A Retrospective Study of Survival Rate in single Brnemark TiUniteTM Implant

단일 치아 결손시 TiUniteTM 표면 처리한 임플란트의 생존율에 대한 후향적 연구

  • Kim, Hye-Jin (Department of Periodontics, The Institute of Oral Health and Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Yang, Seung-Min (Department of Periodontics, The Institute of Oral Health and Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kye, Seung-Beom (Department of Periodontics, The Institute of Oral Health and Science, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Shin, Seung-Yun (Department of Periodontics, The Institute of Oral Health and Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 김혜진 (성균관대학교 삼성서울병원 치과진료부 치주과) ;
  • 양승민 (성균관대학교 삼성서울병원 치과진료부 치주과) ;
  • 계승범 (성균관대학교 삼성서울병원 치과진료부 치주과) ;
  • 신승윤 (성균관대학교 삼성서울병원 치과진료부 치주과)
  • Received : 2009.08.05
  • Accepted : 2009.09.25
  • Published : 2009.09.30

Abstract

Recently implant supported single crown is the popular treatment option to replace a single missing tooth. The purpose of this retrospective study was to analyze and evaluate the survival of implants with the $TiUnite^{TM}$ surface for single tooth replacement. From September 2002 to December 2006, 269 TiUniteTM surfaced implants were used in single tooth replacements at the Institute of Oral Health Science, Samsung Medical Center. Twenty one cases were excluded because of neighbor implants, missing records & short follow up period. Among 248 implants, the 129 implants (52.0%) were inserted in the maxilla and 119 (48.0%) in the mandible. One hundred implants placement (40.3%) were combined with guided bone regeneration, and 36 implants placement (14.5%) were combined with sinus bone augmentation. Mean observation period was $26.0{\pm}11.8$ months after implant placement. Twelve implants were recorded as failures, rendering a single implant survival rate of 95.2% over the observation period. Among failed 12 implants, 10 implants placed in the maxilla. The survival rate in the maxilla was 92.2% and in the mandible was 98.3%. The use of $TiUnite^{TM}$ surfaced single implant placement showed high survival rate for short time period.

구강 내 단일 치아를 상실한 경우 기존에는 고정성 보철물을 이용하여 수복하는 방법이 일반적이었지만, 최근에 와서는 임플란트를 이용하여 수복하는 것이 보편화되고 있다. 본 연구는 단일 치아 결손 시 $TiUnite^{TM}$ 표면 처리한 임플란트를 이용하여 수복한 경우를 후향적으로 조사하여 그 생존율을 분석한 것이다. 2002년 9월부터 2006년 12월까지 삼성서울병원에서 단일 치아 결손 부위에 식립된 총 269개의 $TiUnite^{TM}$ 표면 처리한 임플란트 중 21개는 인접한 임플란트가 있거나, 기록이 누락되거나 관찰 기간이 짧아 연구에서 제외되었다. 248개의 임플란트 중 상악에는 129개(52.0%) 하악에는 119개(48.0%) 식립되었다. 수술 부위에 치조골 재생술을 시행한 경우는 총 100개(40.3%)였으며, 상악동 거상술이 시행된 증례는 총 36개(14.5%)였다. 수술 당일부터 관찰 기간은 평균 $26.0{\pm}11.8$ 개월이었으며, 그 기간 동안 실패한 것으로 간주된 임플란트는 12개로 생존율은 95.2%였다. 그 중 상악에서 실패한 경우가 10개, 하악에서는 2개로 각각의 생존율은 92.2%, 98.3% 이다. 단일 치아 결손 시 $TiUnite^{TM}$ 표면 처리한 임플란트를 이용하여 수복한 경우 단기간 동안 높은 생존율을 보였다.

