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正畸微螺钉经发光二极管光生物调节疗法后的共振频率分析。

Resonance frequency analysis of orthodontic miniscrews subjected to light-emitting diode photobiomodulation therapy.

机构信息

Department of Orthodontics, Faculty of Dentistry, Erciyes University, Kayseri, Turkey.

出版信息

Eur J Orthod. 2012 Feb;34(1):44-51. doi: 10.1093/ejo/cjq166. Epub 2010 Dec 27.

Abstract

The aim of this prospective experimental study was to evaluate the effect of light-emitting diode (LED) photobiomodulation therapy (LPT) on the stability of immediately loaded miniscrews under different force levels, as assessed by resonance frequency analysis (RFA). Sixty titanium orthodontic miniscrews with a length of 8 mm and a diameter of 1.4 mm were implanted into cortical bone by closed flap technique in each proximal tibia of 15 New Zealand white adult male rabbits (n = 30). The animals were randomly divided into irradiated and control groups under different force levels (0, 150, and 300 cN). OsseoPulse® LED device (Biolux Research Ltd.) 618 nm wavelength and 20 mW/cm(2) output power irradiation (20 minutes/day) was applied to the miniscrews for 10 days. The RFA records were performed at miniscrew insertion session (T1) and 21 days after surgery (T2). Wilcoxon and Mann-Whitney U-tests were used for statistical evaluation at P < 0.005 level. It was found that initial primer stability of all miniscrews was similar in all groups at the start of the experimental procedure. Statistically significant differences were found for changes in implant stability quotient (ISQ) values between LED-photobiomodulated group and the control (0 cN, P = 0.001; 150 cN, P < 0.001; and 300 cN, P < 0.001). Significant increase was found in ISQ values of LPT applied miniscrews under 0 cN (+11.63 ISQ), 150 cN (+10.50 ISQ), and 300 cN (+7.00 ISQ) force during observation period. By the increase of force levels, it was determined that ISQ values decreased in non-irradiated control miniscrews. Within the limits of this in vivo study, the present RFA findings suggest that LPT might have a favourable effect on healing and attachment of titanium orthodontic miniscrews.

摘要

本前瞻性实验研究旨在通过共振频率分析(RFA)评估发光二极管(LED)光生物调节疗法(LPT)对不同力水平下即刻负载微型植入螺钉稳定性的影响。将 60 个长度为 8 毫米、直径为 1.4 毫米的钛正畸微型植入螺钉通过闭合瓣技术植入每只新西兰白兔(n = 30)近侧胫骨皮质骨中。动物随机分为不同力水平(0、150 和 300 cN)下的照射组和对照组。OsseoPulse® LED 设备(Biolux Research Ltd.)618nm 波长和 20mW/cm²输出功率照射(每天 20 分钟)应用于微型植入螺钉 10 天。在微型植入螺钉插入术(T1)和术后 21 天(T2)进行 RFA 记录。Wilcoxon 和 Mann-Whitney U 检验用于 P < 0.005 水平的统计评估。结果发现,在实验程序开始时,所有微型植入螺钉的初始初始稳定性在所有组中均相似。LED 光生物调节组与对照组之间的植入稳定性商(ISQ)值变化存在统计学显著差异(0 cN,P = 0.001;150 cN,P < 0.001;300 cN,P < 0.001)。在观察期间,应用 LPT 的微型植入螺钉的 ISQ 值在 0 cN(+11.63 ISQ)、150 cN(+10.50 ISQ)和 300 cN(+7.00 ISQ)力下显著增加。随着力水平的增加,确定非照射对照微型植入螺钉的 ISQ 值降低。在本体内研究的限制内,目前的 RFA 结果表明,LPT 可能对钛正畸微型植入螺钉的愈合和附着有有利影响。

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