Journal of Periodontal and Implant Science

  • 제34권2호
  • /
  • Pages.303-315
  • /
  • 2004
  • /
  • 2093-2278(pISSN)
  • /
  • 2093-2286(eISSN)
대한치주과학회 (Korean Academy of Periodontology)
권호 표지

임플란트 주위 골변화와 생존율에 대한 연구

The study on the survival rates and crestal bone changes around the implants

  • 최현숙 (전남대학교 치과대학 치주과학교실 및 치의학 연구소) ;
  • 정현주 (전남대학교 치과대학 치주과학교실 및 치의학 연구소) ;
  • 김옥수 (전남대학교 치과대학 치주과학교실 및 치의학 연구소) ;
  • 김영준 (전남대학교 치과대학 치주과학교실 및 치의학 연구소)
  • Choi, Hyun-Suk (Dept. of Periodontology, College of Dentistry and Dental Science Research Institute, Chonnam National University) ;
  • Chung, Hyun-Ju (Dept. of Periodontology, College of Dentistry and Dental Science Research Institute, Chonnam National University) ;
  • Kim, Ok-Su (Dept. of Periodontology, College of Dentistry and Dental Science Research Institute, Chonnam National University) ;
  • Kim, Young-Jun (Dept. of Periodontology, College of Dentistry and Dental Science Research Institute, Chonnam National University)
  • 발행 : 2004.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The success and failure of dental implants depends on various factors such as patient's systemic status, quantity and quality of surrounding bone, presence or absence of marginal infection and mechanical loading condition. The measurement of crestal bone changes around the implants is implemental to evaluate the success and long-term prognosis of the implant. This study was to evaluate the cumulative survival rate of the implants which had been placed in the Department of Periodontics, Chonnam National University Hospital between 1992 and 2003, and to observe the crestal bone loss around the implants which had at least 2 consecutive periapical radiographs after connecting the transmucosal abutment. The radiographs were scanned and digitalized, and the crestal bone levels on the mesial and distal surface of implants were measured using Image analyzer (Image Pro Plus, Media Cybernetics, USA), immediately after implant placement, at 2nd surgery, and 3 months, 6 months, 1 year, and every year thereafter. Any bone loss was not observed during the period between the 1stand 2nd surgery, and the bone loss was 0.86 ${\pm}$ 0.92 mm for the first year of loading after connecting the transmucosal abutment. After 1 year of loading, annual bone loss was 0.1 ${\pm}$ 0.27 mm, and total bone loss was 0.90 ${\pm}$ 0.80 mm (during the average follow-up periods of 22.5 ${\pm}$ 25.6 Mos), The implant, with smooth surface, in the mandible, and with the fixed bridge prosthesis showed greater bone loss, compared to those, with the rough surface, in the maxilla and with single crown. In systemically diseased patients (including DM or osteoporosis), the greater bone loss was observed. The cumulative survival rate among 432 implants was 94.10% for 7 years. Among 15 failed implants, 9 implants were removed due to mobility from disintegration of bone-implant interface. From this results, crestal bone loss around the implants were greatest during 1 year after transmucosal abutment connection, and various factors could affect peri-implant bone loss. To prevent and predict the bone loss around the implants and improve the prognosis, further comprehensive maintenance and follow-up schedules are required.

