본문 바로가기
KERD
논문KCI 등재

MBCP를 이용하여 거상된 상악 구치부에 식립한 임플란트의 기능 후 2년 누적 생존율 - 후향적 임상 연구

A cumulative survival rate of implants installed on posterior maxilla augmented using MBCP after 2 years of loading: A retrospective clinical study

이지현|김창성|조규성|최성호|정의원|김민수
대한치주과학회 (The Korean Academy Of Periodontology)|2008.12|Journal of Periodontal & Implant Science|제38권 제4호|pp. 669-678

0

조회

0

다운로드

3

인용

0

참고문헌

키워드

Sinus augmentation; MBCP; Implant; Survival rate.
주제분류치의학

초록

Purpose: The purpose of this study was to evaluate 2 years cumulative survival rate of implants on augmented sinus area using MBCP, mixture of MBCP and ICB, and mixture of MBCP and autogenous bone by means of clinical and radiologic methods. Materials and Methods: In a total of 37 patients, 41 maxillary sinuses were augmented and 89 implant fixtures were installed simultaneously or after a regular healing period. The patients were divided in 3 groups: MBCP only, MBCP combined with ICB, MBCP combined with autogenous bone. After delivery of prosthesis, along 2 years of observation period, all implants were evaluated clinically and radiologically. And the results were as follows. Results: The results of this study were as follows. 1. A 2 year cumulative survival rate of implants placed with sinus augmentation procedure using MBCP was 97.75%. 2. Survival rate of implants using MBCP only was 97.62%, MBCP and ICB was 100%, MBCP and autogenous bone was 95%. There was no statistically significant difference between 3 groups. 3. Only 2 of 89 implants were lost before delivery of prosthesis, so it can be regarded as an early failure. And both were successfully restored by wider implants. Conclusion: It can be suggested that MBCP may have predictable result when used as a grafting material of sinus floor augmentation whether combined with other graft(ICB, autogenous bone) or not. And the diameter, length, location of implants did not have a significant effect on 2 year cumulative survival rate. (J Korean Acad Periodontol 2008;38:669-678)

Abstract

Purpose: The purpose of this study was to evaluate 2 years cumulative survival rate of implants on augmented sinus area using MBCP, mixture of MBCP and ICB, and mixture of MBCP and autogenous bone by means of clinical and radiologic methods. Materials and Methods: In a total of 37 patients, 41 maxillary sinuses were augmented and 89 implant fixtures were installed simultaneously or after a regular healing period. The patients were divided in 3 groups: MBCP only, MBCP combined with ICB, MBCP combined with autogenous bone. After delivery of prosthesis, along 2 years of observation period, all implants were evaluated clinically and radiologically. And the results were as follows. Results: The results of this study were as follows. 1. A 2 year cumulative survival rate of implants placed with sinus augmentation procedure using MBCP was 97.75%. 2. Survival rate of implants using MBCP only was 97.62%, MBCP and ICB was 100%, MBCP and autogenous bone was 95%. There was no statistically significant difference between 3 groups. 3. Only 2 of 89 implants were lost before delivery of prosthesis, so it can be regarded as an early failure. And both were successfully restored by wider implants. Conclusion: It can be suggested that MBCP may have predictable result when used as a grafting material of sinus floor augmentation whether combined with other graft(ICB, autogenous bone) or not. And the diameter, length, location of implants did not have a significant effect on 2 year cumulative survival rate. (J Korean Acad Periodontol 2008;38:669-678)

참고문헌 (42)

