• Title/Summary/Keyword: 골 고정원

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MnBillnry protraction treatment of skeletal Class III children using miniplnte anchorage (Miniplate anchorage를 이용한 골격성 III급 부정교합 아동의 상악 전방견인 치료)

  • Cha, Bong-Kuen;Lee, Nam-Ki;Choi, Dong-Soon
    • The korean journal of orthodontics
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    • v.37 no.1 s.120
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    • pp.73-84
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    • 2007
  • The maxillary protraction headgear has been widely used in the treatment of skeletal Class III children with maxillary deficiency. A variety of treatment objectives which allow dentoalveolar movements may be established, but when only maxillary protraction without dentoalveolar movement is needed, one of the limitations in maxillary protraction with conventional tooth-borne anchorage is the loss of dental anchorage. This is because a bone remodeling occurs not only at circummaxillary sutures but also within the periodontal tissues. During protraction treatment in the mixed dentition phase, in older children or for the patient with multiple congenitally missing teeth, it is not uncommon to observe undesirable mesial movement of maxillary teeth. Such a side effect can be eliminated or minimized using absolute anchorage such as skeletal anchorage. The purpose of this case report is to introduce a new technique of the maxillary protraction headgear treatment using surgical miniplates.

A three-dimensional finite element analysis of osseointegrated implant on stress distribution in different abutment designs and fixture diameters (각종 지대주 및 고정체 종류에 따른 골유착성 임플랜트의 응력 분포에 관한 삼차원 유한요소분석적 연구)

  • Kwon, Ho-Beom;Kim, Chang-Whe;Kim, Yung-Soo
    • The Journal of Korean Academy of Prosthodontics
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    • v.34 no.4
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    • pp.699-721
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    • 1996
  • 브로네마르크가 골유착성 임플랜트를 소개한 이래로, 현재 골유착성 임플랜트에 의한 치료는 안전하고 안정적인 방법으로 여겨지고 있다. 골유착성 임플랜트를 이용한 초기의 치료는 무치악 환자의 저작기능 회복에 중점을 두어 왔다. 그러나 현재는 환자와 시대의 요구에 따라서 심미성이 주요한 관심사가 되었다. 그래서 표준 지대주보다 더 심미적인 지대주 시스템들이 개발되었다. 다양한 직경의 임플랜트 고정체에 관한 임상가들의 요구에 의해 직경 이 큰 고정체가 생산되기 시작했으며, 5mm의 직경을 갖는 고정체가 그 예이다. 골유착성 임플랜트를 사용하여 보철치료를 할 때, 골과 고정체의 계면은 보철물과 지대주에 가해지는 교합력을 인접골에 전달하게 되며, 이것은 계면에 생물학적인 반응을 야기할 수 있다. 임플랜트의 형태는 골흡수와 같은 바람직하지 않은 반응을 일으키지 않도록 고안되어야 하며, 임플랜트 자체가 교합력을 견딜 수 있어야 한다. 그러므로 골유착성 임플랜트 시스템을 임상에 사용하려고 할 때 이것의 생역학적 분석은 반드시 필요하다. 본 연구에서는 삼차원 유한요소분석적 방법을 사용하여 3.75mm직경을 갖는 고정체에 표준 지대주, 이세티콘 지대주, 마이러스콘 지대주를 연결한 모델과 5mm 직경을 갖는 고정체에 표준 지대주를 연결한 모델에 각각 수직하중, 경사하중, 수평하중을 가했을 때의 응력분포를 비교하였다. 본 연구의 결과는 다음과 같다. 1. 모든 모델에서 금나사의 경부, 금원주, 지대주에 응력의 집중이 일어났다. 2. 임플랜트 고정체에서는 고정체 상방 2/3, 그리고 지대주와 접촉하는 고정체 상면에서 응력의 집중이 관찰되었다. 3. 골에서는 상부 피질골에 응력의 집중이 관찰되었으며, 해면골에서는 두드러진 응력의 집중을 보인 부위는 없었으나 고정체의 근단부 주위 해면골에서의 응력값이 비교적 높았다. 4. 5mm 직경의 고정체를 사용하지 않은 모델 중에서, 표준 지대주를 사용한 경우가 가장 응력분산에 유리하였으며 마이러스콘 지대주를 사용한 경우가 가장 불리하였다. 5. 3가지 하중 조건하에서 수평하중과 경사하중의 경우가 수직하중의 경우보다 더 높은 응력값이 관찰되었다. 6. 응력값은 골에서보다 임플랜트 내부에서 훨씬 높았다.

