Review Article

Preparation Methods for Improving PEEK’s Bioactivity for Orthopedic and Dental Application: A Review

Table 4

Effect of the compound materials on the bioactivity of the PEEK composite.

Compound materialStudied areasResults

HAProbing the effect of HA volume fraction on bioactivity via in vivo study.Enhancement of the presence of fibroblast cells, formation of osteoid and osteocytes within lamellar bone [15].
Probing the effect of HA volume fraction on bioactivity via SBF immersion test.Higher rate of HA growth for the composite with higher volume fraction of HA [14].
In vitro study of the new method of simple cubic molding and sintering. Confirmed improvement of bioactivity of the composite [79].
Biocompatibility and bioactivity study of the produced composite via in situ synthetic method.Produced composite showed nontoxic and the bioactive properties [8183].
In vitro bioactivity study of HA/PEEK composite produced by selective laser sintering method.Improvement in bioactivity of the composite and higher content of HA exhibited higher bioactivity rate [88].

nHAProbing the effect of nHA volume fraction on bioactivity via in vitro study by SBF immersion, cell adhesion, and proliferation.Nanocomposite with 29.2 vol% of nHA content showed the best bioactivity in comparison with other samples [80].

βTCPIn vitro bioactivity study via osteoblast cells. Lower rates of osteoblast growth on the βTCP-PEEK compared to pure PEEK [84].
Biocompatibility study of laser sintering method for producing βTCP/PEEK via in vitro study by osteoblast cells.Confirmed nontoxicity of laser sintering method for producing βTCP/PEEK composite but showed no advantage of adding βTCP as an additive on cell growth [85, 86].
In vivo bioactivity study of the laser sintered PEEK/βTCP composite. Better interaction with surrounding bone and direct connection to the surrounding bone [87].

Carbon blackBiocompatibility study of laser sintering method for producing carbon black/PEEK composite via in vitro study by osteoblast cells.Confirmed nontoxicity of laser sintering method for producing carbon black/PEEK composite but showed no advantage of adding carbon black as an additive on cell growth [85].

Carbon, carbon/βTCP, and carbon/bioglass 4s5S5Biocompatibility and bioactivity study of produced composites via laser sintering method.Produced composite via laser sintering method was nontoxic. PEEK/carbon/bioglass composite showed improvement in the bioactivity property [86].

Glass fiberIn vitro study via MG-63 cells. Higher rate of cell proliferation [89, 90].

Nano-TiO2In vitro and in vivo study.Increasing in cell attachment and enhanced osteoblast cell spreading. Enhancement of the bone regeneration around the nano-TiO2/PEEK composite [20].

Sr-HAIn vitro study contains apatite formation in SBF and MG-63-mediated mineralization. Enhancement of bioactivity [16].

CSProbing the effect of CS volume fraction on bioactivity via in vitro bioactivity study by SBF immersion.By increasing the volume fraction of CS the bioactivity of the composite increased [91].