부분 무치악 환자에서 마그네슘 이온주입 임플란트의 성공률에 대한 전향적 임상연구
The success rate of Mg-incorporated oxidized implants in partially edentulous patients: a prospective clinical study
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
연구 목적: 부분 무치악 환자에서 Mg titanate implant (M Implant system, Shinhung, Korea)의 보철후 1년간의 방사선사진을 이용한 변연골 흡수량과 Osstell을 이용한 임플란트 안정성 평가 결과를 분석하여 임상적인 성공률에 대해 알아보고자 한다. 연구 재료 및 방법: 38명의 환자에 79개의 임플란트를 식립하여 보철 후 1년 동안 변연골 흡수량, 임플란트의 동요도, 임플란트 식립 위치에 따른 분포 및 성공률, 보철 전후에 따른 성공률을 분석했다. 결과: 변연골의 흡수량은 보철물 장착 후 1년간의 평가에서 상악에서는 평균 1.537 mm, 하악에서는 평균 1.172 mm의 변연골 흡수가 관찰되었으며, 전체적인 상하악의 평균 변연골 흡수량은 1.255 mm로 관찰되었다. 수술 후 시간이 경과함에 따라 ISQ값은 미약하게 감소하였다가 증가하는 경향을 보였으나, 상악과 하악 모두에서 식립 당일 이후 예비 인상일, 최종 보철물의 장착일과 주기적인 평가 기간 동안 ISQ값의 큰 증가나 감소를 나타내지는 않았다. 성공률은 상악에서의 94.12%였고, 하악에서의 98.39%였다. 결론: 본 실험의 결과로 미루어 Mg titanate implant는 임상적으로 양호한 결과를 보여주었다.
Abstract
Purpose: This study examined the clinical success rate of Mg titanate implants (M Implant system, Shinhung, Korea), which employ a Mg coating method, by evaluating the marginal bone loss and implant stability using radiographs and Osstell, over a 1 year. Materials and methods: The locations of the implants placement were divided into 4 areas; the maxillary and mandibular premolars and molars. In the maxilla, 8 and 9 implants were inserted in the premolar and molar areas, respectively. In the mandible, 11 and 51 implants were inserted in the premolar and molar areas. Marginal bone loss and ISQ of all implants (79) were measured after insertion, mounting the prosthetic appliance, and 1, 3, 6, and 12 months after loading. The marginal bone loss was measured from the radiograph using XCP bite, which was customized, and the implant stability measured using Osstell. Fisher's exact test (α=.05) was used to compare the success rates of each region. Results: The mean marginal bone loss for the upper and lower jaws were 1.537 mm and 1.172 mm. The mobility showed a non-significant reduction or increase according with time. The success rates were accounted for 94.12% and 98.39% in the upper and lower jaws; the premolars and molars were accounted for 100% and 96.67%. The two cases of early failure resulted from failure of primary stability during implant insertion. The late failures were not observed for 1 year after adding a loading to the implants. Conclusion: The Mg titanate implant showed good primary stability and good clinical results in both healing and function.
참고문헌 (34)
- Adell R, "A 15-year study of osseointegrated implants in the treatment of the edentulous jaw", Int J Oral Surg, 10, pp.387~416 (1981)
- Albrektsson T, "The longterm efficacy of currently used dental implants: a review and proposed criteria of success", Int J Oral Maxillofac Implants, 1, pp.11~25 (1986)
- Cox JF, "The longitudinal clinical efficacy of osseointegrated dental implants: a 3-year report", Int J Oral Maxillofac Implants, 2, pp.91~100 (1987)
- Branemark PI, "Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period", Scand J Plast Reconstr Surg Suppl, 16, pp.1~132 (1977)
- Branemark PI, "Introduction to osseointegration, In Tissue-Integrated Prosthese. Osseointegration in Clinical Dentistry" (1985), Quintessence Publishing Co, Inc.
