Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지

A Retrospective study on upper single tooth implants

상악 단일 치아 임프란트의 후향적 연구

  • Jo, Soo-Jin (Dept of Periodontology, Yongdong Severance, Yonsei University) ;
  • Lee, Keun-Woo (Dept of Prosthodontics, College of Dentistry, Yonsei University) ;
  • Cho, Kyoo-Sung (Dept. of Periodontology, College of Dentistry, Research institute for Periodontal Regeneration, Yonsei University) ;
  • Moon, Ik-Sang (Dept of Periodontology, Yongdong Severance, Yonsei University)
  • 조수진 (연세대학교 영동세브란스병원 치주과) ;
  • 이근우 (연세대학교 치과대학 보철과학교실) ;
  • 조규성 (연세대학교 치과대학 치주과학교실, 치주조직재생연구소) ;
  • 문익상 (연세대학교 영동세브란스병원 치주과)
  • Published : 2003.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

The aim of this retrospective study was to compare the amount of marginal bone loss between upper anterior area and upper posterior area with 71 upper single-tooth restorations on 2 stage machined $Br{{\aa}}nemark$ implants since Jan 1995. The second aim was to compare the bone defect group which had dehiscence and fenetration and the others in the upper anterior region. The results were as follows. 1. The most frequent reason of missing tooth in the upper anterior region was trauma by 61%. While upper posterior region showed various reasons such as congenital missing, advanced periodontitis, trauma. 2. Peri-implantitis with fistula occurred 1 of 41 implants in the upper anterior group in 1 year after loading and 2 of 32 implants in the upper posterior group failed before loading. The 1 year success rate of upper anterior group was 97.56 %, and 93.75 % for upper posterior group. 3. The mean marginal bone loss in the upper anterior group was 0.44${\pm}$0.25 mm, while 0.57${\pm}$0.32 mm in the upper posterior group. There was statistically significant difference in the amount of mean marginal bone loss (P${\pm}$0.10 mm at one year, and 0.48${\pm}$0.26 mm for the control group. No statistically significant difference of mean marginal bone loss was showen between bone defect group and the others at implantation. According to the results, the upper anterior region showed less marginal bone loss than the upper posterior region. In case of missing single upper tooth, careful consideration on recipient residual ridge to determine proper implant diameter and length, sufficient healing time, proper loading would lead to implant success. Single tooth implants in the maxilla seemed to be an alternative to fixed partial dentures without damage to adjacent teeth.

