This study investigated the surface characteristics and biocompatibility of ultrafine-grain pure titanium (UFG Ti) after sandblasting and acid etching (SLA) treatment to determine an effective method for modification of UFG Ti dental implants. The UFG Ti was processed by equal-channel angular pressing (ECAP). The micromorphology, roughness, and wettability of its surface were studied after SLA modification in different conditions. Rat bone marrow mesenchymal stem cells were subsequently seeded onto the specimens to evaluate the biocompatibility of cell adhesion, proliferation, and differentiation compared with commercially pure titanium (CP Ti). The results showed that surface characteristics of UFG Ti were affected by the pressure of sandblasting and acid etching time in addition to material properties. The favorable hierarchical porous structure that would benefit cell adhesion was formed on the UFG Ti surface when the pressure of sandblasting was 0.6 MPa and the acid etching time was 5 min; at this time, UFG Ti promoted proliferation and differentiation to a greater extent than CP Ti because of its excellent wettability. From this study, it could be seen that UFG Ti can be used as a dental implant material after proper surface modification.

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The aim of this in vitro and in vivo study was to evaluate the fracture strength and osseointegration of an ultrafine-grained pure titanium (UFG-Ti) mini dental implant, prepared by equal channel angular pressing (ECAP) after macro-morphology optimization. UFG-Ti was prepared by ECAP using four passes in route Bc with the internal channel angle of 120°at room temperature. Furthermore, its microstructure and mechanical properties were studied. In optimization, a three-dimensional finite element model (FEM) composed of an UFG-Ti mini implant and alveolar bone was established to improve the implant surface area and decrease the stress distribution. Then, optimized mini implants were fabricated using UFG-Ti, and a fracture strength test was performed. For the in vivo study, UFG-Ti mini implants were inserted into rabbit femurs. A histological assessment and a pullout test were performed to evaluate its osseointegration ability. The results show that the ultimate tensile strength of UFG-Ti (685 ± 35 MPa) was significantly higher than that of commercial pure titanium (CP-Ti grade 4, 454 ± 27 MPa). After optimization, the surface area of the 2.5 mm diameter mini implant was 19% higher than that of the standard-thread mini implant, and the maximum equivalent stress (Max EQV stress) decreased by 28% in cortical bone and by 33.1% in cancellous bone, when the thread height was 0.3 mm and the pitch was 0.67 mm. The fracture strength of the UFG-Ti mini implants (328 ± 21 N) was significantly higher than that of CP-Ti grade 4 mini implants (197 ± 11 N). The in vivo study showed favorable osseointegration in both the UFG-Ti and CP-Ti groups, but the osseointegration strength of the optimized mini implants was higher than that of the standard-thread mini implants. In conclusion, the fracture and osseointegration strength had been significantly improved for UFG-Ti mini dental implant after optimization. The excellent mechanical properties and osseointegration of the UFG-Ti mini implant suggest its feasibility for clinical application.

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