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微断层扫描、组织形态计量学和荧光标记分析评估氧化锆和钛种植体在兔胫骨模型中的骨整合。

Osseointegration of zirconia and titanium implants in a rabbit tibiae model evaluated by microtomography, histomorphometry and fluorochrome labeling analyses.

机构信息

Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.

Insper - Instituto de Ensino e Pesquisa, São Paulo, SP, Brazil.

出版信息

J Periodontal Res. 2018 Apr;53(2):210-221. doi: 10.1111/jre.12508. Epub 2017 Oct 17.


DOI:10.1111/jre.12508
PMID:29044523
Abstract

OBJECTIVES: This study compares the osseointegration of machined-zirconia implants containing yttria (M-Y-TZP) with machined (M-Ti) and resorbable blast media (RBM-Ti) titanium implants. MATERIAL AND METHODS: M-Y-TZP, M-Ti and RBM-Ti implants were randomly placed in rabbit tibiae. Fluorochrome bone labels (tetracycline, alizarin and calcein) were administered at different time periods. After 8 weeks, osseointegration was evaluated in terms of bone-to-implant contact (BIC), new bone area (nBA), remaining cortical bone area (rBA) and temporal quantification of fluorochromes, using micro-CT and histomorphometric analyses. RESULTS: RBM-Ti implants showed higher resorption of the remaining cortical bone and bone formation (rBA = 36.9% and nBA = 38.8%) than M-Y-TZP implants (rBA = 48% and nBA = 26.5%). The BIC values showed no differences among the groups in the cortical region (mean = 52.2%) but in the medullary region, they were 0.45-fold higher in the RBM-Ti group (51.2%) than in the M-Y-TZP group (35.2%). In all groups, high incorporation of tetracycline was observed (2nd to 4th weeks), followed by alizarin (4th to 6th weeks) and calcein (6th to 8th weeks). In the cortical region, incorporation of tetracycline was similar between RBM-Ti (49.8%) and M-Y-TZP (35.9%) implants, but higher than M-Ti (28.2%) implants. Subsequently, alizarin and calcein were 1.1-fold higher in RBM-Ti implants than in the other implants. In the medullary region, no significant differences were observed for all fluorochromes. CONCLUSION: All implants favored bone formation and consequently promoted primary stability. Bone formation around the threads was faster in RBM-Ti and M-Y-TZP implants than in M-Ti implants, but limited bone remodeling with M-Y-TZP implants over time can have significant effects on secondary stability, suggesting caution for its use as an alternative substitute for titanium implants.

摘要

目的:本研究比较了含氧化钇的机械加工氧化锆(M-Y-TZP)种植体与机械加工(M-Ti)和可吸收喷丸介质(RBM-Ti)钛种植体的骨整合情况。

材料和方法:将 M-Y-TZP、M-Ti 和 RBM-Ti 种植体随机植入兔胫骨。在不同时间点给予氟标记物(四环素、茜素红和钙黄绿素)。8 周后,通过 micro-CT 和组织形态计量学分析,评估骨与种植体接触(BIC)、新骨面积(nBA)、剩余皮质骨面积(rBA)和氟标记物的时间定量。

结果:RBM-Ti 种植体的剩余皮质骨和骨形成吸收(rBA=36.9%和 nBA=38.8%)高于 M-Y-TZP 种植体(rBA=48%和 nBA=26.5%)。皮质区各组间 BIC 无差异(均值=52.2%),但骨髓区 RBM-Ti 组(51.2%)比 M-Y-TZP 组(35.2%)高 0.45 倍。在所有组中,都观察到四环素的高掺入(第 2 至 4 周),其次是茜素红(第 4 至 6 周)和钙黄绿素(第 6 至 8 周)。在皮质区,RBM-Ti(49.8%)和 M-Y-TZP(35.9%)种植体的四环素掺入相似,但高于 M-Ti(28.2%)种植体。随后,RBM-Ti 种植体的茜素红和钙黄绿素掺入量比其他种植体高 1.1 倍。在骨髓区,所有氟标记物均无显著差异。

结论:所有种植体均有利于骨形成,从而促进了初始稳定性。RBM-Ti 和 M-Y-TZP 种植体的螺纹周围骨形成速度快于 M-Ti 种植体,但随着时间的推移,M-Y-TZP 种植体的骨重塑有限,这可能对其作为钛种植体的替代物的二次稳定性产生重大影响,因此应谨慎使用。

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