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Modifications in texture and surface chemistry are commonly used to increase the biologic response
to implants. We evaluated the influence of five different acid etching treatments on the chemical and
topographical superficial characteristics of cpTi grade IV discs (test groups). One group of samples
were only polished (control group). The samples were analyzed by electron microscopy (SEM, EDS),
atomic force microscopy, and grazing incidence XRD. The acid etching treatments which produced
higher values for the amplitude roughness parameters showed a combination of strong acids (HF and
HCl/H2SO4) at high concentrations, with a relatively high temperature ( 60 C) for a considerable
time ( 60 min). Titanium and oxygen were the only elements detected by EDS on the surface in all
groups, whereas titanium hydride was detected when the samples were analyzed by GIXRD. Only the
group subjected to thermal treatment showed presence of rutile phase on the surface.
Keywords: titanium, surface modification, acid-etching, surface characterization
1. Introduction
Alterations in endosseous dental implant design have
been revisited extensively to decrease treatment time
frames by reducing the healing period for osseointegration
establishment. Thomas and Cook1 examined the variables
that potentially influence bone apposition to an implant
surface. Of twelve parameters studied, only surface
characteristics were shown to have a significant effect on
bone integration of an implant. Because the implant surface
is the first component to interact with the host, several
surface modifications have been extensively investigated
in the search for improved bone healing that would allow
immediate or early loading of dental implants2. Alterations
in surface texture and chemistry are modifications used
commonly to increase the biological response to implants.
The beneficial effect of rough implant surfaces on periimplant bone formation is considered to be based on the
changes in microtopography and subsequent alterations of
surface energy that result in increased interaction with the
adjacent biological environment by adsorption of proteins
and blood components which in turn can enhance cell
attachment and implant integration3.
Recently, commercially pure titanium (cpTi) has become
widely used as a biomaterial for dental implants, orthopaedic
implants, cardiovascular appliances, and implant-supported
dental crowns because of outstanding characteristics that
include high specific strength, high resistance to corrosion,
greater biocompatibility, low modulus of elasticity, and high
capacity to be osseointegrated with bone4. Furthermore,
the creation of roughened titanium surfaces has long
been demonstrated to be an effective way to promote the
interfacial biomechanical properties of bone-anchored
*e-mail: brunochrcanovic@hotmail.com
Materials Research
Acid solution
1% HF / 30% HNO3
12% HF
70% HCl / H2SO4
70% HCl / 60% H2SO4
0.11 mol/L HF+0.09 mol/L HNO3
5.80 mol/L HCl+8.96 mol/L H2SO4
48% H2SO4
Temperature Etching
(C)
time (min)
RT
RT
80
60
RT
80
60
60
2
5
60
10
30
60
Additional treatment
Reference
Orsinietal.14
Cho and Park15
Carvalhoetal.18
Yangetal.17
Iwayaetal.16
3. Results
3.1. SEM analysis
Figures1a-f revealed characteristic differences at the
microscopic level according to the surface modification
methods used for the samples as measured by SEM.
Differences of the surfaces were obvious between the
groups due to differences of the etching processes.
The control group samples were mainly characterized
by multidirectional grooves as result of the polishing
process (Figure1a). Samples submitted to acid treatment
classified as AT1 showed a homogenous distribution of
irregularities throughout the surface (Figure 1b). AT2
(Figure 1c) showed the presence of ridges and valleys
with bigger dimensions as shown in AT1 samples, in
many regions resembling grooves with a width varying
from 1 to 2 m. AT3 samples showed a surface with a
great number of micro pits of 1-3 m and some larger
pits (Figure1d). AT4 showed an almost homogeneous
distribution of valleys and peaks with sharp edges
(Figure1e). Acid etching treatment AT5 did not eliminate
the multidirectional grooves (Figure1f), suggesting that
the acid treatment was not effective to change surface
morphology.
Figure1. SEM pictures of control group (a), AT1 (b), AT2 (c), AT3 (d), AT4 (e), and AT5 groups (f) (original magnification 1000xscale
bar 25 m).
Materials Research
Table2. Mean values ( SD) of tridimensional roughness parameters as determined by AFM (scanning area of 50 50 m2), and P-values
for one-way ANOVA comparisons.
