Influence of custom made titanium meshes surface on bone regeneration using calcium phosphates

In such a complex biological and mechanical procedure like GBR, all the variables involved assume a vital role in the final outcome. The use of custom-made titanium meshes with their biological and mechanical properties is, without a doubt, a major factor when applied in a bone augmentation techniqu...

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Autor: Pimentel Peito Cruz, Nuno
Formato: tesis doctoral
Estado:Versión publicada
Fecha de publicación:2022
País:España
Recursos:CBUC, CESCA
Repositorio:TDR. Tesis Doctorales en Red
OAI Identifier:oai:www.tdx.cat:10803/675642
Acesso em linha:http://hdl.handle.net/10803/675642
Access Level:acceso abierto
Palavra-chave:Titanium mesh
Surface properties
Bone regeneration
Roughness
Calcium-phosphates
Corrosión resistance
Bacterial adhesion
Implantología
616.3
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network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Influence of custom made titanium meshes surface on bone regeneration using calcium phosphates
title Influence of custom made titanium meshes surface on bone regeneration using calcium phosphates
spellingShingle Influence of custom made titanium meshes surface on bone regeneration using calcium phosphates
Pimentel Peito Cruz, Nuno
Titanium mesh
Surface properties
Bone regeneration
Roughness
Calcium-phosphates
Corrosión resistance
Bacterial adhesion
Implantología
616.3
title_short Influence of custom made titanium meshes surface on bone regeneration using calcium phosphates
title_full Influence of custom made titanium meshes surface on bone regeneration using calcium phosphates
title_fullStr Influence of custom made titanium meshes surface on bone regeneration using calcium phosphates
title_full_unstemmed Influence of custom made titanium meshes surface on bone regeneration using calcium phosphates
title_sort Influence of custom made titanium meshes surface on bone regeneration using calcium phosphates
dc.creator.none.fl_str_mv Pimentel Peito Cruz, Nuno
author Pimentel Peito Cruz, Nuno
author_facet Pimentel Peito Cruz, Nuno
author_role author
dc.contributor.none.fl_str_mv Gil Mur, Javier
Paulo Tondela, João
Universitat Internacional de Catalunya. Departament d'Odontologia
dc.subject.none.fl_str_mv Titanium mesh
Surface properties
Bone regeneration
Roughness
Calcium-phosphates
Corrosión resistance
Bacterial adhesion
Implantología
616.3
topic Titanium mesh
Surface properties
Bone regeneration
Roughness
Calcium-phosphates
Corrosión resistance
Bacterial adhesion
Implantología
616.3
description In such a complex biological and mechanical procedure like GBR, all the variables involved assume a vital role in the final outcome. The use of custom-made titanium meshes with their biological and mechanical properties is, without a doubt, a major factor when applied in a bone augmentation technique. Since surface characteristics may influence the outcome and success of bone regeneration using custom-made titanium meshes, our work focused in some particular aspects of their physical and chemical characteristics, like roughness, corrosion resistance, cellular and bactericidal behavior. Starting out by comparing and analyzing individualized meshes produced by different companies allowed not only to characterize the surface of titanium meshes produced by SLM, but also how could they benefit of a surface treatment with Piranha Solution. On the other hand, it is also of great importance to avoid or minimize bacterial colonization, usually responsible for graft infection and loss. This led us to further investigate how could we treat the surface of those custom-made meshes in order to increase fibroblast adhesion (for a biological sealing without drawbacks) and, at the same time, reduce bacteria colonization. In our first published work, particular interest was given to the roughness studies. The results from the scanning electron microscopy, energy-dispersive X-ray spectroscopy, X-ray diffraction and the contact profilometry measurements were analyzed and cross-checked. The BoneEasy’s mesh was the one that presented the lowest Ra value and was the mesh that got the closest to the reported optimal roughness degree that enhances the osteoblasts’ affinity to the surface, reported as 0.5 μm. The reported differences between the surfaces were due to the divergent post-production superficial treatments applied. Mesh4U endured an electropolishing treatment of high quality that was able to deliver flawless smooth surfaces, as it delivers the mesh with the lowest Ra value, 0.61 ± 0.14 µm. Contrastingly, the BTK produced mesh also withstood the same polishing process but its surface displayed countless non-polished pits, exposing the less perfect treatment application. In addition, evidences of stainless-steel contamination were found on this mesh surface. The Yxoss CBR® mesh suffered a sandblasting treatment that, apart from introducing alumina and silicon impurities onto the surface, was responsible for the very high roughness values that were reported (Ra of 6.59 ± 0.76 µm). In our following work, results showed that the passivation of titanium meshes with Piranha solution improved their hydrophilicity and conferred a notably higher bactericidal activity in comparison with the meshes passivated with HCl. This unique response can be attributed to differences in the obtained nanotextures of the TiO2 layer. However, Piranha solution treatment decreased electrochemical stability and increased ion release as a result of the porous coating formed on the treated surfaces, which can compromise their corrosion resistance. Finally, in our third published work, the results showed that the samples treated with alumina particles by sandblasting at 200 micrometres were the ones that performed best with fibroblasts, in order to achieve a good biological sealing, and also with the number of bacterial colonies in both strains. Microbiological studies have determined that the roughness generated by these particles presents a behavior very similar to the polished samples with minimal bacterial colonies on their surface. It has been shown that increased roughness leads to increased contact angles by studying wettability and thus makes the surfaces more hydrophobic. Furthermore, this treatment shows a low bacterial adhesion (Streptococcus sanguinis and Lactobacillus salivarius) comparable to polished surfaces.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/doctoralThesis
info:eu-repo/semantics/publishedVersion
format doctoralThesis
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10803/675642
url http://hdl.handle.net/10803/675642
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 161 p.
