Mechanical wear behavior of nanocrystalline and multilayer diamond coatings on temporomandibular joint implants.

We used microwave plasma chemical vapor deposition to deposit nanocrystalline and multilayer (nanocrystalline/microcrystalline/nanocrystalline) diamond thin films on Ti-6AI-4V substrates imitating the condyle and fossa components of the temporomandibular joint. We tested the condyle/fossa pairs for wear in a mandibular movement simulator for an equivalent of two years of clinical use. Analysis of the wear surfaces by optical microscopy, scanning electron microscopy (SEM), and Raman spectroscopy showed that damage in both the films was minimal, no loss of film occurred and the wear performance was superior for the multilayer film. Comparisons with an uncoated condyle/fossa pair showed that the coated temporomandibular joint pairs had improved wear performance.