scholarly journals Increased Systemic Malondialdehyde Levels and Decreased Mo/Co, Mo/Hg2+, Co/Fe2+ Ratios in Patients with Long-Term Dental Titanium Implants and Amalgams

2019 ◽  
Vol 8 (1) ◽  
pp. 86 ◽  
Author(s):  
María Cabaña-Muñoz ◽  
José Parmigiani-Izquierdo ◽  
Fabio Camacho Alonso ◽  
José Merino
Keyword(s):  
Oxidative Stress ◽  
Dental Implants ◽  
Dental Materials ◽  
Dental Amalgam ◽  
Titanium Implants ◽  
Systemic Oxidative Stress ◽  
Hair Samples ◽  
Dental Amalgams ◽  
Titanium Dental Implants

Introduction: the biological safety of dental biomaterials has been questioned in human studies. Material and Methods: Several heavy metals/oligoelements were compared by Inductive Coupled Mass Spectrometry (ICP-MS) in hair samples from 130 patients (n = 54 patients with long-term titanium dental implants and amalgams (A + I group), 51 patients with long-term dental amalgam alone (A group), as well as controls (n = 25: without dental materials) of similar age. All patients (except controls) had had titanium dental implants and/or dental amalgams for at least 10 years (average: 17). We evaluated whether A + I patients could present higher systemic malondialdehyde levels (MDA) as compared to the A group. Results: The A + I group have lower molybdenum levels (A + I) and reduced Mo/Co and Mo/Fe2+ ratios, which could predispose them to oxidative stress by raising MDA levels as compared to the A group alone; our findings suggest that higher Co levels could enhance oxidative stress in the A + I group. However, there were no differences on metals from titanium alloy (Ti-6Al), Cr from crowns or Hg2+, Sn, Zn2+, Cu2+ levels between the A + I and A groups. Conclusion: patients with long-term dental titanium and amalgams have systemic oxidative stress due to rising MDA levels and lower Mo/Co and Mo/Fe2+ ratios than those with amalgams alone.

scholarly journals Elevated Systemic L-Kynurenine/L-Tryptophan Ratio and Increased IL-1 Beta and Chemokine (CX3CL1, MCP-1) Proinflammatory Mediators in Patients with Long-Term Titanium Dental Implants

2019 ◽  
Vol 8 (9) ◽  
pp. 1368 ◽  
Author(s):  
José Joaquín Merino ◽  
María Eugenia Cabaña-Muñoz ◽  
Adolfo Toledano Gasca ◽  
Alba Garcimartín ◽  
Juana Benedí ◽  
...  
Keyword(s):  
Dental Implants ◽  
Dental Materials ◽  
Study Groups ◽  
Dental Amalgam ◽  
Titanium Implants ◽  
Monocyte Chemoattractant Protein 1 ◽  
Proinflammatory Mediators ◽  
Dental Amalgam Fillings ◽  
Titanium Dental Implants

Titanium is the mean biocompatible metal found in dental titanium alloys (Ti-6Al-4V). The safety of certain dental biomaterial amalgams has been questioned in patients. The levels of several systemic cytokines (interleukin (IL)-1 beta, IL-4: pg/mL) and chemokines (monocyte chemoattractant protein-1 (MCP-1), soluble fractalkine (CX3CL1: pg/mL) were determined using ELISA and compared between these study groups. The study included 30 controls without dental materials (cont), 57 patients with long-term titanium dental implants plus amalgams (A + I group) as well as 55 patients with long-term dental amalgam alone (A group). All patients (except controls) have had dental titanium implants (Ti-6Al-4V) and/or amalgams for at least 10 years (average: 15 years). We evaluated whether systemic levels of cytokines/chemokines, kyn/L-trp ratio and aromatic amino acid levels (HPLC: mM/L, Phe, L-Trp, His, Treo) could be altered in patients with long-term dental titanium and/or amalgams. These systemic markers were evaluated in 142 patients. The A + I group had higher L-Kynurenine/L-Tryptophan ratios than patients with long-term dental amalgam fillings alone (A). In addition, levels of IL-1 Beta cytokine, CX3CL1 and MCP-1 chemokines were higher in the A + I group than in the A group (A). The increased L-kyn/L-trp ratio and MCP-1 and fractalkine receptor (CX3CR1) elevations could suggest enhanced chemotactic responses by these chemokines in the A + I group.

scholarly journals Direct Metal Laser Sintering Titanium Dental Implants: A Review of the Current Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
F. Mangano ◽  
L. Chambrone ◽  
R. van Noort ◽  
C. Miller ◽  
P. Hatton ◽  
...  
Keyword(s):  
Dental Implants ◽  
Methodological Quality ◽  
Meta Analysis ◽  
Three Dimensional ◽  
Laser Sintering ◽  
Titanium Implants ◽  
Human Studies ◽  
Direct Metal Laser Sintering ◽  
Titanium Dental Implants

