Browsing by Keyword "Osseointegration"
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Item Biological response of laser macrostructured and oxidized titanium alloy: An in vitro and in vivo study(2011-09) Paz, María Dolores; Iñaki Álava, J.; Goikoetxea, Leire; Chiussi, Stefano; Díaz-Güemes, Idoia; Usón, Jesus; Sánchez, Francisco; León, Betty; BiomaterialesPurpose: To assess both the in vitro and in vivo biological response of a laser modified surface in an integrated manner. A combined innovative approach applies lasers to macrostructure as well as to oxidize the surface of titanium alloy implants. Materials and methods: A Nd:YAG marking and ArF excimer lasers were used for macrostructuring and UV-oxidizing the surface of Ti6Al4V discs, respectively. Human fetal osteoblastic cell culture and a sheep tibia model were used to assess the cell response and the osseogeneration capability of as-machined, laser macrostructured and laser macrostructured and oxidized surfaces. Results: In vitro: Laser macrostructuration alone did not promote cell response. Cellular proliferation was enhanced by the additional UV laser oxidation. In vivo: A greater significant percentage of bone-implant contact was obtained for both laser treated surfaces compared to machine-turned control samples, three months after implantation, in spite of the low cellular response for macrostructured samples. The use of sheep model for six months appears to be less adequate for a comparison because of the high level of bone integration in all samples. In spite of the often reported positive effect of titanium oxidation on the triggering of faster osseointegration, in this experiment the additional UV laser oxidation did not lead to a significant in vivo improvement. Conclusions: Laser macrostructuration of titanium alloy surfaces appears to promote bone apposition and may therefore constitute a promising surface modification strategy. In animal models, the natural process of titanium surface oxidation, because of physiologic fluids, alters properties observed in vitro with cells.Item Histomorphometric study of ion implantation and diamond-like carbon as dental implant surface treatments in beagle dogs(2007-03) De Maeztu, Miguel A.; Braceras, Iñigo; Alava, J. Iñaki; Sánchez-Garcés, M. Angeles; Gay-Escoda, Cosme; INGENIERÍA DE SUPERFICIESPurpose: Improvements in the bone-implant interface can provide clinical benefits, such as increasing the amount of bone in contact with the implant and shortening the time required to achieve sufficient bone appositioning to allow early prosthetic loading. The present study describes the results obtained with 2 new surface treatments: (a) CO ion implantation; and (b) diamond-like carbon (DLC) coating. Materials and Methods: Each group (ion implantation, DLC, and the control group, turned titanium) consisted of 12 samples. Beagle dogs subjected to previous partial edentulation were used. Dual histologic evaluation was made of percentage bone-implant contact (% BIC) of all samples based on conventional histomorphometric analysis and environmental scanning electron microscopy (ESEM). Results: The results obtained after 3 and 6 months of dental implant placement showed greater and faster bone integration in the CO ion implantation group (61% and 62% BIC, respectively) compared with the DLC group (47% and 50%); the data corresponding to the ion implanted samples were statistically significant compared with the control group (33% and 49% BIC after 3 and 6 months, respectively). Conclusions: The results showed improved % BIC for implants with ion-implanted surfaces in comparison to DLC coating and machined controls. Furthermore, bone integration appeared to be accelerated in the ion implantation group, since high % BIC values were recorded in the early stages after in vivo implantation.Item Improved osseointegration in ion implantation-treated dental implants(2002-09) Braceras, I.; Alava, J.I.; Onate, J.I.; Brizuela, Marta; García-Luis, A.; Garagorri, N.; Viviente, J.L.; de Maeztu, M.A.; Oate, J. I.; INGENIERÍA DE SUPERFICIES; Tecnalia Research & Innovation; TECNOLOGÍAS DE HIDRÓGENO; TECNOLOGÍA DE MEMBRANAS E INTENSIFICACIÓN DE PROCESOSImplants for knee, hip and dental part replacement are becoming increasingly used in surgery. Unfortunately, their use is sometimes accompanied by failure due to infection, inflammation, integration problems with the surrounding tissues or bone, and implant failure due to mishandling. Surface treatment, such as ion implantation, has been identified as a good candidate to modify the surface properties of the implant to significantly improve its osseointegration. This work reports on the ion implantation of light ions in commercial Ti6Al4V dental implants and subsequent osseointegration