임플란트, 치아교정 환자가 불소나 미백제를 사용하면 안되는 이유!

임플란트와 치아교정 환자가 불소나 치아미백제를 사용하면 좋지 않은 이유!

 

바로 부식위험 때문입니다.

 

불소나 치아미백제가 임플란트와 어버트먼트를 부식시켜 임플란트 주위염의 위험을 증가시킬 수 있습니다.

 

불소나 치아미백제가 교정장치(와이어)를 부식시켜 교정력에 영향을 줄 수 있습니다.

 

따라서 임플란트나 교정치료환자는 미백제나 불소치약을 사용하지 않는 것이 좋습니다.

 

2019년 발표 된 근거 논문을 보겠습니다.

 

J Periodontal Res. 2019 Feb;54(1):46-52. doi: 10.1111/jre.12603. Epub 2018 Oct 22.

Surface damage of dental implant systems and ions release after exposure to fluoride and hydrogen peroxide.

불소나 하이드로겐 퍼록사이드(미백제) 노출 후 이온 방출 과 치과임플란트 시스템의 표면 손상

Peñarrieta-Juanito G¹, Sordi MB¹, Henriques B^2,3, Dotto MER⁴, Teughels W⁵, Silva FS³, Magini RS¹, Souza JCM³.

Author information

1

Postgraduate Program in Dentistry (PPGO), Department of Dentistry, Division of Implant Dentistry, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil.

2

Laboratory of Ceramic and Composite Materials (CERMAT), Department of Mechanical Engineering (EMC), Federal University of Santa Catarina (UFSC), Florianópolis, Brazil.

3

Center for Microelectromechanical Systems (CMEMS-UMINHO), University of Minho, Guimarães, Portugal.

4

Department of Physics, Federal University of Santa Catarina (UFSC), Florianópolis, Brazil.

5

Department of Oral Health Sciences, University Hospitals Leuven, Katholieke Universiteit Leuven, Leuven, Belgium.

Abstract

OBJECTIVE:

The aim of this study was to evaluate surface changes on dental implant systems and ions release after immersion in fluoride and hydrogen peroxide.

METHODS:

Ten implant-abutment assemblies were embedded in acrylic resin and cross-sectioned along the implant vertical axis. Samples were wet ground and polished. Delimited areas of groups of samples were immersed in 1.23% sodium fluoride gel (F) or in 35% hydrogen peroxide (HP) for 16 min. Gels (n = 3) were collected from the implant surfaces and analyzed by inductively coupled plasma mass spectrometry (ICP-MS), to detect the concentration of metallic ions released from the implant systems. Selected areas of the abutment and implant (n = 15) were analyzed by atomic force microscopy (AFM) and scanning electron microscopy (SEM).

RESULTS:

SEM images revealed surface topographic changes on implant-abutment joints after immersion in fluoride. Implants showed excessive oxidation within loss of material, while abutment surfaces revealed intergranular corrosion after immersion in fluoride. ICP-MS results revealed a high concentration of Ti, Al, V ions in fluoride after contact with the implant systems. Localized corrosion of implant systems could not be detected by SEM after immersion in hydrogen peroxide although the profilometry showed increase in roughness. ICP-MS showed the release of metallic ions in hydrogen peroxide medium after contact with dental implants.

CONCLUSION:

Therapeutical substances such as fluorides and hydrogen peroxide can promote the degradation of titanium-based dental implant and abutments leading to the release of toxic ions.

치료목적으로 사용되는 불소와 하이드로겐 퍼록사아드(치아미백제)가 독성 이온을 방출함으로서 티타늄을 기반으로 하는 치과임플란트나 어버트먼트의 부식(degradation)을 촉진할 수 있다.

임플란트나 어버트먼트가 거칠어진다는 뜻은 임플란트 주위염의 위험이 그만큼 증가한다는 것을 의미합니다.

 

J Clin Exp Dent. 2019 May 1;11(5):e414-e420. doi: 10.4317/jced.55601. eCollection 2019 May.

