The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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A study on the effective cleaning of healing abutment using healing abutment case

Healing abutment case를 이용한 healing abutment의 효과적인 세척에 관한 연구

  • Kim, Hyeon-Kyeong (Department of Oral Health, Graduate School of Public Health and Social Welfare) ;
  • Cho, In-Ho (Department of Prosthodontics, College of Dentistry, Dankook University) ;
  • Song, Young-Gyun (Department of Prosthodontics, College of Dentistry, Dankook University)
  • 김현경 (단국대학교 보건복지대학원 구강보건학과) ;
  • 조인호 (단국대학교 치과대학 치과보철학교실) ;
  • 송영균 (단국대학교 치과대학 치과보철학교실)
  • Received : 2021.10.04
  • Accepted : 2021.11.29
  • Published : 2022.01.28
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Abstract

Purpose. The present study aimed to investigate the effective cleaning of healing abutment (HA) using Healing abutment case (HA case) by observing oral microorganisms with phase contrast microscope. Materials and methods. 32 patients with two or more implants placed in the same jaw, a total of 64 HAs (experimental group 32, control group 32) were selected and the control was cleaned with an alcohol swab. At the first and second visits, each group was observed before cleaning, and the experimental group was additionally observed after cleaning at the first visit. A 400× phase contrast microscope was used for the observation of oral microorganisms for its amounts. Results. There was no significant difference in the amount of oral microorganisms was found between the groups at the first visit, no significant difference according to gender, maxilla or mandible, and buccal or lingual surface. There was a statistically significant difference in the amount of oral microorganisms according to supra-gingival and sub-gingival (P<.05), There was also a significant difference in the comparison before and after cleaning in the experimental group (P<.05). There was a significant difference in the amount of oral microorganisms in each group at second visit (P<.05). Conclusion. Healing abutment cleaning using healing abutment case solution is more effective than simple cleaning with alcohol swab.

목적: 본 연구는 Healing abutment case (HA case)를 이용한 Healing abutment (HA)의 효과적인 세척에 대하여 알아보고자 구강 미생물을 위상차현미경으로 관찰하였다. 대상 및 방법: 임플란트를 동일 악에 2개 이상 식립 한 32명의 환자, 총 64개의 HA (실험군 32, 대조군 32)를 선정하여 실험군은 알코올 솜으로 세척 후 HA case에 넣어 0.05% chlorhexidine 소독용액을 담은 초음파세척기에서 5분간 세척하였고, 대조군은 알코올 솜으로 세척하였다. 관찰 시기는 1차, 2차 내원 시 각 군을 세척 전 관찰하였고, 실험군은 1차 내원 시 세척 후 추가로 관찰하였다. 이 때 미생물의 양에 대하여 400배의 위상차현미경으로 관찰하였다. 결과: 1차 내원 시 각군의 구강미생물 양을 관찰한 결과 통계적 유의한 차이는 없었으며, 성별, 상·하악, 협·설측에 따른 차이도 없었다. 치은연상, 연하에 따른 구강미생물 양은 통계적으로 유의한 차이를 보였으며(P < .05), 실험군 세척 전·후 비교에서도 유의한 차이를 보였다(P < .05). 2차 내원 시 각 군별 비교에서 구강미생물 양의 유의한 차이를 보였다(P < .05). 결론: Healing abutment case를 이용한 healing abutment의 세척은 단순 알코올 솜 세척에 비해 효과가 있는 것으로 사료된다.

