{"title":"等离子体处理、聚多巴胺涂层和氯己定三改性PEEK表面:生物相容性和抗菌性能的评估","authors":"Tao Yang , Yuan Zhang , Zhenhua Gao , Beibei Li","doi":"10.1016/j.dental.2025.04.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To develop and evaluate a novel surface modification strategy for polyetheretherketone (PEEK) that combines cold plasma treatment with dopamine-crosslinked chlorhexidine (CHX) to enhance both soft tissue integration and antimicrobial properties for potential dental applications.</div></div><div><h3>Methods</h3><div>PEEK surfaces were modified through cold plasma treatment followed by polydopamine (PDA) coating and CHX functionalization. Surface characterization was performed by SEM, FTIR, XPS, profilometer and contact angle measurements. A 15-day CHX <em>in vitro</em> release test was conducted to evaluate the drug delivery profile of the modified surfaces. Biological response was evaluated through human gingival fibroblasts (HGFs) cultures, examining cell adhesion and proliferation capacity. Antimicrobial efficacy was systematically evaluated through bacterial viability, colony enumeration, biofilm formation, and adhesion analysis.</div></div><div><h3>Results</h3><div>The P-PDA-CHX modification significantly improved surface hydrophilicity, reducing contact angles from 83.6 ± 3.1° to 24.2 ± 4.2°. Surface roughness of P-PDA-CHX (0.38 ± 0.029 μm) was significantly higher than that of the P-PDA (0.28 ± 0.048 μm) and P-CHX (0.33 ± 0.033 μm) groups (<em>p</em> < 0.05). Compared to unmodified surfaces, the modified surfaces demonstrated enhanced HGFs proliferation and adhesion, with cells showing improved spreading and cytoskeletal organization. The P-PDA-CHX coating exhibited sustained chlorhexidine release over 15 days and demonstrated superior antibacterial properties, significantly reducing bacterial adhesion and biofilm formation while maintaining excellent biocompatibility with HGFs.</div></div><div><h3>Significance</h3><div>This surface modification strategy offers a promising approach for improving PEEK's biological and antibacterial properties. The combination of cold plasma treatment, PDA coating, and CHX functionalization provides a solution to enhance both cellular response and bacterial resistance, which could benefit various dental applications of PEEK materials, including customized abutments, where tissue integration and bacterial control are essential.</div></div>","PeriodicalId":298,"journal":{"name":"Dental Materials","volume":"41 6","pages":"Pages 730-744"},"PeriodicalIF":4.6000,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Triple-modified PEEK surface via plasma treatment, polydopamine coating and chlorhexidine: Assessment of biocompatibility and antibacterial properties\",\"authors\":\"Tao Yang , Yuan Zhang , Zhenhua Gao , Beibei Li\",\"doi\":\"10.1016/j.dental.2025.04.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To develop and evaluate a novel surface modification strategy for polyetheretherketone (PEEK) that combines cold plasma treatment with dopamine-crosslinked chlorhexidine (CHX) to enhance both soft tissue integration and antimicrobial properties for potential dental applications.</div></div><div><h3>Methods</h3><div>PEEK surfaces were modified through cold plasma treatment followed by polydopamine (PDA) coating and CHX functionalization. Surface characterization was performed by SEM, FTIR, XPS, profilometer and contact angle measurements. A 15-day CHX <em>in vitro</em> release test was conducted to evaluate the drug delivery profile of the modified surfaces. Biological response was evaluated through human gingival fibroblasts (HGFs) cultures, examining cell adhesion and proliferation capacity. Antimicrobial efficacy was systematically evaluated through bacterial viability, colony enumeration, biofilm formation, and adhesion analysis.</div></div><div><h3>Results</h3><div>The P-PDA-CHX modification significantly improved surface hydrophilicity, reducing contact angles from 83.6 ± 3.1° to 24.2 ± 4.2°. Surface roughness of P-PDA-CHX (0.38 ± 0.029 μm) was significantly higher than that of the P-PDA (0.28 ± 0.048 μm) and P-CHX (0.33 ± 0.033 μm) groups (<em>p</em> < 0.05). Compared to unmodified surfaces, the modified surfaces demonstrated enhanced HGFs proliferation and adhesion, with cells showing improved spreading and cytoskeletal organization. The P-PDA-CHX coating exhibited sustained chlorhexidine release over 15 days and demonstrated superior antibacterial properties, significantly reducing bacterial adhesion and biofilm formation while maintaining excellent biocompatibility with HGFs.