좁은 치조제를 가진 하악 구치부에서 지르코늄-티타늄 합금의 작은 직경 임플란트 사용 증례
Titanium-zirconium alloy narrow-diameter implants for the rehabilitation of horizontally deficient mandibular posterior edentulous ridges
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
임플란트의 협설 측으로 잔존 골조직이 불충분할 경우 골증대술을 시행하지 않기 위해서는 작은 직경의 임플란트를 사용할 수 있다. 작은 직경 임플란트의 경우는 파절 저항성이 낮고, 골과 임플란트의 접촉 면적이 좁아 구치부에는 부적절한 것으로 여겨져 왔다. 최근의 연구에서는 새로운 임플란트 합금의 개발 및 표면 처리방법의 발전으로 구치부에서도 표준 직경 임플란트와 유사한 성공률이 보고되고 있다. 이 증례에서는 구치부 상실 부위 잔존골의 협설 폭이 부족한 상황에서 작은 직경 임플란트를 이용하여 심미적, 기능적으로 만족스러운 치료 결과를 보였다. 현재까지 추적검사 기간은 4년 이상 되었고 특이할만한 합병증 없이 유지되었다. 향후 장기적인 안정성에 대한 추가적인 연구가 필요할 것으로 사료된다.
Abstract
In case of the insufficient horizontal bone loss, a regular diameter implant is not possible without lateral bone augmentation. In this situation, narrow diameter implants (NDIs) could be the alternative to lateral bone augmentation procedures. However, complication generally expected with the NDI is implant fracture. Recently, the survival rate and success rate of NDI in the posterior region are similar to that of standard-diameter implants (SDIs). These 3 case reports demonstrate the incorporation of NDI to replace missing mandibular posterior teeth. So far, the follow-up examination period was maintained and no unusual complications were presented for more than four years. Long term follow-up clinical data are needed to confirm the excellent clinical performance of these implants.
참고문헌 (24)
- Tolentino L, "One-year follow-up of titanium", zirconium alloy X commercially pure titanium narrow-diameter implants placed in the molar region of the mandible: a randomized controlled trial, 2016, pp.27, 393~398
- Altuna P, "Clinical evidence on titanium-zirconium dental implants: a systematic review and meta-analysis", Int J Oral Maxillofac Surg, 45, pp.842~850 (2016)
- Cehreli MC, "Narrow-diameter implants as terminal support for occlusal three-unit FPDs: a biomechanical analysis", Int J Periodontics Restorative Dent, 24, pp.513~519 (2004)
- Jensen AT, "Complications related to bone augmentation procedures of localized defects in the alveolar ridge. A retrospective clinical study", Oral Maxillofac Surg, 20, pp.115~122 (2016)
- Chiapasco M, "Augmentation procedures for the rehabilitation of deficient edentulous ridges with oral implants", Clin Oral Implants Res, 17, pp.136~159 (2006)
- Klein MO, "Systematic review on success of narrow-diameter dental implants", Int J Oral Maxillofac Implants, 29, pp.43~54 (2014)
- Buser D, "Basic surgical principles with ITI implants", Clin Oral Implants Res, 11, pp.59~68 (2000)
- Romeo E, "Clinical and radiographic evaluation of small-diameter (3.3-mm) implants followed for 1-7 years: a longitudinal study", Clin Oral Implants Res, 17, pp.139~148 (2006)
- Arisan V, "Evaluation of 316narrow diameter implants followed for 5-10 years: a clinical and radiographic retrospective study", Clin Oral Implants Res, 21, pp.296~307 (2010)
- Malo P, "Implants (3.3 mm diameter) for the rehabilitation of edentulous posterior regions: a retrospective clinical study with up to 11 years of follow-up", Clin Implant Dent Relat Res, 13, pp.95~103 (2011)
- Assaf A, "Use of narrow-diameter implants in the posterior jaw: a systematic review", Implant Dent, 24, pp.294~306 (2015)
- Chiapasco M, "Titanium-zirconium alloy narrow-diameter implants (Straumann Roxolid(Ⓡ)) for the rehabilitation of horizontally deficient edentulous ridges: prospective study on 18 consecutive patients", Clin Oral Implants Res, 23, pp.1136~1141 (2012)
- Allum SR, "The impact of loads on standard diameter, small diameter and mini implants: a comparative laboratory study", Clin Oral Implants Res, 19, pp.553~559 (2008)
- Javed F, "Role of implant diameter on long-term survival of dental implants placed in posterior maxilla: a systematic review", Clin Oral Investig, 19, pp.1~10 (2015)
- Lee JS, "Long-term retrospective study of narrow implants for fixed dental prostheses", Clin Oral Implants Res, 24, pp.847~852 (2013)
- Misch CE, "Implant design considerations for the posterior regions of the mouth", Implant Dent, 8, pp.376~386 (1999)
- Zinsli B, "Clinical evaluation of small-diameter ITI implants: a prospective study", Int J Oral Maxillofac Implants, 19, pp.92~99 (2004)
- Schwarz MS, "Mechanical complications of dental implants", Clin Oral Implants Res, 11, pp.156~158 (2000)
- Grandin HM, "A review of titanium zirconium (TiZr) Alloys for use in endosseous dental implants", Materials, 5, pp.1348~1360 (2012)
- Sista S, "The influence of surface energy of titanium-zirconium alloy on osteoblast cell functions in vitro", J Biomed Mater Res A, 97, pp.27~36 (2011)
- Thoma DS, "Tissue integration of a new titanium-zirconium dental implant:a comparative histologic and radiographic study in the canine", J Periodontol, 82, pp.1453~1461 (2011)
- Geckili O, "Radiographic Evaluation of Narrow-Diameter Implants After 5 Years of Clinical Function:A Retrospective Study", Journal of Oral Implantology, 39, pp.273~279 (2013)
- Saad M, "The Use of Narrow Diameter Implants in the Molar Area", Int J Dent, 16, pp.1~8 (2016)
- Kim Y, "Occlusal considerations in implant therapy: clinical guidelines with biomechanical rationale", Clin Oral Implants Res, 16, pp.26~35 (2005)