Implantology (대한구강악안면임플란트학회지)

The Korean Academy of Oral & Maxillofacial Implantology (대한구강악안면임플란트학회)
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Long-term Retrospective Study on Cumulative Survival Rate of Implants with Guided Bone Regeneration

골유도재생술을 동반한 임플란트의 생존율에 대한 연구

  • Jung, Suk-Hyun (Department of Dentistry, School of Dentistry, Seoul National University) ;
  • Kim, Jun-Hwan (Department of Periodontology, School of Dentistry and Dental Research Institute, BK21 program, Seoul National University) ;
  • Namgung, Da-Jeong (Department of Periodontology, School of Dentistry and Dental Research Institute, BK21 program, Seoul National University) ;
  • Kim, Yun-Jeong (Department of Periodontology, School of Dentistry and Dental Research Institute, BK21 program, Seoul National University) ;
  • Chung, Jaeeun (Department of Periodontology, School of Dentistry and Dental Research Institute, BK21 program, Seoul National University) ;
  • Ku, Young (Department of Periodontology, School of Dentistry and Dental Research Institute, BK21 program, Seoul National University)
  • 정석현 (서울대학교 치의학대학원 치의학과) ;
  • 김준환 (서울대학교 치의학대학원 치주과학교실) ;
  • 남궁다정 (서울대학교 치의학대학원 치주과학교실) ;
  • 김윤정 (서울대학교 치의학대학원 치주과학교실) ;
  • 정재은 (서울대학교 치의학대학원 치주과학교실) ;
  • 구영 (서울대학교 치의학대학원 치주과학교실)
  • Received : 2018.11.05
  • Accepted : 2018.12.10
  • Published : 2018.12.31
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Abstract

Purpose: The purpose of this study was to analyze the cumulative survival rate of dental implants installed with guided bone regeneration (GBR), and also elucidate the factors related with the survival of dental implants. Material and Methods: This retrospective study was conducted on 148 dental implants installed in 76 patients by one specialist (Y.K.) at the Department of Periodontology and Implant Center, Seoul National University Dental Hospital from 2001 to 2010. The cumulative survival rates were obtained by the Kaplan-Meier method. The correlations between various factors and dental implant survival were analyzed by using the log-rank test and Cox proportional hazards model. Results: Among 148 dental implants installed in 76 patients, 8 implants in 7 patients were lost and the cumulative survival rates up to 5-years and 10-years were 97% and 89%, respectively. Gender, smoking status and location of implant were significantly associated with the cumulative survival rate of implants (p < 0.05). Age, history of hypertension and diabetes were not significantly associated with the cumulative survival rate of implants (p > 0.05). Conclusion: The dental implants installed with guided bone regeneration is predictable technique according to the results of cumulative survival rate over 10 years.

