Biocompatibility Analyses of HF-Passivated Magnesium Screws for Guided Bone Regeneration (GBR)

<b>Background:</b> Magnesium (Mg) is one of the most promising materials for human use in surgery due to material characteristics such as its elastic modulus as well as its resorbable and regenerative properties. In this study, HF-coated and uncoated novel bioresorbable magnesium fixatio...

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Autores principales: Ole Jung, Bernhard Hesse, Sanja Stojanovic, Christian Seim, Timm Weitkamp, Milijana Batinic, Oliver Goerke, Željka Perić Kačarević, Patrick Rider, Stevo Najman, Mike Barbeck
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spelling oai:doaj.org-article:2364fcc73cd44ba18d40530fc8ae319e2021-11-25T17:57:58ZBiocompatibility Analyses of HF-Passivated Magnesium Screws for Guided Bone Regeneration (GBR)10.3390/ijms2222125671422-00671661-6596https://doaj.org/article/2364fcc73cd44ba18d40530fc8ae319e2021-11-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/22/12567https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067<b>Background:</b> Magnesium (Mg) is one of the most promising materials for human use in surgery due to material characteristics such as its elastic modulus as well as its resorbable and regenerative properties. In this study, HF-coated and uncoated novel bioresorbable magnesium fixation screws for maxillofacial and dental surgical applications were investigated in vitro and in vivo to evaluate the biocompatibility of the HF coating. <b>Methods:</b> Mg alloy screws that had either undergone a surface treatment with hydrofluoric-acid (HF) or left untreated were investigated. In vitro investigation included XTT, BrdU and LDH in accordance with the DIN ISO 10993-5/-12. In vivo, the screws were implanted into the tibia of rabbits. After 3 and 6 weeks, degradation, local tissue reactions and bony integration were analyzed histopathologically and histomorphometrically. Additionally, SEM/EDX analysis and synchrotron phase-contrast microtomography (µCT) measurements were conducted. The in vitro analyses revealed that the Mg screws are cytocompatible, with improved results when the surface had been passivated with HF. In vivo, the HF-treated Mg screws implanted showed a reduction in gas formation, slower biodegradation and a better bony integration in comparison to the untreated Mg screws. Histopathologically, the HF-passivated screws induced a layer of macrophages as part of its biodegradation process, whereas the untreated screws caused a slight fibrous tissue reaction. SEM/EDX analysis showed that both screws formed a similar layer of calcium phosphates on their surfaces and were surrounded by bone. Furthermore, the µCT revealed the presence of a metallic core of the screws, a faster absorbing corrosion front and a slow absorbing region of corroded magnesium. <b>Conclusions:</b> Overall, the HF-passivated Mg fixation screws showed significantly better biocompatibility in vitro and in vivo compared to the untreated screws.Ole JungBernhard HesseSanja StojanovicChristian SeimTimm WeitkampMilijana BatinicOliver GoerkeŽeljka Perić KačarevićPatrick RiderStevo NajmanMike BarbeckMDPI AGarticleguided bone regeneration (GBR)barrier membranefixationscrewpinbiodegradationBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 12567, p 12567 (2021)
institution DOAJ
collection DOAJ
language EN
topic guided bone regeneration (GBR)
barrier membrane
fixation
screw
pin
biodegradation
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle guided bone regeneration (GBR)
barrier membrane
fixation
screw
pin
biodegradation
Biology (General)
QH301-705.5
Chemistry
QD1-999
Ole Jung
Bernhard Hesse
Sanja Stojanovic
Christian Seim
Timm Weitkamp
Milijana Batinic
Oliver Goerke
Željka Perić Kačarević
Patrick Rider
Stevo Najman
Mike Barbeck
Biocompatibility Analyses of HF-Passivated Magnesium Screws for Guided Bone Regeneration (GBR)
description <b>Background:</b> Magnesium (Mg) is one of the most promising materials for human use in surgery due to material characteristics such as its elastic modulus as well as its resorbable and regenerative properties. In this study, HF-coated and uncoated novel bioresorbable magnesium fixation screws for maxillofacial and dental surgical applications were investigated in vitro and in vivo to evaluate the biocompatibility of the HF coating. <b>Methods:</b> Mg alloy screws that had either undergone a surface treatment with hydrofluoric-acid (HF) or left untreated were investigated. In vitro investigation included XTT, BrdU and LDH in accordance with the DIN ISO 10993-5/-12. In vivo, the screws were implanted into the tibia of rabbits. After 3 and 6 weeks, degradation, local tissue reactions and bony integration were analyzed histopathologically and histomorphometrically. Additionally, SEM/EDX analysis and synchrotron phase-contrast microtomography (µCT) measurements were conducted. The in vitro analyses revealed that the Mg screws are cytocompatible, with improved results when the surface had been passivated with HF. In vivo, the HF-treated Mg screws implanted showed a reduction in gas formation, slower biodegradation and a better bony integration in comparison to the untreated Mg screws. Histopathologically, the HF-passivated screws induced a layer of macrophages as part of its biodegradation process, whereas the untreated screws caused a slight fibrous tissue reaction. SEM/EDX analysis showed that both screws formed a similar layer of calcium phosphates on their surfaces and were surrounded by bone. Furthermore, the µCT revealed the presence of a metallic core of the screws, a faster absorbing corrosion front and a slow absorbing region of corroded magnesium. <b>Conclusions:</b> Overall, the HF-passivated Mg fixation screws showed significantly better biocompatibility in vitro and in vivo compared to the untreated screws.
format article
author Ole Jung
Bernhard Hesse
Sanja Stojanovic
Christian Seim
Timm Weitkamp
Milijana Batinic
Oliver Goerke
Željka Perić Kačarević
Patrick Rider
Stevo Najman
Mike Barbeck
author_facet Ole Jung
Bernhard Hesse
Sanja Stojanovic
Christian Seim
Timm Weitkamp
Milijana Batinic
Oliver Goerke
Željka Perić Kačarević
Patrick Rider
Stevo Najman
Mike Barbeck
author_sort Ole Jung
title Biocompatibility Analyses of HF-Passivated Magnesium Screws for Guided Bone Regeneration (GBR)
title_short Biocompatibility Analyses of HF-Passivated Magnesium Screws for Guided Bone Regeneration (GBR)
title_full Biocompatibility Analyses of HF-Passivated Magnesium Screws for Guided Bone Regeneration (GBR)
title_fullStr Biocompatibility Analyses of HF-Passivated Magnesium Screws for Guided Bone Regeneration (GBR)
title_full_unstemmed Biocompatibility Analyses of HF-Passivated Magnesium Screws for Guided Bone Regeneration (GBR)
title_sort biocompatibility analyses of hf-passivated magnesium screws for guided bone regeneration (gbr)
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/2364fcc73cd44ba18d40530fc8ae319e
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