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In Vivo Evaluation of Immediately Loaded Stainless Steel and Titanium Orthodontic Screws in a Growing Bone

机译:骨骼中即刻加载的不锈钢和钛正畸螺钉的体内评估

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摘要

The present work intends to evaluate the use of immediate loaded orthodontic screws in a growing model, and to study the specific bone response. Thirty-two screws (half of stainless steel and half of titanium) were inserted in the alveolar bone of 8 growing pigs. The devices were immediately loaded with a 100 g orthodontic force. Two loading periods were assessed: 4 and 12 weeks. Both systems of screws were clinically assessed. Histological observations and histomorphometric analysis evaluated the percent of “bone-to-implant contact” and static and dynamic bone parameters in the vicinity of the devices (test zone) and in a bone area located 1.5 cm posterior to the devices (control zone). Both systems exhibit similar responses for the survival rate; 87.5% and 81.3% for stainless steel and titanium respectively (p = 0.64; 4-week period), and 62.5% and 50.0% for stainless steel and titanium respectively (p = 0.09; 12-week period). No significant differences between the devices were found regarding the percent of “bone-to-implant contact” (p = 0.1) or the static and dynamic bone parameters. However, the 5% threshold of “bone-to-implant contact” was obtained after 4 weeks with the stainless steel devices, leading to increased survival rate values. Bone in the vicinity of the miniscrew implants showed evidence of a significant increase in bone trabecular thickness when compared to bone in the control zone (p = 0.05). In our study, it is likely that increased trabecular thickness is a way for low density bone to respond to the stress induced by loading.
机译:本工作旨在评估在生长模型中立即使用正畸螺钉的用途,并研究特定的骨骼反应。将32颗螺钉(不锈钢的一半和钛的一半)插入8头生长猪的牙槽骨中。立即向设备加载100 g正畸力。评估了两个加载时间:4周和12周。两种螺钉系统都经过了临床评估。组织学观察和组织形态学分析评估了器械附近(测试区)和器械后1.5厘米(控制区)的骨区域中“骨与植入物接触”的百分比以及静态和动态的骨参数。两种系统对存活率的反应相似。不锈钢和钛分别为87.5%和81.3%(p = 0.64; 4周),不锈钢和钛分别为62.5%和50.0%(p = 0.09; 12周)。在“骨与植入物的接触”百分比(p = 0.1)或静态和动态骨骼参数方面,设备之间没有发现显着差异。但是,使用不锈钢器械4周后,“骨与植入物接触”的阈值达到5%,从而提高了生存率。与对照区的骨相比,微螺钉植入物附近的骨显示出骨小梁厚度显着增加的证据(p = 0.05)。在我们的研究中,增加小梁厚度可能是低密度骨对负荷所引起的压力作出反应的一种方式。

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