IMMUNOTOXICOLOGICAL ASPECTS OF BIOCOMPATIBILITY OF TITANIUM

Titanium (Ti) is a non-essential metal element. TiO2 is used predominantly in the form of micro and nanoparticles in consumer products, including cosmetics and food. Because of its excellent biocompatibility, the trade-pure titan and its alloys are widely used as an alternative to certain metals in...

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Main Authors: Maya Lyapina, Mariana Cekova, Mariela Deliverska, Jordan Galabov, Angelina Kisselova
Format: Article
Language:English
Published: Peytchinski Publishing 2017-05-01
Series:Journal of IMAB
Subjects:
Online Access:https://www.journal-imab-bg.org/issues-2017/issue2/JofIMAB-2017-23-2p1550-1559.pdf
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author Maya Lyapina
Mariana Cekova
Mariela Deliverska
Jordan Galabov
Angelina Kisselova
author_facet Maya Lyapina
Mariana Cekova
Mariela Deliverska
Jordan Galabov
Angelina Kisselova
author_sort Maya Lyapina
collection DOAJ
description Titanium (Ti) is a non-essential metal element. TiO2 is used predominantly in the form of micro and nanoparticles in consumer products, including cosmetics and food. Because of its excellent biocompatibility, the trade-pure titan and its alloys are widely used as an alternative to certain metals in invasive medicine, surgery, dental medicine. Contemporary data concerning the sources of exposure to titanium, immune reactions to Ti alloys, current knowledge and perspectives of diagnosis of sensitization or allergic reactions to titanium are discussed. Conclusion: TiO2 is much more stable than pure Ti and alloys used in the implants, that should be taken into account when conducting research and analysing the results. The evidence of possible toxic effects is insufficient. It is difficult to assess the frequency of Ti allergy due to the uncertainty of diagnostic methods, but it is believed that it is very low. This is supported by the evidence that Ti and TiO2 (often as NP) doesn’t penetrate through the healthy skin. Skin patch testing with currently available formulations of Ti and TiO2 has no significant value in clinical practice, and currently, it is assumed that there is no reliable method for diagnosis Ti allergy. The functional analysis of cytokine release and investigation of genetic characteristics could be useful for individual risk assessment in dental implantology. Such studies may also help to investigate separately early and late implant loss, as well as to develop new diagnostic tools.
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spelling doaj.art-74252cd985a6403e9bf1e92b748aeb602022-12-22T03:48:32ZengPeytchinski PublishingJournal of IMAB1312-773X2017-05-012321550155910.5272/jimab.2017232.1550IMMUNOTOXICOLOGICAL ASPECTS OF BIOCOMPATIBILITY OF TITANIUMMaya Lyapina0Mariana Cekova1Mariela Deliverska2Jordan Galabov3Angelina Kisselova4Department Hygiene, Medical Ecology and Nutrition, Medical Faculty, Medical University - Sofia, BulgariaDepartment Oral and Image Diagnostic, Faculty of Dental Medicine, Medical University - Sofia, BulgariaDepartment Medical Ethics and Law, Faculty of Public Health, Medical University - Sofia, Bulgaria.Department Oral and Image Diagnostic, Faculty of Dental Medicine, Medical University - Sofia, BulgariaDepartment Oral and Image Diagnostic, Faculty of Dental Medicine, Medical University - Sofia, BulgariaTitanium (Ti) is a non-essential metal element. TiO2 is used predominantly in the form of micro and nanoparticles in consumer products, including cosmetics and food. Because of its excellent biocompatibility, the trade-pure titan and its alloys are widely used as an alternative to certain metals in invasive medicine, surgery, dental medicine. Contemporary data concerning the sources of exposure to titanium, immune reactions to Ti alloys, current knowledge and perspectives of diagnosis of sensitization or allergic reactions to titanium are discussed. Conclusion: TiO2 is much more stable than pure Ti and alloys used in the implants, that should be taken into account when conducting research and analysing the results. The evidence of possible toxic effects is insufficient. It is difficult to assess the frequency of Ti allergy due to the uncertainty of diagnostic methods, but it is believed that it is very low. This is supported by the evidence that Ti and TiO2 (often as NP) doesn’t penetrate through the healthy skin. Skin patch testing with currently available formulations of Ti and TiO2 has no significant value in clinical practice, and currently, it is assumed that there is no reliable method for diagnosis Ti allergy. The functional analysis of cytokine release and investigation of genetic characteristics could be useful for individual risk assessment in dental implantology. Such studies may also help to investigate separately early and late implant loss, as well as to develop new diagnostic tools.https://www.journal-imab-bg.org/issues-2017/issue2/JofIMAB-2017-23-2p1550-1559.pdftitaniumdental implantsbiocompatibilityallergic responsecytokines
spellingShingle Maya Lyapina
Mariana Cekova
Mariela Deliverska
Jordan Galabov
Angelina Kisselova
IMMUNOTOXICOLOGICAL ASPECTS OF BIOCOMPATIBILITY OF TITANIUM
Journal of IMAB
titanium
dental implants
biocompatibility
allergic response
cytokines
title IMMUNOTOXICOLOGICAL ASPECTS OF BIOCOMPATIBILITY OF TITANIUM
title_full IMMUNOTOXICOLOGICAL ASPECTS OF BIOCOMPATIBILITY OF TITANIUM
title_fullStr IMMUNOTOXICOLOGICAL ASPECTS OF BIOCOMPATIBILITY OF TITANIUM
title_full_unstemmed IMMUNOTOXICOLOGICAL ASPECTS OF BIOCOMPATIBILITY OF TITANIUM
title_short IMMUNOTOXICOLOGICAL ASPECTS OF BIOCOMPATIBILITY OF TITANIUM
title_sort immunotoxicological aspects of biocompatibility of titanium
topic titanium
dental implants
biocompatibility
allergic response
cytokines
url https://www.journal-imab-bg.org/issues-2017/issue2/JofIMAB-2017-23-2p1550-1559.pdf
work_keys_str_mv AT mayalyapina immunotoxicologicalaspectsofbiocompatibilityoftitanium
AT marianacekova immunotoxicologicalaspectsofbiocompatibilityoftitanium
AT marieladeliverska immunotoxicologicalaspectsofbiocompatibilityoftitanium
AT jordangalabov immunotoxicologicalaspectsofbiocompatibilityoftitanium
AT angelinakisselova immunotoxicologicalaspectsofbiocompatibilityoftitanium