Tufekci Eser, Mitchell John C, Olesik John W, Brantley William A, Papazoglou Efstratios, Monaghan Peter
Oral Biology Program, College of Dentistry, The Ohio State University, Columbus, Ohio 43218, USA.
J Prosthet Dent. 2002 Jan;87(1):80-5. doi: 10.1067/mpr.2002.121238.
The biocompatibility of high-palladium alloy restorations has been of some concern due to the release of palladium into the oral environment and sensitivity reactions in patients.
This study measured the in vitro elemental release from a Pd-Cu-Ga alloy and a Pd-Ga alloy into a corrosion testing medium.
Both alloys were cast into 12-mm-diameter x 1-mm-thick disks, subjected to heat treatment that simulated porcelain firing cycles, polished to a 0.05-mm surface finish, and ultrasonically cleaned in ethanol. Two specimens of each alloy were immersed 3 times (at 7, 70, and 700 hours) in an aqueous lactic acid/NaCl solution used for in vitro corrosion testing and maintained at 37 degrees C. The specimens were removed after each immersion time, and the elemental compositions of the solutions were analyzed with inductively coupled plasma-mass spectroscopy (ICP-MS). Elemental concentrations for the 2 alloys at each immersion time were compared with Student t test (alpha=.05).
No significant differences in palladium release were found for the 7- and 70-hour solutions, but significant differences were found for the 700-hour solutions. Mean concentrations of palladium and gallium in the 700-hour solutions, expressed as mass per unit area of alloy surface, were 97 (Pd) and 46 (Ga) microg/cm(2) for the Pd-Cu-Ga alloy and 5 (Pd) and 18 (Ga) microg/cm(2) for the Pd-Ga alloy.
Relative proportions of the elements in the solutions were consistent with the release of palladium and breakdown of microstructural phases found in the alloys. The results suggest that there may be a lower risk of adverse biological reactions with the Pd-Ga alloy than with the Pd-Cu-Ga alloy tested.
由于钯释放到口腔环境中以及患者出现过敏反应,高钯合金修复体的生物相容性受到了一定关注。
本研究测定了一种钯 - 铜 - 镓合金和一种钯 - 镓合金在体外腐蚀试验介质中的元素释放情况。
将两种合金铸造成直径12毫米×厚度1毫米的圆盘,进行模拟烤瓷烧制周期的热处理,抛光至表面光洁度为0.05毫米,并在乙醇中超声清洗。每种合金的两个试样在用于体外腐蚀试验的乳酸/氯化钠水溶液中浸泡3次(分别在7小时、70小时和700小时),并保持在37摄氏度。每次浸泡时间结束后取出试样,用感应耦合等离子体质谱法(ICP - MS)分析溶液的元素组成。使用学生t检验(α = 0.05)比较两种合金在每个浸泡时间的元素浓度。
在7小时和70小时的溶液中,钯释放量没有显著差异,但在700小时的溶液中发现了显著差异。以合金表面单位面积质量表示,700小时溶液中钯 - 铜 - 镓合金的钯平均浓度为97(钯)和镓平均浓度为46(镓)微克/平方厘米,钯 - 镓合金的钯平均浓度为5(钯)和镓平均浓度为18(镓)微克/平方厘米。
溶液中元素的相对比例与合金中钯的释放和微观结构相的分解一致。结果表明,与所测试的钯 - 铜 - 镓合金相比,钯 - 镓合金产生不良生物反应的风险可能更低。