Richard Kouitat-Njiwa

Innovation in oral implantology is constantly on the move, with a constant search for new biomaterials to overcome many of the limitations of the biomaterials used in current implantable medical devices. This study explores the biocompatibility of an innovative 5% calcium-to-zirconia (Ca-SZ) coating deposited by PVD on TA6V substrates for use in oral implantology. In order to determine the contribution of the Ca-SZ coating, an in vitro biocompatibility study was carried out to assess the potential influence of the Ca-SZ coating (1) on the viability and proliferation of saos-2 and HaCaT cells over a short-term exposure period of 96 h, (2) on the synthesis of pro-inflammatory cytokines, and (3) on the synthesis of osteogenic differentiation markers over a long-term exposure period of 21 days, in comparison with reference biomaterials. The sampling consisted of n = 3 biological replicates, and a p-value of <0.05 was used as the threshold for statistical significance. Viability and proliferation kinetics to WST-1 and CyQUANT NF, respectively, showed improved viability/proliferation of Ca-SZ exposed to both cell lines independently. The TNF-alpha and IL-6 assays revealed reduced levels of cytokines compared with the reference biomaterials, including the control groups. In parallel, in Saos-2 cells exposed to Ca-SZ for 21 days under osteogenic conditions increased expression of osteogenic markers, such as the synthesis of soluble collagens, alkaline phosphatase (ALP), osteopontin, and osteocalcin, reflecting dynamic and facilitated osteoblastic differentiation, which was supported by the formation of hydroxyapatite (HA) crystals observed by SEM micrograph and confirmed by EDS mapping. In conclusion, Ca-SZ demonstrates an overall better biocompatibility compared with reference biomaterials, linked to a bioactive interaction of calcium, promoting cell proliferation and differentiation for optimal osteointegration, underlining its potential as a relevant innovation for next-generation implants.

Oral implantology faces a multitude of technical challenges in light of current clinical experience, underlining the need for innovation in implantable medical devices in both mechanical and biological terms. Objectives: This study explores the influence of the thickness factor of calcium-doped zirconia (Ca-SZ) coatings deposited by PVD on their intrinsic mechanical properties and the determinism of the latter on adhesion to the TA6V alloy substrate after mechanical loading for applications in dental implantology. Methods: Three separate thicknesses of 250 nm, 450 nm and 850 nm were evaluated in terms of mechanical strength, modulus of elasticity and adhesion to the substrate, in accordance with ISO 20502:2005. Results: The results show an increase in apparent modulus of elasticity with thickness, reaching values of around 25.05 GPa and 36.3 GPa, close to the cortical bone for the 250 nm and 450 nm thick coatings, respectively. Adhesion tests show a progressive improvement up to 450 nm, followed by a similar observation at 850 nm, underlining the importance of optimal thickness to balance mechanical protection and biomechanical compatibility. Furthermore, the initial roughness and topography of the substrate were not influenced by the different thicknesses of the Ca-SZ coating. Conclusions: Together, these results reinforce the potential of Ca-SZ coatings to minimise stress shielding in dental implants.

The design of new, biomimetic biomaterials is of great strategic interest and is converging for many applications, including in implantology. This study explores a novel approach to improving dental implants. Although endosseous TA6V alloy dental implants are widely used in oral implantology, this material presents significant challenges, notably the prevalence of peri-implantitis. Therefore, in this study, we investigate a new advance in the design of hybrid medical devices. This involves the design of a Ca-SZ coating deposited by PVD on a TA6V substrate. This approach aims to overcome the inherent limitations of each of these materials, namely TA6V’s susceptibility to peri-implantitis on the one hand and zirconia’s excessively high Young’s modulus compared with bone on the other, while benefiting from their respective advantages, such as the ductility of TA6V and the excellent biocompatibility of zirconia, offering relevant prospects for the design of high-performance implantable medical devices. This study integrates characterisation techniques, focusing on the structural and elemental analysis of the Ca-SZ coating by XRD and TEM. The results suggest that this coating combines a tetragonal structure, a uniform morphology with no apparent defects, a clean interface highlighting good adhesion, and a homogeneous composition of calcium, predisposing it to optimal biocompatibility. All of these findings make this innovative coating a particularly suitable candidate for application in dental implantology.

