平台转换技术对种植体-骨界面影响的组织学观察.pdfVIP

平台转换技术对种植体-骨界面影响的 组织学观察 徐普 谈顺 邢璐 毛小泉 杨玄 黄华凡 [摘要] 目的 观察种植牙即刻负重时平台转换技术对种植体-骨界面的影响。方法 比格犬 5只，拔除下颌双侧第四前磨牙，3个月后植入10枚种植体并即刻接入基台形成即刻负重。采用自身 对照，实验侧5枚种植体采用平台转换设计基台，对照侧5枚种植体采用传统基台。种植体植入3个 月后处死实验动物，制作不脱钙种植体-骨组织磨片后组织学观察。结果 除1只动物(2枚种植体) 即刻负重失败，余4只动物(8枚种植体)的种植体-骨界面骨结合良好，可见大量成骨细胞与矿化程 度不等的骨组织。实验侧种植体颈部骨质与种植体颈部基本平齐，对照侧种植体颈部出现明显骨吸 收。结论 即刻负重种植修复时，不同的上部结构对种植体颈部骨结合有明显影响，平台转换技术有 利于种植体颈部的骨组织保存。 牙种植； 即刻负重；平台转换技术 Histologicalobservationofimplant-boneinterfaceinimmediateloadingimplantwithplatform switching XUPu TANShunXINGLuMAOXiao-quan YANGXuanHUANGHua-fan Stomatology Center,AffiliateHaikouHospitalofCentralSouthUniversityXiangyaMedicalSchoolHainanProvincial StomatologyCenter,Haikou570208,China [Abstract] Objective Toinvestigatetheeffectofimplantsuperstructurewithplatformswitchingto theosseointegrationofimplant-boneinterfaceinimmediateloading. Methods Thebilateralmandiblular fourthpremolarsof5beagledogswereextracted,and3monthslater,10implantswereimplantedandthe abutmentswereaccessedimmediatelytoformimmediateloading. Usingself-control,theabutmentwith platformswitchingwasusedintheexperimentalside,andthetraditionalabutmentusedinthecontrolside. Theexperimentalanimalsweresacrificedafter3months,andnon-decalcifiedimplant-bonesectionswere made.Results Afavorableosseointegrationofimplant-boneinterfacein4animals(8implants)was observedexceptforonefailedcase. Alargenumberofosteoblastsanddifferentmineralizedbonewere observed.Inexperimentalside,theboneandimplant-neckwerenearlyinthesamelevel,butthebone aroundtheimplant-neckwassignificantlyabsorbedincontrolside. Conclusions Usingdifferent superstructureinimmediateloadingcouldaffecttheosseointegrationofimplant-neck.Theplatformswitching technologyisconducivetothekeepingofimplant-neckbone. Dentalimplantation; Immediateloading; Platformswitching 10.3760/cma.j.issn.1002-0098.2011.12.015 海南省2008年度重点科技项目计划(080217) 作者单位：570208海口，中南大学湘雅医学院附属海口医院口 腔中心 ·海南省口腔医学中心(徐普、毛小泉、杨玄、黄华凡)