Keywords

References

  1. Branemark PI, Adell R, Breine U, et al. Intra-osseous anchorage of dental prostheses. I: Experimental studies. Scand J Plast Reconstr Surg. 1969; 3: 81-100. https://doi.org/10.3109/02844316909036699
  2. Branemark PI, Lindstrom J, Hallen O, et al. Reconstruction of the defective mandible. Scand J Plast Reconstr Surg. 1975; 9: 116-128. https://doi.org/10.3109/02844317509022776
  3. Block MS, Degen Y. Horizontal ridge augmentation using human mineralized particulate bone: Preliminary results. J Oral Maxillofac Surg. 2004; 62: 67-72.
  4. Nyman S, Lang NP, Buser D, et al. Bone regeneration adjacent to titanium dental implants using guided tissue regeneration: a report of two cases. Int J Oral Maxillofac Implants. 1990; 5: 9-14.
  5. Hammerle CH, Jung RE. Bone augmentation by means of barrier membranes. Periodontol 2000. 2003; 33: 36-53. https://doi.org/10.1046/j.0906-6713.2003.03304.x
  6. Hammerle CHF, Jung RE, Feloutzis A. A systematic review of the survival of implants in bone sites augmented with barrier membranes (guided bone regeneration) in partially edentulous patients. J Clin Periodontol. 2002; 29(Suppl 3): 226-231. https://doi.org/10.1034/j.1600-051X.29.s3.14.x
  7. Buser D, Weber HP, Bragger U, et al. Tissue integration of one-stage ITI implants: 3-year results of a longitudinal study with Hollow-Cylinder and Hollow-Screw implants. Int J Oral Maxillofac Implants. 1991; 6: 405-412.
  8. Buser D, Dula K, Belser U, et al. Localized ridge augmentation using guided bone regeneration. I. Surgical procedure in the maxilla. Int J Periodontics Restorative Dent. 1992; 13: 29-45.
  9. Buser D, Dula K, Belser UC, et al. Localized ridge augmentation using guided bone regeneration. II. Surgical procedure in the mandible. Int J Periodontics Restorative Dent. 1995; 15: 10-29.
  10. Buser D, Dula K, Hirt HP, et al. Lateral ridge augmentation using autografts and barrier membranes: A clinical study with 40 partially edentulous patients. J Oral Maxillofac Surg. 1996; 54: 420-432. https://doi.org/10.1016/S0278-2391(96)90113-5
  11. Buser D, Dula K, Lang NP, et al. Long-term stability of osseointegrated implants in bone regenerated with the membrane technique. 5-year results of a prospective study with 12 implants. Clin Oral Implants Res. 1996; 7: 175-183. https://doi.org/10.1034/j.1600-0501.1996.070212.x
  12. Chiapasco M, Zaniboni M. Clinical outcomes of GBR procedures to correct peri-implant dehiscences and fenestrations: a systematic review. Clin Oral Implants Res. 2009; 20: 113-123. https://doi.org/10.1111/j.1600-0501.2009.01781.x
  13. Jovanovic SA, Schenk RK, Orsini M, et al. Supracrestal bone formation around dental implants: an experimental dog study. Int J Oral Maxillofac Implants. 1994; 10: 23-31.
  14. Schwarz F, Rothamel D, Herten M, et al. Immunohistochemical characterization of guided bone regeneration at a dehiscence-type defect using different barrier membranes: an experimental study in dogs. Clin Oral Implants Res. 2008; 19: 402-415. https://doi.org/10.1111/j.1600-0501.2007.01486.x
  15. Becker W, Becker B. Guided tissue regeneration for implants placed into extraction sockets and for implant dehiscences: surgical techniques and case report. Int J Periodontics Restorative Dent. 1989;10: 376-391.
  16. Simion M, Scarano A, Gionso L, et al. Guided bone regeneration using resorbable and nonresorbable membranes: a comparative histologic study in humans. Int J Oral Maxillofac Implants. 1996;11: 735-742.
  17. Gotfredsen K, Nimb L, Buser D, et al. Evaluation of guided bone generation around implants placed into fresh extraction sockets: an experimental study in dogs. J Oral Maxillofac Surg. 1993; 51: 879-884. https://doi.org/10.1016/S0278-2391(10)80108-9
  18. 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
  19. Cochran DL, Buser D, Ten Bruggenkate CM, et al. The use of reduced healing times on ITI (R) implants with a sandblasted and acid-etched (SLA) surface: Early results from clinical trials on ITI (R) SLA implants. Clin Oral Implants Res. 2002; 13: 144-153. https://doi.org/10.1034/j.1600-0501.2002.130204.x
