Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

STABILITY OF SIMULTANEOUS IMPLANTATION WITH AUTOGENOUS ILIAC BONE GRAFT IN THE SEVERELY ATROPHIC MAXILLA

심하게 흡수된 상악골에서 자가 장골 이식술과 동시에 시행한 임프란트 치료의 안정성에 대한 연구

  • Byun, June-Ho (Department of Oral & Maxillofacial Surgery, College of Medicine and Institute of Health Sciences, Research Institue of Life Science, Gyeongsang National University) ;
  • Park, Bong-Wook (Department of Oral & Maxillofacial Surgery, College of Medicine and Institute of Health Sciences, Research Institue of Life Science, Gyeongsang National University) ;
  • Jeong, Hee-Chan (Department of Prosthodontics, College of Dentistry, Pusan National University) ;
  • Kim, Jong-Ryoul (Department of Oral & Maxillofacial Surgery, College of Dentistry, Pusan National University)
  • 변준호 (경상대학교 의과대학 구강악안면외과학교실, 경상대학교 건강과학연구원, 경상대학교 생명과학연구원) ;
  • 박봉욱 (경상대학교 의과대학 구강악안면외과학교실, 경상대학교 건강과학연구원, 경상대학교 생명과학연구원) ;
  • 정희찬 (부산대학교 치과대학 보철학교실) ;
  • 김종렬 (부산대학교 치과대학 구강악안면외과학교실)
  • Published : 2006.12.31
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Abstract

A severely atrophic maxilla may disturb the proper implant placement. The various bone graft techniques are required for simultaneous or delayed implantation in the cases of atrophic alveolar ridges. We present 11 consecutive patients treated with simultaneous implantation using the autogenous inlay and/or onlay bone grafts from iliac crest to the floor of the maxillary sinus and the alveolar crest. In the cases of atrophic maxilla, a total 69 implants were simultaneously placed with autogenous iliac bone graft. 40 fixtures were inserted in the sinus floor simultaneously with subantral block bone graft, the other 29 fixtures were placed in the anterior or premolar areas with block or particulate bone graft. The vertical alveolar bone height was measured with Dental CT at the preoperation and 6 months postoperation. Moreover, the implant stability quotients (ISQ) were measured by $Osstell^{TM}$ during second implant surgery at 6 months later of first implantation. All implants were obtained successful osseointegration with the grafted bone. The mean vertical increases were 3.9mm in the anterior ridges and 12.8mm in the posterior ridges. During the second implant surgery, mean ISQ were 62.95 in the anterior ridge and 61.32 in the posterior ridge. We concluded that the simultaneous implantation with autogenous iliac bone graft were stable and available methods for severely atrophic maxilla.

Keywords

References

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