• Title/Summary/Keyword: 치조골 이식

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A Clinical Study on Bone Grafting of Alveolar Clefts (치조열 환자의 골이식에 대한 임상적 연구)

  • Ryu, Sun-Youl;So, Kwang-Sub
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.3
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    • pp.256-262
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    • 1998
  • The aim of this study was to evaluate treatment plan and treatment procedure such as bone graft material, timing of bone graft and orthodontic treatment in 31 alveolar cleft bone graft patients treated at the Department of Oral and Maxillofacial Surgery of Chonnam University Hospital from Jan. 1992 to Dec. 1996. Results obtained were as follows : In total 31 patients of alveolar bone grafts, males(64.5%) were more than females(35.5%). The patients' age ranged between 2 - 33 years of age. Secondary bone grafting was the highest incidence(58.1%) when procedures were undertaken in patients between 6 - 16 years of age. In distribution of cleft side, unilateral clefts(93.5%) were the major part with the left side was larger than the right side. The Missing teeth were found most in lateral incisor, the supernumary teeth were found most between lateral incisor and canine. The most common occlusion before operation was class III malocclusion and anterior cross-bite(65.1%), orthodontic treatment was performed similarly between before and after the bone graft. The most common combined operation with alveolar bone graft was secondary cheiloplasty. The complications were 6 cases of bone defect, a case of oronasal fistula, 3 cases of dehiscence. PMCB and DFDB were used bone graft materials. In marginal bone height after operation, PMCB grafts were higher than DFDB grafts and marginal bone level was increased in the PMCB group but not in the DFDB group.

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Healing Following Transplantation of Periodontitis-Affected Roots with Calcium Sulfate in the Extraction Socket (Calcium Sulfate가 성견 발치와내에서 치주질환이환 치근이식과 치조골 재생에 미치는 영향)

  • Chai, Jung- Kiu;Kim, Chong-Kwan;Cho, Kyoo- Sung;Moon, Ik-Sang;Kim, Jin;Han, Soo-Boo;Choi, Sang-Mook
    • Journal of Periodontal and Implant Science
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    • v.26 no.3
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    • pp.579-589
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    • 1996
  • 이 연구의 목적은 치주질환에 이환된 성견의 치근을 활택술 후 발치와에 이식하였을 때 calcium sulfate 골이식이 치근흡수와 치근유착을 지연시키는가를 알아보고자 하는 것이다.성견의 제2, 제3 소구치 주위의 치조골을 제거하여 분지부를 노출시키고, 8주간 교정사를 결찰하여 실험적 만성치주염을 유발하였다. 치관을 제거하고, 치근을 반분하고, 활택한 후 발치하였다. 발치된 치근을 둘로 나누어 각각을 우측에는 calcium sulfate와 함께, 좌측에는 이식재 없이 이식하였다. 12주간의 치유 후 조직학적으로 관찰하였다. 대조군에서는 흠의 치관쪽으로 치근흡수와 치근유착이 일어났고, 실험군에서는 성견 결합조직과 calcium sulfate가 위치하였던 공간이 관찰 되었고 치근흡수는 지연되었다. 이 연구에 나타난 바에 의하면, 치근 이식시 calcium sulfate 의 사용은 치조골로부터의 육아조직을 배제하고 치근흡수와 치근유착을 지연할 수 있는 것으로 생각된다.

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Full mouth rehabilitation of fully edentulous patient with implant-supported fixed prosthesis preceding bone graft: A case report (전악 무치악 환자에서 골이식술을 선행한 임플란트 고정성 보철 수복 증례)

  • An, Ju-Nam;Lee, Jung-Jin;Seo, Jae-Min;Kim, Kyoung-A
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.77-87
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    • 2018
  • Prosthetic treatment using implants in fully edentulous patients includes implant-supported fixed prosthesis, implant hybrid prosthesis, implant retained- or supported-over-denture and implant supported fixed prosthesis has advantages such as psychological stability, pronunciation. If an implant supported fixed prosthesis is planned, the implants should be placed in consideration of pronunciation, esthetics, and oral hygiene. For this, clinical and radiological diagnosis is indispensable. When placing the prosthetic driven implant at the site determined from the diagnosis, a sufficient amount of alveolar bone and soft tissue support are required. If these requirements found to be insufficient, a wide range of bone grafting should be performed in advance. In this case, a fully edentulous patient with severe alveolar bone resorption due to periodontal disease was treated with a full mouth rehabilitation using implant-supported fixed prosthesis preceding maxillary sinus graft and alveolar bone augmentation. We report this patient were satisfied with esthetic and function.