A histological and biomechanical study of bone stress and bone remodeling around immediately loaded implants

Immediate loading(IL) increases the risk of marginal bone loss. The present study investigated the biomechanical response of peri-implant bone in rabbits after IL,aiming at optimizing load management. Ninety-six implants were installed bilaterally into femurs of 48 rabbits. Test implants on the left...

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Veröffentlicht in:Science China. Life sciences 2014-06, Vol.57 (6), p.618-626
Hauptverfasser: Han, JingYun, Hou, JianXia, Zhou, Gang, Wang, Chao, Fan, YuBo
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Hou, JianXia
Zhou, Gang
Wang, Chao
Fan, YuBo
description Immediate loading(IL) increases the risk of marginal bone loss. The present study investigated the biomechanical response of peri-implant bone in rabbits after IL,aiming at optimizing load management. Ninety-six implants were installed bilaterally into femurs of 48 rabbits. Test implants on the left side created the maximal initial stress of 6.9 and 13.4 MPa in peri-implant bone and unloaded implants on the contralateral side were controls. Bone morphology and bone-implant interface strength were measured with histological examination and push-out testing during a 12-week observation period. Additionally,the animal data were incorporated into finite element(FE) models to calculate the bone stress distribution at different levels of osseointegration. Results showed that the stress was concentrated in the bone margin and the bone stress gradually decreased as osseointegration proceeded. A stress of about 2.0 MPa in peri-implant bone had a positive effect on new bone formation,osseointegration and bone-implant interface strength. Bone loss was observed in some specimens with stress exceeding 4.0 MPa. Data indicate that IL significantly increases bone stress during the early postoperative period,but the load-bearing capacity of peri-implant bone increases rapidly with an increase of bone-implant contact. Favorable bone responses may be continually promoted when the stress in peri-implant bone is maintained at a definite level. Accordingly,the progressive loading mode is recommended for IL implants.
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The present study investigated the biomechanical response of peri-implant bone in rabbits after IL,aiming at optimizing load management. Ninety-six implants were installed bilaterally into femurs of 48 rabbits. Test implants on the left side created the maximal initial stress of 6.9 and 13.4 MPa in peri-implant bone and unloaded implants on the contralateral side were controls. Bone morphology and bone-implant interface strength were measured with histological examination and push-out testing during a 12-week observation period. Additionally,the animal data were incorporated into finite element(FE) models to calculate the bone stress distribution at different levels of osseointegration. Results showed that the stress was concentrated in the bone margin and the bone stress gradually decreased as osseointegration proceeded. A stress of about 2.0 MPa in peri-implant bone had a positive effect on new bone formation,osseointegration and bone-implant interface strength. Bone loss was observed in some specimens with stress exceeding 4.0 MPa. Data indicate that IL significantly increases bone stress during the early postoperative period,but the load-bearing capacity of peri-implant bone increases rapidly with an increase of bone-implant contact. Favorable bone responses may be continually promoted when the stress in peri-implant bone is maintained at a definite level. 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Data indicate that IL significantly increases bone stress during the early postoperative period,but the load-bearing capacity of peri-implant bone increases rapidly with an increase of bone-implant contact. Favorable bone responses may be continually promoted when the stress in peri-implant bone is maintained at a definite level. Accordingly,the progressive loading mode is recommended for IL implants.</abstract><cop>Beijing</cop><pub>Science China Press</pub><pmid>24824585</pmid><doi>10.1007/s11427-014-4657-7</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Biomechanical Phenomena
Biomechanics
Biomedical and Life Sciences
Bone Remodeling - physiology
Bone-implant interfaces
Bones
Femur - pathology
Femur - physiology
Femur - surgery
Finite Element Analysis
Finite element method
Implants
Implants, Experimental
Life Sciences
Male
Models, Biological
Osseointegration - physiology
Postoperative Period
Rabbits
Research Paper
Stress concentration
Stress, Mechanical
Stresses
Time Factors
Weight-Bearing - physiology
加载模式
应力和
生物力学
界面结合强度
白细胞介素
种植体
组织学检查
骨重建
title A histological and biomechanical study of bone stress and bone remodeling around immediately loaded implants
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