Longitudinal surveillance of serum titanium ion levels in patients with indigenous 3D printed total temporomandibular joint replacement

Abstract The purpose of this longitudinal study was to surveil the serum titanium ion levels at various time intervals in patients with indigenous 3D-printed total temporomandibular joint replacement (TMJ TJR). The study was conducted on 11 patients (male: 8; female: 3) who had undergone unilateral...

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Main Authors: Garima Khandelwal, Ajoy Roychoudhury, Ongkila Bhutia, A. Shariff
Format: Article
Language:English
Published: Nature Portfolio 2023-05-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-33229-5
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author Garima Khandelwal
Ajoy Roychoudhury
Ongkila Bhutia
A. Shariff
author_facet Garima Khandelwal
Ajoy Roychoudhury
Ongkila Bhutia
A. Shariff
author_sort Garima Khandelwal
collection DOAJ
description Abstract The purpose of this longitudinal study was to surveil the serum titanium ion levels at various time intervals in patients with indigenous 3D-printed total temporomandibular joint replacement (TMJ TJR). The study was conducted on 11 patients (male: 8; female: 3) who had undergone unilateral or bilateral TMJ TJR. Blood samples were drawn preoperatively (T0), 3 months (T1), 6 months (T2), and 1 year (T3) postoperatively. Data were analyzed and a p value of < 0.05 was considered statistically significant. The mean serum titanium ion levels at T0, T1, T2, and T3 was 9.34 ± 8.70 µg/L (mcg/L), 35.97 ± 20.27 mcg/L, 31.68 ± 17.03 mcg/L, and 47.91 ± 15.47 mcg/L respectively. The mean serum titanium ion levels increased significantly at T1 (p = 0.009), T2 (p = 0.032), and T3 (p = 0.00) interval. There was no significant difference between unilateral and bilateral groups. Serum titanium ion continued to show increased levels till the last follow-up of 1 year. These initial serum titanium ion levels increase is due to the initial wear phase of the prosthesis which manifests over 1 year. Further studies with large sample sizes and long-term follow-ups are required to see the deleterious effect if any on the TMJ TJR.
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spelling doaj.art-6f135bdd6e774b8485043f7f0b3e4fd92023-05-07T11:13:19ZengNature PortfolioScientific Reports2045-23222023-05-011311810.1038/s41598-023-33229-5Longitudinal surveillance of serum titanium ion levels in patients with indigenous 3D printed total temporomandibular joint replacementGarima Khandelwal0Ajoy Roychoudhury1Ongkila Bhutia2A. Shariff3Department of Oral and Maxillofacial Surgery, All India Institute of Medical SciencesDepartment of Oral and Maxillofacial Surgery, All India Institute of Medical SciencesDepartment of Oral and Maxillofacial Surgery, All India Institute of Medical SciencesDepartment of Anatomy, All India Institute of Medical SciencesAbstract The purpose of this longitudinal study was to surveil the serum titanium ion levels at various time intervals in patients with indigenous 3D-printed total temporomandibular joint replacement (TMJ TJR). The study was conducted on 11 patients (male: 8; female: 3) who had undergone unilateral or bilateral TMJ TJR. Blood samples were drawn preoperatively (T0), 3 months (T1), 6 months (T2), and 1 year (T3) postoperatively. Data were analyzed and a p value of < 0.05 was considered statistically significant. The mean serum titanium ion levels at T0, T1, T2, and T3 was 9.34 ± 8.70 µg/L (mcg/L), 35.97 ± 20.27 mcg/L, 31.68 ± 17.03 mcg/L, and 47.91 ± 15.47 mcg/L respectively. The mean serum titanium ion levels increased significantly at T1 (p = 0.009), T2 (p = 0.032), and T3 (p = 0.00) interval. There was no significant difference between unilateral and bilateral groups. Serum titanium ion continued to show increased levels till the last follow-up of 1 year. These initial serum titanium ion levels increase is due to the initial wear phase of the prosthesis which manifests over 1 year. Further studies with large sample sizes and long-term follow-ups are required to see the deleterious effect if any on the TMJ TJR.https://doi.org/10.1038/s41598-023-33229-5
spellingShingle Garima Khandelwal
Ajoy Roychoudhury
Ongkila Bhutia
A. Shariff
Longitudinal surveillance of serum titanium ion levels in patients with indigenous 3D printed total temporomandibular joint replacement
Scientific Reports
title Longitudinal surveillance of serum titanium ion levels in patients with indigenous 3D printed total temporomandibular joint replacement
title_full Longitudinal surveillance of serum titanium ion levels in patients with indigenous 3D printed total temporomandibular joint replacement
title_fullStr Longitudinal surveillance of serum titanium ion levels in patients with indigenous 3D printed total temporomandibular joint replacement
title_full_unstemmed Longitudinal surveillance of serum titanium ion levels in patients with indigenous 3D printed total temporomandibular joint replacement
title_short Longitudinal surveillance of serum titanium ion levels in patients with indigenous 3D printed total temporomandibular joint replacement
title_sort longitudinal surveillance of serum titanium ion levels in patients with indigenous 3d printed total temporomandibular joint replacement
url https://doi.org/10.1038/s41598-023-33229-5
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