Tseng Yu-Chuan, Pan Chin-Yun, Liu Pao-Hsin, Yang Yi-Hsin, Chang Hong-Po, Chen Chun-Ming
School of Dentistry and Graduate Program of Dental Science, Kaohsiung Medical University.
Department of Orthodontics, Dental Clinics, Kaohsiung Medical University Hospital.
J Oral Sci. 2018;60(1):64-69. doi: 10.2334/josnusd.16-0613.
This study used resonance frequency (RF) analysis to assess miniscrew implant (MSI) stability during wound healing in a sample of 68 patients (41 women, 27 men; mean age, 27.7 years). The 104 MSIs included 66 placements in the buccal shelf (BS; 2.0 × 12 mm) and 38 placements in interradicular (IR; 1.5 × 8 mm) sites. Thirteen (12.5%) of the MSIs failed. A new RF detection device was used to measure RF at baseline (T0) and at 3 (T1), 6 (T2), 9 (T3), 12 (T4), and 15 (T5) weeks after placement. A linear mixed-effects model was fitted to change in RF values. As compared with the BS group, the IR group had significantly lower RF values on the right side from T0 through T4 and on the left side from T0 through T2. Insertion site and time of visit were significantly associated with RF value. The effects of time of visit significantly differed between the BS and IR sites. Starting from T0, the MSIs placed at both sites had significantly lower RF values at all intervals, except for T0-T1. Future studies should examine how the present clinical protocols can optimize timing of MSI loading to maximize the success rate.
本研究采用共振频率(RF)分析,对68例患者(41名女性,27名男性;平均年龄27.7岁)伤口愈合期间微型螺钉种植体(MSI)的稳定性进行评估。104枚MSI中,66枚植入颊侧牙槽嵴顶(BS;2.0×12 mm),38枚植入根间(IR;1.5×8 mm)部位。13枚(12.5%)MSI失败。使用一种新型RF检测装置在植入基线(T0)以及植入后3周(T1)、6周(T2)、9周(T3)、12周(T4)和15周(T5)测量RF。对RF值的变化拟合线性混合效应模型。与BS组相比,IR组右侧从T0至T4以及左侧从T0至T2的RF值显著更低。植入部位和就诊时间与RF值显著相关。BS和IR部位就诊时间的影响存在显著差异。从T0开始,除T0 - T1外,两个部位植入的MSI在所有时间间隔的RF值均显著更低。未来研究应探讨当前临床方案如何优化MSI加载时机以最大化成功率。