Brosh Tamar, Rozitsky Doron, Geron Silvia, Pilo Raphael
Department of Oral Biology, The Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.
The Goldschleger School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.
PLoS One. 2014 Dec 2;9(12):e113229. doi: 10.1371/journal.pone.0113229. eCollection 2014.
Temporary orthodontic mini implants serve as anchorage devices in orthodontic treatments. Often, they are inserted in the jaw bones, between the roots of the teeth. The stability of the mini implants within the bone is one of the major factors affecting their success and, consequently, that of the orthodontic treatment. Bone mechanical properties are important for implant stability. The aim of this study was to determine the tensile properties of the alveolar and basal mandible bones in a swine model. The diametral compression test was employed to study the properties in two orthogonal directions: mesio-distal and occluso-gingival. Small cylindrical cortical bone specimens (2.6 mm diameter, 1.5 mm thickness) were obtained from 7 mandibles using a trephine drill. The sites included different locations (anterior and posterior) and aspects (buccal and lingual) for a total of 16 specimens from each mandible. The load-displacement curves were continuously monitored while loading half of the specimens in the oclluso-gingival direction and half in the mesio-distal direction. The stiffness was calculated from the linear portion of the curve. The mesio-distal direction was 31% stiffer than the occluso-gingival direction. The basal bone was 40% stiffer than the alveolar bone. The posterior zone was 46% stiffer than the anterior zone. The lingual aspect was stiffer than the buccal aspect. Although bone specimens do not behave as brittle materials, the diametral compression test can be adequately used for determining tensile behavior when only small bone specimens can be obtained. In conclusion, to obtain maximal orthodontic mini implant stability, the force components on the implants should be oriented mostly in the mesio-distal direction.
临时正畸微型种植体在正畸治疗中作为支抗装置。通常,它们被植入颌骨中,在牙齿的牙根之间。微型种植体在骨内的稳定性是影响其成功与否的主要因素之一,进而影响正畸治疗的成败。骨的力学性能对种植体稳定性很重要。本研究的目的是在猪模型中确定牙槽骨和下颌骨基骨的拉伸性能。采用直径压缩试验在两个正交方向(近远中方向和咬合龈向)研究其性能。使用环钻从7个下颌骨中获取小圆柱形皮质骨标本(直径2.6 mm,厚度1.5 mm)。标本部位包括不同位置(前部和后部)和方位(颊侧和舌侧),每个下颌骨共获取16个标本。在向一半标本的咬合龈向加载和向另一半标本的近远中向加载时,连续监测载荷-位移曲线。根据曲线的线性部分计算刚度。近远中方向的刚度比咬合龈向高31%。基骨的刚度比牙槽骨高40%。后部区域的刚度比前部区域高46%。舌侧方位比颊侧方位更硬。尽管骨标本的行为不像脆性材料,但当只能获得小的骨标本时,直径压缩试验可充分用于确定拉伸行为。总之,为了获得最大的正畸微型种植体稳定性,种植体上的力分量应主要沿近远中方向。