• Title/Summary/Keyword: Healing period

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Prospective randomized clinical trial of hydrophilic tapered implant placement at maxillary posterior area: 6 weeks and 12 weeks loading

  • Kim, Seong-Beom;Yun, Pil-Young;Kim, Sang-Yun;Yi, Yang-Jin;Kim, Ji-Yun;Kim, Young-Kyun
    • The Journal of Advanced Prosthodontics
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    • v.8 no.5
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    • pp.396-403
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    • 2016
  • PURPOSE. Early loading of implant can be determined by excellent primary stability and characteristic of implant surface. The implant system with recently improved surface can have load application 4-6 weeks after installing in maxilla and mandible. This study evaluated the effect of healing period to the stability of hydrophilic tapered-type implant at maxillary posterior area. MATERIALS AND METHODS. This study included 30 patients treated by hydrophilic tapered-type implants (total 41 implants at maxilla) and classified by two groups depending on healing period. Group 1 (11 patients, 15 implants) was a control group and the healing period was 12 weeks, and Group 2 (19 patients, 26 implants) was test group and the healing period was 6 weeks. Immediately after implant placement, at the first impression taking, implant stability was measured using Osstell Mentor. The patients also took periapical radiographs after restoration delivery, 12 months after restoration and final followup period. The marginal bone loss around the implants was measured using the periapical radiographs. RESULTS. All implants were survived and success rate was 97.56%. The marginal bone loss was less than 1mm after 1 year postoperatively except the one implant. The stabilities of the implants were not correlated with age, healing period until loading, insertion torque (IT), the diameter of fixture and the location of implant. Only the quality of bone in group 2 (6 week) was correlated with the stability of implant. CONCLUSION. Healing period of 6 weeks can make the similar clinical prognosis of implants to that of healing period of 12 weeks if bone quality is carefully considered in case of early loading.

Relationship between Ischemia-Modified Albumin and the Healing Period of Amputation Wounds in Patients with Diabetes Mellitus Following Non-traumatic Below-Knee Amputation (당뇨족으로 인한 비외상성 하퇴부 절단 환자에서 시행한 절단부 창상의 치유 기간과 Ischemia-Modified Albumin과의 관계)

  • Si Young Heo;Myoung Jin Lee;Hyeon jun Kim;Sung Bin Byun
    • Journal of Korean Foot and Ankle Society
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    • v.27 no.2
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    • pp.49-54
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    • 2023
  • Purpose: The present study examined the effectiveness of the preoperative ischemia-modified albumin (IMA) levels in predicting the healing period of amputation wounds in patients with diabetes mellitus following a non-traumatic below-knee amputation (BKA). Materials and Methods: This study enrolled 41 diabetic foot ulcer patients who underwent BKA at the authors' hospital diabetic foot center from April 2016 to April 2022. Among the 41 patients, 29 (70.7%) were male and 12 (29.3%) were female. Their mean age was 64.54±11.38 years (41~81 years). The mean follow-up period was 19.48±5.56 weeks (14~48 weeks) after BKA. The patients were divided into two groups (high IMA group and normal IMA group), which evaluated the healing period, wound dehiscence, and revision operation rate using a Fisher's exact test and Mann-Whitney U test. Three orthopedic surgeons performed stump wound evaluation, and they were evaluated as healing when all sutures were fused without oozing. Results: Thirty patients (73.2%) (group A) showed a high level of IMA (median: 91.2 U/mL), and 11 (26.8%) patients (group B) showed a normal range of IMA (median: 82.7 U/mL). In group A, the median period for wound healing took 1.4 weeks longer, which was significant (p=0.001). No statistical relationship was observed between wound dehiscence, revision operation rate, and IMA value. There was no correlation between the other risk factors (estimated glomerular filtration rate, HbA1c) and the wound healing period. Conclusion: Although there was a limitation in using IMA as the sole factor to predict the healing period of amputation wounds in patients after BKA, this study revealed a significant positive correlation between IMA and the period of stump healing after BKA. Therefore, the preoperative IMA levels may help predict the period of stump healing after BKA.

