eICP peek tip, 임플란트 시멘트 잔사제거, 임플란트 주위염 스켈링

Review Implant Dent . 2019 Apr;28(2):155-160.

Nonsurgical Treatment of Periimplantitis

임플란트 주위염의 비수술적 처치

Chin-Wei Wang 1 , Stefan Renvert 2 , Hom-Lay Wang 3

Affiliations

• 1 Clinical Assistant Professor and Director of Predoctoral Periodontics, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI.

• 2 Professor and Research Director, Oral Health Sciences, Kristianstad University School of Dentistry, Kristianstad, Sweden Visiting Professor, School of Dental Science, Trinity College, Dublin, Ireland.

• 3 Professor and Director of Graduate Periodontics, Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI.

  Abstract

  Purpose: Periimplantitis has become an emerging challenge faced by practicing dentists worldwide. 전세계적으로 임플란트 주위염은 임플란트를 시술하는 임상가들에게 하나의 도전이 되고 있다. When treating periimplantitis, we should attempt to manage this problem via nonsurgical therapies that include addressing all modifiable systemic risk factors and local contributing factors. Hence, the aim of this narrative review was to examine published studies on nonsurgical treatment of periimplantitis and evaluate their effectiveness and limitations.

  Materials and methods: A literature search was performed in MEDLINE via PubMed database up to December 31, 2017. Current published clinical approaches focused on mechanical debridement, adjunctive antiseptic therapy, adjunctive antibiotic therapy, laser-assisted therapy, and combination approaches were included in this analysis.

  Results: Nonsurgical therapy of periimplantitis may result in complete healing of the disease and the patient is then placed on a supportive maintenance program. If the disease is not resolved and surgical intervention is not an option, active nonsurgical retreatment may be considered. In many cases where disease is not resolved, surgical therapy or implant removal could be considered.

  Conclusions: Nonsurgical treatment of periimplantitis usually provides clinical improvements in reducing bleeding tendency and in some cases pocket reduction. Early diagnosis, detection, and intervention remain the key for managing periimplantitis.

  비수술적인 임플란트 주위염의 처치는 잇몸출혈과 잇몸퇴축을 감소시켜 준다. 초기 진단과 예방이 임플란트 주위염 관리의 열쇄이다.

   

   

   

  Review J Mater Sci Mater Med . 2016 Jul;27(7):118. doi: 10.1007/s10856-016-5731-4.

  Polyetheretherketone (PEEK) for medical applications

  Ivan Vladislavov Panayotov 1 , Valérie Orti 2 , Frédéric Cuisinier 2 , Jacques Yachouh 2

  Affiliations Expand

  Affiliations

• 1 Laboratoire de Bioingénierie et Nanosciences EA 4203, UFR Odontologie, Université de Montpellier, 545 Avenue du Professeur Jean-Louis Viala, 34193, Montpellier Cedex 5, France. ivan.panayotov@gmail.com.

• 2 Laboratoire de Bioingénierie et Nanosciences EA 4203, UFR Odontologie, Université de Montpellier, 545 Avenue du Professeur Jean-Louis Viala, 34193, Montpellier Cedex 5, France.

  Abstract

  Polyetheretherketone (PEEK) is a polyaromatic semi-crystalline thermoplastic polymer with mechanical properties favorable for bio-medical applications. PEEK(polyethereretheketone) 은 바이오 의료 적용에 유용한 열변성의 폴리머이다. Polyetheretherketone forms: PEEK-LT1, PEEK-LT2, and PEEK-LT3 have already been applied in different surgical fields: spine surgery, orthopedic surgery, maxillo-facial surgery etc. Synthesis of PEEK composites broadens the physicochemical and mechanical properties of PEEK materials. To improve their osteoinductive and antimicrobial capabilities, different types of functionalization of PEEK surfaces and changes in PEEK structure were proposed. PEEK based materials are becoming an important group of biomaterials used for bone and cartilage replacement as well as in a large number of diverse medical fields. The current paper describes the structural changes and the surface functionalization of PEEK materials and their most common biomedical applications. The possibility to use these materials in 3D printing process could increase the scientific interest and their future development as well. 현재 발표된 논문들은 PEEK의 바이오 의료적용을 의한 구조적 변화와 표면 기능화에 대해 기술 하고 있다. 이 물질을 활용한 3D 프린팅에 대해서도 과학적인 관심이 고조 되고 있다.

   

   

   

   

  Clin Implant Dent Relat Res . 2019 Feb;21(1):208-222. doi: 10.1111/cid.12706. Epub 2018 Dec 27.

