FABRICATION OF DRUG ELUTING TI IMPLANTS FOR DENTAL/ORTHOPEDIC APPLICATIONS

Titanium and its alloys are typically used for fabrication of dental and orthopedic implants as they possess various desirable properties including biocompatibility and corrosion resistance. In spite of such benefits, titanium implants show lack of osseointegration after surgery in minor cases. The objective of this research has been to modify the surface of titanium alloy for medical applications through increasing surface hydrophilicity and drug loading. Primarily, anodization method is employed for fabrication of nanotubes on titanium surface to act as anchoring cite for cells. Considering the key role of surface hydrophilicity on cellular attachment to the surface and subsequent biological behavior of attached cells, the fabrication condition of nanotubes during anodization and following heat treatment is optimized. It is shown that anodization voltage, anodization duration and heat treatment temperature and duration can be controlled to fabricate a nanotubular surface that maintains its hydrophilicity over a long period of time. In order to verify the role of surface morphology on obtained characteristics, smooth, anodized-smooth, rough and anodized-rough surfaces are explored. The results show that anodized-smooth and anodized-rough surfaces show higher hydrophilicity than non anodized surfaces. Hydrophilic nanotubes not only promote cell adsorption; but also increase absorption of aqueous drug solution. Consequently, nanotubes are successfully loaded with drug and act as nano drug reservoirs that are potential to deliver the loaded drug locally after surgery. It is shown that dimension of nanotubes can affect rate of drug release. In fact the results indicate that nanotubes with higher aspect ratio (ratio of length to diameter) prolong drug release. A novel method for fabrication of naotubes was investigated which suggests a new way for controlling length of nanotubes. It is shown that heat treatment of the substrate prior to anodization affects length of nanotubes obtained eventually after anodization. In fact, the results show that anatase crystalline structure affects mechanism of formation of nanotubes to form longer nanotubes. Finally, it is demonstrated that corrosion resistance of heat treated nanotubular surface is higher than either heat treated surface or nanotubular surface alone

Surfactant-assisted hydrothemial synthesis of fluoridated hydroxyapatite nanorods

Fluoridated Hydroxyapatite (FHA) nanorods were synthesized using Apricot Tree Gum (ATG) as a novel surfactant and then compared with Ethylenediaminetetraacetic acid disodium salt dihydrate (EDTA) and Sodium Dodecyl Sulfate (SDS) as conventional surfactant agents under hydrothermal condition (70 degrees C and 1 atm). The effects of pH values and various types of surfactants on the formation of the FHA nanorods, crystalline phase, and chemical compositions were investigated using Field Emission Scanning Electron Microscopy (FESEM) equipped by Energy Dispersive X-ray (EDX), X-Ray Diffraction (XRD), and Fourier Transform Infrared Spectroscopy (FTIR). The findings indicated application of the presented ATG as surfactant is able to produce the hexagonal nanorods of FHA along their c-axis direction. Moreover, it is illustrated that diameter and length of nanorods which is obtained by ATG surfactant are bigger than EDTA and SDS. In addition, it is demonstrated that pH values can play a major role on formation of hexagonal FHA nanorods. The increase of pH transformed the shape of synthesized FHA from particles to rods. Ultimately, based on the similarity of synthesized FHA nanorods to the shape, structure, and composition of enamel; it is suggested for its potential to be used for dental applications

Efficiency of nanotube surface-treated dental implants loaded with doxycycline on growth reduction of Porphyromonas gingivalis

