The Journal of the Korean dental association (대한치과의사협회지)

The Korean Dental Association (대한치과의사협회)
권호 표지

Case report of a newly designed narrow-diameter implant with trapezoid-shape for deficient alveolar bone

좁은 치조골에서 사다리꼴형 디자인으로 개발된 단폭경임플란트의 증례 보고

  • Lee, Sa Ya (Department of Periodontology, College of Dentistry and Institute of Oral Bioscience, Chonbuk National University) ;
  • Goh, Mi-Seon (Department of Periodontology, College of Dentistry and Institute of Oral Bioscience, Chonbuk National University) ;
  • Ko, Seok-Yeong (Department of Periodontology, College of Dentistry and Institute of Oral Bioscience, Chonbuk National University) ;
  • Yun, Jeong-Ho (Department of Periodontology, College of Dentistry and Institute of Oral Bioscience, Chonbuk National University)
  • 이사야 (전북대학교 치과대학 치주과학교실, 구강생체과학연구소) ;
  • 고미선 (전북대학교 치과대학 치주과학교실, 구강생체과학연구소) ;
  • 고석영 (전북대학교 치과대학 치주과학교실, 구강생체과학연구소) ;
  • 윤정호 (전북대학교 치과대학 치주과학교실, 구강생체과학연구소)
  • Received : 2018.02.19
  • Accepted : 2018.04.12
  • Published : 2018.05.01
Download PDF
⟨ Previous Next ⟩

Abstract

Long-term survival and prognosis of narrow-diameter implants have been reported to be adequate to consider them a safe method for treating a deficient alveolar ridge. The objective of this study was to perform case report of narrow-diameter implants with a trapezoid-shape in anterior teeth alveolar bone. A 50-year-old male patient presented with discomfort due to mobility of all of the maxillary teeth and mandibular incisors. Due to destruction of alveolar bone, four anterior mandibular teeth were extracted. Soft tissue healing was allowed for approximately 3 months after the extraction, and a new design of implant placement was planned for the mandibular incisor area, followed by clinical and radiological evaluation. Implant placement was determined using an R2GATE surgical stent. The stability of the implants was assessed by ISQ measurements at the first and second implant surgery and after prosthetic placement. At 1 and 3 months and 1 year after implantation of the prosthesis, clinical and radiological examinations were performed. Another 50-year-old male patient presented with discomfort due to mobility of the mandibular central incisors. For the same reason as in the first patient, implant placement was carried out in the same way after extraction. ISQ measurements and clinical and radiological examinations were performed as in the previous case. In these two clinical cases, 12 months of follow-up revealed that the implant remained stable without inflammation or additional bone loss, and there was no discomfort to the patient. In conclusion, computer-guided implant surgery was used to place an implant in an optimal position considering the upper prosthesis. A new design of a narrow-diameter implant with a trapezoid-shape into anterior mandibular alveolar bone is a less invasive treatment method and is based on the contour of the deficient alveolar ridge. Through all of these procedures, we were able to reduce the number of traumas during surgery, reduce the operation time and total treatment period, and provide patients with more comfortable treatment.

