A retrospective study of 12,538 internal conical connection implants focused on the long-term integrity of implant-abutment complexes.

OBJECTIVE: To evaluate the long-term integrity of implant-abutment complexes in implant systems with two internal conical angles. MATERIAL AND METHODS: 12,538 bone-level implants of two systems placed between January 2012 and December 2018 were retrospectively analyzed. Cumulative abutment/implant fracture rates in systems with larger (LA, 7.5°) and smaller (SA, 5.7°) internal conical angles were estimated using the Kaplan-Meier analysis and compared between groups. The association between implant systems and jammed abutment retrievability was evaluated by multivariable generalized estimating equation logistic regression modeling. RESULTS: For LA, the 8-year cumulative incident rate was 0.10% (95% confidence interval (CI): 0-0.24%) for implant fracture and 0.26% (95% CI: 0.11%-0.41%) for abutment fracture, demonstrating a significant difference in gender (p = .03), implant diameter (p = .01), jaw (p = .006), and antagonist tooth (p < .001). For SA, the 8-year cumulative incident rate was 0.38% (95% CI: 0-0.79%) for implant fracture and 2.62% (95% CI: 0.05%-5.13%) for abutment fracture, which was influenced by implant diameter (p < .001) and site (p = .03). The cumulative implant/abutment fracture rate was lower for LA implants, particularly for LA implant-supported single crowns (SCs) (p < .05). The abutment-retrieval success rate was 92.9% for LA and 57.1% for SA (p = .055). CONCLUSION: LA implants exhibited a lower incidence of fracture in abutment-implant complexes and a relatively higher retrievability success rate for jammed abutments.

Efficient simultaneous production of extracellular polyol esters of fatty acids and intracellular lipids from inulin by a deep-sea yeast Rhodotorula paludigena P4R5.

BACKGROUND: Polyol esters of fatty acids (PEFA) are a kind of promising biosurfactants and mainly secreted by Rhodotorula strains. In addition, some strains of Rhodotorula are reliable producers of microbial lipid. Therefore, it is feasible to establish a one step fermentation process for efficient simultaneous production of PEFA and microbial lipids by a suitable Rhodotorula strain. RESULTS: A newly isolated deep-sea yeast, Rhodotorula paludigena P4R5, was shown to simultaneously produce high level of intracellular lipid and extracellular PEFA. Under the optimized conditions, it could yield 48.5 g/L of PEFA and 16.9 g/L of intracellular lipid within 156 h from inulin during 10-L batch fermentation. The PEFA consisting of a mixture of mannitol esters of 3-hydroxy C14, C16 and C18 fatty acids with variable acetylation showed outstanding surface activity and emulsifying activity, while the fatty acids of the intracellular lipid were mainly C16 and C18 and could be high-quality feedstock for biodiesel production. CONCLUSION: The deep-sea yeast strain R. paludigena P4R5 was an excellent candidate for efficient simultaneous of biosurfactants and biodiesel from inulin. Our results also suggested that the establishment of fermentation systems with multiple metabolites production was an effective approach to improve the profitability.

Effects of magnesium-substituted nanohydroxyapatite coating on implant osseointegration.

OBJECTIVE: The objective of this study was to compare magnesium-substituted and pure hydroxyapatite coatings on the promotion of osteogenesis in vitro and on the osseointegration in vivo. METHODS: Electrochemically deposited pure hydroxyapatite (EDHA) or electrochemically deposited magnesium-substituted hydroxyapatite (EDMHA) coatings were formed on the surface of pure titanium disks or implants. MC3T3-E1 preosteoblasts were cultured in the EDHA and EDMHA coated disks, and cell growth, alkaline phosphatase (ALP) activity, and osteocalcin secretion were measured at various time points. For studies on osseointegration, 30 roughened implants coated either with EDHA or EDMHA (n = 15 for each coating) were implanted in the femurs of 15 NZW rabbits. After 2, 4, and 8 weeks, femurs were retrieved and prepared for histomorphometric evaluation (n = 5 for each coating at each time point). RESULTS: MC3T3-E1 cells cultured on EDMHA coated disks showed increased cell number, ALP, and osteocalcin secretion compared with the EDHA coated disks at all time points (P < 0.05 for all). Histologic observation of the coated implants showed woven bone in direct contact with both implant surfaces after 2 weeks and mature bone after 8 weeks. While there were no differences in the amount of bone between the threads at any time point, the percentage of implant in direct contact with bone (bone implant contact) was slightly higher along the EDMHA coated implants at 2 weeks (P = 0.086), although this difference was no longer seen at 4 and 8 weeks. CONCLUSION: Mg-substituted HA coated surfaces promote osteogenic differentiation of preosteoblasts in vitro and may improve implant osseointegration during the early stages of bone healing compared with pure EDHA coated surfaces.

