Material For Dental Implants Research Articles

ZrxCa30-xP70 thermoluminescent bio glass, structure and elasticity

Phosphate glasses of calcium oxide have been well proved materials for various bio bones and dental implants. However, still there is a lot of scope and demand to produce efficient elastic bio implants and resource. In view of this, ZrxCa30-xP70 phosphate materials are prepared by using melt quenching method. Bio, physical, thermoluminescence and elastic techniques are used to characterize the samples. Additionally, simulated body fluid was prepared and it is used especially for bio techniques. Further, the glasses are taken for different dose (~0, 10, 20 & 50 kGy) of gamma irradiation around half an hour. And again similar techniques are used to characterize the samples. All the findings from bio, physical, thermoluminescence and elastic characterization results are analysed and took for better comparison with previous studies to develop various bio bone (or) bio dental resource. Structural reports suggests that the ZrxCa30-xP70 materials were glassy before immersion in SBF solution and immersed (~720 h) samples are showing partial ceramic nature. The weight loss and pH reports suggests them for alternative bio resource as a bio bones and dental implants. Observed thermal stability, microhardness and elastic modulus evaluations of ZrxCa30-xP70 materials in required standards are also additional advantage. Furthermore, thermoluminiscence (TL) under different γ-irradiation doses is reported for glasses with and without immersing in a simulated body fluid. The glasses lose TL intensity when immersed in simulated body fluid for nearly 720 h. This is useful to modulate bio-behaviour in terms of hydroxyapatite layer growth on the glass surface.

Low-calcination temperatures of magnesia partially stabilized zirconia (Mg-PSZ) nanoparticles derived from local zirconium silicates

Partially stabilized zirconia (PSZ) exhibits excellent physical, mechanical, electrical, chemical, thermal, and bioactive properties. Therefore, it is frequently used as a material for thermal barrier coatings, refractories, oxygen-permeating membranes, dental and bone implants. In this study, magnesia-partially stabilized zirconia nanoparticles were successfully prepared from zirconium silicates and MgSO4 assisted with PEG-6000 via a facile templating method. The MgO concentration was varied from 1%–10% in wt% of ZrO2. Zirconium silicates were initially converted to Zr-precursor solution, exhibiting pH 3. Then, the appropriate amount of the Mg-precursor was mixed with the proper amount of the Zr-precursor solution. A 10%(w/v) PEG-6000 solution was added into the PSZ precursor solution at a ratio of the precursor-to-PEG volumes of about 15:1 under stirring and heating, resulting in a very fine white gel. The gel was filtered, dried, and then calcined at elevated temperatures of 600, 800, and 1000 °C. The characteristics of the final product were then evaluated. According to the experimental results, the MgO concentration influences the ZrO2 phase transformation at elevated calcination temperatures. In this study, the lower the MgO dopant concentration added into ZrO2, the more stable the t- ZrO2 phase in PSZ samples at high temperatures. However, the MgO presence is detected as periclase in all samples with a very low peak intensity at elevated calcination temperatures. The obtained PSZ samples consist of nanoparticles and high agglomeration, some of particles exhibit elongated and rod-like shapes. The PEG existence during the PSZ preparation has restrained particle interaction and aggregation of the as-synthesized PSZ samples, leading to PSZ nanoparticles evolution.

Titanium and Protein Adsorption: An Overview of Mechanisms and Effects of Surface Features.

Titanium and its alloys, specially Ti6Al4V, are among the most employed materials in orthopedic and dental implants. Cells response and osseointegration of implant devices are strongly dependent on the body–biomaterial interface zone. This interface is mainly defined by proteins: They adsorb immediately after implantation from blood and biological fluids, forming a layer on implant surfaces. Therefore, it is of utmost importance to understand which features of biomaterials surfaces influence formation of the protein layer and how to guide it. In this paper, relevant literature of the last 15 years about protein adsorption on titanium-based materials is reviewed. How the surface characteristics affect protein adsorption is investigated, aiming to provide an as comprehensive a picture as possible of adsorption mechanisms and type of chemical bonding with the surface, as well as of the characterization techniques effectively applied to model and real implant surfaces. Surface free energy, charge, microroughness, and hydroxylation degree have been found to be the main surface parameters to affect the amount of adsorbed proteins. On the other hand, the conformation of adsorbed proteins is mainly dictated by the protein structure, surface topography at the nano-scale, and exposed functional groups. Protein adsorption on titanium surfaces still needs further clarification, in particular concerning adsorption from complex protein solutions. In addition, characterization techniques to investigate and compare the different aspects of protein adsorption on different surfaces (in terms of roughness and chemistry) shall be developed.

