Tomizuka K
Department of Fixed Prosthodontics, Faculty of Dentistry, Tokyo Medical and Dental University.
Kokubyo Gakkai Zasshi. 1990 Mar;57(1):201-26. doi: 10.5357/koubyou.57.201.
The purpose of this study was to investigate the possibility of applying hydroxyapatite ceramics as endodontic-endosseous implants. The upper medial incisors of 3 monkeys (Macaca fuscatae) were used. To prepare the implant cavity, the teeth were extracted and drilled from the apex by steel burns under water-cooling. Then, dense hydroxyapatite implants, 10mm in length, 2mm in maximum diameter and 1/20 tapered, were inserted into the cavity to have the implant project 3-4mm above the apex. When the teeth with the implants were replanted, the bone around the apex was removed. The teeth were splinted to the neighbouring teeth for 1 month. Five months after the operation, the specimens were taken out and fixed by 10% formalin alcohol. They were embedded in polyester resin and undecalcified sections were prepared. The sections were stained with toluidine blue and observed under light microscope.
本研究的目的是探讨将羟基磷灰石陶瓷用作牙髓-骨内种植体的可能性。使用了3只猕猴(食蟹猴)的上颌中切牙。为制备种植窝,将牙齿拔除并在水冷条件下用钢钻从根尖进行钻孔。然后,将长度为10mm、最大直径为2mm且呈1/20锥度的致密羟基磷灰石种植体插入窝内,使种植体根尖上方突出3 - 4mm。当带有种植体的牙齿再植时,去除根尖周围的骨组织。将牙齿与相邻牙齿用夹板固定1个月。术后5个月,取出标本并用10%福尔马林酒精固定。将它们嵌入聚酯树脂中并制备不脱钙切片。切片用甲苯胺蓝染色并在光学显微镜下观察。
1)术后5个月,未观察到牙齿与周围牙槽骨之间的骨性粘连。2)在种植体表面有从牙骨质延伸而来的新形成的硬组织。3)在种植体周围观察到纤维束,其将新形成的硬组织与周围骨组织相连。结果表明,羟基磷灰石陶瓷作为牙髓-骨内种植体的应用是有效的。