Coating implants with ‘artificial bone’ to prevent inflammation

Bone disease is becoming increasingly prevalence in modern society due to population aging among other factors, and the use of dental and orthopedic implants to treat bone disease has been on the rise. The history of implants can be traced back all the way to A.D. 1 when wrought iron dental implants were used in Ancient Rome. Despite the long history, however, there are still a number of issues associated with implant procedures such as a loose implant resulting from slow integration into the bone tissue or an inflammation necessitating a secondary surgical procedure.

To mitigate these issues, there has been an attempt to coat the implant material with “artificial bone” that has the same composition as the actual human bone. Conventional coating methods, however, require a synthesis process to manufacture the artificial bone material and a separate coating process, which takes a long time. Plus, the binding between the substrate and the artificial bone coating layer tends to be weak, resulting in damage or even drop-off, and strong coating methods that could be applied to actual patients in a clinical setting were rare.

Under these circumstances, Dr. Hojeong Jeon’s research team at the Korea Institute of Science and Technology (KIST) Center for Biomaterials announced that they have developed a ceramic artificial bone coating with triple the adhesion strength compared to conventional coating materials.

The research team developed a technology to induce artificial bone coating, which had taken at least a day and required dozens of steps, in just one hour using a single process. By using the technique, there is no need to synthesize the raw material for artificial bone coating in a separate process, and it is possible to create the coating with a nanosecond laser without any expensive equipment or heat treatment process.

Not only that, it is possible to form a coating layer with a stronger binding power than the few artificial bone coating techniques applied clinically today. Also, in case of using this process, it results in robust coating not only on metal surfaces but even on the surfaces of polymer materials such as orthopedic plastic implants, which has not been possible with conventional processes.

In order to reduce the number of steps involved in the process as well as the duration and at the same time ensure robust coating, Dr. Jeon’s team positioned the material to be coated in a solution containing calcium and phosphorous, the main components of the bone, and irradiated it with laser. The temperature was raised in a localized manner at the target site of the laser, causing a reaction involving the calcium and phosphorous to produce ceramic artificial bone (hydroxyapatite) and the formation of a coating layer.

Unlike the conventional coating methods, the synthesis of the artificial bone component is induced by laser and, at the same time, the surface of the substrate is heated above the melting point for the artificial bone material to get adsorbed on the melted surface and get hardened as is, which maximizes the binding strength.

Dr. Jeon said, “The hydroxyapatite coating method using nanosecond laser is a simple way to induce bioactivity in non-bio-active materials such as titanium and PEEK that are commonly used as biomaterials. I anticipate that it will become a game changer in that it will have wide applications to diverse medical devices where osseointegration is needed.

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This study was carried out with a grant from the Ministry of Science and ICT (MSIT), as part of the Institutional R&D Program of KIST and the Mid-Career Researcher Program of the National Research Foundation of Korea. The findings were reported in the latest edition of the international journal, Advanced Functional Materials (IF: 16.836, Top 3.981% in the field of JCR).