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Early loading의 난제 stability dip, 어떻게 극복할 것인가?

Stability dip, the obstacle of early loading protocol, how can it be figured out?

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Nowadays, it seems like that the concept of the early loading protocol has been intruded between the concept of the immediate loading supported by advanced clinicians and the concept of the conventional loading supported by the prudent clinicians. In particular, the stability dip, which is found to occur usually at 4~6 weeks after dental implant placement because the decrease of the primary mechanical stability is not compensated by the increase of the secondary biologic stability, is frequently pointed out as one of the major causes of early loading failure. In this article, based on our recent clinical investigation about the crestal bone preservation effect of the early loaded NanoTiteTM Tapered Certain Prevail (Biomet 3i, USA), the concept of the early loading is revisited. In addition, various methods to overcome the stability dip are reviewed as the oral and maxillofacial surgeon’s view point.

Abstract

Nowadays, it seems like that the concept of the early loading protocol has been intruded between the concept of the immediate loading supported by advanced clinicians and the concept of the conventional loading supported by the prudent clinicians. In particular, the stability dip, which is found to occur usually at 4~6 weeks after dental implant placement because the decrease of the primary mechanical stability is not compensated by the increase of the secondary biologic stability, is frequently pointed out as one of the major causes of early loading failure. In this article, based on our recent clinical investigation about the crestal bone preservation effect of the early loaded NanoTiteTM Tapered Certain Prevail (Biomet 3i, USA), the concept of the early loading is revisited. In addition, various methods to overcome the stability dip are reviewed as the oral and maxillofacial surgeon’s view point.

참고문헌 (11)

  1. Cochran DL, "Consensus statements and recommended clinical procedures regarding loading protocols for endosseous dental implants", The International Journal of Oral & Maxillofacial Implants, 19, pp.109~113 (2004)
  2. Weber HP, "Consensus statements and recommended clinical procedures regarding loading protocols", The International Journal of Oral & Maxillofacial Implants, 24, pp.180~183 (2009)
  3. Raghavendra S, "Early wound healing around endosseous implants: a review of the literature", The International Journal of Oral & Maxillofacial Implants, 20, pp.425~431 (2005)
  4. Roccuzzo M, "A prospective study evaluating a protocol for 6 weeks' loading of SLA implants in the posterior maxilla: one year results", Clinical Oral Implants Research, 13, pp.502~507 (2002)
  5. Sullivan D, "Early loading of Osseotite implants 2 months after placement in the maxilla and mandible: a 5-year report", The International Journal of Oral & Maxillofacial Implants, 20, pp.905~912 (2005)
  6. Gallucci GO, "Loading protocols for dental implants in edentulous patients", The International Journal of Oral & Maxillofacial Implants, 24, pp.132~146 (2009)
  7. Atsumi M, "Methods used to assess implant stability: current status", The International Journal of Oral & Maxillofacial Implants, 22, pp.743~754 (2007)
  8. Abuhussein H, "The effect of thread pattern upon implant osseointegration", Clinical Oral Implants Research, 21, pp.129~136 (2010)
  9. Bashutski JD, "Implant compression necrosis: current understanding and case report", Journal of Periodontology, 80, pp.700~704 (2009)
  10. Hudieb MI, "Magnitude and direction of mechanical stress at the osseointegrated interface of the microthread implant", Journal of Periodontology, 82, pp.1061~1070 (2011)
  11. 천승근, "임플란트 경부 미세나사 디자인이 치밀골의 스트레인에 미치는 영향", 대한치과보철학회지, 48(03), pp.215~223 (2010), 대한치과보철학회

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