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In Vitro Cytotoxicity Test and Surface Characterization of CoCrW Alloy in Artificial Saliva Solution for Dental Applications

Abstract

In order to evaluate its application as a dental prosthesis material, a CoCrW alloy was subjected to in vitro cytotoxicity test, surface characterization and electrochemical studies performed in artificial saliva and 0.15 mol.L-1 NaCl medium. The used techniques were: anodic polarization curves, chronoamperometric measurements, electrochemical impedance spectroscopy (EIS), scanning electron microscopy (SEM), energy dispersive X-ray spectroscopy (EDS) analysis and X-ray photoelectron spectroscopy (XPS). Cytotoxicity test was also performed. The electrochemical behavior of CoCrW alloy was compared in both studied media, from corrosion potential (Ecorr) to a 600 mV anodic overvoltage. From the electrochemical measurements it was observed that the CoCrW alloy in both media presents only generalized corrosion. SEM and EDS analysis showed that the alloy presents carbide niobium and silicon and manganese oxides as nonmetallic inclusions. XPS results indicated that cobalt does not significantly contribute to the passivating film formation. Cytotoxicity test showed no cytotoxic character of CoCrW alloy. These results suggest that the CoCrW alloy can be used as biomaterial to be applied as prosthesis in dental implants.

Key Words:
CoCrW alloy; surface characterization; cytotoxity; dental materials.

Resumo

Estudos eletroquímicos, caracterização de superfície e teste de citotoxicidade in vitro foram realizados da liga CoCrW em meios de saliva artificial e NaCl 0,15 mol.L-1, com o objetivo de avaliar a sua aplicação como material de prótese dentária. Foram usadas como técnicas, curvas de polarização anódica, medidas cronoamperométricas, espectroscopia de impedância eletroquímica (EIE), microscopia eletrônica de varredura (MEV), espectroscopia por energia dispersiva de raios X (EDS) e espectroscopia fotoeletrônica de raios X (XPS). O teste de citotoxicidade também foi realizado. O comportamento eletroquímico da liga CoCrW foi comparado nos dois meios estudados desde o potencial de corrosão (Ecorr) até uma sobretensão anódica de 600 mV. Foi observado, a partir de medidas eletroquímicas, que a liga CoCrW se encontra passivada em uma ampla faixa de potencial e que a sobretensões mais elevadas apresenta apenas corrosão generalizada nos dois meios. Análises por MEV e EDS mostraram que a liga apresenta inclusões não metálicas de carbeto de nióbio, de óxidos de silício e de manganês. Os resultados de XPS indicaram que o cobalto não contribui significativamente para a formação do filme passivo. O teste de citotoxicidade mostrou que a liga CoCrW não se apresenta citotóxica. Estes resultados sugerem que a liga estudada pode ser usada como biomaterial a ser aplicado como prótese sobre implantes dentários.

Introduction

Metal alloys have been used since the beginning of the 20th century as material in dentistry due to their mechanical properties 11. Anusavice KJ. Phillips materiais dentários, Guanabara Koogan, 10 ed., Guanabara Koogan, Rio de Janeiro; 1998.,22. Balamurugan, A; Rajeswari, S; Balossier, G; Rebelo, AHS; Ferreira, RJMF. Corrosion aspects of metallic implants - an overview. Mater Corros 2008;59:855-869.. Nowadays, due to economic issues, non-precious alloys are replacing noble alloys in dentistry. Dental non-precious metal alloys present a thin passive film of oxide on the surface. This passive film must have high adhesion, be compact, present high electrical resistance and absence of defects such as cracks 11. Anusavice KJ. Phillips materiais dentários, Guanabara Koogan, 10 ed., Guanabara Koogan, Rio de Janeiro; 1998.,22. Balamurugan, A; Rajeswari, S; Balossier, G; Rebelo, AHS; Ferreira, RJMF. Corrosion aspects of metallic implants - an overview. Mater Corros 2008;59:855-869..

