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PubMed2001

Photocatalytic degradation of the cyanotoxin cylindrospermopsin, using titanium dioxide and UV irradiation.

Cylindrospermopsis raciborskii produces the cyanotoxin cylindrospermopsin, which is commonly found in SouthEast Queensland water reservoirs, and has been responsible for the closure of these reservoirs as a source of drinking water in recent times. Thus, alternative more effective treatment methods need to be investigated for the removal of toxins such as cylindrospermopsin. This study examined the effectiveness of two brands of titanium dioxide under UV photolysis for the degradation of cylindrospermopsin. Results indicate that titanium dioxide is an efficient photocatalyst for cylindrospermopsin degradation. The titanium dioxide (TiO2), brand Degussa P-25 was found to be more efficient than the alternate brand Hombikat UV-100. There was an influence from solution pH (4, 7, and 9) with both brands of titanium dioxide, with high pH resulting in the best degradation rate. Importantly, there was no adsorption of cylindrospermopsin to titanium dioxide particles as seen with other cyanotoxins, which would adversely influence the degradation rate. Degradation rates were not influenced by temperature (19-34 degrees C) when P-25 was the source of TiO2, some temperature influence was observed with UV-100. Dissolved organic carbon concentration will reduce the efficiency of titanium dioxide for cylindrospermopsin degradation, however the presence of other inorganic matter in natural waters greatly assists the photocatalytic process. With minimal potentially toxic by-product formation expected with this treatment, and the effective degradation of cylindrospermopsin, titanium dioxide UV photolysis is a promising speculative alternative water treatment method.

Alkaloids↗
PubMed2000

Association of fibroblast orientation around titanium in vitro with expression of a muscle actin.

The objective of this study was to investigate the association of cell orientation around a biomaterial with expression of a contractile actin isoform. Selected cytokines and a fungal metabolite known to alter the cytoskeleton were used to modulate the fibroblast orientation around titanium in vitro and the synthesis of a specific muscle actin in order to reveal an association between these processes. A novel culture system using a fibronectin-coated silicone surface was employed to evaluate the orientation of human gingival fibroblasts around titanium discs. Round glass cover slips, 25 mm in diameter, were coated with polydimethylsiloxane. During the heat-induced polymerization process, two commercially pure titanium discs, 5 mm in diameter, were placed on the silicone at a distance of approximately 0.5 mm apart. The rubbery consistency of the silicone stabilized the metal discs on the cover slip and eliminated the risk of developing a lip at the edge of the titanium sample. The cover slip was then heated to complete polymerization of the silicone and subsequently coated with fibronectin. One hundred thousand human gingival fibroblasts were plated onto each glass cover slip containing the titanium discs. The cells were treated with one of the following prior to seeding on the cover slips: transforming growth factor-beta1 (TGF-beta1), platelet-derived growth factor-BB (PDGF-BB), interferon-gamma (IFN-gamma) for cytochalasin-D. Untreated cells served as controls. The orientation of the cells at the surface of the titanium discs was evaluated microscopically and the cell content of alpha-smooth muscle actin (SMA) was determined by Western blot analysis and immunohistochemistry. A notable finding was the high correlation between the percentage of cells oriented perpendicular to the titanium surface and SMA synthesis. TGF-beta1, IFN-gamma and cytochalasin-D increased synthesis of SMA while PDGF-BB decreased it. The findings support the proposition that SMA-enabled cell contraction may play a role in the orientation of cells to a biomaterial surface.

Actins↗
PubMed2001

Immobilization of bisphosphonates on surface modified titanium.

The efficiency of surface modifications on the immobilization of bisphosphonates on titanium was investigated with Ca-ion implantation and thin hydroxyapatite coatings. The ALP activity of osteoblastic cells and the inhibitory effects on the initial adherence of P. gingivalis were also evaluated using bisphosphonate-immobilized titanium. X-ray photoelectron spectroscopy analysis suggested that titanium surfaces modified with Ca-ion implantation and thin hydroxyapatite coatings caused the immobilization of bisphosphonate on titanium plates. The ALP activity of osteoblastic cells cultured on plates immobilized with bisphosphonate was almost the same as that of cells cultured on titanium plates, indicating that the bisphosphonate-immobilization showed no toxic effect on osteoblastic cells, and that it provides a favorable micro-environment with osteogenetic ability. Data of the adherence of oral bacteria showed that a bisphosphonate-immobilized titanium surface inhibited the initial adherence of P. gingivalis. These results indicate that the immobilization of bisphosphonates on titanium modified with Ca-ion implantation and thin hydroxyapatite coatings are useful for dental implants.

