Chemical etching-induced nanoroughness enhances cell response and antibacterial activity on zirconia

Abstract

Surface topography at the nanoscale plays a crucial role in modulating the biological properties of dental implants. However, the understanding of how the nanoroughness of zirconia affects cell and bacteria responses remains unclear. In this study, chemical etching of 3Y-TZP was explored to develop a nanotopography capable of favoring eukaryotic cell behavior while simultaneously inhibiting bacterial adhesion. Three topographies of different roughness were created by varying the etching time with hydrofluoric acid (i.e., HF15, HF30, and HF60). The etched surfaces exhibited a nanorough topography with randomly distributed nanopits, and surface roughness increased at longer etching times. Mesenchymal stem cell adhesion, spreading, proliferation and mineralization were enhanced on the etched surfaces, compared to flat controls. The roughest surface (HF60) also inhibited S. aureus adhesion and caused significant damage to P. aeruginosa. This study highlights the potential of chemical etching to produce nanorough zirconia with improved biological outcomes.