Impact of Surface Chemistry Modifications on Speed and Strength of Osseointegration.

PURPOSE: To compare the bone responses of chemically modified implants using the plasma immersion ion implantation and deposition method with those of blasted implants. MATERIALS AND METHODS: The titanium implants were blasted with resorbable blasting media (RBM) and designated as controls. The ion-implanted implants were divided into two test groups, namely, calcium (Ca) and magnesium (Mg) implants. Six implants (two implants per group) were placed into the proximal tibias of 11 New Zealand white rabbits. Fluorochrome labeling was administered at 2 and 4 weeks after surgery. Resonance frequency analysis (RFA) was conducted immediately after surgery and at 6 weeks of healing. The removal torque was measured in half of the tibiae. The implants in another tibia were subjected to fluorescence analysis and histologic and histomorphometric evaluations. RESULTS: The fluorescence analysis suggested that osteoconductivity was improved in the early osseointegration stages in the Ca and Mg implants. In the cortical region, the bone-to-implant contact in the Mg implants and the bone area % in the Ca and Mg implants were higher than those in the RBM implants (P < .05). All groups demonstrated similar biomechanical strengths with respect to the RFA and the removal torque measurements. CONCLUSION: The osseointegration speed and the bone contact were positively affected by the Ca and Mg ion implantation, especially in the Mg implants, because of the synergistic effect. However, no remarkable differences were found in biomechanical strength in the later osseointegration stages.

Charge-transfer-based gas sensing using atomic-layer MoS2.

Two-dimensional (2D) molybdenum disulphide (MoS2) atomic layers have a strong potential to be used as 2D electronic sensor components. However, intrinsic synthesis challenges have made this task difficult. In addition, the detection mechanisms for gas molecules are not fully understood. Here, we report a high-performance gas sensor constructed using atomic-layered MoS2 synthesised by chemical vapour deposition (CVD). A highly sensitive and selective gas sensor based on the CVD-synthesised MoS2 was developed. In situ photoluminescence characterisation revealed the charge transfer mechanism between the gas molecules and MoS2, which was validated by theoretical calculations. First-principles density functional theory calculations indicated that NO2 and NH3 molecules have negative adsorption energies (i.e., the adsorption processes are exothermic). Thus, NO2 and NH3 molecules are likely to adsorb onto the surface of the MoS2. The in situ PL characterisation of the changes in the peaks corresponding to charged trions and neutral excitons via gas adsorption processes was used to elucidate the mechanisms of charge transfer between the MoS2 and the gas molecules.

Ultrasmooth, extremely deformable and shape recoverable Ag nanowire embedded transparent electrode.

Transparent electrodes have been widely used in electronic devices such as solar cells, displays, and touch screens. Highly flexible transparent electrodes are especially desired for the development of next generation flexible electronic devices. Although indium tin oxide (ITO) is the most commonly used material for the fabrication of transparent electrodes, its brittleness and growing cost limit its utility for flexible electronic devices. Therefore, the need for new transparent conductive materials with superior mechanical properties is clear and urgent. Ag nanowire (AgNW) has been attracting increasing attention because of its effective combination of electrical and optical properties. However, it still suffers from several drawbacks, including large surface roughness, instability against oxidation and moisture, and poor adhesion to substrates. These issues need to be addressed before wide spread use of metallic NW as transparent electrodes can be realized. In this study, we demonstrated the fabrication of a flexible transparent electrode with superior mechanical, electrical and optical properties by embedding a AgNW film into a transparent polymer matrix. This technique can produce electrodes with an ultrasmooth and extremely deformable transparent electrode that have sheet resistance and transmittance comparable to those of an ITO electrode.

Surface modification of a ZnO electron-collecting layer using atomic layer deposition to fabricate high-performing inverted organic photovoltaics.