Investigation of microplastics release behavior from ozone-exposed plastic pipe materials.

Microplastics (MPs) are detected in drinking water and plastic used during water treatment and distribution is one of the possible sources of MPs. This work aimed to investigate the MPs release behavior from ozone-exposed plastic pipe materials. The changes on physicochemical properties of the plastic materials were analyzed. The carbonyl groups introduction, the oxidation induction time variation, and the surface topography altering were detected after ozone exposure. The MPs release behavior varied between different plastic materials. As the ozone exposure duration of plastic materials prolonged, the released MPs abundance from the materials sharply increased, especially for LDPE, HDPE and PP. PVC was an exception where the released MPs abundance had little changes (p > 0.05). The total released MPs concentration from 20 h-aged samples could be ranked in order as follows: LDPE (656 ± 20 MP L-1) > PP (349 ± 20 MP L-1) > HDPE (337 ± 22 MP L-1) > PVC (63 ± 13 MP L-1). MPs release behavior was more likely to occur for LDPE, which was possibly related to the low oxidation resistance and weak stability of LDPE under ozone exposure. There was a more dominant contribution to MPs abundance increase caused by MPs release from aged plastic pipe materials than secondary MPs generation from original plastic particles. The generated MPs from 20 h-aged LDPE, HDPE, and PP accounted for 88.4%, 82.2%, and 88.3% of the total released MPs, respectively. For ozone-exposed plastic materials, the surface crack propagation and fragmentation posed an entry point for MPs generation. The proportion of generated MPs with polymer composition consistent with pipe materials (PE/PP) increased as the ozone exposure proceeded. Small-sized particles, especially 1-10 µm, were released more predominantly. This study provides an implication that possible MPs release from long-term aged plastic pipe materials under proper conditions could not be ignored.

Enhancement of sugar release from sugarcane bagasse through NaOH-catalyzed ethylene glycol pretreatment and water-soluble sulfonated lignin.

In this work, five different NaOH-catalyzed ethylene glycol (EG) pretreatments together with water-soluble sulfonated lignin (SL) were used for enhancing sugarcane bagasse (SCB) enzymatic digestion. The results showed that the coupling of NaOH and EG into a one-pot pretreatment (10%NaOH/EG) was more beneficial to improve SCB enzymatic hydrolysis than that of single 10%NaOH or EG pretreatment, or the two-step pretreatment of NaOH and EG in different sequence (10%NaOH+EG and EG + 10%NaOH, respectively). The highest glucose yield of this work was 91.2 %, mainly released from the SCB that pretreated with 10%NaOH/EG at 130 °C for 60 min and 72 h enzymatic hydrolysis. The adding of SL into the enzymatic hydrolysis step could significantly lower the cellulase dosage and hydrolysis time from 20 FPU/g and 72 h to 10 FPU/g and 24 h, respectively, meanwhile keeping a high glucose yield of 90.4 %. The characterization of various pretreated or un-pretreated SCB confirmed that the improvement of hydrolysis efficiency of SCB after 10%NaOH/EG pretreatment was closely related to the removal of various components barriers in SCB and the fragmentation of pretreated solid. It can be concluded that the developed NaOH-catalyzed ethylene glycol pretreatment was an efficiency way to enhance the sugar release from SCB.

