The implant material, Ti6Al7Nb: surface microstructure, composition and properties

Laser textured Ti-6Al-7Nb alloy for biomedical applications: An investigation of texturing parameters on surface properties

Surface texturing with a laser beam is an effective method for engraving on the surface of biomaterials. The four laser texturing parameters (scan speed, frequency, fill spacing, and pulse width) having five different values were associated with five different scanning strategies (scan direction), and a total of 25 texturing conditions were tested on the Ti-6Al-7Nb alloy surface. The surface roughness and wettability of the textures created with a 20 W nanosecond fiber laser with a wavelength of 1064 nm on the surface of Ti-6Al-7Nb biocompatible alloy were investigated. Laser texturing parameters were analyzed according to the lowest surface roughness and a hydrophilic surface by creating L25 orthogonal arrays. The surface roughness values ranged between 2 and 26 µm. The lowest surface roughness with a value of 2.21 µm was achieved when the texture was processed with a frequency of 150 kHz, a fill spacing of 0.02 mm, a scan speed of 800 mm/s, a pulse width of 250 ns, and a cross-hatch strategy of 0°/90°. Considering the wettability test results, it was revealed that most of the textured surfaces have super hydrophilic and hydrophilic characteristics except the surface with a contact angle of 92.93°. The relevant surface was textured with 75 kHz frequency, 1000 mm/s scan speed, 0.05 mm fill spacing, 200 ns pulse width, and 45°/-45° cross-hatch strategy.

Use of Eggshells as Bone Grafts around Commercially Pure Titanium Implant Screws Coated with Nano Calcium Sulfate

Background. Implant insertion in regions with poor bone quantity, such as the posterior maxilla, is potentially associated with an increased rate of implant failure. Calcium sulfate can be used as the coating material for commercially pure titanium (CpTi) and as the bone graft material around implants when bound to eggshell powder to enhance the bone quality and quantity of bone defect regions. This study performed a torque removal test to evaluate the effectiveness of eggshell powder as a bone substitute for filling bone defects around CpTi-coated implants coated with nanocrystalline calcium sulfate. Materials and Methods. Eighty screw implant designs were used in the tibiae of 20 white New Zealand rabbits. A total of uncoated 20 screws constituted the control group, and the remaining 60 screws coated with nano calcium sulfate nanoparticles were used as the experimental groups as follows: 20 screws coated with nano calcium sulfate were used alone in the tibiae without gaps around them, 20 screws coated with nano calcium sulfate were used with the gaps made around them and filled with eggshell powder as the bone graft material, and 20 screws coated with nano calcium sulfate were used with the gaps made around them left unfilled. Results. After 2 to 6 weeks of healing, a significant improvement in bone regeneration and an increase in torque removal values were observed when the bone defect around the CpTi implant coated with nano calcium sulfate was filled with eggshell powder as the bone substitute. Conclusions. Nano calcium sulfate particles applied through the dip-coating method can successfully work as the coating material of CpTi implants. These particles work in synergy with eggshell powder to act as the bone graft around the implants.

Electrostatic self-assembly approach in the deposition of bio-functional chitosan-based layers enriched with caffeic acid on Ti-6Al-7Nb alloys by alternate immersion

Tailoring surface properties by layer-by-layer (LBL) deposition directed on the construction of complex multilayer coatings with nanoscale precision enables the development of novel structures and devices with desired functional properties (i.e., osseointegration, bactericidal activity, biocorrosion protection). Herein, electrostatic self-assembly was applied to fabricate biopolymer-based coatings involving chitosan (CSM) and alginate (AL) enriched with caffeic acid (CA) on Ti-6Al-7Nb alloyed surfaces. The method of CA grafting onto the chitosan backbone (CA-g-CSM) as well as all used reagents for implant functionalization were chosen as green and sustainable approach. The final procedure of surface modification of the Ti-6Al-7Nb alloy consists of three steps: (i) chemical treatment in Piranha solution, (ii) plasma chemical-activation of the Ti alloy surface in a RF CVD (Radio Frequency Chemical Vapour Deposition) reactor using Ar, O₂ and NH₃ gaseous precursors, and (iii) a multi-step deposition of bio-functional coatings via dip-coating method. Corrosion tests have revealed that the resulting chitosan-based coatings, also these involving CA, block the specimen surface and hinder corrosion of titanium alloy. Furthermore, the antioxidant layers are characterized by beneficial level of roughness (R_a up ca. 350 nm) and moderate hydrophilicity (59°) with the dispersion part of conducive surface energy ca. 30 mJ/m². Noteworthy, all coatings are biocompatible as the intact morphology of cultured eukaryotic cells ensured proper growth and proliferation, while exhibit bacteriostatic character, particularly in contact with Gram-(-) bacteria (E. coli). The study indicates that the applied simple sustainable strategy has contributed significantly to obtaining homogeneous, stable, and biocompatible while antibacterial biopolymer-based coatings.

