Evaluating mechanical adhesion of sol-gel titanium dioxide coatings containing calcium phosphate for metal implant application

Titania-based sol-gel coatings with Ag, Ca-P applied on titanium substrate developed for implantation

This research work is focused on the investigation of newly developed titania sol-gel coatings containing silver, calcium and phosphate with appropriate abilities to be implanted into the human body. These abilities include adhesion, bioactivity, antibacterial property and cytocompatibility of prepared coatings. Four types of coatings were applied on a titanium substrate by dip-coating technique under different conditions (TCP1, TCP2, TCPA1 and TCPA2). Surfaces of coatings after the firing without silver featured different distribution of circular areas containing Ca. The coatings TCPA1 and TCPA2 were made up of unhomogeneously situated silver. Adhesion of the coatings to the substrates was measured by a tape test. All types of the coatings demonstrated very good adhesion. Isolated cracks that appeared during the firing did not have a negative influence on the adhesion properties. Bioactivity of the coatings was tested in vitro using a simulated body fluid. Three of the four types demonstrated bioactive properties (TCP1, TCP2 and TCPA2), that is, precipitation of crystalline hydroxyapatite as was confirmed by X-ray diffraction. The antibacterial effect (against Escherichia coli and Staphylococcus epidermidis) and cytotoxicity (toward L929 and U-2 OS cell lines, direct and indirect test) were then tested. All the coatings demonstrated very good antibacterial effect against both bacteria after 4- and 24-hr interaction. All the coating types were evaluated as cytocompatible in the indirect test. Cells were able to grow even directly on the coatings.

Nanoparticles and Nanostructured Surface Fabrication for Innovative Cranial and Maxillofacial Surgery

A novel strategy to improve the success of soft and hard tissue integration of titanium implants is the use of nanoparticles coatings made from basically any type of biocompatible substance, which can advantageously enhance the properties of the material, as compared to its similar bulk material. So, most of the physical methods approaches involve the compaction of nanoparticles versus micron-level particles to yield surfaces with nanoscale grain boundaries, simultaneously preserving the chemistry of the surface among different topographies. At the same time, nanoparticles have been known as one of the most effective antibacterial agents and can be used as effective growth inhibitors of various microorganisms as an alternative to antibiotics. In this paper, based on literature research, we present a comprehensive review of the mechanical, physical, and chemical methods for creating nano-structured titanium surfaces along with the main nanoparticles used for the surface modification of titanium implants, the fabrication methods, their main features, and the purpose of use. We also present two patented solutions which involve nanoparticles to be used in cranioplasty, i.e., a cranial endoprosthesis with a sliding system to repair the traumatic defects of the skull, and a cranial implant based on titanium mesh with osteointegrating structures and functional nanoparticles. The main outcomes of the patented solutions are: (a) a novel geometry of the implant that allow both flexible adaptation of the implant to the specific anatomy of the patient and the promotion of regeneration of the bone tissue; (b) porous structure and favorable geometry for the absorption of impregnated active substances and cells proliferation; (c) the new implant model fit 100% on the structure of the cranial defect without inducing mechanical stress; (d) allows all kinds of radiological examinations and rapid osteointegration, along with the patient recover in a shorter time.

Development of Robust Chitosan–Silica Class II Hybrid Coatings with Antimicrobial Properties for Titanium Implants

