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羟基磷灰石涂层种植体骨愈合的实验研究

Histomorphometric Osseointegration Evaluation of Hydroxyapatite-coated and Non-coated Implants in Dogs

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【作者】 贺永信顾云峰曹海萍常程康毛大立

【Author】 HE Yong-xin1, GU Yun-feng2, CAO Hai-ping2, CHANG Cheng-kang3, MAO Da-li3.(1.Department of Dentistry, The Traditional Chinese Medical Hospital of Jiading District, Shanghai 201821;2.Oral and Maxillofacial Department, Tongji Hospital, Tongji University, Shanghai 200065;3.Open Laboratory of State Education Ministry for High Temperature Materials and High Temperature Tests, Shanghai Jiaotong University, Shanghai 200030, China)

【机构】 上海市嘉定区中医医院口腔科同济大学附属同济医院口腔颌面外科上海交通大学教育部高温材料及高温测试开放实验室上海交通大学教育部高温材料及高温测试开放实验室 上海201821上海200065上海200030上海200030

【摘要】 目的通过动物实验,研究涂覆烧结工艺技术研制的新型羟基磷灰石(HA)涂层种植体的骨愈合情况。方法将12颗钛种植体(6颗有HA涂层,6颗无涂层)植入6只成年杂种犬下颌骨内,分别饲养1、3、6个月,使种植体在无负荷的条件下愈合。标本进行大体观察、光镜组织学观察以及计算机定量组织形态学评价。结果两种种植体都能产生骨结合。有涂层的种植体新骨的产生和成熟都比无涂层的钛种植体更为迅速。术后1、3、6个月有涂层种植体的骨结合率分别为71.68%、86.81%、90.19%;无涂层种植体的骨结合率为53.26%、66.16%、68.72%,其间有显著性差异(P<0.01)。结论涂覆烧结工艺HA涂层骨内种植体能取得良好的骨结合,涂覆烧结工艺HA涂层能够很好地促进种植体的骨结合。

【Abstract】 Objective Some reports showed the benefits of dental implants coated with hydroxyapatite, while some other studies found no significant difference between HA-coated implants and non-coated implants.The present study was to examine the osseointegration of HA-coated and non-coated implants in dogs. Methods Twelve implants, 6 HA-coated and 6 non-coated were placed into mandibles of six dogs after teeth extraction. Animals were sacrificed after 1, 3, 6 months, respectively. Initial healing and the bone-implant interface were histomorphometrically assessed using light microscopy. Results All implants osseointegrated; however, the ingrowth and development of new bone tissue onto HA-coated implants surface were sooner than that of non-coated ones. The index of bone osseointegration of HA-coated implants was higher than that of non-coated ones. After 1,3,6 months the osseointegration of HA-coated implants were 71.68%, 86.81%, 90.19%; While the non-coated ones′were 53.26%, 66.16%, 68.72%. The differences of them were very significant. Conclusion HA-coated implants enhanced initial bone tissue ingrowth and development and thus benefited the osseointegration of implants.

【基金】 上海市科技启明星计划资助项目(98QE14031);同济大学附属同济医院科技基金项目(99H01);教育部骨干教师资助项目
  • 【文献出处】 上海口腔医学 ,Shanghai Journal of Stomatology , 编辑部邮箱 ,2002年04期
  • 【分类号】R783.1
  • 【被引频次】8
  • 【下载频次】169
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