RADIOGRAPHIC STUDY OF PERI-IMPLANT BONE LOSS AND ITS RELATIONSHIP TO THE MORPHOLOGY ON MAXILLARY ANTERIOR ALVEOLAR RIDGE

임플란트주위골 흡수 및 상악전치부 치조제 형태와의 관계에 대한 방사선학적 연구

  • Lee, Jun-Hee (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Hong, Jong-Rak (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Chang-Soo (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 이준휘 (성균관의대 삼성서울병원 구강악안면외과) ;
  • 홍종락 (성균관의대 삼성서울병원 구강악안면외과) ;
  • 김창수 (성균관의대 삼성서울병원 구강악안면외과)
  • Published : 2006.12.31

Abstract

Purpose : The purpose of this study was to evaluate peri-implant bone loss and implant success on anterior maxillary alveolar ridges and Compare Class III and Class IV ridges in the aspect of peri-implant bone loss. Material and Methods : 14 patients (aged 21 to 68, 6males and 8females), who lacked maxillary anterior teeth and were installed from January 2000 to April 2003 at Samsung Medical Center, were selected. The type of implant used included 30 $Br\ddot{a}nemark$ implant. They were taken with digital tomographic and conventional intraoral radiographic examinmation, and were treated with implant installaion without bone augmentation. The peri-implant bone resorption was measured at the mesial and distal aspect of implant on the conventional intraoral radiographs. Results : The study classified the anterior maxillary alveolar ridge and measured peri-implant bone resorption from the period of implant installation to the 2nd year after functional loading radiographically. The study revealed no statistically significant difference between two groups, which was classified by its morphology. The average bone resorption on healing period before loading was 0.18mm and 0.18mm, the 1st year of loading period, 0.77 mm and 0.84mm, and on the 2nd year of loading period, 0.07mm and 0.06mm, respectively on both Class III and class IV. Conclusion : In the knife edge form of anterior maxillary residual ridges(Class IV), implant placement without ridge augmentation does not have significant difference with that of Class III alveolar ridge in the concern of Implant success after 2 year functional loading period in the aspect of peri-implant bone resorption radiographically.

Keywords

References

  1. Andreasen JO: Fractures of the alveolar process of the jaw. A clinical and radiographic follow-up study. Scand J Dent Res 1970;78:263-272
  2. Lazzara RJ: Immediate implant placement into extraction sites: surgical and restorative advantages. Int J Periodontics Restorative Dent 1989;9:332-343
  3. Werbitt MJ, Goldberg PV: The immediate implant: bone preservation and bone regeneration. Int J Periodontics Restorative Dent 1992;12:206-217
  4. Nevins M, Mellonig JT: The advantages of localized ridge augmentation prior to implant placement: a staged event. Int J Periodontics Restorative Dent 1994;14:96-111
  5. Penarrocha M, Palomar M, Sanchis JM, Guarinos J, Balaguer J: Radiologic study of marginal bone loss around 108 dental implants and its relationship to smoking, implant location, and morphology. Int J Oral Maxillofac Implants 2004;19:861-867
  6. Cawood JI, Howell RA: A classification of the edentulous jaws. Int J Oral Maxillofac Surg 1988;17:232-236 https://doi.org/10.1016/S0901-5027(88)80047-X
  7. Pietrokovski J, Massler M: Alveolar ridge resorption following tooth extraction. J Prosthet Dent 1967;17:21-27 https://doi.org/10.1016/0022-3913(67)90046-7
  8. Pietrokovski J, Sorin S, Hirschfeld Z: The residual ridge in partially edentulous patients. J Prosthet Dent 1976;36:150-158 https://doi.org/10.1016/0022-3913(76)90136-0
  9. Watzek G, Solar P, Ulm C, Matejka M: Surgical criteria for endosseous implant placement: an overview. Pract Periodontics Aesthet Dent 1993;5:87-94, quiz 96
  10. Dahlin C, Linde A, Rockert H: Stimulation of early bone formation by the combination of an osteopromotive membrane technique and hyperbaric oxygen. Scand J Plast Reconstr Surg Hand Surg 1993;27:103-108 https://doi.org/10.3109/02844319309079791
  11. Adell R, Lekholm U, Rockler B, Branemark PI, Lindhe J, Eriksson B et al.: Marginal tissue reactions at osseointegrated titanium fixtures (I). A 3-year longitudinal prospective study. Int J Oral Maxillofac Surg 1986;15:39-52 https://doi.org/10.1016/S0300-9785(86)80010-2
  12. Levy D, Deporter DA, Pharoah M, Tomlinson G: A comparison of radiographic bone height and probing attachment level measurements adjacent to porous-coated dental implants in humans. Int J Oral Maxillofac Implants 1997;12:541-546
  13. Behneke A, Behneke N, d'Hoedt B, Wagner W: Hard and soft tissue reactions to ITI screw implants: 3-year longitudinal results of a prospective study. Int J Oral Maxillofac Implants 1997;12:749-757
  14. Becker W, Becker BE, Israelson H, Lucchini JP, Handelsman M, Ammons W et al.: One-step surgical placement of Branemark implants: a prospective multicenter clinical study. Int J Oral Maxillofac Implants 1997;12:454-462
  15. Celletti R, Pameijer CH, Bracchetti G, Donath K, Persichetti G, Visani I: Histologic evaluation of osseointegrated implants restored in nonaxial functional occlusion with preangled abutments. Int J Periodontics Restorative Dent 1995;15:562-573
  16. Kois JC: Predictable single-tooth peri-implant esthetics: five diagnostic keys. Compend Contin Educ Dent 2004;25:895-896, 898, 900 passim; quiz 906-897
  17. Tarnow DP, Magner AW, Fletcher P: The effect of the distance from the contact point to the crest of bone on the presence or absence of the interproximal dental papilla. J Periodontol 1992;63:995-996 https://doi.org/10.1902/jop.1992.63.12.995
  18. Bryant SR, Zarb GA: Crestal bone loss proximal to oral implants in older and younger adults. J Prosthet Dent 2003;89:589-597 https://doi.org/10.1016/S0022-3913(03)00199-9