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正畸微种植体植入后加载期长度对骨组织形态学变化的影响:微计算机断层扫描和组织学分析。

Influence of the length of the loading period after placement of orthodontic mini-implants on changes in bone histomorphology: microcomputed tomographic and histologic analysis.

机构信息

Department of Orthodontics, College of Dentistry, Yonsei University, Seoul, South Korea.

出版信息

Int J Oral Maxillofac Implants. 2009 Sep-Oct;24(5):842-9.

Abstract

PURPOSE

The recent use of microcomputed tomography (microCT) has made it possible to analyze qualitative bone morphology at the implant surface and in the peri-implant region. The purpose of this study was to evaluate histomorphometric changes around the implant-bone interface after placement of mini-implants using three-dimensional microCT analysis and to compare the stability of the implants after immediate and early loads were applied.

MATERIALS AND METHODS

Forty-eight orthodontic mini-implants (ORLUS, Ortholution) were placed in the mandibular buccal jawbone of eight beagle dogs. Force was applied immediately (immediate loading group) and 3 weeks (early loading group) after implant placement; control implants received no loading. An orthodontic force (250 to 300 g) was applied to the experimental implants for 3, 6, or 12 weeks before sacrifice.

RESULTS

The bone-implant contact in both experimental groups was not significantly different for any loading period except for after 12 weeks of loading. The immediate loading group had higher bone volume percentages compared with the early loading group after 6 weeks, but there was no significant difference between groups after 12 weeks. This was in accordance with the results of the three-dimensional microCT analysis.

CONCLUSION

Histologic and microCT analysis showed that immediate loading of mini-implants in the dog model is possible for orthodontic applications with a high bone-implant contact and 100% survival rate.

摘要

目的

最近使用微计算机断层扫描(microCT)使得分析种植体表面和种植体周围区域的定性骨形态成为可能。本研究的目的是使用三维 microCT 分析评估微型种植体植入后种植体-骨界面的组织形态学变化,并比较即刻和早期负荷应用后种植体的稳定性。

材料和方法

将 48 个正畸微型种植体(ORLUS,Ortholution)植入 8 只比格犬下颌颊骨。在植入后立即(即刻加载组)和 3 周(早期加载组)施加力;对照种植体未加载。在牺牲前,将正畸力(250 至 300g)施加到实验种植体上 3、6 或 12 周。

结果

除了加载 12 周外,两组的骨-种植体接触在任何加载期都没有显著差异。即刻加载组在 6 周时的骨体积百分比高于早期加载组,但在 12 周时两组之间没有显著差异。这与三维 microCT 分析的结果一致。

结论

组织学和 microCT 分析表明,对于正畸应用,犬模型中微型种植体的即刻加载是可行的,具有高的骨-种植体接触和 100%的存活率。

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