Search Results (769)

This study evaluated the biomechanical performance of different abutment types, superstructure materials, prosthetic designs, and loading conditions in the implant-supported rehabilitation of three consecutive missing teeth in the mandibular posterior region using three-dimensional finite element analysis (3D-FEA). Twenty FEA models were constructed, simulating two-implant (pontic, mesial, and distal cantilever) and three-implant (splinted and unsplinted) configurations using multi-unit and Ti-base abutments composed of titanium alloy (Grade 5, Ti-6Al-4V), with monolithic zirconia and zirconia-supported feldspathic porcelain superstructures. Functional and parafunctional (bruxism) vertical and oblique loads were applied to analyze von Mises stresses in the components and principal stresses in the peri-implant bone. The results indicated that two-implant models generated higher stress concentrations than three-implant models, and unsplinted or cantilevered designs produced elevated stresses compared to splinted or pontic designs. Ti-base abutments resulted in greater stress accumulation in the connection complex compared to multi-unit systems. Under vertical and oblique parafunctional forces, stress values on the abutments in distal cantilever models—particularly in unsplinted Ti-base designs under oblique loading—exceeded the yield strength of the Ti-6Al-4V alloy (890 MPa), indicating a substantial risk of plastic deformation. To optimize biomechanical stability, three-implant-supported, splinted designs utilizing Multi-unit abutments should be prioritized. Avoiding distal cantilevers and unsplinted designs is critical in patients with bruxism to minimize the risk of mechanical failure in the Ti-6Al-4V components. Full article

Implant-associated infections remain one of the leading causes of failure in orthopaedic and dental implants, necessitating the development of multifunctional surface coatings capable of simultaneously enhancing corrosion resistance, bioactivity, and antibacterial performance. The aim of this study was to investigate how picosecond laser surface treatment modifies the structural, physicochemical, mechanical, electrochemical, bioactive, and antibacterial properties of magnetron-sputtered TiO₂/CuO coatings on Ti6Al4V alloy. Structural characterisation revealed that laser treatment transformed the predominantly amorphous TiO₂ matrix into a more crystalline rutile-containing structure while preserving the CuO phase. The laser surface-treated (LST) surface exhibited increased surface hydroxylation, enhanced wettability, and a slightly higher release of Cu ions. In addition to modifying the surface chemistry, laser treatment improved the mechanical characteristics of the coating, contributing to its overall durability and suitability for biomedical implant environments. Electrochemical impedance spectroscopy demonstrated that both coatings significantly improved the corrosion resistance of Ti6Al4V in simulated body fluid, whereas the laser-treated coating showed superior long-term stability and passive layer evolution. Following immersion, both surfaces promoted the formation of Ca–P-rich hydroxyapatite deposits, indicating favourable bioactivity. Antibacterial testing against Staphylococcus aureus revealed reductions in bacterial viability of 67% and 74% for the AD and LST coatings, respectively. The enhanced antibacterial performance of the laser-treated surface was attributed to the combined effects of increased crystallinity, surface hydroxylation, hydrophilicity, and copper ion release. The novelty of this work lies in demonstrating that picosecond laser post-treatment can simultaneously tailor the crystallinity, surface chemistry, morphology, corrosion resistance, bioactivity, and antibacterial performance of magnetron-sputtered TiO₂/CuO coatings without compromising coating integrity, thereby providing a promising multifunctional surface modification strategy for biomedical implants. Full article

Laser shock peening (LSP) is an advanced surface modification technique that significantly enhances the fatigue resistance of metallic components through the synergistic implantation of deep compressive residual stresses (CRSs) and gradient microstructural refinement. Existing investigations have shown that LSP can generate strengthening layers extending from several hundred micrometers to approximately 1 mm in depth, with affected zones reaching 5–6 times the depth typically achieved by conventional shot peening in representative titanium alloys. In specific cases, LSP has increased the fatigue limit from 483.2 MPa to 593.6 MPa, corresponding to an improvement of approximately 22.8%, while optimized treatment of Ti-17 compressor blades has extended fatigue life by more than two orders of magnitude. This review systematically elucidates the anti-fatigue strengthening mechanisms of LSP across a range of metallic systems, with emphasis on three key aspects: (i) the mechanistic retardation of fatigue crack initiation and propagation, mediated by CRS-induced reductions in the stress intensity factor and enhanced crack closure effects; (ii) the parametric sensitivity of surface integrity and stress field homogeneity to laser energy density, spot overlap ratio, and multiple-impact sequencing; and (iii) the process-specific characteristics of emerging LSP variants, including laser peening without coating, warm laser shock peening, and cryogenic laser shock peening. Furthermore, we critically evaluate the role of multiscale numerical simulations—encompassing macroscopic finite element analysis, mesoscopic crystal plasticity modeling, and molecular dynamics—in optimizing process parameters and predicting fatigue life. By integrating experimental, computational, and theoretical perspectives, this review establishes a coherent process–structure–property framework to guide the rational design of LSP protocols for targeted fatigue performance enhancement. Full article