The purpose of this study was to develop robust class II organic–inorganic films as antibacterial coatings on titanium alloy (Ti6Al4V) implants. Coating materials were prepared from organic chitosan (20–80 wt.%) coupled by 3-glycydoxytrimethoxysilane (GPTMS) with inorganic tetraethoxysilane (TEOS). These hybrid networks were imbedded with antimicrobial silver nanoparticles (AgNPs) and coated onto polished and acid-etched Ti6Al4V substrates. Magic-angle spinning nuclear magnetic resonance (13CMAS-NMR), attenuated total reflectance Fourier-transform infrared spectroscopy (ATR-FTIR) and the ninhydrin assay, confirmed the presence and degree of covalent crosslinking (91%) between chitosan and GPTMS. Scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS) identified surface roughness and microtopography on thin films and confirmed homogeneous distribution of elements throughout the coating. Cross-hatch and tensile adhesion testing demonstrated the robustness and adherence (15–20 MPa) of hybrid coatings to acid-etched titanium substrates. Staphylococcus aureus and Escherichia coli cultures and their biofilm formation were inhibited by all hybrid coatings. Antibacterial effects increased markedly for coatings loaded with AgNPs and appeared to increase with chitosan content in biofilm assays. These results are promising in the development of class II hybrid materials as robust and highly adherent antibacterial films on Ti6Al4V implants.

Designing Microflowreactors for Photocatalysis Using Sonochemistry: A Systematic Review Article

Use of sonication for designing and fabricating reactors, especially the deposition of catalysts inside a microreactor, is a modern approach. There are many reports that prove that a microreactor is a better setup compared with batch reactors for carrying out catalytic reactions. Microreactors have better energy efficiency, reaction rate, safety, a much finer degree of process control, better molecular diffusion, and heat-transfer properties compared with the conventional batch reactor. The use of microreactors for photocatalytic reactions is also being considered to be the appropriate reactor configuration because of its improved irradiation profile, better light penetration through the entire reactor depth, and higher spatial illumination homogeneity. Ultrasound has been used efficiently for the synthesis of materials, degradation of organic compounds, and fuel production, among other applications. The recent increase in energy demands, as well as the stringent environmental stress due to pollution, have resulted in the need to develop green chemistry-based processes to generate and remove contaminants in a more environmentally friendly and cost-effective manner. It is possible to carry out the synthesis and deposition of catalysts inside the reactor using the ultrasound-promoted method in the microfluidic system. In addition, the synergistic effect generated by photocatalysis and sonochemistry in a microreactor can be used for the production of different chemicals, which have high value in the pharmaceutical and chemical industries. The current review highlights the use of both photocatalysis and sonochemistry for developing microreactors and their applications.

Surface treatments on titanium implants via nanostructured ceria for antibacterial and anti-inflammatory capabilities

Peri-implantitis is the most common risk factor for dental implant failure. Nanostructured ceria (nano-CeO₂) has anti-inflammatory and antibacterial functions, and different shapes of ceria enclosed by specific crystal planes could be an effective approach to enhance intrinsic catalysis. In the present study, the authors developed a novel implant surface-modification strategy by coating different shapes of nano-CeO₂ onto titanium (Ti) surfaces to enhance their antibacterial and anti-inflammatory properties. The objectives of the study were to: (1) develop novel Ti surfaces modified with different shapes of nano-CeO₂ (nanorod, nanocube and nano-octahedron) for peri-implantitis prevention; (2) investigate and compare the inhibition efficacy of different shapes of CeO₂-modified surfaces against biofilms of peri-implantitis-related pathogens; and (3) evaluate the different CeO₂-modified surfaces on cell inflammatory response in vitro and in vivo. The results showed that nanorod CeO₂-modified Ti had more bacteria attachment of Streptococcus sanguinis in the early stage, compared with other CeO₂-modified Ti (p < 0.05). They all exhibited similarly substantial CFU reductions against peri-implantitis-related biofilms (p > 0.1). Nanocube and nano-octahedron CeO₂-modified Ti exerted much better anti-inflammatory effects and ROS-scavenging ability than nanorod CeO₂in vitro (p < 0.05). In vivo, the mean mRNA expression of TNF-α, IL-6 and IL-1β in the tissues around Ti was decreased by the three shapes of nano-CeO₂; nano-octahedron CeO₂ showed the strongest anti-inflammatory effect among all groups (p < 0.05). In conclusion, all three types of CeO₂-modified Ti exerted equally strong antibacterial properties; nano-octahedron CeO₂-modified Ti had the best anti-inflammatory effect. Therefore, CeO₂-modified Ti surfaces are highly promising for enhancing antimicrobial functions for dental implants. Novel nano-octahedron CeO₂ coating on Ti had great therapeutic potential for alleviating and eliminating peri-implantitis. STATEMENT OF SIGNIFICANCE: Peri-implantitis is the most common risk factor for dental implant failure. Nanostructured ceria (nano-CeO₂) has anti-inflammatory and antibacterial functions, and different shapes of ceria enclosed by specific crystal planes could be an effective approach to enhance intrinsic catalysis. In the present study, we developed a novel implant surface-modification strategy by coating different shapes of nano-CeO₂ onto titanium surfaces to enhance their antibacterial and anti-inflammatory properties for dental implants. In addition, we found that the nano-octahedron CeO₂ coating on titanium would have great therapeutic potential for alleviating and eliminating peri-implantitis.

