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Progress in Organic Coatings 130 (2019) 206–213

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Progress in Organic Coatings


journal homepage: www.elsevier.com/locate/porgcoat

Preparation, characterization, and biocompatibility of different metal oxide/ T


PEG-based hybrid coating synthesized by sol–gel dip coating method for
surface modification of titanium
José Carlos Bernedo Alcázara, Rafaela Moreira Javier Lemosb, Marcus Cristian Muniz Condea,
Luiz Alexandre Chisinia, Mabel Miluska Suca Salasa,c, Bruno S. Norembergb,
Fabiana Villela da Mottad, Flávio Fernando Demarcoa, Sandra Beatriz Chaves Tarquinioa,

Neftali Lenin Villarreal Carreñoa,b,
a
Post-Graduate Program in Dentistry, Federal University of Pelotas, Pelotas, RS, Brazil
b
Post-Graduate Program in Science and Material Engineering, Federal University of Pelotas, Pelotas, RS, Brazil
c
Department of Dentistry, Federal University of Juiz de Fora, Governador Valadares, MG, Brazil
d
Department of Materials Engineering, Technology Center, Federal University of Rio Grande do Norte, Natal, RN, Brazil

A R T I C LE I N FO A B S T R A C T

Keywords: The aim of the study was to synthesized organic-inorganic experimental nanocomposite materials via sol–gel dip
Sol–gel synthesis coating and to characterized its biological response. The sols consist of an inorganic–organic matrix based on
Dip coating technique ZrO2, TiO2, Li+ and polyethylene glycol (PEG). The obtained hybrid-coated titanium samples have been char-
Organic–inorganic hybrid materials acterized using atomic force microscope (AFM), Scanning Electronic Microscope (SEM), Energy Dispersive X-Ray
Titanium
Analysis (EDX). Biocompatibility of the hybrid coatings was evaluated by cytotoxicity tests. AFM analysis de-
Cell viability
tailed that the obtained materials were rough nanostructured hybrids. SEM results presented covered surfaces
and the presence of particles with different sizes and formats. The EDX data allowed to know the quantitative
percentage of the elements present on the surface of the hybrid-coated titanium samples compatible with the sols
composition. Cytotoxicity showed that all the hybrid-coated titanium samples had non-cytotoxic effect on target
cells, having the groups that included Li+ in the surface higher cellular grown. The sol gel dipcoating method
represents a viable alternative to include inorganic and organic elements on titanium and form stable hybrid
layers. The modified surfaces of titanium with the experimental materials were rough, presented biocompatible
elements and allowed high cellular grown.

1. Introduction biomaterial in the production of all kind of biomedical devices and


symbolize the gold standard in many fields of medicine, in particular,
The proportion of older population worldwide is increasing, and as for orthopedic and dental prosthetic devices into dentistry [4,5]. The
a result, the health and social policy-makers are facing challenges by clinical efficacy of these biomedical devices could be greatly enhanced
the rapid changing burden of general and oral chronic diseases [1]. by the modifying of nanofeatures onto surface that would improve the
Edentulism influence the quality of life of people, hence the used of bioactivity, in order to induce a bioactive behavior and to enhance
prosthetic devices and/or dental implants returned successfully the lost osseointegration between the biomedical devices and the surrounding
functionally and aesthetics. Although, problems related to implant bone or where implantable devices are being applied to reconstruct
commonly occurred in older adults, mainly due to reduced bone for- degraded tissues [6]. Coating and other surface modification are useful
mation associated with different health conditions. In this context, the techniques, as they allow us to optimize the surface properties while
global biomedical devices industry, especially orthopedic implant, are retaining favorable bulk properties [7], such as chemical vapor de-
constantly looking for advancements in implant designs and materials position, plasma spray, ion beam-assisted deposition, radiofrequency
that improved biocompatibility, durability, expanding the clinical ap- magnetron sputtering [8], notwithstanding, these techniques have
plications [2,3]. Titanium (Ti) and its alloys represent the main several drawbacks like expensive, complexity, long-term performance,


Corresponding author at: Post-Graduate Program in Science and Material Engineering, Federal University of Pelotas, Pelotas, RS, Brazil.
E-mail address: neftali@ufpel.edu.br (N.L.V. Carreño).

