Rough Titanium Surfaces Research Articles

Effect of Er,Cr:YSGG Laser Irradiation on the Surface Modification and Cell Adhesion on Titanium Discs: An In Vitro Study

This study evaluates the potential of erbium, chromium-doped:yttrium, scandium, gallium, and garnet (Er,Cr:YSGG) laser irradiation to modify the titanium surface for optimal seeding of fibroblasts and osteoblasts in the treatment of peri-implantitis. Titanium discs were treated using the Er,Cr:YSGG laser, an ultrasonic device with a stainless tip, or titanium scalers. Changes in surface properties were analyzed by profilometer and scanning electron microscopy (SEM). Murine fibroblast and osteoblast adhesion and proliferation were evaluated qualitatively and quantitatively at 24 and 72 h. Profilometric surface topography and SEM showed that titanium scalers and ultrasonic debridement techniques significantly changed the structure of the machined and rough titanium surfaces. The Er,Cr:YSGG laser irradiation, on the other hand, did not alter titanium microstructures. The Er,Cr:YSGG laser irradiation with the 40 Hz group showed a significantly higher attached fibroblast cell numbers than the titanium scaler group at 72 h after treatment (p = 0.023). Additionally, the number of the attached osteoblasts in the Er,Cr:YSGG laser irradiation with the 40 Hz group was significantly higher than that of the no-treatment groups 24 h after treatment (p = 0.045). The Er,Cr:YSGG laser effectively promoted adherence of fibroblasts and osteoblasts to the titanium surface without significantly altering the titanium surface, suggesting its superiority for treating peri-implantitis.

CO2-Laser Irradiation Affects Positively Surface Energy of Rough Titanium Surfaces.

The purpose of this study was to investigate the free surface energy before and after CO2 irradiation on rough titanium surfaces. Sandblasted, large grit, acidetched (SLA) implant surfaces were used for this study. Contact angle evaluations were performed for saline, albumin, and artificial blood using a contact angle goniometer in 25°C and 37°C (20 droplets in each group, 120 in total). The titanium disks were then irradiated with a CO2 laser (10,600 nm) using a non-contact, defocused, 2W continuous wave for 30 seconds. Contact angle measurements for saline, albumin and artificial blood were evaluated immediately after irradiation (new 120 in total contact angle measurements) and compared with the measurements before laser irradiation. Paired t-test using SPSS was performed for 5% statistical significance level. Lower numbers of contact angle measurements were found and changes after CO2-laser irradiation were statistically significant (p < 0.05) for all groups except for albumin at 25°C, as follows: 25℃: (saline) (Pre) 111.97° ±13.67°, (Post) 79.29° ±10.83° / p<0.0001; (albumin) (Pre) 89.04° ±12.02°, (Post) 83.29° ±20.71° / p&#61;0.297; (blood) (Pre) 97.79° ±14.44°, (Post) 86.29° ±10.82° / p&#61;0.019; 37℃: (saline) (Pre) 104.12° ±13.138°, (Post) 92.66° ±4.777° / p&#61;0.001; (albumin) (Pre) 89.04° ±12.02°, (Post) 83.29° ±20.71° / p&#61;0.297 (blood) (Pre) 80.42° ±19.00°, (Post) 58.62° ±24.34° / p&#61;0.012. The CO2 laser irradiation in general positively affected the wettability and hydrophilicity of rough titanium (SLA) surfaces.

In Vitro Comparison of Titanium Disc Surface Roughness and Bacterial Colonization After Ultrasonic Instrumentation With Three Different Tips.

