외측연결형 임플란트 고정체의 경부 디자인이 임플란트 주위조직에 미치는 영향에 대한 전향적 예비 임상연구
Effect of neck design on peri-implant tissue responses in external connection type implant : a prospective pilot clinical study
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This clinical study was conducted to evaluate the clinical effects of a concave neck of external connection type implant fixture designed for platform switching on the peri-implant tissue responses. Two types of implants with different neck designs were implanted in 20 patients. For the experimental group, the bioseal(BS) implant fixtures with ‘s’ shaped concave profile on the neck were used, and non-bioseal(NBS) implant fixtures with a straight profile on the neck were used as control(Total of 40 implants, NBS: n = 19, BS: n=21). During the one-year period after implant placement, implant survival rate, marginal bone resorption, bleeding, plaque, and complications were evaluated. The survival rate of NBS and BS group was 94.74% and 90.48%, respectively. There was no significant difference on marginal bone resorption, bleeding and plaque between the two groups (P>.05). Within the limits of the present study, implants with a concave neck design showed similar clinical results to implants with a straight neck design on the peri-implant tissue responses. Longitudinal clinical studies are necessary to confirm more effective clinical results.
Abstract
This clinical study was conducted to evaluate the clinical effects of a concave neck of external connection type implant fixture designed for platform switching on the peri-implant tissue responses. Two types of implants with different neck designs were implanted in 20 patients. For the experimental group, the bioseal(BS) implant fixtures with ‘s’ shaped concave profile on the neck were used, and non-bioseal(NBS) implant fixtures with a straight profile on the neck were used as control(Total of 40 implants, NBS: n = 19, BS: n=21). During the one-year period after implant placement, implant survival rate, marginal bone resorption, bleeding, plaque, and complications were evaluated. The survival rate of NBS and BS group was 94.74% and 90.48%, respectively. There was no significant difference on marginal bone resorption, bleeding and plaque between the two groups (P>.05). Within the limits of the present study, implants with a concave neck design showed similar clinical results to implants with a straight neck design on the peri-implant tissue responses. Longitudinal clinical studies are necessary to confirm more effective clinical results.
참고문헌 (34)
- Adell R, "A 15-year study of osseointegrated implants in the treatment of the edentulous jaw", Int J Oral Surg, 10(6), pp.387~416 (1981)
- Meffert RM, "The soft tissue interface in dental implantology", Int J Oral Implantol, 5(12), pp.55~58 (1988)
- Albrektsson T, "A multicenter report on osseointegrated oral implants", J Prostet Dent, 60(1), pp.75~84 (1988)
- Abu-Hammad O, "Effect of dental implant cross-sectional design on cortical bone structure using finite element analysis", Clin Implant Dent Relat Res, 9(4), pp.217~221 (2007)
- Oh TJ, "The causes of early implant bone loss: myth or science?", J Periodontol, 73(3), pp.322~333 (2002)
- Quaresma SE, "A finite element analysis of two different dental implants: stress distribution in the prosthesis, abutment, implant, and supporting bone", J Oral Implantol, 34(1), pp.1~6 (2008)
- Berglundh T, "Dimension of the periimplant mucosa. Biological width revisited", J Clin Periodontol, 23(10), pp.971~973 (1996)
- Cochran DL, "Biologic width around titanium implants. A histometric analysis of the implantogingival junction around unloaded and loaded nonsubmerged implants in the canine mandible", J Periodontol, 68(2), pp.186~198 (1997)