The oral environment is perfect to promote the oxidation of metallic materials. Factors like quantity and quality of saliva, salivary pH, dental plaque, amount of protein, chemical and physical properties of food and fluid intake, and general oral health conditions may influence the metal corrosion in the oral cavity 33. Bumgardner, JD; Luca,s LC. Cellular response to metallic ions released from nickel-chromium dental alloys. J Dent Res 1995;74:1521-1527.. There are two concerns about dental materials in oral environment: the localized effects or systemic damage caused by the release of corrosion products to the body and the effects on the physical properties and clinical performance of the alloy 44. Marananche, C; Hornberger, H. A proposal for the classification of dental alloys according to their resistance to corrosion. Dent Mater 2007;23:1428-1437.,55. Ameer MA; Khamis E; Al-Motlaq, M. Electrochemical behaviour of recasting Ni-Cr and Co-Cr non-precious dental alloys. Corros Sci 2004;46:2825-2836.,66. Upadhyay, D; Panchal, MA; Dubey, RS; Srivastava, VK. Corrosion of alloys used in dentristry: a review. Mater Sci Eng 2006;432:1-11.,77. Hous,e K; Sernetz, F; Dymock, D; Sandy, JR; Ireland, AJ. Corrosion of orthodontic appliances - should we care? Am J Orthod Dentfac Orthop 2008:133:584-592..

CoCr-based alloys have been utilized in dental prosthesis, since they offer good resistance to corrosion 88. Ouerd, A; Alemany-Dumont, C; Normand, B; Szunerits, S. Reactivity of CoCrMo alloy in physiological medium: Electrochemical characterization of the metal/protein interface. Electrochim Acta 2008;53:4461-4469.,99. Contu, F; Elsener, B; Bohni, H. Electrochemical behavior of CoCrMo alloy in the active state in acidic and alkaline buffered solutions. J Electrochem Soc 2003:150;419-424.. Recently, alloys with high content of tungsten instead molybdenum have been developed aiming a better ceramic-metal adhesion 1010. Wang, Q; Huang, C; Zhang, L. Microstruture and tribological properties of plasma nitriding cast CoCrMo alloy. J Mater Sci Technol.2012;28:60-66.. On the other hand, the CoCrMo alloys have been more studied 44. Marananche, C; Hornberger, H. A proposal for the classification of dental alloys according to their resistance to corrosion. Dent Mater 2007;23:1428-1437.,55. Ameer MA; Khamis E; Al-Motlaq, M. Electrochemical behaviour of recasting Ni-Cr and Co-Cr non-precious dental alloys. Corros Sci 2004;46:2825-2836.,66. Upadhyay, D; Panchal, MA; Dubey, RS; Srivastava, VK. Corrosion of alloys used in dentristry: a review. Mater Sci Eng 2006;432:1-11.,77. Hous,e K; Sernetz, F; Dymock, D; Sandy, JR; Ireland, AJ. Corrosion of orthodontic appliances - should we care? Am J Orthod Dentfac Orthop 2008:133:584-592.,88. Ouerd, A; Alemany-Dumont, C; Normand, B; Szunerits, S. Reactivity of CoCrMo alloy in physiological medium: Electrochemical characterization of the metal/protein interface. Electrochim Acta 2008;53:4461-4469.,99. Contu, F; Elsener, B; Bohni, H. Electrochemical behavior of CoCrMo alloy in the active state in acidic and alkaline buffered solutions. J Electrochem Soc 2003:150;419-424.,1010. Wang, Q; Huang, C; Zhang, L. Microstruture and tribological properties of plasma nitriding cast CoCrMo alloy. J Mater Sci Technol.2012;28:60-66.,1111. Hedberg, YS; Qian, B; Shen, Z; Virtanen, S; Wallinder, IO. In vitro biocompatibility of CoCrMo dental alloys fabricated by selective laser melting. Dent Mater 2014;30:525-534.,1212. Giacchi, JV; Morando, CN; Fornaro, O; Palacio, HA. Microstructural characterization of as-cast biocompatible CoCrMo alloys. Mater Charact 2011;62:53-61. than CoCrW alloys 1313. Karaali, A; Mirouh, K; Hamamda, S; Guiraldenq, P. Microstructural study of tungsten influence on Co-Cr alloys. Materials Mater Sci Eng A. 2005;390:255-259.,1414. Karaali, A; Mirouh, K; Hamamda, S; Guiraldenq, P. Effect of tungsten 0-8 wt.% on the oxidation of Co-Cr alloys. Comput Mater Sci 2005;33:37-43..

