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体内骨形态发生蛋白对钛植入物周围骨反应的刺激作用。

BMP stimulation of bone response adjacent to titanium implants in vivo.

作者信息

Bessho K, Carnes D L, Cavin R, Chen H Y, Ong J L

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Medicine, Kyoto University, Japan.

出版信息

Clin Oral Implants Res. 1999 Jun;10(3):212-8. doi: 10.1034/j.1600-0501.1999.100304.x.

DOI:10.1034/j.1600-0501.1999.100304.x
PMID:10522181
Abstract

The objective of this study was to evaluate the effect of bone morphogenetic protein (BMP) on the bond strength of titanium (Ti) implants at the bone-implant interface. Thirty-six Brånemark screw implants (3.75 mm diameter by 15 mm long) were implanted for 3 and 12 weeks. At 3 weeks after implantation, the mean reverse torque value for implants stimulated with BMP delivered using an atelopeptide type-I collagen carrier (74.2 +/- 5.2 N cm) was observed to be statistically greater (P < 0.000016) than the mean reverse torque value for control Ti implants (32.8 +/- 1.1 N cm). Similarly, at 12 weeks after implantation, the mean reverse torque value for implants stimulated with BMP (89.2 +/- 2.7 N cm) was statistically greater (P < 0.0042) than the mean reverse torque value for control Ti implants (75.8 +/- 2.4 N cm). In addition, histomorphometric evaluations indicated more bone contact with the BMP stimulated implant surfaces compared to the controls after 3 weeks implantation. It was concluded from this study that the use of BMP-atelopeptide type-I collagen mixture is an effective means of obtaining greater bond strength at the bone implant interface within a shorter time period than Ti implants without BMP.

摘要

本研究的目的是评估骨形态发生蛋白(BMP)对钛(Ti)种植体在骨-种植体界面结合强度的影响。植入36枚Brånemark螺钉种植体(直径3.75 mm,长15 mm),分别放置3周和12周。植入后3周,观察到使用I型胶原去端肽载体递送BMP刺激的种植体的平均反向扭矩值(74.2±5.2 N·cm)在统计学上显著高于对照Ti种植体的平均反向扭矩值(32.8±1.1 N·cm)(P<0.000016)。同样,植入后12周,BMP刺激的种植体的平均反向扭矩值(89.2±2.7 N·cm)在统计学上显著高于对照Ti种植体的平均反向扭矩值(75.8±2.4 N·cm)(P<0.0042)。此外,组织形态计量学评估表明,植入3周后,与对照组相比,BMP刺激的种植体表面有更多的骨接触。本研究得出的结论是,与未使用BMP的Ti种植体相比,使用BMP-I型胶原去端肽混合物是在更短时间内在骨-种植体界面获得更大结合强度 的有效方法。

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