首页|后牙种植区骨体积分数和种植体周围骨吸收的相关性研究

后牙种植区骨体积分数和种植体周围骨吸收的相关性研究

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目的:将骨体积分数作为后牙种植区骨密度的定量指标,分析后牙种植区骨体积分数与修复负载1年后种植体周围骨吸收量的相关性.方法:选取符合标准的68例患者(72个缺牙位).术中用黏膜环切钻从种植窝取出骨块,通过脱钙、包埋、切片和染色制成病理切片,切片扫描成像,软件中测算骨体积分数(bone volume fraction,BV/TV).将患者修复前及修复负载1年后锥形束CT(CBCT)导入软件,三维量化分析骨吸收量.比较不同BV/TV患者在种植修复负载1年后种植体周围骨吸收量之间的差异.结果:在上下颌后牙区、不同性别之间,种植区BV/TV与种植体周围骨吸收量差异均无统计学意义(P>0.05).Pearson相关系数分析,后牙种植区BV/TV与种植体周围骨吸收量呈显著负相关(r=-0.77,P<0.01).结论:BV/TV可以客观量化种植区骨密度,负载1年时BV/TV较高种植区的种植体周围骨吸收量较少.
Study on the correlation between bone volume fraction and bone resorption around implants in posterior dental implants
Objective:Using bone volume fraction as a quantitative index of bone density in posterior dental planting area,to analyze the correlation between bone volume fraction in posterior dental planting area and bone absorption around the implant after one year of restoration load.Methods:A total of 68 patients(72 missing teeth)were selected.Bone fragments were removed from the implant fossa using a mucosal annular drill.Pathological sections were made through decalcification,embedding,sectioning,and staining.The sections were then scanned and imaged,and bone volume fraction(BV/TV)was cal-culated using software.CBCT taken before restoration and at the patient's return visit one year after restoration were imported into the software to analyze the bone absorption volume quantitatively in three dimensions.To compare the difference between the amount of bone absorption around the implant in patients with different BV/TV after one year of implant repair load.Re-sults:There was no significant difference between the BV/TV of the implant area and the bone absorption around the implant in mandibular posterior region and between different genders(P>0.05).According to Pearson correlation coefficient analy-sis,there was a significant negative correlation between BV/TV in the posterior dental planting area and the bone absorption around the implant(r=-0.77,P<0.01).Conclusion:BV/TV can objectively quantify bone density in planting area,and the bone absorption around the implant is less in planting area with higher BV/TV at one year of loading.

Bone volume fractionDental implantsCone beam computed tomographyBone resorption

王元天、刘红红、张志宏、韩倩

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中国科学技术大学附属第一医院(安徽省立医院)口腔医学中心 安徽 合肥 230001

蚌埠医学院口腔医学院 安徽 蚌埠 233000

骨体积分数 种植体 锥形束CT 骨吸收

安徽省中央引导地方科技发展专项-地方科技创新项目示范项目

YDZX20183400004841

2024

临床口腔医学杂志
华中科技大学同济医学院附属同济医院,中华口腔医学会口腔黏膜病专业委员会 中华医学会武汉分会

临床口腔医学杂志

CSTPCD
影响因子:0.783
ISSN:1003-1634
年,卷(期):2024.40(3)
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