In this work, in vitro cytotoxicity test, surface characterization and electrochemical behavior of a CoCrW alloy have been performed in artificial saliva and 0.15 mol.L-1 NaCl medium in order to evaluate its application as dental prosthesis material. For characterizing the alloy surface, polarization curves, chronoamperometry, electrochemical impedance spectroscopy (EIS), scanning electron microscopy (SEM) , energy dispersive X-ray spectroscopy (EDS) and X-ray photoelectron spectroscopy were used. In vitro cytotoxicity test was also performed to study the biocompatibility of the proposed alloy as implant material.

Material and Methods

Sample and Solutions

The chemical composition of the CoCrW alloy is in Table 1.

Table 1
Chemical composition of CoCrW alloy (wt%)

Electrodes

The CoCrW alloy working electrodes were discs fabricated from the central part of the bars and had an area of 0.90 cm2. A cylindrical epoxy-base was fitted with the steel disk. A concentric brass rod was coupled to the steel+epoxy-base. The electrodes were prepared by polishing with successively finer grades of emery papers of 120, 400, 600 and 2000 mesh and then thoroughly rinsed with distilled water and ethanol and air dried prior to the experiments.

The auxiliary electrode consisted of a platinum foil and it was cleaned with acid and flamed just before each experiment. Saturated calomel electrode (SCE) was used as reference electrode.

Electrochemical Experiments

The corrosion resistance was evaluated by potentiodynamic polarization anodic curves and chronoamperometric curves. The studied CoCrW alloy was in artificial saliva and 0.15 mol.L-1 NaCl solutions. These evaluations were performed after the attainment of a constant current at each potential application, starting from the open circuit potential in the anodic direction from Ecorr till 0.9 V vs. SCE using 1 mV.s-1 scan rate. As working criterion, it was assumed that the transpassivation potential is reached when the current density is 10 µA/cm2. The electrochemical impedance spectroscopy (EIS) measurements were performed over eight frequency decades (from 100 KHz to 10 mHz). The potential was ±8 mV, p.p. The experiments were conducted at 37 ºC. A μAutolab type III/FRA2 potentiostat (Metrohm Autolab BV, the Netherlands) was used coupled to a frequency response detector and to a microcomputer.

Surface Characterization

Scanning Electron Microscopy (SEM) and Energy Dispersive X-Ray Spectroscopy (EDS) Analysis

SEM and EDS analyses were made on a WDX600 Oxford microscope (Leica Microsystems. Wetzlar, Germany) coupled to a Stereoscan 440 Leica scanning electron microscope (Leica Microsystems). The samples were polished using 1 μm diamond paste, rinsed with water and etanol and air dried. Different surface regions were analyzed using EDS (Table 2).

