Search Results (749)

Titanium alloys are widely used in dental implants due to their excellent mechanical properties. However, their inertness and poor antibacterial activity cause interfacial loosening and failure, shortening service life. This study integrates surface microtexturing with coating technologies, employing modified light-curing composite resins to boost the bioactivity of medical titanium alloys via surface modification. The results reveal that surface microtexturing enlarges the coating-substrate contact area by 42.5% compared with rough surfaces, concurrently diminishing stress per unit area, and the coating on microtextured Ti-6Al-4V (TC4) surfaces achieves adhesion with a damaged area of only 0.5%, thereby notably enhancing adhesion between the coating and TC4 matrix. In comparison, with rough surfaces (surface roughness of 0.658 μm), smooth TC4 planes (surface roughness of 0.014 μm) show a significantly reduced bacterial colony count (from 130 ± 6 to 42 ± 3) with an antibacterial rate of 67.7%, as the water contact angle on TC4 surfaces increases with decreasing roughness (reaching 80.95° on the smoothest surface), making bacterial adhesion more challenging and reducing colonization. The composite resin coating based on a mixture of titanium-doped hydroxyapatite and titanium dioxide (Ti-HA/TiO₂) further improves the antibacterial rate to 74.6% through a photocatalytic synergistic effect and endows TC4 with excellent remineralization capacity—mineralization deposits appear on the coated surface after 3 days of immersion in artificial saliva, while no obvious deposits are found on uncoated rough and smooth surfaces even after 7 days—thereby enhancing its bioactivity effectively. This study on the modification of Ti-based implant surfaces will enrich the field by introducing new technologies and methodologies. These advancements provide a theoretical basis for improvement of the remineralization capacity and antibacterial properties of Ti-based dental implants, thereby promoting broader biomedical applications. Full article

With increasing life expectancy and an aging global population, the demand for orthopedic and dental implants is increasing. Recently developed, citric-acid-based anodization processes facilitate the production of more bioactive oxide layers by incorporating important bone minerals such as Ca, P, and Mg and forming bone-like crystalline compounds such as carbonated apatite on titanium implant materials. The primary goal of the present study was to evaluate the applicability of these anodization processes to solid and 3D-printed titanium alloy substrates. The anodized oxides produced on each solid or 3D-printed lattice substrate revealed multi-scaled surface roughness profiles as evidenced by scanning electron microscopy, optical microscopy, and surface roughness analyses. Additionally, each oxide group was shown to incorporate substantial amounts of Ca, P, and Mg bone-mineral dopants and form AB-type carbonated apatite, as shown using a combination of energy-dispersive spectroscopy, X-ray photoelectron spectroscopy, X-ray diffraction, and attenuated total reflectance–Fourier transform infrared spectroscopy analyses. Finally, each oxide group showed sustained Ca, P, and Mg ion release during an inductively coupled plasma spectroscopy dissolution assessment, and demonstrated early apatite-forming ability during simulated body fluid bioactivity testing. The findings of this study show much promise for the applicability of these novel oxide coatings to a wide variety of future titanium implant applications. Full article

In a previous study, we demonstrated that a novel surface treatment applied to laser-melted Ti6Al4V substrates supports osteoblast-like cell adhesion, proliferation, and the activation of early osteogenic pathways. Building on these preliminary findings, the present work aimed to further investigate the ability of the same surface to promote extracellular matrix (ECM) deposition, organization, and osteogenic maturation, which are critical events for the establishment of a stable bone–implant interface in subperiosteal dental implants. Human osteoblast-like MG-63 cells were cultured on Ti6Al4V discs subjected to different surface treatments, including a proprietary surface modification (ATcs) specifically designed for subperiosteal applications. ECM formation and maturation were evaluated through scanning electron microscopy coupled with energy-dispersive spectroscopy, immunofluorescence, and semiquantitative analyses of osteogenic markers type I collagen (COL1A1), secreted protein acidic and rich in cysteine (SPARC), and dentin matrix protein 1 (DMP1) through Western blotting. The results showed that, while all tested surfaces supported cell adhesion, the ATcs surface promoted a distinct osteogenic profile characterized by enhanced DMP1 expression, organized collagen deposition, and the formation of calcium–phosphate–rich mineralized structures. Compared to surfaces that primarily stimulated cell proliferation or early matrix production, ATcs appeared to favour progression toward late-stage osteogenic maturation and matrix mineralization. Taken together, these findings extend our previous observations and indicate that this novel surface treatment not only supports osteoblast viability and early differentiation but also promotes extracellular matrix maturation, a key prerequisite for effective osseointegration. Although further in vivo studies are required, the present data provide additional biological rationale for the use of ATcs-treated Ti6Al4V surfaces in next-generation custom-made subperiosteal implant designs. Full article