  PEEK materials as an alternative to titanium in dental implants: A systematic review

  티타늄 임플란트의 대안으로서의 PEEK 물질: 체계적 문헌고찰

  Sunil Mishra 1 , Ramesh Chowdhary 2

  Affiliations Expand

  Affiliations

• 1 Department of Prosthodontics, Peoples College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.

• 2 Department of Prosthodontics, Rajarajeswari Dental College and Hospital, Bengaluru, Karnataka, India.

  Abstract

  Purpose: Evaluation of the available research on PEEK materials to find that whether PEEK material has favorable properties and can enhance osseointegration, so that they can be utilize as implants material.

  Materials and methods: An electronic and structured systematic search was undertaken in May 2018, without any restrictions of time in the Medline/Pubmed, Sci-hub, Ebscohost, Cochrane, and Web of Science databases. To identify other related references further hand search was done. Articles related to PEEK and their applications in implants were only included. Articles not available in abstract form and article other than English language were excluded.

  Results: Initially, the search resulted in 153 papers. Independent screenings of the abstracts were done by the reviewers to identify the articles related to the question in focus. Sixty-two studies were selected out of which 10 were further excluded due to not in English language. Two additional papers were obtained after hand searching, and finally 54 articles were included in the review.

  Conclusions: Surface modification of PEEK seems to enhance the cell adhesion, proliferation, biocompability, and osteogenic properties of PEEK implant materials. PEEK had also influence the biofilm structure and reduces the chances of periimplant inflammations. Further research and more number of controlled clinical trials on PEEK implant is required in near future so that it can replace titanium in future.

  PEEK의 표면 변화를 통해 세포의 접착, 분화 ,생체친화성, 골유도 기능이 증진 될 것으로 사료된다. 또한 PEEK는 바이오필름의 구조 와 임플란트 주위염의 가능성도 낮추어 줄 수 있다.

  Keywords: carbon fiber-reinforced; fiber-reinforced polyetheretherketone-nanohydroxyapatite; osseointegration; periimplantitis; polyetheretherketone.

   

  Review J Prosthodont Res 2016 Jan;60(1):12-9. doi: 10.1016/j.jpor.2015.10.001.

  Applications of polyetheretherketone (PEEK) in oral implantology and prosthodontics

  PEEK의 임플란트와 보철물 적용

  Shariq Najeeb 1 , Muhammad S Zafar 2 , Zohaib Khurshid 3 , Fahad Siddiqui 4

  Affiliations

• 1 School of Clinical Dentistry, University of Sheffield, United Kingdom.

• 2 Department of Restorative Dentistry, College of Dentistry, Taibah University, Madinah Al Munawwarah, Saudi Arabia. Electronic address: drsohail_78@hotmail.com.

• 3 School of Metallurgy and Materials, University of Birmingham, Edgbaston, Birmingham, UK; Department of Biomedical Engineering, King Faisal University, Al-Hofuf, Saudi Arabia.

• 4 Division of Oral Health & Society, Faculty of Dentistry, McGill University, Montreal, Canada.

  Abstract

  Purpose: Polyetheretherketone (PEEK) is a polymer that has many potential uses in dentistry PEEK는 치과의 여러분에 적용이 가능한 폴리머이다. The aim of this review was to summarize the outcome of research conducted on the material for dental applications. In addition, future prospects of PEEK in the field of clinical dentistry have been highlighted.

  Study selection: An electronic search was carried out via the PubMed (Medline) database using keywords 'polyetheretherketone', 'dental' and 'dentistry' in combination. Original research papers published in English language in last fifteen year were considered. The studies relevant to our review were critically analyzed and summarized.

  Results: PEEK has been explored for a number of applications for clinical dentistry. For example, PEEK dental implants have exhibited lesser stress shielding compared to titanium dental implants due to closer match of mechanical properties of PEEK and bone. PEEK is a promising material for a number of removable and fixed prosthesis. Furthermore, recent studies have focused improving the bioactivity of PEEK implants at the nanoscale.

  PEEK는 치과의 여러분야 적용이 연구 되었다. 예를 들자면 PEEK는 기계적인 특성상 티타늄 임플란트에 비해 뛰어난 피로저항성을 보여준다. PEEK는 고정성 가철성 보철재료로서 사용될 수 있으며, 최근 연구는 나노 단위에서 PEEK 임플란트의 생활성 증진의 향상에 집중되고 있다.

