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Titanium is presently used in a variety of applications including dental implants, orthopedic prostheses, industrial cosmetics, drugs, confections, and paints.

Discussion : General review of titanium toxicity (1)

author: Kyeong Tae Kim,Mi Young Eo,Truc Thi Hoang Nguyen, Soung Min Kim | publisher: drg. Andreas Tjandra, Sp. Perio, FISID

Discussion

Titanium is presently used in a variety of applications including dental implants, orthopedic prostheses, industrial cosmetics, drugs, confections, and paints. Due to its extensive usage, issues related to stability need to be discussed. Titanium dental implants possess many advantages and are now widely used with high rates of success. However, we need to look at the aforementioned potential risks and issues that are reported in small cases. This review article provided a comprehensive review of the potential causes of titanium failures and failures in titanium implants with a discussion of alternatives.

The first problem of titanium toxicity was related to the failure of titanium implants, which was mainly covered in the "Results" tissues, which can be the initiator of peri-implantitis and lead to the failure of the implant. There are reports that implant corrosion can be attributed to the cause of implant failures; reports from orthopedic surgeons have shown that particles due to implant wear have contributed to inflammation. These abrasions could occur during abutment connection and disconnection, bony resorption, and intraoral use during the insertion of titanium implants. Corrosion could also occur due to fluoride and oral fluids, other restorations, and galvanic action.

Titanium materials are mainly alloyed with aluminum and vanadium. Vanadium and niobium have also showed to induce the release of inflammatory mediators; other alloy components may also be involved in the inflammatory response of titanium alloy corrosion. Therefore, it is necessary to consider the influence of particles due to titanium alloy corrosion in the case of failure due to peri-implant inflammation. It is also necessary to study the method of caution and interception of galvanic action between other metal prostheses when implants are installed. Care should also be taken when using fluoride in patients.

Tribocorrosion is a relatively new research field regarding behavior of dental implant system.

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