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universitat Internacional de Catalunya
publisher.none.fl_str_mv Universitat Internacional de Catalunya
dc.source.none.fl_str_mv TDX (Tesis Doctorals en Xarxa)
reponame:TDR. Tesis Doctorales en Red
instname:CBUC, CESCA
instname_str CBUC, CESCA
reponame_str TDR. Tesis Doctorales en Red
collection TDR. Tesis Doctorales en Red
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Influence of custom made titanium meshes surface on bone regeneration using calcium phosphatesPimentel Peito Cruz, NunoTitanium meshSurface propertiesBone regenerationRoughnessCalcium-phosphatesCorrosión resistanceBacterial adhesionImplantología616.3In such a complex biological and mechanical procedure like GBR, all the variables involved assume a vital role in the final outcome. The use of custom-made titanium meshes with their biological and mechanical properties is, without a doubt, a major factor when applied in a bone augmentation technique. Since surface characteristics may influence the outcome and success of bone regeneration using custom-made titanium meshes, our work focused in some particular aspects of their physical and chemical characteristics, like roughness, corrosion resistance, cellular and bactericidal behavior. Starting out by comparing and analyzing individualized meshes produced by different companies allowed not only to characterize the surface of titanium meshes produced by SLM, but also how could they benefit of a surface treatment with Piranha Solution. On the other hand, it is also of great importance to avoid or minimize bacterial colonization, usually responsible for graft infection and loss. This led us to further investigate how could we treat the surface of those custom-made meshes in order to increase fibroblast adhesion (for a biological sealing without drawbacks) and, at the same time, reduce bacteria colonization. In our first published work, particular interest was given to the roughness studies. The results from the scanning electron microscopy, energy-dispersive X-ray spectroscopy, X-ray diffraction and the contact profilometry measurements were analyzed and cross-checked. The BoneEasy’s mesh was the one that presented the lowest Ra value and was the mesh that got the closest to the reported optimal roughness degree that enhances the osteoblasts’ affinity to the surface, reported as 0.5 μm. The reported differences between the surfaces were due to the divergent post-production superficial treatments applied. Mesh4U endured an electropolishing treatment of high quality that was able to deliver flawless smooth surfaces, as it delivers the mesh with the lowest Ra value, 0.61 ± 0.14 µm. Contrastingly, the BTK produced mesh also withstood the same polishing process but its surface displayed countless non-polished pits, exposing the less perfect treatment application. In addition, evidences of stainless-steel contamination were found on this mesh surface. The Yxoss CBR® mesh suffered a sandblasting treatment that, apart from introducing alumina and silicon impurities onto the surface, was responsible for the very high roughness values that were reported (Ra of 6.59 ± 0.76 µm). In our following work, results showed that the passivation of titanium meshes with Piranha solution improved their hydrophilicity and conferred a notably higher bactericidal activity in comparison with the meshes passivated with HCl. This unique response can be attributed to differences in the obtained nanotextures of the TiO2 layer. However, Piranha solution treatment decreased electrochemical stability and increased ion release as a result of the porous coating formed on the treated surfaces, which can compromise their corrosion resistance. Finally, in our third published work, the results showed that the samples treated with alumina particles by sandblasting at 200 micrometres were the ones that performed best with fibroblasts, in order to achieve a good biological sealing, and also with the number of bacterial colonies in both strains. Microbiological studies have determined that the roughness generated by these particles presents a behavior very similar to the polished samples with minimal bacterial colonies on their surface. It has been shown that increased roughness leads to increased contact angles by studying wettability and thus makes the surfaces more hydrophobic. Furthermore, this treatment shows a low bacterial adhesion (Streptococcus sanguinis and Lactobacillus salivarius) comparable to polished surfaces.Universitat Internacional de CatalunyaGil Mur, JavierPaulo Tondela, JoãoUniversitat Internacional de Catalunya. Departament d'Odontologia202220222022info:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/publishedVersion161 p.application/pdfapplication/pdfhttp://hdl.handle.net/10803/675642TDX (Tesis Doctorals en Xarxa)reponame:TDR. Tesis Doctorales en Redinstname:CBUC, CESCAInglésADVERTIMENT. Tots els drets reservats. L'accés als continguts d'aquesta tesi doctoral i la seva utilització ha de respectar els drets de la persona autora. Pot ser utilitzada per a consulta o estudi personal, així com en activitats o materials d'investigació i docència en els termes establerts a l'art. 32 del Text Refós de la Llei de Propietat Intel·lectual (RDL 1/1996). Per altres utilitzacions es requereix l'autorització prèvia i expressa de la persona autora. En qualsevol cas, en la utilització dels seus continguts caldrà indicar de forma clara el nom i cognoms de la persona autora i el títol de la tesi doctoral. No s'autoritza la seva reproducció o altres formes d'explotació efectuades amb finalitats de lucre ni la seva comunicació pública des d'un lloc aliè al servei TDX. Tampoc s'autoritza la presentació del seu contingut en una finestra o marc aliè a TDX (framing). Aquesta reserva de drets afecta tant als continguts de la tesi com als seus resums i índexs.info:eu-repo/semantics/openAccessoai:www.tdx.cat:10803/6756422026-06-14T12:46:07Z
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