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Bioactive Coatings on Porous Titanium for Biomedical Applications

Abstract

Commercial pure titanium is a recognized and accepted material for cortical bone tissue substitution. However, stress-shielding phenomena and lack of osseointegration result in significant limitations. This work is focused on the achievement of an effective solution for both problems via fabrication of porous titanium substrates coated with bioactive glass. Substrates were obtained through the space holder technique giving values of stiffness and yield strength compatible with cortical bone tissue to reduce the stress-shielding phenomenon. Titanium substrates were coated with different number of layers of bioactive glass 45S5 by dripping sedimentation. The substrates porosity was characterized by different techniques. Ultrasound, compression and micro-mechanical testing were used for mechanical properties evaluation. After substrates coating, the infiltration ability, coating homogeneity and structural integrity (chipping and cracking) were evaluated for each coating layer. The chemical composition of coating and phases were studied before and after in vitro tests in Simulated Body Fluid. The results showed more homogenous coating, adherence and greater hydroxyapatite growth for the tri-layer system in both dense and porous samples. Besides, the relation of Ca/P was closed to that of stoichiometric hydroxyapatite in the human body. The coated porous titanium could be potentially used in load bearing partial implants with improved osseointegration.

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Bioactive Coatings on Porous Titanium for Biomedical Applications

