第2回 インプラントの歴史

インプラントを希望する患者さんからよく聞かれる質問で、
「インプラントはどれくらいもちますか。」というのがあります。

高いお金を払って、手術までやるのですからそれが一年や二年で駄目になってしまうのではたまったものではありませんから当然の事だと思います。

こちらとしても管理が良ければ、一生もちますよと言いたいところなのですが、現在世界で一番長くインプラントを入れている人でも三十数年だと思います。インプラントの歴史はまだその程度だからです。また三十年前、二十年前のインプラントと今のインプラントではだいぶ違いますから、今のインプラントがどのくらいもつかと言われてもなんともいえないところがあります。

インプラントの歴史を簡単に説明しますと、1930年代後半より研究がおこなわれ、1960年代より実際に人への応用がされ始めました。そのころの素材はアルミナやジルコニヤといったセラミック系のものでした。1970年代になるとサファイヤなども使用され、形もブレードタイプといって板状のものが出てきました。

1985年にスウェーデンのブローネマルク先生らが開発したチタン製インプラントが基礎となり、現在チタン製のインプラントが多く使用され行われるようになりました。

現在のインプラントは過去の失敗やデータをもとに改良を重ねてきているので十年、二十年前のものに比べ格段に良くなっているのは確実で、十年以上もつのはあたりまえだと私は思っています。

平成19年7月 山田敏勝
参考文献:口腔インプラントの臨床

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