Search Results (241)

Purpose: This study investigated the surface morphology and roughness of the dental implant platform and abutment at their junction interface, comparing parameters before and after mechanical assembly (screwing). Methods: The experimental specimens comprised 40 implants from the TBR, Bone Level M System (TBR, France) with a diameter of 4.7 mm and a length of 10 mm, and 40 matching abutments from the same system (Titanium Standard Abutment, TBR, France) with a diameter of 4 mm and a gingival height of 3 mm. All components were fabricated from Grade 4 titanium. The implants and abutments were divided into two equal groups. In the first group (control), 20 implants and 20 abutments remained unassembled. In the second group, 20 implants were coupled with 20 abutments and tightened to the manufacturer-recommended torque. To achieve this, the implants were stabilized with pliers to prevent rotation, and the abutments were screwed using a screwdriver and a torque wrench at 30 N.cm. Subsequently, the abutments were unscrewed counterclockwise. Surface evaluations were conducted using scanning electron microscopy (SEM) and 3D surface modeling. Results: The obtained results demonstrate a statistically significant reduction in the parameters reflecting the roughness of the implant platform. Based on the analysis, a pronounced decrease in the average roughness (Ra, Rq) of the abutment was observed (p < 0.001). Furthermore, it was established that the implant platform exhibits nearly twice the surface roughness of the abutment even in its baseline state. Conclusions: Within the limitations of this in vitro study, a single tightening and removal procedure was associated with measurable changes in the roughness parameters and surface morphology of the implant platform and abutment. These findings indicate microtopographic adaptation at the conical interface under the tested conditions; however, biomechanical reliability and resistance to bacterial micro-leakage were not evaluated. Full article

Titanium and its alloys are widely used for orthopedic and dental implants because of their favorable bone-matching elastic modulus, corrosion resistance, and biocompatibility. However, implant-associated infection and insufficient early osseointegration continue to compromise their long-term clinical performance. Here, inspired by natural micro- and nano-topography such as cicada wings and lotus leaves, we fabricated hierarchical surfaces comprising titanium micro-pillar arrays coated with TiO₂ nanotubes. Micro-pillar arrays with scanning pitches of 40, 60, and 80 μm were fabricated via femtosecond laser ablation, followed by in situ anodization to grow TiO₂ nanotubes approximately 100 nm in diameter. The hierarchical architecture integrates micro-pillars and TiO₂ nanotubes to enhance antibacterial performance and bioactivity: the micro-pillar arrays coated with nanotubes provide a three-dimensional microenvironment for cell adhesion, and the TiO₂ nanotubes show contact-killing antibacterial function. The 40-MNTs sample (40 μm micro-pillars coated with TiO₂ nanotubes) achieved the highest antibacterial efficiency while effectively supporting mesenchymal stem cell adhesion and proliferation. These findings show that combining micro-scale geometry with nano-topographical cues can improve antibacterial performance while maintaining cytocompatibility, providing a drug-free surface engineering strategy for titanium implants. Full article

Titanium alloys are widely used for implants, yet corrosion, bacterial colonization and incomplete osseointegration remain important causes of interfacial failure. This review critically analyzes major biomedical functional coating fabrication techniques employed to enhance the surface properties of titanium alloys, including micro-arc oxidation, anodic oxidation, magnetron sputtering, electrochemical deposition, electrophoretic deposition, plasma spraying, physical vapor deposition, plasma immersion ion implantation, laser surface treatment, and hybrid (composite) approaches. For each method, key operational principles, structural and functional characteristics, performance advantages and limitations, and representative application domains are critically analyzed. Across these routes, biological performance depends on coating continuity, pore or nanotube geometry, interfacial bonding, phase composition and ion release. Calcium- and phosphorus-rich oxides and hydroxyapatite deposits generally promote cell adhesion, proliferation, alkaline phosphatase activity, mineralization and osteogenic differentiation. Dense oxide, nitride, tantalum and carbon-based films strengthen corrosion barriers, whereas Mn, Zn, Cu and Ag containing surfaces can inhibit bacterial adhesion and biofilm formation. Excessive ion release, however, may compromise cytocompatibility. Reported outcomes also vary with test medium, exposure time, bacterial strain and cell model. Standardized quantitative endpoints and longer-term corrosion, biofilm and osseointegration studies are required to guide clinically reliable multifunctional coatings. Full article

