Implant Gigi One-Piece vs Two-Pieces dalam Praktek Sehari-Hari

Dian Lestari Kurnia; Amilia Ramadhani; Rikko Hudyono

doi:10.22146/majkedgiind.8750

Implant Gigi One-Piece vs Two-Pieces dalam Praktek Sehari-Hari

https://doi.org/10.22146/majkedgiind.8750

Dian Lestari Kurnia^(1*), Amilia Ramadhani⁽²⁾, Rikko Hudyono⁽³⁾

(1) Klinik Utama Prima Medistra Kudus, Jawa Tengah, Indonesia
(2) Jurusan Kedokteran Gigi FKIK, Universitas Jenderal Soedirman, Purwokerto, Jawa Tengah, Indonesia
(3) Jurusan Kedokteran Gigi FKIK, Universitas Jenderal Soedirman, Purwokerto, Jawa Tengah, Indonesia
(*) Corresponding Author

Abstract

Saat ini, implant merupakan pilihan terbaik untuk menggantikan gigi yang tanggal, akan tetapi prosedur pemasangannya terbilang rumit dan memerlukan prosedur bedah kedua untuk pemasangan prostetik. Beberapa komplikasi seperti screw patah atau longgar dan adanya celah mikro pada batas pertemuan implant dan abutment dapat menyebabkan kegagalan implant. Studi kasus ini bertujuan untuk membahas mengenai keuntungan dan kerugian desain implant gigi one-piece dan two-pieces. Kasus pertama, seorang wanita berusia 43 tahun datang untuk mendapatkan perawatan implant pada region 16. Ketinggian tulang alveolar yang tersedia adalah 5 mm. Prosedur pengangkatan dasar sinus transalveolar dilakukan dengan pemberian allograft sebanyak 0,5 cc dilanjutkan dengan pemasangan implant gigi one-piece sepanjang 12 mm. Kasus kedua, seorang wanita 24 tahun datang untuk mendapatkan perawatan implant pada regio 46. Ketinggian tulang alveolar yang tersedia adalah 12 mm, kemudian dilakukan pemasangan implant gigi two-pieces sepanjang 10 mm. Implant gigi one-piece menawarkan berbagai keunggulan yaitu: hanya diperlukan sekali
prosedur bedah dan prosedur prostetik lebih sederhana. Desain ini juga meniadakan celah mikro pada perbatasan implant dan abutment. Desain implant gigi one-piece memiliki keterbatasan pada pilihan prosedur prostetik apabila dibandingkan dengan desain implant gigi two-pieces.

One-Piece Versus Two-pieces Tooth Implant In Daily Practice. Implant had been a gold standard to replace missing tooth. However, implant marketed today was considered complex, and needs a second surgery. Complications may occur such as screw loosening or fracture and the presence of micro gap at implant-abutment-junction that is found causing fixture failure. The one-piece-implant design may offer some advantages. Purpose: this paper was aimed to discuss the pros and cons of one-piece-implants and two-piece-implants. Case 1 A 43-year-old woman came to place an implant on #16. The available bone height was 5 mm. A trans alveolar sinus lift procedure was performed with 0,5 cc allograft. A 12 mm one-piece-implant was inserted. Case 2 A 24-year-old woman came to place an implant on #46. The available bone height was 12 mm and a 10 mm two-piece-implant was inserted. Discussion: One-piece-implant offers some advantage. It needs no second surgery, easier placement protocol, and more natural prosthetic procedures. The design is preventing the failure in implant-abutment-junction failure. The absence of micro gap in one-piece-implant seems superior in preventing crestal bone resorption. However, the prosthetic option was limited in one-piece-implant. Two-piece-implant offers more choices in prosthetic abutment. Conclusion: One-piece-implant was easier and provide simple protocol with limited choice on prosthetic.

Keywords

implant one-piece; implant two-pieces; implant; crestal bone; success rate; one-piece-implants; two-pieces-implants; implants; crestal bone; success rate

Full Text:

PDF

References

Elias CN. Factors affecting the success of dental implants, Implant dentistry-a rapidly evolving practice. 1st ed. Brazil: Rio de Janeiro;

h. 319-60.

Kamadjaja MJ. Combination of natural teeth and osseointegrated implants as prosthesis abutments in a posterior cantilever bridge.

Dent J. 2008; 41(2): 56-61.

Petrungaro P. Case report: Management of the compromised intertooth space with smalldiameter one-piece-implants in the esthetic

zone. Func Esthet and Rest Dent. 2010; 1(2): 70-5.

Wright S and Drysdale C. A Dentist’s guide to implantology. London: Assoc of Dent Implantol; 2012; 4-39.

Fanali S, Carinci F, Zollino I, Brunelli G. and Minguzi R. Effect of one-piece-implant diameter on clinical outcome. Eur J of Inflammation. 2011; 9(3): 7-12.

Zamani S. One-piece and two-piece implants demonstrate comparable stress levels in bone: preliminary results of an fea study. Zimmer

Dental Inc. 2008; 1-2.

Joachim S and Hermann. Biologic width around one- and two-piece titanium implants a histometric evaluation of unloaded nonsubmerged and submerged implants in the canine mandible. Clin. Oral Impl. Res.

; 12: 559–71.

Finne K, Rompen E, Toljanic J. Clinical evaluation of a prospective multicenter study on one-piece-implants. part 1: marginal bone level evaluation after 1 year of follow up. Int J of Oral and Maxillofac Impl. 2007; 22(2): 2070-3.

