Abstract Purpose: The aim of this study was to evaluate the effect of implant design on the incidence of peri-implant disease

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(1)ISSN 1229-5418 Implantology 2015; 19(4): 200~209. 임플란트 주위염 발생률에서 임플란트 디자인의 영향: Branemark 대 Straumann, 158명의 부분 치아상실 환자에서 2년간 후향적 관찰 연구 김석규 성균관대학교 의과대학 치과학교실. Effect of Implant Design on the Incidence of Peri-implant Disease: Branemark versus Straumann, a 2-Year Retrospective Study in 158 Partially Edentulous Patients Seok-Gyu Kim Department of Dentistry, Sungkyunkwan University College of Medicine, Seoul, Korea. Abstract Purpose: The aim of this study was to evaluate the effect of implant design on the incidence of peri-implant disease. Materials and Methods: The subjects of this study were 158 patients with 275 dental implants of 2 different designs, i.e., Branemark (216 implants) and Straumann (59 implants) who received dental implant treatments at Hannam Dental Clinic, Samsung Medical Center from January 2012 to December 2013. After the implant prostheses were delivered, the patients were reevaluated at the 3 to 6 months follow-up visits. Data were retrieved from the electric dental chart and radiographic records. Patients’ personal information, medical and dental history were recorded. The information related to the dental treatment including type, location, length and diameter of the implant, loading time of the implant, and the implant prosthesis type was recorded. Furthermore, the implant survival rate, implant prosthesis success rate, and the incidence of peri-implant diseases (peri-implant mucositis [PM]+peri-implantitis [PI]) were obtained. Clustered Cox regression model was used to compare the incidence of peri-implant diseases between the 2 implant designs. The effect of smoking habit, bruxism/clenching habit, and history of periodontitis on the incidence of peri-implant diseases were also analyzed. Results: The implant survival rate was 99.3% (2 failed). The incidence of peri-implant diseases was 5.8%. The implant type showed marginally significant influences (p=0.054) on the PM. Straumann presented a 3 fold higher incidence of PM than Branemark. The incidence of peri-implant diseases (PM+PI) were not significantly different between the 2 implant types. The history of periodontitis, smoking habit, and bruxism/clenching habit did not present any significant effects on the incidence of peri-implant diseases. Conclusion: Within the limitations of this retrospective study, the incidence of peri-implant diseases was not significantly different between the 2 different designs of implant, i.e., Branemark and Straumann. Key Words: dental implants, incidence, peri-implantitis, retrospective studies. Reprint requests: Seok-Gyu Kim Department of Dentistry, Sungkyunkwan University College of Medicine, 20 Itaewon-ro 55-gil, Yongsan-gu, Seoul 04348, Korea Tel: 82-2-792-6114, Fax: 82-2-792-6116 E-mail: seokgyu_k@hanmail.net Received for publication: October 29, 2015 Revised for publication: November 5, 2015 Accepted for publication: November 15, 2015. 교신저자: 김석규 (04348) 서울시 용산구 이태원로 55길 20 성균관대학교 의과대학 치과학교실 Tel: 82-2-792-6114, Fax: 82-2-792-6116 E-mail: seokgyu_k@hanmail.net 원고접수일: 2015년 10월 29일 원고수정일: 2015년 11월 5일 게재확정일: 2015년 11월 15일. Copyright © 2015. The Korean Academy of Oral & Maxillofacial Implantology This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.. 200 Implantology Vol. 19 No. 4, 2015.

