기능적 부하 후“Short Implant”주변의 골 흡수에 대한 방사선학적 연구
Study on the radiographic evaluation of marginal bone loss aroun short-length implant after functional loading
박영주, 남정훈, 노경록, 연병무, 유우근, 이정원, 안장훈, 강태인, 박미희,
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박영주 ( Park Young-Ju ) - 한림대학교 의과대학 강남성심병원 구강악안면외과학교실
남정훈 ( Nam Jeong-Hun ) - 한림대학교 의과대학 강남성심병원 구강악안면외과학교실
노경록 ( Noh Kyung-Lok ) - 한림대학교 의과대학 강남성심병원 구강악안면외과학교실
연병무 ( Yeon Byoung-Moo ) - 한림대학교 의과대학 강남성심병원 구강악안면외과학교실
유우근 ( Yu Woo-Geun ) - 한림대학교 의과대학 강남성심병원 구강악안면외과학교실
이정원 ( Lee Jeong-Won ) - 한림대학교 의과대학 강남성심병원 구강악안면외과학교실
안장훈 ( Ahn Jang-Hoon ) - 한림대학교 의과대학 강남성심병원 구강악안면외과학교실
강태인 ( Gang Tae-In ) - 한림대학교 의과대학 강남성심병원 구강악안면외과학교실
박미희 ( Park Mi-Hee ) - 한림대학교 의과대학 강남성심병원 구강악안면외과학교실
KMID : 0362720100480080615
Abstract
Purpose: The short dental implant is considered as possible solution in the alveolar bone height deficient cases. The aim of this study was to evaluate clinical availability of short implants by measuring the marginal bone loss of short length implants and comparing with that of conventional length implants.
Materials and Methods: The groups were composed of patients who had received at least one implant. The samples of this study were selected from patients who with functional loading after prosthetic treatment for 1 year follow up period. The implants with a length of 5.7 and 6 were considered short. (Bicon Dental implants, USA). The experiment group was composed of 4.5x6 , 5x6 , 6x5.7 implants (total 18 implants were placed in 14 patients, 8 on maxilla, 10 on mandible). The control group was composed of 4.5x8 , 5x8 , 4.5x11 , 5x11 . All implants were selected only by implants placed on molar area. We evaluated marginal bone loss in radiographic images at baseline (implant loading) and 3, 6, 12 months after loading. Additionally, crown-to-implant ratio was evaluated, and marginal bone loss according to crown-to-implant ratio after functional loading was analyzed.
Results: The short implant group had a mean marginal bone level of -0.52±0.69 ; the 8 group, -0.22±0.82 ; and the 11 group, -0.10±1.09 after 1 year of functional loading. But significant differences were not detected between three groups at every follow-up period. Crown-to-implant ratio in short implant group was 1.55±0.23; 8 group was 1.15±0.18; and 11 group was 0.92±0.15. Additionally, significant differences between three groups were founded. (P<.0001) The greatest marginal bone loss after 1 year follow-up was founded at crown-to-implant ratio 1~1.49 range in short implant.
Conclusion:The marginal bone loss of short implants was comparable to that of long implants. So, the short implants can be a clinically acceptable option.
키워드
short implant; marginal bone loss; functional loading; Bicon implant; crown-to-implant ratio
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