RBM 표면처리 내부연결형 비매립 임플란트의 4년 생존율과 주변골 흡수에 관한 임상 및 방사선학적 연구

FOUR-YEAR SURVIVAL RATE OF RBM SURFACE INTERNAL CONNECTION NON-SUBMERGED IMPLANTS AND THE CHANGE OF THE PERI-IMPLANT CRESTAL BONE

  • 전혜란 (이화여자대학교 임상치의학대학원 임플란트치의학과) ;
  • 김명래 (이화여자대학교 임상치의학대학원 임플란트치의학과) ;
  • 이동현 (이화여자대학교 의학전문대학원 치과학교실 구강악안면외과) ;
  • 신정섭 (이화여자대학교 의학전문대학원 치과학교실 구강악안면외과) ;
  • 강나라 (이화여자대학교 임상치의학대학원 임플란트치의학과)
  • Jeon, Hye-Ran (Ewha Womans University Graduate School of Clinical Dentistry Implant Dentistry) ;
  • Kim, Myung-Rae (Ewha Womans University Graduate School of Clinical Dentistry Implant Dentistry) ;
  • Lee, Dong-Hyun (Ewha Womans University School of Medicine Department of Oral and Maxillofacial Surgery) ;
  • Shin, Jung-Sub (Ewha Womans University School of Medicine Department of Oral and Maxillofacial Surgery) ;
  • Kang, Na-Ra (Ewha Womans University Graduate School of Clinical Dentistry Implant Dentistry)
  • 투고 : 2008.12.31
  • 심사 : 2009.05.04
  • 발행 : 2009.05.30

초록

Implant-supported fixed and removable prostheses provide a proper treatment modality with reliable success. The SS $II^{(R)}$ Implants is a one-stage nonsubmerged threaded titanium implants with Resorbable Blasting Media (RBM) surface developed by Osstem company (Busan, Korea) in October of 2002. This study is to evaluate the survival rate of the SS $II^{(R)}$ Implants for 4 years using radiographic parameters and to review the retrieved implants by the cytotoxicity tests. Since September 2003, 439 SS $II^{(R)}$ implants had been used for 173 patients at Ewha Womans University Medical Center in Korea. Patients consisted of 91 females (52.6 %) and 82 males (47.4 %). The patients' mean age was $42\;{\pm}16$ years, ranging from 21 to 83 years. The follow-up period ranged from 9 to 46 months (mean F/U $24.2\;{\pm}\;10.2$ months). The results are as follows; 1. Of 439 implants, 17 implants were removed and 4-year cumulative survival rate was 96.1%. 2. 82.3% of 17 failed implants were founded during healing phase, and 94.1% of failed fixtures were removed within 5 months after implantation. 3. Crestal bone around the implants was resorbed to 1 mm in 89.0%, to 1 - 2 mm loss of the marginal bone in 8.3%, and the bone loss over 2 mm was occurred in 2.7%. 4. Microscopic examination of the retrieved implants disclosed Grade 0 cytotoxicity in 4 and Grade 1 cytotoxicity in 2 of 6 groups divided according to LOT numbers. Inhibition rate with optical density was acceptable as low as ISO standard.

키워드

참고문헌

  1. Branemark PI, Adell R, Breine U et al : Intra-osseous anchorage of dental prostheses. I. Experimental studies. Scand J Plast Reconstr Surg 3 : 81, 1969 https://doi.org/10.3109/02844316909036699
  2. Pjetursson BE, Karoussis I, Burgin W et al : Patients' satisfaction following implant therapy. A 10-year prospective cohort study. Clin Oral Implants Res 16(2) : 185, 2005 https://doi.org/10.1111/j.1600-0501.2004.01094.x
  3. Raghoebar GM, Timmenga NM, Reintsema H et al : Maxillary bone grafting for insertion of endosseous implants: results after 12-124 months. Clin Oral Implants Res 12(3) : 279, 2001 https://doi.org/10.1034/j.1600-0501.2001.012003279.x
  4. DI Jang, YS Shin, BG Kim. Denfoline Vol. 73, 2007
  5. Buser D, Mericske-Stern R, Bernard JP et al : 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 8(3) : 161, 1997 https://doi.org/10.1034/j.1600-0501.1997.080302.x
  6. Buser D, Weber HP, Bragger U et al : Tissue integration of one-stage ITI implants: 3-year results of a longitudinal study with Hollow-Cylinder and Hollow-Screw implants. Int J Oral Maxillofac Implants 6(4) : 405, 1991
  7. Cochran DL, Buser D, ten Bruggenkate CM et al : The use of reduced healing times on ITI implants with a sandblasted and acid-etched (SLA) surface: early results from clinical trials on ITI SLA implants. Clin Oral Implants Res 13(2) : 144, 2002 https://doi.org/10.1034/j.1600-0501.2002.130204.x
  8. Lekholm U, Zarb G, Branemark PI : Tissue integrated prostheses osseointegration in clinical dentistry. Quintessence Int 199, 1985
  9. Wennerberg A, Albrektsson T, Johansson C et al : Experimental study of turned and grit-blasted screwshaped implants with special emphasis on effects of blasting material and surface topography. Biomaterials 17(1) : 15, 1996 https://doi.org/10.1016/0142-9612(96)80750-2
  10. Wennerberg A, Ektessabi A, Albrektsson T et al : A 1- year follow-up of implants of differing surface roughness placed in rabbit bone. Int J Oral Maxillofac Implants 12(4) : 486, 1997
  11. Wennerberg A, Albrektsson T, Andersson B et al : A histomorphometric and removal torque study of screw-shaped titanium implants with three different surface topographies. Clin Oral Implants Res 6(1) : 24, 1995 https://doi.org/10.1034/j.1600-0501.1995.060103.x
  12. Lazzara RJ, Testori T, Trisi P et al : A human histologic analysis of osseotite and machined surfaces using implants with 2 opposing surfaces. Int J Periodontics Restorative Dent 19(2) : 117, 1999
  13. Khang W, Feldman S, Hawley CE et al : A multi-center study comparing dual acid-etched and machined-surfaced implants in various bone qualities. J Periodontol 72(10) : 1384, 2001 https://doi.org/10.1902/jop.2001.72.10.1384
  14. Davies JE : Mechanisms of endosseous integration. Int J Prosthodont 11(5) : 391, 1998
  15. Testori T, Del Fabbro M, Feldman S et al : A multicenter prospective evaluation of 2-months loaded Osseotite implants placed in the posterior jaws: 3-year follow-up results. Clin Oral Implants Res 13(2) : 154, 2002 https://doi.org/10.1034/j.1600-0501.2002.130205.x
  16. Tonetti MS : Risk factors for osseodisintegration. Periodontol 2000 17 : 55, 1998 https://doi.org/10.1111/j.1600-0757.1998.tb00123.x
  17. Romeo E, Chiapasco M, Ghisolfi M et al : Long-term clinical effectiveness of oral implants in the treatment of partial edentulism. Seven-year life table analysis of a prospective study with ITI dental implants system used for singletooth restorations. Clin Oral Implants Res 13(2) : 133, 2002 https://doi.org/10.1034/j.1600-0501.2002.130203.x
  18. Bischof M, Nedir R, Abi Najm S et al : A five-year lifetable analysis on wide neck ITI implants with prosthetic evaluation and radiographic analysis: results from a private practice. Clin Oral Implants Res 17(5) : 512, 2006 https://doi.org/10.1111/j.1600-0501.2006.01271.x