›› 2015, Vol. 35 ›› Issue (3): 201-204.

• 临床研究 • 上一篇    下一篇

不同植入扭矩对种植体骨结合影响的临床初步探究

黄丞蔚1,徐世同1,杨晓喻1,杨涛2   

  1. 1. 南方医科大学附属广东省口腔医院种植中心
    2. 广东省口腔医院7楼口腔种植中心
  • 收稿日期:2014-09-15 修回日期:2014-10-30 出版日期:2015-03-28 发布日期:2015-03-30
  • 通讯作者: 黄丞蔚 E-mail:420788482@qq.com

Study the effects of insertion torque on implant osteointegration

  • Received:2014-09-15 Revised:2014-10-30 Online:2015-03-28 Published:2015-03-30
  • Contact: Cheng-Wei Huang E-mail:420788482@qq.com

摘要: [摘要]目的:比较临床条件下,利用共振频率分析仪(RFA:Resonance Frequency Analysis)观察不同的种植体植入扭矩值对不同时间点种植体稳定性以及骨结合效果影响的调查性研究。方法: 根据纳入及排除标准选择牙列缺损成年患者49名,共植入86颗种植体,手术由同一高年资种植科医生操作完成。根据种植体植入就位后的所测最终扭矩值(Itv:Insertion torque value)进行分组:A低扭矩组,Itv0~15Ncm;B中扭矩组,Itv16~35Ncm;C高扭矩组,Itv>36~50Ncm. 利用RFA分别对种植即刻、术后8周、术后12周的稳定指数进行测量分析,比较组内以及不同组间不同时间点种植体稳定性以及骨结合效果的差异。结果:1、同即刻种植时间点的测量结果相比,所有组的术后8周以及12周ISQ值均比即刻ISQ值高。2、同即刻种植时间点相比, 低扭矩组第8周ISQ值增加幅度最大;但是,各个实验组间第8周ISQ值无明显差异。3、同一组内随着种植体植入时间延长ISQ呈上升趋势;不同扭矩值组间第8周、第12周时间点ISQ值均无明显差异。结论: 种植体植入8周以内是形成良好的种植体骨结合的关键时期;不同的种植体植入扭矩值对于8周以后的骨结合效果影响差异不显著。

关键词: 骨结合, 稳定系数, 植入扭矩, 共振频率, 牙种植体

Abstract: OBJECTIVE: To study the effect of different Insertion torque values on implant stability and osseointegration by using the means of Resonance Frequency Analysis. MATERIAL AND METHODS: 49 patients were chosen randomly according to the following standards, with 86 screws implanted. Furthermore, the same experienced clinician finished all surgeries. All implants were divided into three groups based on the insertion torque values: Group A, Itv0~15Ncm; Group B,Itv20~40Ncm;Group C,Itv>40Ncm. The dental implant stability was measured to evaluate the osteointegration by Resonance frequency analysis when implants were placed immediately and at the time point of 8 weeks and 12 weeks after the surgeries. RESULTS: 1.Compared with the ISQ measured immediately after the surgery, all the values of ISQ at the time points of 8 weeks and 12 weeks after the surgeries were higher. 2.The ISQ at the 8 week time point of Group A showed the most obvious increase; while there was no significant difference among the three groups. 3.The ISQ values showed no significant difference between the 8-week time point and the 12-week time point in all three groups. Conclusion: The 8-week time point is a critical time for implants healing to develop a high- quality osseointegration. What is more, there was no obvious difference that has been observed of the osseointegration at the 8-week time point when ISQ changed among the groups.

Key words: osseointegration, ISQ, insert torque, Resonance Frequency Analysis, Implants