A ripple-structured ZnO film as the electron-collecting layer (ECL) of an inverted organic photovoltaic (OPV) was modified by atomic layer deposition (ALD) to add a ZnO thin layer. Depositing a thin ZnO layer by ALD on wet-chemically prepared ZnO significantly increased the short-circuit current (Jsc) of the OPV. The highest power conversion efficiency (PCE) of 7.96% with Jsc of 17.9 mA/cm2 was observed in the inverted OPV with a 2-nm-thick ALD-ZnO layer, which quenched electron-hole recombination at surface defects of ZnO ripples. Moreover, an ALD-ZnO layer thinner than 2 nm made the distribution of electrical conductivity on the ZnO surface more uniform, enhancing OPV performance. In contrast, a thicker ALD-ZnO layer (5 nm) made the two-dimensional distribution of electrical conductivity on the ZnO surface more heterogeneous, reducing the PCE. In addition, depositing an ALD-ZnO thin layer enhanced OPV stability and initial performance. We suggest that the ALD-ZnO layer thickness should be precisely controlled to fabricate high-performing OPVs.

Immobilization of pamidronic acids on the nanotube surface of titanium discs and their interaction with bone cells.

Self-assembled layers of vertically aligned titanium nanotubes were fabricated on a Ti disc by anodization. Pamidronic acids (PDAs) were then immobilized on the nanotube surface to improve osseointegration. Wide-angle X-ray diffraction, X-ray photoelectron microscopy, and scanning electron microscopy were employed to characterize the structure and morphology of the PDA-immobilized TiO2 nanotubes. The in vitro behavior of osteoblast and osteoclast cells cultured on an unmodified and surface-modified Ti disc was examined in terms of cell adhesion, proliferation, and differentiation. Osteoblast adhesion, proliferation, and differentiation were improved substantially by the topography of the TiO2 nanotubes, producing an interlocked cell structure. PDA immobilized on the TiO2 nanotube surface suppressed the viability of the osteoclasts and reduced their bone resorption activity.

Electrochemical synthesis of CdTe/SWNT hybrid nanostructures and their tunable electrical and optoelectrical properties.

A facile electrodeposition technique was utilized to deposit single-walled carbon nanotubes (SWNTs) with cadmium telluride (CdTe) with well-controlled size, density, surface morphology, and composition. By controlling the applied charge, the morphology of these hybrid nanostructures was altered from CdTe nanoparticles on SWNTs to SWNT/CdTe core/shell nanostructures and the composition of the CdTe nanoparticles was altered from Te-rich (29 at% Cd) to Cd-rich (79 at% Cd) CdTe by adjusting the deposition potential. The electrical and optoelectrical properties of these hybrid nanostructures showed that photo-induced current can be tuned by tailoring the conductivity type (n-type or p-type), morphology, and size of the CdTe nanostructures, with a maximum photosensitivity (ΔI/I(0)) of about 30% for SWNT/Cd-rich CdTe (n-type) core/shell nanostructures. This work demonstrates a novel approach for synthesizing metal chalcogenide/SWNT hybrid nanostructures for various electrical and optoelectrical applications.

Highly efficient hybrid thin-film solar cells using a solution-processed hole-blocking layer.

We report the origin of the improvement of the power conversion efficiency (PCE) of hybrid thin-film solar cells when a soluble C(60) derivative, [6,6]-phenyl-C(61)-butyric acid methyl ester (PCBM), is introduced as a hole-blocking layer. The PCBM layer could establish better interfacial contact by decreasing the reverse dark-saturation current density, resulting in a decrease in the probability of carrier recombination. The PCE of this optimized device reached a maximum value of 8.34% and is the highest yet reported for hybrid thin-film solar cells.

Enhanced osteoblast responses to poly(methyl methacrylate)/hydroxyapatite electrospun nanocomposites for bone tissue engineering.

