[Effect of decontaminating solutions on titanium surface: an in vitro study of human epithelial cell culture]. / Dekontamináló anyagok hatása a titánfelszín biointegrációs tulajdonságaira: in vitro humán epithel sejtkultlúra vizsgálatok.

INTRODUCTION: The effects of three different decontaminating solutions in clinical use for peri-implantitis therapy on the chemical structure and surface roughness of commercially pure (CP) Ti were investigated. A further aim was to survey the response of the biological environment to these changes, by examining the attachment and proliferation of human epithelial cells after treatment of the Ti surfaces with these solutions. MATERIALS AND METHODS: CP (grade 4) machined titanium discs (CAMLOG Biotechnologies AG, Switzerland) were treated with 3% H2O2 (5 min), saturated citric acid (pH = 1; 1 min) or chlorhexidine gel (CHX, 5 min). The surface properties were followed through the use of X-ray photoelectron spectroscopy (XPS) and atomic force microscopy (AFM). The epithelial cell attachment and proliferation was examined by means of 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) and bicinchoninic acid (BCA) protein-content assays. RESULTS: XPS showed an intact TiO2 layer on each sample and CHX was adsorbed by the surface, as C-O and/or C=O bond formation was revealed. AFM results gave no significant changes in the roughness after treating the surfaces with the cleaning solutions. While MTT and BCA assays did not show significant differences in epithelial cell attachments, the cell proliferation was significantly increased after H2O2 treatment as compared to CHX (not shown by BCA assays). CONCLUSIONS: The applied decontaminating agents do not damage the Ti surface. H2O2 can be used effectively in decontaminating the implants affected by peri-implantitis, as the human epithelial cell growth was improved, in contrast with CHX.

[The effect of fluorides on the surface structure of titanium implants]. / Fluoridok hatása titán implantátumok felületi szerkezetére.

The high fluoride concentration and the acidic pH in tooth-paste used to prevent caries may modify the surface structure of implants made of titanium. Oxidative agents thicken and condense the titanium-dioxid layer on the surface of titanium and improve its stability against corrosion effects, while reductive agents like fluoride may have the opposite effect and attack this layer. The aim of the present work was to study the effects of fluoride containing toothpaste and gel on the titanium dioxid layer of titanium. The surfaces of the titanium (commercial pure grade I.) discs were treated with toothpaste and gel containing 0.125 % and 1.25 % fluoride, respectively. The changes in the surface structure were analyzed by atomic force microscope (AFM) and X-ray photoelectron spectroscopy (XPS). Our results demonstrated that fluoride strongly binds to the titanium surface and modifies its structure in case of fluoride containing gels.