• Title/Summary/Keyword: 치아이식

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Autotransplantation of tooth into the oroantral fistula site after extraction (상악동 점막 천공부위로의 치아이식)

  • Kim, Yeong-Un
    • The Journal of the Korean dental association
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    • v.41 no.7 s.410
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    • pp.504-508
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    • 2003
  • This report demonstrates a case of tooth autotransplantation into the oroantral fistula site after extraction. Oroantral fistula can be developed when maxillary molar or premolar is extracted in case the root of tooth closed to or inside maxillary sinus. In most of cases, this would heal spontaneously without any interventions. Sometimes, many procedures including flap closure would be used judging from perforating size and previous inflammation. Although fistula size of this case is not that large, closure with tooth autotransplanted has successfully accomplished. So this report will discuss about several clinical aspects.

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A Study on Automatic Tooth Root Segmentation For Dental CT Images (자동 치아뿌리 영역 검출 알고리즘에 관한 연구)

  • Shin, Seunghwan;Kim, Yoonho
    • The Journal of Society for e-Business Studies
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    • v.19 no.4
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    • pp.45-60
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    • 2014
  • Dentist can obtain 3D anatomical information without distortion and information loss by using dental Computed Tomography scan images on line, and also can make the preoperative plan of implant placement or orthodontics. It is essential to segment individual tooth for making an accurate diagnosis. However, it is very difficult to distinguish the difference in the brightness between the dental and adjacent area. Especially, the root of a tooth is very elusive to automatically identify in dental CT images because jawbone normally adjoins the tooth. In the paper, we propose a method of automatically tooth region segmentation, which can identify the root of a tooth clearly. This algorithm separate the tooth from dental CT scan images by using Seeded Region Growing method on dental crown and by using Level-set method on dental root respectively. By using the proposed method, the results can be acquired average 19.2% better accuracy, compared to the result of the previous methods.

자가치아 이식술의 임상증례

  • Son, Eun-Ju;Jeong, Chan-Du;Kim, Eun-Gyeong;Seo, Eun-Pyo;Kim, Ji-Hwan;Kim, Yeong-Jun;Jeong, Hyeon-Ju
    • 대한치주과학회:학술대회논문집
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    • 1999.11a
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    • pp.68-68
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    • 1999
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Ti합금의 생체적합성 향상을 위한 생활성 물질 이온주입 기술

  • Byeon, Eung-Seon;Jeong, Yong-Su
    • Proceedings of the Materials Research Society of Korea Conference
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    • 2011.05a
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    • pp.17.2-17.2
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    • 2011
  • 모든 생물은 늙어가면서 그 생물체를 이루고 있는 생체조직들이 낡게 되고 약해지기 마련이며, 이외에도 자동차 사고 등 재해에 의해 생체 장기의 손상을 가져올 수도 있다. 또한 인간의 평균수명 연장과 함께 소득 수준이 높아지고 또한 'quality of life'를 추구하는 고령화 시대로 접어듦에 따라, 인공골, 인공치아 또는 인공 고/슬관절 등의 골조직 대체재료의 수요가 빠르게 증가하고 있다. 이와 같은 골조직 대체, 즉 골이식은 크게 자기골 이식(autografting), 동종이식(allografing), 인공재료(man-made materials)의 이식으로 구분된다. 현재 대체물질의 약 58%를 차지하고 있는 자기골 이식의 경우, 거부면역 반응이 없어 임상성공율이 80%에 달한다는 장점을 가지고 있으나, 비용이 비싸고 감염과 통증의 위험이 있다. 또한 시신으로부터 골을 이식하는 동종이식의 경우 대체물질의 약 34%를 차지하고 있는데, 성공률이 떨어지고 질병 감염의 위험이 있는 단점이 있다. 이외에 약 8%를 차지하고 있는 인공재료 이식의 경우, 파단, 독성반응, 마모, 골조직의 remodeling 등이 일어나는 단점이 있으나, 앞에서 언급한 바와 같이 그 필요성이 급격히 증가함에 따라 보다 나은 치료법과 골이식 대체물질의 개발에 많은 노력이 경주되고 있다. 2003년 6월 미국 Financial Times에 의하면, 인체내 식립형 생체재료의 세계시장 규모는 약 650억 달러에 이르며, 매년 200% 이상씩 신장하고 있다고 한다. 따라서 세계 각국의 의학, 약학, 임상학, 생명과학, 공학 등의 관련 연구 분야에서는 이 수요를 충족시키기 위한 활발한 연구활동을 펼치고 있다. 한편 인체내 식립용 임플란트의 국내 시장규모는 치과 임플란트의 경우 2006년 현재 2000억원 규모로, 정형외과, 악안면 성형외과, 이비인후과를 포함하면 소위 'bone-anchored metal implant' 영역의 시장 규모는 4~5조원에 이를 것으로 추산 되고 있다. 또한 소비 신장률 10~15%를 감안하면 향후 시장 규모는 폭발적으로 증가될 것으로 예상된다. 이에 발맞추어, 최근 들어 선진국은 물론, 국내에서도 인체내 식립을 목적으로 하는 생체재료에 관한 연구개발이 활발히 진행되고 있으며, 일부는 실용화 단계에 진입하고 있다. 본 강연에서는 금속 임플란트의 시장현황과 앞으로의 추세에 대하여 조망하고, Ti 임플란트를 중심으로 이의 생체활성을 부여하는 표면개질 필요성 및 최근의 연구개발 동행에 대해 소개하고자 한다.

