Biomaterial-associated
infection and lack of sufficient osseointegration contribute to a
large proportion of implant failures. Therefore, antibacterial and
osseointegration-accelerating properties are important in implant
surface design. In this study, a micro/nanoporous titanium surface
was prepared through alkaline and heat treatments, covalently conjugated
with aminosilane. Then, varying amounts of chlorhexidine (CHX) were
covalently grafted onto the aminosilane-modified surface via glutaraldehyde
to obtain different CHX-grafted surfaces. These as-prepared surfaces
were evaluated in terms of their surface chemical composition, surface
topography, CHX grafting amount, antibacterial activity, and osteoblast
compatibility. The results showed that the CHX grafting amount increased
with increasing CHX concentrations, leading to better antibacterial
activity. CHX (1 mg/mL) resulted in the best antibacterial surface,
which still retained good osteoblast compatibility. Meanwhile, competitive
bacterial-cell adhesion analysis demonstrated that this surface has
great value for osteoblast adhesion at the implant–bone interface
even in the presence of bacteria. This effortless, easily performed,
and eco-friendly technique holds huge promise for clinical applications.
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