Corrosion Processes
Leading to the Development of Metallic Pigmentation of the Gingiva
Joska L., Venclíková Z.*, Bystrianský J., Novák P.
Ústav kovových materiálů a korozního inženýrství, Vysoká škola chemicko-technologická, Praha, vedoucí doc. ing. P. Novák, CSc. Výzkumný ústav stomatologický, Praha, ředitel doc. MUDr. J. Dušková, DrSc. |
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Summary:
Alloys based on gold, platinum, silver and formerly also palladium are along with
dental amalgam materials frequently used by stomatologists. During exposure these materials
come into contact with medium of the oral cavity (saliva, sulcular fluid) and the exposure of
metals in an aqueous medium leads to their corrosion. From the value of the electrochemical
potential of the metalic material in the oral medium, or to put it more accurately the free
corrosion potential, it is possible to assess to what extent conditions for its corrosion were
created. Corrosion losses of dental alloys in the great majority are not a fundamental problem
of these metallic materials. Even from material undergoing uniformcorrosion at very slow rate
(i.e. 1 mmmm/a) corrosion products are released which may cause problems if they accumulate
in the organism. In the submitted paper the authors summarize the results of measurement of
the free corrosion potential of metal components in the oral environment of patients with
metallic pigmentations of the gingiva. These values are compared with data obtained during
electrochemical laboratory and exposure tests and with the results of metallographics evaluation
of extracted implants. The mean value of the free corrosion potential of amalgams in vivo
was 0.011 # 0.059 V/SHE, the range of potentials of prosthetic work based on NiCrMo alloy was
almost identical with that amalgams. Free corrosion potential of gold alloys had a mean value
of 0.096 # 0.055 V/SHE, palladium alloys 0.110 V/SHE. In one of the patients a galvanic effect was recorded (macrocell) between the CoCrMo-based skeleton and a crown made from gold
alloy. The potential of all components with the prosthesis in situ was -0.060 to -0.068 V/SHE
and the potential of crown sharply increased to -0.033 V/SHE after prosthesis removal with the
rising trend. Restoration of the skeleton led to a rapid change of potential of the combined
materials back to -0.07 V/SHE. The existence of a macrocell may have a negative effect on
subjective sensations of the patient and on the corrosion behavior of the influenced materials.
The incidence of gingival deposits at first could not be ascribed to certain type of material;
prostheses in the close vincinity of pigmentations were made from all existing types. In previous
work evidence was provided that metallic spots contain most frequently silver. The latter is
part of many alloys of gold, palladium amalgams and other materials. Dental metal components
thus in principle can be source of silver. Somewhat more difficult is to explain the presence of
metallic pigmentations of the gingiva surrounding teeth with crowns made from NiCrMo-based
alloys in the vicinity of which they are found too. According to medical records the prosthetic
devices were administered to the investigated subjects in six instances on Ag90Sn9ZnCd alloy
and one instance on amalgam. Metallographic analysis provided evidence that under crowns
during exposure crevices are formed via which the oral medium can get into contact with the
underlaying metallic material and lead to corrosion. This is associated with the release of silver
and copper compounds and their possible deposition in tissues.The explanation of the formation
of metallic pigments in the vincinity of NiCrMo-based prostheses leads to the hypothesis of a
corrosive role of material to which the prosthesis is attached. This must be however taken as
a working hypothesis and for its verification it will be necessary to analyze a larger number of
samples
Key words:
corrosion – ion release – spontaneous corrosion potential in vivo
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