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Titanium removable denture based on a one-metal rehabilitation concept
Chikahiro Ohkubo1, Yohei Sato1, Yuichiro Nishiyama1
1Department of Removable Prosthodontics, Tsurumi University School of Dental Medicine.
Dental Materials Journal
|August 25, 2017
Summary
The "one-metal rehabilitation" concept using commercially pure (CP) titanium is recommended for all dental restorations to prevent corrosion. While fabrication challenges exist, CP titanium offers a bioinert solution for durable, single-metal prosthetics.
Area of Science:
- Biomaterials Science
- Dental Materials
- Prosthodontics
Background:
- Preventing galvanic corrosion in dental restorations necessitates using a single metal type.
- Commercially pure (CP) titanium is proposed as the ideal material for this
- one-metal rehabilitation
- concept due to its bioinert properties.
Purpose of the Study:
- To evaluate the feasibility and application of the one-metal rehabilitation concept using CP titanium.
- To discuss the fabrication methods and challenges associated with CP titanium frameworks for dental restorations, particularly removable partial dentures (RPDs).
Main Methods:
- Review of existing literature and fabrication techniques for CP titanium dental restorations.
- Discussion of computer-aided design/computer-aided manufacturing (CAD/CAM) and laser welding applications for titanium frameworks.
- Analysis of challenges in milling complex RPD framework geometries.
Main Results:
- CP titanium frameworks have demonstrated long-term durability without catastrophic failure.
- Current fabrication methods, including CAD/CAM and laser sintering, face challenges with complex RPD designs.
- Laser welding is a viable technique for repairing and rebuilding titanium frameworks.
Conclusions:
- The one-metal rehabilitation concept using CP titanium is a viable and recommended approach for dental restorations.
- Despite ongoing laboratory and clinical challenges in fabrication, CP titanium's bioinert nature makes it suitable for widespread application.
- Further advancements in manufacturing techniques are needed to overcome complexities in RPD framework production.

