Laser induced surface structuring and ion conversion in the surface oxide of titanium: possible implications for the wetability of laser treated implants.

In the present study, commercially pure titanium was irradiated with UV-light with varying wavelengths using a Q-switched Nd:YAG-laser. This was performed in order to investigate if a laser treatment can be employed to rapidly introduce hydrophilic properties to titanium surfaces, which is believed to facilitate protein adsorption and cell attachment. It was demonstrated that irradiation with 355 nm light (10 Hz, 90 mJ/shot) for 1 min or more caused an ion conversion of Ti(4+) to Ti(3+) sites in the surface oxide which lead to an increase in hydrophilicity of the surface. Furthermore, shorter irradiation times at 355 nm caused a surface structuring that gave rise to an unexpected and unstable hydrophobic state at the surface. Irradiation with 266 nm light (10 Hz, 40 mJ/shot) did not introduce any ion conversion in the surface oxide, nor did it give rise to any hydrophobicity of the surface.

Biological response of laser macrostructured and oxidized titanium alloy: an in vitro and in vivo study.

PURPOSE: To assess both the in vitro and in vivo biological response of a laser modified surface in an integrated manner. A combined innovative approach applies lasers to macrostructure as well as to oxidize the surface of titanium alloy implants. MATERIALS AND METHODS: A Nd:YAG marking and ArF excimer lasers were used for macrostructuring and UV-oxidizing the surface of Ti6Al4V discs, respectively. Human fetal osteoblastic cell culture and a sheep tibia model were used to assess the cell response and the osseogeneration capability of as-machined, laser macrostructured and laser macrostructured and oxidized surfaces. RESULTS: In vitro: Laser macrostructuration alone did not promote cell response. Cellular proliferation was enhanced by the additional UV laser oxidation. In vivo: A greater significant percentage of bone-implant contact was obtained for both laser treated surfaces compared to machine-turned control samples, three months after implantation, in spite of the low cellular response for macrostructured samples. The use of sheep model for six months appears to be less adequate for a comparison because of the high level of bone integration in all samples. In spite of the often reported positive effect of titanium oxidation on the triggering of faster osseointegration, in this experiment the additional UV laser oxidation did not lead to a significant in vivo improvement. CONCLUSIONS: Laser macrostructuration of titanium alloy surfaces appears to promote bone apposition and may therefore constitute a promising surface modification strategy. In animal models, the natural process of titanium surface oxidation, because of physiologic fluids, alters properties observed in vitro with cells.

Surface modification of a biodegradable composite by UV laser ablation: in vitro biological performance.

Melt blends of chitosan and biodegradable aliphatic polyester have been physically and biologically studied, presenting great potential for biomedical applications. Structurally, poly(butylene succinate)-chitosan (PBS/Cht) composite scaffolds are covered by a thin PBS layer, preventing the desired interaction of cells/tissues with the chitosan particules. In the present work, a selective and controlled ablation of this skin layer was induced by UV laser processing. X-ray photoelectron spectroscopy (XPS) and time-of-flight secondary ion mass spectrometry (ToF-SIMS) data demonstrated an increment of chitosan components and others resulting from the laser ablation process. The biological activity (i.e. cell viability and proliferation) on the inner regions of the composite scaffolds is not significantly different from those of the external layer, despite the observed differences in surface roughness (determined by interferometric optical profilometry) and wettability (water contact angle). However, the morphology of human osteoblastic cells was found to be considerably different in the case of laser-processed samples, since the cells tend to aggregate in multilayer columnar structures, preferring the PBS surface and avoiding the chitosan-rich areas. Thus, UV laser ablation can be considered a model technique for the physical surface modification of biomaterials without detrimental effects on cellular activity.

PLD bioactive ceramic films: the influence of CaO-P2O5 glass additions to hydroxyapatite on the proliferation and morphology of osteblastic like-cells.

This work consists on the evaluation of the in vitro performance of Ti6Al4V samples PLD (pulsed laser deposition) coated with hydroxyapatite, both pure and mixed with a CaO-P2O5 glass. Previous studies on immersion of PLD coatings in SBF, showed that the immersion apatite films did not present the usual cauliflower morphology but replicated the original columnar structure and exhibited good bioactivity. However, the influence of glass associated to hydroxyapatite concerning adhesion, proliferation and morphology of MG63 cells on the films surface was unclear. In this study, the performance of these PLD coated samples was evaluated, not only following the physical-chemical transformations resulting from the SBF immersion, but also evaluating the cytocompatibility in contact with osteoblast-like MG63 cells. SEM and AFM confirmed that the bioactive ceramic PLD films reproduce the substrate's surface topography and that the films presented good adherence and uniform surface roughness. Physical-chemical phenomena occurring during immersion in SBF did not modify the original columnar structure. In contact with MG63 cells, coated samples exhibited very good acceptance and cytocompatibility when compared to control. The glass mixed with hydroxyapatite induced higher cellular proliferation. Cells grown on these samples presented many filipodia and granular structures, typical features of osteoblasts.

In vivo evaluation of titanium implants coated with bioactive glass by pulsed laser deposition.

During the past years, different techniques, like chemical treatment, plasma spraying, sputtering, enamelling or sol-gel; and materials, like metals, hydroxylapatite, calcium phosphates, among others, have been applied in different combinations to improve the performance of prostheses. Among the techniques, Pulsed Laser Deposition (PLD) is very promising to produce coatings of bioactive glass on any metal alloy used as implant. In this work the biocompatibility of PLD coatings deposited on titanium substrates was examined by implantation in vivo. Different coating compositions were checked to find the most bioactive that was then applied on titanium and implanted into paravertebral muscle of rabbit.

Anacusia unilateral infantil y alteraciones posturales / Unilateral deafness and postural alterations in children

Se examinaron las características posturales en niños entre los 6 y los 12 años de edad. La población de 120 niños de ambos sexos se integro de 60 con audición normal y 60 con anacusia unilateral. Para estudiar la postura se usó la técnica de la plomada. La hipótesis consistió en suponer que habrán diferencias estadísticamente comprobables entre los niños con anacusia unilateral y los de audición normal en ambos oídos. Se estudiaron cuatro variables: vista lateral derecha, vista lateral izquierda, vista posterior y vista anterior. Los resultados obtenidos han confirmado la hipótesis estudio, señalando sobre la anacusia unilateral como probable factor causal de los defectos posturales, más marcados y en mayor proporción entre los pacientes con este problema