›› 2012, Vol. 3 ›› Issue (3): 135-138.

• 论著 • 上一篇    下一篇

骨质疏松症对大鼠胫骨种植体骨结合的影响

周建国1,杜一飞2   

  1. 1. 常州市曙光医疗美容医院口腔科
    2. 南京医科大学附属口腔医院颌面外科
  • 收稿日期:2012-08-31 修回日期:2012-09-12 出版日期:2012-09-25 发布日期:2012-10-08
  • 通讯作者: 杜一飞 E-mail:danxiangren2006@163.com
  • 基金资助:
    pRB/E2F-1调节口腔鳞癌COX-2蛋白表达及功能的实验研究

Effects of osteoporosis on the peri-implant osteointegration in ovariectomized rats

  1. 1. Department of Stomatology, Changzhou Aurora Medicine Cosmetology Hospital, Changzhou
    2. Department of Oral and Maxillofacial Surgery,School of Stomatology, Nanjing Medical University
  • Received:2012-08-31 Revised:2012-09-12 Online:2012-09-25 Published:2012-10-08

摘要: 目的:探讨骨质疏松症对大鼠胫骨种植体骨结合的影响 。方法:将20只老年Wistar雌性大鼠随机分成空白对照组和模型组,模型组采用去势法构建骨质疏松症模型。两组于术前及术后3个月测定大鼠血清碱性磷酸酶(alkaline phosphatase,ALP)水平;术后3个月检测胫骨骨密度及HE染色检查;造模成功后于各组大鼠胫骨近端内植入一枚种植体。术后4周和8周,通过X线、组织学切片及扫描电镜分析技术检测各组胫骨内种植体骨与周围骨质结合的情况。结果:去势3个月后,模型组血清中ALP水平显著升高,胫骨骨密度降低,骨小梁结构疏松,骨质疏松模型建立成功,而空白对照组无明显变化。种植体植入后4周及8周,空白对照组种植体周围见明显新生骨质形成,结构类似骨皮质,与种植体螺纹相互嵌合,未见明显间隙,骨结合良好。模型组种植体周围见大量疏松结缔组织增生,炎性细胞浸润明显,局部有少量新生骨质形成,结构凌乱不规则,且远离种植体;种植体与周围骨质断裂,间隙明显,骨结合不良。结论:骨质疏松症抑制大鼠胫骨内种植体周围新骨形成,造成种植体骨结合不良。

Abstract: Objective:To investigate effects of osteoporosis on osteointegration of implants in tibias of rats. Methods:Twenty old female Wistar rats were randomly divided into two groups: Sham(control group)and OVX (model group). The serum alkaline phosphatase (ALP) activity was measured before and 3 months after operation. Shin bone mineral density and HE staining were examined 3 months after operation. One implant was inserted in a tibia of each rat in Sham and OVX groups. Four and eight weeks after implantation, tibias with implants were taken pictures of by X-ray. The osteointegration of bones and implants in each group were observed by histological slices and SEM scanning. Results:Three months later, tibias showed decreased bone density and trabecularism porosity enlargement in OVX group, and the serum ALP activity of OVX group was significantly higher than that before operation( P<0.05),but no change was found in Sham group. As a result, models of osteoporosis were successfully set up in OVX group. New bone formation was determined in peri-implant area with good osteointegration in Sham group 4 weeks and 8 weeks after implantation. The new cementum was like bone cortex, and it became gomphosis with spiricle of implants. No obvious gap was observed. The osteointegration went on well. In OVX group, a little new bone formation was found in partial peri-implant area, the structure was irregular and it was far from implants. Inflammatory reaction and a mass of connective tissue were observed around the interface of bones and implants. Implants broke up with bones, the gap was obvious and the osteointegration was bad. Conclusions:New bone formation was inhibited in peri-implant area in tibias of rats, which caused inadequacy of bone-implant osteointegration.

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