Application of cold atmospheric microwave plasma as an adjunct therapy for wound healing in dogs and cats

  • Jisu Yoo;Yeong-Hun Kang;Seung Joon Baek;Cheol-Yong Hwang
    • Journal of Veterinary Science
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    • v.24 no.4
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    • pp.56.1-56.13
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    • 2023
  • Background: Cold atmospheric plasma is a novel innovative approach for wound care, and it is currently underrepresented in veterinary medicine. Objectives: To investigate the efficacy and safety of using cold atmospheric microwave plasma (CAMP) as an adjunct therapy for wound healing in dogs and cats. Methods: Wound healing outcomes were retrospectively analyzed using clinical records of client-owned dogs and cats who were first managed through standard wound care alone (pre-CAMP period) and subsequently via CAMP therapy (CAMP period). The degree of wound healing was estimated based on wound size and a modified wound scoring system. Results: Of the 27 acute and chronic wounds included in the analysis, 81.48% showed complete healing after the administration of CAMP as an adjunct therapy to standard care. Most wounds achieved complete healing in < 5 weeks. Compared with the pre-CAMP period, the rate of wound healing significantly increased every week in the CAMP period in terms of in wound size (first week, p < 0.001; second week, p = 0.012; third week, p < 0.001) and wound score (first week, p < 0.001; second week, p < 0.001; third week, p = 0.001). No adverse events were noted except for mild discomfort and transient erythema. Conclusions: CAMP is a well-tolerated therapeutic option with immense potential to support the treatment of wounds of diverse etiology in small animal practice. Further research is warranted to establish specific criteria for CAMP treatment according to wound characteristics.

Evaluation of Self-Healing Performance for Mortar Beams Containing Self-Healing Materials (자기치유 재료 혼입 모르타르 보의 자기치유 성능 평가)

  • Shin, DongIk;Muhammad, Haroon;Min, Kyung Sung;Lee, Kwang-Myong;Lee, Jung-Yoon
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.24 no.1
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    • pp.67-73
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    • 2020
  • In this study, the self-healing performance of mortar beams containing self-healing materials was evaluated through experiments. Normal mortar beams and self-healing mortar beams were used In the experiments. The self-healing performance was evaluated by comparing the mortar compressive strength, member strength, and self-healing effects of cracks. The experimental results showed that the compressive strength of mortar containing self-healing material was smaller than that of normal mortar, but the ratio of 118 days compressive strength to 28 days compressive strength was the same. The member strength tended to increase with increasing curing period. In normal mortar specimens, the member strength did not recover even if the curing period increased, but the strength of the self-healing mortar specimens tended to recover as reaction products were produced. The crack width tended to decrease after the healing periods in both specimens, but the reaction product was observed only in the self-healing mortar specimens.

Maxillary sinus augmentation using biphasic calcium phosphate: dimensional stability results after 3-6 years

  • Cha, Jae-Kook;Kim, Chingu;Pae, Hyung-Chul;Lee, Jung-Seok;Jung, Ui-Won;Choi, Seong-Ho
    • Journal of Periodontal and Implant Science
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    • v.49 no.1
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    • pp.47-57
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    • 2019
  • Purpose: This study was designed to observe the resorption pattern of biphasic calcium phosphate (BCP) used for maxillary sinus augmentation over a 3- to 6-year healing period, and to investigate factors affecting the resorption of BCP. Methods: A total of 47 implants placed in 27 sinuses of 22 patients were investigated. All patients had residual bone height less than 5 mm at baseline. The modified Caldwell-Luc approach was used to elevate the maxillary sinus membrane, and the sinus cavity was filled with BCP (70% hydroxyapatite and 30% ${\beta}$-tricalcium phosphate). Implant placement was done simultaneously or in a staged manner. Serial radiographic analysis was performed up to 6 years postoperatively. Results: During the follow-up period, no implant loss was reported. The mean reduced height of the augmented sinus (RHO) was $0.27{\pm}1.08mm$ at 36 months, and $0.89{\pm}1.39mm$ at 72 months postoperatively. Large amounts of graft material (P=0.021) and a long healing period (P=0.035) significantly influenced the amount of RHO. In particular, there was a significant relationship between a healing period longer than 40 months and RHO. Conclusions: BCP can achieve proper dimensional stability with minimal reduction of the graft height in a 3- to 6-year healing period after maxillary sinus augmentation. The healing period and the amount of graft material influenced the resorption of BCP.