Progress in Niobium Oxide-Containing Coatings for Biomedical Applications: A Critical Review

Typically, pure niobium oxide coatings are deposited on metallic substrates, such as commercially pure Ti, Ti6Al4 V alloys, stainless steels, niobium, TiNb alloy, and Mg alloys using techniques such as sputter deposition, sol-gel deposition, anodizing, and wet plasma electrolytic oxidation. The relative advantages and limitations of these coating techniques are considered, with particular emphasis on biomedical applications. The properties of a wide range of pure and modified niobium oxide coatings are illustrated, including their thickness, morphology, microstructure, elemental composition, phase composition, surface roughness and hardness. The corrosion resistance, tribological characteristics and cell viability/proliferation of the coatings are illustrated using data from electrochemical, wear resistance and biological cell culture measurements. Critical R&D needs for the development of improved future niobium oxide coatings, in the laboratory and in practice, are highlighted.

Corrosion of Metallic Biomaterials: A Review

Metallic biomaterials are used in medical devices in humans more than any other family of materials. The corrosion resistance of an implant material affects its functionality and durability and is a prime factor governing biocompatibility. The fundamental paradigm of metallic biomaterials, except biodegradable metals, has been "the more corrosion resistant, the more biocompatible." The body environment is harsh and raises several challenges with respect to corrosion control. In this invited review paper, the body environment is analysed in detail and the possible effects of the corrosion of different biomaterials on biocompatibility are discussed. Then, the kinetics of corrosion, passivity, its breakdown and regeneration in vivo are conferred. Next, the mostly used metallic biomaterials and their corrosion performance are reviewed. These biomaterials include stainless steels, cobalt-chromium alloys, titanium and its alloys, Nitinol shape memory alloy, dental amalgams, gold, metallic glasses and biodegradable metals. Then, the principles of implant failure, retrieval and failure analysis are highlighted, followed by description of the most common corrosion processes in vivo. Finally, approaches to control the corrosion of metallic biomaterials are highlighted.

Ultrabright fluorescent mesoporous silica nanoparticles for prescreening of cervical cancer

We report on the first functional use of recently introduced ultrabright fluorescent mesoporous silica nanoparticles, which are functionalized with folic acid, to distinguish cancerous and precancerous cervical epithelial cells from normal cells. The high brightness of the particles is advantageous for fast and reliable identification of both precancerous and cancerous cells. Normal and cancer cells were isolated from three healthy women and three cancer patients. Three precancerous cell lines were derived by immortalization of primary cultures of normal cells with human papillomavirus type-16 (HPV-16) DNA. We observed substantially different particle internalization by normal and cancerous/precancerous cells after a short incubation time of 15 minutes. Compared to HPV-DNA and cell pathology tests, which are currently used for prescreening of cervical cancer, we demonstrated that the specificity of our method was similar (94-95%), whereas its sensitivity was significantly better (95-97%) than the sensitivity of those currently used tests (30-80%).

FROM THE CLINICAL EDITOR

This team of investigators reports on the development of a new screening test for cervical cancer using ultrabright fluorescent mesoporous silica nanoparticles functionalized with folic acid, enabling significantly better sensitivity (95-97% vs. 30-80%) and maintained specificity (94-95%) compared with current clinical tests. This test should find a way to clinical use in the near future.