키워드

참고문헌

  1. Smith DE, Zarb GA. Criteria for success of osseointegrated endosseous implants. J Prosthet Dent 1989;62:567-72 https://doi.org/10.1016/0022-3913(89)90081-4
  2. Albrektsson T, Zarb GA, Worthington P, Eriksson AR. The long term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Impl 1986;1:11-25
  3. Van Steenberghe D, Quirynen M, Naert I. Survival and success rates with oral endosseous implants. In Proceedings of the 3rd European Workshop on Periodontology. Quintessence Publishing Co. 1999;242-254
  4. Zablotsky MH. A retrospective analysis of the management of ailing and failing endosseous dental implants. Impl Dent. 1998;7;185-91
  5. Adell R, Lekholm U, Rockier B, Branemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10:387-416 https://doi.org/10.1016/S0300-9785(81)80077-4
  6. Wyatt CC, Zarb GA, Bone level changes proxiaml to oral implants supporting fixed partial prostheses. Clin Oral Impl Res 2002;13:162-8
  7. Wyatt CC, Byant SR, Avivi-Arber L, Chaytor DV, Zarb GA. A computer-assisted measurement technique to assess bone proximal to oral implants on intraoral radiographs. Clin Oral Impl Res 2001;12:225-229 https://doi.org/10.1034/j.1600-0501.2001.012003225.x
  8. Jeffcoat MK. Radiographic Methods for the detection of progressive alveolar bone loss. J Periodontol 1992;63:367-372 https://doi.org/10.1902/jop.1992.63.4s.367
  9. Paige W, Nancy C, Felton DA, Cooper LF. A retrospective radiographic analysis of bone loss following placement of $TiO_2$ grit-blasted implants in the posterior maxilla and mandible, Int J Oral Maxillofac Impl 2002;17:399-404
  10. Barboza EP, Andre LC, Waldimir RC. Crestal bone loss around submerged and exposed unloaded dental implants: A radiographic and microbiological descriptive study. Impl Dent 2002;11:162-169. https://doi.org/10.1097/00008505-200204000-00018
  11. Jung YC, Han CH, Lee KW. A 1-Year radiographic evaluation of marginal bone around dental implants. Int J Oral Maxillofac Impl 1996;11:811-818
  12. Carlsson GE, Lindquist LW, T Jemt, Long-term marginal periimplant bone loss in edentulous patients. Int J Prosthodont 2000;13:295-302
  13. Jeffcoat MK, Jeffcoat RL, Wiliams RC. A new method for the comparison of bone loss emasurements on non-standardized radiographs. J Periodont Res 1984;19:434-440 https://doi.org/10.1111/j.1600-0765.1984.tb01017.x
  14. Leonhardt A, Grondahl K, Bergstrom C, Lekholm U. Long-term follow-up of osseointegrated titanium implants using clinical, radiographic and microbiological parameters. Clin Oral Impl Res 2002;12:127-132
  15. 장문택. 한국환자에 매식된 ITI 임플란트에 관한 조사. 대한치주과학회지 2002;32(2):361-368
  16. 남기윤, 장범석, 엄홍식. 국산 임플란트의 임상적 성공률에 대한 2년간의 후향적 연구. 대한치주과학회지 2003;33(1):37-48
  17. 이항빈, 백정원, 김창성, 최성호, 이근우, 조규성. 하악 제 1, 2 대구치를 대체하는 단일 임프란트 간의 성공률 비교[thesis]. 대한치주과학회지 2004;34(1):101-112.
  18. Buser D, Mericske-Stern R, Bernard Jp, Behneke A, Behneke N, Hirt, HP, Belser JP, Lang NP. Long-term evaluation of non-submerged ITI implants. Part I: An 8-year life table analysis of a prostective multicenter study with 2359 implants, Clin Oral Impl Res 1997;8:161-172
  19. Karoussis IK, Salvi GE, Heitz-Mayfield LJ, Bragger U, Hammerle CH, Lang NP. Long-term implant prognosis in patients with and without a history of chronic periodontitis: a 10-year prospective cohort study of the ITI Dental implant system. Clin Oral Impl Res 2003;14:329-39 https://doi.org/10.1034/j.1600-0501.000.00934.x
  20. Mombelli A, van Oosten, MAC, Schurch E, Lang NP. The microbiota associated with successful or failing osseointegrated implants, Oral Microbiol Immunol 1987;2:145-151
  21. Oh TJ, Yoon JK, Misch CE, Wang HL, The causes of early implant bone loss: Myth or Science? J Periodontol 2002;73:322-333
  22. Cochran DL, Hermann JS, Schenk RK, Higginbottom FL, Buser D, Biologic width around titanium implants. A histometric analysis of the implanto-gingival junction around unloaded and loaded nonsubmerged implants in the canine mandible, J Periodontol 1997;68:186-198
  23. Hermann JS, Cochran DL, Nummikoski PV, Buser D . Crestal bone changes around titanium implants. A radiographic evaluation of unloaded nonsubmerged and submerged implants in the canine mandible. J Periodontol 1997;68:1117-1130 https://doi.org/10.1902/jop.1997.68.11.1117