(2) ⥭௡✙᜽ᜅ▽ᵲ"TUSB5FDIᯥ⥭௡✙a⠪Ɂ. * 서론. NN᮹⊹᳑ŉ⯂ᙹෝ 4USBVNBOOŝ#SBOFNBSLᯥ⥭௡ ✙abbNN᪡NNಽᖬ༉ࢱᕽಽᮁ᮹ ⦹í₉ᯕෝᅕᩍᵭᮥᅕŁ⦹ᩡ݅ᩍʑᕽ"TUSB5FDI. ⥭௡✙۵ᱥᦦၰᇡᇥྕ⊹ᦦ᮹ᔢᝅࡽ⊹ᦥ. ᯥ. ᯥ⥭௡✙۵TVCNFSHFEUZQFᯕḡอḡ‫ݡ‬ᵝaQMBUGPSN. ᙹᅖᮥ᭥⦽⊹ഭPQUJPOᮝಽฯᮡၽᱥᮥ⧕. TXJUDIJOHᮥᅕᩍᵝ۵ॵᯱᯙᯕŁ 4USBVNBOOᯥ⥭௡✙. ᪵݅ᯥ⥭௡✙᜽ᜅ▽ᮡᩍ᳦్ඹaᯩḡอ. ۵OPOTVCNFSHFEUZQFᯕ໕ᕽQMBUGPSNTXJUDIJOHᮥw. TDSFXFEDZMJOEFSTIBQFᯥ⥭௡✙aaᰆᅕ⠙ᱢᮝಽ. Łᯩḡᦫ݅ྜྷು ີ┡ᇥᕾᩑǍ۵əᯱഭᯙᯥᔢᩑ. ฯᯕอॅᨕḡŁᯩᮝ໑ᯥ⥭௡✙᜾พᚁ᜾ᨱ঑௝Ⓧ. Ǎॅe᮹݅᧲ᖒ IFUFSPHFOFJUZ ভྙᨱᝁኺᖒᯩ۵đ. íTVCNFSHFEUZQFŝOPOTVCNFSHFEUZQFᮝಽӹ٥ᨕ. ŝෝࠥ⇽⦹ʑaᛞḡᦫ݅. ḡʑࠥ⦽݅⊹ɝŝḢĞᯕ݅ෙᯥ⥭௡✙QMBUGPSN᭥. ᯥ⥭௡✙᪡ḡ‫ݡ‬ᵝe᮹ၙᖙeɚᮥ☖⧕ᯝᨕӹ۵ᖙ. ᨱᕽᯱᩑ⊹᪡zᮡFNFSHFODFQSPGJMFᮥᯥ⥭௡✙ᙹᅖ. Ɂ⋉⚍ಽᯙ⦽ᯥ⥭௡✙ԕᇡ᪅ᩝᯕᯥᔢᩑǍᨱ᮹⧕. ྜྷᨱᇡᩍ⧕ᵝʑᨱ۵TVCNFSHFEUZQF᮹ᯥ⥭௡✙aᮁ. ၾ⩡Ჭᮝ໑ }ᝅ⨹ᨱᕽ۵ḡ‫ݡ‬ᵝᯥ⥭௡✙ᩑđᇡ. ญ⦽ၹ໕ OPOTVCNFSHFEUZQF᮹ᯥ⥭௡✙۵ᯕ₉ᙹ. ᭥ᨱᕽḡᗮᱢᮝಽᖙɁ⋉₊ᯕࡹŁᩝ᷾ᗭčᯕᯩᮭ. ᚁᮥᔾఖ⦹۵ᰆᱱᯕᯩ۵ᚁ᜾ᯕ݅. ᮥᅕᩍᵝᨩ݅ 4UFJOFCSVOOFS॒ᮡᯥ⥭௡✙ḡ‫ݡ‬. ᯥ⥭௡✙᮹ḡ‫ݡ‬ᵝ᪡ᯥ⥭௡✙e᮹ၙᖙeɚ NJDSP. ᵝeɚᮥ☖⦽ᖙɁ٥⇽ᮥ↽ᗭ⪵⦹ʑ᭥⧕ᕽ۵ᯥ⥭. HBQ ŝəಽᯙ⦽ᯥ⥭௡✙ᵝᄡŉ⯂ᙹᨱš⧕ᕽ۵ฯ. ௡✙ḡ‫ݡ‬ᵝeᱢ⧊ࠥa‫׳‬ŁᕽಽၙᖙᬡḢᯥᯕᱢᮡ. ᮡᩑǍaᯩᨩ݅&SJDTTPO॒ŝ)FSNBOO॒ᮡ. ᩑđ᜽ᜅ▽ᯕ⦥᫵⦹݅ŁJOWJUSP᜽⨹ᮥ☖⧕᯦᷾⦹. OPOTVCNFSHFEUZQFᯥ⥭௡✙aTVCNFSHFEUZQFᯥ⥭. ᩡ݅"MPJTF॒ᮡḡ‫ݡ‬ᵝӹᔍ᮹ᦩᱶᖒŝၙᖙ٥⇽ᮥ. ௡✙ᨱእ⧕⊹᳑ŉ⯂ᙹaᱢᮡäᮥၽč⦹ᩡ݅əญ. ↽ᗭ⪵⦹ʑ᭥⧕ᱽ᯲ࡽNPSTFUBQFSEFTJHO᮹ᯥ⥭௡. . Ł)FSNBOO॒ ᮡᯥ⥭௡✙ᵝᄡŉ᮹⯂ᙹᱶࠥaᯕ. ✙ ᷪ#JDPO⪚ᮡ"OLZMPTᯥ⥭௡✙ࠥᖙɁၙᖙ٥⇽ᮡ. ၙᖙeɚ᮹᭥⊹ᨱ঑௝݅෕݅۵äᮥ"NFSJDBOIPVOE. ᯝᨕԉᮥJOWJUSPᝅ⨹ᮥ☖⧕᯦᷾⦹ᩡ݅ᩍ్ᯥ⥭௡. EPHᝅ⨹ᮥ☖⧕᷾໦⦹ᩡ݅ᷪ ᯥ⥭௡✙a⊹᳑ŉᱶ. ✙᜽ᜅ▽ॅᮥ⧉̹እƱ⦽ၙᖙ٥⇽ᝅ⨹ᨱᕽ(SPTT. ᨱᕽNN᭥ᨱ᜾พࢁĞᬑᯥ⥭௡✙ᵝᄡ⊹᳑ŉ⯂ᙹ. ॒ᮡ4USBVNBOOᯥ⥭௡✙a#SBOFNBSLෝእ೐⦽݅. aaᰆᱢᮡၹ໕ ⊹᳑ŉᱶᨱᕽNNᦥ௹ᨱ᜾พࢁ. ෙᯥ⥭௡✙᜽ᜅ▽ᨱእ⧕ၙᖙ٥⇽ᯕฯ݅ŁᅕŁ⦹. Ğᬑᨱᵝᄡ⊹᳑ŉ⯂ᙹaaᰆฯ݅۵äᮥၽč⦹ᩡ. ᩡ݅,PVUPV[JT॒ᮡᯥ⥭௡✙ၙᖙeɚᨱᕽ᮹ၙᖙ٥. ݅ ᯕ۵ੱ⦽1JBUUFMMJ॒ᯕᬱᚎᯕᝅ⨹ᮥ☖⧕ᰍ⪶. ⇽JOWJUSPᝅ⨹ᮡၹऽ᜽EZOBNJDMPBEJOHDPOEJUJPOᨱ. ᯙ⦹ᩡ݅ᷪ əॅᮡၙᖙeɚᯕ⊹᳑ŉᱶ᭥἞ᨱ᭥⊹. ᕽᝅ⧪ࡹᨕ᧝⧉ᮥv᳑⦹ᩡ݅. ⧁ভ۵ᩝ᷾ᖒᖙ⡍aၽčࡹḡᦫᦹᮝӹ⊹᳑ŉᱶŝ. ໦᮹⪹ᯱᨱᕽTQMJUNPVUITUVEZಽᝅ⧪ࡽᯥᔢᩑ. zᮡMFWFM⪚ᮡ޵ᦥ௹ᨱ᭥⊹⧕ᯩᮥভ۵ฯᮡᩝ᷾ᖒ. ǍᨱᕽOPOTVCNFSHFE᪡TVCNFSHFEJNQMBOU᜽ᜅ▽ᯙ. ᖙ⡍a ၽčࢉᮥ šₑ⦹ᩡ݅ ⦽⠙ -BVSFMMŝ. 4USBVNBOOŝ#SBOFNBSLᯥ⥭௡✙۵ᅕ℁ྜྷᰆ₊᜽ᇡ. . -VOEHSFO ᮡ֥ᨱᕽ֥ʭḡ᮹֥ᯕᔢࡽᯥᔢ. ░֥⬥ʭḡႊᔍᖁᔍḥᮥእƱ⧕ᅙđŝ⊹᳑ŉ⯂. ‫}ྙם‬ෝ☁‫ݡ‬ಽີ┡ᇥᕾᮥ᜽⧪⧩۵ߑ ᇥᕾࡽᯥ. ᙹaᮁ᮹⦹í₉ᯕaӹḡ۵ᦫᮭᯕᅕŁࡹᨩ݅ᯕš 대한구강악안면임프란트학회지 19권 4호, 2015 201.