Table 2
Different surface regions analyzed using energy dispersive spectroscopy (EDS) for CoCrW alloy after polishing

X-ray Photoelectron Spectroscopy (XPS) Analysis

XPS analyses were made on a spectrometer (model XSAM HS; Kratos Analytical Ltd, Manchester, UK) under ultrahigh vacuum (about 10-8 Torr). Non-monochromatic Mg Kα (hν=1253.6 eV) radiations were used as X-ray source, with 5 mA emission current at 12 kV voltage. The samples were polished, rinsed with de-ionized water, cleaned in an ultrasonic bath with analytical grade acetone for 5 min and rinsed with de-ionized water. Previous to these experiments, the samples were immersed in artificial saliva and 0.15 mol.L-1 NaCl solution for 8 h at Ecorr. After 8 h the surface composition was analyzed to investigate the presence of cobalt (Co) and chromium (Cr) in the composition of the passive film. As binding energy reference was used the value 284.8 eV for the carbon peak corresponding to the adventitious hydrocarbon 1616. Moulder, JF; Stickle, WF; Sobol, PE; Bomben, KD. Handbook of X-ray photoelectron spectroscopy. Chastain, J. Perkin-Elmer Corporation, Physical Electronics Division, Eden Prairie, MN, USA, 1992.. The evaluation included Shirley procedure for background subtraction, mixed Gaussian/Lorentzian function and a least-square routine for fitting the peak.

Cytotoxicity Tests

The cytotoxicity assay was carried out by exposing the cell culture to the solutions after contact with alloy samples, immersed for 10 days in culture medium MEM at 37 °C. The NCTC clone 929 cell line was acquired from American Type Culture Collection (ATCC) bank. The cytotoxicity effect was evaluated by neutral red uptake (NRU) methodology, described in previous papers 1717. Rogero, SO; Hilga, OZ; Saiki, M; Correia, OV; Costa, I. Cytotoxicity due to corrosion of ear piercing studs. Toxicol In Vitro 2000;14:497-504.,1818. Jaimes, RFVV; Afonso, MLCA; Rogero, SO; Agostinh,o SML; Barbosa, CA. New material for orthopedic implants: electrochemical study of nickel free P558 stainless steel in minimum essential medium. Mat Letts 2010;64:1476-1479., according to the International Organization for Standardization (ISO) 1919. Afonso, MLCA; Jaimes, RFVV; Rogero, SO; Nascent, PAP; Agostinho, SML. Surface characterization, electrochemical behaviour and cytotoxicity of UNS S31254 stainless steel for orthopedic applications. Mat Letts Volume 2015;148:71-75.

Results

Electrochemical Results

The corrosion potentials (stationary open circuit potential values) obtained for artificial saliva and 0.15 mol.L-1 NaCl solutions were -100±28 mVSCE and -277±23 mVSCE respectively (Fig. 1A). The anodic potentiodynamic polarization curves were obtained from corrosion potential and plotted in order to evaluate the effect of potential, to determine the potential range where the alloy is passivated and the value of the transpassivation potential. The chronoamperometric tests were made in order to verify the presence or not of pitting corrosion on the passive film. The obtained results from polarization curves are plotted in Figure 1A with the chronoamperometric curves at different potential values (Figs. 1B and 1C) for the alloy, in artificial saliva and NaCl medium, respectively. Chronoamperometric results are shown at different potentials and confirm those obtained by potentiodynamic polarization anodic curves, indicating the potential range where the metallic surface is passivated. The constant values of the current density observed at different potential values are an indication that the alloy does not present pitting corrosion.

Figure 1
Potentiodynamic polarizations curves of CoCrW alloy in artificial saliva and 0.15 mol.L-1 sodium chloride at 37 oC. Panels A, B and C show the chronoamperograms response at each potential application.

EIS was employed to investigate the passive film/electrolyte interface and evolution with increasing potential. Figure 2 shows Bode (modulus and phase) diagrams for CoCrW in artificial saliva (Fig. 2A) and 0.15 mol.L-1 NaCl solutions (Fig. 2B) at Ecorr and 0.25 VSCE. A similar behavior may be seen for the alloy/solution interface in both media: the imaginary and real components of impedance decrease as the potential becomes more positive than the Ecorr. The proposed equivalent circuit is presented in Figure 2C, where Rs correspond to the electrolyte resistance, CPEf and Rf correspond respectively to the constant phase element (pseudo-capacitance) and the polarization resistance for the oxidation reaction trough the protective film., CPEdc and Rct correspond, respectively, to the double layer constant phase element and the charge transfer resistance of the CoCrW alloy oxidation. The same circuit was proposed for Ecorr and at 0.25 VSCE in both media.

