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Mitogenic activity for fibroblasts induced by silica and titanium dioxide particles in vitro and in vivo.

Experimental studies on particle-induced pulmonary fibrosis have not provided consistent evidence for the specific induction of fibroblast-regulating cytokines by pulmonary macrophages in response to fibrogenic as compared to non-fibrogenic particles. Using an optimized, wholly serum-free bioassay, we assessed mitogenic activity for pulmonary fibroblasts in supernatants of short-term cultures of alveolar macrophages exposed to either fibrogenic silica or non-fibrogenic titanium dioxide ducts. The responses to these supernatants were influenced by the replicative status of the target cells, in that samples which stimulated non-cycling fibroblasts caused inhibition of DNA synthesis by cycling cells when tested at the same concentration. However, both silica and titanium dioxide elicited comparable secretion of growth factor activity by macrophages, following either in-vitro or in-vivo administration of particles. In contrast, bronchoalveolar lavage fluids from animals that received intratracheal injections of silica, but not from those that received titanium dioxide, exhibited a sustained reduction in fibroblast-stimulating activity. We conclude that secretion of growth factor activity by alveolar macrophages in culture is induced by particles in a non-specific manner. However, alterations in mitogenic activity in bronchoalveolar lavage fluid may constitute a biological marker of the pattern of pulmonary injury which progresses to fibrosis.

Animals↗

[Systemic granulomatous disease, of the sarcoid type, caused by inhalation of titanium dioxide. Anatomo-clinical and experimental study].

Epithelioid granulomas, sarcoid type, are reported in four workers exposed to the inhalation of titanium dioxide dust. The granulomas were observed in the lungs, associated with respiratory insufficiency leading to death, in the hilum lymph nodes and liver. Diagnosis was done after a search of the occupational background of the patients followed by chemical and histochemical identification of the inhaled dusts within the lesions (morin and chromotropic acid methods and atomic absortion spectrophotometry) and experimental production of the disease in guinea-pigs. The harmful effects of titanium are not restricted to its dioxide, or to the inhalatory route. Different types of ceramic used in human implants and prostheses and the textile and aerospace industries use titanium.

Adult↗

[A study on the application of Nickle-Titanium alloys stent for prevention and treatment tracheostomal stenosis after total laryngectomy].

OBJECTIVE: To evaluate the effect of Nickle-Titanium alloys annular stent to prevent and treatment tracheostomal stenosis after total laryngectomy. METHOD: The stent was used following total laryngectomy and after total laryngectomy. RESULT: Long stent was implanted in 2 cases following total laryngectomy and in 1 cases after total laryngectomy, Which resulted in widening stenosis and relieving obstruction of airway. The tracheostomal diameter is 2 cm afterwards, but the patients have crusts, granuloma and stretch feeling in tracheostoma. Tracheostomaplasty was performed using short stent in 18 cases during laryngectomy. All the cases have no tracheostomal stenosis following over 6 months. The tracheostoma is smooth, enough larger and stable. CONCLUSION: Nickle-Titanium alloys annular short stent is fixed outside the wall of trachea, its complication is less. It may prevent from tracheostomal stenosis. Nickle-Titanium alloys annular long stent is a better method to resolve dyspnea.

Adult↗

Titanium in a hyperbaric oxygen environment may pose a fire risk.

The use of titanium during hyperbaric oxygen therapy may pose a risk of fire. A fresh titanium surface in a high oxygen atmosphere can be a source of ignition. The clinical scenario may be a patient who accidentally breaks his titanium-framed glasses during a hyperbaric oxygen treatment in a monoplace chamber or using an oxygen hood. We recommend some safety precautions to be exercised until consensus standards have been established by the hyperbaric medicine community.

Equipment Design↗

Nitric acid passivation does not affect in vitro biocompatibility of titanium.

PURPOSE: In general, both chemical composition and surface features of implants affect cell response. The aim of this study was to evaluate the effect of titanium (Ti) passivation on the response of rat bone marrow cells, considering cell attachment, cell morphology, cell proliferation, total protein content, alkaline phosphatase (ALP) activity, and bonelike nodule formation. MATERIALS AND METHODS: Cells were cultured on both commercially pure titanium (cpTi) and titanium-aluminium-vanadium alloy (Ti-6Al-4V) discs, either passivated or not. For attachment evaluation, cells were cultured for 4 and 24 hours. Cell morphology was evaluated after 4 days. After 7, 14, and 21 days, cell proliferation, total protein content, and ALP activity were evaluated. Bonelike nodule formation was evaluated after 21 days. Data were compared by analysis of variance and the Duncan multiple range test. RESULTS: Cell attachment, cell morphology, cell proliferation, total protein content, ALP activity, and bonelike nodule formation all were unaffected by Ti composition or passivation. DISCUSSION AND CONCLUSION: Although the protocol for passivation used here could interfere with the pattern of ions released from Ti-6Al-4V and cpTi surfaces, the present study did not show any effect of this surface treatment on in vitro biocompatibility of Ti as evaluated by osteoblast attachment, proliferation, and differentiation.

