Li Ling-yu, Zhou Cong-ying, Wei Jie, Ma Jian
School of Stomatology, Laboratory of Oral Biomedical Science and Translational Medicine, Tongji University. Shanghai 200072,China.E-mail:
Shanghai Kou Qiang Yi Xue. 2014 Apr;23(2):166-71.
A new synthetic nano-fluorapatite poly-ether-ether-ketone (nFA/PEEK) dental implant in screw type was developed and its biocompatibility and osseointegration ability were evaluated in Beagle dogs.
Ten sandblasted and 10 non-sandblasted nFA/PEEK implants were placed in 6 adult Beagle dogs and the bilateral mandibular second and third premolar was extracted and the wounds were healed over 3 months. Three dogs were randomly chosen and executed at the end of 8th and 12th week. To evaluated bone to implant contact(BIC) and mineral apposition rate(MAR), tetracycline was intramuscularly given twice at 10th and 3rd day, before sacrifice respectively. The implants and the surrounding bone as a whole were collected and examined by synchrotron radiation tomography. Undecalcified implant and bone specimens were cut and stained by Van Gieson for a static histomorphometric analysis. The data was analyzed using SPSS18.0 software package.
The implants were demonstrated by synchrotron radiation and connected to most of their bone beds at 8th week. Some new bones were developed into threads of screw implants, while complete osseointegration were noted at 12th week. Sandblasted implants were found to be faster matured. BIC and MAR of sandblasted group (63.34%, 1.51 μm/d) were significantly higher than that of non-sandblasted group (22.97%, 1.34 μm/d) (P<0.05) at 8th week. BIC of sandblasted group (75.49%) was significantly higher than that of non-sandblasted (55.35%) (P<0.05) at 12th week, while MAR was not significantly different between the 2 groups (1.28 μm/d versus 1.27 μm/d). The static parameters showed that bone volume fraction (BV/TV) and trabecular number (Tb.N) of sandblasted group were significantly higher than that of non-sandblasted group, while trabecular spacing (Tb.Sp) was significantly lower (P<0.05); No significant difference was found in trabecular thickness (Tb.Th) between 2 groups (P>0.05). The sandblasting group was more conductive to increase their bone mass.
Sandblasted synthetic polymer's biomaterial nFA/PEEK has excellent biocompatibility and osteogenic properties, which is better osseointegrated to its bone bed. It will be a promising material as dental implants in the future.
研发一种新型的螺旋式合成纳米氟磷灰石聚醚醚酮(nFA/PEEK)牙种植体,并在比格犬体内评估其生物相容性和骨整合能力。
将10枚经喷砂处理和10枚未经喷砂处理的nFA/PEEK种植体植入6只成年比格犬体内,拔除双侧下颌第二和第三前磨牙,伤口愈合3个月。分别在第8周和第12周结束时随机选取3只犬处死。为评估骨与种植体接触率(BIC)和矿物质沉积率(MAR),在处死前第10天和第3天分别两次肌肉注射四环素。收集种植体及周围整体骨组织,采用同步辐射断层扫描进行检查。对未脱钙的种植体和骨标本进行切割,用Van Gieson染色进行静态组织形态计量学分析。使用SPSS18.0软件包对数据进行分析。
同步辐射显示,种植体在第8周时与大部分骨床相连。一些新骨长入螺旋种植体的螺纹中,在第12周时观察到完全骨整合。发现经喷砂处理的种植体成熟更快。在第8周时,喷砂组的BIC和MAR(63.34%,1.51μm/d)显著高于未喷砂组(22.97%,1.34μm/d)(P<0.05)。在第12周时,喷砂组的BIC(75.49%)显著高于未喷砂组(55.35%)(P<0.05),而两组间的MAR无显著差异(1.28μm/d对1.27μm/d)。静态参数显示,喷砂组的骨体积分数(BV/TV)和骨小梁数量(Tb.N)显著高于未喷砂组,而骨小梁间距(Tb.Sp)显著更低(P<0.05);两组间骨小梁厚度(Tb.Th)无显著差异(P>0.05)。喷砂组更有利于增加骨量。
经喷砂处理的合成聚合物生物材料nFA/PEEK具有优异的生物相容性和成骨性能,能更好地与骨床实现骨整合。它将是未来一种有前景的牙种植体材料。