The Journal of Advanced Prosthodontics

  • 제15권4호
  • /
  • Pages.202-213
  • /
  • 2023
  • /
  • 2005-7806(pISSN)
  • /
  • 2005-7814(eISSN)
대한치과보철학회 (The Korean Academy of Prosthodonitics)
권호 표지
DOI QR코드

DOI QR Code

A prospective multicenter clinical study on the efficiency of detachable ball- and spring-retained implant prosthesis

  • Min-Jung Kim (Department of Prosthodontics, Dental Research Institute, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University) ;
  • Won-Tak Cho (Department of Prosthodontics, Dental Research Institute, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University) ;
  • Su-Hyun Hwang (Department of Prosthodontics, Dental Research Institute, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University) ;
  • Ji-Hyeon Bae (Department of Prosthodontics, Dental Research Institute, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University) ;
  • Eun-Bin Bae (Department of Prosthodontics, Dental Research Institute, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University) ;
  • June-Sung Shim (Department of Prosthodontics, Yonsei University College of Dentistry) ;
  • Jong-Eun Kim (Department of Prosthodontics, Yonsei University College of Dentistry) ;
  • Chang-Mo Jeong (Department of Prosthodontics, Dental Research Institute, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University) ;
  • Jung-Bo Huh (Department of Prosthodontics, Dental Research Institute, Dental and Life Sciences Institute, Education and Research Team for Life Science on Dentistry, School of Dentistry, Pusan National University)
  • 투고 : 2023.04.25
  • 심사 : 2023.08.21
  • 발행 : 2023.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

PURPOSE. This prospective clinical study was conducted to evaluate the clinical usefulness of the freely detachable zirconia ball- and spring-retained implant prosthesis (BSRP) through a comparative analysis of screw- and cement-retained implant prosthesis (SCRP). MATERIALS AND METHODS. A multi-center, randomized, prospective clinical study evaluating the clinical usefulness of the detachable zirconia ball- and spring-retained implant prostheses was conducted. Sixty-four implant prostheses in 64 patients were examined. Periodic observational studies were conducted at 0, 3, 6, and 12 months after delivery of the implant prosthesis. Factors such as implant success rate, marginal bone resorption, periodontal pocket depth, plaque and bleeding index, and prosthetic complications were evaluated, respectively. RESULTS. During the 1-year observation period, all implants survived without functional problems and clinical mobility, showing a 100% implant success rate. Marginal bone resorption was significantly higher in the SCRP group than in the BSRP group only at the time of implant prosthesis delivery (P = .043). In all observation periods, periodontal pocket depth was slightly higher in the BSRP group than in the SCRP group, but there was no significant difference (P > .05). The modified plaque index (mPI) scores of both groups were moderate. Higher ratio of a score 2 in modified sulcus bleeding index (mBI) was observed in the BSRP group in the 6- and 12-months observation. CONCLUSION. Within the limitations of this study, the newly developed zirconia ball- and spring-retained implant prosthesis could be considered as an applicable and predictable treatment method along with the existing screw- and cement-retained prosthesis.

