Titanium Surface Modification Techniques for Implant Fabrication – From Microscale to the Nanoscale

2010 ◽  
Vol 5 ◽  
pp. 39-56 ◽  
Author(s):  
Karthikeyan Subramani
Keyword(s):  
Surface Modification ◽  
Dental Implants ◽  
Tio2 Nanotubes ◽  
Titanium Surface ◽  
In Vivo Studies ◽  
Contact Ratio ◽  
Implant Surface ◽  
Surface Modification Techniques

This manuscript reviews about titanium surface modification techniques for its application in orthopaedic and dental implants. There are a few limitations in the long term prognosis of orthopaedic and dental implants. Poor osseointegration with bone, periimplant infection leading to implant failure and short term longevity demanding revision surgery, are to mention a few. Micro- and nanoscale modification of titanium surface using physicochemical, morphological and biochemical approaches have resulted in higher bone to implant contact ratio and improved osseointegration. With recent advances in micro, nano-fabrication techniques and multidisciplinary research studies focusing on bridging biomaterials for medical applications, TiO2 nanotubes have been extensively studied for implant applications. The need for titanium implant surface that can closely mimic the nanoscale architecture of human bone has become a priority. For such purpose, TiO2 nanotubes of different dimensions and architectural fashions at the nanoscale level are being evaluated. This manuscript discusses in brief about the in-vitro and in-vivo studies on titanium surface modification techniques. This manuscript also addresses the recent studies done on such nanotubular surfaces for the effective delivery of osteoinductive growth factors and anti bacterial/ anti inflammatory drugs to promote osseointegration and prevent peri-implant infection.

scholarly journals Impact of Laser Structuring on Medical-Grade Titanium: Surface Characterization and In Vitro Evaluation of Osteoblast Attachment

Materials ◽  
2020 ◽  
Vol 13 (8) ◽  
pp. 2000
Author(s):  
Kai Borcherding ◽  
Dennis Marx ◽  
Linda Gätjen ◽  
Uwe Specht ◽  
Dirk Salz ◽  
...  
Keyword(s):  
Surface Characterization ◽  
Titanium Surface ◽  
Pure Titanium ◽  
Surface Region ◽  
In Vivo Studies ◽  
Implant Fixation ◽  
Implant Surface ◽  
Alpha Beta

Improved implant osteointegration offers meaningful potential for orthopedic, spinal, and dental implants. In this study, a laser treatment was used for the structuring of a titanium alloy (Ti6Al4V) surface combined with a titanium dioxide coating, whereby a porous surface was created. The objective was to characterize the pore structure shape, treatment-related metallographic changes, cytocompatibility, and attachment of osteoblast-like cells (MG-63). The treatment generated specific bottleneck pore shapes, offering the potential for the interlocking of osteoblasts within undercuts in the implant surface. The pore dimensions were a bottleneck diameter of 27 µm (SD: 4 µm), an inner pore width of 78 µm (SD: 6 µm), and a pore depth of 129 µm (SD: 8 µm). The introduced energy of the laser changed the metallic structure of the alloy within the heat-affected region (approximately 66 µm) without any indication of a micro cracking formation. The phase of the alloy (microcrystalline alpha + beta) was changed to a martensite alpha phase in the surface region and an alpha + beta phase in the transition region between the pores. The MG-63 cells adhered to the structured titanium surface within 30 min and grew with numerous filopodia over and into the pores over the following days. Cell viability was improved on the structured surface compared to pure titanium, indicating good cytocompatibility. In particular, the demonstrated affinity of MG-63 cells to grow into the pores offers the potential to provide significantly improved implant fixation in further in vivo studies.