(3) Original Article. ₑᝅ⨹ᨱᕽ۵݉ḡ}᮹4USBVNBOOᯥ⥭௡✙ᨱᕽอ. áᔍෝ⦽⬥ḥ݉༉⩶ᱽ᯲ᮥ᭥⦽ᱥᦦᯙᔢ₥ाၰ. QFSJJNQMBOUJUJTašₑࡹᨩ݅⦽⠙ ᜅᭉߕᔍ⫭ᅕ⨹. ᜅ⍡ᯝยŝ⊹໕ᖙษෝ᜽⧪⦹ᩡ݅⇵aᱢᯙ⊹ഭಽᕽ. ℎᨱ॒ಾࡽ໦᮹⪹ᯱᨱí᜾พࡽ }᮹ᯥ⥭௡. ⊹ᵝԎᗭ❭ᚁ GMBQPQFSBUJPO ⪚ᮡᩩ⬥aᇩప⦽⊹ᦥ. ✙ᨱ‫⦹ݡ‬ᩍ֥ᨱᕽ֥ʭḡGPMMPXVQ⦽đŝ. ᨱ‫⦽ݡ‬ၽ⊹ əญŁᄡ᭥ࡽ⊹ᦥᨱ‫⦽ݡ‬ǎᗭƱᱶၰ. ෝᅕ໕ 4USBVNBOOᯥ⥭௡✙ෝPEETSBUJPಽ‫ᦹ״‬ᮥ. ᬑ᜾⊹ഭ॒ᮥษ⊹Łӹ໕DPNQVUFEUPNPHSBQIZ $5 . ভ/PCFMCJPDBSF᪡"TUSB5FDIᯥ⥭௡✙۵PEETSBUJPs. TUFOUᱽ᯲ᮥ᭥⦽ᱥᦦᯙᔢ₥ाᯕᯕ൉ᨕᲭ݅ḥ݉. ᯕbbŝᮝಽ እಾ☖ĥᱢᮁ᮹ᖒᮡᨧᮝӹ. XBYVQᨱᕽอॅᨕḥ$5TUFOUෝᰆ₊⦹Ł$5↍ᩢᯕ. MBUFJNQMBOUMPTTa‫܆‬ᖒᯕ4USBVNBOOᯥ⥭௡✙ᅕ݅‫׳‬. ᪥ഭࡹᨩ݅. . ᮭᮥᅕŁ⦹ᩡ݅ 4VCNFSHFEJNQMBOU᪡OPOTVC. ᯥ⥭௡✙᜽ᚁᯕĥ⫮ࡹ໕⪹ᯱॅᮡ᜽ᚁ᜽eᱥᩩ. NFSHFEJNQMBOUe᮹ᯥ⥭௡✙ᵝ᭥ᩝᨱ‫⦽ݡ‬TVTDFQ. ႊᱢ⧎ᔾᱽෝᅖᬊ⦹Łᯥ⥭௡✙᜽ᚁᮥၼᦹᮝ໑ə. UJCJMJUZ۵əᩢ⨆ᯙᯱᯙၙᖙeɚ᮹᭥⊹aᕽಽ݅෕အ. ᯕ⬥᧞_ᯝ࠺ᦩ⧎ᔾᱽᅖᬊၰaɡᧂᔍᬊᮥ⦹. ಽᯥ⥭௡✙ᵝ᭥⊹᳑ŉ⯂ᙹపၰᯥ⥭௡✙ᵝ᭥ᩝၽ. ᩡ݅⪹ᯱॅᮡŉᮖ⧊ࡹ۵⊹ᮁʑe࠺ᦩᨕਜíǍv. ᔾශᯕ₉ᯕaᯩᮥäᮝಽᔾbࡹӹᩍ్݅ෙᅕŁa. ᭥ᔾᮥᮁḡ⦹۵ḡƱᮂၼŁᔢᦦᮡ᜾พ⬥⠪Ɂ}. ӹ᪅Łᯩ݅ᯕᨱ᳡޵᳑ᱩࡽᯥᔢᩑǍa⦥᫵⦹݅. ᬵ ⦹ᦦᮡ᜾พ⬥⠪Ɂ}ᬵᯕ⬥ᨱᯕ₉ᙹᚁၰᅕ℁. Łᔾbࡽ݅. ྜྷᰆ₊ŝᱶᯕḥ⧪ࡹᨩ݅ᅕ℁ྜྷᰆ₊⬥ᨱ}ᬵ⪚. ᅙᩑǍ᮹༊ᱢᮡၙᖙeɚ᮹᭥⊹a݅ෙࢱ᳦ඹᯥ. ᮡ}ᬵ݉᭥᮹ᱶʑᱢᯙǍváḥၰᜅ⍡ᯝยŝ⊹໕. ⥭௡✙᮹֥eᯥᔢᯱഭᙹḲᮥ☖⧕ᯥ⥭௡✙ᵝ᭥ᩝ. ᖙษෝ᜽⧪⦹ᩡ݅ᯕᔢ᮹⊹ŝḥഭෝၼᮡ⪹ᯱॅ᮹. ᩩႊᨱ᳡޵ᮁญ⦽ᯥ⥭௡✙᜽ᜅ▽ᮥ᦭ᦥᅕŁᯱ⧉. ᯥᔢḥഭʑಾᯱഭၰႊᔍᖁᔍḥᯱഭෝ☁‫ݡ‬ಽᩑǍ. ᯕ݅ᅙᩑǍ᮹ȡྕaᖅᮡ#SBOFNBSLᯥ⥭௡✙᪡. ᨱ⦥᫵⦽ᱶᅕෝᙹḲ⦹ᩡ݅. 4USBVNBOOᯥ⥭௡✙۵ᯥ⥭௡✙ᵝ᭥ᩝၽᔾශᨱᯩᨕ. ᅙᯥᔢᩑǍႊჶುᮡᔝᖒᕽᬙᄲᬱᔾ໦ᩑǍᮅญ᭥ᬱ. ᮁ᮹⦽₉ᯕaᨧ݅۵äᯕ݅ੱ⦽⇵aᱢᯙȡྕaᖅ. ⫭ *OTUJUVUJPOBM3FWJFX#PBSE ᮹᜚ᯙᮥၼᮡ⬥ᩑǍa. ಽᕽอᖒ⊹ᵝᩝĞಆ ᯕiᯕӹᯕᦦྜྷʑ᜖š əญŁ. }᜽ࡹᨩ֥݅ᬵᇡ░֥ᬵʭḡ}ᬵe. ⯂ᩑĞಆॅᯕᯥ⥭௡✙ᵝ᭥ᩝၽᔾᨱᮁ᮹⦽ᩢ⨆ᯕ. ᔝᖒᕽᬙᄲᬱ⦽ԉ࠺ᇡᗮ⊹ŝᨱԕᬱ⦹ᩍᯥ⥭௡✙ᅕ. ᨧ݅۵äᯕ݅. ℁⊹ഭෝၼᮡ⪹ᯱॅ᮹ʑŖᝅᯥ⥭௡✙ᅕ℁ྜྷᱽ᯲ ʑಾᮥ☁‫ݡ‬ಽᱥᯱ᮹ྕʑಾŝႊᔍᖁᔍḥʑಾᮥ᳑ ᔍ⦹ᩡ݅ᬑᖁ ⅾ໦᮹⪹ᯱॅᵲ#SBOFNBSLᯥ⥭. ** 연구재료 및 방법. ௡✙ /PCFMCJPDBSF ;VSJDI 4XJU[FSMBOE ᪡4USBVNBOO ᯥ⥭௡✙ OPOTVCNFSHFEUZQF4USBVNBOO #BTFM 4XJU[FSMBOE ಽ⊹ഭၼḡᦫᮡ໦᮹⪹ᯱॅᯕᱽ᫙ࡹ. 1. 연구대상 ᅙᬱ᮹༉ुᯥ⥭௡✙⊹ഭ‫ݡ‬ᔢ⪹ᯱॅᮡⅩḥԕᬱ. ᨩŁ ӹນḡ⪹ᯱॅᵲᨱᕽᯥ⥭௡✙ᅕ℁ྜྷᮥᰆ₊⦽ अ}ᬵᯕᔢGPMMPXVQᯕࡹḡᦫᮡ໦᮹⪹ᯱॅᯕ. ⬥ᱶʑáᔍᯙ❭‫י‬௝ษၰ⊹ɝ݉ႊᔍᖁᔍḥ↍ᩢᮥ. ᱽ᫙ࡹᨕⅾ໦᮹⪹ᯱॅ᮹}᮹ᯥ⥭௡✙ෝ‫ݡ‬ᔢ. ⦹Ł ᱥᝁၰ⊹ŝᄲಆྙḥ ᦦᦩ໕ᯥᔢáᔍ॒ʑⅩ. ᮝಽ⦹ᩡ݅. 202 Implantology Vol. 19 No. 4, 2015.

(4) 2. 연구방법. ۵Ğᬑ əญŁ1*᮹ᱶ᮹۵NNᯕᔢ᮹⊹ᵝԎʫᯕ . ḥഭၼᮡ⪹ᯱ᮹ᖒ໦ŝ ӹᯕ əญŁᖒᄥᮥ᳑ᔍ⦹ ᩡᮝ໑Ł⩩ᦶ ‫ ىݚ‬eᩝ॒᮹ᱥᝁÕvᔢ┽᪡⯂ᩑ. ┱⋉᜽⊹ᮡ⇽⩩ əญŁႊᔍᖁᔢ⊹᳑ŉ⯂ᙹෝʑᵡ ᮝಽ⦹ᩡ݅ . ᮁྕෝ᳑ᔍ⦹ᩍ᷾ಡʑಾᕽᨱʑಾ⦹ᩡ݅ᯥ⥭௡✙a ᜾พࡽᔢᝅ⊹ᦥᇡ᭥a⢽᜽ࡹᨩŁ ⪹ᯱ᮹อᖒ⊹ᵝ. 3. 분석방법. ḩ⪹Ğಆŝᯕiᯕ⪚ᮡᯕᦦྜྷʑ॒᮹ᯕᔢʑ‫܆‬ᮁྕ. ᅙᩑǍ۵᳦ᱢᮝಽšₑ⦽⬥⨆ᱢᩑǍಽᕽ᜽⨹ᯱॅ. ෝ᳑ᔍ⦹ᩡ݅⪹ᯱ᮹อᖒ⊹ᵝḩ⪹Ğಆᮡ₉ᮁ౞. ᮹ᩑǍₙᩍ᜽ᱱᯕbʑ݅෕໑ᯥ⥭௡✙᮹ᙹᵡᨱᕽ. ⊹ᵝ⦺⫭ᬭⓍ᙮ᨱᕽၽ⢽ࡽDPOTFOTVTᅕŁᕽᨱ঑௝. 1.ŝ1*᮹ၽᔾᮁྕෝšₑ⦹ᩡᮝအಽVOJWBSJBUF$PY. }ᯕᔢ᮹ᯙᱲ⦹ḡᦫᮡ⊹ᦥᨱᕽNNᯕᔢ᮹ɝᬱᝍ. SFHSFTTJPONPEFMGPSDMVTUFSFEEBUBෝᯕᬊ⦹ᩍIB[BSE. BUUBDINFOUMPTTa᳕ᰍ⦹۵ḡෝ⪹ᯱ᮹⊹ᵝ₉✙᪡ႊ. SBUJPෝᔑ⇽⦹۵TVSWJWBMBOBMZTJTෝ⦹ᩡ݅ᯥ⥭௡✙. ᔍᖁᔍḥᔢᨱᕽ⪶ᯙ⦹ᩍǍᇥ⦹ᩡ݅⪹ᯱ᮹ᯕiᯕ. ᵝ᭥ᩝ᷾ᮡəᵝ᭥⊹᳑ŉ⯂ᙹḥ⧪ᮁྕᨱ঑௝1.. ӹᯕᦦྜྷʑ۵⪹ᯱaᩑš᷾ᔢᮥ⪙ᗭ⦹Ñӹ᷾ᔢᮡ. ŝ1*ಽᇥඹࡹḡอ ᯕ۵ၽčࡽ᜽ᱱᮥʑᵡᮝಽᇥඹ. ᨧᨕࠥ᜽ᚁᯱašₑ⦹ᩍᝍ⦽⊹ᦥƱ⧊໕ษ༉ ❭ᱩ. ⦹۵⠙᮹ᔢ᮹ǍᇥႊჶᯕŁ1*aၽčࡹʑᱥᨱ⊹ᮡ. ॒ᯕšₑࡹ໕⧕‫ݚ‬ḩ⪹ᮝಽᇥඹ⦹ᩡ݅. ᩝ݉ĥෝÑℱuᮝအಽᯥ⥭௡✙ᵝ᭥ᩝ᷾⠪aෝ1. . ᜾พࡽᯥ⥭௡✙ෝ#SBOFNBSLŝ4USBVNBOOᮝಽǍᇥ. əญŁᯥ⥭௡✙ᵝ᭥ᩝ 1.

