상악동 골이식술 없이 상악 구치부에 식립된 임프란트의 생존율 (SURVIVAL RATE OF THE DENTAL IMPLANTS PLACED IN POSTERIOR MAXILLA WITHOUT SINUS AUGMENTATION)

서지정보

· 발행기관 : 대한구강악안면외과학회
· 수록지 정보 : 대한구강악안면외과학회지 / 35권 / 3호 / 170 ~ 175페이지
· 저자명 : 박혜원, 김명래, 김선종

초록

Purpose : The purpose of this study is to evaluate 7-year survival rate of implants placed without bone graft in posterior maxilla and compare the
survival rate by the age and gender of patient, length and diameter of implant, region of implant placement, bicortical engagement of fixture, and connection
of prosthesis.
Material and methods : 78 patients (170 implants) who visited our institution from 2002 to 2007 and were followed up with panoramic view and
medical records. Kaplan-Meier survival analysis and Log Rank (Mantel-Cox) test were used.
Results and conclusions : A 7-year cumulative survival rate for implants placed in posterior maxilla without sinus graft was 95.3%. The survival
rate in men was 91.8%, significantly lower than 98.8% in woman.(p<0.05) .However, the survival rate by the length of the implants did not show any
significant differences.(p>0.05), while the wide platform implant resulted in 85% survival rate which was statistically lower than 98.5% in regular
platform. The posterior maxillary implants engaged bicortically showed 97.6% of 7-year Survival rate, comparing 88.6% in not engaged implants. The
survival rate of the single implant was 91.2%, while 98.5% in splinted prosthesis. Therefore, the bicortical engagement of the fixtures and splinted
prosthesis may be recommended to get a long-term survival rate in posterior maxilla.

영어초록

Purpose : The purpose of this study is to evaluate 7-year survival rate of implants placed without bone graft in posterior maxilla and compare the
survival rate by the age and gender of patient, length and diameter of implant, region of implant placement, bicortical engagement of fixture, and connection
of prosthesis.
Material and methods : 78 patients (170 implants) who visited our institution from 2002 to 2007 and were followed up with panoramic view and
medical records. Kaplan-Meier survival analysis and Log Rank (Mantel-Cox) test were used.
Results and conclusions : A 7-year cumulative survival rate for implants placed in posterior maxilla without sinus graft was 95.3%. The survival
rate in men was 91.8%, significantly lower than 98.8% in woman.(p<0.05) .However, the survival rate by the length of the implants did not show any
significant differences.(p>0.05), while the wide platform implant resulted in 85% survival rate which was statistically lower than 98.5% in regular
platform. The posterior maxillary implants engaged bicortically showed 97.6% of 7-year Survival rate, comparing 88.6% in not engaged implants. The
survival rate of the single implant was 91.2%, while 98.5% in splinted prosthesis. Therefore, the bicortical engagement of the fixtures and splinted
prosthesis may be recommended to get a long-term survival rate in posterior maxilla.

참고자료

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