본문 바로가기
KERD
논문KCI 등재

Guidance and rationale for the immediate implant placement in the maxillary molar

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

주제분류치의학

초록

Objectives: While the reliability of immediate implant placement in the maxillary molar has been discussed, its significance is questionable. There have been no guidelines for case selection and surgical technique for successful treatment outcomes of immediate maxillary molar implants. Therefore, in this study, we classified alveolar bone height and socket morphology of the maxillary molar to establish guidelines for immediate implant placement. Materials and Methods: From 2011 to 2019, we retrospectively analyzed 106 patients with 148 immediate implants at the Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital. Inclusion and exclusion criteria were applied, and patient characteristics and treat-ment results were evaluated clinically and radiologically. Results: A total of 29 tapered, sand-blasted, large-grit, and acid-etched (SLA) surfaces of implants were placed in 26 patients. The mean patient age was 64.88 years. Two implants failed and were reinstalled, resulting in a 93.10% survival rate. Fluctuating marginal bone level changes indicating bone regeneration and bone loss were observed in the first year following installation and remained stable after one year of prosthesis loading, with an aver-age bone loss of 0.01±0.01 mm on the distal side and 0.03±0.03 mm on the mesial side. Conclusion: This clinical study demonstrated the significance of immediate implant placement in maxillary molars as a reliable treatment with a high survival rate using tapered SLA implants. With an accurate approach to immediate implantation, surgical intervention and treatment time can be reduced, resulting in patient satisfaction and comfort.

Abstract

Objectives: While the reliability of immediate implant placement in the maxillary molar has been discussed, its significance is questionable. There have been no guidelines for case selection and surgical technique for successful treatment outcomes of immediate maxillary molar implants. Therefore, in this study, we classified alveolar bone height and socket morphology of the maxillary molar to establish guidelines for immediate implant placement. Materials and Methods: From 2011 to 2019, we retrospectively analyzed 106 patients with 148 immediate implants at the Department of Oral and Maxillofacial Surgery, Seoul National University Dental Hospital. Inclusion and exclusion criteria were applied, and patient characteristics and treat-ment results were evaluated clinically and radiologically. Results: A total of 29 tapered, sand-blasted, large-grit, and acid-etched (SLA) surfaces of implants were placed in 26 patients. The mean patient age was 64.88 years. Two implants failed and were reinstalled, resulting in a 93.10% survival rate. Fluctuating marginal bone level changes indicating bone regeneration and bone loss were observed in the first year following installation and remained stable after one year of prosthesis loading, with an aver-age bone loss of 0.01±0.01 mm on the distal side and 0.03±0.03 mm on the mesial side. Conclusion: This clinical study demonstrated the significance of immediate implant placement in maxillary molars as a reliable treatment with a high survival rate using tapered SLA implants. With an accurate approach to immediate implantation, surgical intervention and treatment time can be reduced, resulting in patient satisfaction and comfort.

참고문헌 (48)