Animals↗
PubMed2001

In vivo evaluation of bone-bonding of titanium metal chemically treated with a hydrogen peroxide solution containing tantalum chloride.

Apatite formation on implants is important in achieving a direct bonding to bone tissue. We recently showed that titanium metal chemically treated with a hydrogen peroxide solution containing tantalum chloride has the ability to form a hydroxyapatite layer in simulated body fluid which had inorganic ion composition similar to human blood plasma. In this study, a pure titanium cylinder (4.0 mm in diameter, 20.0 mm in length) treated with this method was implanted into a hole (4.2 mm in diameter) in a rabbit's tibia. After implantation for predetermined periods up to 16 weeks, the specimens were extracted with bone tissue, and were examined by push-out test to evaluate the shearing force between the implant and bone tissue. The results were compared with those of non-treated pure titanium. Eight weeks after surgery, the shearing force of the treated titanium implanted in the 4.2 mm-hole was significantly higher than that of non-treated titanium, although the surface roughness was not changed after the treatment. Scanning electron microscopic (SEM) observation and energy-dispersive X-ray (EDX) microanalysis showed that the bone comes very close to the surface of the treated titanium. Moreover, the shearing force was higher for the implanted sample in the 4.0 mm-hole than that in the 4.2 mm-hole. Thus, it is confirmed that the treatment with hydrogen peroxide solution containing tantalum chloride provides higher bonding ability on titanium implants in vivo.

Animals↗
PubMed2001

In vitro study of the effect of titanium on porphyromonas gingivalis in the presence of metronidazole and spiramycin.

Septic peri-implantitis is the main clinical complication encountered following the insertion of titanium implants. It may be resistant to conventional antibiotic treatments. Reports in the literature about antibiotic behavior in the presence of titanium remain controversial. They vary from a bacteriostat to a decreased effect of antibiotic. This study examined, in vitro, the viability of Porphyromonas gingivalis, frequently associated with periodontal diseases, in the presence of titanium and antibiotics (spiramycin and metronidazole alone or in combination). Viability of P. gingivalis was determined, versus a standard curve using the Live/dead Baclight Bacteria Viability Kit on 96 well microplates. The results of 48 experiments (60 measurements each) were compiled in a database and compared to each other using the chi2p < 0.05 test. When used alone, titanium enhanced bacterial growth as the nickel-chrome control. However, when titanium was used in the presence of antibiotics, antibiotics kept their own effects. Even more, titanium was shown to potentialize the effect of metronidazole. The strengthening of effectiveness of metronidazole by titanium may be due to the oxidation potential of the metal. This chemical property could explain the conflicting data reported in the literature.

Anti-Bacterial Agents↗
PubMed2001

The use of titanium implants and prosthodontic techniques in the preparation of non-human primates for long-term neuronal recording studies.

Investigators that require the chronic implantation of hardware on the non-human primate skull are often challenged with the possible failure of head implants. To improve the success rate of our head implants, titanium anchor screws, referred to as titanium endosseous implants, were implanted in the skulls of six macaques. Techniques adapted from the processing of dentures were utilized to pre-fabricate an acrylic "skull cap", which provided the mechanical support structure for our study-specific hardware. A two-stage procedure adapted from dentistry (Brånemark et al., 1977) was employed for the placement of titanium endosseous implants in the skull. This two-stage technique incorporates the principles of osseointegration and a healing period. Of the six skull-anchored implants prepared implementing the methods described in this paper, we have not experienced any failures. Additionally, all of the titanium endosseous implants examined post mortem were functionally successful (n=30). Histology results confirmed that there was healthy bone in direct contact with the titanium endosseous implants. The dense cortical bone of the macaque skull is ideal for the implantation of titanium endosseous implants. Titanium endosseous implants have provided secure, functional anchor points for the attachment of hardware to the macaque skull and have resulted in healthy, stable head implants that can remain on the skull for extended periods of time.

