DOI QR코드

DOI QR Code

Comparison of sandblasted and acid-etched surface implants and new hydrophilic surface implants in the posterior maxilla using a 3-month early-loading protocol: a randomized controlled trial

  • Kim, Hyeong Gi (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Yun, Pil-Young (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Kim, Young-Kyun (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Kim, Il-hyung (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital)
  • 투고 : 2020.12.30
  • 심사 : 2021.02.01
  • 발행 : 2021.06.30

초록

Objectives: In this prospective randomized controlled trial, we measured the primary and secondary stability of two surface-treated implants placed in the posterior maxilla, applied 3-month loading protocols, and compared and analyzed the short-term outcomes of the implants. Patients and Methods: From June 2018 to June 2019, patients with a residual bone height of 4 mm in the posterior maxilla were enrolled and randomly divided into two groups to place SA implants (Osstem Implants, Korea) in Group A and NH implants (Hiossen, USA) in Group B. Finally, 14 implants placed in 13 patients in Group A and 17 implants placed in 14 patients in Group B were analyzed. The measured primary and secondary stability of each implant was represented by implant stability quotient (ISQ), and treatment outcomes were evaluated. Results: Group A consisted of patients with an average age of 62.2 years (range, 48-80 years), and Group B consisted of patients with an average age of 58.1 years (range, 35-82 years). Primary stability was 73.86±6.40 and 71.24±5.32 in Groups A and B, respectively (P=0.222). Secondary stability was 79.07±5.21 in Group A and 78.29±4.74 in Group B (P=0.667). A steep increase in ISQ during the healing period was observed in Group B, though it was not significant (P=0.265). The mean follow-up period was 378.5±164.6 days in Group A and 385.3±167.9 days in Group B. All implants in each group met the success criteria, and the success rate was 100%. Conclusion: Two surface-treated implants placed in the posterior maxilla with greater than 4 mm alveolar bone height exhibited successful one-year treatment outcomes if a primary stability of 65 or higher ISQ was obtained and a 3-month early loading protocol was applied.

키워드

과제정보

The authors acknowledge the assistance provided by NaHee Chang in the Biomedical Research Institute of Seoul National University Bundang Hospital.

