조절되는 당뇨환자에게 식립된 치과 임플란트의 생존율에 대한 후향적 연구
A retrospective study of the dental implants placed in the controlled diabetes mellitus patients
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Purpose: The aim of the present study was to analyze 7-year cumulative survival rate (CSR, %) of dental implants in the controlled diabetic patients and to evaluate the influence of the position, diameter and length of fixture, bone quality, age, gender and the method of maxillary sinus elevation on the survival rate. Methods: The data of 342 placed implants in the 104 diabetic patients collected between 1995 and 2007 at the Department of Periodontology in Yonsei University Hospital were analyzed. Results: Seven-year CSR of the 342 dental implants in the 104 controlled diabetic patients was 96.5%. The survival rates of the placed implants according the position have no statistically significant difference. The survival rates according to the length or diameter of the fixtures have no statistically significant difference. The survival rates according to the bone quality were 100% (TypeⅠ), 97.1% (Type Ⅱ), 97.7% (Type Ⅲ) and 85.7%(Type Ⅳ). The difference between the survival rate of Type Ⅰ, Ⅱ and Ⅲ and that of Type Ⅳ was statistically significant. The survival rates according to patient gender were 96.8% (male), 95.5% (female). The survival rates according to patient age were 100% (≤59), 93.8% (≥60). The survival rates according to the method of sinus elevation in the maxillary posterior area were 96.8% (without sinus elevation), 92.9% (lateral approach) and 89.8% (crestal approach). Conclusions: Dental implants can be used successfully in the controlled diabetic patients. In case of upper posterior region which has poor bone density and older patients, the implant treatment should be more properly planed, executed, and followed- up. (J Korean Acad Periodontol 2009;39:311-320)
Abstract
Purpose: The aim of the present study was to analyze 7-year cumulative survival rate (CSR, %) of dental implants in the controlled diabetic patients and to evaluate the influence of the position, diameter and length of fixture, bone quality, age, gender and the method of maxillary sinus elevation on the survival rate. Methods: The data of 342 placed implants in the 104 diabetic patients collected between 1995 and 2007 at the Department of Periodontology in Yonsei University Hospital were analyzed. Results: Seven-year CSR of the 342 dental implants in the 104 controlled diabetic patients was 96.5%. The survival rates of the placed implants according the position have no statistically significant difference. The survival rates according to the length or diameter of the fixtures have no statistically significant difference. The survival rates according to the bone quality were 100% (TypeⅠ), 97.1% (Type Ⅱ), 97.7% (Type Ⅲ) and 85.7%(Type Ⅳ). The difference between the survival rate of Type Ⅰ, Ⅱ and Ⅲ and that of Type Ⅳ was statistically significant. The survival rates according to patient gender were 96.8% (male), 95.5% (female). The survival rates according to patient age were 100% (≤59), 93.8% (≥60). The survival rates according to the method of sinus elevation in the maxillary posterior area were 96.8% (without sinus elevation), 92.9% (lateral approach) and 89.8% (crestal approach). Conclusions: Dental implants can be used successfully in the controlled diabetic patients. In case of upper posterior region which has poor bone density and older patients, the implant treatment should be more properly planed, executed, and followed- up. (J Korean Acad Periodontol 2009;39:311-320)
참고문헌 (37)
- Zimmet P, "Global and societal implications of the diabetes epidemic", Nature, 414, pp.782~787 (2001)
- Mealey BL, "Diabetes mellitus and periodontal disease", Periodontology 2000, 44, pp.127~153 (2007)
- Mealey BL, "Diabetes mellitus and periodontal diseases", J Periodontol, 77, pp.1289~1303 (2006)
- Taylor GW, "Bidirectional interrelationships between diabetes and periodontal diseases: An epidemiologic perspective", Ann periodontol, 6, pp.99~112 (2001)
- Olson JW, "Dental endosseous implant assessments in a type 2 diabetic population: A prospective study", Int J Oral Maxillofac implants, 15, pp.811~818 (2000)
- Peled M, "Gutmacher Z, Machtei EE. Dental implants in patients with type 2 diabetes mellitus: A clinical study", Implant Dent, 12, pp.116~122 (2003)
- Fiorellini JP, "A retro spective study of dental implants in diabetic patients", Int J Periodontics Restorative Dent, 20, pp.366~373 (2000)