Figure 2
Impedance spectra of CoCrW alloy at sodium chloride (A) and artificial saliva. B: Bode plots registered at different potentials (Ecorr and 0.25 V). (●) experimental values, (___) simulation. C: Electrical equivalent circuits used to fit the experimental data at different potentials.

Surface Characterization

SEM and EDS analyses were made to evaluate the existence of non-metallic inclusions. Different surface regions were analyzed using EDS after polishing with 1 µm diamond paste. Figure 3 presents three different regions, 1, 2 and 3. According to EDS analysis the region 1 presents the bulk composition, region 2 corresponds to niobium carbides and region 3 is due to the presence of silicon and manganese oxides.

Figure 3
SEM and EDS images of CoCrW alloy samples polished through 1 mm diamond paste.

XPS was used to investigate the presence of Cr and Co in the composition of the passive film. Table 3 shows the absolute potentials of the components in the passive film. The chromium content of the surface is higher than cobalt in both media and is higher in 0.15 mol.L-1 NaCl when compared to saliva. The results showed presence of chromium (III) and cobalt oxides in the passive film.

Table 3
X-ray photoelectron spectroscopy (XPS) results for CoCrW alloy after immersed

Cytotoxicity Test

Cytotoxicity test was made and the results are in Figure 4; the cytotoxicity evaluation was performed by neutral red uptake assay. Positive and negative controls were used to confirm the adequate performance of the test procedure and/or to evaluate the results of CoCrW alloy, as well as to control the cell sensitivity, extraction efficiency and other test parameters. The sample that presents cell viability above the IC50(%) line is considered nontoxic and under the IC50(%) line it is toxic.

Figure 4
CoCrW alloy viability curves in the cytotoxicity assay by the neutral red uptake methodology.

Discussion

Figure 1A shows that the Ecorr in saline solution is more positive, suggesting a better passive film formation when compared to artificial saliva medium. The CoCrW alloy (Fig. 1A) showed small values of current density (1 to 10 µA/cm2) for a large analyzed potential range indicating good characteristics of the passive film formed in both media. The CoCrW alloy presents lower passivating current densities in NaCl medium, suggesting more passivating film for sodium chloride than in artificial saliva. The chronoamperometric curves (Figs. 1B and 1C) showed constant current density values even at high potentials, indicating the absence of pitting corrosion. The results have shown that CoCrW alloy presents only generalized corrosion at 0.9 V with high current density values in both media.

The characteristics of the passive film were investigated by EIS at Ecorr and 0.25 VSCE. The results are presented in Figures 2A and 2B. Bode phase diagrams are typical of passive systems with high values of both real and imaginary parts of the impedance at low frequencies. In the Bode diagrams the values of |Z| were about 105 Ω/cm² and the angle greater than 75º, showing the high resistive and capacitive characteristics of the formed film. Bode phase diagrams point out to the same mechanism in artificial saliva and sodium chloride. Figure 2C also shows the fitting of the experimental results according to simulated equivalent circuits. Good agreement between the experimental results and the equivalent circuits proposed is observed on the entire range of studied frequencies, suggesting qualitatively the same mechanism in both media. The film formed in sodium chloride medium (Fig. 2B) has better quality than that formed in artificial saliva (Fig. 2A).