Acrylic Resins↗
PubMed2002

The role of p105 protein in NFkappaB activation in ANA-1 murine macrophages following stimulation with titanium particles.

Macrophage activation by particulate debris from orthopaedic implants triggers an inflammatory response that ultimately leads to periprosthetic bone resorption and implant failure. TNFalpha has been identified as a critical cytokine involved in the response to debris particles but the mechanisms involved in activation of TNFalpha synthesis are unclear. The current study demonstrates rapid induction or TNFalpha following stimulation with titanium particles in the murine macrophage cell line. ANA-1. Electrophoretic mobility shift assays demonstrated NFkappaB DNA binding activity within 15 min of exposure to titanium particles, and experiments with an NFkappaB luciferase promoter confirmed the induction of NFkappaB mediated transcription by titanium particles. Furthermore, titanium particles induced a 2-fold induction in TNFalpha promoter activity, and mutation of the kappaB2a site, one of the four NFkappaB-binding sites in the TNFalpha promoter, resulted in decreased activation. Since NFtB is a critical regulator of inflammation and is involved in activation of the TNFalpha promoter, additional experiments were performed to determine the mechanism of NFkappaB activation by particles. NFKB activation was found to be dependent upon proteasome activity, since administration of MG 132, a proteasome inhibitor, blocked NFkappaB activation. However, IkappaBalpha is only slightly decreased following Ti treatment, in contrast to marked degradation following stimulation with LPS. Recently, another proteasome-dependent pathway of NFkappaB activation has been described involving degradation of p105. a precursor of p50 that binds to p65. p105 degradation occurred following titanium stimulation. suggesting that this recently described mechanism for NFKB activation is operant in ANA-1 cells following exposure to titanium particles. These findings demonstrate that activation of the NFkappaB signaling pathway is rapidly induced by titanium particles in ANA-1 cells and is associated with p105 degradation. TNFalpha induction appears to be mediated, at least in part, through NFkappaB binding to the kappaB2a site of the TNFalpha promoter.

Animals↗
PubMed2003

Phagocytosis of titanium particles and necrosis in TNF-alpha-resistant mouse sarcoma L929 cells.

In the oral cavity, titanium is an excellent biocompatible material. However, it is reported that high ratios of intracellular titanium particles can cause cell apoptosis or necrosis by as-yet unknown mechanisms. The purpose of this study was to investigate the response of tumor necrosis factor alpha (TNF-alpha)-resistant L929 fibroblasts to titanium particles. Cells were cultured in Eagle's medium supplemented with fetal bovine serum and L-glutamine. Titanium particle sizes were less than 9 micro. Cytotoxicity was assayed by a cell counting kit, trypan blue dye exclusion test and lactate dehydrogenase (LDH) leakage. The production of reactive oxygen species (ROS) was detected by a confocal laser scanning microscope (CLSM) using dichlorofluorescein diacetate as a fluorescent probe. Morphology was viewed by a CLSM and with an X-ray microanalyser (XMA). When titanium particles were added to cells, the viability decreased to around 50% at a particle concentration of 2.0%. The number of dead cells and LDH activity in the culture media increased significantly between 1 and 2 days. However, formation of active oxygen species did not occur, since no dichlorofluorescein fluorescence was observed. A scanning electron photomicrograph (SEM) revealed a large number of particles covering or adhering to cellular components in lysed cells compared with flattened control cells attached to the substrate. The XMA showed that the titanium accumulation was coincident with the deformed cell shape. The CLSM also confirmed that particles were within the cells. From these results it was concluded that titanium particles ingested in large quantities into the cell induced necrosis by a pathway other than by producing ROS.

Animals↗
PubMed2003

Effect of zirconia-modified magnesia investment on the casting of pure titanium.