- Farzad P, "Dental implant treatment in diabetic patients", Implant Dent, 11, pp.262~267 (2002)
- Blanchaert RH, "Implants in the medically challenged patient", Dent Clin North Am, 42, pp.35~45 (1998)
- Balshi TJ, "Dental implants in the diabetic patient: a retrospective study", Implant Dent, 8, pp.355~359 (1999)
- Morris HF, "Implant survival in patients with type 2 diabetes: placement to 36 months", Ann Periodontol, 5, pp.157~165 (2000)
- Dent CD, "The influence of preoperative antibiotics on success of endosseous implants up to and including stage II surgery: a study of 2,641 implants", J Oral Maxillofac Surg, 55, pp.19~24 (1997)
- Sbordone L, "Antimicrobial susceptibility of periodontopathic bacteria associated with failing implants", J Periodontol, 66, pp.69~74 (1995)
- Lekholm U, "Tissue integrated prostheses Osseointegration in clinical dentistry", pp.199~209 (1985), Quintenssence
- Buser D, "Long-term evaluation of prospective multi-center study with 2359 implants", Clin Oral Implants Res, 8, pp.161~172 (1997)
- Cochran DL, "The use of reduced healing times on ITI implants with a sandblasted and etched (SLA) surface : early results from clinical trials on ITI SLA implants", Clin Oral Implants Res, 13, pp.144~153 (2002)
- Smith RA, "Risk factors associated with dental implants in healthy and medically compromised patients", Int J Oral Maxillofac Implants, 7, pp.367~372 (1992)
- Friberg B, "Longterm follow-up of severly atrophic edentulous mandibles reconstructed with short Branemark implants", Clin Implant Dent Rel Res, 2, pp.184~189 (2000)
- Lekholm U, "Survival of the Branemark implant in partially edentulous jaws: A 10-year prospective multicenter study", Int J Oral Maxillofac Implants, 14, pp.639~645 (1999)
- Bryant SR, "The effects of age, jaw site, and bone condition on oral implant outcomes", Int J Prosthodont, 11, pp.470~490 (1998)
- Jemt T, "Fixed implant-supported prostheses in the edentulous maxilla. A five-year follow-up report", Clin Oral Implants Res, 5, pp.142~147 (1994)
- Misch CE, "Translation of Contemporary Implant Dentistry, 2nd editon", pp.205~215 (1999), Narae Publishing Inc
- Langer B, "The wide fixture: A solution for special bone situations and a rescue for the compromised implant. Part 1", Int J Oral Maxillofac Implants, 8, pp.400~408 (1993)
- Ivanoff CJ, "Influence of implant diameters on the integration of screw implants: An experimental study in rabbits", Int. J Oral Maillofac Surg, 26, pp.141~148 (1997)
- Ivanoff CJ, "Influence of variations in implant diameters: a 3- to 5-year retrospective clinical report", Int J Oral Maxillofac Implants, 14, pp.173~180 (1999)
- Eckert SE, "Early experience with Wide-Platform Mk II implants. Part I: Implant survival. Part II: Evaluation of risk factors involving implant survival", Int Oral Maxillofac Implants, 16, pp.208~216 (2001)
- Deporter D, "Managing the posterior mandible of partially edentulous patients with short, porous-surfaced dental implants: Early data from a clinical trial", Int J Oral Maxillofac Implants, 16, pp.653~658 (2001)
- Brocard D, "A multicenter report on 1,022 consecutively placed ITI implants: a 7-year longitudinal study", Int J Oral Maxillofac Implants, 15, pp.691~700 (2000)
- Lazzara R, "Retrospective multicenter analysis of 3i endosseous dental implants placed over a five-year period", Clin Oral Implants Res, 7, pp.73~83 (1996)
- Jaffin RA, "The excessive loss of Branemark fixtures in type IV bone: a 5-year analysis", J Periodontol, 62, pp.2~4 (1991)
- Meijer HJ, "Influence of patient age on the success rate of dental implants supporting an overdenture in an edentulous mandible: a 3-year prospective study", Int J Oral Maxillofac Implants, 16, pp.522~526 (2001)
- Bryant SR, "Osseointegration of oral implants in older and younger adults", Int J Oral Maxillofac Implants, 13, pp.492~499 (1998)
- Engfors I, "Fixed implant-supported prostheses in elderly patients: A 5-year retrospective study of 133 edentulous patients older than 79 years", Clin Implant Dent Relat Res, 6, pp.190~198 (2004)
- Wallace SS, "Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systemic review", Ann Periodontol, 8, pp.328~343 (2003)
- 연제영, "측방 접근법에 의한 상악동 거상술을 이용하여 식립된 골내 임플란트의 10년간 후향적 연구", The Journal of the Korean Academy of Periodontology (JPIS), 37(4), pp.691~704 (2007), 대한치주과학회
- Kim SH, "A clinical study on the periodontal status of the patient with diabetes mellitus", J Korean Acad Periodontol, 23, pp.27~36 (1993)
- 김미정, "2형 당뇨병환자의 만성 치주염 치은조직에서 골흡수 인자의 발현 양상 비교", The Journal of the Korean Academy of Periodontology (JPIS), 37(4), pp.743~753 (2007), 대한치주과학회