• 제목/요약/키워드: Cortical thickness

검색결과 163건 처리시간 0.032초

Relationship between cortical bone thickness and implant stability at the time of surgery and secondary stability after osseointegration measured using resonance frequency analysis

  • Tanaka, Kenko;Sailer, Irena;Iwama, Ryosuke;Yamauchi, Kensuke;Nogami, Shinnosuke;Yoda, Nobuhiro;Takahashi, Tetsu
    • Journal of Periodontal and Implant Science
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    • 제48권6호
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    • pp.360-372
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    • 2018
  • Purpose: It has been suggested that resonance frequency analysis (RFA) can measure changes in the stability of dental implants during osseointegration. This retrospective study aimed to evaluate dental implant stability at the time of surgery (primary stability; PS) and secondary stability (SS) after ossseointegration using RFA, and to investigate the relationship between implant stability and cortical bone thickness. Methods: In total, 113 patients who attended the Tohoku University Hospital Dental Implant Center were included in this study. A total of 229 implants were placed in either the mandibular region (n=118) or the maxilla region (n=111), with bone augmentation procedures used in some cases. RFA was performed in 3 directions, and the lowest value was recorded. The preoperative thickness of cortical bone at the site of implant insertion was measured digitally using computed tomography, excluding cases of bone grafts and immediate implant placements. Results: The mean implant stability quotient (ISQ) was $69.34{\pm}9.43$ for PS and $75.99{\pm}6.23$ for SS. The mandibular group had significantly higher mean ISQ values than the maxillary group for both PS and SS (P<0.01). A significant difference was found in the mean ISQ values for PS between 1-stage and 2-stage surgery (P<0.5). The mean ISQ values in the non-augmentation group were higher than in the augmentation group for both PS and SS (P<0.01). A weak positive correlation was observed between cortical bone thickness and implant stability for both PS and SS in all cases (P<0.01). Conclusions: Based on the present study, the ISQ may be affected by implant position site, the use of a bone graft, and cortical bone thickness before implant therapy.

생체 내 경골의 피질골에서 시간역전 램파의 군속도와 피질골 특성 사이의 상관관계 (Correlations between the group velocity of time-reversed Lamb waves and cortical bone properties in tibial cortical bone in vivo)

  • 이강일
    • 한국음향학회지
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    • 제42권6호
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    • pp.559-564
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    • 2023
  • 노화 및 골다공증으로 인한 경골 또는 요골과 같은 긴 뼈의 외부 껍질을 구성하는 피질골의 골강도 변화는 골절의 위험인자로 알려져 있다. 본 연구에서는 시간역전법을 이용하여 생체 내 경골의 피질골에서 발생된 시간역전 램파의 군속도를 측정하고, 군속도가 피질골의 골강도와 밀접한 관련이 있는 cortical bone thickness(cTh) 및 cortical bone mineral density(cBMD)와 갖는 상관관계를 조사하였다. 7명의 실험대상자의 우측 경골에서 측정된 시간역전 램파의 군속도는 cTh와 r = 0.90(p < 0.0001)의 매우 높은 상관관계를 보이며, cBMD와는 r = 0.69(p < 0.0001)의 상대적으로 낮은 상관관계를 보이는 것으로 나타났다. 본 생체 내 연구의 한계점은 단지 7명의 건강한 성인으로 구성된 정상군에 대하여 시간역전 램파의 군속도가 측정되었다는 것이다. 향후 다수의 건강한 성인 및 골다공증 환자로 각각 구성된 정상군 및 골다공증군에 대한 후속연구를 통하여 시간역전 램파의 임상적 유용성이 입증된다면 골다공증 진단을 위한 정량적 초음파 기술의 신뢰도를 향상시킬 수 있을 것으로 기대된다. 또한 시간역전 램파의 군속도를 측정하기 위한 골격 부위를 경골뿐만 아니라 대퇴골 또는 요골까지 확장시킬 필요가 있다.

