Clinical Application of Plasma Sprayed Hydroxylapatite Coated Dental Implants (Integral®)
Clinical application of plasma sprayed hydroxylapatite coated dental implants (Integral (R) ) are reported. The subjects consisted of 14 males and 16 females ranging in age from 22 to 73 years. They were treated with 162 Integral® implants from April 1988 through May 1990. The details observed were...
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| Published in | The Journal of Showa University Dental Society Vol. 13; no. 3; pp. 243 - 253 |
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| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Showa University Dental Society
30.09.1993
昭和大学・昭和歯学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0285-922X 2186-5396 |
| DOI | 10.11516/dentalmedres1981.13.243 |
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| Abstract | Clinical application of plasma sprayed hydroxylapatite coated dental implants (Integral (R) ) are reported. The subjects consisted of 14 males and 16 females ranging in age from 22 to 73 years. They were treated with 162 Integral® implants from April 1988 through May 1990. The details observed were : 1) intra-and postoperatively transient paralysis of the mental nerve in 6 cases ; premature exposure of the implant in 5 cases ; and perforation to the maxillary sinus in 3 cases. However, there were no severe complications. 2) At the time examined (from 2 years and 8 months to 4 years and 9 months : the mean period was 3 years and 5 months after implantation), the survival rate for implants was 97. 5% (158/162) and for superstructures settled, 97. 4% (38/39). Three of the four failed implants were in cleft palate patients. 3) Failed implants were associated surgically with : (1) poor quality and/or quantity of bone ; (2) lack of attached, keratinized gingiva ; or (3) implantation in the wrong direction. Results of the present study indicate that Integral® is clinically useful. Accurate preoperative evaluation and adequate surgical techniques are needed to achieve a higher succes rate and decrease intra-and postoperative complications. |
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| AbstractList | Clinical application of plasma sprayed hydroxylapatite coated dental implants (Integral (R) ) are reported. The subjects consisted of 14 males and 16 females ranging in age from 22 to 73 years. They were treated with 162 Integral® implants from April 1988 through May 1990. The details observed were : 1) intra-and postoperatively transient paralysis of the mental nerve in 6 cases ; premature exposure of the implant in 5 cases ; and perforation to the maxillary sinus in 3 cases. However, there were no severe complications. 2) At the time examined (from 2 years and 8 months to 4 years and 9 months : the mean period was 3 years and 5 months after implantation), the survival rate for implants was 97. 5% (158/162) and for superstructures settled, 97. 4% (38/39). Three of the four failed implants were in cleft palate patients. 