The major challenge for dental implants is achieving optimal esthetic appearance and a concept to fulfill this criterion is evaluated. The key to an esthetically pleasing appearance lies in the properly manage the soft tissue profile around dental implants. A novel implant restoration technique on the surface was proposed as a way to augment both soft- and hard-tissue profiles at potential implant sites. Different levels of roughness can be attained by sandblasting and acid etching, and a tetracalcium phosphate was used to supply the ions. In particular, the early stage attaching and repopulating abilities of bone cell osteoblasts (MC3T3-E1), fibroblasts (NIH 3T3), and epithelial cells (XB-2) were evaluated. The results showed that XB-2 cell adhesive qualities of a smooth surface were better than those of the roughened surfaces, the proliferative properties were reversed. The effects of roughness on the characteristics of 3T3 cells were opposite to the result for XB-2 cells. E1 proliferative ability did not differ with any statistical significance. These results suggest that a rougher surface which provided calcium and phosphate ions have the ability to enhance the proliferation of osteoblast and the inhibition of fibroblast growth that enhance implant success ratios.

Biomolecule grafting on polyether ether ketone (PEEK) was used to improve cell affinity caused by surface inertness. This study demonstrated the sequence-polished (P) and sulfonated (SA) PEEK modification to make a 3D structure, active biomolecule graftings through PEEK silylation (SA/SI) and then processed with phosphatidylcholine (with silylation of SA/SI/PC; without SA/PC) and type I collagen (COL I, with silylation of SA/SI/C; without SA/C). Different modified PEEKs were implanted for 4, 8, and 12 weeks for histology. Sulfonated PEEK of SA showed the surface roughness was significantly increased; after the silylation of SA/SI, the hydrophilic nature was remarkably improved. The biomolecules were effectively grafted through silylation, and the cells showed improved attachment after 1 h. Furthermore, the SA/SI/PC group showed good in vitro mineralization. The new bone tissues were integrated into the 3D porous structures of SA/SI/PC and SA/SI/C in vivo making PEEK a potential alternative to metals in orthopedic implants.

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This proposal aims to develop a newly, stable, excellent and environmental process of manufacturing scaffolds with virtually identical biphasic calcium phosphate compositions. Calcium phosphate cements (CPCs), which combines calcium orthophosphate powders with a liquid leading to a paste that hardens spontaneously at low temperatures, have potential to be used as a porous template for dental bone grafting substitutes [1,2]. Such newly developed sintering processes having the bone grafts with properties of bioactivity or even bioresorbability would be applied in many clinical setting. Template materials combine calcium orthophosphate powders with a liquid leading to a paste that hardens spontaneously at low temperatures. Hence, CPCs could be applied as scaffolds to support cell/tissue growth [3, 4]. This paper studies CPC scaffolds processing by foaming cement's paste state in which was added phasic stabilizer of magnesia and foaming agent of sucrose. The X-ray diffraction was performed to identify the phases of bone grafting substitutes, and we also used scanning electron microscope to observe the structure and pores of bone grafting substitutes. The cell viability about biocompatibility of developed bone grafting substitutes was examined. The results showed that our bone grafting substitutes produced steady final biphasic products consisting of hydroxyapatite (HA) and beta-tricalcium phosphates (β-TCP). We observed interconnected pores and highly porosity in microstructure of the bone grafting substitutes. The cell viability was over 70 % to make sure that the bone grafting substitutes has excellent biocompatibility. In conclusion, using the slurry of calcium phosphate cements (CPCs) and pores forming agent set into a porous template would be a useful process for manufacturing bone graft substitutes.

It is well known that titanium (Ti) has excellent properties of anticorrosion, biocompatibility and low modulus that would be applied in many clinical applications. The aim of this study wants to increase the hydrophilicity of titanium surface through silanization and then grafted with hydroxyapatite (HA) by hydrothermal synthesis method. Physiochemical analysis of grafting plate substrate was observed by attenuated total reflection-Fourier transform infrared spectroscopy (ATR-FTIR), scanning electron microscopy (SEM), and contact angle analysis. The surfaces with silanization were strongly interaction between SiO2 and TiO2, and thus Ti-O-Si-bonds formed having larger surface areas but only showed a little improved hydrophilicity. The hydrophilicity of Ti substrate was largely increased after the hydrothermal process. Compared with Ti surface without any surface treatment, the surface which modified with hydrothermal synthesis can improve the wettability of Ti surfaces. Furthermore, the Ti surface through silanized modification before hydrothermal synthesis held good calcium phosphate precipitates existing due to the better calcium ion combined ability with polar bond of aldehyde group (Ti-O-Si-CO-).