Dental implants have become a routine, affordable, and
highly reliable
technology to replace tooth loss. In this regard, titanium and its
alloys are the metals of choice for the manufacture of dental implants
because they are chemically inert and biocompatible. However, for
special cohorts of patients, there is still a need for improvements,
specifically to increase the ability of implants to integrate into
the bone and gum tissues and to prevent bacterial infections that
can subsequently lead to peri-implantitis and implant failures. Therefore,
titanium implants require sophisticated approaches to improve their
postoperative healing and long-term stability. Such treatments range
from sandblasting to calcium phosphate coating, fluoride application,
ultraviolet irradiation, and anodization to increase the bioactivity
of the surface. Plasma electrolytic oxidation (PEO) has gained popularity
as a method for modifying metal surfaces and delivering the desired
mechanical and chemical properties. The outcome of PEO treatment depends
on the electrochemical parameters and composition of the bath electrolyte.
In this study, we investigated how complexing agents affect the PEO
surfaces and found that nitrilotriacetic acid (NTA) can be used to
develop efficient PEO protocols. The PEO surfaces generated with NTA
in combination with sources of calcium and phosphorus were shown to
increase the corrosion resistance of the titanium substrate. They
also support cell proliferation and reduce bacterial colonization
and, hence, lead to a reduction in failed implants and repeated surgeries.
Moreover, NTA is an ecologically favorable chelating agent. These
features are necessary for the biomedical industry to be able to contribute
to the sustainability of the public healthcare system. Therefore,
NTA is proposed to be used as a component of the PEO bath electrolyte
to obtain bioactive surface layers with properties desired for next-generation
dental implants.