Biofilm Formation on the Surface of (Poly)Ether-Ether-Ketone and In Vitro Antimicrobial Efficacy of Photodynamic Therapy on Peri-Implant Mucositis.

Poly-ether-ether-ketone (PEEK) is an aesthetically pleasing natural material with good biocompatibility and shock absorption characteristics. The application of PEEK as a dental implant or abutment is expected to reduce the risk of failure and enhance aesthetics. Given that approximately one in 15 patients have allergic reactions to antibiotics, photodynamic therapy (PDT) has been gaining attention as an alternative treatment. Herein, the applicability of PEEK dental implants or abutments was investigated using material analyses, biofilm formation assay, and cell viability tests. The possible use of PDT for peri-implant mucositis was evaluated with the biofilm removal assay. The obtained data were analyzed based on the multivariate analysis of variance, paired t-tests, and the Pearson correlation coefficient (α = 0.05). The results revealed that PEEK was significantly less conducive to the formation of biofilms with S. mutans and A. actinomycetemcomitan (p < 0.001) but exhibited comparable MG-63 (human osteoblast-like) osteoblast cell viability (p > 0.05) to the other materials. PDT had similar antimicrobial efficacy and yielded similar biofilm removal effects to antibiotics. Altogether, these findings suggest that PEEK has attractive features and can serve as an alternative material for dental implants or abutments. In cases where peri-implant mucositis occurs, PDT can be used as an accessible therapeutic approach.

A Critical Review of Orthopaedic and Dental Implant Materials

A Critical Review of Orthopaedic and Dental Implant Materials

Synthesis and characterization of Co-5Cr-RHA hybrid composite using Powder metallurgy

Cobalt-Chromium alloys are in high demand as a material for prosthetics and dental implants. Powder metallurgy was used to create Co-5Cr-RHA (Rice Husk Ash) hybrid composites in this research. RHA is made by heating rice husk in a furnace to 700 degrees Celsius. The surface morphology of the Co-5Cr-RHA hybrid composites is analysed using a scanning electron microscope. Due to the RHA reinforcement, the Micro hardness of the Co-5Cr-10RHA hybrid composite increased by 8% as compared to other samples. The density of the hybrid composites has decreased as a result of the addition of RNA. The compressive strength of the Co-5Cr-10RHA (130 MPa) hybrid composites has increased by 4%. The addition of RNA reinforcement has a positive effect on tribological behaviour, according to tribological studies. Because of the oxides in the RHA, wear loss and COF have decreased significantly. The after-wear SEM analysis confirms that abrasive wear is the primary wear mechanism. The corrosion behaviour of the Co-5Cr-RHA hybrid composites was investigated using the electrochemical workstation in the presence of a 3 percent NaCl electrolytic solution. Of all specimens, Co-5Cr-10RHA hybrid composites have a stronger Ecorr value of −0.812 V.

Nanocomposite coatings with diamond-like carbon - material for dental and orthopedic implants

Nanocomposite coatings with diamond-like carbon - material for dental and orthopedic implants

Biologically Modified Polyether Ether Ketone as Dental Implant Material.

Polyether ether ketone (PEEK) is a non-toxic polymer with elastic modulus close to human bone. Compared with metal implants, PEEK has advantages such as evasion of stress shielding effect, easy processing, and similar color as teeth, among others. Therefore, it is an excellent substitute material for titanium dental orthopedic implants. However, PEEK’s biological inertia limits its use as an implant. To change PEEK’s biological inertia and increase its binding ability with bone tissue as an implant, researchers have explored a number of modification methods to enhance PEEK’s biological activities such as cellular compatibility, osteogenic activity, and antibacterial activity. This review summarizes current biological activity modification methods for PEEK, including surface modification and blending modification, and analyzes the advantages and disadvantages of each modification method. We believe that modified PEEK will be a promising dental and orthopedic implant material.

Special Issue: Dental Implant Materials 2019

The Special Issue, “Dental Implant Materials 2019”, has tried to introduce recent developments in material science and implant dentistry with biologic and clinical aspects [...]

