Oliva Josep, Oliva Xavi, Oliva Josep D
Granollers, Barcelona, Spain.
Int J Oral Maxillofac Implants. 2007 May-Jun;22(3):430-5.
The aim of this study was to evaluate the success rate of 100 consecutive zirconia dental implants with 2 different rough surfaces after 1 year of follow-up.
One-piece zirconia dental implants (CeraRoot, Barcelona, Spain) with 1 of 2 different roughened surfaces were designed and manufactured for this study. Five different implant designs were manufactured. Standard or flapless surgical procedures were used for implant placement. Simultaneous bone augmentation or sinus elevation were performed in the cases where bone height or width was insufficient. Implants in the anterior region (canine to canine) were immediately restored with provisional prostheses. Implants placed using less than 35 N torque were splinted with composite resin using an etched and bonded approach to the neighboring teeth or implants to minimize implant mobility and failure. Definitive all-ceramic restorations were placed 4 months after implant placement (8 months for implants where bone augmentation or sinus elevation was performed).
The study included 36 patients with a mean age of 50 years. The overall implant success rate after 1 year of follow-up was 98% in both the coated and noncoated groups.
From the preliminary results of this investigation, it can be concluded that zirconia dental implants with roughened surfaces might be a viable alternative for tooth replacement. Further follow-up is needed to evaluate the long-term success rates of the implant surfaces studied.
本研究的目的是评估100颗连续的具有两种不同粗糙表面的氧化锆牙种植体在随访1年后的成功率。
为本研究设计并制造了具有两种不同粗糙表面之一的一体式氧化锆牙种植体(CeraRoot,巴塞罗那,西班牙)。制造了五种不同的种植体设计。采用标准或不翻瓣手术进行种植体植入。在骨高度或宽度不足的情况下,同时进行骨增量或上颌窦提升术。前部区域(尖牙至尖牙)的种植体立即用临时修复体进行修复。使用小于35 N扭矩植入的种植体,采用蚀刻和粘结方法用复合树脂与相邻牙齿或种植体进行夹板固定,以尽量减少种植体的移动和失败。种植体植入后4个月放置最终全瓷修复体(进行骨增量或上颌窦提升术的种植体为8个月)。
该研究纳入了36例平均年龄为50岁的患者。随访1年后,涂层组和未涂层组的总体种植体成功率均为98%。
从本研究的初步结果可以得出结论,具有粗糙表面的氧化锆牙种植体可能是牙齿替代的一种可行选择。需要进一步随访以评估所研究种植体表面的长期成功率。