https://doi.org/10.1016/j.porgcoat.2019.02.007
Received 14 June 2018; Received in revised form 3 February 2019; Accepted 3 February 2019
0300-9440/ © 2019 Elsevier B.V. All rights reserved.
J.C.B. Alcázar et al. Progress in Organic Coatings 130 (2019) 206–213

non-homogeneity, non-control of thickness, lack of adherence [3]. A phase, to coat titanium substrates (Ti F67- UNS R50400, Realum®),
technique to synthesize a complex hybrid matrix of ceramic and glass previously polished and acid-etched. As shown in Fig. 1 the coated were
materials, and that allows the doping of various inorganic, organic obtained by dip-coating technique (MA765 Marconi® dip-coater).
materials and biomolecules during the formation of a glassy matrix is The Titanium square-shape samples were dip-coated with ZrO2/
the sol–gel method [5,9]. PEG, TiO2/PEG, TiO2:Li+:ZrO2/PEG, and TiO2:Li+/PEG hybrid syn-
The sol–gel method uses an alkoxide or aqueous-based chemical thesized solutions according to each experimental groups. Withdrawal
routes, which is based mainly on the hydrolysis and condensation of speed of the substrate was 35 cm/min. The coated substrate was heat-
metal alkoxides at low temperature [10]. This technique is supported treated at 45 °C for 24 h to promote the partial densification of the
by different coating techniques: spin, dip, and spray coating. The main coating without any polymer degradation.
feature is that allow producing organic–inorganic nanocomposite ma-
terials, which makes possible entrapment of notorious thermolabile 2.4. Cytotoxicity assessment
substances into the inorganic matrix, for instance, polymers or drugs
[11]. These are considered as biphasic materials, where the organic and Cytotoxicity assay is considered the most sensitive of the bio-
inorganic phases are mixed at nanometer to micrometer scales, and compatible tests and shall be used to determine adhesion, death,
their properties are derived from a synergy between the individual growth and proliferation of cells in medical devices, materials and/or
contributions of both phases [12]. The sol–gel technique is an en- their extracts. Cytotoxicity results have correlation with short-term
vironmental friendliness and makes it an attractive technology for implant studies and is considered the fists step towards ensuring bio-
synthesizing highly bioactive and biocompatible materials [7,9]. The compatibility of medical devices [14].
aim of this study was to develop and characterize the biological re- The extracts for investigation were obtained from the treated-coated
sponse of innovating biomimetic coatings on titanium surfaces for titanium surface. The essay was carried out in triplicate for each ran-
biomedical applications through the synthesis of four experimental domized group. The positive controls were wells seeded at a density of
oxide/PEG-based hybrid materials and the sol gel dip-coating method. 10 × 104 cells/well (800 μL) without the hybrid-coated titanium sam-
ples, and the negative controls were wells deposited with 800 μL of
2. Material and methods media (DMem/FBS 90:10). 3T3/NIH immortalized fibroblasts were
cultured in Dulbecco's modified eagle's medium (DMeM) (Cultilab®)
2.1. Samples preparation supplemented with 10% fetal bovine serum (FBS) (Cultilab®), 2% l-
glutamine, penicillin (100 U/mL) and streptomycin (100 mg/mL)
This study used commercially pure grade II Titanium (Ti) F67- UNS (Gibco-BRL), at a controlled atmosphere of 5% CO2 at 37 °C. At sub-
R50400 (Realum®) square-shape samples with standard diameters. confluence around 80% adhere cells in cultures were washed using
Surfaces were polished under metallographic sander machine (model phosphate buffered saline (PBS) (Gibco®) and afterward detached using
Aropol-E, brand ARATEC). Finishing of surfaces was performed with a 5 mL of 0.25% trypsin/EDTA (Gibco®). The MTT test allows the analysis
colloidal granular deagglomerated alumina suspension (1 μm). Ti of cell viability by determining the levels of activity of mitochondrial
