Review Article

Electrogalvanism in Oral Implantology: A Systematic Review

Table 4

The evaluation of metal ion release.

StudyGalvanic couplesEnvironment, pH, period, method, area ratio, etc.Results

Barros and Camila 2020 [21] in vitroTi6Al4V/NiCr(i) 0.9% NaCl at 227 ppm of F−, 2270 ppm of F, and 12300 ppm of F−, pH 5,5 and 4,0A concentration of released Ti ions of 174.05 ppm in 12300 ppm of F− at pH 4.0 and 0.059 ppm in 227 ppm of F− at pH 5.5.
(ii) ICP-MS1Quantification for V ions gave 0,54 ppm in 12300 ppm of F− at pH 4.0 and 0,028 ppm in 227 ppm of F− at pH 5.5.
(iii) 15 days
(iv) 1
Bortagaray et al. 2016 [8] in vitroTi cp/noble alloys(i) AS pH 7,1Noble alloys with high gold and palladium content combined with cp titanium implants showed minimal release of metal ions into the environment.
Ti cp/Ti cp(ii) Analytical technique by static immersion.
(iii) 3 months
Lee JJ. et al. 2015 [22] in vitroTi cp/Ni–Cr–Be(i) DMEM2 + desRelease of metal ions was enhanced by galvanic corrosion due to contact between the base metal and titanium.
Ti cp/NiCr(ii) L-929 mouseThe amount of metal ions released and the cytotoxicity of the Ni–Cr alloy with beryllium was greater than that of other Ni–Cr alloys not containing beryllium.
Ti cp/Ni-high Cr(iii) Fibroblast cells.
(iv) ICP-MS,
(v) 48 hours
Yamazoe M. 2010 [23] in vitroTi cp et Ti6Al4V/Ti cp, Ti6Al4V(i) Lactic acid at 1% at 37°CThe level of Ti ion release was influenced by the microstructure of titanium. It was lower when the grain size was smaller. In the titanium-titanium combinations, the differences in the microstructure of the metal also markedly influenced the ionic release.
Ti/noble alloys(ii) ICPE3, SCLM4
With different surface roughness(iii) 3 months
Tuna et al. 2009 [12] in vitroCp Ti (G4)/Pd(i) SA, pH 6.7, at 37°CHigher total ionic concentration was observed in nonprecious alloys while precious alloys and titanium had much lower ionic concentration.
Cp Ti (G4)/Au(ii) ICP-MS,
Cp Ti (G4)/NiCr(iii) 14 H
Cp Ti (G4)/CoCr(iv) 0.33
Foti et al. 1999 [24] in vivoCp Ti/precious alloy(i) 8 implants Ti cp in the mandible of three primates(i) After 2 months.
Cp Ti/Ti(ii) Histological analysis(ii) Absence of titanium ions on the 48 regions explored.
(iii) 2 months(iii) The sectors with titanium superstructures.
(iv) Migration of titanium to the area around the cervical region of the implant occurred in the presence of a precious alloy. This phenomenon did not occur with a titanium superstructure.

1ICP-MS: inductively coupled plasma-mass spectrometry; 2DMEM : Dulbecco’s Modified Eagle Medium; 3ICPE: inductively coupled plasma; 4SCLM : atomic emission spectrometry.