During implant maintenance, preserving a smooth surface on the machined transmucosal abutment is critical to reduce biofilm attachment and colonization. The present study compared the surface roughness and bacterial colonization of machined titanium surfaces after instrumentation with various materials. Forty-four machined grade 23 titanium discs were instrumented with a round polyether ether ketone (PEEK) tip, a plastic curette tip, or a pure titanium curette tip with piezoelectric devices. Before and after instrumentation, the surface roughness (Ra and Rz) values were analyzed with a profilometer and scanning electron microscopy (SEM). Streptococcus sanguinis was cultured and incubated for 24 hours on the instrumented discs, and colony-forming units per milliliter were obtained for each group. Samples instrumented with the metal ultrasonic tip significantly increased surface roughness compared with the other groups. This resulted in greater colonization by S. sanguinis than surfaces instrumented with PEEK tips or the negative control. Samples instrumented with PEEK and plastic tips did not exhibit any statistically significant increase in surface roughness, and SEM analysis revealed a significantly rougher surface of discs instrumented with metal compared with discs instrumented with plastic or PEEK tips despite the possibility of debris from tip dissolution. Our results suggest that instrumentation with metal ultrasonic tips with piezoelectric devices significantly increased machined titanium's surface roughness and elicited higher biofilm formation in vitro. Meanwhile, instrumentation of machined titanium with PEEK or plastic ultrasonic tips did not affect the surface roughness or bacterial adhesion.

P7. Physiological loads can improve osteogenic response of human mesenchymal stem cells on 3D printed titanium surface roughness

P7. Physiological loads can improve osteogenic response of human mesenchymal stem cells on 3D printed titanium surface roughness

Influence of titanium surface roughness on a nanoscale on the zeta potential and platelet adhesion.

Thromboembolic complications still arise on blood contacting surfaces. Surface charge and topography influence the subsequent deposition of proteins and platelets, potentially leading to thrombi. Research showed a correlation of surface charge and nanoscale roughness, and a negative surface charge as well as a smooth surface finish are associated with lower thrombogenicity. The aim of this study was to compare the platelet adhesion on titanium with different nanoscale roughnesses and to examine if those roughness variations caused a change in surface charge. Titanium samples were polished and roughened to four different nanoscale roughness levels. Platelet adhesion (covered surface area (CSA), N = 8) was tested in flow chambers with human whole blood using fluorescence imaging. ζ-potential was measured over a broad range of pH-values and interpolated to obtain the ζ-potential for pHBlood (7.4). Platelet adhesion tests were evaluated in terms of p-values and the Wilcoxon test effect size and the trend of the ζ-potential at pHBlood and the CSA was compared. Ra-values ranged between 35 (polished) and 156 nm. Regarding platelet adhesion, the polished sample showed the lowest mean CSA with a medium or strong effect size compared to the roughened samples. The interpolated ζ-potentials for pHBlood follow a similar trend as the CSA, with the lowest ζ-potential measured for the polished surface. These findings suggest that the decreasing ζ-potential due to lower nanoscale roughness might be an additional explanation for the improved hemocompatibility besides the smoother topography.

Cementum and enamel surface mimicry influences soft tissue cell behavior.

To test whether titanium surface roughness disparity might be used to specifically guide the behavior of gingiva fibroblasts and keratinocytes, thereby improving the quality of soft tissue (ST) integration around abutments. Titanium discs resembling the roughness of enamel (M) or cementum (MA) were created with normal or increased hydrophilicity and used as substrates for human fibroblasts and keratinocytes. Adhesion and proliferation assays were performed to assess cell-type specific responses upon encountering the different surfaces. Additionally, immunofluorescence and qPCR analyses were performed to study more in depth the behavior of fibroblasts and keratinocytes on MA and M surfaces, respectively. While enamel-like M surfaces supported adhesion, growth and a normal differentiation potential of keratinocytes, cementum-emulating MA surfaces specifically impaired the growth of keratinocytes. Vice versa, MA surfaces sustained regular adhesion and proliferation of fibroblasts. Yet, a more intimate adhesion between fibroblasts and titanium was achieved by an increased hydrophilicity of MA surfaces, which was associated with an increased expression of elastin. The optimal titanium implant abutment might be achieved by a bimodal roughness design, mimicking the roughness of enamel (M) and cementum with increased hydrophilicity (hMA), respectively. These surfaces can selectively elicit cell responses favoring proper ST barrier by impairing epithelial downgrowth and promoting firm adhesion of fibroblasts.

Fabrication and evaluation of porous coatings doped with bioactive elements on titanium surfaces.

