机构地区:[1]新疆医科大学第一附属医院(附属口腔医院)修复种植科,新疆维吾尔自治区口腔医学研究所,新疆维吾尔自治区乌鲁木齐市830000
出 处:《中国组织工程研究》2025年第10期2030-2037,共8页Chinese Journal of Tissue Engineering Research
摘 要:背景:钛及钛涂层材料在口腔种植领域广泛运用,但仍存在着种植体周围炎、种植体脱落及松动等现象,因此对纯钛的表面改性成为了口腔医学研究的热点问题。目的:探究钛表面羟基磷灰石-氧化石墨烯复合涂层的物理性能及促成骨性能。方法:在电压为10,30,50 V条件下,采用电化学沉积法在钛表面分别制备羟基磷灰石-氧化石墨烯复合涂层,表征涂层的微观形貌、亲水性能,筛选最佳电压条件下制备的复合涂层,用于动物实验。取54只SD大鼠,在双侧后肢股骨头制备直径2 mm、深度7 mm的缺损,随机分3组干预,每组18只:空白组不植入钛材料,纯钛组植入纯钛材料,涂层组植入负载羟基磷灰石-氧化石墨烯复合涂层钛材料,植入后第4,8,12周取材,通过X射线片、Micro-CT扫描、病理切片染色观察成骨效果。结果与结论:(1)扫描电镜下可见,当电压为10 V时,涂层中出现了大量的裂纹和块状物;当电压升至30 V时,涂层仍然存在一些小的块状物,但整体上表现出较为平坦的均匀性;当电压为50 V时,涂层的分布更加均匀,裂纹和斑点也减少。在50 V电压下制备的复合涂层亲水性能最佳。综合以上,动物实验选择在50 V电压下制备的复合涂层材料。(2)X射线片显示种植体植入位置相对固定,未产生严重的术后炎症反应。Micro-CT扫描结果显示,涂层组种植体表面新骨形成速度与成骨量均优于纯钛组(P <0.001)。病理切片苏木精-伊红染色、Masson染色进一步证实了Micro-CT扫描结果。病理切片免疫组化染色显示,纯钛组植入第12周的骨桥蛋白、骨形态发生蛋白2表达高于空白组(P <0.001),涂层组植入第12周的骨桥蛋白、骨形态发生蛋白2表达高于纯钛组(P <0.001)。(3)结果显示,羟基磷灰石-氧化石墨烯复合涂层材料具有良好的物理性能与促成骨性能。BACKGROUND:Titanium and titanium-coated materials are widely used in the field of oral implantology,but there are still phenomena such as peri-implantitis,implant loss and loosening.Therefore,the surface modification of pure titanium has become a hot topic in oral medicine research.OBJECTIVE:To investigate the physical and osteogenic properties of hydroxyapatite-graphene oxide composite coating on titanium surface.METHODS:Hydroxyapatite-graphene oxide composite coatings were prepared on the titanium surface by electrodeposition at voltages of 10,30,and 50 V.The micromorphology and hydrophilic properties of the coatings were characterized,and the composite coatings prepared under the optimal voltage conditions were screened for animal experiments.Fifty-four SD rats were selected to prepare defects of 2 mm in diameter and 7 mm in depth on the femoral head of both hind limbs,and were randomly divided into 3 groups with 18 rats in each group:no titanium material was implanted in the blank group;pure titanium material was implanted in the pure titanium group,and coated titanium material loaded with hydroxyapatite-graphene oxide composite coating was implanted in the coated group.The osteogenesis effect was observed by X-ray,Micro-CT scan,and pathological section staining at 4,8,and 12 weeks after implantation.RESULTS AND CONCLUSION:(1)Under scanning electron microscopy,when the voltage was 10 V,there were a lot of cracks and clumps in the coating.When the voltage rose to 30 V,there were still some small clumps in the coating,but the overall uniformity was relatively flat.When the voltage was 50 V,the coating was more evenly distributed and cracks and spots were reduced.The hydrophilicity of the composite coating prepared at 50 V voltage was the best.In summary,the composite coating material prepared at 50 V voltage was selected in animal experiments.(2)The X-ray film showed that the implant position was relatively fixed,and no serious postoperative inflammation occurred.The results of Micro-CT scan showed that the new
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