华西口腔医学杂志

• 基础研究 • 上一篇    下一篇

阿仑膦酸钠对骨质疏松种植体骨结合影响的力学研究

李春艳1 周延民1 王林1 李艳秋1 付丽1 宫琳2   

  1. 1.吉林大学口腔医院种植中心, 长春130021; 2.北京航天中心医院口腔科, 北京100049
  • 收稿日期:2011-06-25 修回日期:2011-06-25 出版日期:2011-06-20 发布日期:2011-06-20
  • 通讯作者: 周延民,Tel:0431-88796025
  • 作者简介:李春艳(1976—),女,吉林人,主治医师,博士
  • 基金资助:

    教育部留学归国人员科研启动基金资助项目(教外司留2005383号)

Effect of Alendronate sodium on torque-out testing on implant-bone interfaces in estrogen-deficient rabbits with alendronate systemic administration

LI Chun-yan1, ZHOU Yan-min1, WANG Lin1, LI Yan-qiu1, FU Li1, GONG Lin2   

  1. 1. Implant Center, Stomatological Hospital of Jilin University, Changchun 130021, China; 2. Dept. of Stomatology, Central Hospital of China Aerospace Corporation, Beijing 100049, China
  • Received:2011-06-25 Revised:2011-06-25 Online:2011-06-20 Published:2011-06-20
  • Contact: ZHOU Yan-min,Tel:0431-88796025

摘要:

目的通过力学评估研究全身应用骨吸收抑制剂阿仑膦酸钠对骨质疏松模型种植体周围骨整合的影响。方法27只5月龄日本大耳白兔随机分成3组,每组9只:单纯卵巢切除组(OVX组),伪手术组(S组),卵巢切除加阿仑膦酸钠组(ALN组)。卵巢摘除后12周,双侧股骨远心端、胫骨近心端植入4枚种植钉,ALN组腹腔给予阿仑膦酸钠,OVX组和S组给予等量的生理盐水,分别在种植后当日、4、8、12周测量骨密度,4、8、12周分别处死动物,立即旋出种植钉,测定旋出力矩值。结果种植体植入8周后ALN组的胫骨密度接近S组,并且与OVX组有显著性差异(P<0.05);而12周时ALN组的胫骨和股骨密度都接近S组水平,与OVX组相比有显著性差异(P<0.05)。同时,8周时胫骨的旋出力矩值在ALN组已接近S组,并与OVX组有显著性差异(P<0.05);12周时,胫骨和股骨的旋出力矩值在ALN组已接近S组,并与OVX组有显著性差异(P<0.05)。结论阿仑膦酸钠的全身应用对骨质疏松种植体的骨结合具有显著的加强作用。

关键词: 骨性结合, 阿仑膦酸钠, 种植体, 旋出力矩

Abstract:

Objective To investigate the influence of systemic application of Alendronate sodium, a bone resorption inhibitor, on the osseointegration of implant-bone interface in estrogen-deficient rabbits through mechanical assessment. Methods 27 five-month-old Japanese white female rabbits were randomly divided into three groups(9 rabbits each group). An ovariectomy group(OVX), an ovariectomy and Alendronate sodium group(ALN) and a shamed- operated group(S). 12 weeks after operation, implants were installed into bilateral distal femurs and proximal tibias in each group. Alendronate sodium was administrated by intraperitoneal injection in ALN group; meanwhile equivalent of normal saline was administrated by intraperitoneal injection in OVX group and S group. Bone mineral density was measured right after the implant operation and also in 4, 8, 12 weeks. Torque-out values were measured in 4, 8, 12 weeks after animal sacrifice. Results Bone mineral density of tibias in ALN group was closed to S groupand was significantly different from OVX group(P<0.05) after 8 weeks. While after 12 weeks, the bone mineral density of tibias and femurs in ALN group was both closed to S group and was significantly different from OVX group(P<0.05). The torque-out values of tibias in ALN group were closed to S group and were significantly different from OVX group (P<0.05) after 8 weeks. After 12 weeks, the torque-out values of tibias and femurs in ALN group were both closed to S group and were significantly different from OVX group(P<0.05). Conclusion Systemic application of Alendronate sodium in osteoporosis rabbits can improve the bone-implant osseointegration significantly.

Key words: osseointegration, Alendronate sodium, implant, torque-out testing