Statement of Problem. Direct metal laser sintering (DMLS) is a technology that allows fabrication of complex-shaped objects from powder-based materials, according to a three-dimensional (3D) computer model. With DMLS, it is possible to fabricate titanium dental implants with an inherently porous surface, a key property required of implantation devices.Objective. The aim of this review was to evaluate the evidence for the reliability of DMLS titanium dental implants and their clinical and histologic/histomorphometric outcomes, as well as their mechanical properties.Materials and Methods. Electronic database searches were performed. Inclusion criteria were clinical and radiographic studies, histologic/histomorphometric studies in humans and animals, mechanical evaluations, andin vitrocell culture studies on DMLS titanium implants. Meta-analysis could be performed only for randomized controlled trials (RCTs); to evaluate the methodological quality of observational human studies, the Newcastle-Ottawa scale (NOS) was used.Results. Twenty-seven studies were included in this review. No RCTs were found, and meta-analysis could not be performed. The outcomes of observational human studies were assessed using the NOS: these studies showed medium methodological quality.Conclusions. Several studies have demonstrated the potential for the use of DMLS titanium implants. However, further studies that demonstrate the benefits of DMLS implants over conventional implants are needed.

Histomorphometric Evaluation of Bone Response to Different Titanium Implant Surfaces

2007 ◽  
Vol 361-363 ◽  
pp. 613-616
Author(s):  
Laurent Le Guenhennec ◽  
Eric Goyenvalle ◽  
Marco A. Lopez-Heredia ◽  
Pierre Weiss ◽  
Yves Amouriq ◽  
...  
Keyword(s):  
Dental Implants ◽  
Calcium Phosphates ◽  
Titanium Implant ◽  
Titanium Implants ◽  
Bone Response ◽  
Bone To Implant Contact ◽  
Coated Surfaces ◽  
Titanium Dental Implants

Titanium dental implants presenting different blasted surfaces and an OCP coated surfaces have been implanted in the femoral epiphysis of rabbits. A comparable osseointegration has been observed for the titanium implants blasted either with alumina or biphasic calcium phosphates particles whatever the delay of implantation (2 or 8 weeks). A higher bone to implant contact has been observed for the SLA and OCP coated implants as compared to the grit-blasted groups.

scholarly journals A Literature Review Study on Atomic Ions Dissolution of Titanium and Its Alloys in Implant Dentistry

Materials ◽  
2019 ◽  
Vol 12 (3) ◽  
pp. 368 ◽  
Author(s):  
Sammy Noumbissi ◽  
Antonio Scarano ◽  
Saurabh Gupta
Keyword(s):  
Dental Implants ◽  
Metal Ion ◽  
Titanium Implants ◽  
In Vitro Studies ◽  
Ion Release ◽  
Term Survival ◽  
Metal Ion Release

This review of literature paper was done in order to conduct a review of the literature and an assessment of the effects of titanium implant corrosion on peri-implant health and success in the oral environment. This paper evaluates and critically reviews the findings of the multiple in-depth in vivo and in vitro studies that are related to corrosion aspects of the titanium and its alloys. A literature survey was conducted by electronic search in Medline and studies that were published between 1940 and August 2018 were selected. The search terms used were types of corrosion, corrosion of titanium implants, titanium corrosion, metal ion release from the titanium implants, fretting and pitting corrosion, implant corrosion, peri implantitis, and corrosion. Both in vivo and in vitro studies were also included in the review. The search and selection resulted in 64 articles. These articles were divided on the basis of their context to different kinds of corrosion related to titanium dental implants. It is evident that metal ions are released from titanium and titanium alloy dental implants as a result of corrosion. Corrosion of implants is multifactorial, including electrical, chemical, and mechanical factors, which have an effect on the peri-implant tissues and microbiota. The literature surveyed showed that corrosion related to titanium and its alloys has an effect on the health of peri-implant soft and hard tissue and the long term survival of metal dental implants. It can be concluded that presence of the long-term corrosion reaction along with continuous corrosion leads to the release of ions into the peri-implant tissue but also to a disintegration of the implant that contribute to material fatigue and even fracture of the abutments and implant body or both. This combined impact of the corrosion, bacterial activity, chemical reactions, and functional stresses are to be looked at as important factors of implant failure. The findings can be used to explore the possible strategies of research to investigate the biological impact of implant materials.

