Mechanical Properties of the Mandible in Postmenopausal Women Under Aledronate Treatment.

Ricardo Julio Cabrales-Salgado, Jamil A Shibli, Adriano Piattelli, Paula Mendes Acatauassú Carneiro, Miriam Lacalle Turbino, Jose Augusto Rodrigues, Alessandra Cassoni, Gabriela Giro
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Abstract

Aims: This study evaluated the mechanical properties of mandibular bone tissue retrieved from postmenopausal women under alendronate treatment.

Methods: Twenty postmenopausal women were divided into two groups: healthy postmenopausal subjects (control group) and osteoporotic subjects treated with alendronate (alendronate group). Mandibular bone samples were retrieved with a trephine bur at the time of dental implant placement and fixed in 4% formalin. Samples were processed for hard tissue histology, and the bone surface was analyzed for nanohardness measurement. Nanohardness and elastic modulus were evaluated by using a Berkovich tip with elastic modulus of 1.016x106 MPa, Poisson coefficient of 0.3, and a load of 100 mN. Each cycle was configured with a load time of 18 seconds (speed of 1 mN/second), the discharge time of 18 seconds, and a rest time of 5 seconds during indentation at a depth of 10 μm.

Results: The control group presented the highest values for nanohardness and elastic modulus (p less than 0.05) in relation to the osteoporotic subjects.

Conclusions: Within the limitations of the study, it can be concluded that treatment with alendronate negatively influenced the mechanical properties of mandibular bone in postmenopausal women by reducing bone nanohardness and elastic modulus.

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阿利膦酸钠治疗绝经后妇女下颌骨的力学特性。
目的:本研究评估经阿仑膦酸钠治疗的绝经后妇女下颌骨组织的力学特性。方法:20例绝经后妇女分为两组:健康绝经后妇女(对照组)和阿仑膦酸钠治疗骨质疏松症妇女(阿仑膦酸钠组)。下颌骨标本在种植牙时用环钻取出,并在4%福尔马林中固定。对样品进行硬组织组织学处理,并对骨表面进行纳米硬度测量。采用弹性模量为1.016 × 106 MPa、泊松系数为0.3、载荷为100 mN的Berkovich尖端,对纳米硬度和弹性模量进行了评价。在压痕深度为10 μm时,每个循环的加载时间为18秒(速度为1 mN/秒),放电时间为18秒,休息时间为5秒。结果:骨质疏松组的纳米硬度和弹性模量均高于对照组(p < 0.05)。结论:在研究范围内,可以得出结论,阿仑膦酸钠治疗通过降低骨纳米硬度和弹性模量对绝经后妇女下颌骨的力学性能产生负面影响。
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