The composition of the passive film was analyzed by XPS at Ecorr. The amount of chromium and cobalt in the passive film formed in sodium chloride is greater than in artificial saliva. The protective film is formed by chromium oxide in both media 2020. Ossa, CPO; Rogero, SO; Tschiptschin, APJ. Cytotoxicity study of plasma-sprayed hydroxyapatite coating on high nitrogen austenitic stainless steels. J Mater Med 2006;17:1095-1100.. These results were also obtained by Hodgson et al. 2121. International Organization for Standardization (ISO) 10993 Biological evaluation of medical devices, Part 5: Tests for In Vitro Cytotoxicity, 2009.. In CoCr-based alloys, only at high potential will be found another state of chromium oxidation, such as Cr (VI) 2121. International Organization for Standardization (ISO) 10993 Biological evaluation of medical devices, Part 5: Tests for In Vitro Cytotoxicity, 2009.,2222. Muñoz, AI; Mischler, S. Interactive effect of albumin and phosphate ions on the corrosion of CoCrMo implant alloy. J Electrochem Soc 2007;154:562-570... The chemical shift between Co2+ and Co3+ is very small 2222. Muñoz, AI; Mischler, S. Interactive effect of albumin and phosphate ions on the corrosion of CoCrMo implant alloy. J Electrochem Soc 2007;154:562-570.,2323. Hodgson, AW E; Kurz, S; Virtanen, S; Fervel ,V; Olsson ,COA; Mischler, S. Passive and transpassive behavior of CoCrMo in simulated biological solutions. Trans Nonferrous Metals Society of China 2004;49:2167-2178.,2424. Milosev, I; Strehblow, HH. The composition of the surface passive film formed on CoCrMo alloy in simulated physiological solution. Electrochim Acta 2003;48:2767-2774., indicating a difficulty to characterize the oxidation state on the metallic surface. The low amount of cobalt in the film suggests that it diffuses into the solution and it does not significantly contribute to the oxide phase.

In this study the tested alloy did not present toxic effects even at 100% extract concentration. All the viability curves are above the cytotoxicity index line, which means that the CoCrW alloy showed no cytotoxicity effects in this assay.

In this study the CoCrW alloy presented good behavior with the formation of a uniform passive film rich in chromium (III) oxide and a lower amount of cobalt oxides. The film formed in 0.15 mol.L-1 NaCl is more capacitive and resistive than the one formed in artificial saliva. The chemical complexity of the artificial saliva probably contributes to greater instability of the passive film. SEM and EDS show that the CoCrW alloy presents niobium carbide and silicon and manganese oxides as non-metallic inclusions. Cytotoxicity tests validated the non-cytotoxic effect of the alloy according to the used methodology.

The results of this study suggest that CoCrW alloys from the electrochemical and cytotoxicity point of view may be used as biomaterials to be applied in prosthesis on dental implants.

Acknowledgements

The authors acknowledge CNPq for the granted scholarship.

