CLINICAL RETROSPECTIVE STUDY OF SINUS BONE GRAFT AND IMPLANT PLACEMENT

상악동골이식과 임프란트 식립에 관한 후향적 임상 연구 : $7{\sim}41$개월간의 경과관찰

  • Kim, Young-Kyun (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Yun, Pil-Young (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital) ;
  • Im, Jae-Hyung (Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital)
  • 김영균 (분당서울대학교병원 치과 구강악안면외과) ;
  • 윤필영 (분당서울대학교병원 치과 구강악안면외과) ;
  • 임재형 (분당서울대학교병원 치과 구강악안면외과)
  • Published : 2008.05.30

Abstract

The authors performed the clinical and radiographic evaluation in the 29 patients with sinus bone graft and $Osstem^{(R)}$ implant placement between Sep 2003 and Jan 2006 and got the following results. 1. Fifteen complications developed in the 13 patients. Intraoperative sinus membrane perforation and postoperative maxillary sinusitis developed frequently. 2. The mean preoperative residual alveolar bone height was 4.5 mm, postoperative height 18.5 mm, height 1 year after operation 16.9 mm. 3. Three primary osseointegration failures(3.7%) developed in 3 patients. 4. The survival rate of prosthodontics was 100% at the final follow up. The mean marginal bone resorption around the implants was 0.69 mm 1 year after prosthodontic loading. Marginal bone resorption more than 1.5 mm developed in nine implants and the success rate was 88%.