Although pure titanium (PT) and its alloys exhibit excellent mechanical properties, they lack biological activity as implants. The purpose of this study was to improve the biological activity of titanium implants through surface modification. Titanium was processed into titanium discs, where the titanium discs served as anodes and stainless steel served as cathodes, and a copper- and cobalt-doped porous coating [pure titanium model (PTM)] was prepared on the surface of titanium via plasma electrolytic oxidation. The surface characteristics of the coating were evaluated using field emission scanning electron microscopy (FE-SEM), energy dispersive X-ray spectroscopy (EDS), X-ray photoelectron spectroscopy (XPS), atomic force microscopy (AFM), and profilometry. The corrosion resistance of PTM was evaluated with an electrochemical workstation. The biocompatibility and bioactivity of coated bone marrow mesenchymal stem cells (BMSCs) were evaluated through in vitro cell experiments. A copper- and cobalt-doped porous coating was successfully prepared on the surface of titanium, and the doping of copper and cobalt did not change the surface topography of the coating. The porous coating increased the surface roughness of titanium and improved its resistance to corrosion. In addition, the porous coating doped with copper and cobalt promoted the adhesion and spreading of BMSCs. A porous coating doped with copper and cobalt was prepared on the surface of titanium through plasma electrolytic oxidation. The coating not only improved the roughness and corrosion resistance of titanium but also exhibited good biological activity.

Surface Roughness and Wettability of Green-mediated Titanium, Zirconium, and Hydroxyapatite Nanocomposite-based Glass Ionomer Cement under Toothbrushing Simulation: An In Vitro Study

Surface Roughness and Wettability of Green-mediated Titanium, Zirconium, and Hydroxyapatite Nanocomposite-based Glass Ionomer Cement under Toothbrushing Simulation: An In Vitro Study

Study of different cutting fluids effect on the coupling characteristics of milling noise-vibration and surface roughness of TA2 pure titanium

With the increasing use of titanium alloys, it is essential to improve cutting efficiency. However, there are various problems such as high noise, strong vibration and difficulty to control the surface finish quality in actual cutting process, which can be more serious with the increase of machining parameters. In order to obtain better machining quality and higher efficiency, the influence of cutting parameters and cutting fluid on the milling process of TA2 pure titanium under two cutting conditions that use different cutting fluid is firstly studied in this paper. The correlation between the surface roughness (SR) of the workpiece and multiple metrics which milling noise (MN) and milling vibration (MV) is further studied on the basis of experimental data. In this paper, a series of parameters that have a strong correlation with SR are selected. Then, prediction models based on Least Squares Method (LSM) and Response Surface Methodology (RSM) are established. Finally, established models are compared to find ways to improve prediction accuracy. The experimental results indicate that compared with water-based cutting fluid, oil-based cutting fluid can make TA2 workpiece obtain better and more stable cutting performance most of the time; MV has a more significant correlation with SR and is therefore more suitable for establishing prediction model; The accuracy of the prediction model that takes the multi-factor coupling effect into consideration has been generally improved and the average optimization degree of the Improved Particle Swarm Optimization (IPSO) algorithm for LSM is 2.91 %, which has good optimization performance.

Vacuum Plasma Treatment Device for Enhancing Fibroblast Activity on Machined and Rough Titanium Surfaces.

This study was conducted to compare the effects of an innovative plasma surface treatment device that does not need a gas supply for titanium disks with two different surface topographies: the prototypical machined surface (MAC) and one of the most diffused roughened ones (SL) obtained through grit blasting and acid etching. A total of 200-MAC and 200-SL titanium disks were used. Each group of disks was divided into four sub-groups of 40 samples each that were subjected to five different tests. Among these, 150-MAC and 150-SL were considered the test group, and they were treated with plasma for 15, 30, and 60 s after being removed from the sterile packaging. On the other hand, 50-MAC and 50-SL were considered the control group, and they were only removed from sterile plastic vials. The samples were analyzed to evaluate the capability of the plasma treatment in influencing protein adsorption, cell adhesion, proliferation, and microbial growth on the test group disks when compared to the untreated disks. Protein adsorption was significantly enhanced after 20 min of plasma treatment for 15 and 30 s on the MAC and SL disks. Plasma treatment for 15 and 30 s significantly increased the level of adhesion in both treated samples after 30 min. Furthermore, the MAC samples showed a significant increase in cell adhesion 4 h after plasma treatment for 15 s. The SEM analysis highlighted that, on the treated samples (especially on the MAC disks), the cells with a polygonal and flat shape prevailed, while the fusiform- and globular-shaped cells were rare. The encouraging results obtained further confirm the effectiveness of plasma treatments on cell adhesion and fibroblast activity.