- Hermann JS, "Biologic width around titanium implants A physiologically formed and stable dimension over time", Clin Oral Implants Res, 11(1), pp.1~11 (2000)
- Berglundh T, "Morphogenesis of the peri-implant mucosa: an experimental study in dogs", Clin Oral Implants Res, 18(1), pp.1~8 (2007)
- Glauser R, "Periimplant soft tissue barrier at experimental onepiece mini-implants with different surface topography in humans: a light-microscopic overview and histometric analysis", Clin Implant Dent Relat Res, 7(1), pp.44~51 (2005)
- Groessner-Schriber B, "Focal adhesion contact formation by fibroblasts cultured on surfacemodified dental implants: an in vitro study", Clin Oral Implants Res, 17(6), pp.726~745 (2006)
- Abrahamsson I, "The mucosal barrier following abutment dis", reconnection. An experimental study in the dog, 1997, pp.24(8), 568~572
- Hermann F, "Factors influencing the preservation of the periimplant marginal bone", Implant dent, 16(2), pp.165~175 (2007)
- 배은경, "Marginal tissue response to different Implant neck design", 대한치과보철학회지, 46(6), pp.602~609 (2008), 대한치과보철학회
- Kim S, "Influence of transmucosal designs of three one-piece implant systems on early tissue responses: a histometric study in beagle dogs", Int J Oral Maxillofac Implants, 25(2), pp.309~314 (2010)
- Gardner DM, "Platform switching as a means to achieving implant esthetics. A case study", NY state Dent J, 71(3), pp.34~37 (2005)
- Lazzara RJ, "Platform switching: a new concept in implant dentistry for controlling postrestorative crestal bone levels", Int J Periodontics Restorative Dent, 26(1), pp.9~17 (2006)
- Baumgarten H, "A new implant design for crestal bone preservation : initial observations and case report", Pract Proced Aesthet Dent, 17(10), pp.735~740 (2005)
- Baffone GM, "Influence of various implant platform configurations on peri-implant tissue dimensions: an experimental study in dog", Clin Oral Implants Res, 22(4), pp.438~444 (2011)
- 유현상, "임플란트의 collar design이 변연골과 연조직에 미치는 영향", 대한치과보철학회지, 50(1), pp.21~28 (2012), 대한치과보철학회
- 김원희, "Influence of Transmucosal Designs of Dental Implant on Tissue Regeneration in Beagle Dogs", 조직공학과 재생의학, 10(1), pp.25~32 (2013), 한국조직공학과 재생의학회
- Huh JB, "Influence of Implant transmucosal design on early peri?implant tissue responses in beagle dogs", Clin Oral Implants Res, 25(8), pp.962~968 (2014)
- Pearson ES, "Biometrika Tables for Statisticians Vol I" (1970), Cambridge U. Press
- Cochran DL, "The use of reduced healing times on ITI implants with a sandblasted and acid?etched (SLA) surface", Clin Oral Implants Res, 13(2), pp.144~153 (2002)
- Mombelli A, "The microbiota associated with successful or failing osseointegrated titanium implants", Oral Microbiol Immunol, 2(4), pp.145~151 (1987)
- Joly C, "Clinical and radiographic evaluation of soft and hard tissue changes around implants : a pilot study", J Periodontol, 74(8), pp.1097~1103 (2003)
- Bollen CM, "The influence of abutment surface roughness on plaque accumulation and peri implant mucositis", Clin Oral Implants Res, 7(3), pp.201~211 (1996)
- Vela-Nebot X, "Benefits of an implant platform modification technique to reduce crestal bone resorption", Implant dent, 15(3), pp.313~320 (2006)
- De Bruyn H, "The effect of smoking on early implant failure", Clin Oral Implants Res, 5(4), pp.260~264 (1994)
- Misch CE, "Contemporary implant dentistry" (1982), Mosby
- Smith D, "Criteria for success of osseointegrated endosseous implants", J Prosthet Dent, 62(5), pp.567~575 (1989)
- Hermann JS, "Crestal bone changes around titanium implants. A radiographic evaluation of unloaded nonsubmerged and submerged implants in the canine mandible", J Periodontol, 68(11), pp.1117~1130 (1997)
- Weber HP, "Comparison of healed tissues adjacent to submerged and nonsubmerged unloaded titanium dental implants. A histometric study in beagle dogs", Clin Oral Implants Res, 7(1), pp.11~19 (1996)