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Heavily dependent on both surface and bacteria characteristics, multiple and complex parameters control bacterial adhesion to any biomaterial surface. That's why there are so many contradictory results regarding the antibacterial and adhesion inhibition properties of Diamond-Like Carbon (DLC) protective coatings, despite the well-established biocompatibility of this very broad group of materials. Aiming at Orthodontics, this study reports the modification of hydrogenated amorphous carbon coatings (a-C:H), by nitrogen incorporation upon reactive magnetron sputtering. The effect of low N content up to 10 at.% on the microstructure and bacterial adhesion was studied. Despite the progressive graphitization upon doping, the surface roughness was not significantly influenced and the water contact angles remained above 70°. The adhesion of three bacterial strains of Staphylococcus aureus, Bacillus subtilis and Pseudomonas aeruginosa was evaluated. The median colony forming units was lower on the a-C:H and a-C:H:N coatings in comparison to the bare AISI 316L medical grade stainless steel surface, regardless the bacterial strain. The best bacterial adhesion inhibition capacity was achieved for N doping of 6 at.%, without using any antibacterial agents.
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Fróis et al. (2024) studied this question.
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