기능적 부하 후 "Short Implant" 주변의 골 흡수에 대한 방사선학적 연구 |
박영주1, 남정훈2, 노경록3, 연병무4, 유우근5, 이정원6, 안장훈7, 강태인8, 박미희9 |
1한림대학교 의과대학 강남성심병원 구강악안면외과학 교실 2한림대학교 의과대학 강남성심병원 구강악안면외과학 교실 3한림대학교 의과대학 강남성심병원 구강악안면외과학 교실 4한림대학교 의과대학 강남성심병원 구강악안면외과학 교실 5한림대학교 의과대학 강남성심병원 구강악안면외과학 교실 6한림대학교 의과대학 강남성심병원 구강악안면외과학 교실 7한림대학교 의과대학 강남성심병원 구강악안면외과학 교실 8한림대학교 의과대학 강남성심병원 구강악안면외과학 교실 9한림대학교 의과대학 강남성심병원 구강악안면외과학 교실 |
Study on the radiographic evaluation of marginal bone loss around short-length implant after functional loading |
Young-Ju Park1, Jeong-Hun Nam2, Kyung-Lok Noh3, Byoung-Moo Yeon4, Woo-Geun Yu5, Jeong-Won Lee6, Jang-Hun Ahn7, Tae-In Gang8, Mi-Hee Park9 |
1Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University 2Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University 3Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University 4Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University 5Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University 6Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University 7Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University 8Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University 9Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University |
|
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 mm and 6mm were considered short. (Bicon Dental implants, USA). The experiment group was composed of 4.5times6mm, 5times6mm, 6times5.7mm implants (total 18 implants were placed in 14 patients, 8 on maxilla, 10 on mandible). The control group was composed of 4.5times8mm, 5times8mm, 4.5times11mm, 5times11mm. 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 -0.52pm0.69mm; the 8mm group, -0.22pm0.82mm; and the II mm group, -0.10pm1.09mm after I 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 1.55pm0.23; 8mm group was 1.15pm0.18; and 11mm group was 0.92pm0.15. 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. |
Key Words:
short implant;marginal bone loss;functional loading;Bicon implant;crown-to-implant ratio; |
|