• Title/Summary/Keyword: 이종골

Search Result 212, Processing Time 0.034 seconds

Aquatitative analysis by digital subtraction radiography on the effect of Enamel Matrix Protein (Emdogain) and Platelet Rich Plasma, combined with xenograft in the treatment of intrabony defect in humans (수직성 골내낭 치료 시 법랑 기질 단백질과 이종골 이식 및 혈소판 농축 혈장의 골 재생에 대한 디지털 공제술을 통한 정량적 분석)

  • Han, Geum-A;Im, Seong-Bin;Jeong, Jin-Hyeong;Hong, Gi-Seok
    • 대한치주과학회:학술대회논문집
    • /
    • 2004.11a
    • /
    • pp.119-120
    • /
    • 2004
  • PDF

Guided Bone Regeneration using Fibrin Glue in Dehiscence or Fenestration Defects Occurred by Maxillary Anterior Implants: Case Report (상악 전치부 임플란트 식립에 의한 열개 및 천공형 골결손 발생 시 조직 접착제를 이용한 골유도 재생술: 증례보고)

  • Chee, Young-Deok;Seon, Hwa-Gyeong
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.28 no.3
    • /
    • pp.277-290
    • /
    • 2012
  • Dental implants are universal restorative method on edentulous site in oral cavity and generally recognized by patients as well as clinicians. Rapid bone resorption of labial portion of maxillary anterior area is performed due to dental trauma, chronic periodontitis, and so on. Accordingly, Implants on maxillary anterior alveolar ridge with narrow labiopalatal width would lead to bony defects of dehiscence or fenestration. In this case, guided bone regeneration procedure is used to augment maxillary anterior alveolar ridge. It can have mechanical and biological advantages to mix tissue adhesive with bone graft materials in guided bone regeneration procedure. In these cases, when the dehiscence or fenestration defects was occurred by dental implants on maxillary anterior alveolar ridge with narrow labiopalatal width, guided bone regeneration procedures were performed with various combination of particle bone graft materials(allograft, xenograft, and alloplast) mixed with fibrin glue, excepting autogerous bone. We reported that all of 4 cases showed favorable alveolar ridge augmentations.

Implant placement after guided bone regeneration (GBR) in severe defected mandibular alveolar ridge: case report (심하게 결손된 하악 치조골에서 골유도재생술(GBR) 후 임플란트의 식립: 증례보고)

  • Chee, Young-Deok;Yu, Tae-Hoon
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.30 no.2
    • /
    • pp.184-191
    • /
    • 2014
  • In the mandibular posterior molar area, ridge deficiency is an unfortunate obstacle in the field of implant dentistry. Many techniques are available to rebuild the deficient ridge. Selection and necessity of these techniques are associated with significant morbidity and often require a second surgical site. With the advent of guided bone regeneration (GBR), one may now graft the deficient ridge with decreased morbidity and without a second surgical site. In this case, guided bone regeneration procedures were performed with a combination of allograft, xenograft, and alloplast, excepting autogerous bone at severe defected mandibular alveolar ridge and then placed to the implant successfully. We report that implant placement were good in two cases.

THE EFFECT OF NEW BONE FORMATION OF ONLAY BONE GRAFT USING VARIOUS GRAFT MATERIALS WITH A TITANIUM CAP ON THE RABBIT CALVARIUM (가토의 두개골에서 티타늄 반구를 이용한 다양한 onlay bone graft시 골형성 능력)

  • Park, Young-Jun;Choi, Guen-Ho;Jang, Jung-Rok;Jung, Seung-Gon;Han, Man-Seung;Yu, Min-Gi;Kook, Min-Suk;Park, Hong-Ju;Ryu, Sun-Youl;Oh, Hee-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.31 no.6
    • /
    • pp.469-477
    • /
    • 2009
  • Purpose: This study was performed to evaluate the effect of various graft materials used with a titanium cap on the ability of new bone formation in the rabbit calvarium. Materials and Methods: A total of 32 sites of artificial bony defects were prepared on the calvaria of sixteen rabbits by using a trephine bur 8 mm in diameter. Each rabbit had two defect sites. 0.2 mm deep grooves were formed on the calvaria of sixteen rabbits by using a trephine bur 8 mm in diameter for the fixation of a titanium cap. The treatments were performed respectively as follows: without any graft for the control group (n=8), autogenous iliac bone graft for experimental group 1 (n=8), alloplastic bone graft ($SynthoGraft^{(R)}$, USA) for experimental group 2 (n=8), and xenogenic bone graft ($NuOss^{(R)}$, USA) for experimental group 3 (n=8). After the treatments, a titanium cap (8 mm in diameter, 4 mm high, and 0.2 mm thick) was fixed into the groove. At the third and sixth postoperative weeks, rabbits in each group were sacrificed for histological analysis. Results: 1. In gross examination, the surgical sites showed no signs of inflammation or wound dehiscence, and semicircular-shaped bone remodeling was shown both in the experimental and control groups. 2. In histological analysis, the control group at the third week showed bone remodeling along the inner surface of the cap and at the contact region of the calvarium without any specific infiltration of inflammation tissue. Also, there was no soft tissue infiltration. Bone remodeling was observed around the grafted bone and along the inner surface of the titanium cap in experimental group 1, 2, and 3. 3. Histologically, all groups at the sixth week showed the increased area of bone remodeling and maturation compared to those at the third week. In experimental group 2, the grafted bone was partially absorbed by multi nucleated giant cells and new bone was formed by osteoblasts. In group 3, however, resorption of the grafted bone was not observed. 4. Autogenous bone at the third and sixth week showed the most powerful ability of new bone formation. The size of newly formed bone was in decreasing order by autogenous, alloplastic, and heterogenous bone graft. There was no statistically significant difference among autogenous, alloplastic, and heterogenous bones(p>0.05). Summary: This result suggests that autogenous bone is the best choice for new bone formation, but when autogenous bone graft is in limited availability, alloplastic and xenogenic bone graft also can be an alternative bone graft material to use with a suitably guided membrane.

