대한심미치과학회지 (Journal of the Korean Academy of Esthetic Dentistry)

대한심미치과학회 (Korean Academy of Esthetic Dentistry)
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전치부 영역 임플란트의 식립 시기에 따른 심미적 평가

Comparative esthetic evaluation of anterior zone with immediate, early, and delay implantation

  • 김정화 (중앙보훈병원 치과병원 치주과) ;
  • 서성용 (중앙보훈병원 치과병원 보철과) ;
  • 김나홍 (중앙보훈병원 치과병원 보철과) ;
  • 유정현 (중앙보훈병원 치과병원 보철과) ;
  • 이동운 (중앙보훈병원 치과병원 치주과)
  • Kim, Jung-Hwa (Department of Periodontology, Veterans Health Service Medical Center) ;
  • Seo, Seong-Yong (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Kim, Na-Hong (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Yu, Jung-Hyun (Department of Prosthodontics, Veterans Health Service Medical Center) ;
  • Lee, Dong -Woon (Department of Periodontology, Veterans Health Service Medical Center)
  • 투고 : 2017.03.25
  • 심사 : 2017.05.29
  • 발행 : 2017.06.30
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초록

임플란트 식립시기가 심미적인 부분에 영향을 미치는 것에 대한 연관성을 평가하기 위해 전치부 영역에 식립된 34개의 임플란트 (27명 환자)를 후향적으로 조사했다. 즉시, 조기 및 지연식립으로 시기별로 그룹을 나누고 모든 환자를 보철완료 1년후에 연조직 평가를 시행했다. 통계적으로 그룹별 유의한 의미는 없었다. 식립 시기에 상관없이 만족할 만한 최종결과를 위해 다양한 골이식술과 연조직 이식술이 이루어졌다. 즉, 식립시기로 그 결과를 결정지을 수 없다는 점은 다각적인 면에서 고려사항이 요구된다는 점을 시사한다.

Purpose: This retrospective study is to evaluate whether the timing of implant placement and the result of esthetic outcomes are related. Materials and Methods: Among the patients who had undergone single implant surgery on anterior area from 2010 to 2013 in Veterans Health Service Medical Center, 34 implants in 27 patients (24 male and 3 female) were selected and categorized into 3 groups according to the timing of placement, which are group D (Delay), group E (Early) and group I (Immediate). Aesthetic indices used included the Pink Esthetic Score (PES). It has 7 variables scores, such as mesial papilla, distal papilla, a level of soft-tissue margin, soft-tissue contour, alveolar process, soft-tissue color, and soft-tissue texture. Each variable ranges from 0 to 2, therefore total 14 points are highest. All patients were received by regular follow-up at least 1-year. One examiner measured PES on the intraoral photos. Each patient was considered as a statistical unit for statistical analysis. Statistical analyses were performed using a commercially available statistical software (SPSS Statistics 21.0, IBM Corp., Armonk, NY, USA). Kruskal-Wallis test was used for inter-group comparisons. Statistical significance was set at P<0.05. Result: Mean score in Group D, Group I, and Group E were $11.5{\pm}1.5$, $11.4{\pm}1.8$, and $11.3{\pm}1.8$ respectively. In Kruskal-Wallis test, there are no differences (P=0.989). Conclusion: In this limited study suggests that clinical aesthetic results can be achieved with all treatment protocols. Finally, various factors can be considered to produce the esthetic results.

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