(5) 1* ᮹ࢱaḡಽᇥඹ⦹ᩍ. ⦹Łbᯥ⥭௡✙᮹ʙᯕ᪡ḢĞᮥʑಾ⦹ᩡ݅ᯥ⥭௡✙. ݅ෙᯙᯱॅ᮹ᩢ⨆ᮥ⠪a⦹ᩡ݅ᯥ⥭௡✙ᵝ᭥ᩝၽ. ᅕ℁ྜྷ᮹⩶┽ෝӹᔍᮁḡ⩶ ᜽ູ✙ᮁḡ⩶ əญŁӹ. ᔾᨱᩢ⨆ᮥᵝ۵ᯙᯱॅᮥ⪶ᯙ⦹Łᯱࠦพᄡᙹᯙᯥ. ᔍ᜽ູ✙ᮁḡ⩶ TDSFXBOEDFNFOUSFUBJOFEJNQMBOU. ⥭௡✙UZQF #SBOFNBSL 4USBVNBOO ŝÑอᖒ⊹ᵝ. QSPTUIFTJT ᮝಽᇥඹ⦹Łbᅕ℁ྜྷᮁܼᙹ᪡Ǎvԕ. ᩝᮁྕ ᯕiᯕӹᯕᦦྜྷʑ᜖šᮁྕ ⯂ᩑĞಆ əญ. . ʑ‫܆‬ʑe ᯥ᜽ᙹᅖྜྷʑe⡍⧉ ᮥʑಾ⦹ᩡ݅ ᯥ⥭. ŁǍvԕʑ‫܆‬ʑe॒᮹ᯙᯱॅᯕ☖ĥNPEFMᨱ᯦ಆ. ௡✙᮹ŉᮖ⧊ᝅ➉ᮁྕෝ᳑ᔍ⦹ᩡŁᯥ⥭௡✙ᅕ℁ྜྷ. ࡹᨩ݅᭥᮹✚ᱶᯙᯱॅᨱ‫ࡽ⇽י‬᜽⨹ᯱॅ᮹ᯥ⥭௡. ⧊ᄲ᷾ᮡӹᔍ⣡ฝŝ❭ᱩ ḡ‫ݡ‬ᵝ❭ᱩ ࠥᰍ❭ᱩ ə. ✙ᵝ᭥ᩝၽᔾශŝ‫ࡹ⇽י‬ḡᦫᮡ᜽⨹ᯱॅ᮹ᯥ⥭௡✙. ญŁᅕ℁ྜྷ❭ᱩŝᬑᩑ┩௞॒ᮝಽᯱᖙ⯩ʑಾ⦹ᩡ. ᵝ᭥ᩝၽᔾශᮥእƱ⦹ᩍ ✚ᱶᯙᯱaᯥ⥭௡✙ᵝ᭥. ݅ᯥ⥭௡✙ᔾྜྷ⦺ᱢ⧊ᄲ᷾ᮡᯥ⥭௡✙ᵝ᭥⊹ᮡᩝ. ᩝၽᔾᨱၙ⊹۵ᩢ⨆ᮥ᦭ᦥᅕᦹ݅ᅙᩑǍ᮹☖ĥᇥ. QFSJJNQMBOUNVDPTJUJT 1. ŝᯥ⥭௡✙ᵝ᭥⊹ᵝᩝ. ᕾᮥ᭥⧕4"4⥥ಽəఉ WFSTPJO4"4*OTUJUVUF . QFSJJNQMBOUJUJT 1* ᮝಽǍᇥ⦹ᩍʑಾ⦹ᩡ݅. $BSZ /$ 64" ᯕᯕᬊࡹᨩ݅. ᯕॅᯱഭෝ☁‫ݡ‬ಽᱥℕ⪹ᯱॅ᮹ᯥ⥭௡✙ᔾ᳕ᮉ ᯥ⥭௡✙ᅕ℁ྜྷᖒŖශ əญŁᯥ⥭௡✙ᵝ᭥ᩝၽᔾ ශᮥǍ⦹ᩍእƱ⧩݅ᯥ⥭௡✙ᔾ᳕ᮉŝᅕ℁ྜྷᖒŖ. *** 연구결과. ශᮡ*OUFSOBUJPOBM$POHSFTTPG0SBM*NQBMOUPMPHJTUT᮹ ֥DPOTFOTVTᖙၙӹđŝෝʑᵡᮝಽᯥ⥭௡✙ᙹ ᵡᨱᕽǍ⦹ᩡ݅1.᮹ᱶ᮹۵┱⋉᜽⊹ᮡ⇽⩩ŝၽ. ֥ᨱᕽ֥ʭḡ֥eᅙᬱᨱᕽ#SBOFNBSLŝ. ᱢ॒᮹ᩝ᷾ᗭčᮡᯩᮝӹႊᔍᖁᔢ⊹᳑ŉ⯂ᙹaᨧ. 4USBVNBOOᯥ⥭௡✙ಽ⊹ഭၼᮡ⪹ᯱॅᵲ}ᬵᯕᔢ 대한구강악안면임프란트학회지 19권 4호, 2015 203.

