In vitro Evaluation of Titanium Exfoliation during Simulated Surgical Insertion of Dental Implants

Background: Titanium dental implants are widely used due to their biocompatibility and mechanical properties. However, the potential for titanium particle exfoliation during surgical insertion remains a concern, as it may affect osseointegration and peri-implant health. This study aims to evaluate t...

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Main Authors: Tanisha Mishra, Bhavna Jha Kukreja, Ruchi Patel, Mahesh Ghadage, Pranita Dalave, Shivani Kumari, Naina Pattnaik, Manish S. Jadhav
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_856_24
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Summary:Background: Titanium dental implants are widely used due to their biocompatibility and mechanical properties. However, the potential for titanium particle exfoliation during surgical insertion remains a concern, as it may affect osseointegration and peri-implant health. This study aims to evaluate the extent of titanium exfoliation during simulated surgical insertion of dental implants. Materials and Methods: A total of 30 titanium dental implants were surgically inserted into synthetic bone blocks using a standardized drilling protocol. The procedure was conducted in a controlled laboratory environment to simulate clinical conditions. Titanium particle exfoliation was assessed using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS) at multiple insertion depths (0 mm, 5 mm, and 10 mm). The quantity of titanium particles was measured and analyzed statistically. Results: The SEM and EDS analyses revealed significant titanium exfoliation at each insertion depth. The mean number of titanium particles detected at 0 mm, 5 mm, and 10 mm depths were 25 ± 5, 45 ± 8, and 60 ± 10 particles per mm2, respectively. There was a statistically significant increase in particle count with increasing depth of insertion (P < 0.01). Conclusion: The findings indicate that titanium exfoliation occurs during the surgical insertion of dental implants and increases with the depth of insertion. This exfoliation could potentially impact peri-implant tissue health and osseointegration. Further clinical studies are necessary to assess the long-term effects of titanium particle exfoliation on implant success.
ISSN:0976-4879
0975-7406