Authors: Dawlat Mostafa Ahmed, Samia Soliman Omar
Abstract: Background: Osseointegration of dental implant is a challenging issue for those who need to restore a missing tooth, a matter that necessitates wide range of research on different implant manufacturing, modification and bioactive coating materials.Aim of the study: Investigation of cementing line configuration around osseointegrated engineered nano-porous zirconia implants coated with bioactive autologous HA, platelet rich plasma (PRP) and bovine HA (Bio-oss) coatings in rabbit model.Materials and methods: Zirconia implants (cylinders 3.7 mm x 8 mm) were milled and sintered according to manufacturer recommendations. Then all specimens were treated with selective infiltration etching (SIE) to produce a nano-porous surface. Implants were surgically placed bilaterally in the femur distal heads of 20 male line V Spain white rabbits. Implants were divided equally into 4 groups (n=10): group (A) control (non-coated), group (B) autologous HA coated, group (C) PRP coated and group (D) Bio-Oss coated implants. Specimens were characterized with x-ray diffraction (XRD) analysis and mercury porosimetery. Histological examination was performed after six weeks of peri-implant healing period.Results: XRD patterns revealed the detection of hexagonal HA and (Y-TZP) tetragonal crystal phases for the HA coated surfaces. Mercury porosimetery revealed a significant reduction in total porosity percent after application of bioactive coating materials. The histological picture of osseiointegration and cementing line continuity in association with both of autologous HA and PRP were outstanding and satisfactory followed by that of Bio-Oss and all coated implants showed a noticeable difference from that of the control specimens that were surrounded by unsupported cementing line adjacent to newly formed bone with low density.Conclusions: Engineering of zirconia implant surface with bioactive coatings either HA or PRP to enhance its biological activity could be considered as reliable method to provide satisfactory osseiointegration.
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Authors: Liang Hu, Yu Qiong Chen, Xiao Feng Xing, Wei Min Gao
Abstract: In this paper, the common problems of the preparation of hydroxyapatite (HA) bioactive coating on the surface of titanium and titanium alloy were described, which included bonding strength and biological activity. The improvement of the bonding strength between coating and matrix could be reached by using proper preparation method and changing the composition and structure of the coating. Besides, in order to improve the biological activity, micro regulation of three factors including the roughness, porosity and crystallinity of the coating surface could been used.
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Authors: Hong Qian Huang, Ren Guo Guan, Tong Zhao, Zhan Yong Zhao, Fu Rong Cao
Abstract: Magnesium and magnesium alloys, as biomaterials, possess many properties that are superior to those of other metals. However, magnesium and magnesium alloys have strong chemical activity and porous and brittle surface oxide film, as degradable implantation materials, their degradation rates are too fast. Hydroxyapatite (HA) has good biocompatibility and biological activity and has become one of the replacement materials of biomedical stiff hemopoietic tissue, but the application of HA biomaterial is hindered because HA is brittle and has low strength. Integrating good mechanical properties of metallic materials with excellent biological performance of HA, the composite obtained by coating HA to the surface of metallic matrix is ideal rehabilitation material of bone tissue. In the present study, a new Mg-4.0Zn-1.0Ca-0.6Zr (wt%) was designed according to the requirements of biocompatibility. The microstructures and the mechanical properties of the new alloy were investigated by experiment. The excellent mechanical properties fully meet the service requirements of human bone tissue for mechanical property. Flat and dense hydroxyapatite coating was prepared on the surface of magnesium alloy matrix by preceding alkali heat treatment, electrodeposition and post alkali heat treatment. The Structure and constituent of HA coating and the biodegradation behavior of HA-coated Mg-4.0Zn-1.0Ca-0.6Zr (wt%) alloy were evaluated. Resuls showed that the degradation rate of HA-coated Mg-4.0Zn-1.0Ca-0.6Zr (wt%) alloy in SBF biomimetic solution decreased obviously and tended to be stable after 10 days. As degradable implantation materials, HA-coated Mg-4.0Zn-1.0Ca-0.6Zr (wt%) alloy fully meets the service requirements of human bone tissue.
