Yamazaki M, Shirota T, Tokugawa Y, Motohashi M, Ohno K, Michi K, Yamaguchi A
First Department of Oral and Maxillofacial Surgery, School of Dentistry, Showa University, Tokyo, Japan.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999 Apr;87(4):411-8. doi: 10.1016/s1079-2104(99)70239-8.
The purpose of this study was to investigate the reactions of bone tissue after the placement of implants into the tibiae of osteopenic model rats.
Commercially pure titanium screw implants were placed in the bilateral proximal tibial metaphyses 168 days after ovariectomy had been performed on 12-week-old female Wistar rats. For control purposes, implants were similarly placed in sham-ovariectomy rats. The healing process was examined histologically by means of undecalcified sections at various intervals from 7 to 168 days after implantation. Through use of an automated imaging analytic system, changes in relative bone mass and implant-bone contact were histomorphometrically evaluated.
In the cortical bone area, only a slight difference in bone contact was noted with the implant until 28 days after implantation. However, ovariectomy significantly affected bone contact at 56 days after implantation. The rate of bone contact in the cancellous bone area and the relative bone mass around the implant were significantly lower in the test group than in the control group.
It is considered that a decrease in bone mass causes a reduction in the contact area between implant and bone and may also cause a reduction in the supporting ability of the implant because of thinning of the surrounding bone tissue.
本研究旨在调查将种植体植入骨质疏松模型大鼠胫骨后骨组织的反应。
在12周龄雌性Wistar大鼠卵巢切除术后168天,将商业纯钛螺钉种植体植入双侧胫骨近端干骺端。为作对照,将种植体同样植入假卵巢切除大鼠体内。在植入后7至168天的不同时间间隔,通过不脱钙切片进行组织学检查愈合过程。通过使用自动成像分析系统,对相对骨量和种植体-骨接触的变化进行组织形态计量学评估。
在皮质骨区域,直到植入后28天,种植体的骨接触仅有轻微差异。然而,卵巢切除在植入后56天对骨接触有显著影响。试验组的松质骨区域骨接触率和种植体周围的相对骨量显著低于对照组。
认为骨量减少会导致种植体与骨之间的接触面积减小,并且由于周围骨组织变薄,还可能导致种植体的支撑能力下降。