Hydroxyapatite (HA)-containing polymers have been proposed for improving the biological properties of bone cements. Poly(methyl methacrylate) (PMMA) has long been used to secure orthopedic implants to skeletal bones. The aim of this study was to determine whether the incorporation of HA nanoparticles into the PMMA nanofibrous scaffolds enhances the biological functions of osteoblasts. The number of osteoblasts adhered and proliferated on the PMMA/HA nanofibrous scaffolds was significantly larger than that on the PMMA alone. The cytoskeletal organization and alkaline phosphatase (ALP) activity of the osteoblasts on the PMMA/HA nanofibrous scaffolds were clearly higher than that on the PMMA control. The amount of calcium ions released from 20 wt% HA-containing PMMA nanofibrous scaffolds (PMMA/HA20) was much higher than that released from 10 wt% HA-containing PMMA nanofibrous scaffolds (PMMA/HA10) (HA, 10 wt%). These findings suggested that osteoblast differentiation was accelerated by the incorporation of HA into the PMMA nanofibrous scaffolds. Therefore, the incorporation of HA into the PMMA nanofibrous scaffolds could be a useful method. This can be used for providing PMMA scaffolds with enhanced osteogenic properties.

High efficiency inorganic/organic hybrid tandem solar cells.

Hybrid tandem solar cells comprising an inorganic bottom cell and an organic top cell have been designed and fabricated. The interlayer combination and thickness matching were optimized in order to increase the overall photovoltaic conversion efficiency. A maximum power conversion efficiency of 5.72% was achieved along with a V(oc) of 1.42 V, reaching as high as 92% of the sum of the subcell V(oc) values.

Effect of bath type on the formation of TiO2 nanotubes in fluoride containing aqueous solution.

TiO2 nanotubes were formed on Ti electrochemically by the application of anodic current in 1 M H3PO4 + 0.3 M HF solution in a glass and Teflon bath. The TiO2 nanotubes could be partly grown in the glass bath while a uniform growth of TiO2 nanotubes was observed over the whole surface in the Teflon bath. The TiO2 nanotubes fabricated in the glass bath broke off readily during ultrasonic cleaning in distilled water while the TiO2 nanotubes formed in the Teflon bath was not damaged by the ultrasonic cleaning up to 5 minutes. The ultrasonic cleaning could remove the surface residuals which are obtained inevitably if TiO2 nanotubes are fabricated in aqueous solutions.

The effects of Mg-ion implantation and sandblasting on Porphyromonas gingivalis attachment.

OBJECTIVES: The purpose of this study was to evaluate the effect of titanium surface treatment on Porphyromonas gingivalis bacterial attachment. MATERIALS AND METHODS: Titanium disks of 15 mm in diameter and 1 mm in thickness (n=40) were subjected to mechanical grinding, or sandblasting. Magnesium (Mg) ions were implanted onto the titanium surface using a plasma source ion implantation method. The structure, chemistry, and surface morphologies of the titanium surfaces were analyzed using scanning electron microscopy (SEM), X-ray photoelectron spectroscopy and Auger electron spectroscopy. Surface roughness was measured using a laser profilometer. Half of the titanium disks in each group were dipped in saliva for 24 h. All of the titanium specimens were rinsed with distilled water. A P. gingivalis strain was cultured in anaerobic conditions at 37°C for 72 h, and all titanium specimens were dipped in the bacterial suspension at 37°C for 24 h. Specimens were examined at × 3000 magnification using a SEM. The number of bacteria in each of 10 separate fields was determined by directly counting the number of bacterial colonies that adhered to each specimen. The mean values were calculated afterward. The resulting data were analyzed to assess the significance of observed differences based on the method of the surface treatment, ion implantation, and saliva dipping. RESULTS: The amount of P. gingivalis attached to the sandblasted specimens was greater than that on the ground specimens (P<0.001). Moreover, surfaces with Mg-ion implantation had more attachments than nonimplanted surfaces (P<0.001). Saliva dipping acted synergistically with surface roughness and chemical composition of the specimens. CONCLUSIONS: Chemically modified surface increase the attachment of a major periodontopathic bacterium, P. gingivalis.

