Retrospective Study of OSFE and Simultaneous Sintered Porous Surface Implant Placement

OSFE법을 이용하여 식립된 Sintered Porous Surface 임플란트에 대한 후향적 연구

  • Moon, Kyung-Nam (Hanbit Dental Clinic) ;
  • Kim, Hak-Kyun (Department of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Park, Gwang-Bum (Department of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Kim, Dong-Ju (Department of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Sun, Ju-Rim (Department of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • You, Jae-Seek (Department of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University)
  • 문경남 (한빛치과의원) ;
  • 김학균 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 박광범 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김동주 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 선주림 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 유재식 (조선대학교 치과대학 구강악안면외과학교실)
  • Received : 2008.11.10
  • Accepted : 2008.12.25
  • Published : 2008.12.30

Abstract

Various techniques and diversely designed implants have been developed to overcome anatomic limitations of the maxillary posterior alveolar bone. The OSFE (osteotome sinus floor elevation) technique has been used for maxillary sinus augmentation. Also, $Endopore^{(R)}$ implant was designed to increase the surface area by its sintered porous surface. The purpose of this study was to evaluate the survival rate of $Endopore^{(R)}$ implants placed in the posterior maxilla in association with the elevation of the sinus membrane using OSFE technique, and examine the new bone formation in the sinus. One hundred fifteen $Endopore^{(R)}$ implants in 66 patients were placed in the posterior maxilla by OSFE technique. The implants were clinically and radiographically followed up for an average of 26.3 months. Most implants were stable and radiographs showed that the bone regenerated in contact with the implants. But, 5 implants in 4 patients were removed after the prosthetic restoration and the survival rate was 95.6% during the follow-up period. The height of new bone formed in the sinus was $3.26{\pm}1.04mm$.

상악 구치부 치조골의 해부학적 한계를 극복하기 위한 다양한 방법들이 시도되고 있다. OSFE법은 상악동거상을 위해 사용되어져 오고 있는 방법중 하나이며 본 연구에서는 Endopore 임플란트를 이용하여 상악동내에서 신생골의 형성을 관찰하였다. 66명의 환자에게 115개의 임플란트를 식립하고 평균 26.3개월동안 방사선학적 검사를 시행하였다. 4환자에게서 5개의 임플란트가 보철수복 후 제거되어 추적기간동안 95.6%의 생존율을 보였다. 상악동내에 형성된 신생골의 높이는 $3.26{\pm}1.04mm$이었다.