참고문헌

  1. Branemark PI, Hansson BO, Adell R, Breine U, Lindstrom J, Hallen O, et al. Osseointegrated implants in the treatment of the edentulous jaw. Experience from a 10-year period. Scand J Plast Reconstr Surg Suppl 1977;16:1-132.
  2. Zhang S, Wang S, Song Y. Immediate loading for implant restoration compared with early or conventional loading: a meta-analysis. J Craniomaxillofac Surg 2017;45:793-803. https://doi.org/10.1016/j.jcms.2016.05.002
  3. Huynh-Ba G, Oates TW, Williams MAH. Immediate loading vs. early/conventional loading of immediately placed implants in partially edentulous patients from the patients' perspective: a systematic review. Clin Oral Implants Res 2018;29 Suppl 16:255-69. https://doi.org/10.1111/clr.13278
  4. Sommer M, Zimmermann J, Grize L, Stubinger S. Marginal bone loss one year after implantation: a systematic review of different loading protocols. Int J Oral Maxillofac Surg 2020;49:121-34. https://doi.org/10.1016/j.ijom.2019.03.965
  5. Wennerberg A, Albrektsson T. On implant surfaces: a review of current knowledge and opinions. Int J Oral Maxillofac Implants 2010;25:63-74.
  6. Albrektsson T, Wennerberg A. On osseointegration in relation to implant surfaces. Clin Implant Dent Relat Res 2019;21 Suppl 1:4-7. https://doi.org/10.1111/cid.12742
  7. Sargolzaie N, Samizade S, Arab H, Ghanbari H, Khodadadifard L, Khajavi A. The evaluation of implant stability measured by resonance frequency analysis in different bone types. J Korean Assoc Oral Maxillofac Surg 2019;45:29-33. https://doi.org/10.5125/jkaoms.2019.45.1.29
  8. Zarb GA, Albrektsson T. Consensus report: towards optimized treatment outcomes for dental implants. J Prosthet Dent 1998;80:641. https://doi.org/10.1016/s0022-3913(98)70048-4
  9. Albrektsson T. Direct bone anchorage of dental implants. J Prosthet Dent 1983;50:255-61. https://doi.org/10.1016/0022-3913(83)90027-6
  10. Rabel A, Kohler SG, Schmidt-Westhausen AM. Clinical study on the primary stability of two dental implant systems with resonance frequency analysis. Clin Oral Investig 2007;11:257-65. https://doi.org/10.1007/s00784-007-0115-2
  11. Raghavendra S, Wood MC, Taylor TD. Early wound healing around endosseous implants: a review of the literature. Int J Oral Maxillofac Implants 2005;20:425-31.
  12. Szmukler-Moncler S, Piattelli A, Favero GA, Dubruille JH. Considerations preliminary to the application of early and immediate loading protocols in dental implantology. Clin Oral Implants Res 2000;11:12-25. https://doi.org/10.1034/j.1600-0501.2000.011001012.x
  13. Nedir R, Bischof M, Szmukler-Moncler S, Bernard JP, Samson J. Predicting osseointegration by means of implant primary stability. Clin Oral Implants Res 2004;15:520-8. https://doi.org/10.1111/j.1600-0501.2004.01059.x
  14. Schwartz Z, Nasazky E, Boyan BD. Surface microtopography regulates osteointegration: the role of implant surface microtopography in osteointegration. Alpha Omegan 2005;98:9-19.
  15. Gottlow J, Barkarmo S, Sennerby L. An experimental comparison of two different clinically used implant designs and surfaces. Clin Implant Dent Relat Res 2012;14 Suppl 1:e204-12. https://doi.org/10.1111/j.1708-8208.2012.00439.x
  16. Block MS, Kent JN, Kay JF. Evaluation of hydroxylapatite-coated titanium dental implants in dogs. J Oral Maxillofac Surg 1987;45:601-7. https://doi.org/10.1016/0278-2391(87)90270-9
  17. Yang GL, He FM, Hu JA, Wang XX, Zhao SF. Biomechanical comparison of biomimetically and electrochemically deposited hydroxyapatite-coated porous titanium implants. J Oral Maxillofac Surg 2010;68:420-7. https://doi.org/10.1016/j.joms.2009.09.014
  18. Lee JJ, Rouhfar L, Beirne OR. Survival of hydroxyapatite-coated implants: a meta-analytic review. J Oral Maxillofac Surg 2000;58:1372-9; discussion 1379-80. https://doi.org/10.1053/joms.2000.18269
  19. Yang Y, Kim KH, Ong JL. A review on calcium phosphate coatings produced using a sputtering process--an alternative to plasma spraying. Biomaterials 2005;26:327-37. https://doi.org/10.1016/j.biomaterials.2004.02.029
