Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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CLINICAL & RADIOGRAPHIC EVALUATION FOLLOWING DELAYED IMPLANTATION USING REGULAR DIAMETER IMPLANTS IN THE POSTERIOR REGION

구치부에 발치 후 지연 식립된 표준 직경의 임플란트에 대한 임상적, 방사선학적 평가

  • Choi, Jung-Yong (Department of Oral Maxillofacial Surgery. St. Mary's Hospital. The Catholic University of Korea) ;
  • Lee, Sang-Hwa (Department of Oral Maxillofacial Surgery. St. Mary's Hospital. The Catholic University of Korea) ;
  • Yoon, Hyun-Joong (Department of Oral Maxillofacial Surgery. St. Mary's Hospital. The Catholic University of Korea)
  • 최정용 (가톨릭대학교 의과대학 성모병원 구강악안면외과) ;
  • 이상화 (가톨릭대학교 의과대학 성모병원 구강악안면외과) ;
  • 윤현중 (가톨릭대학교 의과대학 성모병원 구강악안면외과)
  • Published : 2009.10.30
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Abstract

The purpose of this study was to evaluate clinical and radiographic changes of regular diameter implants placed in the posterior region. A total of 47 standard diameter implants were consecutively placed in the posterior region of 20 partially edentulous patients. The diameters of the implants were 4.1mm (N=35, 74%) and 4.3mm (N=12, 26%), respectively. Peri-implant bone loss and clinical parameters such as mobility, suppuration, swelling, bleeding on probing (BOP) were evaluated at the baseline and?the final follow-up visit. The age of the patients ranged between 24~82 years (mean age: 54.7 years). The cumulative survival rate of the regular diameter implants loaded for a period of 3-24 months (Mean: $11.7{\pm}7.9$ month) was 100%. The average bone loss over the follow-up was $0.36{\pm}0.67\;mm$. Success rate was 95.7%. Only two implants failed (bone loss exceeding 1mm after 1 year of placement). Some prosthetic complications occurred, such as screw loosening (N=1) and dissolution of cementation material (N=2). The present study describes successful outcome following the use of standard-diameter-implants placed in the posterior region, and further comprehensive maintenance practices and follow-up schedules are required.

Keywords

References

  1. Adell R, Lekholm U, Rockler B, Br$\aa$nemark PI. A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 1981;10:387-416 https://doi.org/10.1016/S0300-9785(81)80077-4
  2. Tolstunov L. Implant zones of the jaws : Implant location and related success rate. J Oral Implantol 2007;33:211-20 https://doi.org/10.1563/1548-1336(2007)33[211:IZOTJI]2.0.CO;2
  3. Langer B, Langer L, Herrmann I, Jorneus L. The wide fixture : A solution for special bone situations and a rescue for the compromised implant. Part 1. Int J Oral Maxillofac Implants 1993;8:400-8
  4. Ivanoff CJ, Sennerby L, Johansson C, Rangert B, Lekholm U. Influence of implant diameters on the integration of screw implants. An experimental study in rabbits. Int J Oral Maxillofac Surg 1997;26:141-8 https://doi.org/10.1016/S0901-5027(05)80837-9
  5. Becker W, Becker BE. Replacement of maxillary and mandibular molars with single endosseous implant restorations: a retrospective study. J Prosthet Dent. 1995;74:51-5 https://doi.org/10.1016/S0022-3913(05)80229-X
  6. Himmlov$\'{a}$, L, Dost$\'{a}$lov$\'{a}$ T, K$\'{a}$covsk$\'{y}$ A, Konvickov$\'{a}$ S. Influence of implant length and diameter on stress distribution: a finite element analysis. J Prosthet Dent 2004;91:20-5 https://doi.org/10.1016/j.prosdent.2003.08.008
  7. Renouard F, Nisand D. Impact of implant length and diameter on survival rates. Clin Oral Implants Res 2006;17 Suppl 2:35-51 https://doi.org/10.1111/j.1600-0501.2006.01349.x
  8. Nordin T, Graf J, Frykholm A, Helld$\'{e}$n L. Early functional loading of sand-blasted and acid-etched (SLA) Straumann implants following immediate placement in maxillary extraction sockets. Clin Oral Implants Res 2007;18:441-51 https://doi.org/10.1111/j.1600-0501.2007.01387.x
  9. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The longterm efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986 Summer;1:11-25
  10. Mombelli A, Lang NP. Clinical parameters for the evaluation of dental implants. Periodontol 2000.1994;4:81-6 https://doi.org/10.1111/j.1600-0757.1994.tb00008.x
  11. Ivanoff CJ, Gr$\"{o}$ndahl K, Sennerby L, Bergstr$\"{o}$m C, Lekholm U. Influence of Variations in Implant Diameters: A 3- to 5-Year Retrospective Clinical Report. Int J Oral Maxillofac Implants 1999;14:173-80
  12. Shin SW, Bryant SR, Zarb GA. A retrospective study on the treatment outcome of wide-bodied implants. Int J Prosthodont 2004;17:52-8
  13. Degidi M, Piattelli A, Iezzi G, Carinci F. Wide Diameter Implant: Analysis of Clinical Outcome of 304 Fixtures. J Periodontol 2007;78:52-8 https://doi.org/10.1902/jop.2007.060139
  14. English C, Bahat O, Langer B, Sheets CG. What are the clinical limitations of wide-diameter (4 mm or greater) root-form endosseous implants? Int J Oral Maxillofac Implants 2000;15:293-6
  15. Norton MR. Marginal bone levels at single tooth implants with a conical fixture design. The influence of surface macro- and microstructure. Clin Oral Implants Res 1998;9:91-9 https://doi.org/10.1034/j.1600-0501.1998.090204.x
  16. Hansson S. The implant neck: smooth or provided with retention elements. A biomechanical approach. Clin Oral Implants Res 1999;10:394-405 https://doi.org/10.1034/j.1600-0501.1999.100506.x
  17. Shin YK, Han CH, Heo SJ, Kim S, Chun HJ. Radiographic evaluation of marginal bone level around implants with different neck designs after 1 year. Int J Oral Maxillofac Implants 2006;21:789-94
  18. Grossmann Y, Finger IM, Block MS. Indications for splinting implant restorations. J Oral Maxillofac Surg 2005;63:1642-52 https://doi.org/10.1016/j.joms.2005.05.149
  19. Naert I, Koutsikakis G, Duyck J, Quirynen M, Jacobs R, van Steenberghe D. Biologic outcome of implant-supported restorations in the treatment of partial edentulism. part I: a longitudinal clinical evaluation. Clin Oral Implants Res 2002;13:381-9 https://doi.org/10.1034/j.1600-0501.2002.130406.x
  20. Isidor F. Loss of osseointegration caused by occlusal load of oral implants. Clin Oral Implant Res 1996;7:143-52 https://doi.org/10.1034/j.1600-0501.1996.070208.x
  21. Guichet DL, Yoshinobu D, Caputo AA. Effect of splinting and interproximal contact tightness on load transfer by implant restorations. J Prosthet Dent 2002;87:528-35 https://doi.org/10.1067/mpr.2002.124589
  22. Wang TM, Leu LJ, Wang J, Lin LD. Effects of prosthesis materials and prosthesis splinting on peri-implant bone stress around implants in poor-quality bone: A numeric analysis. Int J Oral Maxillofac Implants 2002;17:231-7
  23. Eckert SE, Meraw SJ, Cal E, Ow RK. Analysis of Incidence and Associated Factors with Fractured Implants: A Retrospective Study. Int J Oral Maxillofac Implants 2000;15:662-7