Alkaline Phosphatase↗

[The microbial colonization of implant elements made of plastics and titanium].

12 edentate subjects wearing lower complete dentures stabilized by an IMZ-implant-supported Dolder bar took part in the experiment. Elastic (POM) and titanium connection parts were alternatingly inserted. After the removal of 24 POM and titanium elements from each of the patients, a qualitative analysis of the microbial flora was performed. Except for actinomycetes, aerobic as well as anaerobic microorganisms were found less frequently with titanium than with POM elements.

Actinomycetales↗

[Behavior of bone formation around the porous-hollow cylindrical titanium implant composed of bone morphogenetic protein].

OBJECTIVE: The purpose of this study was to observe the behavior of bone formation around the titanium-hollow porous cylinder implant composed of bovine bone morphogentic protein(bBMP). METHODS: Porous-hollow cylinder titanium implant composed of bBMP was implanted into mandibule of dogs. Multiple fluorescent was labeled at different times and then LSCM was used to observe the newly formed bone around the complex implant. RESULTS: The newly formed bone around the complex implant in experimental group was more obvious than that in other groups. CONCLUSION: Earlier, longer and more new-bone formation can be induced by porous-hollow cylinder titanium implant composed of bBMP, and LSCM is an effective method to observe new bone formation around implant.

Animals↗

Pain in the well-fixed, aseptic titanium hip replacement. The role of corrosion.

We have investigated nine patients with cemented Furlong (JRI, London, UK) titanium hip replacements who presented with early pain despite a well-fixed, aseptic prosthesis. All were followed up clinically and radiologically at regular intervals. Pain was located in the thigh and was worse at night. Radiographs showed cortical hypertrophy of the femur around the tip of the stem. Eight of the nine patients subsequently required single-stage revision using an uncemented prosthesis, which relieved the pain. At revision, the pH of the tip of the stem was found to be highly acidic with macroscopic evidence of corrosion consisting of multiple layers of titanium oxides when studied by X-ray dispersive analysis. Cemented titanium implants have a potential for crevice corrosion leading to cortical hypertrophy and intractable pain.

Aged↗

[An investigation on dental bio-tribological characteristics of prosthesis made of titanium material].

OBJECTIVE: This study aimed at investigating bio-tribological property of titanium opposite to teeth as a base of clinical application. METHODS: Under a modified fretting machine, wear tests on human natural teeth were carried out in artificial saliva conditions against to pure titanium. The dynamic frictional process and wear mechanisms were investigated by means of Nene-2, MVK-H12, TALYSURF6, OM, LSM, SEM, EDX. RESULTS: The coefficient of friction exhibited a variation pattern of longs. The wear mechanism of natural tooth was detected as micro-cut and denaturation of dental texture and the wear depth of Ti/teeth was 20.33 + 2.86 microm, the wear depth of Ti/Ti being 38.00 + 5.88 microm (P < 0.05). CONCLUSIONS: The natural tooth has a good tribological behavior, matching the friction behavior of pure titanium. Over occlusal force during masticate process and para-function should be avoided. When we chose dental materials, wear resistance should be taken into account.

Dental Materials↗

[The effect of casting techniques on the accuracy of titanium crown and bridge].

OBJECTIVE: To investigate the method of enhancing the accuracy of titanium crowns by improving the casting method. METHODS: A self-assembled die was used to fabricate 48 standardized wax crowns. The dies were averagely divided into two groups. 21 crowns were successfully fabricated from one group according to the improved techniques. 18 crowns were fabricated by traditional method. A reference mark was scribed 90 degrees apart at four sites on the margin of each wax pattern and respective die. The distance between the margins of the wax pattern and the die was measured under a stereomicroscope. Similar method was also applied to measure the margin of castings. The castings were longitudinally split through midline. The distance between the 4 points(B',C',D',E') selected in the inner part of the crown and the die was respectively examined. RESULTS: Castings acquired by the improved method were more complete and had smoother surface. Marginal discrepancy value had significant difference between the two groups. Value in experimental group was smaller. Distance from B',E' to die between the two groups had no significant difference, but the distance from C',D' to the die was significantly different. The experimental group was smaller. CONCLUSION: Standardized crowns fabricated by the improved titanium casting technique were more accurate, but special investment for titanium crowns and bridges should be developed to compensate the casting shrinkage of metal.