  1. Demircan S, "Is immediate implant placement possible in the maxillary molar area? An anatomical study", Quintessence Int, 47, pp.853~859 (2016)[DOI]
  2. Ketabi M, "A systematic review of outcomes following immediate molar implant placement based on recently published studies", Clin Implant Dent Relat Res, 18, pp.1084~1094 (2016)[DOI]
  3. Atieh MA, "Immediate placement or immediate restoration", loading of single implants for molar tooth replacement : a systematic review and metaanalysis, 2010, pp.25, 401~415
  4. Smith RB, "Classification of molar extraction sites for immediate dental implant placement : technical note", Int J Oral Maxillofac Implants, 28, pp.911~916 (2013)[DOI]
  5. Ananda GK, "Anatomical considerations for implant placements in first maxillary molar extracted sites in East Asian patients", Surg Radiol Anat, 37, pp.1099~1108 (2015)[DOI]
  6. Fugazzotto PA, "Implant placement at the time of maxillary molar extraction : treatment protocols and report of results", J Periodontol, 79, pp.216~223 (2008)[DOI]
  7. Ragucci GM, "Immediate implant placement in molar extraction sockets : a systematic review and meta-analysis", Int J Implant Dent, 6, pp.40~ (2020)[DOI]
  8. Atieh MA, "Immediate single implant restorations in mandibular molar extraction sockets : a controlled clinical trial", Clin Oral Implants Res, 24, pp.484~496 (2013)[DOI]
  9. Checchi V, "Wide diameter immediate post-extractive implants vs delayed placement of normal-diameter implants in preserved sockets in the molar region : 1-year post-loading outcome of a randomised controlled trial", Eur J Oral Implantol, 10, pp.263~278 (2017)
  10. Meijer HJA, "Immediate implant placement in molar extraction sites : a 1-year prospective case series pilot study", Int J Implant Dent, 6, pp.3~ (2020)[DOI]
  11. Nguyen TTH, "Rehabilitation of atrophic jaw using iliac onlay bone graft combined with dental implants", Int J Implant Dent, 5, pp.11~ (2019)[DOI]
  12. von Elm E, "The Strengthening the Reporting of Observational Studies in Epidemiology(STROBE)statement : guidelines for reporting observational studies", Ann Intern Med, 147, pp.573~577 (2007)[DOI]
  13. Misch CE, "Implant success, survival, and failure : the International Congress of Oral Implantologists(ICOI)Pisa consensus conference", Implant Dent, 17, pp.5~15 (2008)[DOI]
  14. Yuan X, "Biomechanics of immediate postextraction implant osseointegration", J Dent Res, 97, pp.987~994 (2018)[DOI]
  15. Makishi S, "Osteopontin-deficiency disturbs direct osteogenesis in the process of achieving osseointegration following immediate placement of endosseous implants", Clin Implant Dent Relat Res, 19, pp.496~504 (2017)[DOI]
  16. Botticelli D, "Bone tissue formation adjacent to implants placed in fresh extraction sockets : an experimental study in dogs", Clin Oral Implants Res, 17, pp.351~358 (2006)[DOI]
  17. Botticelli D, "Implants in fresh extraction sockets : a prospective 5-year follow-up clinical study", Clin Oral Implants Res, 19, pp.1226~1232 (2008)[DOI]
  18. Matarasso S, "Dimensional ridge alterations following immediate implant placement in molar extraction sites : a six-month prospective cohort study with surgical re-entry", Clin Oral Implants Res, 20, pp.1092~1098 (2009)[DOI]
  19. Adell R, "Marginal tissue reactions at osseointegrated titanium fixtures", Swed Dent J Suppl, 28, pp.175~181 (1985)
  20. Javaid MA, "Immediate implants : clinical guidelines for esthetic outcomes", Dent J(Basel), 4, pp.21~ (2016)[DOI]
  21. Amato F, "Immediate implant placement in single-tooth molar extraction sockets : a 1-to 6-year retrospective clinical study", Int J Periodontics Restorative Dent, 38, pp.495~501 (2018)[DOI]
  22. Zita Gomes R, "Implant stability in the posterior maxilla : a controlled clinical trial", Biomed Res Int, 2017, pp.6825213~ (2017)[DOI]
  23. Acocella A, "Modified insertion technique for immediate implant placement into fresh extraction socket in the first maxillary molar sites : a 3-year prospective study", Implant Dent, 19, pp.220~228 (2010)[DOI]
  24. Truc Thi Hoang Nguyen, "Analysis of acute sinusitis-related early failed implant surface: a combined histological, electron microscopy, and X-ray spectroscopy approach", Maxillofacial Plastic Reconstructive Surgery, 44, pp.1~13 (2022), 대한악안면성형재건외과학회[DOI]
