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Titanium-hydrogen peroxide interaction: model studies of the influence of the inflammatory response on titanium implants.

In vitro studies of titanium and TiO2 as well as other metals were carried out to investigate the role of these metals in the inflammatory response through the Fenton reaction. The TiOOH matrix formed traps the superoxide radical, so that no or very small amounts of free hydroxyl radicals are produced. Ellipsometry and spin trapping with spectrophotometry and electron spin resonance (ESR) were used to study the interaction between Ti and H2O2. Spectrophotometry results indicated that Ti, Zr, Au and Al are low free OH-radical producers. We propose a new model for the titanium-tissue interface where the oxidized titanium surface is covered with a hydrated TiOOH matrix after the inflammatory reaction. This matrix is suggested to possess good ion exchange properties, and extracellular components may interact with the Ti(IV)-H2O2 compound before matrix formation. The TiOOH matrix is formed when the H2O2 coordinated to the Ti(IV)-H2O2 complex is decomposed to water and oxygen. Superoxide (O2-) may be bound therein. The oxide layer initially present may be partly reformed to a TiOOH matrix due to the interaction with hydrogen peroxide.

Biocompatible Materials↗

Effect of toothbrushing on titanium surface: an approach to understanding surface properties of brushed titanium.

OBJECTIVES: This in vitro study aimed to characterize the surface morphology and composition of tooth-brushed titanium casting and thereby to elucidate interactions between the metal and abrasive material in dentifrice. METHODS: Specimens were cast from CP Ti ingots and then mirror-finished. Two fluoride-free toothpastes containing crystalline CaHPO4.2H2O and amorphous SiO2 particles as abrasive were slurried with distilled water (15 g/30 mL). While toothbrushes were reciprocated at 120 strokes/min for 350,400 strokes, the specimens were brushed with the respective slurries under a load of 2.45 N. The brushed and non-brushed surfaces were characterized by means of SPM, EPMA, and XPS. SPM data were analyzed using one-way ANOVA, followed by post hoc Tukey test (p<0.01). RESULTS: Irrespective of toothpastes, toothbrushing had a significant influence on surface roughness. The CaHPO4.2H2O-containing paste produced much rougher surface than the SiO2-containing paste. Both the surfaces were chemically altered due to reactions with the respective abrasive materials. Abrading chips had dimensions of micron to submicron order. A number of chips were attached to abrasive particles. SIGNIFICANCE: The alterations of surface morphology and composition may affect biological responses of titanium in the oral environment. Dentifrice with lower abrasivity might be advisable for daily oral hygiene practice of patients with dental titanium devices.

Calcium Phosphates↗

Adhesion of porcelain to titanium and a titanium alloy.

OBJECTIVES: The objectives of the study were to determine the adhesion at the titanium-porcelain interface using a fracture mechanics approach, and to investigate the bonding mechanism using SEM and X-ray microanalysis. METHODS: Specimens of four titanium-porcelain bonding systems were prepared in a rectangular shape for a four-point bending test on a universal testing machine. The pre-cracked specimen was subjected to a limited number of load and partial unload cycles, and the strain energy release rate or interfacial toughness (G(c) value) was calculated for each system. The interface was investigated in an SEM, which also enabled quantitative X-ray microanalysis, and comparison with a simulation of an atomically sharp interface to ascertain whether diffusion bonding occurred. RESULTS: The Titanium/Titankeramik with GoldBonder bonding system showed the highest G(c) value (48.9+/-12.4 J/m(2)) among the groups whilst Titanium/Duceratin showed the lowest (12.9+/-3.6 J/m(2)). The former was significantly higher than that of nickel-chromium/porcelain (40.3+/-4.8 J/m(2)) from the previous study [Int J Prosthod 12 (1999) 547], which is a clinically accepted bonding system. The G(c) values of Titanium/Titankeramik and Titanium alloy/Titankeramik were 16.7+/-2.4 and 27.8+/-5.3 J/m(2), respectively. The X-ray microanalysis suggested that diffusion of some elements has occurred at the interface. CONCLUSIONS: The strain energy release rate (G(c)-value) of titanium/Titankeramik with GoldBonder was highest among the four systems. X-ray microanalysis gave some evidence of diffusion of some elements, particularly of the porcelain into the metal, which may assist the bonding during the firing.

Ceramics↗

Rat bone marrow cell response to titanium and titanium alloy with different surface roughness.