Influence of noble metals alloying additions on the corrosion behaviour of titanium in a fluoride-containing environment

Titanium alloys exhibit excellent corrosion resistance in most aqueous media due to the formation of a stable oxide film, and some of these alloys (particularly Ti-6Al-7Nb) have been chosen for surgical and odontological implants for their resistance and biocompatibility. Treatment with fluorides (F(-)) is known to be the main method for preventing plaque formation and dental caries. Toothpastes, mouthwashes, and prophylactic gels can contain from 200 to 20,000 ppm F(-) and can affect the corrosion behaviour of titanium alloy devices present in the oral cavity. In this work, the electrochemical corrosion behaviour of Ti-1M alloys (M = Ag, Au, Pd, Pt) was assessed in artificial saliva of pH = 3.0 containing 910 ppm F(-) (0.05 M NaF) through open circuit potential, E(OC), and electrochemical impedance spectroscopy (EIS) measurements. The corrosion behaviour of the Ti-6Al-7Nb commercial alloy was also evaluated for comparison. E (OC) measurements show an active behaviour for all the titanium alloys in fluoridated acidified saliva due to the presence of significant concentrations of HF and HF(2) (-) species that dissolve the spontaneous air-formed oxide film giving rise to surface activation. However, an increase in stability of the passive oxide layer and consequently a decrease in surface activation is observed for the Ti-1M alloys. This behaviour is confirmed by EIS measurements. In fact, the Ti-6Al-7Nb alloy exhibits lower impedance values as compared with Ti-1M alloys, the highest values being measured for the Ti-1Au alloy. The experimental results show that the corrosion resistance of the studied Ti-1M alloys is similar to or better than that of Ti-6Al-7Nb alloy currently used as biomaterial, suggesting their potential for dental applications.

Cellular Response of Titanium and Its Alloys as Implants

The cellular response of osteocytes to commercially pure titanium (α) and its alloys (α + β and β) has been tested in a culture media, and the results have been supplemented by analyses from various techniques such as inductively coupled plasma atomic emission spectroscopic (ICP-AES) analysis, X-ray photoemission spectroscopy (XPS), scanning electron microscopy (SEM), metallography, and electrochemical measurements. These results have been correlated with respect to the presence of various alloying elements in these alloys to qualify them for human application. The newer β alloys have been examined for their potential use as implants. These results serve as a preliminary baseline to characterize the best alloy system for a comprehensive long-term investigation.

Comparative corrosion study of Ti-Ta alloys for dental applications

Besides other important material features, the corrosion parameters and corrosion products are responsible for limiting the biocompatibility of metallic materials, and can produce undesirable reactions in implant-adjacent and/or more distant tissues. Titanium and some of its alloys are known as being the most biocompatible metallic materials due to their high strength, low modulus, high corrosion resistance in biological media, etc. More recently, Ti-Ta alloys have been developed, and these are expected to become more promising candidates for biomedical and dental applications than commercially pure Ti, Ti-6Al-4V or Ti-6Al-7Nb alloy. The corrosion behavior of the studied Ti-Ta alloys with Ta contents of 30, 40, 50 and 60 wt.% together with the currently used Ti-6Al-7Nb alloy were investigated for dental applications. All alloys were tested by open-circuit potential measurement, linear polarization, potentiodynamic polarization, coulometric zone analysis and electrochemical impedance spectroscopy performed in artificial saliva with different pH, acid lactic and fluoride contents. The passive behavior for all the titanium alloys is observed for artificial saliva, acidified saliva (9.8 gl(-1) lactic acid, pH 2.5) and for fluoridated saliva (1.0 gl(-1) F(-), pH 8). A decrease in corrosion resistance and less protective passive oxide films are observed for all titanium alloys in fluoridated acidified saliva (9.8 gl(-1) lactic acid, 1.0 gl(-1) F(-), pH 2.5) in regard to other electrochemical media used within this work. It is worthy of note that the most important decrease was found for Ti-6Al-7Nb alloy. These conclusions are confirmed by all the electrochemical tests undertaken. However, the results confirm that the corrosion resistance of the studied Ti-Ta alloys in all saliva is better or similar to that of Ti-6Al-7Nb alloy, suggesting that the Ti-Ta alloys have potential for dental applications.

