<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">AMPC</journal-id><journal-title-group><journal-title>Advances in Materials Physics and Chemistry</journal-title></journal-title-group><issn pub-type="epub">2162-531X</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/ampc.2021.115009</article-id><article-id pub-id-type="publisher-id">AMPC-109195</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Chemistry&amp;Materials Science</subject><subject> Physics&amp;Mathematics</subject></subj-group></article-categories><title-group><article-title>
 
 
  Reactivity of Titanium Dental Implants in Salivary Environment in the Presence of Foods Consumed in the Republic of the Congo
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Abel</surname><given-names>Dominique Eboungabeka</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Edith</surname><given-names>Rose Marcelle Eboungabeka Trigo</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Timothée</surname><given-names>Nsongo</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib></contrib-group><aff id="aff2"><addr-line>University Hospital of Brazzaville, Brazzaville, Congo</addr-line></aff><aff id="aff1"><addr-line>Marien Ngouabi University, Science and Technology Faculty, Brazzaville, Congo</addr-line></aff><aff id="aff3"><addr-line>Geological and Mining Research Center, Brazzaville, Congo</addr-line></aff><pub-date pub-type="epub"><day>20</day><month>05</month><year>2022</year></pub-date><volume>11</volume><issue>05</issue><fpage>93</fpage><lpage>99</lpage><history><date date-type="received"><day>4,</day>	<month>April</month>	<year>2021</year></date><date date-type="rev-recd"><day>17,</day>	<month>May</month>	<year>2021</year>	</date><date date-type="accepted"><day>20,</day>	<month>May</month>	<year>2021</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  In this work, samples of titanium dental implants in salivary environment in the presence of certain foods were studied. 24 samples were prepared and subjected to the reactivity of certain foods for 6, 5, 6 and 7 weeks. The ICP-MS technique was used to analyze the prepared samples. The results obtained showed no corrosion of the titanium alone in an artificial salivary medium. Significant corrosion was observed in the presence of food, which is manifested by the presence of traces of titanium in the samples.
 
</p></abstract><kwd-group><kwd>Dental Implant</kwd><kwd> Titanium</kwd><kwd> Reactivity</kwd><kwd> Food</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Titanium and its alloys are the most widely used biomedical materials for the manufacture of dental implants and prosthetic devices because of their physicochemical properties, in particular good corrosion resistance and biocompatibility [<xref ref-type="bibr" rid="scirp.109195-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.109195-ref2">2</xref>] [<xref ref-type="bibr" rid="scirp.109195-ref3">3</xref>]. Its high resistance to corrosion is due to its passivation layer, which has chemical stability allowing it to be protected in contact with fluids in the oral cavity [<xref ref-type="bibr" rid="scirp.109195-ref4">4</xref>] [<xref ref-type="bibr" rid="scirp.109195-ref5">5</xref>] [<xref ref-type="bibr" rid="scirp.109195-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.109195-ref7">7</xref>].</p><p>The oral cavity is a chemically aggressive environment for materials; the pH value varies continuously depending on the food, the presence of dental plaque or the acidity of the stomach [<xref ref-type="bibr" rid="scirp.109195-ref8">8</xref>]. Only electrochemical corrosion occurs in the living environment, it results from the reaction exerted by a reagent on a material [<xref ref-type="bibr" rid="scirp.109195-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.109195-ref9">9</xref>].</p><p>Metal ions released in the oral cavity diffuse: in hard tissues (bones, teeth), in soft tissues, in fluids (saliva through the digestive tract, blood by diffusion in the body) on cathodic metal (tarnishing). The local and general effects in the body correspond to the action of the released metals [<xref ref-type="bibr" rid="scirp.109195-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.109195-ref10">10</xref>].</p><p>The presence of microorganisms in the oral cavity influences the corrosive behavior of titanium dental implants; it tends to reduce the corrosion resistance of titanium dental implants [<xref ref-type="bibr" rid="scirp.109195-ref11">11</xref>]. Some authors report that eating habits are among the determinants of certain cardiovascular pathologies [<xref ref-type="bibr" rid="scirp.109195-ref12">12</xref>] [<xref ref-type="bibr" rid="scirp.109195-ref13">13</xref>]. In 2007 and 2015, toxicity and allergy to titanium were also reported by some authors [<xref ref-type="bibr" rid="scirp.109195-ref14">14</xref>] [<xref ref-type="bibr" rid="scirp.109195-ref15">15</xref>].