In general, cell response is affected by both chemical composition and surface roughness of implant materials. The aim of this study was to evaluate the effect of titanium (Ti) chemical composition and surface roughness on the response of rat bone marrow cells, examining cell attachment, cell proliferation, total protein content, alkaline phosphatase (ALP) activity, and bone-like nodule formation. Cells were cultured on both commercially pure titanium (cpTi) and titanium-6-aluminum-4-vanadium alloy (Ti-A) discs with four different average roughnesses (Ra). For attachment evaluation, cells were cultured for 2 h. After 14 days, cell proliferation, total protein content, and ALP activity were evaluated. Bone-like nodule formation was evaluated after 21 days. Data were compared by anova and Duncan's multiple range test when appropriate. Cell attachment and total protein content were affected by neither Ti chemical composition (P = 0.201, and P = 0.639, respectively) or surface roughness (P = 0.972, and P = 0.660, respectively). Proliferation, ALP activity, and bone-like nodule formation were affected only by Ti chemical composition (P = 0.0001, P = 0.064, and P = 0.0001, respectively). These results suggest that cpTi would optimize osteoblastic differentiation by rat bone marrow cells, including reduced cell proliferation, and increased ALP activity and bone-like nodule formation, while surface roughness, within the Ra parameters used, would not affect significantly the rat bone marrow cell response.

Alkaline Phosphatase↗

Titanium: a promising new material for food contact. A study of titanium resistance to some aggressive food simulants.

It is well known that titanium is one of the most rugged metals; therefore it has been extensively used in many critical fields. However, the lowering of price and an increased availability of titanium has made this material suitable to be used in other industrial fields, such as the food industry. The present paper reports the results of an assessment that concludes that titanium could be regarded as a candidate food-grade material.

Food Contamination↗

Abrasion resistance of titanium nitride coatings formed on titanium by ion-beam-assisted deposition.

To improve the physical properties of the pure titanium surface, thin titanium nitride (TiN) films were deposited by means of ion-beam-assisted deposition. Film structure was confirmed as TiN by X-ray diffraction analysis. Surface hardness and abrasion resistance were significantly improved on TiN-coated specimens. Five combinations of oral hygiene instruments and materials were applied to the specimens as simulations of the oral environment. Treatment with the metal scaler and ultrasonic scaler severely changed the surface features and significantly increased the surface roughness parameters on pure titanium controls, whereas only small scratches and dull undulations were seen on the TiN-coated specimens. Profilometric tracings and scanning electron micrographs demonstrated the improved abrasion resistance of the TiN-coated specimens.

Coated Materials, Biocompatible↗

Dental implant materials: commercially pure titanium and titanium alloys.

Manufacturers use six different titanium-based biomaterials to fabricate dental implants. Each of these materials, including four grades of commercially pure titanium and two titanium alloys, has distinct mechanical and physical properties. Clinicians should recognize these differences for optimal treatment planning and patient care.

Chromium Alloys↗

Bone healing around titanium and titanium nitride-coated dental implants with three surfaces: an experimental study in rats.

BACKGROUND: Titanium nitride (TiN) has been used in many fields as a coating of surgical instruments, with the purpose of creating materials more resistant to wear and corrosion and also reducing adhesion. PURPOSE: The aim of this study was to evaluate the biocompatibility of TiN-coated dental implants. MATERIALS AND METHODS: Forty-five rats were used in this study. One hundred eighty 2 mm x 2 mm implants (P.H.I. San Vittore Olona, Milano, Italy) were used. The implants were divided into the following three groups: Group 1 (n = 60): 30 machined and 30 machined coated with Group 2 (n = 60): 30 sandblasted and 30 sandblasted coated with Group 3 (n = 60): 30 titanium plasma sprayed, 30 titanium plasma sprayed and coated with TiN Four implants were placed in each rat, two implants coated with TiN on the right tibia and two uncoated implants on the left. The animals were killed after 5, 10, 20, 30, or 60 days. Another 18 implants were used for surface roughness analysis. RESULTS: The present study showed that the healing around the TiN-coated implants was similar to that observed around the uncoated surfaces. CONCLUSIONS: TiN coating demonstrated a good biocompatibility, did not have untoward effects on the periimplant bone formation, and did not change the surface roughness values.

Animals↗

Is titanium so bad? Medium-term outcome of cemented titanium stems.

Early failures have seen titanium fall from favour as a material for cemented femoral stems. Between 1989 and 1994, we performed a prospective review of a consecutive series of 122 cemented total hip replacements using the Ultima straight textured titanium stem, and report the five- to ten-year clinical and radiological outcomes. There were no revisions for loosening of the femoral stem. Revision surgery was undertaken for other reasons such as dislocation, infection and loosening of the cup in 7.3%. Of those patients without revision all but two were satisfied with their hip, with 74% graded good or excellent using a modified Harris hip score. Radiological assessment revealed probable loosening in two. Although slight vertical subsidence was found in one-third of patients it had not progressed to loosening. It is not clear whether this represents debonding. Non-progressive radiolucent lines (1 to 2 mm) were present in zone 1 at the cement-prosthesis interface in 14.7%. Calcar resorption and hypertrophy around the distal stem were not often seen. With 97% survival at a mean of 7.5 years, the medium-term results of this specific cemented titanium stem are reassuring so far, but we are concerned about debonding and future failure.