We examined the effect of Al₅₉Cu₂₅Fe₁₃B₃ (at.%) quasicrystalline (QC) reinforcement particles on the mechanical and surface properties of a polymer-matrix composite by applying a technical polymer polyphthalamide (PPA). The observed increase in the tensile Young’s modulus ranged from 1810 MPa for the pure polymer to 4114 MPa for the composite with a QC filling of 35 vol.%. The elongation at fracture decreased with the filling fraction, being equal to 16.9% for a pure polymer and dropping to 4.8% for the composite with a QC filling of 35 vol.%. The same trend was noticeable with flexural Young’s modulus, which ranged from 100 MPa for a pure polymer to 125.5 MPa for the composite with 35 vol.% of QC. It was found that the increase in the mechanical strength led to a simultaneous increase of brittleness, which was reflected in a decrease of the impact strength for a pure polymer from 98.5 kJ/m² to 42.4 kJ/m² for composites with a QC filling of 35 vol.%. In contrast, when filled with 5 vol.% of QC, the impact strength increased by 8%. The friction coefficient against 100C6 steel dropped from 0.15 for pure PPA down to 0.10 for 5 vol.% of the QC filling, followed by an increase to 0.26 for further QC fillings up to 35 vol.%. Interestingly, a local minimum of friction was achieved at filling factors between 5 to 20 vol.% of QC. Independently, a clear surfenergy minimum was also found for the composite material with 20 vol.% of QC filling associated with a net drop in the polar component of the surfenergy. Surfenergy refers to the surface energy related to the top of the oxide layer under ambient conditions. We hypothesise that this is related to the percolation threshold at about 13 vol.% QC, reflected in the observed behaviour of both the friction coefficient and surfenergy. For the pure QC annealed in air for 1 h at 500 °C significant wear tracks were observed accompanied by a wear debris formation. On the other hand, a pure polymer exhibited slightly visible wear tracks with no apparent debris formation, and for the composites with different QC filling factors, the wear traces were barely visible with negligible debris formation.

The attractiveness of the boundary element method—the reduction in the problem dimension by one—is lost when solving nonlinear solid mechanics problems. The point collocation method applied to strong-form differential equations is appealing because it is easy to implement. The method becomes inaccurate in the presence of traction boundary conditions, which are inevitable in solid mechanics. A judicious combination of the point collocation and the boundary integral formulation of Navier’s equation allows a pure boundary element method to be obtained for the solution of nonlinear elasticity problems. The potential of the approach is investigated in some simple examples considering isotropic and anisotropic material models in the total Lagrangian framework.

Modern dental implantology is based on a set of more or less related first-order parameters, such as the implant surface and the intrinsic composition of the material. For decades, implant manufacturers have focused on the research and development of the ideal material combined with an optimal surface finish to ensure the success and durability of their product. However, brands do not always communicate transparently about the nature of the products they market. Thus, this study aims to compare the surface finishes and intrinsic composition of three zirconia implants from three major brands. To do so, cross-sections of the apical part of the implants to be analyzed were made with a micro-cutting machine. Samples of each implant of a 4 to 6 mm thickness were obtained. Each was analyzed by a tactile profilometer and scanning electron microscope (SEM). Compositional measurements were performed by X-ray energy-dispersive spectroscopy (EDS). The findings revealed a significant use of aluminum as a chemical substitute by manufacturers. In addition, some manufacturers do not mention the presence of this element in their implants. However, by addressing these issues and striving to improve transparency and safety standards, manufacturers have the opportunity to provide even more reliable products to patients.

