牙种植体表面处理技术.pdfVIP

牙种植体表面处理技术 【摘要】目的探讨喷砂-酸蚀表面处理种植体的表面形貌、表面化学成分、骨植入组织 反应，探讨其用于临床的可行性。方法 采用Yole Medical 公司的表面处理工艺处理47 枚 Φ3.3×10mm 种植体，分别采用扫描电子显微镜（SEM）、X-射线光电子能谱仪（XPS）分析 种植体的表面形貌、表面化学成分；以 Straumann 的 SLA （Sand-blasted, Large grit, Acid-etched）同种规格的植体为参照组，采用骨植入的方式对比Yole Medical 和Straumann 种植体植入2、4、8、12 周骨再生情况,两种植体各观察期分别植入12、9、12、9 枚。采用 Image-Pro Plus 6.0 软件分析种植体周围骨-种植体结合率。结果 YOLE MEDICAL 处理的种 植体表面形成了多级的窝洞，直径为10-40 μm 的一级微坑中叠加2-4 μm 直径的二级微坑； 种植体表面仅含有Ti、O、C、N、Si 元素，未发现喷砂介质Al O ；Yole Medical 和Straumann 2 3 的SLA 处理种植体在不同植入时间具有相似的骨结合率，（P＜0.05），2、4、8、12 周的骨 结合率分别如下，永乐康健植体：44.91%、62.74%、71.82%、60.74%，Straumann 植体：44.83%、 64.24%、73.06%、60.91%，并且在8 周时二者都具有最大的骨结合率。结论 永乐康健表面 处理工艺能够在种植体表面形成良好的多级窝坑，适宜的表面粗糙度，表面清洁无杂质；Yole Medical 种植体和Straumann 种植体有相似的骨结合能力。 关键词 种植体 喷砂-酸蚀 骨-种植体结合率 Characterization and in vivo study of Sand-blasted and Acid-etched Dental Implant 【Abstract】Objectives To investigate the surface morphology, chemical compositions, and bone regeneration of YOLE MEDICAL dental implant, developed by Yole Medical. Methods 47 dental implants ( 3.3×10mm) were treated with YOLE MEDICAL technical. The surface morphology was observed with Scanning Electron Microscopy (SEM), chemical compositions were analyzed with X-ray Photoelectron Spectrometer (XPS), respectively. Bone regeneration at 2w, 4w, 8w and 12w of Yole Medical and Straumann’s SLA dental implant was studied through bone implantation in dog. 12pcs, 9pcs, 12 pcs, 9pcs, Yole Medical implants and Straumann implants were observed in different observation week. Image-Pro Plus 6.0 software was used to calculate bone-implant contact(BIC ). Results The SEM pictures show that hierarchical structure of cavities on the surface was produced by Yole Medical. The cavities with diameters 10–50μm completely are superposed by micro pores of about 2 to 4μm diameter. Only Ti、O、C、N