4.7 Review

Multifunctional Coatings of Titanium Implants Toward Promoting Osseointegration and Preventing Infection: Recent Developments

Journal

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fbioe.2021.783816

Keywords

orthopedic titanium implants; titanium implants; osseointegration; anti-infection; functional coatings

Funding

  1. National Natural Science Foundation of China [31670967, 32000932]
  2. Key Research and Development Projects in Anhui Province [202104j07020039]
  3. Scientific Research Foundation of the Institute for Translational Medicine of Anhui Province [2017zhyx19]
  4. research improvement program in Stomatologic Hospital and College of Anhui Medical University [2020kqkyT01]

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Titanium and its alloys are widely used in orthopedic and dental implants due to their stable chemical properties and good biocompatibility. However, issues such as aseptic loosening and peri-implant infection still exist. Recent advancements in surface modification have provided strategies to enhance the bio-function and anti-infection properties of titanium implants, aiming to improve the interaction between these devices and the local biological environment.
Titanium and its alloys are dominant material for orthopedic/dental implants due to their stable chemical properties and good biocompatibility. However, aseptic loosening and peri-implant infection remain problems that may lead to implant removal eventually. The ideal orthopedic implant should possess both osteogenic and antibacterial properties and do proper assistance to in situ inflammatory cells for anti-microbe and tissue repair. Recent advances in surface modification have provided various strategies to procure the harmonious relationship between implant and its microenvironment. In this review, we provide an overview of the latest strategies to endow titanium implants with bio-function and anti-infection properties. We state the methods they use to preparing these efficient surfaces and offer further insight into the interaction between these devices and the local biological environment. Finally, we discuss the unmet needs and current challenges in the development of ideal materials for bone implantation.

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