Wen Bo, Zhu Feng, Li Zhen, Zhang Peng, Lin Xingnan, Dard Michel
Division of Implant Dentistry, Department of Oral & Maxillofacial Surgery, Affiliated Stomatological Hospital of Medical School, Nanjing University, Nanjing, China.
Clin Oral Implants Res. 2014 Jul;25(7):819-25. doi: 10.1111/clr.12141. Epub 2013 Feb 21.
The aim of this study is to compare the osseointegration behavior of titanium (Ti) and titanium-zirconium (TiZr) implants in ovariectomized (OVX) rabbits.
Twelve ovariectomized New Zealand rabbits submitted to a hypocalcic diet and 12 sham-aged rabbits were used. After the bone mass loss induction period, TiZr or Ti implants both benefiting from a SLActive surface treatment were randomly inserted in the tibia and femur of each animal. The total of 24 rabbits were divided in four groups (n = 6): SHAM + Ti, OVX + Ti, SHAM + TiZr,OVX + TiZr. The animals were respectively sacrificed 3 and 6 weeks after dental implant placement. Six implants in each group at each time point were subjected to removal torque testing, and the remaining implants were prepared for histomorphometric analysis.
At the end of the healing period, all implants were osseointegrated. The removal torque value of the SHAM-TiZr group was significantly higher than those of the SHAM-Ti group (P < 0.001). The removal torque of the OVX-Ti group was significantly lower than those of the OVX-TiZr group. All groups demonstrated an increase in the peak torque value after 6 weeks: 46.0 and 50.8 Ncm for the OVX and the SHAM animals, respectively, in the case where Ti implants were used. When TiZr implants were inserted, the values reached 60.7 and 76.2 Ncm with a similar group configuration. The BIC and the BA/TA analysis showed an increase between week 3 and 6 in the case of nonovariectomized animals. From week 3 to 6, the BIC went from 37.1 ± 14.3 to 47.7 ± 8.7 for the SHAM + Ti group and from 37.6 ± 10.9 to 50.4 ± 11 for the SHAM + TiZr group. The BIC values were not significantly different between groups.
The parameters intended to be representative of the bone morphology (BIC & BATA) did not help to discriminate between Ti and TiZr which appeared to behave similarly in this experimental model. However, the removal torque values for the TiZr group were statistically higher than those of the Ti group in both the SHAM and the ovariectomized animals. That likely reflected an increased quality of bone around the TiZr implants.
本研究旨在比较钛(Ti)和钛锆(TiZr)种植体在去卵巢(OVX)兔体内的骨整合行为。
使用12只接受低钙饮食的去卵巢新西兰兔和12只假手术老龄兔。在骨质流失诱导期后,将均采用SLActive表面处理的TiZr或Ti种植体随机植入每只动物的胫骨和股骨。24只兔子分为四组(n = 6):假手术+Ti组、去卵巢+Ti组、假手术+TiZr组、去卵巢+TiZr组。在种植牙植入后3周和6周分别处死动物。每个时间点每组的6枚种植体进行移除扭矩测试,其余种植体准备进行组织形态计量分析。
在愈合期结束时,所有种植体均实现骨整合。假手术-TiZr组的移除扭矩值显著高于假手术-Ti组(P < 0.001)。去卵巢-Ti组的移除扭矩显著低于去卵巢-TiZr组。所有组在6周后峰值扭矩值均有所增加:在使用Ti种植体的情况下,去卵巢动物和假手术动物分别为46.0和50.8 N·cm。当植入TiZr种植体时,在类似的组配置下,数值达到60.7和76.2 N·cm。骨-种植体接触(BIC)和骨面积/种植体表面积(BA/TA)分析显示,在未去卵巢的动物中,第3周和第6周之间有所增加。从第3周到第6周,假手术+Ti组的BIC从37.1±14.3增加到47.7±8.7,假手术+TiZr组从则从37.6±10.9增加到50.4±11。各组之间的BIC值无显著差异。
旨在代表骨形态的参数(BIC和BATA)无助于区分Ti和TiZr,在该实验模型中它们的表现似乎相似。然而,在假手术和去卵巢动物中,TiZr组的移除扭矩值在统计学上均高于Ti组。这可能反映了TiZr种植体周围骨质量的提高。