Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

IMPLANT INSTALLATION AFTER GUIDED BONE REGENERATION: COMPARISON BETWEEN IMMEDIATE AND DELAYED GROUP

골유도 재생술과 임프란트 식립: 동시식립과 지연식립의 비교

  • Kim, Young-Kyun (Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital) ;
  • Yun, Pil-Young (Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital) ;
  • Im, Jae-Hyung (Department of Oral and Maxillofacial Surgery, Seoul National University Bundang Hospital) ;
  • Hwang, Jeong-Won (Department of Prosthodontics, Seoul National University Bundang Hospital) ;
  • Lee, Hyo-Jung (Department of Periodontics, Section of Dentistry, Seoul National University Bundang Hospital)
  • 김영균 (분당서울대학교병원 구강악안면외과) ;
  • 윤필영 (분당서울대학교병원 구강악안면외과) ;
  • 임재형 (분당서울대학교병원 구강악안면외과) ;
  • 황정원 (분당서울대학교병원 보철과) ;
  • 이효정 (분당서울대학교병원 치주과)
  • Published : 2007.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

Adequate bone quantity is one of the important factor to obtain osseointegration after implantation. Guided bone regeneration (GBR) has widely used in implantation for reconstruction of bony defects. Since introducing this procedure, there are many studies about survival rate of implants, changing in surrounding bone volume after function. The purpose of this study was to evaluate the amount of resorption according to placement timing and survival rate after function. The subjects were patients who had been operated with GBR from Jun 2003 to Jun 2004 in Seoul National University Bundang Hospital. They were divided into simultaneous and delayed placement group. The follow up had been performed at the time of just after GBR, 1, 3, 6, 12, 24-month later and standard periapical radiographs were taken to estimate the bone level at the time. The total average of bone level change in radiographs was 1.94mm(${\pm}0.25$), and 1.92mm(${\pm}0.72$) in simultaneous installation, 2.03mm(${\pm}0.25$) in delayed installation. In this report, the survival rates were 92.2% in simulataneous group and 92.3% in delayed group. Insufficient primary stability, early contamination of wound, overloading, poor oral hygiene, and infection were thought to be associated factors in the failed cases.

