본문 바로가기
KERD
논문KCI 등재

탈단백 우골과 제3인산칼슘을 이용한 상악동 골이식 후 이식재의 높이 변화 - 파노라마 방사선 사진을 이용한 후향적 대조 연구

The graft height changes after sinus augmentation procedures using deproteinized bovine bone mineral and beta-tricalcium phosphate - A retrospective comparative study using panoramic radiography

박준우|박태일|서현수|홍순민|송윤정|최미라|김종식
대한구강악안면외과학회 (Korean Association Of Oral And Maxillofacial Surgeons)|2008.08|대한구강악안면외과학회지 (Journal of the Korean Association of Oral and Maxillofacial Surgeons)|제34권 제4호|pp. 468-474

0

조회

0

다운로드

1

인용

0

참고문헌

키워드

Panoramic radiographyMaxillary sinusDental implantsBone transplantationResorption
주제분류치의학

초록

Previous clinical investigations of sinus floor augmentation have demonstrated repneumatization of grafted sinus. The aim of this study is to evaluate and compare the height changes of sinus floor after grafting with deprotenized bovine bone mineral (DBBM) and beta tricalcium phosphate (TCP). Materials and methods: 34 sinuses in 28 patients were augmented with 100% DBBM or 100% TCP through lateral approaches. Sinusgraft height was measured before, immediately after, and 6 months after bone graft with panoramic radiography. Result: After 6 months, the decreases of graft heights were 14.53% for DBBM group and 15.15% for TCP group. There was no statistically significant difference. Discussion and Conclusion: Long-term stability of sinus-graft height represents an important factor for implant success. After the uses of DBBM and TCP for maxillary sinus floor augmentations, acceptable graft height maintenances were observed.

Abstract

Previous clinical investigations of sinus floor augmentation have demonstrated repneumatization of grafted sinus. The aim of this study is to evaluate and compare the height changes of sinus floor after grafting with deprotenized bovine bone mineral (DBBM) and beta tricalcium phosphate (TCP). Materials and methods: 34 sinuses in 28 patients were augmented with 100% DBBM or 100% TCP through lateral approaches. Sinusgraft height was measured before, immediately after, and 6 months after bone graft with panoramic radiography. Result: After 6 months, the decreases of graft heights were 14.53% for DBBM group and 15.15% for TCP group. There was no statistically significant difference. Discussion and Conclusion: Long-term stability of sinus-graft height represents an important factor for implant success. After the uses of DBBM and TCP for maxillary sinus floor augmentations, acceptable graft height maintenances were observed.

참고문헌 (39)