(6) Original Article. GPMMPXVQࡽ⪹ᯱॅᯕ໦ᯕᨩŁ ᱥℕᖒᄥಽ۵ԉᯱ. Ł⩩ᦶᯕᯩ۵⪹ᯱa໦ ‫ىݚ‬ᄲᯕ໦ ḡႊeᯕӹ. ⪹ᯱa໦ ᩍᯱ⪹ᯱa໦ᯕᨩᮝ໑ ᩑಚᄥಽ۵. eᩝᯕ໦ rᔢᖁʑ‫܆‬ᯕᔢᯕ໦ əญŁʑ┡đ⧖ᯕ. ‫ݡ‬a໦ ‫ݡ‬a໦ ‫ݡ‬a໦ əญŁ‫ݡ‬a. ӹŁḡ⩩᷾ ᦵ ᇡᱶๆ ᬑᬙ॒᷾᮹ḩ⪹ᯕʑಾࡹᨩ. ໦ᯕᨩ݅ᯕॅᵲ֥ᨱ໦ ֥ᨱ໦᮹⪹. ݅ᯥ⥭௡✙᜽ᚁʑeᵲ⯂ᩑᮥ⦽⪹ᯱ۵໦ᯕᨩ. ᯱaḥഭෝၼᦹᮝ໑ᯥ⥭௡✙}ᙹಽ۵bb}᪡. Ł อᖒ⊹ᵝḩ⪹⪹ᯱ۵༉ࢱ໦ əญŁᯕiᯕ⪚. }ᯕ݅bᯥ⥭௡✙ቭ௽ऽᄥಽᅕ໕#SBOFNBSL. ᮡᯕᦦྜྷʑ᜖šᯕᯩ۵⪹ᯱ۵໦ᯕᨩ݅⪹ᯱ᮹ྕ. } 4USBVNBOO}ᩡ݅⪹ᯱॅ᮹ᱥᝁḩ⪹ᮥᅕ໕. ʑಾᨱᕽ⇵⇽⦽ʑ┡ᯥ⥭௡✙šಉᱶᅕၰǍvԕʑ. Table 1. Implant-related informations from the electric medical records No. of patients (n=158) No. of prostheses (n=200) No. of implants (n=275) Implant brand Branemark Straumann Branemark and Straumann Implant length (mm) <10 ≥10 Implant diameter (mm) 4.0 or 4.1 4.8 or 5.0 Retention type of prosthesis Screw type Cement type Screw and cement type (SCP) Failure of osseointegration Branemark Straumann Technical complication Branemark Straumann Biological complication Periimplant mucositis; Branemark Straumann Periimplantitis; Branemark Straumann. 118 39 1. -. 216 59 -. -. -. 9 266. -. -. 60 215. -. 185 3 12. -. 1 1. 1 1. 1 1. 6 2. 6 2. 7 5. 7 4 3 0. 7 4 3 0. 8 4 4 0. SCP: screw- and cement-retained implant prosthesis. Seok-Gyu Kim : Effect of Implant Design on the Incidence of Peri-implant Disease: Branemark versus Straumann, a 2-Year Retrospective Study in 158 Partially Edentulous Patients. Implantology 2015. 204 Implantology Vol. 19 No. 4, 2015.

(7) Table 2. Position for implants placed Tooth No. (maxilla). No. of implants. 17. 16. 15. 14. 13. 12. 11. 21. 22. 23. 24. 25. 26. 27. 30. 35. 14. 5. 0. 0. 0. 0. 0. 0. 2. 8. 18. 26. Tooth No. (mandible) No. of implants. 47. 46. 45. 44. 43. 42. 41. 31. 32. 33. 34. 35. 36. 37. 27. 32. 9. 2. 0. 0. 0. 0. 0. 0. 3. 9. 25. 28. Seok-Gyu Kim : Effect of Implant Design on the Incidence of Peri-implant Disease: Branemark versus Straumann, a 2-Year Retrospective Study in 158 Partially Edentulous Patients. Implantology 2015. Table 3. Factors related to peri-implant mucositis Parameter. classval. Implant type. Straumann Branemark (reference) Yes No (reference) Yes No (reference) Yes No (reference). HP BC SH. Pr>ChiSq 0.0545 . 0.3664 . 0.9528 . 0.2102 .. Hazard ratio 3.011 . 0.52 . 1.055 . 0.154 .. 95% Hazard ratio Confidence limits 0.979 . 0.126 . 0.181 . 0.008 .. 9.261 . 2.15 . 6.145 . 2.877 .. Statistics by clustered Cox regression by Firth correction. Pr: probability, ChiSq: chi-square, HP: history of periodontitis, BC: bruxism and clenching, SH: smoking habit. Seok-Gyu Kim : Effect of Implant Design on the Incidence of Peri-implant Disease: Branemark versus Straumann, a 2-Year Retrospective Study in 158 Partially Edentulous Patients. Implantology 2015. ‫܆‬ʑe ᯥ⥭௡✙ᔾ᳕ŝ⧊ᄲ᷾ᱶᅕ۵5BCMF ᜾พࡽ ᯥ⥭௡✙᮹᭥⊹ᨱ‫⦽ݡ‬ᱶᅕ۵5BCMF᪡z݅. $PYSFHSFTTJPONPEFMᨱօaḡᄡᙹॅ ᯥ⥭௡✙᳦ ඹ อᖒ⊹ᵝḩ⪹Ğಆ ᯕiᯕ⪚ᮡᯕᦦྜྷʑ᜖š ⯂. }᮹ ᱥℕ ᯥ⥭௡✙ ᵲ ໦᮹ ⪹ᯱᨱíᕽ }. ᩑ ŝTVSWJWBMPVUDPNF NPOUI ŝ᮹ᔢ⪙᯲ᬊᮥ⡍⧉. #SBFONBSL} 4USBVNBOO} aᝅ➉⦹ᩍᯥ⥭௡✙. ᜽⎑ᮥভᮁ᮹⦹ḡᦫᮡs Q> ᯕӹ᪵ᮝအಽᝅ⨹. ᔾ᳕ᮉᮡᩡ݅ᯥ⥭௡✙ᅕ℁ྜྷᖒŖශᮡᱥℕ. ༉ߙ᮹እಡ᭥⨹aᱶ QSPQPSUJPOBMIB[BSEBTTVNQ. }ᅕ℁ྜྷaᬕߑࠥᰍ❭ᱩᯕ} ӹᔍ⣡ฝᯕ} . UJPO ᯕอ᳒ࡹᨩ݅əญŁᯥ⥭௡✙ᵝ᭥ᩝ᷾ 1. . əญŁᯥ᜽⧊₊ᱽXBTIPVU ᅕ℁ྜྷGJUྙᱽ }aၽ. 1.

(8) 1* ŝօaḡᄡᙹॅe᮹ⰜUBCMFᨱᕽDFMMsᯕ. ᔾ⦹ᩍ᮹ᖒŖශᮥᅕᩡ݅ᯥ⥭௡✙ᵝ᭥ᩝaᬕ. ๅᬑᱢᨕ'JSUIDPSSFDUJPOᮥ᜽⧪⦹ᩡ݅ᯥ⥭௡✙ᵝ. ߑ1.ᮡ} #SBOFNBSL} 4USBVNBOO} 1*۵. ᭥ᩝᵲ1.ᨱ‫⦽ݡ‬ᩢ⨆ᮥᅕ໕áᱶ⦽օaḡᄡᙹॅ. } #SBFNBSL} 4USBVNBOO} aၽᔾ⦹ᩍᱥℕᯥ. aᬕߑᯥ⥭௡✙᳦ඹอᯕ᧞⦹íᮁ᮹⦽ NBSHJOBMMZ. ⥭௡✙ᵝ᭥ᩝ 1.

(9) 1* ၽᔾශᮡᩡ݅. TJHOJGJDBOU Q 4USBVNBOOIB[BSESBUJP ᩢ 대한구강악안면임프란트학회지 19권 4호, 2015 205.

(10) Original Article. Table 4. Factors related to peri-implant diseases (peri-implant mucositis+peri-implantitis) Parameter. classval. Implant type Straumann Branemark (reference) Yes HP No (reference) Yes BC No (reference) Yes SH No (reference). Pr>ChiSq. Hazard ratio. 0.1188 . 0.4019 . 0.1075 . 0.1492 .. 2.301 . 0.598 . 2.473 . 0.119 .. 95% Hazard ratio Confidence limits 0.807 . 0.18 . 0.821 . 0.007 .. 6.556 . 1.989 . 7.448 . 2.148 .. Statistics by clustered Cox regression by Firth correction. Pr: probability, ChiSq: chi-square, HP: history of periodontitis, BC: bruxism and clenching, SH: smoking habit. Seok-Gyu Kim : Effect of Implant Design on the Incidence of Peri-implant Disease: Branemark versus Straumann, a 2-Year Retrospective Study in 158 Partially Edentulous Patients. Implantology 2015. ⨆ᮥᅕᯕŁᯩŁอᖒ⊹ᵝḩ⪹Ğಆ ᯕiᯕ⪚ᮡᯕᦦ. Łၹ໕ ᯥ⥭௡✙ᵝ᭥ᩝᱥℕ 1.

