Sakakura Celso Eduardo, Giro Gabriela, Gonçalves Daniela, Pereira Rosa Maria Rodrigues, Orrico Silvana Regina Perez, Marcantonio Elcio
Department of Oral Diagnosis and Surgery, School of Dentistry, State University of São Paulo, UNESP, Araraquara, SP, Brazil.
Clin Oral Implants Res. 2006 Apr;17(2):134-8. doi: 10.1111/j.1600-0501.2005.01224.x.
This study evaluated the influence of ovariectomy 8 weeks after implant placement on bone integrated to titanium implants.
Thirty-eight female rats were submitted to a titanium implant at the tibiae proximal methaphysis. After a healing period of 8 weeks the animals were randomly divided into three groups: control (CTL-10 animals), sham-operated (SHAM-14 animals) and ovariectomy (OVX-14 animals). The CTL group was then sacrificed in order to confirm integration of the implant. The SHAM group was submitted to fictitious surgery and the OVX group was submitted to bilateral ovariectomy. After 12 weeks post-implant placement, the SHAM and OVX groups were sacrificed. In order to confirm the systemic osteopenia in rats, a dual-energy X-ray absorptiometry (DXA) was performed. For the evaluation of bone density, digital radiographs were taken. The grey level of the bone adjacent to implant was measured using image software and the bone density was calculated at six points on both sides of the implant.
Densitometry measurements of the femur confirmed systemic bone mass loss in the OVX group. Individualized bone analyses of different regions surrounding the implant showed a significantly lower radiographic bone density (P < 0.05) in the cancellous region of the OVX group (77.48 +/- 23.39 grey levels) when compared with the CTL and SHAM groups (91.61 +/- 32.10 and 102.57 +/- 32.50 grey levels, respectively).
The present study showed a decrease of the radiographic bone density in the cancellous region of bone around titanium implants placed 8 weeks before ovariectomy in rats.
本研究评估种植体植入8周后卵巢切除对与钛种植体骨结合的影响。
38只雌性大鼠在胫骨近端干骺端植入钛种植体。愈合8周后,将动物随机分为三组:对照组(CTL,10只动物)、假手术组(SHAM,14只动物)和卵巢切除组(OVX,14只动物)。然后处死CTL组以确认种植体的结合情况。SHAM组接受假手术,OVX组接受双侧卵巢切除术。种植体植入12周后,处死SHAM组和OVX组。为确认大鼠全身性骨质减少,进行了双能X线吸收法(DXA)检测。为评估骨密度,拍摄了数字化X线片。使用图像软件测量种植体周围骨的灰度值,并在种植体两侧的六个点计算骨密度。
股骨骨密度测量证实OVX组存在全身性骨量丢失。对种植体周围不同区域进行的个体化骨分析显示,OVX组松质骨区域的X线骨密度(77.48±23.39灰度值)显著低于CTL组和SHAM组(分别为91.61±32.10和102.57±32.50灰度值,P<0.05)。
本研究表明,在大鼠卵巢切除术前8周植入的钛种植体周围骨的松质骨区域,X线骨密度降低。