The aim of the article is to present recent developments in material
research with bisphenyl-polymer/carbon-fiber-reinforced composite that have
produced highly influential results toward improving upon current titanium bone
implant clinical osseointegration success. Titanium is now the standard
intra-oral tooth root/bone implant material with biocompatible interface
relationships that confer potential osseointegration. Titanium produces a
TiO2 oxide surface layer reactively that can provide chemical
bonding through various electron interactions as a possible explanation for
biocompatibility. Nevertheless, titanium alloy implants produce corrosion
particles and fail by mechanisms generally related to surface interaction on
bone to promote an inflammation with fibrous aseptic loosening or infection that
can require implant removal. Further, lowered oxygen concentrations from poor
vasculature at a foreign metal surface interface promote a build-up of
host-cell-related electrons as free radicals and proton acid that can encourage
infection and inflammation to greatly influence implant failure. To provide
improved osseointegration many different coating processes and alternate polymer
matrix composite (PMC) solutions have been considered that supply new designing
potential to possibly overcome problems with titanium bone implants. Now for
important consideration, PMCs have decisive biofunctional fabrication
possibilities while maintaining mechanical properties from addition of
high-strengthening varied fiber-reinforcement and complex fillers/additives to
include hydroxyapatite or antimicrobial incorporation through thermoset polymers
that cure at low temperatures. Topics/issues reviewed in this manuscript include
titanium corrosion, implant infection, coatings and the new epoxy/carbon-fiber
implant results discussing osseointegration with biocompatibility related to
nonpolar molecular attractions with secondary bonding, carbon fiber in
vivo properties, electrical semiconductors, stress transfer,
additives with low thermal PMC processing and new coating possibilities.