Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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Prosthodontic problems and complications associated with osseointegration

임플란트 보철물의 임상적 합병증에 관한 고찰

  • Shin, Soo-Yeon (Department of Prosthodontics, College of Dentistry, Dankook University)
  • 신수연 (단국대학교 치과대학 치과보철학교실)
  • Received : 2015.10.19
  • Accepted : 2015.11.11
  • Published : 2015.12.31
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Abstract

Edentulous patients with a severely resorbed mandible or maxilla often experience problems with conventional dentures, such as insufficient stability and retention, together with a decrease in chewing ability. Because of the good prognosis of dental implants, these patients can be successfully treated with implant-retained or implant-supported prosthesis. Ideally, a maximum number of implants of maximum length are placed in appropriate surgically prepared sites that are surrounded by a maximum amount of bone of favorable quality. The implants are favorably aligned faciolingually and mesiodistally to enhance optimal prosthodontic design. This article describes the clinical problems and complications encountered when treating a consecutive number of edentulous patients with osseointegrated implant-supported prostheses.

무치악 환자에 있어서 골유착 임플란트는 통상의 다른 보철수복방법과 비교했을 때, 기능적으로나 환자의 만족도 면에 있어서 아주 좋은 결과를 보이며, 삶의 질 향상에도 가장 우수한 것으로 알려져 있다. 골질이 양호하고 골량이 충분한 부위에 외과적으로 많은 수의 임플란트를 적절히 식립하여, 최상의 임플란트 보철물 설계가 가능하게 배열되는 것이 바람직하나, 아직까지는 환자와 치과의사 모두에게 합병증과 여러 문제들이 한계로 남아 있다. 골유착에 관한 보철적인 문제, 즉 임플란트 실패, 보철물의 부적합, 임플란트 구성요소의 파절, 그리고 나사 풀림 등 합병증에 관해 분석하고 그에 관한 증례를 보고하고자 한다.

Keywords

References

  1. 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
  2. Albrektsson T, Dahl E, Enbom L, Engevall S, Engquist B, Eriksson AR, Feldmann G, Freiberg N, Glantz PO, Kjellman O, Kristersson L, Kvint S, Kondell PA, Palmquist J, Werndahl L, Astrand P. Osseointegrated oral implants. A Swedish multicenter study of 8139 consecutively inserted Nobelpharma implants. J Periodontol 1988;59:287-96. https://doi.org/10.1902/jop.1988.59.5.287
  3. Albrektsson T. A multicenter report on osseointegrated oral implants. J Prosthet Dent 1988;60:75-84. https://doi.org/10.1016/0022-3913(88)90355-1
  4. Johansson G, Palmqvist S. Complications, supplementary treatment, and maintenance in edentulous arches with implant-supported fixed prostheses. Int J Prosthodont 1990;3:89-92.
  5. Lindquist LW, Rockler B, Carlsson GE. Bone resorption around fixtures in edentulous patients treated with mandibular fixed tissue-integrated prostheses. J Prosthet Dent 1988;59:59-63. https://doi.org/10.1016/0022-3913(88)90109-6
  6. Ogiso M, Tabata T, Kuo PT, Borgese D. A histologic comparison of the functional loading capacity of an occluded dense apatite implant and the natural dentition. J Prosthet Dent 1994;71:581-8. https://doi.org/10.1016/0022-3913(94)90441-3
  7. Isidor F. Loss of osseointegration caused by occlusal load of oral implants. A clinical and radiographic study in monkeys. Clin Oral Implants Res 1996;7:143-52. https://doi.org/10.1034/j.1600-0501.1996.070208.x
  8. Isidor F. Histologic evaluation of peri-implant bone at implants subjected to occlusal overload or plaque accumulation. Clin Oral Implants Res 1997;8:1-9. https://doi.org/10.1111/j.1600-0501.1997.tb00001.x
  9. Jemt T, Book K. Prosthesis misfit and marginal bone loss in edentulous implant patients. Int J Oral Maxillofac Implants 1996;11:620-5.
  10. Naert I, Quirynen M, van Steenberghe D, Darius P. A study of 589 consecutive implants supporting complete fixed prostheses. Part II: prosthetic aspects. J Prosthet Dent 1992;68:949-56. https://doi.org/10.1016/0022-3913(92)90557-Q
  11. Adell R, Eriksson B, Lekholm U, Branemark PI, Jemt T. Long-term followup study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Implants 1990;5:347-59.
  12. Tolman DE, Laney WR. Tissue-integrated prosthesis complications. Int J Oral Maxillofac Implants 1992;7:477-84.
  13. Rangert B, Krogh PH, Langer B, Van Roekel N. Bending overload and implant fracture: a retrospective clinical analysis. Int J Oral Maxillofac Implants 1995;10:326-34.
  14. Zarb GA, Schmitt A. The longitudinal clinical effectiveness of osseointegrated dental implants: the Toronto study. Part III: problems and complications encountered. J Prosthet Dent 1990;64:185-94. https://doi.org/10.1016/0022-3913(90)90177-E
  15. Walton JN, MacEntee MI. Problems with prostheses on implants: a retrospective study. J Prosthet Dent 1994;71:283-8. https://doi.org/10.1016/0022-3913(94)90468-5
  16. Worthington P, Bolender CL, Taylor TD. The Swedish system of osseointegrated implants: problems and complications encountered during a 4-year trial period. Int J Oral Maxillofac Implants 1987;2:77-84.
  17. Cox JF, Zarb GA. The longitudinal clinical efficacy of osseointegrated dental implants: a 3-year report. Int J Oral Maxillofac Implants 1987;2:91-100.
  18. Jemt T. Failures and complications in 391 consecutively inserted fixed prostheses supported by Branemark implants in edentulous jaws: a study of treatment from the time of prosthesis placement to the first annual checkup. Int J Oral Maxillofac Implants 1991;6:270-6.
  19. Kallus T, Bessing C. Loose gold screws frequently occur in full-arch fixed prostheses supported by osseointegrated implants after 5 years. Int J Oral Maxillofac Implants 1994;9:169-78.
  20. Binon PP. Implants and components: entering the new millennium. Int J Oral Maxillofac Implants 2000;15:76-94.
  21. Brunski JB, Puleo DA, Nanci A. Biomaterials and biomechanics of oral and maxillofacial implants: current status and future developments. Int J Oral Maxillofac Implants 2000;15:15-46.
  22. Sones AD. Complications with osseointegrated implants. J Prosthet Dent 1989;62:581-585. https://doi.org/10.1016/0022-3913(89)90084-X

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