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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.

CASES REPORT OF CLEFT ALVEOLUS REPAIR WITH PMCB GRAFT (치조골 파열환자의 자가망상골 이식을 이용한 치험례)

  • Lee, Dong-Keun;Choi, Seong-Hoon;Chung, Hyung-Bai
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.9-15
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    • 1991
  • The cleft alveolus occurs about 75% of cleft lip and palate patients. The purpose of bone grafting is improve the maxillary growth, rehabilitation of continuty of maxillary arch and providing bone for periodontal support for unerupted teeth. The bone grafting for alveolar cleft defect repair are classsified; primary bone grafting, early secondary bone grafting secondary bone grafting and late secondary bone grafting. In this article, we reported the cases of PMCB grafts for repair of the alveolar clefts showed potential benifit to the patient to induce a normal maxillary growth and providing bone foor periodontal support of unerupted teeth.

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CANINE ERUPTION THROUGH BIO-$OSS^{(R)}$ GRAFT IN PATIENTS WITH CLEFT LIP & PALATE (구순구개열 환자에서의 이종골 이식재를 통한 견치의 맹출)

  • Kim, Ji-Hun;Choi, Byung-Ho;Chang, Che-Rry
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.6 no.2
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    • pp.105-111
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    • 2010
  • Objective : To report eruption of maxillary canine through Bio-$Oss^{(R)}$ graft in patients with secondary bone-grafted alveolar clefts. Methods : Secondary alveolar bone grafts placed in the cleft alveolar defect have been shown to support dental eruption through the graft and may further affect the prevalence of impacted teeth. As the case may be, it could be difficult to do secondary alveolar bone graft with autologous bone. In particular, few reports have been shown the secondary bone graft with heterogenous bone(Bio-$Oss^{(R)}$). In this report, the eruption of canine into bone-grafted alveolar clefts was recorded as panoramic, occlusal radiographs, in 3 patients grafted with Bio-$Oss^{(R)}$ Results : Like autologous bone graft, the canine was erupted and developed into the cleft alveolar defect through Bio-$Oss^{(R)}$ graft. Conclusion : In some cases that autologous bone graft is not available, we can consider heterogenous bone graft into the cleft alveolar defect for dental development and eruption of impacted teeth.

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IMPACTION OF MANDIBULAR CANINES (매복된 하악 견치의 치험례)

  • Jung, Young-Jung;Kim, Young-Jae;Kim, Jung-Wook;Jang, Ki-Taeg
    • Journal of the korean academy of Pediatric Dentistry
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    • v.32 no.2
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    • pp.278-283
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    • 2005
  • Impaction of mandibular canine is not common, and transmigration of mandibular canine is rare. Treatment of impacted canine can be removal of physical obstacle and periodic observation, surgical exposure of impacted tooth and orthodontic traction, autotransplantation, surgical extraction. Management of impacted canine depends on existence of physical obstacle, position and direction of impacted tooth, space available for canine eruption, stage of root development. Of the two case in this report, one case involved impaction of lower canine with odontoma and dentigerous cyst that is treated by surgical exposure and orthodontic traction. The other case involved transmigration of lower canine with supernumerary teeth. It was thought difficult to treat only by orthodontic treatment, so the impacted canine was transplanted to its normal position and orthodontic treatment was conducted.

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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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