Ion Implantation as Surface Treatment for Osseointegration of Musculoskeletal Implants: From the Lab to the Clinic

2009 ◽  
Vol 1181 ◽  
Author(s):  
Iñigo Braceras ◽  
Jose Iñaki Alava ◽  
Roberto Muñoz ◽  
Miguel Angel De Maeztu
Keyword(s):  
Surface Modification ◽  
Ion Implantation ◽  
Control Surface ◽  
Implant Surface ◽  
Outermost Surface ◽  
Integration Improvement ◽  
Surface Modification Techniques ◽  
Ion Implanted

AbstractA key process in a successful treatment of patients with a great variety of musculoskeletal implants requires a fast, reliable and consistent osseointegration. Among the parameters that affect this process, it is widely admitted that implant surface topography, surface energy and composition play an important role.Different surface modification techniques to improve osseointegration have been proposed and tested to date, but most focus on microscale features, and few control surface modifications at nanoscale. On the other hand, ion implantation modifies the outermost surface properties in relation to the nanotopography, chemical and physical characteristics at nanoscale. The meta-stable surface that results from the treatment, affects the adsorption of bio-molecules in the very first stages of the implant placement, and thus the signaling pathway that promotes the differentiation and apposition of osteoblast cells.This study aimed at assessing the performance, in terms of osseointegration levels and speed, of ion implanted titanium made implants. The study included several in vitro and in vivo tests. The latter, comprised different insertion periods and both experimental and commercial implants as comparative surfaces. The final stage of the study included clinical trials in human patients.In each and every case, bone integration improvement of tested materials/implants was achieved for the CO ion implanted samples. Furthermore, contact osteogenesis was observed in the ion implanted samples, unlike the Ti control samples, where only distance osteogenesis occurred, being this potentially one of the reasons for their faster healing and osseointegration process.Finally, the use of ion implantation as a surface modification tool that allows for evaluating the effects of nanotopography and composition changes independently is presented.

scholarly journals Comparison of irrigation protocols for the internal decontamination of dental implants – results of in‐vitro and in‐vivo studies

2021 ◽  
Author(s):  
Pia‐Merete Jervøe‐Storm ◽  
Alexandra Selina Hablützel ◽  
Philipp Bartels ◽  
Dominik Kraus ◽  
Søren Jepsen ◽  
...  
Keyword(s):  
Dental Implants ◽  
In Vivo Studies

scholarly journals Effect of Different Titanium Dental Implant Surfaces on Human Adipose Mesenchymal Stem Cell Behavior. An In Vitro Comparative Study

2021 ◽  
Vol 11 (14) ◽  
pp. 6353
Author(s):  
Vittoria D’Esposito ◽  
Josè Camilla Sammartino ◽  
Pietro Formisano ◽  
Alessia Parascandolo ◽  
Domenico Liguoro ◽  
...  
Keyword(s):  
Cell Viability ◽  
Dental Implant ◽  
In Vivo Studies ◽  
Implant Surface ◽  
Cytokines And Chemokines ◽  
Titanium Dental Implant ◽  
Adhesive Ability ◽  
Stimulating Factor

Background: The aim of this research was to evaluate the effects of three different titanium (Ti) implant surfaces on the viability and secretory functions of mesenchymal stem cells isolated from a Bichat fat pad (BFP-MSCs). Methods: Four different Ti disks were used as substrate: (I) D1: smooth Ti, as control; (II) D2: chemically etched, resembling the Kontact S surface; (III) D3: sandblasted, resembling the Kontact surface; (IV) D4: blasted/etched, resembling the Kontact N surface. BFP-MSCs were plated on Ti disks for 72 h. Cell viability, adhesion on disks and release of a panel of cytokines, chemokines and growth factor were evaluated. Results: BFP-MSCs plated in wells with Ti surface showed a viability rate (~90%) and proliferative rate comparable to cells plated without disks and to cells plated on D1 disks. D2 and D4 showed the highest adhesive ability. All the Ti surfaces did not interfere with the release of cytokines, chemokines and growth factors by BFP-MSCs. However, BFP-MSCs cultured on D4 surface released a significantly higher amount of Granulocyte Colony-Stimulating Factor (G-CSF) compared either to cells plated without disks and to cells plated on D1 and D2. Conclusions: The implant surfaces examined do not impair the BFP-MSCs cell viability and preserve their secretion of cytokines and chemokines. Further in vitro and in vivo studies are necessary to define the implant surface parameters able to assure the chemokines’ optimal release for a real improvement of dental implant osseointegration.

