Bayani Shahin, Masoomi Fatemeh, Aghaabbasi Sharereh, Farsinejad Alireza
Int J Oral Maxillofac Implants. 2016 Mar-Apr;31(2):471-7. doi: 10.11607/jomi.4288.
The purpose of this study was to evaluate the effect of platelet-released growth factor (PRGF) and immediate orthodontic forces on the removal torque of miniscrews.
This study was conducted on three male dogs aged 6 to 8 months with a body weight of 17.6 to 18.4 kg. Sixty miniscrews were inserted in the posterior aspect of the femur. There were four groups, including loaded miniscrews with application of PRGF, unloaded miniscrews without application of PRGF, unloaded miniscrews with PRGF, and loaded miniscrews without PRGF. Twenty miniscrews were inserted in the femoral bone of one foot of each dog, including all the aforementioned subgroups. After 12 weeks, the miniscrews were removed by a removal torque tester device and measured in newton centimeters.
The mean removal torque values in four groups of immediately loaded screws with PRGF, unloaded screws with PRGF, immediately loaded screws without PRGF, and unloaded screws without PRGF were 19.68, 21.74, 13.65, and 15.46 Ncm, respectively. It was shown that the mean removal torque value for the group with PRGF was significantly higher than that in the other groups (P = .0001). Although there was a tendency toward a decrease in removal torque value with immediate loading, it was not statistically significant (P = .21).
According to the results of this study, applying PRGF with miniscrews increased their stability, but the delivery of immediate force on miniscrews had no effect on the miniscrews' stability.
本研究旨在评估血小板释放生长因子(PRGF)和即刻正畸力对微螺钉拆除扭矩的影响。
本研究选取3只6至8个月大、体重17.6至18.4千克的雄性犬进行。在股骨后侧植入60枚微螺钉。分为四组,包括应用PRGF的加载微螺钉组、未应用PRGF的未加载微螺钉组、应用PRGF的未加载微螺钉组以及未应用PRGF的加载微螺钉组。在每只犬的一只脚的股骨中植入20枚微螺钉,包括上述所有亚组。12周后,使用拆除扭矩测试仪装置拆除微螺钉,并以牛顿厘米为单位进行测量。
应用PRGF的即刻加载螺钉组、应用PRGF的未加载螺钉组、未应用PRGF的即刻加载螺钉组以及未应用PRGF的未加载螺钉组的平均拆除扭矩值分别为19.68、21.74、13.65和15.46牛厘米。结果显示,应用PRGF组的平均拆除扭矩值显著高于其他组(P = .0001)。尽管即刻加载时有拆除扭矩值降低的趋势,但差异无统计学意义(P = .21)。
根据本研究结果,微螺钉应用PRGF可提高其稳定性,但对微螺钉施加即刻力对其稳定性没有影响。