- Albrektsson TO, "Biological aspects of implant dentistry: osseointegration", Periodontol 2000, 4, pp.58~73 (1994)
- Zarb GA, "Albrektsson T. Osseointegration: A requiem for the periodontal ligament?", Int J Periodont Res Dent, 11, pp.88~91 (1991)
- Albrektsson T, "Osseointegrated oral implants. A Swedish multicenter study of 8139 consecutively inserted Nobelpharma implants", J Periodontol, 59, pp.287~296 (1988)
- Adell R, "Longterm follow-up study of osseointegrated implants in the treatment of totally edentulous jaws", Int J Oral Maxillofac Implants, 5, pp.347~359 (1990)
- Johansson C, "Integration of screw implants in the rabbit: a 1-year follow-up of removal torque of titanium implants", Int J Oral Maxillofac Implants, 2, pp.69~75 (1987)
- Tjellstrom A, "Removal torque of osseointegrated craniofacial implants: a clinical study", Int J Oral Maxillofac Implants, 3, pp.287~289 (1988)
- Adell R, "Marginal tissue reactions at osseointegrated titanium fixtures (I). A 3-year longitudinal prospective study", Int J Oral Maxillofac Surg, 15, pp.39~52 (1986)
- Zarb GA, "The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto study. Part III: Problems and complications encountered", J Prosthet Dent, 64, pp.185~194 (1990)
- Sunde′n S, "Accuracy and precision in the radiographic diagnosis of clinical instability in Branemark dental implants", Clin Oral Implants Res, 6, pp.220~226 (1995)
- Barewal RM, "Resonance frequency measurement of implant stability in vivo on implants with a sandblasted and acid-etched surface", Int J Oral Maxillofac Implants, 18, pp.641~651 (2003)
- Albrektsson T, "Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man", Acta Orthop Scand, 52, pp.155~170 (1981)
- Carlsson L, "Removal torques for polished and rough titanium implants", Int J Oral Maxillofac Implants, 3, pp.21~24 (1988)
- Gotfredsen K, "Histomorphometric and removal torque analysis for TiO2-blasted titanium implants. An experimental study on dogs", Clin Oral Implants Res, 3, pp.77~84 (1992)
- Cordioli G, "Removal torque and histomorphometric investigation of 4 different titanium surfaces: an experimental study in the rabbit tibia", Int J Oral Maxillofac Implants, 15, pp.668~674 (2000)
- Klokkevold PR, "Osseointegration enhanced by chemical etching of the titanium surface. A torque removal study in the rabbit", Clin Oral Implants Res, 8, pp.442~447 (1997)
- Wennerberg A, "A histomorphometric and removal torque study of screw-shaped titanium implants with three different surface topographies", Clin Oral Implants Res, 6, pp.24~30 (1995)
- Ferguson SJ, "Biomechanical comparison of different surface modifications for dental implants", Int J Oral Maxillofac Implants, 23, pp.1037~1046 (2008)
- Meredith N, "Quantitative determination of the stability of the implant-tissue interface using resonance frequency analysis", Clin Oral Implants Res, 7, pp.261~267 (1996)
- Tonetti MS, "Pathogenesis of implant failures", Periodontol 2000, 4, pp.127~138 (1994)
- 설영택, "Surface characteristics of electrochemically oxidized implants and acid-etched implants: Surface chemistry, morphology, pore configurations, oxide thickness, crystal structure, and roughness", INTERNATIONAL JOURNAL OF ORAL & MAXILLOFACIAL IMPLANTS, 23, pp.631~640, Quintessence Publishing Company
- 설영택, "Oxidized, bioactive implants are rapidly and strongly integrated in bone. Part 1 - experimental implants", CLINICAL ORAL IMPLANTS RESEARCH, 17, pp.521~526, BLACKWELL PUBLISHING
- 설영택, "The bone response of oxidized bioactive and non-bioactive titanium implants", BIOMATERIALS, 26, pp.6720~6730, ELSEVIER SCI LTD
- 설영택, "Optimum surface properties of oxidized implants for reinforcement of osseointegration: Surface chemistry, oxide thickness, porosity, roughness, and crystal structure", INTERNATIONAL JOURNAL OF ORAL & MAXILLOFACIAL IMPLANTS, 20, pp.349~359, QUINTESSENCE PUBLISHING CO INC
- Sennerby L, "Resonance frequency analysis: measuring implant stability and osseointegration", Compend Contin Educ Dent, 19, pp.493~498 (1998)
- Meredith N, "Resonance frequency measurements of implant stability in vivo. A cross-sectional and longitudinal study of resonance frequency measurements on implants in the edentulous and partially dentate maxilla", Clin Oral Implants Res, 8, pp.226~233 (1997)
- Rasmusson L, "The influence of simultaneous versus delayed placement on the stability of titanium implants in onlay bone grafts. A histologic and biomechanic study in the rabbit", Int J Oral Maxillofac Surg, 28, pp.224~231 (1999)
- Huang HM, "Factors influencing the resonance frequency of dental implants", J Oral Maxillofac Surg, 61, pp.1184~1188 (2003)
- 설영택, "Which surface properties enhance bone response to implants? Comparison of oxidized magnesium, TiUnite, and osseotite implant surfaces", INTERNATIONAL JOURNAL OF PROSTHODONTICS, 19(4), pp.319~328 (2006), QUINTESSENCE PUBLISHING CO INC
- 설영택, "Bone tissue responses to Mg-incorporated oxidized implants and machine-turned implants in the rabbit femur", Journal of Applied Biomaterials and Biomechanics, 3(1), pp.18~28, Wichtig Editore