QCM Analysis for Two-Step Adsorption of Albumin and Fibronectin on Zirconia Surface

The adsorption of proteins on the dental implant surface is the first step in the key role of osseointegration. Many types of proteins exist in the living body and compete for adsorption on the material surface. As an implant material, partially stabilized zirconia (ZrO2) is currently an attractive alternative to titanium to overcome the shortcomings of titanium implants. In this study, we investigated the two-step adsorption of fibronectin (Fn) and bovine serum albumin (Alb) on the ZrO2 surface using a 27-MHz quartz crystal microbalance (QCM) method. A ZrO2 sensor was employed for the QCM measurements. Two-step adsorptions were performed as follows. (1) Fn-Alb series: first, the Fn solution was injected into the phosphate-buffered saline (PBS) solution, followed by the Alb solution. (2) Alb-Fn series: first, the Alb solution was injected, followed by the Fn solution. The decrease in frequency was monitored for 60 minutes after each protein injection. The adsorbed amounts of Fn or Alb were calculated by observing the decrease in frequency, and the apparent reaction rate, kobs, was obtained through the curve fitting of frequency shift against the adsorption time. No significant difference was observed in the adsorbed amounts of Fn and Alb between the Fn-Alb and Alb-Fn series ( P > 0.05 ). The kobs, rate of protein adsorption, in the second step was significantly slower than that in the first step for both Fn and Alb adsorption ( P < 0.05 ). There was no clear correlation between the amount of protein adsorbed on the ZrO2 sensor and the surface topography. It was concluded that the amount of protein adsorbed on the ZrO2 surface was not influenced by the two-step adsorption series, but the adsorption rate of proteins in the second step was affected by the first-step protein adsorption.

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Influence of Titanium Surface Topography on Peri-Implant Soft Tissue Integration

Key Engineering Materials ◽

10.4028/www.scientific.net/kem.529-530.559 ◽

2012 ◽

Vol 529-530 ◽

pp. 559-564 ◽

Cited By ~ 2

Author(s):

Akihiro Furuhashi ◽

Yasunori Ayukawa ◽

Ikiru Atsuta ◽

Yunia Dwi Rakhmatia ◽

Noriyuki Yasunami ◽

...

Keyword(s):

Surface Roughness ◽

Soft Tissue ◽

Surface Topography ◽

Protein Adsorption ◽

Titanium Implants ◽

Machined Surface ◽

Implant Surface ◽

Tissue Integration ◽

Dental Implant Surface ◽

Adsorption Capability

At the neck area of dental implant surface, machined surface (Ms) has been employed to avoid surface contamination. Recently, implants which have roughened surface texture (Rs) at their neck are also available. However, from the viewpoint of soft tissue integration, it remains to be elucidated whether or not surface topography affects the soft tissue attachment around implants. The aim of the present study was to clarify the influence of surface topography on peri-implant soft tissue integration. First, surface roughness of both surfaces was measured. Second, protein adsorption capability on both surfaces was examined. Then, as the rat implant model, titanium implants with each surface were inserted into the maxillae. Horseradish peroxidase (HRP) tracer was applied 4 weeks post implantation to the gingival sulci of implants or natural teeth (NT) to investigate the sealing capability of periodontal/peri-implant soft tissue. Collagen density was also observed by fluorescent staining. As a result, surface roughness (Sa) of Ms and Rs was 0.16 µm and 0.25 µm, respectively. Protein adsorption capability on both surface showed no significant differences. In the NT group of the rat implant model, presence of HRP was restricted only in the coronal portion of epithelium. In both implant groups, in contrast, more invasion of HRP was observed in the soft tissue around implants. Especially in the Ms group, more HRP was observed in the deeper area compared with Rs group. Stronger expression of collagen was observed around Rs compared to Ms at the connective tissue-implant interface. It could be speculated that, with dense collagen, Rs implants showed stronger soft tissue integration compared with Ms implants, but the integration is not as strong as NT’s.

