Technological Aspects and Performance of High Entropy Alloys with Potential Application in Dental Restorations and Reducing Implant Failure

Abstract

Amidst the prevalence of aggressive bacterial infections that can impact both oral and systemic health following various dental and implant procedures, the search for alternative, high-performing and biocompatible materials has become a challenging pursuit. The need for such investigations is increasing owing to the fact that toxicological risks of cobalt–chromium (CoCr) alloys used in dentistry have become a part of the EU’s new Medical Devices Regulations establishing that cobalt metal has been classified as carcinogenic, genotoxic and detrimental to reproduction. Within this context, this review proposes high entropy alloys (HEA) as potential alternatives and presents their characteristics and in vitro biological performance when used as a substrate or coating. Anatomical details of the oral cavity in relationship with prosthodontics and implant dentistry support the paper’s motivation and presentation. The review highlights the innovative manufacturing procedures, microstructure and properties of both the bulk and coatings of BioHEA. It evaluates the performance of BioHEAs based on their complete characterization and assesses their suitability for novel applications in dentistry, serving as the primary objective of this manuscript.