Synthesized silicon-substituted hydroxyapatite coating on titanium substrate by electrochemical deposition.

Silicon-substituted hydroxyapaptite (Si-HA) coatings were prepared on titanium substrates by electrolytic deposition technique in electrolytes containing Ca(2+), PO(4)(3-) and SiO(3)(2-) ions with various SiO(3)(2-)/(PO(4)(3-) + SiO(3)(2-)) molar ratios (η(si)). The deposition was all conducted at a constant voltage of 3.0 V, with titanium substrate as cathode and platinum as anode, for 1 h at 85°C. The coatings thus prepared were characterized with inductively coupled plasma (ICP), X-ray diffraction (XRD), fourier transform infrared spectroscopy (FTIR), field-emission-type scanning electron microscope (FSEM). The results show that the silicon amount in the coatings increases linearly to about 0.48 wt% at first with increasing η(si) between 0 and 0.03, then increases slowly to about 0.55 wt% between 0.03 and 0.10 and finally maintains almost at a level around 0.55 wt% between 0.10 and 0.30. The tree-like Si-HA crystals are observed in the coatings prepared in the electrolyte of η(si) = 0.20. And the presence of silicon in electrolytes decreases the thickness of the coatings, with effect being more significant as η(si) increased. Additionally, the substitution of Si causes some OH(-) loss and changes the lattice parameters of hydroxyapatite (HA).

Comparison of acid and alkali catalyzed ethylene glycol organosolv pretreatment for sugar production from bagasse.

In this study, five acid or alkali catalyzed ethylene glycol (EG) organosolv pretreatments were proposed and compared for sugar production from bagasse. The results showed that compared with single EG/H2O pretreatment, the EG/H2O-HCl pretreatment was more efficient for both hemicellulose (~99.3%) and lignin (~67.1%) remove due to the synergistic effect of HCl and EG. The EG/H2O-NaOH pretreatment was also beneficial for lignin remove (~90.9%), but it was weak for hemicellulose degradation (~28.8%). Both EG/H2O-HCl and EG/H2O-NaOH pretreatments have good capacity to reserve the cellulose in pretreated solids. Following enzymatic saccharification, the largest glucose recovery yield from EG/H2O-HCl pretreatment was 94.3%, a slightly higher than this from EG/H2O-NaOH pretreatment (92.5%). However, its xylose recovery yield was only 77.3%, significantly lower than that of EG/H2O-NaOH pretreatment (93.5%). Besides, a certain amount of lignin also can be recovered from above acid or alkali catalyzed organosolv pretreatments through diluting or acidizing the pretreated liquids.

Zinc- and strontium- co-incorporated nanorods on titanium surfaces with favorable material property, osteogenesis, and enhanced antibacterial activity.

Early infection and peri-implantitis after implant restoration are major reasons for dental implant failure. Implant-associated infections are majorly attributed to biofilm formation. In this study, co-incorporated zinc- (Zn-) and strontium- (Sr-) nanorod coating on sandblasted and acid-etched (SLA) titanium (SLA-Zn/Sr) was fabricated by hydrothermal synthesis. It was aimed at promoting osteogenesis while inhibiting biofilm formation. The nanorod-like particles (φ 30-50 nm) were found to be evenly formed on SLA-Zn/Sr (Zn: 1.49 ± 0.16 wt%; Sr: 21.69 ± 2.74 wt%) that was composed of well-crystallized ZnTiO3 and SrTiO3 phases. With a sufficient interface bonding strength (42.00 ± 3.00 MPa), SLA-Zn/Sr enhanced the corrosion resistance property of titanium. Besides, SLA-Zn/Sr promoted the cellular initial adhesion, proliferation and osteogenic differentiation of rBMSCs in vitro while inhibiting the adhesion of Staphylococcus aureus and Porphyromonas gingivalis . In addition, through down-regulating icaA gene expression, this novel surface reduced the secretion of polysaccharide intercellular adhesion (reduced by 87.9% compared to SLActive) to suppress the S. aureus biofilm formation. We, therefore, propose a new chemical modification on titanium for multifunctional implant material development. Due to the Zn/Sr co-doping in coating, material properties, early osteogenic effect and antibacterial ability of titanium can be simultaneously enhanced, which has the potential to be applied in dental implantation in the future.

