대한치과의사협회지 (The Journal of the Korean dental association)

  • 제48권1호
  • /
  • Pages.45-55
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  • 2010
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  • 0376-4672(pISSN)
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  • 2713-7961(eISSN)
대한치과의사협회 (The Korean Dental Association)
권호 표지

Original Article 1 - 합성골 이식재인 Osteon$^{(R)}$을 이용한 상악동 거상술-임상적, 방사선 계측학적 연구

Maxillary sinus augmentation with biphasic calcium phosphate(Osteon$^{(R)}$); A clinical and radiographic study

  • 차재국 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 정의원 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 김민수 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 엄유정 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 김창성 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 조규성 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 최성호 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 정성민
  • Cha, Jae-Kook (Department of Periodontology, Research institute of periodontal regeneration) ;
  • Jung, Ui-Won (Department of Periodontology, Research institute of periodontal regeneration) ;
  • Kim, Min-Soo (Department of Periodontology, Research institute of periodontal regeneration) ;
  • Um, Yoo-Jung (Department of Periodontology, Research institute of periodontal regeneration) ;
  • Kim, Chang-Sung (Department of Periodontology, Research institute of periodontal regeneration) ;
  • Cho, Kyoo-Sung (Department of Periodontology, Research institute of periodontal regeneration) ;
  • Choi, Seong-Ho (Department of Periodontology, Research institute of periodontal regeneration) ;
  • Chung, Sung-Min (Dentium Co.)
  • 발행 : 2010.01.01
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초록

Purpose: The aim of this study was to evaluate 1 year cumulative survival rate of implants placed on augmented sinus using Osteon$^{(R)}$, bone graft material and to assess height of the grafted material radiographically. Material and Methods: 10 maxillary sinuses were augmented in 10 patients and 25 implant fixtures were installed simultaneously or after 6 months healing period. The height of the sinus graft material was measured using panoramic images immediately after augmentation and up to 19 months subsequently. Changes in the height of the sinus graft material were calculated with respect to implant length and original sinus wall height. Results: The cumulative survival rate was 100% in all 25 implants. Additionally, normal healing process without any complication was observed in all patients. The mean crown/Implant ratio was 1.25. The mean marginal bone loss was 0.95mm and the mean resorption rate of Osteon$^{(R)}$ was 0.05mm/month. The fastest resorption site of Osteon$^{(R)}$ is the first molar area. The grafted material was well maintained in sinus and decreased slightly over 1 year. Conclusion: In conclusion, It can be suggested that Osteon$^{(R)}$ may have predictable result when it was used as a grafting material for sinus floor augmentation.

