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Updated: Jun 9, 2026

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Multi-Scale Modification of Metallic Implants With Pore Gradients, Polyelectrolytes and Their Indirect Monitoring In vivo
Published on: July 1, 2013
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Titanium micro-particles are commonly found in soft tissues surrounding dental implants.
Carlotta Dionigi1, Gyula Nagy2, Jan Derks1,3
1Department of Periodontology, Institute of Odontology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Communications Medicine
|March 19, 2025
Summary
Titanium micro-particles are common in tissues around dental implants but do not cause peri-implantitis. Further research is needed to understand their role in the immune response and tissue healing.
Area of Science:
- Biomaterials Science
- Oral and Maxillofacial Surgery
- Immunology
Background:
- Peri-implantitis, a serious condition affecting dental implants, involves inflammation and bone loss.
- Microbial biofilms are a primary cause of peri-implantitis.
- The role of metal particles from implants in the host response to biofilms is under investigation.
Purpose of the Study:
- To investigate the presence and characteristics of titanium micro-particles in peri-implant tissues.
- To determine if titanium micro-particles are associated with peri-implantitis.
- To explore the relationship between titanium micro-particles and gene expression in peri-implantitis lesions.
Main Methods:
- Soft tissue biopsies were collected from 21 patients with and without peri-implantitis.
- Micro Proton-induced X-ray Emission (µ-PIXE) was used to analyze titanium micro-particles.
- RNA sequencing was performed to assess gene expression profiles.
Main Results:
- Titanium micro-particles were consistently found in peri-implant soft tissues.
- Particle occurrence varied between patients but not between healthy and diseased sites within individuals.
- Fourteen differentially expressed genes were identified, related to immune response and epithelial development, when comparing high and low titanium particle densities.
Conclusions:
- Titanium micro-particles are frequently present around dental implants.
- The presence of titanium micro-particles is not associated with the occurrence of peri-implantitis.
- Titanium micro-particles may influence immune and epithelial responses, warranting further investigation.
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