Tribological behaviour of Ti or Ti alloy vs. zirconia in presence of artificial saliva

Abutment is the transmucosal component in a dental implant system and its eventual appearance has a major impact on aesthetics: use of zirconia abutments can be greatly advantageous in avoiding this problem. Both in the case of one and two-piece zirconia abutments, a critical issue is severe wear between the zirconia and titanium components. High friction at this interface can induce loosening of the abutment connection, production of titanium wear debris, and finally, peri-implant gingivitis, gingival discoloration, or marginal bone adsorption can occur. As in vivo wear measurements are highly complex and time-consuming, wear analysis is usually performed in simulators in the presence of artificial saliva. Different commercial products and recipes for artificial saliva are available and the effects of the different mixtures on the tribological behaviour is not widely explored. The specific purpose of this research was to compare two types of artificial saliva as a lubricant in titanium-zirconia contact by using the ball on disc test as a standard tribological test for materials characterisation. Moreover, a new methodology is suggested by using electrokinetic zeta potential titration and contact angle measurements to investigate the chemical stability at the titanium-lubricant interface. This investigation is of relevance both in the case of using zirconia abutments and artificial saliva against chronic dry mouth. Results suggest that an artificial saliva containing organic corrosion inhibitors is able to be firmly mechanically and chemically adsorb on the surface of the Ti c.p. or Ti6Al4V alloy and form a protective film with high wettability. This type of artificial saliva can significantly reduce the friction coefficient and wear of both the titanium and zirconia surfaces. The use of this type of artificial saliva in standard wear tests has to be carefully considered because the wear resistance of the materials can be overestimated while it can be useful in some specific clinical applications. When saliva is free from organic corrosion inhibitors, wear occurs with a galling mechanism. The occurrence of a super-hydrophilic saliva film that is not firmly adsorbed on the surface is not efficient in order to reduce wear. The results give both suggestions about the experimental conditions for lab testing and in vivo performance of components of dental implants when artificial saliva is used.