키워드

참고문헌

  1. Levine RA, Clem D, Beagle J, Ganeles J, Johnson P, Solnit G, Keller GW. Multicenter retrospective analysis of the solid-screw ITI implant for posterior single-tooth replacements. Int J Oral Maxillofac Implants 2002;17:550-6.
  2. Heo YK, Lim YJ. A newly designed screw- and cement-retained prosthesis and its abutments. Int J Prosthodont 2015;28:612-4. https://doi.org/10.11607/ijp.4236
  3. Weber HP, Kim DM, Ng MW, Hwang JW, Fiorellini JP. Peri-implant soft-tissue health surrounding cementand screw-retained implant restorations: a multi-center, 3-year prospective study. Clin Oral Implants Res 2006;17:375-9. https://doi.org/10.1111/j.1600-0501.2005.01232.x
  4. Lee A, Okayasu K, Wang HL. Screw- versus cement-retained implant restorations: current concepts. Implant Dent 2010;19:8-15. https://doi.org/10.1097/ID.0b013e3181bb9033
  5. Pauletto N, Lahiffe BJ, Walton JN. Complications associated with excess cement around crowns on osseointegrated implants: a clinical report. Int J Oral Maxillofac Implants 1999;14:865-8.
  6. Hebel KS, Gajjar RC. Cement-retained versus screw-retained implant restorations: achieving optimal occlusion and esthetics in implant dentistry. J Prosthet Dent 1997;77:28-35.
  7. Zarone F, Sorrentino R, Traini T, Di lorio D, Caputi S. Fracture resistance of implant-supported screw- versus cement-retained porcelain fused to metal single crowns: SEM fractographic analysis. Dent Mater 2007;23:296-301. https://doi.org/10.1016/j.dental.2005.10.013
  8. Abrahamsson I, Berglundh T, Lindhe J. The mucosal barrier following abutment dis/reconnection. An experimental study in dogs. J Clin Periodontol 1997;24:568-72. https://doi.org/10.1111/j.1600-051X.1997.tb00230.x
  9. Taylor TD, Agar JR. Twenty years of progress in implant prosthodontics. J Prosthet Dent 2002;88:89-95. https://doi.org/10.1067/mpr.2002.126818
  10. Chee W, Felton DA, Johnson PF, Sullivan DY. Cemented versus screw-retained implant prostheses: which is better? Int J Oral Maxillofac Implants 1999;14:137-41.
  11. Yoon NR, Leesungbok R, Lee SW, Ahn SJ, Park SJ. A new retaining method of cement-retained restoration with linguo-horizontal insertion of fiber post. J Korean Acad Prosthodont 2017;55:71-8. https://doi.org/10.4047/jkap.2017.55.1.71
  12. Clementini M, Morlupi A, Canullo L, Agrestini C, Barlattani A. Success rate of dental implants inserted in horizontal and vertical guided bone regenerated areas: a systematic review. Int J Oral Maxillofac Surg 2012;41:847-52. https://doi.org/10.1016/j.ijom.2012.03.016
  13. Quaranta A, Lim ZW, Tang J, Perrotti V, Leichter J. The impact of residual subgingival cement on biological complications around dental implants: a systematic review. Implant Dent 2017;26:465-74. https://doi.org/10.1097/ID.0000000000000593
  14. Goodacre CJ, Bernal G, Rungcharassaeng K, Kan JY. Clinical complications with implants and implant prostheses. J Prosthet Dent 2003;90:121-32. https://doi.org/10.1016/S0022-3913(03)00212-9
  15. Choi JW, Song CH, Huh JB. Implant-supported fixed dental prostheses with new retention type using zirconia ball and nickel-titanium spring. J Implantol Appl Sci 2019;23:16-24. https://doi.org/10.32542/implantology.2019002
  16. Choi JW, Lee JJ, Bae EB, Huh JB. Implant-supported fixed dental prosthesis with a microlocking implant prosthetic system: a clinical report. J Prosthet Dent 2020;123:15-9. https://doi.org/10.1016/j.prosdent.2018.11.021
  17. Abrahamsson I, Berglundh T, Lindhe J. The mucosal barrier following abutment dis/reconnection. an experimental study in dogs. J Clin Periodontol 1997;24:568-72. https://doi.org/10.1111/j.1600-051X.1997.tb00230.x
  18. Guichet DL, Caputo AA, Choi H, Sorensen JA. Passivity of fit and marginal opening in screw- or cement-retained implant fixed partial denture designs. Int J Oral Maxillofac Implants 2000;15:239-46.
  19. Siamos G, Winkler S, Boberick KG. Relationship between implant preload and screw loosening on implant-supported prostheses. J Oral Implantol 2002;28:67-73. https://doi.org/10.1563/1548-1336(2002)028<0067:TRBIPA>2.3.CO;2
  20. Theoharidou A, Petridis HP, Tzannas K, Garefis P. Abutment screw loosening in single-implant restorations: a systematic review. Int J Oral Maxillofac Implants 2008;23:681-90.
