Citation: Fróis, A.; Cardoso, E.;
Morais, P.V.; Francisco, R.; Louro, C.S.
In Vitro Bacterial Adhesion on 316L
Medical Grade Stainless Steel with
Two Surface Finishes. Mater. Proc.
2022, 8, 49. https://doi.org/10.3390/
materproc2022008049
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Nuno Alves, Carla Moura and
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Published: 30 May 2022
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Abstract
In Vitro Bacterial Adhesion on 316L Medical Grade Stainless
Steel with Two Surface Finishes
†
António Fróis
1,2
, Emanuel Cardoso
1,3
, Paula V. Morais
3
, Romeu Francisco
3,
* and Cristina Santos Louro
1,
*
1
Centre for Mechanical Engineering, Materials and Processes (CEMMPRE), Department of Mechanical
Engineering, Faculty of Sciences and Technology, University of Coimbra, Rua Luis Reis Santos,
3030-177 Coimbra, Portugal; antonio.frois@student.uc.pt (A.F.); emanuel.cardoso@student.uc.pt (E.C.)
2
Faculty of Medicine, Biophysics Institute, Coimbra Institute for Clinical and Biomedical Research/Centre for
Innovative Biomedicine and Biotechnology (iCBR/CIBB), University of Coimbra, 3000-548 Coimbra, Portugal
3
Centre for Mechanical Engineering, Materials and Processes (CEMMPRE), Department of Life Sciences,
Faculty of Sciences and Technology, University of Coimbra, Calçada Martim de Freitas,
3000-456 Coimbra, Portugal; pvmorais@ci.uc.pt
* Correspondence: rmfrancisco@uc.pt (R.F.); cristina.louro@dem.uc.pt (C.S.L.)
† Presented at the Materiais 2022, Marinha Grande, Portugal, 10–13 April 2022.
Keywords: amorphous carbon; bacterial adhesion; corrosion; sputtering; orthodontics
All metallic alloys corrode in the human body. In the specific case of oral cavities,
multiple factors—such as diet, hygiene, and health—create an extreme corrosion-promoting
environment. The result is the release of metallic ions, some of which, such as Nickel (Ni),
exert allergic, mutagenic, cytotoxic, or carcinogenic effects. In modern orthodontics, fixed
appliances are commonly manufactured by using stainless steel and NiTi, which show
proper mechanical properties and rely on passivation mechanisms to resist corrosion.
However, their metallic degradation is inevitable. In particular, biofilm formation can
promote intraoral corrosion by generating three types of microcells: those with varying
degrees of oxygenation; those with different concentrations of metallic ions; and active-
passive cells. The pitting susceptibility of the alloys may thus increase, as well as the wear
on the surfaces under sliding [1,2]. However, the clinical effects are still not fully understood.
Allergies to Ni, for instance, clearly may occur, but their real extent is controversial. In
this study, the in vitro bacterial adhesion of Staphylococcus aureus, Bacillus subtilis and
Pseudomonas aeruginosa was evaluated on medical grade SS 316L (AISI) with two different
surface finishes: roughing, as received by the supplier (surface A), and mirror-polished,
with a 3 μm diamond suspension (surface B). Samples were analyzed by Scanning Electron
Microscopy coupled with Energy-Dispersive X-ray Spectroscopy (SEM/EDS) to obtain
information on cell morphology, biofilm formation and surface density, while providing
insights into material corrosion. Surface colonization was estimated by Colony Forming
Unit (CFU) plate counts. The results show that the surface colonization of surface B was
significantly better than on surface A. One explanation is related to an easier cell stacking
and anchorage through the adhesive extracellular matrix. In this way, P. aeruginosa managed
to attach in a higher quantity, forming thick, densely populated colonization structures. In
contrast, B. subtilis showed a low adhesion to the SS surface, regardless the surface finish
type. Future work will study the impact of protective hydrogenate amorphous carbon
(a-C:H)-based coatings on bacterial adhesion to investigate their effectiveness against
microbiologically induced corrosion.
Author Contributions: Conceptualization, C.S.L.; methodology, R.F.; software, E.C.; validation, R.F..;
formal analysis, E.C. and R.F..; investigation, A.F., E.C. and R.F.; resources, C.S.L. and P.V.M.; data
curation, E.C. and R.F.; writing—original draft preparation, A.F.; writing—review and editing, C.S.L.,
R.F. and P.V.M.; visualization, E.C. and R.F.; supervision, C.S.L. and R.F.; project administration,
Mater. Proc. 2022, 8, 49. https://doi.org/10.3390/materproc2022008049 https://www.mdpi.com/journal/materproc