• Title/Summary/Keyword: 골 용해

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Finite element analysis of cortical bone strain induced by self-drilling placement of orthodontic microimplant (Self-drilling 방식의 마이크로임플란트 식립에 의해 발생하는 피질골 스트레인의 유한요소해석)

  • Park, Jin-Seo;Yu, Won-Jae;Kyung, Hee-Moon;Kwon, Oh-Won
    • The korean journal of orthodontics
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    • v.39 no.4
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    • pp.203-212
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    • 2009
  • Objective: The aim of this study was to evaluate the strain induced in the cortical bone surrounding an orthodontic microimplant during insertion in a self-drilling manner. Methods: A 3D finite element method was used to simulate the insertion of a microimplant (AbsoAnchor SH1312-7, Dentos Co., Daegu, Korea) into 1 mm thick cortical bone. The shape and dimension of thread groove in the center of the cortical bone produced by the cutting flute at the apical of the microimplant was obtained from animal test using rabbit tibias. A total of 3,600 analysis steps was used to calculate the 10 turns and 5 mm advancement of the microimplant. A series of remesh in the cortical bone was allowed to accommodate the change in the geometry accompanied by the implant insertion. Results: Bone strains of well higher than 4,000 microstrain, the reported upper limit for normal bone remodeling, were observed in the peri-implant bone along the whole length of the microimplant. Level of strains in the vicinity of either the screw tip or the valley part were similar. Conclusions: Bone strains from a microimplant insertion in a self-drilling manner might have a negative impact on the physiological remodeling of cortical bone.

Effects of surface treatment on the osseointegration potential of orthodontic mini-implant (분사처리 후 산부식 표면처리된 교정용 미니 임플랜트의 골유착능에 관한 연구)

  • Jeon, Mi-Sun;Kang, Yoon-Goo;Mo, Sung-Seo;Lee, Keun-Bye;Kook, Yoon-Ah;Kim, Seong-Hun
    • The korean journal of orthodontics
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    • v.38 no.5
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    • pp.328-336
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    • 2008
  • Objective: The purpose of this study was to compare the torque resistance to removal of sandblasted large grit and acid etched (SLA) surface treated orthodontic mini-implants and smooth surface orthodontic mini-implants as well as performing histologic observations. Methods: Two groups of custom screw shaped orthodontic mini-implants (C-implant, 1.8 mm outer diameter $\times$ 9.5 mm length, Cimplant, Seoul, Korea) were designated. 22 SLA treated C-implants (SLA group) and 22 machined surface C-implants (machined group) were placed in the tibia metaphysis of 11 adult New Zealand white rabbits. Following a 6-week healing period, the rabbits were sacrificed. Subsequently, the C-implants were removed under reverse torque rotation with a digital torque measuring device and independent t-test was performed. Selected tissues were prepared for histologic observation. Results: The SLA group presented a higher mean removal torque value (6.286 Ncm) than the machined group (4.491 Ncm) which was statistically significant (p < 0.005). Histologic observation revealed a trend of more new bone formation in contact with the screw surface in the SLA group than the smooth group. Conclusions: The results of this study suggested that SLA surface treatment can enhance the osseintegration potential for C-orthodontic mini-implants.

The effect of loading time on the stability of mini-implant (교정력 부하시기에 따른 교정용 미니 임플란트의 안정성)

  • Lee, Seung-Yeon;Cha, Jung-Yul;Yoon, Tae-Min;Park, Young-Chel
    • The korean journal of orthodontics
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    • v.38 no.3
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    • pp.149-158
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    • 2008
  • Objective: The purpose of this study was to investigate the stability of mini-implants in relation to loading time. Methods: A total of 48 mini-implants (ORLUS, Ortholution, Korea) were placed into the buccal alveolar bone of the mandible in 8 male beagle dogs. Orthodontic force (200-250gm) was applied immediately for the immediate loading group while force application was delayed for 3 weeks in the delayed loading group. For the subsequent loading periods (3, 6, 12 weeks), BIC (bone implant contact) and BV/TV (bone volume/total volume) and mobility test were carried out. Results: The immediate loading group showed no changes in BIC from 3 to 12 weeks, while the delayed loading group showed a significant increase in BIC between 3 and 12 weeks (p<0.05). The BV/TO of the delayed loading group significantly increased from 6 to 12 weeks of loading (p<0.05), while the BV/TV of the immediate loading group decreased from 3 to 12 weeks of loading. However, there was no significant difference in BV/TV between experimental groups. The mobility of the immediate loading group was not significantly different from that of the delayed loading group after 12 weeks of loading (p<0.05). Conclusions: These results showed that immediate loading does not have a negative effect on the stability of mini-implants compared to the early loading method in both the clinical and histomorphometric point of view.

