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愈合时间对微型种植体支抗稳定性的影响
引用本文:冯贻苗,娄新田,房兵,吴勇,毛丽霞,江凌勇,夏韫辉,马志贵. 愈合时间对微型种植体支抗稳定性的影响[J]. 中国口腔颌面外科杂志, 2010, 8(1): 73-78
作者姓名:冯贻苗  娄新田  房兵  吴勇  毛丽霞  江凌勇  夏韫辉  马志贵
作者单位:1. 浙江大学医学院附属第二医院,口腔科,浙江,杭州,310009
2. 上海市浦南医院,口腔科,上海,200125
3. 上海交通大学附属第九人民医院·口腔医学院,口腔颌面外科正畸正颌治疗中心,上海市口腔医学研究所,上海,200011
摘    要:目的:研究在相同力值牵引下,愈合时间对微型种植体支抗稳定性的影响。方法:在8只Beagle犬上颌根间牙槽骨中植入49颗微型种植体支抗,分别在即刻负载、愈合2周、愈合4周、愈合12周后施以150g水平牵引力,定期注射荧光标志物,负载2个月后处死动物。制作种植体-骨的不脱钙硬组织切片.进行荧光显微镜观察、组织形态学测量和推出试验。采用SAS6.12软件包中的单因素方差分析和SNK法分析各组间差异,相关性分析BIC、BSA值与生物力学性能参数的相关性。结果:4组标本的骨结合百分率(bone—to—implant contaet,BIC)和骨充填率(bone stlrface area,BSA)分别为(46.6±2.72)%、(44.08±3.62)%、(17.07±0.63)%、(32.85±3.01)%及(66.39±2.94)%、(64.96±5.11)%、(36.82±0.08)%、(70.33±4.07)%。愈合4周与其他3组之间均有显著性差异。4组标本种植体-骨界面的最大剪切力分别是(270.4±20.36)N、(270.4±6.97)N、(105.8±3.73)N、(335.07±17.22)N。愈合12周组与其他3组之间均有显著性差异。种植体-骨界面的总吸收能量情况与最大剪切力相似。微型种植体的生物力学性能与BSA的相关系数显著高于其与BIC的相关系数(心0.051。结论:愈合12周是一个较为理想的负载前愈合时间。即刻负载和愈合2周负载也可以接受,但必须注意种植体的即刻固位和即刻稳定性。而愈合4周负载则不利于种植体的稳定。

关 键 词:愈合时间  微型种植体支抗  骨整合  稳定性

The impact of heeling time on the stability of mini-screw implant anchorage
FENG Yi-miao,LOU Xin-tian,FANG Bing,WU Yong,MAO Li-xia,JIANG Ling-yong,XIA Yun-hui,MA Zhi-gui. The impact of heeling time on the stability of mini-screw implant anchorage[J]. China Journal of Oral and Maxillofacial Surgery, 2010, 8(1): 73-78
Authors:FENG Yi-miao  LOU Xin-tian  FANG Bing  WU Yong  MAO Li-xia  JIANG Ling-yong  XIA Yun-hui  MA Zhi-gui
Affiliation:1.Department of Stomatology, The Second Affiliated Hospital of Medical School of Zhejiang University. Hangzhou 310009, Zhejiang Province; 2.Department of Stomatology, Shanghai Punan Hospital. Shanghai 200125; 3.Department of Oral Maxillofacial Surgery ,College of Stomatology, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine,Shanghai Research Institute of Stomatology.Shanghai 200011, China)
Abstract:PURPOSE:To study the impact of heeling time on the stability of mini-screw implant anchorage by identical loading forces.METHODS:49 mini-screw implants were implanted in the maxillary alveolar bone between the dental roots in 8 Beagle dogs.After heeling 0 week,two weeks,four weeks,twelve weeks,150g forces were loaded and fluorochromes were injected.After two months,the animals were sacrificed and their maxillary alveolar bones were dissected and prepared for fluorescent observation,histomorphometric evaluat...
Keywords:Heeling time  Mini-screw implant anchorage  MIA  Osteointegration  Stability  
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