Variations of titanium oxide films induced by osteoblast-like cells in a rat calvaria culture system and the influence of an H2O2 pretreatment have been investigated by using X-ray photoelectron spectroscopy and electrochemical impedance spectroscopy. For abraded titanium, the results revealed that phosphate and calcium ions may incorporate into the surface oxide film during the cell culture, forming a precipitate with a Ca/P ratio near that of hydroxyapatite. Oxidized carbon also was found in the surface layer, most likely precipitated hydroxylcarbonated apatite (HCA). The H2O2 pretreatment of titanium in a phosphate-buffered saline solution results in a 10-fold thickened porous oxide film and large amounts of surface hydroxyl groups as well as a certain amount of phosphate ions inside the oxide film. During the cell culture, the H2O2-treated titanium surface favors the ion incorporation and precipitation of the HCA-like compound, which probably is inlaid into the oxide film. Osteoblast-like cells on the H2O2-treated titanium showed a more active morphology during the initial stage compared with cells on abraded titanium. Moreover, bone-like nodule formation and mineralization appear to be related to the precipitation of the HCA-like compound on the surface. The results are discussed with respect to corrosion resistance, ion incorporation and precipitation of the HCA-like compound on the surface, osseointegration, and bioactivity of titanium implants.

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Fifty-four cylinders (2.8 mm in diameter) machined from hot isostatically pressed titania (TI) and titania-hydroxyapatite (TI/HA-15vol %) sintered at 925°C, as well as commercially pure titanium (c.p.Ti), were implanted in the femoral cortical bone of New Zealand white rabbits for 1, 3 and 12 months. The shear strength between bone and implant was measured by a push-out test. The TI/HA composite showed a significantly higher bonding strength to bone compared to c.p. Ti at all times, while no differences were observed between TI and c. p. Ti at 1 and 3 months after implantation. Titania-based materials had a significantly higher bonding strength than that of c.p.Ti one year after implantation. The results indicate that bioactivity of HA in TI/HA composite contributes to the early bone apposition reflected by high bonding strength, while the stability of the oxide, determines the development of long-term bonding strength. Both effects may be explained by the level and type of ions released from the ceramic implant. HA has a positive conduction to bone ingrowth while TI has a limited interaction to the bone apposition due to the extraordinary low ion release in vivo. Under light microscopy, similar patterns of bone implant interfaces were seen from titania-based materials and c.p.Ti in 3-month samples, indicating high biocompatibility of these materials. However, histological evaluation by light microscope cannot identify the differences between physical contact and chemical bonding of implant-bone interface, and thus does not give information on bonding mechanism and the level of shear stresses developed.