Several investigations have examined magnesia-based investments for pure titanium casting. However, the thermal expansion value was insufficient at low casting temperatures and high interfacial reactivity occurred at high casting temperatures. The purpose of this investigation was to modify a magnesia-based investment by adding a heat-resistant mold material, zirconia, in different ratios to produce a more accurate titanium casting. The thermal expansion value was measured using a new precise automatic laser recording machine and pure titanium was cast using an argon casting machine. The marginal accuracy was measured using a stereomicroscope and the interfacial reactivity of the titanium was evaluated using X-ray diffraction analysis. The results indicate that adding different amounts of zirconia to a magnesia-based investment can increase its thermal expansion value and decrease the interfacial reactivity of the titanium. Maximal thermal expansion in the zirconia-modified investments significantly increased by 5-6 weight % (wt%) and peaked at 1.62% expansion. Selevest with 5 wt% zirconia had the smallest mean marginal discrepancy, 21.70 microm at 750 degrees C. Analysis of variance indicates significant differences in marginal discrepancy between zirconia-modified investments (p < 0.001). Adding zirconia can also decrease the interfacial reactivity of the titanium. The data indicated that proper amounts of zirconia (5-6 wt%) added to a magnesia-based investment can produce a more accurate and less interfacial reactive pure titanium casting.

Dental Casting Investment↗
PubMedDate not supplied

Structure of the bone-titanium interface in retrieved clinical oral implants.

7 clinically stable, "osseointegrated", titanium implants, inserted in human jaws for 1-16 years, were retrieved for morphological analysis of the bone-titanium interface, using 3 different preparation techniques. The bone-titanium interface varied as judged from light microscopy of ground sections. The threads of the implants were well filled (79-95%) with dense lamellar bone as quantified with morphometry. A large fraction of the implant surface (56-85%) appeared to be in direct contact with the mineralized bone. In general, the non-bone areas consisted of pockets with osteocytes, bone marrow tissue and/or vessels. Sections were prepared for light microscopy and transmission electron microscopy using a fracture technique, where the implant was separated from the embedded tissue before sectioning, and an electropolishing technique, where the bulk part of the implant was electrochemically removed. In areas judged as direct mineralized bone-titanium contact in the light microscope, the interfacial structure varied at the ultrastructural level. In areas along the interface, unmineralized tissue was present either as a narrow 0.5-1 micron wide zone containing collagen fibril or as deeper pockets containing osteocytes or vessels. In areas with mineralized bone contact, an amorphous granular layer (100-400 nm wide) with no mineral was observed in the innermost interface bordering the mineralized bone, with an electron-dense lamina limitans-like line (approximately 50 nm thick). It is concluded that the bone-titanium interface of the 7 clinically retrieved titanium oral implants examined in the present study bone was heterogenous. In areas of a direct mineralized bone-titanium contact at the ultrastructural level, mineralized bone reached close to the implant surface, but was separated by an amorphous layer, being 100-400 nm thick.

Aged↗
PubMed2000

Characterization, at the bone crystal level, of the titanium-coating/bone interfacial zone.

Well integrated and clinically functional titanium dental implants retrieved in humans after 14 and 40 months of settlement were used for the characterization of the interfacial area between the plasma-sprayed coating and the surrounding mineralized bone. Electron microscopic studies were performed from undecalcified intact coating/bone interfaces. The concomitant presence of direct bone tissue apposition on the titanium coating, as well as the interposition of amorphous material along the same interfacial zones emphasizes the dynamic biologic aspect of the osseointegration process. A very striking finding of these ultrastructural and microanalytical investigations was the presence of tiny titanium grains ranging from 5 to 50 nm in diameter at the surface of bulky plasma-sprayed coating particles. High-resolution transmission electron microscopy revealed a continuity between the lattice planes of the coating material and those of the minute titanium grains; thus indicating a chemical binding. The thickness of the granular titanium layer interposed between coating particles and mineralized bone tissue ranged up to 600 nm. The observation of calcium-phosphate needle-like crystallites within the porous layer made of titanium grains indicates a bone ingrowth process, suggesting a bone-binding mechanism to the outer surface of the coated titanium implant.

Aged↗
PubMed1998

Evaluation of titanium in oral conditions and its electrochemical corrosion behaviour.

