Evidence map›Paper›PMID 34576463›Full record

ReviewMaterials (Basel, Switzerland)2021

Titanium Allergy Caused by Dental Implants: A Systematic Literature Review and Case Report.

Pier Paolo Poli, Fábio Vieira de Miranda, Tárik Ocon Braga Polo, Joel Ferreira Santiago Júnior, Tiburtino José Lima Neto, Bárbara Ribeiro Rios, Wirley Gonçalves Assunção, Edilson Ervolino, Carlo Maiorana, Leonardo Perez Faverani

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Materials (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05675241 (Characterizing the Inflammation Around Dental Implants), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05675241 unknown statusnot on this mapstarted 2022, after this paper: background citation

Characterizing the Inflammation Around Dental Implants: Bacterial Infection, Hypersensitivity, or Both?

TypeobservationalSponsorMcGill UniversityRan2022 to 2024Enrolled177ConditionsPeri-Implantitis, Peri-implant Mucositis, Implant Site Reaction, Implant Site InfectionArmsClinical examination of a dental implant, Radiological Examination, Peri-implant crevicular fluid sample collection
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Titanium Dental Implant Corrosion in Peri-Implantitis and Implant Failure.Advances in experimental medicine and biology · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Load-bearing capacity of an experimental dental implant made of Nb-1Zr.Journal of materials science. Materials in medicine · 2025
    Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Zirconium Surface Treatment via Chemical Etching.Materials (Basel, Switzerland) · 2023
    Article
  16. Article
  17. Review
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Pier Paolo PoliImplant Center for Edentulism and Jawbone Atrophies, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy.ORCID 0000-0003-3739-1490
Fábio Vieira de MirandaDepartment of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery and Implantology, School of Dentistry, São Paulo State University-UNESP, Araçatuba 16015-050, SP, Brazil.ORCID 0000-0002-8188-1545
Tárik Ocon Braga PoloDepartment of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery and Implantology, School of Dentistry, São Paulo State University-UNESP, Araçatuba 16015-050, SP, Brazil.
Joel Ferreira Santiago JúniorDepartment of Health Sciences, Centro Universitário Sagrado Coração-UNISAGRADO, Bauru 17011-160, SP, Brazil.ORCID 0000-0003-1735-2224
Tiburtino José Lima NetoDepartment of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery and Implantology, School of Dentistry, São Paulo State University-UNESP, Araçatuba 16015-050, SP, Brazil.ORCID 0000-0002-8297-4057
Bárbara Ribeiro RiosDepartment of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery and Implantology, School of Dentistry, São Paulo State University-UNESP, Araçatuba 16015-050, SP, Brazil.
Wirley Gonçalves AssunçãoDepartment of Dental Materials and Prosthodontics, School of Dentistry, São Paulo State University-UNESP, Araçatuba 16015-050, SP, Brazil.
Edilson ErvolinoDepartment of Basic Sciences, School of Dentistry, São Paulo State University-UNESP, Araçatuba 16015-050, SP, Brazil.
Carlo MaioranaImplant Center for Edentulism and Jawbone Atrophies, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, University of Milan, 20122 Milan, Italy.
Leonardo Perez FaveraniDepartment of Diagnosis and Surgery, Division of Oral and Maxillofacial Surgery and Implantology, School of Dentistry, São Paulo State University-UNESP, Araçatuba 16015-050, SP, Brazil.ORCID 0000-0003-2249-3048
Universidade Estadual Paulista (Unesp) · BRUniversity of Milan · ITUniversidade Sagrado Coração · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Hypersensitivity reactions to metals may arise in predisposed patients chronically exposed to metallic materials, including dental implants made of titanium alloys. The purpose of this article was to systematically review titanium allergy manifestations in patients treated with dental implants and report a clinical case; (2) Methods: A systematic electronic search was performed for articles published in the English language until July 2021. The following eligibility criteria were adopted: (1) Population: individuals undergoing titanium and/or titanium alloy implant-supported rehabilitations; (2) Exposure: peri-implant soft tissue reactions attributable to implant insertion; (3) Outcome: evidence of titanium allergy, diagnostic methods, and forms of resolution; (3) Results: The included studies, in summary, presented evidence that titanium should not be considered an inert material, being able to trigger allergic reactions, and may be responsible for implant failure. A 55-year-old male patient received 3 implants in the posterior region of the left mandible and presented an epulis-like lesion developed from the peri-implant mucosa. The immunohistochemical analysis of the biopsy specimen confirmed the initial diagnosis of allergic reaction to titanium; (4) Conclusions: Although the evidence is weak, and titanium allergy has a low incidence, hypersensitivity reactions should not be underestimated. A rapid and conclusive diagnosis is mandatory to prevent further complications.

Indexed as

allergydental implantshypersensitivityperi-implant diseasetitanium alloy

Identifiers

PMID34576463
PMCPMC8465040
OpenAlexW3201467980

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.