Post-graduate Program in Dentistry (PPGO), Center for Research and Education on Dental Implants (CEPID), School of Dentistry (ODT), Federal University of Santa Catarina (UFSC), Florianópolis, Brazil.
Department of Biomedical Science, UIC School of Medicine, Rockford, IL, USA.
J Periodontal Res. 2018 Feb;53(1):1-11. doi: 10.1111/jre.12479. Epub 2017 Aug 2.
This study aimed to assess the literature available on the effects, on peri-implant tissues, of degradation products released from dental implants as a consequence of therapeutic treatment for peri-implantitis and/or of wear-corrosion of titanium. A literature review of the PubMed medline database was performed up to December 31, 2016. The following search terms were used: "titanium wear and dental implant"; "titanium corrosion and dental implant"; "bio-tribocorrosion"; "peri-implantitis"; "treatment of peri-implantitis"; "titanium particles release and dental implant"; and "titanium ion release and dental implant". The keywords were applied to the database in different combinations without limits of time period or type of work. In addition, the reference lists of relevant articles were searched for further studies. Seventy-nine relevant scientific articles on the topic were retrieved. The results showed that pro-inflammatory cytokines, infiltration of inflammatory response cells and activation of the osteoclasts activity are stimulated in peri-implant tissues in the presence of metal particles and ions. Moreover, degenerative changes were reported in macrophages and neutrophils that phagocytosed titanium microparticles, and mutations occurred in human cells cultured in medium containing titanium-based nanoparticles. Debris released from the degradation of dental implants has cytotoxic and genotoxic potential for peri-implant tissues. Thus, the amount and physicochemical properties of the degradation products determine the magnitude of the detrimental effect on peri-implant tissues.
本研究旨在评估因治疗种植体周围炎和/或钛的磨损腐蚀而从牙科种植体中释放的降解产物对种植体周围组织的影响的相关文献。对截止到 2016 年 12 月 31 日的 PubMed medline 数据库进行了文献回顾。使用了以下搜索词:“钛磨损和牙科种植体”;“钛腐蚀和牙科种植体”;“生物摩擦腐蚀”;“种植体周围炎”;“种植体周围炎的治疗”;“钛颗粒释放和牙科种植体”;以及“钛离子释放和牙科种植体”。这些关键词以不同的组合应用于数据库中,没有时间或工作类型的限制。此外,还对相关文章的参考文献进行了搜索,以查找进一步的研究。检索到了 79 篇关于该主题的相关科学文章。结果表明,在存在金属颗粒和离子的情况下,种植体周围组织中会刺激促炎细胞因子、炎症反应细胞浸润和破骨细胞活性的激活。此外,吞噬钛微颗粒的巨噬细胞和中性粒细胞发生退行性变化,以及在含有基于钛的纳米颗粒的培养基中培养的人细胞发生突变。从牙科植入物降解中释放的碎片对种植体周围组织具有细胞毒性和遗传毒性潜能。因此,降解产物的数量和物理化学性质决定了对种植体周围组织的有害影响的程度。
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