samples were washed by a succession of different ultrasonic baths using dehydrogenases towards3-(4,5-dimethylthiazol-2-yl)-2,5-diphenylte-
Acetone, alcohol at 75%, and distilled water, then dried and stored in a trazolium bromide (MTT) (Sigma Aldrich®), through the formation of
gas chamber for nitrogen covering for 4 h. After drying, samples surface insoluble formazan crystals. A 3T3/NIH cell line was seeded on the
were acid etched in a mixture of hydrochloric and sulphuric acid at hybrid-coated titanium samples into 48 well plates at a density of
125–130 °C for 6 min. Surfaces roughness were observed and photo- 10 × 104 cells/well (800 μL), at a controlled atmosphere of 37 °C in 5%
graphed using an optical microscope (Olympus Model BX41M-LED). CO2. At 24 h incubation, the hybrid-coated titanium samples were
The samples were handled under nitrogen cover gas chamber and carefully transferred to a new 48 well plates and were again incubated
stored in 0.9% NaCl solution for 6 h, and then dried for 4 h. Afterwards, with fresh media (800 μL) for 24 h. Afterward, the hybrid-coated tita-
samples were randomly divided into five groups G0 = Uncoated nium samples were washed with PBS. At 48 h, the hybrid-coated tita-
Pretreated Titanium; G1 = ZrO2/PEG [2 M]; G2 = TiO2/PEG [2 M]; nium samples were treated with800 μL of MTT (0.50 mg/mL) for 4 h at
G3 = TiO2 [2 M]: Li+(15%): Zr(15%)/PEG G4 = TiO2 [2 M]: a controlled atmosphere of 37 °C in 5% CO2. The MTT solution was
Li+(15%)/PEG. then removed and 800 μL of dimethyl sulfoxide (DMSO) was added to
dissolve the formazan produced on the surface of the hybrid-coated
2.2. Sol–gel synthesis titanium samples. Finally, the absorbance at 540 nm of each well was
determined using a spectrophotometer (Universal ELISA reader). The
The ZrO2/PEG, TiO2/PEG, TiO2:Li+:ZrO2/PEG, and TiO2:Li+/PEG cell adhesion viability was expressed by the absorbance values of the
organic–inorganic hybrid were synthesized by means of sol–gel process, hybrid-coated titanium samples with the extracts compared to a posi-
using Zirconium (IV) propoxide (Sigma–Aldrich), Titanium (IV) iso- tive control. Descriptive analysis and comparisons between groups were
propoxide (Sigma–Aldrich), and Lithium hydroxide monohydrate performed using the SigmaPlot software version 12.0 (Systat Software
(Sigma–Aldrich), as a precursor of the inorganic matrix, and Inc.) The distribution of the samples in each group was obtained by the
Polyethyleneglycol (PEG) (BioUltra, 400) as the organic component. Shapiro-Wilk test. Variance test between groups was performed.
Previously, solutions with different concentrations of organic and in- Kruskal Wallis test for comparison between groups and Dunn‘s test for
organic components were synthesized in order to achieve adequate multiple comparisons were used. Analysis was using a 95% confidence
physical properties of sols, including transparency and low viscosity interval and variables with p-value < 0.05 were considered statistically
[13]. Initial concentrations of ZrO2/PEG and TiO2/PEG were based in different.
previous studies [10,13]. The concentrations of the other hybrids were
experimental and considered saturation and the before mention phy- 2.5. Surface characterization
sical properties of the sol. Fig. 1 shows the flow chart of the different
hybrids synthesis and coating procedure. The microstructure of the different hybrid systems-coated titanium
samples was studied by a Digital Instruments Multimode atomic force
2.3. Coating procedure microscope AFM (AutoProbe CP, Thermo microscopes), at an inter-
mittent contact mode in a relative humidity 50% and 25 °C. The surface
The hybrid materials ZrO2/PEG, TiO2/PEG, TiO2:Li+:ZrO2/PEG, of the material was also analyzed by scanning electron microscopy –
and TiO2:Li+/PEG synthesized by sol–gel process were used in a sol SEM (Superscan SSX 550, Shimadzu). The determination of the

