Abstract
The present paper reviews aspects related to the biocompatibility of NiTi shape memory alloys used for medical applications. These smart metallic materials, which are characterised by outstanding mechanical properties, have been gaining increasing importance over the last two decades in many minimal invasive surgery and diagnostic applications, as well as for other uses, such as in orthodontic appliances. Due to the presence of high amounts of Ni, the cytotoxicity of such alloys is under scrutiny. In this review paper we analyse work published on the biocompatibility of NiTi alloys, considering aspects related to: (1) corrosion properties and the different methods used to test them, as well as specimen surface states; (2) biocompatibility tests in vitro and in vivo; (3) the release of Ni ions. It is shown that NiTi shape memory alloys are generally characterised by good corrosion properties, in most cases superior to those of conventional stainless steel or Co–Cr–Mo-based biomedical materials. The majority of biocompatibility studies suggest that these alloys have low cytotoxicity (both in vitro and in vivo) as well as low genotoxicity. The release of Ni ions depends on the surface state and the surface chemistry. Smooth surfaces with well-controlled structures and chemistries of the outermost protective TiO2 layer lead to negligible release of Ni ions, with concentrations below the normal human daily intake.
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References
Saburi T (1998) In: Otsuka K, Waymann CM (eds) Shape memory materials. Cambridge University Press, NY, pp 49–96
Suzuki Y, Horikawa H (1992) Shape memory materials and phenomena—Fundamental aspects and applications. In: Liu CT, Kunsmann H, Otsuka K, Wuttig M (eds) Materials for smart systems. Materials Research Society, Pittsburgh, PA, pp 403–406
Gil FJ, Planell JA (1999) J Biomed Mater Res 48(5):682–688
Melton KN (1998) In: Otsuka K, Waymann CM (eds) Shape memory materials. Cambridge University Press, NY, pp 220–239
Duerig TW (1995) In: George EP, Takahashi S, Trolier-McKinstry S, Uchino K, Wun-Fogle M (eds) Materials for smart systems. Materials Research Society, Pittsburgh, PA, pp 497–506
Williams DF (1998) In: de Putter C, de Lange K, de Groot K, Lee AJC (eds) Advances in biomaterials. Elsevier, Amsterdam, pp 11–16
Wintermantel E, Suk-Woo H (1998) Biokompatible Werkstoffe und Bauweisen. Implantate für Medizin und Technik. Springer, Berlin Heidelberg New York, pp 7–9
Templeton DM, Sunderman FW Jr, Herber RF (1994) Sci Total Environ 148:243–251
Uthus EO, Poellot RA (1996) Biol Trac Elem Res 52(1):23–35
Zhou D, Salnikow K, Costa M (1998) Cancer Res 58(10):2182–2189
Shi Z (1994) Sci Total Environ 148(2–3):293–298
Barceloux DG (1999) J Toxicol Clin Toxicol 37(2):239–258
Denkhaus E, Salnikow K (2002) Crit Rev Oncol Hematol 42(1):35–56
Lamberti M, Perfetto B, Costabile T, Canozo N, Baroni A, Liotti F, Cannolo N, Giuliano M (2004) Toxicol Appl Pharmacol 195(3):321–330
Peltonen L (1979) Contact Dermat 5:27–32
Nielsen NH, Menne T (1992) Acta Derm Venereol 72(6):456–460
Kerosuo H, Kullaa A, Kerosuo E, Kanerva L, Hensten-Pettersen A (1996) Am J Orthod Dentofacial Orthop 109:148–154
Menne T (1996) Ann Clin Lab Sci 26:133–138
Veien N (1989) In: Maibach H, Menne T (eds) Nickel and the skin: immunology and toxicology. CRC, Boca Raton, FL, pp 165–178
Gil FJ, Planell JA (1999) J Biomed Mater Res 48:682–688
Shabalovskaya SA (1996) Biomed Mater Eng 6:267–289
Rondelli G, Vicentini B (1999) Biomaterials 20:785–792
Kim H, Johnson WJ (1999) Angle Orthod 69(1):39–44
Es-Souni M, Es-Souni M, Fischer-Brandies H (2002) Biomaterials 23:2887–2894
