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使用3D打印生物活性玻璃支架重建严重萎缩牙槽嵴延迟种植的动物实验研究:一项初步研究。

Animal Experimental Study on Delayed Implantation in a Severely Atrophic Alveolar Ridge Reconstructed Using a 3D-Printed Bioactive Glass Scaffold: A Pilot Study.

作者信息

Deng Lei, Ai Liya, Li Runxu, Xu Wusheng, Zheng Lingling, Wang Chao, Huang Haitao

机构信息

Department of Stomatology, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China.

Key Laboratory of Biomechanics and Mechanobiology, Ministry of Education, Beijing Advanced Innovation Center for Biomedical Engineering, School of Biological Science and Medical Engineering, School of Engineering Medicine, Beihang University, No. 37, Xueyuan Road, Beijing 100083, China.

出版信息

J Funct Biomater. 2025 May 13;16(5):176. doi: 10.3390/jfb16050176.

DOI:10.3390/jfb16050176
PMID:40422840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12112221/
Abstract

In this study, a scaffold was designed using 3-Matic software 12.0 (Materialise, Leuven, Belgium) and fabricated via Digital Light Processing (DLP) 3D printing technology, followed by a mechanical property evaluation. The scaffold was bilaterally implanted into mandibular bone defect models in four Beagle dogs to facilitate guided alveolar bone regeneration. After 12 weeks, samples were harvested from two dogs for radiographic and histopathological evaluations. In the remaining two dogs, two dental implants were placed into the scaffold sites. After an additional 12 weeks, samples were harvested for further radiographic and histopathological assessments. (1) Compression testing of the scaffold demonstrated a compressive strength of 24.77 ± 2.36 MPa. (2) Three of the implantation sites exhibited poor wound healing and exposure of the bone grafts early post-surgery (4 weeks), with an exposure rate of 37.5%. (3) Micro-CT imaging revealed a uniform distribution of newly formed bone within the scaffold, with an average bone height of 4.05 ± 0.55 mm and a bone volume fraction of 43.93 ± 4.68%. Histopathological analysis demonstrated the presence of vascularized tissue, non-calcified bone, and newly calcified bone within the scaffold. Additionally, newly formed calcified bone and vascularized tissue were observed at the interface between the implant and the scaffold. These findings suggest that DLP 3D-printed A-W bioactive glass scaffolds represent a promising approach for guided alveolar bone regeneration in dental implant applications.

摘要

在本研究中,使用3-Matic软件12.0(Materialise,比利时鲁汶)设计了一种支架,并通过数字光处理(DLP)3D打印技术制造,随后进行力学性能评估。将该支架双侧植入4只比格犬的下颌骨缺损模型中,以促进引导性牙槽骨再生。12周后,从2只犬身上采集样本进行影像学和组织病理学评估。在其余2只犬中,在支架部位植入2颗牙种植体。再过122周周后,采集样本进行进一步的影像学和组织病理学评估。(1)支架的压缩测试显示抗压强度为24.77±2.36MPa。(2)3个植入部位在术后早期(4周)伤口愈合不良且骨移植暴露,暴露率为37.5%。(3)显微CT成像显示支架内新形成的骨分布均匀,平均骨高度为4.05±0.55mm,骨体积分数为43.93±4.68%。组织病理学分析表明支架内存在血管化组织、未钙化骨和新钙化骨。此外,在种植体与支架的界面处观察到新形成的钙化骨和血管化组织。这些发现表明,DLP 3D打印的A-W生物活性玻璃支架是牙种植应用中引导性牙槽骨再生的一种有前景的方法。

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本文引用的文献

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Fused Deposition Modeling 3D-Printed Scaffolds for Bone Tissue Engineering Applications: A Review.熔融沉积成型 3D 打印支架在骨组织工程应用中的研究进展:综述
Ann Biomed Eng. 2024 May;52(5):1184-1194. doi: 10.1007/s10439-024-03479-z. Epub 2024 Feb 28.
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Aluminium Matrix Composite Materials Reinforced by 3D-Printed Ceramic Preforms.由3D打印陶瓷预制件增强的铝基复合材料
Materials (Basel). 2023 Aug 4;16(15):5473. doi: 10.3390/ma16155473.
3
Effectiveness of biomechanically stable pergola-like additively manufactured scaffold for extraskeletal vertical bone augmentation.
用于体外垂直骨增量的生物力学稳定的藤架状增材制造支架的有效性
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Clinical outcomes of dental implants in patients with and without history of periodontitis: A 20-year prospective study.牙周炎病史对种植牙临床效果的影响:一项为期 20 年的前瞻性研究。
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Polyetheretherketone (PEEK) Implant for the Reconstruction of Severe Destruction in the Maxilla: Case Report.聚醚醚酮(PEEK)植入物用于上颌骨严重缺损重建:病例报告
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High resolution DLP stereolithography to fabricate biocompatible hydroxyapatite structures that support osteogenesis.采用高分辨率 DLP 立体光刻技术制造支持成骨的生物相容性羟基磷灰石结构。
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Long-Term Treatment Outcomes of Implant Prostheses in Partially and Totally Edentulous Patients.部分无牙颌和全口无牙颌患者种植修复体的长期治疗效果
Materials (Basel). 2022 Jul 14;15(14):4910. doi: 10.3390/ma15144910.
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Biomechanical Effects of 3D-Printed Bioceramic Scaffolds With Porous Gradient Structures on the Regeneration of Alveolar Bone Defect: A Comprehensive Study.具有多孔梯度结构的3D打印生物陶瓷支架对牙槽骨缺损再生的生物力学效应:一项综合研究。
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