</div></div><div><h3>Significance</h3><div>This surface modification strategy offers a promising approach for improving PEEK's biological and antibacterial properties. The combination of cold plasma treatment, PDA coating, and CHX functionalization provides a solution to enhance both cellular response and bacterial resistance, which could benefit various dental applications of PEEK materials, including customized abutments, where tissue integration and bacterial control are essential.</div></div>\",\"PeriodicalId\":298,\"journal\":{\"name\":\"Dental Materials\",\"volume\":\"41 6\",\"pages\":\"Pages 730-744\"},\"PeriodicalIF\":4.6000,\"publicationDate\":\"2025-04-17\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Dental Materials\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0109564125006074\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Dental Materials","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0109564125006074","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Triple-modified PEEK surface via plasma treatment, polydopamine coating and chlorhexidine: Assessment of biocompatibility and antibacterial properties
Objective
To develop and evaluate a novel surface modification strategy for polyetheretherketone (PEEK) that combines cold plasma treatment with dopamine-crosslinked chlorhexidine (CHX) to enhance both soft tissue integration and antimicrobial properties for potential dental applications.
Methods
PEEK surfaces were modified through cold plasma treatment followed by polydopamine (PDA) coating and CHX functionalization. Surface characterization was performed by SEM, FTIR, XPS, profilometer and contact angle measurements. A 15-day CHX in vitro release test was conducted to evaluate the drug delivery profile of the modified surfaces. Biological response was evaluated through human gingival fibroblasts (HGFs) cultures, examining cell adhesion and proliferation capacity. Antimicrobial efficacy was systematically evaluated through bacterial viability, colony enumeration, biofilm formation, and adhesion analysis.
Results
The P-PDA-CHX modification significantly improved surface hydrophilicity, reducing contact angles from 83.6 ± 3.1° to 24.2 ± 4.2°. Surface roughness of P-PDA-CHX (0.38 ± 0.029 μm) was significantly higher than that of the P-PDA (0.28 ± 0.048 μm) and P-CHX (0.33 ± 0.033 μm) groups (p < 0.05). Compared to unmodified surfaces, the modified surfaces demonstrated enhanced HGFs proliferation and adhesion, with cells showing improved spreading and cytoskeletal organization. The P-PDA-CHX coating exhibited sustained chlorhexidine release over 15 days and demonstrated superior antibacterial properties, significantly reducing bacterial adhesion and biofilm formation while maintaining excellent biocompatibility with HGFs.
Significance
This surface modification strategy offers a promising approach for improving PEEK's biological and antibacterial properties. The combination of cold plasma treatment, PDA coating, and CHX functionalization provides a solution to enhance both cellular response and bacterial resistance, which could benefit various dental applications of PEEK materials, including customized abutments, where tissue integration and bacterial control are essential.
期刊介绍:
Dental Materials publishes original research, review articles, and short communications.
Academy of Dental Materials members click here to register for free access to Dental Materials online.
The principal aim of Dental Materials is to promote rapid communication of scientific information between academia, industry, and the dental practitioner. Original Manuscripts on clinical and laboratory research of basic and applied character which focus on the properties or performance of dental materials or the reaction of host tissues to materials are given priority publication. Other acceptable topics include application technology in clinical dentistry and dental laboratory technology.
Comprehensive reviews and editorial commentaries on pertinent subjects will be considered.