Calcium Phosphate Bioceramics: A Review of Their History, Structure, Properties, Coating Technologies and Biomedical Applications

Calcium phosphate (CaP) bioceramics are widely used in the field of bone regeneration, both in orthopedics and in dentistry, due to their good biocompatibility, osseointegration and osteoconduction. The aim of this article is to review the history, structure, properties and clinical applications of these materials, whether they are in the form of bone cements, paste, scaffolds, or coatings. Major analytical techniques for characterization of CaPs, in vitro and in vivo tests, and the requirements of the US Food and Drug Administration (FDA) and international standards from CaP coatings on orthopedic and dental endosseous implants, are also summarized, along with the possible effect of sterilization on these materials. CaP coating technologies are summarized, with a focus on electrochemical processes. Theories on the formation of transient precursor phases in biomineralization, the dissolution and reprecipitation as bone of CaPs are discussed. A wide variety of CaPs are presented, from the individual phases to nano-CaP, biphasic and triphasic CaP formulations, composite CaP coatings and cements, functionally graded materials (FGMs), and antibacterial CaPs. We conclude by foreseeing the future of CaPs.

Adhesive contact of the Weierstrass profile

The Weierstrass series was considered in Ciavarella et al. (Ciavarella et al. 2000 Proc. R. Soc. Lond. A 456 , 387–405. ( doi:10.1098/rspa.2000.0522 )) to describe a linear contact problem between a rigid fractally rough surface and an elastic half-plane. In such cases, no applied mean pressure is sufficiently large to ensure full contact, and specifically there are not even any contact areas of finite dimension. Later, Gao & Bower (Gao & Bower 2006 Proc. R. Soc. A 462 , 319–348. ( doi:10.1098/rspa.2005.1563 )) introduced plasticity in the Weierstrass model, but concluded that the fractal limit continued to lead to what they considered unphysical predictions of the true contact size and number of contact spots, similar to the elastic case. In this paper, we deal with the contact problem between rough surfaces in the presence of adhesion with the assumption of a Johnson, Kendall and Roberts (JKR) regime. We find that, for fractal dimension D >1.5, the presence of adhesion does not qualitatively modify the contact behaviour. However, for fractal dimension D <1.5, a regularization of the contact area can be observed at a large magnification where the contact area consists of segments of finite size. Moreover, full contact can occur at all scales for D <1.5 provided the mean contact pressure is larger than a certain value. We discuss, however, the implication of our assumption of a JKR regime.

Intrinsic photocatalytic assessment of reactively sputtered TiO₂ films

Thin TiO2 films were prepared by DC magnetron reactive sputtering at different oxygen partial pressures. Depending on the oxygen partial pressure during sputtering, a transition from metallic Ti to TiO2 was identified by spectroscopic ellipsometry. The crystalline nature of the film developed during a subsequent annealing step, resulting in thin anatase TiO2 layers, displaying photocatalytic activity. The intrinsic photocatalytic activity of the catalysts was evaluated for the degradation of methylene blue (MB) using a microfluidic reactor. A numerical model was employed to extract the intrinsic reaction rate constants. High conversion rates (90% degradation within 20 s residence time) were observed within these microreactors because of the efficient mass transport and light distribution. To evaluate the intrinsic reaction kinetics, we argue that mass transport has to be accounted for. The obtained surface reaction rate constants demonstrate very high reactivity for the sputtered TiO2 films. Only for the thinnest film, 9 nm, slightly lower kinetics were observed.