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Authors: Rumana Sultana, Jing Zhou Yang, Xiao Zhi Hu
Abstract: Layered hydroxyapatite (HA) based ceramic composites consisting of a strong ceramic composite core, 3 mol% yttrium stabilized zirconia (3Y-TZP) with 30 or 40 vol% HA, and a HA-rich porous coating were fabricated using a coating deposition and co-sintering process in the present study. The aim is to develop HA-based bio-ceramic composites that retain the bio-compatibility of HA and the preferred scaffold structure, but have much improved structural properties required for implants. Two different coating techniques, sol-gel derive HA coating and HA solution coating, have been used to deposit the HA coating on the strong HA-containing 3Y-TZP core, which has been pre-sintered at 900°C and has a green-machined surface finish. The upper limit for the final sintering of the layered ceramic composites is set at 1,350°C based on the individual sintering properties of HA and 3Y-TZP. SEM observations have been conducted on the coating surface, sectioned surface of coating and substrate/core to characterize the microstructures of coating and substrate and their interface. Preliminary mechanical tests and XRD tests are also performed to characterise the structural properties at different temperatures.
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Authors: Zi Yuan Zhu, Fu Qiang Zhang, You Tao Xie, Yi Kai Chen, Xue Bin Zheng
Abstract: Failure of dental implant is often caused by specific pathogenic bacteria. In this paper, antibacterial HA coating was prepared by vacuum plasma spraying with silver loaded zirconium phosphate containing HA as feedstock. The antibacterial activity against Aa,Fn and Pg was evaluated using a film covering method. MTT colorimetric assay was used to measure cytotoxic effect of the antibacterial HA coatings. Results show that the HA coatings displayed significant antibacterial activity against Aa,Fn, Pg and no cytotoxicity to L929 murine cell lines when the content of silver-loaded zirconium phosphate antimicrobial is between 5wt% to 10wt%. The sensitivity of the bacteria to the antibacterial HA coating is in sequence of Pg >Fn >Aa.
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Authors: Joerg Brandt, M. Pfennig, Christian Bieroegel, Wolfgang Grellmann, Anke Bernstein
Abstract: Many attempts had been made to improve the durability of artificial joint replacement and other
orthopaedic implants by approaching the mechanical properties of bone and artificial material. The
most joint prostheses used today are manufactured of metal alloys based on cobalt, chromium or
titanium. The mechanical stiffness of these materials is much higher than that of natural bone
resulting in adverse effects such as local overloading on one hand or stress shielding phenomena
with the lack of adequate mechanical load on the other. Both mechanisms contribute to earl
loosening and failure of implants. Polymer materials may deliver mechanical properties very
similar to bone and their mechanical behaviour may be modified in a wide range during the
process of manufacturing. First attempts to lower the stiffness of the implant material and to gain
the stiffness range of natural bone were made in the seventies by R. Matthys with his concept of
“isoelastic hip prosthesis”. In this prosthesis the femoral stem was manufactured of polyacetal, a
thermoplastic polymer with very good biocompatibility and elastic properties which are much
nearer to bone than common metal alloys. While the prosthesis showed good results during the
mechanical testing the clinical use in vivo became a disaster. Shortly after implantation polyacetal
was degraded in the body and broke down under the immense loading of the human hip joint.
Later attempts to use polymer materials alone for load bearing implants also failed in clinical
practice over a long time because the mechanical interlocking between bone and implant was not
sufficient for the biological demand. To make the outstanding properties of polymer materials
useable for load bearing implants they are backed with metal alloys (as polyethylene for hip joint
cups) until the presence. Only recent developments of polymer science succeeded in the use of
polymers for loaded implants. One of the most interesting materials seems to be the
polyetheretherketone (PEEK) which is successfully used for spinal fusion cages [2] and computerdesigned
individual implants for defect reconstruction in the skull [4] meanwhile. A pre-clinical
study of a new anatomically shaped flexible acetabular cup reported satisfactory results recently
[3].
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Authors: Yi Ping Tian, Shan Shan Wei, Hui Li, Ling Hong Guo
Abstract: Bioactive porous surface on metal implants are benefit for forming the continuous interface
with “mechanical interlocking” and “chemical bonding” between implants and bones. In the present
study, the main attention was concentrated on fabricating a porous bioactive surface on Ti substrate.
