THE STUDY ON THE PROGNOSIS OF DENTAL IMPLANTS WHICH HAS BEEN INSTALLED AFTER MAXILLOFACIAL TRAUMA

악안면 외상 후 식립된 임플란트의 예후에 관한 연구

  • Jeon, Ha-Ryong (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine) ;
  • Kim, Jong-Won (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine) ;
  • Hong, Jong-Rak (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine) ;
  • Kim, Chang-Soo (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine)
  • 전하룡 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 김종원 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 홍종락 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 김창수 (성균관대학교 의과대학 삼성서울병원 구강악안면외과)
  • Published : 2006.08.31

Abstract

Purpose The purpose of this study was to evaluate the success rate of dental implant on post-traumatic region to rehabilitate missing teeth. Patients and Methods 5 patients who had been treated due to maxillofacial trauma during 2000 to 2004 at samsung medical center were selected for this study. 22 dental implants were installed to them for restoring missing teeth. The success rate of these dental implants was evaluated with criteria by T. Albrektsson. We divided installed 22 implants into 2 categories. One category consisted rough surface implants group and smooth surface implants group. And the other category consisted more healing group and less healing group. The healing time was calculated from point of trauma. Results The success rate of dental implants is 68.2% that is lower than other studies because of poor vascularity of bone bed and mechanical stress according to trauma. Rough surface implants group and More healing group showed superior success rate to others. (P < 0.05). Conclusion We found that to increase success rate, it may need rough surface implants and longer healing period.

Keywords

References

  1. 양희창, 김수남, 이동근, 임창준: 하악골 골절선상치아의 예후에 대한 임상적 연구. 대한구강악안면외과학회지 1990;16:61-67
  2. Adell R, Eriksson B, Lekholm U, Branemark PI, Jemt T: Long-term follow-up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maxillofac Implants 1990;5:347-359
  3. Lekholm U, Gunne J, Henry P, Higuchi K, Linden U, Bergstrom C, et al: Survival of the Branemark implant in partially edentulous jaws: a 10-year prospective multicenter study. Int J Oral Maxillofac Implants 1999;14:639-645
  4. Manson PN: Facial bone healing and bone grafts. A review of clinical physiology. Clin Plast Surg 1994;21:331-348
  5. Albrektsson T, Zarb G, Worthington P, Eriksson AR: The long-term efficacy of currently used dental implants: a review and proposed criteria of success. Int J Oral Maxillofac Implants 1986;1:11-25
  6. Albrektsson T, Isidor F: Consensus report of session V. In: Lang NP, Karring T. Proceedings of the First European Workshop on Periodontology. London, Quintessence, 1993:365-369
  7. Carter DR, Beaupre GS, Giori NJ, Helms JA: Mechanobiology of skeletal regeneration. Clin Orthop Relat Res 1998:S41-55
  8. Davies JE: Understanding peri-implant endosseous healing. J Dent Educ 2003;67:932-949
  9. Schwartz-Arad D, Levin L: Post-traumatic use of dental implants to rehabilitate anterior maxillary teeth. Dent Traumatol 2004;20:344- 347 https://doi.org/10.1111/j.1600-9657.2004.00255.x
  10. Goto M, Jin-Nouchi S, Ihara K, Katsuki T: Longitudinal follow-up of osseointegrated implants in patients with resected jaws. Int J Oral Maxillofac Implants 2002;17:225-230
  11. Watzinger F, Ewers R, Henninger A, Sudasch G, Babka A, Woelfl G: Endosteal implants in the irradiated lower jaw. J Craniomaxillofac Surg 1996;24:237-244 https://doi.org/10.1016/S1010-5182(96)80007-2
  12. Donovan MG, Dickerson NC, Hanson LJ, Gustafson RB: Maxillary and mandibular reconstruction using calvarial bone grafts and Branemark implants: a preliminary report. J Oral Maxillofac Surg 1994;52:588-594 https://doi.org/10.1016/0278-2391(94)90096-5
  13. Buser D, Schenk RK, Steinemann S, Fiorellini JP, Fox CH, Stich H: Influence of surface characteristics on bone integration of titanium implants. A histomorphometric study in miniature pigs. J Biomed Mater Res 1991;25:889-902 https://doi.org/10.1002/jbm.820250708
  14. Martin JY, Schwartz Z, Hummert TW, Schraub DM, Simpson J, Lankford J, Jr., et al: Effect of titanium surface roughness on proliferation, differentiation, and protein synthesis of human osteoblast-like cells (MG63). J Biomed Mater Res 1995;29:389-401 https://doi.org/10.1002/jbm.820290314
  15. Kieswetter K, Schwartz Z, Hummert TW, Cochran DL, Simpson J, Dean DD, et al: Surface roughness modulates the local production of growth factors and cytokines by osteoblast-like MG-63 cells. J Biomed Mater Res 1996;32:55-63 https://doi.org/10.1002/(SICI)1097-4636(199609)32:1<55::AID-JBM7>3.0.CO;2-O
  16. Schwartz Z, Kieswetter K, Dean DD, Boyan BD: Underlying mechanisms at the bone-surface interface during regeneration. J Periodontal Res 1997;32:166-171 https://doi.org/10.1111/j.1600-0765.1997.tb01399.x
  17. Reitzik M: Cortex-to-cortex healing after mandibular osteotomy. J Oral Maxillofac Surg 1983;41:658-663 https://doi.org/10.1016/0278-2391(83)90020-4
  18. Perren SM: Physical and biological aspects of fracture healing with special reference to internal fixation. Clin Orthop Relat Res 1979:175-196
  19. Reitzik M: The biometry of mandibular osteotomy repair. J Oral Maxillofac Surg 1982;40:214-218 https://doi.org/10.1016/0278-2391(82)90313-5