Influence of titanium nanoscale surface roughness on fibrinogen and albumin protein adsorption kinetics and platelet responses.

Biomaterials with nanoscale topography have been increasingly investigated for medical device applications to improve tissue-material interactions. This study assessed the impact of nanoengineered titanium surface domain sizes on early biological responses that can significantly affect tissue interactions. Nanostructured titanium coatings with distinct nanoscale surface roughness were deposited on quartz crystal microbalance with dissipation (QCM-D) sensors by physical vapor deposition. Physico-chemical characterization was conducted to assess nanoscale surface roughness, nano-topographical morphology, wettability, and atomic composition. The results demonstrated increased projected surface area and hydrophilicity with increasing nanoscale surface roughness. The adsorption properties of albumin and fibrinogen, two major plasma proteins that readily encounter implanted surfaces, on the nanostructured surfaces were measured using QCM-D. Significant differences in the amounts and viscoelastic properties of adsorbed proteins were observed, dependent on the surface roughness, protein type, protein concentration, and protein binding affinity. The impact of protein adsorption on subsequent biological responses was also examined using qualitative and quantitative in vitro evaluation of human platelet adhesion, aggregation, and activation. Qualitative platelet morphology assessment indicated increased platelet activation/aggregation on titanium surfaces with increased roughness. These data suggest that nanoscale differences in titanium surface roughness influence biological responses that may affect implant integration.

Effect of Electrocautery and Laser Treatment on the Composition and Morphology of Surface-Modified Titanium Implants.

The purpose of this study was to investigate the effects of different peri-implantitis treatment methods (Er,Cr:YSGG laser, diode laser, and electrocautery) on various titanium implant surfaces: machined; sandblasted, large-grit, and acid-etched; and femtosecond laser-treated surfaces. Grade 4 titanium (Ti) disks, with a diameter of 10 mm and a thickness of 1 mm, were fabricated and treated using the aforementioned techniques. Subsequently, each treated group of disks underwent different peri-implantitis treatment methods: Er,Cr:YSGG laser (Biolase, Inc., Foothill Ranch, CA, USA), diode laser (Biolase, Inc., Foothill Ranch, CA, USA), and electrocautery (Ellman, Hicksville, NY, USA). Scanning electron microscopy, energy-dispersive X-ray spectroscopy, and wettability were used to characterize the chemical compositions and surfaces of the treated titanium surfaces. Significant changes in surface roughness were observed in both the electrocautery (Sa value of machined surface = 0.469, SLA surface = 1.569, femtosecond laser surface = 1.741, and p = 0.025) and Er,Cr:YSGG laser (Ra value of machined surface = 1.034, SLA surface = 1.380, femtosecond laser surface = 1.437, and p = 0.025) groups. On femtosecond laser-treated titanium implant surfaces, all three treatment methods significantly reduced the surface contact angle (control = 82.2°, diode laser = 74.3°, Er,Cr:YSGG laser = 73.8°, electrocautery = 76.2°, and p = 0.039). Overall, Er,Cr:YSGG laser and electrocautery treatments significantly altered the surface roughness of titanium implant surfaces. As a result of surface composition after different peri-implantitis treatment methods, relative to the diode laser and electrocautery, the Er,Cr:YSGG laser increased oxygen concentration. The most dramatic change was observed after Er:Cr;YSGG laser treatment, urging caution for clinical applications. Changes in surface composition and wettability were observed but were not statistically significant. Further research is needed to understand the biological implications of these peri-implantitis treatment methods.

Multi-attribute optimization of drilling CFRP/Ti-6Al-4V alloy hybrid stacks using VIKOR