</p><p>With the aim of preventing, if necessary, certain pathologies which could be linked to the presence of titanium in the body are devoted to the study of the reactivity of titanium dental implants in the salivary environment in the presence of certain foods usually consumed in our country and in the sub-region.</p></sec><sec id="s2"><title>2. Experimental Details</title><p>ICP-MS was used for the determination of traces of titanium in liquid samples.</p><p>The materials used in this study were:</p><p>- 24 test tubes with colored identification tablets;</p><p>- 24 solid titanium dental implant samples placed in test tubes with colored identification tablets containing artificial saliva in the presence of food for up to eight (08) weeks;</p><p>- Pharmaceutical artificial saliva (Artisial).</p><p>The foods used were:</p><p>- Lemon;</p><p>- The leaves of ground cassava and prepared with sodium bicarbonate (saka-saka);</p><p>- Salted fish.</p><p>Four (04) sets of experiments were performed over eight (08) weeks.</p><p>For each series, the test tubes were used with a numbering corresponding to each week. The titanium samples are removed from the solution at the end of each week. The following information was read from each test tube: the corresponding solution, the number corresponding to the week and the color assigned to the series of experiments (<xref ref-type="table" rid="table1">Table 1</xref>).</p><p>Cassava leaves (saka-saka) are prepared according to local habits, with sodium bicarbonate NaHCO<sub>3</sub> (sodium hydrogen carbonate) to keep its green color and to vary the taste.</p><p>We therefore obtained after eight (08) weeks a batch of twenty-four (24) liquid samples that we used to perform the analyzes, the search for traces of titanium in the liquid samples.</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Experimental details</title></caption><table><tbody><thead><tr><th align="center" valign="middle" ></th><th align="center" valign="middle" >Group A</th><th align="center" valign="middle" >Group B</th><th align="center" valign="middle" >Group C</th><th align="center" valign="middle" >Group D</th></tr></thead><tr><td align="center" valign="middle" >Sample</td><td align="center" valign="middle" >Titanium &amp; artificial saliva</td><td align="center" valign="middle" >Titanium &amp; artificial saliva &amp; lemon</td><td align="center" valign="middle" >Titanium &amp; artificial saliva &amp; salted fish</td><td align="center" valign="middle" >Titanium &amp; artificial saliva &amp; saka-saka</td></tr><tr><td align="center" valign="middle" >Number of test tubes</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >5</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >7</td></tr><tr><td align="center" valign="middle" >Number of solid titanium samples</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >5</td><td align="center" valign="middle" >6</td><td align="center" valign="middle" >7</td></tr><tr><td align="center" valign="middle" >Identification of weeks</td><td align="center" valign="middle" >3, 4, 5, 6, 7, 8</td><td align="center" valign="middle" >3, 4, 5, 6, 7</td><td align="center" valign="middle" >3, 4, 5, 6, 7,8</td><td align="center" valign="middle" >2, 3, 4, 5, 6, 7, 8</td></tr><tr><td align="center" valign="middle" >Identification tablet color</td><td align="center" valign="middle" >Yellow</td><td align="center" valign="middle" >Red</td><td align="center" valign="middle" >Green</td><td align="center" valign="middle" >Blue</td></tr></tbody></table></table-wrap></sec><sec id="s3"><title>3. Sample Preparation and Titanium Content Determination</title><p>Before proceeding with analyzes, the samples were mineralized in a closed system in a microwave oven. About 0.25 g of the sample was used for mineralization 2 ml of 15% hydrogen peroxide and 1 ml of 65% nitric acid. After mineralization, the samples were diluted to 30 ml. Dilutions were made by weight. A small precipitate remained after mineralization; samples were filtered before analyzes.</p><p>An ICP-MS mass spectrometer was used to determine the content of titanium released after corrosion [<xref ref-type="bibr" rid="scirp.109195-ref16">16</xref>]. The calibration curve method with an external standard that had been prepared using 1% nitric (V) acid and a dental implant sample were used.</p><p>The procedural limit of determination for titanium using the ICP-MS technique is GO = 0.180 mg/kg.</p></sec><sec id="s4"><title>4. Results and Discussion</title><sec id="s4_1"><title>4.1. Results</title><p>The results for the total content of the traces of titanium for each sample, including the dilutions are presented in Tables 2-5 respectively for groups A, B, C and D. All these results are given in milligrams per kilogram (mg/kg) with an uncertainty of &#177;20%.