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正畸微螺钉的形态学观察与断裂学考量

Morphological observations and Fractological considerations on orthodontics miniscrews.

作者信息

Casaglia A, Dominici F, Pachì F, Turlà R, Cerroni L

机构信息

Department of Dental Materials, University of Rome Tor Vergata, Rome, Italy.

出版信息

Minerva Stomatol. 2010 Sep;59(9):465-76.

Abstract

AIM

The purpose of this study was to evaluate morphological and biomechanical characteristics of a commercial mini-implant.

METHODS

Orthodontic low head mini implants, in the two available sizes of 1.5 and 2 mm, have been used. The electronic scanning microscope evaluation has been tested on 3 groups each one composed of 4 samples, observed in numerous enlargements and in the three dimensions of the space. The groups were composed of new mini implants, undamaged mini implants observed after their clinical use and mini-implants broken at the moment of their insertion or removal after their therapeutical use.

RESULTS

The microscope analysis of unused mini implants has shown how the diameter reduction of the neck represents the area of greater weakness; such parameter is very important in determining screw resistance to fracture. In fact the fracture observed in vivo always happened to this degree. Some micro carvings and cracks were shown on the surface, these irregularities could facilitate or promote the enlargement of the cracking itself.

CONCLUSION

From the results obtained it is clear that the steel is adequate for permanence in the oral cavity, and moreover the material itself is adapted to bear the pressure put on it during therapy. However, it remains advisable to make certain changes to better the surface and geometry of the miniscrews.

摘要

目的

本研究旨在评估一种商用微型种植体的形态学和生物力学特性。

方法

使用了正畸用的小头微型种植体,有1.5毫米和2毫米两种规格。对3组样本进行了电子扫描显微镜评估,每组由4个样本组成,在多个放大倍数下并从空间的三个维度进行观察。这些组分别由新的微型种植体、临床使用后未损坏的微型种植体以及治疗使用后在插入或取出时折断的微型种植体组成。

结果

对未使用的微型种植体的显微镜分析表明,颈部直径减小代表了最薄弱的区域;该参数在确定螺钉抗断裂能力方面非常重要。实际上,在体内观察到的骨折总是发生在这个部位。表面显示出一些微刻痕和裂纹,这些不规则之处可能会促进裂纹本身的扩大。

结论

从获得的结果可以清楚地看出,这种钢材足以在口腔中保持稳定,而且材料本身能够承受治疗期间施加在其上的压力。然而,对微型螺钉的表面和几何形状进行某些改进仍然是可取的。

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