The manufacturing of personalized implants from Ti–6Al–4V alloy using additive manufacturing technologies is a promising direction in modern medicine. However, components produced by these methods are characterized by a non-equilibrium microstructure, high residual stresses, and anisotropy of mechanical properties, which necessitates subsequent heat treatment. The aim of the present work was a systematic comparative study of the effect of three heat treatment regimes—stress relief annealing (600 °C, 3 h), subtransus annealing in the (α + β) region (950 °C, 1 h, furnace cooling), and solution treatment followed by aging (STA: 950 °C, 0.5 h, water quenching + aging at 675 °C, 3 h)—on the microstructure and mechanical properties of Ti–6Al–4V alloy manufactured by laser powder bed fusion (L-PBF) and plasma arc directed energy deposition (PA-DED). The microstructure was examined using scanning electron microscopy, transmission electron microscopy, and electron backscatter diffraction (EBSD). Tensile mechanical properties were determined in two directions: parallel and perpendicular to the build direction. Stress-relief annealing led to an increase in the ductility of the alloy without a noticeable decrease in strength and without significant changes in the microstructure. Subtransus annealing resulted in the formation of an equilibrium lamellar (α + β) structure, which provided a substantial increase in ductility with a moderate decrease in strength. Solution treatment and aging resulted in formation of a bimodal microstructure. Subtransus annealing (both alloys), STA (L-PBF) and stress relief annealing (PA-DED) provided properties comparable to those of wrought material. The obtained results form the basis for a scientifically informed selection of both the manufacturing route and the heat treatment regime for biomedical implants made of Ti–6Al–4V alloy. Full article

Background: Metallic orthopedic implants face persistent clinical challenges that have proved resistant to incremental conventional development. Machine learning and artificial intelligence offer a complementary paradigm for navigating the high-dimensional design spaces governing implant performance, yet the literature remains fragmented across disciplinary silos with no comprehensive synthesis spanning the full development pipeline. Methods: A structured database search of PubMed/MEDLINE, Embase, and Cochrane (executed May 2026), supplemented by hand-searching of reference lists, identified 33 primary studies organized across five sequential domains: alloy composition discovery, additive manufacturing process–property optimization, lattice and porous structure design, surface engineering and coatings, and corrosion and wear prediction. Results: Across all five domains, machine learning approaches, including random forests, convolutional neural networks, Bayesian optimization, generative adversarial networks, physics-informed neural networks, and autonomous multi-agent platforms, have accelerated property prediction and design space exploration beyond experimental or simulation-based methods. Shared barriers to translation include small, heterogeneous datasets, reliance on internal rather than external validation, limited interpretability, and the absence of regulatory frameworks for AI-assisted device design. Representative performance included modulus predictions within ~4 GPa of first-principles values, ML-designed alloys reaching ~42.7 GPa (versus 103–120 GPa for Ti-6Al-4V), property prediction R² often above 0.90 (up to 0.96–0.9991), 98.3% corrosion severity classification accuracy, and acceleration from a roughly fivefold reduction in finite element simulations to surrogates compressing days into minutes. Conclusions: Addressing these limitations will require open standardized databases linking materials parameters to registry-level clinical outcomes, prospective clinical validation studies, and coordinated engagement between researchers, industry, and regulatory agencies. Full article