The rapid development of implantable medical electronics requires robust biocompatible coatings capable of ensuring long-term stability in aggressive physiological environments. Although Grade 1 titanium is widely used for its excellent mechanical properties and corrosion resistance, active implants require defect-free insulating coatings to prevent electrical leakage and metal ion release. This study presents a systematic evaluation of Parylene C (P-C) thin films deposited by the Gorham chemical vapor deposition (CVD) process onto implant-grade titanium substrates. Four coating thicknesses (1, 5, 10, and 20 µm) were deposited and characterized using complementary chemical, morphological, optical, and mechanical techniques. Contact-angle measurements confirmed uniform hydrophobicity (90.56 ± 1.86°), while FTIR and EDX verified the characteristic chemical composition of P-C. Reflectometry, ellipsometry, and interferometry demonstrated excellent thickness control and deposition reproducibility. Pull-off testing showed high initial mechanical integrity, with detachment forces ranging from 52 to 73 N. However, accelerated PBS ageing (21 days at 90 °C) induced significant degradation, particularly for thicker coatings, reducing pull-off forces to 19–42 N. Likewise, thermal-shock cycling (−80 °C to +220 °C) caused severe interfacial damage, decreasing the required detachment force to approximately 5.5 N for 20 µm coatings because of extensive cracking and delamination. These results demonstrate that Parylene C provides excellent conformal coverage and chemical stability on titanium but that its durability is significantly affected by prolonged hydrothermal ageing and extreme thermal loading. This study provides practical guidelines for the design of reliable encapsulation systems for active implantable medical devices and highlights the need for improved interfacial engineering through optimized adhesion-promoting layers or hybrid protective architectures. Full article

Titanium and titanium alloys have been widely used in clinical implants such as dental implants due to their high strength and corrosion resistance. However, their inherent biological inertness and mismatch with the elastic modulus of human bone tissue restrict bone healing and reconstruction. In this study, pure titanium was first modified by micro-arc oxidation (MAO), and then a biodegradable soybean protein isolate (SPI)/polylactic acid (PLA)–polycaprolactone (PCL) composite coating was prepared by using the spin-coating method. The coating was systematically characterized by scanning electron microscopy (SEM), an energy spectrometer (EDS), Fourier transform infrared spectroscopy (FT-IR), X-ray diffraction (XRD), and atomic force microscopy (AFM), confirming that the composite coating was successfully prepared. An evaluation of the physical and chemical properties showed that the introduction of SPI significantly improved the hydrophilicity, surface roughness and adhesion to the substrate of the coating, regulated the degradation rate, and reduced the elastic modulus to the range of 10–30 GPa, which matches human bone tissue. At the same time, it enhanced corrosion resistance. In vitro MC3T3-E1 osteoblast experiments showed that the coating containing 50% SPI showed better cell compatibility, adhesion ability and osteogenic inducibility, and all groups had good blood compatibility. The SPI/PLA–PCL composite coating effectively improves the biological activity of the pure titanium surface and provides a feasible strategy for the surface modification of titanium implants and bone defect repair. Full article

