Klein I E
J Prosthet Dent. 1975 Apr;33(4):365-79. doi: 10.1016/s0022-3913(75)80032-1.
The use of the hormone, thyrocalcitonin, has been shown to change the bone metabolism so that resorption is decreased and calcium increased. The growth hormone seems to add to bone mass and indirectly prevents resorption. The combination of growth hormone and calcitonin seems to cause an unusual amount of resorption. This research has shown that metallic endosteal blade implants are not automatically successful even in short spans with additional support from two abutment teeth. It is true that the type of occlusion of the squirrel monkey is different from that of man, but the prosthetic devices that were placed in these animals can be validly compared to similar devices placed in man. While the hygiene cannot be practiced effectively by the animal, the psychogenic and emotional problems of man offset this disadvantage. Also, the diet of the monkey is not as traumatic to a prosthesis as is man's. Two of the most important criteria for implant success have not proved satisfactory: (1) no pocket depth beyond 3 mm. and (2) negative radiographic pathosis around the implant. While this study was not meant to be one of criticism or evaluation of metallic implants, it should be noted that thyrocalcitonin and the growth hormone, individually used, played an important part in retarding bone resorption around the blade. Autogenous bone grafts for residual alveolar ridge restoration often fail due to rapid osseous resorption and volume loss. The maintenance of osseous elements in the autogenous bone grafts when calcitonin had been administered was quite revealing. This might be the chemotherapeutic basis for the many conditions involving bone that dentists are called upon to treat.
已证明使用激素甲状腺降钙素可改变骨代谢,从而减少骨吸收并增加钙含量。生长激素似乎能增加骨量并间接防止骨吸收。生长激素和降钙素的联合使用似乎会导致异常大量的骨吸收。这项研究表明,即使在有两颗基牙额外支持的短跨度情况下,金属骨内刀片植入物也并非自动成功。松鼠猴的咬合类型确实与人类不同,但放置在这些动物体内的修复装置可以与放置在人类体内的类似装置进行有效比较。虽然动物无法有效地保持卫生,但人类的心理和情感问题弥补了这一缺点。此外,猴子的饮食对假体造成的损伤不如人类的大。植入成功的两个最重要标准并不令人满意:(1)牙周袋深度不超过3毫米;(2)植入物周围X线片显示无病变。虽然这项研究并非旨在对金属植入物进行批评或评估,但应注意到,单独使用甲状腺降钙素和生长激素在延缓刀片周围的骨吸收方面发挥了重要作用。用于剩余牙槽嵴修复的自体骨移植常常由于骨快速吸收和体积丧失而失败。给予降钙素后自体骨移植中骨成分的维持情况很有启发性。这可能是牙医被要求治疗的许多涉及骨骼疾病的化疗基础。