• Title/Summary/Keyword: 골이식

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Periodontal Response According to the Timing of Orthodontic Force Application alter Bone Graft into Angular Bony Defect in the Dog (성견에서 수직적 골결손부에 골이식후 교정력 적용시기에 따른 치주조직의 반응)

  • Lee, Sang-Yeol;Lee, Ki-Heon;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.31 no.3 s.86
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    • pp.369-379
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    • 2001
  • The aim of this study was to investigate the periodontal response according to the timing of orthodontic force application after bone graft into the angular bony defect. Nine dogs were divided into three groups, 2, 4, and 6 weeks, according to the timing of orthodontic force application after bone graft. Periodontal angular bony defects were created surgically at the distal aspect of both maxillary third incisors. Two weeks later, flap operation was performed to eliminate inflammation and reference notch was made on the root surface at the level of the bottom of each defect. Demineralized freeze-dried bone was implanted on the left side whereas only debridement was done on the other side. Experimental tooth movement was executed during 8 weeks on both graft and non-graft sides. After 2 weeks of retention period, animals were sacrificed for histologic specimens. The results were obtained as follows 1 New bone formation was more pronounced in the graft side than in the non-grad side in all experimental animals. 2. In the 6-week group, new bone and cementum formation was observed in more than half from the notch to the cemento-enamel junction, and the zone of connective tissue attachment was found without apical migration of junctional epithelium. 3. In the 4-week group, the amount of new bone formation was smaller than in the 6-week group whereas the overall remodeling pattern was similar. 4. New bone formation was confined to around the notch and the junctional epithelium migrated apically to the level of the notch with no connective tissue attachment and cementum formation in the 2-week group. The results of the present study suggest that periodontal response may be influenced by the timing of orthodontic force application after bone graft into angular bony defect.

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Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Autograft - The comparison of mid term & long term follow-up results - (골-슬개 건-골을 이용한 전방 십자 인대 재건술 - 중기 및 장기 추시 결과의 비교 -)

  • Song Eun Kyoo;Yoon Taek Rim;Lee Young Keun;Kim Jong Seok
    • Journal of the Korean Arthroscopy Society
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    • v.4 no.2
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    • pp.117-122
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    • 2000
  • Purpose : To compare the mid term with long term follow up results of the anterior cruciate ligament(ACL)> reconstruction using patellar tendon. Materials and Methods : Seventy-six cases, which could be followed up more than 2 years were included in this study. They were classified into two groups, mid-term group(41 cases) with mean follow-up periods of 2 years and 10 months and long-term group(35 cases) off years and 6 months. Clinical and radiological results and peripatellar complications were evaluated & compared. Results . There was no statistically significant difference in radiological finding and anterior instability between two groups. However, the incidence of anterior knee pain, paresthesia at incision site, kneeling pain, crepitus and quadriceps weakness was lower in long-term group than in mid-term group. Conclusion : ACL reconstruction using patellar tendon graft could successfully restone the stability of knee joint, but there are some complications in donor site and patellofemoral joint. However this complications were gradually decreased with long term follow-up.

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Evaluation of Calcium Polyphosphate as an Implant Material;an Animal Study (골이식재로서의 Calcium Polyphosphate 평가;동물 연구)

  • Yang, S.M.;Lee, S.J.;Kim, S.Y.;Lim, Y.T.;Kye, S.B.;Lee, I.K.;Lee, Y.M.;Han, S.B.;Chung, J.P.;Rhyu, I.C.
    • Journal of Periodontal and Implant Science
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    • v.33 no.2
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    • pp.311-319
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    • 2003
  • 치주조직재생을 도모하기 위한 전통적인 시술방법으로는 여러 가지 골이식재를 이용한 골이식술이 오래 전부터 이용되고 있다. 이번 실험의 목적은 장,단기간의 신생골의 형성과 CPP의 흡수를 비교하여 골이식재로서 Calcium Polyphosphate(CPP)를 평가하는 것이다. 이번 실험에 사용된 CPP는 무수 $Ca(H_2PO_4)$를 condensation하여 무결정의 $Ca(PO_3)_2$를 얻고 이를 용융하고 냉각시킨후 분쇄하여 얻은 것으로 키토산이나 $Na_2O$를 첨가한 후 3세된 비글견에 이식하여 관찰하였다. 양성 대조군으로 동결탈회건조골을 이용하였다. 조직학적으로 3개월 소견과 같이 섬유조직의 게재없이 신생골의 형성이 관찰되었다. 12개월 후의 신생골의 형성은 3개월 결과에 비해서 동결탈회건조골이나 키토산, $Na_2O$를 넣은 CPP 과립에서 더 많은 비율로 나타났다. 음성 대조군과 이식재를 넣은 군간에는 유의성이 있는 것으로 나타났고(p<0.05), 또한 키토산을 첨가한 CPP 과립과 $Na_2O$를 첨가한 CPP 과립 사이에는 신생골의 형성에 유의성이 없었다. 이식한 CPP 과립의 경우 흡수소견이 3개월 결과에 비해 크게 증가하지 않았다. 이번 실험에서는 첨가물에 상관없이 CPP 과립은 골유도성과 생체적합성을 보였다. 그러나 흡수속도가 매우 느려 신생골로 대체되는 여부를 알 수 없었다. 향후 연구에서는 흡수속도를 증가시킬 수 있는 적당한 CPP 형태와 첨가물을 밝혀내어야 할 것이다.