  1. 소현자, "상악동 중격: 임플란트 수술 계획시 파노라마와 치과용 전산화 단층촬영 분석", Journal of Periodontal & Implant Science, 36(1), pp.147~154 (2006), 대한치주과학회
  2. Wallace SS, "Effect of Maxillary Sinus Augmentation on the Survival of Endosseous Dental Implants", A Systematic Review Ann Periodontol, 8, pp.328~343 (2003)
  3. Fabbro MD, "Systematic Review of Survival Rates for Implants Placed in the Grafted Maxillary Sinus", Int J Periodontics Restorative Dent, 24, pp.565~577 (2004)
  4. Aghaloo TL, "Which hard tissue augmentation techniques are the most successful in furnishing bony support for implant placement?", Int J Oral Maxillofac Implants, 22(Suppl), pp.49~70 (2007)
  5. Jensen OT, "Report of the Sinus Consensus Conference of 1996", Int J Oral Maxillofac Implants, 13(Suppl), pp.11~45 (1998)
  6. Bradley S, "Eighteen-Month Radiographic and Histologic Evaluation of Sinus Grafting with Anorganic Bovine Bone in the Chimpanzee", Int J Oral Maxillofac Implants, 14, pp.361~368 (1999)
  7. Hurzeler MB, "Reconstruction of the severely resorbed maxilla with dental implants in the augmented maxillary sinus: a 5-year clinical investigation", Int J Oral Maxillofac Implants, 11, pp.466~475 (1996)
  8. GaRey DJ, "The histologic evaluation of the implant interface with heterograft and allograft materials-an eight-month autopsy report, Part II", J Oral Implantol, 17, pp.404~408 (1991)
  9. Hatano N, "A clinical long-term radiographic evaluation of graft height changes after maxillary sinus floor augmentation with a 2:1 autogenous bone", xenograft mixture and simultaneous placement of dental implants, 2004, pp.15, 339~345
  10. Nystrom E, "Combined use of bone grafts and implants in the severely resorbed maxilla. Postoperative evaluation by computed tomography", Int J Oral Maxillofac Surg, 24, pp.20~25 (1995)
  11. Johansson B, "A clinical study of changes in the volume of bone grafts in the atrophic maxilla", Dentomaxillofacial Radiology, 39, pp.157~161 (2001)
  12. Hallman M, "A prospective 1-year clinical and radiographic study of implants placed after maxillary sinus floor augmentation with bovine hydroxyapatite and autogenous bone", J Oral Maxillofac Surg, 60, pp.277~284 (2002)
  13. Velich N, "Long-term results with different bone substitutes used for sinus floor elevation", J Craniofac Surg, 15, pp.38~41 (2004)
  14. 홍순민, "탈단백 우골 (Deproteinized Bovine Bone Mineral)을 이용한 상악동 골이식술: 측면 접근법의 문헌 고찰", 대한구강악안면외과학회지, 32(5), pp.482~ (2006), 대한구강악안면외과학회
  15. Zijderveld SA, "ten Bruggenkate CM: Maxillary sinus floor augmentation using a beta-tricalcium phosphate (Cerasorb) alone compared to autogenous bone grafts", Int J Oral Maxillofac Implants, 20, pp.432~440 (2005)
  16. Artzi Z, "The amount of newly formed bone in sinus grafting procedures depends on tissue depth as well as the type and residual amount of the grafted material", J Clin Periodontol, 32, pp.193~199 (2005)
  17. Artzi Z, "Biomaterial resorption rate and healing site morphology of inorganic bovine bone and betatricalcium phosphate in the canine: a 24-month longitudinal histologic study and morphometric analysis", Int J Oral Maxillofac Implants, 19, pp.357~368 (2004)
  18. Schlegel KA, "Histologic findings in sinus augmentation with autogenous bone chips versus a bovine bone substitute", Int J Oral Maxillofac Implants, 18, pp.53~58 (2003)
  19. Wiltfang J, "Degradation characteristics of alpha and beta tri-calcium-phosphate (TCP) in minipigs", J Biomed Mater Res, 63, pp.115~121 (2002)
  20. 지재휴, "상악동 거상술을 동반한 임플란트 시술 : 증례보고", Oral Biology Research, 21, pp.45~52 (1997)
  21. 김지선, "상악동 골이식술을 동반한 임플란트 식립 시 골이식재의 높이 변화에 대한 방사선학적 평가", Journal of Periodontal & Implant Science, 37(2), pp.277~286 (2007), 대한치주과학회
  22. Martinez H, "Optimal implant stabilization in low density bone", Clin Oral Implants Res, 12, pp.423~432 (2001)