ZnO nanosheets decorated with CdSe and TiO2 for the architecture of dye-sensitized solar cells.

Pure and TiO2- and CdSe-deposited ZnO nanosheets aligned vertically to the surface of ITO (Indium tin oxide) are prepared using electrodeposition, which is used for building blocks of dye sensitized solar cell. A significant improvement in the photovoltaic efficiency can be obtained by depositing TiO2 or CdSe on ZnO. Photoluminescence spectra show that the TiO2 and CdSe nanostructures suppress the recombination of the electron-hole pair of ZnO. We suggest that the interface charge transfer at TiO2-ZnO and CdSe-ZnO should be responsible for the suppression of the electron-hole pair recombination and enhanced solar cell efficiency by TiO2 and CdSe nanostructures.

Metal plasma immersion ion implantation and deposition (MePIIID) on screw-shaped titanium implant: The effects of ion source, ion dose and acceleration voltage on surface chemistry and morphology.

The present study investigated the effect of metal plasma immersion ion implantation and deposition (MePIIID) process parameters, i.e., plasma sources of magnesium and calcium, ion dose, and acceleration voltage on the surface chemistry and morphology of screw-type titanium implants that have been most widely used for osseointegrated implants. It is found that irrespective of plasma ion source, surface topography and roughness showed no differences at the nanometer level; that atom concentrations increased with ion dose but decreased with acceleration voltage. Data obtained from X-ray photoelectron spectroscopy and auger electron spectroscopy suggested that MePIIID process produces 'intermixed' layer of cathodic arc deposition and plasma immersion ion implantation. The MePIIID process may create desired bioactive surface chemistry of dental and orthopaedic implants by tailoring ion and plasma sources and thus enable investigations of the effect of the surface chemistry on bone response.

Composite nanofiber mats consisting of hydroxyapatite and titania for biomedical applications.

Composite nanofiber mats (HA/TiO2) consisting of hydroxyapatite (HA) and titania (TiO2) were fabricated via an electrospinning technique and then collagen (type I) was immobilized on the surface of the HA/TiO2 composite nanofiber mat to improve tissue compatibility. The structure and morphology of the collagen-immobilized composite nanofiber mat (HA/TiO2-col) was investigated using an X-ray diffractometer, electron spectroscopy for chemical analysis, and scanning electron microscope. The potential of the HA/TiO2-col composite nanofiber mat for use as a bone scaffold was assessed by an experiment with osteoblastic cells (MC3T3-E1) in terms of cell adhesion, proliferation, and differentiation. The results showed that the HA/TiO2-col composite nanofiber mats possess better cell adhesion and significantly higher proliferation and differentiation than untreated HA/TiO2 composite nanofiber mats. This result suggests that the HA/TiO2-col composite nanofiber mat has a high-potential for use in the field of bone regeneration and tissue engineering.

Bone response of Mg ion-implanted clinical implants with the plasma source ion implantation method.

OBJECTIVES: This study examined the bone response of magnesium (Mg) ion-implanted implants produced using a plasma source ion implantation method. MATERIALS AND METHODS: The surface characteristics were evaluated by scanning electron microscopy, Auger electron spectroscopy, X-ray photoelectron spectroscopy, and Rutherford backscattering spectroscopy. The screw-type titanium implants were treated with resorbable blasting media (RBM) and divided into one control group (RBM implants) and three test groups (Mg ion-implanted implants with different retained Mg doses). Twenty-four implants from each group were placed into the tibiae of 24 New Zealand white rabbits. After allowing 6 weeks for healing, the removal torque (RTQ) was measured and the implants were subjected to histomorphometric analysis. RESULTS: The surface roughness and surface morphology of the test groups were similar. The Mg ion-implanted implants with a 2.3 x 10(15) ions/cm(2) retained dose showed a significantly higher RTQ than the other implants. Histomorphometric analysis indicated that the bone contact of this group was superior to the other groups. CONCLUSION: The bone response of Mg ion-implanted implant showed results superior or similar to an RBM-treated implant. The optimal Mg ion concentration that induced the strongest osseointegration was approximately 9%.

