种植体支抗受正畸力系作用后骨组织反应及其稳定性探究.docVIP

种植体支抗受正畸力系作用后骨组织反应及其稳定性探究 　 作者：李业荣， 梁翠云， 王大为 【关键词】 正畸力 摘 要：目的：本研究旨在探讨种植体支抗受正畸力力系作用后的稳定性,骨组织的反应及骨代谢的情况。方法：选用15只成年狗随机等量分为三组。G1组为水平力组，G2组为垂直力组，G3组为水平力+垂直力组。在狗的下颌骨种入Bra。nemark纯钛种植体，9周后施力，G1、G2组加力时间6周，G3组水平力作用时间6周，垂直力作用时间6周。分别进行临床肉眼观察及X线检查，同时进行放射性核元素骨显象，实验结束后宰杀动物，取标本送组织学检查。结果：①种植体受力后无移动；②X光线检查种植体一骨界面结合良好，达到骨性结合；③放射性核元素骨显象显示骨代谢活跃，在种植周围只要以成熟的成骨细胞为主。结论：种植体一骨界面能达到骨性结合，受到正畸力系作用下，能够提供足够的支抗。 　　关键词： 种植体； 正畸力； 稳定性； 骨性结合 　　Study Stability and Osseous Reaction of Implant Anchorage after Received Orthodontic Force 　　Abstract：Objective： Discuss stability,osseous reaction and metabolizability of implant anchorage affter received orthodontic force.Methods： 15 adult dogs were divided into 3 groups random. G1 is horizontal force group, G2 is vertical force group, G3 is horizontal+ vertical force group . Branemark pure titanium implant were implanted into the dog?s mandibular bone.Force was put on after 9 weeks, the force last 6 weeks for G1 and G2 groups.In G3 group, horizontal and vertical force last 6 weeks vertical severally. Naked eye observe,X-ray examination and osseous radioactive nucleon raster display were performed. After experimentation, the dogs were killed and the samples were sent to histology examination. Results: ①The implants did not move after receiving force. ②X-ray examination showed the interface of implant and bone have good osseointegration. ③ Osseous radioactive nucleon raster display showed active osseous metabolizability. Around the implant full of adult osteoblast . Conclusion : Interface of implant and bone have good osseointegration. It can provided sufficient anchorage for orthodontic force. 　　Key words: Implant； Orthodontic force； Stability； Osseointegration 　　种植体植入颌骨后与组织结合的情况，直接影响种植体的稳定性［1］。Bra-nemark于80年代初提骨性结合界面，发现在种植体―骨界面，种植体与骨连成整体［2，3］。有学者临床实践和动物实验中发现：钛种植体在受颊舌向近远中向及垂直向力后保持稳定不移位并能很好施行使支抗作用，他们认为钛种植体与骨直接接触形成骨合力是其作为正畸支抗的基础。然而关于种植支抗受正畸力后周围骨组织的变化，国外的研究结果不尽一致。在学者发现种植支抗的压力侧和张力侧界面组织学变化相同。种植体周围骨组织表面现出活跃的骨生长状态，表现为骨沉积，正畸力有利于种植体周围骨的生长；另有学者则发现种植体受力后周围无细胞反应。压力侧无骨吸收