Effect of cutting flute length and shape on insertion and removal torque of orthodontic mini-implants (교점용 미니 임플랜트의 cutting flute의 길이 및 형태에 따른 식립 및 제거 토크의 비교)

  • Yun, Soon-Dong;Lim, Sung-Hoon
    • The korean journal of orthodontics
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    • v.39 no.2
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    • pp.95-104
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    • 2009
  • Objective: The purpose of this study was to evaluate the effect of length and shape of cutting flute on mechanical properties of orthodontic mini-implants. Methods: Three types of mini-implants with different flute patterns (Type A with 2.6 mm long flute, Type B with 3.9 mm long and straight flute, Type C with 3.9 mm long and helical flute) were inserted into the biomechanical test blocks (Sawbones Inc., USA) with 2 mm and 4 mm cortical bone thicknesses to test insertion and removal torque. Results: In 4 mm cortical bone thickness, Type C mini-implants showed highest maximum insertion torque, then Type A and Type B in order. Type C also showed shortest total insertion time and highest maximum removal torque, but Type A and B didn't showed statistically significant difference in insertion time and removal torque. In 2 mm cortical bone thickness, there were no significant difference in total insertion time and maximum removal torque in three types of mini-implants, but maximum insertion torque of Type A was higher than two other Types of mini-implants. Conclusions: Consideration about length and shape of cutting flute of mini-implant is also required when the placement site has thick cortical bone.

A clinical study on the alveolar crest height after secondary alveolar bone graft in the cleft alveolus patients : Preliminary Study (치조 파열 환자에 있어서 이차성 골이식술 후의 치조정 높이 변화에 관한 임상적 연구 : 예비적 연구)

  • Choi, Jin-Young;Kim, Myung-Jin;Kim, Su-Gon;Eune, Jung-Ju;Choung, Pill-Hoon
    • Korean Journal of Cleft Lip And Palate
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    • v.3 no.1
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    • pp.1-9
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    • 2000
  • 목적 : 치조파열 환자에 있어서 이차 치조골 이식술을 시행한 후 그 결과를 알아보고자 방사선학적 분석을 통하여 평가하였다. 본 연구의 목적은 수술전 골결손부 인접치아의 치조정 높이와 수술후 골결손부 인접치아의 치조정 높이를 근심측과 원심측에서 각각 측정함으로써 치조정의 높이가 과연 통계적으로 유의성 있게 증가하는지와 치조골 이식술의 성공률이 치조열의 너비와 상관관계가 있는지의 여부를 알아보는 것이다. 환자 및 방법 : 1991년부터 1999년까지 서울대학교병원 구강악안면외과에서 자가장골 채취 후 분쇄피질망사골 형태 또는 block 피질망상골 형태로 이식한 편측성 치조열을 가진 환자 중 최소한 6개월이 경과한 환자 56명을 연구대상으로 하였고 두 술자에 의해 시술되었다. 수술전 골결손부 인접치아의 치조정의 높이와 치조열의 너비 및 수술후 이식한 골의 높이와 절흔의 양은 치과용 파노라마 방사선 사진을 이용하여 측정하였고, 치조열의 너비는 모델이나 환자의 골결손부 근심치아의 근원심 폭경을 이용하여 환산하였다. 그리고 이식한 골의 높이와 절흔의 양을 1995년 Long이 제시한 방법으로 측정하여 술전의 측정치와 비교하였다. 결과 : 치조열의 너비는 평균 6.9mm(1.9mm-12.1mm) 였다. 근심에서의 치아는 골이식 당시 중절치가 52개(92.9%), 측절치가 4개(7.1%)였고, 49명의 환자에서 완전맹출을, 6명의 환자에서 부분맹출(측절치 2개, 중절치 4개)을 보였다. 원심측에서의 치아는 골이식 당시 측절치가 25개(44.6%), 견치가 29개(51.8%), 소구치가 2개(3.6%)였고, 완전 맹출이 32.1%, 부분 맹출이 57.2%, 미맹출이 10.7%로서 완전히 맹출하기 전에 골이식한 경우가 67.9%였다. 모든 환자에 있어서 bony bridge가 나타났고, 절흔이 인접치 아래로 연장되지 않았으며, 치조골 이식술 후 oronasal fistula를 보인 환자는 한 명도 없었으므로 성공률은 100%였다. 술후 근심측에서의 치조정의 높이는 근심측 치아 치근길이의 79%(평균), 원심측에서의 치조정의 높이는 원심측 치아 치근길이의 87%(평균)로서 통계적으로 유의성 있게 증가하였다. 결론: 이차 치조골 이식술을 시행한 후 치조정의 높이는 골결손부 근심측과 원심측에서 모두 유의성있게 증가하였고, 근심측에서보다 원심측에서 통계학적으로 더 유의성 있게 증가하였다. 치조열의 너비와 절흔의 양, 치조정의 높이 및 치조골이식 성공률과는 유의성 있는 관련성이 없었다.

