Submitted by Setor de Tratamento da Informa??o - BC/PUCRS (tede2@pucrs.br) on 2015-05-14T20:53:10Z
No. of bitstreams: 1
468625 - Texto Completo.pdf: 2863238 bytes, checksum: 3e057c78a6b6e5cfbd0cf6767d59dd26 (MD5) / Made available in DSpace on 2015-05-14T20:53:10Z (GMT). No. of bitstreams: 1
468625 - Texto Completo.pdf: 2863238 bytes, checksum: 3e057c78a6b6e5cfbd0cf6767d59dd26 (MD5)
Previous issue date: 2014-03-26 / The clinical success of the implant treatment is strongly related with the achievement and maintenance of the stability of the fixture. As the surface topography, roughness and wettability are modifications that can affect the quality of the osseointegration, several studies have analyzed the benefits of these modifications. The histomorphometric analyses of the bone-to-implant contact (BIC) and the resonance frequency analyses (RFA) are commonly used to verify the osseointegration and implant stability. In the present study, 32 implants with two different surfaces treatment were installed in the tibia of 16 New Zealand rabbits and splitted in two groups. The Group I was formed by Neodent Drive implants, with sandblasted, acid etched and hydrophilic surface (Neodent Drive Acqua, Neodent, Curitiba, Brasil). The Group II was formed by Neodent Drive implants, with sandblasted and acid etched surface (Neodent Drive Porous, Neodent, Curitiba, Brasil). The samples were analyzed at 07, 14, 30 and 60 days after the implant placement. The results showed statistically significant differences between the mean values for the BIC at 14 (p=0.028) and 30 days (p=0.028). The mean BIC for the Acqua implants (Group I) were 43,32 ? 1,31% and 55,03 ? 5,14%, at 14 and 30 days respectively. The mean BIC in the Porous implants (Group II) were 46,27 ? 0,10% and 47,13 ? 0,67%, at 14 and 30 days, respectively. At 60 days, the mean BIC for the Acqua implants were 54,68 ? 3,51% and for the Porous implants were 50,86 ? 1,03%. There were not statistically significant differences in the implant stability quotient (ISQ) measurements between Acqua and Porous implants, except at 07 days after the implant placement. At day 07, the results of the present study showed higher ISQ values for the Porous implants (68,75 ? 4,16%) than Acqua implants (61,5 ? 8,01%). The follow-up ISQ analyses in the same Group, showed statistically significant increases of the mean values from 7 to 60 days and from 30 to 60 days, for both groups. In conclusion, the sandblasted and acid etched treatment used to create roughness on the Neodent implant surface is reliable and allows bone apposition, as the BIC and ISQ values found were similar or superior than the showed in the literature for similar animal models and similar implant surface. The increase of the BIC and ISQ values on the follow up showed the achievement of the secondary stability and the increase in stiffness between the implant fixture and the surrounding tissues. There were not identified better results with the hydrophilic surface during the early period of healing. Thus, further investigations are necessary to confirm the suggested results in this present study. / A obten??o e a manuten??o da estabilidade do implante s?o pr?-requisitos para o sucesso cl?nico das pr?teses sobre implantes. Visto que a topografia, a rugosidade e a hidrofilicidade s?o algumas das altera??es da superf?cie dos implante que podem alterar a resposta do tecido ?sseo, diversos estudos tem procurado entender os benef?cios que estas modifica??es podem proporcionar. A quantifica??o histomorfom?trica do contato osso-implante (BIC) e a an?lise de frequ?ncia de resson?ncia (AFR) s?o par?metros frequentemente utilizados na implantodontia para verificar a osseointegra??o e a estabilidade dos implantes. No presente estudo, foram instalados 32 implantes com duas diferentes superf?cies nas t?bias de 16 coelhos, divididos em dois grupos: Grupo I) constitu?do pelos implantes com superf?cie tratada por jateamento de areia, ataque ?cido, hidrof?lica e modificada quimicamente (Neodent Drive? Acqua, Neodent, Curitiba, Brasil) e Grupo II) constitu?do pelos implantes com superf?cie tratada por jateamento de areia e ataque ?cido (Neodent Drive? Porous, Neodent, Curitiba, Brasil). As amostras foram analisadas ap?s 7, 14, 30 e 60 dias da coloca??o dos implantes. Na compara??o da m?dia geral do BIC, entre Acqua e Porous, foram observadas diferen?as estatisticamente significantes no per?odo de 14 dias (p=0,028) e no per?odo de 30 dias (p=0,028). As medidas m?dias de BIC obtidas para os implantes Acqua foram 43,32 ? 1,31% e 55,03 ? 5,14%, aos 14 e 30 dias respectivamente. Para os implantes Porous, as medidas de BIC foram 46,27 ? 0,10% e 47,13 ? 0,67%, aos 14 e 30 dias respectivamente. No per?odo de 60 dias, os valores m?dios de BIC da superf?cie Acqua foram 54,68 ? 3,51% e da superf?cie Porous foram 50,86 ? 1,03%. Na compara??o da m?dia geral do quociente de estabilidade do implante (QEI), entre Acqua e Porous, n?o foram observadas diferen?as estatisticamente significantes entre os grupos, com exce??o no per?odo de 07 dias, no qual os resultados do presente estudo demonstraram maiores valores de QEI para o grupo Porous (68,75 ? 4,16%) do que para o grupo Acqua (61,5 ? 8,01%). A an?lise do QEI durante os diferentes per?odos dentro de um mesmo grupo, demonstrou diferen?as estatisticamente significativas entre os per?odos de 7 vs 60 dias e 30 vs 60 dias, para a m?dia geral do QEI no grupo Acqua e no grupo dos implantes Porous. As conclus?es do presente estudo s?o que os resultados demonstraram que a modifica??o da superf?cie por jateamento de areia e ataque ?cido utilizada para produzir as superf?cies Acqua e Porous resulta em uma adequada aposi??o ?ssea, visto que os valores do BIC e QEI encontrados s?o similares ou superiores aos resultados encontrados na literatura com modelos experimentais e superf?cies similares. Os aumentos dos valores do BIC e QEI durante os per?odos p?s-operat?rios revelaram a obten??o de estabilidade secund?ria e maior rigidez na ancoragem do implante com o passar do tempo. N?o foram identificados melhores resultados com a superf?cie hidrof?lica nos per?odos iniciais da osseointegra??o. Sendo assim, s?o necess?rios estudos pr?-cl?nicos e cl?nicos para confirmar as sugest?es que os resultados deste presente estudo revelaram.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/6010 |
| Date | 26 March 2014 |
| Creators | Nunes, Leandro Soeiro de Souza |
| Contributors | Heitz, Cl?iton |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Odontologia, PUCRS, Brasil, Faculdade de Odontologia |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | -8096554818733665164, 600, 600, 600, 4673435736271820140, -2070498469879244349 |
Page generated in 0.0029 seconds