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Dentistry · Dental materials and radiology basics: titanium implant biocompatibility
Sample itemCommercially pure titanium is widely used for dental implants because it resists corrosion in saliva and tissue fluids. What is the main reason?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. A stable self-repairing titanium dioxide surface film
Titanium rapidly forms a thin, adherent, stable oxide layer (passivation) which re-forms if scratched, giving corrosion resistance and a surface compatible with osseointegration. Its modulus is still several times that of bone, and hydroxyapatite coatings are optional extras.
Option by option
A. A permanent hydroxyapatite coating is always present
Many fixtures are uncoated, and a coating is not the source of corrosion resistance.
B. A stable self-repairing titanium dioxide surface film (correct)
Correct. The self-healing oxide film passivates the surface.
C. Its elastic modulus is identical to that of cortical bone
Titanium is stiffer than cortical bone, so stress transfer remains a design issue.
D. A nickel-rich surface layer protects the metal from attack
Commercially pure titanium contains no nickel layer; nickel is more a concern in some wires.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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