CoCrMo alloy as biomaterial for bone reconstruction in oral and maxillofacial surgery: A scoping review.
Abstract
Background: Osseointegration allowed for a breakthrough in biomaterials and techniques and it has contributed to increased application of dental implants. However, insufficient bone level is a frequent problem and it creates an anatomically less favourable base for implant placement. The first surgical procedure should comprise the reconstruction of the alveolar bone height. CoCrMo alloys are nowadays considered as highly corrosion resistant and biocompatible materials in dentistry, and therefore has been suggested as a suitable biomaterial for guided bone regeneration and tissue engineering. Aim: To determine the use of CoCrMo alloy for implantable devices in oral and maxillofacial surgery and to discuss the potential of this alloy for bone regeneration and repair through a scoping review. Material and methods: The search was done by using various databases including PubMed, Thomson Reuters and Scopus. We selected English literature related to studies reporting the CoCrMo properties and manufacturing processes and findings related to bone-forming techniques. Data was compared qualitatively. Results: 90 studies were selected according to the inclusion criteria. We reported different manufacturing techniques and their advantages related to mechanical, chemical and biocompatible properties. Conclusion: Improved tissue reactions of CoCrMo implant devices can be acquired by the application of novel techniques and surface modifications. Moreover, several processes have demonstrated to improve the in vitro and in vivo biocompatibility of the CoCrMo alloy to promote the attachment, proliferation and guided differentiation of seeding cells.
References
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2. Wen B, Shafer D, Schleier P, Pendrys D, Kuhn L, Freilich M. Implant‐guided supracrestal alveolar bone growth using scaffolds, BMP‐2, and novel scaffold‐retaining device. Clin. Oral Implants Res. 2017;28(11):1411-20.
3. Chang HC, Yang C, Feng F, Lin FH, Wang CH, Chang PC. Bone morphogenetic protein-2 loaded poly (D, L-lactide-co-glycolide) microspheres enhance osteogenic potential of gelatin/hydroxyapatite/β-tricalcium phosphate cryogel composite for alveolar ridge augmentation. J Formos Med Assoc. 2017;116(12):973-81.
4. Decco O, Beltrán V, Zuchuat J, Gudiño R. Comparative in vitro study of surface treatment of grade II titanium biomedical implant: VI Latin American Congress on Biomedical Engineering CLAIB 2014, Paraná, Argentina 29, 30 & 31 October 2014. Springer. 2015; 183-6.
5. Hedberg YS, Qian B, Shen Z, Virtanen S, Wallinder IO. In vitro biocompatibility of CoCrMo dental alloys fabricated by selective laser melting. Dental materials. 2014;30(5): 525-34.
6. Guoqing Z, Yongqiang Y, Changhui S, Fan F, Zimian Z. Study on Biocompatibility of CoCrMo Alloy Parts Manufactured by Selective Laser Melting. J Med Biol Eng. 2018;38(1): 76-86.
7. Thandapani G, Radha E, Jayashri J, Florence JAK, Sudha PN. Bioactive metallic surfaces for bone tissue engineering. Fundamental Biomaterials: Metals. Woodhead Publishing. 2018
8. Mengucci P, Barucca G, Gatto A, Bassoli E, Denti L, Fiori F, Girardin E, Bastianoni P, Rutkowski B, Czyrska-Filemonowicz A. Effects of thermal treatments on microstructure and mechanical properties of a Co–Cr–Mo–W biomedical alloy produced by laser sintering. J Mech Behav Biomed Mater 2016;60: 106-17.
9. Yuan W, He X, Zhou X, Zhu Y. Hydroxyapatite Nanoparticle-Coated 3D-Printed Porous Ti6Al4V and CoCrMo Alloy Scaffolds and Their Biocompatibility to Human Osteoblasts. J Nanosci Nanotechnol. 2018;18(6): 4360-5.
10. Guoqing Z, Junxin L, Jin L, Chengguang Z, Zefeng X. Simulation Analysis and Performance Study of CoCrMo Porous Structure Manufactured by Selective Laser Melting. J Mater Eng Perform. 2018;27(5): 2271-80.
11. Chen Q, Thouas GA. Metallic implant biomaterials. Materials Science and Engineering: R: Reports. 2015; 87: 1-57.
12. Malara P, Dobrzański LB. Computer-aided design and manufacturing of dental surgical guides based on cone beam computed tomography. Arch Mat Scie and Eng. 2015;76(2): 140-9.
13. Rajťúková V, Poláček I, Tóth T, Živčák J, Ižáriková G, Kovačevic M, Somoš A, Hudák R. The manufacturing precision of dental crowns by two different methods is comparable. Lékař a technika-Clinician and Technology. 2016;46(4):102-6.
14. Seramak T, Zasinska K, Zielinski A, Gubanski M. 3D Printing of metallic implants. WJRR. 2017; 5(4):1-4.
15. Yan Y, Neville A, Dowson D. Biotribocorrosion of CoCrMo orthopaedic implant materials—assessing the formation and effect of the biofilm. Tribology International. 2007;40(10-12): 1492-9.
16. Gilbert JL, Sivan S, Liu Y, Kocagöz SB, Arnholt CM, Kurtz SM. Direct in vivo inflammatory cell-induced corrosion of CoCrMo alloy orthopedic implant surfaces. J Biomed Mater Res A. 2015;103(1):211-23.