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Short-term immunosuppressive therapy does not affect the density of the pre-existing bone around titanium implants placed in rabbits

Pesquisa Odontológica Brasileira ◽

10.1590/s1517-74912003000400012 ◽

2003 ◽

Vol 17 (4) ◽

pp. 362-366 ◽

Cited By ~ 9

Author(s):

Poliana Mendes Duarte ◽

Getúlio Rocha Nogueira Filho ◽

Enilson Antônio Sallum ◽

Antonio Wilson Sallum ◽

Francisco Humberto Nociti Júnior

Keyword(s):

Bone Density ◽

Immunosuppressive Therapy ◽

Negative Influence ◽

Titanium Implants ◽

Short Term ◽

Implant Surface ◽

Subcutaneous Injections ◽

Significant Difference ◽

Wide Zone ◽

Lateral Area

The aim of this study was to evaluate the influence of the administration and withdrawal of cyclosporin A/nifedipine on the bone density in a lateral area adjacent to implants placed in rabbits. Two screw-type titanium implants were placed bilaterally in twenty-eight New Zealand rabbits. The animals were assigned to one of the following groups and received daily subcutaneous injections for 14 days: Groups A and C: vehicle (dimethyl sulfoxide); Groups B and D: CsA (10 mg/kg) plus nifedipine (50 mg/kg). The animals in Groups A and B were sacrificed 14 days postoperatively and, in Groups C and D, 42 days postoperatively. After sacrifice, the tibiae were removed and undecalcified sections were obtained. Bone density was obtained in a 500 mm-wide zone lateral to the implant surface. Intergroup analysis showed no significant difference (p > 0.05) in the degree of bone density between control and test groups either on day 14 or on day 42. Thus, it appears that a short-term immunosuppressive therapy may not present a negative influence on the density of the pre-existing bone around titanium implants placed in rabbits.

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Titanium Implants Coated with a Bifunctional Molecule with Antimicrobic Activity: A Rabbit Study

Materials ◽

10.3390/ma13163613 ◽

2020 ◽

Vol 13 (16) ◽

pp. 3613 ◽

Cited By ~ 2

Author(s):

Antonio Scarano ◽

Francesco Carinci ◽

Tiziana Orsini ◽

Luca Valbonetti ◽

Erda Qorri ◽

...

Keyword(s):

Titanium Dioxide ◽

Titanium Dioxide Nanoparticles ◽

Titanium Implants ◽

P Value ◽

Implant Surface ◽

Bone Implant ◽

Bifunctional Molecule ◽

Significant Difference ◽

Bone Implant Contact ◽

Antimicrobic Activity

Background: Various surface treatments have been tested for titanium implants aiming at increasing their surface biocompatibility and their biological characteristics, but also the efficiency of the implant surface will have to be improved to drastically decrease peri-implantite and mucosite. In fact, the peri-implantitis and peri-implant mucositis have a high incidence in clinical practice. The nanofabrication techniques that offer the possibility to achieve the implant surface that reduces bacterial colonization could influence the osteointegration. The aim of this research was to evaluate the bone response to titanium implants coated with a bifunctional molecule with antimicrobic activity consisting of a combination of silver ions covalently bound to titanium dioxide nanoparticles. Methods: A total of 36 implants were inserted into 18 older New Zealand white male rabbits. They had two different surfaces. The implants Control group was characterized by an acid-etched and sandblasted surface treatment, and the Test implants had an acid-etched and sandblasted surface coated with a silver ion covalently bound to titanium dioxide nanoparticles in the solution. Results: No statistically significant difference of the bone density was evidenced between Control and Test implants at two weeks (p-value = 0.623), four weeks (p-value = 0.339), and eight weeks (p-value = 0.461). Moreover, no statistically significant difference of the bone-implant contact percentage was evidenced between Control and Test implants at two weeks (p-value = 0.938), four weeks (p-value = 0.307), and eight weeks (p-value = 0.294). The effectiveness of the present investigation demonstrated no adverse effects on osseointegration, and no statistically significant differences were observed in the bone density and percentage of bone-implant contact between Test and Control implants at all the experimental time points (two, four, and eight weeks). Conclusions: Titanium implants coated with the silver-anatase solution bind very well to the bone and did not have an adverse effect on the bone tissue in a rabbit model. These facts suggest possible clinical applications for the silver composition.