In vivo comparison of bone formation on titanium implant surfaces coated with biomimetically deposited calcium phosphate or electrochemically deposited hydroxyapatite.

PURPOSE: The purpose of this study was to investigate and compare bone formation on titanium implant surfaces coated with biomimetically deposited calcium phosphate (BDCaP) or electrochemically deposited hydroxyapatite (EDHA). MATERIALS AND METHODS: The implants were separated into three groups: a control group, a BDCaP group, and an EDHA group. Surface analysis was performed by field-emission scanning electron microscopy, x-ray diffractometry, and Fourier transform infrared spectroscopy. Implants were inserted in a randomized arrangement into rabbit tibiae. After 2, 4, and 8 weeks, the tibiae were retrieved and prepared for histomorphometric evaluation. RESULTS: Field-emission scanning electron microscopy showed that the BDCaP crystals were flakelike and the EDHA crystals were rodlike with a hexagonal cross section. X-ray diffractometric patterns and Fourier transform infrared spectroscopy spectra showed that the BDCaP coating consisted of HA and octacalcium phosphate, whereas the EDHA coating consisted of HA. Histologic observation showed that new bone on the EDHA-coated implant became mature after 4 weeks, while new bone on the control and BDCaP-coated implants was mature after 8 weeks. The EDHA implant showed significantly greater BIC and bone area compared to the control and BDCaP implants during 4 to 8 weeks. The BDCaP coating failed to show increased bone formation during the test period. CONCLUSION: The present EDHA coating has good bone formation properties, while the BDCaP coating has weaker bone formation properties.

Biomechanical comparison of biomimetically and electrochemically deposited hydroxyapatite-coated porous titanium implants.

PURPOSE: The purpose of this study was to investigate the effects of biomimetically and electrochemically deposited hydroxyapatite on the fixation of an implant with bone tissue. MATERIALS AND METHODS: Implants were separated into 3 groups: roughened group, biomimetically deposited calcium-phosphorus (BDCaP) group, and electrochemically deposited hydroxyapatite (EDHA) group. We randomly inserted 90 implants into the femurs of 45 rabbits. After 2, 4, and 8 weeks, the femurs were retrieved and prepared for removal torque tests (RTQs) and field-emission scanning electron microscopy observation. RESULTS: During the test period, the EDHA group showed significantly greater RTQ values than did the roughened group and BDCaP group. The BDCaP group failed to increase the RTQ values compared with the roughened group. Field-emission scanning electron microscopy observation showed that the amount of attached bone tissue on the EDHA-coated implant surface was more than that on the roughened and BDCaP-coated implant surfaces during the test period. CONCLUSION: The electrochemical hydroxyapatite coating contributes to the fixation between bone and implant compared with the roughened surface, whereas the biomimetic calcium-phosphorus coating has little effect on the fixation.

Development and properties of dental Ti-Zr binary alloys.

In this study, two medium Zr-containing Ti-based alloys with commercially pure titanium as control were systematically investigated to assess their potential biomedical application. After samples subjected to TMP and CR, it was found that the Zr addition significantly affected the microstructure, phase constitutions, mechanical properties and cytocompatibility. The microstructural results showed that increasing Zr concentrations resulted in more refined grains. Furthermore, Zr changed the phase constitution: CR Ti-20Zr was formed by the single α-phase while CR Ti-30Zr alloy was formed by the coexistence of α and deformation-induced FCC phases. The P-type FCC phase was dominant and more prone to occur than the B-type one. The mechanical tests demonstrated that the increasing Zr content led to a simultaneous increase in micro-hardness, strength and plasticity of CR samples due to the combined effects of solution strengthening, work hardening and the FCC phase. The SEM fractography indicated that the brittle fracture of CR Ti-20Zr due to deformation twins and ductile fracture of CR Ti-30Zr because of FCC phase. Furthermore, Ti-Zr alloys presented comparable cytocompatibility to the CP-Ti control based on cell viability, proliferation and intracellular O2- content of MSCs. Specifically, alkaline phosphatase activity in BMSCs were significantly higher for grain refined CR Ti-30Zr. Considering all these results, CR Ti-30Zr alloy exhibited the optimal comprehensive performance to be potential dental materials.