Keywords

References

  1. Boyne PJ, Mikels TE : Restoration of alveolar ridge by intramandibular transposition osseous grafting. J Oral Surg 26 : 569, 1968
  2. Nyman S, Lindhe J, Karring T : Reattachment-New attachment, in Lindhe J(ed) : Textbook of clinical periodontology. Cophenhagen, Denmark, Munskgaard, 1988, p. 409
  3. Dahlin C, Sennerby L, Lekholm U et al : Generation of new bone around titanium implants using a membrane technique : An experimental study in Rabbits. Int J Oral Maxillofac Implants 4 : 19, 1989
  4. Clarizio LF : Successful implant restoration without the use of membrane barriers. J Oral Maxillofac Surg 57 : 1117, 1999 https://doi.org/10.1016/S0278-2391(99)90337-3
  5. Conner KA, Sabatini R, Mealey BL et al : Guided bone regeneration around titanium plasma-sprayed, acidetched, and hydroxyapatite-coated implants in the canine model. J Periodontol 74 : 658, 2003 https://doi.org/10.1902/jop.2003.74.5.658
  6. Dupoirieux L, Pourquier MC et al : Comparative study of three different membranes for guided bone regeneration of rat cranial defects. Int J Oral Maxillofac Surg 30 : 58, 2001 https://doi.org/10.1054/ijom.2000.0011
  7. Fleisher N, de Wall H, Bloom A : Regeneration of lost attachment apparatus in the dog using Vicryl absorbable mesh (Polyglactin 910). Int J Periodontics Restorative Dent 8 : 44, 1988
  8. Gotfredsen K, Nimb L, Buser D et al : Evaluation of guided bone regenerations around implants placed into fresh extraction sockets : An experimental study in dogs. J Oral Maxillofac Surg 51 : 879, 1993 https://doi.org/10.1016/S0278-2391(10)80108-9
  9. Jensen OT et al : Vertical guided bone-graft augmentation in an new canine mandibular model. Int J Oral Maxillofac Implants 10 : 335, 1995
  10. Kassolis JD, Bowers GM : Supracrestal bone regeneration : A pilot study. Int J Periodontics Restorative Dent 19 : 131, 1999
  11. Urban I : Horizontal augmentation for dental implant site development with GBR technique utilizing resorbable membranes and particulated autografts. Clin Oral Implants Res 17(4) : cii, 2006
  12. Hockers T, Abensur D, Valentini P et al : The combined use of bioresorbable membranes and xenografts or autografts in the treatment of bone defects around implants. A study in beagle dogs. Clin Oral Implants Res 10 : 487, 1999 https://doi.org/10.1034/j.1600-0501.1999.100607.x
  13. Iasella JM, Greenwell H et al : Ridge preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development : a clinical and histologic study in humans. J Periodontol 74 : 990, 2003 https://doi.org/10.1902/jop.2003.74.7.990
  14. Dahlin C, Lekholm U, Becker W et al : Treatment of fenestration and dehiscence bone defects around oral implants using guided tissue regeneration technique : A prospective multicenter study. Int J Oral Maxillofac Implants 10 : 312, 1995
  15. Kim BO : Implant treatment and guided bony regeneration. J Korean Dental Association 39 : 819, 2001
  16. Kim SG, Hwang JW : Controversy in implant dentistry. Gunja Pub Co. 2004
  17. Kim YK, Kim SG, Lee BG : Bone graft and implant. Vo. 2-1. Narae pub Co. 2007
  18. Christensen DK, Karoussis IK, Joss A et al :Simultaneous or staged installation with guided bone augmentation of transmucosal titanium implants. A 3-year prospective cochort study. Clinical Oral Implants Res 14 : 680, 2003 https://doi.org/10.1046/j.0905-7161.2003.00963.x
  19. Leghissa GC, Botticelli AR : Resistance to bacterial aggression involving exposed nonresorbable membranes in the oral cavity. Int J Oral Maxillofac Implants 11 : 210, 1996
  20. Ling LJ, Hung SL, Lee CF et al : The influence of membrane exposure on the outcomes of guided tissue regeneration : clinical and microbiological aspects. J Periodontal Res 38 : 57, 2003 https://doi.org/10.1034/j.1600-0765.2003.01641.x
  21. Arora BK, Worley M, Guttu RL et al : Bone formation over partially exposed implants using guided tissue generation. J Oral Maxillofac Surg 50 : 1060, 1992 https://doi.org/10.1016/0278-2391(92)90491-H
  22. Becker W, Dahlin C, Becker B et al : The use of e-PTFE barrier membranes for bone promotion around titanium implants placed into extraction sockets. A prospective multicenter study. Int J Oral Maxillofac Implants 9 : 31, 1994
  23. Becker WD, Lekholm U et al : The effect of clinical loading on bone regenerated by GTAM barriers. A study in the dog. Int J Oral Maxillofac Implants 9 : 305, 1994
  24. Gotfredsen K, Warrer K, Hortin-Hansen E et al : Effect of membranes and porous hydroxylapatite on healing in bone defects around titanium dental implants. Clin Oral Implant Res 2 : 172, 1991 https://doi.org/10.1034/j.1600-0501.1991.020403.x
  25. Simion M, Jovanovic SA, Tinti C et al : Long-term evaluation of osseointegrated implants inserted at the time or after vertical ridge augmentation. A retrospective study on 123 implants with 1-5 year follow-up. Clinical Oral Implants Res 12 : 35, 2001 https://doi.org/10.1034/j.1600-0501.2001.012001001.x
  26. Buser D, Dula K, lang NP et al : Long-term stability of osseointegrated implants in bone regenerated with the membrane technique. Clin Oral Implant Res 7 : 175, 1996 https://doi.org/10.1034/j.1600-0501.1996.070212.x
  27. Gu Y, Choi SH, Oh SH et al : Implant suugery and a variety of theory about guided bony regeneration for bone graft. Implantology 10 : 29, 2006
  28. Chiapasco M, Abati S, Romeo E et al : Clinical outcome of autogenous bone blocks or guided bone regeneration with e-PTFE membranes for the reconstruction of narrow edentulous ridges. Clinical Oral Implants Res 10 : 278, 1999 https://doi.org/10.1034/j.1600-0501.1999.100404.x
  29. Busenlechner D, Gruber R, Tangl S et al : Bone resorption following augmentation with bone blocks and GBR-technique in non-human primates. Clin Oral Implants Res 17(4) : ci, 2006
  30. Jovanovic SA, Nevins M : Bone formation utilizing titanium- reinforced barrier membranes. Int J Periodontics Restorative Dent 15 : 56, 1995
  31. Buser D, Ingimarsson S et al : Long-term stability of osseointegrated implants in augmented bone : a 5-year prospective study in partially edentulous patients. Int J Periodontics Restorative Dent 22 : 109, 2002
  32. Zitzmann NU, Scharer P, Marinello CP : Long-term results of implants treated with guided bone regeneration: A 5-year prospective study. Int J Oral Maxillofac Implants. 16 : 355, 2001
  33. Fugazzotto PA : Success and failure rates of osseointegrated implants in function in regenerated bone for 6 to 51 months : A preliminary report. Int J Oral Maxillofac Implants. 12 : 17, 1997
  34. Nevins, Mellonig, Clem III et al : Implants in regenerated bone: Long-term survival. Int J Periodontics Restorative Dent 18 : 35, 1998