Nishioka-Sakamoto Kie, Hotokezaka Hitoshi, Hotokezaka Yuka, Nashiro Yukako, Funaki Mariko, Ohba Seigo, Yoshida Noriaki
Angle Orthod. 2023 May 1;93(3):341-347. doi: 10.2319/080822-558.1.
To create an orthodontic anchor screw (OAS)-loosening model and to investigate whether filling the bone hole with beta-tricalcium phosphate (β-TCP) can fix the OAS against orthodontic force.
Bone holes with different diameters (1.6, 2.1, or 2.5 mm) were drilled in the tibias of 11-week-old male Wistar rats, and an OAS (3.0 mm in length and 1.2 mm in diameter) was inserted. After a healing period of 2 or 4 weeks, orthodontic force was applied, and the diameter of the bone hole appropriate for the loosening model was determined. Subsequently, under the loosening model, the bone hole was filled with β-TCP, orthodontic force was applied, and movement of the OAS and surrounding tissue changes were evaluated by micro-computed tomography images and histological specimen analysis.
The bone hole of 1.6 mm in diameter was employed as the OAS-loosening model. When β-TCP was inserted into the bone hole, the linear distance and mesial tipping angle of the OAS movement decreased markedly. Furthermore, the values of bone morphometry significantly increased with β-TCP filling.
An OAS-loosening model was established in rats and demonstrated that the loosening OAS was stabilized by β-TCP filling through bone formation. β-TCP may be useful for fixation of a loosening OAS.
建立正畸支抗螺钉(OAS)松动模型,并研究用β-磷酸三钙(β-TCP)填充骨孔是否能固定OAS以抵抗正畸力。
在11周龄雄性Wistar大鼠的胫骨上钻不同直径(1.6、2.1或2.5mm)的骨孔,并插入一枚OAS(长度3.0mm,直径1.2mm)。经过2周或4周的愈合期后,施加正畸力,确定适合松动模型的骨孔直径。随后,在松动模型下,用β-TCP填充骨孔,施加正畸力,并通过微型计算机断层扫描图像和组织学标本分析评估OAS的移动情况和周围组织的变化。
采用直径1.6mm的骨孔作为OAS松动模型。当将β-TCP插入骨孔时,OAS移动的线性距离和近中倾斜角度明显减小。此外,β-TCP填充后骨形态计量学值显著增加。
在大鼠中建立了OAS松动模型,结果表明通过骨形成,β-TCP填充可稳定松动的OAS。β-TCP可能对固定松动的OAS有用。