Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
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Regenerative procedure using rotary titanium brush for surface decontamination of peri-implantitis: 3 cases with a 2-year follow-up

회전형 타이타늄 브러쉬를 이용한 임플란트 주위염 재생술식: 2년 추적결과 증례 보고

  • Baek, Min-Woo (Department of Periodontology, Veterans Health Service Medical Center) ;
  • Yu, Jeoung-A (Department of Periodontology, Veterans Health Service Medical Center) ;
  • Choi, Seong-Ho (Department of Periodontology, Research Institute for Periodontal Regeneration, Yonsei University College of Dentistry) ;
  • Lee, Dong-Woon (Department of Periodontology, Veterans Health Service Medical Center)
  • 백민우 (중앙보훈병원 치과병원 치주과) ;
  • 유정아 (중앙보훈병원 치과병원 치주과) ;
  • 최성호 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 이동운 (중앙보훈병원 치과병원 치주과)
  • Received : 2021.08.30
  • Accepted : 2021.10.18
  • Published : 2021.12.31
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Abstract

Peri-implantitis, in which inflammation caused by plaque and biofilm on the implant surface spreads to the hard tissue, can be treated by decontamination of the implant surface and reconstruction of the lost hard tissue through surgical methods. We have described the management of 3 peri-implantitis cases by decontamination of the implant surface using a round titanium brush and regenerative therapy. All cases showed clinical improvements, and no further radiographic bone loss was observed during a 2-year follow-up. This treatment method can be effective for clinical improvement and bone regeneration. However, a longer follow-up period is necessary to support these outcomes.

본 증례보고에서는 임플란트 주위염으로 진단된 임플란트의 오염된 표면을 회전형 타이타늄 브러쉬로 처리후 재생적 처치를 시도한 3가지 증례에 대한 임상적 및 방사선학적 평가를 목적으로 하였다. 2년간 추적결과에서 3가지 증례의 평균변형치태지수가 1.12에서 0.19로, 변형열구출혈지수가 1.38에서 0.25로, 치주낭 깊이가 8.73 mm에서 3 mm로, 임플란트 상부와 골이 처음 접하는 부위까지의 거리값이 6.35 mm에서 2.3 mm로 감소하는 개선을 보였으며, 기존의 보철물로 유지할 수 있었다. 향후 장기적인 추적을 통해 본 술식의 효과를 뒷받침할 수 있는 근거를 마련할 것이 필요할 것이다.

Keywords

Acknowledgement

This study was supported by a Veterans Health Service Medical Center Research Grant, Republic of Korea (Grant number: VHSMC 21049).

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