Adult↗

[Blood titanium levels before and after oral administration titanium dioxide].

The normal titanium levels in the blood of males between 24 and 66 years of age were found to be 11.2 micrograms/l (rsd 4.1). After oral administration of titanium dioxide containing capsules or as powder (anatas) it could be observed that the material can be absorbed from the gastro-intestinal tract. If two titanium dioxide qualities, having different mean particle sizes (0.16 micron and 0.38 micron), are administered orally, the latter shows less absorption, most likely due to agglomeration phenomena. The blood concentration/time correlation shows the type of curves which are characteristic for a persorption mechanism of absorption and reveal a high individual fluctuation. An increase of the administered dose by twice the amount shows only a tendentious response in the corresponding blood levels. The method of analysis was ICP-AES. A pretreatment of the samples in order to eliminate the organic matrix is necessary.

Administration, Oral↗

[Titanium oxide layer on biomedical titanium alloy deposited by ion beam enhanced deposition].

Ion beam enhanced deposition (IBED) has been applied to prepare titanium oxide layer on titanium alloy (Ti6A14V) in order to improve its biocompatibility. The layer on titanium alloy is even, and the elements Al and V in substrate are not detected. The layer is composed of TiO containing nitrogen oriented along (111) plane. The critical load of the layer in scratch test is 16.8 N. Morphological observation reveals the layer ends in a failure caused by plastic deformation.

Alloys↗

The wear of titanium, titanium alloy, and UHMW polyethylene caused by LTI carbon and Stellite 21.

The comparative wear resistance of a commercially pure titanium (A-70), a titanium alloy (Beta III), and a UHMW polyethylene (Lennite) has been evaluated by employing a test procedure described previously. Either an LTI carbon or a Stellite 21 was the disk material. All material combinations exhibited a low volume wear rate ranging from about 1.2 x 10(-6) to 1.6 x 10(-6) mm3/km. The wear behavior of pure titanium seems to be related not only to its mechanical properties but also to its chemical reactivity with the test environment. A comparison of the current results with earlier data for LTI carbons suggests that LTI carbons may be used as a component material for many artificial joints.

Alloys↗

Response of bone marrow to titanium implants: osseointegration and the establishment of a bone marrow-titanium interface in mice.

A method has been developed to examine the relationships between titanium implants in bone and the immune and hemopoietic cell populations in the adjacent bone marrow; it involves the use of miniaturized implants in the diaphysis of mouse femurs. After surgical placement of the implants, mice were sacrificed and the femurs were either embedded directly in Epon for preparation of ground sections or were decalcified in EDTA, embedded in Epon, subjected to a fracture technique to remove the implant, and sectioned for light and electron microscopy. Scanning electron microscopy revealed that the surfaces of implants removed in this way were virtually free of tissue remnants. Ground sections showed bone in direct contact with the implant surface, providing the first evidence of osseointegration in mice. In addition, an extensive surface of the implant interfaced directly with regenerated bone marrow, a condition that persisted for at least 18 weeks. Some bone marrow cells forming an incomplete layer in contact with the titanium interface had morphologic characteristics of macrophages and giant multinucleated cells. The results demonstrated a long-term integration between titanium implants and cellular elements of bone marrow and provide an experimental model to examine the possible implications of this interaction on the processes of lymphopoiesis and hemopoiesis.

Animals↗

Novel titanium compounds for metal-organic chemical vapor deposition of titanium dioxide films with an ultrahigh deposition rate.

A new titanium diolate compound Ti(mpd)(mdop)(2) (1) containing a beta-ketoester and a dimeric derivative [Ti(mpd)(mdop)(mu-OMe)](2) [2; mpd = 2-methyl-2,4-pentanediolate, mdop = (CH(3))(3)CC(O)C(-)HCOOCH(3)] have been synthesized and characterized by FT-IR, (1)H NMR, (13)C NMR, mass spectroscopy, and elemental analysis. Complex 2 was further characterized by X-ray structural analysis. Both 1 and 2 are fairly stable in air and in solvents such as tetrahydrofuran and toluene. They are also thermally stable and do not leave any residue during flash evaporation at around 280 degrees C. The new titanium complexes were used as precursors for the deposition of TiO(2) thin films by liquid-source metal-organic chemical vapor deposition. Compared with commercial Ti precursors, such as Ti(mpd)(tmhd)(2) (tmhd = 2,2,6,6-tetramethylheptanedionate) and Ti(OPr(i)())(2)(tmhd)(2), the new titanium complexes demonstrated a much higher deposition rate of TiO(2) film growth (3-6 times) at 400-475 degrees C. The deposited TiO(2) film from complex 2 was found to be in a crystalline anatase phase with a smooth surface morphology and low carbon content. Crystal data for 2: 233(2) K, a = 12.570(4) A, b = 13.817(4) A, c = 11.157(3) A, beta = 101.059(5) degrees, monoclinic, space group P2(1)/c, Z = 2.

