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正畸微型种植体在上颌骨和下颌骨中的初期稳定性。

Primary stability of orthodontic mini-implants inserted into maxilla and mandible of swine.

机构信息

Southwest Bahia University, UESB, Bahia, Brazil.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 Jun;113(6):748-54. doi: 10.1016/j.tripleo.2011.06.021. Epub 2012 Jan 2.

Abstract

OBJECTIVE

The objective of this study was to assess the primary stability of different orthodontic mini-implants inserted into different maxillary and mandibular regions of swine.

MATERIAL AND METHODS

One hundred eighty orthodontic mini-implants produced by 5 different manufacturers, all presenting several shapes, were divided into 5 groups: Mondeal (M), Neodent (N), SIN (S), INP, and Titanium Fix (T). Fifteen pigs (Sus scrofa piau) were used for study and 12 mini-implants were inserted into 3 mandibular and maxillary regions. After insertion, the animals were killed and osseous blocks containing the mini-implants were obtained for mechanical pullout tests to be performed by a universal test machine at cross-head speed of 0.5 mm/s. Maximum force values (N/cm) for insertion were recorded and submitted to both analysis of variance and Tukey's test.

RESULTS

The primary stability provided by cylindrical mini-implants (groups M and I) was statistically significantly superior to that of conical mini-implants (groups N and S). On the other hand, screw-type mini-implants were shown to be statistically inferior compared with the others (P < .05). Statistical differences between pullout forces at different oral cavity regions were also found (P < .05). The mini-implants inserted into palatal suture had lesser stability, whereas those inserted into upper molar and premolar regions were shown to be more stable.

CONCLUSIONS

The shape of mini-implants, in association with location of insertion, is directly related to primary stability.

摘要

目的

本研究旨在评估不同正畸微型种植体在上颌和下颌不同区域的初始稳定性。

材料与方法

由 5 家不同制造商生产的 180 个正畸微型种植体,均具有多种形状,分为 5 组:Mondeal(M)、Neodent(N)、SIN(S)、INP 和 Titanium Fix(T)。使用 15 只猪(Sus scrofa piau)进行研究,在 3 个下颌和上颌区域分别植入 12 个微型种植体。植入后,处死动物,获得包含微型种植体的骨块,用万能试验机以 0.5mm/s 的十字头速度进行机械拔出试验。记录插入时的最大力值(N/cm),并进行方差分析和 Tukey 检验。

结果

圆柱形微型种植体(M 和 I 组)提供的初始稳定性明显优于圆锥形微型种植体(N 和 S 组)。另一方面,与其他组相比,螺钉式微型种植体的稳定性明显较差(P<0.05)。还发现不同口腔区域拔出力之间存在统计学差异(P<0.05)。腭缝中植入的微型种植体稳定性较差,而上颌磨牙和前磨牙区域植入的微型种植体稳定性较好。

结论

微型种植体的形状与植入位置直接相关,与初始稳定性有关。

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