  1. Boyne PJ, "Grafting of the maxillary sinus floor with autogenous marrow and bone", J Oral Surg, 38, pp.613~616 (1980)
  2. Timmenga NM, "Maxillary sinus function after sinus lifts for the insertion of dental implants", J Oral Maxillofac Surg, 55, pp.936~939 (1997)
  3. Khoury F, "Augmentation of the sinus floor with mandibular bone block and simultaneous implantation: a 6-year clinical investigation", Int J Oral Maxillofac Implants, 14, pp.557~564 (1999)
  4. Raghoebar GM, "Maxillary bone grafting for insertion of endosseous implants: results after 12-124 months", Clin Oral Implants Res, 12, pp.279~286 (2001)
  5. Wallace SS, "Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systematic review", Ann Periodontol, 8, pp.328~343 (2003)
  6. Hallman M, "A clinical and histologic evaluation of implant integration in the posterior maxilla after sinus floor augmentation with autogenous bone, bovine hydroxyapatite, or a 20:80 mixture", Int J Oral Maxillofac Implants, 17, pp.635~643 (2002)
  7. van den Bergh JP, "Maxillary sinusfloor elevation and grafting with human demineralized freeze dried bone", Clin Oral Implants Res, 11, pp.487~493 (2000)
  8. Schwartz Z, "Clinical evaluation of demineralized bone allograft in a hyaluronic acid carrier for sinus lift augmentation in humans: a computed tomography and histomorphometric study", Clin Oral Implants Res, 18, pp.204~211 (2007)
  9. Daculsi G, "Transformation of biphasic calcium phosphate ceramics in vivo: ultrastructural and physicochemical characterization", J Biomed Mater Res, 23, pp.883~894 (1989)
  10. Karabuda C, "Histological and clinical evaluation of 3 different grafting materials for sinus lifting procedure based on 8 cases", J Periodontol, 72, pp.1436~1442 (2001)
  11. Gauthier O, "Macroporous biphasic calcium phosphate ceramics: influence of macropore diameter and macroporosity percentage on bone ingrowth", Biomaterials, 19, pp.133~139 (1998)
  12. Nery EB, "Tissue response to biphasic calcium phosphate ceramic with different ratios of HA", beta TCP in periodontal osseous defects, 1992, pp.63, 729~735
  13. Yamada S, "Osteoclastic resorption of biphasic calcium phosphate ceramic in vitro", J Biomed Mater Res, 37, pp.346~352 (1997)
  14. Klein CP, "Biodegradation behavior of various calcium phosphate materials in bone tissue", J Biomed Mater Res, 17, pp.769~784 (1983)
  15. Zitzmann N, "Sinus elevation procedures in the resorbed posterior maxilla. Comparison of the crestal and lateral approaches", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 85, pp.8~17 (1998)
  16. Buser D, "Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants", Clin Oral Implants Res, 8, pp.161~172 (1997)
  17. Cochran DL, "The use of reduced healing times on ITI implants with a sandblasted and acid-etched (SLA) surface: early results from clinical trials on ITI SLA implants", Clin Oral Implants Res, 13, pp.144~153 (2002)
  18. Tolstunov L, "Dental implant success-failure analysis: a concept of implant vulnerability", Implant Dent, 15, pp.341~346 (2006)
  19. Weber HP, "A 5-year prospective clinical and radiographic study of non-submerged dental implants", Clin Oral Implants Res, 11, pp.144~153 (2000)
  20. Leonhardt A, "Long-term follow-up of osseointegrated titanium implants using clinical, radiographic and microbiological parameters", Clin Oral Implants Res, 13, pp.127~132 (2002)
  21. Misch CE, "Maxillary sinus augmentation for endosteal implants: organized alternative treatment plans", Int J Oral Implantol, 4, pp.49~58 (1987)
  22. Jemt T, "Implant treatment in edentulous maxillae: a 5-year follow-up report on patients with different degrees of jaw resorption", Int J Oral Maxillofac Implants, 10, pp.303~311 (1995)
  23. Jensen OT, "Report of the Sinus Consensus Conference of 1996", Int J Oral Maxillofac Implants, 13, pp.11~45 (1996)
  24. Summers RB, "A new concept in maxillary implant surgery: the osteotome technique", Compendium, 15, pp.152~ (1994)
  25. Blomqvist JE, "Retrospective analysis of one-stage maxillary sinus augmentation with endosseous implants", Int J Oral Maxillofac Implants, 11, pp.512~521 (1996)
  26. Block MS, "Sinus augmentation for dental implants: the use of autogenous bone", J Oral Maxillofac Surg, 55, pp.1281~1286 (1997)
  27. Burchardt H, "The biology of bone graft repair", Clin Orthop Relat Res, pp.28~42 (1983)
  28. Froum SJ, "Comparison of mineralized cancellous bone allograft (Puros) and anorganic bovine bone matrix (Bio-Oss) for sinus augmentation: histomorphometry at 26 to 32 weeks after grafting", Int J Periodontics Restorative Dent, 26, pp.543~551 (2006)
  29. 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
  30. Johansson B, "A clinical study of changes in the volume of bone grafts in the atrophic maxilla", Dentomaxillofac Radiol, 30, pp.157~161 (2001)
  31. 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
  32. 이지현, "합성골 이식재인 Macroporous biphasic calcium phosphate를 이용한 사람의 상악동 거상술-증례 보고", Journal of Periodontal & Implant Science, 36(2), pp.567~577 (2006), 대한치주과학회
  33. Renouard F, "Impact of implant length and diameter on survival rates", Clin Oral Implants Res, 17(2), pp.35~51 (2006)
  34. Zarb GA, "Tissue integrated dental prostheses", Quintessence Int, 16, pp.39~42 (1985)
  35. Tawil G, "Clinical evaluation of short, machined- surface implants followed for 12 to 92 months", Int J Oral Maxillofac Implants, 18, pp.894~901 (2003)
  36. Fugazzotto PA, "Success and failure rates of 9 mm or shorter implants in the replacement of missing maxillary molars when restored with individual crowns: preliminary results 0 to 84 months in function", A retrospective study. J Periodontol, 75, pp.327~332 (2004)
  37. Renouard F, "Short implants in the severely resorbed maxilla: a 2-year retrospective clinical study", Clin Implant Dent Relat, 7(1), pp.S104~S110 (2005)
  38. 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)
  39. Mordenfeld MH, "A retrospective clinical study of wide-diameter implants used in posterior edentulous areas", Int J Oral Maxillofac Implants, 19, pp.387~392 (2004)
  40. Eckert SE, "Early experience with Wide-Platform Mk II implants. Part I: Implant survival. Part II: Evaluation of risk factors involving implant survival", Int J Oral Maxillofac Implants, 16, pp.208~216 (2001)
  41. Shin SW, "A retrospective study on the treatment outcome of wide-bodied implants", Int J Prosthodont, 17, pp.52~58 (2004)
  42. 연제영, "측방 접근법에 의한 상악동 거상술을 이용하여 식립된 골내 임플란트의 10년간 후향적 연구", Journal of Periodontal & Implant Science, 37(4), pp.691~704 (2007), 대한치주과학회