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Fig. 1. Flow chart of different hybrid systems by sol synthesis.

percentages of the different elements present in the hybrid systems- 3.1. Cytotoxicity test
coated titanium samples was ascertained by Energy Dispersive X-Ray
Analysis (EDX – Ray Ny – EDX 720, Shimadzu), at [quali-quant] easy- The description of cell viability due to cytotoxicity is shown in
metal mode, at two bands (Ti-U and Na-Sc) with 1 mm X-ray beam. Fig. 4.
In all groups, sol–gel dip coating test allowed cellular grown on the
treated titanium surfaces. G3 (TiO2/PEG, TiO2: Li+(15%): Zr (15%)/
3. Results PEG) showed higher cellular grown followed by G4 and G1. G2 showed
the lowest cellular viability. Multiple comparison results are presented
The coatings consisting of polymer polyethylene glycol (PEG) ma- in Table 2. Experimental groups (G1, G2, G3, G4) showed statistically
trix reinforced with sol–gel synthesized PEG-based hybrid ZrO2/PEG, lower cellular viability than the control group (p < 0.05). Groups G3
TiO2/PEG, TiO2:Li+:Zr/PEG, and TiO2:Li+/PEG hybrid fillers, using and G4 were statistically different (p < 0.05) from group G2 showing
different metal oxides zirconium (ZrO2), Titanium (TiO2), Lithium higher cellular grown.
(Li+). Through simple observation, the four sols solutions were trans-
parent, uniform and homogeneous. Differences between the solutions
3.2. Atomic Force Microscopy (AFM) analysis
were observed in the color being the ZrO2/PEG and the Li+ (15%)/PEG
yellowish and the TiO2 [2 M]: Li+ (15%)/PEG and TiO2/PEG,
AFM analyses of surfaces are showed in Fig. 5. Roughness surfaces
TiO2:Li+(15%): Zr (15%)/PEG sols brownish (Fig. 2).
are observed in all experimental groups. G1 surfaces presented high
Moreover, after dip coating procedure, titanium surfaces showed a
peaks and valleys with a uniform distribution on the surface. Rounded
bright, glassy, transparent, yellowish and uniformed superficial film
hexagonal small-sized particles are present combined by middle-sized
(Fig. 3).
and some big hexagonal shape particles (Fig. 5A–D). G2 showed peaked
octagonal big sized particles are present symmetrically positioning
forming small peaks and valleys, with relative uniform distribution but

Fig. 2. Appearances of sol–gel sols (G1,G2,G3,G4).

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Fig. 3. Appearances of titanium treated after dip coating methods.

Fig. 4. Cell viability observed in experimental groups of Titanium disks coated by different sol solutions using the sol–gel dip coating method (G1,G2,G3,G4) and
control group (GC) without sol solutions.

with the presence of few clear deep depressions (Fig. 5E–H). Titanium TiO2 (73.11%) on the surface compared to the other groups.
modified surfaces in G3 presented a uniform distribution, clearly define
small flat peaks and valleys, formed mostly by hexagonal small-sized 4. Discussion
particles uniformly distributed forming a continuous compacted de-
fined layer (Fig. 5H–L). In G4, rounded pentagonal small-sized particles This study presents titanium surfaces modified with potential new
are predominant combined with middle-sized particles distributed biocompatible materials based on Titania (TiO2), Zirconia (ZrO2),
uniformly in a continuous layer forming peaks and valleys are small polyethylene glycol (PEG) and Lithium oxides by the sol–gel dip coating
with the presence of slightly deeper valleys than G3 (Fig. 5M–P). method. Sol–gel dip-coating technique can modify metal surfaces due to
the deposition of organic and inorganic elements forming thin films on
3.3. Scanning Electron Microscopy (SEM) them [11]. In fact, the sol–gel method allowed to synthesized materials
containing organic elements preserving their chemical structure and
Titanium surfaces are presented in Fig. 6. properties, that can be decomposed when exposed to temperatures
In all groups, surfaces are rough, irregular and apparently covered, higher than 250 °C surfaces [5,10,15]. The inclusion of organic com-
which could indicate the existence of bonding with the doped materials, ponents into inorganic networks, brittle in nature, formed hybrid
without cracks. In G1 rounded large and small prominences hetero- sol–gel coating and improved mechanical properties [16]. For instance,
geneously distributed were predominant in the surface. Depressions can pure inorganic sol–gel materials can produce undesirable cracks in the
be observed as well as some spherical particles. G2 surfaces exhibited surfaces [10]. The final material is considering biocompatible and more
rounded irregularities, heterogeneously distributed in the surface. bioactive than others with similar compounds prepared with other
Several depressions and fewer spherical particles than in G1 can be techniques [7], increasing its medical applications [5,9].
seen. G3 presented a more uniform, rough surface, without depressions, In the present study, we synthesized PEG matrix reinforced with
prominence or drastic irregularities. Compared to the other groups, sol–gel based hybrid fillers materials: ZrO2/PEG, TiO2/PEG,
more spherical particles are present, homogeneously distributed. G4 TiO2:Li+:Zr/PEG, and TiO2:Li+/PEG; the last two ones, new experi-
surface showed clearly rounded hexagonal shape prominences with mental sols not reported elsewhere. The sols were transparent, homo-
quite similar sizes, compacted, with a homogeneous and continues geneous with low viscosity. Those characteristics were also reported by
distribution. Almost non spherical particles are present. other study [7]. Characteristics of the sols can influence the properties
of the final coatings, for instance the viscosity influence the thickness
3.4. Energy Dispersive X-Ray Analysis (EDX) [7] and homogeneity indicates the existence of connections at mole-
cular level between the phases that can be weak (Class I) or strong
EDX analysis results are shown in Table 1. All groups presented (Class II) consequently determining thermal behavior, mechanical
TiO2, SO3, P2O5, CaO. In Group 3 and in Group 1 ZrO2 was also present. properties, stability and dispersion of the solution [12]. Better structure
Surfaces in group 3 also had CuO. Modified Titanium disks from groups stability influences biological cellular response of the coating [7].
2, 3 and 4 additionally had CuO. G3 presented the lowest percentage of Studies using the sol–gel dip coating technique to modified titanium