  25. Andre A, "Vertical and horizontal augmentation of deficient maxilla and mandible for implant placement", Dent Clin North Am, 65, pp.103~123 (2021)[DOI]
  26. 전상호, "The influence of bone graft procedures on primary stability and bone change of implants placed in fresh extraction sockets", Maxillofacial Plastic Reconstructive Surgery, 40(4), pp.1~6 (2018), 대한악안면성형재건외과학회[DOI]
  27. Troeltzsch M, "Clinical efficacy of grafting materials in alveolar ridge augmentation : a systematic review", J Craniomaxillofac Surg, 44, pp.1618~1629 (2016)[DOI]
  28. Kolerman R, "Allograft and collagen membrane augmentation procedures preserve the bone level around implants after immediate placement and restoration", Int J Environ Res Public Health, 17, pp.1133~ (2020)[DOI]
  29. Farina R, "Wound healing of extraction sockets", Endod Topics, 25, pp.16~43 (2011)[DOI]
  30. Cochran DL, "Bone response to unloaded and loaded titanium implants with a sandblasted and acid-etched surface : a histometric study in the canine mandible", J Biomed Mater Res, 40, pp.1~11 (1998)[DOI]
  31. Sayin Ozel G, "Stability of dental implants with sandblasted and acid-etched(SLA)and modified(SLActive)surfaces during the osseointegration period", J Dent Res Dent Clin Dent Prospects, 15, pp.226~231 (2021)[DOI]
  32. Kim YK, "Prospective comparative study of tapered implants with SLA surfaces in the maxillary posterior area according to 3-and 6-month loading time", Int J Periodontics Restorative Dent, 35, pp.271~276 (2015)[DOI]
  33. El Chaar E, "A novel fully tapered, self-cutting tissue-level implant : noninferiority study in minipigs", Clin Oral Investig, 25, pp.6127~6137 (2021)[DOI]
  34. Mustakim KR, "Tapered, sand-blasted, large-grit, and acid-etched surfaced internal dental implant in the diverse pathologic jaw", J Craniofac Surg, 33, pp.2161~2168 (2022)[DOI]
  35. Mustakim KR, "Appropriate implant rehabilitation in patients with iatrogenic oroantral fistula and odontogenic maxillary sinusitis", J Craniofac Surg, 34, pp.e92~e96 (2023)[DOI]
  36. Taheri M, "Marginal bone loss around bone-level and tissue-level implants : a systematic review and meta-analysis", Ann Anat, 231, pp.151525~ (2020)[DOI]
  37. Vianna TT, "Evaluation of peri-implant marginal tissues around tissue-level and bone-level implants in patients with a history of chronic periodontitis", J Clin Periodontol, 45, pp.1255~1265 (2018)[DOI]
  38. Will MJ, "Survival rate of ultrawide diameter implants placed into molar postextraction sockets and in function for up to 144 months", J Prosthodont (2022)[DOI]
  39. Hattingh A, "A retrospective study on ultra-wide diameter dental implants for immediate molar replacement", Clin Implant Dent Relat Res, 21, pp.879~887 (2019)[DOI]
  40. Hattingh A, "A prospective study on ultra-wide diameter dental implants for immediate molar replacement", Clin Implant Dent Relat Res, 20, pp.1009~1015 (2018)[DOI]
  41. Chen Y, "Transcrestal sinus floor augmentation with immediate implant placement applied in three types of fresh extraction sockets : a clinical prospective study with 1-year follow-up", Clin Implant Dent Relat Res, 19, pp.1034~1043 (2017)[DOI]
  42. Jensen OT, "Maxillary molar sinus floor intrusion at the time of dental extraction", J Oral Maxillofac Surg, 64, pp.1415~1419 (2006)[DOI]
  43. Mehdi Ekhlasmandkermani, "Sinus floor elevation and simultaneous implant placement in fresh extraction sockets: a systematic review of clinical data", 대한구강악안면외과학회지, 47(6), pp.411~426 (2021), 대한구강악안면외과학회[DOI]
  44. Jensen OT, "Report of the sinus consensus conference of 1996", Int J Oral Maxillofac Implants, 13(Suppl), pp.11~45 (1998)
  45. Khehra A, "Maxillary sinus augmentation procedures : a narrative clinical review", Quintessence Int, 51, pp.578~584 (2020)[DOI]
  46. Truc Thi Hoang Nguyen, "7-mm-long dental implants: retrospective clinical outcomes in medically compromised patients", 대한구강악안면외과학회지, 45(5), pp.260~266 (2019), 대한구강악안면외과학회[DOI]
  47. Lemos CA, "Short dental implants versus standard dental implants placed in the posterior jaws : a systematic review and meta-analysis", J Dent, 47, pp.8~17 (2016)[DOI]
  48. Duan XB, "Marginal bone loss around non-submerged implants is associated with salivary microbiome during bone healing", Int J Oral Sci, 9, pp.95~103 (2017)[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (9건)