Keywords

References

  1. Andersson B, Odman P, Lindvall AM et al. Single-tooth restorations supported by osseointegrated implants: results and experiences from a prospective study after 2 to 3 years. Int J Oral Maxillofac Implants 1995;10:702-711
  2. Salinas TJ, Eckert SE. In patients requiring single-tooth replacement, what are the outcomes of implant- as compared to tooth-supported restorations? Int J Oral Maxillofac Implants 2007;22 Suppl:71-95
  3. Friberg B, Grondahl K, Lekholm U. A new self-tapping Branemark implant: clinical and radiographic evaluation. Int J Oral Maxillofac Implants 1992;7:80-85
  4. Albrektsson T, Branemark PI, Hansson HA et al. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 1981;52: 155-170 https://doi.org/10.3109/17453678108991776
  5. Jaffin RA, Berman CL. The excessive loss of Branemark fixtures in type IV bone: a 5-year analysis. J Periodontol 1991;62:2-4 https://doi.org/10.1902/jop.1991.62.1.2
  6. Jemt T. Implant treatment in resorbed edentulous upper jaws. A three-year follow-up study on 70 patients. Clin Oral Implants Res 1993;4:187-194 https://doi.org/10.1034/j.1600-0501.1993.040404.x
  7. Sul YT, Johansson CB, Kang Y et al. Bone reactions to oxidized titanium implants with electrochemical anion sulphuric acid and phosphoric acid incorporation. Clin Implant Dent Relat Res 2002;4:78-87 https://doi.org/10.1111/j.1708-8208.2002.tb00156.x
  8. Albrektsson T, Johansson C, Lundgren AK et al. Experimental studies on oxidized implants. A histomorphometrical and biomechanical analysis. Appl Osseointegration Res 2000;1:21-24
  9. Huang YH, Xiropaidis AV, Sorensen RG et al. Bone formation at titanium porous oxide (TiUnite) oral implants in type IV bone. Clin Oral Implants Res 2005;16:105-111 https://doi.org/10.1111/j.1600-0501.2004.01086.x
  10. Degidi M, Petrone G, Iezzi G et al. Histologic evaluation of a human immediately loaded titanium implant with a porous anodized surface. Clin Implant Dent Relat Res 2002;4:110-114 https://doi.org/10.1111/j.1708-8208.2002.tb00160.x
  11. Ivanoff CJ, Widmark G, Johansson C et al. Histologic evaluation of bone response to oxidized and turned titanium micro-implants in human jawbone. Int J Oral Maxillofac Implants 2003;18:341-348
  12. Buser D, Mericske-Stern R, Bernard JP et al. Long-term evaluation of non-submerged ITI implants. Part 1: 8-year life table analysis of a prospective multi-center study with 2359 implants. Clin Oral Implants Res 1997;8:161-172 https://doi.org/10.1034/j.1600-0501.1997.080302.x
  13. Buser D, Weber HP, Bragger U et al. Tissue integration of one-stage ITI implants: 3-year results of a longitudinal study with Hollow-Cylinder and Hollow-Screw implants. Int J Oral Maxillofac Implants 1991;6:405-412
  14. Cochran DL, Buser D, ten Bruggenkate CM et al. The use of reduced healing times on ITI implants with a sandblasted and acid-etched (SLA) surface: early results from clinical trials on ITI SLA implants. Clin Oral Implants Res 2002;13:144-153 https://doi.org/10.1034/j.1600-0501.2002.130204.x
  15. Jung RE, Pjetursson BE, Glauser R et al. A systematic review of the 5-year survival and complication rates of implant-supported single crowns. Clin Oral Implants Res 2008;19:119-130 https://doi.org/10.1111/j.1600-0501.2007.01453.x
  16. Glauser R, Gottlow J, Lundgren AK et al. Immediate occlusal loading of Brnemark Mk IV TiUnite implants placed in bone quality type 4. Appl Osseointegration Res 2002;3:22-24
  17. Calandriello R, Tomatis M, Vallone R et al. Immediate occlusal loading of single lower molars using Branemark System Wide-Platform TiUnite implants: an interim report of a prospective open-ended clinical multicenter study. Clin Implant Dent Relat Res 2003;5 Suppl 1:74-80 https://doi.org/10.1111/j.1708-8208.2003.tb00018.x