  21. Kallus T, Bessing C. Loose gold screws frequently occur in full-arch fixed prostheses supported by osseointegrated implants after 5 years. Int J Oral Maxillofac Implants 1994;9:169-78.
  22. Zarb GA, Albrektsson T. Consensus report: towards optimized treatment outcomes for dental implants. J Prosthet Dent 1998;80:641.
  23. Froum SJ, Rosen PS. A proposed classification for peri-implantitis. Int J Periodontics Restorative Dent 2012;32:533-40.
  24. 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
  25. Ferreira MA, Luersen MA, Borges PC. Nickel-titanium alloys: a systematic review. Dental Press J Orthod 2012;17:71-82. https://doi.org/10.1590/S2176-94512012000300016
  26. Pun DK, Berzins DW. Corrosion behavior of shape memory, superelastic, and nonsuperelastic nickel-titanium-based orthodontic wires at various temperatures. Dent Mater 2008;24:221-7. https://doi.org/10.1016/j.dental.2007.05.003
  27. Bae EB, Cho WT, Bae HY, Lee SH, Kim TH, Huh JB. Retrospective clinical study of a freely removable implant-supported fixed dental prosthesis by a micro-locking system. Biomed Res Int 2020:7929585.
  28. Choi JW, Choi KH, Chae HJ, Chae SK, Bae EB, Lee JJ, Lee SH, Jeong CM, Huh JB. Load-bearing capacity and retention of newly developed micro-locking implant prosthetic system: an in vitro pilot study. Materials (Basel) 2018;11:564.
  29. Shin YG, Cho WT, Lim HK, Hwang SH, Bae JH, Bae GH, Lee JY, Huh JB. Influence of an implant fixture including a freely removable micro-locking implant prosthesis on peri-implant tissues and implant prostheses: a prospective clinical study. J Clin Med 2021;10:3321.
  30. 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;10:387-416. https://doi.org/10.1016/S0300-9785(81)80077-4
  31. De Smet E, van Steenberghe D, Quirynen M, Naert I. The influence of plaque and/or excessive loading on marginal soft and hard tissue reactions around Branemark implants: a review of literature and experience. Int J Periodontics Restorative Dent 2001;21:381-93.
  32. Lang NP, Wetzel AC, Stich H, Caffesse RG. Histologic probe penetration in healthy and inflamed peri-implant tissues. Clin Oral Implants Res 1994;5:191-201. https://doi.org/10.1034/j.1600-0501.1994.050401.x
  33. Luterbacher S, Mayfield L, Bragger U, Lang NP. Diagnostic characteristics of clinical and microbiological tests for monitoring periodontal and peri-implant mucosal tissue conditions during supportive periodontal therapy (SPT). Clin Oral Implants Res 2000;11:521-9. https://doi.org/10.1034/j.1600-0501.2000.011006521.x
  34. Smithloff M, Fritz ME. The use of blade implants in a selected population of partially edentulous adults. a ten-year report. J Periodontol 1982;53:413-8. https://doi.org/10.1902/jop.1982.53.7.413
  35. Pjetursson BE, Thoma D, Jung R, Zwahlen M, Zembic A. A systematic review of the survival and complication rates of implant-supported fixed dental prostheses (FDPs) after a mean observation period of at least 5 years. Clin Oral Implants Res 2012;23:22-38. https://doi.org/10.1111/j.1600-0501.2012.02546.x
  36. Kim SK, Koak JY, Heo SJ, Taylor TD, Ryoo S, Lee SY. Screw loosening with interchangeable abutments in internally connected implants after cyclic loading. Int J Oral Maxillofac Implants 2012;27:42-7.
  37. Park JM, Baek CH, Heo SJ, Kim SK, Koak JY, Kim SK, Belser UC. An in vitro evaluation of the loosening of different interchangeable abutments in internal-connection-type implants. Int J Oral Maxillofac Implants 2017;32:350-5. https://doi.org/10.11607/jomi.5295
  38. Worthington P, Bolender CL, Taylor TD. The Swedish system of osseointegrated implants: problems and complications encountered during a 4-year trial period. Int J Oral Maxillofac Implants 1987;2:77-84.
  39. Jemt T, Ahlberg G, Henriksson K, Bondevik O. Tooth movements adjacent to single-implant restorations after more than 15 years of follow-up. Int J Prosthodont 2007;20:626-32.
  40. Wei H, Tomotake Y, Nagao K, Ichikawa T. Implant prostheses and adjacent tooth migration: preliminary retrospective survey using 3-dimensional occlusal analysis. Int J Prosthodont 2008;21:302-4.