silver nanocomposite coatings.

Engineering of multilayered coating on additively manufactured Ti-6Al-4V porous implants to promote tribological and fatigue performances

Despite the numerous advantages of additively manufactured Ti-6Al-4V porous implants surface modified by plasma electrolyte oxidation (PEO) coatings in biomedical applications, several challenges still persist regarding their tribological and fatigue performances. To address these challenges, this study aims to engineer an innovative multilayered coating based on physical vapor deposited (PVD) Nb/NbN coatings on PEO-treaded Ti-6Al-4V porous implants. Three configurations of Nb/NbN coatings, including one, two, and three PVD layers were deposited on PEO-treated Ti-6Al-4V implants to simultaneously assess the effects of both increased coating thickness and configuration on the surface topography and mechanical performances of Ti-6Al-4V implants. Results showed that increasing the thickness and number of coatings changed the surface morphology and reduced the surface roughness. The PVD/PEO treatment demonstrated enhanced wear resistance of Ti-6Al-4V samples compared to the PEO treatment, depending on the coating conditions. Noticeably, the samples with 2 Nb/NbN layers exhibited the highest wear resistance and decreased the wear rate by 90 % compared to the Ti-6Al-4V samples. Although PEO treatment resulted in a decrease in fatigue life, the deposition of Nb/NbN coatings, especially those with 2 and 3 layers, markedly improved fatigue resistance compared to the PEO-treated samples. These modified samples attained approximately 81 % and 84 % of the fatigue life of the not-treated Ti-6Al-4V samples, respectively. Overall, the deposition of multilayered PVD Nb/NbN coatings on PEO-treated Ti-6Al-4V implants demonstrated an effective improvement in wear resistance while maintaining acceptable fatigue life under cyclic loading, making it promising for biomedical implants.

Importance of Adapting the Surgical Technique to the Characteristics of the Breast Implant Surface Type.

Importance of Adapting the Surgical Technique to the Characteristics of the Breast Implant Surface Type.

Screening of Lithium Substituted Ag-TiO2 Nanoparticle Coating for Antibiofilm Application.

Bacterial infections and biofilm growth are common mishaps associated with medical devices, and they contribute significantly to ill health and mortality. Removal of bacterial deposition from these devices is a major challenge, resulting in an immediate necessity for developing antibacterial coatings on the surfaces of medical implants. In this context, we developed an innovative coating strategy that can operate at low temperatures (80 °C) and preserve the devices' integrity and functionality. An innovative Ag-TiO2 based coating was developed by ion exchange between silver nitrate (AgNO3) and lithium titanate (Li4Ti5O12) on glass substrates for different periods, ranging from 10 to 60 min. The differently coated samples were tested for their antibacterial and antibiofilm efficacy.

Nanotechnology and Its Application in Dentistry: A Systematic Review of Recent Advances and Innovations.

Background: This study looks at the clinical applications of nanotechnology in dentistry, with an emphasis on implantology, preventive care, orthodontics, restorative dentistry, and endodontics. Methods: Following PRISMA criteria and registered in PROSPERO (ID: CRD 564245), a PubMed, Scopus, and Web of Science search was conducted for studies from January 2014 to April 2024. The criteria were English-language research on nanotechnology in dental coatings, with a focus on clinical trials and observational studies. The electronic database search yielded 8881 publications. Following the screening process, 17 records were selected for qualitative analysis. Results: Nanotechnology has revolutionized dentistry. In orthodontics, nanoparticles improve antibacterial characteristics, durability, and biocompatibility, lowering bacterial colonization and plaque. In preventative care, Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP) combined with stannous fluoride (SnF2) and nano-sized sodium trimetaphosphate (TMPnano) substantially remineralizes enamel. Nanostructured surfaces in dental implants, particularly those containing calcium, improve osseointegration and stability. Nanoparticles in restorative dentistry improve composite and adhesive strength, aesthetics, and longevity. Conclusions: Nanotechnology improves dental materials and equipment, resulting in better treatment outcomes and increased patient comfort. Its integration provides more effective treatments, which improves dental care and patient outcomes. More research is needed to overcome present problems and expand nanotechnology's medicinal applications.

Influence of surface texturing and coatings on mechanical properties and integration with bone tissue: an in silico study.

This investigation delves into the mechanical behaviour of titanium dental implants, a preferred choice for tooth replacement due to their superior reliability over alternative materials. The phenomenon of implant loosening, frequently induced by masticatory activities, underscores the significance of surface modification or texturing to bolster the interaction between the implant and bone tissue. This research comprehensively examines the effects of four distinct surface texturing techniques and five varied bone quality conditions on the biomechanical performance of these implants. The scope of this study is delineated by its focus on implants of diameters 4mm and 6mm, with lengths measuring 9mm and 12mm respectively. Furthermore, the analysis incorporates the evaluation of four different coatings-hydroxyapatite, HA3TO, HA3Sr, and HA1.5TO1.5Sr-to investigate their efficacy in enhancing the osseointegration process on textured surfaces of dental implants. The experimental design entails the assessment of stress distribution within the implant and its coatings, alongside the strain exerted on the surrounding cancellous bone, under the conditions of an average vertical biting force. A comparative analysis between solid implants and those subjected to surface texturing techniques has been conducted. This comparison elucidates the advantageous microstrain profiles presented by certain textured surfaces, which are deemed more conducive to optimal osseointegration. Notably, across all examined textures, the application of hydroxyapatite (HA) and a modified HA composition (HA1.5TO1.5Sr) demonstrates significant improvements in mechanical stability, particularly in scenarios involving weak and very weak bone conditions. This study's findings contribute to the ongoing advancement in dental implant technology, emphasizing the critical role of surface texturing and coating strategies in promoting implant longevity and integration within the biomechanical environment of the human oral cavity.