The release of aluminum (Al) and vanadium (V) ions represents a critical concern limiting the long-term performance and biocompatibility of Ti6Al4V-based permanent orthopedic implants. This study focuses on improving the corrosion resistance of Ti6Al4V alloys through the application of a novel organic–inorganic ZnO nanocoating. In addition, the present study investigated the influence of substrate roughness on surface morphology, microhardness, and wettability characteristics. Xanthan gum (XG) and celite (CE) were utilized as a biopolymeric–ceramic matrix for the ceramic–biopolymer-assisted synthesis of ZnO nanoparticles (ZnO NPs) through ultrasonication, which was subsequently followed by deposition onto Ti6Al4V substrates with varying surface roughness (Ra) achieved through controlled turning. The synthesized XG/CE-ZnO NPs exhibited a uniform spherical morphology with an average particle size of nearly 50 nm and a hexagonal wurtzite crystalline structure, as confirmed by TEM, XRD, and FTIR analyses. Contact angle (CA) measurements indicated that wettability increased with higher Ra, while SEM with energy-dispersive X-ray spectroscopy characterization revealed morphology transitions from smooth, homogeneous coatings to agglomerate, star-like nanostructures as Ra increased. Electrochemical testing in Ringer’s solution demonstrated a significant improvement in corrosion resistance after coating, with protection efficiencies ranging from 95.18% to 98.48%, particularly for smoother substrates. Although increased Ra may enhance coating adhesion through mechanical interlocking, smoother substrates promote the formation of more homogeneous coatings, resulting in superior corrosion protection. These results demonstrate the significant influence of substrate topography in enhancing the functional performance of biocompatible ZnO nanocoatings, providing valuable insights for the surface engineering of metallic implants. Full article

Copper alloying of Ti6Al4V via liquid-phase sintering (LPS) is a promising route to enhance densification and mechanical properties for biomedical implants. This study investigates the effect of sintering temperature (900–1100 °C) on the densification, microstructure, and electrochemical behavior of Ti6Al4V–20 wt.% Cu composites. Samples were fabricated via pressureless sintering, maintaining a constant relative green density of 72.7%. The results show that the relative density increased progressively from 78.6% at 900 °C to 98.1% at 1100 °C. Microstructural analysis revealed a transition from fragmented Ti-Cu dendritic structures to refined globular intermetallic, with enhanced copper diffusion into the α-Ti matrix above 1000 °C, accompanied by the formation of TiCu and Ti₂Cu intermetallic phases. Correspondingly, microhardness increased systematically from 313 HV to 473 HV, correlated with reduced porosity and intermetallic reinforcement. Electrochemical tests in Ringer’s solution indicated that while higher temperatures improve structural integrity, the distribution of Cu-rich phases significantly influences corrosion kinetics. These findings demonstrate that sintering at 1100 °C optimizes the densification–microstructure relationship, providing a technical basis for the development of high-performance Ti-based composites. Based on previous studies of Ti–Cu systems, these materials may exhibit antibacterial activity, although no biological or antibacterial tests were performed in the present work. Full article

Bacterial biofilms represent a major clinical challenge, being responsible for the majority of chronic infections and significantly reducing the effectiveness of antibiotic therapy. Their formation on implant surfaces, particularly those made of titanium and its alloys, is strongly associated not only with antimicrobial tolerance but also with persistent, hard-to-eradicate infections, implant loosening or failure, repeated surgical interventions, prolonged hospitalization, and increased morbidity. These complications contribute substantially to the growing problem of antimicrobial resistance and impose significant economic burdens on healthcare systems. This review discusses the mechanisms of biofilm formation, factors influencing bacterial adhesion, and the clinical implications associated with implant-related infections. Special attention is given to titanium-based biomaterials, including conventional Ti–6Al–4V and next-generation alloys such as Ti–13Nb–13Zr, highlighting their advantages and limitations in the context of biocompatibility and susceptibility to biofilm formation. Various strategies for combating biofilms are presented, including physical, chemical, and biological approaches, with emphasis on surface modification techniques. Advanced methods, particularly atomic layer deposition (ALD), are identified as promising solutions for creating uniform, antibacterial coatings, including those based on tin dioxide (SnO₂). Such modifications offer potential for reducing bacterial adhesion, improving osseointegration, and enhancing long-term implant performance. Full article

Titanium-based dental implants have evolved significantly, with the development of binary alloys like Ti-15Zr (Roxolid™) representing a pivotal advancement in mechanical performance. Current research focuses on biomimetic surface engineering to further accelerate osseointegration and optimize bone regeneration, particularly in clinically compromised sites. This review constitutes a narrative synthesis of how these strategies replicate the bone extracellular matrix (ECM) through a holistic framework of architectural, mechanical, and biochemical integration. A structured literature search across PubMed, Scopus, and Web of Science (2010–2026) identified relevant studies focusing on the synergy between Ti-15Zr substrates and surface modifications. Evidence confirms that the high fatigue strength of Roxolid™ alloys provides an ideal foundation for advanced, hierarchical surface engineering without compromising structural integrity. This strategy utilizes macro-topography for primary stability, nano-topography for protein adsorption, and bio-functionalization (e.g., RGD peptides and osteogenic ions) to direct mesenchymal stem cell (MSC) differentiation. This synergy accelerates the transition from passive to active osseointegration, effectively bridging the “biological gap” during early healing. Biomimetic engineering transforms implants into instructive biological platforms, improving outcomes for patients with compromised bone quality and facilitating predictable immediate loading protocols. Full article