In Vitro and In Vivo Assessment of Titanium Surface Modification for Coloring the Backplate of the Boston Keratoprosthesis

2013 ◽  
Vol 54 (6) ◽  
pp. 3863 ◽  
Author(s):  
Eleftherios I. Paschalis ◽  
James Chodosh ◽  
Sandra Spurr-Michaud ◽  
Andrea Cruzat ◽  
Allyson Tauber ◽  
...  
Keyword(s):  
Surface Modification ◽  
Titanium Surface ◽  
Boston Keratoprosthesis ◽  
In Vivo Assessment

scholarly journals Influence of dental exposure to oral environment on smear layer removal and collagen exhibition after using different conditioning agents

2011 ◽  
Vol 22 (6) ◽  
pp. 479-485 ◽  
Author(s):  
Lucas Amaral Fontanari ◽  
Shelon Cristina Souza Pinto ◽  
Rodrigo Cavassim ◽  
Rubens Spin-Neto ◽  
Eduardo de Paula Ishi ◽  
...  
Keyword(s):  
Surface Modification ◽  
In Vitro Study ◽  
Root Surface ◽  
In Vivo Studies ◽  
Impacted Teeth ◽  
Surface Conditioning ◽  
Oral Environment ◽  
Root Surface Conditioning

Although in vitro studies have shown encouraging results for root surface conditioning with demineralizing agents, in vivo studies have failed to show its benefits in periodontal healing. This can be attributed to several factors, among which, the hypermineralization of dental surface. Therefore, this in vitro study compared, using scanning electron microscopy (SEM), the effect of root surface conditioning with different conditioners (1% and 25% citric acid, 24% EDTA and 50 mg/mL tetracycline hydrochloride) in impacted teeth and in teeth that had their roots exposed to the oral environment. One trained examiner assessed the SEM micrographs using a root surface modification index. There was a tendency of more root surface modification in the group of impacted teeth, suggesting that the degree of root mineralization influences its chemical demineralization.

scholarly journals Influence of implant surfaces on osseointegration

2010 ◽  
Vol 21 (6) ◽  
pp. 471-481 ◽  
Author(s):  
Arthur Belém Novaes Jr ◽  
Sérgio Luis Scombatti de Souza ◽  
Raquel Rezende Martins de Barros ◽  
Karina Kimiko Yamashina Pereira ◽  
Giovanna Iezzi ◽  
...  
Keyword(s):  
Dental Implant ◽  
Bone Morphogenetic Proteins ◽  
Dental Treatment ◽  
Surface Modifications ◽  
In Vivo Studies ◽  
Treatment Modalities ◽  
Biological Fixation ◽  
Implant Surface

The biological fixation between the dental implant surfaces and jaw bones should be considered a prerequisite for the long-term success of implant-supported prostheses. In this context, the implant surface modifications gained an important and decisive place in implant research over the last years. As the most investigated topic in, it aided the development of enhanced dental treatment modalities and the expansion of dental implant use. Nowadays, a large number of implant types with a great variety of surface properties and other features are commercially available and have to be treated with caution. Although surface modifications have been shown to enhance osseointegration at early implantation times, for example, the clinician should look for research evidence before selecting a dental implant for a specific use. This paper reviews the literature on dental implant surfaces by assessing in vitro and in vivo studies to show the current perspective of implant development. The review comprises quantitative and qualitative results on the analysis of bone-implant interface using micro and nano implant surface topographies. Furthermore, the perspective of incorporating biomimetic molecules (e.g.: peptides and bone morphogenetic proteins) to the implant surface and their effects on bone formation and remodeling around implants are discussed.

scholarly journals Role of Stem Cells in Augmenting Dental Implant Osseointegration: A Systematic Review