Lessons from follow-up examinations in patients with vestibular neuritis: how to interpret findings from vestibular function tests at a compensated stage.

OBJECTIVES: Most patients complaining of dizziness seek medical services in the interictal period, which is thought to be a compensated stage. Thus, we wanted to investigate the results of vestibular function tests (VFTs) at a compensated stage in patients with vestibular neuritis to determine the presence and the sides of vestibular hypofunction. STUDY DESIGN: Retrospective case series review. METHODS: We analyze the results of VFT including spontaneous nystagmus (SN), caloric, vibration-induced nystagmus (VIN), head-shaking nystagmus (HSN), and subjective visual vertical (SVV) tests in 38 patients (M/F = 23:15; age range, 15-85 yr) with vestibular neuritis observed at around 2 months after the onset of vertigo. RESULTS: Thirty-seven (97%) of 39 patients showed pathologic results in at least 1 test. Pathologic results, based on caloric, SN, VIN, HSN, and SVV tests, were observed in 29 (76%), 20 (53%), 24 (63%), 33 (87%), and 15 patients (39%). Twenty-nine showed pathologic canal paresis (CP) on the affected side and 9 patients (24%) showed normal CP. There was no patient with pathologic CP on the intact side. In 29 patients with pathologic CP, pathologic results, based on SN, VIN, HSN, and SVV tests, were observed in 16 (55%), 20 (69%), 26 (90%), and 13 patients (45%). Three (10%) of 29 patients showed pathologic VIN or HSN, indicating that the intact side is pathologic. In 9 patients with normal CP, pathologic results, based on SN, VIN, HSN, and SVV tests, were observed in 4 (44%), 4, 7 (78%), and 2 patients (22%). Five (56%) of 9 patients showed pathologic results on the intact side at least in 1 test, and the pathologic sides by each test were not the same. CONCLUSION: Our findings suggest that we can detect vestibular imbalance in patients with unilateral vestibular hypofunction through a set of VFTs even when CP is normal at a compensated stage. The CP side indicated by caloric test was the real affected side when CP was pathologic, even if the results of other tests were normal or rarely indicated that the intact side was pathologic. If CP was within reference range, other tests can show the previous presence of vestibular imbalance; however, they could not predict the side of the vestibular hypofunction. These data provide strong support for enrolling a set of VFT when evaluating a dizzy patient.

Tympanometry and CT Measurement of Middle Ear Volumes in Patients with Unilateral Chronic Otitis Media.

OBJECTIVES: The goals of the study were to compare the middle ear (ME) volumes from both normal and lesioned ears, and these ME volumes were measured by a digital image processing computed tomography (CT) program in patients with unilateral chronic otitis media, and we wanted to compare the ME volumes of the lesioned ears by comparing the ME volumes obtained by tympanometry with those ME volumes measured by the digital image processing CT program. METHODS: Forty-four patients who had unilateral chronic otitis media (COM) and contralateral normal tympanic membranes (TM) and 100 subjects with normal TMs were included in the study. The normal volumes of the external auditory canal (EAC) were measured in the normal group. The tympanometric ME volumes in the ears with a perforated TM were calculated as the difference of the tympanometric volumes measured from the both ears in patients with unilateral COM. The CT ME volumes were measured by a digital image processing program. RESULTS: The tympanometric volumes of the EACs in the ears with normal TMs were 1.4+/-0.3 mL. There were no significant differences according to gender, age and the side of the face the ear was on. The tympanometric volumes of the EAC in the normal-side ear of the patients with unilateral COM showed no significant differences when compared with those from the normal group. The ME volumes of the intact ears, as measured by CT, showed significantly higher values than those ME volumes of the lesioned ears. The ME volumes of the lesioned ears, as measured by tympanometry, showed a strong, significant linear correlation with those ME volumes calculated by CT; however, the ME volumes of the lesioned ears, as measured by tympanometry (1.5+/-1.4 mL), were significantly larger than those ME volumes measured by CT (1.1+/-0.8 mL). CONCLUSION: Our results show that chronic otitis media causes reduced ME volumes compared to those ME volumes of the contralateral normal ears. Tympanometry can provide a valuable estimation of the ME volumes in chronic ears, although it tends to overestimate the ME volumes, and especially for the ears with a larger ME volume.

