Search Results (822)

Biofilms are structured communities of microorganisms encased in a self-produced extracellular matrix, and they represent one of the most widespread forms of microbial life on Earth. Their presence poses serious challenges in both environmental and clinical settings. In natural and industrial systems, biofilms contribute to water contamination, pipeline corrosion, and biofouling. Clinically, biofilm-associated infections are responsible for approximately 80% of all microbial infections, including endocarditis, osteomyelitis, cystic fibrosis, and chronic sinusitis. A particularly critical concern is their colonization of medical devices, where biofilms can lead to chronic infections, implant failure, and increased mortality. Implantable devices, such as orthopedic implants, cardiac pacemakers, cochlear implants, urinary catheters, and hernia meshes, are highly susceptible to microbial attachment and biofilm development. These infections are often recalcitrant to conventional antibiotics and frequently necessitate surgical revision. In the United States, over 500,000 biofilm-related implant infections occur annually, with prosthetic joint infections alone projected to incur revision surgery costs exceeding USD 500 million per year—a figure expected to rise to USD 1.62 billion by 2030. To address these challenges, surface modification of medical devices has emerged as a promising strategy to prevent bacterial adhesion and biofilm formation. This review focuses on recent advances in chemical surface functionalization using non-antibiotic agents, such as enzymes, chelating agents, quorum sensing quenching factors, biosurfactants, oxidizing compounds and nanoparticles, designed to enhance antifouling and mature biofilm eradication properties. These approaches aim not only to prevent device-associated infections but also to reduce dependence on antibiotics and mitigate the development of antimicrobial resistance. Full article

Additive manufacturing (AM) has emerged as a transformative technology in dentistry, enabling the production of patient-specific dental applications with reduced costs and fabrication times. Despite the growth of applications, a consolidated understanding of current 3D printing technologies, materials, and performance in dental settings remains fragmented. Here, we perform a Systematic Literature Review (SLR) using the PRISMA protocol, retrieving 19 closely related primary studies. The evidence is synthesized across three axes: application domain, AM technology, and critical quality parameters. Dental restorations, prosthetics, crowns, and implants are the most common applications, while fused deposition modeling, stereolithography, digital light processing, selective laser sintering, and laser-directed energy deposition are the most used technologies. AM materials include polymers, metals, and emerging biomaterials. Key quality determinants include dimensional accuracy, wear and corrosion resistance, and photosensitivity. Notably, biocompatibility and cytotoxicity remain underexplored yet critical factors for ensuring long-term clinical safety. The evidence also suggests a lack of in vivo studies, insufficient tribological and microbiological testing, including limited data degradation pathways of AM materials under oral conditions. Understanding that there are disconnects between the realization of the clinical and the economic benefits of 3D printing in dentistry, future research requires standardized testing frameworks and long-term biocompatibility validation. Full article

The main aim of this study was to evaluate the influence of heat and surface treatment on the physicochemical properties of samples produced using Direct Metal Sintering incremental technology from Ti64ELI titanium powder. Two groups of samples were selected for the study: sandblasted and mechanically polished samples. Each group consisted of samples in the initial state and after heat treatment carried out at temperatures of 800 °C, 910 °C, and 1020 °C. The article presents the results of microscopic metallographic observations, wettability and surface topography, hardness, and resistance to pitting corrosion in Ringer’s solution, together with microscopic evaluation of the surfaces before and after testing. Based on the test results, both heat and surface treatments were found to alter the functional properties of the printed samples. All the tested samples show hydrophilic properties. Heat treatment at 1020 °C produces the best resistance to pitting corrosion. This information is important when selecting the mechanical properties of the biomaterial and the physicochemical properties of the surface for a specific type of stabilizer. The choice of appropriate heat treatment and surface treatment of the implant will also depend on the length of time the implant remains in the body. Full article

