Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
권호 표지
DOI QR코드

DOI QR Code

Clinical Evaluation of Implant-Supported Fixed Prostheses

임플란트-지지 고정성 보철물의 임상적 상태에 대한 평가

  • Park, Chan-Yong (Department of Prosthodontics, School of Dentistry, Pusan National University) ;
  • Yun, Mi-Jung (Department of Prosthodontics, School of Dentistry, Pusan National University) ;
  • Huh, Jung-Bo (Department of Prosthodontics, School of Dentistry, Pusan National University) ;
  • Jeong, Chang-Mo (Department of Prosthodontics, School of Dentistry, Pusan National University) ;
  • Jeon, Yeong-Chan (Department of Prosthodontics, School of Dentistry, Pusan National University)
  • 박찬용 (부산대학교 치의학전문대학원 보철학교실) ;
  • 윤미정 (부산대학교 치의학전문대학원 보철학교실) ;
  • 허중보 (부산대학교 치의학전문대학원 보철학교실) ;
  • 정창모 (부산대학교 치의학전문대학원 보철학교실) ;
  • 전영찬 (부산대학교 치의학전문대학원 보철학교실)
  • Received : 2013.08.25
  • Accepted : 2013.11.18
  • Published : 2013.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was to compare the cumulative survival rate of implant-supported fixed prostheses and to analyze association between risk factors and cumulative survival rate of implant-supported fixed prostheses. In order to assess the clinical status of implant-supported fixed prostheses, individuals who treated in the Department of Prosthodontics, Pusan National University Dental Hospital, between 2000 to 2007 were examined. The results of this study were as follows: 1. Length of service of implant-supported fixed prostheses was $6.6{\pm}32.0$ years (mean), 11.7 years (median). 2. Age and sex of patient was found to have no statistically significant influence on longevity of implant-supported fixed prostheses (P>.05). 3. Reason of tooth extraction wax found to have statistically significant influence on implant-supported fixed prostheses (P<.05). The longevity of fixed prostheses was low in tooth extraction case due to periodontal disease (median:9.0 years). 4. Location of implant-supported fixed prostheses was found to have statistically significant influence on longevity of fixed prostheses (P<.05). The longevity of fixed prostheses was low in molar region (median:8.8 years). 5. Number of units in implant-supported fixed prostheses was found to have no statistically significant influence on longevity of fixed prostheses (P>.05). 6. Condition of opposing dentition was found to have no statistically significant influence on longevity of implant-supported fixed prostheses (P>.05). 7. Food impaction (40.5%), porcelain fracture (25.8%), screw loosening (23.6%) were frequent complications.

임플란트-지지 고정성 보철물의 누적 생존율을 구하고, 생존율에 영향을 미치는 요소와 요소 간 상관관계를 평가하여, 임플란트-지지 고정성 보철물의 예후를 예측하는 데 도움을 주고자 한다. 2000년에서 2007년까지 부산대학교 치과병원에 내원한 환자 중 임플란트를 식립하고 임플란트-지지 고정성 보철물을 제작한 환자를 대상으로 임플란트-지지 고정성 보철물과 관련한 종합적인 임상적 상태를 조사 평가하여 다음과 같은 결과를 얻었다. 1. 전체 임플란트-지지 고정성 보철물의 추정 수명은 11.7년이었고, 고정성 보철물에 문제가 발생되는 추정 시점은 9.5년이었다. 2. 나이와 성별에 따른 수명의 차이는 나타나지 않았다(P>.05). 3. 치아 발거 원인은 임플란트-지지 고정성 보철물의 수명에 영향을 미쳤다(P<.05). 치아 우식증의 경우 고정성 보철물의 수명은 10.0년, 치주 질환의 경우 9.0년이었다. 4. 악골에 따른 수명의 차이는 나타나지 않았으나(P>.05), 전후방 위치에서는 소구치부 보철물의 수명이 11.0년으로 수명이 길었고, 대구치 부위 보철물의 수명이 8.8년으로 짧았다(P<.05). 5. 임플란트-지지 고정성 보철물의 크기는 보철물의 수명에 영향을 미치지 않았다(P>.05). 6. 대합치 조건별 임플란트-지지 고정성 보철물의 수명은 차이가 없었다(P>.05). 7. 임플란트-지지 고정성 보철물의 합병증은 식편 압입(40.5%), 도재 파절(25.8%), 나사 풀림(23.6%) 순이었다. 식편 압입은 임플란트 위치와 상관관계를 보였고, 나사와 관련된 문제는 임플란트 위치와 보철물 종류에 영향을 받았다(P>.05).

