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International Journal of Bioprinting                                 3D-printed silicon nitride-PEEK implants





















































            Figure 5. Comparison between PEEK and Si N -PEEK designs: torsional stiffness (A, B), yield moment (C, D), and ultimate torque (E, F).  (A, C, E)
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            Comparison based on the material. (B, D, F) Comparison based on the designs across the same material. Dotted line indicates the 5th percentile as per
            Peck et al. 28
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            torque compared to porous design for Si N -PEEK cages   starting inocula of 10 , 10 , and 10  CFU/mL, respectively,
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            (mean difference = 1.26 Nm, p = 0.01) (Figure 5F).  as compared to PEEK samples. For  E. coli, mean log
                                                               reductions were 1.10, 1.45, and 1.66. When all groups
            3.3. Antibacterial testing                         were pooled, the average mean log reduction for Si N -
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            Because Si N has been reported to possess antibacterial   PEEK compared to PEEK was 1.28. Representative SEM
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            activity, we tested the ability of the different materials to   micrographs of S. epidermidis and E. coli on Si N -PEEK

            inhibit bacterial adhesion, expressed as colony-forming units   samples are shown in Figure 6C and D.   3  4
            per milliliter (CFU/mL). For each level of inoculum and for
            both S. epidermidis and E. coli, AFSN samples consistently   3.4. Osteogenic activity of cells cultured on
            had the lowest numbers of adherent bacteria, indicating the   different substrates
            greatest overall antimicrobial effect (Figure 6). Si N -PEEK   MTT  assay  was  used  to  quantify  short-term  cell
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            consistently showed greater antibacterial activity than pure   proliferation of the mouse preosteoblasts on each surface
            PEEK samples (p < 0.05), but less antibacterial activity when   (Figure 7). Absorbance results for each group were
            compared to pure Si N (p < 0.05).                  normalized to  a  known  number  of  cells  to  determine
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               When incubated with  S. epidermidis, Si N -PEEK   the approximate number of cells on each surface. The
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            samples showed a 1.02, 1.21, and 1.22 log reduction for   number of cells for each group was significantly different
            Volume 10 Issue 2 (2024)                       438                                doi: 10.36922/ijb.2124
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