관련 논문AI추천

상악동 거상술을 동반한 임플란트 식립 후 생존율에 대한 후향적 연구김창성, 박필규, 유미경, 유정아, 이상민, 정의원, 조규성, 최성호대한치주과학회 · Journal of Periodontal & Implant Science2009 · 제39권 제3호Effect of maxillary sinus graft on the survival of endosseous implants: A 10-year retrospective study강나라, 김명래, 방은경, 배아란, 전혜란대한치주과학회 · Journal of Periodontal & Implant Science2008 · 제38권 제2호상악동저 거상술 후 상악 구치부에 식립된 임플란트의 생존율에 대한 연구김옥수, 류경호, 박종연대한치주과학회 · Journal of Periodontal & Implant Science2007 · 제37권 제2호측방 접근법을 이용하여 상악동 거상술을 시행한 부위에 식립한 임플란트의 생존율에 대한 후향적 연구김형섭, 안용범, 이원진, 이은선대한치주과학회 · Journal of Periodontal & Implant Science2008 · 제38권 제4호상악동 골 이식술을 동반하여 식립된 임플란트의 변연골변화와 생존률에 관한 후향적 연구김명래, 김선종, 박은진, 유화숙대한치과보철학회 · 대한치과보철학회지2009 · 제47권 제2호Case series of maxillary sinus augmentation with biphasic calcium phosphate: a clinical and radiographic study김창성, 박정철, 정의원, 조규성, 차재국, 최성호대한치주과학회 · Journal of Periodontal & Implant Science2011 · 제41권 제2호

이 간행물의 다른 논문 (19건)

항-Porphyromonas gingivalis heat shock protein 60 단클론항체의 생성과 특성 규명이지영, 이주연, 김성조, 최점일pp. 565-578한국인 전반적 급진성 치주염 환자에서 IL-6 유전자 다변성에 관한 연구방선정, 정현주, 김영준, 김옥수, 김일신pp. 579-588측방 접근법을 이용하여 상악동 거상술을 시행한 부위에 식립한 임플란트의 생존율에 대한 후향적 연구김형섭, 안용범, 이은선, 이원진pp. 589-594Ti-8Ta-3Nb 합금의 표면처리에 의한 백서 두개관 세포의 반응김영준, 손미경, 김해진, 박지일, 정현주pp. 595-602치근단 수술 시 형성된 골결손 부위를 가진 치아의 발치 후 즉시 식립 임플란트에서 골 접촉률에 대한 흡수성 차폐막의 효과계승범, 양승민, 신승윤pp. 603-610
원문 보기