Loading of Fluvastatin onto Gelatin-Coated Titanium Implants

2018 ◽  
Vol 782 ◽  
pp. 233-237
Author(s):  
Shinji Takemoto ◽  
Kaori Sasaki ◽  
Shiho Sugawara ◽  
Setsuo Saitoh ◽  
Tomofumi Sawada ◽  
...  
Keyword(s):  
Dental Implants ◽  
Alkaline Treatment ◽  
Titanium Implants ◽  
Xps Analysis ◽  
Optimal Loading ◽  
Gelatin Layer ◽  
Pre Treatment ◽  
Titanium Dental Implants

We aimed to investigate the effects of alumina blasting and alkaline treatment on the immobilization of gelatin-fluvastatin complexes on titanium disks. Blasted titanium disks were submicron-sized porous while the alkaline treated disks were submicron-and nanoporous. XPS analysis revealed homogeneous coverage of titanium disks with a gelatin layer on top of an intermediate polydopamine treatment. The highest amount of fluvastatin immobilization was observed on top of alkaline treated titanium as compared to the blasted disk. A combination of alkaline pre-treatment followed by polydopamine-assisted immobilization of gelatin facilitated optimal loading of fluvastatin onto titanium dental implants.

scholarly journals Influence of Connection Type and Platform Diameter on Titanium Dental Implants Fatigue: Non-Axial Loading Cyclic Test Analysis

2020 ◽  
Vol 17 (23) ◽  
pp. 8988
Author(s):  
Ana I. Nicolas-Silvente ◽  
Eugenio Velasco-Ortega ◽  
Ivan Ortiz-Garcia ◽  
Alvaro Jimenez-Guerra ◽  
Loreto Monsalve-Guil ◽  
...  
Keyword(s):  
Dental Implants ◽  
Axial Loading ◽  
Test Analysis ◽  
Load Limit ◽  
Implant Abutment ◽  
Connection Type ◽  
Number Of Cycles ◽  
Oblique Load ◽  
Titanium Dental Implants

Two-pieces dental implants must provide stability of the implant-abutment-interface. The connection type and platform diameter could influence the biomechanical resistance and stress distribution. This study aims to evaluate the fatigue for different types of connections, external and internal, and different platform diameters. Three implant designs with the same length were used: (a) external hexagon/narrow platform; (b) internal double hexagon/narrow platform; (c) internal octagon/regular platform. A fatigue test was developed to establish the number of cycles needed before fracture. A 30º oblique load with a sinusoidal function of fatigue at a frequency of 15 Hz and 10% stress variation was applied to each system. The fatigue load limit (FLL) for design (a) was 190 N, being the nominal-curvature-moment (NCM) = 1.045; FLL = 150 N, with a NCM = 0.825 for (b), and FLL = 325 N, with a NCM = 1.788 for (c). The platform diameter affects the FLL, obtaining lower FLL on a narrow platform. The connection type interferes with the implant walls’ width, especially in narrow implants, making internal connections more unstable at this level. Long-term clinical studies to assess the restoration’s success rate and survival are mandatory.

scholarly journals Fatigue of Narrow Dental Implants: Influence of the Hardening Method

Materials ◽  
2020 ◽  
Vol 13 (6) ◽  
pp. 1429 ◽  
Author(s):  
R.A. Pérez ◽  
J. Gargallo ◽  
P. Altuna ◽  
M. Herrero-Climent ◽  
F.J. Gil
Keyword(s):  
Dental Implants ◽  
Healing Time ◽  
Implant Placement ◽  
Hardening Treatment ◽  
Pure Grade ◽  
Cold Worked ◽  
Number Of Cycles ◽  
Long Term Behavior ◽  
Titanium Dental Implants

The use of narrow titanium dental implants (NDI) for small ridges, reduced interdental space, or missing lateral incisors can be a viable option when compared to the conventional wider dental implants. Furthermore, in many cases, standard diameter implant placement may not be possible without grafting procedures, which increases the healing time, cost, and morbidity. The aim of this study was to analyze the mechanical viability of the current narrow implants and how narrow implants can be improved. Different commercially available implants (n = 150) were tested to determine maximum strength, strain to fracture, microhardness, residual stress, and fatigue obtaining the stress–number of cycles to fracture (SN) curve. Fractography was studied by scanning electron microscopy. The results showed that when the titanium was hardened by the addition of 15% of Zr or 12% cold worked, the fatigue limit was higher than the commercially pure grade 4 Ti without hardening treatment. Grade 4 titanium without hardening treatment in narrow dental implants can present fractures by fatigue. These narrow implants are subjected to high mechanical stresses and the mechanical properties of titanium do not meet the minimal requirements, which lead to frequent fractures. New hardening treatments allow for the mechanical limitations of conventional narrow implants to be overcome in dynamic conditions. These hardening treatments allow for the design of narrow dental implants with enhanced fatigue life and long-term behavior.

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