Author: Domínguez-Trujillo, Cristina; Ternero Fernández, Fátima; Rodríguez-Ortiz, José Antonio; Heise, S.; Boccaccini, Aldo R.; Lebrato Martínez, Julián; Torres Hernández, Yadir
Publisher: Elsevier
Year: 2018
DOI: 10.1016/j.surfcoat.2018.06.037
Source: https://idus.us.es/bitstreams/9a1d50d1-a300-41af-95c0-2ccf62232d1c/download
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Bioac i e Coa ings on Po ous Ti anium o Biomedical Applica ions
C. Domínguez-T ujillo1, F. Te ne o1, J.A. Rod íguez-O iz1, S. Heise2, A.R. Boccaccini2, J.
Leb a o3 and Y. To es1*
1Depa men o Enginee ing and Ma e ials Science and T anspo a ion, Uni e si y o Se ille,
Se ille, Spain
2F ied ich-Alexande -Uni e si y E langen-Nu embe g, Ins i u e o Bioma e ials - E langen,
Ge many
3G upo TAR, Escuela Poli écnica Supe io , Uni e sidad de Se illa, Se illa, España
Abs ac . Comme cial pu e i anium is a ecognized and accep ed ma e ial o co ical bone issue
subs i u ion. Howe e , s ess-shielding phenomena and lack o osseoin eg a ion esul in signi ican
limi a ions. This wo k is ocused on he achie emen o an e ec i e solu ion o bo h p oblems ia
ab ica ion o po ous i anium subs a es coa ed wi h bioac i e glass. Subs a es we e ob ained
h ough he space holde echnique gi ing alues o s i ness and yield s eng h compa ible wi h
co ical bone issue o educe he s ess-shielding phenomenon. Ti anium subs a es we e coa ed
wi h di e en numbe o laye s o bioac i e glass 45S5 by d ipping sedimen a ion. The subs a es
po osi y was cha ac e ized by di e en echniques. Ul asound, comp ession and mic o-mechanical
es ing we e used o mechanical p ope ies e alua ion. A e subs a es coa ing, he in il a ion
abili y, coa ing homogenei y and s uc u al in eg i y (chipping and c acking) we e e alua ed o
each coa ing laye . The chemical composi ion o coa ing and phases we e s udied be o e and a e in
i o es s in Simula ed Body Fluid. The esul s showed mo e homogenous coa ing, adhe ence and
g ea e hyd oxyapa i e g ow h o he i-laye sys em in bo h dense and po ous samples. Besides,
he ela ion o Ca/P was closed o ha o s oichiome ic hyd oxyapa i e in he human body. The
coa ed po ous i anium could be po en ially used in load bea ing pa ial implan s wi h imp o ed
osseoin eg a ion.
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Keywo ds: Po ous i anium, s ess-shielding, osseoin eg a ion, bioac i e glass coa ing,
hyd oxyapa i e, in i o bioac i i y.
1. In oduc ion
Diseases and aging in luence he bone issue quali y, making a o al o pa ial bone eplacemen
by implan s o p os hesis necessa y. The implan unc ionali y is a ec ed by se e al ac o s:
in insic p ope ies o ma e ials and componen s (shape and geome y ea u es); hos bone issue
(quali y and quan i y); and opog aphy, biochemis y and su ace ene gy o he bioin e ace be ween
he bone and he implan [1]. Addi ionally, o he ac o s ela ed o he en i onmen al s imula ion
also a ec p os heses beha io , e.g mechanical s imula ion (local and emo e), he sys emic
immunological esponse (na u al and modula ed), and / o some medicine, d ugs and sys emic
e ec s [1]. The bioin e acial p ope ies a e he main elemen s o he co ec pe o mance o he
sys em. The goal o implan design is o each a bio unc ional (bone in-g ow h and osseoin eg a ion)
and biomechanical (s i ness and yield s eng h) equilib ium [2]. Al hough comme cial pu e
i anium (c.p. Ti) and i s alloys a e commonly used as bone implan s [3], hey exhibi some
unsol ed issues: s ess shielding phenomenon and lack o osseoin eg a ion [2,4]. The educ ion o
he implan Young's modulus can be add essed by ab ica ing po ous ma e ials [5-9]. Rega ding he
imp o emen o osseoin eg a ion, implan su ace modi ica ions ha e been widely pe o med [2],
[4-8] by implemen ing a a ie y o echniques ha in ol e physical and chemical changes, e.g.
con olling he su ace oughness o ob aining bioac i e su aces [10].
The success o implan s depends on ma e ial p ope ies including mechanical beha io ,
mic os uc u e and su ace cha ac e is ics [11]. The su ace plays an impo an ole in he esponse
o a i icial de ices in a biological en i onmen making su ace modi ica ion one o he mos
common app oaches o imp o e he biocompa ibili y. Among bioce amics, hyd oxyapa i e
[Ca10(PO4)6(OH)2] (HA) is known o i s biocompa ibili y because o i s simila chemical
c ys allog aphic s uc u e o he mine al phase o li ing bone [12]. Hyd oxyapa i e is an
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os eoinduc i e, non oxic, non-immunogenic agen and has he abili y o o m s ong chemical bonds
wi h na u al bone [13,14]. Acco ding o i s chemical o mula, HA has a Ca/P mola a io o 1.67
(5:3) which is close o he Ca/P a io in bone mine als (be ween 1.37 and 1.87). [15]
Bioac i e glasses (BGs) a e being inc easingly in es iga ed as p omising sca old ma e ials o
bone egene a ion since he disco e y o 45S5 BG by La y Hench in 1969 [13]. BGs ha e a well-
ecognized supe io os eoconduc i i y, con olled biodeg adabili y, he capabili y o ac i a ing