Keywords

References

  1. Branemark PI, Hansson BO, Adell R, Breine U, Lindstrom J, Hallen O, Ohman A. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scan J Plast Reconstr Surg Suppl 1977;16:1-132
  2. Wyatt CCL, Zarb GA. Treatment outcomes of patients with implant-supported fixed prostheses. Int J Oral Maxillofac implants. 1998;13:204-211
  3. Lekholm U, Gunne J, Henry P, Higuchi K, Lindén U, Bergström C, Steenberghe DV. Survival of the Bränemark implant in partially edentulous jaws: A 10-year prospective multicenter study. Int J Oral Maxillofac Implants 1998;14:639-645
  4. Ivanoff CJ, Grodahl K, Bergstrom C, Lekholm U, Branemark PI. Influence of bicortical or monocortical anchorage on maxillary implant stability: A 15-year retrospective study of Brånemark system implants. Int J Oral Maxillofac Implants 2002;15:103-110
  5. Albrektssoon T, Johansson CB. Experimental and clinical studies of different ways to improve the outcome of implants placed in bone of deficient quality and quantity. J Parodontol & D'implantol Orale 2000;19:271-288
  6. Boyne PJ, James RA: Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38:613-616
  7. Tatum OH: Maxillary and sinus implant reconstruction. Dent Clin North Am 1986;30:207-229
  8. Smiler DG, Johnson PW, Lozada JL: Sinus lift grafts and endosseous implants: Treatment of the atrophic posterior maxilla. Dent Clin North Am 1992; 36:131-186
  9. Summers RB: A new concept in maxillary implant surgery: The osteotome technique. Compend Contin Educ Dent 1994;15:152-162
  10. Summers RB: The osteotome technique: Part 2 - the ridge expansion osteotomy (REO) procedure. Compend Contin Educ Dent 1994;15:422-436
  11. Summers RB: The osteotome technique : Part 3 - less invasive methods of elevating the sinus floor. Compend Contin Educ Dent 1994;15:698-710
  12. Summers RB: The osteotome technique : Part 4 - future site development. Compend Contin Educ Dent 1995;16:1090-1099
  13. Pilliar RM. Overview of surface variability of metallic endoosseous dental implants: Textured and porous surface-structures designs. Implant Dent 1998;7: 305-314 https://doi.org/10.1097/00008505-199807040-00009
  14. Misch CE : Maxillary sinus augmentation for endosteal implants: Organized alternative treatment plans. Int J Oral Implantol 1987;4:49-58
  15. Jensen OT, Greer R : Immediate placement of osseointegrated implants into the maxillary sinus with mineralized cancellous allograft and Gore-tex: Second stage surgical and histological findings. Chicago: Quintessence; 1991;321-332
  16. Smiler DG, Holmes RE: Sinus lift procedure using porous hydroxyapatite: A preliminary clinical report. J Oral Implantol 1987;13:239-253
  17. Moy PK, Lundgren S, Holmes RE: Maxillary sinus augmentation: Histomorphometric analysis of graft materials for maxillary sinus floor augmentation. J Oral Maxillofac Surg 1993;51:857-862 https://doi.org/10.1016/S0278-2391(10)80103-X
  18. Nishibori M, Betts NJ, Salama H, Listqarten MA : Short-term healing of autogenous and allogeneic bone grafts after sinus augmentation: A report of 2 cases. J Periodontol 1994;65:958-966 https://doi.org/10.1902/jop.1994.65.10.958
  19. Wheeler SL : Sinus augmentation for dental implants: The use of alloplastic materials. J Oral Maxillofac Surg 1997;55:1287-1293 https://doi.org/10.1016/S0278-2391(97)90186-5
  20. Furusawa T, Mizunuma K : Osteoconductive properties and efficacy of resorbable bioactive glass as a bone-grafting material. Implant Dent 1997;6:93-101 https://doi.org/10.1097/00008505-199700620-00003
  21. Lorenzetti M, Mozzati M, Campanino PP, Valente G.: Bone augmentation of the inferior floor of the maxillary sinus with autogenous bone or composite bone grafts: A histologic-histomorphometric preliminary report. Int J Oral Maxillofac Implants 1998;13:69-76
  22. Wetzel AC, Stich H, Caffesse RG : Bone apposition onto oral implants in the sinus area filled with different grafting materials. A histological study in beagle dogs. Clin Oral Implants Res 1995;6:155-163 https://doi.org/10.1034/j.1600-0501.1995.060304.x
  23. 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
  24. Alan A. Winter, Alan S. Pollack, Ronald B, Odrich : Placement of implants in the severely atrohphic posterior maxilla using localized management of the sinus floor: A preliminary study. Int J Oral Maxillofac Implants 2002;17:687-695
  25. Bischof M, Nedir R, Szmukler-Moncler S, Bernard JP, Samson J. Implant stability measurement of delayed and immediately loaded implants during healing. Clin Oral Implants Res 2004;15:529-539 https://doi.org/10.1111/j.1600-0501.2004.01042.x
  26. Palma VC, Magro-Filho O, de Oliverio JA, Lundgren S, Salata LA, Sennerby L. Bone reformation and implant integration following maxillary sinus membrane elevation: An experimental study in primates. Clin Implant Dent relat Res. 2006;8:11-24 https://doi.org/10.2310/j.6480.2005.00026.x
  27. Lundgren S, Andresson S, Gualini F, Sennerby L, Bone reformation with sinus membrane elevation: A new surgical technique for maxillary sinus floor augmentation. Clin Implant Dent Relat Res. 2004;6:65-73
  28. Deporter D, Watson P, Pharoah M, Levy D, Todescan R. Five-to six-year results of a prospective clinical trial using the $ENDOPORE^{\circledR}$ dental implant and a mandibular overdenture. Clin Oral Impl Res 10:95-102, 1999 https://doi.org/10.1034/j.1600-0501.1999.100203.x
  29. Deporter D, Todescan R, Caudry S. Simplifying management of the posterior maxilla using short, porous-surface dental implants and simultaneous indirect sinus elevation. Int J Periodontics Restorative Dent 2000;20:477-485
  30. Deporter D, Pillar RM, Todescan R, Watson P, Pharoah M. Managing the posterior mandible of partially edentulous patients with short, porous-surfaced dental implants: early data from a clinical trial. Int J Oral Maxillofac Implants. 2001;16:653-658