A Study on the Planning of Indoor Environment of Corrective Facility Ward Building as Healing Environment (치유 환경으로서 교정시설 수용동의 실내 환경 계획 연구)

  • Ki, Ha-Ri;Nam, Kyung-Sook
    • Korean Institute of Interior Design Journal
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    • v.19 no.5
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    • pp.29-37
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    • 2010
  • The objective of correction is to let criminals receive education, be reformed and get vocational training during prison term by being separated from society and live as sound citizens after being released from prison. The facilities that execute such mission are referred to as corrective institution, and in Korea, some 47,000 persons are accommodated at 50 locations. Corrective facilities are facilities existing to separate and accommodate criminals safely, and return them to society after eliminating criminal nature from the convicts during the accommodation period. But corrective facilities in Korea representing the characteristics of corrective facilities vividly focusing on security. Therefore, while present pursuit of corrective facilities is to seek for reformation of criminals rather than separation of them from society, existing prison buildings are not appropriate facilitated at the moment. This study has the purpose to planning of indoor environment of corrective facility ward building as healing environment. Specifically, this study is contributing to propose a model of criminals healing environment equivalent to hospital facility to raise the effect of healing the criminal nature of criminals and cut the period of restoring them by applying healing environment elements and return the criminals to the society as successfully reformed social member.

The experimental study of oral care for early radiation therapy in the head and neck cancer patients (두경부 악성종양 환자에서 조기 방사선치료를 위한 구강관리법에 대한 실험적 연구)

  • Moon, Won-Kyu;Cha, In-Ho;Kim, Hyung-Jun;Jung, Young-Soo;Lee, Chun-Ui;Lee, Jong-Young;Ryu, Mi-Heon;Yoo, Jae-Ha
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.3
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    • pp.169-175
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    • 2011
  • Background: Teeth requiring extraction before radiotherapy in head & neck cancer patients should be removed as long as possible before the initiation of radiation therapy. Conventionally, a minimum 2-week waiting primary healing period is recommended. Although the above 2-week period is ideal, it was not uncommon for the radiotherapist and cancer patient to feel an urgent need to process with radiotherapy despite the need for dental care. Therefore, alternative approaches for early radiotherapy, including conservative endodontic treatment and a 1-week waiting primary healing period after dental extraction at the time of radiotherapy, were considered and applied based on the experimental study Materials and Methods: Eighteen dogs were processed for histopathologic wound healing. The effect of the primary endodontic treatment and extraction before early radiotherapy was examined. Results: No specific complication, such as, post-extraction wound infection, radiation osteitis and osteoradionecrosis, were encountered despite the early radiotherapy. Conclusion: Based on the experimental study, a minimum 1-week waiting primary healing period for oral care before radiotherapy is suitable for the early radiotherapy in head and neck cancer patients.

Comparison of initial implant stability measured by Resonance Frequency Analysis between different implant systems (Resonance Frequency Analysis(RFA)를 이용한 임플란트 종류간의 초기 안정성 비교)