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A Possible Relationship between Peri-Implantitis, Titanium Hypersensitivity, and External Tooth Resorption: Metal-Free Alternative to Titanium Implants

Case Reports in Dentistry ◽

10.1155/2021/8879988 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Andrea Enrico Borgonovo ◽

Rachele Censi ◽

Virna Vavassori ◽

Mauro Savio ◽

Dino Re

Keyword(s):

Bone Loss ◽

Titanium Implant ◽

Titanium Implants ◽

Implant Surface ◽

Tooth Resorption ◽

Dental Implant Surface ◽

Titanium Dental Implant ◽

Nonsurgical Therapy ◽

Zirconia Implants

Titanium dental implant surface does not remain unaltered but may corrode and release ions or particles which trigger soft and hard tissue damage. Titanium may induce clinically relevant hypersensitivity in patients chronically exposed. A 56-year-old female patient presented peri-implantitis around a single titanium implant positioned three years earlier. Despite nonsurgical therapy, a rapid bone loss associated with pain and swelling occurred, and adjacent teeth presented external resorption. Compromised teeth were removed, and three titanium implants were inserted. Six months later, the patient complained about high mucosa sensitivity and implant exposure. At clinical and radiographic examinations, tissue inflammation and vertical bone loss involved the new implants and the process of external resorption affected the teeth. The blood test confirmed titanium hypersensitivity. Titanium implants were removed, and 5 zirconia implants were placed. No sign of bone loss or tooth resorption was recorded at clinical and radiographic control during 18 months of follow-up.

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The Bacterial Anti-Adhesive Activity of Double-Etched Titanium (DAE) as a Dental Implant Surface

International Journal of Molecular Sciences ◽

10.3390/ijms21218315 ◽

2020 ◽

Vol 21 (21) ◽

pp. 8315

Author(s):

Morena Petrini ◽

Alessandra Giuliani ◽

Emanuela Di Campli ◽

Silvia Di Lodovico ◽

Giovanna Iezzi ◽

...

Keyword(s):

Superficial Layer ◽

Titanium Implants ◽

The Other ◽

Secondary Outcome ◽

Microbiological Analysis ◽

Implant Surface ◽

Water Contact ◽

Wetting Properties ◽

Dental Implant Surface ◽

Wetted Area

This work aimed to compare the capability of Streptococcus oralis to adhere to a novel surface, double-etched titanium (DAE), in respect to machined and single-etched titanium. The secondary outcome was to establish which topographical features could affect the interaction between the implant surface and bacteria. The samples’ superficial features were characterized using scanning electron microscopy (SEM) and energy dispersive x-ray spectrometry (EDS), and the wetting properties were tested through sessile methods. The novel surface, the double-etched titanium (DAE), was also analyzed with atomic force microscopy (AFM). S. oralis was inoculated on discs previously incubated in saliva, and then the colony-forming units (CFUs), biomass, and cellular viability were measured at 24 and 48h. SEM observation showed that DAE was characterized by higher porosity and Oxygen (%) in the superficial layer and the measurement of the wetting properties showed higher hydrophilicity. AFM confirmed the presence of a higher superficial nano-roughness. Microbiological analysis showed that DAE discs, coated by pellicle’s proteins, were characterized by significantly lower CFUs at 24 and 48 h with respect to the other two groups. In particular, a significant inverse relationship was shown between the CFUs at 48 h and the values of the wetted area and a direct correlation with the water contact angle. The biomass at 24 h was slightly lower on DAE, but results were not significant concerning the other groups, both at 24 and 48 h. The DAE treatment not only modifies the superficial topography and increased hydrophilicity, but it also increases the Oxygen percentage in the superficial layer, which could contribute to the inhibition of S. oralis adhesion. DAE can be considered a promising treatment for titanium implants to counteract a colonization pioneer microorganism, such as S. oralis.

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Bone Ingrowth Processes on Porous Metalic Implants

Solid State Phenomena ◽

10.4028/www.scientific.net/ssp.147-149.776 ◽

2009 ◽

Vol 147-149 ◽

pp. 776-781 ◽

Cited By ~ 1

Author(s):

Jarosław Sidun ◽

Jan Ryszard Dąbrowski

Keyword(s):

Bone Growth ◽

Bone Ingrowth ◽

Callus Formation ◽

Tissue Growth ◽

Titanium Implants ◽

Osseous Tissue ◽

Implant Surface ◽

Growth Intensity ◽

Significant Difference ◽

Endosseous Implant

The surface of an endosseous implant has fundamental importance in forming mechanical and chemical connection with osseous tissue. One of the methods of enlarging area is using technology of powder metallurgy. The paper presents research regarding osteointegration of porous materials for implants made for Co-Cr-Mo and titanium with Bioglass type-S2. The research was made on the castrated goats averaging one year of age, from this oneself herds. Bone growth process on surfaces of implants made with additional bioglass was significantly intense. The amount of osseous tissue and the number of connection points are significantly increased. On surfaces of titanium implants few areas of stochastic callus formation were observed. In that case areas of preferential bone integration have uneven surface due to technological process. A significant difference appears in osseous tissue growth morphology on implant surface. In porous implants bone grows around the pores of an implant. The obtained results showed that porosity influences callus growth intensity beneficially on the implant structure. Use of bioglass increases bone growth intensity on implant surface.

