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IV型骨中机械加工及喷砂酸蚀钛表面上人类骨整合的组织学评估

Histologic evaluation of human bone integration on machined and sandblasted acid-etched titanium surfaces in type IV bone.

作者信息

Grassi Sauro, Piattelli Adriano, Ferrari Daniel S, Figueiredo Luciene C, Feres Magda, Iezzi Giovanna, Shibli Jamil Awad

机构信息

Department of Periodontology, Dental Research Division, Guarulhos University, Guarulhos, SP-Brazil.

出版信息

J Oral Implantol. 2007;33(1):8-12. doi: 10.1563/0-791.1.

DOI:10.1563/0-791.1
PMID:17410906
Abstract

The aim of this preliminary study was to evaluate the influence of a sandblasted acid-etched surface on bone-implant contact percentage (BIC%) as well as the bone density in the threads area (BD%) in type 4 bone after 2 months of unloaded healing. Five subjects (mean age = 42.6 years) received 2 microimplants each during conventional implant surgery in the posterior maxilla. The microimplants with commercially pure titanium surface (machined) and sandblasted acid-etched surface served as the control and test surfaces, respectively. After a healing period of 2 months, the microimplants and the surrounding tissue were removed and prepared for ground sectioning and histomorphometric analysis. One microimplant with a machined surface was found to be clinically unstable at the time of retrieval. Histometric evaluation indicated mean BIC% was 20.66+/-14.54% and 40.08+/- 9.89% for machined and sandblasted acid-etched surfaces, respectively (P=.03). The BD% was 26.33 +/-19.92% for machined surface and 54.84+/-22.77% for sandblasted acid-etched surface (P=.015). Within the limits of this study, the data suggest that the sandblasted acid-etched implant surface presented a higher percentage of bone-implant contact compared with machined surfaces, under unloaded conditions in posterior maxilla after a healing period of 2 months.

摘要

本初步研究的目的是评估喷砂酸蚀表面对4型骨在2个月无负载愈合后骨-种植体接触百分比(BIC%)以及螺纹区域骨密度(BD%)的影响。五名受试者(平均年龄 = 42.6岁)在常规上颌后牙种植手术中每人植入2枚微型种植体。分别以具有商业纯钛表面(机加工)和喷砂酸蚀表面的微型种植体作为对照和测试表面。在2个月的愈合期后,取出微型种植体及其周围组织,准备进行磨片切片和组织形态计量分析。在取出时发现一枚具有机加工表面的微型种植体在临床上不稳定。组织计量学评估表明,机加工表面和喷砂酸蚀表面的平均BIC%分别为20.66±14.54%和40.08±9.89%(P = 0.03)。机加工表面的BD%为26.33±19.92%,喷砂酸蚀表面的BD%为54.84±22.77%(P = 0.015)。在本研究的范围内,数据表明,在2个月愈合期后,在上颌后牙无负载条件下,喷砂酸蚀种植体表面与机加工表面相比呈现出更高的骨-种植体接触百分比。

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