임플란트-지지 고정성 보철물의 임상적 상태에 대한 평가
Clinical Evaluation of Implant-Supported Fixed Prostheses
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임플란트-지지 고정성 보철물의 누적 생존율을 구하고, 생존율에 영향을 미치는 요소와 요소 간 상관관계를평가하여, 임플란트-지지 고정성 보철물의 예후를 예측하는 데 도움을 주고자 한다. 2000년에서 2007년까지 부산대학교 치과병원에 내원한 환자 중 임플란트를 식립하고 임플란트-지지 고정성 보철물을 제작한 환자를 대상으로 임플란트-지지 고정성 보철물과 관련한 종합적인 임상적 상태를 조사 평가하여 다음과 같은 결과를 얻었다. 1. 전체 임플란트-지지 고정성 보철물의 추정 수명은 11.7년이었고, 고정성 보철물에 문제가 발생되는 추정 시점은 9.5년이었다. 2. 나이와 성별에 따른 수명의 차이는 나타나지 않았다(P>.05). 3. 치아 발거 원인은 임플란트-지지 고정성 보철물의 수명에 영향을 미쳤다(P<.05). 치아 우식증의 경우 고정성 보철물의 수명은 10.0년,치주 질환의 경우 9.0년이었다. 4. 악골에 따른 수명의 차이는 나타나지 않았으나(P>.05), 전후방 위치에서는 소구치부 보철물의 수명이 11.0년으로 수명이 길었고, 대구치 부위 보철물의 수명이 8.8년으로 짧았다(P<.05). 5. 임플란트-지지 고정성 보철물의 크기는 보철물의 수명에 영향을 미치지 않았다(P>.05). 6. 대합치 조건별 임플란트-지지 고정성 보철물의 수명은 차이가 없었다(P>.05). 7. 임플란트-지지 고정성 보철물의 합병증은 식편 압입(40.5%), 도재 파절(25.8%), 나사 풀림(23.6%) 순이었다. 식편 압입은 임플란트 위치와 상관관계를 보였고, 나사와 관련된 문제는 임플란트 위치와 보철물 종류에 영향을 받았다(P>.05).
Abstract
This study was to compare the cumulative survival rate of implant-supported fixed prostheses and to analyze association between risk factors and cumulative survival rate of implant-supported fixed prostheses. In order to assess the clinical status of implant-supported fixed prostheses, individuals who treated in the Department of Prosthodontics, Pusan National University Dental Hospital, between 2000 to 2007 were examined. The results of this study were as follows:1. Length of service of implant-supported fixed prostheses was 6.6±32.0 years (mean), 11.7 years (median). 2. Age and sex of patient was found to have no statistically significant influence on longevity of implant-supported fixed prostheses (P>.05). 3. Reason of tooth extraction wax found to have statistically significant influence on implant-supported fixed prostheses (P<.05). The longevity of fixed prostheses was low in tooth extraction case due to periodontal disease (median:9.0 years). 4. Location of implant-supported fixed prostheses was found to have statistically significant influence on longevity of fixed prostheses (P<.05). The longevity of fixed prostheses was low in molar region (median:8.8 years). 5. Number of units in implant-supported fixed prostheses was found to have no statistically significant influence on longevity of fixed prostheses (P>.05). 6. Condition of opposing dentition was found to have no statistically significant influence on longevity of implantsupported fixed prostheses (P>.05). 7. Food impaction (40.5%), porcelain fracture (25.8%), screw loosening (23.6%) were frequent complications.