</p><p>We analyzed by ICP-MS, group A samples containing titanium implants in artificial saliva. <xref ref-type="table" rid="table2">Table 2</xref> shows the results obtained: no trace of titanium was detected for six (06) weeks.</p><p>We also analyzed the samples of group B containing titanium dental implants immersed in artificial saliva and in which we allowed the lemon to react for 7 weeks. The results obtained are presented in <xref ref-type="table" rid="table3">Table 3</xref>. These results show no trace of titanium for up to three (3) weeks. The appearance of traces of titanium is observed after three (3) weeks. These results show a slow reaction between titanium and lemon.</p><p>In this part we analyzed the samples containing dental implants immersed in artificial saliva in the presence of salted fish for eight (8) weeks. We observed the presence of traces of titanium from the third (3rd) week, <xref ref-type="table" rid="table4">Table 4</xref>. The reactivity of the salt contained in salted fish is higher than that with lemon.</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Total titanium content value for the group A</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  colspan="2"  >Total titanium content [mg/kg]</th></tr></thead><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva (week3)</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva (week4)</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva (week5)</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva (week6)</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva (week7)</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva (week8)</td><td align="center" valign="middle" ></td></tr></tbody></table></table-wrap><table-wrap id="table3" ><label><xref ref-type="table" rid="table3">Table 3</xref></label><caption><title> Total titanium content value for the group B</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  colspan="2"  >Total titanium content [mg/kg]</th></tr></thead><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; lemon (week3)</td><td align="center" valign="middle" ></td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; lemon (week4)</td><td align="center" valign="middle" >0.231</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; lemon (week5)</td><td align="center" valign="middle" >0.464</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; lemon (week6)</td><td align="center" valign="middle" >0.208</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; lemon (week7)</td><td align="center" valign="middle" >0.422</td></tr></tbody></table></table-wrap><table-wrap id="table4" ><label><xref ref-type="table" rid="table4">Table 4</xref></label><caption><title> Total titanium content value for the group C</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  colspan="2"  >Total titanium content [mg/kg]</th></tr></thead><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; salted fish (week3)</td><td align="center" valign="middle" >0.251</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; salted fish (week4)</td><td align="center" valign="middle" >0.235</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; salted fish (week5)</td><td align="center" valign="middle" >0.981</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; salted fish (week6)</td><td align="center" valign="middle" >0.284</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; salted fish (week7)</td><td align="center" valign="middle" >0.373</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; salted fish (week8)</td><td align="center" valign="middle" >0.468</td></tr></tbody></table></table-wrap><table-wrap id="table5" ><label><xref ref-type="table" rid="table5">Table 5</xref></label><caption><title> Total titanium content value for the group D</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  colspan="2"  >Total titanium content [mg/kg]</th></tr></thead><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; saka-saka (week2)</td><td align="center" valign="middle" >0.569</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; saka-saka (week3)</td><td align="center" valign="middle" >0.431</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; saka-saka (week4)</td><td align="center" valign="middle" >0.956</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; saka-saka (week5)</td><td align="center" valign="middle" >0.552</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; saka-saka (week6)</td><td align="center" valign="middle" >0.472</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; saka-saka (week7)</td><td align="center" valign="middle" >0.403</td></tr><tr><td align="center" valign="middle" >Group Ti &amp; artificial saliva &amp; saka-saka (week8)</td><td align="center" valign="middle" >0.432</td></tr></tbody></table></table-wrap><p>We studied the reactivity of titanium dental implants in artificial saliva in the presence of cassava leaves (saka-saka) ground and prepared with sodium bicarbonate. The results obtained, <xref ref-type="table" rid="table5">Table 5</xref>, show a strong reactivity which is characterized by high levels of traces of titanium which appear from the second week.