Titanium and its alloys are cornerstone biomaterials due to their high strength-to-weight ratio, excellent fatigue and corrosion resistance, biocompatibility, and ability to osseointegrate with bone. Their relatively low elastic modulus compared to stainless steels and Co–Cr alloys further enhances their suitability for biomedical applications. Performance is continually improved through alloy design (tailoring α and β phases), advanced manufacturing methods such as CNC machining and additive manufacturing, and surface engineering approaches. In particular, the formation of a stable TiO₂ layer promotes corrosion resistance and cell attachment, while coatings and nanotexturing enhance osseointegration and provide antibacterial functionality. These attributes enable widespread use in orthopedic, dental, and cardiovascular implants. Emerging developments include smart implants with embedded sensors, multifunctional surfaces, and data-driven alloy design, aiming to further optimize mechanical performance, biological response, and long-term reliability. This review summarizes the processing techniques, properties, applications, and recent advances in titanium-based biomaterials. Full article

Background: Degenerative joint diseases are a major cause of disability and drive the increasing demand for joint arthroplasty. Long-term prosthesis success depends on rapid and stable bone–implant integration, which is influenced by the osteo-inductive and osteo-conductive properties of implant materials. Chromium–cobalt (CrCo) and titanium (Ti) alloys are widely used in reconstructive orthopedics, but direct comparative data on their biological performance, particularly for trabecular titanium (T-Ti), remain limited. This study aimed to directly compare the biocompatibility and osteogenic potential of CrCo and T-Ti using human mesenchymal stromal cells (MSCs). Methods: Human MSCs were characterized by immunophenotyping and cultured on CrCo and T-Ti scaffolds under control and osteogenic conditions for up to 28 days. Cell adhesion and morphology were assessed by scanning electron microscopy. Proliferation and viability were quantified, and osteogenic differentiation was evaluated using alkaline phosphatase activity, calcium deposition assays, and gene expression profiling of osteogenic markers. Results: Both materials supported MSC adhesion and proliferation, confirming cytocompatibility. Under control conditions, T-Ti significantly increased alkaline phosphatase activity and osteogenic gene expression. Under osteogenic stimulation, T-Ti accelerated differentiation and mineralized matrix deposition. CrCo exhibited limited stimulation of the osteogenic-supportive microenvironment and delayed differentiation responses. Conclusions: Trabecular titanium, in terms of morphology and topology, provides a biologically active scaffold that both induces and conducts osteogenic differentiation of human MSCs, whereas CrCo acts primarily as a mechanically optimized but biologically passive material. These findings support the use of trabecular titanium at bone-contact interfaces in joint prostheses to enhance osteointegration and potentially improve long-term implant stability. Full article

The study objectives were to evaluate the in vitro and in vivo performance of additive manufacturing (AM) Ti6Al4V ELI alloy compared to that of a commercially available dental implant. Two AM shapes with the solid or lattice structures on the solid substrate were used: in vitro test: disk shapes (10.0 mm/dia. 2.0 mm/thick) and in vivo test: AM shapes matching the overall geometry of a commercial implant (3.0 mm/dia. 8.0 mm/length). Six disk specimens were placed in direct contact with Balb/c 3T3 fibroblasts for 72 h. Cytotoxicity was assessed with adenosine triphosphate activity. Four implant-shaped specimens were placed in the femurs of three rabbits and retrieved after 6 weeks. Osseointegration was evaluated by push-out testing and histological analysis. Data were analyzed using one-way ANOVA (α = 0.05). Surface roughness (µm) of AM-solid, AM-lattice, and a commercial implant were 8.02, 9.00, and 1.46, respectively. Cytotoxicity was not statistically different compared to surface configuration and Teflon^® controls (p > 0.05). Push-out test results were not significant between implants: the shear stiffness of commercial > AM-lattice > AM-solid (p > 0.05). Histological analysis demonstrated osseointegration without inflammatory responses in the surrounding bone tissue for all implants. While some processes and improvements are still required, AM remains a promising method for fabricating customized porous implants in the future. Full article

