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Chap.2. –

2.9. Metals

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Fabrication of metallic implants

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Note: purity of metals

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2.9. Metals



Raw metal products to stock metal shapes

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- Bulk raw metal products were processed into “stock” bulk shapes such as bars, wire, sheet, rods,
plates, tubes, or powder and supplied to implant manufacturers

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- Processes used: remelting and continuous casting, hot rolling, forging, cold drawing through dies
- May include heat-treating step (e.g annealing) to facilitate further working or shaping of the stock and
to relieve the effect of prior plastic deformation
- Or produce a specific microstructure and properties in the stock materials (Note: increase of the cost
for vacuum or inert condition due to high reactivity of metals at high temperature)
- The stock metal shapes often are chemically and metallurgically tested to ensure that the chemical
composition and microstructure of metals meet the standards for surgical implants (ASTM standards)

Stock metal shapes to preliminary and final metal devices
- Implant manufacturers fabricate preliminary and final form of the devices from stock materials
- Specific steps depend on many factors, including final geometry of implant, the forming and machining
properties of the metals, and the cost of alternative fabrication methods
- Fabrication methods:
. Casting, CAD/CAM, forging, powder metallurgical processes (hot isostatic pressing
. Surface treatment: macro- or microporous coating on implants, or deliberate production of certain
degree of surface roughness (this surface modification is very popular in recent years to improve fixation
of implants in bone). Methods for surface treatments: plasma or flame spraying a metal onto implants;
ion implantation, nitriding (commonly increase the surface hardness or wear properties)
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Chap.2. –

2.9. Metals

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SEM image of a titanium plasma
spray coating on an oral implant

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- Finishing steps (vary with metals and manufacturer): chemical cleaning and passivation in
appropriate acid, or electrolytically controlled treatment to remove machining chips or impurities on
the implant surfaces

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This step can be extremely important to the overall biological performance of the implants

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2.9. Metals

Micro structures and properties of implant metals
Properties depend on:

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(1) Chemical and crystallographic indentities of the phases present in the microstructures

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(2) The relative amounts, distribution, and orientation of these phases
(3) The effects of the phases on properties

Stainless steels

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2.9. Metals

• Most common in practice: 316L (ASTM F138, F139), grade 2
- L: low carbon content; this steel has less than 0.030%w carbon in order to reduce the possible in vivo
corrosion (if C content >0.03%w, it will increases the danger of formation of carbide, such as Cr23C6
(carbide precipitations deplete the adjacent grain boundary regions of Cr, which in turn has the effect of
diminishing formation of the protective Cr2O3
- 60-65% Fe with significant alloying addition of
- 17-20% Cr (permit to development of corrosion resistance by forming a strongly adherent surface
oxide Cr2O3 )
- Ni (12-14% ): to stabilize austenitic phase (FCC)

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- Small amount of nitrogen, manganese, molybdenum and silicon (feritte stabilizers), phosphorus and
sulfur
- In microstructure: should be no free ferritic (BCC) or carbide phases, should also be free of inlussions
or impurity phases such as sulfide stringers
- Grain size: very important, recommended ASTM#6 or finer:
ASTM grain size number n:

actual area)

N = 2 n-1 (N: number of grains/in2 at magnification X100 (0.0645mm2

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Hallo-Petch-type relationship between mechanical yield stress and grain diameter:

ty = ti + kd-m

; ty & ti: yield & friction stress, k: constant, d: grain diameter, m: 0.5

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- Bone screws

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2.9. Metals

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Mechanical properties

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Cobalt-based alloys


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2.9. Metals

•ASTM F75:

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- Corrosion resistance in chloride environments (related to its bulk composition and surface oxide
(Cr2O3)

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- melt at 1350-1450oC, casting, Co- rich matrix (alpha phase) plus interdendritic and grain boundary
carbide (M23C6 - M:Co, Cr or Mo). Relative between alpha &carbide phases: 85% and 15%; problem of
fatigue due to high processing temperature

- Grain size: about 8 àm
- Applications: hip stem
ãASTM F799:
- modified F75 mechanical processed by hot forging at about 800oc after casting
•ASTM F90: Co-Cr-W-Ni (difference: tungsten &
Ni for improvement of machinability and
fabrication)
• ASTM F562 (MP35N) : strongest available for
implant applications