Crowns↗

Electrochemical studies of the corrosion behaviour of titanium and the Ti-6Al-4V alloy using electrochemical impedance spectroscopy.

OBJECTIVES: The aim of this study was to compare the electrochemical behaviour of two materials used in oral implantology. METHODS: The resistance to corrosion of Ti grade 2 and the alloy Ti-6Al-4V was studied in an artificial saliva solution. It has been observed that the passivation of titanium by an oxidised layer can be shown both by cyclic voltametry and by electrochemical impedance spectroscopy. Moreover, this latter technique, rarely used in odontology, opens up interesting perspectives, enabling a more quantitative approach to the resistance of the passive layer to be adopted. RESULTS: Also, the impedance data recorded for Ti grade 2 and the alloy Ti-6Al-4V, in the artificial saliva solution were shown that Ti grade 2 has a higher resistance to corrosion and a thicker oxide layer than the alloy Ti-6Al-4V. SIGNIFICANCE: The fact that the electrochemical properties of Ti-6Al-4V are lower than that titanium's ones indicate than a release of ions aluminum and or vanadium ions in the body can occur. This is why we recommend to the dental practitioners to preferably use titanium in implantology.

Alloys↗

[Individual prefabricated titanium implant for the reconstruction of the skull bone defect].

OBJECTIVE: This paper presents a new method of individual prefabricated titanium implant for the reconstruction of the skull bone defect. METHOD: A computer-based 3D model of the cranial bone defect is created from helical CT-data and serves as the basis for the computer aided design and manufacturing (CAD/CAM) of the individual prefabricated titanium implant for the cranial bone defect reconstruction. RESULT: Since 2001, a total of nine patients suffering from the cranial bone defect have been operated on by this method with satisfied result. The fallow-up is 3 to 12 months. CONCLUSION: These individual prefabricated titanium implants have won a high precision, a good biomechanics and a excellent biocompatibility. It is a quite ideal and very simple method with much less complication for the surgical treatment of the cranial bone defect.

Adolescent↗

Long-term bone response to titanium implants coated with thin radiofrequent magnetron-sputtered hydroxyapatite in rabbits.

PURPOSE: The present study was designed to investigate the long-term bone response around machined screw-type uncoated and calcium phosphate (CaP) -coated commercially pure titanium implants. MATERIALS AND METHODS: Using a magnetron sputtering technique, implants with a CaP coating similar in composition and CaP ratio to hydroxyapatite were produced. Heat treatment was subsequently used to increase the crystallinity of the coatings. Four types of coatings (0.1 and 2.0 microm amorphous and 0.1 and 2.0 microm crystalline) were manufactured; uncoated implants served as a control. Three hundred twenty implants (64 of each type) were randomly placed in the tibial cortical and trabecular femoral bones of 40 rabbits. The rabbits were sacrificed 9 months after implant placement. RESULTS: Histomorphometric evaluation carried out on ground sections revealed that the crystalline CaP coatings achieved the highest bone-implant contact in both tibiae and femora compared with amorphous CaP-coated and uncoated titanium. DISCUSSION: The present study suggests that submicron crystalline hydroxyapatite coating adds bioactive properties to titanium oral implants. CONCLUSION: An ultra-thin, 0.1-microm crystalline CaP coating can elicit and maintain an improved long-term bone response compared to amorphous coated or uncoated Ti implants, without any adverse tissue reactions.

Analysis of Variance↗

[Reconstruction of mandibular defect by using Titanium mandibular prosthesis: a preliminary experimental study].