  23. Le Guehennec L, "Surface treatments of titanium dental implants for rapid osseointegration", Dent Mater, 23, pp.844~854 (2007)
  24. Akkocaoglu M, "Implant design and intraosseous stability of immediately placed implants: a human cadaver study", Clin Oral Implants Res, 16, pp.2002~2009 (2005)
  25. Strietzel FP, "Peri-implant alveolar bone loss with respect to bone quality after use of the osteotome technique: results of a retrospective study", Clin Oral Implants Res, 13, pp.508~513 (2002)
  26. Nedir R, "A 7-year life table analysis from a prospective study on ITI implants with special emphasis on the use of short implants. Results from a private practice", Clin Oral Implants Res, 15, pp.150~157 (2004)
  27. Aparicio C, "Tilted implants as an alternative to maxillary sinus grafting: a clinical, radiologic, and periotest study", Clin Implant Dent Relat Res, 3, pp.39~49 (2001)
  28. Landes CA, "Zygoma implant-supported midfacial prosthetic rehabilitation: a 4-year follow-up study including assessment of quality of life", Clin Oral Implants Res, 16, pp.313~325 (2005)
  29. Wanschitz F, "Measurement of volume changes after sinus floor augmentation with a phycogenic hydroxyapatite", Int J Oral Maxillofac Implants, 21, pp.433~438 (2006)
  30. Thorwarth M, "Stability of autogenous bone grafts after sinus lift procedures: a comparative study between anterior and posterior aspects of the iliac crest and an intraoral donor site", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 100, pp.278~284 (2005)
  31. Lu M, "Microarchitecture of rabbit mandibular defects grafted with intramembranous or endochondral bone shown by micro-computed tomography", Br J Oral Maxillofac Surg, 41, pp.385~391 (2003)
  32. 김형욱, "상악동 골이식술을 위한 이식재의 부피 측정 - CT를 이용한 환자 대조군 연구", 대한구강악안면외과학회지, 33(5), pp.511~517 (2007), 대한구강악안면외과학회
  33. Traini T, "A histologic and histomorphometric evaluation of anorganic bovine bone retrieved 9 years after a sinus augmentation procedure", J Periodontol, 78, pp.955~961 (2007)
  34. Horch HH, "Synthetic, pure-phase beta-tricalcium phosphate ceramic granules (Cerasorb) for bone regeneration in the reconstructive surgery of the jaws", Int J Oral Maxillofac Surg, 35, pp.708~713 (2006)
  35. Ozyuvaci H, "Radiologic and histomorphometric evaluation of maxillary sinus grafting with alloplastic graft materials", J Periodontol, 74, pp.909~915 (2003)
  36. Szabo G, "Autogenous bone versus beta-tricalcium phosphate graft alone for bilateral sinus elevations (2- and 3-dimensional computed tomographic, histologic, and histomorphometric evaluations): preliminary results", Int J Oral Maxillofac Implants, 16, pp.681~692 (2001)
  37. Zerbo IR, "Histology of human alveolar bone regeneration with a porous tricalcium phosphate. A report of two cases", Clin Oral Implants Res, 12, pp.379~384 (2001)
  38. Szabo G, "prospective multicenter randomized clinical trial of autogenous bone versus beta-tricalcium phosphate graft alone for bilateral sinus elevation: histologic and histomorphometric evaluation", Int J Oral Maxillofac Implants, 20, pp.371~381 (2005)
  39. Wiltfang J, "Sinus floor augmentation with betatricalciumphosphate (beta-TCP): does platelet-rich plasma promote its osseous integration and degradation?", Clin Oral Implants Res, 14, pp.213~218 (2003)

이 간행물의 다른 논문 (15건)

정상 치은 조직에서 배양된 각화세포에서 Cyclosporine A에 의한 MMP-1, TIMP-1, TGF-β1의 발현에 관한 연구이재선, 박창주, 심광섭, 임재중, 황경균, 빙정호, 강학수pp. 405-411BMP-2에 의한 협부 지방 성체 줄기세포의 골형성김창현, 이일규, 표성운, 박철헌pp. 412-418골수유래줄기세포에서 분화된 골유사세포에서 β-TCP와 rhBMP-2의 골형성 효과에 관한 연구황경균, 최용수, 이재선, 박창주, 심광섭pp. 419-427가토 두개골에 이식한 다양한 형태의 자가골에 의한 골성 회복 양상 비교 평가권대근, 최소영, 김진수, 이수연, 김진욱, 이상한, 신홍인pp. 428-434코골이 및 폐쇄성 수면 무호흡증의 외과적 처치에 대한 임상적 연구명훈, 서병무, 정필훈, 이용권, 황순정, 최진영, 이종호, 김명진pp. 435-444
원문 보기