AFM study of the stability of a dense affinity-bound liposome layer

Liposomes that are surface-bound to a biomaterial such as a contact lens are of interest for localized delivery of therapeutic agents, but it is not known whether such liposome layers are sufficiently robust. The stability of a dense, PEG-functionalized layer of liposomes, affinity-bound onto a multilayer coated surface, was tested under various stress conditions using colloid-probe atomic force miscroscopy (AFM). The different stress effects were generated by varying the applied normal load of the probe and the impinging fluid shear through different approach velocities and by varying the applied lateral forces by scanning under increasing force loads. The effect of applied forces (normal and lateral) was further investigated by coating the probe with a layer of albumin. The liposomes remained intact following the ramping of both protein-coated and uncoated probes under the normal and lateral loads. The low-fouling nature of these liposomes, with respect to nonspecific protein adsorption, was also demonstrated from the interaction force measurements which showed only weak adhesion from the protein layer during the contact period of the albumin-coated probe. The observed adhesive interactions were concluded to be a direct result of the applied load from the probe, during the force measurements, rather than from attraction of the protein molecules for the surface-bound liposomes. The low frictional response of the liposome layer indicated the viscoelastic nature of these molecules, which enabled liposome structure retention during the continuous load application. The demonstrated stability of the liposomes presents a system of viable and localized drug delivery in, for example, ophthalmic applications.

Staphylococcus aureus adhesion to standard micro-rough and electropolished implant materials

Implant-associated infections can cause serious complications including osteomyelitis and soft tissue damage, and are a great problem due to the emergence of antibiotic resistant bacteria such as methicillin-resistant Staphylococcus aureus (MRSA). In some cases, antibiotic-loaded beads which release the antibiotic locally have been used, however such systems may lead to the development of antibiotic-resistant bacteria, as seen with gentamicin-loaded beads. Hence modifying the actual metal implant surface to inhibit or reduce initial bacterial adhesion may be an alternative option. This study describes the visualisation and quantification of S. aureus adhering to standard micro-rough 'commercially pure' titanium (TS) and Ti-6Al-7Nb (NS) surfaces, electropolished titanium (TE) and Ti-6Al-7Nb (NE) surfaces, and standard electropolished stainless steel (SS). Qualitative and quantitative results of S. aureus on the different surfaces correlated with each other, and showed significantly more live bacteria on NS than on the other surfaces, whilst there was no significant difference between the amount of bacteria on TS, TE, NE and SS surfaces. The results showed a significant decrease in the amount of bacteria adhering to the NE compared to standard NS surfaces. Such an observation suggests that the NS surface encouraged S. aureus adhesion, and could lead to higher infection rates in vivo. Hence electropolishing Ti-6Al-7Nb surfaces could be advantageous in osteosynthesis areas in minimising bacterial adhesion and lowering the rate of infection.

Effects of a fluoride etchant on resin bonding to titanium-aluminum-niobium alloy

This investigation was carried out in order to evaluate ammonium hydrogen fluoride (AHF) and cupric chloride (CC) as components of a metal etchant. The surface of cast titanium-aluminum-niobium (Ti-6Al-7Nb) was air-abraded with alumina, etched for 10 s, and rinsed with water. A phosphate or a thiophosphate primer was applied to the bonding area, and an acrylic rod was bonded to the specimen with a tri-n-butylborane-initiated self-curing luting agent. Shear bond strengths were determined after thermocycling (4 degrees C and 60 degrees C) for 10,000 cycles. The average bond strength was significantly influenced by thermocycling, AHF, and primer, but was not influenced by CC. The maximum average bond strengths were obtained when the etchant consisted of 5mass% AHF, with and without 0.3mass% CC. Microphotographs showed that numerous micropits were created on the etched surface, suggesting increased micromechanical retention. In conclusion, chemical etching with 5mass% AHF significantly improved the durability of resin bonding to Ti-6Al-7Nb.