Oxidized, bioactive implants are rapidly and strongly integrated in bone. Part 1--experimental implants.

OBJECTIVES: The study presented was designed to investigate the speed and the strength of osseointegration of oxidized implants at early healing times in comparison which machined, turned implants. MATERIAL AND METHODS: Screw-shaped titanium implants were prepared and divided into two groups: magnesium ion incorporated, oxidized implants (Mg implants, n=10) and machined, turned implants (controls, n=10). Mg implants were prepared using micro-arc oxidation methods. Surface oxide properties of implants such as surface chemistry, oxide thickness, morphology/pore characteristics, crystal structures and roughness were characterized with various surface analytic techniques. Implants were inserted into the tibiae of ten New Zealand white rabbits. After a follow-up period of 3 and 6 weeks, removal torque (RTQ), osseointegration speed (DeltaRTQ/Deltahealing time) and integration strength of implants were measured. Bonding failure analysis of the bone-to-implant interface was performed. RESULTS: The speed the and strength of osseointegration of Mg implants were significantly more rapid and stronger than for turned implants at follow-up periods of 3 and 6 weeks. Bonding failure for Mg implants dominantly occurred within the bone tissue, whereas bonding failure for turned implants mainly occurred at the interface between implant and bone. CONCLUSIONS: Oxidized, bioactive implants are rapidly and strongly integrated in bone. The present results indicate that the rapid and strong integration of oxidized, bioactive Mg implants to bone may encompass immediate/early loading of clinical implants.

Biomechanical measurements of calcium-incorporated oxidized implants in rabbit bone: effect of calcium surface chemistry of a novel implant.

BACKGROUND: In oral implantology there has been a general trend away from machine-turned minimally rough and acid-etched and blasted implants toward intermediary roughened surfaces. Mechanical interlocking at micron resolution is claimed to be the dominant reason for the fixation of such implants in bone. However, clinical demands for stronger and faster bone bonding to the implant (eg, in immediately loaded and compromised bone cases) have motivated the development of novel surfaces capable of chemical bonding. PURPOSE: The purpose of the present study is to investigate bone tissue reactions to a newly developed calciumincorporated oxidized implant. The specific aim is to assess the effect of calcium surface chemistry on the bone response. MATERIALS AND METHODS: Calcium (Ca) ion-incorporated implants were prepared by micro arc oxidation methods. Surface oxide properties were characterized by using various surface analytic techniques involving scanning electron microscopy, x-ray diffractometry, x-ray photoelectron spectroscopy, and optical interferometry. Twenty screw-shaped commercially pure (CP) titanium implants (10 turned implants [controls] and 10 Ca-incorporated implants [tests]) were inserted in the femoral condyles of 10 New Zealand White rabbits. RESULTS: After a healing period of 6 weeks, resonance frequency analyses and removal torque measurements of the Ca-incorporated oxidized implants demonstrated statistically significant improvements of implant integration with bone in comparison to machine-turned control implants (p = 0.013 and p = 0.005, respectively). CONCLUSIONS: The Ca-reinforced surface chemistry of the oxidized implants significantly improved bone responses in a rabbit model. The present study suggests that biochemical bonding at the bone-implant interface, in combination with mechanical interlocking, may play a dominant role in the fixation of Ca-incorporated oxidized implants in bone. The observed rapid and strong integration of test Ca implants may have clinical implications for immediate or early loading and improved performance in compromised bone.