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Optimizing Manufacturing and Osseointegration of Ti6Al4V Implants through Precision Casting and Calcium and Phosphorus Ion Implantation? In Vivo Results of a Large-Scale Animal Trial

Materials ◽

10.3390/ma13071670 ◽

2020 ◽

Vol 13 (7) ◽

pp. 1670 ◽

Cited By ~ 2

Author(s):

Wölfle-Roos JV ◽

Katmer Amet B ◽

Fiedler J ◽

Michels H ◽

Kappelt G ◽

...

Keyword(s):

Ion Implantation ◽

Large Scale ◽

In Vivo Studies ◽

Control Group ◽

Implant Surface ◽

Precision Casting ◽

Pull Out ◽

Significant Difference ◽

Calcium And Phosphorus

Background: Uncemented implants are still associated with several major challenges, especially with regard to their manufacturing and their osseointegration. In this study, a novel manufacturing technique—an optimized form of precision casting—and a novel surface modification to promote osseointegration—calcium and phosphorus ion implantation into the implant surface—were tested in vivo. Methods: Cylindrical Ti6Al4V implants were inserted bilaterally into the tibia of 110 rats. We compared two generations of cast Ti6Al4V implants (CAST 1st GEN, n = 22, and CAST 2nd GEN, n = 22) as well as cast 2nd GEN Ti6Al4V implants with calcium (CAST + CA, n = 22) and phosphorus (CAST + P, n = 22) ion implantation to standard machined Ti6Al4V implants (control, n = 22). After 4 and 12 weeks, maximal pull-out force and bone-to-implant contact rate (BIC) were measured and compared between all five groups. Results: There was no significant difference between all five groups after 4 weeks or 12 weeks with regard to pull-out force (p > 0.05, Kruskal Wallis test). Histomorphometric analysis showed no significant difference of BIC after 4 weeks (p > 0.05, Kruskal–Wallis test), whereas there was a trend towards a higher BIC in the CAST + P group (54.8% ± 15.2%), especially compared to the control group (38.6% ± 12.8%) after 12 weeks (p = 0.053, Kruskal–Wallis test). Conclusion: In this study, we found no indication of inferiority of Ti6Al4V implants cast with the optimized centrifugal precision casting technique of the second generation compared to standard Ti6Al4V implants. As the employed manufacturing process holds considerable economic potential, mainly due to a significantly decreased material demand per implant by casting near net-shape instead of milling away most of the starting ingot, its application in manufacturing uncemented implants seems promising. However, no significant advantages of calcium or phosphorus ion implantation could be observed in this study. Due to the promising results of ion implantation in previous in vitro and in vivo studies, further in vivo studies with different ion implantation conditions should be considered.

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The Impact of Dental Implant Surface Modifications on Osseointegration and Biofilm Formation

Journal of Clinical Medicine ◽

10.3390/jcm10081641 ◽

2021 ◽

Vol 10 (8) ◽

pp. 1641

Author(s):

Stefanie Kligman ◽

Zhi Ren ◽

Chun-Hsi Chung ◽

Michael Angelo Perillo ◽

Yu-Cheng Chang ◽

...

Keyword(s):

Dental Implant ◽

Biofilm Formation ◽

Bacterial Colonization ◽

Surface Modifications ◽

Implant Surface ◽

Oral Rehabilitation ◽

Surface Design ◽

Polyether Ether Ketone ◽

Dental Implant Surface ◽

The Impact

Implant surface design has evolved to meet oral rehabilitation challenges in both healthy and compromised bone. For example, to conquer the most common dental implant-related complications, peri-implantitis, and subsequent implant loss, implant surfaces have been modified to introduce desired properties to a dental implant and thus increase the implant success rate and expand their indications. Until now, a diversity of implant surface modifications, including different physical, chemical, and biological techniques, have been applied to a broad range of materials, such as titanium, zirconia, and polyether ether ketone, to achieve these goals. Ideal modifications enhance the interaction between the implant’s surface and its surrounding bone which will facilitate osseointegration while minimizing the bacterial colonization to reduce the risk of biofilm formation. This review article aims to comprehensively discuss currently available implant surface modifications commonly used in implantology in terms of their impact on osseointegration and biofilm formation, which is critical for clinicians to choose the most suitable materials to improve the success and survival of implantation.