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Effects of trabecular bone microstructure on stress distribution within premolar tooth and implant (망상골의 구조와 밀도가 치과용 임플란트와 하악골에 미치는 영향)

  • Chon Chang Soo;Lee Sang Up;Lee Kyoung Joung;Kim Han Sung
    • Journal of the Korean Society for Precision Engineering
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    • v.22 no.10 s.175
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    • pp.210-217
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    • 2005
  • This study examined the effect of cancellous bone microstructure on stress distribution within a premolar tooth and a dental implant against mastication force by the micro-finite element method (FEM). The mandibular specimen including a premolar was obtained from a cadaver and scanned with micro-CT to obtain CT images. FE models were reconstructed from CT images at mid-sagittal plane of the tooth. Six models were generated and analyzed for different structure and density in cancellous bone. Stress distributions fur each implant (or tooth) and the surrounding bone were compared. The study indicated that the microstructure of cancellous bone should be considered in finite element analysis to produce reasonable results and thus implant systems with high success rate.

Implementation of Strength Estimation Algorithm on the Metallic Plate Fixation (금속고정용의 강도 평가 알고리즘 구현)

  • Kin, Jeong-Lae;Kim, Kyo-Ho;Lee, Ki-Young
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.9 no.3
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    • pp.45-54
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    • 2009
  • This study was developed the metallic plate for bone fixation in the neurosurgery and general surgery and plates has a finn place in bone operating and treatment. The plates can be realized to bending strength and stiffness for strength estimation. Maximum point of bending curves has a bending point(P) with maximum load which to applied nearly 0.2% offset displacement. The device's sizing has a ${\Phi}13$ and ${\Phi}18$, and algorithm of strength estimation compared a plate(${\Phi}13$, ${\Phi}18$, ${\Phi}13-{\Phi}18$). The bending strength of the curved metallic plate has to evaluate maximum of a 311N, 387N, 410N, 474N. When a displacement preserve with a load, tensile stress through to press a plate is 274N, 324N, 382N, 394N. The algorithm of strength estimation can be used to support estimation of bending strength and stiffness. Their tool bring to settlement in the new basic algorithm for evidence with varied adjustment.

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A Study on the Longitudinal Bone Growth of Growth-stimulating Material with Eleutherococcus senticosus (가시오가피가 함유된 성장촉진용 조성물의 골성장효과 연구)

  • Yang, Dong-Sik;Cha, Min-Ho;Kang, Bong-Joo;Oh, Se-Wook;Kim, Young-Eon;Yoon, Yoo-Sik
    • Korean Journal of Food Science and Technology
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    • v.35 no.4
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    • pp.702-707
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    • 2003
  • This study was conducted to evaluate the effect of a growth-stimulating material (GSM) containing Eleutherococcus senticosuson on the longitudinal bone growth. The effects of GSM on proliferation zone and IGF-1 mRNA expression in rat growth plate, IGF-1 mRNA expression in MG-63 osteoblast and Hep-G2 hepatocyte, and bone growth of mouse tibia were studied. GSM significantly increased the proliferation zone in growth plate of proximal tibia (P<0.001) and the IGF-1 mRNA expression in growth plate was also increased (P<0.01). Treatment of GSM to MG-63 osteoblast and Hep-G2 hepatocyte also increased IGF-1 mRNA expression more than twice. In addition, bone mineral density of mouse tibia was significantly increased by GSM (P<0.05). Therefore, it was shown that GSM has an activity of bone growth promotion by increasing the expression of IGF-1, a major bone growth factor.