  24. Hermann JS, Buser D, Schenk RK, Higginbottom FL, Cochran DL, Biologic width around titanium implants. A physiologically formed and stable dimension over time. Clin Oral Impl Res 2000;11:1-11 https://doi.org/10.1034/j.1600-0501.2000.011001001.x
  25. Hermann JS, Buser D, Schenk RK, Cochran DL. Crestal bone changes around titanium implants. A histometric evaluation of unloaded non -submerged and submerged implants in the canine mandible, J Periodontol 2000;71:1412-1424
  26. Hermann JS, Schoolfield JD, Nummikoski PV, Buser D, Schenk RK, Cochran DL. Crestal bone changes around titanium implants: A methologic study comparing linear radiographic with histometric measurements. Int J Oral Maxillofac Impl 2001;16:475-485
  27. Hermann JS, Buser D, Schenk RK, Schoolfield JD, Cochran DL. Biologic width around one and two-piece titanium implants. A histometric evaluation of unloaded nonsubmerged and submerged implants in the canine mandible. Clin Oral Impl Res 2001;12:559-571 https://doi.org/10.1034/j.1600-0501.2001.120603.x
  28. Misch CE, Bidez MW. A scientific rationale for dental implant design. Misch CE, ed, Contemporary Implant Dentistry, 2nd ed, St. Louis:Mosby;1999:329-343
  29. Guo EX. Mechanical properties of cortical bone and cancellous bone tissue. In: Cowin SC, ed, Bone Mechanics Handbook. Boca Raton, FL: CRC Press; 2001;10:1-23
  30. Tallgren A. The continuing reduction of the residual alveolar ridges in complete denture wearers: Arnixed-longitudinal study covering 25 years. J Prosthet Dentistry 1972;27:120-132 https://doi.org/10.1016/0022-3913(72)90188-6
  31. Sennerby L, Carlsson GE, Bergman B, Warfvinge J. Mandibular bone resorption in patients treated with tissue-interated prostheses and in complete denture wearers. Acta Odontol Scand 1988;46:135-140 https://doi.org/10.3109/00016358809004759
  32. Fiorellini JP, Nevins ML. Dental implant considerations in the diabetic patient. Periodontol 2000 2000;23:73-77 https://doi.org/10.1034/j.1600-0757.2000.2230106.x
  33. Van Steenberghe D, Jacobs R, Desnyder M, Maffei G, Quirynen M. The relative implact of local and endogenous patient-related factors on implant failure up to the abutment stage. Clin Oral Impl Res 2002;13:617-622 https://doi.org/10.1034/j.1600-0501.2002.130607.x
  34. Branemark PI. Osseointegration and its experimental background. J Prosthet Dent 1983;50:399-410 https://doi.org/10.1016/S0022-3913(83)80101-2
  35. Lazzara R, Siddiqui AA, Binon P, Feldman S, Weiner R, Philips RM, Gonshor A. Retrospective multicenter analysis of 3i endosseous dental implants placed over a five-year period. Clin Oral Impl Res 1996;7:73-83 https://doi.org/10.1034/j.1600-0501.1996.070109.x
  36. Pylant T, Triplett RG, Key MC, Brunsvold MA, A retrospective evaluation of endosseous titanium implants in the partially edentulous patient. Int J Oral Maxillofac ImpI 1992;7:195-202
  37. Bragger U. Use of radiographs in evaluating success, stability and failure in implant dentistry, Periodontol 2000 1998;17:77-88
  38. Buser D. Effects of various titanium surface configurations on osseo-integration and implant stability. In Proceedings of the 3rd European Workshop on Periodontology. Quintessence Publishing Co. 1999:88-101
  39. Fourmousis I, Bragger U. Radiologic interpretation of peri-implant structures. In Proceedings of the 3rd European Workshop on Periodontology. Quintessence Publishing Co. 1999;228-241
  40. Vehemente VA, SK Chuang, Daher S, Muftu A, Dodson TB. Risk factors affecting dental implant survival. J Oral Implantol 2002;28:74-81 https://doi.org/10.1563/1548-1336(2002)028<0074:RFADIS>2.3.CO;2
  41. Isidor F. Loss of osseointegration caused by occlusal load of oral implants. A clinical study and radiographic study in monkeys. Clin Oral Impl Res 1996;7:143-152 https://doi.org/10.1034/j.1600-0501.1996.070208.x
  42. Quirynen M, Naert I, van Steenberghe D. Fixture design and overload influence marginal bone loss and fixture success in the Branemark system. Clin Oral Impl Res 1992;3:104-111 https://doi.org/10.1034/j.1600-0501.1992.030302.x
  43. Ellegaard B, Baelum V, Karring T. Implant therapy in periodontally compromised patients. Clin Oral Impl Res 1997;8;180-188