Journal of Dental Hygiene Science Vol. 4, No. 1, pp. 1~6 (2004) ª2 Þ ~ ~ F; 5 ªö & Ò (ÞÖæ ~". ~öj 7b ) š _ ê"š ~* The Research into types and distribu

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1 Journal of Dental Hygiene Science Vol. 4, No. 1, pp. 1~6 (2004) ª2 Þ ~ ~ F; 5 ªö & Ò (ÞÖæ ~". ~öj 7b ) š _ ê"š ~* (-focusing on a dental clinic in Ulsan) Ga-young Lee Department of Dental Hygiene, Jin-Ju Health Science College " "#! #!# It has been approximately 40 years since Branema first introduced osseo-integration for implants in the early 1960s. Unlike crown and bridge or denture treatment, implant treatment helps preserve existing bone and improve masticatory functions. Thus, the awareness of implant treatment becomes a widely accepted treatment. I made researches into 928 Implants transplanted to 304 patients. And the patients got operation in a dental hospital from 1999 to March, From the research, I got the following results about the types of patients and Implant distribution. (1) There is no difference between men and women in types of patients. In regard to ages, accounted for 32.3% among the whole patients. (2) Let's take a look at the position and distribution of Implants. In case of maxillary, 34.6% in anterior, 65.4% in posterior were operated, which distributed similarly in every region. On the other hand, in case of mandibular, 7.8% in anterior, 92.2% in posterior were operated, which means posterior was mostly distributed. (3) Concerning kinds of the dental prosthesis, the partial edentulous jaw accounted for 93.4%. which was made of single crown type and bridge-type. It was shown that repair of the entire edentulous jaw was 6.5%. (4) With regard to the numbers of Implants, the year of 2003 made the highest record since 268 Implants were operated in (5) In the cause of loss of teeth, periodontitis was the first cause followed by a decayed tooth, inherent defects and an external wound. With regard to sex, both