The effect of platform switching on the levels of metal ion release from different implant–abutment couples

The improved peri-implant bone response demonstrated by platform switching may be the result of reduced amounts of metal ions released to the surrounding tissues. The aim of this study was to compare the levels of metal ions released from platform-matched and platform-switched implant-abutment couples as a result of accelerated corrosion. Thirty-six titanium alloy （Ti-6AI-4V） and cobalt-chrome alloy abutments were coupled with titanium cylinders forming either platform-switched or platform-matched groups （n = 6）. In addition, 18 unconnected samples served as controls. The specimens were subjected to accelerated corrosion by static immersion in 1% lactic acid for 1 week. The amount of metal ions ion of each test tube was measured using inductively coupled plasma mass spectrometry. Scanning electron microscope （SEM） images and energy dispersive spectroscopy X-ray analyses were performed pre- and post-immersion to assess corrosion at the interface. The platform-matched groups demonstrated higher ion release for vanadium, aluminium, cobalt, chrome, and molybdenum compared with the platform-switched groups （P〈 0.05）. Titanium was the highest element to be released regardless of abutment size or connection （P〈0.05）. SEM images showed pitting corrosion prominent on the outer borders of the implant and abutment platform surfaces. In conclusion, implant-abutment couples underwent an active corrosion process resulting in metal ions release into the surrounding environment. The highest amount of metal ions released was recorded for the platform-matched groups, suggesting that platform-switching concept has a positive effect in reducing the levels of metal ion release from the implant-abutment couples.

Statistical Evaluation of Anthropometric Measures and Oral Health Status in Terms of Diet, Smoking and Brushing Habits

Introduction and Objective: The aim of this research was to find out the interaction of anthropometric measurements particularly body mass and oral health status of Turkish young adult nationals regionally, depending on the effects of diet (food and fluid consumption), smoking and tooth brushing habits, which were determined by using the body mass index (BMI) and dental health index (DMFT). Material and Methods: The BMI and DMFT of 202 cases, with an age average 22.5 years, were recorded through physical and clinical examinations. Statistical evaluation of the data was checked by Cronbach’s Alpha Reliability Scale and performed by analysis of variance, Somer’s d and Pearson Chi-Square statistics, Poisson Regression and Odds Ratio analysis. Results: The results showed that the mean of BMI was at the optimum level (21.52) for all cases. The DMFT was higher for underweight females and for overweight males. The mean of DMFT according to sexes seemingly had no significant difference;however, females had 8.6% more DMFT than males. When the risk factors of dental caries were evaluated, the DMFT was found as 19.3% more for cases consuming high carbohydrate foods, 4.5% more for high beverage consumption and 18% more for smokers. Conclusions: In conclusion, tooth brushing 3 or more times a day is necessary to decrease the DMFT and tooth brushing 3 times a day as opposed to 1 or 2 times shows significant difference regarding oral health.