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Titanium particles in peri-implantitis: distribution, pathogenesis and prospects.

Long Chen1,2, Zian Tong1, Hongke Luo1

  • 1Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Engineering Research Center of Oral Biomaterials and Devices of Zhejiang Province, Hangzhou, China.

International Journal of Oral Science
|November 23, 2023
PubMed
Summary

Titanium particles from dental implants may contribute to peri-implantitis, a complication causing inflammation and bone loss around implants. Further research is needed to confirm this link and develop prevention strategies.

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Area of Science:

  • Oral implantology
  • Biomaterials science
  • Pathology

Background:

  • Peri-implantitis is a significant complication in oral implantology, characterized by inflammation and bone loss around dental implants.
  • The exact causes and pathogenesis of peri-implantitis are not fully understood.
  • Titanium particles are released from titanium-based implants and are found in higher concentrations at peri-implantitis sites.

Purpose of the Study:

  • To review the distribution of titanium particles around dental implants.
  • To investigate the potential role of titanium particles in peri-implantitis.
  • To summarize current prevention strategies for peri-implantitis.

Main Methods:

  • Literature review of studies on titanium particle distribution and effects.
  • Analysis of existing research on peri-implantitis pathogenesis.
  • Synthesis of information on prevention and treatment strategies.

Main Results:

  • Titanium particles are present around implants, with increased concentrations at sites of peri-implantitis.
  • Previous research suggests titanium particles can cause osteolysis in orthopedic contexts.
  • The direct role of titanium particles in triggering peri-implant inflammation and bone resorption requires further confirmation.

Conclusions:

  • Titanium particles are a potential risk factor for peri-implantitis.
  • Understanding titanium particle behavior is crucial for preventing and treating peri-implantitis.
  • This review provides insights for future research directions in peri-implantitis pathogenesis and management.