구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제34권3호
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  • Pages.167-174
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  • 2018
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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발치와 치조제 보존술 시행 후 식립한 임플란트의 방사선학적 및 임상적 후향적 연구

Retrospective radiographic and clinical analysis of implant survival placed after alveolar ridge preservation

  • 이성조 (단국대학교 치과대학 치주과학교실) ;
  • 장현 (단국대학교 치과대학 치주과학교실) ;
  • 신현 (단국대학교 치과대학 치주과학교실) ;
  • 박정철 (단국대학교 치과대학 치주과학교실) ;
  • 송영균 (단국대학교 치과대학 보철학교실) ;
  • 조인우 (단국대학교 치과대학 치주과학교실)
  • Lee, Sung-Jo (Department of Periodontology, College of Dentistry, Dankook University) ;
  • Jang, Hyun (Department of Periodontology, College of Dentistry, Dankook University) ;
  • Shin, Hyun-Seung (Department of Periodontology, College of Dentistry, Dankook University) ;
  • Park, Jung-Chul (Department of Periodontology, College of Dentistry, Dankook University) ;
  • Song, Young-Gyun (Department of Prosthodontics, College of Dentistry, Dankook University) ;
  • Cho, In-Woo (Department of Periodontology, College of Dentistry, Dankook University)
  • 투고 : 2018.04.30
  • 심사 : 2018.07.16
  • 발행 : 2018.09.29
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초록

목적: 발치와에 치조제 보존술을 시행한 부위에 식립한 임플란트의 일정 기간의 생존율을 초기고정 값과 방사선학적 계측을 통해 분석해보고자 하였다. 연구 재료 및 방법: 19명의 환자에 sandblasted, large-grit, acid-etched (SLA) 표면을 갖는 단일 제품의 21개의 임플란트를 조사하였다. 임플란트는 치조제 보존술(Alveolar ridge preservation technique: ARP) 시행 후 2 - 3개월의 치유 기간 후 식립 되었으며, 식립 시 및 보철 시행 전 Periotest value (PTV)와 식립 시 및 최종 점검시의 방사선 사진을 통한 Marginal bone level (MBL)의 변화를 측정하였다. 결과: 전체 임플란트의 생존율은 100%로 나타났고 식립 시의 PTV는 평균 $-0.06{\pm}8.33$이었으며 보철 시행 전 PTV는 평균 $-5.75{\pm}1.72$이었다. 근 원심 평균 MBL의 변화는 -0.55 mm에서 1.6 mm의 범위로 평균 $0.19{\pm}0.58mm$를 나타내었다. 결론: 발치와 보존술을 시행한 부위에 식립한 임플란트는 높은 생존율을 나타내며 안정적인 변연골 유지를 보이는 것으로 사료된다.

Purpose: The purpose of present study was to retrospectively analyze the survival rate of implant placed after alveolar ridge preservation by initial stability and radiographic measurements. Materials and Methods: In total, 19 patients who received 21 sandblasted, large-grit, acid-etched (SLA) implants were enrolled in this retrospective study. Implants placed after alveolar ridge preservation technique (ARP) 2 - 3 months healing period, Periotest value (PTV) measured at implant placement and before placed prosthodontics. Marginal bone level (MBL) was measured at implant placement and final recall check. Results: Overall survival rate of implant was 100%. Mean PTV at implant placement was $-0.06{\pm}8.33$ and mean PTV before placed prosthodontics was $-5.75{\pm}1.7$. The range of MBL change was from -0.55 mm to 1.6 mm (Mean: $0.19{\pm}0.58mm$). Conclusion: The findings of present study suggest that the implant paced after alveolar ridge preservation appear high survival rates and stable MBL.

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