Department of Esthetic, Plastic and Reconstructive Surgery, Faculty of Medicine.
Department of Periodontology, Faculty of Dentistry.
J Craniofac Surg. 2024 Oct 1;35(7):2184-2188. doi: 10.1097/SCS.0000000000010326. Epub 2024 May 23.
Allogeneic grafts can be preferred to autogenous grafts in plastic and oral-maxillofacial surgery for vertical and horizontal bone deficiencies. Implant surface properties are an important factor in osseointegration. This study aims to evaluate the osseointegration levels of titanium implants with machined, sand-blasted, and acid-etched (SLA) and resorbable blast material (RBM) surfaces placed together with allogeneic bone tissue transplantations obtained from the tibia bone using biomechanical method. Twenty-five female Sprague-Dawley rats were included in the study. The rats were divided into groups in which machined (n=7), SLA (n=7), and RBM (n=7) surface implants were placed with the transplantation of bone taken from the tibia. Four rats (both left and right tibias) were used as donors. Grafts and implants were surgically placed in the corticocancellous part of the metaphyseal area of the tibia bones of rats. At the end of the 4-week experimental setup, all rats were killed, and the implants and surrounding bone tissue were subjected to biomechanical reverse torque analysis (N/cm). Sand-blasted acid-etched surface implants were observed to have higher biomechanical osseointegration levels than RBM and machined surface implants ( P <0.05). No statistical difference could be detected between the RBM and machined surface implants ( P >0.05). On the basis of the limited results of this study, it can be concluded that the osseointegration levels of SLA surface implants placed with allogeneic bone transplantation may be better than those of machined and RBM surface implants.
同种异体移植物可在整形和口腔颌面外科中优于自体移植物,用于治疗垂直和水平骨缺损。种植体表面特性是骨整合的一个重要因素。本研究旨在使用生物力学方法评估与同种异体骨组织移植一起放置的机加工、喷砂酸蚀(SLA)和可吸收喷丸材料(RBM)表面的钛种植体的骨整合水平。将 25 只雌性 Sprague-Dawley 大鼠纳入研究。将大鼠分为机加工(n=7)、SLA(n=7)和 RBM(n=7)表面种植体组,每组均与取自胫骨的骨移植一起放置。4 只大鼠(左右胫骨各 2 只)用作供体。移植物和种植体被手术放置在大鼠胫骨骨干皮质松质区。在 4 周实验设置结束时,所有大鼠均被处死,将种植体和周围骨组织进行生物力学反向扭矩分析(N/cm)。与 RBM 和机加工表面种植体相比,喷砂酸蚀表面种植体观察到具有更高的生物力学骨整合水平(P<0.05)。RBM 和机加工表面种植体之间未检测到统计学差异(P>0.05)。基于本研究的有限结果,可以得出结论,与 RBM 和机加工表面种植体相比,同种异体骨移植中放置的 SLA 表面种植体的骨整合水平可能更好。