Antibacterial properties and biological activity of 3D-printed titanium alloy implants with a near-infrared photoresponsive surface.

PURPOSE: SLM 3D printing technology is one of the most widely used implant-making technologies. However, the surfaces of the implants are relatively rough, and bacteria can easily adhere to them; increasing the risk of postoperative infection. Therefore, we prepared a near-infrared photoresponsive nano-TiO(2) coating on the surface of an SLM 3D-printed titanium alloy sheet (Ti6Al4V) via a hydrothermal method to evaluate its antibacterial properties and biocompatibility. METHODS: Using SLM technology, titanium alloy sheets were 3D printed, and a nano-TiO(2) coating was prepared on its surface via a hydrothermal method to obtain Ti6Al4V@TiO(2). The surface morphology, physicochemical properties, and photothermal response of the samples were observed. The Ti6Al4V groups and Ti6Al4V@TiO(2) groups were cocultured with S. aureus and E. coli and exposed to 808 nm NIR light (0.8 W/cm(2)) and viable plate count experiments and live/dead bacterial staining were used to assess their in vitro antibacterial properties. RESULTS: The hydrophilicity of the nano-TiO(2) coating sample significantly improved and the sample exhibited an excellent photothermal response. The temperature reached 46.9± 0.32 °C after 15 min of irradiation with 808 nm NIR light (0.8 W/cm(2)). The Ti6Al4V group showed significant antibacterial properties after irradiation with 808 nm NIR light, and the Ti6Al4V@TiO(2) group also had partial antibacterial ability without irradiation. After irradiation with 808 nm NIR light, the Ti6Al4V@TiO(2) group showed the strongest antibacterial properties, reaching 90.11± 2.20% and 90.60± 1.08% against S. aureus and E. coli, respectively. CONCLUSIONS: A nano-TiO(2) coating prepared via a hydrothermal method produced synergistic antibacterial effects after NIR light irradiation.