Department of Stomatology and Oral Surgery, School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil.
J Biomater Appl. 2012 Jul;27(1):91-8. doi: 10.1177/0885328210396946. Epub 2011 Feb 22.
This study evaluated bone responses to titanium implants in the presence of an inorganic graft material. The bilateral mandible incisors of 24 rabbits were surgically extracted and one of the exposed sockets, chosen at random, was filled with an inorganic xenogenic bone graft (Gen-ox®), whereas the remaining socket was left to heal naturally and served as a control. After 60 days, titanium implants were inserted in the specific areas, and on days 0, 30, 60, and 180 after the implant insertions, six animals of each group were killed. Digital periapical radiography of implant region was obtained and vertical bone height (VBH) and bone density (BD) were evaluated by digital analysis system. In the undecalcified tissue cuts, bone-to-implant contact (BIC) and bone area (BA) within the limits of the implant threads were evaluated and compared statistically by means of two-way ANOVA and Tukey's test (ρ < 0.05). No significant differences were detected in VBH and BA, either between groups or between different experimental intervals. The BD was significantly higher in the experimental group than in the control group in all the intervals tested, but there were no significant differences by interval. The BIC was statistically lower in the control group on day 0; however, a significant increase was observed on days 60 and 180 (ρ < 0.05). The use of an inorganic xenograft prior to insertion of a titanium implant did not interfere with the course of osseointegration.
本研究评估了在无机移植物存在的情况下钛植入物的骨反应。24 只兔子的双侧下颌切牙被手术拔出,随机选择一个暴露的牙槽窝,用无机异种骨移植物(Gen-ox®)填充,而其余的牙槽窝则自然愈合作为对照。60 天后,在特定区域插入钛植入物,在植入物插入后的第 0、30、60 和 180 天,每组有 6 只动物被处死。获得植入区域的数字根尖射线照相,并通过数字分析系统评估垂直骨高度(VBH)和骨密度(BD)。在未脱钙组织切片中,通过双向方差分析和 Tukey 检验(ρ<0.05)评估和比较了植入物螺纹范围内的骨-植入物接触(BIC)和骨面积(BA)。无论在组间还是在不同的实验间隔内,VBH 和 BA 均无显著差异。在所有测试的时间间隔内,实验组的 BD 均显著高于对照组,但间隔之间无显著差异。对照组在第 0 天的 BIC 统计学上较低;然而,在第 60 天和第 180 天观察到显著增加(ρ<0.05)。在插入钛植入物之前使用无机异种移植物不会干扰骨整合过程。