Group
Control
AT1
AT2
AT3
AT4
AT5
P-value
Sy (m)
Sz (m)
Average-mean
height (m)
Sa (m)
Sq (m)
1.300.37a
1.540.41a
6.410.61b
6.830.41b
5.220.95
2.971.09
0.000
0.650.19a
0.760.20a
3.210.31b
3.420.23b
2.550.44
1.480.56
0.000
0.540.17a
0.690.24a
3.110.39b
3.250.41b
2.520.55
1.340.51
0.000
0.110.02a
0.110.02a
0.780.13b
0.850.15b
0.570.16
0.160.05a
0.000
0.140.03a
0.140.03a
0.970.16b
1.060.17b
0.730.19
0.220.08a
0.000
Ssk
Sku
0.620.62a
2.363.12a,b
0.290.82a,b,c 3.713.38b
0.150.21a,c 0.140.26a
0.160.21a,c 0.030.55a
0.160.30b,c
0.240.55a
0.450.58a
3.473.41b
0.002
0.000
Groups denoted with the same superscripted letter do not indicate statistically significant difference in surface roughness (P 0.05) between the groups,
according to the Tukeys HSD test.
a,b,c
Figure2. AFM topography maps for the control group (a), AT1 (b), AT2 (c), AT3 (d), AT4 (e), and AT5 groups (f) (scanning
area:5050m2).
4. Discussion
Chemical texturing is a method of surface roughening
through acid etching. This method has advantages compared
with current methods of roughening such as grit blasting,
plasma spraying, and beads. As the production process does
not stress the adjacent material, there is no risk of flaking
or delamination and the process does not leave particles
of grit20,21.
All test groups have been acid attacked; nevertheless,
due to the distinct treatment parameters, every implant
displayed distinct surface roughness characteristics and
a proper surface aspect that could not be mistaken. Seven
distinct roughness parameters have been reported for each
surface. However, their significance in terms of predicting
an enhanced bone response or an increased implant fixation
remains questionable10. Some studies have demonstrated
that increases in the numerical surface roughness of an
implant enhance biomechanical anchorage in bone, as
determined by torque removal tests8 and resistance to pushout forces22. These studies showed a tendency toward an
increase in bone contact, and resistance to removal, with
an increasing numerical implant surface roughness. In the
groups AT2, AT3, and AT4 it can be seen that the etching
created micropits, when the SEM image is compared with
the control group, which also reflected in the higher values
of the amplitude roughness parameters in these samples.
Groups AT2 and AT3 also showed statistically significant
difference for the value of the roughness parameters when
compared to the other groups. This was also true for the
group AT4 for some parameters, but not all. Specific
to dental implants, studies have shown that histologic
and biomechanical characteristics were improved due
to increase in the as-machined surface texture by varied
methods resulting in average implant surface roughness
(Sa) ranging from 0.5 to 2 m23,24. Thus, the values found
in the present study for the roughness parameter Sa seems
to be appropriate in these groups. Although biological tests
were not conducted in the present study, it can be suggested
that these surfaces with the highest values of roughness
parameters (AT2, AT3 and AT4) could also present a
greater osseous anchorage, if implants had been treated
Materials Research
Figure5. Typical GIXRD diffractograms of samples from groups AT1 to AT5. Peak identification according to crystal structures: Ti(circle),
TiH2 (diamond), rutile (X).
References
5. Conclusions
Treating titanium surfaces with acid does not create
a standard topography. The latter varies according to
several parameters, such as prior treatment, acid mixture
composition, temperature, and time of acid treatment. The
acid etching treatments here classified as AT2, AT3, and
AT4 produced higher values for the amplitude roughness
parameters in comparison with the other groups (control,
AT1, and AT5). These favorable acid treatments showed
a combination of strong acids (HF and HCl/H2SO4) at
high concentrations, with a relatively high temperature
( 60 C) for a considerable time ( 60 min). EDS
analysis of the surfaces showed titanium and oxygen to be
the only elements in all groups. Only the group subjected
to thermal treatment (AT5) showed presence of rutile phase
on the surface. All test group samples showed the presence
of titanium hydride on the surface after the acid etching
treatment. Since the present study has used discs as the
substrate material, the observed results cannot be directly
extrapolated to complex surfaces like those in cylindrical
threaded titanium implants.