하악전돌증에 있어서 전산화단층촬영을 이용한 하악지의 형태학적 평가 (MORPHOLOGICAL EVALUATION OF MANDIBULAR RAMUS IN MANDIBULAR PROGNATHISM BY COMPUTED TOMOGRAPHY)

  • 차두원;장지영;이상한
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제34권3호
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    • pp.370-375
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    • 2008
  • Sagittal split ramus osteotomy (SSRO) is widely used in treatment of dentofacial deformities. But, many complications can occur including unfavorable fractures during osteotomy. To prevent these complications, it is necessary to understand comprehensively the anatomy of the mandiular ramus. The purpose of this study was to evaluate the morphology of the madibular ramus in manibular prognathism patients by computed tomography comparing with normal control group. The study group consisted of 33 skeletal class III patients (20 males, 13 females) and the control group consisted of the 52 patients without dentofacial deformities (32 males, 20 females). The mean age of study group was 22.0-year old, and that of control group was 37.1-year. For the CT examination, following scan parameters was used: 1mm slice thickness, 0.5 second scan time, 120kV and 100mA/s. The axial scans of the head were made parallel to the mandibular occlusal plane. The anteroposterior length of the ramus, the distance from anterior border of the ramus to lingula, the relative distance from the anterior border of the ramus to lingula compared to the anteroposterior length of the ramus, the thickness of anterior and posterior cortical plate, the thickness of medial cortical plate of the ramus at lingula level, the thickness of cancellous bone of the ramus at lingula level were measured. The skeletal class III mandibular prognathism patients exhibited shorter anteroposterior length of the ramus, thicker anterior and posterior cortical plate, thinner mediolateral cancellous bone thickness. The lingula has a relative stable anteroposterior position in ramus in all groups. There was higher possibility of fusion of medial and lateral cortical plate at lingula level in the mandibular prognathism group. In conclusion, the mandibular prognathism patients have narrow rami with scanty cancellous bone, which means that careful preoperative examination including CT scan can prevent undesirable fractures during osteotomy.

DIR 영상을 이용한 피질두께 측정: GRAPPA 인자 2를 이용한 비교 (Cortical Thickness Estimation Using DIR Imaging with GRAPPA Factor 2)

  • 최나래;남윤호;김동현
    • Investigative Magnetic Resonance Imaging
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    • 제14권1호
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    • pp.56-63
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    • 2010
  • 목적 : 본 논문에서는 DIR 영상을 이용하여 두뇌의 피질두께측정 연구를 수행하는 한편 평행 영상기법 중 하나인 GRAPPA (generalized autocalibrating partially parallel acquisitions)를 이용하여 GRAPPA 인자 (reduction factor, R)가 2일 때와 평행 영상기법을 이용하지 않았을 때의 결과 비교를 통해 3D DIR 영상의 획득시간 단축 가능성을 제시하고자 한다. 대상 및 방법 : 3.0T 자기공명영상장치 (Siemens Tim Trio MRI scanner)의 3D DIR 펄스열을 이용하여 6명(남자 3명, 여자 3명, $25.33{\pm}2.25$살)의 정상인 뇌에 대한 3차원 영상을 얻었다. GRAPPA 시뮬레이션은 R=2 일 때를 가정하여 수행되었고 두뇌 피질두께측정을 위해 Analyze 9.0과 Freesurfer v.4.3.0 프로그램을 사용하였다. 결과로 얻은 데이터를 T-검증을 이용하여 비교분석 하였다. 결과 : GRAPPA 기법을 통하여 복원한 영상이 잡음이 증가하는 경향을 보였으나 두뇌 피질두께 측정에는 별다른 영향을 미치지 않았다. 통계분석을 통해 비교한 결과 대부분의 두뇌 영역에서 참조영상과 GRAPPA 기법을 이용한 영상의 차이가 유의하지 않았다. 결론 : 피질두께측정 연구에 있어서 3D DIR영상의 문제점 중 하나는 긴 영상획득시간이다. 따라서 평행영상 기법 중 하나인 GRAPPA 영상기법을 적용하면 피질두께측정 연구결과의 큰 차이없이 영상 획득 시간을 단축시킬 수 있다.

Anatomical position of the mandibular canal in relation to the buccal cortical bone: relevance to sagittal split osteotomy

  • Lee, Han Eol;Han, Se Jin
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제44권4호
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    • pp.167-173
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    • 2018
  • Objectives: Classification of the degree of postoperative nerve damage according to contact with the mandibular canal and buccal cortical bone has been studied, but there is a lack of research on the difference in postoperative courses according to contact with buccal cortical bone. In this study, we divided patients into groups according to contact between the mandibular canal and the buccal cortical bone, and we compared the position of the mandibular canal in the second and first molar areas. Materials and Methods: Class III patients who visited the Dankook University Dental Hospital were included in this study. The following measurements were made at the second and first molar positions: (1) length between the outer margin of the mandibular canal and the buccal cortical margin (a); (2) mandibular thickness at the same level (b); (3) Buccolingual $ratio=(a)/(b){\times}100$; and (4) length between the inferior margin of the mandibular canal and the inferior cortical margin. Results: The distances from the canal to the buccal bone and from the canal to the inferior bone and mandibular thickness were significantly larger in Group II than in Group I. The buccolingual ratio of the canal was larger in Group II in the second molar region. Conclusion: If mandibular canal is in contact with the buccal cortical bone, the canal will run closer to the buccal bone and the inferior border of the mandible in the second and first molar regions.

