Novel dental implant modifications with two-staged double benefits for preventing infection and promoting osseointegration in vivo and in vitro

Xiaoyu Huang, Yang Ge, Bina Yang, Qi Han, Wen Zhou, Jingou Liang, Mingyun Li, Xian Peng, Biao Ren, Bangcheng Yang, Michael D. Weir, Qiang Guo, Haohao Wang, Xinxuan Zhou, Xugang Lu, Thomas W. Oates, Hockin H.K. Xu, Dongmei Deng, Xuedong Zhou, Lei Cheng*

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Peri-implantitis are a major problem causing implant failure these days. Accordingly, anti-infection during the early stage and subsequent promotion of osseointegration are two main key factors to solve this issue. Micro-arc oxidation (MAO) treatment is a way to form an oxidation film on the surface of metallic materials. The method shows good osteogenic properties but weak antibacterial effect. Therefore, we developed combined strategies to combat severe peri-implantitis, which included the use of a novel compound, PD, comprising dendrimers poly(amidoamine) (PAMAM) loading dimethylaminododecyl methacrylate (DMADDM) as well as MAO treatment. Here, we explored the chemical properties of the novel compound PD, and proved that this compound was successfully synthesized, with the loading efficiency and encapsulation efficiency of 23.91% and 31.42%, respectively. We further report the two-stage double benefits capability of PD + MAO: (1) in the first stage, PD + MAO could decrease the adherence and development of biofilms by releasing DMADDM in the highly infected first stage after implant surgery both in vitro and in vivo; (2) in the second stage, PD + MAO indicated mighty anti-infection and osteoconductive characteristics in a rat model of peri-implantitis in vivo. This study first reports the two-staged, double benefits of PD + MAO, and demonstrates its potential in clinical applications for inhibiting peri-implantitis, especially in patients with severe infection risk.

Original languageEnglish
Pages (from-to)4568-4579
Number of pages12
JournalBioactive Materials
Volume6
Issue number12
Early online date15 May 2021
DOIs
Publication statusPublished - Dec 2021

Bibliographical note

Funding Information:
This research was supported by the National Key Research and Development Program of China ( 2016YFC1102700 , 2016YFC1102701 X.Z), National Natural Science Foundation of China ( 81870759 , 82071106 , L.C), Innovative Research Team Program of Sichuan Province (L.C).

Publisher Copyright:
© 2021 The Authors

Keywords

  • Animal model
  • Bioactive and therapeutic
  • Dimethylaminododecyl methacrylate
  • Osseointegration
  • Peri-implantitis

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