구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제25권3호
  • /
  • Pages.287-292
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  • 2009
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
권호 표지

Short Implant에 대한 문헌 고찰과 임상 적용

Short Dental Implants : A Literature Review and Rationale for Use

  • 김유리 (원광대학교 치과대학 치과보철학교실)
  • Kim, Yu-Lee (Department of Proshodontics, College of Dentistry, Wonkwang University)
  • 투고 : 2009.08.30
  • 심사 : 2009.09.25
  • 발행 : 2009.09.30
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⟨ 이전 논문 다음 논문 ⟩

초록

최근에는 임플란트를 이용한 치료가 예측 가능한 치료로 자리 잡고 있다. 충분한 골질과 골량은 임플란트의 성공에 중요한 역할을 한다. 10 mm 이하의 임플란트의 사용은 골질이 불충분할 때 부가적인 수술의 대안이 될 수 있다. 이 논문은 길이 10 mm 이하의 임플란트와 관련된 생역학적 관점과 발표된 임상결과들을 리뷰하고 사용 예지성을 제시하고자 하였다. 임플란트의 초기고정여부, 시술자의 learning curve, 사용한 임플란트의 표면처리, 환자의 골질들을 적절히 고려한 후 짧은 길이의 임플란트를 사용한다면 부가적인 수술 필요성의 대안이 될 수 있을 것이다.

The clinical use of several endosseous oral implants designs has become highly predictable in recent decades. Implant success critically depends both on the vertical and horizontal dimensions of the prospective host site and on the quality of the local bone. Implants shorter than 10 mm can be a long-term solution for sites with limited bone height. This article describes theoretical characteristics and clinical outcome of short implants through a medline search. When surgical preparation is related to bone density, textured-surfaced implants are employed, operators' surgical skills are developed, and indications for implant treatment duly considered, the survival rates for short implants has been found to be comparable with those obtained with longer implants.

