种植体在传统牙槽窝与体外控制性骨缺损中的扭矩拟合和共振频率分析。

Torque-fitting and resonance frequency analyses of implants in conventional sockets versus controlled bone defects in vitro.

机构信息

Department of Prosthodontics, Faculty of Dentistry, Hacettepe University, 06100 Sihhiye, Ankara, Turkey.

出版信息

Int J Oral Maxillofac Surg. 2010 Feb;39(2):169-73. doi: 10.1016/j.ijom.2009.11.019. Epub 2009 Dec 24.

Abstract

The primary stability of implants should be high on insertion into fresh extraction sockets. Torque-fitting and resonance frequency analyses (RFA) are used to assess primary implant anchorage and stability. The torque-fitting and RFA of implants placed in conventional surgical sockets and sockets with controlled coronal bone defects was compared. The possible relation between torque-fitting and RFA was explored. Ø 3.3 mm x 12 mm implants were placed in 16 sockets finalized with Ø 2.8mm surgical pilot drills in the right iliac crests of two fresh cadavers (control). In the test group, implants were placed into sockets prepared by Ø 2.8mm drill followed by Ø 4.2mm twist drills to a depth of 6mm to create circumferential controlled coronal bone defects (50% bone loss). Primary implant stability was assessed using insertion torque values (ITV) followed by RFA. Mean ITV and RFA measurements for test groups (7.83+/-0.91 N cm and 40.88+/-3.57) were significantly lower than controls (14.80+/-1 N cm and 66.31+/-0.9) (P<0.05). Reductions of ITV and RFA measurements in relation to bone defect were 47% and 38%. The existence of controlled bone defects eliminating contact coronally leads to decrease in torque-fitting and primary stability of implants. No relationship was observed between torque-fitting and RFA.

摘要

种植体的初期稳定性在新鲜拔牙窝内植入时应较高。转矩拟合和共振频率分析(RFA)用于评估初期种植体的固位和稳定性。比较了传统手术窝和具有控制的冠方骨缺损的窝中植入的种植体的转矩拟合和 RFA。探讨了转矩拟合和 RFA 之间的可能关系。将 Ø3.3mm x 12mm 种植体放置在两个新鲜尸体的右侧髂嵴的 16 个窝中,这些窝最终用 Ø2.8mm 手术导钻制备(对照)。在实验组中,用 Ø2.8mm 钻头制备窝,然后用 Ø4.2mm 丝锥钻至 6mm 深度,形成圆周控制的冠方骨缺损(50%骨丢失)。使用插入扭矩值(ITV)和 RFA 评估初期种植体稳定性。实验组的平均 ITV 和 RFA 测量值(7.83+/-0.91 Ncm 和 40.88+/-3.57)明显低于对照组(14.80+/-1 Ncm 和 66.31+/-0.9)(P<0.05)。与骨缺损相关的 ITV 和 RFA 测量值降低了 47%和 38%。消除冠方接触的可控骨缺损导致转矩拟合和种植体初期稳定性降低。转矩拟合和 RFA 之间没有观察到关系。

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