Professor, Department of Orthodontics, Virginia Commonwealth University, School of Dentistry, Richmond, Va; Formerly, Section of Restorative and Prosthetic Dentistry, College of Dentistry, The Ohio State University, Columbus, Ohio.
Professor and Associate Dean, College of Dental Medicine, Midwestern University, Glendale, Ariz; Formerly, Department of Geological Sciences, The Ohio State University, Columbus, Ohio.
J Prosthet Dent. 2022 Sep;128(3):522-528. doi: 10.1016/j.prosdent.2020.12.038. Epub 2021 Feb 15.
The in vivo release of Pd from palladium alloys into the oral environment and sensitivity reactions by patients has been of concern. However, little information is available about the variation in elemental release from different palladium alloys.
The purpose of this in vitro study was to compare the elemental release into a corrosion-testing medium from a high-palladium alloy (Freedom Plus, 78Pd-8Cu-5Ga-6In-2Au) and a Pd-Ag alloy (Super Star, 60Pd-28Ag-6In-5Sn) under different conditions.
Alloys were cast into Ø12×1-mm-thick disks, subjected to simulated porcelain-firing heat treatment, polished, and ultrasonically cleaned in ethanol. Three specimens of each alloy were immersed for 700 hours in a solution for in vitro corrosion testing (ISO Standard 10271) that was maintained at 37 °C. Two solution volumes (125 mL and 250 mL) were used, and the solutions were subjected to either no agitation or agitation. Elemental compositions of the solutions were analyzed by using inductively coupled plasma-mass spectroscopy (ICP-MS). Concentrations of released elements from each alloy for the 2 solution volumes and agitation conditions were compared by using the restricted maximum likelihood estimation method with a 4-way repeated-measures ANOVA, the Satterwhite degrees of freedom method, a lognormal response distribution, and the covariance structure of compound symmetry.
For the 4 combinations of solution volume and agitation conditions, the mean amount of palladium released was 3 orders of magnitude less for the Pd-Ag alloy (0.009 to 0.017 μg/cm of alloy surface) compared with the Pd-Cu-Ga alloy (17.9 to 28.7 μg/cm). Larger mean amounts of Sn, Ga, Ag, and In (0.29 to 0.39, 0.57 to 0.83, 0.71 to 1.08, and 0.91 to 1.25 μg/cm, respectively) compared with Pd were released from the Pd-Ag alloy. Smaller amounts of Cu, Ga, and In (4.8 to 9.9, 5.9 to 12.8, and 4.2 to 9.5 μg/cm, respectively) compared with Pd were released from the Pd-Cu-Ga alloy. The Ru released was much lower for the Pd-Ag alloy (0.002 μg/cm) than the Pd-Cu-Ga alloy (0.032 to 0.053 μg/cm). Statistically significant differences (P<.001) in elemental release were found for the factors of alloy and element and the alloy×element interaction. Significant differences were found for the solution volume (P=.022), solution volume×element interaction (P=.022), and alloy×solution volume×element interaction (P=.004). No significant effect was found for agitation condition.
The relative amounts of released elements from each alloy were not proportional to the relative amounts in the composition. The amounts of Pd and Ga released from the Pd-Cu-Ga alloy were consistent with the breakdown of a PdGa microstructural phase and perhaps some dissolution of the palladium solid solution matrix. Precipitates, rather than the palladium solid solution matrix, appeared to undergo greater dissolution in the Pd-Ag alloy. The Pd-Ag alloy should have lower risk of adverse biological reactions than the Pd-Cu-Ga alloy.
钯合金在口腔环境中的钯释放以及患者的过敏反应一直受到关注。然而,关于不同钯合金从元素释放的变化,信息很少。
本体外研究的目的是比较高钯合金(Freedom Plus,78Pd-8Cu-5Ga-6In-2Au)和钯-银合金(Super Star,60Pd-28Ag-6In-5Sn)在不同条件下在腐蚀性测试介质中释放元素的情况。
合金铸造成 Ø12×1-mm 厚的圆盘,经过模拟瓷烧制热处理、抛光,并在乙醇中进行超声清洗。每种合金的三个样本在 37°C 的体外腐蚀测试溶液(ISO 标准 10271)中浸泡 700 小时。使用了两种溶液体积(125 毫升和 250 毫升),并且溶液要么没有搅拌,要么搅拌。使用电感耦合等离子体质谱法(ICP-MS)分析溶液的元素组成。使用限制最大似然估计方法,结合 4 向重复测量 ANOVA、Satterwhite 自由度方法、对数正态响应分布和复合对称协方差结构,比较了两种溶液体积和搅拌条件下每个合金的释放元素浓度。
对于溶液体积和搅拌条件的 4 种组合,与 Pd-Cu-Ga 合金(17.9 至 28.7μg/cm 合金表面)相比,Pd-Ag 合金释放的钯量少 3 个数量级(0.009 至 0.017μg/cm)。与钯相比,Pd-Ag 合金释放的 Sn、Ga、Ag 和 In (0.29 至 0.39、0.57 至 0.83、0.71 至 1.08 和 0.91 至 1.25μg/cm)的平均量更大。与钯相比,Pd-Cu-Ga 合金释放的 Cu、Ga 和 In(4.8 至 9.9、5.9 至 12.8 和 4.2 至 9.5μg/cm)量较小。Pd-Ag 合金释放的 Ru (0.002μg/cm)远低于 Pd-Cu-Ga 合金(0.032 至 0.053μg/cm)。在合金和元素因素以及合金×元素相互作用方面,元素释放的统计学差异(P<.001)。发现溶液体积(P=.022)、溶液体积×元素相互作用(P=.022)和合金×溶液体积×元素相互作用(P=.004)有显著差异。搅拌条件没有显著影响。
从每个合金释放的元素的相对量与组成中的相对量不成比例。Pd-Cu-Ga 合金中释放的 Pd 和 Ga 与 PdGa 微观相的分解以及钯固溶体基质的一些溶解一致。Pd-Ag 合金中的沉淀物,而不是钯固溶体基质,似乎经历了更大的溶解。与 Pd-Cu-Ga 合金相比,Pd-Ag 合金应具有较低的不良反应生物反应风险。