Peri-implantitis treatment is challenging because of the complex micro- and nanostructured topography of implant surfaces. No standard debridement protocol exists. In this study, we compared five debridement methods used on heavily contaminated titanium implants that were explanted due to peri-implantitis. Twenty-five explanted implants (five per group) were treated with a carbon fiber ultrasonic insert, a polyetheretherketone (PEEK) ultrasonic insert, a rotating titanium brush, an erbium, chromium-doped yttrium, scandium, gallium, and garnet (Er,Cr:YSGG) laser, or an erbium-doped yttrium, aluminum, and garnet (Er:YAG) laser. Five pristine implants were used as controls. Surface morphology was assessed by scanning electron microscopy (SEM). The Modified-Implant Debridement Visual Index (M-IDVI) was used to assess the debridement effectiveness according to SEM images. Surface elemental composition was assessed for atomic percentage (at. %) of carbon, titanium, oxygen and nitrogen using energy-dispersive X-ray spectroscopy (EDS). Mechanical methods were more effective at removing debris than laser methods. The titanium brush showed the lowest residual debris (2.33 ± 0.33) and the greatest reduction in surface carbon (Δ = −7.77 at. %). Surface titanium increased after debridement for all methods except for Er,Cr:YSGG (Δ = −5.9 at. %). Er:YAG best preserved SLA microtopography but exhibited a lower debridement efficacy (3.27 ± 0.83) than mechanical methods. No method resulted in a pristine surface. Full article

Titanium and its alloys are used in dental and orthopedic implants. However, long-term stability remains a clinical challenge. To overcome this limitation, surface modification has been investigated to improve surface properties. Our previous study demonstrated that the immobilization of secretory leukocyte protease inhibitor (SLPI) on the titanium surface promotes osteoblast adhesion, proliferation, and differentiation in vitro. The current study demonstrated the first in vivo evaluation of SLPI as a bioactive coating for medical implants. Grade 5 titanium screws were coated with 10 µg/mL of recombinant human SLPI (rhSLPI) for 24 h via simple physical adsorption, and the results were preliminarily validated via FE-SEM and ELISA. These SLPI-coated titanium screws (TiSs) were then placed in the tibia of Sprague–Dawley rats for 4 and 8 weeks. The hematological and biochemical parameters (BUN, Creatinine, AST, and Troponin I) demonstrated no acute systemic alterations within the 8-week period across all groups. Moreover, micro-computed tomography (micro-CT) and histological analysis revealed significantly higher bone volume fraction (%BV/TV) at 4 weeks compared to uncoated controls (20.64% ± 2.452% vs. 11.73% ± 0.524%). Finally, the biomechanical stability of implants, assessed using the removal torque test, showed that TiSs showed higher strength compared to Ti at both 4 and 8 weeks. In conclusion, this study represents a novel approach to transitioning rhSLPI-coated titanium evaluation from in vitro models to an in vivo rat model. rhSLPI surface functionalization enhances early-stage osseointegration and improves implant mechanical stability without acute hematological and biochemical alterations. These proof-of-concept findings suggest the potential of SLPI as a bioactive coating strategy. Full article

Titanium implants are widely used in orthopedic and dental fields but often face challenges such as insufficient osseointegration and peri-implant inflammation. While Strontium (Sr) possesses potent bioactive properties, achieving its controlled delivery at the implant-tissue interface remains technically challenging. To address this, we engineered a multidimensional composite coating by constructing a micro/nano-porous TiO₂ substrate via micro-arc oxidation (MAO), followed by polydopamine (PDA)-assisted Sr immobilization. This integrated architecture significantly enhanced surface hydrophilicity and facilitated high-content Sr loading with sustained release kinetics. Biological evaluations demonstrated that the PDA-mediated interface promoted superior initial adhesion and spreading of bone marrow mesenchymal stem cells (BMSCs), synergizing with released Sr²⁺ to markedly upregulate core osteogenic markers (Runx2, ALP). Crucially, the functionalized surface actively optimized the immune microenvironment by inducing M1-to-M2 macrophage polarization and comprehensively suppressing RANKL-induced osteoclastogenesis via the downregulation of TRAP and DC-STAMP. By integrating these pro-osteogenic, anti-inflammatory, and anti-resorptive capabilities, this tri-functional system effectively rebalances the bone remodeling microenvironment. Consequently, it provides a robust, universally applicable strategy for enhancing the therapeutic efficacy of next-generation orthopedic and dental implants. 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