  20. Yazdani J, Ahmadian E, Sharifi S, Shahi S, Maleki Dizaj S. A short view on nanohydroxyapatite as coating of dental implants. Biomed Pharmacother 2018;105:553-7. https://doi.org/10.1016/j.biopha.2018.06.013
  21. Madi M, Zakaria O, Ichinose S, Kasugai S. Effect of induced periimplantitis on dental implants with and without ultrathin hydroxyapatite coating. Implant Dent 2016;25:39-46. https://doi.org/10.1097/ID.0000000000000331
  22. Tallarico M, Baldini N, Martinolli M, Xhanari E, Kim YJ, Cervino G, et al. Do the new hydrophilic surface have any influence on early success rate and implant stability during osseointegration period? Four-month preliminary results from a split-mouth, randomized controlled trial. Eur J Dent 2019;13:95-101. https://doi.org/10.1055/s-0039-1688737
  23. Brett PM, Harle J, Salih V, Mihoc R, Olsen I, Jones FH, et al. Roughness response genes in osteoblasts. Bone 2004;35:124-33. https://doi.org/10.1016/j.bone.2004.03.009
  24. Terheyden H, Lang NP, Bierbaum S, Stadlinger B. Osseointegration--communication of cells. Clin Oral Implants Res 2012;23:1127-35. https://doi.org/10.1111/j.1600-0501.2011.02327.x
  25. Zhao G, Schwartz Z, Wieland M, Rupp F, Geis-Gerstorfer J, Cochran DL, et al. High surface energy enhances cell response to titanium substrate microstructure. J Biomed Mater Res A 2005;74:49-58. https://doi.org/10.1002/jbm.a.30320
  26. Smeets R, Stadlinger B, Schwarz F, Beck-Broichsitter B, Jung O, Precht C, et al. Impact of dental implant surface modifications on osseointegration. Biomed Res Int 2016;2016:6285620. https://doi.org/10.1155/2016/6285620
  27. 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
  28. Sunden S, Grondahl K, Grondahl HG. Accuracy and precision in the radiographic diagnosis of clinical instability in Branemark dental implants. Clin Oral Implants Res 1995;6:220-6. https://doi.org/10.1034/j.1600-0501.1995.060404.x
  29. Meredith N, Alleyne D, Cawley P. Quantitative determination of the stability of the implant-tissue interface using resonance frequency analysis. Clin Oral Implants Res 1996;7:261-7. https://doi.org/10.1034/j.1600-0501.1996.070308.x
  30. Balleri P, Cozzolino A, Ghelli L, Momicchioli G, Varriale A. Stability measurements of osseointegrated implants using Osstell in partially edentulous jaws after 1 year of loading: a pilot study. Clin Implant Dent Relat Res 2002;4:128-32. https://doi.org/10.1111/j.1708-8208.2002.tb00162.x
  31. Atsumi M, Park SH, Wang HL. Methods used to assess implant stability: current status. Int J Oral Maxillofac Implants 2007;22:743-54.
  32. Herekar M, Sethi M, Ahmad T, Fernandes AS, Patil V, Kulkarni H. A correlation between bone (B), insertion torque (IT), and implant stability (S): BITS score. J Prosthet Dent 2014;112:805-10. https://doi.org/10.1016/j.prosdent.2014.02.011
  33. Baqain ZH, Moqbel WY, Sawair FA. Early dental implant failure: risk factors. Br J Oral Maxillofac Surg 2012;50:239-43. https://doi.org/10.1016/j.bjoms.2011.04.074
  34. Chrcanovic BR, Kisch J, Albrektsson T, Wennerberg A. Factors influencing early dental implant failures. J Dent Res 2016;95:995-1002. https://doi.org/10.1177/0022034516646098
  35. Kim SB, Yun PY, Kim SY, Yi YJ, Kim JY, Kim YK. Prospective randomized clinical trial of hydrophilic tapered implant placement at maxillary posterior area: 6 weeks and 12 weeks loading. J Adv Prosthodont 2016;8:396-403. https://doi.org/10.4047/jap.2016.8.5.396
  36. Kim YK, Kim JH, Yi YJ, Kwon MJ, Yun PY. Prospective comparative study of tapered implants with SLA surfaces in the maxillary posterior area according to 3- and 6-month loading time. Int J Periodontics Restorative Dent 2015;35:271-6. https://doi.org/10.11607/prd.1789
  37. Todorovic VS, Vasovic M, Beetge MM, van Zyl AW, Kokovic V. Stability development of immediately loaded hybrid self-tapping implants inserted in the posterior maxilla: 1-year results of a randomized controlled trial. J Oral Implantol 2017;43:33-8. https://doi.org/10.1563/aaid-joi-D-16-00143