植入物稳定性的时间依赖性变化和临床参数的影响:基于共振频率分析的12周研究
Sarper Tan1, Nuray Bayrakçi1, Aydın Onur Gerçek1
1Hacettepe University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Ankara, Turkey.
Journal of stomatology, oral and maxillofacial surgery
|September 14, 2025
概括
高插入扭矩预测了牙植入物早期的稳定性. 通过共振频率分析 (RFA) 测量植入物稳定性,在愈合过程中显示出动态变化,方向特定的测量提供了有价值的临床见解.
科学领域:
- 牙科植入物学 牙科植入物学
- 生物材料科学 生物材料科学
- 生物医学工程 生物医学工程
背景情况:
- 评估牙植入物的稳定性对于成功的骨整合至关重要.
- 共振频率分析 (RFA) 使用植入物稳定系数 (ISQ) 测量植入物稳定性.
- 了解影响早期植入物稳定性的因素是临床决策的关键.
研究的目的:
- 评估插入扭矩和临床因素如何影响12周内植入物稳定性的方向变化.
- 使用RFA分析植入物稳定性的动态模式.
- 为了确定插入扭矩对早期植入物稳定性的预测值.
主要方法:
- 对36名患者的82个植入物进行了回顾性分析.
- 在多个时间点记录了口舌 (BL) 和半径 (MD) 方向的插入扭矩和ISQ.
- 在各种临床参数中比较ISQ趋势,例如植入物直径,形状,长度和患者性别.
主要成果:
- ISQ值表现出一个时间依赖的模式:在第1周增加,在第4周下降,在第12周反弹.
- 更高的插入扭矩 (≥35Ncm) 与更高的ISQ值相关.
- 特定方向的ISQ变化具有统计学意义 (p < 0.05);植入物直径和性别具有轻微影响.
结论:
- 插入扭矩是早期牙植入物稳定性的重要预测因素.
- 特定方向的RFA为愈合过程中的动态稳定性变化提供了宝贵的见解.
- 结合插入扭矩和RFA,可以提高牙科植入物的临床监测.
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