Keywords

References

  1. Min JH, Yoon HC, Kim JK, Kang SM, Kim BI. Assessment of acidogenic potential for dental biofilms by periodontal health condition. J Dent Hyg Sci 2015;15:202-8. https://doi.org/10.17135/jdhs.2015.15.2.202
  2. Lee JK. Risk factors for periodontal diseases. J Korean Dent Assoc 2012;50:465-73. https://doi.org/10.22974/JKDA.2012.50.8.002
  3. Jang HS. A study of survival rate and failure etiology of dental lmplant. Korean J Oral Maxillofac Pathol 2013;37:193-200.
  4. Carinci F, Gaudio RM. Peri-implantitis and periodontitis: Use of bacteriological test in dental practice. Forensic Med Anat Res 2013;1:50-6. https://doi.org/10.4236/fmar.2013.13010
  5. Misch CE. Contemporary implant dentistry. Seoul: DaehanNarae Publisher; 2009. p. 3-35.
  6. Kim KR. Survey of dental implant procedures. Policy Res Rep 2008;4:1-61.
  7. Kim KW, Lee KS, Knag PS, Kim WS, Lee HK. Comparison of chewing ability and quality of life before and after the dental implantation. J Korean Acad Prosthodont 2009;47:215-21. https://doi.org/10.4047/jkap.2009.47.2.215
  8. Rams TE, Roberts TW, Tatum H Jr, Keyes PH. The subgingival microbial flora associated with human dental implants. J Prosthet Dent 1984;51:529-34. https://doi.org/10.1016/0022-3913(84)90309-3
  9. Mombelli A, van Oosten MA, Schurch E Jr, Land NP. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol 1987;2:145-51. https://doi.org/10.1111/j.1399-302X.1987.tb00298.x
  10. Moon KH, Kwon HS. The influence on the recognition for periodontal care to oral micro-organism changes in dental implant patients. Int J Clin Prev Dent 2016;12:221-8. https://doi.org/10.15236/ijcpd.2016.12.4.221
  11. Jansen VK, Conrads G, Richter EJ. Microbial leakage and marginal fit of the implant-abutment interface. Int J Oral Maxillofac Implants 1997;12:527-40.
  12. Steinebrunner L, Wolfart S, Bossmann K, Kern M. In vitro evaluation of bacterial leakage along the implant-abutment interface of different implant systems. Int J Oral Maxillofac Implants 2005;20:875-81.
  13. Quirynen M, Bollen CM, Eyssen H, van Steenberghe D. Microbial penetration along the implant components of the Branemark system. An in vitro study. Clin Oral Implants Res 1994;5:239-44. https://doi.org/10.1034/j.1600-0501.1994.050407.x
  14. Jung DU, Sim HY. Evaluation of periodontal disease related bacteria from the implant-abutment interface. J Korean Acad Implant Dent 2011;30:104-14.
  15. Tal H, Dayan D. Spontaneous early exposure of submerged implants: III. Histopathology of perforated mucosa covering submerged implants. J Periodontol 2000;71:1231-5. https://doi.org/10.1902/jop.2000.71.8.1231
  16. Kim HJ, Kim KH, Lee YM, Ku Y, Rhyu IC, Seol YJ. Peri-implant disease: etiological factors and microbiological approaches. J Implantology Appl Sci 2018;22;174-82.
  17. Abrahamsson I, Berglundh T, Lindhe J. Soft tissue response to plaque formation at different implant systems. A comparative study in the dog. Clin Oral Implants Res 1998;9:73-9. https://doi.org/10.1034/j.1600-0501.1998.090202.x
  18. Chang YS, Jung MA, Shin SC. Evaluation of motility and distribution of oral micro-flora in Korean using the phase contrast microscope. Int J Clin Prev Dent 2008;4:28-39.
  19. Rompen E, Touati B, Van Dooren E. Factors influencing marginal tissue remodeling around implants. Pract Proced Aesthet Dent 2003;15:754-7, 759, 761.
  20. Kim YM, Choi YS, Cho IH. Cleansing effect of the alkaline ionized water on microorganisms of the denture surface. J Koeran Acad Prosthodont 2011;49:138-44. https://doi.org/10.4047/jkap.2011.49.2.138
  21. Han SJ, Lee JH, Kim KW. The effectiveness of decontamination methods in dental instruments. J Korean Assoc Maxillofac Plast Reconstr Surg 2002;24:196-201.
  22. Cafruny WA, Brunick A, Nelson DM, Nelson RF. Effectiveness of ultrasonic cleaning of dental instruments. J American Dent 1995;8:152-6.
  23. Porras R, Anderson GB, Caffesse R, Narendran S, Trejo PM. Clinical response to 2 different therapeutic regimens to treat peri-implant mucositis. J Periodontol 2002;73:1118-25. https://doi.org/10.1902/jop.2002.73.10.1118
  24. Shakespeare V, Shakespeare PG, Evans BT. Effects of proprietary oral rinses containing chlorhexidine, hexetidine and benzydamine on the proliferation of human buccal epithelial cells in culture. Arch Oral Biol 1988;33:881-5. https://doi.org/10.1016/0003-9969(88)90017-9
  25. Oh CY, Kim EH, Kang JS, Kim ON, Shin WS. Utility Time of 0.5% Chlorhexidine Gluconate-alcohol solution. J Korean Soc Hosp Pharm 1998;15:76-80.