In this study, a Ag/ZrO₂ hybrid coating prepared by the sol–gel method on a β-type Ti45Nb alloy was applied by the spin coating technique, and the microstructural, mechanical, electrochemical, and tribological properties of the surface were evaluated in a multi-dimensional manner. The hybrid solution was prepared using zirconium propoxide and silver nitrate and stabilized through a low-temperature two-stage annealing protocol. The crystal structure of the coating was determined by XRD, and the presence of dense tetragonal ZrO₂ phase and crystalline Ag phases was confirmed. SEM-EDS analyses revealed a compact coating structure of approximately 1.8 µm thickness with homogeneously distributed Ag nanoparticles on the surface. As a result of the electrochemical corrosion tests, it was determined that the open circuit potential shifted to more noble values, the corrosion current density decreased, and the corrosion rate decreased by more than 70% on the surfaces where the Ag/ZrO₂ coating was applied. In the tribological tests, a decrease in the coefficient of friction, narrowing of wear marks, and significant reduction in surface damage were observed in dry and physiological (HBSS) environments. The findings revealed that the Ag/ZrO₂ hybrid coating significantly improved the surface performance of the Ti45Nb alloy both mechanically and electrochemically and offers high potential for biomedical implant applications. Full article

Biodegradable magnesium alloys have emerged as promising alternatives to permanent metallic implants due to their unique combination of mechanical compatibility with bone and complete resorption, addressing the persistent issues of stress shielding and secondary removal surgeries. This review critically examines the historical development of magnesium-based biomaterials, highlighting advances in alloy design, manufacturing processes, and surface engineering that now enable tailored degradation and improved clinical performance. Drawing on recent clinical and preclinical studies, we summarize improvements in corrosion resistance, mechanical properties, and biocompatibility that have supported the clinical translation of magnesium alloys across a variety of orthopedic and emerging medical applications. However, challenges remain, including unpredictable in vivo degradation kinetics, limited long-term safety data, lack of standardized testing protocols, and ongoing regulatory uncertainties. We conclude that while magnesium-based biomaterials have advanced from experimental concepts to clinically validated solutions, further progress in personalized degradation control, real-time monitoring, and harmonized regulatory frameworks is needed to fully realize their transformative clinical potential. Full article

This study investigates the development of silver (Ag)-doped zirconia (ZrO₂) coatings deposited on 316LVM stainless steel via the unbalanced magnetron sputtering technique. The oxygen content in the Ar/O₂ gas mixture was systematically varied (12.5%, 25%, 37.5%, and 50%) to assess its influence on the resulting coating properties. In response to the growing demand for biomedical implants with improved durability and biocompatibility, the objective was to develop coatings that enhance both wear and corrosion resistance in physiological environments. The effects of silver incorporation and oxygen concentration on the structural, tribological, and electrochemical behavior of the coatings were systematically analyzed. X-ray diffraction (XRD) was employed to identify crystalline phases, while atomic force microscopy (AFM) was used to characterize surface topography prior to wear testing. Wear resistance was evaluated using a ball-on-plane tribometer under simulated prosthetic motion, applying a 5 N load with a bone pin as the counter body. Corrosion resistance was assessed through electrochemical impedance spectroscopy (EIS) in a physiological solution. Additionally, tribocorrosive performance was investigated by coupling tribological and electrochemical tests in Ringer’s lactate solution, simulating dynamic in vivo contact conditions. The results demonstrate that Ag doping, combined with increased oxygen content in the sputtering atmosphere, significantly improves both wear and corrosion resistance. Notably, the ZrO₂-Ag coating deposited with 50% O₂ exhibited the lowest wear volume (0.086 mm³) and a minimum coefficient of friction (0.0043) under a 5 N load. This same coating also displayed superior electrochemical performance, with the highest charge transfer resistance (38.83 kΩ·cm²) and the lowest corrosion current density (3.32 × 10⁻⁸ A/cm²). These findings confirm the high structural integrity and outstanding tribocorrosive behavior of the coating, highlighting its potential for application in biomedical implant technology. Full article

