Kang He-Kyong, Chu Tien-Min, Dechow Paul, Stewart Kelton, Kyung Hee-Moon, Liu Sean Shih-Yao
Department of Orthodontics, University of Detroit Mercy School of Dentistry, MI, Department of Orthodontics and Oral Facial Genetics.
Department of Restorative Dentistry, Division of Dental Biomaterials, Indiana University School of Dentistry, Indiana University-Purdue University, Indianapolis, IN.
Eur J Orthod. 2016 Apr;38(2):154-62. doi: 10.1093/ejo/cjv017. Epub 2015 Apr 23.
BACKGROUND/OBJECTIVES: This study investigated the biomechanical properties and bone-implant intersurface response of machined and laser surface-treated stainless steel (SS) mini-screw implants (MSIs).
Forty-eight 1.3mm in diameter and 6mm long SS MSIs were divided into two groups. The control (machined surface) group received no surface treatment; the laser-treated group received Nd-YAG laser surface treatment. Half in each group was used for examining surface roughness (Sa and Sq), surface texture, and facture resistance. The remaining MSIs were placed in the maxilla of six skeletally mature male beagle dogs in a randomized split-mouth design. A pair with the same surface treatment was placed on the same side and immediately loaded with 200 g nickel-titanium coil springs for 8 weeks. After killing, the bone-implant contact (BIC) for each MSI was calculated using micro computed tomography. Analysis of variance model and two-sample t test were used for statistical analysis with a significance level of P <0.05.
The mean values of Sa and Sq were significantly higher in the laser-treated group compared with the machined group (P <0.05). There were no significant differences in fracture resistance and BIC between the two groups.
animal study
CONCLUSIONS/IMPLICATIONS: Laser treatment increased surface roughness without compromising fracture resistance. Despite increasing surface roughness, laser treatment did not improve BIC. Overall, it appears that medical grade SS has the potential to be substituted for titanium alloy MSIs.
背景/目的:本研究调查了机械加工和激光表面处理的不锈钢(SS)微型螺钉种植体(MSIs)的生物力学性能及骨-种植体界面反应。
48枚直径1.3mm、长6mm的SS MSIs被分为两组。对照组(机械加工表面)未进行表面处理;激光处理组接受钕钇铝石榴石激光表面处理。每组中的一半用于检测表面粗糙度(Sa和Sq)、表面纹理及抗断裂性。其余的MSIs以随机分口设计植入6只骨骼成熟的雄性比格犬的上颌骨。将一对经过相同表面处理的种植体置于同一侧,并立即用200g镍钛螺旋弹簧加载8周。处死动物后,使用微型计算机断层扫描计算每个MSI的骨-种植体接触(BIC)。采用方差分析模型和两样本t检验进行统计分析,显著性水平为P<0.05。
与机械加工组相比,激光处理组的Sa和Sq平均值显著更高(P<0.05)。两组之间的抗断裂性和BIC无显著差异。
动物研究
结论/启示:激光处理增加了表面粗糙度,而不影响抗断裂性。尽管表面粗糙度增加,但激光处理并未改善BIC。总体而言,医用级SS似乎有替代钛合金MSIs的潜力。