• Title/Summary/Keyword: 지지골

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EffeCt of tricalcium phosphate (TCP) as a scaffold during bone grafting using cultured periosteum-derived cells in a rat calvarial defect model (두개결손부 모델에서 배양된 골막유래세포를 이용한 골이식 시 지지체로서 TCP의 효과)

  • Shim, Kyung-Mi;Kim, Se-Eun;Kim, Jong-Choon;Bae, Chun-Sik;Choi, Seok-Hwa;Kang, Seong-Soo
    • Journal of the Korean Society of Radiology
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    • v.5 no.1
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    • pp.11-18
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    • 2011
  • The periosteum contains multipotent cells that can differentiate into osteoblasts and chondrocytes. Cultured periosteum-derived cells (PDCs) have an osteogenic capacity. The purpose of this study was to evaluate the interaction of PDCs with bone graft biomaterial. After cell isolation from the calvarial periosteum of Sprague-Dawley rats, cultured PDCs were placed in critical-sized calvarial defects with beta-tricalcium phosphate (${\beta}$-TCP). All rats were sacrificed 8 weeks after bone graft surgery, and the bone regenerative ability of bone grafting sides was evaluated by plain radiography, micro-computed tomography (CT), and histological examination. PDCs grafted with ${\beta}$-TCP displayed enhanced calcification in the defect site, density of regenerated bone and new bone formation within the defect and its boundaries. Furthermore, these PDCs more efficiently regenerated new bone as compared to grafted ${\beta}$-TCP only. The results suggest that cultured PDCs have the potential to promote osteogenesis in bone defects.

A case of removable partial denture restoration using implant supported surveyed crown in a maxillary edentulous patient (상악 무치악 환자에서 임플란트 지지 서베이드 크라운을 이용한 가철성 국소의치 수복 증례)

  • Seong, Si Young;Choi, Yeon Jo;Ryu, Jae Jun
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.29-36
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    • 2022
  • When planning oral rehabilitation for maxillary edentulous patients, fixed prosthetic restoration using implants, complete denture restoration or overdentures using implants can be considered as treatment methods. In the case of complete denture restoration, it does not require additional surgery and is relatively economical. In the case of implant-supported fixed prostheses, the functional part is generally superior to that of complete denture restoration, but there are cases in which implant placement is clinically difficult. Recently in consideration of the patient's needs and the condition of the remaining alveolar bone, after partial implant placement, a method of restoring with a removable partial denture using implant-supported surveyed crown is also being attempted. This case is a case of performing a removable partial denture restoration using implant-supported surveyed crown in the anterior maxilla, and showing satisfactory esthetic and functional results.

Biodegradable Meniscus Screw Fixation of Thin Flap Osteochondral Fracture - Two Case Report - (흡수성 반월상 연골나사를 사용한 얇은 골연골 골절의 치료 - 증례 보고 -)

  • Chon, Je-Gyun;Sun, Doo-Hoon;Song, In-Soo;Kim, Young-Woo;Jung, Jae-Yong;Lee, Bong-Ju
    • Journal of the Korean Arthroscopy Society
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    • v.14 no.2
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    • pp.131-134
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    • 2010
  • Inappropriate treatment of osteochondral fracture can cause osteoarthritis, pain, functional disorder. With large osteochondral fracture, reduction and fixation of the fragment using metal implant. However, when the bone fragment had less than 2mm, the fragment extracted because of difficulty of fragment fixation. Authors treated patients with fracture fragment thickness less than 2mm of osteochondral dissecans in medial femoral condyle and patella fracture using biodegradable meniscus screw, and then we obtained good result.

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Efficiency Evaluation of Irradiated on Mouse Calvarial Model by BMP-2 (전리방사선이 조사된 쥐의 두개골상의 BMP-2 효용성 연구)

  • Jung, Hongmoon
    • Journal of the Korean Society of Radiology
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    • v.13 no.5
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    • pp.811-817
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    • 2019
  • Radiation-therapy causes the adverse radiation effect. It is called osteoradionecrosis. A protein-therapy is carried out in order to cure osteoradionecrosis. The typical method of the protein-therapy is using BMP-2. Considering to bone damage, it is more important that maintains enough to circumstance regeneration for osteoblast differentiation on damage site of bone. Thus, this study is on a tissue regeneration to cure radiation critical damage. I observed that the formation of new regeneration bone by injection of collagen sheet BMP-2 on irradiated mouse. Consequently, I examined new bone formation with collagen sheet BMP-2 on irradiated mouse after 8weeks. Therefore I suggested that using collagen sheet BMP-2 which can be good for new bone regeneration effect on radiation side effect area.

Prosthetic rehabilitation of marginal mandibulectomized patient using implant-supported removable partial denture (하악골 변연절제술 환자에서 임플란트를 지대치로 이용한 가철성 국소의치 수복 증례)

  • Baek, Chang-Hyun;Heo, Seong-Joo;Koak, Jai-Young;Kim, Seong-Kyun;Park, Ji-Man
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.2
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    • pp.126-131
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    • 2016
  • Surgical management of oral cancer results in compromised masticatory and swallowing function which affects patient in social and psychological aspects due to reduced phonetic ability and facial deformity, thus, it is imperative to provide applicable prosthetic treatment to overcome such complications. This clinical study describes rehabilitation of a patient with squamous cell carcinoma treated with marginal mandibulectomy and implantation on preserved posterior portion of mandible to provide stability and support for subsequent denture treatment. Kennedy class IV removable partial denture has provided satisfactory results in esthetics and function. Bone level stability around implants was reported to be maintained during eight months of clinical observation.