Porous tantalum oxide with osteoconductive elements and antibacterial core-shell nanoparticles: A new generation of materials for dental implants

Implant surfaces with cytocompatible and antibacterial properties are extremely desirable for the prevention of implant's infection and the promotion of osseointegration. In this work, both micro-arc oxidation (MAO) and DC magnetron sputtering techniques were combined in order to endow tantalum-based surfaces with osteoblastic cytocompatibility and antibacterial activity. Porous Ta2O5 layers containing calcium (Ca) and phosphorous (P) were produced by MAO (TaCaP) to mimic the bone tissue morphology and chemical composition (Ca/P ratio close to 1.67). Furthermore, zinc (Zn) nanoparticles were deposited onto the previous surfaces by DC magnetron sputtering without or with an additional thin carbon layer deposited over the nanoparticles (respectively, TaCaP-Zn and TaCaP-ZnC) to control the Zn ions (Zn2+) release. Before osteoblastic cell seeding, the surfaces were leached for three time-points in PBS. All modified samples were cytocompatible. TaCaP-Zn slightly impaired cell adhesion but this was improved in the samples leached for longer immersion times. The initial cell adhesion was clearly improved by the deposition of the carbon layer on the Zn nanoparticles, which also translated to a higher proliferation rate. Both Zn-containing surfaces presented antibacterial activity against S. aureus. The two surfaces were active against planktonic bacteria, and TaCaP-Zn also inhibited sessile bacteria. Attributing to the excellent in vitro performance of the nanostructured Ta surface, with osteoconductive elements by MAO followed by antimicrobial nanoparticles incorporation by magnetron sputtering, this work is clearly a progress on the strategy to develop a new generation of dental implants.

CURRENT STATE OF APPLIENCE ZIRCONIUM DIOXIDE IN BIOENGINEERING

This descriptive review presents current knowledge about the bioengineering use of a zirconium dioxide, the advantages and disadvantages of the material, and the prospects for research in this direction. The work reflects the success of the practical application of the zirconium dioxide as a material for dental structures and biological implants. Such practical characteristics, such as color-stability, chemical stability, good aesthetics, biocompatibility and durability, allowed to actively use the zirconium dioxide as a material for producing various dental structures. In comparison with other ceramics, the presence of high-performance of strength and fracture toughness of the zirconium dioxide enables the use of this material as an alternative material for the reconstructions in the readings with considerable loads. High hardness determines the zirconium dioxide as an excellent material for articular prostheses, because of its hardness, provides a low level of wear and excellent biocompatibility. However, along with positive characteristics, a widespread practical problem of using the zirconium dioxide in dentistry is a chip or fracture of veneering ceramics. It has also been reported that there is a shortage of orthopedic implants such as hydrothermal stability. The solution of such problems is indicated and the use of composite materials based on the zirconium dioxide, which allows to solve a similar problem, as well as to increase the service life and reliability of orthopedic implants by providing a higher fracture toughness and mechanical strength. The existence of such composite materials based on the zirconium dioxide provides a significant increase in the wear resistance of orthopedic implants, which is essential for successful prosthetics

Localization of Integrin Beta-4 Subunit at Soft Tissue-Titanium or Zirconia Interface.

Currently, along with titanium (Ti), zirconia is widely used as an abutment material for dental implants because it makes it possible to avoid gingival discoloration; however, the epithelial sealing capability of zirconia remains unknown. The purpose of the present study is to elucidate the localization of integrin β4 subunit (Inβ4), one of the main proteins in the attachment structure between gingival junctional epithelial (JE) cells and substrata. Maxillary first molars were extracted from rats, and implants were placed with Ti or zirconia transgingival parts; then, the localization of Inβ4 was observed. Morphological and functional changes in rat oral epithelial cells (OECs) cultured on a culture dish (Dish) and Ti and zirconia plates were also evaluated with Inβ4 immunofluorescence histochemistry and Western blotting. After four weeks of implant placement, the morphology of the peri-implant epithelium (PIE) and the localization of Inβ4 around the Ti and zirconia transgingival parts were similar. However, both exhibited markedly shorter Inβ4-positive bands in the PIE than in the JE around natural teeth. Decreased expression levels of Inβ4 were observed in OECs cultured on Ti and zirconia plates compared with those cultured on Dish. In conclusion, although inferior to natural teeth, zirconia implants are thought to have epithelial sealing properties comparable to those of titanium.

Effect of Autoclaving Time on Corrosion Resistance of Sandblasted Ti G4 in Artificial Saliva

Titanium Grade 4 (Ti G4) is the most commonly used material for dental implants due to its excellent mechanical properties, chemical stability and biocompatibility. A thin, self-passive oxide layer with protective properties to corrosion is formed on its surface. However, the spontaneous TiO2 layer is chemically unstable. In this work, the impact of autoclaving time on corrosion resistance of Ti G4 in artificial saliva solution with pH = 7.4 at 37 °C was studied. Ti G4 was sandblasted with white Al2O3 particles and autoclaved for 30–120 min. SEM, EDS, 2D roughness profiles, confocal laser scanning microscopy, and a Kelvin scanning probe were used for the surface characterization of the Ti G4 under study. In vitro corrosion resistance tests were conducted using open circuit potential, polarization curves, and electrochemical impedance spectroscopy measurements. It was found that Sa parameter, electron work function, and thickness of the oxide layers, determined based on impedance measurements, increased after autoclaving. The capacitive behavior and high corrosion resistance of tested materials were revealed. The improvement in the corrosion resistance after autoclaving was due to the presence of oxide layers with high chemical stability. The optimal Ti G4 surface for dentistry can be obtained by sandblasting with Al2O3 with an average grain size of 53 µm, followed by autoclaving for 90 min.

