Petans and erosion and erosion
Districts is a multifactorial condition related to implant placement, host response, density trauma, prosthetic design, poor oral hygiene, bone loss, gum recession and dental implant exposure to Oral environment. Disinfection of implants, transplantation to rebuild the Peri-Implant Support Structure are common treatments.
Titanium and zirconia dental implants are commonly used for their biocompatibility and durability. Titanium implants are more popular in the US because of their economic affordability, high strength and corrosion resistance.2
The erosion of titanium dental implants has been associated with the failure of the implant and is considered one of the activation factors for everyday.3 Recent studies indicate that erosion can be associated with the progress of periphery, activating the microbial difficulty.4 Corrosion products and metal ions resulting from metal dissolution can lead to adverse tissue reactions in the oral environment. What is most concerned with is the effect on osteosenosis. Renaissance may not happen as soon as the surface passive.3
There is concern that the use of fluoride can contribute to the erosion of dental implants. Critics of fluoride treatments, or even fluoride toothpaste, warn of the risk of erosion over time.
One study showed erosion in the titanium alloy used in orthodontic cables, not dental implants, with acute phosphate gel (APF). This leads to a recommendation for patients with implants to avoid fluoride with high acid pH, such as APF fluoride gel.
It has been shown that fluoride can cause erosion on exposed dental implantation surfaces in the presence of acidic pH.6 As a result, pH of saliva are administered when prophylactic actions of NAF and SNF2 varnishes are administered.7.8
What are the safe pH for the use of fluoride in titanium implants?
In 1998, limited fluoride ions demonstrated the corrosive process in titanium as soon as the pH fell below 3.5.9 Fluorine -containing solutions (PH 7.0) did not harm the surface of the cast commercially pure titanium (CP Ti) and can be used by patients with titanium -based restorations.10 These elements give us guidelines to monitor both the product and the salivary pH in a safe range of between 3.5 and 7.0 pH.
Some believe that low -cheric orthid -containing lows that contain fluoride can be safely used in titanium dental implants if the salivary pH is tested. The concern is that patients with a high caries rate receiving recipes for high concentration products usually have acidic pH. High fluoride concentration and acid pH in the toothpaste used to prevent caries can modify the structure of the surface of titanium implants.11
The individual evaluation of patients is vital. We need to adjust the recommendations for patients with mixed toothpicks of titanium implants and natural teeth with multiple films based on patient needs and risk factors. Hygisi should focus on alternatives to reduce caries by balancing salivary pH or suggest xylitol products in high concentration fluoride recipes to avoid dental implants. Patient training on factors contributing to the high pH of salivary, such as dietary habits and rinsing after consuming acidic or sugary food, can minimize the risk of caries.
Regular application of fluoride can be part of an integrated oral hygiene shape. Fluoride helps to enhance natural teeth and reduce the risk of decomposition. By maintaining the health of adjacent teeth, the fluoride varnish contributes to the overall health of mixed teeth.
Dental hygienists should consider incorporating tests with pH jiagoe to monitor the safe use of fluoride for patients with dental implants. Use daily use of fluoride high concentration prescription in combination with prolonged exposure to acidic pH can lead to erosion or damage to the implant surface. Neutral sodium or sodium or distorted fluoride treatments administered by a dental professional in controlled quantities are at a lower risk of adverse reactions in dental implants if administered in neutral jaws. More research is needed on this subject.