O papel do tempo de irradiação local no processo de osseointegração em implantes
DOI:
https://doi.org/10.33448/rsd-v11i8.29923Palavras-chave:
Osseointegração; Radioterapia; Imuno-histoquímica; Torque.Resumo
Objetivo: O objetivo deste estudo foi avaliar os efeitos da irradiação gama simulando uma dose total de radioterapia convencional em câncer de cabeça e pescoço na remodelação óssea e osseointegração de implantes em fêmures de ratos.Materiais e Métodos: Sessenta ratos receberam implantes de titânio rosqueado (Ti6Al4V) em ambos os fêmures. Os animais foram divididos: Sem Irradiação (N-Ir): Grupo N-Ir com implante somente; Irradiação Precoce (E-Ir): implante + irradiação após 24h; Irradiação Tardia (L-Ir): implante + irradiação após 4 semanas e Irradiação Prévia (P-Ir): irradiação + implante após 4 semanas. A irradiação foi fracionada em duas sessões de 15 Gy cada, totalizando 30 Gy. Os animais foram sacrificados aos 3 dias, 2 e 7 semanas após o tratamento. Marcadores imuno-histoquímicos Runx2 e coloração Picrosirius red, análise histomorfométrica (BIC e BAFO) e teste de torque reverso foram utilizados para avaliar a interface implante/osso e osso circundante. Os dados de Runx-2 (%), coloração picrosirius red (%), BIC e BAFO (%) e torque reverso (N/cm) foram submetidos aos testes ANOVA e Tukey para comparação entre grupos, ambos com α=0,05.Resultados: Os resultados mostraram que a expressão de Runx-2 foi diferente nos grupos irradiados quando comparados ao grupo N-Ir. Em geral, as análises de fibras colágenas nos grupos irradiados diferiram do grupo N-Ir. Em relação ao BIC, BAFO e teste de torque reverso, o grupo L-Ir apresentou resultados semelhantes ao grupo N-Ir, enquanto os demais grupos foram prejudicados pela radioterapia.Conclusões: A radiação ionizante afetou negativamente a remodelação óssea, e seu efeito depende de quando a radioterapia é aplicada, com retardo da osseointegração quando aplicada previamente ou próximo à cirurgia.
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