키워드

과제정보

연구 과제 주관 기관 : 원광대학교

참고문헌

  1. van Steenberghe D, De Mars G, Quirynen M, Jacobs R, Naert I. A prospective split-mouth comparative study of two screw-shaped self-tapping pure titanium implant systems. Clin Oral Implants Res 2000;3: 202-209
  2. Bahat O. Br${\aa}$nemark system implants in the posterior maxilla: clinical study of 660 implants followed for 5 to 12 years. Int J Oral Maxillofac Implants 2000;5:646-653
  3. Quirynen M, Naert I, van Steenberghe D. Fixture design and overload influence marginal bone loss and ixture success in the Brånemark system. Clin Oral Implants Res 1992;3:104-111 https://doi.org/10.1034/j.1600-0501.1992.030302.x
  4. Himmlova L., T.Dostalova, A.Kacovsky, and S.Konvickovea. Influence of implant length and diameter on stress distribution: a finite element analysis. J Prosthet dent 2004;91:20-25 https://doi.org/10.1016/j.prosdent.2003.08.008
  5. Kim YL, Cho HW, Lee JB. Three dimensional finite element analysis of internally connected implant systems. J Kor Acad Prosthodont 2006;44: 85-102
  6. Jemt T. & Lekholm, U. Implant treatment in edentulous maxillae: a 5-year follow-up report on patients with different degrees of jaw resorption. Int J Oral & Maxillofa Implants 1995;10:303-311
  7. Winkler, S., Morris, H.F. & Ochi, S. Implant survival to 36 months as related to length and diameter. Annals of Periodontology 2000;5:22-31 https://doi.org/10.1902/annals.2000.5.1.22
  8. Naert, I., Koutsikakis, G., Quirynen, M, Jacobs, R. & van steenberghe,D. Biologic outcome of implant-supported restorations in the treatment of partial edentulism. Part I : a longitudinal clinical evaluation. Clin Oral Implants Res 2000;13: 381-389 https://doi.org/10.1034/j.1600-0501.2002.130406.x
  9. Testori, T., Wiseman, L., Woolfe,S.& Porter, S.S. A prospective multicenter clinical study of the Osseotite implant: four-year interim report. Int J Oral & Maxillofac Implants 2001;16:193-200
  10. Buser, D., Mericske-Stern, J.P. Bernard, A. Behneke, N. Behneke, H.P. Hirt, U.C. Belser, and N.P. Lang. Long-term evaluation of non-submerged ITI Implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res 1997;8:161-172 https://doi.org/10.1034/j.1600-0501.1997.080302.x
  11. Friberg, B., Gröndahl, K., Lekholm, U. & Brånemark, P.I. Long -term follow-up of severely atrophic edentulous mandibles reconstructed with short Brånemark implants. Clinical Implant Dentistry & Related Research 2000;2: 184-189 https://doi.org/10.1111/j.1708-8208.2000.tb00116.x
  12. Georges Tawil, Nadim Aboujaoude, Roland Younan, Influence of Prosthetic Parameters on the Survival and Complication Rates of Short Implants. Int J Oral Maxillofac Implants 2006;21:275-282
  13. ten Bruggenkate CM, Asilainen P, Foitzik C, Krekeler G, Sutter F. Short (6mm) nonsubmerged dental implants: Results of a multicenter clinical trial of 1 to 7 years. Int J Oral Maxillofac Implants 1998;6:791-798
  14. Feldman, S., Boitel, N., Weng, D., Kohles, S.S. & Stach, R.M. Five - year survival distributions of short-length (10mm or less) machined-surfaced and osseotite implants. Clinical Implant Dentistry & Related Research 2004;6:16-23 https://doi.org/10.1111/j.1708-8208.2004.tb00023.x
  15. Penny RE., Kraal JH. Crown to root ratio : its significance in restorative dentistry. J Prosthet Dent 1979;42:34-8 https://doi.org/10.1016/0022-3913(79)90327-5
  16. Lum LB. A biomechanical rationale for the use of short implants. J Oral Implantol 1991;17:126-31
  17. Muhlemann HR, Sabdir LS, Rakeitshak KH. Tooth mobility: Its cause and significance. J Periodontol 1965;36:148 https://doi.org/10.1902/jop.1965.36.2.148
  18. Parfitt GS. Measurement of the physiologic mobility of individual teeth in an axial direction. J Dent Res 1960;39:68
  19. Turesky JD, Shepherd NJ, Morgan VJ, Muftu A. A simple prosthetic approach using cement-retained implant prosthesis after surgical treatment of ameloblastoma. Implant Dent 1999;8:407-12 https://doi.org/10.1097/00008505-199904000-00015
  20. Nevins M. The placement of mandibular posterior implants. In:Nevins M(eds). Implant Therapy, Clinical Approaches and Evidence of Success Chicago:Quintessence. 1998:145-56
  21. Lekholm U, Gunne J, Henry P, Higuchi K, Linden U, Bergstrom C, van Steenberghe D. Survival of the Br${\aa}$nemark implant in partially edentulous jaws: A 10-year prospective multicenter study. Int J Oral Maxillofac Implants 1999;14:639-45
  22. Wyatt, C.C.L. & Zarb, G.A.Treatment outcomes of patients with implant-supported fixed partial prostheses. Int J Oral Maxillofac Implants 1998;13:204-211
  23. Fugazzotto, P.A., Beagle, J.R., Ganeless, J., Faffin, R., Vlassis, J. & Kumar, A. Success and failure rates of 9mm or shorter implants in the replacement of missing maxillary molars when restored with individual crowns: preliminary results 0 to 84 months in function. A retrospective study. J Periodontol 2004;75:327-332 https://doi.org/10.1902/jop.2004.75.2.327
  24. Tawill, G., Younan, R. Clinical evaluation of short, machined-surface implants followed for 12 to 92 months. Int J Oral Maxillofac Implants 2003;18: 894-901
  25. Schwartz-Arad, D., Herzberg, R. & Dolev, E. The prevalence of surgical complications of the sinus graft procedure and their impact on implant survival. J Periodontol 2004;75:511-516 https://doi.org/10.1902/jop.2004.75.4.511
  26. Ferrigno, N., Laureti, M. & Fanali, S. Inferior alveolar nerve transposition in conjunction with implant placement. Int J Oral Maxillofac Implants 2005;20: 610-620