os eogenic gene exp ession, angiogenic po en ial 0 [16], hey p omo e he o ma ion o bone
mine al-like phases (including HA) and ha e d ug deli e y abili ies [14,17]. Bioac i e glasses
exhibi high bioac i i y h ough he elease o dissolu ion ions such as Ca, P and Si, which may also
a ec gene exp ession in os eogenic cells and bone ascula isa ion, and could lead o he subsequen
p omo ion o a high a e o bone o ma ion [16]. A. Scislowska-Cza necka e al. [18] es ed he
e ec on mac ophage ac i a ion a e coa ing po ous i anium subs a es wi h BG by sol-gel
echnique, and compa ed i o di e en ce amic coa ings. I was ound ha mo e cells we e adhe ed
o BG-Ti sys em han o o he combina ions, as well as o Ti subs a e wi h no co e ing. The BG
coa ing on po ous i anium showed also good biocompa ibili y, no s imula ing mac ophages o an
in lamma o y esponse.
The use o bioac i e glasses is limi ed o load-bea ing applica ions due o hei b i leness. The e
a e wo p ocessing me hods o ab ica e a glass: adi ional mel -quenching (comme cial bioac i e
glasses) and he sol-gel ou e (assembled nanopa icles – in insic nanopo osi y). The
implemen a ion o mos o he echniques o glass ab ica ion equi es he con ol o a high numbe
o pa ame e s and a high cos . In e ms o ypes, he main glasses a e con en ional silica e (simila
o Bioglass® 45S5), phospha e-based and bo a e-based glasses. The in e es o bo a e-based and
phospha e-based glasses in so issue esponse is ela ed o hei as dissolu ion compa ed o
silica e-based glasses [19]. Ne e heless, BonAli e® (S53P4) has been highligh ed in many clinical
4
ials. In his con ex , al hough he e a e mo e a ailable da a o S53P4 han o 45S5, he
deg ada ion a e o S53P4 in he human body is lowe [19]. In addi ion, 45S5 and S53P4 canno be
p oduced as amo phous bioac i e glass sca olds due o hei c ys alliza ion du ing he sin e ing. Fo
his eason, hey a e mos ly employed as bioac i e coa ings on ine me allic subs a es. In e ms o
ab ica ion, he empe a u es should be chosen ca e ully in o de o a oid glass c ys alliza ion and
subs a e deg ada ion [20].
Fully dense comme cial pu e Ti subs a es coa ed wi h BG (bioac i e glass 45S5) ha e been
widely in es iga ed [21]. Howe e he e has been only limi ed wo k ocusing on BG coa ings on o
po ous i anium subs a es [22].The aim o his wo k is he ab ica ion o po ous i anium subs a es
coa ed wi h BG by implemen ing a simple, epe i i e and economical deposi ion echnique,
consis ing on sedimen a ion by d ipping. The ma e ials combina ion o e s a po en ial
biomechanical (s i ness and yield s eng h) and bio unc ional (ing ow h and osseoin eg a ion)
equilib ium, ecommended o pa ial co ical bone issue subs i u ion.
2. Conclusions
The s udy o he po ous i anium subs a es coa ed wi h 45S5 bioac i e glass allows o conclude he
ollowing:
1- A no el sedimen a ion echnique was in oduced o coa Ti subs a es wi h 45S5 BG powde .
The pa ame e s o con ol a e BG pa icle size, concen a ion, numbe o coa ing laye s and
he mal ea men . Using po ous i anium subs a es, combined wi h d ipping sedimen a ion,
in ol es he possibili y o an economically and comme cially iable al e na i e o ob ain BG
coa ings o implan s and sca olds.
2- The coa ed po ous subs a e has a be e adhe ence han ha o ull dense i anium. This can be
a ibu ed o he oughness o he po e walls and he ancho ing associa ed wi h he in il a ion o
BG pa icles in o he po es. The size and con en o he po es o he i anium subs a es s udied in
5
his wo k as well as he mechanical p ope ies (E and yield s eng h) mee he equi emen s o he
co ical bone. Howe e , a igue beha io (s a ic and cyclic) and he p esence o co osion
phenomena should also be conside ed.
3- To ob ain a homogeneous BG coa ing h ee laye s we e equi ed (mo e laye s comp omises he
in eg i y and adhesion o he coa ing). Ne e heless, i is impo an o con ol he a es,
empe a u e and a mosphe e o he he mal ea men in e ms o BG c ys alliza ion and mic o-
mechanical p ope ies o he coa ing (p esence o mic o-po osi y, as well as quali y o union
be ween he BG pa icles and he coa ing/subs a e in e ace).
4- The esul s sugges s be e osseoin eg a ion employing h ee BG coa ing laye s on he subs a es,
due o g ea e o ma ion o HA in con ac wi h SBF. Ne e heless, he comp omise be ween he
he mal expansion coe icien (coa ing adhe ence o he subs a e) and he bioac i i y mus be
conside ed o choose he bioac i e glass.
Acknowledgemen s
The au ho s dedica e his pape o he memo y o P o . Juan José Pa ón Palacio (Uni e si y o
An ioquia, Colombia). This wo k was suppo ed by he Minis y o Economy and Compe i i eness
o he S a e Gene al Adminis a ion o Spain unde he g an MAT2015-71284-P. The au ho s
would like o hank echnician J. Pin o o he assis ance in mechanical cha ac e iza ion.
Da a a ailabili y
The aw/p ocessed da a equi ed o ep oduce hese indings canno be sha ed a his ime as he
da a also o ms pa o an ongoing s udy.

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