Coatings ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 1035
Author(s):  
Mohammed E. Sayed ◽  
Maryam H. Mugri ◽  
Mazen A. Almasri ◽  
Manea Musa Al-Ahmari ◽  
Shilpa Bhandi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Stem Cells ◽  
Bone Formation ◽  
Dental Implants ◽  
Mesenchymal Cells ◽  
Graft Material ◽  
Implant Surface ◽  
Oral Rehabilitation

Dental implants are a widely used treatment modality for oral rehabilitation. Implant failures can be a result of many factors, with poor osseointegration being the main culprit. The present systematic review aimed to assess the effect of stem cells on the osseointegration of dental implants. An electronic search of the MEDLINE, LILACS, and EMBASE databases was conducted. We examined quantitative preclinical studies that reported on the effect of mesenchymal stem cells on bone healing after implant insertion. Eighteen studies that fulfilled the inclusion criteria were included. Various surface modification strategies, sites of placement, and cell origins were analyzed. The majority of the selected studies showed a high risk of bias, indicating that caution must be exercised in their interpretation. All the included studies reported that the stem cells used with graft material and scaffolds promoted osseointegration with higher levels of new bone formation. The mesenchymal cells attached to the implant surface facilitated the expression of bio-functionalized biomaterial surfaces, to boost bone formation and osseointegration at the bone–implant interfaces. There was a promotion of osteogenic differentiation of human mesenchymal cells and osseointegration of biomaterial implants, both in vitro and in vivo. These results highlight the significance of biomodified implant surfaces that can enhance osseointegration. These innovations can improve the stability and success rate of the implants used for oral rehabilitation.

scholarly journals Defining surfaces : Implant topography – a review (Preprint)

2018 ◽  
Author(s):  
Preeti Satheesh Kumar ◽  
Vyoma Venkatesh Grandhi ◽  
Vrinda Gupta
Keyword(s):  
Surface Roughness ◽  
Surface Topography ◽  
Dental Implants ◽  
Sol Gel ◽  
Implant Surface ◽  
Research Publications ◽  
Bone To Implant Contact ◽  
Titanium Dental Implants

BACKGROUND . A variety of claims are made regarding the effects of surface topography on implant osseointegration. The development of implant surfaces topography has been empirical, requiring numerous in vitro and in vivo tests. Most of these tests were not standardized, using different surfaces, cell populations or animal models. The exact role of surface chemistry and topography on the early events of the osseointegration of dental implants remain poorly understood. OBJECTIVE This review considers the major claims made concerning the effects of titanium implant surface topography on osseointegration. The osseointegration rate of titanium dental implants is related to their composition and surface roughness. The different methods used for increasing surface roughness or applying osteoconductive coatings to titanium dental implants are reviewed. Important findings of consensus are highlighted, and existing controversies are revealed. METHODS This review considers many of the research publications listed in MEDLINE and presented in biomedical research publications and textbooks. Surface treatments, such as titanium plasma-spraying, grit-blasting acid-etching,alkaline etching, anodization,polymer demixing ,sol gel conversion and their corresponding surface morphologies and properties are described. RESULTS Many in vitro evaluations are not predictive of or correlated with in vivo outcomes. In some culture models, increased surface topography positively affects pro-osteogenic cellular activities. Many studies reveal increase in bone-to-implant contact,with increased surface topography modifications on implant surfaces. CONCLUSIONS Increased implant surface topography improves the bone-to-implant contact and the mechanical properties of the enhanced interface.

SANDBLASTED, ACID ETCHED AND UV IRRADIATED TITANIUM SURFACE FOR DENTAL IMPLANTS: IN VITRO AND IN VIVO ANALYSIS

Materialia ◽  
2021 ◽  
pp. 101302
Author(s):  
Andrea Cecilia CURA ◽  
Jesica Itatí ZUCHUAT ◽  
Liliana Teresita TRIBBIA ◽  
Irene Rita Eloisa TARAVINI ◽  
Oscar Alfredo DECCO
Keyword(s):  
Dental Implants ◽  
Titanium Surface ◽  
In Vivo Analysis
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