키워드

참고문헌

  1. Smiler DG, Johnson PW, Lozada JL, et al. Sinus lift grafts and endosseous implants. Treatment of the atrophic posterior maxilla. Dent Clin North Am 1992;36:151-86; discussion 187-8.
  2. Boyne PJ, James RA. Grafting of the maxillary sinus floor with autogenous marrow and bone. J Oral Surg 1980;38:613-6.
  3. Summers RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium 1994;15:152, 154-6, 158 passim; quiz 162.
  4. Tatum H, Jr. Maxillary and sinus implant reconstructions. Dent Clin North Am 1986;30:207-29.
  5. Buchmann R, Khoury F, Faust C, Lange DE. Periimplant conditions in periodontally compromised patients following maxillary sinus augmentation. A long-term post-therapy trial. Clin Oral Implants Res 1999;10:103- 10. https://doi.org/10.1034/j.1600-0501.1999.100204.x
  6. Misch CE, Dietsh F. Bone-grafting materials in implant dentistry. Implant Dent 1993;2:158-67. https://doi.org/10.1097/00008505-199309000-00003
  7. Johansson B, Grepe A, Wannfors K, Hirsch JM. A clinical study of changes in the volume of bone grafts in the atrophic maxilla. Dentomaxillofac Radiol 2001;30:157-61. https://doi.org/10.1038/sj.dmfr.4600601
  8. 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. J Oral Maxillofac Surg 2002;60:277-84; discussion 285-6. https://doi.org/10.1053/joms.2002.30576
  9. Daculsi G, LeGeros RZ, Nery E, et al. Transformation of biphasic calcium phosphate ceramics in vivo: ultrastructural and physicochemical characterization. J Biomed Mater Res 1989;23:883-94. https://doi.org/10.1002/jbm.820230806
  10. Gauthier O, Bouler JM, Aguado E, et al. Macroporous biphasic calcium phosphate ceramics: influence of macropore diameter and macroporosity percentage on bone ingrowth. Biomaterials 1998;19:133-9. https://doi.org/10.1016/S0142-9612(97)00180-4
  11. Karabuda C, Ozdemir O, Tosun T, et al. Histological and clinical evaluation of 3 different grafting materials for sinus lifting procedure based on 8 cases. J Periodontol 2001;72:1436-42. https://doi.org/10.1902/jop.2001.72.10.1436
  12. Nery EB, LeGeros RZ, Lynch KL, Lee K. Tissue response to biphasic calcium phosphate ceramic with different ratios of HA/beta TCP in periodontal osseous defects. J Periodontol 1992;63:729-35. https://doi.org/10.1902/jop.1992.63.9.729
  13. Yamada S, Heymann D, Bouler JM, Daculsi G. Osteoclastic resorption of biphasic calcium phosphate ceramic in vitro. J Biomed Mater Res 1997;37:346-52. https://doi.org/10.1002/(SICI)1097-4636(19971205)37:3<346::AID-JBM5>3.0.CO;2-L
  14. Kim YK, Yun PY, Lim SC, et al. Clinical evaluations of OSTEON as a new alloplastic material in sinus bone grafting and its effect on bone healing. J Biomed Mater Res B Appl Biomater 2008;86:270-7.
  15. Zitzmann NU, Scharer P. Sinus elevation procedures in the resorbed posterior maxilla. Comparison of the crestal and lateral approaches. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:8-17. https://doi.org/10.1016/S1079-2104(98)90391-2
  16. Zarb GA, Zarb FL. Tissue integrated dental prostheses. Quintessence Int 1985;16:39-42.
  17. Buser D, Weber HP, Lang NP. Tissue integration of non-submerged implants. 1-year results of a prospective study with 100 ITI hollow-cylinder and hollow-screw implants. Clin Oral Implants Res 1990;1:33-40. https://doi.org/10.1034/j.1600-0501.1990.010105.x
  18. Cutler SJ, Ederer F. Maximum utilization of the life table method in analyzing survival. J Chronic Dis 1958;8:699- 712. https://doi.org/10.1016/0021-9681(58)90126-7
  19. Misch CE, Perel ML, Wang HL, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent 2008;17:5-15.
  20. Klein CP, Driessen AA, de Groot K, van den Hooff A. Biodegradation behavior of various calcium phosphate materials in bone tissue. J Biomed Mater Res 1983;17:769-84. https://doi.org/10.1002/jbm.820170505
  21. 연제영, 김동진, 홍성배 등. 성견 일벽성 치주 결손 부에 이식한 biphasic calcium phosphate의 조직계측학적 평가. 대한치주과학회지 2008;38:171-178.
  22. 엄유정, 홍지연, 김성태 등. 토끼 두개골에서 새로 개발된 biphasic calcium phosphate의골형성 효과: A pilot study. 대한치주과학회지 2008;38:163-170.
  23. 김민수, 이지현, 정의원 등. MBCP를 이용하여 거상된 상악 구치부에 식립한 임플란트의 기능 후 2년 누적생존율 - 후향적 임상 연구, 대한치주과학회지 2008;38:669-678.
  24. Albrektsson T, Zarb G, Worthington P, Eriksson AR. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1:11-25.
  25. Carr AB, Choi YG, Eckert SE, Desjardins RP. Retrospective cohort study of the clinical performance of 1-stage dental implants. Int J Oral Maxillofac Implants 2003;18:399-405.
  26. Jensen OT, Shulman LB, Block MS, Iacono VJ. Report of the Sinus Consensus Conference of 1996. Int J Oral Maxillofac Implants 1998;13 Suppl:11-45.
  27. 연제영, 채경준, 정의원 등. 측방 접근법에 의한 상악동 거상술을 이용하여 식립된 골내 임플란트의 10년간 후향적 연구. 대한치주과학회지 2007;37:691-704.
  28. Hatano N, Shimizu Y, Ooya K. A clinical long-term radiographic evaluation of graft height changes after maxillary sinus floor augmentation with a 2:1 autogenous bone/xenograft mixture and simultaneous placement of dental implants. Clin Oral Implants Res 2004;15:339-45. https://doi.org/10.1111/j.1600-0501.2004.00996.x
  29. 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 followup. Int J Oral Maxillofac Implants 2006;21:426-32.
  30. 김지선, 이서경, 채경준 등. 상악동 골이식술을 동반한 임프란트 식립 시 골이식재의 높이 변화에 관한 방사선학적 평가. 대한치주과학회지 2007;37:277-286.
  31. 강남원, 정의원, 최성호 등. Osteotome 상악동 거상술과 동시에 식립한 Branemark Ti-Unite와 ITI SLA 임프란트의 비교 연구. 대한치주과학회지 2005;35:609-621.
  32. Wanschitz F, Figl M, Wagner A, Rolf E. Measurement of volume changes after sinus floor augmentation with a phycogenic hydroxyapatite. Int J Oral Maxillofac Implants 2006;21:433-8.
  33. Gray CF, Staff RT, Redpath TW, et al. Assessment of maxillary sinus volume for the sinus lift operation by three-dimensional magnetic resonance imaging. Dentomaxillofac Radiol 2000;29:154-8. https://doi.org/10.1038/sj.dmfr.4600518
  34. Johansson B, Grepe A, Wannfors K, et al. Volumetry of simulated bone grafts in the edentulous maxilla by computed tomography: an experimental study. Dentomaxillofac Radiol 2001;30:153-6. https://doi.org/10.1038/sj.dmfr.4600600