Formation of highly stable self-assembled alkyl phosphonic acid monolayers for the functionalization of titanium surfaces and protein patterning

A protocol for the preparation of improved phosphonate monolayers on a titanium (Ti) substrate is presented. Zirconium ions were used to enhance the bonding between the phosphonate headgroup and the pretreated Ti surface. Contact angle and X-ray photoelectron spectroscopy were used to characterize self-assembled monolayers (SAMs) of alkylphosphonic acid that formed spontaneously on Zr-mediated Ti (Zr/Ti) surfaces. The surfaces that were treated with an aqueous solution of zirconium oxychloride showed significantly enhanced stability in buffer compared with those formed directly on the native oxidized Ti. A bifunctional molecule, 10-mercaptodecanyl phosphonic acid (MDPA), was also used to form SAMs on Zr/Ti surfaces using an identical method, which enabled us to regulate the surface functionality through the terminal functional group. Protein patterning on the surface was carried out using UV irradiation through a mask to selectively degrade regions of the MDPA molecules. The surface was then backfilled with a protein-resistant molecule in the exposed regions followed by selective immobilization of proteins to the unexposed areas using a heterobifunctional linker molecule. The presented strategy significantly improved the stability of the phosphonate SAMs on oxidized Ti surfaces, which provided an ideal approach foundation for biomolecular immobilization and patterning onto the Ti surfaces. Thus, this method provided a versatile platform to activate the surfaces of biomedical Ti implants.

Calcium phosphate coatings on magnesium alloys for biomedical applications: a review

Magnesium has been suggested as a revolutionary biodegradable metal for use as an orthopaedic material. As a biocompatible and degradable metal, it has several advantages over the permanent metallic materials currently in use, including eliminating the effects of stress shielding, improving biocompatibility concerns in vivo and improving degradation properties, removing the requirement of a second surgery for implant removal. The rapid degradation of magnesium, however, is a double-edged sword as it is necessary to control the corrosion rates of the materials to match the rates of bone healing. In response, calcium phosphate coatings have been suggested as a means to control these corrosion rates. The potential calcium phosphate phases and their coating techniques on substrates are numerous and can provide several different properties for different applications. The reactivity and low melting point of magnesium, however, require specific parameters for calcium phosphate coatings to be successful. Within this review, an overview of the different calcium phosphate phases, their properties and their behaviour in vitro and in vivo has been provided, followed by the current coating techniques used for calcium phosphates that may be or may have been adapted for magnesium substrates.

Rapid screening, in vitro study of metal oxide and polymer hybrids as delivery coatings for improved soft-tissue integration of implants

Metal-organic chemistry allows for molecular mixing and creation of a range of submicron phase-separated structures from normally brittle metal oxides and flexible polymers with improved bioactivity and delivery properties. In this study, we used a high throughput platform to investigate the influence of organic metal oxide doping of polydimethylsiloxane (PDMS) coatings on cellular bioactivity and controlled release of vanadium compared with titanium oxide coatings without additional PDMS. Metal-organic-derived titanium and or vanadium was doped into PDMS and used to form a coating on the bottom of cell culture microplates in the absence of added water, acids, or bases. These hybrid coatings were rapidly screened to establish how titanium and vanadium concentration influences cell proliferation, adhesion, and morphology. We demonstrate that titanium doping of PDMS can be used to improve cell proliferation and adhesion, and that vanadium doping caused a biphasic dose response in proliferation. A 28-day vanadium and titanium elution study indicated that titanium was not released, but the presence of PDMS in coatings increased delivery rates of vanadium compared with titania coatings without polymer. Hybrid coatings of titanium-doped polymers have potential for improving wound healing dynamics, soft-tissue integration of medical implants, and use as controlled delivery vehicles.

The osteogenic effect of electrosprayed nanoscale collagen/calcium phosphate coatings on titanium

For orthopedic and dental implants, the ultimate goal is to obtain a life-long secure anchoring of the implant in the native surrounding bone. To this end, nanoscale calcium phosphate (CaP) and collagen-CaP (col-CaP) composite coatings have been successfully deposited using the electrospray deposition (ESD) technique. In order to study to what extent the thickness of these coatings can be reduced without losing coating osteogenic properties, we have characterized the mechanical and biological coating properties using tape tests (ASTM D-3359) and in vitro cell culture experiments, respectively. Co-deposition of collagen significantly improved coating adhesive and cohesive strength, resulting in a remarkably high coating retention of up to 97% for coating thicknesses below 100 nm. In vitro cell culture experiments showed that electrosprayed CaP and col-CaP composite coatings enhanced osteoblast differentiation, leading to improved mineral deposition. This effect was most pronounced upon co-deposition of collagen with CaP, and these coatings displayed osteogenic effects even for a coating thickness of below 100 nm.

Bioceramic dip-coating on Ti-6Al-4V and 316L SS implant materials

The focus of the present study is based on more economical and rapid bioceramic coating on the most common implant substrates such as Ti-6Al-4V and 316L SS used often in orthopedics. For ceramic dip coating of implant substrates, Hydroxyapatite (HA) powder, Ca10(PO4)6(OH)2, P2O5, Na2CO3 and KH2PO4 are used to provide the gel. Ceramic films on sandblasted substrates have been deposited by using a newly manufactured dip-coating apparatus. Sample characterization is evaluated by SEM and XRD analysis. A smooth and homogeneous coating films have been obtained and average of 20 MPa bonding strength has been achieved for both Ti-6Al-4V and 316L SS alloys after sintering at 750 degrees C under flowing argon. The level of importance of the process parameters on coating was determined by using analysis of variance (ANOVA). The current process appears to be cheap, easy, and flexible to shape variations and high production rates for orthopedic applications.

Ti K-edge XANES study of the local environment of titanium in bioresorbable TiO2-CaO-Na2O-P2O5 glasses

Ti K-edge XANES (X-ray absorption near edge structure) spectroscopy has been used to study the local coordination of titanium in biocompatible and bioresorbable TiO2-CaO-Na2O-P2O5 glasses. Both conventional melt-quenched glasses of composition (TiO2)x(CaO)0.30(Na2O)0.20-x(P2O5)0.50, where x = 0.01, 0.03 and 0.05, and sol-gel derived (TiO2)0.25(CaO)0.25(P2O5)0.50 glass have been studied. The results show that in all the materials studied, titanium is surrounded by an octahedron of oxygen atoms. Further analysis reveals that the TiO6 site in the amorphous samples is not heavily distorted relative to that in rutile, anatase or CaSiTiO5. The spectra from the (TiO2)0.25(CaO)0.25(P2O5)0.50 sol-gel samples reveal greater distortion in the TiO6 site in the dried gel compared to the heat-treated sol-gel glass. The XANES spectra from melt-quenched glass samples soaked in distilled water for various times do not shown any evidence of degradation of the titanium site over periods of up to 14 days.