Dental implants have become common for restoring function and aesthetics after edentulism, with titanium (Ti) remaining the most widely used material due to its excellent mechanical properties and biocompatibility. Despite their clinical success, long-term performance is strongly influenced by surface characteristics, which regulate osseointegration and susceptibility to bacterial colonisation. Consequently, surface modification approaches have become critical strategies to enhance implant stability, bioactivity and longevity. This review critically evaluates conventional, advanced, and hybrid surface modification strategies. Subtractive methods, such as sandblasting and acid etching, increase microroughness (Ra 1.5–3 μm), enhancing osteoblast attachment and differentiation, but may promote bacterial adhesion and surface contamination. Combined treatments like SLA and SLActive generate hierarchical micro–nano topographies, improving protein adsorption, early-stage osteoblast proliferation (up to 2-fold), and clinical stability. Laser ablation and photofunctionalisation further modulate surface chemistry and wettability, accelerating osseointegration and epithelial cell adhesion. Coating approaches, including layer-by-layer self-assembly, nanospray drying, plasma spraying, and piezoelectric nanocomposites, introduce antimicrobial activity (>95% reduction in Escherichia coli or Staphylococcus aureus) and enhanced osteogenic differentiation with mechanical stability, with adhesion values reaching 49 MPa. Hybrid techniques such as sol–gel, hydrothermal, and anodisation provide controlled topography, chemical composition, and bioactivity, promoting early bone-to-implant contact (BIC increase of 10%–25%) in preclinical models. Notwithstanding promising in vitro and in vivo outcomes, variability in processing parameters and limited standardisation restrict large-scale clinical translation. Overall, contemporary Ti surface engineering emphasises a synergistic balance of topography, chemistry, wettability, and hierarchical structuring to optimise biological performance for dental implant applications. Full article

Degradable polymers, such as poly(L-lactide) (PLLA), are widely investigated for biomedical applications, including drug delivery systems and temporary implants. Their functionality can be expanded by incorporating degradable metal microparticles that may influence degradation behaviour and enable additional surface modification strategies. In this study, the feasibility of composites consisting of PLLA and biodegradable iron microparticles was investigated. Composites were fabricated by solvent casting, providing a gentle alternative to thermal processing methods, which often compromise polymer integrity. Composites were evaluated by thermogravimetric analysis, differential scanning calorimetry, scanning electron microscopy (SEM), tensile testing, dynamic mechanical analysis, and X-ray photoelectron spectroscopy (XPS). Incorporation of iron altered thermal behaviour and crystallinity of PLLA, indicating interactions between polymer matrix and dispersed metal phase that may affect degradation kinetics and material stability. While iron addition reduced Young’s modulus, tensile strength, and elongation at break, composites maintained sufficient structural integrity for potential biomedical applications. XPS and SEM confirmed the embedding of particles within the polymer matrix, enabling potential post-processing approaches. In vitro direct contact and eluate tests demonstrated good cell viability, whereas exposure to free iron particles resulted in dose- and time-dependent cytotoxic effects. Overall, the results demonstrate the feasibility of solvent-cast PLLA–iron composites for resorbable biomedical applications. Full article

The interface between biomaterials and biological systems is crucial for medical implants and tissue engineering. Surface modifications are a key strategy for controlling interactions. Synthetic glycopolymers offer a versatile toolbox, mimicking the structure and function of natural glycoconjugates like mucins. This review highlights the significance of glycopolymers for targeted surface modifications of established biomaterials, such as silicones and poly(meth)acrylates. Controlled polymerization techniques, like the reversible-addition-fragmentation chain-transfer (RAFT) polymerization, enable the synthesis of well-defined glycopolymer architectures. Glycopolymeric surface functionalization creates tailored interfaces for different biological responses, from preventing protein and cell adhesion to promoting specific cell-type binding. The focus lies on using single, well-characterized polymeric base materials and tuning their surface properties through glycopolymer coatings to achieve various and specific functions. This approach opens new dimensions in the development of advanced biomaterials for applications like contact lenses, drug delivery systems, and biosensors and also possesses potential regulatory advantages by leveraging the safety profiles of existing materials. Full article