men and women lost their teeth most by periodontitis. (6) In the kinds of Implants used, mm-length and the standardwidth were used the most which accounted for 80% and 70% each. (7) In the sinus lift, 68 of the whole patients got the operation, and it was done to 42 in the left side, 47 in the right side and 21 in both sides. From the results above, I could the basic data about the types and distribution of the patients. Based on this data, I suggest the additional study on the success and survival rate of the Implant.,FZ XPSET Implant, Patient type, Implant distribution, Sinus lift B "~ ~" ~ò~ B*f " ö jš ;î~b ž ~jçj ôš 6²Ò > î. ¾ jçê ~jö Ã, ~"î~ š ;B f jî,.v~ á žçb ~j ² >º ãö& 'æ p. $ _~ Ã&º ç *7'b ~jç" &7 &Nš º, öbê 6 6 ž_ž & Ã&>æ šö Vž ~jç~ nê& j æ º çš 1,2). š ~jöãš¾, ~"î~, Ò 5 žê öžb ž ~jö ö Vž Æ >O»b B ž7~j Corresponding author Tel: if-lee@hanmail.net ÓBšB &~ òº ê³&~~¾ n;w, *~, ËO6š ±æ pf &ÆW ~~¾, C~~& B >Ú z 3,4). š* ž7~j ÓB~ ~ò ê³&~~º Ö ž 7 ~j~ ÖÃ" "&~ò~ *þj Ã&Ê, ;* ËKj 6²Ê, ~"î~j FB > º ê& 5). $ &~ >B *öº v Kš *šææ pj ~ >.O > ì² B 6). &ÆW ~~º & ÎN~ 6 ² 5 ºš~ >, Ò Ò'ž ò ö ~ šb &Ë Ôf ~ ò ê ¾æÞ 7). ª2 Þ çb ~"j & > êƒ žú > wš ìº Titanium "?f ž~"j š& ^¾* ~ ö ÚB FOÎ ê ž~j ;* ~j~ ö¾ VËj ²~êƒ ~º ž"' Æ Fš. ª2 Þ~ Òº > j *b Ò &B 4Âj *~ & 7, 2Âj *~ š Þf šöb z'j d

2 _ ~ ~ ¾š # 9êö 8ž ª Þ~ ª 9ê Î Implants Patients(%) Implants Patients(%) Implants Patients(%) < (2.8%) 31 5(4.1%) 49 10(3.3%) (16.0%) 46 12(9.8%) (13.5%) (32.6%) (34.1%) (33.2%) (31.5%) (31.7%) (31.6%) > (17.1%) 44 25(20.3%) 92 56(18.4%) j > 8). & š Þžf ~j& çb ö òš¾ Æj kö Ú ~j ~J ê rj r >. & î ^«öbê B óîj ÒÏ~ ~j >~Jº ê& î æâ 100j ÿn Ò²š¾ ÿb~., ~j, çj ~ ÿ«$º š«bîj šï~ ~j ö~j ê~ zî. š ê& ê³ šúææ pf 6j " r ËV'ž W j ö ;O>æº á ~. *Ò~ ª2 Þ Bvf " æª~ FOö V. z Brånmarkö ~šb {ã>î 9). ¾röº j* Z~k ~ ö >Ú F>îb¾, æ.f ª Z~k ~ öb ê Þ'ž ~ò Ò Çj f W j š..cvö ê>î~ ª2 Þº j* Z~kf b ª Z~k" ~j Ö ö >O»b Ñ J>º ~òê³b ÒDz >î, ~ V~ ª2 Þö & ~òº & 6N jæ º º^š. ö ²BB æº >jö "~,.cvöº ~"~Òòš ~~ ª2 Þ ~ò&æò, ~ ~ ~" çš ³ šæº &~ æzö V šbº ßê ~ ò& jò ç'ž Æ >~ò~ ªj Næ~² > î šö öbº 1998j 4ú V 2004j 3úræ ÞÖ 7 ~". ~öö Úö~ ª2 Þ Fj ~ &çb ~ ~ ¾š, Wê, F ª2 Þ~ «~, ã*~, Æb ; j Ò~ ÞÖæ~ ª2 Þ ~ ~ F;" ªö &š rj~. &ç5o» 1999j 4ú V 2003j 3úræ ÞÖÚ ~", ~öö Úö 304«~ ~ &çb FB 928B~ ª2 Þö &š ''~ *~f Æb~ F;, ' ~jê ªö &š rj~. Ö " 1. \&ç ~ F; # ª2 Þ ª 1) &ç ~ ¾š 5 Wêª ÎW" W ~ >º '' 181«(59.5%), 123«(40.5%) šî, >FB ª2 Þ~ B>º 1ž ï 3.08B~ ª2 Þ F~&b ÎWf 1ž ï 3.01B, Wf ï 3.20B ¾æ¾ ² W~ ª2 Þ B>& ô~b¾ Ûê 'b F~ Nšº ìº b ¾æÒ. ãb ª2 Þ B>º _ê º 39^ š~öb 49B, 40^öB 49^ræ 180B, 50^öB 59^ræ 324B, 60^ö B 69^ræ 284B, 70^ šçöb 92B Ò>î. ß 50öB 59^ræ 324«š >Fj Aj *Ú ãª2 Þ U >~ 33.2% Næ~&( 1). ~ ~ ¾š # 9êö 8ž ª Þ~ ª 2) ãb ª2 Þ~ *~ 5 ª C 928B~ ª2 Þ 7 çkö 338B, ~kö 590B& F>îb, çk~ ãö Î *ö jý~² ªB >š, ~k~ ãöº ²Ö& ~ *ö 7'b FB b ¾æÒ. çk~ ãöº *~ ö 117B, ~ ö 221B& ã >î, ~k~ ãöº *~ ö 46B, ~ ö 544B& ã >Ú çkf *~ ~ 1.89V& ~ ö ãb >š, ~ kf 11.83V& ~ ö ãb b ¾æÒ(χ 2 = , p<.001)( 2, 3). ã* ª Þ~ *~ Maxilla Mandible ã* ª Þ~ ª Anterior Posterior χ 2 (p) 117(34.6%) 221(65.4%) *** 46(7.8%) 544(92.2%) 590 (.000) 163(17.6%) 765(82.4%) 928 ***p<.001

3 Journal of Dental Hygiene Science Vol. 4, No. 1, pp. 1~6 (2004) No. of Implants No. of Patients êê ã* ª Þ~ *> Male Female Male Female ã* ª Þ~ *~ êê ã* ª Þ~ *> ã* ª Þ~ ª 3) ~òb Æb~ «~ >Fö šïb ª2 Þ~ «~ ÚÚš, ~ >f çkö 74B, ~kö 121B& F>î ;W bridgeº ç kö 235B, ~kö 437B& F>îb, Implant retained prosthesisº çkö 20B ~kö 25B& F>î, Implant supported prosthesis çkö 9B ~kö 7B& F>Ú ª 2 Þ ãê Æb º ;W bridge &Ë ôš šï~ º b ¾æÒ( 4). ~ò* Æ>~ «~ Maxilla Mandible Single Crown (21.0) Bridge Type (72.4) Implant retained prosthesis ( 4.8) Implant supported prosthesis ( 1.7) (100) 4) êê ãb ª2 Þ~ B> 1999j 1ú V 2004j 3úræ WB êê ª2 Þ~ ãb B> ÚÚš jv' >& Ã&>º º^š 2004j~ ãö 3Bú*~ U>& 2000jê~ *Ú Q ôf b ¾æÒ( 5). 