The anodic oxidation of titanium implants is a practical, cost-effective method to enhance implant success, especially due to rising hypersensitivity concerns. This study investigated the electrochemical behavior, surface characteristics, and biocompatibility of anodized commercially pure titanium (cpTi, grade IV). Anodization is performed on polished, cleaned cpTi sheet samples in 1 M H₂SO₄ using a constant voltage of 15 V for 15 and 45 min. The color of the oxide layer is evaluated using the CIELab color space, while composition is analyzed by a scanning electron microscope (SEM) equipped with an energy dispersive spectrometer (EDS). Additionally, X-ray diffraction (XRD) and X-ray photoelectron spectroscopy (XPS) are performed to identify and monitor the phase transformations of the formed titanium oxides. Corrosion measurements are performed in 9 g L⁻¹ NaCl, pH = 7.4, and show the excellent corrosion stability of the anodized samples in comparison with pure titanium. The biological response is assessed by determining mitochondrial activity and gene expression in human fibroblasts. Anodized surfaces, particularly Ti-45, promote higher mitochondrial activity and the upregulation of adhesion-related genes (N-cadherin and Vimentin) in human gingival fibroblasts, indicating improved biocompatibility and the potential for enhanced early soft tissue integration. Full article

Background and Objectives: Magnesium (Mg)-based materials, such as the WE43 alloy, show potential in biomedical applications owing to their advantageous mechanical properties and biodegradability; however, their quick corrosion rate and hydrogen release restrict their general clinical utilization. This study aimed to develop a novel Mg-Zn-Ca alloy system based on WE43 alloy, evaluating the influence of Zn and Ca additions on microstructure, mechanical properties, cytocompatibility, and electrochemical behavior for potential use in biodegradable orthopedic applications. Materials and Methods: The WE43-Zn-Ca alloy system was developed by alloying standard WE43 (Mg–Y–Zr–RE) with 1.5% Zn and Ca concentrations of 0.2% (WE43_0.2Ca alloy) and 0.3% (WE43_0.3Ca alloy). Microstructural analysis was performed utilizing scanning electron microscopy (SEM) in conjunction with energy-dispersive X-ray spectroscopy (EDS), while the chemical composition was validated through optical emission spectroscopy and X-ray diffraction (XRD). Mechanical properties were assessed through tribological tests. Electrochemical corrosion behavior was evaluated using potentiodynamic polarization in a 3.5% NaCl solution. Cytocompatibility was assessed in vitro on MG63 cells using cell viability assays (MTT). Results: Alloys WE43_0.2Ca and WE43_0.3Ca exhibited refined, homogeneous microstructures with grain sizes between 70 and 100 µm, without significant structural defects. Mechanical testing indicated reduced stiffness and an elastic modulus similar to human bone (19.2–20.3 GPa), lowering the risk of stress shielding. Cytocompatibility tests confirmed non-cytotoxic behavior for alloys WE43_0.2Ca and WE43_0.3Ca, with increased cell viability and unaffected cellular morphology. Conclusions: The study validates the potential of Mg-Zn-Ca alloys (especially WE43_0.3Ca) as biodegradable biomaterials for orthopedic implants due to their favorable combination of mechanical properties, corrosion resistance, and cytocompatibility. The optimization of these alloys contributed to obtaining an improved microstructure with a reduced degradation rate and a non-cytotoxic in vitro outcome, which supports efficient bone tissue regeneration and its integration into the body for complex biomedical applications. Full article

This study systematically investigated the effects of biologically relevant microalloying elements—calcium (Ca), strontium (Sr), manganese (Mn), and zirconium (Zr)—on the electrochemical behavior of Mg-Y-Zn alloys containing long-period stacking ordered (LPSO) phases. The alloys were prepared by casting and characterized using X-ray diffraction (XRD), optical microscopy (OM), and scanning electron microscopy with energy-dispersive spectroscopy (SEM/EDS). Electrochemical properties were assessed through potentiodynamic polarization in Hank’s solution, and corrosion rates were determined by hydrogen evolution and weight loss methods. Microalloying significantly enhanced the corrosion resistance of the base Mg-Y-Zn alloy, with corrosion rates decreasing from 2.67 mm/year (unalloyed) to 1.65 mm/year (Ca), 1.36 mm/year (Sr), 1.18 mm/year (Zr), and 1.02 mm/year (Mn). Ca and Sr additions introduced Mg₂Ca and Mg₁₇Sr₂, while Mn and Zr refined the existing LPSO structure without new phases. Sr refined the LPSO phase and formed a uniformly distributed Mg₁₇Sr₂ network, promoting uniform corrosion and suppressing deep localized attacks. Ca-induced Mg₂Ca acted as a temporary sacrificial phase, with corrosion eventually propagating along LPSO interfaces. The Mn-containing alloy exhibited the lowest corrosion rate; this is attributed to the suppression of both anodic and cathodic reaction kinetics and the formation of a stable protective surface film. Zr improved general corrosion resistance but increased susceptibility to localized attacks due to dislocation-rich zones. These findings elucidate the corrosion mechanisms in LPSO-containing Mg alloys and offer an effective strategy to enhance the electrochemical stability of biodegradable Mg-based implants. Full article

