Glatzmaier J, Wehrbein H, Diedrich P
Poliklinik für Kieferorthopädie, Universität München.
Fortschr Kieferorthop. 1995 May;56(3):175-81. doi: 10.1007/BF02276634.
The use of endosseous implants as temporary orthodontic anchoring elements has proven itself to be efficacious in many clinical applications. If, however, an implant is inserted into the jaw solely to correct a malocclusion without being used subsequently for prosthetic purposes, secondary surgery is required to remove the anchoring implant. The development of an orthodontic implant anchor system consisting of an implant made of biodegradable polylactide with a metal abutment may offer a solution to this problem. On the basis of its good mechanical properties, the BIOS implant system (bioresorbable implant anchor for orthodontics system) presented here is designed to assume orthodontic anchoring functions as long as necessary and then be resorbed by hydrolysis without foreign body reactions. Shear strength and maximum vertical strength were measured in biomechanical in vitro tests in which BIOS fixtures can be loaded with horizontal shear forces of 50 N with a mean deflection of 0.26 mm and mean vertical pull-off forces of 155 N. In a clinical case report the application of the BIOS implant system during orthodontic tooth movement is here illustrated. In vitro and in vivo results obtained to date suggest that the BIOS implant system can be used as an orthodontic anchoring system up to the time of degradation.
在许多临床应用中,骨内种植体作为临时正畸锚固元件已被证明是有效的。然而,如果种植体仅为矫正错牙合而植入颌骨,随后不用于修复目的,则需要进行二次手术以取出锚固种植体。由具有金属基台的可生物降解聚丙交酯制成的种植体组成的正畸种植体锚固系统的开发可能为解决这一问题提供方案。基于其良好的机械性能,本文介绍的BIOS种植体系统(正畸用生物可吸收种植体锚固系统)旨在在必要时长时间承担正畸锚固功能,然后通过水解被吸收,而不会产生异物反应。在生物力学体外测试中测量了剪切强度和最大垂直强度,在该测试中,BIOS固定装置可承受50 N的水平剪切力,平均挠度为0.26 mm,平均垂直拔出力为155 N。在一份临床病例报告中,展示了BIOS种植体系统在正畸牙齿移动过程中的应用。迄今为止获得的体外和体内结果表明,BIOS种植体系统在降解前可用作正畸锚固系统。