I posted my father-in-laws 6.4 motor running on here. (6.4L section)
It didn't miss, idle rough, or seem shy on power...and...he just had the oil changed.
It was knocking, couldn't tell where from though.
It wiped the cam out.
The problem with such small particles, is, they get into everything.
Those metal sparkles are in your turbo, roller lifters, rod, cam, and crank bearings, even the injector bodies, and spools....the entire engine.
This is nothing short of a complete tear-down, and rebuild.
You try to patch it, and it's going to pile right up again, as everything is damaged internally.