subject 어떤 치약이 임플란트 치면을 거칠게 손상시키나!?
writer 관리자
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date 20-01-07 09:51
hit 1,089

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구강 내에 임플란트나 교정용 와이어가가 있다면 치약을 잘 골라 사용해야합니다.

 

고농도 불소치약의 장기간 사용은 티타늄임플란트나 교정용 와이어를 부식시킬 수 있습니다.

미백치약의 장기간 사용도 임플란트 표면이나 교정용 와이어에 손상을 줄 수 있습니다.

치약속의 거친 연마제도 임플란트 표면과 교정용 와이어에 흠집을 만들어 거칠게 합니다.

 

 

2012 Apr;40(4):265-75. doi: 10.1016/j.jdent.2012.01.001. Epub 2012 Jan 11.

Titanium surface topography after brushing with fluoride and fluoride-free toothpaste simulating 10 years of use.

Author information

1
Araraquara Dental School, UNESP-Univ Estadual Paulista, Department of Dental Materials and Prosthodontics, Rua Humaitá, 1680, Araraquara, São Paulo 14801-903, Brazil.

Abstract

OBJECTIVES:

To conduct a controlled study contrasting titanium surface topography after procedures that simulated 10 years of brushing using toothpastes with or without fluoride.

METHODS:

Commercially pure titanium (cp Ti) and Ti-6Al-4V disks (6 mm Ø×4 mm) were mirror-polished and treated according to 6 groups (n=6) as a function of immersion (I) or brushing (B) using deionised water (W), fluoride-free toothpaste (T) and fluoride toothpaste (FT). Surface topography was evaluated at baseline (pretreatment) and post-treatment, using atomic force microscope in order to obtain three-dimensional images and mean roughness. Specimens submitted to immersion were submerged in the vehicles without brushing. For brushed specimens, procedures were conducted using a linear brushing machine with a soft-bristled toothbrush. Immersion and brushing were performed for 244 h. IFT and BFT samples were analysed under scanning electron microscope with Energy-Dispersive X-ray Spectroscopy (EDS). Pre and post-treatment values were compared using the paired Student T-test (α=.05). Intergroup comparisons were conducted using one-way ANOVA with Tukey post-test (α=.05).

RESULTS:

cp Ti mean roughness (in nanometers) comparing pre and post-treatment were: IW, 2.29±0.55/2.33±0.17; IT, 2.24±0.46/2.02±0.38; IFT, 2.22±0.53/1.95±0.36; BW, 2.22±0.42/3.76±0.45; BT, 2.27±0.55/16.05±3.25; BFT, 2.27±0.51/22.39±5.07. Mean roughness (in nanometers) measured in Ti-6Al-4V disks (pre/post-treatment) were: IW, 1.79±0.25/2.01±0.25; IT, 1.61±0.13/1.74±0.19; IFT, 1.92±0.39/2.29±0.51; BW, 2.00±0.71/2.05±0.43; BT, 2.37±0.86/11.17±2.29; BFT, 1.83±0.50/15.73±1.78. No significant differences were seen after immersions (p>.05). Brushing increased the roughness of cp Ti and of Ti-6Al-4V (p<.01); cp Ti had topographic changes after BW, BT and BFT treatments whilst Ti-6Al-4V was significantly different only after BT and BTF. EDS has not detected fluoride or sodium ions on metal surfaces.

CONCLUSIONS:

Exposure to toothpastes (immersion) does not affect titanium per se; their use during brushing affects titanium topography and roughness. The associated effects of toothpaste abrasives and fluorides seem to increase roughness on titanium brushed surfaces.

 

2019 Feb;54(1):46-52. doi: 10.1111/jre.12603. Epub 2018 Oct 22.

Surface damage of dental implant systems and ions release after exposure to fluoride and hydrogen peroxide.

Author information

1
Postgraduate Program in Dentistry (PPGO), Department of Dentistry, Division of Implant Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil.
2
Laboratory of Ceramic and Composite Materials (CERMAT), Department of Mechanical Engineering (EMC), Federal University of Santa Catarina (UFSC), Florianópolis, Brazil.
3
Center for Microelectromechanical Systems (CMEMS-UMINHO), University of Minho, Guimarães, Portugal.
4
Department of Physics, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil.
5
Department of Oral Health Sciences, University Hospitals Leuven, Katholieke Universiteit Leuven, Leuven, Belgium.

Abstract

OBJECTIVE:

The aim of this study was to evaluate surface changes on dental implant systems and ions release after immersion in fluoride and hydrogen peroxide.

METHODS:

Ten implant-abutment assemblies were embedded in acrylic resin and cross-sectioned along the implant vertical axis. Samples were wet ground and polished. Delimited areas of groups of samples were immersed in 1.23% sodium fluoride gel (F) or in 35% hydrogen peroxide (HP) for 16 min. Gels (n = 3) were collected from the implant surfaces and analyzed by inductively coupled plasma mass spectrometry (ICP-MS), to detect the concentration of metallic ions released from the implant systems. Selected areas of the abutment and implant (n = 15) were analyzed by atomic force microscopy (AFM) and scanning electron microscopy (SEM).

RESULTS:

SEM images revealed surface topographic changes on implant-abutment joints after immersion in fluoride. Implants showed excessive oxidation within loss of material, while abutment surfaces revealed intergranular corrosion after immersion in fluoride. ICP-MS results revealed a high concentration of Ti, Al, V ions in fluoride after contact with the implant systems. Localized corrosion of implant systems could not be detected by SEM after immersion in hydrogen peroxide although the profilometry showed increase in roughness. ICP-MS showed the release of metallic ions in hydrogen peroxide medium after contact with dental implants.

CONCLUSION:

Therapeutical substances such as fluorides and hydrogen peroxide can promote the degradation of titanium-based dental implant and abutments leading to the release of toxic ions.

 

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