3) Failed implants were associated surgically with : (1) poor quality and/or quantity of bone ; (2) lack of attached, keratinized gingiva ; or (3) implantation in the wrong direction. Results of the present study indicate that Integral® is clinically useful. Accurate preoperative evaluation and adequate surgical techniques are needed to achieve a higher succes rate and decrease intra-and postoperative complications. Clinical application of plasma sprayed hydroxylapatite coated dental implants (Integral (R) ) are reported. The subjects consisted of 14 males and 16 females ranging in age from 22 to 73 years. They were treated with 162 Integral® implants from April 1988 through May 1990.The details observed were: 1) intra-and postoperatively transient paralysis of the mental nerve in 6 cases ; premature exposure of the implant in 5 cases ; and perforation to the maxillary sinus in 3 cases. However, there were no severe complications.2) At the time examined (from 2 years and 8 months to 4 years and 9 months : the mean period was 3 years and 5 months after implantation), the survival rate for implants was 97. 5% (158/162) and for superstructures settled, 97. 4% (38/39). Three of the four failed implants were in cleft palate patients.3) Failed implants were associated surgically with : (1) poor quality and/or quantity of bone ; (2) lack of attached, keratinized gingiva ; or (3) implantation in the wrong direction.Results of the present study indicate that Integral® is clinically useful. Accurate preoperative evaluation and adequate surgical techniques are needed to achieve a higher succes rate and decrease intra-and postoperative complications. プラズマ溶射によるアパタイトコーティングチタン人工歯根 (Integral (R) ) 適用例の臨床経過について検討した.対象は男性14例, 女性16例の計30例, 年齢は22歳-73歳である.これらの症例に対し, 1988年4月-1990年5月に162本のIntegral®人工歯根を埋入した.その結果, 1.術中偶発症として上顎洞への穿孔が3例, 術直後合併症として下唇の知覚鈍麻が6例, 創の喀開が5例にみられたが, 重篤なものは認められなかった.2.フィクスチャー埋入後2年8か月から4年9か月, 平均3年5か月経過した時点で162本中158本 (97.5%) が経過良好であった.不良例4本のうち3本は裂奇形術後症例に埋入したものであった.装着した上部構造39例のうち38例 (97.4%) が予後良好であった.3.不良要因として, 埋入部の骨量の不足, 付着歯肉の欠如, 埋入方向の不正などが考えられた.以上より, Integral (R) は臨床的に有用な人工歯根であり, その治療成績を向上させるためには, 綿密な術前計画と適切な外科的処置が必要であることが明らかとなった. |
| Author | MICHI, Ken-ichi OHNO, Kohsuke MAKAMURA, Yoshihiro HATA, Hirohumi MATSUI, Yoshiro MORI, Kimie YAMAGATA, Kensuke MIYASHITA, Hajime SHIROTA, Tatsuo OKANO, Tomohiro TSUMITA, Masakazu SEKI, Kenji |
| Author_FL | 山縣 健佑 宮下 元 松井 義郎 秦 博文 大野 康亮 代田 達夫 関 健次 積田 正和 森 紀美江 岡野 友宏 中村 好宏 道 健一 |
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| Author_xml | – sequence: 1 fullname: HATA, Hirohumi organization: The Second Department of Prosthodontics – sequence: 1 fullname: OKANO, Tomohiro organization: The Department of Oral Radiology – sequence: 1 fullname: SHIROTA, Tatsuo organization: The First Department of Oral and Maxillofacial Surgery – sequence: 1 fullname: SEKI, Kenji organization: The Department of Oral Radiology – sequence: 1 fullname: YAMAGATA, Kensuke organization: The Second Department of Prosthodontics – sequence: 1 fullname: OHNO, Kohsuke organization: The First Department of Oral and Maxillofacial Surgery – sequence: 1 fullname: MORI, Kimie organization: The First Department of Oral and Maxillofacial Surgery – sequence: 1 fullname: MATSUI, Yoshiro organization: The First Department of Oral and Maxillofacial Surgery – sequence: 1 fullname: MICHI, Ken-ichi organization: The First Department of Oral and Maxillofacial Surgery – sequence: 1 fullname: TSUMITA, Masakazu organization: The Second Department of Prosthodontics – sequence: 1 fullname: MAKAMURA, Yoshihiro organization: The First Department of Oral and Maxillofacial Surgery – sequence: 1 fullname: MIYASHITA, Hajime organization: The Department of Periodontology, School of Dentistry, Showa University |