Assessment of the electrochemical behaviour of Nickel-Titanium-based orthodontic wires: Effect of some natural corrosion inhibitors in comparison with fluoride.

니켈티타늄 기반 교정용 와이어의 전기화학적 특성평가: 불소와 비교한 자연부식 방해물질의 효과

Fatene N¹, Mansouri S², Elkhalfi B³, Berrada M⁴, Mounaji K⁵, Soukri A⁶.

Author information

1

Orthodontist, private practice, PhD student, Physiopathology molecular genetics and biotechnologies laboratory, Faculty of Sciences Ain Chock, Center of Health & Biotechnology, Hassan II University, Casablanca, Morocco.

2

PhD student, LIMAT-Thermostructural Materials and Polymers Team, Center of Health & Biotechnology, Faculty of science Ben M'sik, Hassan II University, Casablanca, Morocco.

3

Assistant professor, Physiopathology molecular genetics and biotechnologies laboratory, Center of Health & Biotechnology, Faculty of Sciences Ain Chock, Hassan II University, Casablanca, Morocco.

4

Professor, Ben Msik Analysis Center, Faculty of Sciences Ben Msik, Center of Health & Biotechnology, Hassan II University, Casablanca, MMorocco.

5

Professor, Physiopathology molecular genetics and biotechnologies laboratory, Faculty of Sciences Ain Chock, Center of Health & Biotechnology, Hassan II University, Casablanca, Morocco.

6

Professor, director of Physiopathology Molecular Genetics and Biotechnologies laboratory, Faculty of Sciences Ain Chock, Center of Health & Biotechnology, Hassan II University, Casablanca, Morocco.

Abstract

Background:

The aim of this study is to assess the corrosion resistance behaviour of Nickel-Titanium-based orthodontic wires (NiTi) in different concentrations of Sodium Fluoride (NaF) and the corrosion's inhibitory effect of the extracts of some medicinal plants (essential oils, hydrosols and extract).

Material and Methods:

In this study we used NiTi (3M) and CuNiTi (ORMCO, 35°C, California) orthodontic wires. The following electrolytes were prepared: Lactate Ringer solution with additions of 0.1%, 0.5% or 1% of Sodium Fluoride and the extracts of different plants: Artemisia, Syzygium aromaticum (Clove) and Celtis australis. Corrosion resistance was studied using anodic potentiodynamic polarisation and electrochemical impedance spectroscopy measurements. At the end of the experiment, microscopic images of wires were performed. ANOVA test with the comparison of Bonferroni and Tukey tests were performed to elucidate comparisons among all groups.

Results:

The higher sodium fluoride concentration is related to negative corrosion potential for both NiTi and CuNiTi orthodontic wire. Hydrosols are associated to positive values of corrosion potential. CuNiTi has a lower corrosion resistance than NiTi.

Conclusions:

The prescription of toothpastes containing sodium fluoride should be reduced especially for patients wearing fixed orthodontic appliances. Eugenol may be considered as alternative of sodium fluoride for orthodontic patients for its anti-microbial and anti-corrosive effects.

고정성 교정장치를 하고 있는 환자에게 불소를 함유한 치약의 처방을 줄여야 한다.

불소가 교정장치 부식의 원인이 되기 때문

Key words:Corrosion behaviour, Sodium Fluoride, Nickel-Tatanium, orthodontic wires, corrosion inhibitors, aromatical plants.

임플란트나 치아교정환자도 마음 놓고 사용할 수 있는 나노 하이드록시아파타이트 페이스트, 아파프로~

1. 불소와 연마재 성분이 들어 있지 않아  임플란트나 어버트먼트 표면에 손상을 주지 않습니다.

2. 치아교정환자의 경우 탈회를 치료하거나 충치로의 발전을 차단 할 수 있습니다.

3. 구강내 세균을 흡착하여 제거해 주는 효과가 탁월하므로 탈회, 충치나 임플란트 주위염을 예방할 수 있습니다.