This study proposes a new fabrication process for terahertz Fresnel zone plates on high-resistivity silicon substrates. It involves ion implantation surface modification, ultra-precision diamond turning, and magnetron sputtering, followed by polishing. Ductile-regime cutting is used to form smooth microgrooves, which are selectively metallized to create alternating opaque and transparent zones for terahertz waves. Finite-element simulations are performed to design the zone structure and to evaluate the effect of process-induced radius errors. A 3 μm amorphous layer is formed via ion implantation, which significantly enhances the ductile-to-brittle transition depth of silicon from 55 nm to about 535 nm while causing only minor changes in terahertz transmittance. The results demonstrate that the proposed method can produce high-quality Fresnel zone plates on silicon and offers a practical route to compact diffractive terahertz components. Full article

Biodegradable zinc (Zn) has attracted increasing interest as a material for temporary implants, primarily due to its moderate degradation kinetics. In recent years, additive manufacturing of Zn alloys using the laser powder bed fusion method (L-PBF) has shown promising results. Compared to as-cast Zn alloys, it offers preferable customized solutions for patient-specific temporary biomedical implants. Due to the novelty of these printed degradable biomaterials and due to reported cytotoxic effects of Zn alloys, this study investigates additively manufactured ZnAgCu, ZnAgCuMn, and ZnAgCuTi alloys, both in as-printed and post-processed conditions, with a focus on L929 and SAOS-2 biocompatibility. In this work, we demonstrate that the increased porosity and therefore larger surface areas compared to polished Zn-alloy samples affect their biocompatibility. Minimal to no cell proliferation was observed on and near the Zn-alloy test plates after 24 h. Undiluted extracts from as-cast Zn and L-PBF-manufactured plates were initially cytotoxic to SAOS-2 cells. However, as passivation proceeded, cytocompatibility was significantly increased from day 3 onward. Zn²⁺ ion release peaked at 24 h and declined significantly from day 2 to day 10. Compared to the other Zn alloys, ZnAgCuMn exhibited the lowest cytocompatibility. Most intriguingly, 3-month surfaces exhibited reduced cytocompatibility to osteoblasts compared to freshly polished samples. The observed in vitro cytotoxicity motivates further investigation of as-printed and post-processed L-PBF-manufactured Zn alloys, aiming to develop novel surface modification strategies to mitigate the initial ion burst responsible for reduced cytocompatibility and to adjust and tailor the overall degradation kinetics to physiologically tolerable levels tailored to the intended clinical application. Full article

This article provides an overview of modern surface engineering technologies used in the manufacturing of dental components, with a particular focus on dental implants, abutments, and crowns. The main objective of the study is to critically evaluate selected surface treatment and coating deposition methods applied to materials such as titanium, zirconia, hydroxyapatite, and NiTi alloys, and to discuss their relevance in terms of functionality, biocompatibility, and sustainability. The analyzed technologies include anodic oxidation, alkaline oxidation, electrochemical coating deposition, and other surface modification approaches aimed at improving osseointegration, corrosion resistance, and antibacterial performance. This literature review was conducted as a narrative review supported by the PRISMA framework, using the Scopus and Web of Science databases for the period 2016–2025. The findings highlight the increasing importance of surface treatments as a key factor influencing the durability and clinical success of dental implant systems. At the same time, the results indicate that the environmental aspects and energy efficiency of manufacturing and surface treatment processes are still addressed only marginally or qualitatively in the available literature. The identified research gaps include the lack of quantitative data on the energy demand of individual technologies, the absence of standardized indicators for environmental impact assessment, and the limited number of comparative studies evaluating different surface modification techniques in the context of dental manufacturing. Overall, the results emphasize the need for a more systematic sustainability assessment of surface engineering as an integral part of modern dental manufacturing practice. Full article