Due to its excellent biocompatibility and good mechanical properties, titanium has been used successfully in dentistry for many years. In this study, complete dentures with titanium palatal plates were applied to 10 patients who were in need of upper dentures. The clinical performance of cast titanium palatal plates was determined over a period of 6 months. No increase in accumulation of denture plaque nor mucosa irritation was observed. After the above period, the electrochemical corrosion behaviour of cast titanium and chromium-cobalt palatal plates were compared with the titanium plates that were not left in an oral environment after casting. For the electrochemical corrosion tests, a corrosion cell was designed and artificial saliva with lactic acid was used, with the temperature during the tests being about 37 degrees C. The potential difference between the test sample and the saturated calomel electrode was measured, and after the determination of the rest potentials, the anodic potentiodynamic polarization curves were traced at a rate of 1 mV/s. From the standpoint of corrosion, the titanium plates used by the patients for a 6-month period corroded more than the titanium not used by the patients. This may be due to the casting and processing conditions and the effect of the oral environment.

Aged↗
PubMed2000

Chemical cleaning of titanium tray for reconstructive surgery.

AIMS: To find out the extent of chemical contamination on the surface of titanium wrought mesh before and after swaging, and to assess the effectiveness of cleaning off these contaminants by various chemical methods. MATERIALS AND METHODS: Qualitative analysis of the surfaces of 6 wrought titanium meshes by scanning electron microscopy (EM) and radiological microanalyser. One of these meshes was subjected to experimental cleaning by different methods. Qualitative chemical analysis of 20 titanium trays fabricated for clinical use before and after acid cleansing. RESULTS: All 6 titanium meshes had surface contaminants, with silicon being the most common. The effective cleaning methods were chemical cleaning with Titaclean, mechanical trimming, or polishing with diamond paste. The 20 swaged titanium trays were effectively cleaned with either Titaclean or Chemi-Polish solution. CONCLUSION: Previously unknown surface contamination was common on wrought titanium mesh. Ultrasonic cleansing with Titaclean or Chemi-Polish effectively removed most of the contaminants on the titanium trays before they were implanted.

Aluminum↗
PubMed2002

Tissue changes adjacent to titanium plates in patients.

INTRODUCTION: Titanium miniplates are widely used for osteosynthesis in maxillofacial surgery. Titanium is considered to be well tolerated but the long-term effects of titanium retained within human tissues are unclear. AIMS: This study was designed to evaluate histomorphologically the soft tissues adjacent to titanium maxillofacial miniplates and screws in patients, and to determine the nature of pigmented, particulate debris found in the tissues. MATERIALS: Thirty-five soft tissue specimens were excised from the tissues adjacent to titanium miniplates which had been in situ for between 1 month and 13 years. METHODS: All of the soft tissue specimens were prepared for examination under the light microscope. Four specimens were examined under the scanning electron microscope and the transmission electron microscope. Energy dispersive X-ray analysis (EDX) was used to confirm the elemental composition of the particles under investigation. RESULTS: All of the soft tissues showed fibrosis. Pigmented debris was present in 70% of the specimens and titanium was identified by EDX analysis. The debris was predominantly extra-cellular and was not associated with any inflammatory response or giant cell reaction. Fibroblasts were the predominant cell with small aggregates of lymphocytes and scattered macrophages. CONCLUSION: Titanium is apparently well tolerated for up to 13 years.

Adolescent↗
PubMed2003

[Are titanium implants superior to gold implants in the tympanic cavity?].

BACKGROUND: Gold implants in reconstructive surgery of the middle ear have proved to work sufficiently: That applies to tympanic cavity conditions without signs of chronic inflammation as also to the bacterially infected middle ear. For some years titanium implants are also in the use and established as well. The biocompatibility of titanium, the clinical and the audiological results are satisfactory. When using gold-prostheses in stapes surgery however, the still unsolved problem of occasional deafness has to be considered. PATIENTS: The clinical and functional results of middle ear surgery were examined retrospectively. There was no preselection of patients. 53 patients underwent middle ear surgery with titanium prostheses, 42 patients with gold prostheses. RESULTS: Due to their material properties and due to their delicate shape titanium prostheses (PORP, TORP) can be inserted into the tympanic cavity more simply and with better fit. The audiological results of gold and titanium prostheses are comparable. The extruding rate of the gold prostheses is substantial, whereas the extruding rate of titanium is negligible. CONCLUSION: The functional results of both materials are comparable. Due to the high extruding rates of gold prostheses titanium is clearly superior.