(11) 1* ᮹ၽᔾᨱ۵ࢱ. ྜྷʑ᜖š əญŁ⯂ᩑĞಆᮡᮁ᮹⦽ᩢ⨆ᮥᅕᯕŁᯩ. ᳦ඹ᮹ᯥ⥭௡✙aⓑ₉ᯕaᨧ۵äᮝಽӹ᪵݅1.ŝ. ḡᦫᦹ݅ᯥ⥭௡✙ᵝ᭥ᩝᱥℕ 1.

(12) 1* ᨱ‫⦽ݡ‬ᩢ⨆ᨱ. 1*ၽᔾ⬀ᙹ۵#SBOFNBSLᯥ⥭௡✙a4USBVNBOOᯥ⥭. ᕽ۵օaḡᄡᙹa༉ࢱᮁ᮹⦽ᩢ⨆ᮥᅕᯕḡᦫŁᯩ. ௡✙ᨱእ⧕ࢱ႑ᱶࠥ޵ฯḡอᯕ۵ᩑǍ‫ݡ‬ᔢᯥ⥭. ݅ Q> ᯥ⥭௡✙ᵝ᭥ᩝ 1.

(13) 1* ᨱ‫⦽ݡ‬4USBVNBOO. ௡✙}ᙹ᮹₉ᯕ #SBOFNBSL}WT4USBVNBOO. ᯥ⥭௡✙᮹IB[BSESBUJP۵ əญŁᯕiᯕӹᯕᦦ. } ෝŁಅ⦹ᩍ᧝⧁äᮝಽᅕᯙ݅ੱ⦽}ᬵᯕᔢ. ྜྷʑ᜖š᮹IB[BSESBUJP۵ᯕᨩ݅ 5BCMFT ᯥ. šₑࡽᯥ⥭௡✙᮹}ᙹ۵ə₉ᯕ #SBOFNBSL}WT. ⥭௡✙ᵝ᭥ᩝ᮹ၽᔾ᜽ʭḡ᮹ᯥ⥭௡✙ᅕ℁ྜྷ᮹Ǎv. 4USBVNBOO} a޵Ⓧအಽ᪅௽ʑeǍvԕ⪹Ğᨱ. ԕʑ‫܆‬ʑeၰօaḡᄡᙹॅŝ᮹šĥ۵5BCMF᪡z. ‫ࡽ⇽י‬ᯥ⥭௡✙a޵ฯᮡ#SBOFNBSLᯥ⥭௡✙ᨱᕽ޵. ݅. ฯᮡᯥ⥭௡✙ᵝ᭥ᩝᯕၽᔾࡽäᮝಽᔾb⧕᧝⧁ä ᯕ݅ ᯥ⥭௡✙᪡ḡ‫ݡ‬ᵝeᨱ᳕ᰍ⦹۵ၙᖙeɚᮡə᭥⊹. *7 총괄 및 고찰. ᨱ঑௝ᯥ⥭௡✙ᵝ᭥⊹ᮡᨱᩝ᷾ᮥᯝᮝ┅۵ᱶࠥ᮹ ₉ᯕaᯩᮭᮥ࠺ྜྷᝅ⨹ᮥ☖⧕᯦᷾ࡹᨩ݅ ᯕ۵ᩝ ᷾ᮥ ᯝᮝ┅۵ ⪙ᵲǍ ॒᮹ ᖙ⡍ ᙹa POFQJFDF. ᅙᩑǍᨱᕽ#SBOFNBSLŝ4USBVNBOOᯥ⥭௡✙۵ᯥ. JNQMBOU᪡UXPQJFDFJNQMBOUeᨱ႑ᯕᔢ₉ᯕa. ⥭௡✙ᵝ᭥ᩝၽᔾශᨱᮁ᮹⦽₉ᯕaᨧ݅۵ȡྕaᖅ. ӹ۵äᮝಽᕽӹ┡ӹ໑ ᯥ⥭௡✙ၙᖙeɚᮥ☖⧕ᦩ. ᯕ ʑbࡹᨩ݅ እಾ ☖ĥᱢᮝಽ ᧞⦹ʑ۵ ⦹ḡอ. ᮝಽ ᮁ᯦ࡽ ᖙɁॅᯕ Ǎv ℎᗭᨱ ‫ ⦽ݡ‬ᱲɝ PSBM. 4USBVNBOOᯥ⥭௡✙a#SBOFNBSLᯥ⥭௡✙ᨱእ⧕. IZHJFOFBDDFTT ᯕ₉݉ࡽ⊹ᮡᩑ⦹ᨱᕽᰆʑᱢᮝಽ⊹. ႑ᱶࠥ1.ၽᔾᨱᩢ⨆ᯕⓑäᮝಽ☖ĥᇥᕾᯕࡹᨩ. ᮡᨱᩝ᷾ၹ᮲ᮥᯝᮝ┅۵⩥ᔢᮝಽ᪅ఌ࠺ᦩᩑǍࡹᨕ. 206 Implantology Vol. 19 No. 4, 2015.

