상악동골이식 후 임플란트 생존율 및 골이식재의 흡수율에 관한 임상적 연구

Clinical Study on Implant Survival and Graft Resorption Rate After Maxillary Sinus Bone Grafting

  • 이재환 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 지영덕 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 민승기 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 오승환 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 권대근 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 전인철 (원광대학교 치과대학 구강악안면외과학교실)
  • Lee, Jae-Hwan (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Chee, Young-Deok (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Min, Seung-Ki (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Oh, Seung-Hwan (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Kwon, Dae-Geun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Jeon, In-Chul (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University)
  • 투고 : 2010.09.07
  • 심사 : 2010.10.27
  • 발행 : 2010.11.30

초록

Purpose: The Purpose of this study is to show the total survival rate of implants with maxillary sinus grafting and the effects that reach the survival rate by classifying types of graft materials, implant type, operation method, residual bone height and evaluate graft material resorption rate after sinus grafting Patients and Methods: 61 dental implants placed with sinus bone grafting in 24 patients at Wonkwang University Sanbon Dental Hospital were installed simultaneously or after regular healing. Various bone grafts (autograft, xenograft, allograft, alloplast) and fourth implant type (GSII, Xive, Implantium, Novel biocare) were used. All implants were investigated clinically and radiographically, being with average 20 months follow-up period after installation. Results: 3 fixtures were lost, resulting in 95.1% cumulative survival rate of 61 osseointegrated dental implant. Survival rate according to bone material type, Implant type, operation method, residual bone height, have no statistically significant differencies. The mean preoperative residual alveolar bone height was 4.75 mm, average postoperative height of graft materials 10.8 mm, vertical bone resorption rate was 10% after 2 years. Resorption rate according to operation method was 7% (simultaneous) and 5% (delayed) after 1 year. Conclusion: It can be suggested that maxillary sinus grafting may have predictable result with various bone graft materials and implant type, residual bone height, operation method