Research progress on surface treatment technology of zirconia implant

Zirconia material has a color closer to human natural teeth, and has excellent mechanical properties and good biocompatibility, therefore it is expected to become an ideal material for dental implants. In order to improve the osteogenic properties of zirconia implants, a variety of surface treatment techniques emerge in two categories: non-coating method and coating method. Different surface treatment technologies have their advantages and disadvantages. In this paper, the recent progress of zirconia surface treatment technology is reviewed.

Influence of sandblasting and acid etching on fatigue properties of ultra-fine grained Ti grade 4 for dental implants

Commercially pure Ti is a typical material for dental implants. Besides oral environmental effects, implants are seriously mechanically loaded during the lifetime. Mechanical resistance of coarse and ultra-fine grained Ti grade 4 was investigated. Significant grain size refinement resulting in the 65% increase of the proof stress is reported. The fatigue endurance limit increased from 523 MPa to 698 MPa due to grain refinement. The influence of sandblasting combined with acid etching on fatigue damage of both material states was analyzed. The surface treatment was proven as detrimental to the fatigue properties of both material states, due to reduction of the fatigue initiation stage. Nevertheless, the fatigue endurance limit of the surface-treated ultra-fine grained material remained higher than the fatigue endurance limit of the coarse-grained material without surface treatment. Reported results confirm better mechanical resistance of ultra-fine grained materials for dental implants in the comparison with coarse-grain one.

Bioactive-Enhanced Polyetheretherketone Dental Implant Materials: Mechanical Characterization and Cellular Responses.

The aim of this study was to characterize the mechanical properties of a bioactive-modified polyetheretherketone (PEEK) manufacturing approach for dental implants and to compare the in vitro biological behavior with titanium alloy (Ti6Al4V) as the reference. PEEK, PEEK with 5% hydroxyapatite (HA), PEEK with 5% beta-tricalcium phosphate (βTCP), and Ti6Al4V discs were produced using hot pressing technology to create a functionally graded material (FGM). Surface roughness values (Ra, Rz), water contact angle, shear bond strength, and Vickers hardness tests were performed. Human osteoblasts and gingival fibroblasts bioactivity was evaluated by a resazurin-based method, alkaline phosphatase activity (ALP), and confocal laser scanning microscopy (CLSM) images of fluorescent-stained fibroblasts. Morphology and cellular adhesion were confirmed using field emission gun-scanning electron microscopy (FEG-SEM). Group comparisons were tested using analysis of variance (Tukey post hoc test), α = .05. All groups presented similar roughness values (P > .05). Ti6Al4V group was found to have the highest contact angle (P < .05). Shear bond strength and Vickers hardness of different PEEK materials were similar (P > .05); however, the mean values in the Ti6Al4V group were significantly higher when compared with those of the other groups (P < .05). Cell viability and proliferation of osteoblast and fibroblast cells were higher in the PEEK group (P < .05). PEEK-βTCP showed the highest significant ALP activity over time (P < .05 at 14 days of culture). An enhanced bone and soft-tissue cell behavior on pure PEEK was obtained to the gold standard (Ti6Al4V) with equivalent roughness. The results substantiate the potential role of chemical composition rather than physical properties of materials in biological responses. The addition of 5% HA or βTCP by FGM did not enhance PEEK mechanical properties or periodontal cell behavior.

Laser Nd:YAG patterning enhance human osteoblast behavior on zirconia implants.