This study addressed the poor wear resistance of Ti-7.5Nb-4Mo-2Sn shape memory alloy through the development of Ti-xSn (x = 6, 8, 9, 10, 20 at.%) coatings and laser cladding technology. This β-type titanium alloy is a promising biomaterial for artificial joints and bone fixation implants, and laser cladding is a superior surface modification technology for fabricating metallurgically bonded high-performance coatings. Microstructural characterization revealed that increasing Sn content from 6% to 10% progressively suppressed β-phase formation while enhancing microhardness (peak value: 430.06 HV1) and wear resistance. Conversely, further Sn addition of 20% degraded these properties. The optimal Ti-10Sn alloy was subsequently laser cladded onto a Ti-7.5Nb-4Mo-2Sn substrate in the form of pre-placed thin sheets under varying laser scanning speeds (7–13 mm/s). The results indicated that processing at 10 mm/s produced superior coating features, including complete metallurgical bonding (20 μm transition layer), the maximum surface hardness (494 HV1, 93% increase), and superior wear resistance. Microscopic analysis confirmed a wear mechanism transition from mixed adhesive–abrasive wear (7.5Nb-4Mo-2Sn substrate) to pure abrasive wear (Ti-10Sn coating), resulting in the enhanced wear resistance of the substrate. This study demonstrated that synergistic alloy design combined with a laser cladding approach can significantly enhance biomedical alloy performance. Full article

Titanium and its alloys are widely used in endoprostheses. The naturally formed titanium dioxide film on titanium surfaces improves chemical stability and enhances implant biocompatibility. However, oxidised titanium surfaces may also promote bacterial adhesion and biofilm formation, contributing to implant-associated infections. Therefore, surface modification represents a key strategy for controlling microbial–implant interactions. This article focuses widely used titanium alloy Ti-6Al-4V treated with a laser beam, which induces surface colour changes as a result of oxide formation. Laser processing enables controlled formation of micro- and nanoscale features, structural reconstructions, and defects that may influence the surface electrical charge and, consequently, cell immobilisation. Thus, the surface colour, electrical potential, and cell immobilisation capacity are likely interrelated. From a manufacturing perspective, titanium oxide colouring facilitates quality control and process reproducibility, as surface colour provides a rapid, non-destructive visual indicator of oxide thickness and treatment consistency. This study aims to identify correlations among surface colour, electrical potential, and cell immobilisation capacity on laser-treated titanium alloys. A relationship between the optical properties, electronic structure, and biological response of laser-processed titanium oxide films is established. Specifically, the blue colour saturation of the oxide film is inversely correlated with the electron work function. A more saturated blue corresponds to a lower work function, indicating a higher positive surface charge density. This shift is attributed to changes in electron affinity, likely resulting from laser-induced structural reconstruction and defect formation within the oxide layer. The proposed changes in electronic structure are supported by modifications in the electronic density of states, analysed using near-threshold photoelectron spectroscopy. The biological response is directly linked to these physical changes: enhanced immobilisation of yeast (Saccharomyces cerevisiae) cells on the treated alloy surface correlates with the electron work function. These results may assist in the development of controlled titanium oxide surfaces with enhanced biocompatibility. Full article

Zirconium is a widely used material in the field of dentistry, employed for implants and their components as well as for the creation of crowns and veneers. Given that its biocompatibility has been studied and demonstrated in various fields of application, it is necessary to analyze how surface modification of this material influences its properties. The purpose of this study was to analyze the biocompatibility, initial adhesion (48 h), and morphology of periodontal ligament stem cells (PDLSCs) seeded on different zirconium surfaces treated with laser micropatterning, as well as plastic coverslips as a control. The Neubauer chamber was used to count the cells adhered to each of the sets, and confocal and scanning electron microscopy were employed to examine the adhesion and morphology of periodontal ligament stem cells on each of the zirconium surfaces studied. Results: Statistically significant differences were found in terms of primary cell adhesion, with sets 3 (grid topography) and 4 (channel topography) showing the most favorable characteristics for fibroblast adhesion. It was concluded that regular and moderately rough surfaces promoted better cell proliferation and development. Full article

