El Sawy Amal A, Shaarawy Mohammed A
Associate Professor of Prosthodontics, Faculty of Dentistry, Minia University, Minia, Egypt.
J Prosthodont. 2014 Feb;23(2):89-97. doi: 10.1111/jopr.12067. Epub 2013 Jun 11.
The aim of this study was to evaluate the amount of ions released from Ti6Al4V and Co-Cr-Mo alloys both in vivo and in vitro.
Twenty-one discs of each alloy were constructed and divided into seven groups. Three specimens from each group were immersed in a buffered saline solution over a period of 1, 3, 5, 7, 14, 21, and 28 days. Twenty-eight participants were also included in the study, where the study group consisted of 14 mandibular partially edentulous patients, and the control group consisted of 14 volunteers. The study group was further divided into two equal groups: the first group received removable partial dentures (RPDs) constructed from Co-Cr-Mo alloy, while the second group received RPDs constructed from Ti6Al4V alloy. Saliva samples were collected from each participant over the same study period. The conditioning media and saliva samples were analyzed using a spectrophotometer. One-way ANOVA and Tukey tests were used for statistical analysis (p < 0.05).
The concentrations of metal ions released from the studied alloys were significantly higher in the in vitro than in the in vivo study group during the follow-up periods. A statistically significant increase in ion concentrations of the different elements for both alloys was found with time (p < 0.05).
The amounts of released metallic ions from Co-Cr-Mo and Ti6Al4V alloys were higher in the buffered saline solutions than in the studied saliva samples and control groups; however, these amounts were still within the physiological limit of trace elements in the human body.
本研究旨在评估Ti6Al4V合金和钴铬钼合金在体内和体外释放的离子量。
制备每种合金的21个圆盘,并分为7组。每组的三个样本在缓冲盐溶液中浸泡1、3、5、7、14、21和28天。本研究还纳入了28名参与者,其中研究组由14名下颌部分无牙患者组成,对照组由14名志愿者组成。研究组进一步分为两个相等的组:第一组接受由钴铬钼合金制成的可摘局部义齿(RPD),而第二组接受由Ti6Al4V合金制成的RPD。在相同的研究期间从每个参与者收集唾液样本。使用分光光度计分析调节介质和唾液样本。采用单因素方差分析和Tukey检验进行统计分析(p<0.05)。
在随访期间,研究合金释放的金属离子浓度在体外研究组中显著高于体内研究组。发现两种合金不同元素的离子浓度随时间有统计学显著增加(p<0.05)。
钴铬钼合金和Ti6Al4V合金释放的金属离子量在缓冲盐溶液中高于所研究的唾液样本和对照组;然而,这些量仍在人体微量元素的生理限度内。