This study presents the development and comprehensive evaluation of magnesium-based implants with surface modifications using selected polymers and bioactive compounds. The implants were fabricated via plasma electrolytic oxidation (PEO), followed by the application of chitosan, polydopamine (PDA), and gold nanoparticles as bioactive surface coatings. In vitro experiments, including FT-IR spectroscopy, scanning electron microscopy (SEM), wettability tests, biodegradation assays in simulated body fluid (SBF), electrochemical corrosion analysis, and cytotoxicity tests using MG-63 osteoblast-like cells, were employed to assess the physicochemical and biological properties of the materials. The PEO + PDA-modified samples demonstrated the highest corrosion resistance (−1.15 V corrosion potential), enhanced cell viability (~95%), and favorable surface wettability (contact angle ~12.5°), outperforming other tested configurations. These findings suggest that PEO combined with PDA offers a synergistic effect, leading to superior biocompatibility and degradation control compared to unmodified magnesium or single-coating strategies. The developed implants hold promise for orthopedic applications requiring biodegradable, bioactive, and cytocompatible materials. Full article

To enhance interaction with the host tissue and protect the metal surface, various surface treatments can be applied to dental implants. This study aimed to produce layer-by-layer (LbL) films by alternated immersion of the titanium sample into polyacrylic acid (PAA) and chitosan solutions, obtaining a PAA/chitosan bilayer architecture, seeking to improve the corrosion resistance. For this purpose, 03 experimental groups (n = 05) were performed: Ti-Cp (as control), Ti-Cp+8 bilayers PAA/chitosan, and Ti-Cp+12 bilayers PAA/chitosan. The corrosion behavior was assessed by using open-circuit potential (OCP), potentiodynamic polarization curves (PPcs) and electrochemical impedance spectroscopy (EIS) techniques, conducted in 0.9 wt% NaCl solution at a controlled temperature of 25 ± 1 °C. The samples were characterized morphologically and structurally by atomic force microscope (AFM), scanning electron microscopy/energy-dispersive X-ray (SEM/EDX), and X-ray diffraction (XRD) techniques before and after the corrosion tests. The electrochemical results significantly highlight the beneficial influence of coatings based on PAA/chitosan in enhancing the corrosion resistance of titanium. These findings not only corroborate the feasibility of using alternative materials for the protection of titanium but also open new possibilities for the development of innovative coatings that can be applied within the biomedical sector, serving as mediators for medicinal purposes, particularly in osteoconductive interventions. Full article

The growing prevalence of bacterial infections and the alarming rise of antimicrobial resistance (AMR) have driven the need for innovative antimicrobial coatings for medical implants and biomaterials. However, implant surface properties, such as roughness, chemistry, and reactivity, critically influence biological interactions and must be engineered to ensure biocompatibility, corrosion resistance, and sustained antibacterial activity. This review evaluates three principal categories of antimicrobial agents utilized in surface functionalization: metal/metaloxide nanoparticles, antibiotics, and phytochemical compounds. Metal/metaloxide-based coatings, especially those incorporating silver (Ag), zinc oxide (ZnO), and copper oxide (CuO), offer broad-spectrum antimicrobial efficacy through mechanisms such as reactive oxygen species (ROS) generation and bacterial membrane disruption, with a reduced risk of resistance development. Antibiotic-based coatings enable localized drug delivery but often face limitations related to burst release, cytotoxicity, and diminishing effectiveness against multidrug-resistant (MDR) strains. In contrast, phytochemical-derived coatings—using bioactive plant compounds such as curcumin, eugenol, and quercetin—present a promising, biocompatible, and sustainable alternative. These agents not only exhibit antimicrobial properties but also provide anti-inflammatory, antioxidant, and osteogenic benefits, making them multifunctional tools for implant surface modification. The integration of these antimicrobial strategies aims to reduce bacterial adhesion, inhibit biofilm formation, and enhance tissue regeneration. By leveraging the synergistic effects of metal/metaloxide nanoparticles, antibiotics, and phytochemicals, next-generation implant coatings hold the potential to significantly improve infection control and clinical outcomes in implant-based therapies. Full article