Drilling carbon reinforced polymer composites (carbon fiber-reinforced polymers, CFRP) and the hole quality produced are highly critical and significantly influence the performance and reliability of structures used in aircraft components. When CFRP composites are stacked together with titanium alloy, the damage caused by the machining operation is incalculable due to the burr and chip evacuation of metallic phases. In this article, efforts were made toward the identification of optimal machining conditions in drilling CFRP/titanium hybrid stacks. Experimental investigations on dry drilling of CFRP/titanium stacks were conducted with the aid of tungsten carbide drills. This research article discusses an improved compromise ranking method named VIKOR (VIseKriterijumska Optimizacija I Kompromisno Resenje) to determine the optimal machining parameters in drilling of CFRP/titanium stacks to produce high-quality holes. Attributes measured from experimental trials are: delamination factor of CFRP, burr height of titanium alloy, thrust force, torque, surface roughness, roundness and hole diameter of CFRP and titanium alloy. Experimental trial 13 with a combination of speed of 30 m/min, feed of 0.025 mm/rev was chosen as an ideal machining parameter in drilling CFRP/Ti-6Al-4V stacks without any trade-off. Confirmation tests convey that the results agree well with optimal parameters and the decision making in drilling such multimaterial stacks is highly consistent and judicious. In regard to the optimal parameters determined, investigations on tool life were performed and a tool life of 20 min for 0.10 mm flank wear land was observed.

A Novel Apparatus to Standardize the Polishing Protocol to Achieve Different Roughness of Titanium and Zirconia Disc Surfaces.

To propose and evaluate standardized polishing protocols for in vitro experiments using a custommade apparatus under controlled force to create consistent surface roughness on titanium and zirconia discs. A total of 160 discs were manufactured with a diameter of 10 mm, 80 titanium (Ti) and 80 zirconium oxide (Zr). Specimens were categorized into two groups: controlled force (CF) and without controlled force (WCF). Specimens in the CF group were polished with a custom apparatus incorporating a tension gauge on the Ti and Zr disc surfaces to achieve consistent roughness. The WCF group was polished without the use of a tension gauge. Each group had four subgroups (n &#61; 10): control/machined with no polishing (C), rough (R), smooth (S), and very smooth (VS). The subgroups were processed using a sequence of diamond-impregnated polishing burs and polishing paste. The CF group showed consistent surface roughness and a gradual decrease in surface roughness. Control in Ti (Ra &#61; 6.5 ± 0.03 μm) and in Zr (Ra &#61; 5.4 ± 0.04 μm); R in Ti (Ra &#61; 3.5 ± 0.06 μm) and in Zr (Ra &#61; 3.2 ± 0.07 μm); S in Ti (Ra &#61; 1.5 ± 0.04 μm) and in Zr (Ra &#61; 1.1 ± 0.06 μm); and VS in Ti (Ra &#61; 0.05 ± 0.002 μm) and in Zr (Ra &#61; 0.02 ± 0.005 μm). There were significant differences for R, S, and SV under CF and WCF in Ti and Zr surfaces. The specimens polished under control force produced significantly more uniform surface roughness than those polished without controlled force and were produced with a higher degree of consistency.

Fracture analysis of composite-titanium adhesively bonded joints under mode-Ⅰ loading

In this paper, effects of adhesive, titanium surface roughness and manufacturing method on the fracture behaviors of composite-titanium adhesively bonded structures under mode Ⅰ loading were studied. Experimental results showed that the maximum GⅠc obtained from specimen bonded with tougher adhesive was approximately 276% higher than another adhesive. Higher flatwise tensile strength and roller peel strength of tougher adhesive resulted in stronger resistance for crack growth in tougher adhesive itself, leading to adhesive or adherend fracture mode. The titanium surface roughness only affected the fracture performance of specimen with cohesive fracture, and the GⅠc of specimen with higher surface roughness was improved by 20%. As for manufacturing method, due to the surface treatment of composite, the secondary and co-bonded specimen presented fiber pull-out and matrix failure, respectively. As a result, the lower fracture energy required for fiber pull-out failure resulted that the secondary bonded specimen present nearly 50% smaller GⅠc than co-bonded specimen. The findings can provide detailed reference for design of composite-titanium bonded structures.

Effect on osseointegration of dental implants treated with carboxyethylphosphonic acid and functionalized with BMP-2: preliminary study on a minipig model.