Titanium alloys such as Ti-6Al-4V are widely used in orthopedic implants due to their strength and biocompatibility. Laser Surface Remelting (LSR) offers a promising approach to modify surface properties without altering bulk characteristics. This study investigates the effects of varying melt pool depths (MPDs) from 0 μm to 30 μm in 10 μm steps on the mechanical behavior of Ti-6Al-4V femoral components in Total Knee Replacement (TKR) using a comprehensive computational approach combining Finite Element Analysis (FEA) and computational algorithm-based automated evaluation. A three-dimensional FEA model was developed and tested under four physiological loading conditions: compression, axial distraction, medial bending, and lateral flexion at 1300 N. Results show that increasing MPD from 0 μm to 30 μm increases the maximum von Mises stress by 4.2% under compression but reduces displacement by up to 51.7% under distraction. An MPD of 20 μm reduces displacement by 48% while increasing stress by only 2.7%, representing an optimal balance. The computational algorithm framework identifies 15–25 μm as the optimal range for balancing surface enhancement with mechanical integrity. Experimental validation shows good agreement between simulated and measured results, confirming the reliability of the proposed framework for optimizing surface modification parameters in orthopedic implants. Full article

This research reports on the properties of oxide-ceramic coatings produced by plasma electrolytic oxidation in novel electrolyte solutions for implantology applications. A series of bioactive calcium-phosphate coatings was synthesized on medical-grade Ti-13Zr-13Nb alloy using the plasma electrolytic oxidation (PEO) method. Novel electrolytes enriched with calcium and phosphorus were developed, enabling the formation of coatings with tailored physicochemical and structural characteristics. A correlation was established between the electrolyte composition and the phase composition, thickness, morphology, porosity, and microhardness of the resulting coatings. The optimum coatings exhibited a Ca/P ratio close to that of natural human bone tissue, homogeneity, a well-developed porous surface topography, and controlled resorption behavior. For the first time, a mechanism of calcium-phosphate coating resorption in a biologically active environment has been proposed. It involves partial dissolution, the formation of apatite-like surface structures, and the subsequent controlled release of Ca and P ions. In vitro testing in simulated body fluid indicated the potential bioactivity of the synthesized coatings. The proposed calcium-phosphate coatings may be considered promising candidates for future implant surface modification. The results obtained are significant for the development of advanced orthopedic and dental implants, including those fabricated using additive manufacturing technologies. Full article

Background/Objectives: Titanium alloy Ti₆Al₄V remains the gold standard in dental implantology due to its excellent mechanical properties, corrosion resistance, and biocompatibility. However, implant-associated infections and insufficient osseointegration continue to represent major clinical challenges, mainly related to bacterial biofilm formation and suboptimal surface–tissue interactions. Biofilm formation refers to the adhesion, accumulation, and growth of microbial communities embedded within a self-produced extracellular polymeric matrix on implant surfaces, which contributes to bacterial persistence and resistance to host defense mechanisms. This review aims to critically evaluate recent advances in multifunctional bioceramic coatings for dental implants, with a particular focus on zirconia (ZrO₂)-based systems and their antibacterial mechanisms. Methods: A structured literature analysis was conducted using major scientific databases including PubMed, Scopus, and Web of Science, focusing mainly on studies published between 2015 and 2025 related to CaP, Ag, and ZrO₂-based coatings for dental implants. The review examines their physicochemical properties, antibacterial strategies, ion release behavior, and biological responses, including osteogenic activity and biofilm inhibition. Particular attention is given to hybrid systems integrating multiple functional phases. Results: CaP coatings exhibit excellent osteoconductivity and promote early osseointegration but show limited intrinsic antibacterial activity. Ag-based coatings provide strong broad-spectrum antimicrobial effects through controlled Ag⁺ ion release, although concerns regarding cytotoxicity and dose-dependent responses remain. ZrO₂ coatings significantly enhance corrosion resistance and surface stability, while their antibacterial performance can be improved through nanostructuring, laser surface modification, and ionic doping. Hybrid Ag–CaP–ZrO₂ coatings demonstrate improved antibacterial activity, enhanced corrosion resistance, and better regulation of ion release kinetics and osteogenic response compared with single-component coating systems. Conclusions: Multifunctional bioceramic coatings represent a promising strategy for improving the performance of dental implants and addressing the dual challenge of infection control and tissue integration. However, challenges remain regarding long-term stability, controlled ion release, and limited clinical validation. Future research should focus on the development of smart, stimuli-responsive coatings and standardized evaluation protocols to facilitate clinical translation. Full article