Journal of Periodontal and Implant Science

  • 제35권3호
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  • Pages.609-621
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  • 2005
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  • 2093-2278(pISSN)
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  • 2093-2286(eISSN)
대한치주과학회 (Korean Academy of Periodontology)
권호 표지

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

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

  • 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)
  • 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)
  • 발행 : 2005.09.30
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초록

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.

키워드

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