(14) Table 5. Functioning time of implants prior to exposure to peri-implant diseases Peri-implant disease Peri-implant mucositis Branemark #36 #17 #46 #17 #16 #46 #35, #36 Straumann #47 #47 #16 #37 Peri-implantitis Branemark #46 #15, #16 #27 Straumann No implants affected. 1.ŝ1* ᷾ᔢ⬀ᙹෝእƱ⦽äᮝಽᕽᱥℕᱢᮝಽ۵ ࢱaḡᯥ⥭௡✙ॵᯱᯙeᨱᮁ᮹⦽₉ᯕaᨧ۵äᮝ. Time (mo). ಽӹ┡ԍ݅ᯕ۵໦᮹⪹ᯱᯱഭᨱᕽ⇵⇽⦽ }᮹ ᯥ⥭௡✙ ᩩ⬥ෝ ⠪a⦽ ᜅᭉߕ ᩑǍᨱᕽ. 1 wk 3 13 18 20 22 23 3 (BC) 16 19 21 (HP). #SBOFNBSLᯥ⥭௡✙a4USBVNOOᯥ⥭௡✙ᨱእ⧕☖ĥ ᱢᮝಽᮁ᮹⦹í‫׳‬ᮡᯥ⥭௡✙ᵝ᭥ᩝၽᔾශᮥᅕᯕḡ ۵ᦫ۵݅۵ᝅ⨹đŝᨱ᮹⧕ḡḡࡹᨩ݅ᅙᝅ⨹ᮡ ⬥⨆ᱢᩑǍಽᕽᜅᭉߕᩑǍᨱእ⧕᜽⨹‫ݡ‬ᔢᯥ⥭௡ ✙}ᙹ } aᱢ݅۵݉ᱱᮥwŁᯩᮝӹ ᯥ⥭௡✙ ᮹Ǎvԕʑ‫܆‬ʑeᮥŁಅ⦽☖ĥᇥᕾᮥ⦹ᩡ݅ੱ⦽ ᯥ⥭௡✙᮹ᵝ᭥ᩝᮝಽᯙ⧕ၽÑ⦽ᯥ⥭௡✙᮹}ᙹෝ እƱ⦽ᜅᭉߕᝅ⨹ŝ۵‫ݍ‬ญᯥ⥭௡✙ᵝ᭥ᩝ᷾ᔢᮥ ӹ┡ԙᯥ⥭௡✙}ᙹෝእƱ⦹ᩡ݅ ᅙᝅ⨹ᨱᕽ۵ᯥ⥭௡✙ᙹᵡᨱᕽᯥ⥭௡✙ᵝ᭥ᩝᱥ ℕ 1.ŝ1* ᮹ၽᄲශᯕಽ݅ෙᩑǍ‫ॅྙם‬᮹1*. 12 (HP) 24 (BC) 25 (HP). BC: patient with bruxism or clenching habit, HP: patient with history of periodontitis. Seok-Gyu Kim : Effect of Implant Design on the Incidence of Peri-implant Disease: Branemark versus Straumann, a 2-Year Retrospective Study in 158 Partially Edentulous Patients. Implantology 2015. ၽᄲශ_ᨱእ⧕ᕽࠥԏᮡsᮥᅕᩡ݅ ᯕ۵ ‫ݡ‬ᔢ⪹ᯱॅ᮹Ǎv᭥ᔾšญ‫܆‬ಆŝᰍԕᬱႊྙ∊ᝅ ࠥa ‫׳‬ᮡ äᯕ ᯕᮁಽ Łಅࡹᨩ݅ ֥ )FJU[ .BZGJFME۵ฯᮡᩑǍ‫ॅྙם‬ᯱഭෝ☖⧕TZTUFNBUJD SFWJFXᩑǍෝ⦹ᩡᮝ໑ᯥ⥭௡✙ᵝ᭥ᩝ᮹⪶ᝅ⦽᭥⨹ ᫵ᗭಽᕽᇩప⦽Ǎv᭥ᔾ ⊹ᵝᩝĞಆ əญŁ⯂ᩑĞ ಆᯥᮥᅕŁ⦹ᩡ݅ੱ⦽ᱽ⦽ᱢᯙ᷾ÑෝᅕᯕŁ۵ᯩ ᮝӹᩎ᜽⇵aᱢᯙ᭥⨹᫵ᗭಽᕽ‫ىݚ‬ᄲŝ᦭⎵᪍ᖎ ≉ෝᅕŁ⦹ᩡ݅ᅙᬱ᮹ԕᬱ⪹ᯱॅ᮹݅ෙ᭥⨹ᯙᯱ. ᪵݅0OFQJFDFJNQMBOUࠥᯥ⥭௡✙᪡ᅕ℁ྜྷeᩑđ. ॅᮡⓑ₉ᯕaᨧ݅Łᅝভ⪹ᯱ}ᯙ᮹⊹ŝǍv᭥ᔾ. ᇡ᭥᮹ၙᖙeɚᯕ᳕ᰍ⦹ӹə᭥⊹a⊹᳑ŉᔢႊ. ‫܆‬ಆ᮹⨆ᔢŝЙᵡ⦽⊹ŝԕᬱ᭥ᔾšญaᯥ⥭௡✙. NN᭥ᯕÑӹ☖ᔢ⊹ᮡᩑᔢᨱ᭥⊹⦹ŁᯩᨕǍvℎ. ᵝ᭥ᩝၽᔾශᮥԏ⇹äᮝಽ❱݉ࡹᨩ݅. ᗭᨱ‫⦽ݡ‬ℎđᯕ޵ᬊᯕ⦽ᯕᮁಽ⊹ᮡᩝ᷾ၹ᮲ၰ. ᅙᝅ⨹ᨱᕽᯥ⥭௡✙ᵝ᭥ᩝᨱอᖒ⊹ᵝᩝĞಆ ᯕ. ⊹᳑ŉ⯂ᙹaUXPQJFDFJNQMBOUᅕ݅ᱢᨩ޹äᮝಽᔾ. iᯕӹᯕᦦྜྷʑ᜖š əญŁ⯂ᩑĞಆᯕᮁ᮹⦽ᩢ⨆. bࡽ݅ᅙᝅ⨹ᮡ⪹ᯱ᮹ᱶʑԕᬱšₑᮥ☖⧕ᕽࢱ. ᯕᨧ۵äᮝಽӹ┡ԍ݅)FJU[.BZGJFME۵⊹ᵝᩝĞ. aḡॵᯱᯙ ᷪPOFQJFDFJNQMBOUᯙ4USBVNBOOᯥ⥭. ಆŝ ᩑšࡽ }᮹ ᩑǍ ‫ॅྙם‬ᨱ ‫ ⦽ݡ‬TZTUFNBUJD. ௡✙᪡UXPQJFDFJNQMBOUᯙ#SBOFNBSLᯥ⥭௡✙e᮹. SFWJFXᨱᕽᯥ⥭௡✙ᔾ᳕ᮉᮡᯥ⥭௡✙⊹ഭᱥ᮹⊹ᵝ. ⊹᳑ŉ⯂ᙹపᮥእƱ⦽äᯕᦥ‫ܩ‬௝ᯥ⥭௡✙ᵝ᭥ᩝ. ᩝŝ☖ĥᱢᮝಽᮁ᮹⦽ᩑšᖒᯕᨧᨩᮝӹ ᯥ⥭௡✙ 대한구강악안면임프란트학회지 19권 4호, 2015 207.

