用共振频率分析方法研究牙种植体在牙槽嵴缺损骨成形术中的应用效果

Novikov S.V.
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引用次数: 0

摘要

在全无牙患者的骨科康复中,种植体作为骨内人工固定物的使用是经常需要的;放置义齿需要足够数量的骨组织,由于生理性骨质流失、长期佩戴全口义齿、义齿持续时间长以及颌面部损伤或一般躯体疾病引起的复杂临床情况,很多情况下骨组织不足。在上述情况下,种植体的放置需要通过骨成形术及时准备缺损的牙槽嵴。反过来,新形成的再生骨由于其组织学、物理力学和结构功能特性只能接近受体骨组织;因此,种植体骨整合及其在再生骨中的功能负荷问题仍然存在争议。本研究采用频率共振分析的方法,显示种植体稳定系数数值等于ISQ(种植体稳定商)值,反映种植体骨内部分骨整合面积的百分比。通过频率共振分析获得的研究结果证明,随着种植体使用的及时开始和足够的功能负荷,ISQ值增加,即种植体放置在再生骨中的骨内部分沿界面的骨融合面积增加。已经提出了反映使用各种形式的自体骨移植物进行骨增强植入后12个月ISQ值的比较研究结果;因此,可以得出结论,在功能性咀嚼负荷条件下的骨整合与自体骨移植物的形状和大小有直接的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
RESULTS OF DENTAL IMPLANTS RESEARCH BY MEANS OF RESONANCE FREQUENCY ANALYSIS IN PATIENTS WITH OSTEOPLASTIC SURGERY PERFORMED FOR AUGMENTATION OF DEFICIENT ALVEOLAR RIDGE
The use of dental implants being the intraosseous artificial fixtures is often required for orthopedic rehabilitation of completely edentulous patients; for their placement, adequate amount of bone tissue is needed, which in many cases is insufficient due to physiological bone loss, long-term wearing of full dentures, the duration of edentulism and complex clinical situations caused by maxillofacial injuries or general somatic diseases. Implant placement in the above situations requires timely preparation of deficient alveolar ridge by means of osteoplastic surgery. In its turn, the newly formed regenerated bone by its histological, physicomechanical and structural-functional properties can only approach the recipient bone tissue; therefore, the issue of implant osseointegration and its functional loading in regenerated bone remains debatable. This research uses the method of frequency-resonance analysis showing implant stability coefficient numerically equal to the ISQ (Implant stability Quotient) values and reflecting the percentage of the osseointegration area of the intraosseous part of the implant. The results of research obtained by means of frequency-resonance analysis have proved that with the timely start of implant usage and adequate functional loading, ISQ values increase, that is, increases the osseointegration area along the interface of the intraosseous part of the implant placed in regenerated bone. Comparative results of research reflecting ISQ values in 12 months after implant placement in bone augmented using various forms of autogenous bonegrafts, have been presented; therefore, a conclusion can be made that there is a direct relationship between osseointegration under conditions of functional chewing load and the shape and size of autogenous bonegrafts.
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