Biodegradable magnesium-based composites show potential application in orthopedic implants, with excellent biocompatibility, low density, and biodegradable characteristics inside the human body. In this study, the stir casting procedure was employed to produce magnesium–zinc MMCs (metal matrix composites) reinforced with MgO nanoparticles, and they were characterized intensively. The analyzed compositions were Mg/4Zn, Mg/4Zn/0.4MgO, and Mg/4Zn/0.6MgO. Their mechanical properties, corrosion resistance, and microstructure were then investigated employing tensile, impact, hardness, wear, and corrosion tests, supplemented with SEM analysis. The results indicate that the Mg-4Zn-0.6MgO composite exhibited the highest performance among the tested formulations, with a tensile strength of 150 MPa, a hardness of 65 HRE (Rockwell Hardness, E-scale), and enhanced corrosion resistance. These improvements are attributed to the uniform dispersion of MgO nanoparticles and the formation of a protective Mg(OH)₂ layer, which together contribute to mechanical reinforcement and controlled degradation behavior. The combination of superior mechanical properties and customizable biodegradability verifies the engineered Mg/4Zn/0.6MgO composite as a promising candidate for a biodegradable orthopedic fixation plate without secondary surgery. Full article

Preparing a bioactive surface with a hierarchical micro/nanostructure can improve the osseointegration of titanium implants. In this study, titanium was sand blasted and etched in H₂SO₄ solution to obtain micro-rough morphology. The samples were then hydrothermally treated in the concentrated CaHPO₄ solution at 120–200 °C for 24 h to grow films consisting of anatase TiO₂ and hydroxyapatite nanoparticles (size 80–240 nm). The hydrothermally calcified (200 °C) sample exhibited much better corrosion resistance in the salt solution, as well as similar cellular viability and a higher alkaline phosphatase level in the cell tests using MC3T3-E1 cells, in comparison with the polished titanium sample. The hybrid treatment is a facile and effective method to a form bioactive surface with a hierarchical micro/nanostructure on titanium. Full article

This study investigates the effect of boron carbide (B₄C) ceramic reinforcement on the microstructural, mechanical, electrical, and electrochemical properties of CoCrMo, Ti, and 17-4 PH alloys produced via powder metallurgy for potential biomedical applications. A systematic experimental design was employed, incorporating varying B₄C contents into each matrix through mechanical alloying, cold pressing, and vacuum sintering. The microstructural integrity and dispersion of B₄C were examined using scanning electron microscopy. The performance of the materials was evaluated using several methods, including Vickers hardness, pin-on-disk wear testing, ultrasonic elastic modulus measurements, electrical conductivity, and electrochemical assessments (potentiodynamic polarization and EIS). This study’s findings demonstrated that B₄C significantly enhanced the hardness and wear resistance of all alloys, especially Ti- and CoCrMo-based systems. However, an inverse correlation was observed between B₄C content and corrosion resistance, especially in 17-4 PH matrices. Ti-5B₄C was identified as the most balanced composition, exhibiting high wear resistance, low corrosion rate and elastic modulus values approaching those of human bone. Weibull analysis validated the consistency and reliability of key performance metrics. The results show that adding B₄C can change the properties of biomedical alloys, offering engineering advantages for B₄C-reinforced biomedical implants. Ti-B₄C composites exhibit considerable potential for application in advanced implant technologies. Full article