[使用各种技术将"经典"和"活性"线程放置在低密度骨中的牙科植入物扭矩和初级稳定性值的比较特征]
B A Kudzaev1, V A Badalyan1,2, E M Chernovol3
1Central Research Institute of Dentistry and Maxillofacial Surgery, Moscow, Russia.
概括
与标准方法相比,骨密度缩小显著提高了牙植入物稳定性和低密度骨的扭矩. 建议对具有非攻击性线设计的植入物进行谨慎使用.
科学领域:
- 牙科植入物学 牙科植入物学
- 生物材料工程 生物材料工程
- 手术技巧 手术技巧
背景情况:
- 低密度的骨在实现初级牙植入物稳定性方面存在挑战.
- 在骨质质量受损的情况下,传统的骨切除术准备可能无法优化植入物集成.
研究的目的:
- 分析和比较牙科植入物的扭矩和初级稳定性与经典和活性线程.
- 为了评估标准骨切除术与低密度骨的骨质强化疗法的疗效.
主要方法:
- 用古典和活线的牙植入物被放置在猪胸骨 (低密度骨模型) 中.
- 建立了两个小组:使用切削钻的标准骨切除术和骨缩.
- 植入扭矩和植入稳定率 (ISQ) 用物理分配器和奥斯泰尔信标测量.
主要成果:
- 与标准协议相比,骨凝固显著增加了经典和活性线程植入器的扭矩和ISQ值.
- 随着骨密度的增加,中位扭矩值显著增加 (例如,44N/cm与15N/cm).
- 此外,ISQ值也显示了骨密度的显著改善 (例如,经典线程的78对69).
结论:
- 骨凝固方法比标准制备方案更有效,可以改善牙植入物在低密度骨中的稳定性.
- 建议在使用具有经典,非攻击性宏观设计的植入物进行骨质强化时谨慎使用,以避免超扭矩.
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