3D-printing bionic-patterned zirconia via stereolithography promotes soft tissue integration for ceramic implants

Due to the desirable aesthetic performance, zirconia abutments attract tremendous attention in implant related restoration of the anterior zone. However, the inadequate soft tissue integration originated from the inertia surface of zirconia severely limits its application. Fabricating bionic-patterned zirconia abutments is believed to be a promising strategy to solve this puzzle. The main obstacle to fabricating bionic-pattern lies in that conventional zirconia manufacturing technology cannot precisely engineer complex micro-pattern. Notably, modern 3D printing presents a feasible way to obtain various sophisticated topological architecture. In the present study, series of bionic-patterned zirconia were fabricated by 3D printing, simulating lotus leaf, butterfly wings, shark skin, and gecko foot. The features of micro-patterns and quality of 3D printing were systematically characterized. In addition, the effect of various bionic-patterned zirconia on the behaviors of gingival fibroblasts was investigated. Results showed that zirconia with various micro-scale bionic patterns was successfully and precisely fabricated by 3D printing. Among the four types of bionic patterns, the ones that resembled the geckos’ feet or lotus leaves were the most recommended topography for cell growth and spreading, while the pattern mimicked shark skin upgraded the expression of fibroblast functional genes including Col-I, Fn, and Itgb-1 most obviously. The bionic-patterned zirconia can efficiently promote adhesion, proliferation, and related gene expression of gingival fibroblasts, indicating that bionic-patterned zirconia has great potential to promote soft tissue integration.