Journal Article↗

Dependence of the Reactivities of Titanium Enolates on How They Are Generated: Diastereoselective Coupling of Phenylacetic Acid Esters Using Titanium Tetrachloride.

Oxidative coupling of phenylacetic acid esters was easily achieved by treating the esters with TiCl(4) and then adding Et(3)N to the resulting solution. The products consisted of dl- and meso-2,3-diphenylsuccinic acid esters with the Claisen condensation product, and the ratio of these products depended on the reaction conditions. Reaction conditions suitable for high dl selectivity were determined, and a dimer of titanium enolate was postulated as an intermediate responsible for the high dl selectivity. The selectivities were compared with those in known oxidative couplings in which titanium enolate intermediates are prepared through lithium enolates and silyl enol ethers. The results suggest that the reactivities of titanium enolates intermediates depend on how they are generated.

Journal Article↗

In vitro cellular response to titanium electrochemically coated with hydroxyapatite compared to titanium with three different levels of surface roughness.

The in vitro response of primary human osteoblast-like (HOB) cells to a novel hydroxyapatite (HA) coated titanium substrate, produced by a low temperature electrochemical method, was compared to three different titanium surfaces: as-machined, Al(2)O(3)-blasted, plasma-sprayed with titanium particles. HOB cells were cultured on different surfaces for 3, 7 and 14 days at 37 degrees C. The cell morphology was assessed using scanning electron microscopy (SEM). Cell growth and proliferation were assessed by the measurement of total cellular DNA and tritiated thymidine incorporation. Measurement of alkaline phosphatase (ALP) production was used as an indicator of the phenotype of the cultured HOB cells. After three days incubation, the electrochemically coated HA surface produced the highest level of cell proliferation, and the Al(2)O(3)-blasted surface the lowest. Interestingly, as the incubation time was increased to 7 days all surfaces produced a large drop in tritiated thymidine incorporation apart from the Al(2)O(3)-blasted surface, which showed a small increase. Cells cultured on all four surfaces showed an increased expression of ALP with increased incubation time, although there was not a statistically significant difference between surfaces at each time point. Typical osteoblast morphology was observed for cells cultured on all samples. The HA coated sample showed evidence of a deposited phase after three days of incubation, which was not observed on any other surface. Cells incubated on the HA coated substrate appeared to exhibit the highest number of cell processes attaching to the surface, which was indicative of optimal cell attachment. The crystalline HA coating, produced by a low temperature route, appeared to result in a more bioactive surface on the c.p. Ti substrate than was observed for the other three different Ti surfaces.

Journal Article↗

Properties of TiO(x) films prepared by electron-beam evaporation of titanium and titanium suboxides.

The titanium suboxides TiO, Ti2O, and Ti3O5 are widely used to produce films of titanium dioxide by reactive evaporation. If they are evaporated in high vacuum, however, they yield absorbing TiO(x) films with a transmission color varying between blue and gray. We investigated the specific properties of these TiO(x) film. TiO, Ti2O3, Ti3O5, and titanium metal were evaporated in high vacuum upon glass substrates at 25 degrees and 250 degrees C. Differences in chemical composition, transmission and reflection, color, stress, and abrasion resistance of these fims, depending on the starting material and the substrate temperature, were evaluated.

Journal Article↗

Preparation of graded porous titanium coatings on titanium implant materials by plasma spraying.

Graded porous titanium coatings have been deposited on titanium substrates for dental implants by plasma spraying in an argon atmosphere. X-ray diffraction (XRD), scanning electron microscopy (SEM), surface roughness measurement, and tensile strength tests were performed on graded porous coatings. The results showed that Ti(3)O(5) was formed in the outermost surface of the porous coatings due to oxidation. The graded porous coatings consisted of three layers. The outer layer was full of macropores with a surface roughness of approximately 100 microm. The diameter of many macropores reached and even surpassed 150 microm, which could be beneficial for tissue to grow into the coating. The middle layer consisted of a mixture of micropores and macropores. The inner layer was a very dense and tight interface layer that included mechanical, physical, and metallurgical bonding. In tensile strength tests, testing bars peeled off the coatings, because the adhesive agent fractured, but the coatings remained intact.

Biocompatible Materials↗