© 2017 by Quintessence Publishing Co Inc. Purpose: The prevalence of peri-implant infection in patients with dental implants has been shown to range from 28% to 56%. A nanotube-modified implant surface can deliver antibiotics locally and suppress periodontal pathogenic bacterial growth. The aim of this study was to evaluate the deliverability of antibiotics via a nanotube-modified implant. Materials and Methods: Dental implants with a nanotube surface were fabricated and loaded with doxycycline. Afterward, each dental implant with a nanotube surface was placed into 2-mL tubes, removed from solution, and placed in a fresh solution daily for 28 days. Experimental samples from 1, 2, 4, 16, 24, and 28 days were used for this evaluation. The concentration of doxycycline was measured using spectrophotometric analysis at 273-nm absorbance. The antibacterial effect of doxycycline was evaluated by supplementing Porphyromonas gingivalis (P gingivalis) growth media with the solution collected from the dental implants at the aforementioned time intervals for a period of 48 hours under anaerobic conditions. A bacterial viability assay was used to evaluate P gingivalis growth at 550-nm absorbance. Results: Doxycycline concentration varied from 0.33 to 1.22 μg/mL from day 1 to day 28, respectively. A bacterial viability assay showed the highest P gingivalis growth at day 1 (2 nm) and the lowest at day 4 (0.17 nm), with a gradual reduction from day 1 to day 4 of approximately 87.5%. The subsequent growth pattern was maintained and slightly increased from baseline in approximately 48.3% from day 1 to day 24. The final P gingivalis growth measured at day 28 was 29.4% less than the baseline growth. Conclusion: P gingivalis growth was suppressed in media supplemented with solution collected from dental implants with a nanotube surface loaded with doxycycline during a 28-day time interval

Biophysical evaluation of cells on nanotubular surfaces: The effects of atomic ordering and chemistry

After the implantation of a biomaterial in the body, the first interaction occurs between the cells in contact with the biomaterial surface. Therefore, evaluating the cell-substrate interface is crucial for designing a successful implant. In this study, the interaction of MC3T3 osteoblasts was studied on commercially pure and alloy (Ti6Al4V) Ti surfaces treated with amorphous and crystalline titanium dioxide nanotubes. The results indicated that the presence of nanotubes increased the density of osteoblast cells in comparison to bare surfaces (no nanotubes). More importantly, our finding shows that the chemistry of the substrate affects the cell density rather than the morphology of the cells. A novel approach based on the focused ion beam technique was used to investigate the biophysical cell-substrate interaction. The analysis revealed that portions of the cells migrated inside the crystalline nanotubes. This observation was correlated with the super hydrophilic properties of the crystalline nanotubes. © 2014 Shokuhfar et al

Biophysical evaluation of cells on nanotubular surfaces: the effects of atomic ordering and chemistry

After the implantation of a biomaterial in the body, the first interaction occurs between the cells in contact with the biomaterial surface. Therefore, evaluating the cell–substrate interface is crucial for designing a successful implant. In this study, the interaction of MC3T3 osteoblasts was studied on commercially pure and alloy (Ti6Al4V) Ti surfaces treated with amorphous and crystalline titanium dioxide nanotubes. The results indicated that the presence of nanotubes increased the density of osteoblast cells in comparison to bare surfaces (no nanotubes). More importantly, our finding shows that the chemistry of the substrate affects the cell density rather than the morphology of the cells. A novel approach based on the focused ion beam technique was used to investigate the biophysical cell–substrate interaction. The analysis revealed that portions of the cells migrated inside the crystalline nanotubes. This observation was correlated with the super hydrophilic properties of the crystalline nanotubes

Fluoridated hydroxyapatite nanorods as novel fillers for improving mechanical properties of dental composite: Synthesis and application