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Macrophagic Inflammatory Response Next to Dental Implants with Different Macro- and Micro-Structure: An In Vitro Study

Applied Sciences ◽

10.3390/app11125324 ◽

2021 ◽

Vol 11 (12) ◽

pp. 5324

Author(s):

Maria Menini ◽

Francesca Delucchi ◽

Domenico Baldi ◽

Francesco Pera ◽

Francesco Bagnasco ◽

...

Keyword(s):

Inflammatory Response ◽

Dental Implants ◽

In Vitro Study ◽

Titanium Implants ◽

Implant Surface ◽

Bone Implant ◽

Optimal Outcomes ◽

Negative Controls ◽

Inflammatory Effect

(1) Background: Intrinsic characteristics of the implant surface and the possible presence of endotoxins may affect the bone–implant interface and cause an inflammatory response. This study aims to evaluate the possible inflammatory response induced in vitro in macrophages in contact with five different commercially available dental implants. (2) Methods: one zirconia implant NobelPearl® (Nobel Biocare) and four titanium implants, Syra® (Sweden & Martina), Prama® (Sweden & Martina), 3iT3® (Biomet 3i) and Shard® (Mech & Human), were evaluated. After 4 h of contact of murine macrophage cells J774a.1 with the implants, the total RNA was extracted, transcribed to cDNA and the gene expression of the macrophages was evaluated by quantitative PCR (qPCR) in relation to the following genes: GAPDH, YWHAZ, IL1β, IL6, TNFα, NOS2, MMP-9, MMP-8 and TIMP3. The results were statistically analyzed and compared with negative controls. (3) Results: No implant triggered a significant inflammatory response in macrophages, although 3iT3 exhibited a slight pro-inflammatory effect compared to other samples. (4) Conclusions: All the samples showed optimal outcomes without any inflammatory stimulus on the examined macrophagic cells.

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Calcium Phosphate-Coated Titanium Implants in the Mandible: Limitations of the in vivo Minipig Model

European Surgical Research ◽

10.1159/000513846 ◽

2020 ◽

Vol 61 (6) ◽

pp. 177-187

Author(s):

Till Kämmerer ◽

Tony Lesmeister ◽

Victor Palarie ◽

Eik Schiegnitz ◽

Andrea Schröter ◽

...

Keyword(s):

Calcium Phosphate ◽

Statistical Difference ◽

Surface Modifications ◽

Titanium Implants ◽

In Vivo Model ◽

Implant Surface ◽

Press Fit ◽

Endosseous Implant ◽

Bone To Implant Contact

Introduction: We aimed to compare implant osseointegration with calcium phosphate (CaP) surfaces and rough subtractive-treated sandblasted/acid etched surfaces (SA) in an in vivo minipig mandible model. Materials and Methods: A total of 36 cylindrical press-fit implants with two different surfaces (CaP, n = 18; SA, n = 18) were inserted bilaterally into the mandible of 9 adult female minipigs. After 2, 4, and 8 weeks, we analyzed the cortical bone-to-implant contact (cBIC; %) and area coverage of bone-to-implant contact within representative bone chambers (aBIC; %). Results: After 2 weeks, CaP implants showed no significant increase in cBIC and aBIC compared to SA (cBIC: mean 38 ± 5 vs. 16 ± 11%; aBIC: mean 21 ± 1 vs. 6 ± 9%). Two CaP implants failed to achieve osseointegration. After 4 weeks, no statistical difference between CaP and SA was seen for cBIC (mean 54 ± 15 vs. 43 ± 16%) and aBIC (mean 43 ± 28 vs. 32 ± 6). However, we excluded two implants in each group due to failure of osseointegration. After 8 weeks, we observed no significant intergroup differences (cBIC: 18 ± 9 vs. 18 ± 20%; aBIC: 13 ± 8 vs. 16 ± 9%). Again, three CaP implants and two SA implants had to be excluded due to failure of osseointegration. Conclusion: Due to multiple implant losses, we cannot recommend the oral mandibular minipig in vivo model for future endosseous implant research. Considering the higher rate of osseointegration failure, CaP coatings may provide an alternative to common subtractive implant surface modifications in the early phase post-insertion.

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