钛基种植体表面抗菌改性的研究进展

钛金属以其优异的生物相容性、高机械强度和良好的抗腐蚀性被广泛用于临床牙列缺损及牙列缺失的修复治疗,然而细菌容易聚集和黏附其表面,且钛金属自身不具有抗菌性能,是种植体周围炎和种植义齿修复失败的主要原因之一。钛表面抗菌改性可改变种植体表面的理化性能,抑制致病菌的黏附和聚集,提高种植义齿修复的成功率。钛种植体表面改性主要是将抗菌剂或有抗菌性能的物质通过羟磷灰石涂层、二氧化钛纳米管和脱乙酰壳多糖等具有一定抗菌性能的载体对钛金属基体进行表面修饰,从而赋予钛金属不同程度的抗菌性能。本文就基体、载体和抗菌剂三方面的钛基种植体表面改性等研究进展作一综述。     

钛金属内植物表面抗菌肽的应用进展

抗菌肽广泛存在于多种生物体内,是生物体非特异性免疫功能的重要组成部分。其可以保护机体免受细菌、真菌、寄生虫和病毒等病原体的侵袭,还具有介导催化、凋亡、免疫调节活性、促进伤口愈合和促成骨等作用,是钛金属内植物表面抗菌涂层研究的热点,具有良好的应用前景。本文就应用于钛金属内植物表面的抗菌肽的抗菌机制、加载方式和应用现状等进行综述。     

Mechanical Properties of Different Nanopatterned TiO2 Substrates and Their Effect on Hydrothermally Synthesized Bioactive Hydroxyapatite Coatings

Nanotechnology is a very attractive tool for tailoring the surface of an orthopedic implant to optimize its interaction with the biological environment. Nanostructured interfaces are promising, especially for orthopedic applications. They can not only improve osseointegration between the implant and the living bone but also may be used as drug delivery platforms. The nanoporous structure can be used as a drug carrier to the surrounding tissue, with the intention to accelerate tissue–implant integration as well as to reduce and treat bacterial infections occurring after implantation. Titanium oxide nanotubes are promising for such applications; however, their brittle nature could be a significantly limiting factor. In this work, we modified the topography of commercially used titanium foil by the anodization process and hydrothermal treatment. As a result, we obtained a crystalline nanoporous u-shaped structure (US) of anodized titanium oxide with improved resistance to scratch compared to TiO₂ nanotubes. The US titanium substrate was successfully modified with hydroxyapatite coating and investigated for bioactivity. Results showed high bioactivity in simulated body fluid (SBF) after two weeks of incubation.     

Effect of SiO2–Al2O3 Glass Composite Coating on the Oxidation Behavior of Ti60 Alloy

A SiO₂–Al₂O₃ glass composite coating was prepared on Ti60 alloy via air spraying slurry and then a suitable baking process. It was composed of potassium silicate glass, alumina and quartz powders. The high temperature oxidation performance of the alloy with and without coating was evaluated in static air at both 800 °C and 900 °C. The results show that catastrophic oxidation occurs for Ti60 bare alloy. It had a mass gain of about 2 mg/cm² after oxidation at 800 °C and 17 mg/cm² at 900 °C for 100 h. On the contrary, the oxidation resistance of alloy coated with composite coating was much improved with the mass gain about 0.36 mg/cm² and 0.95 mg/cm² at 800 °C and at 900 °C, respectively. The microstructure evolution of the composite coating and the alloy was analyzed by scanning electron microscope and electron probe microanalyzer. The effect of the composite coating on the oxidation performance of the alloy is discussed especially in terms of oxygen diffusion and interfacial reaction.     

Strength Properties of a Porous Titanium Alloy Ti6Al4V with Diamond Structure Obtained by Laser Power Bed Fusion (LPBF)

This paper presents the results of experimental research on the strength properties of porous structures with different degrees of density manufactured of Ti6Al4V titanium alloy by Laser Power Bed Fusion. In the experiment, samples with diamond structure of porosity: 34%, 50%, 73% and 81% were used, as well as samples with near-zero porosity. Monotonic tensile tests were carried out to determine the effective values of axial modulus of elasticity, ultimate tensile strength, offset yield strength, ultimate elongation and Poisson ratio for titanium alloys with different porosities. The paper also proposes relationships that can be easily used to estimate the strength and rigidity of a porous material manufactured by 3D printing. They were obtained by the approximation of two quotients. The first one refers to the relationship between the tensile strength of a material with a defined porosity to the strength of full-filled material. The second similarly determines the change in the value of the axial modulus of elasticity. The analysis of microscopic observations of fracture surfaces and also microtomography visualization of the material structure are also presented.     