17. Wang Q, Eltit F, Garbuz D, Duncan C, Masri B, Greidanus N, Wang R. CoCrMo metal release in metal‐on‐highly crosslinked polyethylene hip implants. J Biomed Mater Res B. 2020;108(4):1213-28.
18. Nair M, Elizabeth E. Applications of titania nanotubes in bone biology. J Nanosci Nanotechnol. 2015;15(2): 939-55.
19. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, Moher D, Peters MDJ, Horsley T, Weeks L, Hempel S, Akl EA, Chang C, McGowan J, Stewart L, Hartling L, Aldcroft A, Wilson MG, Garritty C, Lewin S, Godfrey CM, Macdonald MT, Langlois EV, Soares-Weiser K, Moriarty J, Clifford T, Tunçalp Ö, Straus SE. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018;169(7):467-73.
20. ASTM F75, Standard Specification for Cobalt-28 Chromium-6 Molybdenum Alloy Castings and Casting Alloy for Surgical Implants (UNS R30075) 1, ASTM International, Annual Book of Standards, West Consho-hocken, PA; 2014.
21. Mani G. Metallic Biomaterials: Cobalt-Chromium Alloys: Handbook of Biomaterial Properties. New York: Springer; 2016.
22. Venable CS, Stuck WG. The internal fixation of fractures. Springfield, Illinois, 1947.
23. Oliveira MF. Aplicações da Prototipagem Rápida em Projetos de Pesquisa. [S.l.]: Unicamp, 2008.
24. Song C, Zhang M, Yang Y, Wang D, Jia-kuo Y. Morphology and properties of CoCrMo parts fabricated by selective laser melting. Mater Scie Eng.A. 2018;713: 206-13.
25. Mantrala KM, Das M, Balla VK, Rao CS, Rao VK. Laser-deposited CoCrMo alloy: Microstructure, wear, and electrochemical properties. J Mat Res. 2014;29(17): 2021-7.
26. Park JB, Jung KH, Kim KM, Son Y, Lee JI, Ryu JH. Microstructure of As-cast Co-Cr-Mo Alloy Prepared by Investment Casting. J Korean Phys Soc. 2018;72(8): 947-51.
27. Narushima T, Ueda K. Co-Cr Alloys as Effective Metallic Biomaterials: Advances in Metallic Biomaterials. Berlin: Springer. 2015.
28. Beltran AM. Cobalt-base alloys: Superalloys II. New York: Wiley. 1987.
29. Zhang M, Yang Y, Song C, Bai Y, Xiao Z. An investigation into the aging behavior of CoCrMo alloys fabricated by selective laser melting. Journal of Alloys and Compounds. 2018;750: 878-86.
30. España FA, Balla VK, Bose S, Bandyopadhyay A. Design and fabrication of CoCrMo alloy based novel structures for load bearing implants using laser engineered net shaping. Materials Science and Engineering: C. 2010;30(1): 50-7.
31. Jenko M, Gorensek M, Godec M, Hodnik M, Batic BS, Donik C, Grant JT, Dolinar D. Surface chemistry and microstructure of metallic biomaterials for hip and knee endoprostheses. Applied Surface Science. 2018; 427: 584-93.
32. Narushima T, Mineta S, Kurihara Y, Ueda K. Precipitates in biomedical Co-Cr alloys. JOM. 2013; 65:489–504.
33. Ramírez LE, Castro M, Méndez M, Lacaze J, Herrrera M, Lesoult G. Precipitation path of secondary phases during solidification of the CoCrMoC alloy. Scr Mater. 2002; 47:811–6.
34. Amigo Borrás V, Paolini A, Moreno Ballester JF, Vicente Escuder A, Romero Sanchis F. Estudio de la influencia de los tratamientos térmicos en la microdureza y microestructura de aleaciones CoCrMo. Congreso Nacional de Propiedades Mecánicas de Sólidos, Gandia. 2002: 487–96.
35. González-Carrasco, JL. Metals as bone repair materials. Bone repair biomaterials. 2009: 154-93.
36. Yamanaka K, Mori M, Chiba A. Assessment of precipitation behavior in dental castings of a Co-Cr-Mo alloy. J Mech Behav Biomed Mater. 2015;50:268-76.
37. Lee SH, Uchikanezaki T, Nomura N, Nakamura M, Chiba A. Effects of zirconium addition on microstructures and mechanical properties of Co-29Cr-6Mo alloy. Materials transactions. 2007; 48(5): 1084-1088. Available from: doi: 10.2320/matertrans.48.1084.
38. Yamanaka K, Mori M, Chiba A. Developing high strength and ductility in biomedical Co–Cr cast alloys by simultaneous doping with nitrogen and carbon. Acta biomaterialia. 2016; 31: 435-47.
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Published
2020-09-30
How to Cite
ZUCHUAT, Jésica et al.
CoCrMo alloy as biomaterial for bone reconstruction in oral and maxillofacial surgery: A scoping review..
Journal of Oral Research, [S.l.], v. 9, n. 4, p. 336-349, sep. 2020.
ISSN 0719-2479.
Available at: <https://joralres.com/index.php/JOralRes/article/view/joralres.2020.075>. Date accessed: 19 apr. 2024.
doi: https://doi.org/10.17126/joralres.2020.075.
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Reviews
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