Microstructure of Co-Cr-Mo ASTM F75 alloys made
via hot isostatic pressing (HIP)
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2.9. Metals

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Titanium-based alloys

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F67 & F136 are two most common Ti-based implant biomaterials
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2.9. Metals

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* ASTM F67 (commercial pure –CP- titanium): many current dental implants

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2.10. Surface modification of Biomaterials

•Surface can be modified by using biological, mechanical, or physicochemical methods
•Two categories of surface modifications:
(1) Chemically or physically altering the atoms, compounds, or molecules in the
existing surface (chemical modification, etching, mechanically roughening
(2) Overcoating the existing surface with a material having a different composition
(coating, grafing, thin film deposition)
•Thin surface modifications are desirable, as thin as possible, ideally 3-10 Angstrom, but
in practice a little bit thicker (Note: problems of thick films)

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•The surface-modified layer should be resistant to delamination and cracking (by
covalently bonding the modified region to substrate, intermixing the components of
substrate and surface film at interfacial zone, apply a compatibilizing – “primer” layer at
the interface, or incorporating appropriate functional groups for strong intermolecular
adhesion between a substrate and an overlayer)
•Surface rearrangement can readily occur (immigration or diffusion of chemistries from
surface to bulk or from bulk to surface)


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•Need methods for surface analysis (chemistry of the surface and surface energy)

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•Need to minimize the steps of modification process to catch commercializability and to
design each step to be relatively intensive to small changes in reaction condition
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Chap.2. – 2.10. Surface modification of Biomaterials

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Surface modification possibility


Methods to modify surface

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What is PLASMA?

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Typical conditions within low-pressure
cold plasma:

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Electron energy: 1-10 eV
Gas temperature: 25-60oC
Electron density: 10-9 to 10-12/cm3

ionized

neutral

plasma
(High energy + Light)

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Plasma treatment, what happen?

Etching
• Clean

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• Roughness

Plasma treatment, what happen?

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Activation the surface


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* Forming new functional groups

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PLASMA

OH

O

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COOH


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O2
NH

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PLASMA

NH2

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NO2

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N2

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How can monomers graft onto the surface?
Activate the surface, forming radicals

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Monomer react and graft on surface

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Grafting monomer on the substrate surface: Ar plasma activates the surface forming
radicals in the molecule backbone and monomer react and graft on the surface

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METHODS FOR MODIFYING SURFACE OF MATERIALS

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Chemical reaction

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-Nonspecific reactions leave a distribution of different functional groups at the surface (chromic acid
oxidation of PE surface, corona discharge modification of material in air, RFGD treatment of surface…)
- Specific surface chemical reactions change only one functional groups into an other with a high yield
and few side reactions

Radiation grafting and photografting
-Starting in the late 1960s, focused on attaching chemically reactable groups (-OH, -COOH, -NH2…) to
the surface of relative inert hydrophobic polymers
-Strong depend on source energy, radiation dose rate and the amount of dose absorbed
-Graft layer thickness: > 1µm, well bond to surface
-Photoinitiated grafting (usually with visible or UV light): subcategory of surface modification with
growing interest: phenyl azide to nitrene (by UV), nitrene can react quickly with many organic groups,
immobilization of polymer containing phenyl azide to the substrate surface

RFGD plasma deposition and other plasma gas process
•Advantages in biomedical application
- They are conformal
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-They are free of voids and pinholes
- Plasma-deposited polymeric films can be placed upon almost any solid substrate, including metals,
ceramics, semiconductors
- Very good adhesion to the substrate
- Unique film chemistry can be produced- They can serve as excellent barrier films (pinhole-free, cross-linked nature)
- These films are easily prepared
- Mature technology

- Plasma-treated surface are sterile when remove from the reactor
- Apparatus can be expensive (Note: air-pressure process!)

Silanization

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- Can be characterized (by IR, ESCA, SIMS, NMR

- Silane reactions are most often used to modify hydroxylated surfaces

- the advantages are simplicity and stability (attributed to their covalent, cross-linked structure)

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- Silanes can form twp types of surface film structures (only surface reaction occur or in presence of
water-thicker layer can form)


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