ABSTRACTThis study compared Ti, Pd, Pt, Au ion release following induced accelerated tribocorrosion from 3 gold alloy abutment groups coupled to titanium implants over time; investigated contacting surface structural changes; and explored the effect of gold plating. Three abutment groups: G (n=8, GoldAdaptTM, Nobel Biocare®), N (n=8, cast UCLA, Biomet3i™), P (n=8, cast UCLA, Biomet3i™, gold plated), coupled to implants (Nobel Biocare®), immersed in 1% lactic acid were cyclically loaded. Ions released (ppb) at T 1 , T 2 , T 3 , simulating 3, 5 and 12 months function were quantified by Inductively Coupled Plasma Mass Spectrometry (ICP-MS) and compared. Surface degradation and fretted particle composition after T 3 were evaluated with Scanning Electron Microscopy and Energy-dispersive X-ray Spectroscopy (SEM/EDX). ICP-MS data was non-parametric, expressed as medians and interquartile ranges. SEM/EDX showed pitting, crevice corrosion and fretted particles on the components. Released ion concentrations in all groups across time significantly decreased for Pd (p<0.001, medians ranged 1.70 to 0.09), Pt (p=0.021, 0.55 to 0.00) and Au (p<0.001, 1.01 to 0.00); and increased for Ti (p=0.018, 2.49 to 5.84). Total Ti release was greater than other ions combined for G (p=0.012, 9.86 vs 2.30) and N (p<0.001, 13.59 vs 5.70), but not P (p=0.141, 8.21 vs 3.53). Total Ti release did not differ between groups (p=0.36), but was less variable across Group P. On average, total ion release was 13.77 (8.91 to 26.03 IQR) ppb across the 12-month simulation. Tribocorrosion of titanium implants coupled with gold abutments in a simulated environment was evidenced by fretted particles, pitting and crevice corrosion of the coupling surfaces and release of ions. More Ti was released compared with Pd, Pt and Au; and continued to increase with time. Abutment composition influenced ion release. Gold plated abutments appeared to subdue variation in and minimize high concentration spikes of titanium.
Comparison of Corrosion Products from Implant and Various Gold-based Abutment Couplings: The Effect of Gold Plating
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Matilde Duarte Silva, Terry R. Walton, Ghada O. Alrabeah, Danielle M. Layton, Haralampos Petridis; Comparison of Corrosion Products from Implant and Various Gold-based Abutment Couplings: The Effect of Gold Plating. J Oral Implantol doi: https://doi.org/10.1563/aaid-joi-D-19-00139
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