Porous surface was first fabricated by two-step etched. Then thin HA coating was deposited on the
pre-treated porous Ti surface by sol-gel method and immediately sintered at 500°C for 1 hour. The
structure and morphology of HA coating formed on the porous surface were characterized by thin-film
X-ray diffrac- tion and scanning electronic microscopy, respectively. Rietveld method and
Warren-Averbach Fourier Transfer Analysis were employed to determine the lattice parameters,
crystallite size and micro-strain of HA coating. The SEM results indicated that an interconnecting porous
surface with cancellous structure and mean diameter about 1/m was etched on the Ti substrate, and the
surface was covered by a thin particle coating. The TF-XRD results testified that the thin coating was poor
crystalline HA.
1370
Authors: N. Wu, Jie Weng, Shu Xin Qu, Jian Xin Wang, Xiong Lu, Bo Feng
Abstract: In this work, triethyl phosphate (TEP) was used to bioactivating titanium. Titanium plates
grafted with TEP were immersed in a two times concentrated simulated body fluid (2SBF) to
investigate deposition of hydoxyapatite (HA) on the surface. A phosphate buffer solution (PBS) with
bovine serum albumin (BSA) was used to evaluate adsorption of protein on the grafted titanium
surface. The morphology, component and structure of samples were examined by scanning electronic
microscopy, attenuated total reflection Fourier transform infrared spectroscopy and X-ray diffraction
respectively. The concentration change of BSA in adsorption test was examined with the
ultraviolet-visible absorption spectra (UV). The analyses showed that TEP grafted onto the titanium
surface. In 2SBF, calcium and phosphate ions deposited spontaneously onto the grafted titanium
surface and formed a HA coating with a network-like microporous structure after being immersed for
3 days. The coating consisted of HA particles with 180-265nm in thickness and 72-85nm in width.
The diameter of the micropores was about 200nm. The HA coating appeared better uniformity than
that on the modified titanium using phosphoric acid. BSA rapidly adsorbed onto the grafted titanium
surface at first half an hour and then the adsorption quantity almost kept constant. These results
indicate that TEP grafting is an effective approach to modify bioactivity of titanium.
797
Authors: Un Hye Kwon, Min Hee Kam, Maria Bachle, Dae Joon Kim, Won Jun Lee, Hye Lee Kim, Jung Suk Han
Abstract: To combine the bioinert titanium with the biological active coating of hydroxyapatite
[HA, Ca10(PO4)6(OH)2] a new pulsed laser deposition(PLD) method was applied. The initial
osteoblast-like MC3T3-E1 cell response to this thin HA coated(<1μm) surface was compared with
non-coated surfaces. Cell responses on four different pure titanium surfaces, such as smooth
titanium, HA coated smooth titanium, rough titanium and HA coated rough titanium, were
compared. Cell morphology and attachment were examined by scanning electron microscopy after
6, 24 and 72 hrs of culture, cell proliferation by MTS assay after 3, 7 and 14 days. The
differentiation of the cells was analyzed by real time PCR up to 21 days. The cells were well spread
and attached on all surfaces and showed more irregular shapes on the HA coated specimens. They
proliferated continuously on all specimens up to 14 days. Smooth surface specimens showed better
cell proliferation than rough ones after 7 days, and the HA coated specimens demonstrated slightly
greater MTS activity than the non-coated groups after 14 days. The surface topography affected cell
proliferation initially however; there was no significant difference afterwards. Thin HA coating
influenced the expression of some genes related with cell differentiation.
673
Authors: Xue Bin Zheng, Yi Zeng, Chuan Xian Ding, Soo Wohn Lee, Zi Yuan Zhu, Fu Qiang Zhang
Abstract: Vacuum plasma sprayed (VPS) hydroxyapatite (HA) coatings with silver-loaded
zirconium phosphate antimicrobial have been prepared on titanium substrate. Antibacterial effects
of the coatings were studied by bacteria culturing using Porphyromonas gingivalis (Pg),
Fusobacterium nucleatum (Fn) and Actinobacillus actinomycetemcomitans (Aa) as microorganisms.
Simulated body fluid (SBF) test was carried out to evaluate the bioactivity of the coatings as well.
The results obtained showed that the coatings exhibited a marked antibacterial effect against Pg, Fn
and Aa when the content of antimicrobial was equal to or more than 5%. The antibacterial
capability of the coatings decreased in the following order: Pg, Fn, Aa. Bone-like apatite layer was
formed on the silver-containing HA coatings after immersed in SBF, suggesting that their
bioactivities were not affected obviously by the addition of silver-zirconium phosphate
antimicrobial. This study indicated that silver-containing VPS HA coating is a prospective candidate
as dental material.
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