Keywords

Acknowledgement

Supported by : 산업통상자원부

References

  1. Adell R, Eriksson B, Lekholm U, Branemark P-I, Jemt T. A long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. International Journal of Oral & Maxillofacial Implants 1990; Apr:347-359
  2. Branemark P-I, Breine U, Adell R, Hansson B, Lindstrom J, Ohlsson A. Intra-osseous anchorage of dental prostheses: I. Experimental studies. Scandinavian journal of plastic and reconstructive surgery 1969;3:81-100. https://doi.org/10.3109/02844316909036699
  3. Lee JS, Kim HM, Kim CS, Choi SH, Chai JK, Jung UW. Long-term retrospective study of narrow implants for fixed dental prostheses. Clinical oral implants research 2013;24:847-852. https://doi.org/10.1111/j.1600-0501.2012.02472.x
  4. Merheb J, Quirynen M, Teughels W. Critical buccal bone dimensions along implants. Periodontology 2000 2014;66:97-105. https://doi.org/10.1111/prd.12042
  5. Fu J-H, Wang H-L. Horizontal bone augmentation: the decision tree. International Journal of Periodontics & Restorative Dentistry 2011;3:428-436
  6. Zinsli B, Sagesser T, Mericske E, Mericske-Stern R. Clinical evaluation of small-diameter ITI implants: a prospective study. International Journal of Oral & Maxillofacial Implants 2004;19:92-99
  7. Arisan V, Bolukbasi N, Ersanli S, Ozdemir T. Evaluation of 316 narrow diameter implants followed for 5-10 years: a clinical and radiographic retrospective study. Clinical oral implants research 2010;21:296-307. https://doi.org/10.1111/j.1600-0501.2009.01840.x
  8. Buser D, Arx T. Surgical procedures in partially edentulous patients with ITI implants. Clinical Oral Implants Research 2000;11:83-100.
  9. Romeo E, Lops D, Amorfini L, Chiapasco M, Ghisolfi M, Vogel G. Clinical and radiographic evaluation of small?diameter (3.3-mm) implants followed for 1-7 years: a longitudinal study. Clinical oral implants research 2006;17:139-148. https://doi.org/10.1111/j.1600-0501.2005.01191.x
  10. Anchieta RB, Baldassarri M, Guastaldi F, et al. Mechanical property assessment of bone healing around a titanium-zirconium alloy dental implant. Clinical implant dentistry and related research 2014;16:913-919. https://doi.org/10.1111/cid.12061
  11. Kobayashi E, Matsumoto S, Yoneyama T, Hamanaka H. Mechanical properties of the binary titanium-zirconium alloys and their potential for biomedical materials. Journal of Biomedical Materials Research Part A 1995;29:943-950. https://doi.org/10.1002/jbm.820290805
  12. Thoma DS, Jones AA, Dard M, Grize L, Obrecht M, Cochran DL. Tissue integration of a new titanium?zirconium dental implant: a comparative histologic and radiographic study in the canine. Journal of periodontology 2011;82:1453-1461. https://doi.org/10.1902/jop.2010.100737
  13. Chang Y-Y, Kim S-H, Park K-O, Yun J-H. Evaluation of a Reverse-Tapered Design on the Osseointegration of Narrow-Diameter Implants in Beagle Dogs: A Pilot Study. The International journal of oral & maxillofacial implants 2016;31:611-620.
  14. Chang YY, Kim SH, Park KO, Yun JH. Effect of microthreads on coronal bone healing of narrow?diameter implants with reverse?tapered design in beagle dogs. Clinical Oral Implants Research 2017;31:611-620
  15. Abuhussein H, Pagni G, Rebaudi A, Wang HL. The effect of thread pattern upon implant osseointegration. Clinical oral implants research 2010;21:129-136. https://doi.org/10.1111/j.1600-0501.2009.01800.x
  16. Abrahamsson I, Berglundh T. Tissue characteristics at microthreaded implants: an experimental study in dogs. Clinical implant dentistry and related research 2006;8:107-113. https://doi.org/10.1111/j.1708-8208.2006.00016.x
  17. Hansson S. The implant neck: smooth or provided with retention elements. A biomechanical approach. Clinical oral implants research 1999;10:394-405. https://doi.org/10.1034/j.1600-0501.1999.100506.x
  18. Hudieb MI, Wakabayashi N, Kasugai S. Magnitude and direction of mechanical stress at the osseointegrated interface of the microthread implant. Journal of periodontology 2011;82:1061-1070. https://doi.org/10.1902/jop.2010.100237
  19. Bratu EA, Tandlich M, Shapira L. A rough surface implant neck with microthreads reduces the amount of marginal bone loss: a prospective clinical study. Clinical oral implants research 2009;20:827-832. https://doi.org/10.1111/j.1600-0501.2009.01730.x
  20. Park J-W, Park K-B, Suh J-Y. Effects of calcium ion incorporation on bone healing of Ti6Al4V alloy implants in rabbit tibiae. Biomaterials 2007;28:3306-3313. https://doi.org/10.1016/j.biomaterials.2007.04.007
  21. Suh JY, Jeung OC, Choi BJ, Park JW. Effects of a novel calcium titanate coating on the osseointegration of blasted endosseous implants in rabbit tibiae. Clinical oral implants research 2007;18:362-369. https://doi.org/10.1111/j.1600-0501.2006.01323.x
  22. Balubi TJ. An analysis and management of fractured implants: a clinical report. Int J Oral Maxillofac Implants 1996;11:660-666
  23. Becker CM, Kaiser DA. Surgical guide for dental implant placement. The Journal of prosthetic dentistry 2000;83:248-251. https://doi.org/10.1016/S0022-3913(00)80018-9
  24. Jung RE, Schneider D, Ganeles J, et al. Computer technology applications in surgical implant dentistry: a systematic review. Int J Oral Maxillofac Implants 2009;24:92-109.
  25. Moraschini V, Velloso G, Luz D, Barboza EP. Implant survival rates, marginal bone level changes, and complications in full-mouth rehabilitation with flapless computer-guided surgery: a systematic review and meta-analysis. International journal of oral and maxillofacial surgery 2015;44:892-901. https://doi.org/10.1016/j.ijom.2015.02.013
  26. Tahmaseb A, Wismeijer D, Coucke W, Derksen W. Computer technology applications in surgical implant dentistry: a systematic review. International Journal of Oral & Maxillofacial Implants 2014;29:25-42 https://doi.org/10.11607/jomi.2014suppl.g1.2
  27. Cassetta M, Di Mambro A, Giansanti M, Stefanelli L, Cavallini C. The intrinsic error of a stereolithographic surgical template in implant guided surgery. International journal of oral and maxillofacial surgery 2013;42:264-275. https://doi.org/10.1016/j.ijom.2012.06.010
  28. 김종은, 김남훈, 박지현, 심준성. 임플란트 가이드 수술을 위한 Planning 방식에 대한 고찰. 대한치과의사협회지 2016;54:108-122.