대한치과보철학회지 (The Journal of Korean Academy of Prosthodontics)

  • 제56권4호
  • /
  • Pages.278-286
  • /
  • 2018
  • /
  • 0301-2875(pISSN)
  • /
  • 2005-3789(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
권호 표지
DOI QR코드

DOI QR Code

임플란트 healing abutment 높이와 타진각도에 따른 타진방식 임플란트 안정성 측정기기의 수치 차이

Differences in percussion-type measurements of implant stability according to height of healing abutments and measurement angle

  • 박양훈 (강동경희대학교 치과병원 생체재료 보철과) ;
  • 이성복 (강동경희대학교 치과병원 생체재료 보철과) ;
  • 이석원 (강동경희대학교 치과병원 생체재료 보철과) ;
  • 백장현 (경희대학교 치과대학 치과보철학교실) ;
  • 이정열 (고려대학교 구로병원 임상치의학 연구소)
  • Park, Yang-Hoon (Department of Biomaterials and Prosthodontics, Kyung Hee University Dental School Hospital at Gangdong) ;
  • Leesungbok, Richard (Department of Biomaterials and Prosthodontics, Kyung Hee University Dental School Hospital at Gangdong) ;
  • Lee, Suk-Won (Department of Biomaterials and Prosthodontics, Kyung Hee University Dental School Hospital at Gangdong) ;
  • Paek, Janghyun (Department of Prosthodontics, School of Dentistry, Kyung Hee University) ;
  • Lee, Jeong-Yol (Department of Prosthodontics, Institute for Clinical Dental Research, Korea University Medical Center, Korea University)
  • 투고 : 2018.06.22
  • 심사 : 2018.07.18
  • 발행 : 2018.10.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 인조골에 동일한 조건으로 식립한 임플란트에 대하여 타진방식의 임플란트 안정성 측정기기인 Periotest와 AnyCheck을 사용하여 안정성 수치를 측정함에 있어서, healing abutment의 높이와 타진각도의 변화에 따른 각 측정기기의 안정성 수치 차이를 조사하는 것이다. 재료 및 방법: 총 60개의 임플란트를 주문제작한 인조골 블록에 식립하고 2, 3, 4, 5 mm 높이의 healing abutment를 각각 15개씩 네 그룹으로 나누어 체결하였으며, 각각 식립 토크, implant stability test, Periotest value를 측정했다. 임플란트 식립 시 45 - 55 Ncm의 토크를 유지하였다. 임플란트 장축에 수직인 지면을 기준으로, implant stability test는 AnyCheck을 사용하여 $0^{\circ}$, $30^{\circ}$의 기울기로 측정했으며 Periotest value는 Periotest M을 사용하여 $0^{\circ}$, $30^{\circ}$의 기울기로 측정하였다. 측정값은 통계적으로 비교 분석하였다. 결과: 식립 토크는 그룹 간 통계적 유의차가 없었다. AnyCheck과 Periotest M으로 측정했을 때, healing abutment의 높이가 증가할수록 안정성 수치가 낮게 측정되었다. 또한 AnyCheck과 Periotest M을 $0^{\circ}$와 $30^{\circ}$ 기울기로 측정 시 $0^{\circ}$로 측정한 그룹에서 안정성 수치가 더 낮게 측정되었다. 결론: 임플란트의 안정성 수치를 타진방식으로 측정할 때에는 healing abutment 높이와 타진각도의 변화에 따른 차이를 고려하여 측정해야 표준화된 평가를 할 수 있으며, 이에 대한 더욱 세밀한 사용법을 인지할 필요가 있다고 사료되었다.

Purpose: The purpose of this study was to evaluate the effect of healing abutment height and measurement angle on implant stability when using Periotest and AnyCheck. Materials and methods: 60 implants were placed into artificial bone blocks. After implant insertion, 2, 3, 4 and 5 mm healing abutments were installed on 15 specimens, respectively. Insertion torque value, implant stability test, Periotest value were measured. Insertion torque value was controlled between 45 - 55 Ncm. AnyCheck was used for measuring implant stability test and Periotest M was used for measuring Periotest value. Implant stability test and Periotest value were measured at the angles of 0 and 30 degrees to the horizontal plane. Measured values were analyzed statistically. Results: Insertion torque value had no significant difference among groups. When healing abutment height was higher, implant stability test and Periotest value showed lower stability. Also when measurement angle was decreased, implant stability test and Periotest value showed lower stability. Conclusion: When measuring stability of implants with percussion type devices, measured values should be evaluated considering height of healing abutments and measurement angle.