Auditory Threshold↗
PubMedDate not supplied

[Is the implantation of titanium stems in hip prostheses really obsolete?].

AIM: Due to several bad results of studies, titanium is no longer used as an implant material in cemented total hip arthroplasty. This study attempts figure out by means of a meta-analysis if the material titanium itself was responsible for the bad results of some studies or if specific implant characteristics contributed to implant failure, independent of titanium. METHOD: Studies between 1960 and July 2002 were analysed concerning failure rates of cemented titanium total hip arthroplasties regarding their specific implant characteristics. RESULTS: Specific implant characteristics such as roughness of the surface and geometrical features led to significantly different failure rates. Stems of titanium with a dull surface and a wide proximal geometry could achieve such good results as those of the cobalt-chromium stems published in the study results of Malchau. CONCLUSION: Titanium is justified as a cementable material in total hip arthroplasty. By respecting specific implant characteristics, very good failure rates can be achieved. The high failure rates, published in several studies, are based upon implant characteristics which are not suitable for cementing techniques and not upon the implant material titanium itself.

Arthroplasty, Replacement, Hip↗
PubMed2001

A comparison of dental and dentoalveolar changes between rapid palatal expansion and nickel-titanium palatal expansion appliances.

A tandem-loop nickel titanium temperature-activated palatal expansion appliance was developed that produces light, continuous pressure on the midpalatal suture and requires little patient cooperation or laboratory work. The purpose of this study was to compare the effectiveness of the nickel titanium palatal expansion appliance with that of a rapid palatal expansion appliance. The study sample comprised 25 patients who required palatal expansion as part of their orthodontic treatment. The sample was divided into 2 groups, with 13 patients in the nickel titanium group and 12 patients in the rapid palatal expansion group. Study models were taken before treatment and at the end of the retention period after expansion. Intermolar width, palatal width, palatal depth, alveolar tipping, molar tipping, and molar rotation were analyzed. In addition, occlusal radiographs were obtained before and 2 weeks after expansion to evaluate for sutural separation by the appliances. Results showed significant increases in midpalatal sutural separation, tipping of the alveolus, and tipping of the molars after expansion in both groups. However, greater midpalatal sutural separation was found in the rapid palatal expansion group and greater molar rotation was found in the nickel titanium group. Stepwise multiple regression analysis showed that alveolar tipping, palatal width change, and molar tipping are the best predictors of intermolar width change in the rapid palatal expansion group. Radiographic evidence of midpalatal sutural separation was less obvious in the nickel titanium group. These results suggest that both the nickel titanium and the rapid palatal expansion appliances are capable of expanding the maxillary dentition and alveolar process and are equally capable of correcting posterior crossbites. In the current study, the rapid palatal expander widened the palate more reliably, whereas the nickel titanium expander tipped the molars buccally to a greater extent and caused more distal molar rotation. The clinician's choice of expander will depend on his or her initial diagnosis and treatment goals.

Alveolar Process↗
PubMed2002

Casting titanium partial denture frameworks: a radiographic evaluation.

STATEMENT OF PROBLEM: Titanium is the most biocompatible metal available for dental castings. However, there is some concern about the castability of titanium used on a daily basis. PURPOSE: A radiographic evaluation of titanium partial denture frameworks was undertaken to ascertain whether these castings were technically acceptable for clinical use. MATERIAL AND METHODS: Three hundred Grade II titanium removable partial denture frameworks were cast in a Titec 205M casting machine. All materials were used as directed by the manufacturer, and all castings were made by an experienced titanium specialist. Each casting was evaluated by radiograph. Based on the number, location, and size of argon inclusions, the frameworks were rated as follows: technically acceptable for clinical use as cast; technically acceptable after laser welding modifications; or unacceptable as cast, with remake necessary. RESULTS: Of the 300 titanium frameworks cast, 97% were rated technically acceptable for clinical use in terms of castability. SUMMARY: Within the limitations of this radiographic evaluation, it was determined that the castability of titanium was such that technically acceptable castings could be made on a daily basis.

Argon↗