Journal of Periodontal and Implant Science

  • 제33권3호
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  • Pages.373-382
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  • 2003
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  • 2093-2278(pISSN)
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  • 2093-2286(eISSN)
대한치주과학회 (Korean Academy of Periodontology)
권호 표지

만성 치주염 환자에서 임프란트의 예후에 관한 후향적 연구

The retrospective study of the prognosis of implants in chronic periodontitis patients

  • 김지은 (연세대학교 치과대학 영동세브란스병원치주과) ;
  • 박광호 (연세대학교 치과대학 구강악안면외과) ;
  • 조규성 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 문익상 (연세대학교 치과대학 영동세브란스병원치주과)
  • Kim, Ji-Eun (Department of Periodontology, Young-Dong Severance Hospital, Yonsei University) ;
  • Park, Kwang-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Cho, Kyoo-Sung (Department of Periodontology, College of Dentistry, Yonsei University) ;
  • Moon, Ik-Sang (Department of Periodontology, Young-Dong Severance Hospital, Yonsei University)
  • 발행 : 2003.09.30
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초록

The successful use of osseointegrated implants to replace missing teeth has been demonstrated for both the completely and the partially edentulous patients. Many studies have confirmed an excellent long-term prognosis. The successful outcome of any implant procedure is surely dependent on the interrelationship of the various components that includes the following: biocompatibility of the implant material, macroscopic and microscopic nature of the implant surface, the status of the implant bed in both a health(noninfected) and a morphologic(bone quality) context, the surgical technique, the undisturbed healing phase, the subsequent prosthetic design, and long-term loading phase. Periodontally compromised patients have poor status of the implant bed and periodontal pathogen. No longitudinal data are available whether these factors affect the prognosis of implants. In this study, 102 machined $Br{{\aa}}nemark$ implants are inserted to analyze the success rate of 1-4 years and marginal bone loss in 49 chronic periodontitis patients. The following conclusions could be drawn from this study. 1. The cumulative success rate of implants at the 4-year of loading was 95.10%. 2. 5 failed implants have been removed. One implant have been removed due to infection, two implants were removed due to failure of osseointegration. and other two implants were removed due to mechanical failure caused by over-loading. 3. Mean marginal bone loss from the time of loading was 0.94mm at first year, 1.12mm at second year, 1.25mm at third year. These results suggest that implant therapy is good treatment modality in chronic periodontitis patients, and periodontal treatment including oral hygiene program is completed prior to insertion of implants.

키워드

참고문헌

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