Effect of electrochemically deposited nanohydroxyapatite on bone bonding of sandblasted/dual acid-etched titanium implant.

PURPOSE: The aim of this study was to evaluate the effect of an electrochemically deposited nanohydroxyapatite (EDHA) coating on the bone bonding of sandblasted and dual acid-etched titanium implants. MATERIALS AND METHODS: One hundred EDHA-coated and uncoated sandblasted/dual acid-etched implants (3 mm in diameter, 10 mm long) were inserted into the femoral condyles of 50 rabbits. The osteotomy sites were enlarged to 3 mm in diameter via a sequence of drills. After 2, 4, 6, 8, and 12 weeks of bone healing, removal torque testing was performed to evaluate the interfacial shear strength of each implant type. The removed implants were prepared and observed with an electron microscope equipped with an energy dispersive electron probe x-ray microanalyzer. RESULTS: The mean removal torque values for the EDHA-coated implants were 39.6 Ncm at 2 weeks and 40.4 Ncm at 4 weeks; corresponding values for the control implants were 21.1 Ncm and 24.1 Ncm. Removal torque values of the EDHA-coated implants were 87% higher than those of control implants after 2 weeks of healing (P = .015). However, the mean removal torque values for both types of implants were similar after 6, 8, or 12 weeks of healing (no significant differences between the implant surfaces; P > .05). CONCLUSIONS: The EDHA nanocrystal coating had a beneficial effect on interfacial shear strength during the early stages of bone healing.

Effect of H2O2/HCl heat treatment of implants on in vivo peri-implant bone formation.

PURPOSE: To investigate the effect of H2O/HCl heat treatment on peri-implant bone formation in vivo. MATERIALS AND METHODS: Twenty Ti-6Al-4V implants and 30 Ti-6Al-4V discs were used in this study. The implants and discs were separated into 2 groups: sandblasted and dual acid-etched group (control group) and sandblasted, dual acid-etched and H2O2/HCl heat-treated group (test group). Surface morphology, roughness, and crystal structure of the discs were analyzed by field-emission scanning electron microscopy, atomic force microscopy, and low angle X-ray diffractometry. The implants were inserted into the femurs of 10 adult white rabbits. Animals were injected with fluorescent bone labels at 1, 5, and 7 weeks following surgery to monitor progress of bone formation. Animals were euthanized 8 weeks postsurgery, and block biopsies were prepared for histologic and histometric analysis. RESULTS: Microscopic evaluation showed the surfaces were quite irregular for both techniques; however, the test surface demonstrated consistently smaller surface irregularities. The differences in Sa values were significant (P = .022). No significant differences were found in the maximum peak-to-valley ratio values (P = .258). X-ray diffractometry analysis showed that titanium dioxide was found on the test surface. New bone was formed on both implant surfaces. The bone-implant contact pattern appeared to produce a broad-based direct contact. Test implants demonstrated 7.13% more bone to implant contact (P = .003) and 15.42% more bone to implant contact for 3 consecutive threads (P = .001) than control implants. Test implants demonstrated 37.04% more bone area 500 microm outside of implant threads (P = .004) and 51.97% more bone area within 3 consecutive threads (P = .001) than control implants. No significant differences were found in bone area within all implant threads between the two groups (P = .069). CONCLUSION: This study demonstrated that implants heat-treated with H2O2/HCl solution enhanced peri-implant bone formation.

[Comparison of mechanical properties on different phase transformation points of nickel-titanium orthodontic wires].