Sol-gel preparation and high-energy XRD study of (CaO)x(TiO2) 0.5-x(P2O5)0.5 glasses (x = 0 and 0.25)

Glasses from the CaO-TiO2-P2O5 system have potential use in biomedical applications. Here a method for the sol-gel synthesis of the ternary glass (CaO)0.25(TiO2)0.25(P2O5)0.5 has been developed. The structures of the dried gel and heat-treated glass were studied using high-energy X-ray diffraction. The structure of the binary (TiO2)0.5(P2O5)0.5 sol-gel was studied for comparison. The results reveal that the heat-treated (CaO)0.25(TiO2)0.25(P2O5)0.5 glass has a structure based on chains and rings of PO4 tetrahedra, held together by a combination of electrostatic interaction with Ca2+ ions and by corner-sharing oxygen atoms with TiO6 octahedra. In contrast, the (TiO2)0.5(P2O5)0.5 glass has a structure based on isolated P2O7 units linked together by corner-sharing with TiO6 groups. The results suggest that both the dried gels possess open porous structures. For the (CaO)0.25(TiO2)0.25(P2O5)0.5 sample there is a significant increase in Ca-O coordination number with heat treatment.

Calcium phosphate-based coatings on titanium and its alloys

Use of titanium as biomaterial is possible because of its very favorable biocompatibility with living tissue. Titanium implants having calcium phosphate coatings on their surface show good fixation to the bone. This review covers briefly the requirements of typical biomaterials and narrowly focuses on the works on titanium. Calcium phosphate ceramics for use in implants are introduced and various methods of producing calcium phosphate coating on titanium substrates are elaborated. Advantages and disadvantages of each type of coating from the view point of process simplicity, cost-effectiveness, stability of the coatings, coating integration with the bone, cell behavior, and so forth are highlighted. Taking into account all these factors, the efficient method(s) of producing these coatings are indicated finally.

Metal oxide coated cell culture arrays for rapid biological screening

The biointerface of metallic alloy implants is a spontaneously formed metal oxide layer. This study presents a novel method for creating titanium oxide xerogel coated microplates for high-throughput biological screening that overcomes several limitations of using bulk metal samples to study oxides. Metal-organic precursors were used to evaluate the influence of Al, V, Ca, and P doped smooth and textured titanium oxide xerogel coatings on the bioresponse of human fibroblasts to increase understanding of the soft tissue sealing around transepithelial devices. Coatings made of titanium n-butoxide were characteristically smooth, while those of titanium isopropoxide were micro- and nanofeatured. Screening consisted of WST-1 proliferation assay, calcein AM cell number and viability assay, and a modified cell seeding efficiency and centrifugation adhesion assay. Small variations in initial attachment and centrifugation adhesion of human fibroblasts were observed among the coatings and comparable to tissue-culture treated polystyrene. Proliferation and viability at 24 and 48 h were reduced by the 10 and 20% vanadium additions. Metal oxide coated microplates are adaptable to the investigation of a wide range of metal-organic derived chemistries and the influence of oxide texture, and level of oxide crystallinity and oxide grain size on the biological responses of cells.

Bone‐bonding ability of a hydroxyapatite coated zirconia–alumina nanocomposite with a microporous surface

Using a combination of hydroxyapatite (HA) coating and microporous surface treatment, bone-bonding ability was given to composites of ceria-stabilized tetragonal zirconia and alumina (CZA), which possesses excellent mechanical and wear properties and phase stability. Four types of CZA plates (2 x 10 x 15 mm3) were prepared for this study, which were CZA with a polished surface (group 1), a microporous surface prepared by hydrofluoric acid and heat treatment (group 2), a microporous surface with a submicron HA coating prepared by alternately soaking the plate from group 2 in aqueous CaCl2/HCl and Na2HPO4 solutions (group 3), and a microporous surface with a 4-microm HA coating prepared by the biomimetic method, where the plates from group 3 were soaked in simulated body fluid (group 4). Plates were implanted into rabbit tibia, and after 4, 8, and 16 weeks, tensile testing and histological examination of the bone-implant interface were conducted. At 4 weeks, group 4 had superior bone-bonding ability compared with other implants, which was maintained at the later postimplantation times. This HA-coated CZA with a microporous surface has the possibility of clinical use as a bearing material in cementless joint prostheses or as a load-bearing bone substitute.