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개방된 인접면 접촉이 인접자연치와 임플란트에 미치는 영향

Effect of open proximal contact on adjacent tooth and implant

조성현|송주헌|김희중|문소현|김광윤
대한턱관절교합학회 (Korean academy of stomatognathic function and occlusion)|2022.03|구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)|제38권 제1호|pp. 9-17

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키워드

변연골 흡수marginal bone loss개방된 인접면 접촉식편압입open proximal contactfood impaction
주제분류치의학

초록

목적: 이 연구의 목적은 개방된 인접면 접촉이 인접하는 자연치와 임플란트에 어떠한 영향을 주는지 알아보고자 하였다. 연구 재료 및 방법: 조선대학교 치과병원에서 2008부터 2018년 사이에 개방된 인접면 접촉으로 제작된 구치부 임플란트수복물을 장착한 환자 중에서 유지관리기간이 최소 3년 이상이고 인접하는 자연치아가 건강하면서 대합치가 고정성 수복물인 임플란트를 20개 선정하여 실험군(Group A)으로 하였다. 동일한 선정기준 하에 같은 기간 통상적인 방법으로 제작된 구치부 임플란트 20개를 대조군(Group B)으로 하였다. 두 그룹사이에 임플란트와 접하는 자연치의 우식, 식편압입, 임플란트의 변연골 상실을 비교 평가하였다. 결과: Group A과 Group B 사이에 치아우식과 식편압입 및 변연골 흡수의 발생빈도는 통계학적으로 유의성이 없었다. Group A와 Group B의 평균 변연골 흡수양은 각기 0.80 ± 0.39 mm, 1.1 ± 0.43 mm였으며, 두 그룹사이에 통계학적으로 유의한 차이가 있었다. 결론: 이 실험의 결과내에서, 개방된 인접면 접촉을 가진 임플란트 보철은 인접하는 자연치와 임플란트에 어떠한 유해한영향을 주지 않으므로 선택적인 상황에서 임상에 적용할 수 있을 것으로 사료된다.

Abstract

Purpose: The purpose of this study is to investigate how open contacts impact the natural teeth and dental implant prostheses. Materials and Methods: Following criteria were used to select 20 implant crowns with open proximal contacts as the experimental group (Group A): the restorations were delivered in Chosun University Dental Hospital between 2008 and 2018, the restorations are in the posterior region, opposing teeth are fixed dental prostheses, neighboring teeth are sound natural teeth, the patient had been on the maintenance program for at least 3 years. Another 20 implant crowns with closed proximal contacts were selected as the control group (Group B) using the same criteria. Between the two groups, dental caries and food impaction of the neighboring natural teeth and marginal bone-loss of the implants were compared and evaluated. Results: There was no statistically significant difference between Group A and Group B in the occurrence rates of dental caries, food impaction, and marginal bone-loss. The amount of marginal bone-loss, however, revealed statistically significant differences between the two groups, with Group A showing 0.80 ± 0.39 mm loss and Group B showing 1.1 ± 0.43 mm loss. Conclusion: Implant prostheses with open contacts could be clinically considered in select cases as such restorations revealed no harmful effects on neighboring teeth and implant restorations within the perimeters of this study. (J Dent Rehabil Appl Sci 2022;38(1):9-17)

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