华西口腔医学杂志

• 基础研究 • 上一篇    下一篇

不同愈合期施加载荷对正畸微种植体稳定性影响的研究

单丽华1 周冠军1 栗兴超2 郄会1 董福生2   

  1. 1.河北医科大学第二医院口腔正畸科,石家庄 050000;2.河北医科大学口腔医院颌面外科,石家庄 050017
  • 出版日期:2013-12-01 发布日期:2013-12-01
  • 通讯作者: 董福生,Tel:0311-86266796
  • 作者简介:单丽华(1964—),女,山东人,教授,博士
  • 基金资助:

    河北省科技厅科技支撑基金资助项目(08276101D-4)

Mini-implant stability analysis at different healing times before loading

Shan Lihua1, Zhou Guanjun1, Li Xingchao2, Qie Hui1, Dong Fusheng2.   

  1. 1. Dept. of Orthodontics, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China; 2. Dept. of Oral and Maxillofacial Surgery, Hospital of Stomatology, Hebei Medical University, Shijiazhuang 050017, China
  • Online:2013-12-01 Published:2013-12-01

摘要:

 目的 探讨微种植体在不同愈合时间施加载荷的生物力学性能和稳定性。方法 将64枚微种植体以(12±1) N·cm扭力植入在8只Beagle犬的下颌牙槽骨上,实验组微种植体于植入后即刻及愈合1、3、8周时施加载荷0.98 N,持续10周,对照组不施加载荷,分别于植入后1、3、8、10周取材。测量两组微种植体的最大旋出扭力,以评价微种植体—骨界面结合强度,旋出微种植体用扫描电子显微镜观察微种植体—骨界面的形态。结果 实验组即刻载荷及愈合1、3、8周载荷的微种植体平均最大旋出扭力分别为4.10、4.25、2.42、4.42 N·cm,其中愈合3周的旋出扭力明显低于其他组(P<0.05);对照组愈合3周的旋出扭力亦明显低于其他组。实验组愈合3周微种植体的表面为编织骨样结构;而其他愈合时间施加载荷后,其表面多为板层骨样结构。结论 微种植体植入后3周左右为稳定性危险期,此时施加载荷不利于微种植体的稳定。临床应选择微种植体的功能愈合期,即植入后即刻,或愈合1、8周后进行适度加载。

关键词: 微种植体, 载荷, 骨整合, 旋出扭力

Abstract:

Objective  This study aims to biomechanically analyze a mini-implant at different healing times before loading. Methods  Sixty-four mini-implants with (12±1) N·cm insertion torque were placed in the low jaw of eight beagle dogs. The test mini-implants remained in the low jaw for 0, 1, 3, and 8 weeks of bone healing and for an additional 10 weeks under a force of 0.98 N. The unloaded control implants were further divided into four groups (1, 3, 8, and 10 weeks). Maximum removal torque (MRT) testing was performed to evaluate the interfacial share strength of each group. Surface analysis of the removed implants was performed by scanning electric microscope (SEM). Results  The MRT for the loading implants at 0, 1, 3, and 8 weeks of healing were 4.10, 4.25, 2.42, and 4.42 N·cm, respectively. During the healing process, the removal torque values of the 3-week implants were significantly lower than those of the other healing groups (P<0.05). The unloaded 3-week implants also had lower removal torques (P<0.05). The implant surface of the 3-week test group showed more fibrous bone. However, the other loading implants had more lamellar-like tissue. Conclusion  A stable dangerous period occurred approximately 3 weeks after mini-implant insertion. A 3-week healing is disadvantageous to the stability of the implant. Orthodontics loading occurred immediately or after 1 week as a function of the healing time. The 8-week implant appeared to have a positive effect on peri-implant bone remodeling and implant stability.

Key words: mini-implant,  loading,  osseointegration,  removal torque