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Fig. 5. AFM analysis of experimental modified titanium in groups: G1 = ZrO2/PEG [2 M] (A–D); G2 = TiO2/PEG [2 M] (E–H); G3 = TiO2 [2 M]: Li+ (15%) (I–L): Zr
(15%)/PEG(I-L); G4 = TiO2 [2 M]: Li+(15%)/PEG (M–P); at Distances: 1 μm (A, E, I, M); 3D-images of 1 μm z-scale (B, F, J, N); Distance 2 μm (C,G,K,O) and 3D-
Images of 2 μm z-scale (D, H, L, P).

Fig. 6. SEM micrograph of (a) G1 sample, (b) G2 sample, (c) G3 sample and (d) G4 sample.

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Table 1
EDX analysis of the experimental coated Titanium surfaces.
Experimental groups Percentages (%) of the elements presented on coated titanium material (Ti-U and Na-Sc)

TiO2 ZrO2 SO3 P2O5 CaO CuO K2O In2O3 Fe2O3 SiO2 SrO

G1 79.47 0.045 25.07 1.71 0.19 – – – – – –


G2 73.93 – 24.00 1.78 0.28 0.02 – – – – –
G3 73.11 0.012 24.99 1.57 0.27 0.02 – – – – –
G4 76.24 – 22.39 1.10 0.25 0.01 – – – – –