The osseointegration of implants is defined as the direct anatomical and functional connection between neoformed living bone and the surface of a supporting implant. The biological compatibility of implants depends on various parameters, such as the nature of the material, chemical composition, surface topography, chemistry and loading, surface treatment, and physical and mechanical properties. In this context, the objective of this study is to evaluate the biocompatibility of rough (Ra = 1 µm) and smooth (Ra = 0 µm) surface conditions of yttria–zirconia (Y-TZP) discs compared to pure zirconia (ZrO₂) discs by combining a classical toxicological test, morphological observations by SEM, and a transcriptomic analysis on an in vitro model of human Saos-2 bone cells. Similar cell proliferation rates were observed between ZrO₂ and Y-TZP discs and control cells, regardless of the surface topography, at up to 96 h of exposure. Dense cell matting was similarly observed on the surfaces of both materials. Interestingly, only 110 transcripts were differentially expressed across the human transcriptome, consistent with the excellent biocompatibility of Y-TZP reported in the literature. These deregulated transcripts are mainly involved in two pathways, the first being related to “mineral uptake” and the second being the “immune response”. These observations suggest that Y-TZP is an interesting candidate for application in implantology.

The success of titanium dental implants depends on their osseointegration into the bone, which is determined by the composition and surface properties of the implant in close contact with the bone. There is a wide variety of implants on the market. Is it possible to identify the implant with the best composition and surface topography for optimal osseointegration? To this aim, 13 brands of dental implants from nine distinct manufacturers have been selected and their composition and surface topography determined. The obtained results show differences between these implants, in this case, the Ssk averages of the three measurements performed on each implant were positive, or 0.4 (0.1–0.8), indicating that the roughness of all implants analyzed was primarily textured and not flat. Like Sa, we found the highest Sdr for implants subjected only to sandblasting. In addition, only the ALS-active^® implant had a modified microstructure on its surface. However, analysis of the NANOTITE implant surface revealed a 1.40% presence of calcium which we consider too low to have an effect on bone formation around the implant. As a result, we have also highlighted the lack of a recognized independent standard for dental implant surface conditions and the lack of independent quality control vis-à-vis manufacturers. Of all the surface types studied, none proved more satisfactory than another.

The load-penetration curve in elastic nanoindentation of an elastic micropolar flat by a diamond spherical punch is analyzed. The presented results are obtained by a specifically developed numerical tool based on a judicious combination of the conventional boundary element method and strong form local point interpolation method. The results show that the usual linear relationship between the material depression and the square of the radius of the contact area is also valid in this case of micropolar elastic material. It is also shown that the relation between the indentation stress (applied load over the contact surface) and the indentation strain (ratio of contact radius by the punch radius) is linear. The proportionality coefficient which is none other than the indentation stiffness varies with the coupling factor of the micropolar elastic medium. A relation between the indentation stiffness of a micropolar solid and that of a conventional solid with the same Young modulus and Poisson ratio is derived.

The ability of various commercial fibrous carbon materials to withstand stress and conduct heat has been evaluated through experimental and analytical studies. The combined effects of different micro/macro-structural characteristics were discussed and compared. Large differences in mechanical behavior were observed between the different groups or subgroups of fibrous materials, due to the different types of fibers and the mechanical and/or chemical bonds between them. The application of the Mooney–Rivlin model made it possible to determine the elastic modulus of soft felts, with a few exceptions, which were studied in-depth. The possible use of two different mechanical test methods allowed a comparison of the results in terms of elastic modulus obtained under different deformation regimes. The effective thermal conductivity of the same fibrous materials was also studied and found to be much lower than that of a single carbon fiber due to the high porosity, and varied with the bulk density and the fiber organization involving more or less thermal contact resistances. The thermal conductivity of most materials is highly anisotropic, with higher values in the direction of preferential fiber orientation. Finally, the combination of compression and transient thermal conductivity measurement techniques allowed the heat conduction properties of the commercial fibrous carbons to be investigated experimentally when compressed. It was observed that thermal conductivity is strongly affected under compression, especially perpendicular to the main fiber orientation.