Category Archives: Titanium and Peri-Implantitis

Polymorphisms, Bone Health & Peri-implantitis

Other relevant polymorphisms adversely impacting on bone health can increase the risk of peri-implantitis by affecting the rate of bone turnover, the bone mineral density and the formation of the collagen based bone matrix.

Potential Causes of Titanium Particle and Ion Release in Implant Dentistry: A Systematic Review

Potential Causes of Titanium Particle and Ion Release

Implant surface characteristics, as well as physical and mechanical properties, are responsible for the positive interaction between the dental implant, the bone and the surrounding soft tissues.

Can degradation products released from dental implants affect peri-implant tissues?

Dental implants affect peri-implant tissues

Degenerative changes were reported in macrophages and neutrophils that phagocytosed titanium microparticles, and mutations occurred in human cells cultured in medium containing titanium-based nanoparticles.

Titanium Sensitivity Testing

A variety of studies have shown the relationship between peri-implantitis and functionally relevant polymorphisms in the genes of cytokines IL-1A, IL-1B, IL-RN and TNFA.
Using genetic testing allows for the allocation of a certain degree of inflammation to the detected combination of alleles.
Patients with degree 3-4 are considered high responders and are thus risk patients for titanium associated inflammatory processes/ loss of implant.

Genetic and immunological markers predict titanium implant failure: a retrospective study

This study evaluates diagnostic markers to predict titanium implant failure. Retrospectively, implant outcome was scored in 109 subjects who had undergone titanium implant surgery, IL1A -889 C/T (rs1800587), IL1B +3954 C/T (rs1143634), IL1RN +2018 T/C (rs419598) and TNFA -308 G/A (rs1800629) genotyping, in vitro IL-1β/TNF-α release assays and lymphocyte transformation tests during treatment.

Increased Levels of Dissolved Titanium Are Associated With Peri-Implantitis – A Cross-Sectional Study

Increased Levels of Dissolved Titanium Are Associated With Peri-Implantitis - A Cross-Sectional Study.

Implants with peri-implantitis harbored significantly higher mean levels of titanium (0.85 ± 2.47) versus healthy implants (0.07 ± 0.19) after adjusting for amount of plaque collected per site (P = 0.033).

Mechanism and Prevention of Titanium Particle-Induced Inflammation and Osteolysis

Here we show that a strong inflammatory response occurs; however, very few of the titanium particles are phagocytosed by the macrophages. We then measured a dramatic Ti particle-induced stimulation of IL1β, IL6, and TNFα secretion by these macrophages using multiplex immunoassay. The particle-induced expression profile, examined by FACS, also indicated an M1 macrophage polarization.

The effect of metal ions released from different dental implant-abutment couples on osteoblast function and secretion of bone resorbing mediators

Bone Resorbing Mediators

Metal ions in concentrations representing the platform-matched groups led to a reduction in cell viability (P<0.01) up to 7days of exposure. Stimulated cells showed higher rates of early apoptosis (P<0.01) compared to non-treated cells.

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

Atomic Ions Dissolution

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.

Implant Tribune

Spotlight on ZERAMEX®XT for the month of April 2020