  18. Glauser R, Lundgren AK, Gottlow J et al. Immediate occlusal loading of Branemark TiUnite implants placed predominantly in soft bone: 1-year results of a prospective clinical study. Clin Implant Dent Relat Res 2003;5 Suppl 1:47-56
  19. Vanden Bogaerde L, Pedretti G, Dellacasa P et al. Early function of splinted implants in maxillas and posterior mandibles using Branemark system machined-surface implants: an 18-month prospective clinical multicenter study. Clin Implant Dent Relat Res 2003;5 Suppl 1:21-28 https://doi.org/10.1111/j.1708-8208.2003.tb00012.x
  20. Lundgren S, Brechter M. Preliminary findings of using oxidized titanium implants in reconstructive jaw surgery. Appl Osseointegr Res 2002;3:35-39
  21. Rocci A, Martignoni M, Gottlow J. Immediate loading of Branemark System TiUnite and machined-surface implants in the posterior mandible: a randomized open-ended clinical trial. Clin Implant Dent Relat Res 2003;5 Suppl 1:57-63
  22. Misch CE. Maxillary sinus augmentation for endosteal implants: organized alternative treatment plans. Int J Oral Implantol 1987;4:49-58
  23. Friberg B, Dahlin C, Widmark G et al. One-year results of a prospective multicenter study on Branemark System implants with a TiUnite surface. Clin Implant Dent Relat Res 2005;7 Suppl 1:S70-75 https://doi.org/10.1111/j.1708-8208.2005.tb00077.x
  24. Fugazzotto PA, Vlassis J, Butler B. ITI implant use in private practice: clinical results with 5,526 implants followed up to 72+ months in function. Int J Oral Maxillofac Implants 2004;19:408-412
  25. Toljanic JA, Banakis ML, Willes LA et al. Soft tissue exposure of endosseous implants between stage I and stage II surgery as a potential indicator of early crestal bone loss. Int J Oral Maxillofac Implants 1999;14:436-441
  26. Tal H, Artzi Z, Moses O et al. Spontaneous early exposure of submerged endosseous implants resulting in crestal bone loss: a clinical evaluation between stage I and stage II surgery. Int J Oral Maxillofac Implants 2001;16:514-521
  27. Jeong SM, Choi BH, Li J et al. Influence of abutment connections and plaque control on the initial healing of prematurely exposed implants: an experimental study in dogs. J Periodontol 2008;79:1070-1074 https://doi.org/10.1902/jop.2008.070353
  28. Cheung GS, Dimmer A, Mellor R et al. A clinical evaluation of conventional bridgework. J Oral Rehabil 1990;17:131-136 https://doi.org/10.1111/j.1365-2842.1990.tb01401.x
  29. Hochman N, Mitelman L, Hadani PE et al. A clinical and radiographic evaluation of fixed partial dentures (FPDs) prepared by dental school students: a retrospective study. J Oral Rehabil 2003;30:165-170 https://doi.org/10.1046/j.1365-2842.2003.01003.x
  30. Holm C, Tidehag P, Tillberg A et al. Longevity and quality of FPDs: a retrospective study of restorations 30, 20, and 10 years after insertion. Int J Prosthodont 2003;16:283-289
  31. Karlsson S. Failures and length of service in fixed prosthodontics after long-term function. A longitudinal clinical study. Swed Dent J 1989;13: 185-192
  32. Walton TR. An up to 15-year longitudinal study of 515 metal-ceramic FPDs: Part 2. Modes of failure and influence of various clinical characteristics. Int J Prosthodont 2003;16:177-182
  33. Avivi-Arber L, Zarb GA. Clinical effectiveness of implant-supported single-tooth replacement: the Toronto Study. Int J Oral Maxillofac Implants 1996;11:311-321
  34. Henry PJ, Laney WR, Jemt T et al. Osseointegrated implants for single-tooth replacement: a prospective 5-year multicenter study. Int J Oral Maxillofac Implants 1996;11:450-455
  35. Esposito M, Hirsch JM, Lekholm U et al. Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis. Eur J Oral Sci 1998;106:721-764 https://doi.org/10.1046/j.0909-8836..t01-6-.x