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implantaten und Aufbau - BEGO

implantaten und Aufbau - BEGO

implantaten und Aufbau - BEGO

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Originalia – Materials Science<br />

9<br />

Fig. 1 Implant with sealed connection<br />

point<br />

Load resistance<br />

Wool thread<br />

Salt bridge<br />

Superstructure<br />

Implant<br />

Electrolyte<br />

Fig. 3 The half-cells were joined by a salt<br />

bridge to form a galvanic cell. A plastic tube<br />

with a wool thread passing through it served as<br />

the salt bridge. (The tube was constricted in the<br />

middle by a thread loop in order to slow down<br />

the ion exchange. The connecting tube was<br />

filled with the NaCl solution, and when examining<br />

the superstructures in corrosion solution,<br />

the tube was filled half-and-half with NaCl solution<br />

and corrosion solution.)<br />

alloy, in contrast to the other superstructure<br />

materials. Kulmburg (2006) reports that corrosion<br />

currents with the commercially pure titanium/CoCrMoNb<br />

pairing are smaller than with<br />

the commercially pure titanium/high-gold alloy<br />

pairing by a factor of 10 to 100. This is consistent<br />

with the results of our measurements<br />

[4].<br />

The unexpected potential difference and the<br />

flow of current between titanium implant and<br />

titanium superstructure are presumably attributable<br />

to differences in the microstructure of<br />

the metal. The surface of both the superstructure<br />

and the implant were sandblasted and<br />

therefore were no longer homogeneous because<br />

the blasting generates a certain compressive<br />

stress in the metal surface [3]. Mechanical<br />

stresses can, in principle, change the corrosion<br />

behaviour of metals. As a rule, the areas that<br />

have been deformed display increased susceptibility<br />

to corrosion [1]. A further indication of<br />

inhomogeneities is the fact that the titanium<br />

superstructures reacted both more nobly and<br />

less nobly than the implant surfaces in the NaCl<br />

solution at a pH of 6.0. Only at a lower pH, following<br />

the addition of lactic acid, did the titanium<br />

superstructures react consistently less<br />

nobly. The material of the CoCrMo superstructure<br />

is far harder than that of the titanium superstructure.<br />

Measurements with a Vickers<br />

hardness testing device (CV-400DAT, CV-Instruments,<br />

Maastricht, Netherlands) produced<br />

values of 420 +/– 10 HV and 320 +/– 10 HV <strong>und</strong>er<br />

a load of 500 g. It could be that the surface<br />

of the CoCrMo superstructure was changed less<br />

by the sandblasting due to its greater hardness<br />

compared to the softer titanium surface, and<br />

therefore the spread of measurements is smaller<br />

for this alloy.<br />

In terms of the corrosion currents, our investigation<br />

showed the titanium implant/CoCrMo<br />

superstructure pair to be the most favourable<br />

combination. The sandblasted surface of the<br />

CoCrMo alloy reacted more nobly than the titanium<br />

surface, as was the case in Kulmburg’s<br />

investigation using a CoCrMoNb alloy. Only in<br />

the case of the lower pH in the NaCl/lactic acid<br />

solution did the superstructure react less nobly<br />

in one out of four tests. Overall, all the current<br />

densities that we measured were considerably<br />

lower than those reported by Kulmburg (1986)<br />

for the gold alloy/CoCr alloy and gold alloy/NiCr<br />

alloy pairings, for which he obtained values of<br />

100 to 1000 nA/cm 2 [5]. They are also lower<br />

than the values recorded by Taher and Al Jabab<br />

(2003), which were 10 to 30 nA/cm 2 for the titanium/CoCr<br />

cast alloy pairing. This may be attributable<br />

to the fact that we did not use a cast<br />

CoCr alloy, but, according to the manufacturer,<br />

a homogeneous, industrially prefabricated alloy<br />

[6]. There is a good overall match with the<br />

findings of Venugopalan et al. (1998), who reported<br />

currents of 1–3 nA/cm 2 for the titanium/<br />

CoCrMo pairing and 66–154 nA/cm 2 for titanium/high-gold<br />

alloy [7].<br />

It may seem surprising that the cast gold alloy<br />

reacted less nobly than the surface of the titanium<br />

implant. According to Kulmburg (2006), a<br />

more noble reaction would be expected [4]. He<br />

states that commercially pure titanium has a<br />

very base potential, which can be raised by<br />

aro<strong>und</strong> 2400 mV by means of passivation, so<br />

falling just short of the values of precious-metal<br />

alloys. The decisive factor influencing the potential<br />

of the implant surface is thus the development<br />

of the passivation layer. According to<br />

the implant manufacturer, the implant surface<br />

was produced by a special sandblasting process.<br />

Evidently, in the case in hand, the passivated<br />

titanium surface reacts more nobly than<br />

the sandblasted precious-metal surface.<br />

As the sandblasting had the effect of increasing<br />

the surface area of our samples, it may be assu-<br />

Fig. 2 CoCr implant superstructure<br />

with sealed connection point<br />

Fig. 4 Equivalent circuit<br />

diagram for the examined<br />

galvanic cell with implant/<br />

superstructure in the test<br />

set up used. Uo and Ri simulate<br />

the cell; RL is the load<br />

resistance. The voltage at RL<br />

is measured with the external<br />

high-impedance (R>100<br />

GΩ) voltmeter V.<br />

ZWR ̶ Das Deutsche Zahnärzteblatt 2008; 117 (10)

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