Titanium has been successfully used in dental implants due to its favorable biological response. However, implant failures caused by infection often occurred with a complex microbial exposure. Chlorhexidine (CHX) is effective against a wide variety of bacteria as well as fungi. The aim of the present study is to investigate the release behavior of CHX from CHX-containing polylactide (PLA)-coated titanium. Commercially, pure titanium was anodized with surfaces exposed to an anodic-forming voltage of 250 V for 3 min. The anodized titanium surfaces were then coated with a PLA/CHX solution. Topographic evaluation was performed using a SEM, and the antibacterial effect was evaluated. The concentrations of CHX were measured using a UV spectrophotometer. In the surface morphology analysis, the uncoated titanium surface showed a porous structure, but the surfaces coated with a polymer displayed nonporous structures and wrinkled surfaces. In addition, there were no differences in the surface roughness between the uncoated and coated surface. On the basis of the comparative analysis of both the UV absorbance of CHX and the surface characteristics, we concluded that the PLA coating can effectively control the release of CHX on anodized titanium surfaces.
This study used electro-spray deposition (ESD) methodology to obtain amoxicillin deposition in nanotube structures of TiO(2) and found the optimal deposition time of amoxicillin/PLGA solution simultaneously performing non-toxicity and a high bactericidal effect for preventing early implant failures.
Dental implant failure often occurs due to oral bacterial infection. The aim of this study was to demonstrate that antibiotic efficacy could be enhanced with modified titanium. First, the titanium was modified by anodization and heat-treatment. Then, a biomimetic coating process was completed in two steps. Surface characterization was performed with scanning electron microscopy, energy dispersive spectroscopy, and X-ray diffraction. Release of antibiotic was evaluated by UV/VIS spectrometry, and the antibacterial effect was evaluated on Streptococcus mutans. After the second coating step, we observed a thick homogeneous apatite layer that contained the antibiotic, cefalotin. The titanium formed a rutile phase after the heat treatment, and a carbonated apatite phase appeared after biomimetic coating. We found that the modified titanium increased the loading of cefalotin onto the hydroxyapatite coated surface. The results suggested that modified titanium coated with a cefalotin using biomimetic coating method might be useful for preventing local post-surgical implant infections.
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