Effect of Age and Caponization on Blood Parameters and Bone Development of Male Native Chickens in Taiwan

  • Lin, Cheng-Yung;Hsu, Jenn-Chung;Wan, Tien-Chun
    • Asian-Australasian Journal of Animal Sciences
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    • 제25권7호
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    • pp.994-1002
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    • 2012
  • An experiment was carried out to determine the effect of age and caponization on the development blood and bone characteristics development in male country chickens in Taiwan. A total of two hundred 8-wk-old LRI native chicken cockerels, Taishi meat No.13 from LRI-COA, were used as experimental animals. Cockerels were surgically caponized at 8 wks of age. Twelve birds in each group were bled and dressed from 8 wks to 35 wks of age at 1 to 5 wk intervals. The results indicated that the plasma testosterone concentration was significantly (p<0.05) lower in capons after 12 wks of age (caponized treatment after 4 wks) than that of the intact males. The relative tibia weight, bone breaking strength, cortical thickness, bone ash, bone calcium, bone phosphorus and bone magnesium contents were significantly (p<0.05) higher in intact males, while capons had higher (p<0.05) plasma ionized calcium, inorganic phosphorus and alkaline phosphatase concentration. The plasma testosterone concentration, relative tibia weight, tibia length, breaking strength, cortical thickness, bone ash, calcium, and phosphorus contents of intact males chickens increased significantly (p<0.05) with the advance of age. In addition, the relative tibia weight of capons peaked at 18 wks of age, and declined at 35 wks of age. The bone ash, calcium and phosphorus content increased most after 14 wks of age in male native chickens in Taiwan. Also, tibia length and cortical thickness peaked at 22 wks of age. However, the peak of bone strength was found at 26 wks of age. These findings support the assertion that androgens can directly influence bone composition fluxes in male chickens. Caponization caused a significant increase in bone loss at 4 wks post treatment, which reflected bone cell damage, and demonstrated reductions in the relative tibia weight, breaking strength, cortical thickness, bone ash, calcium, phosphorus and magnesium contents, and increases in plasma ionized calcium, inorganic phosphorus and alkaline phosphatase concentration.

아동 및 청소년기의 하악각부 피질골 두께에 관한 방사선학적 연구 (A RADIOGRAPHIC EXAMINATION ON THE THICKNESS OF MANDIBULAR ANGULAR CORTEX AT THE CHILD AND ADOLESCENT)

  • 백병주;김미라;노용관;김문현;김재곤
    • 대한소아치과학회지
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    • 제25권1호
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    • pp.225-233
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    • 1998
  • The purpose of this study was to determine the thickness of the cortical bone at the mandibular angle in children and adolescents. The subjects were composed of 153 subjects who were 3 to 17 years of age that had not been history of bone disease or metabolic disease and no dental caries or tooth loss on mandibular molars. The subjects were divided into three age groups, group I (preschool children) was 3 to 5 years of age and grouop II (school children) was 6 to 11 years of age and group III (adolescence) was 12 to 17 years of age. Panoramic radiographs of these patients were collected and measurements of the thickness of the cortical bone were obtained at the mandibular angle. The average thickness of the cortical bone in the group I was 1.01$\pm$0.18 mm in boys and 1.07$\pm$0.22 mm in girls. In the group II was 1.23$\pm$0.18 mm in boys and 1.32$\pm$0.18 mm in girls. In the group III was 1.60$\pm$0.23 mm in boys and 1.58$\pm$0.20 mm in girls. Statistical analyses did not reveal any significant difference between the right or left side of the mandible but difference was exist between the same age groups by sex, especially in group II (p<0.01), except in group III. The greater thickness of cortical bone in the older age group was shown to be statistically significant. The correlation coefficient between age and the thickness of the cortical bone at the mandibular angle showed a high value of r=0.76.

