Park Young-Jin, Cho Sung-Am
Department of Prosthodontics, School of Dentistry, Kyung Pook National University, Dae-Gu, South Korea.
J Oral Maxillofac Surg. 2010 Jun;68(6):1338-44. doi: 10.1016/j.joms.2009.07.074. Epub 2010 Apr 3.
To evaluate the survival rate of implants placed in the maxillary tuberosity region using the fixed prosthesis in partially edentulous cases.
Of implant-treated patients who visited Kyung Pook National University Hospital, 7 partially edentulous patients (2 male and 5 female; mean age, 52.3 years; range, approximately 43 to 65) were selected according to the following criteria: 1) less than 3-mm thickness alveolar bone reaming at the first molar area and 2) 1 to 2 fixture premolars, with the additional implant at the maxillary tuberosity region. For the control group, patients who had nontuberosity areas were selected. After 1 to 7 years, marginal bone level, fixture mobility, and radiolucency of tuberosity fixtures of the fixed prostheses were evaluated by digital panorama (Starpacs, Infinitt, Seoul, Korea).
None of the fixtures of the tuberosity-installed implants for 1 to 7 years failed. The marginal bone level around the implants of the maxillary tuberosity 1 to 6 years (average 3.4 years) after the final prostheses was approximately 0.6 to 1.3 mm, with an average of 0.94 mm.
The fixture installation at the maxillary tuberosity using the unilateral partially edentulous implant-fixed prosthesis would be a clinically acceptable treatment module.
评估在部分牙列缺损病例中,使用固定修复体时上颌结节区域种植体的存留率。
在庆北国立大学医院接受种植治疗的患者中,根据以下标准选择了7例部分牙列缺损患者(2例男性,5例女性;平均年龄52.3岁;范围约43至65岁):1)第一磨牙区牙槽骨扩孔厚度小于3毫米;2)有1至2颗种植前磨牙,在上颌结节区域额外植入种植体。对照组选择无结节区域的患者。1至7年后,通过数字化全景片(Starpacs,Infinitt,韩国首尔)评估固定修复体上颌结节种植体的边缘骨水平、种植体松动度和透射区。
上颌结节植入的种植体在1至7年期间无一失败。最终修复后1至6年(平均3.4年)上颌结节种植体周围的边缘骨水平约为0.6至1.3毫米,平均为0.94毫米。
使用单侧部分牙列缺损种植固定修复体在上颌结节处植入种植体是一种临床上可接受的治疗方式。