  20. Blanco J, Alonso A, Sanz M. Long-term results and survival rate of implants treated with guided bone regeneration: a 5-year case series prospective study. Clinical Oral Implants Res. 2005; 16: 294-301. https://doi.org/10.1111/j.1600-0501.2005.01106.x
  21. Zitzmann NU, Scharer P, Marinello CP. Long-term results of implants treated with guided bone regeneration: a 5-year prospective study. Int J Oral Maxillofac Implants. 2001; 16: 355-366.
  22. Buser D, Ingimarsson S, Dula K, et al. Long-term stability of osseointegrated implants in augmented bone: a 5-year prospective study in partially edentulous patients. Int J Periodontics Restorative Dent. 2002; 22: 109-117.
  23. Urban IA, Jovanovic SA, Lozada JL. Vertical ridge augmentation using guided bone regeneration (GBR) in three clinical scenarios prior to implant placement: a retrospective study of 35 patients 12 to 72 months after loading. Int J Oral Maxillofac Implants. 2009; 24: 502-510.
  24. El Helow K, El Askary Ael S. Regenerative barriers in immediate implant placement: a literature review. Implant Dent. 2008; 17: 360-371. https://doi.org/10.1097/ID.0b013e3181813406
  25. Fugazzotto PA. GBR using bovine bone matrix and resorbable and nonresorbable membranes. Part 2: Clinical results. Int J Periodontics Restorative Dent. 2003; 23: 599-605.
  26. Busenlechner D, Furhauser R, Haas R, et al. Long-term implant success at the Academy for Oral Implantology: 8-year follow-up and risk factor analysis. J Periodontal Implant Sci. 2014; 44: 102-108. https://doi.org/10.5051/jpis.2014.44.3.102
  27. Schwartz-Arad D, Laviv A, Levin L. Failure causes, timing, and cluster behavior: an 8-year study of dental implants. Implant Dent. 2008; 17: 200-207. https://doi.org/10.1097/ID.0b013e3181777906
  28. Moraschini V, Barboza ED. Success of dental implants in smokers and non-smokers: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2016; 45: 205-215. https://doi.org/10.1016/j.ijom.2015.08.996
  29. Moy PK, Medina D, Shetty V, et al. Dental implant failure rates and associated risk factors. Int J Oral Maxillofac Implants. 2005; 20: 569-577.
  30. Javed F, Romanos, GE. Impact of diabetes mellitus and glycemic control on the osseointegration of dental implants: a systematic literature review. J Periodontol. 2009; 80: 1719-1730. https://doi.org/10.1902/jop.2009.090283
  31. Friberg B, Ekestubbe A, Sennerby L. Clinical outcome of Branemark System implants of various diameters: a retrospective study. Int J Oral Maxillofac Implants. 2002; 17: 671-677.
  32. Atieh MA, Alsabeeha NH, Payne AG, et al. Insertion torque of immediate wide-diameter implants: a finite element analysis. Quintessence Int. 2012; 43: e115-126.
  33. Hertel RC, Kalk W. Influence of the dimensions of implant superstructure on peri-implant bone loss. Int J Prosthodont. 1993; 6: 18-24.
  34. Renouard F, Nisand, D. Impact of implant length and diameter on survival rates. Clin Oral Implants Res. 2006; 17: 35-51. https://doi.org/10.1111/j.1600-0501.2006.01349.x
  35. Lemos CAA, Ferro-Alves ML, Okamoto R, et al. Short dental implants versus standard dental implants placed in the posterior jaws: A systematic review and meta-analysis. J Dent. 2016; 47: 8-17. https://doi.org/10.1016/j.jdent.2016.01.005
  36. French D, Larjava H, Ofec R. Retrospective cohort study of 4591 Straumann implants in private practice setting, with up to 10-year follow-up. Part 1: multivariate survival analysis. Clin Oral Implant Res. 2015; 26: 1345-1354. https://doi.org/10.1111/clr.12463
  37. Vandeweghe S, Ferreira D, Vermeersch L, et al. Long-term retrospective follow-up of turned and moderately rough implants in the edentulous jaw. Clin Oral Implants Res. 2016; 27: 421-426.
  38. Kim SJ, Kim JH, Namgung DJ, et al. A Long-term cumulative survival rate of immediate implants: Retrospective study. Periodontology. 2018; 22: 36-48.