Silicon nitride (Si3N4) is a promising biomaterial, currently used in spinal fusion implants. Such implants should result in high vertebral union rates without major complications. However, pseudarthrosis remains an important complication that could lead to a need for implant replacement. Making silicon nitride implants more bioactive could lead to higher fusion rates, and reduce the incidence of pseudarthrosis. In this study, it was hypothesized that creating a highly negatively charged Si3N4 surface would enhance its bioactivity without affecting the antibacterial nature of the material. To this end, samples were thermally, chemically, and thermochemically treated. Apatite formation was examined for a 21-day immersion period as an in-vitro estimate of bioactivity. Staphylococcus aureus bacteria were inoculated on the surface of the samples, and their viability was investigated. It was found that the thermochemically and chemically treated samples exhibited enhanced bioactivity, as demonstrated by the increased spontaneous formation of apatite on their surface. All modified samples showed a reduction in the bacterial population; however, no statistically significant differences were noticed between groups. This study successfully demonstrated a simple method to improve the in vitro bioactivity of Si3N4 implants while maintaining the bacteriostatic properties.

Surface nitriding has been widely used to improve the surface physicochemical properties of Ti alloys. However, the currently utilized surface nitriding methods, such as laser nitriding, typically require expensive and complicated instruments, which makes surface nitriding a less cost-effective process. Meanwhile, the antibacterial properties of surface-nitrided Ti alloy implants have not been evaluated. Thereafter, in this study, we were aiming to develop an effective, simple, and cost-effective surface nitriding strategy to enhance the antimicrobial properties of Ti alloy implants. The surface nitriding strategy was realized by wet-chemical etching and thermal treatment at controlled conditions. Results showed that the above surface modification treatments exerted significant effects on the phase composition and morphology of the newly formed phases on the surface of Ti samples. Crystalline TiN and TiO2 formed after treatments. Meanwhile, amorphous nitrides and oxynitride were also presented on the sample surfaces. The surface-modified Ti samples showed a bacterial inhibition effect compared with the non-treated Ti ones, and the bacterial inhibition effect was attributed to the released ammonia species from the surface of Ti samples. The surface modification strategy shows promise to improve the bacteriostatic property of Ti implants in dental and orthopedic fields.