Trisi Paolo, Berardini Marco, Falco Antonello, Vulpiani Michele Podaliri
*Scientific Director, Biomaterial Clinical Research Association, Private Practice, Pescara, Italy. †Biomaterial Clinical Research Association, Private Practice, Pescara, Italy. ‡"G. Caporale" Institute, Teramo, Italy.
Implant Dent. 2015 Feb;24(1):96-100. doi: 10.1097/ID.0000000000000204.
To make an in vivo evaluation of the effects of 2 different bone temperatures, on the development of implant osseointegration, in low-density bone.
Fifteen implant osteotomic sites were prepared in the iliac crests of sheep. Before the implant insertion, 5 sites were heated to 50°C for 1 minute, 5 sites to 60°C for 1 minute, and 5 sites were not overheated. Fifteen titanium dental implants (Cortex, Israel) were inserted. After a healing period of 2 months, the histomorphometric parameters calculated for each implant were the Bone-Implant Contact percentage (%BIC) and the infrabony pocket depth. Unpaired t test was applied to find statistical differences between groups.
No implants failed. Statistical significant differences in %BIC and periimplant bone loss were found between the 60°C group and control group. No significant differences were found between the 50°C group and control group, although bone suffering signs were present.
An osteotomic site overheating up to 60°C for 1 minute in low-density bone, before implant insertion, did not lead to implant failure, but it induced significant crestal bone loss during healing and lower %BIC.
对两种不同骨温在低密度骨中对种植体骨结合发育的影响进行体内评估。
在绵羊髂嵴制备15个种植体截骨部位。在植入种植体前,5个部位加热至50°C持续1分钟,5个部位加热至60°C持续1分钟,5个部位未过热。植入15枚钛制牙种植体(以色列科特斯公司)。经过2个月的愈合期后,计算每个种植体的组织形态计量学参数,即骨-种植体接触百分比(%BIC)和骨下袋深度。采用非配对t检验来发现组间的统计学差异。
无种植体失败。60°C组与对照组在%BIC和种植体周围骨丢失方面存在统计学显著差异。50°C组与对照组之间未发现显著差异,尽管存在骨损伤迹象。
在植入种植体前,低密度骨中的截骨部位过热至60°C持续1分钟,不会导致种植体失败,但会在愈合过程中导致显著的嵴顶骨丢失和较低的%BIC。