Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지

Bone Added Osteotome Sinus Floor Elevation with Simultaneous Placement of Branemark Ti-Unite and ITI SLA implants

Osteotome 상악동 거상술과 동시에 식립한 $Br{\aa}nemark$ Ti-Unite 과 ITI SLA임프란트의 비교 연구

  • Kang, Nam-Won (Department of Periodontology, College of Dentistry, Yonsei University) ;
  • Jung, Ui-Won (Department of Periodontology, College of Dentistry, Yonsei University, Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Choi, Seong-Ho (Department of Periodontology, College of Dentistry, Yonsei University, Oral Science Research Center, College of Dentistry, Yonsei University, Brain Korea 21 Project for Medical Science, Yonsei University) ;
  • Cho, Kyoo-Sung (Department of Periodontology, College of Dentistry, Yonsei University, Oral Science Research Center, College of Dentistry, Yonsei University, Brain Korea 21 Project for Medical Science, Yonsei University) ;
  • Chai, Jung-Kiu (Department of Periodontology, College of Dentistry, Yonsei University, Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Kim, Chong-Kwan (Department of Periodontology, College of Dentistry, Yonsei University, Oral Science Research Center, College of Dentistry, Yonsei University, Brain Korea 21 Project for Medical Science, Yonsei University) ;
  • Kim, Chang-Sung (Department of Periodontology, College of Dentistry, Yonsei University, Oral Science Research Center, College of Dentistry, Yonsei University, Brain Korea 21 Project for Medical Science, Yonsei University)
  • 강남원 (연세대학교 치과대학 치주과학교실) ;
  • 정의원 (연세대학교 치과대학 치주과학교실, 연세대학교 치과대학 구강과학연구소) ;
  • 최성호 (연세대학교 치과대학 치주과학교실, 연세대학교 치과대학 구강과학연구소, BK21 의과학 사업단) ;
  • 조규성 (연세대학교 치과대학 치주과학교실, 연세대학교 치과대학 구강과학연구소, BK21 의과학 사업단) ;
  • 채중규 (연세대학교 치과대학 치주과학교실, 연세대학교 치과대학 구강과학연구소) ;
  • 김종관 (연세대학교 치과대학 치주과학교실, 연세대학교 치과대학 구강과학연구소, BK21 의과학 사업단) ;
  • 김창성 (연세대학교 치과대학 치주과학교실, 연세대학교 치과대학 구강과학연구소, BK21 의과학 사업단)
  • Published : 2005.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

1. 목적 Osteotome 상악동거상술(Bone Added Odteotome Sinus Floor Elevation ; 이하 BAOSFE) 과 동시에 식립한 임프란트($Br{\aa}nemark$, ITI)의 예상 생존율에 대해 현재까지 정확히 알려진 바는 없었으며, $Br{\aa}nemark$ Ti-Unite 과 ITI SLA 임프란트의 표면에 대한 비교 연구 또한없었다. 이번 연구는 BAOSFE 술식과 동시에 식립한 $Br{\aa}nemark$ Ti-Unite 과 ITI SLA 임프란트의 임상 결과를 비교, 평가하고 초기 치유기간 동안의 이식골 높이의 변화를 방사선학적으로 관찰하여 두 가지 임프란트 시스템을 비교해 보고자 한다. 2. 방법 위축된 상악 구치부를 갖는 22명의 환자를 대상으로, BAOSFE술식과동시에 $Br{\aa}nemark$ Ti-Unite(11명, 13 임프란트)임프란트와 ITI SLA(11명, 18 임프란트)임프란트를 식립하였다. 수술 전, 임프란트 식립 직후, 술후 6개월의 파노라마 방사선 사진을 촬영하여 비교 및 평가에 사용하였다. 각 임프란트 시스템의 생존율을 측정하고, 술전 상악동저 높이와 식립된 임프란트 길이를 참고하여 이식골 높이의 방사선학적 변화를 평가하였다. 3. 결과 평균12개월의 추적기간 결과, $Br{\aa}nemark$ Ti-Unite 임프란트의 생존율은 100%(13/13 임프란트)이었으며, ITI SLA 임프란트의 생존율은 94.4%(17/18 임프란트)이었다. 초기 치유 기간인 6개월 동안 평균 이식골 높이의 감소는 $Br{\aa}nemark$ Ti-Unite 임프란트에서 0.67mm(10.73%), ITI SLA 임프란트에서는 0.55mm(8.18%)로 나타났다. 두 가지 임프란트 시스템 간의 유의성 있는 차이는 보이지 않았다. 4. 고찰 BAOSFE 술식과 동시식립한 $Br{\aa}nemark$ Ti-Unite 과 ITl SLA 임프란트는 위축된 상악 구치부를 갖는 환자에서 효과적인 치료방법이 될 수 있으며, 임프란트 표면에 따른 이식골의 치유 반응은 두 가지 임프란트 시스템에서 유사한 양상으로 일어남을 알 수 있었다.