© 2015 Elsevier Ltd. Fluoridated hydroxyapatite (FHA) in nanorod morphology and hexagonal cross section were synthesised via hydrothermal process using Apricot Tree Gum (ATG) as a surfactant. The synthesised FHA nanorods were then used as reinforcement in bisphenol A-glycol dimethacrylate (Bis-GMA) as base monomer of composite matrix. The FHA nanorods with different ratios were incorporated in the matrix to examine fluoride ion release and pH changes in the Simulated Body Fluid (SBF) and their mechanical properties. The resin without FHA reinforcement was used as the control sample. The Diametral Tensile Strength (DTS), Flexural Strength (FS), and Flexural Modulus (FM) of the reinforced composite were found to be higher compared to the control sample; the values increased from 34.8 to 45.4. MPa, 76.5 to 99.4. MPa, and 1.7 to 2.5. GPa, respectively. Moreover, findings revealed that the pH is reduced by releasing the fluoride ions into the SBF which can be effective for preventing secondary caries. The most optimum mechanical properties were achieved with 0.2. wt% of FHA reinforcement. The FHA nanocomposite meets the minimum standard requirements for dental applications and compared to other dental composites has advantage of preventing formation of secondary caries due to release of fluoride

Optimization of anodization and annealing condition enhances TiO \u3c inf\u3e 2 nanotubular surface hydrophilicity

In this study anodization and annealing condition are optimized to fabricate nanotubular surface which is able to maintain its hydrophilicity over time - anti-aging surface. Our results indicate that anodization voltage and annealing temperature affect surface ability to maintain its hydrophilicity. Water contact angle measurements show hydrophilicty is sharply decreased after annealing regardless of annealing and anodization conditions. Non-anodized and 20 V anodized samples lose their hydrophilicity after 11 days of aging in air, while 60 V anodized samples are able to maintain their hydrophilicity after this period

A novel investigation of the formation of titanium oxide nanotubes on thermally formed oxide of Ti-6Al-4V

© 2015, Allen Press Inc. All rights reserved. Traditionally, titanium oxide (TiO2) nanotubes (TNTs) are anodized on Ti-6Al-4V alloy (Ti-V) surfaces with native TiO2 (amorphous TiO2); subsequent heat treatment of anodized surfaces has been observed to enhance cellular response. As-is bulk Ti-V, however, is often subjected to heat treatment, such as thermal oxidation (TO), to improve its mechanical properties. Thermal oxidation treatment of Ti-V at temperatures greater than 200°C and 400°C initiates the formation of anatase and rutile TiO2, respectively, which can affect TNT formation. This study aims at understanding the TNT formation mechanism on Ti-V surfaces with TO-formed TiO2 compared with that on as-is Ti-V surfaces with native oxide. Thermal oxidation-formed TiO2 can affect TNT formation and surface wettability because TO-formed TiO2 is expected to be part of the TNT structure. Surface characterization was carried out with field emission scanning electron microscopy, energy dispersive x-ray spectroscopy, water contact angle measurements, and white light interferometry. The TNTs were formed on control and 300°C and 600°C TO-treated Ti-V samples, and significant differences in TNT lengths and surface morphology were observed. No difference in elemental composition was found. Thermal oxidation and TO/anodization treatments produced hydrophilic surfaces, while hydrophobic behavior was observed over time (aging) for all samples. Reduced hydrophobic behavior was observed for TO/anodized samples when compared with control, control/anodized, and TO-treated samples. A method for improved surface wettability and TNT morphology is therefore discussed for possible applications in effective osseointegration of dental and orthopedic implants

Synthesis and characterization of nanocrystalline forsterite coated poly(l-lactide-co-β-malic acid) scaffolds for bone tissue engineering applications

© 2015 Elsevier B.V. All rights reserved. In this research, after synthesizing poly(l-lactide-co-β-malic acid) (PLMA) copolymer, hybrid particles of ice and nanocrystalline forsterite (NF) as coating carriers were used to prepare NF-coated PLMA scaffolds. The porous NF-coated scaffolds were directly fabricated by a combined technique using porogen leaching and freeze-drying methods. The obtained results indicate that the scaffolds were structurally porous with NF particles on their surfaces. When compared to the uncoated scaffolds, the NF coating improved both mechanical properties as well as enhanced bioactivity of the scaffolds. In addition, in vitro biological response of the rat bone marrow stromal cells indicated that NF significantly increased the biocompatibility of NF-coated scaffolds compared with PLMA