Introduction: Rough titanium surfaces biofunctionalised by osteogenic proteins, such as BMP-2, have been shown to accelerate the osseointegration process and reduce waiting times for prosthetic loading. The preclinical study presented here compared the bone in contact with the implant and bone neoformation and density between titanium (Ti) implants with a conventional etched surface (SLA type) and others treated with carboxyethylphosphonic acid (CEPA) and bone morphogenetic protein 2 (BMP-2), after 4weeks of implantation in the tibia of a minipig model. Methods: Sixteen implants (eight experimental and eight control) of Ti-Al16-V4 with a tapered screw design and internal hexagonal connection were randomly inserted into the tibiae of four minipigs, four in each tibia. The experimental implants were treated with CEPA and BMP-2 and sterilised with gamma radiation (25KG). The insertion torque was 40N and primary stability was measured with the Osstell® device (ISQ 64 ± 2.6). Five bone parameters were evaluated: bone in contact with the implant (BIC), bone in contact with the corrected implant (BICc), new bone formation (BV/TV), bone density between threads (BAI/TA) and peri-implant bone density (BAP/TA). A histomorphometric study was performed and the samples were digitised with Adobe Photoshop Cs6. Statistical analysis of the variables was performed using SAS 9.4. Results: After a period of 4weeks, no significant clinical signs were observed and all implants were integrated. Light microscopy of the experimental group revealed an ICB with no signs of fiber tissue, but with areas of ectopic new bone in the medullary space. Statistical analysis showed significant results for BIC and BICc (p = 0.0001 and p = 0.001, respectively). No statistical signification was found for the other parameters evaluated. Conclusion: Despite the limitations of this study, our results demonstrated that dental implant surfaces treated with CEPA and BMP-2 improve their biological response to osseointegration.

The Effect of Titanium Surface Topography on Adherent Macrophage Integrin and Cytokine Expression

Immunomodulatory biomaterials have the potential to stimulate an immune response able to promote constructive and functional tissue remodeling, as opposed to persistent inflammation and scar tissue formation. This study examined the effects of titanium surface modification on integrin expression and concurrent cytokine secretion by adherent macrophages in vitro in an attempt to delineate the molecular events involved in biomaterial-mediated immunomodulation. Non-polarised (M0) and inflammatory polarised (M1) macrophages were cultured on a relatively smooth (machined) titanium surface and two proprietary modified rough titanium surfaces (blasted and fluoride-modified) for 24 h. The physiochemical characteristics of the titanium surfaces were assessed by microscopy and profilometry, while macrophage integrin expression and cytokine secretion were determined using PCR and ELISA, respectively. After 24 h adhesion onto titanium, integrin α1 expression was downregulated in both M0 and M1 cells on all titanium surfaces. Expression of integrins α2, αM, β1 and β2 increased in M0 cells cultured on the machined surface only, whereas in M1 cells, expression of integrins α2, αM and β1 all increased with culture on both the machined and rough titanium surfaces. These results correlated with a cytokine secretory response whereby levels of IL-1β, IL-31 and TNF-α increased significantly in M1 cells cultured on the titanium surfaces. These results show that adherent inflammatory macrophages interact with titanium in a surface-dependent manner such that increased levels of inflammatory cytokines IL-1β, TNF-α and IL-31 secreted by M1 cells were associated with higher expression of integrins α2, αM and β1.

A new adhesion concept based on a dual surface modification for resin Ti adhesion