Keywords

References

  1. Jenson J, Krantz Simonsen E, Sindet Pedersen S. Reconstruction of the severely resorbed maxilla with bone grafting and osseointegrated implants: A preliminary report. J Oral Maxillofac Surg 1990:48:27-32 https://doi.org/10.1016/0278-2391(90)90175-2
  2. Adell R, Lekholm U, Grndahl K, Brånemark P-I, Lindstrm J, Jacobsson M. Reconstruction of severely resorbed edentulous maxillae using osseointegrated fixtures in immediate autogenous bone grafts. Int J Oral Maxillofac Implants 1990: 5: 233-246
  3. Isaksson S. Evaluation of three bone grafting techniques for severely resorbed maxillae in conjuction with immediated endosseous implants. Int J Oral Maxillofac Implants 1994:9:679-688
  4. Kahnberg K-E, Nystrm E, Bartholdsson L. Combined use of bone grafts and Brånemark fixtures in the treatment of severely resorbed maxillae. Int J Oral Maxillofac Implants 1989;4:297-304
  5. Fugazzotto PA. Maxillary sinus grafting with and without simultaneous implant placement: Technical considerations and case reports. Int J Periodont Rest Dent 1994; 14(6): 545-551
  6. Fugazzotto PA. Vlassis J. Long-term success of sinus augmentation using various surgical approaches and grafting materials. Int J Oral Maxillofac Implants 1998;13:52-58
  7. Blomqvist JE, Alberius P, Isaksson S. Two stage maxillary sinus reconstruction with endosseous Implants: A prospective study. Int J Oral Maxillofac Implants 1998; 13: 758-766
  8. Summers RB. Maxillary implant surgery: The osteotome technique; Part 1. Compend Contin Educ Dent 1994; 15 (2) : 152-162
  9. Summers RB. The osteotome technique; Part 3. Less invasive methods of elevating the sinus floor. Compend Contin Educ Dent 1994; 15(6): 698-708
  10. Zitzmann N, Scharer P. Sinus elevation procedures in the resorbed posterior maxilla: Comparison of the crestal and lateral approaches. Oral Surg Oral Med Oral Pathol Oral Radiol Endodontol 1998;85:8-17. https://doi.org/10.1016/S1079-2104(98)90391-2
  11. Rosen PS, Summers R. Mellado JR. et al. The bone added osteotome sinus floor elevation technique: multicenter retrospective report of consecutively treated patients. Int J Oral Maxillofac Implants 1999; 14: 853-858
  12. Bruschi GB, Scipioni A. Calesini G, Bruschi E. Localized management of sinus floor with simultaneous implant placement: A clinical report. Int J Oral Maxillofac Implants 1998: 13: 219-226
  13. Winter M, Pollack AS, Odrich RB. Placement of implants in the severely trophic posterior maxilla using localized management of the sinus floor: A preliminary study. Int J Oral Maxillofac Implants 2002: 17: 687-695
  14. Horowitz RA. The use of osteotomes for sinus augmentation at the time of implant placement. Compend Cont Educ Dent 1997: 18:441-452
  15. Komarnyckyj OG, London RM. Osteotome single stage dental implant placement with and without sinus elevation: A clinical report. Int J Oral Maxillofac Implants 1998: 13: 799-804
