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J Investig Clin Dent：使用钛刷对狗种植体周围炎部位进行表面去污的效果

2018-12-10 MedSci MedSci原创

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本研究旨在评估用钛刷对感染种植体表面机械去污的愈合效果。拔除六只狗的双侧下颌前磨牙和第一磨牙。3个月后，在双侧拔牙部位植入种植体，不埋入缝合。三个月后，用结扎线诱导种植体周围炎3个月，然后取出。1个月后，使用旋转的钛刷或浸泡在盐水中的纱布进行植体表面的机械去污。五个月后，进行活组织检查。对近中平面上和在颊舌平面中制备组织切片拍摄X射线进行评估。结果，在种植体周围炎诱导后，在刷子和纱布组中分别通过X

本研究旨在评估用钛刷对感染种植体表面机械去污的愈合效果。

拔除六只狗的双侧下颌前磨牙和第一磨牙。3个月后，在双侧拔牙部位植入种植体，不埋入缝合。三个月后，用结扎线诱导种植体周围炎3个月，然后取出。1个月后，使用旋转的钛刷或浸泡在盐水中的纱布进行植体表面的机械去污。五个月后，进行活组织检查。对近中平面上和在颊舌平面中制备组织切片拍摄X射线进行评估。

结果，在种植体周围炎诱导后，在刷子和纱布组中分别通过X射线观察到平均边缘骨丧失为2.6±0.6mm和1.9±1.0mm。治疗5个月后，两组均获得0.6 mm的边缘骨平均增益。对于刷子组，垂直和水平缺陷的平均恢复分别为0.6mm和0.6mm，纱布组分别为0.8mm和0.5mm。组织学上，发现刷组中颊侧的附着丧失为2.2±0.9mm，纱布组中的附着损失为2.3±0.5mm。治疗后未发现统计学上明显的差异。

总之，该研究结果表明，使用旋转钛刷进行机械植体表面去污导致边缘骨水平增加，在靠近边缘骨产生低含量炎性浸润。

原始出处：

Viganò P, Apaza Alccayhuaman KA, et al., Use of TiBrush for surface decontamination at peri-implantitis sites in dogs: Radiographic and histological outcomes. J Investig Clin Dent. 2018 Nov 25:e12378. doi: 10.1111/jicd.12378.

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    2019-10-20 xiangyuzhou971

    #EST#

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    2019-03-06 huangdf

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    2019-02-23 30397613

    #钛#

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    2018-12-11 ms6279672939590805

    #种植体#

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    2018-12-10 lietome24

    好文，值得点赞！认真学习了，把经验应用于实践，为患者解除病痛。

    0

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    2018-12-10 深海的鱼

    学习学习学习

    0

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    2018-12-10 CHANGE

    疗效只是效果的众多方面之一，还要看对患者的获益，包括生活质量等因素共同决定效果的

    0