  Conclusion: Considering mechanical and physical properties similar to bone, PEEK can be used in many areas of dentistry. Improving the bioactivity of PEEK dental implants without compromising their mechanical properties is a major challenge. Further modifications and improving the material properties may increase its applications in clinical dentistry.

  Keywords: Bioactivity; Implants; PEEK; Polymers; Prosthodontics.

  Copyright © 2015 Japan Prosthodontic Society. Published by Elsevier Ltd. All rights reserved.

   

  Review J Med Life . Jan-Mar 2019;12(1):5-9. doi: 10.25122/jml-2019-0003.

  The Role of Polyether Ether Ketone (Peek) in Dentistry - A Review

  치과영역에서의 PEEK의 역할 : 논문 리뷰

  Lakshmana Bathala 1 , Vaishnavi Majeti 2 , Narendra Rachuri 1 , Nibha Singh 1 , Sirisha Gedela 1

  Affiliations Expand

  Affiliations

• 1 Department of Prosthodontics, Lenora Institute of Dental Sciences, Rajahmundry, India.

• 2 Department of Oral & Maxillofacial Surgery, Lenora Institute of Dental Sciences, Rajahmundry, India.

  Abstract

  This study is aimed to review the applications of Polyether Ether Ketone (PEEK) in dentistry. The increased demand for aesthetics, legislation in some developed countries, few drawbacks with existing materials and clinicians shifting their paradigms towards metal free restorations led space for the metal-free restorations in today's dental practice. An electronic literature search was conducted through Medline via PubMed, Wiley Online library, EBSCOhost, Science Direct, as well as the Google Scholar between January 2010 and March 2018 using the keywords: PEEK, modified PEEK, PEEK and Dental, advantages of PEEK, applications of PEEK in dentistry and PEEK Implants. A total of 103 articles were found in the literature search and out of these, 18 were not related to our study and hence were excluded. Finally, 85 articles were found to be relevant. PEEK has been explained for a number of applications in dental practice. The literature showed that the PEEK material has superior mechanical properties with different uses in various specialties of dentistry.

  현재까지 발표된 논문들은 PEEK가 치과에서 사용되는 다른 특수한 재료들보다 뛰어난 기계적 성질을 보여준다.

  Keywords: CFR - PEEK- Carbon Fiber Reinforced - Polyether Ether Ketone; Carbon Fiber Reinforced -Poly Ether Ether Ketone (CFR-PEEK); FPD - Fixed Partial Denture; MFP - Maxillofacial Prosthesis; Modified PEEK polymer; Obturator; PEEK - Polyether Ether Ketone; PEEK Implants; Polyether Ether Ketone (PEEK); RPD-Removable Partial Denture; Telescopic Crowns.

   

  Int J Oral Maxillofac Implants . Mar-Apr 2014;29(2):331-7. doi: 10.11607/jomi.2524.

  Cleaning effectiveness of implant prophylaxis instruments

  임플란트 연마기구들의 세척 효과

  Petra Schmage, Fisnik Kahili, Ibrahim Nergiz, Thomas M Scorziello, Ursula Platzer, Peter Pfeiffer

  Authors

  Petra Schmage, Fisnik Kahili, Ibrahim Nergiz, Thomas M Scorziello, Ursula Platzer, Peter Pfeiffer

  Abstract

  Purpose: The aim of this study was to evaluate the cleaning effectiveness of implant prophylaxis instruments on polished and acid-etched implant surfaces 연마 폴리싱 되거나 산부식 방법으로 처리 된 임플란트 표면.

  Materials and methods: Biofilm layers of Streptococcus mutans were grown on a total of 80 titanium disks; 40 disks were polished and 40 were acid-etched. Five disks of each surface were cleaned using each of seven implant prophylaxis instruments: (1) manual plastic curette, (2) manual carbon fiber-reinforced plastic (CFRP) curette, (3) sonic-driven prophylaxis brush, (4) rotating rubber cup with prophylaxis paste, (5) sonic-driven polyether ether ketone (PEEK) plastic tip, (6) ultrasonic-driven PEEK plastic tip, and (7) air polishing with amino acid (glycine) powder. (1) 수동식 플라스틱 큐렛 (2) 수동식 카본 파이버 강화 플라스틱 큐렛 (3) 초음파 구동 연마 브러쉬 (4) 연마재와 함께 사용하는 회전식 러버컵 (5) 음파 구동 PEEK 플라스틱 팁 (6) 초음파 구동 PEEK 플라스틱 팁 (7) 아미노 산 파우더를 이용한 에어폴리싱Ten disks (five of each surface type) served as controls. After cleaning, the surfaces with remaining bacteria were assessed by light microscopy. Statistical analyses of the results were performed with one-way and two-way analyses of variance with Bonferroni-Dunn multiple comparisons post hoc analysis (α = .05).

