应用共振频率分析技术评价犬上颌窦提升术后种植体骨结合状况

doi:10.19438/j.cjoms.2019.02.004

中国口腔颌面外科杂志 ›› 2019, Vol. 17 ›› Issue (2): 117-122.doi: 10.19438/j.cjoms.2019.02.004

应用共振频率分析技术评价犬上颌窦提升术后种植体骨结合状况

乔士冲, 莫嘉骥, 张枭, 朱钰, 张晓梦, 史俊宇, 钱姝娇, 赖红昌

上海交通大学医学院附属第九人民医院·口腔医学院口腔种植科,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海市口腔医学研究所,上海 200011

收稿日期:2018-12-21 修回日期:2019-01-17 出版日期:2019-03-20 发布日期:2019-04-12
通讯作者: 莫嘉骥,E-mail: pindborg@sina.com
作者简介:乔士冲（1983-）,男,博士,主治医师,E-mail: shichong_qiao@139.com
基金资助:
国家自然科学基金（81600902）; 上海市科委科技支撑项目（16441903600）

Resonance frequency analysis of implants placed with osteotome sinus floor elevation in posterior maxillae in canine

QIAO Shi-chong, MO Jia-ji, ZHANG Xiao, ZHU Yu, ZHANG Xiao-meng, SHI Jun-yu, QIAN Shu-jiao, LAI Hong-chang

Department of Implant Dentistry, Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology. Shanghai 200011, China

Received:2018-12-21 Revised:2019-01-17 Online:2019-03-20 Published:2019-04-12

摘要/Abstract

摘要： 目的:研究种植体稳定系数（implant stability quotient, ISQ）评估种植体骨结合状况的有效性和可靠性,评价超声共振频率分析（resonance frequency analysis,RFA）技术作为种植体负载时机评价指标的可行性。方法:经腭入路行犬上颌窦提升术同期植入种植体,模拟骨量不足状态下的上颌后牙区种植动物模型,并于术后即刻、4、 8、12周对种植体稳定性进行测量。采用影像学检查、组织形态学分析和临床指标分析,进一步验证ISQ值与种植体骨结合状态的相关性,从而对RFA技术临床应用的有效性和可靠性进行评价。采用SAS 9.4 软件包进行Pearson相关性分析。结果:全部种植体骨结合成功。种植体植入即刻ISQ值达65左右,术后4、 8、12周,逐渐升高至67以上。在整个测量过程中,未发现任何种植体松动现象。各种植体稳定性在整个实验过程中的变化趋势基本一致,骨结合率无明显差异。ISQ值与剩余骨高度（residual bone height,RBH）间无显著相关性。结论:ISQ值与RBH之间无明显相关性,ISQ值不是评估种植体骨结合状态的有效手段,RFA技术作为种植体负载时机选择的依据缺乏足够的证据支持。

关键词: 上颌窦内提升术, 动物实验, 共振频率分析, 犬

Abstract: PURPOSE: The aim of this study was to evaluate the validity and reliability of implant stability quotient（ISQ）used for assessing of the condition of bone-to-implant interface and to evaluate the influence of residual bone height on ISQ values in canine models. METHODS: Six Labrador dogs with bilateral sinus lift procedure and simultaneous implant placement were served as animal models. ISQ measurement was applied at 0, 4, 8, 12 weeks postoperatively. Radiographic assessment,histomorphology and clinical analysis were used to evaluate the correlation between ISQ value and bone-to-implant contact,and the validity and reliability of RFA technique in atrophic posterior maxillae. Statistical analysis was carried out using SAS 9.4 for Pearson's correlation analysis. RESULTS: All implants were successfully osseointergrated. The mean ISQ value measured immediately after implant placement was 65. At 4, 8, 12 weeks after operation,the mean ISQ value reached a higher level of 67. During the whole study period, there was no implant failure. The change of implants stability pattern was similar among different groups, no significant difference in bone-to-implant contact was observed. There was no significant correlation between ISQ value and residual bone height(RBH) value. CONCLUSIONS: Within the limitation of the study, it may be implied that ISQ values are not suitable for assessing the condition of bone-to-implant interface and the role of single RFA measurement in determining loading protocol is questionable.

Key words: Sinus floor elevation, Animal model study, Resonance frequency analysis, Dogs

中图分类号:

R782.6

乔士冲, 莫嘉骥, 张枭, 朱钰, 张晓梦, 史俊宇, 钱姝娇, 赖红昌. 应用共振频率分析技术评价犬上颌窦提升术后种植体骨结合状况[J]. 中国口腔颌面外科杂志, 2019, 17(2): 117-122.

QIAO Shi-chong, MO Jia-ji, ZHANG Xiao, ZHU Yu, ZHANG Xiao-meng, SHI Jun-yu, QIAN Shu-jiao, LAI Hong-chang. Resonance frequency analysis of implants placed with osteotome sinus floor elevation in posterior maxillae in canine[J]. China J Oral Maxillofac Surg, 2019, 17(2): 117-122.

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应用共振频率分析技术评价犬上颌窦提升术后种植体骨结合状况

Resonance frequency analysis of implants placed with osteotome sinus floor elevation in posterior maxillae in canine

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