키워드

참고문헌

  1. Raghavendra S, Wood MC, Taylor TD. Early wound healing around endosseous implants: a review of the literature. Int J Oral Maxillofac Implants 2005;20:425-31.
  2. Meredith N. Assessment of implant stability as a prognostic determinant. Int J Prosthodont 1998;11:491-501.
  3. Javed F, Romanos GE. The role of primary stability for successful immediate loading of dental implants. A literature review. J Dent 2010;38:612-20. https://doi.org/10.1016/j.jdent.2010.05.013
  4. Elias CN, Rocha FA, Nascimento AL, Coelho PG. Influence of implant shape, surface morphology, surgical technique and bone quality on the primary stability of dental implants. J Mech Behav Biomed Mater 2012;16:169-80. https://doi.org/10.1016/j.jmbbm.2012.10.010
  5. O'Sullivan D, Sennerby L, Meredith N. Measurements comparing the initial stability of five designs of dental implants: a human cadaver study. Clin Implant Dent Relat Res 2000;2:85-92. https://doi.org/10.1111/j.1708-8208.2000.tb00110.x
  6. Ericsson I, Johansson CB, Bystedt H, Norton MR. A histomorphometric evaluation of bone-to-implant contact on machine-prepared and roughened titanium dental implants. A pilot study in the dog. Clin Oral Implants Res 1994;5:202-6. https://doi.org/10.1034/j.1600-0501.1994.050402.x
  7. Johansson CB, Sennerby L, Albrektsson T. A removal torque and histomorphometric study of bone tissue reactions to commercially pure titanium and Vitallium implants. Int J Oral Maxillofac Implants 1991;6:437-41.
  8. Wennerberg A, Albrektsson T, Andersson B, Krol JJ. A histomorphometric and removal torque study of screw-shaped titanium implants with three different surface topographies. Clin Oral Implants Res 1995;6:24-30. https://doi.org/10.1034/j.1600-0501.1995.060103.x
  9. Swami V, Vijayaraghavan V, Swami V. Current trends to measure implant stability. J Indian Prosthodont Soc 2016;16:124-30. https://doi.org/10.4103/0972-4052.176539
  10. Huang HM, Chiu CL, Yeh CY, Lin CT, Lin LH, Lee SY. Early detection of implant healing process using resonance frequency analysis. Clin Oral Implants Res 2003;14:437-43. https://doi.org/10.1034/j.1600-0501.2003.00818.x
  11. Sennerby L, Meredith N. Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontol 2000 2008;47:51-66. https://doi.org/10.1111/j.1600-0757.2008.00267.x
  12. Oh JS, Kim SG. Clinical study of the relationship between implant stability measurements using Periotest and Osstell mentor and bone quality assessment. Oral Surg Oral Med Oral Pathol Oral Radiol 2012;113:e35-40.
  13. Atsumi M, Park SH, Wang HL. Methods used to assess implant stability: current status. Int J Oral Maxillofac Implants 2007;22:743-54.
  14. Faulkner MG, Giannitsios D, Lipsett AW, Wolfaardt JF. The use and abuse of the Periotest for 2-piece implant/abutment systems. Int J Oral Maxillofac Implants 2001;16:486-94.
  15. Faulkner MG, Wolfaardt JF, Chan A. Measuring abutment/implant joint integrity with the Periotest instrument. Int J Oral Maxillofac Implants 1999;14:681-8.
  16. Aparicio C. The use of the Periotest value as the initial success criteria of an implant: 8-year report. Int J Periodontic Restor Dent 1997;17:150-61.
  17. Aparicio C, Lang NP, Rangert B. Validity and clinical significance of biomechanical testing of implant/bone interface. Clin Oral Implants Res 2006;17:2-7. https://doi.org/10.1111/j.1600-0501.2006.01365.x
  18. Teerlinck J, Quirynen M, Darius P, van Steenberghe D. Periotest: an objective clinical diagnosis of bone apposition toward implants. Int J Oral Maxillofac Implants 1991;6:55-61.
  19. Devlin H, Horner K, Ledgerton D. A comparison of maxillary and mandibular bone mineral densities. J Prosthet Dent 1998;79:323-7. https://doi.org/10.1016/S0022-3913(98)70245-8
  20. Choi HH, Chung CH, Kim SG, Son MK. Reliability of 2 implant stability measuring methods in assessment of various periimplant bone loss: an in vitro study with the Periotest and Osstell Mentor. Implant Dent 2014;23:51-6. https://doi.org/10.1097/ID.0000000000000000
  21. Olive J, Aparicio C. Periotest method as a measure of osseointegrated oral implant stability. Int J Oral Maxillofac Implants 1990;5:390-400.
  22. Kim SJ, Han DH. Periotest assessment of dental implant mobility: a clinical study. J Korean Acad Prosthodont 1998;36: 758-71.
  23. Herrmann I, Lekholm U, Holm S, Kultje C. Evaluation of patient and implant characteristics as potential prognostic factors for oral implant failures. Int J Oral Maxillofac Implants 2005;20:220-30.
  24. Jaffin RA, Berman CL. The excessive loss of Branemark fixtures in type IV bone: a 5-year analysis. J Periodontol 1991; 62:2-4. https://doi.org/10.1902/jop.1991.62.1.2
  25. Friberg B, Ekestubbe A, Sennerby L. Clinical outcome of Branemark System implants of various diameters: a retrospective study. Int J Oral Maxillofac Implants 2002;17:671-7.
  26. Jun SH, Chang BM, Weber HP, Kwon JJ. Comparison of initial stability parameters and histomorphometric analysis of implants inserted into extraction sockets: human fresh cadaver study. Int J Oral Maxillofac Implants 2010;25:985-90.
  27. Levin BP. The correlation between immediate implant insertion torque and implant stability quotient. Int J Periodontic Restor Dent 2016;36:833-40. https://doi.org/10.11607/prd.2865
  28. Gomez-Roman G, Lukas D. Influence of the implant abutment on the Periotest value: an in vivo study. Quintessence Int 2001;32:797-9.

피인용 문헌

  1. Effect of Ultraviolet Irradiation on Osseointegration of Dental Implants: A Comparative Histomorphometric Study in Canine Models vol.10, pp.12, 2018, https://doi.org/10.3390/app10124216
  2. Fiber post를 이용하여 임플란트 지대주에 보철물을 결합하는 SB-locking method: A case report vol.58, pp.4, 2018, https://doi.org/10.4047/jkap.2020.58.4.356