  Results: The cleaning effectiveness of the plastic curette was significantly lower than those of all machine-driven instruments on the polished surface. Significantly lower cleaning effectiveness occurred with the CFRP curette compared to the prophylaxis brush and to both oscillating PEEK plastic tips on the polished surface. The rubber cup provided less cleaning effectiveness compared to the ultrasonic PEEK plastic tip and air polishing on the acid-etched surface. Superior results, with less than 4% of the biofilm remaining, were obtained for both oscillating PEEK plastic tips and air polishing on both implant surfaces. The cleaning ability of the prophylaxis brush, rubber cup, and ultrasonic PEEK plastic tip differed significantly between both surface structures.

  세척효과성: 플라스틱 큐렛은 기계식보다 세척효과가 현저히 떨어진다. 특히 수동식 카본 팁은 연마브러쉬나 PEEK 팁에 비해 눈에 띄게 세척효과가 낮다. 러버컵 또한 초음파 PEEK팁과 에어폴리싱에 비해 세척효과가 현저히 떨어진다. 잔여 바이오필름 4%로 이하로 가장 세척 효과가 뛰어난 것은 진동식 PEEK 팁과 아미노산(글리신)을 이용한 에어폴리싱 방식 이다.

  Conclusions: Cleaning effectiveness, ie, less than 4% of the biofilm remaining, was not observed with all tested implant prophylaxis instruments. The cleaning ability of the devices depended on the implant surface structure.

   

  Clin Oral Implants Res . 2019 Jun;30(6):578-587. doi: 10.1111/clr.13446. Epub 2019 May 7.

  The effect of five mechanical instrumentation protocols on implant surface topography and roughness: A scanning electron microscope and confocal laser scanning microscope analysis

  임플란트 표면에 대한 다섯 가지 기구의 효과성: 전자현미경분석

  Jae-Kook Cha 1 , Kyeongwon Paeng 1 , Ui-Won Jung 1 , Seong-Ho Choi 1 , Mariano Sanz 2 3 , Ignacio Sanz-Martín 2

  Affiliations

• 1 Department of Periodontology, College of Dentistry, Research Institute for Periodontal Regeneration, Yonsei University, Seoul, Korea.

• 2 Section of graduate Periodontology, Faculty of Odontology, Complutense University of Madrid, Madrid, Spain.

• 3 ETEP (Etiology and Therapy of Periodontal diseases) Research Group, University Complutense of Madrid, Madrid, Spain.

  Authors

  Jae-Kook Cha 1 , Kyeongwon Paeng 1 , Ui-Won Jung 1 , Seong-Ho Choi 1 , Mariano Sanz 2 3 , Ignacio Sanz-Martín 2

  Affiliations

• 1 Department of Periodontology, College of Dentistry, Research Institute for Periodontal Regeneration, Yonsei University, Seoul, Korea.

• 2 Section of graduate Periodontology, Faculty of Odontology, Complutense University of Madrid, Madrid, Spain.

• 3 ETEP (Etiology and Therapy of Periodontal diseases) Research Group, University Complutense of Madrid, Madrid, Spain.

  Abstract

  Objective: To evaluate in vitro the changes in implant surface topography and roughness of commercial implants after instrumentation with five decontamination protocols.

  Material and methods: Seventy-two titanium implants with a sandblasted and acid-etched (SLA) surface were placed 5 mm supra-crestally. Five groups of twelve implants were instrumented with the following protocols: a metal scaler tip (SCAL), a thermoplastic scaler tip (PEEK), a round titanium brush (RBRU), a tufted brush with titanium bristles (TNBRU), and a glycine-based air-powder abrasive (GLYC). 메탈 스켈러팁, 열변형 PEEK 스켈러팁, 라운드 티타늄 브러쉬, 글리세린 기반 에어폴리싱 A sixth group with untreated implants was used as control. Scanning electron microscope and confocal laser scanning microscope were utilized to evaluate the changes in the implant surfaces.

