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Study on the radiographic evaluation of marginal bone loss around short-length implant after functional loading

J Korean Dent Assoc > Volume 48(8); 2010 > Article
The Journal of The Korean Dental Association 2010;48(8):615-620.
Published online August 31, 2010.
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;


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