Background/Objectives: Interbody fusion cages provide both structural support and a biologically favorable environment for osseointegration. Through recent decades, cage design and biomaterial selection have evolved to more adapted implants in different concept philosophies. Based on this development, the objective of this work was to develop a systematic review of the state of the art regarding spine interbody cage concepts on the market and anticipate future directions in cage design. Methods: A systematic review following PRISMA 2020 guidelines was conducted in three databases of reference, Scopus, PubMed and Mendeley, in September 2025, considering results from between 2015 and the present using the following keywords: spine, interbody, cage and concept. A revision of the first results was performed, and duplicate entries were excluded, as well as papers without a firm relevance for cage design concepts. Results: This search resulted in 76 selected papers and different design concepts and clinical outputs, and after a duplicate analysis, just 40 papers were selected. The material properties may play an important role in the characteristics of the implant and critically influence load-sharing and bone ingrowth. Surface modifications, including texturing, porosity engineering, and osteoconductive coatings, have been introduced to enhance cellular adhesion and fusion rates. It was observed through the research performed that the main problems are related to micromobility, implant displacement and stress shielding effects in adjacent vertebras. Conclusions: Among the different evolutions observed in cages through the years, design changes played an important role in adapting each case. Knowing that the design could be strongly influenced by the surgical approach used (anterior, posterior, transforaminal or lateral) and bone quality, it is also possible to find, nowadays, different options for different needs that are only accessible due to the technological advances in additive manufacturing, which allowed the development of patient-specific implants. Full article

Objectives: This study systematically evaluated and quantitatively synthesized preclinical evidence on the effects of magnesium (Mg) incorporation into or coating of titanium dental implants on osseointegration and peri-implant bone formation. Methods: Electronic searches of PubMed, Scopus, and Web of Science were performed up to May 2025 to identify animal studies evaluating Mg-modified titanium implants. Eligible studies compared Mg-incorporated or Mg-coated implants with non-modified titanium controls and reported quantitative histomorphometric outcomes. Primary outcomes included the values of bone-to-implant contact (BIC) and bone area (BA) around implants. Study quality was assessed using the ARRIVE 2.0 guidelines. Meta-analyses were performed using weighted mean differences with 95% confidence intervals under fixed- or random-effects models based on heterogeneity. Results: Eleven preclinical animal studies conducted in rabbit and rat models were included. Mg was incorporated using various surface-modification techniques, including ion implantation, Mg-substituted hydroxyapatite coatings, mesoporous titania layers, and nanotubular structures. Overall, the studies’ quality was high, with most studies rated as excellent and with a low-to-moderate risk of bias. Furthermore, the meta-analysis revealed a significant increase in BIC for Mg-modified implants compared with uncoated implants (Z = 4.38, p < 0.001), implying improved osseointegration. Meanwhile, pooled BA values showed no significant differences between the groups (Z = 0.93, p = 0.35). Conclusions: Mg coating onto or incorporation into titanium implant surfaces can improve BIC in preclinical models, indicating improved osseointegration in the early stages. Full article

Background: Implant surface characteristics have been extensively investigated for their potential influence on osseointegration and peri-implant tissue stability. However, their actual clinical relevance in the prevention and progression of peri-implant diseases remains controversial. This systematic review aimed to synthesize the available clinical and microbiological evidence on the impact of different implant surface characteristics and surface modifications on peri-implant outcomes. Materials and Methods: Conducted according to PRISMA and registered in PROSPERO, an electronic search of PubMed, Scopus, and Web of Science (2015–2025) identified clinical studies assessing associations between implant surface characteristics/modifications and peri-implant clinical, radiographic, microbiological, or biomolecular outcomes. Risk of bias was evaluated using ROBINS-I. Results: Thirteen studies (randomized, controlled, and cohort designs) were included. Most trials reported minimal differences in marginal bone loss and peri-implant parameters across surfaces. Potential advantages were mainly observed during early healing or in compromised bone. Long-term evidence emphasized the predominance of patient- and site-related risk factors. Microbiological outcomes were scarce and heterogeneous. Conclusions: Implant surface modifications appear to exert a limited and context-dependent influence on peri-implant outcomes. Long-term peri-implant health is primarily driven by multifactorial interactions involving host, microbial, and clinical factors rather than surface characteristics alone. Full article