• Title/Summary/Keyword: Bone Health

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Three-dimensional structural analysis of the morphological condition of the alveolar bone before and after orthodontic treatment

  • Shimizu, Yasuhiro;Ono, Takashi
    • The korean journal of orthodontics
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    • v.47 no.6
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    • pp.394-400
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    • 2017
  • Assessing the condition of the alveolar bone before and after orthodontic treatment is important. Recently, cone-beam computed tomography has been widely accepted as a useful tool for orthodontic treatment. Moreover, using a three-dimensional (3D) structural analysis software enables gathering detailed information and quantifying data. The aim of this study was to introduce various quantitative analyses performed before and after orthodontic treatment by using a 3D structural analysis software for evaluating the morphological condition of the alveolar bone of a patient with gingival recession around the canines.

Autogenous tooth bone graft block for sinus augmentation with simultaneous implant installation: a technical note

  • Lee, Kwang-Ho;Kim, Young-Kyun;Cho, Woo-Jin;Um, In-Woong;Murata, Masaru;Mitsugi, Masaharu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.5
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    • pp.284-289
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    • 2015
  • In cases of severe alveolar bone atrophy in the posterior maxillary area, which has only a thin sinus floor, the autogenous tooth bone graft block (ABTB) was used to wrap the implant to enhance its primary stability and osseointegration in the sinus. These cases with four years of clinical follow-up demonstrate the applicability of the ABTB in maxillary sinus membrane elevation to improve the outcomes of implant placement.

Regenerative effect of recombinant human bone morphogenetic protein-2/absorbable collagen sponge (rhBMP-2/ACS) after sequestrectomy of medication-related osteonecrosis of the jaw (MRONJ)

  • Min, Song-Hee;Kang, No-Eul;Song, Seung-Il;Lee, Jeong-Keun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.46 no.3
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    • pp.191-196
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    • 2020
  • Objectives: Beyond the original application approved by the U.S. Food and Drug Administration, recombinant human bone morphogenetic protein-2 (rhBMP-2) is used for medication-related osteonecrosis of the jaw (MRONJ) treatment because of its bone remodeling enhancement properties. The purpose of the study was to investigate the bone formation effect of rhBMP-2/absorbable collagen sponge (ACS) in patients with MRONJ. Materials and Methods: In this retrospective cohort study, 26 female patients diagnosed with MRONJ and who underwent mandibular sequestrectomy at Ajou University Dental Hospital from 2010 to 2018 were included. The experimental group was composed of 18 patients who received rhBMP-2/ACS after sequestrectomy, while the control group was composed of 8 patients who did not receive rhBMP-2/ACS after sequestrectomy. A total dose of 0.5 mg of rhBMP-2 was used in the experimental group at a concentration of 0.5 mg/mL. Follow-up panoramic X-rays were taken immediately after the surgery and more than 6 months after the surgery. Using those X-rays, a radiographic index of bone defect area was calculated using the modified Ihan Hren method, which measures radiographic density of the normal bone and the defect site. Results: This study suggests that rhBMP-2 contributes to new bone formation. The mean radiographic index immediately after surgery and more than 6 months after the surgery for the experimental group was 68.4% and 79.8%, respectively. The mean radiographic index immediately after surgery and more than 6 months after the surgery for the control group was 73.4% and 76.7%, respectively (Wilcoxon signed rank test, P>0.05). The mean radiographic index increased 11.4% in the experimental group and 3.27% in the control group (Mann-Whitney U-test, P<0.05). Conclusion: Based on the results, use of rhBMP-2/ACS on bone defect sites after sequestrectomy could be a successful strategy for treatment of MRONJ patients.