The Usefulness of Bone Scan in Electric Burns (전기화상에서 골스캔의 유용성)

  • Kim, Tae-Hyung;So, Yong-Seon;Kweon, Ki-Hyeon;Han, Sang-Woong;Kim, Seok-Hwan;Kim, Jong-Soon;Han, Seung-Soo
    • The Korean Journal of Nuclear Medicine
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    • v.30 no.1
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    • pp.130-138
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    • 1996
  • Bone scan is known to be an effective tool for observing the state of soft tissues and bones of electric burn patients. It is also used for observing the progress of patients after debridement or skin graft as well as deforming to amputate specific body parts. To evaluate bone scan's role in electric burn, we analyzed bone scan 37 patients with electric burn. Among the 37 patients, 8 of 37 were injured in low voltage and 29 of them in high voltage. 27 patients received the electrical input through the hand, 6 through the scalp, 2 through the shoulder, 1 through the left chest wall and 1 through the left inguinal area. Among 29 patients received high voltage, 22 patients had the electrical output through the foot, 3 through the hand, 2 through the shoulder, 1 through the buttock and 1 through the left chest wall. Bone scans revealed cellulitis in 37 patients with 47 sites, osteomyelitis in 15 patients with 15 sites & bone defects in 4 patients with 4 sites. In 4 patients with skin graft or skin flap, follow up bone scan showed improvements of bony uptake in preoperatively bony defect area and all of them were healed without complication. There were 2 cases in which uptake increased in the myocardium, 1 in the liver and 6 in the kidney, however, serum calcium level, EKG, cardiac enzyme, liver and renal function tests were normal. In conclusion, bone scans are helpful in the assessment of injury sites after electrical insult and in differential diagnosis of cellulitis and osteomyelitis. It is also useful tool of assessment after skin graft or skin flap, however, it should be further evaluated about internal organ damage.

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On the osseointegration of zirconia and titanium implants installed at defect site filled with xenograft material (이종골 이식을 동반한 지르코니아와 타이타늄 임플란트의 골유착에 관한 연구)

  • Kim, Sung-Won;Cho, In-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.1
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    • pp.9-17
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    • 2014
  • Purpose: The purpose of this study was to compare zirconia implants with titanium implants from the view point of biomechanical stability and histologic response on osseointegration when those were placed with xenograft materials. Materials and methods: Specimens were divided into two groups; the control group was experimented with eighteen titanium implants which had anodized surface and the experimental group was experimented with eighteen sandblasted zirconia (Y-TZP) implants. At the tibias of six pigs, implants were installed into bone defect sites prepared surgically and treated with resorbable membranes and bovine bone. Two pigs were sacrificed after 1, 4 and 12 weeks respectively. Each implant site was sampled and processed for histologic and histomorphometric analysis. The stability of implants was evaluated with a $Periotest^{(R)}$. And the interfaces between bone and the implant were observed with a scanning electron microscope. Results: In stability analysis there was no significant difference between Periotest values of the control group and the experimental group. In histologic analysis with a light microscope after 4 weeks, there was new bone formation with the resorption of bovine bone and the active synthesis of osteoblasts in both groups. In bone-implant contact percentage there was significant difference between both groups (P<.05). In bone area percentage there was no significant difference between both groups. In analysis of both groups with a scanning electron microscope there was a gap between bone and a surface at 4 weeks and it was filled up with bone formed newly at 12 weeks. Conclusion: When accompanied by xenograft using membrane, bone to implant contact percentage of zirconia implants used in this experiment was significantly less than that of the titanium implants by surface treatment of anodic oxidation. So, it is considered that the improvement of zirconia implant is needed through ongoing research on surface treatment methods for its practical use.

The Effect of Calcium Sulfate on the Periodontal Healing of 2-Wall Intrabony Defects in Dogs (성견의 2면 골내낭에 Calcium Sulfate 이식이 치주조직 치유에 미치는 영향)

