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The Effect of Simplifying Dental Implant Drilling Sequence on Osseointegration: An Experimental Study in Dogs

机译:简化牙种植体钻孔顺序对骨整合的影响:犬的实验研究

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Objectives. To test the hypothesis that there would be no differences in osseointegration by reducing the number of drills for site preparation relative to conventional drilling sequence. Methods. Seventy-two implants were bilaterally placed in the tibia of 18 beagle dogs and remained for 1, 3, and 5 weeks. Thirty-six implants were 3.75mm in diameter and the other 36 were 4.2 mm. Half of the implants of each diameter were placed under a simplified technique (pilot drill + final diameter drill) and the other half were placed under conventional drilling wheremultiple drills of increasing diameter were utilized. After euthanisation, the bone-implant samples were processed and referred to histological analysis. Bone-to-implant contact (BIC) and bone-area-fraction occupancy (BAFO) were assessed. Statistical analyses were performed by GLM ANOVA at 95% level of significance considering implant diameter, time in vivo, and drilling procedure as independent variables and BIC and BAFO as the dependent variables. Results. Both techniques led to implant integration. No differences in BIC and BAFO were observed between drilling procedures as time elapsed in vivo. Conclusions.The simplified drilling protocol presented comparable osseointegration outcomes to the conventional protocol, which proved the initial hypothesis.
机译:目标。为了检验相对于常规钻孔顺序,减少现场准备钻头的数量,骨整合没有差异的假设。方法。将72个植入物双边放置在18只比格犬的胫骨中,并保持1、3和5周。 36个植入物的直径为3.75mm,其他36个为4.2mm。每个直径的植入物的一半置于简化技术下(先导钻+最终直径的钻头),另一半置于常规钻孔下,其中使用了多个直径不断增大的钻头。安乐死后,对骨植入物样品进行处理并进行组织学分析。评估了骨与种植体的接触(BIC)和骨面积分数的占用率(BAFO)。 GLM ANOVA在95%的显着性水平上进行了统计分析,其中考虑了植入物直径,体内时间和钻孔程序为自变量,而BIC和BAFO为因变量。结果。两种技术都导致植入物集成。随着体内时间的流逝,在钻孔程序之间未观察到BIC和BAFO的差异。结论:简化的钻探方案具有与传统方案相当的骨整合结果,证明了最初的假设。

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