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咀嚼模拟后种植体基台莫氏锥度界面的细菌渗透和松动。

Bacterial infiltration and detorque at the implant abutment morse taper interface after masticatory simulation.

机构信息

Prosthodontics Department, Dental School, Universidade Paulista- UNIP, São Paulo, 04026-002, Brazil.

Department of Prosthodontics, Universidade Paulista - UNIP, Av. do Cursino, 1919 1º andar - sala 10, Jardim da Saúde, São Paulo (SP), 04133-100, Brazil.

出版信息

Sci Rep. 2022 Oct 12;12(1):17103. doi: 10.1038/s41598-022-20915-z.

Abstract

This study evaluated the bacterial infiltration and the detorque of indexed and non-indexed abutments of Morse taper implants (MTI) after mechanical cycling (MC). 40 MTI were distributed into four groups: IIA (indexed implant abutments); NIIA (non-indexed implant abutments); IIAMC (indexed implant abutments submitted to MC); NIIAMC (non-indexed implant abutments submitted to MC), which were carried out under one million 5 Hz frequency and 3 Bar pressure. After mechanical cycling, all groups were immersed in a bacterial solution in Brain Heart Infusion Agar. After detorque, the bacteria infiltration was evaluated by counting the colony-forming units. For the bacterial infiltration, analysis was applied to the Kruskal-Wallis test (p = 0.0176) followed by Dunn's test. For the detorque analysis, the two-way repeated-measures ANOVA was applied, followed by the Tukey's test (p < 0.0001). Bacteria infiltration was highly observed in NIIA (p = 0.0027) and were absent in IIAMC and NIIAMC. The detorque values for IIA (19.96Ncm ± 0.19Ncm), NIIA (19.90Ncm ± 0.83Ncm), and NIIAMC (19.51Ncm ± 0,69Ncm) were similar and remained close to the initial value, while IIAMC (55.2Ncm ± 2.36Ncm) showed an extremely significant torque value increase (p < 0.0001). The mechanical cycling resulted in mechanical sealing of the implant-abutment interface, preventing bacterial infiltration in the indexed and non-indexed specimens, and increasing the detorque strength in the group of indexed abutments.

摘要

本研究评估了机械循环后莫氏锥度种植体(MTI)的指数和非指数基台的细菌渗透和松动。40 个 MTI 分为四组:IIA(指数基台);NIIA(非指数基台);IIAMC(经机械循环的指数基台);NIIAMC(经机械循环的非指数基台),在 5 Hz 频率和 3 Bar 压力下进行了一百万次循环。机械循环后,所有组都浸入脑心浸液琼脂的细菌溶液中。松动后,通过菌落形成单位计数评估细菌渗透。对于细菌渗透,采用 Kruskal-Wallis 检验进行分析(p=0.0176),然后采用 Dunn 检验。对于松动分析,采用双向重复测量方差分析,然后采用 Tukey 检验(p<0.0001)。在 NIIA 中观察到高度的细菌渗透(p=0.0027),而在 IIAMC 和 NIIAMC 中则没有。IIA(19.96Ncm±0.19Ncm)、NIIA(19.90Ncm±0.83Ncm)和 NIIAMC(19.51Ncm±0.69Ncm)的松动值相似,接近初始值,而 IIAMC(55.2Ncm±2.36Ncm)的松动值则显著增加(p<0.0001)。机械循环导致种植体-基台界面的机械密封,防止指数和非指数标本的细菌渗透,并增加指数基台组的松动强度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc18/9556662/e468a93635bf/41598_2022_20915_Fig1_HTML.jpg

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