Implant-associated infections and delayed osseointegration
are
major challenges for the clinical success of titanium implants. To
enhance antibacterial effects and promote early osseointegration,
we developed a synergistic photothermal (PTT)/photodynamic (PDT) therapy
strategy based on near-infrared (NIR) responsive biomimetic micro/nano
titanate/TiO2–X
heterostructure
coatings (KMNW and NaMNS) in situ constructed on the surface of titanium
implants. Specifically, KMNW and NaMNS significantly enhanced photothermal
conversion capabilities, achieving localized high temperatures of
48–51 °C and promoting substantial amounts of reactive
oxygen species production under 808 nm irradiation. In vitro antibacterial
experiments demonstrated that KMNW achieved the highest antibacterial
rates against Staphylococcus aureus and Escherichia coli, at 98.78 and
98.33% respectively. Moreover, by mimicking the three-dimensional
fibrous network of the extracellular matrix during bone healing, both
KMNW and NaMNS markedly promoted the proliferation and osteogenic
differentiation of osteoblasts. In vivo implantation studies further
confirmed these findings, with KMNW and NaMNS exhibiting superior
antibacterial performance under NIR irradiation94.45% for
KMNW and 92.66% for NaMNS. Moreover, KMNW and NaMNS also significantly
promoted new bone formation and improved osseointegration in vivo.
This study presents a promising PTT/PDT therapeutic strategy for dentistry
and orthopedics by employing NIR-responsive biomimetic coatings to
combat implant-associated infection and accelerate osseointegration.