Comparative analysis of serum titanium level in patient with healthy dental implant and patients with peri-implantitis- A cross sectional prospective study
DOI:
https://doi.org/10.5195/d3000.2024.594Keywords:
Dental implants, Serum titanium, Peri-implantitis, Titanium alloys, Inductively coupled plasma–mass spectroscopyAbstract
Objectives: Titanium dental implants can last for more than two decades in the oral environment. Corrosion of the implant surface can release metallic particles or ions into surrounding tissue. The metallic constituents like titanium in human blood serum have not been fully studied. The study compares titanium serum levels before and after dental implant placement and compares levels in patients with healthy implants and those with per-implantitis.
Methods: The study comprised 2groups of Group 1 patient observing implant surgery and group 2 patients with diagnosed peri-implantitis. Each group comprised of 60 patients. Serum titanium level was measured from blood obtained from Group 1 at three different intervals (one month prior to implant surgery, 4th and 8th month after successful loading) and from Group 2 during the course of peri-implantitis by inductively coupled plasma–mass spectroscopy. The statistical analysis was done for the obtained data.
Results: Analysis showed a raised level of serum titanium at 4th month of post implant placement (2.39 mg/dl) and in patient with peri-implantitis(2.94 mg/dl) and both levels are significantly differ (ANOVA test) from pre-surgical estimation of serum titanium level (1.79 mg/dl).
Conclusions: Understanding the correlation between titanium corrosion and peri-implantitis is vital for enhancing the long-term success and safety of dental implants. Additional research is required to investigate these links and potential strategies to protect the well-being of implant patients.
References
- Microbial Biofilm Decontamination on Dental implant Surfaces: A Mini Review. Dhaliwal JS, AbdRahman NA, Ming LC, Dhaliwal SKS, Knights J, Albuquerque Junior RF. Front. Cell. Infect. Microbiol. 2021, 11:736186.
- Immunological Aspects of Dental Implant Rejection. Baseri M, Radmand F, Hamedi R, Yousefi M, Kafil HS. Biomed Res Int. 2020 Dec 9;2020:7279509
- Metal Nanoparticles Released from Dental Implant Surfaces: Potential Contribution to Chronic Inflammation and Peri-Implant Bone Loss. Bressan E, Ferroni L, Gardin C, Bellin G, Sbricoli L, Sivolella S, et al. Materials (Basel). 2019 Jun 25;12(12):2036.
- Evaluation of titanium ions levels in blood in patients with endosseous titanium dental implants using inductively coupled plasma mass spectrometry - a retrospective study. Vinayak R, Rosh .R .M, Praveen J. International Journal of Science and Research 2019 Vol 8(12), 115-123
- Metal elements in tissue with dental periimplantitis: a pilot study. Fretwurst T, Buzanich G, Nahles S, Woelber JP, Riesemeier H, Nelson K. Clin. Oral Impl. Res. 2016 Sep;27(9):1178-86.
- Serum Metal Levels in Maxillofacial Reconstructive Surgery Patients: A Pilot Study. Mercuri LG, Miloro M, Skipor AK, Bijukumar D, Sukotjo C, Mathew MT. J Oral Maxillofac Surg. 2018 Oct;76(10):2074-2080.
- Evaluation of serum metal ion levels in dental implant patients: A prospective study. Gopi G, Shanmugasundaram S, Krishnakumar Raja VB, Afradh KM. Ann MaxillofacSurg 2021;11:261-5.
- Titanium release in serum of patients with different bone fixation implants and its interaction with serum biomolecules at physiological levels. Nuevo-Ordóñez Y, Montes-Bayón M, Blanco-González E, Paz-Aparicio J, Raimundez JD, Tejerina JM, et al. Anal. Bioanal. Chem. 2011, 401, 2747–2754
- Analysis of serum metal ion levels in dental implant patients. Saini, R. S., &Kaur, K. (2022). International Journal of Health Sciences, 6(S5), 5645–5649.
- Exfoliative cytology and titanium dental implants: a pilot study. Olmedo DG, Nalli G, Verdú S, Paparella ML, Cabrini RL. J Periodontol. 2013 Jan;84(1):78-83.
- Evaluation of inflammatory cytokine and plasma titanium levels in dental implant treated patients. Süleyman Kiliç , Hakki Kazancioğlu , Ümit Küçüksezer , Günnur Deniz, Gülsüm Ak. Curr Res Dent Sci 2015; 24: 199-205
- Influence of fluoride, hydrogen peroxide and lactic acid on the corrosion resistance of commercially pure titanium. Mabilleau G, Bourdon S, Joly-Guillou ML, Filmon R, Baslé MF, Chappard D. ActaBiomater 2006;2:121- 129.
- Mechanism and Prevention of Titanium Particle-Induced Inflammation and Osteolysis. Eger M, Hiram-Bab S, Liron T, Sterer N, Carmi Y, Kohavi D, et al. Front. Immunol.2018; 9:2963.
- Increased Levels of Dissolved Titanium Are Associated With Peri-Implantitis - A Cross-Sectional Study. Safioti LM, Kotsakis GA, Pozhitkov AE, Chung WO, Daubert DM. J Periodontol. 2017 May;88(5):436-442. Metal concentrations in the serum and hair of patients with titanium alloy spinal implants. Kasai Y, Iida R, Uchida A. Spine (Phila Pa 1976). 2003 Jun 15;28(12):1320-6.
- Titanium release from implants prepared with different surface roughness.Wennerberg A, Ide-Ektessabi A, Hatkamata S, Sawase T, Johansson C, Albrektsson T, Martinelli A, et al. Clin Oral Implants Res. 2004 Oct;15(5):505-12.
- The effect of oral topical fluorides on the surface of commercially pure titanium. Siirila HS, Kononen M. Int J Oral Maxillofac Implants 1991;6:50-54
Published
Issue
Section
License
Copyright (c) 2024 Mahantesha S, Vibha Shetty, Kranti K, Shobha Subbaiah, Greeshma C, Babashankar Alva; Manish Sharma
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
- Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
- The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
- Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
- The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
- Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
- The Author represents and warrants that:
- the Work is the Author’s original work;
- the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
- the Work is not pending review or under consideration by another publisher;
- the Work has not previously been published;
- the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
- the Work contains no libel, invasion of privacy, or other unlawful matter.
- The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.
Revised 7/16/2018. Revision Description: Removed outdated link.