OBJECTIVE: To compare the mechanical properties of different phase transformation of nickel-titanium orthodontic archwires. METHODS: Nickel-titanium orthodontic archwires with same-sized (0.016") but different phase transformation were examined using a three-point bend test. Samples were tested at same conditions and oral temperature(37 degree), but in different utmost strain capacity, then the strain-stress chart was obtained, the phase transformation point (Af) was also examined. RESULT: The wires of the highest phase transformation point had the least orthodontic force; on the contrast the least phase transformation point had the highest orthodontic force at 3.0 mm utmost strain capacity. The orthodontic forces were not different at the little strain capacity (P >0.05), but which was significantly different adove the 0.5 mm (P<0.05), which was same as 3.0 mm. CONCLUSION: The nickel-titanium orthodontic archwires with high level of phase transformation have low orthodontic forces and more stability.

[Fast formation of biomimetic apatite coatings on pure porous titanium implant's surface].

The aim of this study was to elaborate a dense, strong and thin calcium-phosphate coating on commercial porous pure titanium implant surface in the light of a fast biomimetic procedure. After being polished, sandblasted, cleaned and treated with the mixture of HF and HNO3, the titanium plates were divided into two groups, namely group A and group B. The specimens of group A were free from any treatment. The specimens of group B were treated with the mixture of 48% H2SO4 and 18% HCl. All specimens soaked in SBF-A solution for 1d. Then the specimens were immersed in the SBF-B solution for 2 d. A thin calcium-phosphate coating was deposited on all the specimens of the two groups, the surface consisted of well-formed crystals, which were proved to be the mixture of hydroxycarbonated apatite (HCA) and octacalcium phosphate (OCP); the coating's Ca/P rate was 1.51. A thin carbonated calcium-phosphate coating was deposited on porous pure titanium by the use of the fast biomimetic procedure.

The In Vivo Bone Response of Ultraviolet-Irradiated Titanium Implants Modified with Spontaneously Formed Nanostructures: An Experimental Study in Rabbits.

PURPOSE: Acid etching in conjunction with storage in an aqueous solution can induce nanostructures forming spontaneously on titanium surfaces, but an inevitable biologic degradation is suspected to accompany the evolution of nanostructures. The aim of this study was to investigate whether ultraviolet (UV) irradiation is effective to solve this problem and further enhance the bioactivity. MATERIALS AND METHODS: Surface characteristics of five groups of titanium implants (SLAnew, SLAold, modSLA, UV-SLA, and UV-modSLA) and their in vivo bone response were analyzed in this study. The surface characteristics were evaluated with contact angle measurements, scanning electron microscopy, and x-ray photon spectroscopy. A total of 160 implants (32 for each group) were inserted into the tibial metaphyses and femoral condyles of 40 rabbits. After 3 and 6 weeks, the rabbits were euthanized for removal torque tests and histomorphometric analysis. RESULTS: Spontaneously formed nanostructures were observed on water-stored surfaces with a size of approximately 15 nm in diameter, and an inevitable contamination of hydrocarbons accompanied the evolution of nanostructures. UV irradiation effectively eliminated hydrocarbon contamination that accompanied nanostructure evolution. UV-modSLA implants showed the highest removal torque value, and UV-irradiated implants exhibited higher bone-to-implant contact and bone area. CONCLUSION: UV irradiation can effectively eliminate the hydrocarbon contamination accompanying the evolution of nanostructures and further enhance the osseointegration. Nanostructures and UV treatment have combined effects in enhancing the interfacial strength between titanium and bone, while UV photofunctionalization has much more overwhelming effects on histologic and histomorphometric performance.

Biological fabrication of nacreous coating on titanium dental implant.

Titanium screws with 3.5mm diameter and 8mm length, as well as titanium flat sheets with size 4 mm x 8 mm x 0.3mm, were implanted into the epithelial mantle pearl sacs of a fresh water bivalve (Hyriopsis cumingii Lea) by replacing the pearls. After 45 days of cultivation, the implant surfaces were deposited with a nacre coating with iridescent luster. The coating could conform to some extent the thread topography of the screw implant and was about 200-600 microm in thickness. The coating was composed of a laminated nacreous layer and a transitional non-laminated layer that consisted mainly of vaterite and calcite polymorphs of calcium carbonate. The transitional layer was around 2-10 microm thick in the convex and flat region of the implant surface and could form close contact with titanium surface; while the transitional layer was much thicker in the steep concave regions and could not form close contact with the titanium surface. The reasons for inhomogeneity in thickness and the variation in interface character were discussed and the improvement to the design of the dental implant with respect to this coating method was suggested in the paper. The results suggest that it is possible to fabricate a biologically active and degradable, and mechanically tough and strong nacre coating on titanium dental implant by this novel coating technology.