Acknowledgements
This work was supported by the Brazilian agencies
CNPq and FAPEMIG. The authors would like to thank
Materials Research
17. Yang GL, He FM, Yang XF, Wang XX and Zhao SF.
Bone responses to titanium implants surface-roughened by
sandblasted and double etched treatments in a rabbit model.
Oral Surgery Oral Medicine Oral Pathology Oral Radiology
and Endodontics. 2008; 106(4):516-524. http://dx.doi.
org/10.1016/j.tripleo.2008.03.017
18. Carvalho DR, Carvalho PS, Magro O F, De Mello JD,
Beloti MM and Rosa AL. Characterization and in vitro
cytocompatibility of an acid-etched titanium surface. Brazilian
Dental Journal.2010;21(1):3-11.
19. Chrcanovic BR, Pedrosa AR and Martins MD. Chemical
and topographic analysis of treated surfaces of five
different commercial dental titanium implants. Materials
Research. 2012; 15(3):372-382. http://dx.doi.org/10.1590/
S1516-14392012005000035
20. Daugaard H, Elmengaard B, Bechtold JE and Soballe K. Bone
growth enhancement in vivo on press-fit titanium alloy implants
with acid etched microtexture. Journal of Biomedical Materials
Research A.2008;87(2):434-440. http://dx.doi.org/10.1002/
jbm.a.31748
21. Chrcanovic BR, Leo NLC and Martins MD. Influence of
different acid etchings on the superficial characteristics of Ti
sandblasted with Al2O3. Materials Research.2013;16(5):10061014. http://dx.doi.org/10.1590/S1516-14392013005000067
22. Wong M, Eulenberger J, Schenk R and Hunziker E. Effect
of surface topology on the osseointegration of implant
materials in trabecular bone. Journal of Biomedical Materials
Research.1995;29(12):1567-1575. http://dx.doi.org/10.1002/
jbm.820291213
23. Albrektsson T and Wennerberg A. Oral implant surfaces:
Part 1Review focusing on topographic and chemical
properties of different surfaces and in vivo responses to them.
International Journal of Prosthodontics.2004;17(5):536-543.
24. Buser D, Broggini N, Wieland M, Schenk RK, Denzer
AJ, Cochran DL et al. Enhanced bone apposition to a
chemically modified SLA titanium surface. Journal of
Dental Research. 2004; 83(7):529-533. http://dx.doi.
org/10.1177/154405910408300704
25. Hansson S. Surface roughness parameters as predictors
of anchorage strength in bone: a critical analysis. Journal
of Biomechanics. 2000; 33(10):1297-1303. http://dx.doi.
org/10.1016/S0021-9290(00)00045-2
26. Perrin D, Szmukler-Moncler S, Echikou C, Pointaire P and
Bernard JP. Bone response to alteration of surface topography
and surface composition of sandblasted and acid etched (SLA)
implants. Clinical Oral Implants Research.2002;13(5):465469. http://dx.doi.org/10.1034/j.1600-0501.2002.130504.x
27. Frank MJ, Walter MS, Lyngstadaas SP, Wintermantel
E and Haugen HJ. Hydrogen content in titanium and a
titanium-zirconium alloy after acid etching. Materials
Science and Engineering: C Materials for Biological
Applications. 2013; 33(3):1282-1288. http://dx.doi.
org/10.1016/j.msec.2012.12.027
28. Videm K, Lamolle S, Monjo M, Ellingsen JE, Lyngstadaas SP and
Haugen HJ. Hydride formation on titanium surfaces by cathodic
polarization. Applied Surface Science. 2008; 255(5):30113015. http://dx.doi.org/10.1016/j.apsusc.2008.08.090
29. Castilho GAA, Martins MD and Macedo WAA. Surface
characterization of titanium based dental implants. Brazilian
Journal of Physics. 2006; 36(3b):1004-1008. http://dx.doi.
org/10.1590/S0103-97332006000600055
30. Nam SH, Choi JW, Cho SJ, Kimt KS and Boo JH. Growth of
TiO2 anti-reflection layer on textured Si (100) wafer substrate
by metal-organic chemical vapor deposition method. Journal
of Nanoscience and Nanotechnology.2011;11(8):7315-7318.
http://dx.doi.org/10.1166/jnn.2011.4813