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激光处理的钛植入物:体内组织形态计量学和生物力学分析

Laser-Treated Titanium Implants: An In Vivo Histomorphometric and Biomechanical Analysis.

作者信息

Trisi Paolo, Berardini Marco, Colagiovanni Marco, Berardi Davide, Perfetti Giorgio

机构信息

*Scientific Director, Biomaterial Clinical and Histological Research Association, Pescara, Italy. †Biomaterial Clinical and Histological Research Association, Pescara, Italy. ‡Private Practice, Campobasso, Italy. §Private Practice, Roma, Italy. ¶Professor of Oral Surgery, Department of Medical, Oral and Biotechnological Sciences, "G. d'Annunzio" University Chieti-Pescara, Italy.

出版信息

Implant Dent. 2016 Oct;25(5):575-80. doi: 10.1097/ID.0000000000000457.

Abstract

PURPOSE

The aim of the present histological and biomechanical analysis was to compare, in vivo, the strength and quality of osseointegration between a laser-treated implant surface and a standard machined surface.

MATERIAL AND METHODS

Customized titanium implants, having 2 different surfaces, were used. Implants were longitudinally split in the 2 surfaces: one side was laser treated and the opposite one had a machined surface. Eight implants were inserted in the iliac crest of 2 sheep: 4 with a split laser and machined surfaces, 2 with a completely laser-treated surface, and 2 with fully machined surfaces. The animals were killed 8 weeks after the placement of implants. The histomorphometric and biomechanical parameters calculated for each surface were the bone-implant contact (%BIC) and the reverse torque value (RTV) RESULTS:: The RTV of the laser-treated implants were about 3-fold higher than that of the machined implants. The histomorphometric results showed a significant difference of %BIC around 30% between the laser surfaces compared to the machined ones.

CONCLUSIONS

The present study showed that laser surface treatment induces better osteointegration than machined surface. The laser-treated surface seems to be able to increase the osseointegration amount in respect to the machined implants.

摘要

目的

本组织学和生物力学分析的目的是在体内比较激光处理种植体表面与标准机械加工表面之间骨结合的强度和质量。

材料与方法

使用具有两种不同表面的定制钛种植体。种植体在两个表面纵向劈开:一侧进行激光处理,另一侧为机械加工表面。将8个种植体植入2只绵羊的髂嵴:4个具有劈开的激光和机械加工表面,2个具有完全激光处理表面,2个具有完全机械加工表面。在植入种植体8周后处死动物。为每个表面计算的组织形态计量学和生物力学参数是骨-种植体接触率(%BIC)和反向扭矩值(RTV)。结果:激光处理种植体的RTV比机械加工种植体高约3倍。组织形态计量学结果显示,与机械加工表面相比,激光表面的%BIC在30%左右存在显著差异。

结论

本研究表明,激光表面处理比机械加工表面诱导更好的骨整合。与机械加工种植体相比,激光处理表面似乎能够增加骨整合量。

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