  • Oh, Jun-Ho;Chang, Moon-Taek
    • Journal of Periodontal and Implant Science
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    • v.38 no.3
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    • pp.529-534
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    • 2008
  • Purpose: The objective of this study was to compare initial implant stability measured by RFA between different implant systems during the initial healing period. Material and Methods: Fifty-four patients (36 males/18 females) who had been treated at the Department of Periodontology, Chonbuk National University Dental Hospital during the period between January and November in 2007 were included in the study. The mean age of the subjects was 49 years old (18 to 77). A total of 104 implants (Type A: 3i $Osseotite^{(R)}$, Type B: $Replace^{(R)}$ select, Type C: ITI implant) were placed following the manufacturer's standard surgical protocols. Implant stability quotient (ISQ) readings were obtained for each implant at the time of surgery, 2-, and 4-month postoperatively. Result: No implant was failed during the observation period. At the baseline, the difference between mean ISQ values of 3 implant systems was statistically significant (p<0.05). However, at 2-, and 4-month following implant surgery, no significant difference was observed between ISQ values of the implant systems. In the same implant, the ISQ values of Type B and C implants increased (p<0.05), but those of Type A implants decreased during the 2-month healing period. The mean ISQ values of Type B and C implants showed a increasing tendency, while those of Type A implants were stable for the 4-month follow-up period. Conclusion: Within limits of this study, it can be concluded that implant design and surface topography of implant might influence the ISQ value and changing pattern during the initial healing period.

Screening of Alstonia scholaris Linn. R. Br., for wound healing activity

  • S, Arulmozhi;VP, Rasal;Sathiyanarayanan, L;Ashok, Purnima
    • Advances in Traditional Medicine
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    • v.7 no.3
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    • pp.254-260
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    • 2007
  • Alstonia scholaris (Family: Apocynaceae) has been indicated for the treatment of various diseases, one among which is wound healing. The purpose of this study is to investigate the wound healing effect and antioxidant role of Alstonia scholaris leaves in animal models. The ethanol and aqueous extracts of Alstonia scholaris (EEAS, AEAS respectively) were tested against excision, incision and dead space wound models to evaluate the wound healing activity. In excision wound model, treatment was continued till the complete healing of wound, in incision and dead space wound models, the treatment was continued for 10 days. For topical application, 5% w/w ointment of EEAS and AEAS were prepared in 2% sodium alginate. For oral administration, EEAS was suspended in distilled water using Tween 80 and AEAS was dissolved in distilled water. The wound healing was assessed by the rate of wound contraction, period of epithelialisation, skin breaking strength, granulation strength, dry granulation tissue weight, hydroxyproline, collagen and histopathology of granulation tissue. Malondialdehyde level was also estimated to evaluate the extent of lipid peroxidation. AEAS and EEAS significantly promoted wound healing activity in all the wound models studied. Increase in the rate of wound contraction, skin breaking strength, granulation strength, dry granulation tissue weight, hydroxyproline and collagen, decrease in the period for epithelialisation and increased collagenation in histopathological section were observed with EEAS and AEAS treated groups. EEAS and AEAS also significantly decreased the levels of lipid peroxidation. The present study is suggestive that EEAS and AEAS promote wound healing activity.

Evaluation Method of Healing Performance of Self-Healing Materials Based on Equivalent Crack Width (등가균열폭에 기반한 자기치유 재료의 치유성능 평가 방법)

  • Lee, Woong-Jong;Kim, Hyung-Suk;Choi, Sung;Park, Byung-Sun;Lee, Kwang-Myong
    • Journal of the Korean Recycled Construction Resources Institute
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    • v.9 no.3
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    • pp.383-388
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    • 2021
  • In this study, constant head water permeability test was adopted to evaluate self-healing performance of mortars containing inorganic healing materials which consist of blast furnace slag, sodium sulfate and anhydrite. Clinker powder and sand replaced for a part of cement and fine aggregates. On constant head water permeability test for self-healing mortars, unit water flow rate of mortar specimens were measured according to crack width and healing period. As a result of evaluating the healing performance of self-healing mortar, it was confirmed that with the initial crack width of 0.3mm, the healing rate at healing period of 28 days increased by more than 30%p compared to plain mortar, greatly improving the healing performance. Furthermore, the coefficient(α) which was estimated from the relationship between crack width and unit water flow rate was used for calculating equivalent crack width. By analyzing the correlation of healing rate and equivalent crack width, the time and initial crack width attaining healing target crack width were predicted.