  16. Buchmann R. Khoury F, Faust C, E. Lange. Peri-implant conditions in periodontally compromised patients following maxillary sinus augmentation. A long-term post-therapy. Clinical Oral Implants Research 1999: 10: 103
  17. Raghoebar. G.M., Timmenga, N.M., Reintsema, H., Stegenga, B. & Vissink, A. Maxillary bone grafting for insertion of endosseous implants: results after 12-24 months. Clinical Oral Implants Research 2001: 12:279-286 https://doi.org/10.1034/j.1600-0501.2001.012003279.x
  18. Naoki Hatano. Yoshinaka Shimizu, Kiyoshi Ooya. A clinical long-term radiographic evaluation of graft height changes after maxillary sinus floor augmentation with a 2autogenous bone/xenograft mixture and simultaneous placement of dental implants. Clinical Oral Implants Research 2004: 15:339-345 https://doi.org/10.1111/j.1600-0501.2004.00996.x
  19. Tong DC, Drangsholt M. Beine OR. A review of survival rates for implants placed in grafted maxillary sinuses using meta-analysis. Int J Oral Maxillofac Implants 1998: 13: 175-182
  20. Wennerberg A Albrektsson T, Johansson C, Andersson B. Experimental study of turned and grit-blasted screw-shaped implants with special emphasis on effects of blasting material and surface topography. Biomaterials. 1996:17: 15-22 https://doi.org/10.1016/0142-9612(96)80750-2
  21. Ogawa T, Ozawa S, Shih JH. Ryu KH, Sukotjo C, Yang JM, Nishimura I. Biomechanical evaluation of osseous implants having different surface topographies in rats. J Dent Res 2000:79 : 1857-63 https://doi.org/10.1177/00220345000790110701
  22. Pinholt EM. Branemark and ITI dental implants in the human bone-grafted maxilla: a comparative evaluation. Clin Oral Implants Res 2003: 14:584-92 https://doi.org/10.1034/j.1600-0501.2003.140508.x
  23. Cavicchia F, Brevi F, Petrelli G. Localized augmentation of the maxillaru sinus floor to a coronal approach for the placement of implants. Int J Periodontics Restorative Dent 2001:21:475-485
  24. Fugazzotto PA. Augmentation of the posterior maxilla: a proposed hierarchy of treatment selection. J Periodontol 2003;74:1682-1691 https://doi.org/10.1902/jop.2003.74.11.1682
  25. Peleg M. Mazor Z, Garg AK. Augmentation grafting of the maxillary sinus and simultaneous implant placement in patients with 3 to 5 mm of residual alveolar bone height. Int J Oral Maxillofac Implants 1999; 14: 549-56
  26. Mats Hallman, Mans Hedin, Lars Sennerby, Stefan Lundgren. A Prospective 1-Year Clinical and Radiographic Study of Implants Placed After Maxillary Sinus Floor Augmentation With Bovine Hydroxyapatite and Autogenous Bone. J Oral Maxillofac Surg 2002;60:277-284 https://doi.org/10.1053/joms.2002.30576
  27. Nicolaas C. Geurs. I. Chung Wang, Leonard B. Shulman, Marjorie K. Jeffcoat. Retrospective Radiographic Analysis of Sinus Graft and Implant Placement Procedures from the Academy of Osseointegration Consensus Conference on Sinus Grafts. Int J Periodontics Restorative Dent 2001;21:517-523