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使用超声尖端去除折断的基台螺丝——一项体外热发展研究。

Removal of broken abutment screws using ultrasonic tip - a heat development in-vitro study.

机构信息

Research Center for Digital Technologies in Dentistry and CAD/CAM, Danube Private University, Steiner Landstraße 124, Krems, an der Donau, 3500, Austria.

出版信息

BMC Oral Health. 2024 Jan 2;24(1):2. doi: 10.1186/s12903-023-03654-z.

DOI:10.1186/s12903-023-03654-z
PMID:38166993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10762975/
Abstract

BACKGROUND

Dental implants can cause complications, including the loosening of the abutment screw or fracture. However, there is no standardized technique for removing broken abutment screws. This necessitates further research.

OBJECTIVE

This study aimed to measure heat generation during screw removal to better understand its implications for dental implant procedures.

MATERIAL AND METHODS

The experimental setup involved using synthetic bone blocks and titanium implants. An ultrasonically operated instrument tip was utilized for screw removal. Infrared thermometry was employed for accurate temperature measurement, considering factors such as emissivity and distance. Statistical analysis using linear regression and ANOVA was conducted.

RESULTS

The findings revealed an initial rapid temperature increase during the removal process, followed by a gradual decrease. The regression model demonstrated a strong correlation between time and temperature, indicating the heat generation pattern.

CONCLUSION

Heat generation during screw removal poses risks such as tissue damage and integration issues. Clinicians should minimize heat risks through an intermittent approach. The lack of a standardized technique requires further research and caution. Understanding the generated heat optimizes implant procedures.

摘要

背景

种植牙可能会引发并发症,包括基台螺丝松动或基台螺丝折断。但是,折断的基台螺丝取出目前还没有标准化的技术,这需要进一步的研究。

目的

本研究旨在测量螺丝取出过程中的产热情况,以便更好地了解其对种植牙手术的影响。

材料与方法

实验设置使用了合成骨块和钛种植体。采用超声驱动器械的工作尖来取出螺丝。考虑到发射率和距离等因素,使用红外测温技术进行精确的温度测量。采用线性回归和 ANOVA 进行统计分析。

结果

研究结果显示,在螺丝取出过程中,温度会先快速升高,然后逐渐降低。回归模型表明,时间和温度之间存在很强的相关性,反映了产热模式。

结论

螺丝取出过程中的产热会带来组织损伤和整合问题等风险。临床医生应通过间歇性方法将热风险最小化。由于缺乏标准化的技术,因此需要进一步研究和谨慎操作。了解产生的热量可以优化种植牙手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbf5/10762975/5db551c56e1d/12903_2023_3654_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbf5/10762975/91ce065d4f9d/12903_2023_3654_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbf5/10762975/ebea066eaf5f/12903_2023_3654_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbf5/10762975/be78adfe9188/12903_2023_3654_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbf5/10762975/5db551c56e1d/12903_2023_3654_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbf5/10762975/91ce065d4f9d/12903_2023_3654_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbf5/10762975/ebea066eaf5f/12903_2023_3654_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbf5/10762975/be78adfe9188/12903_2023_3654_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbf5/10762975/5db551c56e1d/12903_2023_3654_Fig4_HTML.jpg

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本文引用的文献

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Retrieval of Fractured Implant Abutment Screws: A Narrative Review.折断种植体基台螺钉的取出:一篇叙述性综述。
J Int Soc Prev Community Dent. 2022 Jun 29;12(3):287-294. doi: 10.4103/jispcd.JISPCD_318_21. eCollection 2022 May-Jun.
2
Management of perishing implants with abutment screw fracture - A systematic review.带基台螺丝断裂的种植体失败的处理 - 一项系统性回顾。
J Indian Prosthodont Soc. 2021 Jul-Sep;21(3):229-239. doi: 10.4103/jips.jips_295_20.
3
In-vitro fatigue and fracture performance of three different ferrulized implant connections used in fixed prosthesis.
用于固定修复体的三种不同铁素体化种植体连接的体外疲劳和断裂性能
J Dent Sci. 2021 Jan;16(1):397-403. doi: 10.1016/j.jds.2020.08.002. Epub 2020 Aug 27.
4
Temperature Threshold Values of Bone Necrosis for Thermo-Explantation of Dental Implants-A Systematic Review on Preclinical In Vivo Research.牙种植体热拔除术骨坏死的温度阈值——一项关于临床前体内研究的系统评价
Materials (Basel). 2020 Aug 6;13(16):3461. doi: 10.3390/ma13163461.
5
Clinical study on screw loosening in dental implant prostheses: a 6-year retrospective study.牙种植修复体中螺钉松动的临床研究:一项6年回顾性研究。
J Korean Assoc Oral Maxillofac Surg. 2020 Apr 30;46(2):133-142. doi: 10.5125/jkaoms.2020.46.2.133.
6
In vitro comparison of the efficacy of two fractured implant-prosthesis screw extraction methods: Conventional versus mechanical.两种骨折种植体-假体螺钉取出方法的体外疗效比较:常规与机械。
J Prosthet Dent. 2020 Dec;124(6):720-726. doi: 10.1016/j.prosdent.2019.10.014. Epub 2020 Jan 25.
7
Using the screw shank as a retrieval tool: A straightforward approach to removing screws with diagonal fractures.使用螺钉杆作为取出工具:一种处理伴有斜形骨折螺钉取出的直接方法。
J Prosthet Dent. 2020 Mar;123(3):535-536. doi: 10.1016/j.prosdent.2019.12.003. Epub 2020 Jan 15.
8
Mechanism of and factors associated with the loosening of the implant abutment screw: A review.种植体基台螺钉松动的机制及相关因素:综述。
J Esthet Restor Dent. 2019 Jul;31(4):338-345. doi: 10.1111/jerd.12494. Epub 2019 May 31.
9
Incidence of abutment screw failure of single or splinted implant prostheses: A review and update on current clinical status.单颗或桥接式种植体修复体基台螺丝失败的发生率:当前临床状况的回顾与更新。
J Oral Rehabil. 2019 Aug;46(8):776-786. doi: 10.1111/joor.12817. Epub 2019 May 22.
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A technique to retrieve a fractured implant abutment screw by using a screwdriver fashioned from a needle.一种使用由针制成的螺丝刀取出折断的种植体基台螺钉的技术。
J Prosthet Dent. 2019 Apr;121(4):709-710. doi: 10.1016/j.prosdent.2019.01.001. Epub 2019 Mar 14.