</p></sec><sec id="s4_2"><title>4.2. Discussion</title><p>The six (06) samples from group A (titanium &amp; artificial saliva) corresponding to weeks 3, 4, 5, 6, 7 and 8 gave no results. This is attributed to the limit of detectability of the technique. This means that if there are traces of titanium in these samples, their amount is less than 0.180 mg/kg.</p><p>The five (05) samples from group B (titanium &amp; artificial saliva &amp; lemon) corresponding to weeks 4, 5, 6 and 7 gave the results shown in <xref ref-type="table" rid="table3">Table 3</xref>. The contents obtained vary from 0.208 to 0.464 mg/kg. The reactivity here depends on the different samples; we note that sample 2 in five (05) weeks contains 0.464 mg/kg of titanium while sample 3 in six (06) weeks contains only 0.208 mg/kg of titanium. This disproportion is attributed to the difference in the sizes of the samples of solid titanium reacted in these solutions.</p><p>These results correspond to those of certain authors who have demonstrated the reactivity of titanium in acidic solution by the electrochemical method and the calculation of the corrosion current. The demonstration of corrosion in an acidified salivary medium then makes it possible to deduce the presence of traces of titanium in this solution [<xref ref-type="bibr" rid="scirp.109195-ref17">17</xref>].</p><p>The six (06) samples from group C (titanium &amp; artificial saliva &amp; salted fish) corresponding to weeks 3, 4, 5, 6, 7 and 8 gave titanium contents which vary from 0.235 to 0.981 mg/kg and recorded in <xref ref-type="table" rid="table4">Table 4</xref>.</p><p>In this group it is noted that sample number 3 has the maximum total titanium content of 0.981 mg/kg. It is also noted that the titanium content measured varies according to each sample. This variation, which is independent of the residence time of the titanium in the solution, is attributed to the difference in the dimensions of the titanium samples reacted. These results are consistent with those found by other authors who report the instability of the passivation layer created on titanium in the presence of sodium chloride (NaCl) [<xref ref-type="bibr" rid="scirp.109195-ref8">8</xref>]. Some authors have studied the phenomenon of corrosion of titanium alloys, in particular Ti-6Al-4V, in saline solution in the presence of albumin and H<sub>2</sub>O<sub>2</sub>, their work confirming the reactivity of titanium in saline solution [<xref ref-type="bibr" rid="scirp.109195-ref18">18</xref>] [<xref ref-type="bibr" rid="scirp.109195-ref19">19</xref>].</p><p>The seven (07) samples from group D (titanium &amp; artificial saliva &amp; saka-saka) corresponding to weeks 2, 3, 4, 5, 6, 7 and 8 gave titanium contents which vary from 0.403 to 0.956 mg/kg.</p><p>On these results reported in <xref ref-type="table" rid="table5">Table 5</xref>, it is noted that sample number six (06) in seven (07) weeks of reaction has a total titanium content of 0.403 mg/kg, while sample number three (03) in three (03) weeks of reaction contains the maximum total titanium content, i.e. 0.956 mg/kg. This maximum reactivity is attributed to the presence of sodium bicarbonate in this sample, which is in accordance with the results reported by Savithri et al. in 2014 [<xref ref-type="bibr" rid="scirp.109195-ref20">20</xref>].</p></sec></sec><sec id="s5"><title>5. Conclusions</title><p>In this work, we studied the corrosion of titanium dental implants in artificial saliva in the presence of certain foods (lemon, salted fish, cassava leaves ground and prepared with sodium bicarbonate).</p><p>The results obtained show extremely high corrosion with the leaves of ground cassava which is characterized by extremely high contents. We have noticed that the reactivity of titanium on salted fish is greater than that observed with lemon in artificial saliva. These results agree with those found by other authors.</p><p>In perspective, we will suggest a study on the correlation between the presence of titanium in the body and the state of health of the populations concerned.</p></sec><sec id="s6"><title>Acknowledgements</title><p>The authors thank the center of biological and chemical sciences of the University of Warsaw for the use of their facilities for analyses by ICP-MS.</p></sec><sec id="s7"><title>Conflicts of Interest</title><p>The authors declare no conflicts of interest regarding the publication of this paper.</p></sec><sec id="s8"><title>Cite this paper</title><p>Eboungabeka, A.D., Trigo, E.R.M.E. and Nsongo, T. (2021) Reactivity of Titanium Dental Implants in Salivary Environment in the Presence of Foods Consumed in the Republic of the Congo. 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