1. TiO2 nanotubes as an antibacterial nanotextured surface for dental implants: Systematic review and meta-analysis.
- Author
-
Kunrath, Marcel F., Farina, Georgia, Sturmer, Luiza B.S., and Teixeira, Eduardo R.
- Subjects
- *
DENTAL implants , *NANOTUBES , *TITANIUM dioxide , *BACTERIAL adhesion , *SURFACE topography - Abstract
Nanotechnology is constantly advancing in dental science, progressing several features aimed at improving dental implants. An alternative for surface treatment of dental implants is electrochemical anodization, which may generate a nanotubular surface (TiO 2 nanotubes) with antibacterial potential and osteoinductive features. This systematic review and meta-analysis aims to elucidate the possible antibacterial properties of the surface in question compared to the untreated titanium surface. For that purpose, was performed a systematic search on the bases PubMed, Lilacs, Embase, Web Of Science, Cinahl, and Cochrane Central, as well as, manual searches and gray literature. The searches resulted in 742 articles, of which 156 followed for full-text reading. Then, 37 were included in the systematic review and 8 were included in meta-analysis. Fifteen studies revealed significant antibacterial protection using TiO 2 nanotube surfaces, while 15 studies found no statistical difference between control and nanotextured surfaces. Meta-analysis of in vitro studies demonstrated relevant bacterial reduction only for studies investigating Staphylococcus aureus in a period of 6 h. Meta-analysis of in vivo studies revealed three times lower bacterial adhesion and proliferation on TiO 2 nanotube surfaces. TiO 2 nanotube topography as a surface for dental implants in preclinical research has demonstrated a positive relationship with antibacterial properties, nevertheless, factors such as anodization protocols, bacteria strains, and mono-culture methods should be taken into consideration, consequently, further studies are necessary to promote clinical translatability. [Display omitted] • TiO 2 nanotubes as an implant surface topography was systematically revised according to their antibacterial potential. • Nanotubular surfaces revealed to induce antibacterial responses. • Preclinical research showed favorable antibacterial outcomes for TiO 2 nanotubes compared to untreated Ti. • Further research is needed to design complex studies evaluating TiO 2 nanotube surfaces in clinical set. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF