좁은 치조골에서 사다리꼴형 디자인으로 개발된단폭경임플란트의 증례 보고
Case report of a newly designed narrow-diameter implant with trapezoid-shape for deficient alveolar bone
1
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Long-term survival and prognosis of narrow-diameter implants have been reported to be adequate to consider them a safe method for treating a deficient alveolar ridge. The objective of this study was to perform case report of narrow-diameter implants with a trapezoid-shape in anterior teeth alveolar bone. A 50-year-old male patient presented with discomfort due to mobility of all of the maxillary teeth and mandibular incisors. Due to destruction of alveolar bone, four anterior mandibular teeth were extracted. Soft tissue healing was allowed for approximately 3 months after the extraction, and a new design of implant placement was planned for the mandibular incisor area, followed by clinical and radiological evaluation. Implant placement was determined using an R2GATE surgical stent. The stability of the implants was assessed by ISQ measurements at the first and second implant surgery and after prosthetic placement. At 1 and 3 months and 1 year after implantation of the prosthesis, clinical and radiological examinations were performed. Another 50-year-old male patient presented with discomfort due to mobility of the mandibular central incisors. For the same reason as in the first patient, implant placement was carried out in the same way after extraction. ISQ measurements and clinical and radiological examinations were performed as in the previous case. In these two clinical cases, 12 months of follow-up revealed that the implant remained stable without inflammation or additional bone loss, and there was no discomfort to the patient. In conclusion, computer-guided implant surgery was used to place an implant in an optimal position considering the upper prosthesis. A new design of a narrow-diameter implant with a trapezoid-shape into anterior mandibular alveolar bone is a less invasive treatment method and is based on the contour of the deficient alveolar ridge. Through all of these procedures, we were able to reduce the number of traumas during surgery, reduce the operation time and total treatment period, and provide patients with more comfortable treatment.
Abstract
Long-term survival and prognosis of narrow-diameter implants have been reported to be adequate to consider them a safe method for treating a deficient alveolar ridge. The objective of this study was to perform case report of narrow-diameter implants with a trapezoid-shape in anterior teeth alveolar bone. A 50-year-old male patient presented with discomfort due to mobility of all of the maxillary teeth and mandibular incisors. Due to destruction of alveolar bone, four anterior mandibular teeth were extracted. Soft tissue healing was allowed for approximately 3 months after the extraction, and a new design of implant placement was planned for the mandibular incisor area, followed by clinical and radiological evaluation. Implant placement was determined using an R2GATE surgical stent. The stability of the implants was assessed by ISQ measurements at the first and second implant surgery and after prosthetic placement. At 1 and 3 months and 1 year after implantation of the prosthesis, clinical and radiological examinations were performed. Another 50-year-old male patient presented with discomfort due to mobility of the mandibular central incisors. For the same reason as in the first patient, implant placement was carried out in the same way after extraction. ISQ measurements and clinical and radiological examinations were performed as in the previous case. In these two clinical cases, 12 months of follow-up revealed that the implant remained stable without inflammation or additional bone loss, and there was no discomfort to the patient. In conclusion, computer-guided implant surgery was used to place an implant in an optimal position considering the upper prosthesis. A new design of a narrow-diameter implant with a trapezoid-shape into anterior mandibular alveolar bone is a less invasive treatment method and is based on the contour of the deficient alveolar ridge. Through all of these procedures, we were able to reduce the number of traumas during surgery, reduce the operation time and total treatment period, and provide patients with more comfortable treatment.
참고문헌 (28)
- Adell R, "A long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws", International Journal of Oral & Maxillofacial Implants, pp.347~359 (1990)
- Branemark P-I, "Intra-osseous anchorage of dental prostheses: I. Experimental studies", Scandinavian journal of plastic and reconstructive surgery, 3, pp.81~100 (1969)[DOI]
- Lee JS, "Long-term retrospective study of narrow implants for fixed dental prostheses", Clinical oral implants research, 24, pp.847~852 (2013)[DOI]
- Merheb J, "Critical buccal bone dimensions along implants", Periodontology 2000, 66, pp.97~105 (2014)[DOI]
- Fu J-H, "Horizontal bone augmentation: the decision tree", International Journal of Periodontics & Restorative Dentistry, 3, pp.428~436 (2011)
- Zinsli B, "Clinical evaluation of small-diameter ITI implants: a prospective study", International Journal of Oral & Maxillofacial Implants, 19, pp.92~99 (2004)
- Arisan V, "Evaluation of 316 narrow diameter implants followed for 5-10 years: a clinical and radiographic retrospective study", Clinical oral implants research, 21, pp.296~307 (2010)[DOI]
- Buser D, "Surgical procedures in partially edentulous patients with ITI implants", Clinical Oral Implants Research, 11, pp.83~100 (2000)
- Romeo E, "Clinical and radiographic evaluation of small?diameter (3.3-mm) implants followed for 1-7 years: a longitudinal study", Clinical oral implants research, 17, pp.139~148 (2006)[DOI]
- Anchieta RB, "Mechanical property assessment of bone healing around a titanium-zirconium alloy dental implant", Clinical implant dentistry and related research, 16, pp.913~919 (2014)[DOI]
- Kobayashi E, "Mechanical properties of the binary titanium-zirconium alloys and their potential for biomedical materials", Journal of Biomedical Materials Research Part A, 29, pp.943~950 (1995)[DOI]
- Thoma DS, "Tissue integration of a new titanium?zirconium dental implant: a comparative histologic and radiographic study in the canine", Journal of periodontology, 82, pp.1453~1461 (2011)[DOI]
- Chang Y-Y, "Evaluation of a Reverse-Tapered Design on the Osseointegration of Narrow-Diameter Implants in Beagle Dogs: A Pilot Study", The International journal of oral & maxillofacial implants, 31, pp.611~620 (2016)
- Chang YY, "Effect of microthreads on coronal bone healing of narrow?diameter implants with reverse?tapered design in beagle dogs", Clinical Oral Implants Research, 31, pp.611~620 (2017)
- Abuhussein H, "The effect of thread pattern upon implant osseointegration", Clinical oral implants research, 21, pp.129~136 (2010)[DOI]
- Abrahamsson I, "Tissue characteristics at microthreaded implants: an experimental study in dogs", Clinical implant dentistry and related research, 8, pp.107~113 (2006)[DOI]
- Hansson S, "The implant neck: smooth or provided with retention elements. A biomechanical approach", Clinical oral implants research, 10, pp.394~405 (1999)[DOI]
- Hudieb MI, "Magnitude and direction of mechanical stress at the osseointegrated interface of the microthread implant", Journal of periodontology, 82, pp.1061~1070 (2011)[DOI]
- Bratu EA, "A rough surface implant neck with microthreads reduces the amount of marginal bone loss: a prospective clinical study", Clinical oral implants research, 20, pp.827~832 (2009)[DOI]
- Park J-W, "Effects of calcium ion incorporation on bone healing of Ti6Al4V alloy implants in rabbit tibiae", Biomaterials, 28, pp.3306~3313 (2007)[DOI]
- Suh JY, "Effects of a novel calcium titanate coating on the osseointegration of blasted endosseous implants in rabbit tibiae", Clinical oral implants research, 18, pp.362~369 (2007)[DOI]
- Balubi TJ, "An analysis and management of fractured implants: a clinical report", Int J Oral Maxillofac Implants, 11, pp.660~666 (1996)
- Becker CM, "Surgical guide for dental implant placement", The Journal of prosthetic dentistry, 83, pp.248~251 (2000)[DOI]
- Jung RE, "Computer technology applications in surgical implant dentistry: a systematic review", Int J Oral Maxillofac Implants, 24, pp.92~109 (2009)
- Moraschini V, "Implant survival rates, marginal bone level changes, and complications in full-mouth rehabilitation with flapless computer-guided surgery: a systematic review and meta-analysis", International journal of oral and maxillofacial surgery, 44, pp.892~901 (2015)[DOI]
- Tahmaseb A, "Computer technology applications in surgical implant dentistry: a systematic review", International Journal of Oral & Maxillofacial Implants, 29, pp.25~42 (2014)[DOI]
- Cassetta M, "The intrinsic error of a stereolithographic surgical template in implant guided surgery", International journal of oral and maxillofacial surgery, 42, pp.264~275 (2013)[DOI]
- 김종은, "임플란트 가이드 수술을 위한 Planning 방식에 대한 고찰", 대한치과의사협회지, 54(2), pp.108~122 (2016), 대한치과의사협회[DOI]