Keywords

References

  1. Zhao CR, Cho IH, Moon ES. A retrospective statistical analysis of dental implants. J Korean Acad Prosthodont 2009;47:266-72. https://doi.org/10.4047/jkap.2009.47.3.266
  2. Branemark PI, Hansson BO, Adell R, Breine U, Lindstrom J, Hallen O, Ohman A. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl 1977;16:1-132.
  3. Adell R, Lekholm U, Rockler B, Branemark 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
  4. Adell R, Eriksson B, Lekholm U, Branemark PI, Jemt T. Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaw. Int J Oral Maxillofac Implants 1990;5:347-59.
  5. Esposito M, Grusovin MG, Coulthard P, Thomsen P, Worthington HV. A 5-year follow-up comparative analysis of the efficacy of various osseointegrated dental implant systems: a systematic reciew of randomized controlled clinical trials. Inr J Oral Maxillofac Implants 2005;20:557-68.
  6. Esposito M, Hirsch JM, Lekholm U, Thomsen P. Biological factors contributing to failures of osseointegrated oral implants. (II). Etiopathogenesis. Eur J Oral Sci 1998;106:721-64. https://doi.org/10.1046/j.0909-8836..t01-6-.x
  7. Tonetti MS, Schmid J. Pathogenesis of implant failures. Periodontol 2000 1994;4:127-38. https://doi.org/10.1111/j.1600-0757.1994.tb00013.x
  8. Albrektsson T, Dahl E, Enbom L, Engevall S, Engquist B, Eriksson AR, Feldmann G, Freiberg N, Glantz PO, Kjellman O, et al. Osseointegrated oral implants. A Swedish multicenter study of 8139 consecutively inseted Nobelpharma implants. J Periodontol 1998;59:287-96.
  9. Moon HY. A study on the life expectation of dental restorations. Korean academy of oral health 1985;9:51-74.
  10. Shin WJ, Jeon YS, Lee KW, Lee HY, Han DH. Longevity and failure analysis of fixed restorations serviced in Korea. J Korean Acad Prosthodont 2005;43:158-75.
  11. Kim JS, Chang HH, Chang CH, Rhye SH, Kang JH. Preprosthetic Stage Dental Implant Failure. J Kor Oral Maxillofac Surg 2001;27:178-83.
  12. Drago CJ, O'Connor CG. A clinical report on the 18- month cumulative survival rates of implants and implant prostheses with an internal connection implant system. Compend Contin Educ Dent 2006;27:266-71.
  13. Lekholm U, Gunne J, Henry P, Higuchi K, Linden U, Bergstrom C, van Steenberghe D. Survival of the Branemark implant in partially edentulous jaws: a 10-year prospective multicenter study. Int J Oral Maxillofac Implants 1999;14:639-45.
  14. Roberts DH. The relationship between age and the failure rate of bridge prostheses. Br Dent J 1970;17:175-7.
  15. Foster LV. Failed conventional bridge work from general dental practice: clinical aspects and treatment needs of 142 cases. Br Dent J 1990;168:199-201. https://doi.org/10.1038/sj.bdj.4807133
  16. Libby G, Arcuri MR, LaVelle WE, Hebl L. Longevity of fixed partial dentures. J Prosthet Dent 1997;78:127-31. https://doi.org/10.1016/S0022-3913(97)70115-X
  17. Drake CW, Maryniuk GA, Bentley C. Reasons for restoration replacement: differences in practice patterns. Quintessence Int 1990;21:125-30.
  18. Ryge G, Snyder M. Evaluating the clinical quality of restorations. J Am Dent Assoc 1973;87:369-77. https://doi.org/10.14219/jada.archive.1973.0421
  19. Leempoel PJB, Van't Hof MA, De Haan AFJ. Survival studies of dental restorations: criteria, methods and analyses. J Oral Rehabil 1989;16:387-94. https://doi.org/10.1111/j.1365-2842.1989.tb01355.x
  20. Jemt T, Johansson J. Implant treatment in the edentulous maxillae: a 15-year follow-up study on 76 consecutive patients provided with fixed prostheses. Clin Implant Dent Relat Res 2006;8:61-9. https://doi.org/10.1111/j.1708-8208.2006.00003.x
  21. Bryant SR. The effects of age, jaw site, and bone condition on oral implant outcomes. Int J Prosthodont 1998;11:470-90.
  22. Smith RA, Berger R, Dodson TB. Risk factors associated with dental implants in healthy and medically compromised patients. Int J Oral Maxillofac Implants 1992;7:367-72.
  23. Kim SH, Kim SJ, Lee KW, Han DH. The effects of local factors on the survival of dental implants: A 19 year retrospective study. J Korean Acad Prosthodont 2010;48:28-40. https://doi.org/10.4047/jkap.2010.48.1.28
  24. Schwartz-Arad D, Laviv A, Levin L. Failure causes, timing, and cluster behavior: an 8-year study of dental implants. Implant Dent 2008;17:200-7. https://doi.org/10.1097/ID.0b013e3181777906
  25. Bryant SR, Mac Donald-Jankowski D, Kim K. Does the type of implant prosthesis affect outcomes for the completely edentulous arch? Int J Oral Maxillofac Implants 2007;22:117-39.
  26. Weber HP, Sukotjo C. Does the type of implant prosthesis affect outcomes in the partially edentulous patients? Int J Oral Maxillofac Implants 2007;22:140-72.
  27. Randow K, Glantz P-OJ, Zoger B. Technical failures and some related clinical complications in extensive fixed prosthodontics. An epidemiological study of long-term clinical quality. Acta Odontol Scand 1986;44:241-55. https://doi.org/10.3109/00016358608997726
  28. Schwartz NL, Whitsett LD, Berry TG, Stewart JL. Unserviceable crowns and fixed partial dentures: life-span and causes for loss of serviceability. J Am Dent Assoc 1970;81:1395-401. https://doi.org/10.14219/jada.archive.1970.0398
  29. Jorneus L, Jemt T, Carlsson L. Loads and designs of screw joints for single crowns supported by osseointegrated implants. Int J Oral Maxiilofac Implants 1992;7:353-9.