Keywords

References

  1. Adell R, Lekholm U, Rockier B, Branemark PI : A 15-year study of osseointegrated implants in the treatment of the edentulous jaw. Int J Oral Surg 10: 387-416, 1981 https://doi.org/10.1016/S0300-9785(81)80077-4
  2. Lekholm U, Gunne J, Henry P, Higuchi K, Steenberghe D: Survival of the Br${\aa}$nemark Implant in Partially Edentulous Jaws. A 10-year Prospective Multicenter Study. Int J Oral Maxillofac Implants 14: 639-645, 1999
  3. Jemt T. : Modified single and short span restorations supported by osseointegrated fixtures in the partially edentulous jaw. J Prosthet Dent 55: 243-247, 1986 https://doi.org/10.1016/0022-3913(86)90352-5
  4. Andersson B, Odman P, Lindvall AM : Single-tooth restorations on osseointegrated implants : Results and experiences from a prospective study after 2-3years. Int J Oral Maxillofac Implants 10: 702-711, 1995
  5. Avivi-Aber L, Zarb GA : Clinical effectiveness of implant-supported single-tooth replacement. Int J Oral Maxillofac Implants 11:311-321, 1996
  6. Cordioli G, Castagna S, Consolati E : Single-tooth Implant Rehabilitation. A Retrospective study of 67 implants. Int J Prosthodont 7: 525-531, 1994
  7. Van Steenberghe D, Lekholm U, Bolender C, Fohmer T, Henry P, Herrmann L : The applicability of osseointegrated oral implants in the rehabilitation of partial edentulism : A prospective multicenter study on 558 fixtures, Int J Oral Maxillofac Implants 5:272-281, 1990
  8. Wyatt C, Zarb G : Treatment Outcome of Patients with implant-supported Fixed Partial Prostheses. Int J Oral Maxillofac Implants 13: 204- 211, 1998
  9. Dahlin C, Lekholm U, Becker W, Becker B : Treatment of Fenestration and Dehiscence Bone defects around oral implants using the Guided Tissue Regeneration technique. A Prospective multicenter study. Int J Oral Maxillofac Implants 10: 312-318, 1995
  10. Lekholm U, Sennerby L, Roos J, Becker W : Soft tissue and Marginal bone conditions at osseointegrated implants that have exposed threads. A5-year retrospective study. lnt J Oral Maxillofac Implants 11: 599-604, 1996
  11. Naert I, Koutsikakis G, Quirynen M, Duyck I, van Steenberghe D,Jacobs R : Biologic outcome of implant-supported restorations in the treatment of partial edentulism. Part 2 : A longitudinal radiographic evaluation. Clin Oral Impl Res 13: 390-395, 2002 https://doi.org/10.1034/j.1600-0501.2002.130407.x
  12. Jemt T, Lekholm U, Grondahl K : A 3-year follow up study of early single implant restorations ad modum Br${\aa}$nemark. Int J Periodont Rest Dent 10:340-349, 1990
  13. Albrektsson T, Zarb GA : Current interpretations of the osseointegrated response. Clinical Significance. Int J Prosthodont 6: 95-105, 1993
  14. Adell R, Eriksson B, Lekholm U, Branemark PI, Jemt T : A long term follow up study of osseointegrated implants in the treatment of totally edentulous jaws. Int J Oral Maillofac Implants 5 : 347-359, 1990
  15. Ekfeldt, A., Carlsson, G.E. & Borjesson, G. : Clinical evaluation of single- tooth restorations supported by osseointegrated implants : A retrospective study. Int J Oral Maxillofac Implants 9:179-183, 1994
  16. Jemt T, Pettersson P : A 3-year follow-up study on single implant treatment. J Dent 21 : 203-208, 1993 https://doi.org/10.1016/0300-5712(93)90127-C
  17. Engquist B, Nilson H, Astrand P. : Single tooth replacement by osseointegrated Branemark implants. A retrospective study of 82 implants Clin Oral Impl Res 6: 238-245, 1995 https://doi.org/10.1034/j.1600-0501.1995.060407.x
  18. Malevez CH, Hermans M, Daelemans PH : Marginal bone levels at Br${\aa}$nemark system implants used for single tooth restoration. The influence of implant design and anatomical region. Clin Oral Impl Res 7: 162-169, 1996 https://doi.org/10.1034/j.1600-0501.1996.070210.x
  19. Scholander S : A retrospective evaluation of 259 single tooth replacement by the use of Br${\aa}$nemark Implants. Int J Prosthodont 12: 483-491, 1999
  20. Schmitt A, Zarb G : The longitudinal clinical effectiveness of osseointegrated dental implants for single-tooth replacements. Int J Prosthodont 6: 197-202, 1993
  21. Dahlin C, Linde A, Gottlow J, Nyman S : Healing of bone defects by guided tissue regeneration. Plastic Reconstructive Surg 81(5):672-676, 1988 https://doi.org/10.1097/00006534-198805000-00004
  22. Becker W, Becker BE, Handelsman M : Bone formation at dehisced dental implant sites treated with implant augmentation material : A pilot study in dogs. Int J Periodontics Restorative Dent 10:92-101, 1990
  23. Buser D, Bragger U, Lang NP, Nyman S : Regeneration and enlargement of jaw bone using guided tissue regeneration. Clin Oral Impl Res 1: 22-32, 1990 https://doi.org/10.1034/j.1600-0501.1990.010104.x
  24. Haas R, Polak C, Furhauser R, Dortbudak O, Watzek G : A long term follow up of 76 Br${\aa}$nemark single tooth implants. Clin Oral Impl Res 13:38-43, 2002 https://doi.org/10.1034/j.1600-0501.2002.130104.x
  25. Andersson B, Odman P, Lindvall AM, Branemark PI : Five year prospective study of prosthodontic and surgical single-tooth implant treatment in general practice and at a specialist clinic. Int J Prosthodont 11: 351-355, 1998
  26. Laney WR, Jemt T, Harris D, Henry PJ, Krogh PHJ, Polozzi G, Zarb GA, Herrmann I : Osseointegrated implants for single-tooth replacement : Progress report from a multicenter prospective study after 3 years. Int J Oral Maxillofac Implants 9: 49-54, 1994
  27. Wannfors K, Smedberg JI :A prospective clinical evaluation of different single-tooth restoration designs on osseointegrated implants. A 3 year follow up of Br${\aa}$nemark implants. Clin Oral Implants Res 10:453-458, 1999 https://doi.org/10.1034/j.1600-0501.1999.100603.x
  28. Becker W, Becker BE : Replacement of maxillary and mandibular molars with single endosseous implant restorations: A retrospective study. J Prosthetic Dent 74: 51-55, 1995 https://doi.org/10.1016/S0022-3913(05)80229-X
  29. Henry PJ, Laney WR, Jemt T, Harris D, Krogh PHJ, Polizzi G, et al : Osseointegrated implants for single-tooth replacement : A prospective 5year multicenter study. Int J Oral Maxillofac Implants 11:450-455, 1996
  30. Abrahamsson I, Berglundh T, Glantz PO, Lindhe J : The mucosal attachment at different abutments. An experimental study in dogs. J Clin Periodontal 25 (9): 721-727, 1998 https://doi.org/10.1111/j.1600-051X.1998.tb02513.x