Mamede Anderson Antonio, Martinez Elizabeth Ferreira, Basting Roberta Tarkany
Instituto e Centro de Pesquisas São Leopoldo Mandic (Campinas/SP, Brazil).
Dental Press J Orthod. 2019 Aug 1;24(3):71-78. doi: 10.1590/2177-6709.24.3.071-078.oar.
The objective of the present study was to perform a histological evaluation of a titanium mini-implant for orthodontic anchorage. Shear strength and fracture patterns that occurred immediately, 30 and 60 days after insertion with or without N-2-butyl-cyanoacrylate adhesive were evaluated.
Ninety-six mini-implants (Arrow, Peclab, Brazil) were placed in the tibia of 9 male rabbits, with or without an adhesive (Vetbond™, 3M, USA). Histological evaluation was done by optical light microscope. Shear strength testing was performed, followed by fracture analysis with visual inspection.
Close contact between the newly formed bone and the device was evidenced in the group without adhesive, whereas gaps in the group with adhesive were found. Tukey test showed similar values in both groups at the immediate time point (20.70 N without adhesive and 24.69 N with adhesive), and higher values for the non-adhesive group, after 30 and 60 days (43.98 N and 78.55 N, respectively). The values for the adhesive group were similar for the immediate time point (24.69 N), 30 days (18.23 N) and 60 days (31.98 N). The fractures were adhesive for both groups at the immediate time point. The fractures were cohesive in bone for the non-adhesive group after 30 and 60 days.
The mini-implants showed close bone contact and required higher shear strength for removal at 30 and 60 days for the non-adhesive group. Further studies are needed to assess the proper way to remove the orthodontic anchorage without cohesive fractures in bone.
本研究的目的是对用于正畸支抗的钛微型种植体进行组织学评估。评估了在植入后立即、30天和60天,使用或不使用N-2-丁基氰基丙烯酸酯粘合剂时的剪切强度和骨折模式。
将96个微型种植体(Arrow,Peclab,巴西)植入9只雄性兔子的胫骨中,植入时使用或不使用粘合剂(Vetbond™,3M,美国)。通过光学显微镜进行组织学评估。进行剪切强度测试,随后通过目视检查进行骨折分析。
在未使用粘合剂的组中,新形成的骨与种植体之间显示出紧密接触,而在使用粘合剂的组中发现有间隙。Tukey检验显示,在植入后立即,两组的值相似(未使用粘合剂组为20.70 N,使用粘合剂组为24.69 N),而在30天和60天后,未使用粘合剂组的值更高(分别为43.98 N和78.55 N)。使用粘合剂组在植入后立即(24.69 N)、30天(18.23 N)和60天(31.98 N)的值相似。在植入后立即,两组的骨折均为粘着性骨折。在30天和60天后,未使用粘合剂组的骨折在骨内为内聚性骨折。
微型种植体显示出与骨的紧密接触,对于未使用粘合剂的组,在30天和60天时需要更高的剪切强度才能取出。需要进一步研究以评估在不造成骨内聚性骨折的情况下取出正畸支抗的正确方法。