임프란트 식립오류가 최종 보철물의 성공에 미치는 영향: 구강악안면외과의사에 의해 식립된 치과임프란트에 대한 보철의사의 주관적 평가

Influence of implant misplacement on the success of the final prosthesis: Subjective evaluation by a prosthodontist of dental implants placed by an oral and maxillofacial surgeon

  • Kim, Young-Kyun (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Hwang, Jung-Won (Department of Prosthodontics, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Lee, Hyo-Jung (Department of Prosthodontics, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Yeo, In-Sung (Department of Prosthodontics, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Yun, Pil-Young (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital)
  • 발행 : 2009.12.31

초록

Purpose: In many cases, the erroneous placement of a dental implant brings about undesirable results. Here, the effect of dental implant placement on the success of the final prosthesis was evaluated from the point of view of the prosthodontist. Materials and Methods: All surgical operations were performed by the same oral surgeon with the same surgical protocol and all prosthodontic procedures were performed by the same prosthodontist. The problems faced by the prosthodontist, their causes, and their effect on prosthesis success were identified. The success of the final prostheses was evaluated by the same prosthodontist. Results: Only 53% (238 implants in 105 patients) of dental implants were not associated with prosthodontic problems. Multiple implant placement (more than three implants) was associated more frequently with prosthodontic problems. Conclusions: The data indicate that the satisfactory construction of a prosthesis is highly dependent on the placement of the dental implant in the best possible position. It is strongly recommended that the oral surgeon and the prosthodontist engage in pre-operative discussions to establish a top-down treatment plan, as this will improve implant placement and ultimately the success of the prosthesis.

키워드

참고문헌

  1. Kohner JS. Implant team: problems and solutions with osseointegrated implants. Pract Periodontics Aesthet Dent 1992;4:27-32
  2. Listgarten MA. Clinical trials of endosseous implants: issues in analysis and interpretation. Ann Periodontol 1997;2:299-313 https://doi.org/10.1902/annals.1997.2.1.299
  3. Garber DA, Belser UC. Restoration?driven implant placement with restoration generated site development. Compend contin educ dent 1995;16:796,798-802,804
  4. Chang M, Wennstrom JL, Odman P, Andersson B. Implant supported single-tooth replacements compared to contralateral natural teeth. Crown and soft tissue dimensions. Clin Oral Implants Res 1999;10:185-194 https://doi.org/10.1034/j.1600-0501.1999.100301.x
  5. Chang M, Odman PA, Wennstrom JL, Andersson B. Esthetic outcome of implant-supported single-tooth replacements assessed by the patient and by prosthodontists. Int J Prosthodont 1999;12:335-341
  6. Kim YK, Park HS, Choung SM. Solution of Implant Problem. Vol. 2. Problem solution of surgical and prosthodontic treatment. Narae Pub Co. Seoul Korea. 2003; 270-354
  7. Dario LJ. Implant angulation and position and screw or cement retention: clinical guidelines. Implant Dent. 1996;5(2):101-104 https://doi.org/10.1097/00008505-199600520-00005
  8. Davarpanah M, Martinez H, Celletti R, tecucianu JF. Three-stage approach to aesthetic implant restoration : emergence profile concept. Pract Proced Aesthet Dent 2001;13:761-767
  9. Tarnow D, Elian N, Fletcher P, Foum S, Mgner A, Cho SC, Salama M, Salama H, Garber DA. Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants. J periodontal 2003;74:1785-1788 https://doi.org/10.1902/jop.2003.74.12.1785
  10. Neale D, Chee WW. Development of implant soft tissue emergence profile: a technique. J Prosthet Dent 1994;71:364-368 https://doi.org/10.1016/0022-3913(94)90095-7
  11. Chung DM, Oh TJ, Shotwell JL, Misch CE, Wang HL. Significance of keratinized mucosa in maintenance of dental implants with different surfaces. J Periodontol 2006;77:1410-1420 https://doi.org/10.1902/jop.2006.050393
  12. Smukler H, Castellucci F, Capri D. The role of the implant housing in obtaining aesthetics: generation of peri-implant gingivae and papillae-Part I. Preact Proced Aesthet Dent 2003;15:141-149
  13. Pampel M, Wolf R, Dietrich S. A prosthodontic technique to improve the simplicity and the efficacy of angled abutments for divergent implant situations: a technical note. Int J Oral Maxillofac Implants 2006;21:320-324
  14. Balshi TJ, Ekfeldt A, Stenberg T, Vrielinck L. Three-year evaluation of Branemark implants connected to angulated abutments. Int J Oral Maxillofac Implants 1997;12:52-58
  15. Clelland NL, Lee JK, Bimbenet OC, Brantley WA. A three-dimensional finite element stress analysis of angled abutments for an implant placed in the anterior maxilla. J Prosthodont 1995;4:95-100 https://doi.org/10.1111/j.1532-849X.1995.tb00323.x
  16. Sutpideler M, Eckert SE, Zobitz M, An KN. Finite element analysis of effect of prosthesis height, angle of force application, and implant offset on supporting bone. Int J Oral Maxillofac Implants 2004;19:819-825
  17. Clelland NL, Gilat A, McGlumphy EA, Brantley WA. A photoelastic and strain gauge analysis of angled abutments for an implant system. Int J Oral Maxillofac Implants 1993;8:541-548
  18. Brosh T, Pilo R, Sudai D. The influence of abutment angulation on strains and stresses along the implant/bone interface: comparison between two experimental techniques. J Prosthet Dent 1998;79:328-334 https://doi.org/10.1016/S0022-3913(98)70246-X
  19. Dixon DL, Breeding LC, Sadler JP, McKay ML. Comparison of screw loosening, rotation, and deflection among three implant designs. J Prosthet Dent 1995;74:270-278 https://doi.org/10.1016/S0022-3913(05)80134-9
  20. Walton JN, MacEntee MI. Problems with prostheses on implants: a retrospective study. J Prosthet Dent 1994;71:283-288 https://doi.org/10.1016/0022-3913(94)90468-5
  21. Rangert BR, Sullivan RM, Jemt TM. Load factor control for implants in the posterior partially edentulous segment. Int J Oral Maxillofac Implants 1997;12:360-370
  22. Meffert RM. Issues related to single-tooth implants. J Am Dent Assoc 1997;128:1383-1390 https://doi.org/10.14219/jada.archive.1997.0057
  23. Saadoun AP, LeGall M, Touati B. Selection and ideal tri-dimensional implant position for soft tissue aesthetics. Pract Periodontics aesthet Dent 1999;11:1063-1072