tests. Various light ions were implanted (C, N, CO, Ne) with energy ranging from 45 to 100 keV and doses up to 5×10e17 ions/cm2. Both ion-implanted and control dental implants were inserted in the tibial plateau of adult rabbits, the epiphysis and diaphysis of the tibia for the evaluation of their degree of osseointegration. After 3 months the implants were extracted and several histological sections were prepared from whole bones for evaluation of their osseointegration in the tibia. In addition, the surface of the implant, and the interface between the bone and the implant were examined by scanning electron microscopy (SEM), energy-dispersive spectroscopy (EDS) and X-ray photoelectron spectroscopy (XPS) techniques. Some ion implantation treatments did not significantly change the performance of the dental implants relative to the untreated implants, while tests showed that the ion implantation of CO remarkably improved the osseointegration properties, i.e. the percentage of bone and implant in contact.Item Interaction of engineered surfaces with the living world: Ion implantation vs. osseointegration(2007-08-05) Braceras, I.; Alava, J. I.; Goikoetxea, L.; de Maeztu, M. A.; Onate, J. I.; Biomateriales; Tecnalia Research & InnovationThe reaction of living tissues to foreign materials is a highly complex process that currently is insufficiently understood. Nevertheless, if specific reactions are to be promoted, this understanding is highly valuable and thus a significant research effort is being devoted to this issue. Typically, when a biomaterial is inserted in living tissue, proteins and other bio-molecules will adsorb to the surface. As this protein layer will mediate the interaction of the biomaterial with the living world, the consequent reactions will be highly dependant on this very first stage. Furthermore, different materials, i.e. surfaces, typically elicit a very different tissue response. It is commonly admitted that the primary adsorption depends heavily on the surface chemistry, surface topography and surface physical characteristics. Interactions between surface micro-topography and living cells have been widely studied, but protein specific reactions versus nano-topography have been barely explored. Ion beam modification of surfaces, which affect these key properties, can therefore be (i) a powerful tool to advance in the understanding of these nanoscale phenomena and (ii) useful as an industrial treatment of high value-added medical devices. This work will explore the application of ion beam based surface treatments to cause specific reactions in hard tissue regeneration. A variety of in vitro and in vivo results are presented corresponding to ion implantation treatments promoting "osseointegration" or intimate binding between the biomaterial and the living tissue, without any soft tissue interlayer, and an overview of the mechanism behind is offered, i.e. among other behaviour of osteoblasts, signalling proteins as the integrins, nanotopographic parameters.Item Ion implantation induced nanotopography on titanium and bone cell adhesion(2014-08-15) Braceras, Iñigo; Vera, Carolina; Ayerdi-Izquierdo, Ana; Muñoz, Roberto; Lorenzo, Jaione; Alvarez, Noelia; De Maeztu, Miguel Ángel; INGENIERÍA DE SUPERFICIES; BiomaterialesPermanent endo-osseous implants require a fast, reliable and consistent osseointegration, i.e. intimate bonding between bone and implant, so biomechanical loads can be safely transferred. Among the parameters that affect this process, it is widely admitted that implant surface topography, surface energy and composition play an important role. Most surface treatments to improve osseointegration focus on micro-scale features, as few can effectively control the effects of the treatment at nanoscale. On the other hand, ion implantation allows controlling such nanofeatures. This study has investigated the nanotopography of titanium, as induced by different ion implantation surface treatments, its similarity with human bone tissue structure and its effect on human bone cell adhesion, as a first step in the process of osseointegration. The effect of ion implantation treatment parameters such as energy (40-80 keV), fluence (1-2 e17 ion/cm 2 ) and ion species (Kr, Ar, Ne and Xe) on the nanotopography of medical grade titanium has been measured and assessed by AFM and contact angle. Then, in vitro tests have been performed to assess the effect of these nanotopographies on osteoblast adhesion. The results have shown that the nanostructure of bone and the studied ion implanted surfaces, without surface chemistry modification, are in the same range and that such modifications, in certain conditions, do have a statistically significant effect on bone tissue forming cell adhesion.