demonstrated to enhance cellular response in vitro and in vivo-animal in G3 and G4, since sol–gel derivated Zirconia and Titania are poor
models [15,17]. Cellular response is measured by several parameters, conductors and ionic salts can increase ionic conductivity such as those
being cell adhesion an essential process directly involved in cell growth, based on lithium. Lithium in sol–gel dip coating methods is likely to be
migration and differentiation [18]. physically incorporated on the coating surface generally as part of it,
In our study, the cytotoxicity results showed that all experimental that means that lithium ions adsorb or adjoin to crystals and fill in the
groups presented high cellular viability, presenting the TiO2 [0,2 M]: spaces between them, increasing conductivity. [25] Studies showed
Li+ (15%): Zr (15%)/PEG group higher cell grown than the other ex- that Lithium ions used in depressive disorders treatment, reduced the
perimental groups, followed by TiO2 [0,2 M]: Li+ (15%)/PEG group. risk of fractures in patients receiving the treatment and induced bone
Our results can be attributed to the composition and to the superficial formation in animal model [26,27]. Lithium can inhibit the effects of
morphologies of the hybrid coatings. AFM and MEV results allowed to 1,25-dihydroxy vitamin D consequently inhibit bone resorption, due to
observed more regular surfaces homogeneously distributed particles the influence in calcium-sensing receptor decreasing the sensitivity to
and with less depressions in TiO2 [0,2 M]: Li+ (15%): Zr (15%)/PEG calcium [27]. Moreover, Lithium ions (Li+) were reported to function
group and in the TiO2 [0,2 M]: Li+ (15%)/PEG group. Cell attachment as a activator of the canonical Wnt signaling pathway, factor involved
depend on the protein that adsorbs onto the surface that determinate in mesenchymal stem cells differentiation toward osteoblastic lineage
osteoinduction process, which includes the recruitment of un- in vitro [28]. Because of that, studies incorporate Li+ to synthesized
differentiated cells and the consequent osteointegration, thus is highly biocompatible materials and have demonstrated proliferation and dif-
influenced by the properties of the surface such as chemistry, topo- ferentiation of osteoblast-like cells in vitro [25,28].
graphy and hydrophobicity–hydrophilicity [19]. In sol–gel materials, In our study, even though G1 and G2 presented lower cellular
the biological response depends on surface properties such as topo- grown, cellular viability was high, and that could be attributed also to
graphy, hydrophilicity, electronegativity and ionic dissolution in the the presence of PEG. In the ZrO2-PEG film deposited on titanium sur-
body environment [19]. For instance, in titania the contact angle of the faces, lower wt% of PEG influenced the superficial morphology, in
surface depends on the surface roughness and the presence of hydroxyl which surfaces with low ZrO2-PEG wt% presented high amount of
groups on the surface. The photocatalytic activity is related to the fractures, different from PEG hybrids with 24–50% that were free from
chemical state of Titania and the surface area of the coating. Also the them [13]. Also, the presence of PEG highly influence crack presence in
photocatalytic activity of TiO2 is directly related with the crystal TiO2 surfaces, being surfaces without PEG cracked [10]. In our study
properties, and photoinduced charges are generated in well crystallized titanium modified with TiO2 PEG showed irregular surfaces with the
phases, preferably in the anatase allotropic form [10]. Titania can presence of deep depressions. Cracked surfaced were related to che-
crystallized in homogeneous mixtured of oxides, however limited to mical instability and problems in adhesion [10]. The cellular viability
20Ywt% of titanium. When titanium contents are higher, TiO2 crys- improvement in those studies were attributed to the higher con-
tallites formed a separate phase [20]. Lower percentages of Titanium centration of PEG polymer in the hybrids, indicating that the sol–gel
favored the accommodations of Ti atoms in the network, forming more process preserved the PEG biocompatibility and transmitted the quality
regular surfaces, more stable, and with regular roughness adequate to at hybrids [13]. The presence of PEG, in inorganic networks, reduced
promoted better cellular grown. Undesirable irregular coating layers crack structures in the films, which is an important disadvantage of the
modify the surface roughness and produce heterogeneous textures, in- sol–gel method that happened during the gelification due to the elim-
terfering in osseointegration [21,22]. Roughness should be preserved ination of water [13]. Also, Ääritalo et al., reported that the presence of
even when molecules are incorporated to the surfaces [20,23] since it is PEG increased hydrophilicity, reducing the contact angles compared to
well know that represents an important factor on surfaces topographies pure titanium and photocatalytic activity in modified surfaces of TiO2
that allowed cell adhesion and enhance osteoblast differentiation [18]. compared with those without PEG, which was associated to better
Osteoinduction is increasing in rough surfaces, due to the improvement crystallized phases [10]. In fact PEG in biological systems has the
of the wetting ability of the cells on the treated surfaces [23,24]. ability to increase biocompatibility, intrinsic resistance to protein ad-
The presence of oxides, as presented in the EDX results compatible sorption and hydrophilicity [29] which increased osseointegration in
with shapes and morphologies of AFM and MEV results, in our ex- vitro and in vivo animal models [30].
perimental groups, such as Zirconium and Lithium, appear to be also After cellular assays, titanium modified samples were submitted to
responsible for better biological and surface characteristics. The pre- EDX analysis, showing mostly the presence of Zirconia (ZrO2), titanium
sence of Lithium can be assumed to influence a better cellular response dioxide (TiO2), Phosphoric anhydride (P2O5), Calcium oxide (CaO).

Table 2
ANOVA for comparisons between the experimental groups (G1, G2, G3, G4, GC).
Experimental groups G1 G2 G3 G4 GC
Mean (SD) Mean (SD) Mean (SD) Mean (SD) Mean (SD)

Celular viability 2.300 (0.176)bc 2.249 (0.139)c 2.402 (0.096)b 2.385 (0.156)b 2.983 (0.170)a

Different letters and symbols means statistic difference (p < 0.05).


SD: Standard Deviation; G1 = ZrO2/PEG [2 M], G2 = TiO2/PEG [2 M]. G3 = TiO2 [2 M]: Li (15%): Zr (15%)/PEG, G4 = TiO2 [2 M]: Li (15%)/PEG; GC = Control
Group.

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Bioactive materials, such as glasses and glass ceramics, promotes strong (CAPES)—Finance Code 001. The authors gratefully acknowledge
cellular bonds and stimulates new bone formation [31]. ZrO2 present CAPES, FAPERGS, and CNPq (Grant Numbers: 458332/2014-3; 2013/
chemical stability, good mechanical properties as well as adequate 2998/2014/; 17/2551-0001 157-0).
biological properties, enable osseointegration [32] and new bone for-
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