The Relationship between Biofilm and Physical-Chemical Properties of Implant Abutment Materials for Successful Dental Implants

The aim of this review was to investigate the relationship between biofilm and peri-implant disease, with an emphasis on the types of implant abutment surfaces. Individuals with periodontal disease typically have a large amount of pathogenic microorganisms in the periodontal pocket. If the individuals lose their teeth, these microorganisms remain viable inside the mouth and can directly influence peri-implant microbiota. Metal implants offer a suitable solution, but similarly, these remaining bacteria can adhere on abutment implant surfaces, induce peri-implantitis causing potential destruction of the alveolar bone near to the implant threads and cause the subsequent loss of the implant. Studies have demonstrated differences in biofilm formation on dental materials and these variations can be associated with both physical and chemical characteristics of the surfaces. In the case of partially edentulous patients affected by periodontal disease, the ideal type of implant abutments utilized should be one that adheres the least or negligible amounts of periodontopathogenic bacteria. Therefore, it is of clinically relevance to know how the bacteria behave on different types of surfaces in order to develop new materials and/or new types of treatment surfaces, which will reduce or inhibit adhesion of pathogenic microorganisms, and, thus, restrict the use of the abutments with indication propensity for bacterial adhesion.     

Fabrication of Metallic Biomedical Scaffolds with the Space Holder Method: A Review

Bone tissue engineering has been increasingly studied as an alternative approach to bone defect reconstruction. In this approach, new bone cells are stimulated to grow and heal the defect with the aid of a scaffold that serves as a medium for bone cell formation and growth. Scaffolds made of metallic materials have preferably been chosen for bone tissue engineering applications where load-bearing capacities are required, considering the superior mechanical properties possessed by this type of materials to those of polymeric and ceramic materials. The space holder method has been recognized as one of the viable methods for the fabrication of metallic biomedical scaffolds. In this method, temporary powder particles, namely space holder, are devised as a pore former for scaffolds. In general, the whole scaffold fabrication process with the space holder method can be divided into four main steps: (i) mixing of metal matrix powder and space-holding particles; (ii) compaction of granular materials; (iii) removal of space-holding particles; (iv) sintering of porous scaffold preform. In this review, detailed procedures in each of these steps are presented. Technical challenges encountered during scaffold fabrication with this specific method are addressed. In conclusion, strategies are yet to be developed to address problematic issues raised, such as powder segregation, pore inhomogeneity, distortion of pore sizes and shape, uncontrolled shrinkage and contamination.     

Assessment of cytotoxicity and antibacterial effects of silver nanoparticle-doped titanium alloy surfaces

ObjectivesThis study aimed to develop silver nanoparticle (AgNP)-doped Ti₆Al₄V alloy surfaces and investigate their antibacterial properties against representative periopathogens and potential cytotoxicity on osteoblastic cells.MethodsAgNPs of different size distributions (5 and 30 nm) were incorporated onto the Ti₆Al₄V surfaces by electrochemical deposition, using colloid silver dispersions with increasing AgNP concentrations (100, 200 and 300 ppm). The time-course silver release from the specimen surfaces to cell culture media was assessed by Atomic Absorption Spectroscopy (AAS). Cell attachment, viability and proliferation were investigated by SEM, live/dead staining MTT and BrdU assays. The antibacterial effects were assessed against P. gingivalis and P. intermedia by serial dilution spotting assays.ResultsA time- and concentration-dependent silver release from the experimental surfaces was observed. Overall, cell viability and attachment on the AgNP-doped surfaces, suggested adequate cytocompatibility at all concentrations. A transient cytotoxic effect was detected at 24 h for the 5 nm-sized groups that fully recovered at later time-points, while no cytotoxicity was observed for the 30 nm-sized groups. A statistically significant, concentration-dependent decrease in cell proliferation rates was induced at 48 h in all AgNP groups, followed by recovery at 72 h in the groups coated with 5 nm-sized AgNPs. A statistically significant, concentration-dependent antibacterial effect up to 30% was confirmed against both periopathogens.SignificanceThis study sheds light to the optimal size-related concentrations of AgNP-doped Ti₆Al₄V surfaces to achieve antibacterial effects, without subsequent cytotoxicity. These results significantly contribute to the development of antibacterial surfaces for application in oral implantology.