Keywords

References

  1. Block MS, Kent JN : Maxillary sinus grafting for totally and partially edentulous patients. J Am dent Assoc 124 : 139, 1993 https://doi.org/10.14219/jada.archive.1993.0127
  2. Chanavaz M: Maxillary sinus : Anatomy, physiology, surgery, and bone grafting related to implantology-Eleven years of surgical experience (1979-1990). J Oral Implantology XVI: 199, 1990
  3. Del Fabbro M, Testori T, Francetti L, Weinstein R : Systematic review of survival rates for implants placed in the grafted maxillary sinus. Int J Periodontics Restorative Dent 24 : 565, 2004
  4. Kim SG, Park CM, Kim YK et al : Multicenter retrospective clinical study of Osstem US II implant system in Type IV bone. Implantology 11 : 22, 2007
  5. Antonio S, Marco D, Giovanna I et al : Maxillary sinus augmentation with different biomaterials: A comparative hisologic and histomorphometric study in man. Implant Dent 15 : 197, 2006 https://doi.org/10.1097/01.id.0000220120.54308.f3
  6. Hatano N, Shimizu Y, Ooya K : A clinical long-term radiographic evaluation of graft height changes after maxillary sinus floor augmentation with 2:1 autogenous bone/xenograft mixture and simultaneous placement of dental implants. Clin Oral Implants Res 15 : 339, 2004 https://doi.org/10.1111/j.1600-0501.2004.00996.x
  7. Kim YK, Kim SG, Lee BG : Bone graft and implant. Seoul, Narae Pub Co, 2007. p.169
  8. Froum SJ, Tarnow DP, Wallace SS et al : Sinus floor elevation using anorganic bovine bone matrix(OsteoGraft/N) with and without autogenous bone: A clinical, histologic, radiographic, and histomorphometric analysis. Int J Periodontics Restorative Dent 18 : 529, 1998
  9. Hockers T, Abensur D, Valentini P et al : The combined use of bioresorbable membranes and xenografts or autografts in the treatment of bone defects around implants. A study in beagle dogs. Clin Oral Implants Res 10 : 487, 1999 https://doi.org/10.1034/j.1600-0501.1999.100607.x
  10. Tadjoedin ES, DeLange GL, Holzmann PJ et al : Histologic observations on biopsies harvested following sinus floor elevation using a bioactive glass material of narrow size range. Clin Oral Implants Res 11 : 334, 2000 https://doi.org/10.1034/j.1600-0501.2000.011004334.x
  11. Froum SJ, Tarnow DP, Wallace SS et al : Sinus floor elevation using anorganic bovine bone matrix (OsteoGraft/N) with and without autogenous bone: A clinical, histologic, radiographic and histomorphometric analysis-Part 2 of an ongoing study. Int J Periodontics Restorative Dent 18 : 528, 1998
  12. Filippo G, Francesco D, Matteo T et al : Maxillary sinus augmentation with platelet-rich plasma and fibrinogen cryoprecipitate: A tomographic pilot study. Implant Dent 14 : 63, 2005 https://doi.org/10.1097/01.id.0000156387.35521.bf
  13. Kim YK : Implant risk factor of sinus bone graft (I): complication and early failure. Implantology 10 : 42, 2006
  14. Herzberg R, Dolev E, Schwartz-Arad D : Implant marginal bone loss in maxillary sinus grafts. Int J Oral Maxillofac Implants 21 : 103, 2006
  15. Wannofors K, Johansson B, Hallman M, Strandkvist T: A prospective randomized study of 1- and 2-stage inlay bone grafts : 1-year floow-up. Inte J Oral Maxillofac Implants 15 : 625, 2000
  16. Hwang DY, Lee JY, Choi MH et al : Clinical study for prognosis of simultaneous implantation using maxillary sinus graft. J Korean Academy Implant Dentistry 24 : 31, 2005
  17. Jemt T : Modified single and short-span restorations supported by osseointegrated fixtures in the partially edentulous jaw. J Prosthet Dent 55 : 243, 1986 https://doi.org/10.1016/0022-3913(86)90352-5
  18. Priest GF : Failure rates of restorations for single-tooth replacement. Int J Prosthodont 9 : 38, 1996
  19. Jemt T, Laney WR, Harris D et al : Osseointegrated implants for single tooth replacement : a 1-year report from a multicenter prospective study. Int J Oral Maxillofac Implants 6 : 29, 1991
  20. Jaffin RA, Berman CL : The excessive loss of Branemark fixtures in type IV bone: a 5-year analysis. J Periodontol 62 : 2, 1991 https://doi.org/10.1902/jop.1991.62.1.2
  21. Galindo-Moreno P, Avila G, Fernandez-Barbero JE et al : Evaluation of sinus floor elevation using a composite bone graft mixture. Clin Oral Impl Res 18 : 376, 2007 https://doi.org/10.1111/j.1600-0501.2007.01337.x
  22. Byun JH, Park BW, Jeong HC, Kim JR : Stability of simultaneous implantation with autogenous iliac bone graft in the severely atrophic maxilla. J Korean Association Maxillofac Plast Reconstr Surg 28 : 570, 2006
  23. Maiorana C, Sigurta D, Mirandola A et al : Sinus elevation with alloplasts or xenogenic materials and implants: An up-to-4-year clinical and radiologic follow-up. Int J Oral Maxillofac Implants 21: 426, 2006
  24. Herzberg R, Dolev E, Schwartz-Arad D : Implant marginal bone loss in maxillary sinus grafts. Int J Oral Maxillofac Implants 21 : 103, 2006
  25. Rodoni LR, Glauser R, Feloutzis A, Hammerle CHF : Implants in the posterior maxilla: A comparative clinical and radiologic study. Int J Oral Maxillofac Implants 20 : 231, 2005
  26. Simion M, Trisi P, Piattelli A : Vertical ridge augmentation using a membrane technique associated with osseointegrated implants. Int J Periodontics Restorative Dent 14 : 197, 1994
  27. Hallman M, Zetterqvist L : A 5-year prospective follow-up study of implant-supported fixed prostheses in patients subjected to maxillary sinus floor augmentation with an 80:20 mixture of bovine hydroxyapatite and autogenous bone. Clin Implant Dent Relat Res 6 : 82, 2004 https://doi.org/10.1111/j.1708-8208.2004.tb00030.x
  28. Wiltfang J, Schultze-Mosgau S, Nkenke E et al: Onlay augmentation versus sinuslift procedure in the treatment of the severely resorbed maxilla: a 5-year comparative longitudinal study. Int J Oral Maxillofac Surg 34 : 885, 2005 https://doi.org/10.1016/j.ijom.2005.04.026
  29. Block MS, Kent JN, Kallukaran FU et al : Bone maintenance 5 to 10 years after sinus grafting. J Oral Maxillofac Surg 56 : 706, 1998 https://doi.org/10.1016/S0278-2391(98)90801-1
  30. Maiorana C, Sigurta D. Mirandola A et al : Sinus elevation with alloplasts or xenogenic materials and implants" An up-to-4-year clinical and radiologic followup. Int J Oral Maxillofac Implants 21 : 426, 2006