Titanium alloys, particularly β-type Ti-13Nb-13Zr, are promising biomedical materials due to their low elastic modulus and excellent biocompatibility. However, their bioactivity needs improvement for better bone integration. In this study, a calcium-phosphate (Ca/P) coating was prepared on a Ti-13Nb-13Zr alloy via micro-arc oxidation (MAO) in an electrolyte containing calcium acetate and dipotassium hydrogen phosphate. The effect of applied voltage (300 V, 400 V, and 500 V) on the phase composition, surface morphology, and in vitro bioactivity of the coatings was investigated. Surface characterization was performed using scanning electron microscopy (SEM), X-ray diffraction (XRD), and energy-dispersive spectroscopy (EDS). The results show that increasing the voltage increased the surface roughness, average pore size, and rutile TiO₂ content in the coating. The Ca/P ratio in the coating approached 1.67 at 500 V, similar to that of natural bone. After immersion in simulated body fluid (SBF) for 20 days, the coating formed at 500 V induced the highest deposition of hydroxyapatite (HA), completely covering the microporous surface. These findings indicate that MAO treatment at 500 V significantly enhances the bioactivity of the Ti-13Nb-13Zr alloy, making it a promising candidate for orthopedic implants. 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

Background/Objectives: The purpose of this study was to investigate the laser removal of implant-supported ceramic single crowns, focusing on their efficiency and the potential reusability of the removed restorations. Methods: Sixty single crowns made of lithium disilicate were adhesively bonded to prefabricated titanium abutments in a total of six test series (n = 10). The test series were divided according to the different spacer settings of the crowns (90 µm, 120 µm, 150 µm) and the taper of the abutments (4°, 6°). After seven days of storage in distilled water, the single crowns were removed using an erbium-doped yttrium aluminium garnet (Er:YAG) laser. The number of laser pulses needed and the time required to remove the crowns were recorded. This was followed by a micro- and macroscopic score evaluation of the crowns using a fluorescent penetration method. Results: Laser removal of all sixty crowns was successfully performed. Using a taper of 6° and a spacer of 150 µm, the crowns were removed with significantly fewer pulses (61.40 (±36.78)). The taper and spacer had a significant effect on both the microscopic (p = 0.040) and macroscopic (p = 0.035) fracture patterns. Based on the final score of the fracture analysis, 44 of the 60 crowns could be classified as potentially reusable. The remaining 16 crowns failed due to purely macroscopic (7), purely microscopic (6), and combined microscopic and macroscopic (3) fracture behavior. Conclusions: Based on the results of this study, increasing the size of the taper and spacer has proven beneficial for laser removal in terms of time efficiency and non-destructive removal of crowns. Full article

The success of titanium dental implants rely on osseointegration, influenced by surface properties and early immune responses. While sandblasted and acid-etched (SLA) titanium surfaces have shown clinical success, macrophage-mediated immune responses at these interfaces remain poorly understood. Anatase nanostructures have been shown to influence macrophage polarization on smooth titanium, but their effects on micro-rough SLA surfaces are not fully explored. This study investigates the immunomodulatory effects of micro-nanostructured anatase coatings on SLA titanium using human monocyte-derived macrophages (MDMs). M0-MDMs, were cultured and polarized to M1 and M2- macrophages on Ti-machined, Ti-SLA, Ti-SLA-anatase, and coverslip control surfaces for 48 h. Macrophage behavior was assessed using CCK-8 assay, confocal microscopy, SEM, ELISA, and qRT-PCR. All surfaces demonstrated excellent cytocompatibility, with similar macrophage viability across all investigated groups. M1 macrophages showed upregulation of CCR7 and TNF-α, while M2 macrophages expressed CD209 and CCL13 across all surfaces. Importantly, Ti-SLA-anatase did not significantly alter M1 or M2 markers, cytokine secretion, or gene expression, and did not exacerbate inflammatory responses. Micro-nanostructured anatase coatings on SLA titanium are immunologically well-tolerated and do not increase inflammation. These findings, combined with previously reported enhanced osteogenic properties, suggest the clinical potential of anatase-coated SLA surfaces. Full article