Implant overdenture treatment using several solitary attachment systems on mandibular edentulous patients (하악 무치악 환자에서 수종의 어태치먼트를 이용한 임플란트 피개의치 수복 증례)

  • Park, Mid-Eum;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.3
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    • pp.242-252
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    • 2015
  • Implant overdenture treatment using several solitary attachment systems on mandibular edentulous patients. Most patients with severe residual ridge resorption report significantly more problems adapting to their mandibular denture due to a lack of comfort, retention, stability and to the inability to chew and eat. Recent scientific studies carried out over the past decade have determined that the benefits of a mandibular implant overdenture are sufficient to get retention and stability. Therefore, overdenture with implants on the mandible and attachments are considered as a treatment of choice as a favorable treatment. In this cases, with consideration for jaw relation, level of bone loss, facial support and economic factor, edentulous patients with severe residual ridge resorption are rehabilitated by complete denture on maxilla and two-implants overdenture using several solitary attachment systems on mandible.

RECONSTRUCTION COMBINED WITH HBO THERAPY AND ILIAC BONE GRAFT IN MANDIBULAR FRCTURE SITE OSTEOMYELITIS (하악골 골절후 이차감염으로 인한 골수염시 유리 장골 이식술과 고압산소 요법을 이용한 재건 치험례)

  • Kim, Su-Nam;Lee, Dong-kuen;Lim, Chang-Joon;Yun, Seong-Pill
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.110-116
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    • 1991
  • Fracture site osteomyelitis begins rarely with an acute event but rather has a subacute onset. It develops almost exclusively in the mandibular region. The treatment principles of mandibular fracture site osteomyelitis are complete removal of inflammatory tissue and drainage, rigid fixation with or without autogenous bone bone graft and specific antibiotic therapy. But hyperbaric oxygen used as a modality in the treatment of intractable osteomyelitis. In this paper, we reported that the three patients who have osteomyelitis accompying secondary in fection after mandibular fracture.

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Multidisciplinary approach of the problem of unaesthetic implants in the maxillary anterior dentition (비심미적 임플란트의 심미성 회복을 위한 다각적 접근법)

  • Joo, Ji-Young;Choi, Jeomil;Lee, Ju-Youn
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.2
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    • pp.126-133
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    • 2015
  • Periodontal tissue destroyed by inflammation is difficult to achieve regeneration of the tissue and esthetic restorations only by surgical methods. In particular, improvement of esthetics is more difficult if the problem is related to the implant. A 23 year old woman suffered from unesthetic anterior implant prosthesis. According to her dental history, a repeated bone graft and soft tissue graft failed at a local dental clinic. It was needed to resolve the inflammation and to improve the esthetics. A free gingival graft and ridge augmentation accompanied by guided bone regeneration and a vascularized interpositional periosteal connective tissue graft was performed. Instead of implant prosthesis, a conventional fixed bridge was adopted for better esthetic result. The patient was satisfied with the esthetic conventional fixed prosthesis. This case report introduces esthetic rehabilitation of unesthetic implant prosthetics in the maxillary anterior dentition by a combination of surgical and prosthetic approaches.

Implant-supported fixed prosthesis restoration of fully edentulous patient using computer-guided implant surgery and immediate loading: A case report (Computer guided implant surgery와 immediate loading을 활용한 무치악 환자의 전악 임플란트 고정성 보철물 수복 증례)

  • Hyeon-Me Sung;Kyoung-Hee Sul;Sun-Woo Kang;Jung-Han Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.131-139
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    • 2024
  • In a edentulous patient, various methods can be employed for prosthetic treatment using implants, such as implant-supported fixed prostheses, overdentures, hybrid prostheses, and implant assisted removable partial denture. In this case, in a patient with moderate to severe chronic periodontitis requiring full arch extractions, implants were strategically placed using computer-guided surgery. In the maxilla, due to inadequate bone quality and quantity leading to insufficient initial stability, delayed loading was implemented, and interim prosthesis was used during the osseointegration period. In the mandible, stable initial stability was achieved, allowing for immediate loading to reduce patient discomfort. Primary stability is considered the most crucial factor for obtaining immediate loading, so a thorough clinical and radiological evaluation of the remaining alveolar bone quantity and quality must be conducted before surgery.

Implant Supported Overdenture using Milled Titanium Bar with $Locator^{(R)}$ Attachment on Fully Edentulous Maxillae : A Case Report (상악 완전 무치악에서 $Locator^{(R)}$ attachment가 장착된 milled titanium bar를 이용한 임플란트 지지 피개의치: 증례 보고)

  • Oh, Sang-Chun;Han, Ji-Suk;Kim, Min-Jeong
    • Journal of Dental Rehabilitation and Applied Science
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    • v.27 no.2
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    • pp.223-231
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    • 2011
  • The purpose of this case report is to introduce new attachment system(milled titanium bar with $Locator^{(R)}$ attachment) for implant supported overdenture in maxillary edentulous patients. A 56-years-old male patient visited the hospital due to the mobility of his maxillary fixed partial dentures(10-unit bridge). Including temporomandibular joint(TMJ), there was no specific PMHs to influence dental treatment. In radiographic and clinical evaluation, there was a severe bone resorption and mobility in maxillary teeth. Accordingly all the remaining maxillary teeth was extracted and fabrication of implant supported overdenture was planned. The milled titanium bar with $Locator^{(R)}$ was designed as an attachment system, considering the stability and retention of denture, masticatory efficiency, oral hygiene care, esthetics, pronunciation, and patient's financial state. The milled titanium bar was manufactured using CAD/CAM technology, and $Locator^{(R)}$ attachment connected to the bar by tap & drill method. For over 1-year, in terms of function and esthetics, satisfactory result was obtained.