키워드

참고문헌

  1. Chanavaz M : Maxillary sinus anatomy, physiology, surgery and bone grafting related to implantology-eleven years surgical experience(1979-1990). J Oral Implantol 16 : 199, 1990.
  2. Boyne PJ : Analysis of performance of root-form endosseous implants placed in the maxillary sinus. J Long term Effects Med Implants 3 : 143, 1993.
  3. Jensen OT, Shulman LB, Block MS et al : Report of the sinus consensus conference of 1996. Int J Oral Maxillofac Implants 13 : 11, 1998.
  4. Hatano N, Shimizu Y, Ooya K : A clinical long-term radiographic evaluation of graft height changes after maxillary sinus floor augmentation with 2:1 autogenous bone/xenograft mixture and simultaneous placement of dental implants. Clin Oral Implants Res 15 : 339, 2004. https://doi.org/10.1111/j.1600-0501.2004.00996.x
  5. Kim YK, Kim SG, Lee BG : Bone graft and implant. Seoul, Narae Pub Co, 2007, p.169.
  6. Filippo G, Francesco D, Matteo T et al : Maxillary sinus augmentation with platelet-rich plasma and fibrinogen cryoprecipitate: A tomographic pilot study. Implant Dent 14 : 63, 2005. https://doi.org/10.1097/01.id.0000156387.35521.bf
  7. Leon A, Efrat OP, Eli E et al : The clinical significance of sinus membrane perforation during augmentation of the maxillary sinus. J Oral maxillofac Surg 64 : 277, 2006. https://doi.org/10.1016/j.joms.2005.10.031
  8. Pikos MA : Maxillary sinus membrane repair : Report of a technique for large perforations. Implant dent 8 : 29, 1999. https://doi.org/10.1097/00008505-199901000-00003
  9. Herzberg R, Dolev E, Schwartz-Arad D : Implant marginalbone loss in maxillary sinus grafts. Int J Oral Maxillofac-Implants 21 : 103, 2006.
  10. Kim YK : Implant risk factor of sinus bone graft (I) : complication and early failure. Implantology 10 : 42, 2006.
  11. Hwang DY, Lee JY, Choi MH et al : Clinical study for prognosis of simultaneous implantation using maxillary sinus graft. J Korean Academy Implant Dentistry 24 : 31, 2005.
  12. Hallman M, Sennerby L, Lundgren S : A clinical and histologic evaluation of implant integration in the posterior maxilla after sinus floor augmentation with autogenous bone, bovine hydroxyapatite, or a 20:80 mixture. Int J Oral maxillofac Implants 17 : 635, 2002.
  13. Tidwell JK : Composite graft of the maxillary sinus for placement of endosteal implants. Int J Oral maxillofac Surg 21 : 204, 1992. https://doi.org/10.1016/S0901-5027(05)80219-X
  14. Johansson B, Grepe AK, Hirsch JM : A clinical study of changes in the volume of bone grafts in the atrophic maxilla. Dento maxillofac Radiol 30 : 157, 2001. https://doi.org/10.1038/sj.dmfr.4600601
  15. Misch CE : Contemporary Implant dentistry, Mosby, 199, p.128.
  16. Hurzeler MB, Kirsch A : Reconstruction of the severely resorbed maxilla with dental implants with augmented maxillary sinus : A 5-year clinical investigation. Int J Oral maxillofac Implants 11 : 466, 1996.
  17. Wannofors K, Johansson B, Hallman M et al : Aprospective randomized study of 1- and 2-stage inlay bone grafts : 1-year follow-up. Inte J Oral Maxillofac Implants 15 : 625, 2000.
  18. Del Fabbro M, Testori T, Francetti L et al : Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent 24 : 565, 2004.
  19. Wallace SS, Froum SJ : Effect of maxillary sinus augmentation on the survival of endosseous dental implants. A systemic review. Ann Periodontol 8 : 328, 2003. https://doi.org/10.1902/annals.2003.8.1.328
  20. Block MS, Kent JN, Kallukaran FU et al : Bone maintenance 5 to 10 years after sinus grafting. J Oral Maxillofac Surg 56 : 706, 1998. https://doi.org/10.1016/S0278-2391(98)90801-1
  21. Raghoebar GM, Brouwer T.H.J, Reintsema H & Van Oort RP : Augmentation of the maxillary sinus floor with autogenous bone for the placement of endosseous implants: a preliminary report. Journal of Oral and Maxillofacial Surgery 51 : 1198, 1993. https://doi.org/10.1016/S0278-2391(10)80288-5
  22. McAllister BS, Margolin MD, Cogan AG et al : Eighteenmonth radiographic and histologic evaluation of sinus grafting with anorganic bovine bone in the chimpanzee. International Journal of Oral & Maxillofacial Implants 14 : 361, 1999.
  23. Peleg M, Chaushu G, Mazor Z et al : Radiological findings of the post-sinus lift maxillary sinus: a computerized tomography follow-up. Journal of Periodontology 70 : 1564, 1999. https://doi.org/10.1902/jop.1999.70.12.1564
  24. Keller EE, Eckert SE & Tolman DE : Maxillary antral and nasal one-stage inlay composite bone graft: preliminary report on 30 recipient sites. Journal of Oral and Maxillofacial Surgery 52 : 438, 1994. https://doi.org/10.1016/0278-2391(94)90335-2
  25. Blomqvist JE, Alberius P & Isaksson S : Retrospective analysis of one-stage maxillary sinus augmentation with endosseous implants. International Journal of Oral & Maxillofacial Implants 11 : 512, 1996.
  26. Hallman M, Hedin M, Sennerby L & Lundgren S : A prospective 1-year clinical and radiographic study of implants placed after maxillary sinus floor augmentation with bovine hydroxyapatite and autogenous bone. Journal of Oral and Maxillofacial Surgery 60 : 277, 2002. https://doi.org/10.1053/joms.2002.30576
  27. Maiorana C, Sigurta D. Mirandola A et al : Sinus elevation with alloplasts or xenogenic materials and implants" An up-to-4-year clinical and radiologic follow up. Int J Oral Maxillofac Implants 21 : 426, 2006.
  28. Hurzeler MB, Kirsch A, Ackermann K-L et al : Reconstruction of the severely resorbed maxilla with dental implants in the augmented maxillary sinus: a 5-year clinical investigation. International Journal of Oral & Maxillofacial Implants 11 : 466, 1996.
  29. Cheong CS, Cho BH, Hwang DS et al : Evaluation of maxillary sinus using cone-beam CT in patients scheduled for dental implant in maxillary posterior area. J Korean Assoc Oral Maxillofac Surg. 1 : 35, 2009.
  30. Kim YK, Yun PY, Im JH : Clinical retrospective study of sinus bone graft and implant placement. J Korean Association Maxillofac Plast Reconstr Surg 3 : 30, 2008.