Es-Souni M, Fischer-Brandies H, Es-Souni M (2003) J Orofac Orthop 64:16–25
Wever DJ, Veldhuizen AG, de Vries J, Busscher HJ, Uges DRA, van Horn JR (1998) Biomaterials 19:761–769
Trépanier C, Tabrizian M, Yahia LH, Bilodou L, Piron DL (1998) J Biomed Mater Res 43:433–440
Rondelli G, Vicentini (2000) J Biomed Mater Res 51:47–54
Tan L, Dodd RA, Crone W (2003) Biomaterials 24:3931–3939
Speck KM, Fraker AC (1980) J Dent Res 59(10):1590–1595
Rondelli G (1996) Biomaterials 17:2003–2008
Venugopalan R, Trépanier C (2000) Min Invas Ther Allied Technol 9(2):67–74
Kuphasuk C, Ossida Y, Andrei CJ, Hovijitra ST, Barco MT, Brown DT (2001) J Prosthet Dent 85(2):195–202
El Medawar L, Rocher P, Hornez JC, Traisnel M, Breme J, Hildebrand HF (2002) Biomol Eng 19:153–160
Montero-Ocampo C, Lopez H, Salinas Rodriguez A (1996) J Biomed Mater Res 32:583–591
Assad M, Lombardi S, Bernèche S, Desrosiers EA, Yahia LH, Rivard CH (1994) Ann Chir 48(8):731–736
Ryhänen J, Niemi E, Serlo W, Niemelä E, Sandvik P, Pernu H, Salo T (1997) J Biomed Mater Res 35(4):451–457
Assad M, Chernyshov A, Leroux MA, Rivard CH (2002) Biomed Mater Eng 12:225–237
Rhalmi S, Odin M, Assad M, Tabrizian M, Rivard CH, Yahia LH (1999) Biomed Mater Eng 9(3):151–162
Bogdanski D, Köller M, Müller D, Muhr G, Bram M, Buchkremer HP, Stöver D, Choi J, Epple M (2002) Biomaterials 23:4549–4555
Mockers O, Deroze D, Camps J (2002) Dent Mater 18:311–317
Rose E, Jonas IE, Kappert HF (1998) J Orofacial Orthop 59:253–264
Es-Souni M, Es-Souni M, Fischer-Brandies H (2001) Biomaterials 22:2153–2161
Choi J, Bogdanski D, Köller M, Esenwein SA, Müller D, Muhr G, Epple M (2003) Biomaterials 24:3689–3696
Bogdanski D, Esenwein SA, Prymak O, Epple M, Muhr G, Köller M (2004) Biomaterials 25:4627–4632
Prymak O, Bogdanski D, Esenwein SA, Köller M, Epple M (2004) Materialwiss Werkst 35:346–351
Assad M, Yahia LH, Rivard CH, Lemieux N (1998) J Biomed Mater Res 41(1):154–161
Assad M, Lemieux N, Rivard CH, Yahia LH (1999) Biomed Mater Eng 9(1):1–12
Ryhänen J, Kallioinen M, Tuukkanen J, Junila J, Niemelä E, Sandvik P, Serlo W (1998) J Biomed Mater Res 41(3):481–488
Assad M, Chernyshov A, Leroux MA, Rivard CH (2002) Biomed Mater Eng 12:339–346
Kujala S, Ryhänen J, Danilov A, Tuukkanen J (2003) Biomaterials 24:4691–4697
Ryhänen J, Kallioinen M, Tuukkanen J, Lehenkari P, Junila J, Niemelä E, Sandvik P, Serlo W (1999) Biomaterials 20:1309–1317
Faccioni F, Franceschetti P, Cerpelloni M, Fracasso ME (2003) Am J Orthod Dentofac 124(6):687–694
Filip P, Lausmaa J, Musialek J, Mazanec K (2001) Biomaterials 22:2131–2138
Kujala S, Pajala A, Kallioinen M, Pramila A, Tuukkanen J, Ryhänen J (2004) Biomaterials 25:353–358
Agaoglu G, Arun T, Izgü B, Yarat A (2001) Angle Orthod 71(5):375–379
Bass JK, Fine H, Cisneros GJ (1993) Am J Orthod Dentofac 103:280–285
Schuster G, Reichle R, Ranei Bauer R, Schopf PM (2004) J Orofacial Orthop 65:48–59
Counts AL, Miller A, Khakhria ML, Strange S (2001) J Orofacial Orthop 63:509–515
Dunlap CL, Vincent S.K, Barker BF (1989) JADA 118:449–450
Rahilly G, Price N (2003) J Orthod 30:171–174
Bishara SE, Barrett RD, Selim MI (1993) Am J Orthod Dentofac 103:115–119
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The financial support of the German Federal Ministry of Education and Research (BMBF, grant 1703602) is gratefully acknowledged.
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Es-Souni, M., Es-Souni, M. & Fischer-Brandies, H. Assessing the biocompatibility of NiTi shape memory alloys used for medical applications. Anal Bioanal Chem 381, 557–567 (2005). https://doi.org/10.1007/s00216-004-2888-3
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DOI: https://doi.org/10.1007/s00216-004-2888-3