Zirconia has been regarded as a promising material for dental implants, and Nd:YAG laser treatment has been proposed as a potential strategy to improve its bioactivity. The main aim of the present study was to evaluate the in vitro behavior of human fetal osteoblasts in contact with laser-textured zirconia implant surfaces assessing the effect of different texture patterns, spacing between laser passes and number of laser passes. Zirconia discs were produced and treated with Nd:YAG laser according to test group variables: texture (microgrooves and micropillar array), distance between surface features (25μm, 30μm and 35μm), and laser passes [1, 2, 4, and 8]. Untextured sandblasted and acid-etched zirconia discs (SBAE) were used as controls. Human osteoblasts (hFOB 1.19) were cultured for 14days on test and control samples. Morphology and cellular adhesion were observed using scanning electron microscopy (SEM). Cell viability and proliferation were evaluated at 1, 3, 7, and 14days using a commercial resazurin-based method. Collagen type I was evaluated at 3days using ELISA. Alkaline phosphatase (ALP) activity was evaluated at 7days using a colorimetric enzymatic technique. Group comparisons were tested using ANOVA or Mann-Whitney test (Tukey's post hoc) using statistical software, and significance was set at p < 0.05. Cell viability and proliferation increased over time for all groups with statistically higher values for laser-textured groups when compared with control at 7 and 14days in culture (p < 0.05). Collagen type I levels were higher for study groups (p < 0.05) when compared with control group. No statistically differences were detected for ALP activity levels between texture and control groups (p > 0.05). The results suggest that laser-machined zirconia implant surfaces may benefit biological osteoblast response. However, the type of texture, spacing at the range of 25-35μm, and number of laser passes did not seem to be relevant variables.

Enhanced bioactivity and osteogenic property of carbon fiber reinforced polyetheretherketone composites modified with amino groups

Polyetheretherketone (PEEK) is considered as a potential dental and orthopedic implant material owing to its favorable thermal and chemical stability, biocompatibility and mechanical properties. However, the inherent bio-inert and inferior osseointegration of PEEK have hampered its clinical application. In addition, carbon fiber is widely used as a filler to reinforce polymers for sturdy composites owing to its high strength, modulus, etc. In the study, carbon fiber reinforced PEEK (CPEEK) composites were fabricated and modified with amino groups by plasma-enhanced chemical vapor deposition surface modification technique. The surface characterization of composites was evaluated by FE-SEM, EDS, AFM, Water contact angle, XPS and FTIR, which revealed that amino groups were successfully incorporated on the modified CPEEK surface and significantly increased the hydrophilicity. In vitro study, cell adhesion, proliferation, ALP activity, ECM mineralization, real-time PCR analysis, and ELISA analysis showed the adhesion, proliferation and osteogenic differentiation of MG-63 cells on the amino group-modified CPEEK surface were higher than the CPEEK, equal to or better than pure titanium. Hence, the results indicated that the amino group-modified CPEEK possessed enhanced bioactivity and osteogenic property, which may be a potential candidate material for dental implants.

Repeated Exposure of Nanostructured Titanium to Osteoblasts with Respect to Peri-Implantitis.

Titanium offers excellent biocompatibility and extraordinary mechanical properties. As a result, it is used as a material for dental implants. Implants infected by peri-implantitis can be cleaned for successful re-osseointegration. Optimal surface properties, such as roughness and wettability, have a significant impact on cell adhesion. The aim of this study was to evaluate the adhesion and proliferation of osteoblasts on the surface of repeatedly cleaned nanostructured titanium samples. Human osteoblast-like cells MG-63 were seeded on nanostructured titanium specimens manufactured from rods produced by the equal channel angular pressing. For surface characterization, roughness and wettability were measured. Cell adhesion after 2 h as well as cell proliferation after 48 h from plating was assessed. We have found that this repeated cleaning of titanium surface reduced cell adhesion as well as proliferation. These events depend on interplay of surface properties, such as wettability, roughness and topography. It is difficult to distinguish which factors are responsible for these events and further investigations will be required. However, even after the several rounds of repeated cleaning, there was a certain rate of adhesion and proliferation recorded. Therefore the attempts to save failing implants by using in situ cleaning are promising.

Hydroxyapatite-incorporation improves bone formation on endosseous PEEK implant in canine tibia.

Poly Ether Ether Ketone (PEEK) has been considered as a potential alternative material for endosseous dental implants, for its low elastic modulus, biocompatibility, and low cost in customized device manufacture. Hydroxyapatite-incorporation is supposed to improve the poor osseointegration of PEEK. In the present study we analyzed the in vivo response of hydroxyapatite-incorporated PEEK (PEEK-HA) implants in canine tibia. PEEK-HA and PEEK implants were implanted and were examined 4 weeks and 12 weeks after implantation with radiology and histology. Commercial titanium dental implants served as controls. The ratio of bone volume to tissue volume of PEEK-HA implants was higher than that of PEEK implants 4 weeks after implantation in the μ-CT analysis. The bone implant contact of PEEK and PEEK-HA implants showed no statistical difference in the histological examination, but newly-formed bone around PEEK-HA implants showed more signs of mineralization than that around PEEK implants. The study suggested that bone formation was improved with hydroxyapatite-incorporation in PEEK. Hydroxyapatite-incorporated PEEK implants may represent a potential material for endosseous dental implant.