PURPOSE: The aim of this experiment was to investigate the possibility of application of mandibular reconstruction with titanium mandibular prosthesis. METHODS: Two healthy adult goats were used in this study. Spiral CT of the mandibular region was performed. The data collected was related to the computer. Then a 5 cm mandibular body defect and a mandibular angle defect were designed accordingly. Titanium mandibular prostheses were manufactured according to the size of the above defect. Surgical operation was performed and the prosthesis were implanted into the aimed defects and internal fixation was used. Autogenic bone graft was introduced into the holes of the angle prosthesis. Radiographic examination was used to evaluate the healing of prostheses every month after operation. Three months later, the animal was sacrificed and the mandible specimens were sectioned for histological and biomechanical evaluation. RESULTS: One of the body prosthesis was found to be exposed two weeks after operation. Four weeks later, fixation failed and the anterior part of the prosthesis separated from the mandible attached. The other body prosthesis also suffered from exposure,but the connection between the prosthesis and the mandible was still stable. Histological examination revealed that there was presence of osseointegration in the angle prosthesis as well as area that was not exposed in the body prosthesis model. Reattachment of the muscles to the bone graft area was found. CONCLUSIONS: CAD/CAM generated Titanium mandibular prosthesis is applicable in human model. The vitality of this experiment revealed that a tight closure plays an important role in the healing by osseointegration. If there was any exposure, the osseointegration will be failed. Reattachment of the muscle to the prosthesis can be achieved by "muscle-bone-prosthesis"model.

Animals↗

[Color stability of porcelain-fused-to-titanium restorations after repeated firings].

OBJECTIVE: To study the effect of repeated firings on color of porcelain-fused-to-titanium restorations. METHODS: Twenty standard porcelain-fused-to-titanium specimens were made with Dentsply DETREY TiBond C3 and Dentaurum rematitan Til. Then they were fired 1, 2, 4, 7, and 10 times. Color measurement was done after each firing. RESULT: Most of the color parameters had no significant difference after firing except for a* and Hab. All the color difference among groups were smaller than 1.0 (deltaE < 1.0). CONCLUSION: Repeated firings will not affect the color stability of porcelain-fused-to-titanium restorations.

Color↗

[Guided bone regeneration beneath titanium foils].

The aim of this study was to examine the clinical and histological bony healing process beneath titanium foils used for guided tissue regeneration as well as of the Frios Algipore graft which was applied with autologous bone. 66 sinus floor elevations were carried out and examined over a period of three years and eight months. A success rate of 64% was recorded with foil incorporation. Complications occurred in form of primary and secondary disturbances in the healing process caused by exposure of the foil. 12 of the 66 foils had to be removed early. In all but one case, the augmented bone material was macroscopically well integrated despite the loss of the foil. Primary stability of the inserted dental implants into the ossified augmented site after operations of the sinus maxillaris was reached in all cases with absence of post-operative complications, and in 94% when there was postoperative exposure of the membrane. Histologically, a thin layer of connective tissue poor in cells but rich in collagen fibers appeared underneath the titanium foil. This was followed by newly-formed bony tissue transforming into osseous lamella parallel to the membrane underneath the new periost. In 65 out of 66 cases a sufficient amount of stable bone was built up locally suggesting good bio-compatibility and barrier function. Further, the foil also provided mechanical rest and supporting function for the space underneath. However, the occurrence of healing complications in 36% of the cases showed a need to improve on the titanium foils.

Bone Regeneration↗

[Experimental study of osseointegration of zirconium and titanium dental implants].

In an experiment performed on pigs, methods of light and scanning electron microscopy were used to study the interaction of zirconium and titanium dental implants with bone 6 months following their insertion. Distinct features of integration of both implant types with bone structures were detected. Sites of direct contact of bone structures with metal were found to undergo constant remodeling according to biochemical and metabolic conditions in each zone of an implant surface. Statistically the degree of interactive properties of zirconium implants significantly exceeded similar parameter for titanium screws. Along the perimeter of the zones of bone contact with zirconium implants greater numbers of forming and formed bone areas were revealed as compared to the zones of bone contact with titanium implants, where erosion lacunae were more numerous. The complex of research methods used in this study have not revealed distinct changes in the structure of osteocytes, located in immediate proximity to the metal surface in comparison with more distant sites in the bone.

Animals↗

Marginal fit of titanium metal-ceramic crowns.

PURPOSE: This study aimed to compare the marginal fit of 2 kinds of metal-ceramic crowns-crowns cast from commercially pure titanium and Procera titanium crowns. MATERIALS AND METHODS: Ten copings of each type were prepared, veneered with low-fusing porcelain, and bonded with glass-ionomer cement. Marginal fit was assessed before and after cementation, and the data were analyzed statistically. RESULTS: There were significant differences among mean values of marginal fit between the groups. Cementation increases discrepancies in both groups. CONCLUSION: Casting titanium has resulted in the highest discrepancies in marginal fit of both groups.

Analysis of Variance↗