  Results: The SCAL caused pronounced macroscopic alterations and damage of the implant surface, the PEEK left remnants of the plastic tip in the implant surface, and both titanium brush groups flattened the thread profile, while minimal alterations were observed in the GLYC. 메탈 스켈러팁이 임플란트 표면에 가장 큰 손상과 변화를 야기 했다. PEEK 팁은 임플란트 표면에 잔사가 남았다. 티타늄 브러쉬는 임프란트 나사선을 깍아 평평하게 만들었다. 임플란트 표면 변화가 가장 적은 것은 글리세린 기반 에어폴리싱 이었다.When compared to the control group, the roughness parameters (Sa) in the buccal aspect increased in the thread area of SCAL, and a minor reduction was observed in the PEEK(PEEK가 표면손상이 가장 적음) while in the other groups, these values remained unchanged. In the valley areas, however the RBRU, TNBRU, and GLYC experienced a significant reduction (smoothening) indicating different accessibility of the decontamination protocols to the thread and valley. Similarly, the buccal aspects had more pronounced changes than those in the palatal aspect.

  Conclusion: Within the limitations of this in vitro investigation, the tested protocols induced different macroscopic alterations and surface roughness changes that varied in the thread and valley area.

  Keywords: confocal microscope; dental implants; peri-implantitis; scanning electron microscope; surface decontamination; surface macrotopography; titanium.

  © 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

   

  J Oral Implantol . 2020 Apr 21. doi: 10.1563/aaid-joi-D-19-00095.

  Cleaning efficacy of polyetheretherketone tips in eliminating cement remnants around implants with different abutment heights

  PEEK 의 임플란트 주면 시멘트 잔사 세척 효과

  Cenker Zeki Koyuncuoglu 1 , Haluk Baris Kara 2 , Sinan Akdemir 3 , Becen Demir 4 , Nadin Al-Haj Husain 5 , Mutlu Özcan 6

  Affiliations Expand

  Affiliations

• 1 Assistant Professor, Department of Periodontology, Faculty of Dentistry, Istanbul Aydin University, Istanbul, Turkey.

• 2 Associate Professor, Department of Proshtetic Dentistry, Faculty of Dentistry, Medipol University, Istanbul, Turkey.

• 3 Lecturer, Dental Prosthetics Technology Program, Health Sciences High School, Medipol University, Istanbul, Turkey.

• 4 Ph.D, Private practice, Istanbul, Turkey.

• 5 Universitat Bern Department of Reconstructive Dentistry and Gerodontology Freiburgstrasse 7 SWITZERLAND Bern Bern 3008 Universitat Bern.

• 6 Assistant Professor, Department of Periodontology, Faculty of Dentistry, Istanbul Aydin University, Istanbul, Turkey. Professor, Head of Dental Materials Unit, University of Zürich, Center for Dental and Oral Medicine, Clinic for Fixed and Removable Prosth.

  Abstract

  The excess cement not removed following the cementation of fixed implant-supported restorations may cause loss of peri-implant attachment or adjacent bone. 임플란트 시멘테이션시 발생하는 시멘트 잔사는 임플란트 보철물에 임플란트 주위염의 원인이 될 수 있다.The aims of this study were to evaluate the amount of residual cement at different abutment-crown connection levels and to test the cleaning efficacy of poly-ether-ether-ketone (PEEK) ultrasonic tips after cementation. One implant was placed in an anterior central tooth position 5 mm below the gingival margin in an acrylic model, and 32 stone models were obtained with implant analogs. Abutment heights of 1-2 mm and 2.5-4 mm were used on the vestibular and lingual sides, respectively. Crowns were cemented and cleaned, and half of the samples were cleaned again using PEEK tips. The abutment-crown suprastructure was then disconnected, and cleaning efficacy was evaluated. Varying amounts of excess cement were found on all specimens except for the PEEK group with abutment-crown connections 1 mm below the gingival margin. An increase of undetected cement remnants was observed when the restoration margins were located deeper subgingivally. Various amounts of excess cement associated with margin location were detected on the abutment-restoration complex despite meticulous cleaning efforts. Ultrasonic PEEK tips were effective at cleaning the cement remnants around implants to a certain depth.

  초음파 PEEK팁은 임플란트 주위 시멘트 잔사 제거와 세척에 효과적이다.

  Keywords: Abutment heights; Cleaning methods; Implant restorations; PEEK.; excess cement.

   

임플란트 보철물의 자가관리, 셀프케어

 

고농도 불소와 치아미백제는 임플란트 표면을 부식시켜 거칠게 할 수 있어 주의가 필요합니다.

나노입자 하이드록시아파타이트 페이스트인 아파프로는 연마제 성분이 없고 구강내의 세균을 흡착하여 제거하는 효과가 뛰어나 임플란트 보철물의 유지관리에 좋습니다.

 

 

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