The influence of niobium and vanadium on passivity of titanium-based implants in physiological solution

Surface films play a key role in corrosion and osteointegration processes of titanium-based orthopedic implants. The influence of niobium and vanadium as alloying elements on titanium alloy passivity have been investigated in Hanks' Balanced Salt Solution (HBSS), at 37 degrees C and pH 6.9.Ti6Al4V and Ti6Al6Nb have been considered. The excellent passivating properties of the anodically formed Ti(IV)-based surface oxide film and high corrosion resistance of the Ti6Al6Nb alloy have been attributed to the stabilizing effect of Nb(5+) cations on the passive film, by annihilation of stoichiometric defects (anion vacancies) caused by the presence of titanium suboxides. Localized corrosion sensitivity of the Ti6Al4V alloy has been correlated to the dissolution of vanadium at the surface film/electrolyte interface coupled with generation of cation vacancies and their diffusion through the film as a part of the solid-state diffusion process. The presence of a high concentration of chloride ions (0.15gl(-1)) in HBSS further accelerates these processes.

Chemically patterned, metal oxide based surfaces produced by photolithographic techniques for studying protein- and cell-surface interactions I: Microfabrication and surface characterization

Chemical patterns on smooth wafer substrates comprising areas with two different metals have been produced by vacuum metal deposition and photolithographic techniques. The combination of metals has been chosen from the series titanium (Ti), aluminium (Al), vanadium (V) and niobium (Nb), producing patterns (dots and stripes with dimensions of 50, 100 and 150 micrometer) with one of the metals as the background and with the second metal (foreground pattern) deposited on the background metal. The structure and chemical composition of the patterned surfaces were evaluated by scanning electron microscopy, X-ray photoelectron spectroscopy and imaging time-of-flight secondary-ion mass spectrometry. The surfaces proved to be geometrically well defined with the expected surface-chemical composition, i.e. a surface oxide (passive) film essentially composed of TiO(2),Al(2)O(3),V(2)O(5), or Nb(2)O(5). Ti/Ti patterned surfaces were produced as controls and found to show no chemical composition contrast. The surface roughness of the pattern was greater than that of the background by a factor of 2-3, but was still extremely smooth with Ra<2nm. The patterns serve as model surfaces for studying in vitro the behaviour of cells as well as the adsorption of serum proteins on different metal oxides, which will be reported in a companion paper. These surfaces can be used to compare and contrast the response of osteoblasts to Ti and other alloy components, such as Al, V, or Nb, which are used in load-bearing medical implants.

Chemically patterned, metal-oxide-based surfaces produced by photolithographic techniques for studying protein- and cell-interactions. II: Protein adsorption and early cell interactions

Protein adsorption and adhesion of primary human osteoblasts on chemically patterned, metal-oxide-based surfaces comprising combinations of titanium, aluminium, vanadium and niobium were investigated. Single metal samples with a homogeneous surface and bimetal samples with a surface pattern produced by photolithographic techniques were used. The physical and chemical properties of the samples have been extensively characterised and are presented in a companion paper. Here, we describe their properties in terms of cell responses during the initial 24h of cell culture. Regarding the cell number and activity there was no significant difference between any of the single metal surfaces. However the morphology of cells on vanadium surfaces became spindle-like. In contrast to the behaviour on single metal samples, cells exhibited a pronounced reaction on bimetallic surfaces that contained aluminium. Cells tended to stay away from aluminium, which was the least favoured metal in all two-metal combinations. An initial cell alignment relative to the pattern geometry was detectable after 2h and was fully developed after 18h of incubation. The organisation of f-actin and microtubules as well as the localisation of vinculin were all more pronounced on non-aluminium regions. We hypothesised that the differences in cell response could be associated with differences in the adsorption of serum proteins onto the various metal oxides. Protein adsorption experiments were performed using microscopy in conjunction with immunofluorescent stains. They indicated that both fibronectin and albumin adsorption were significantly greater on the non-aluminium regions, suggesting that differences in cellular response correlate with a modulation of the concentration of serum proteins on the surface.