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计算机化种植体马达记录的骨密度与组织形态计量学分析记录的骨密度之间的相关性:一项关于牛肋骨的初步体外研究。

Correlation between the bone density recorded by a computerized implant motor and by a histomorphometric analysis: a preliminary in vitro study on bovine ribs.

作者信息

Iezzi Giovanna, Scarano Antonio, Di Stefano Danilo Alessio, Arosio Paolo, Doi Kazuya, Ricci Laura, Piattelli Adriano, Perrotti Vittoria

机构信息

Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy.

出版信息

Clin Implant Dent Relat Res. 2015 Jan;17 Suppl 1:e35-44. doi: 10.1111/cid.12121. Epub 2013 Jul 24.

Abstract

PURPOSE

The purpose of the present preliminary in vitro study on bovine ribs was to validate a new intraoperative site-specific classification of bone Density Index (IDI), obtained by an innovative computerized implant motor, by correlating these data with the data obtained by the histomorphometrical evaluation of the same samples.

MATERIALS AND METHODS

Five segments of bovine ribs were used, and a total of 22 perforations were performed. A computerized implant motor ("Torque Measuring Motor") was used to evaluate the bone density, which was classified into four classes: ID1, ID2, ID3, and ID4. Histomorphometrical analysis of bone density, expressed as percentage of bony trabeculae over the total biopsy area, was also performed. The data of bone density obtained by the implant motor were statistically correlated with the histomorphometrical results.

RESULTS

A significant positive correlation was found between the bone density measured by the implant motor and the bone density assessed by histomorphometry (r = 0.89, p < .0001). Moreover, a significant positive correlation in D1, D2, and D4, whereas a negative, not significant correlation in D3 was found.

CONCLUSION

Within the limitations of this in vitro study, the intraoperative site-specific classification of bone density, obtained with this innovative system, could be helpful for the clinician to tailor the surgical protocol to the different situations in implant dentistry.

摘要

目的

本项关于牛肋骨的初步体外研究的目的是,通过将这些数据与对相同样本进行组织形态计量学评估所获得的数据相关联,验证一种通过创新的计算机化种植体马达获得的新的术中特定部位骨密度指数(IDI)分类。

材料与方法

使用了五段牛肋骨,共进行了22次穿孔。使用计算机化种植体马达(“扭矩测量马达”)评估骨密度,其被分为四类:ID1、ID2、ID3和ID4。还进行了骨密度的组织形态计量学分析,以骨小梁在活检总面积中的百分比表示。将种植体马达获得的骨密度数据与组织形态计量学结果进行统计学关联。

结果

种植体马达测量的骨密度与组织形态计量学评估的骨密度之间存在显著正相关(r = 0.89,p <.0001)。此外,在D1、D2和D4中存在显著正相关,而在D3中存在负相关,但不显著。

结论

在本体外研究的局限性内,使用这种创新系统获得的术中特定部位骨密度分类可能有助于临床医生根据种植牙科的不同情况调整手术方案。

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