Percutaneous devices
like orthopedic prosthetic implants for amputees,
catheters, and dental implants suffer from high infection rates. A
critical aspect mediating peri-implant infection of dental implants
is the lack of a structural barrier between the soft tissue and the
implant surface which could impede bacteria access and colonization
of exposed implant surfaces. Parafunctional soft tissue regeneration
around dental implants is marked by a lack of hemidesmosome formation
and thereby weakened mechanical attachment. In response to this healthcare
burden, a simultaneously hemidesmosome-inducing, antimicrobial, multifunctional
implant surface was engineered. A designer antimicrobial peptide,
GL13K, and a laminin-derived peptide, LamLG3, were coimmobilized with
two different surface fractional areas. The coimmobilized peptide
surfaces showed antibiofilm activity against Streptococcus
gordonii while enhancing proliferation, hemidesmosome formation,
and mechanical attachment of orally derived keratinocytes. Notably,
the coatings demonstrated specific activation of keratinocytes: the
coatings showed no effects on gingival fibroblasts which are known
to impede the quality of soft tissue attachment to dental implants.
These coatings demonstrated stability and retained activity against
mechanical and thermochemical challenges, suggesting their intraoral
durability. Overall, these multifunctional surfaces may be able to
reduce peri-implantitis rates and enhance the success rates of all
percutaneous devices via strong antimicrobial activity and enhanced
soft tissue attachment to implants.