The objective of this resin Ti adhesion study was to compare and contrast the effect of two novel dual surface modification methods on the surface morphology, changes in surface chemistry and to evaluate their enclosed mold micro-shear bond strength variation on artificial ageing. A total amount of 168 c.p. grade 2 titanium specimens were first manually polished, then 24 of them were randomly selected as control specimens. To study the effect of dual surface modification (silicatization followed by etching), 72 polished titanium specimens were silicatized (Rocatec™ Plus, 3M ESPE, 110 μm silica-coated alumina powder) according to the manufacturer’s protocol and then 36 of the silicatized specimens were etched with a blend of HNO3–HCl at 60 °C for 2 mins. The reversed dual surface modification (etching followed by silicatization) was done for the remaining 72 titanium specimens. They were first etched with a blend of HNO3–HCl at 60 °C for 2 mins, and then 36 of the etched specimens were silicatized with the same protocol as mentioned above. As a final treatment one third of all differently modified sample groups were silanized by Monobond™ Plus (Ivoclar Vivadent), and the other third with an experimental silane primer blend, 1.0 vol% 3-acryloxypropyltrimethoxysilane + 0.3 vol% 1,2-bis-(triethoxysilyl)ethane. One third of each sample groups was left without silanization. SEM, EDX, XPS, AFM, and surface roughness profilometry were conducted to study the effects of different surface modifications. Two enclosed mold resin stubs were bonded on each surface treated titanium specimens to evaluate the enclosed mold micro-shear bond strength. The specimens were artificially aged for 1 day, 1 week, 4 weeks, and 8 weeks, followed by adhesion strength testing and failure mode analyses. SpeedCem™ (Ivoclar Vivadent) was used as resin cement. The highest surface roughness was detected on the titanium specimens, silicatized and followed by etching with and without silanization (group E), while the lowest surface roughness was observed in two groups, silanized polished titanium (group A, control) and etched polished titanium with and without silanization (group C). The surface roughness of titanium only silicatized (group B) and specimens silicatized after etching (group D) exhibited similar surface roughness, higher than groups A and C, but lower than group E. These results were supported by the SEM images and AFM analysis. The EDX and EM-μSBS analyses pointed out that specimens which had higher [Si] and [Al], exhibited higher EM-μSBS values. The highest EM-μSBS values were observed in Ti specimens which were silicatized only or those which were silicatized after etching, i.e., groups B and D. Adhesive and mixed mode of fractures were observed in the specimens after EM-μSBS tests. A novel approach of silicatized titanium surface after etching might prevent the removal of embedded SiO2 and Al2O3, allowing the formation of a durable chemical bond with a silane blend.

FEATURES OF BONE REMODELING AROUND SURFACE-MODIFIED TITANIUM AND TANTALUM IMPLANTS.

The aim: To study the osseointegrative properties of titanium and tantalum implants with different surface structures in animal experiments. Materials and methods: The histological and morphometric study was carried out on 60 male white rats after titanium implants with different surface structures made by 3D printed technology were inserted in the distal femur bone: presented by the multilayered layers of interlacing pores of 300 microns (series 1); rough (> 2 microns) (series 2); and tantalum implants with 300 microns pores and 80% porosity (series 3) as control material. Results: On the 30 days we found statistically significant differences in the bone-implant contact rate between the 2nd experiment series (44.77 ± 1.86)% and 1st (59.91 ± 2.86)% (p=0.000047) and 3rd (53.89 ± 2.11)% (р=0.000065), on the 90 days between the 2nd experiment series (51.26 ± 2.7)% and 1st (66.84 ± 2.63)% (p=0.000187) and 3rd (70.35 ± 4.32)% (p=0.000349). There was a difference between the indices of the bone-implant volume at day 90 between the 1st (48.43 ± 2.2)% and 2nd (36.88 ± 2.56)% series (p=0.000919), between the 2nd and 3rd series (51.2 ± 3.06)% (p=0.000107). There were no significant differences between the studied indices in the 1st and 3rd series of the experiment. Conclusions: Titanium implants with multilayered interlaced pore layers of 300 microns and tantalum with 300 microns pore size and 80% porosity may be promising. Rough-surface titanium also has osseointegrative qualities, but they are lower compared to other materials.

Osteoblast Response of Additively Manufactured Zirconia and Alumina-Toughened Zirconia.

Zirconia ceramics have been widely used in dentistry. Herein, we assess the surface morphology, surface texture, and osteoblast response of additively manufactured zirconia and alumina-toughened zirconia (ATZ) in comparison with titanium. The surface roughness, contact angle, and surface microstructure of titanium sandblasted with large-grit alumina and subsequently acid-etched using 18% HCl and 49% H2SO4 (SLA-titanium), uniaxially pressed zirconia (UP zirconia), additively manufactured zirconia (AM zirconia), and additively manufactured ATZ (AM ATZ) were investigated. Moreover, the cell viability, alkaline phosphatase (ALP) activity, and gene expression of type I collagen on these materials were evaluated. The data were statistically analyzed using one-way ANOVA with Tukey's post hoc test. SLA-titanium showed the highest surface roughness and contact angle. The other three materials showed comparable surface roughness and contact angles. Micro- and nanoroughness were observed on the surface of SLA-titanium. UP zirconia and AM zirconia had similar surface morphologies. The cell viability, ALP activity, and gene expression of type I collagen on AM zirconia were comparable to or better than those on SLA-titanium. Our results indicate that AM zirconia is a promising material for zirconia dental implants.