Journal of the Korean Academy of Esthetic Dentistry (대한심미치과학회지)

Korean Academy of Esthetic Dentistry (대한심미치과학회)
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Comparative esthetic evaluation of anterior zone with immediate, early, and delay implantation

전치부 영역 임플란트의 식립 시기에 따른 심미적 평가

  • Kim, Jung-Hwa (Department of Periodontology, Veterans Health Service Medical Center) ;
  • Seo, Seong-Yong (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Kim, Na-Hong (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Yu, Jung-Hyun (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Lee, Dong -Woon (Department of Periodontology, Veterans Health Service Medical Center)
  • 김정화 (중앙보훈병원 치과병원 치주과) ;
  • 서성용 (중앙보훈병원 치과병원 보철과) ;
  • 김나홍 (중앙보훈병원 치과병원 보철과) ;
  • 유정현 (중앙보훈병원 치과병원 보철과) ;
  • 이동운 (중앙보훈병원 치과병원 치주과)
  • Received : 2017.03.25
  • Accepted : 2017.05.29
  • Published : 2017.06.30
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Abstract

Purpose: This retrospective study is to evaluate whether the timing of implant placement and the result of esthetic outcomes are related. Materials and Methods: Among the patients who had undergone single implant surgery on anterior area from 2010 to 2013 in Veterans Health Service Medical Center, 34 implants in 27 patients (24 male and 3 female) were selected and categorized into 3 groups according to the timing of placement, which are group D (Delay), group E (Early) and group I (Immediate). Aesthetic indices used included the Pink Esthetic Score (PES). It has 7 variables scores, such as mesial papilla, distal papilla, a level of soft-tissue margin, soft-tissue contour, alveolar process, soft-tissue color, and soft-tissue texture. Each variable ranges from 0 to 2, therefore total 14 points are highest. All patients were received by regular follow-up at least 1-year. One examiner measured PES on the intraoral photos. Each patient was considered as a statistical unit for statistical analysis. Statistical analyses were performed using a commercially available statistical software (SPSS Statistics 21.0, IBM Corp., Armonk, NY, USA). Kruskal-Wallis test was used for inter-group comparisons. Statistical significance was set at P<0.05. Result: Mean score in Group D, Group I, and Group E were $11.5{\pm}1.5$, $11.4{\pm}1.8$, and $11.3{\pm}1.8$ respectively. In Kruskal-Wallis test, there are no differences (P=0.989). Conclusion: In this limited study suggests that clinical aesthetic results can be achieved with all treatment protocols. Finally, various factors can be considered to produce the esthetic results.

임플란트 식립시기가 심미적인 부분에 영향을 미치는 것에 대한 연관성을 평가하기 위해 전치부 영역에 식립된 34개의 임플란트 (27명 환자)를 후향적으로 조사했다. 즉시, 조기 및 지연식립으로 시기별로 그룹을 나누고 모든 환자를 보철완료 1년후에 연조직 평가를 시행했다. 통계적으로 그룹별 유의한 의미는 없었다. 식립 시기에 상관없이 만족할 만한 최종결과를 위해 다양한 골이식술과 연조직 이식술이 이루어졌다. 즉, 식립시기로 그 결과를 결정지을 수 없다는 점은 다각적인 면에서 고려사항이 요구된다는 점을 시사한다.

Keywords

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