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不同治疗方式及愈合期的牙种植体系统周围骨组织的力学性能

Mechanical properties of bone tissues surrounding dental implant systems with different treatments and healing periods.

作者信息

Kim Do-Gyoon, Kwon Hyun-Jung, Jeong Yong-Hoon, Kosel Erin, Lee Damian J, Han Jung-Suk, Kim Hye-Lee, Kim Dae-Joon

机构信息

Division of Orthodontics, College of Dentistry, The Ohio State University, 4088 Postle Hall, 305 W. 12th Ave, Columbus, OH, 43210, USA.

Division of Restorative Sciences and Prosthodontics, College of Dentistry, The Ohio State University, Columbus, OH, 43210, USA.

出版信息

Clin Oral Investig. 2016 Nov;20(8):2211-2220. doi: 10.1007/s00784-016-1734-2. Epub 2016 Feb 2.

Abstract

OBJECTIVES

The objective of the current study was to examine whether the nanoindentation parameters can assess the alteration of bone quality resulting from different degrees of bone remodeling between bone tissue ages around the dental implant interface with different treatments and healing periods.

MATERIALS AND METHODS

Dental implants were placed in mandibles of six male dogs. Treatment groups included: resorbable blast media-treated titanium (Ti) implants, alumina-blasted zirconia implants (ATZ), alumina-blasted zirconia implants applied with demineralized bone matrix (ATZ-D), and alumina-blasted zirconia implants applied with rhBMP-2 (ATZ-B). Nanoindentation modulus (E), hardness (H), viscosity (η), and viscoelastic creep (Creep/P ) were measured for new and old bone tissues adjacent to the implants at 3 and 6 weeks of post-implantation. A total of 945 indentations were conducted for 32 implant systems.

RESULTS

Significantly lower E, H, and η but higher Creep/P were measured for new bone tissues than old bone tissues, independent of treatments at both healing periods (p < 0.001). All nanoindentation parameters were not significantly different between healing periods (p > 0.568). ATZ-D and ATZ-B implants had the stiffer slope of correlation between E and Creep/P of the new bone tissue than Ti implant (p < 0.039).

CONCLUSIONS

Current results indicated that, in addition to elastic modulus and plastic hardness, measurement of viscoelastic properties of bone tissue surrounding the implant can provide more detailed information to understand mechanical behavior of an implant system.

CLINICAL RELEVANCE

Ability of energy absorption in the interfacial bone tissue can play a significant role in the long-term success of a dental implant system.

摘要

目的

本研究的目的是检验纳米压痕参数是否能够评估在不同治疗方法和愈合期情况下,牙种植体界面周围不同骨组织年龄之间不同程度骨重塑所导致的骨质量改变。

材料与方法

将牙种植体植入6只雄性犬的下颌骨。治疗组包括:可吸收喷砂介质处理的钛(Ti)种植体、氧化铝喷砂处理的氧化锆种植体(ATZ)、应用脱矿骨基质的氧化铝喷砂处理的氧化锆种植体(ATZ-D)以及应用重组人骨形态发生蛋白-2(rhBMP-2)的氧化铝喷砂处理的氧化锆种植体(ATZ-B)。在植入后3周和6周时,对种植体相邻的新骨组织和旧骨组织测量纳米压痕模量(E)、硬度(H)、粘度(η)和粘弹性蠕变(Creep/P)。对32个种植体系统共进行了945次压痕测量。

结果

无论在哪个愈合期,新骨组织的E、H和η均显著低于旧骨组织,而Creep/P则高于旧骨组织(p < 0.001)。在不同愈合期之间,所有纳米压痕参数均无显著差异(p > 0.568)。与Ti种植体相比,ATZ-D和ATZ-B种植体新骨组织的E与Creep/P之间的相关性斜率更陡(p < 0.039)。

结论

目前的结果表明,除弹性模量和塑性硬度外,测量种植体周围骨组织的粘弹性特性可为理解种植体系统的力学行为提供更详细的信息。

临床意义

界面骨组织的能量吸收能力对牙种植体系统的长期成功起着重要作用。

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