A
recent study ("Evaluation in a Dog Model of Three Antimicrobial Glassy
Coatings: Prevention of Bone Loss around Implants and Microbial
Assessments") performed by a group of scientists from the Nanomaterials
and Nanotechnology Research Center (CINN) – joint center of the Spanish Council
of Scientific Research (CSIC), the University of Oviedo, and the Principality
of Asturias – the Institute of Advanced Oral Surgery of Madrid (ICOA), and the
Center for Minimally Invasive Surgery Jesús Usón (CCMIJU) has demonstrated the
ability of three glass coatings, developed by the CINN, to control peri-implant
infection and subsequent disease. The use of these coatings on medical implants
decreases bacterial colonization and disease progression significantly,
especially in the case of the bioactive glasses.
Bacterial
colonization of implantable medical devices — such as joint replacements (hip,
knee, etc.), metal heart valves, catheters, etc. — is a medical problem of
great importance because of its prevalence (it is the main cause of failure of
total knee arthroplasty and the third leading cause of total hip replacement
failure) and its cost “apart from the economic cost for the health system to remove
these devices — the cost of changing only knee and hip prostheses in the U.S.
grew from 320 million dollars in 2001 to 672 million dollars in 2010 — the
patient pays a very high price health wise, which can even involve death in
some cases,” says Dr. López-Piriz.
Through
a peri-implant disease induction model carried out in 5 dogs the study has
shown that the application of bioactive glass as a coating on implantable
medical devices inhibits the formation of surface biofilms “in vitro” and “in
vivo.” One of the glasses, called G3, showed an especially remarkable ability
to prevent bacterial colonization and slow down disease progression.
Although
research with these novel biocide materials has focused on the health field,
López-Piriz says, “There are many other applications for which they would
provide significant advantages, such as in air conditioning devices where
Legionella growth causes epidemic outbreaks and numerous deaths every year.”
Posted by Tim Sandle
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