Misch CE, Perel ML, Wang HL, Sammartino G, Galindo-Moreno P, Trisi P, Steigmann M, Rebaudi A, Palti A, Pikos MA, Schartz-Arad D, Choukroun J, Guiterez-Perez JL, Marenzi G and Valavanis DK. Implant success, survival, and failure: The International Congress Of Oral Implantologists (ICOI) Pisa consensus conference. Impl Dent. 2008; 17 (1): 5-15.

Harold Baumgarten, dkk. A New implant design for crestal bone preservation: initial observations and case report. Practice Proced

Aesthethics Dentistry. 2005; 17(10): 735-40.

Albrektsson T, Ottlow J, dkk. Survival of nobel direct implants: an analysis of 550 consecutively placed implants at 18 different clinical center. Clin Impl Dent and Rel Res. 2007; 9(2): 65-70.

Ostman PO, Helman M. Albrektsson T. Sennerby L. Direct loading of nobel direct and nobel direct one-piece-implant: a year prospective clinical and radiographic study. Clin Oral Impl Res. 2007; 18: 409-18.

Lekholm U, Adell R, Lindhe J, et al. Marginal tissue reactions at osseointegrated titanium fixtures. ii. a cross-section retrospective study.

Int J Oral Maxillofac Surg. 1986; 15: 53-61.

Fanali SF, Carinci I, Zollino I, Minguzzi R. Impact of one-piece implant length on clinical outcome. Eur J Of Inflamm. 2011; 9(3): 13-8.

Esposito M, Grusovin MG, Coulthard P, Worthington HV. Different loading strategies of dental implants: a cochrane systematic review

of randomised controlled clinical trials. Europ J Oral Implantol. 2008; 1(4): 259-76.

Ericsson I, Nilson H, Lindh T, Nilner K, Randow K. Immediate functional loading of brånemark single-tooth implants: an 18 months clinical pilot follow-up study. Clin Oral Implant Res. 2000; 11: 26-33.

Chaushu G, Chaushu S, Tzohar A, Dayan D. Immediate loading of single-tooth implants: immediate vs. non-immediate implantation, a

clinical report. Int J Oral Maxillofac Implants. 2001; 16: 267-72.

Esposito M, Grusovin MG, Willings M, Coulthard P, Worthington HV. The effectiveness of immediate, early, and conventional loading of dental implants: a cochrane systematic review of randomized controlled clinical trials. Int J Oral Maxillofac Implants. 2007; 22(6): 893-904.

Cornelini R, Scarano A, Covani U, Petrone G, Patelli A. Immediate one-stage post extraction implant : a human clinical and histologic case

report. Int J Oral Maxilofac Implants. 2000; 15(3: 432-7.

Cooper LF, Rahman A, Moriarty J, Chaffee N, Sacco D. Immidiate mandibular rehabilitation with endosseous implants: simultaneus extraction, implant replacement and loading. Int J Oral Maxillofac Implants. 2002; 17 (4): 517-25.

Beldar A, Manohar LB, Girish B, Chandrashekar B. Early loading of singlepiece implant for partially edentulous posterior arch: a prospective one-year case report. Case Report in Dentistry. 2013; http://dx.doi.

org/10.1155/2013/854062.

Sekar ACM, Praveen AG. Immidiate implant placement : a case report. J Indian Prosth. 2012; 12(2): 120-2.

Martande SS, Deepak KS, Sonender PS, Pradeep AR. Placement of one piece implant with immediate temporization - a case report. Arch of Oral and Res. 2013; 3(2): 151-7.

Kupeyan HK, May KB. Implant and provisional crown placement: a one stage protocol. Impl Dent. 1998; 7(3): 213-9.

Andersen EH, Haanæs R, Knutsen BM. Immediate loading of single-tooth iti implants in the anterior maxilla: a prospective 5-year pilot study. Clin Oral Impl Res. 2002; 13(3): 281-7.

Cannizzaro G, Leone M. Restoration of partially edentulous patients using dental implants with a microtextured surface: a prospective

comparison of delayed and immediate full occlusal loading. Inter J of Oral and Max Impl. 2003; 18(4): 512-22.

Piattelli AM, Corigliano A, Scarano, Quarante M. Bone reactions to early occlusal loadingo two-stage titanium plasma-sprayed implants:

a pilot study in monkey. Int J of Perio and Rest Dent. 1997; 17(2): 163-9.

Engquist B, Åstrand P, Anzén B, Enqquist E, Feldmann H, Karlsson U, Nord PG, Sahiholm S, Svardstrom P. Simplified methods of implant treatment in the edentulous lower jaw: a 3-year follow-up report of a controlled prospective study of one-stage versus two-stage surgery and early loading. Clin Impl Dent and Rel Res. 2005; 7(2): 95-104.

Brian J, Jackson. Small diameter implants. specific indications and considerations for the posterior mandible: A Case Report. J Oral Implantol. 2011; 37: 164.

Asbjorn J, Jon O, Tore R. Quality of dental implant. Int J Prosth. 2004; 17(6): 607-41.

Rajput N, Siyad KP. Case report: minimal invasive transmucosal insertion and immediate provisonalization of one-piece implant in partially edentulous posterior mandible dentistry section. J Clin Diag Res. 2013; 7(9): 2070-3.

DOI: https://doi.org/10.22146/majkedgiind.8750