Laboratory for Applied Periodontal & Craniofacial Research, Division of Comprehensive Oral Health - Periodontology, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Department of Conservative Dentistry - Periodontology, Faculty of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Clin Oral Implants Res. 2024 Jan;35(1):40-51. doi: 10.1111/clr.14194. Epub 2023 Oct 19.
A new implant system encompassing implants with a tri-oval cross-sectional design and a simplified site preparation protocol at low speed and no irrigation has been developed. The objective of this study was to assess the safety and efficacy of the new implant system using the minipig intraoral dental implant model.
Eight Yucatan minipigs were included. Twelve weeks after extractions, four implants per animal were randomly placed and allowed to heal transmucosal for 13 weeks: two Ø3.5 × 10 mm implants with a back-tapered collar and circular cross-section (control) and two Ø3.5 × 11 mm implants with tri-oval collar and cross-section (test). MicroCT and histological analysis was performed.
Thirty-two implants were placed; one implant for the control group was lost. Histologically, BIC was higher in the test compared with the control group (74.1% vs. 60.9%, p < .001). At the platform level, inflammation was statistically significantly higher albeit mild in the test compared with the control group. No other significant differences were observed between groups. MicroCT analysis showed that bone-to-implant-contact (BIC) and trabecular thickness were statistically significantly higher for the test than the control group. Test group had significantly higher first BIC distance than controls on lingual sites.
The present study results support the safety and efficacy of the new dental implant system and simplified site preparation protocol; human studies should be carried out to confirm these findings.
开发了一种新的种植体系统,该系统包括具有三叶形横截面设计的种植体和简化的低速、非冲洗的种植位点预备方案。本研究的目的是使用小型猪口腔内牙种植模型评估新型种植体系统的安全性和有效性。
纳入 8 头尤卡坦小型猪。拔牙后 12 周,每个动物随机放置 4 个种植体,黏膜下愈合 13 周:2 个 Ø3.5×10mm 种植体,带后倾袖口和圆形横截面(对照)和 2 个 Ø3.5×11mm 种植体,三叶形袖口和横截面(试验)。进行微 CT 和组织学分析。
共植入 32 个种植体,对照组有 1 个种植体丢失。组织学上,试验组的 BIC 高于对照组(74.1%比 60.9%,p<0.001)。在平台水平,试验组的炎症虽然轻微,但明显高于对照组。组间未见其他显著差异。微 CT 分析显示,试验组的骨-种植体接触(BIC)和小梁厚度明显高于对照组。试验组舌侧的首次 BIC 距离明显高于对照组。
本研究结果支持新型牙种植体系统和简化种植位点预备方案的安全性和有效性;应进行人体研究以证实这些发现。