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연조직-골 모사 팬텀에서 피질골 두께에 대한 유도초음파 위상속도의 의존성 (Dependencies of phase velocities of ultrasonic guided waves on cortical thickness in soft tissue-bone mimicking phantoms)

  • 이강일
    • 한국음향학회지
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    • 제40권6호
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    • pp.587-592
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    • 2021
  • 노화 및 골다공증으로 인해 긴 뼈에서 발생하는 피질골의 두께 변화는 골절의 위험인자로 알려져 있다. 본 연구는 200 kHz의 중심주파수 및 12.7 mm의 직경을 갖는 한 쌍의 트랜스듀서와 함께 축방향 전파법을 이용하여 윗면이 2 mm 두께의 실리콘 고무층으로 덮인(1 mm부터 4 mm까지의 두께를 갖는) 아크릴판으로 제작된 7개의 연조직-골 모사 팬텀에서 피질골 두께에 대한 유도초음파 위상속도의 의존성을 고찰하였다. 모든 연조직-골 모사 팬텀에서 서로 다른 속도를 갖는 First Arriving Signal(FAS) 및 Slow Guided Wave(SGW)가 전파하는 것으로 일관되게 관찰되었다. FAS의 위상속도는 피질골 두께가 증가함에 따라 약간 감소하는 반면 SGW의 위상속도는 피질골 두께가 증가함에 따라 크게 감소하는 것으로 나타났다. FAS 및 SGW의 위상속도는 각각 실리콘 고무층을 갖지 않는 아크릴판에서 전파하는 S0 및 A0 램 모드의 위상속도와 거의 일치하는 것으로 나타났으며, 이는 아크릴판의 윗면을 덮고 있는 연조직 모사 물질(2 mm 두께의 실리콘 고무층)의 존재가 위상속도 측정에 큰 영향을 미치지 않는다는 것을 의미한다.

Attribution of Cortical Granules to Formation of Fertilization Envelopes and Polyspermy Block in Urechis unicinctus

  • Shin, Kil-Sang;Kwon, Hyuk-Jae;Kim, Wan-Jong
    • Animal cells and systems
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    • 제9권2호
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    • pp.57-64
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    • 2005
  • Cortical reaction and polyspermy block are well defined in most marine invertebrates. In Urechis species, the function of cortical granules (CGs) is not yet known, and there is controversy on whether the cortical reaction occurs, or the fertilization envelope (FE) is attributed to CG releases or functions to prevent polyspermy. This study was carried out to determine the cortical reactions and functions of the FE in Urechis unicinctus. Artificial insemination of the eggs revealed that CG release occurred to give rise to perivitelline space (PS) into the final FE. Both PS and final FE effectively blocked polyspermy. The final FE was accomplished within 10 min after sperm-egg initial binding. No massive release of CGs occurred within the early phase of 5 min after the initial binding, initially and the PS seemed to playa role to prevent polyspermy. The CG massively released its content into the PS in late phase of FE formation, and differentiated PS into five intermediate layers. The layers opened into each other by anastomosis, so that the final FE consisted of two layers, the inner layer ($15{\mu}m$ in thickness) and the outer layer ($1{\mu}m$ in thickness). The outer layer derived from vitelline layer and the inner layer consisted of PS and CG secretions. Immunofluorescence and confocal laser microscopy revealed that the spermatozoon took up residence in the egg cortex during FE formation and successive meioses of the fertilized egg. These results suggest that both PS and final FE of U. unicinctus were equivalent to the early and late block, respectively, of other marine animals.

교정용 미니스크류의 디자인과 피질골의 두께에 따른 역학적 안정성 평가 (MINISCREW STABILITY REGARDING DESIGN OF MINISCREW AND THICKNESS OF CORTICAL BONE)

  • 권영선;현홍근;김영재;김정욱
    • 대한소아치과학회지
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    • 제38권3호
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    • pp.250-259
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    • 2011
  • 본 연구의 목적은 소아 청소년의 얇은 피질골에서 안정성을 가지는 미니스크류 디자인을 제시하고자 하는 것이다. 직경, 길이, 몸체모양을 달리한 교정용 미니스크류를 피질골의 두께를 달리한 두 종류의 인조골 시편에 식립하여 최대 식립 토크, 최대 제거 토크 및 측방 변위 토크를 측정하였다. 연구결과 피질골의 두께 및 미니스크류의 직경, 길이, 몸체모양은 모두 최대 식립 토크, 최대 제거 토크, 측방 변위 토크에 유의한 영향을 미쳤다. 피질골의 두께가 가장 중요한 요소로 나타났으며 원추형이 원통형보다 초기 고정력이 우수하고, 직경이 증가할수록 역학적 고정력 확보에 유리하였다. 길이의 증가는 다른 요소에 비해 초기 고정력 확보에 미치는 영향이 크지 않으나 6 mm와 8 mm는 고정력 확보에 통계적으로 유의한 차이가 있었다(p<0.05). 피질골이 얇은 소아 청소년의 골에서 미니스크류의 안정성은 원추형, 직경 1.8 mm가 유리하며, 길이도 6 mm 보다는 8 mm가 유리하다.