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Application of dental implant for orthodontic anchorage (보철 수복용 임플란트의 교정치료를 위한 고정원의 활용)

  • Kang, Hyo-Jin;Park, Eun-Jin;Kim, Sun-Jong;Pang, Eun-Kyoung
    • The Journal of the Korean dental association
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    • v.54 no.6
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    • pp.404-413
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    • 2016
  • Currently, dental implants have become predictable and reliable adjuncts for oral rehabilitation. Osseointegrated implants can be used to provide rigid orthodontic anchorage and have advantages compared conventional orthodontic anchorage especially when there were edentulous areas and implants were scheduled as a treatment plan. Orthodontic force doesn't cause the bone loss of osseointegrated implants. Implant materials, surgical protocols and healing time before loading follow the conventional treatment protocol. Because the implants, once installed, can't change the location, meticulous treatment planning should be preceded. Further investigations are needed to standardize the treatment protocol.

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A Study on Titanium Miniscrew as Orthodontic Anchorage : An experimental investigation in dogs (성견에서 교정적 고정원으로서의 티타늄 미니스크류에 대한 연구)

  • Yoon, Byung-Soo;Choi, Byung-Ho;Lee, Won-You;Kim, Kyoung-Nam;Shim, Hyung-Bo;Park, Jin-Hyung
    • The korean journal of orthodontics
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    • v.31 no.5 s.88
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    • pp.517-523
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    • 2001
  • Titanium miniscrews we being used increasingly as an anchorage for tooth movement, because they ate easy to place and to remove, increase the number of sites available, give minimum strain to patients regarding surgical procedures, and offer uneventful healing alter removal. The use of titanium miniscrews as an orthodontic anchorage has been reported in clinical case reports, but clinicians have experienced screw loosening when using such screws.' To our knowledge, there are no published reports evaluating the stability of miniscrews. Information about the length of miniscrews used in relation to the location is of some importance, as stability will vary depending on bone duality The purpose of this study was to evaluate a variety of Lengths of miniscrews (dimeter: 2mm) which were inserted in maxilla or mandible and to demonstrate in a dog model which miniscrew provides fundamental stability in the jaws. 10 mm long miniscrews in the maxilla and 8mm long: miniscrews in the mandible showed no clinical mobility and retained their position throughout an 8 weeks force (200g) application. The mucosal condition around the screws was healthy in cases in which miniserews were inserted in the alveolar bone between the roots and the head of the screws emerged into the attached gingiva. When the force application was terminated, radiographic analysis revealed neither rent resorption not periodontal pathology around the miniscrews that remained stable during the entire treatment period. This study suggests that if titanium miniscrews with adequate length are properly used depending on the location, they provide sufficient stability for orthodontic anchorage.