A Study on the Influence of the Dietary Intake upon Bone Mineral Density in Korean Aged (한국 노인의 식사내용이 골격밀도에 미치는 영향에 관한 조사연구)

  • 한성숙
    • Journal of Nutrition and Health
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    • v.21 no.5
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    • pp.333-347
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    • 1988
  • The purpose of the present study was to investigate the relationship between nutrient status, and bone mineral state which influenced by aging process. The subjects were 196 people over 65 years old(male 72, female124). The present dietary intake was estimated by the 24-hr, recall method, and individual dietary history concerning consumption of meat, fish and dairy products was obtained by questionaires. The syndrome of senility including seniliy was evaluated according to "Cornell Medical Index". The five subjects who showed 'Good' grade in bone senility, and five subjects who showed 'Risk' and 'Danger' grade were selected and their spine and femur bone density was measured by "Dual Photon Absorptiometry". The bone density measurement showed that the subjects with 'Good' grade in bone senility had bone density above that of normal person, and their nutrient status were satisfactory, whereas the subjects with 'Risk' and 'Danger' grade in bone senility had severe osteoporotic pattern, and their nutrient status were very poor. The food consumption score showed that the subject with higher intake of meat rather than milk had good grade in bone senility (p<0.05). Therefore, past meats consumption can be considered to be a significant factor in the present bone status. The nutrient intakes appeared to be significant factors in bone status in male, whereas there was little effect of nutrients intakes in female. Therefore, the risk of osteoporosis can increase as syndrome of bone senility and nutrient intakes were worse, and its is possible to evaluate bone status and predict osteoporosis simply from informations concerning syndrome of bone senility and nutrient intakes in old population over 65.

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Bone Mineral Density, Health-promoting Behaviors, and Self-efficacy in Middle-aged Women (일 지역 갱년기 여성의 골 밀도와 건강증진행위, 자기효능감 정도에 관한 연구)

  • Jeong, Geum-Hee;Yang, Soon-Ok;Lee, Kwang-Ok;Pye, Ok-Jung;Lee, Mi-Ra;Baik, Sung-Hee;Kim, Kyung-Won
    • Women's Health Nursing
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    • v.9 no.2
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    • pp.170-178
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    • 2003
  • To identify osteoporosis and examine the relationship between health behavior and the self-efficacy of middle-aged women, a descriptive survey was conducted. The subjects were 465 healthy female residents of Kyunggido, Korea, who underwent ultrasound measurement and a health examination at the Kangmeung-Ci Health Center between July and August 2000. They were 40 to 60 years old, with a mean age of 46.7 years. The subjects completed a self-reported questionnaire that consisted of seven items concerning health behavior and twelve items concerning self-efficacy related to osteoporosis. Bone density was evaluated from ultrasound measurements of the right heel. All the data were analyzed using the program SAS-PC. The study found that the mean T score related to bone density was -1.30, and ranged from -3.52 to 3.06. Based on the T score, 74.8% of the subjects were normal, 12.9% had osteopenia, and 12.3% had osteoporosis. The mean osteoporosis self-efficacy score was 41.17 and ranged from 12 to 60. Osteoporosis self-efficacy differed significantly with health behavior related to health supplementary food (t=5.63, p=.018), exercise (t=6.65, p=.010), alcohol drinking(t=10.80, p=.001), and smoking (t=10.23, p=.001). A community-based health promotion program should be developed to prevent osteoporosis in middle-aged women.

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A Study on Spinal Bone Mineral Density Measured with Quantitative Computed Tomography (정량적 전산화 단층촬영법을 이용한 척추 골밀도 측정)

  • Yeo, Jin-Dong;Park, Jae-Seong
    • The Korean Journal of Health Service Management
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    • v.3 no.2
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    • pp.87-94
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    • 2009
  • The purpose of this study is to evaluate the relationship between osteoporotic postmenopausal women and its bone mineral density value by using the single energy quantitative CT. 1. Decreasing BMD with age is evident. There is a significant low BMD value in the osteoporotic women compared with the healthy subgroup. 2. BMD decrease from T12 to L4, except in healthy premenopausal women. 3. Relationship of spinal BMD expressed as average BMD of T12 through L4 Show strong correlation with mean BMD in all vertebral levels. 4. There are significantly different BMD value from T12 through L4 in subgroup 1, 2, 3 but there is no statistically significant difference between subgroup 2 and 3. Conclusion, There is a significant decreasing BMD with age but it is difficult to differentiate postmenopausal relatively healthy women from osteoporotic women by BMD.

