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微型种植体的握持体积、植入扭矩和拔出强度之间的相关性。

The correlation among gripping volume, insertion torque, and pullout strength of micro-implant.

作者信息

Ting Chun-Chan, Hsu Kun-Jung, Hsiao Szu-Yu, Chen Chun-Ming

机构信息

School of Dentistry, Institute of Oral Medicine, National Cheng Kung University, Tainan, Taiwan.

Department of Dentistry, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan.

出版信息

J Dent Sci. 2020 Dec;15(4):500-504. doi: 10.1016/j.jds.2020.07.005. Epub 2020 Jul 16.

Abstract

BACKGROUND/PURPOSE: The fixation stability is the key factor for orthodontic micro-implant to succeed. This study evaluated the mechanical properties of three types of micro-implants by analyzing their structural configurations.

MATERIALS AND METHODS

Thirty micro-implants of three types (diameter 1.5 mm, Types A, B, C) were assessed. All micro-implants were manually driven into artificial bones at an 8-mm depth. The insertion torque (IT), pullout strength (PS), and gripping volume (GV) of each type were measured. The indexes of mechanical properties denoted as the PS/IT, GV/IT and PS/GV ratios. Intergroup comparisons and intragroup correlation were examined using statistical analysis.

RESULTS

Type B had the greatest inner-outer diameter ratio (0.67), and Type A had the smallest (0.53). The IT of Type A (5.26 Ncm) was significantly ( = 0.038) lower than that of Type C (8.8 Ncm). There was no significant difference in the pullout strength. The GV of Type A (9.7 mm) was significantly greater than Type C (8.4 mm). Type C was significantly greater than Type B (7.2 mm). The ratios of mechanical properties (PS/IT, PS/GV, and GV/IT) were found significant in intergroup comparison. The PS/GV ratio was in order: Type B (26.5) > Type A (23.0) > Type C (20.2). Spearman's rho rank correlation test showed that PS of Type B was correlated significantly with GV.

CONCLUSION

The design of thread and gripping volume were the important factors that contributes to the mechanical strengths of micro-implant.

摘要

背景/目的:固定稳定性是正畸微型种植体成功的关键因素。本研究通过分析三种类型微型种植体的结构构型来评估其力学性能。

材料与方法

评估了三种类型(直径1.5毫米,A、B、C型)的30颗微型种植体。所有微型种植体均手动植入人工骨至8毫米深度。测量每种类型的植入扭矩(IT)、拔出强度(PS)和握持体积(GV)。力学性能指标用PS/IT、GV/IT和PS/GV比值表示。采用统计分析进行组间比较和组内相关性分析。

结果

B型的内外径比最大(0.67),A型最小(0.53)。A型的植入扭矩(5.26 Ncm)显著低于C型(8.8 Ncm)(P = 0.038)。拔出强度无显著差异。A型的握持体积(9.7毫米)显著大于C型(8.4毫米)。C型显著大于B型(7.2毫米)。力学性能比值(PS/IT、PS/GV和GV/IT)在组间比较中具有显著性。PS/GV比值顺序为:B型(26.5)>A型(23.0)>C型(20.2)。Spearman等级相关检验显示,B型的拔出强度与握持体积显著相关。

结论

螺纹设计和握持体积是影响微型种植体力学强度的重要因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2b8/7816014/36dca5f0f7c1/gr1.jpg

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