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Temporary replacement of congenital missing incisors on mandible using temporary anchorage devices in growing patient: 2-year follow-up (성장기 아동에서 교정용 골성 고정원을 이용한 선천 결손 하악 전치의 임시 보철 수복: 2년 경과 관찰)

  • Choi, Youn-kyung;Kwon, Eun-Young;Jung, Kyung-Hwa;Choi, Na-Rae;Park, Soo-Byung;Kim, Seong-sik;Kim, Yong-il
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.272-281
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    • 2020
  • Agenesis of permanent tooth in adolescent patients can be treated either by orthodontic treatment for space closure or by maintaining the space until implant restoration can be carried out in adult. However, gradual atrophy of alveolar bone width makes it difficult to restore the prosthesis in the future or may cause unaesthetic results. Therefore, maintaining of not only the missing space but also the alveolar bone width should be considered. This case is a treatment whereby a temporary replacement of missing 2 mandibular incisors in adolescent patient was carried out using 2 temporary anchorage devices (TADs). Two TADs were placed horizontally 2 - 3 mm below the top of alveolar ridge, and fixed with artificial teeth by stainless steel wires extended. During the 2 year follow-up, neither gingival inflammation nor loss of the TADs have occurred. In the radiographic evaluation, the growth of the adjacent alveolar bone was not inhibited, and the width of the alveolar bone was maintained.

Maxillary Protraction with Maxillary and Mandibular Miniplates (face corrector): In Comparison to Face Mask Protraction in Class III Patients (상하악 미니플레이트 골 내 고정원 Face Corrector를 이용한 제3급 환자의 상악골 전방견인과 Face Mask를 이용한 상악골 전방견인의 비교)

  • Lee Linton, Jina
    • Korean Journal of Cleft Lip And Palate
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    • v.16 no.1
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    • pp.19-23
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    • 2013
  • Maxilla protraction, orthopedic correction of deficient maxilla is necessary for treatment of most Class III growing patients. Protraction method has evolved from tooth-born appliance to miniplates on the maxilla, and from face mask to miniplates on the chin. By placing miniplates on the maxilla and the mandible and running elastics between them, we can minimize dentoalveolar relapse and maximize orthopedic change.

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Osteolysis-Related Bioabsorbable Suture Anchor Fixation in a Medial Collateral Ligament Avulsion Fracture during Total Knee Arthroplasty (슬관절 인공관절 치환술 중 발생한 내측 측부 인대 견열 골절에 대해 생흡수성 봉합 나사못을 이용한 고정 후 발생한 골용해)

  • Huh, Jung-Wook;Park, Man-Jun;Hong, Seong-Hwak;Park, Joon-Hyung
    • Journal of the Korean Orthopaedic Association
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    • v.55 no.6
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    • pp.545-549
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    • 2020
  • Although rare, the treatment options for a medial collateral avulsion fracture during total knee arthroplasty (TKA) range from conservative management using a cast and orthosis to internal fixation using metal screws. Bioabsorbable suture anchors have been used to replace metal fixators with distinct advantages, such as biocompatibility, radiolucency, and unnecessary second removal surgery, but complications, such as osteolysis, have been reported. This paper reports a potential risk of an extensive osteolysis-related suture anchor fixation of a medial collateral ligament (MCL) avulsion fracture during TKA in conjunction with a literature review.

Clinical study on success rate of microscrew implants for orthodontic anchorage (교정치료 고정원으로서 Microscrew implants의 성공률에 대한 임상적 연구)

  • Park, Hyo-Sang
    • The korean journal of orthodontics
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    • v.33 no.3 s.98
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    • pp.151-156
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    • 2003
  • To provide some guideline for microscrew implants, 73 patients that received a total of 180 mini- or microscrew implants were scrutinized. The overall success rate was $93.3\%$ (168 among 180 mini- or microscrew implants) and the mean period of utilization was 15.8 months. Microscrew implants in the UB group (maxillary buccal area) succeeded at a rate of $94.6\%$ (87 among 92), mini- or microscrew implants in the LB group (mandibular buccal area) succeeded $96.6\%$ of the time (56 out of 58), while microscrew implants in the UP group (maxillary palatal area) had a $100\%$ success rate (11 out of 11), and mini- or microscrew implants in the LR group (retromolar area) succeeded in $73.7\%$ of cases (14 among 19). This study might indicate that microscrew implants can be used successfully as orthodontic anchorage in daily orthodontic practice.