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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Main Authors: Ole Jung, Bernhard Hesse, Sanja Stojanovic, Christian Seim, Timm Weitkamp, Milijana Batinic, Oliver Goerke, Željka Perić Kačarević, Patrick Rider, Stevo Najman, Mike Barbeck
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/22/22/12567
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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
collection DOAJ
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.
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spelling doaj.art-2364fcc73cd44ba18d40530fc8ae319e2023-11-22T23:44:25ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672021-11-0122221256710.3390/ijms222212567Biocompatibility Analyses of HF-Passivated Magnesium Screws for Guided Bone Regeneration (GBR)Ole Jung0Bernhard Hesse1Sanja Stojanovic2Christian Seim3Timm Weitkamp4Milijana Batinic5Oliver Goerke6Željka Perić Kačarević7Patrick Rider8Stevo Najman9Mike Barbeck10Clinic and Policlinic for Dermatology and Venereology, University Medical Center Rostock, 18057 Rostock, GermanyXploraytion GmbH, 10625 Berlin, GermanyDepartment of Biology and Human Genetics, Faculty of Medicine, University of Niš, 18108 Niš, SerbiaXploraytion GmbH, 10625 Berlin, GermanySynchrotron SOLEIL, Gif-sur-Yvette, 91190 Saint-Aubin, FranceDepartment of Ceramic Materials, Chair of Advanced Ceramic Materials, Institute for Materials Science and Technologies, Technical University of Berlin, 10623 Berlin, GermanyDepartment of Ceramic Materials, Chair of Advanced Ceramic Materials, Institute for Materials Science and Technologies, Technical University of Berlin, 10623 Berlin, GermanyDepartment of Anatomy Histology, Embryology, Pathology Anatomy and Pathology Histology, Faculty of Dental Medicine and Health, University of Osijek, 31000 Osijek, CroatiaBerlinAnalytix GmbH, 12109 Berlin, GermanyDepartment of Biology and Human Genetics, Faculty of Medicine, University of Niš, 18108 Niš, SerbiaBerlinAnalytix GmbH, 12109 Berlin, Germany<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.https://www.mdpi.com/1422-0067/22/22/12567guided bone regeneration (GBR)barrier membranefixationscrewpinbiodegradation
spellingShingle 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)
International Journal of Molecular Sciences
guided bone regeneration (GBR)
barrier membrane
fixation
screw
pin
biodegradation
title 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_short 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
topic guided bone regeneration (GBR)
barrier membrane
fixation
screw
pin
biodegradation
url https://www.mdpi.com/1422-0067/22/22/12567
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