(15) Original Article. ᵝ᭥ŉᗱᝅᯕ⡍⧉ࡹ۵ᯥ⥭௡✙ᖒŖශᨱᕽ۵⊹ᵝᩝ ᯕᯩᨩ޹⪹ᯱᨱíᕽԏᮡᖒŖශᮥᅕᩡᮭᮥᅕŁ⦹ᩡ. References. ݅əၷᨱ0OH॒ᯕӹ7BOEFS8FJKEFO॒᮹TZT UFNBUJDSFWJFXᩑǍᨱᕽࠥอᖒ⊹ᵝᩝᮥĞ⨹⦽⪹ᯱ ۵እ⊹ᵝᩝ⪹ᯱᅕ݅ࠥᯥ⥭௡✙ᔢᝅᯕӹᯥ⥭௡✙ᵝ ᭥ᩝᮥ޵ฯᯕċ۵݅۵äᮥᅕŁ⦹ᩡ݅⯂ᩑᮡ⩩š ᨱᙹ⇶ᮥᯝᮝ┅Ł⩩ඹᗮࠥ᪡⩩ℎǍᖒ॒ᨱᩢ⨆ᮥ ᵝ໑✚⯩⪙ᵲǍ᮹ʑ‫܆‬ᨱᗱᔢᮥᵝ໕ᕽǍvԕ₞ᔢ ⊹ᮁʑ‫܆‬ᨱᩢ⨆ᮥᵝ۵äᮝಽ᦭ಅᲙᯩ݅঑௝ᕽᯥ ⥭௡✙ᵝ᭥ᩝ᮹⊹ഭ⬥⊹ᮁŝᱶᐱอᦥ‫ܩ‬௝ᯥ⥭௡✙. 1. Ericsson I, Nilner K, Klinge B, et al. Radiographical and histological characteristics of submerged and nonsubmerged titanium implants. An experimental study in the Labrador dog. Clin Oral Implants Res. 1996; 7: 20-26. 2. Hermann JS, Cochran DL, Nummikoski PV, et al. Crestal bone changes around titanium implants. A radiographic evaluation of unloaded nonsubmerged and submerged implants in the canine mandible. J Periodontol. 1997; 68: 1117-1130.. ᵝ᭥ŉᗱᝅᨱࠥ⯂ᩑᯕᩢ⨆ᮥᵝ۵äᮝಽᅕŁࡹŁ. 3. Hermann JS, Buser D, Schenk RK, et al. Crestal bone changes around. ᯩᮝ໑ ᯥ⥭௡✙᜽ᚁʑeᐱอᦥ‫ܩ‬௝əᱥᨱ⯂ᩑᮥ. titanium implants. A histometric evaluation of unloaded non-submerged. ҫᮡᔍ௭ᨱíᕽࠥᯥ⥭௡✙᮹ᖒŖශᮡᩢ⨆ᮥၼ۵݅ ۵ᅕŁaᯩᨩ݅ ᯕiᯕ᪡ᯕᦦྜྷʑ॒᮹ŝᇡ⦹ᯙ ᯱ᪡ᯥ⥭௡✙ᵝᄡŉ⯂ᙹ᪡᮹šĥ۵࠺ྜྷᝅ⨹ᨱᕽ۵ . ᕽಽᔢၹࡽđŝॅᯕӹ᪵݅. ŝᇡ⦹۵อᖒ⊹ᵝᩝ. Ğಆᯕӹ⯂ᩑŝ۵‫ݍ‬ญᯥ⥭௡✙ᵝ᭥ᩝᨱ‫⧕ݡ‬v⦽ ᷾ÑෝwŁᯩḡ༜⦹۵ᯙᯱᯕ໑ ᯕ۵ŝᇡ⦹ᯱℕ อᮝಽḢᱲᱢᯙᯥ⥭௡✙ᵝ᭥ᩝᮥᯝᮝ┉݅Łᅕʑᨕ ಖʑভྙᯕ݅ᯕᔢ᮹ᖙaḡᯙᯱॅ᮹ᯥ⥭௡✙ᵝ᭥ ᩝŝ᮹šĥᨱᕽʑ᳕ᩑǍ᪡ᅙᝅ⨹đŝ᪡᮹₉ᯕ۵ TZTUFNBUJDSFWJFX᮹ႊჶುᱢᯙ⦽ĥ᪡ᅙᝅ⨹᮹ᯥ⥭. and submerged implants in the canine mandible. J Periodontol. 2000; 71: 1412-1424. 4. Hermann JS, Schoolfield JD, Schenk RK, et al. Influence of the size of the microgap on crestal bone changes around titanium implants. A histometric evaluation of unloaded non-submerged implants in the canine mandible. J Periodontol. 2001; 72: 1372-1383. 5. Piattelli A, Vrespa G, Petrone G, et al. Role of the microgap between implant and abutment: a retrospective histologic evaluation in monkeys. J Periodontol. 2003; 74: 346-352. 6. Laurell L, Lundgren D. Marginal bone level changes at dental implants after 5 years in function: a meta-analysis. Clin Implant Dent Relat Res. 2011; 13: 19-28. 7. Quirynen M, van Steenberghe D. Bacterial colonization of the internal. ௡✙ᵝ᭥ᩝၽᔾශᯕᔢ‫ݡ‬ᱢᮝಽԏᦹ޹äᮥŁಅ⧕᧝. part of two-stage implants. An in vivo study. Clin Oral Implants Res.. ⧁äᮝಽᅕᩡ݅. 1993; 4: 158-161. 8. Han MJ, Chung CH, Kim HJ, et al. Detection of periodontal disease related bacteria from the implant-abutment interface in oral cavity. J Korean Acad Prosthodont. 2008; 46: 116-124.. 7 결론. 9. Ericsson I, Persson LG, Berglundh T, et al. Different types of inflammatory reactions in peri-implant soft tissues. J Clin Periodontol. 1995; 22: 255-261. 10. Broggini N, McManus LM, Hermann JS, et al. Persistent acute. ᅙ⬥⨆ᱢᯱഭᩑǍ᮹⦽ĥԕᨱᕽࢱaḡ݅ෙॵᯱ ᯙ᮹ᯥ⥭௡✙ᯙ#SBOFNBSLᯥ⥭௡✙᪡4USBVNBOOᯥ ⥭௡✙۵ᯥ⥭௡✙ᵝ᭥ᩝ᮹ၽᔾශᨱⓑ₉ᯕaᨧᨩ ݅ 208 Implantology Vol. 19 No. 4, 2015. inflammation at the implant-abutment interface. J Dent Res. 2003; 82: 232-237. 11. Steinebrunner L, Wolfart S, Bössmann K, et al. In vitro evaluation of bacterial leakage along the implant-abutment interface of different implant systems. Int J Oral Maxillofac Implants. 2005; 20: 875-881..

(16) 12. Aloise JP, Curcio R, Laporta MZ, et al. Microbial leakage through the implant-abutment interface of Morse taper implants in vitro. Clin Oral Implants Res. 2010; 21: 328-335. 13. Gross M, Abramovich I, Weiss EI. Microleakage at the abutmentimplant interface of osseointegrated implants: a comparative study. Int J Oral Maxillofac Implants. 1999; 14: 94-100. 14. Koutouzis T, Wallet S, Calderon N, et al. Bacterial colonization of the implant-abutment interface using an in vitro dynamic loading model. J Periodontol. 2011; 82: 613-618. 15. Astrand P, Engquist B, Anzén B, et al. Nonsubmerged and submerged implants in the treatment of the partially edentulous maxilla. Clin Implant Dent Relat Res. 2002; 4: 115-127.. prospective cohort study of the ITI Dental Implant System. Clin Oral Implants Res. 2004; 15: 8-17. 22. Firth D. Bias reduction of maximum likelihood estimates. Biometrika. 1993; 80: 27-38. 23. Fransson C, Lekholm U, Jemt T, et al. Prevalence of subjects with progressive bone loss at implants. Clin Oral Implants Res. 2005; 16: 440-446. 24. Roos-Jansåker AM, Lindahl C, Renvert H, et al. Nine- to fourteen-year follow-up of implant treatment. Part II: presence of peri-implant lesions. J Clin Periodontol. 2006; 33: 290-295. 25. Heitz-Mayfield LJ. Peri-implant diseases: diagnosis and risk indicators. J Clin Periodontol. 2008; 35(8 Suppl): 292-304.. 16. Derks J, Håkansson J, Wennström JL, et al. Effectiveness of implant. 26. Ong CT, Ivanovski S, Needleman IG, et al. Systematic review of. therapy analyzed in a Swedish population: early and late implant loss. J. implant outcomes in treated periodontitis subjects. J Clin Periodontol.. Dent Res. 2015; 94(3 Suppl): 44S-51S.. 2008; 35: 438-462.. 17. Tonetti MS, Claffey N; European Workshop in Periodontology group C.. 27. Van der Weijden GA, van Bemmel KM, Renvert S. Implant therapy in. Advances in the progression of periodontitis and proposal of definitions. partially edentulous, periodontally compromised patients: a review. J. of a periodontitis case and disease progression for use in risk factor. Clin Periodontol. 2005; 32: 506-511.. research. Group C consensus report of the 5th European Workshop in Periodontology. J Clin Periodontol. 2005; 32 Suppl 6: 210-213. 18. Mombelli A, van Oosten MA, Schurch E Jr, et al. The microbiota associated with successful or failing osseointegrated titanium implants. Oral Microbiol Immunol. 1987; 2: 145-151. 19. Misch CE, Perel ML, Wang HL, et al. Implant success, survival, and failure: the International Congress of Oral Implantologists (ICOI) Pisa Consensus Conference. Implant Dent. 2008; 17: 5-15. 20. Zitzmann NU, Berglundh T. Definition and prevalence of peri-implant diseases. J Clin Periodontol. 2008; 35(8 Suppl): 286-291. 21. Karoussis IK, Brägger U, Salvi GE, et al. Effect of implant design on survival and success rates of titanium oral implants: a 10-year. 28. Heitz-Mayfield LJ, Huynh-Ba G. History of treated periodontitis and smoking as risks for implant therapy. Int J Oral Maxillofac Implants. 2009; 24 Suppl: 39-68. 29. Mundt T, Mack F, Schwahn C, et al. Private practice results of screwtype tapered implants: survival and evaluation of risk factors. Int J Oral Maxillofac Implants. 2006; 21: 607-614. 30. Isidor F. Loss of osseointegration caused by occlusal load of oral implants. A clinical and radiographic study in monkeys. Clin Oral Implants Res. 1996; 7: 143-152. 31. Heitz-Mayfield LJ, Schmid B, Weigel C, et al. Does excessive occlusal load affect osseointegration? An experimental study in the dog. Clin Oral Implants Res. 2004; 15: 259-268.. 대한구강악안면임프란트학회지 19권 4호, 2015 209.

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