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微型猪后牙缺失区钛牙种植体骨整合的评估

Evaluation of titanium dental implant osseointegration in posterior edentulous areas of micro swine.

作者信息

Hale T M, Boretsky B B, Scheidt M J, McQuade M J, Strong S L, Van Dyke T E

机构信息

USA DENTAC, Ft. Gordon, GA 30809.

出版信息

J Oral Implantol. 1991;17(2):118-24.

PMID:1811062
Abstract

This study investigated the micro swine (Sus scrofa) as an animal model for research in osseointegrated implant systems. As the first in a series of investigations based on this model, the study focused on the histological evaluation of the bone-implant interface of Brånemark implants. Ten titanium implants were placed in posterior edentulous areas of the swine for longitudinal evaluation of healing and osseointegration. Six-week and 18-week post-operative specimens were removed en bloc at the time of death. The samples were fixed in glutaraldehyde, embedded in acrylic, and sectioned with a diamond wafering saw. The specimens were viewed under SEM and photographed. The percentage of bone that was in direct contact with the coronal, middle, and apical segments of the implant, referred to as the contact length fraction (CLF), was determined by use of a digitizing analyzer. All implant fixtures became exposed through the soft tissue within one week of placement. Of the ten titanium fixtures placed, three failed--one by post-surgical day 14 due to food impaction into the surgical site, and the other two because of failure to osseo-integrate. Bone contact with the successfully integrated implant surfaces ranged from 19.2 to 58.5%, with a mean of approximately 34%. Osseointegration did not appear to increase over the experimental time period, since there was no difference in the percentage of bone contact between the 18-week and the six-week specimens. The lack of soft-tissue coverage over the implants caused bone loss, but did not significantly affect osseointegration in the coronal third. The micro swine appears to be a suitable animal model for use in implant research in posterior edentulous regions.

摘要

本研究将微型猪(野猪)作为骨结合植入系统研究的动物模型。作为基于该模型的一系列研究中的第一项,本研究重点关注了Brånemark种植体骨-种植体界面的组织学评估。将10枚钛种植体植入猪的后牙无牙区,以对愈合和骨结合进行纵向评估。在动物死亡时整块取出术后6周和18周的标本。样本用戊二醛固定,嵌入丙烯酸树脂,并用金刚石切片机切片。在扫描电子显微镜下观察标本并拍照。使用数字化分析仪确定与种植体冠部、中部和根尖段直接接触的骨的百分比,即接触长度分数(CLF)。所有种植体在植入后一周内均通过软组织暴露。在植入的10枚钛种植体中,有3枚失败——1枚在术后第14天因食物嵌入手术部位而失败,另外2枚因未能骨结合而失败。与成功骨结合的种植体表面的骨接触范围为19.

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