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Risk Factors of Osteopenia among Korean Middle-aged Women (중년여성의 골감소증 위험요인)

  • Kim, Gwang Suk;Lee, Yoon Ju;You, Mi-Ae
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.20 no.2
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    • pp.133-140
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    • 2013
  • Purpose: This study examined the demographic and lifestyle differences between women with osteopenia and those with normal bone mineral density (BMD) to identify risk factors for osteopenia. Method: Participants comprised 381 women age 40-64 years. Data were collected using surveys, BMD measures, and anthropometric parameters. Results: Prevalence of osteopenia was 29.1%; significant differences in age group, job, age at menarche, age at menopause, and body mass index were found between women with osteopenia and those with normal BMD. Logistic regression analysis indicated that advanced age, unemployment, lower body mass index, and lack of exercise in women were significantly associated with osteopenia. Conclusion: This study suggests the need for strategies to improve bone health and continuous cohort studies to identify risk factors.

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Evaluation of mandibular cortical bone thickness for placement of temporary anchorage devices (TADs)

  • Kim, Jung-Hoon;Park, Young-Chel
    • The korean journal of orthodontics
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    • v.42 no.3
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    • pp.110-117
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    • 2012
  • Objective: In this study, we measured the cortical bone thickness in the mandibular buccal and lingual areas using computed tomography in order to evaluate the suitability of these areas for application of temporary anchorage devices (TADs) and to suggest a clinical guide for TADs. Methods: The buccal and lingual cortical bone thickness was measured in 15 men and 15 women. Bone thickness was measured 4 mm apical to the interdental cementoenamel junction between the mandibular canine and the 2nd molar using the transaxial slices in computed tomography images. Results: The cortical bone in the mandibular buccal and lingual areas was thicker in men than in women. In men, the mandibular lingual cortical bone was thicker than the buccal cortical bone, except between the 1st and 2nd molars on both sides. In women, the mandibular lingual cortical bone was thicker in all regions when compared to the buccal cortical bone. The mandibular buccal cortical bone thickness increased from the canine to the molars. The mandibular lingual cortical bone was thickest between the 1st and 2nd premolars, followed by the areas between the canine and 1st premolar, between the 2nd premolar and 1st molar, and between the 1st molar and 2nd molar. Conclusions: There is sufficient cortical bone for TAD applications in the mandibular buccal and lingual areas. This provides the basis and guidelines for the clinical use of TADs in the mandibular buccal and lingual areas.

Patterns of Bone Mineral Density and Its Causal Factors among Korean Adult Women (한국 성인여성의 골밀도와 관련요인에 관한 연구(II))

  • You, Moo-Hyun;Son, Bu-Soon;Park, Jong-An;Yang, Won-Ho;Kim, Jong-O;Jang, Bong-Ki
    • Journal of environmental and Sanitary engineering
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    • v.21 no.2 s.60
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    • pp.47-56
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    • 2006
  • This study was to investigate relationship between osteoporosis and various factors. We compared the result in 390 women with under -2.5 bone mineral density (BMD, T-scores) with those in 370 women with over -1.0 BMD. According to WHO criteria, women with -2.5 BMD are regarded as patient with osteoporosis, while with above -1.0 BMD are healthy. We obtained the BMD(T-scores) data of 9.704 adult women over 20 year old. The following are the results of this study: The mean age of interviewed women was 45.7 years and their menopausal age was 48.6 years. Means of height and weight were 157.3cm and 56.9Kg respectively. The BMD was the highest in 30-34 year-old women, an average ranges were in the 35-44 year old group. The BMD decreased after 45 year-old. The early sixties women began to experience thiness of the BMD and the mid-sixties showed symptoms of osteoporosis. The formular showing the relationship between age and BMD can be represented as $Y=9.71X^2-2.71X+0.06$ (p<0.001). The bone mineral density decreased significantly with increases of age(p<0.001) and decreases of weight(p<0.001) in multiple regression analysis using age, weight, menopause age, height, number of pregnancies, number of children, and age as independent variables.