참고문헌 (29)
- 조춘일, "치과 임플란트 환자의 통계 분석에 관한 후향적 연구", 대한치과보철학회지, 47(3), pp.266~272 (2009), 대한치과보철학회
- Branemark PI, "Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period", Scand J Plast Reconstr Surg Suppl, 16, pp.1~132 (1977)
- Adell R, "A 15-year study of osseointegrated implants in the treatment of the edentulous jaw", Int J Oral Surg, 10, pp.387~416 (1981)
- Adell R, "Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaw", Int J Oral Maxillofac Implants, 5, pp.347~359 (1990)
- Esposito M, "A 5-year follow-up comparative analysis of the efficacy of various osseointegrated dental implant systems: a systematic reciew of randomized controlled clinical trials", Inr J Oral Maxillofac Implants, 20, pp.557~568 (2005)
- Esposito M, "Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis", Eur J Oral Sci, 106, pp.721~764 (1998)
- Tonetti MS, "Periodontol 2000", Periodontol, 4, pp.127~138 (1994)
- Albrektsson T, "Osseointegrated oral implants. A Swedish multicenter study of 8139 consecutively inseted Nobelpharma implants", J Periodontol, 59, pp.287~296 (1998)
- Moon HY, "A study on the life expectation of dental restorations", Korean academy of oral health, 9, pp.51~74 (1985)
- 신우진, "LONGEVITY AND FAILURE ANALYSIS OF FIXED RESTORATIONS SERVICED IN KOREA", 대한치과보철학회지, 43(2), pp.158~175 (2005), 대한치과보철학회
- Kim JS, "Preprosthetic Stage Dental Implant Failure", J Kor Oral Maxillofac Surg, 27, pp.178~183 (2001)
- Drago CJ, "A clinical report on the 18- month cumulative survival rates of implants and implant prostheses with an internal connection implant system", Compend Contin Educ Dent, 27, pp.266~271 (2006)
- 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)
- Roberts DH, "The relationship between age and the failure rate of bridge prostheses", Br Dent J, 17, pp.175~177 (1970)
- Foster LV, "Failed conventional bridge work from general dental practice: clinical aspects and treatment needs of 142 cases", Br Dent J, 168, pp.199~201 (1990)
- Libby G, "Longevity of fixed partial dentures", J Prosthet Dent, 78, pp.127~131 (1997)
- Drake CW, "Reasons for restoration replacement: differences in practice patterns", Quintessence Int, 21, pp.125~130 (1990)
- Ryge G, "Evaluating the clinical quality of restorations", J Am Dent Assoc, 87, pp.369~377 (1973)
- Leempoel PJB, "Survival studies of dental restorations: criteria, methods and analyses", J Oral Rehabil, 16, pp.387~394 (1989)
- Jemt T, "Implant treatment in the edentulous maxillae: a 15-year follow-up study on 76 consecutive patients provided with fixed prostheses", Clin Implant Dent Relat Res, 8, pp.61~69 (2006)
- Bryant SR, "The effects of age, jaw site, and bone condition on oral implant outcomes", Int J Prosthodont, 11, pp.470~490 (1998)
- Smith RA, "Risk factors associated with dental implants in healthy and medically compromised patients", Int J Oral Maxillofac Implants, 7, pp.367~372 (1992)
- 김성회, "임플란트의 생존율에 영향을 미치는 국소적 인자에 대한 19년간의 후향적 연구", 대한치과보철학회지, 48(01), pp.28~40 (2010), 대한치과보철학회
- Schwartz-Arad D, "Failure causes, timing, and cluster behavior: an 8-year study of dental implants", Implant Dent, 17, pp.200~207 (2008)
- Bryant SR, "Does the type of implant prosthesis affect outcomes for the completely edentulous arch?", Int J Oral Maxillofac Implants, 22, pp.117~139 (2007)
- Weber HP, "Does the type of implant prosthesis affect outcomes in the partially edentulous patients?", Int J Oral Maxillofac Implants, 22, pp.140~172 (2007)
- Randow K, "Technical failures and some related clinical complications in extensive fixed prosthodontics. An epidemiological study of long-term clinical quality", Acta Odontol Scand, 44, pp.241~255 (1986)
- Schwartz NL, "Unserviceable crowns and fixed partial dentures: life-span and causes for loss of serviceability", J Am Dent Assoc, 81, pp.1395~1401 (1970)
- Jorneus L, "Loads and designs of screw joints for single crowns supported by osseointegrated implants", Int J Oral Maxiilofac Implants, 7, pp.353~359 (1992)