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| References | 14) Tolman DE, Desjardins RP, Keller EE : Surgical-prosthodontic reconstruction of oronasal defects utilizing the tissue-integrated prosthesis. Int J Oral Maxillofac Implants, 3 : 31-40, 1988 16) Schwartz MS, Rothman SLG, Chafetz N, Rhodes M : Computed tomography in dental implantation. Dent Clin North Am, 33 : 555-597, 1989 23) 小嶋榮一 : 局所的偶発症と処置.川原春幸監修.口腔イソプラント学・上巻・第1版, 東京, 1991, 医歯薬出版, pp114-423 18) 関 健次, 岡野友宏 : 顎骨内イソプラソト術前検査におけるDentaScanTM) の使用経験.映像情報 (M), 24 : 1111-1114, 1992 7) Golec TS, Krauser JT : Long-term retrospective studies on hydroxyapatite-coated endosteal and subperiosteal implants. Dent Clin North Am, 36 : 39-56, 1992 8) Block MS, Kent JN : Prospective review of integral implants. Dent Clin North Am, 36 : 27-37.1992 3) 小島 聡, 平山泰彦 : フレーム溶射によるアパタイトコーティング.日本セラミックス協会第1回秋季シソポジウム講演予稿集, pp399-400, 1988 4) 大野康亮, 杉本 明, 代田達夫, 宮本 宰, 松井義郎, 道 健一, 大谷俊一, 秦 博文, 山縣健佑 : 緻密質ハイドロキシアパタイト金属複合体人工歯根の顎補綴への応用に関する研究 (第1報) 人工歯根の考案, 試作と組織学的検討.昭歯誌, 8 : 325-336, 1988 6) 大野康亮, 荻 信行, 岡崎武司, 代田達夫, 松井義郎, 道 健一, 秦 博文, 積田正和, 山縣健佑, 小島 聡, 平山泰彦 : フレーム溶射によるヒドロキシアパタイトコーティングチタン人工歯根の開発と組織所見.口科誌, 41 : 71-79, 1992 11) 兼松宣武 : 禁忌症.川原春幸監修, 口腔イソプラソト学・上巻・第1版, 東京, 1991, 医歯薬出版, pp 276-281 13) Guerra LR, Hawker P, Israel MF : Hydroxyapatite-coated implants in maxillofacial prosthetics. Dent Clin North Am, 36 : 207-220, 1992 5) Block MS, Kent JN, Kay JF : Evaluation of hydroxylapatite-coated titanium dental implants in dogs. J Oral Maxillofac Surg, 45 : 601-607, 1987 1) d'Hoedt B, Schulte W : A comparative study of results with various endosseus implant systems. Int J Oral Maxlilofac Impants, 4 : 95-106, 1989 17) Williams M YA, Mealey BL, Hallmon WM : The role of computerized tomography indental implantology. Int J Oral Maxillofac Implants, 7 : 373-380, 1992 21) Quiney RE, Brimble E, Hodge M : Maxillary sinusitis from dental osseointegrated implants. J Laryngol Otol, 104 : 333-336, 1990 24) Zablotsky M : The surgical management of osseous defects associated with endosteal hydroxyapatite-coated and titanium dental implants. Dent Clin North Am, 36 : 117-150, 1992 19) 大野康亮, 関 健次, 松井義郎, 秋月弘道, 道 健一, 岡野友宏, 秦 博文, 積田正和, 山縣健佑 : 上下顎同時再構築CT画像の人工歯根への応用 (抄).日口外誌, 39 : 2257, 1992 9) 小林 博, 中谷 寛, 鴨井久一, 野村 篤, 内川裕之, 佐藤田鶴子, 大谷和男, 木内 徹, 亀沢広嗣, 横塚繁雄, 冨永 毅, 渡辺嘉一 : ハイドロキシアパタイト・コーティッドインプラソト (In-tegra1 (R) ) の臨床応用.歯学, 79 : 1043-1058, 1991 15) 宮川 明, 巣山 達, 藤川 晃, 関口 隆, 山口 晃, 堤田良二, 野口 誠, 平塚博義, 武田公将, 豊下寿隆鴨井秀武, 小浜源郁 : 高齢者下顎無歯顎症例に対するインプラントの使用経験老年歯学, 6 : 67-77, 1991 20) 武井信作 : アパタイト・インプラントの上顎洞穿孔に関する組織学的観察.口病誌, 53 : 453-499, 1986 22) Ueda M, Kaneda T Maxillary sinusitis caused by dental implants : report of two cases. J Oral Maxillofac Surg, 50 : 285-287, 1992 12) Smith RA, Berger R, Dodson TB : Riskfactors associated with dental implants in healthy and medically compromised patients. Int J Oral Maxillofac Implants, 7 : 367-372, 1992 2) 青木秀希, 赤尾 勝 : ハイドロキシアパタイトの製法と機械的性質.口病誌, 57 : 363-369, 1990 10) 桐ケ久保光弘, 小林 優, 志村介三 : インプラソト療法の基礎-イソプラントの経過不良について-.歯1科ジャーナル, 35 : 431-436, 1992 |
