Review: the potential impact of surface crystalline states of titanium for biomedical applications

In many biomedical applications, titanium forms an interface with tissues, which is crucial to ensure its long-term stability and safety. In order to exert control over this process, titanium implants have been treated with various methods that induce physicochemical changes at nano and microscales....

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Main Authors: Barthes, Julien (Author) , Gudima, Alexandru (Author) , Kzhyshkowska, Julia (Author)
Format: Article (Journal)
Language:English
Published: 2018
In: Critical reviews in biotechnology
Year: 2017, Volume: 38, Issue: 3, Pages: 423-437
ISSN:1549-7801
DOI:10.1080/07388551.2017.1363707
Online Access:Verlag, Volltext: http://dx.doi.org/10.1080/07388551.2017.1363707
Verlag, Volltext: https://doi.org/10.1080/07388551.2017.1363707
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Author Notes:Julien Barthes, Sait Ciftci, Florian Ponzio, Helena Knopf-Marques, Liza Pelyhe, Alexandru Gudima, Imre Kientzl, Eszter Bognár, Miklós Weszl, Julia Kzhyshkowska & Nihal Engin Vrana

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520 |a In many biomedical applications, titanium forms an interface with tissues, which is crucial to ensure its long-term stability and safety. In order to exert control over this process, titanium implants have been treated with various methods that induce physicochemical changes at nano and microscales. In the past 20 years, most of the studies have been conducted to see the effect of topographical and physicochemical changes of titanium surface after surface treatments on cells behavior and bacteria adhesion. In this review, we will first briefly present some of these surface treatments either chemical or physical and we explain the biological responses to titanium with a specific focus on adverse immune reactions. More recently, a new trend has emerged in titanium surface science with a focus on the crystalline phase of titanium dioxide and the associated biological responses. In these recent studies, rutile and anatase are the major two polymorphs used for biomedical applications. In the second part of this review, we consider this emerging topic of the control of the crystalline phase of titanium and discuss its potential biological impacts. More in-depth analysis of treatment-related surface crystalline changes can significantly improve the control over titanium/host tissue interface and can result in considerable decreases in implant-related complications, which is currently a big burden on the healthcare system. 
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