Mechanical and Biological Characterization of PMMA/Al 2 O 3 Composites for Dental Implant Abutments.

The mechanical and biological behaviors of PMMA/Al 2 O 3 composites incorporating 30 wt.%, 40 wt.%, and 50 wt.% of Al 2 O 3 were thoroughly characterized as regards to their possible application in implant-supported prostheses. The Al 2 O 3 particles accounted for an increase in the flexural modulus of PMMA. The highest value was recorded for the composite containing 40 wt.% Al 2 O 3 (4.50 GPa), which was about 18% higher than that of its unfilled counterpart (3.86 GPa). The Al 2 O 3 particles caused a decrease in the flexural strength of the composites, due to the presence of filler aggregates and voids, though it was still satisfactory for the intended application. The roughness (Ra) and water contact angle had the same trend, ranging from 1.94 µm and 77.2° for unfilled PMMA to 2.45 µm and 105.8° for the composite containing the highest alumina loading, respectively, hence influencing both the protein adsorption and cell adhesion. No cytotoxic effects were found, confirming that all the specimens are biocompatible and capable of sustaining cell growth and proliferation, without remarkable differences at 24 and 48 h. Finally, Al 2 O 3 was able to cause strong cell responses (cell orientation), thus guiding the tissue formation in contact with the composite itself and not enhancing its osteoconductive properties, supporting the PMMA composite's usage in the envisaged application.