References

  • 1
    Anusavice KJ. Phillips materiais dentários, Guanabara Koogan, 10 ed., Guanabara Koogan, Rio de Janeiro; 1998.
  • 2
    Balamurugan, A; Rajeswari, S; Balossier, G; Rebelo, AHS; Ferreira, RJMF. Corrosion aspects of metallic implants - an overview. Mater Corros 2008;59:855-869.
  • 3
    Bumgardner, JD; Luca,s LC. Cellular response to metallic ions released from nickel-chromium dental alloys. J Dent Res 1995;74:1521-1527.
  • 4
    Marananche, C; Hornberger, H. A proposal for the classification of dental alloys according to their resistance to corrosion. Dent Mater 2007;23:1428-1437.
  • 5
    Ameer MA; Khamis E; Al-Motlaq, M. Electrochemical behaviour of recasting Ni-Cr and Co-Cr non-precious dental alloys. Corros Sci 2004;46:2825-2836.
  • 6
    Upadhyay, D; Panchal, MA; Dubey, RS; Srivastava, VK. Corrosion of alloys used in dentristry: a review. Mater Sci Eng 2006;432:1-11.
  • 7
    Hous,e K; Sernetz, F; Dymock, D; Sandy, JR; Ireland, AJ. Corrosion of orthodontic appliances - should we care? Am J Orthod Dentfac Orthop 2008:133:584-592.
  • 8
    Ouerd, A; Alemany-Dumont, C; Normand, B; Szunerits, S. Reactivity of CoCrMo alloy in physiological medium: Electrochemical characterization of the metal/protein interface. Electrochim Acta 2008;53:4461-4469.
  • 9
    Contu, F; Elsener, B; Bohni, H. Electrochemical behavior of CoCrMo alloy in the active state in acidic and alkaline buffered solutions. J Electrochem Soc 2003:150;419-424.
  • 10
    Wang, Q; Huang, C; Zhang, L. Microstruture and tribological properties of plasma nitriding cast CoCrMo alloy. J Mater Sci Technol.2012;28:60-66.
  • 11
    Hedberg, YS; Qian, B; Shen, Z; Virtanen, S; Wallinder, IO. In vitro biocompatibility of CoCrMo dental alloys fabricated by selective laser melting. Dent Mater 2014;30:525-534.
  • 12
    Giacchi, JV; Morando, CN; Fornaro, O; Palacio, HA. Microstructural characterization of as-cast biocompatible CoCrMo alloys. Mater Charact 2011;62:53-61.
  • 13
    Karaali, A; Mirouh, K; Hamamda, S; Guiraldenq, P. Microstructural study of tungsten influence on Co-Cr alloys. Materials Mater Sci Eng A. 2005;390:255-259.
  • 14
    Karaali, A; Mirouh, K; Hamamda, S; Guiraldenq, P. Effect of tungsten 0-8 wt.% on the oxidation of Co-Cr alloys. Comput Mater Sci 2005;33:37-43.
  • 15
    Leung, VWH; Darvell, BW. Calcium phosphate system in saliva-like media. J Chem Soc Faraday Trans. 1991;87:1759-1764.
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    Moulder, JF; Stickle, WF; Sobol, PE; Bomben, KD. Handbook of X-ray photoelectron spectroscopy. Chastain, J. Perkin-Elmer Corporation, Physical Electronics Division, Eden Prairie, MN, USA, 1992.
  • 17
    Rogero, SO; Hilga, OZ; Saiki, M; Correia, OV; Costa, I. Cytotoxicity due to corrosion of ear piercing studs. Toxicol In Vitro 2000;14:497-504.
  • 18
    Jaimes, RFVV; Afonso, MLCA; Rogero, SO; Agostinh,o SML; Barbosa, CA. New material for orthopedic implants: electrochemical study of nickel free P558 stainless steel in minimum essential medium. Mat Letts 2010;64:1476-1479.
  • 19
    Afonso, MLCA; Jaimes, RFVV; Rogero, SO; Nascent, PAP; Agostinho, SML. Surface characterization, electrochemical behaviour and cytotoxicity of UNS S31254 stainless steel for orthopedic applications. Mat Letts Volume 2015;148:71-75
  • 20
    Ossa, CPO; Rogero, SO; Tschiptschin, APJ. Cytotoxicity study of plasma-sprayed hydroxyapatite coating on high nitrogen austenitic stainless steels. J Mater Med 2006;17:1095-1100.
  • 21
    International Organization for Standardization (ISO) 10993 Biological evaluation of medical devices, Part 5: Tests for In Vitro Cytotoxicity, 2009.
  • 22
    Muñoz, AI; Mischler, S. Interactive effect of albumin and phosphate ions on the corrosion of CoCrMo implant alloy. J Electrochem Soc 2007;154:562-570.
  • 23
    Hodgson, AW E; Kurz, S; Virtanen, S; Fervel ,V; Olsson ,COA; Mischler, S. Passive and transpassive behavior of CoCrMo in simulated biological solutions. Trans Nonferrous Metals Society of China 2004;49:2167-2178.
  • 24
    Milosev, I; Strehblow, HH. The composition of the surface passive film formed on CoCrMo alloy in simulated physiological solution. Electrochim Acta 2003;48:2767-2774.

Publication Dates

  • Publication in this collection
    mar-apr 2016

History

  • Received
    05 Sept 2015
  • Accepted
    07 Jan 2016
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