DOI QR코드

DOI QR Code

Periimplant bone change after alveolar ridge preservation: radiographic retrospective study

발치와 치조제 보존술 후 식립한 임플란트 주위 골 변화: 후향적 방사선학적 분석

  • Shim, Da-Eun (Department of Clinical Oral Health Science, Graduate School of Clinical Dentistry, Ewha Womans University) ;
  • Pang, Eun-Kyoung (Department of Clinical Oral Health Science, Graduate School of Clinical Dentistry, Ewha Womans University)
  • 심다은 (이화여자대학교 임상치의학대학원 구강보건학과) ;
  • 방은경 (이화여자대학교 임상치의학대학원 구강보건학과)
  • Received : 2021.02.24
  • Accepted : 2021.07.02
  • Published : 2021.07.31

Abstract

Purpose. The aim of this study is to evaluate bone change around the implant in patients who underwent alveolar ridge preservation for implantation in the posterior teeth using radiographic data measuring changes of mesial, distal crestal bone level according to post-implantation, post-final prosthesis delivery and follow-up periods. Materials and methods. In total, 36 implants were placed in 32 patients. The mesial and distal crestal bone level of all the areas where alveolar ridge preservation was performed uses panoramic images taken post-implantation, post-final prosthesis delivery, and follow-up period each was measured and evaluated as a vertical value. The following factors were analyzed: associations between changes of crestal bone level and factors (e.g., age, sex, systemic diseases, dentist, implant location, tooth, bone type, membrane). The statistical analysis was performed using the mean, standard deviation and independent t-test, paired t-test (P < .05). Results. Analysis of crestal bone level differences between periods shows statistically significant differences (P < .05). There was no statistically significant difference when the changes of crestal bone level between post-implantation, post-final prosthesis delivery and follow-up periods were correlated with each factors. Conclusion. After alveolar ridge preservation, bone around the implant remained stable during the maintenance period without being affected by the patient and surgical factors, and alveolar ridge preservation is considered a clinically usable procedure.

목적: 구치부 임플란트 식립을 위하여 발치와 치조제 보존술을 시행한 환자를 대상으로 임플란트 식립 직 후, 최종 보철물 장착 후 및 유지관리 기간에 따른 치조제 높이 변화량을 방사선학적으로 측정하여 임플란트 주위 골 변화를 평가하고자 하였다. 대상 및 방법: 치조제 보존술을 시행한 후 식립한 총 36개의 임플란트를 대상으로 각 시기에 촬영한 파노라마 방사선 사진을 이용하여 근·원심측의 치조제 높이를 각각 수직적 수치로 측정하였다. 환자의 연령, 성별, 전신질환, 임플란트 식립 위치, 골 이식재 유형, 차폐막 적용 방법, 술자의 숙련도, 측정 시기간의 치조제 높이 변화량은 평균, 표준편차를 구하였고, 치조제 높이 변화량과 각각의 요소들 간의 연관성은 독립표본 t검정, 기간별 측정한 치조제 높이 간의 연관성은 대응표본 t검정을 시행하였다(P < .05). 결과: 각 시기별 치조제 높이 변화량은 각각의 시기 사이에 모두 통계적으로 유의한 차이를 보였고(P < .05), 각 시기 간의 치조제 높이 변화량과 평가된 요소들은 통계적으로 유의한 연관성을 보이지 않았다. 결론: 발치와 치조제 보존술 후 식립된 임플란트 주위 골조직은 환자 및 수술적 요소에 영향을 받지 않고 유지기간동안 안정적으로 유지되었으며, 발치와 치조제 보존술은 임상적으로 사용가능한 술식이라고 사료된다.