Multifaceted bone response to immunomodulatory magnesium implants: Osteopromotion at the interface and adipogenesis in the bone marrow

Orthopedic implants made of biodegradable magnesium (Mg) provide an alternative to nondegradable implants for fracture repair. Widely reported to be pro-osteogenic, Mg implants are also believed to be anti-inflammatory and anti-osteoclastic, but this is difficult to reconcile with the early clinical inflammation observed around these implants. Here, by surveying implant healing in a rat bone model, we determined the cellular responses and structural assembly of bone correlated with the surface changes of Mg implants inherent in degradation. We show that, compared to titanium, both high-purity (99.998 %) and clinical-grade, rare earth-alloyed (MgYREZr) Mg implants create an initial, transient proinflammatory environment that facilitates inducible nitric oxide synthase-mediated macrophage polarization, osteoclastogenesis, and neoangiogenesis programs. While this immunomodulation subsequently reinforces reparative osteogenesis at the surface of both Mg implants, the faster degradation of high-purity Mg implants, but not MgYREZr implants, elicits a compositional alteration in the interfacial bone and a previously unknown proadipogenic response with persistent low-grade inflammation in the surrounding bone marrow. Beyond the need for rigorous tailoring of Mg implants, these data highlight the need to closely monitor osseointegration not only at the immediate implant surface but also in the peri-implant bone and adjacent bone marrow.

Surface Decontamination of Titanium Dental Implants Subjected to Implantoplasty by Treatment with Citric Acid Solutions

Implantoplasty is one of the most common techniques to remove peri-implantitis from the surface of dental implants. It is a process of mechanization of the titanium surface, causing the loss of the roughness of the dental implant, which leads to difficulty in tissue regeneration. The aim of this research is to apply a decontaminant based on citric acid and add collagen and magnesium cations to promote tissue formation and have a bactericidal character. Eighty commercially pure grade 3 titanium discs were used to perform the implantoplasty protocol, like the one used in dental clinics. They were treated with four different solutions: 25% citric acid, 25% citric acid with the addition of collagen 0.25 g/L, 25% citric acid with the addition of 0.50 g/L and the latter with the addition of 1% Mg (NO3)2. The roughness was determined by confocal microscopy, the contact angle, adhesion and proliferation of HFFs fibroblasts, proliferation of SaOS-2 osteoblasts and bactericidal behavior by culturing very common bacteria in the oral cavity, Gram-positive Streptococcus sanguinis and gordonii and as Gram-negative Pseudomonas aeruginosa. The results showed that the treatment with citric acid slightly increases the roughness and decreases the contact angle from 78 to 13°, making the surface superhydrophilic. Fibroblast proliferation studies show a very significant increase at 24 h, the most favorable solution being the one containing 0.50 g/L of collagen with the presence of magnesium in a 25% citric acid solution. This same solution shows the highest cytocompatibility and osteoblastic proliferation with statistically significant differences with respect to the control and the rest of the solutions. Microbiological studies show a bactericidal effect due to the presence of citric acid, which is especially effective on Gram-positive bacteria. The results allow us to have mouthwashes that can be applied in the patient’s mouth, which will help the regeneration of tissues and avoid new bacterial colonization.

Zirconia Dental Implant Designs and Surface Modifications: A Narrative Review.

Titanium currently has a well-established position as the gold standard for manufacturing dental implants; however, it is not free of flaws. Mentions of possible soft-tissue discoloration, corrosion, and possible allergic reactions have led to the development of zirconia dental implants. Various techniques for the surface modification of titanium have been applied to increase titanium implants' ability to osseointegrate. Similarly, to achieve the best possible results, zirconia dental implants have also had their surface modified to promote proper healing and satisfactory long-term results. Despite zirconium oxide being a ceramic material, not simply a metal, there have been mentions of it being susceptible to corrosion too. In this article, we aim to review the literature available on zirconia implants, the available techniques for the surface modification of zirconia, and the effects of these techniques on zirconia's biological properties. Zirconia's biocompatibility and ability to osseointegrate appears unquestionably good. Despite some of its mechanical properties being, factually, inferior to those of titanium, the benefits seem to outweigh the drawbacks. Zirconia implants show very good success rates in clinical research. This is partially due to available methods of surface treatment, including nanotopography alterations, which allow for improved wettability, bone-to-implant contact, and osteointegration in general.