Titanium oral implants: surface characteristics, interface biology and clinical outcome

Palmquist, Anders; Omar, Omar; Esposito, Marco; Lausmaa, Jukka; Thomsen, Peter

doi:10.1098/rsif.2010.0118.focus

Cited by 213 publications

(201 citation statements)

References 82 publications

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“…By sputtering in a reactive environment (O 2 ), the intention was to enhance both bioactive and antibacterial properties of the coating, as formation of TiO 2 facilitates osseointegration by providing chemical stability and increased wettability [16,19,20,43], and incorporation of oxygen in silver is known to affect its dissolution rate [44]. The concurrent, reactive sputtering in this instance made for a compositional Ag-Ti oxide gradient with a dominant crystalline contribution from Ag.…”

Section: Discussionmentioning

confidence: 99%

Reactive combinatorial synthesis and characterization of a gradient Ag–Ti oxide thin film with antibacterial properties

et al. 2015

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Growing demand for orthopedic and dental implants has spurred researchers to develop multifunctional coatings, combining tissue integration with antibacterial features. A possible strategy to endow titanium (Ti) with antibacterial properties is by incorporating silver (Ag), but designing a structure with adequate Ag + release while maintaining biocompatibility has been shown difficult. To further explore the composition-structure-property relationships between Ag and Ti, and its effects against bacteria, this study utilized a combinatorial approach to manufacture and test a single sample containing a binary Ag-Ti oxide gradient. The sample, sputter deposited in a reactive (O 2 ) environment using a custom built combinatorial physical vapor deposition (PVD) system, was shown to be effective against Staphylococcus aureus with viability reductions ranging from 17 to above 99 %, depending on amount of Ag + released from its different parts. The Ag content along the gradient ranged from 35 to 62 wt%, but it was found that structural properties such as varied porosity and degree of crystallinity, rather than amount of incorporated Ag governed the Ag + release and resulting antibacterial activity. The coating also demonstrated in vitro apatite forming abilities, where structural variety along the sample was shown to alter the hydrophilic behavior, with degree of hydroxyapatite (HA) deposition varying accordingly. By means of combinatorial synthesis, a single gradient sample was able to display intricate compositional and structural features affecting its biological response, which would otherwise require a series of coatings. The current findings suggest that future implant coatings incorporating Ag as an antibacterial agent could be structurally enhanced to better suit clinical requirements.

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Section: Discussionmentioning

confidence: 99%

Reactive combinatorial synthesis and characterization of a gradient Ag–Ti oxide thin film with antibacterial properties

et al. 2015

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“…The laser irradiation on the titanium surface may promote the osteoblast attachment and further bone formation. Palmquist et al 53 made an in-vivo study of laser modified titanium and nano-scale surface topographic features. The authors concluded that the torque removal significantly increased in the lasermodified implant and of clinical importance, the nanostructured surfaces supported long-term bone bonding and interface strength between the titanium implant and the bone.…”

Section: Laser Modificationmentioning

confidence: 99%

A review of the surface modifications of titanium alloys for biomedical applications

Manjaiah¹,

Laubscher²

2017

Mater. tehnol.

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Dental implants are mechanical components that are used to restore the mastication (chewing) function and/or aesthetic appeal because of tooth loss or degradation. They are affixed (screwed) into the upper or lower jaw and act as a base for single or bridge-type tooth replacements. They are mostly manufactured from titanium alloys. The surface integrity of the manufactured implant may have a significant effect on the functioning and success of the implant. A systematic review is described on the effect of engineered surface integrity on the performance of titanium dental implants as regards the implant fixation, mechanical performance, bone growth and cell response. The need for surface engineering of the implant is introduced first. This includes the mechanical, surface-integrity and biocompatibility-required properties. This is followed by introducing and discussing the dedicated surface-modification processes currently employed. These include: abrasive blasting, electrochemical processes, hybrid processes and laser modification. The mechanical and biocompatible properties of an implant are the most crucial factor for their application in biomedical use. Hence, the present review article focused on the latest improvements to dental implant design based on the mechanical and biocompatible properties. The physical contact of an implant with respect to its surface roughness is an important factor in dental implant design. The surface roughness of an implant on the macro, micro and nano scales have specific effects on the implant's contact with the surrounding tissue of the bone. In addition, the biocompitability of titanium material is very important to develop a sustainable dental implant. Looking into the importance of the above mechanical and biocompatible properties of bone implants, the authors review elaborately the development of titanium-based implants with reference to the above properties. Keywords: implants, titanium, surface roughness, systematic review, surface engineering process, hybrid process, mechanical machining, chemical treatment Zobni vsadki so mehanske komponente, ki se jih uporablja za obnovo funkcije`ve~enja in/ali iz estetskih razlogov zaradi izgube ali poslab{anja zoba. Pritrjeni (privija~eni) so v zgornjo ali v spodnjo~eljust in slu`ijo kot osnova za nadomestni zob ali za mosti~ek. Ve~inoma so izdelani iz titanovih zlitin. Integriteta povr{ine izdelanih vsadkov lahko pomembno vpliva na delovanje in uspe{nost vsadka. Opisan je sistemati~en pregled o vplivu in`enirske celovitosti povr{ine na zmogljivost titanovega dentalnega vsadka glede na pritrditev vsadka, mehanske zmogljivosti, vra{~anja kosti in odziva celic. Najprej je predstavljena potreba po obdelavi povr{ine vsadka. To vklju~uje zahtevane mehanske lastnosti, celovitost povr{ine in biokompatibilnost. Temu sledi predstavitev in razlaga trenutno uporabljanih postopkov za namensko spremembo povr{ine. To vklju~uje: abrazivno peskanje, elektrokemijske procese, hibridne procese in modifikacijo z laserjem. Mehanske in biokompatibilne la...

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“…Different specialties within the dental profession take advantage of this material. Titanium alloyed with elements such as nickel, molybdenum or copper has widespread use in orthodontics [3]; the combinations of this metal with others, such as aluminium or vanadium, are used in oral rehabilitation, implantology [1,4,5], and maxillofacial surgery [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

Coating and Surface Treatments on Orthodontic Metallic Materials

2012

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Metallic biomaterials have been extensively used in orthodontics throughout history. Gold, stainless steel, cobalt-chromium alloys, titanium and its alloys, among other metallic biomaterials, have been part of the orthodontic armamentarium since the twentieth century. Metals and alloys possess outstanding properties and offer numerous possibilities for the fabrication of orthodontic devices such as brackets, wires, bands, ligatures, among others. However, these materials have drawbacks that can present problems for the orthodontist. Poor friction control, allergic reactions, and metal ionic release are some of the most common disadvantages found when using metallic alloys for manufacturing orthodontic appliances. In order to overcome such weaknesses, research has been conducted aiming at different approaches, such as coatings and surface treatments, which have been developed to render these materials more suitable for orthodontic applications. The purpose of this paper is to provide an overview of the coating and surface treatment methods performed on metallic biomaterials used in orthodontics.

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Titanium oral implants: surface characteristics, interface biology and clinical outcome

Cited by 213 publications

References 82 publications

Reactive combinatorial synthesis and characterization of a gradient Ag–Ti oxide thin film with antibacterial properties

Reactive combinatorial synthesis and characterization of a gradient Ag–Ti oxide thin film with antibacterial properties

A review of the surface modifications of titanium alloys for biomedical applications

Coating and Surface Treatments on Orthodontic Metallic Materials

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