2. ~j ç~ öž ª2 Þ >Fj Af ~ ~ ~jç öžj Ï~, ~"", žç, FÂ' Ö, Væ~ 5&æ ª~ šï Ò~&. Ï~~ ª~º š >š &Ë~ B~ ãö 5 ã~òf &>Ú ~j ç ãö Ž. ¾ perio-endo ²º ~"" ª~ö Ž8. Væ º ~ j& çb æ J¾>Ú ~ & VÛ á~º ãöf Vš~ ª2 Þ B ãö 5 v;~òf &>Ú B~ ãö Ž. ÒÖ" º Væ~ ãö Bž ãööb ~""(41.7%), Ï~(15.8%), FÂ' Ö (2.7%), žç(2.2%)~ BB ¾æÒ. Væ(37.6%)~ ãö & ªš ~ & VÛ á~º ãö B, & ªš ~""" Ï~& öžš ' > î. 1) *ê ~jç~ öž *ê ~jç~ öžj ÚÚš *Ú'b ~""ö ~ ãö& B ô~. ß çk 5 ~k ~ *º ~" "b ž B~& 68.45% Ï~ ž B~ 27.2% v V šç ô~. çk *~ öbº ~"" rb žçš ô~b Ï~ ž B~º ršî( 6). *ê ~jç~ öž Maxilla Mandible Ant. Post. Ant. Post. (%) Caries (15.8) Periodontitis (41.7) Trauma ( 2.2) Missing ( 2.7) The others (37.6) (100.0)

4 *ê ~jç~ öž 2) Wêö Vž ~jç~ öž Wêö Vž ~jç~ öžj ÚÚš, Î f Îv ~""~ öžš &Ë ~b rb Ï~, FÂ' Ö, žç Bb ¾æÒ( 7). 9êö 8ž ~jç~ öž Caries Periodontitis Trauma Missing The others Gender Maxilla Mandible Ant. Post. Ant. Post. Male Female Male Female Male Female Male Female Male Female Male Female ª2 Þž Avana Ê ê ôš ÒÏ>. ãb ª2 Þ~ «~ ÚÚš, Aceº 1.0%, Avanaº 48.0%, Brånmarkº 1.0%, 3Iº 50.0% Ò>Ú jv' 3If Avana &Ë ôš šï~º b ¾æÒb šº ~ ~ Wê" _ö V Bº Ûê'b F~ Nšº ìº b ¾æÒ( 8). ã* ª Þ~ «~ Ace Avana Brånmark 9ê _ Î < >70 *Ú %.0%.0% 2.4% 1.0% 1.0% 1.0% % 43.1% 20.0% 43.9% 40.6% 59.4% 50.0% 48.0% %.8%.0% 2.4% 2.0% 1.0% I 45.9% 56.1% 80.0% 51.2% 56.4% 39.6% 50.0% 50.0% χ 2 (p) 4.687(.196) (.225) 1) ãb ª2 Þ~ ^š *ê ãb ª2 Þ~ ^š ÚÚš, & ª~ ãö mm º*~ ª2 Þ *Ú~ 76%ž 709B& ã> î 10 mm ò~ ª2 Þº *Ú~ 4.9%ž 45B& ã >î( 9). *ê ã* ª Þ~ ^š Maxilla Mandible Ant. Post. Ant. Post. < (0.7%) (4.2%) (13.7%) (19.8%) (42.5%) > (19.1%) (100.0%) 9êö 8ž ~jç~ öž 3. ÒÏ* ª2 Þ~ «~ ¾r ª2 Þ >F öº Brånmark Ê b ~, 66 3I ª2 Þ Ê ~ ÒÏš ôjr *Òº ÚÖ 2) ãb ª2 Þ~ ã *ê ãb ª2 Þ~ ãf & ªš regular *Ú ~ 79% šî. ~ ö ÒÏB small ª2 Þº ² ~ * ¾, B~ ê J *š ã">ú *š öêb * ö ÒÏB ãöš( 10). *ê ã* ª Þ~ ã Maxilla Mandible Ant. Post. Ant. Post. Small egular Wide

5 4. çkÿ `ç.~ çk ~ º îš ï~ çkÿ&ræ~ ïš ~, Fš Ú[ ª2 Þ NNš &Ë f *š. "ö ª2 Þ VFš B*>, šj šï çkÿ çfj Žb Ž ïš ï~ ¾, çkÿ&& Ôf ç k ²G 5 ÖG ~ öê ª2 Þ ãš &Ëšr. *Û'b çkÿf & ª~ ~"FöB.V >º ªšî. " & ª~ > ~"~Òf knš ž" ~Ò f jº ãö& jîš ;öb çkÿb ~ 7"j b~&. Æ'ž šf B ~ pšf ç~ b Ã& ÊV *š çkÿ Ú šj Ñ êº 1960j& Boyne" Jamesö ~ çkÿ&ö ËËöB