The Use of Calcium Sulfate as a Treatment of Benign Bone Tumor (양성 골종양 치료시 calcium sulfate의 이용)

  • Han, Chung-Soo;Yoon, Kyung-Ho;Ha, Jeong-Han
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.9 no.1
    • /
    • pp.31-37
    • /
    • 2003
  • Introduction: The purpose of this study is to assess the efficacy of calcium sulfate as a bone graft substitute in the treatment of benign bone tumor. Materials and Method: Between December 2000 and November 2001, 18 patients with a benign bone tumor were treated with crettage and the defects were filled with calcium sulfate (Osteoset$^{(R)}$:Wright Medical Co. USA) as a bone graft substitute. Average age was 28.4 years and mean follow up period was 12.3 months. Calcium sulfate mixed with autograft was used in 6 cases, calcium sulfate with allograft in 2 cases, and calcium sulfate alone was used in 10 cases. The degree of absorption of calcium sulfate and new bone formation at plain radiograph was analyzed at immediate postoperative and postoperative 3 months and 6 months follow up. Results: At 3 months postoperatively, 92% of calcium sulfate was absorbed, and at 6 months postoperatively, 89% of new bone formation was observed. There was no difference in the resorption and new bone formation between the group using bone graft and the group osteoset$^{(R)}$ alone, different preoperative diagnosis and even different locations. There was no complication. Conclusion: Calcium sulfate(Osteoset$^{(R)}$) is a safe and effective bone graft substitute in the treatment of benign bone tumors, especially for the children in whom autograft is not recommandable.

  • PDF

Automatic Segmentation of Epiphyseal Using Statistical Properties of Epiphyseal Location (골단판 위치의 통계적 특성을 이용한 골단판 자동추출)

  • Byun, Jae-Uk;Lee, Jong-Min;Kim, Whoi-Yul
    • Proceedings of the Korea Information Processing Society Conference
    • /
    • 2006.11a
    • /
    • pp.117-120
    • /
    • 2006
  • 뼈 나이 평가는 소아 뼈의 골화정도, 내분비선 장애 등을 쉽게 알아 볼 수 있어 소아 방사선 의학에서 자주 사용되는 방법이다. 뼈 나이 평가를 위해서는 골단판과 손마디 뼈의 길이 넓이 등 뼈 정보가 필요하기 때문에 골단판 영역의 추출이 선행되어야 한다. 하지만 골단판의 성장이 많이 진행되어 손마디 뼈 부분과 붙어 있는 경우 골단판 추출이 어려운 점이 있다. 본 논문에서는 골단판 성장 여부와 상관없이 다양한 나이의 디지털 X-ray 영상에서 손가락의 골단판을 추출하는 알고리즘을 제안한다. 손가락 경계선의 레이블링 처리를 이용하여 정확한 손가락 영역을 추출하고 골단판 위치의 통계적 특성을 사용하여 골단판의 후보 지역을 생성한다. 그리고 골단판 영역에서는 손가락 영상의 수직 투영 미분값이 크기 때문에 후보 지역 내에서 수직 투영 미분값의 변화량으로 골단판의 위치를 정확하게 추출한다. 다양한 나이에 대해 실험해 본 결과 제안한 방법은 골단판의 성장 여부와 상관없이 골다판과 손가락 뼈가 붙은 곳에서도 골단판의 통계적 특성을 사용해 정확한 골단판 영역을 추출할 수 있었다.

  • PDF

The Analysis and Treatment of Benign Bone Tumor by Curettage and Debridement with Bone Graft Substitutes (양성 골종양의 절제 및 소파술 후 사용한 골이식 대체물의 결과 및 분석)

  • Jung, Sung-Taek;Seo, Hyoung-Yeon;Seon, Jong-Keun;Lee, Jae-Joon;Kim, Seung-Sik
    • The Journal of the Korean bone and joint tumor society
    • /
    • v.9 no.2
    • /
    • pp.139-147
    • /
    • 2003
  • Purpose: The purpose of this study was to determine if bony union can be obtained when a bone graft substitute is transplanted in order to treat a benign bone tumor and if there is a difference between calcium sulfate and hydroxyapatite in the healing procedure when the degree of the bony union after the bone graft are compared. Materials and Methods: This study selected 20 cases, in which a curettage on the benign bone tumors was conducted and a bone graft substitute was transplanted. The area of the focus, the new bone formation, the recurrence of the focus in the plain radiographs and histological findings were observed. Results: Twenty cases (13 males, 7 females) were evaluated. Their mean age at surgery was 15.8 years (2~45), and the mean follow-up period was 3 years. The mean area of focus was 30.7 $cm^3$ in the radiographs, and 19 cases showed successful results in the ultimate visit, while 1 case has a recurrence of the focus. Conclusion: Calcium sulfate has osteoconduction and superior bioavailability, and is absorbed in vivo in proportion to the new bone formation. On the other hand, hydroxyapatite has good osteoconduction. It can result in better bone formation when it is combined with an autologous bone graft, autologous bone marrow, and an allogenic bone graft, but is absorbed in vivo more slowly than the former.

  • PDF