新型锥形种植体在低骨密度部位的初期稳定性评价:一项体外研究。

Primary Stability Evaluation of a Novel Tapered Implant Inserted in Low-Density Bone Sites: An In Vitro Study.

出版信息

Int J Oral Maxillofac Implants. 2023 Mar-Apr;38(2):334-337. doi: 10.11607/jomi.9967.

Abstract

To evaluate primary stability of a new dental implant design in low-density bone sites, compare it with another implant design previously studied in the same bone density, and explore possible correlations between primary stability parameters. The study was carried out on fresh humid bovine bone classified as type III. The test group consisted of 30 DS Prime Taper implants (PT), and the control group consisted of 30 Astra Tech EV implants (EV). All the implants were inserted according to the protocol provided by the manufacturer. After placement, variable torque work (VTW), peak insertion torque (pIT), and resonance frequency analysis (RFA) were recorded. Mann-Whitney test showed that the mean VTW and pIT were significantly higher in the test group PT compared to the control group EV; furthermore, statistical analysis showed that the mean RFA was slightly higher in the control group EV but without reaching statistical significance. Pearson correlation analysis showed a very strong positive correlation between pIT and VTW values in both groups; furthermore, it showed a positive correlation between pIT and RFA values and between VTW and RFA values again in both groups. The results showed that the novel tapered implants were able to reach good primary stability in low-density bone sites and that this was superior to parallel-walled implants when measured with VTW and pIT. Moreover, a statistically significant correlation was found between the three methods used to measure implant primary stability.

摘要

为了评估新型牙科种植体设计在低密度骨部位的初始稳定性,将其与先前在相同骨密度下研究的另一种种植体设计进行比较,并探索初始稳定性参数之间的可能相关性。该研究在分类为 III 型的新鲜潮湿牛骨上进行。实验组由 30 个 DS Prime Taper 种植体(PT)组成,对照组由 30 个 Astra Tech EV 种植体(EV)组成。所有种植体均按照制造商提供的方案插入。放置后,记录变量扭矩工作(VTW)、最大插入扭矩(pIT)和共振频率分析(RFA)。曼-惠特尼检验表明,实验组 PT 的平均 VTW 和 pIT 明显高于对照组 EV;此外,统计分析表明,对照组 EV 的平均 RFA 略高,但无统计学意义。Pearson 相关分析表明,两组的 pIT 和 VTW 值之间存在很强的正相关;此外,在两组中,pIT 和 RFA 值之间以及 VTW 和 RFA 值之间均存在正相关。结果表明,新型锥形种植体在低密度骨部位能够达到良好的初始稳定性,与平行壁种植体相比,使用 VTW 和 pIT 测量时,其初始稳定性更高。此外,还发现三种用于测量种植体初始稳定性的方法之间存在统计学显著相关性。

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