j & > ç šö & ö ~ š. ~ š f çk ~ ö ž~"j ~V *~ çkÿ 6ïj çê ;WB *ö š Òò Ï* ʺ O»f *Û'ž çk Æbj ÒÏ~V& ÚJÚ çk Z~k ~ B& Ôf ~ ¾ Bšš Þï ~, ; Ú šb6b ž~ Jš¾ ÆÚ ~ ö² 'ÏB. çkÿ çf~ º *Ú ~ 7 68«š F~& ²Gj F ãöº 42«, ÖGj F ãöº 47«, ², ÖG Îv F ãöº 21«b ¾æÒ. çkÿ `ç çkÿ `ç. *Ò~ ª2 Þ Bvf " æª~ FOö V. z Brånmarkö ~šb {ã>î. ¾röº j* Z~k ~ ö >Ú F>îb¾, æ.f ª Z~k ~ öbê Þ'ž ~ò Ò Çj f W j š..cvö ê>î~ *Ú Z~kf b ª Z~k" ~j Ö ö > ~òo»7 Ñ J>º ~ò ê³b ÒDz >î, ~ ~ ª2 Þö & ~òº ê 6N jæ º º^š. ö ²B Bæ jƒ >jö "~, ~"~Ò òš ~~ ª2 Þ ~ò&æò, ~ ~ ~"çš Journal of Dental Hygiene Science Vol. 4, No. 1, pp. 1~6 (2004) V ³ šæº &~ æzö V šbº ßê ~ò& j ò ç'ž Æ >~ò~ ªj Næ~² >î. ¾ öb ª2 Þ~ >º~ Ã&f Þ'ž ~ò& > Ú& röê ~, ~ ~ Úê'ž F;ªC & ;š. öbº ª2 Þ& ªç'ž Gšb ~Öö B*>Ú zº, šº ª2 Þ& î BB> B* >Vº ž öb BBB ª2 Þ~ ÒÏ" z Ú >F~ VF'ž š~ B*òj êî šf&. V B Ö ª2 Þ~ BB" ~"ª öb ª2 Þ '~ {Ë, ~ ~ >ºÃ&, Ò²' &ê Ã& b ž~ ª2 Þf &B V.^~ B*" Žþ ~ ö & ªC ê jº~ò 'B. 1999j V 2004j 3úræ ÞÖ7 ~". ~öö Úö ~ ª2 Þ j 304«~ ~ öb 928B~ ª 2 Þ& >F>Ú^, š Æ& ~ F;, ª2 Þ ª ö & V.'ž ï& ~&. >Fj Af ~ ~ Wêf ßš Nš ¾æÚæ p~b ¾ _š Ã& >ƒ ~jç~ V²& ôj^ 50-59^öB &Ë ôf ~ >f ª2 Þ > &. 70^ šç~ _&öbê *Ú~ 18.4% ¾æ¾ ž_ž ~ Ã&f žž ~ ~j >~ Bvš æ rj &. ~ «ï ª2 Þ~ B>öBº ï 3.08B ¾æÒb, ª2 Þ& ãb *~º çkf çb ~j& ª~ º >š ~kf ~ ö ãb *Ú ª 2 Þ~ 92%& ãb b ¾æÒ. ª2 Þ šï Æb~ «~~ & ªf ~ > $º ª Z~k~ >šî. Single crown(21.0%)" Bridge type(72.4%)š *Ú~ 93.4% Næ~º b ¾æÒ. êê ãb ª2 Þ~ B>º 2004jê~ ãö 3úræ 3Bú*~ ª2 Þ~ >& 2000j š ÿn ãb ª2 Þ~ > ô~, šî Ã&~ º b ¾æÒ. šº f *šæò ª2 Þ F~ B*" ~ ~ ò ê& Ã&>Ú ¾æ¾º Ö" 'B. ~jç~ öžj ~"", Ï~, žç, FÂ' Ö 5 V æ ª~~ Ò~&. B~~ öžf Væ Bž~, ~"", Ï~, FÂ' Ö, žç Bb ¾æÒ. žçb ž B~º jv' åf Vö ¾æÒb ž ÏÏö ² žâ>º *~ *ö " B~&. & ª~ ~jç~ öžf ~""b ¾æÒº šº ª2 Þ F ~ ~ _[š 50& šçöb 60&ö 7>Ú Ú ¾æ¾º Ö" 'B. ãb ª2 Þ~ «~öº 3I& 50.0% Ò>Ú &Ë ~ Avanaê 48.0% Næ~º b ¾æÒ. šº 1999jöB 2000j.>ræ ÞÖæ ~". ~ööb >«ª2 Þž 3I& ôš ÒÏ>Úæ 2000j ~>V V Ú Ö ª2 Þž Avana ê«š F b ¾æÒ. šº >«ª2 Þöò ~š~~ ~", ~ööb Ö ª2 Þ ê jï šš¾ î'ž šöb Öê& jê b ' B. V B ''~ ª2 Þ Ê î Ë6š bæ ~ ö V Ë6j &z > º «~~ ª2 Þ F ~ š.

