国际口腔医学杂志
國際口腔醫學雜誌
국제구강의학잡지
JOURNAL OF INTERNATIONAL STOMATOLOGY
2014年
4期
427-430
,共4页
钛种植体%表面改性%纳米尺寸%骨结合
鈦種植體%錶麵改性%納米呎吋%骨結閤
태충식체%표면개성%납미척촌%골결합
titanium implant%surface modification%nanoscale%osseointegration
钛表面自身纳米化是指采用各种化学或物理方法增加钛表面的自由能,粗晶结构逐渐细化至纳米量级结构,基体与纳米结构层无明显的界面,材料外形尺寸基本保持不变。阳极氧化法和酸碱法为其常用技术。钛表面涂层或沉积纳米化是将制备好的纳米颗粒固结在钛表面,以形成一个与基体化学成分相同或不同的纳米结构表层,表层与基体之间存在界面且材料的外形尺寸有所增加。实现表层与基体之间以及表层纳米颗粒之间的牢固结合,是钛表面涂层或沉积纳米化的关键。钛表面自身纳米化以及表面涂层或沉积纳米化处理能明显增加钛种植体与骨组织的结合能力,促进骨整合,提高种植体成功率;而蛋白质吸附、细胞表面整联蛋白信号传递、单个细胞机械特性改变等,是钛表面纳米化处理影响骨结合的主要因素。随着生物材料学的不断发展,表面纳米化有望在促进种植体周围骨新生、增加初期稳定性和提高远期成功率等方面取得突破,更好地为口腔种植临床服务。
鈦錶麵自身納米化是指採用各種化學或物理方法增加鈦錶麵的自由能,粗晶結構逐漸細化至納米量級結構,基體與納米結構層無明顯的界麵,材料外形呎吋基本保持不變。暘極氧化法和痠堿法為其常用技術。鈦錶麵塗層或沉積納米化是將製備好的納米顆粒固結在鈦錶麵,以形成一箇與基體化學成分相同或不同的納米結構錶層,錶層與基體之間存在界麵且材料的外形呎吋有所增加。實現錶層與基體之間以及錶層納米顆粒之間的牢固結閤,是鈦錶麵塗層或沉積納米化的關鍵。鈦錶麵自身納米化以及錶麵塗層或沉積納米化處理能明顯增加鈦種植體與骨組織的結閤能力,促進骨整閤,提高種植體成功率;而蛋白質吸附、細胞錶麵整聯蛋白信號傳遞、單箇細胞機械特性改變等,是鈦錶麵納米化處理影響骨結閤的主要因素。隨著生物材料學的不斷髮展,錶麵納米化有望在促進種植體週圍骨新生、增加初期穩定性和提高遠期成功率等方麵取得突破,更好地為口腔種植臨床服務。
태표면자신납미화시지채용각충화학혹물리방법증가태표면적자유능,조정결구축점세화지납미량급결구,기체여납미결구층무명현적계면,재료외형척촌기본보지불변。양겁양화법화산감법위기상용기술。태표면도층혹침적납미화시장제비호적납미과립고결재태표면,이형성일개여기체화학성분상동혹불동적납미결구표층,표층여기체지간존재계면차재료적외형척촌유소증가。실현표층여기체지간이급표층납미과립지간적뢰고결합,시태표면도층혹침적납미화적관건。태표면자신납미화이급표면도층혹침적납미화처리능명현증가태충식체여골조직적결합능력,촉진골정합,제고충식체성공솔;이단백질흡부、세포표면정련단백신호전체、단개세포궤계특성개변등,시태표면납미화처리영향골결합적주요인소。수착생물재료학적불단발전,표면납미화유망재촉진충식체주위골신생、증가초기은정성화제고원기성공솔등방면취득돌파,경호지위구강충식림상복무。
Nanoscale?modificatioin?of?titanium?surface?refers?to?every?chemical?or?physical?method?which?can?increase?the?free?energy?of?titanium?surface?and?refine?the?coarse?structure?into?nanoscale?without?obvious?interface?between?the?nanoscale?srtuctures?and?titanium?substrate?or?alteration?of?overall?dimensions.?Anodic?oxidation?and?acid-base?treatment?are?the?most?commonly?used?methods.?Coating?or?deposition?nanoscale?modificatioin?of?titanium?is?solidifying?nanoscale?particles?on?titanium?surface,?forming?a?nanoscale?layer?with?a?chemical?composition?identical?with?substrate?or?not.?There?is?a?notable?interface?between?the?layer?and?titanium?substrate.?Additionally,?an?increase?of?overall?dimensions?can?be?detected.?The?key?to?realizing?coating?or?deposition?nanoscale?modificatioins?of?titanium?lies?in?the?firmly?combined?nanoscale?particales?and?the?solid?combination?of?the?layer?and?titanium?substrate.?Nowadays,?nanoscale?surface?modification?of?titanium?has?become?an?important?research?direction,?which?can?change?the?adhesion,?proliferation?and?differentiation?of?osteoblasts,?thereby?affecting?the?osseointegration.?Additionally,?protein?adsorption,?signaling?transmission?of?integrin?and?change?of?cell?mechanical?properties?have?been?considered?as?the?main?factors?of?osseointegration.?This?review?summarized?the?effect?and?mechanism?on?osseointegration?of?titanium?with?nanoscale?surface?modification.