Keywords

References

  1. Van der Weijden F, Dell'Acqua F, Slot DE. Alveolar bone dimensional changes of post-extraction sockets in humans: a systematic review. J Clin Periodontol 2009;36:1048-58. https://doi.org/10.1111/j.1600-051X.2009.01482.x
  2. Amler MH, Johnson PL, Salman I. Histological and histochemical investigation of human alveolar socket healing in undisturbed extraction wounds. J Am Dent Assoc 1960;61:32-44. https://doi.org/10.14219/jada.archive.1960.0152
  3. Walker CJ, Prihoda TJ, Mealey BL, Lasho DJ, Noujeim M, Huynh-Ba G. Evaluation of healing at molar extraction sites with and without ridge preservation: A randomized controlled clinical trial. J Periodontol 2017;88:241-9. https://doi.org/10.1902/jop.2016.160445
  4. Schropp L, Wenzel A, Kostopoulos L, Karring T. Bone healing and soft tissue contour changes following single-tooth extraction: a clinical and radiographic 12-month prospective study. Int J Periodontics Restorative Dent 2003;23:313-23.
  5. Atwood DA, Coy WA. Clinical, cephalometric, and densitometric study of reduction of residual ridges. J Prosthet Dent 1971;26:280-95. https://doi.org/10.1016/0022-3913(71)90070-9
  6. Wang RE, Lang NP. Ridge preservation after tooth extraction. Clin Oral Implants Res 2012;23:147-56. https://doi.org/10.1111/j.1600-0501.2012.02560.x
  7. Tan WL, Wong TL, Wong MC, Lang NP. A systematic review of post-extractional alveolar hard and soft tissue dimensional changes in humans. Clin Oral Implants Res 2012;23:1-21.
  8. Lang NP, Pun L, Lau KY, Li KY, Wong MC. A systematic review on survival and success rates of implants placed immediately into fresh extraction sockets after at least 1 year. Clin Oral Implants Res 2012;23:39-66.
  9. Araujo MG, Liljenberg B, Lindhe J. Dynamics of Bio-Oss Collagen incorporation in fresh extraction wounds: an experimental study in the dog. Clin Oral Implants Res 2010;21:55-64. https://doi.org/10.1111/j.1600-0501.2009.01854.x
  10. Araujo MG, Lindhe J. Ridge preservation with the use of Bio-Oss collagen: A 6-month study in the dog. Clin Oral Implants Res 2009;20:433-40. https://doi.org/10.1111/j.1600-0501.2009.01705.x
  11. Fickl S, Zuhr O, Wachtel H, Bolz W, Huerzeler MB. Hard tissue alterations after socket preservation: an experimental study in the beagle dog. Clin Oral Implants Res 2008;19:1111-8. https://doi.org/10.1111/j.1600-0501.2008.01575.x
  12. Horvath A, Mardas N, Mezzomo LA, Needleman IG, Donos N. Alveolar ridge preservation. A systematic review. Clin Oral Investig 2013;17:341-63. https://doi.org/10.1007/s00784-012-0758-5
  13. Araujo MG, Lindhe J. Dimensional ridge alterations following tooth extraction. An experimental study in the dog. J Clin Periodontol 2005;32:212-8. https://doi.org/10.1111/j.1600-051X.2005.00642.x
  14. Araujo MG, Lindhe J. Ridge alterations following tooth extraction with and without flap elevation: an experimental study in the dog. Clin Oral Implants Res 2009;20:545-9. https://doi.org/10.1111/j.1600-0501.2008.01703.x
  15. Park JC, Koo KT, Lim HC. The hidden X suture: a technical note on a novel suture technique for alveolar ridge preservation. J Periodontal Implant Sci 2016;46:415-25. https://doi.org/10.5051/jpis.2016.46.6.415
  16. Avila-Ortiz G, Gubler M, Romero-Bustillos M, Nicholas CL, Zimmerman MB, Barwacz CA. Efficacy of alveolar ridge preservation: A randomized controlled trial. J Dent Res 2020;99:402-9. https://doi.org/10.1177/0022034520905660
  17. Cha JK, Song YW, Park SH, Jung RE, Jung UW, Thoma DS. Alveolar ridge preservation in the posterior maxilla reduces vertical dimensional change: A randomized controlled clinical trial. Clin Oral Implants Res 2019;30:515-23. https://doi.org/10.1111/clr.470_13509
  18. Lim HC, Shin HS, Cho IW, Koo KT, Park JC. Ridge preservation in molar extraction sites with an open-healing approach: A randomized controlled clinical trial. J Clin Periodontol 2019;46:1144-54. https://doi.org/10.1111/jcpe.13184
  19. Cappiello M, Luongo R, Di Iorio D, Bugea C, Cocchetto R, Celletti R. Evaluation of peri-implant bone loss around platform-switched implants. Int J Periodontics Restorative Dent 2008;28:347-55.
  20. Warren P, Chaffee N, Felton DA, Cooper LF. A retrospective radiographic analysis of bone loss following placement of TiO2 grit-blasted implants in the posterior maxilla and mandible. Int J Oral Maxillofac Implants 2002;17:399-404.
  21. Serrano Mendez CA, Lang NP, Caneva M, Ramirez Lemus G, Mora Solano G, Botticelli D. Comparison of allografts and xenografts used for alveolar ridge preservation. A clinical and histomorphometric RCT in humans. Clin Implant Dent Relat Res 2017;19:608-15. https://doi.org/10.1111/cid.12490
  22. Mardas N, Chadha V, Donos N. Alveolar ridge preservation with guided bone regeneration and a synthetic bone substitute or a bovine-derived xenograft: a randomized, controlled clinical trial. Clin Oral Implants Res 2010;21:688-98. https://doi.org/10.1111/j.1600-0501.2010.01918.x
  23. Kim JJ, Schwarz F, Song HY, Choi Y, Kang KR, Koo KT. Ridge preservation of extraction sockets with chronic pathology using Bio-Oss® Collagen with or without collagen membrane: an experimental study in dogs. Clin Oral Implants Res 2017;28:727-33. https://doi.org/10.1111/clr.12870
  24. von Arx T, Buser D. Horizontal ridge augmentation using autogenous block grafts and the guided bone regeneration technique with collagen membranes: a clinical study with 42 patients. Clin Oral Implants Res 2006;17:359-66. https://doi.org/10.1111/j.1600-0501.2005.01234.x
  25. Choi HK, Cho HY, Lee SJ, Cho IW, Shin HS, Koo KT, Lim HC, Park JC. Alveolar ridge preservation with an open-healing approach using single-layer or double-layer coverage with collagen membranes. J Periodontal Implant Sci 2017;47:372-80. https://doi.org/10.5051/jpis.2017.47.6.372