6 ãb ª2 Þ~ ^šº " mm~ ª2 Þ& š Ï>Úr, ãöbº æª 2mm~ ª2 Þ Small ª~, æª 3-4 mm~ ª2 Þ egular ª~, æ ª 5mm~ ª2 Þ Wide ª~ Ò Ö" egular & *Ú~ 79% Næ~º b ¾æÒ. Wideº " çk 5 ~k~ ~ ö ôš ã>î, š º ~ & *~ fº ~j~ ;¾ VËš š v š 'š 9, ~ ~ ;& Wide ~ ª2 Þ ã ~V ö jv' Ïš~V r^ö ¾æ¾º Ö" 'B. çkÿ çf~ º çk ², ÖG ~ ö îš ï~ ¾ çkÿ&ræ~ ïš ~ ª2 Þ Fš ÚJÚ ãöö ~. *Ú ~ à 68«š çkÿ çfj ~&. çkÿ çff çkÿš º š ' b ž Ö"š $ çkö «Æbš ËO>º V*š ^Úæº öžš >Vê ~æò çkÿ çf~ b çk ~ ~ ª2 Þ Fš &Ëšî > î. º 1999j V 2004j 3úræ ÞÖ7 ~". ~ööb > Fj Af 304«~ ~ ö² šb 928B~ ª2 Þ & çb ~ F; 5 ª2 Þ ª ÒöB r~ Ö" á j > î. 1. ~ ~ F;öB Îf Nšº ìb, _öbº ^ö *Ú ~ ~ 33.2% &Ë ² ¾æÒ. 2. ª2 Þ~ *~f ªöBº çk~ ãö *~ ö 34.6%, ~ ö 65.4%& F>Ú Î *ö jý~ ² ªB >š, ~k~ ãöº *~ ö 7.8%, ~ ö 92.2%& F>Ú ~ ö 7'b ãb b ¾æÒ. 3. ~òb Æb~ «~º ~f bridge ;~ Æb B B ª Z~k~ ãö& 93.4%šî, j*z~ k~ >f 6.5% ¾æÒ. 4. êê ãb ª2 Þ~ B>º 2003jö 268B& F>Ú &Ë ² ¾æÒ. 5. ~jç~ öžf ~"", Ï~, FÂ' Ö, žç~ B b ¾æ¾, Wêö V Bê Î, f Îv ~""ö ~ ~jçš &Ë ² ¾æÒ. 6. ÒÏB ª2 Þº mm ^š~ ª2 Þ& 80%, ãf &çã ª2 Þ& 70% &Ë ² ¾æÒ. 7. çkÿ çf~ º *Ú ~ 7 68«š F~ &, ²Gj F ãö& 42«, ÖGj F ãö& 47«, ², ÖGj Îv F ãö& 21«b ¾æÒ. šç~ Ö" " r ª2 Þ ~ ~ F; 5 ªö & V.'ž ò áj > îb, š ò Æ& ª 2 Þ W 5 š ö & º&'ž & jº~ Ò 'B. ^^ò 1. Marcus SE, Drury JF, Brown LS: Tooth retention and tooth loss in the permanent dentition of adults. United States, J Dent es 75: , Feb ÛêÓ: 1999j «, 2001j 8ú. 3. BîB: ª2 Þ& ã* "~ Ò*~Fö &. J& v &ö ~" CÒ* ^, ;>ë: æª ª2 Þ~ >Öz Ž¾Ò& žö ¾~ C 5 ç' Wö ~º 'Ë. * &v &ö ~" CÒ* ^, Waerhaug J: Periodontology and partial prosthesis. Int Dent J 18(1): , Carlsson G, Persson G: Morphologic changes of the mandible after extraction and wearing dentures. A longitudinal clinical and x-ray cephalometric study covering 5years. Odont evy 18: 27-54, Carr A, Laney W: Maximum occlusal force levels in patients with ocseointegrated oral implant prosthesis and patient with conplete dentures. Int J oral Haxillofac Implants 2: , Anjardn : Mayan dental wonders. Oral Implant 9: 423, Brånemark PI, Breine U, Adel, Hansson BO, Lindstrom J and Olsson A: Intra-osseous anchorage of dental prosthesis. I. experimental studies. Scandinavian Journal of Plastic and econstructive Surgery 3: , swò: ª2 Þ ~ ~ F; 5 ªö &. ^&v &ö CÒ* ^, B'C: FOW ~" ª2 Þ~ W ö & ªç'. ö 7&v &ö CÒ* ^, æ'{, šÿš: ~"Ï ª2 Þ šï ~j²ö & ªç ' ï&. ö7& ^, 1(7): , Ë/&: _ 5 Wêö 8ž ª2 Þ F ÿ8. 7&v & ö CÒ* ^, B*;: ~"*Ò~ ª2 Þ Fö & æ" ê. 7& v Ò²BB&ö CÒ* ^, ";: ~"*Ò~ ª2 Þ Fö & žæê Ò. ' Î&v ~ãš&ö CÒ* ^, c, îî8, B: ~" ª2 Þ, æwâ6ò, B«: ;š. ^Ò, (eceived May 28, 2004; Accepted June 5, 2004)