Physicochemical modification of titanium implants aims to enhance early osseointegration by improving bioactivity. This study deposited and evaluated an anatase TiO₂ film on clinically relevant sandblasted, acid-etched titanium (Ti-SLA) to enhance in vitro bioactivity and osteogenic responses. An ~8 µm TiO₂-anatase coating was deposited on Ti-SLA by reactive pulsed DC magnetron sputtering. Surface characterization included FE-SEM, helium ion microscopy, and XRD. Wettability and surface free energy (SFE) were evaluated by contact angle analysis. In vitro bioactivity was assessed by hydroxyapatite (HA) formation in twofold-concentrated simulated body fluid (2× SBF). Osteoblast responses were evaluated through cell adhesion, viability, alkaline phosphatase activity, gene expression, and mineralization. The coating produced hierarchical multi-globular microstructures decorated with faceted anatase nanocrystals. Ti-SLA’s initial hydrophobicity converted to a superhydrophilic, high-energy surface with increased polar SFE. Homogeneous HA crystallites deposited exclusively on SLA-anatase in 2× SBF. SAOS-2 cells showed enhanced metabolic activity, ALP activity, osteogenic gene upregulation, and improved mineralized matrix, while primary human osteoblasts exhibited increased metabolic activity and calcium deposition. The anatase coating produced a superhydrophilic, high-energy micro-nano surface that accelerates HA formation and enhances osteoblast function in vitro, warranting in vivo validation for early osseointegration. Full article

Background/Objectives: Peri-implantitis is a chronic inflammatory condition affecting tissues surrounding dental implants and is characterized by progressive marginal bone loss that can ultimately lead to implant failure. Reduced vascularization and impaired immune clearance in peri-implant tissues contribute to persistent inflammation and limited therapeutic efficacy. MicroRNAs (miRNAs), particularly miR-21, have emerged as key regulators of inflammatory responses and bone remodeling. The objective of this study was to develop a bioactive dental implant coating capable of locally delivering miR-21 to modulate inflammation and promote peri-implant tissue regeneration, thereby preventing peri-implantitis. Methods: Cationic nanoparticles were synthesized using lecithin and low-molecular-weight polyethylenimine (PEI) as a non-viral delivery system for miR-21. Lecithin was employed to enhance biocompatibility, while PEI functionalization provided a positive surface charge to improve miRNA complexation and cellular uptake. The resulting lecithin–PEI nanoparticles (LEC–PEI NPs) were incorporated into a chitosan-based coating and applied to titanium implant surfaces to obtain a sustained miR-21–releasing system (miR21-implant). Transfection efficiency and biological activity were evaluated in human periodontal ligament fibroblasts (hPDLFs) and compared with a commercial transfection reagent (Lipofectamine). Release kinetics and long-term activity of miR-21 from the coating were also assessed. Results: MiR-21-loaded LEC–PEI nanoparticles demonstrated significantly higher transfection efficiency than Lipofectamine and retained marked biological activity in hPDLFs relevant to peri-implantitis prevention. The chitosan-based nanoparticle coating enabled controlled and sustained miR-21 release over time, supporting prolonged modulation of inflammatory and osteogenic signaling pathways involved in peri-implant tissue homeostasis. Conclusions: The miR21-implant system, based on lecithin–PEI nanoparticles incorporated into a chitosan coating, represents a promising therapeutic strategy for peri-implantitis prevention. By enabling sustained local delivery of miR-21, this approach has the potential to preserve peri-implant bone architecture, modulate chronic inflammation, and enhance the osseointegration of titanium dental implants. Full article