Optimizing alkaline hydrothermal treatment for biomimetic smart metallic orthopedic and dental implants

J Mater Sci Mater Med. 2024 Jun 19;35(1):31. doi: 10.1007/s10856-024-06794-y.

Abstract

Orthopedic and dental implant failure continues to be a significant concern due to localized bacterial infections. Previous studies have attempted to improve implant surfaces by modifying their texture and roughness or coating them with antibiotics to enhance antibacterial properties for implant longevity. However, these approaches have demonstrated limited effectiveness. In this study, we attempted to engineer the titanium (Ti) alloy surface biomimetically at the nanometer scale, inspired by the cicada wing nanostructure using alkaline hydrothermal treatment (AHT) to simultaneously confer antibacterial properties and support the adhesion and proliferation of mammalian cells. The two modified Ti surfaces were developed using a 4 h and 8 h AHT process in 1 N NaOH at 230 °C, followed by a 2-hour post-calcination at 600 °C. We found that the control plates showed a relatively smooth surface, while the treatment groups (4 h & 8 h AHT) displayed nanoflower structures containing randomly distributed nano-spikes. The results demonstrated a statistically significant decrease in the contact angle of the treatment groups, which increased wettability characteristics. The 8 h AHT group exhibited the highest wettability and significant increase in roughness 0.72 ± 0.08 µm (P < 0.05), leading to more osteoblast cell attachment, reduced cytotoxicity effects, and enhanced relative survivability. The alkaline phosphatase activity measured in all different groups indicated that the 8 h AHT group exhibited the highest activity, suggesting that the surface roughness and wettability of the treatment groups may have facilitated cell adhesion and attachment and subsequently increased secretion of extracellular matrix. Overall, the findings indicate that biomimetic nanotextured surfaces created by the AHT process have the potential to be translated as implant coatings to enhance bone regeneration and implant integration.

Keywords: Biomimetic; Dental; Implants; Nanotechnology; Orthopedic; Surface modification..

MeSH terms

  • Alkaline Phosphatase / metabolism
  • Alloys / chemistry
  • Animals
  • Anti-Bacterial Agents / chemistry
  • Anti-Bacterial Agents / pharmacology
  • Biomimetic Materials* / chemistry
  • Biomimetic Materials* / pharmacology
  • Biomimetics
  • Cell Adhesion / drug effects
  • Cell Line
  • Cell Proliferation / drug effects
  • Cell Survival / drug effects
  • Coated Materials, Biocompatible / chemistry
  • Coated Materials, Biocompatible / pharmacology
  • Dental Implants*
  • Hemiptera
  • Humans
  • Materials Testing
  • Nanostructures / chemistry
  • Osteoblasts* / drug effects
  • Prostheses and Implants
  • Surface Properties*
  • Titanium* / chemistry
  • Wettability*

Substances

  • Titanium
  • Dental Implants
  • Anti-Bacterial Agents
  • Alloys
  • Coated Materials, Biocompatible
  • Alkaline Phosphatase