Osteogenesis of rat mesenchymal stem cells and osteoblastic cells on strontium-doped nanohydroxyapatite-coated titanium surfaces.

PURPOSE: The aim of this study was to compare the promotion of osteogenesis in vitro on three types of titanium surfaces: a strontium-hydroxyapatite (Sr-HA)-coated surface, a nano-HA-coated surface, and an uncoated roughened surface. MATERIALS AND METHODS: Sr-HA and HA were placed on disks with a roughened titanium surface by electrochemical deposition. MC3T3-E1 preosteoblast cells and rat bone mesenchymal stem cells were cultured on the Sr-HA, HA-coated, and uncoated roughened disks, and cell adhesion, proliferation, viability, osteogenic differentiation, and formation of mineralized nodules were measured at various time points. RESULTS: The Sr-HA coating produced by a simple electrochemical deposition treatment evidently enhanced the attachment, spreading, alkaline phosphatase activity, and extracellular matrix calcium mineralization of mouse bone mesenchymal stem cells and MC3T3-E1 cells compared with an untreated roughened titanium surface and a nano-HA-coated surface. CONCLUSION: This study suggests that a Sr-doped nano-HA coating produced through electrochemical deposition improves the osteoconductivity of a microrough titanium surface.

Bioactive titania-gel layers formed by chemical treatment of Ti substrate with a H2O2/HCl solution.

An amorphous titania gel layer was formed on the titanium surface after the titanium specimen was treated with a H2O2/0.1 M HCl solution at 80 degrees C. The thickness of the gel layer increased almost linearly with the period of the treatment. A subsequent heat treatment above 300 degrees C transformed gradually the amorphous gel to the anatase crystal structure and the rutile started to appear after heat treatment at 600 degrees C. Meanwhile, the densification of the gel occurred significantly after heat treatment above 700 degrees C. Similar to the sol-gel derived titania gel coatings. titania gel layers obtained in the present study exhibited in vitro apatite deposition ability after the gel layers exceeded a minimum thickness (0.2 microm) and was subsequently heated in a proper temperature range (400-600 degrees C).

Effects of zinc-substituted nano-hydroxyapatite coatings on bone integration with implant surfaces.

OBJECTIVE: The purpose of this study was to investigate the effects of a zinc-substituted nano-hydroxyapatite (Zn-HA) coating, applied by an electrochemical process, on implant osseointegraton in a rabbit model. METHODS: A Zn-HA coating or an HA coating was deposited using an electrochemical process. Surface morphology was examined using field-emission scanning electron microscopy. The crystal structure and chemical composition of the coatings were examined using an X-ray diffractometer (XRD) and Fourier transform infrared spectroscopy (FTIR). A total of 78 implants were inserted into femurs and tibias of rabbits. After two, four, and eight weeks, femurs and tibias were retrieved and prepared for histomorphometric evaluation and removal torque (RTQ) tests. RESULTS: Rod-like HA crystals appeared on both implant surfaces. The dimensions of the Zn-HA crystals seemed to be smaller than those of HA. XRD patterns showed that the peaks of both coatings matched well with standard HA patterns. FTIR spectra showed that both coatings consisted of HA crystals. The Zn-HA coating significantly improved the bone area within all threads after four and eight weeks (P<0.05), the bone to implant contact (BIC) at four weeks (P<0.05), and RTQ values after four and eight weeks (P<0.05). CONCLUSIONS: The study showed that an electrochemically deposited Zn-HA coating has potential for improving bone integration with an implant surface.