  • Choi, Dong-Hoon;Choi, Seong-Ho;Cho, Kyoo-Sung;Chai, Jung-Kiu;Kim, Chong-Kwan;Moon, Ik-Sang
    • Journal of Periodontal and Implant Science
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    • v.27 no.2
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    • pp.395-409
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    • 1997
  • 성견의 2면 골내낭에서 calcium sulfate 이식이 치조골 및 백악질 재생 능력과 접합상피의 근단이동에 미치는 영향에 대해 알아보고자 3마리 성견의 상하악 제3대구치 근심면을 연결하는 깊이 4mm, 너비 4mm의 2면 골내낭을 외과적으로 형성하고 calcium sulfate를 이식한 군을 시험군으로, 치은박리술만을 실시한 군을 대조군으로 설정하였다. 술후 8주후에 치유결과를 접합상피의 길이, 백악질 형성, 치조골 형성, 결합조직 유착으로 나누어 조직학적으로 비교 관찰하여 다음과 같은 결과를 얻었다. 1. 접합상피의 길이는 대조군에서 2.28mm, 실험군에서 0.51mm로 나타났으며, 대조군과 실험군간에 유의성 있는 차이가 있었다(p<0.05). 2. 백악질 형성은 대조군에서 1.33mm, 실험군에서 2.59mm로 나타났으며, 대조군과 실험군간에 유의성 있는 차이가 있었다(p<0.05). 3.치조골 형성은 대조군에서 1.02mm, 실험군에서 2.30mm로 나타났으며, 대조군과 실험군간에 유의성 있는 차이가 있었다(p<0.05). 4. 결합조직 유착은 대조군에서 0.50mm, 실험군에서 1.14mm로 나타났으며, 대조군과 실험군간에 유의성 있는 차이가 있었다(p<0.05). 이상의 결과를 본 실험상의 한계내에서 고려하여 볼 때, calcium sulfate는 2면 골내낭의 치주치료에 치조골 및 백악질 재생 효과가 있으며 안전하고 경제적인 골 이식재 재료로 사용될 수 있으리라 사료된다.

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MAXILLARY SINUS BONE GRAFT USING PARTICULATED RAMAL AUTOBONE AND BOVINE BONE (하악지 분쇄자가골과 이종골을 이용한 상악동 골이식술)

  • Kim, Kyoung-Won;Lee, Eun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.3
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    • pp.254-261
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    • 2009
  • The maxillary sinus bone graft procedure is one of the predictable and successful treatments for the rehabilitation of atrophic and pneumatized edentulous posterior maxilla. Materials used for maxillary sinus floor augmentation include autogenous bone, allogenic bone, xenogenic bone and alloplastic materials. Among them, autogenous bone grafts still represents 'gold standard'for bone augmentation procedures. We selected the mandibular ramus area as a donor site for the autogenous bone graft because of low donor site morbidity. We performed maxillary sinus bone graft procedures with implant placement using particulated ramal autobone and bovine bone mixture, and got good results. This is a preliminary report of the maxillary sinus bone graft using particulated ramal autobone and bovine bone, requires more long-term follow up and further studies.

Study and Effects of Bone Conducted Signal on the Implantable Microphone (골전도를 통한 생체신호가 이식형 마이크로폰에 미치는 영향 및 고찰)

  • Woo, S.T.;Jung, E.S.;Kim, M.N.;Cho, J.H.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.4 no.1
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    • pp.29-34
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    • 2010
  • The fully implantable hearing devices (FIHDs) have been studied to compensate the defect of conventional hearing aids. Typically, a microphone for FIHDs was implanted under the skin of the temporal bone. So, implantable microphone characteristics can be affected by the eating food, chattering teeth and moving artifact. In this paper, we fabricated the physical model that was similar to characteristics of human temporal bone and skin, and we measured implanted microphone sensitivity for effect of bone conducted noise signal. For the measurement of microphone sensitivity, we applied 1 kHz pure sounds that were transmitted to implanted microphone and sine wave vibrations of varied frequency were simultaneously transmitted through the artificial bone. As a result, sensitivity of implanted microphone can be modified by bone conducted signal and this phenomenon was confirmed at varied frequency band.

The Resolving Method of Graft-Tunnel Mismatch in Arthroscopic ACL Reconstruction Using Bone-Patellar Tendon-Bone Graft (골-슬개건-골을 이용한 관절경적 전방십자인대 재건술시 이식물-터널 길이의 부조화를 줄이는 방법)

  • Cho, Se-Hyun;Park, Hyung-Bin;Ha, Sung-Jin
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.2
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    • pp.97-101
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    • 1999
  • Purpose : The purpose of this study is to prevent thc graft-tunnel mismatch by measuring the patellar tendon length, intertunnel distance, tibial tunnel length and by obtaining appropriate bone block length. Materials and Methods : Authors analyzed 15 patients who had taken the anterior cruciate ligament reconstruction from March 1997 to June 1999. Tibial guide was always set on the "endo" $40^{\circ}$ position(Acufex, MA, USA). We measured the following indices, intertunnel distance(X), tibial tunnel length(T), patellar tendon length(N), tibia bone plug length(Y). Both of the femoral tunnel length(F) and the patellar bone plug length(P) were made in 25mm. The appropriate tibial bone plug length was simply calculated by subtracting the patellar tendon length from the sum of the intertunnel distance and thc tibial tunnel length(Y=X+T-N). Results : The average indices were as follows ; the intertunnel distance(X) was $23.4{\pm}1.4mm$, the tibial tunnel length(T) was $43.6{\pm}1.7mm$, the patellar tendon length was $40{\pm}2.4mm$, and the tibia bone plug length was $27{\pm}2.4mm$. Conclusion : In authors' endoscopic technique, establishment of individually determined optimal tibial bone plug length, based on total tunnel length and patellar tendon length could prevent the problem of graft-tunnel mismatch.

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