Leocádio Amanda de Carvalho Silva, Júnior Matusalém Silva, Oliveira Guilherme José Pimentel Lopes de, Pinto Gustavo da Col Santos, Faeda Rafael Silveira, Padovan Luis Eduardo Marques, Júnior Élcio Marcantonio
Department of Diagnosis and Surgery, School of Dentistry at Araraquara, Sao Paulo State University (UNESP), Araraquara 14801-385, Brazil.
Post Graduation Course in Implantology, Latin American Institute of Dental Research (ILAPEO), Curitiba 80710-150, Brazil.
Materials (Basel). 2020 Mar 26;13(7):1521. doi: 10.3390/ma13071521.
The objective of this study was to assess the primary stability and the osseointegration process in implants with different macrostructures (Cylindrical vs. Hybrid Conical) in rabbit tibiae. Twenty-four (24) rabbits were used, divided into 3 experimental periods (2, 4 and 8 weeks) with 8 animals each. Each animal bilaterally received 2 implants from each group in the tibial metaphysis: Cylindrical Implant (CI) and Hybrid Conical Implant (HCI). All implants were assessed for insertion torque. After the experimental periods, one of the implants in each group was submitted to the removal counter-torque test and descriptive histological analysis while the other implant was used for microtomographic and histometric analysis (%Bone-Implant Contact). HCI implants showed higher insertion torque (32.93 ± 10.61 Ncm vs. 27.99 ± 7.80 Ncm) and higher % of bone-implant contact in the 8-week period (79.08 ± 11.31% vs. 59.72 ± 11.29%) than CI implants. However, CI implants showed higher values of removal counter-torque than HCI implants in the 8-week period (91.05 ± 9.32 Ncm vs. 68.62 ± 13.70 Ncm). There were no differences between groups regarding microtomographic data. It can be concluded that HCI implants showed greater insertion torque and bone-implant contact in relation to CI implants in the period of 8 weeks when installed in cortical bone of rabbits.
本研究的目的是评估不同宏观结构(圆柱形与混合锥形)的种植体在兔胫骨中的初期稳定性和骨整合过程。使用了24只兔子,分为3个实验期(2周、4周和8周),每组8只动物。每只动物在双侧胫骨近端干骺端各植入每组的2种植体:圆柱形种植体(CI)和混合锥形种植体(HCI)。对所有种植体进行植入扭矩评估。实验期结束后,每组中的1种植体进行去除反扭矩测试和描述性组织学分析,而另1种植体用于显微断层扫描和组织计量学分析(骨-种植体接触百分比)。在8周时,HCI种植体的植入扭矩更高(32.93±10.61 Ncm对27.99±7.80 Ncm),骨-种植体接触百分比也更高(79.08±11.31%对59.72±11.29%),高于CI种植体。然而,在8周时,CI种植体的去除反扭矩值高于HCI种植体(91.05±9.32 Ncm对68.62±13.70 Ncm)。各组在显微断层扫描数据方面没有差异。可以得出结论,当植入兔皮质骨时,在8周期间,HCI种植体相对于CI种植体显示出更大的植入扭矩和骨-种植体接触。