| References_xml | – reference: 17) Williams M YA, Mealey BL, Hallmon WM : The role of computerized tomography indental implantology. Int J Oral Maxillofac Implants, 7 : 373-380, 1992 – reference: 10) 桐ケ久保光弘, 小林 優, 志村介三 : インプラソト療法の基礎-イソプラントの経過不良について-.歯1科ジャーナル, 35 : 431-436, 1992 – reference: 13) Guerra LR, Hawker P, Israel MF : Hydroxyapatite-coated implants in maxillofacial prosthetics. Dent Clin North Am, 36 : 207-220, 1992 – reference: 3) 小島 聡, 平山泰彦 : フレーム溶射によるアパタイトコーティング.日本セラミックス協会第1回秋季シソポジウム講演予稿集, pp399-400, 1988 – reference: 21) Quiney RE, Brimble E, Hodge M : Maxillary sinusitis from dental osseointegrated implants. J Laryngol Otol, 104 : 333-336, 1990 – reference: 9) 小林 博, 中谷 寛, 鴨井久一, 野村 篤, 内川裕之, 佐藤田鶴子, 大谷和男, 木内 徹, 亀沢広嗣, 横塚繁雄, 冨永 毅, 渡辺嘉一 : ハイドロキシアパタイト・コーティッドインプラソト (In-tegra1 (R) ) の臨床応用.歯学, 79 : 1043-1058, 1991 – reference: 23) 小嶋榮一 : 局所的偶発症と処置.川原春幸監修.口腔イソプラント学・上巻・第1版, 東京, 1991, 医歯薬出版, pp114-423 – reference: 2) 青木秀希, 赤尾 勝 : ハイドロキシアパタイトの製法と機械的性質.口病誌, 57 : 363-369, 1990 – reference: 12) Smith RA, Berger R, Dodson TB : Riskfactors associated with dental implants in healthy and medically compromised patients. Int J Oral Maxillofac Implants, 7 : 367-372, 1992 – reference: 14) Tolman DE, Desjardins RP, Keller EE : Surgical-prosthodontic reconstruction of oronasal defects utilizing the tissue-integrated prosthesis. Int J Oral Maxillofac Implants, 3 : 31-40, 1988 – reference: 15) 宮川 明, 巣山 達, 藤川 晃, 関口 隆, 山口 晃, 堤田良二, 野口 誠, 平塚博義, 武田公将, 豊下寿隆鴨井秀武, 小浜源郁 : 高齢者下顎無歯顎症例に対するインプラントの使用経験老年歯学, 6 : 67-77, 1991 – reference: 18) 関 健次, 岡野友宏 : 顎骨内イソプラソト術前検査におけるDentaScanTM) の使用経験.映像情報 (M), 24 : 1111-1114, 1992 – reference: 24) Zablotsky M : The surgical management of osseous defects associated with endosteal hydroxyapatite-coated and titanium dental implants. Dent Clin North Am, 36 : 117-150, 1992 – reference: 7) Golec TS, Krauser JT : Long-term retrospective studies on hydroxyapatite-coated endosteal and subperiosteal implants. Dent Clin North Am, 36 : 39-56, 1992 – reference: 8) Block MS, Kent JN : Prospective review of integral implants. Dent Clin North Am, 36 : 27-37.1992 – reference: 19) 大野康亮, 関 健次, 松井義郎, 秋月弘道, 道 健一, 岡野友宏, 秦 博文, 積田正和, 山縣健佑 : 上下顎同時再構築CT画像の人工歯根への応用 (抄).日口外誌, 39 : 2257, 1992 – reference: 20) 武井信作 : アパタイト・インプラントの上顎洞穿孔に関する組織学的観察.口病誌, 53 : 453-499, 1986 – reference: 4) 大野康亮, 杉本 明, 代田達夫, 宮本 宰, 松井義郎, 道 健一, 大谷俊一, 秦 博文, 山縣健佑 : 緻密質ハイドロキシアパタイト金属複合体人工歯根の顎補綴への応用に関する研究 (第1報) 人工歯根の考案, 試作と組織学的検討.昭歯誌, 8 : 325-336, 1988 – reference: 1) d'Hoedt B, Schulte W : A comparative study of results with various endosseus implant systems. Int J Oral Maxlilofac Impants, 4 : 95-106, 1989 – reference: 5) Block MS, Kent JN, Kay JF : Evaluation of hydroxylapatite-coated titanium dental implants in dogs. J Oral Maxillofac Surg, 45 : 601-607, 1987 – reference: 22) Ueda M, Kaneda T Maxillary sinusitis caused by dental implants : report of two cases. J Oral Maxillofac Surg, 50 : 285-287, 1992 – reference: 6) 大野康亮, 荻 信行, 岡崎武司, 代田達夫, 松井義郎, 道 健一, 秦 博文, 積田正和, 山縣健佑, 小島 聡, 平山泰彦 : フレーム溶射によるヒドロキシアパタイトコーティングチタン人工歯根の開発と組織所見.口科誌, 41 : 71-79, 1992 – reference: 11) 兼松宣武 : 禁忌症.川原春幸監修, 口腔イソプラソト学・上巻・第1版, 東京, 1991, 医歯薬出版, pp 276-281 – reference: 16) Schwartz MS, Rothman SLG, Chafetz N, Rhodes M : Computed tomography in dental implantation. Dent Clin North Am, 33 : 555-597, 1989 |
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