Influence of the adjacent periodontium and inter-implant distance on bone resorption around non-submerged implants;A retrospective clinical and radiographic study

인접 치주조직과 임플란트간 거리가 임플란트 주변 골흡수에 미치는 영향;임상 및 방사선사진 검사에 의한 후향적 연구

  • Chang, Moon-Taek (Department of Periodontology, School of Dentistry, Research Institute of Clinical Medicine, Chonbuk National University)
  • 장문택 (전북대학교 치과대학 치주과학교실, 전북대학교 임상의학연구소)
  • Published : 2004.09.30

Abstract

The aims of the present study are firstly to investigate the amount of bone loss around non-submerged implants placed in the posterior region and secondly to investigate the relationship between inter-implant and implant-tooth distance and peri-implant bone loss. Thirty-one subjects with 60 implants were selected consecutively from the implant patient pool at the department of Chonbuk National University Hospital. To be included in the study subject, the implant should have been functioned more than 6 months after loading. Inter-implant and implant-tooth distance, distance between implant shoulder and the first bone contact with the implant(DIB) were measured from the scanning image of the radiograph of each implant. The result showed that; 1. inter-implant distance has a statistically significant relationship with DIB in Pearson correlation analysis. 2. the DIB at the implant facing surface of the implant was greater than that of tooth facing surface of the implant. Within limitation of this study, it is suggested to place an implant not too closely to adjacent implants, and the presence of a tooth adjacent to an implant may keep the level of tooth-facing surface of the implant. Further studies with a prospective design are needed to elucidate the relationship between bone changes and various dimensions around implants.

Keywords

References

  1. Chan RW, Tseng TN.Single tooth replacement-expanded treatment options. Aust Dent J. 1994 Jun;39(3):137-149
  2. 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 Dec;10(6):387-416 https://doi.org/10.1016/S0300-9785(81)80077-4
  3. Adell R, Eriksson B, Lekholm U, Branemark PI, Jemt T. Long-term follow-up study of osseointe-grated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Implants 1990 Winter;5(4):347-359
  4. Jemt T, Lekholm U, Adell R. Osseointegrated implants in the treatment of partially edentulous patients: a preliminary study on 876 consecutive-ly placed fixtures .Int J Oral Maxillofac Implants 1989 Fall;4(3):211-217
  5. Jemt T. Modified single and short-span restora-tions supported by osseointegrated fixtures in the partially edentulous jaw. J Prosthet Dent 1986;55:243-247 https://doi.org/10.1016/0022-3913(86)90352-5
  6. Creugers NH, Kreulen CM, Snoek PA, de Kanter RJ. A systematic review of single-tooth restora-tions supported by implants. J Dent 2000;28:209-217 https://doi.org/10.1016/S0736-5748(99)00078-7
  7. Albrektsson T, Branemark PI, Hansson HA, Lindstrom J. Osseointegrated titanium implants. Requirements for ensuring a long-lasting, direct bone-to-implant anchorage in man. Acta Orthop Scand 1981;52(2):155-170 https://doi.org/10.3109/17453678108991776
  8. Oh T-J. Yoon J. Misch CE, Wang H-L. The Causes of Early Implant Bone Loss: Myth or Science? J Periodontal. 2002;73:322-333
  9. Zarb GA, Albrektsson T. Consensus report: towards optimized treatment outcomes for den-tal implants. J Prosthet Dent. 1998 Dec;80(6):641
  10. Naert I, Duyck J, Hosny M, Jacobs R, Quirynen M, van Steenberghe D. Evaluation of factors influencing the marginal bone stability around implants in the treatment of partial edentulism. Clin Implant Dent Relat Res. 2001;3(1):30-8
  11. Avivi-Arber L, Zarb GA. Clinical effectiveness of implant-supported single-tooth replacement: Toronto study. Int J Oral Maxillofac Implants 1996;11:311-321
  12. Scheller H, Urgell JP, Kultje C, Klineberg I, Goldberg PV, Stevenson-Moore P, Alonso JMN, Schaller M, Corria RM, Engquist B, Toreskog S, Kastenbaum F, Smith CR. A 5-year multicenter study on implant-supported single crown restorations. Int J Oral Maxillofac Implants 1998;13:212-218
  13. Kan JY, Rungcharassaeng K, Umezu K, Kois JC. Dimensions of peri-implant mucosa: an evaluation of maxillary anterior single implants in humans. J Periodontol. 2003 Apr;74(4):557-62 https://doi.org/10.1902/jop.2003.74.4.557
  14. Balshi TJ, Hernandez RE, Pryszlak MC, Rangert B. A comparative study of one implant versus two replacing a single molar. Int J Oral Maxillofac Implants 1996;11:372-378
  15. Tarnow DP, Cho SC, Wallace SS. The effect of inter-implant distance on the height of inter-implant bone crest. J Periodontol. 2000 Apr;7l(4):546-549
  16. Cardaropoli G, Wennstrom JL, Lekholm U. Peri-implant bone alterations in relation to inter-unit distances. A 3-year retrospective study. Clin Oral Implants Res. 2003 Aug;14(4):430-6
  17. Weber HP, Buser D, Fiorellini JP, Williams RC. Radiographic evaluation of crestal bone levels adjacent to nonsubmerged titanium implants. Clin Oral Implants Res. 1992 Dec;3(4):181-8
  18. Wyatt CC, Bryant SR, Avivi-Arber L, Chaytor DV, Zarb GA. A computer-assisted measurement technique to assess bone proximal to oral implants on intraoral radiographs. Clin Oral Implants Res, 2001 Jun;12(3):225-9 https://doi.org/10.1034/j.1600-0501.2001.012003225.x
  19. Wyatt CC, Zarb GA. Bone level changes proximal to oral implants supporting fixed partial prostheses. Clin Oral Implants Res. 2002 Apr;13(2):162-8
  20. Buser D, von Arx T, ten Bruggenkate C, Weingart D, Basic surgical principles with ITI implants. Clin Oral Implants Res. 2000;11 Suppl 1:59-68
  21. Belser U, Bernard J-P, Buser D. Implant Placement in the Esthetic Zone. In: Lindhe J, Karring T, Lang NP, eds., Clinical Periodontology and Implant Dentistry 4th edi-tion, 2003; 915-944. Blackwell Munksgaard Publ. Co.