• Title/Summary/Keyword: Immediate placement

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Benefits of mineralized bone cortical allograft for immediate implant placement in extraction sites: an in vivo study in dogs

  • Orti, Valerie;Bousquet, Philippe;Tramini, Paul;Gaitan, Cesar;Mertens, Brenda;Cuisinier, Frederic
    • Journal of Periodontal and Implant Science
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    • v.46 no.5
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    • pp.291-302
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    • 2016
  • Purpose: The aim of the present study was to evaluate the effectiveness of using a mineralized bone cortical allograft (MBCA), with or without a resorbable collagenous membrane derived from bovine pericardium, on alveolar bone remodeling after immediate implant placement in a dog model. Methods: Six mongrel dogs were included. The test and control sites were randomly selected. Four biradicular premolars were extracted from the mandible. In control sites, implants without an allograft or membrane were placed immediately in the fresh extraction sockets. In the test sites, an MBCA was placed to fill the gap between the bone socket wall and implant, with or without a resorbable collagenous membrane. Specimens were collected after 1 and 3 months. The amount of residual particles and new bone quality were evaluated by histomorphometry. Results: Few residual graft particles were observed to be closely embedded in the new bone without any contact with the implant surface. The allograft combined with a resorbable collagen membrane limited the resorption of the buccal wall in height and width. The histological quality of the new bone was equivalent to that of the original bone. The MBCA improved the quality of new bone formation, with few residual particles observed at 3 months. Conclusions: The preliminary results of this animal study indicate a real benefit in obtaining new bone as well as in enhancing osseointegration due to the high resorbability of cortical allograft particles, in comparison to the results of xenografts or other biomaterials (mineralized or demineralized cancellous allografts) that have been presented in the literature. Furthermore, the use of an MBCA combined with a collagen membrane in extraction and immediate implant placement limited the extent of post-extraction resorption.

Conventional loading, is the concept still useful? (임상가를 위한 특집 3 - Conventional loading, 여전히 임상적으로 유용한가?)

  • Yeo, In-Sung
    • The Journal of the Korean dental association
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    • v.51 no.4
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    • pp.204-209
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    • 2013
  • Implant-supported restorations were connected to commercially pure titanium endosteal implants 3 months in mandible and 6 months in maxilla after the implants were inserted into patient jaws. Modifications of titanium implant surfaces have reduced the waiting time for osseointegration, resulting in the development of the early loading concept, which is defined at present as a restoration in contact with the opposing dentition and placed at least 1 week after implant placement, but no later than 2 months afterward. Nowadays, immediate loading protocols have also been introduced, using the implants that are designed to enhance initial stability. Immediate loading eliminates the edentulous period of a patient. Although dentists widely accept these concepts of early and immediate loading, they agree the conventional loading concept is still necessary, which describes loading protocols later than 2 months after implant insertion. The timing of loading is determined mainly by the factors of a patient. This paper considers for what dental clinicians should be careful in implant-supported restoration procedures, considering the implant late failure.

Immediate implant placement into extraction sites with periapical lesions in the esthetic zone: a case report (치근단 병소를 가진 치아의 발치 후 즉시 임플란트 식립 및 보철을 통한 심미성 회복)

  • Yi, Jae-Young;Kim, Jee-Hwan;Han, Dong-Hoo
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.3
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    • pp.191-197
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    • 2012
  • Esthetics is important in restoring maxillary anterior area. Alveolar bone resorption and loss of interdental papilla may be minimized by immediate implantation. Previous studies showed successful results with the immediate implantation in healthy extraction socket, while many of these studies objected the immediate implantation into extraction sites with periapical lesions. Recent studies, however, reported successful results of the immediate implantation into extraction sites with periapical lesions with careful debridement of extraction sockets and general medication of antibiotics prior to implantation. A 73-year-old female visited the department of Prosthodontics in ${\bigcirc}{\bigcirc}$ University Dental Hospital with the chief complaint of fallen post-core and crown on left maxillary incisor. Although the incisor was with vertical root fracture and periapical lesion, the immediate implantation following the extraction of tooth was planned. Thorough socket debridement, irrigation with chlorhexidine, and tetracycline soaking were followed by immediate implantation. The general medication of antibiotics (Moxicle Tab.$^{(R)}$, 375 mg) was prescribed before and after the surgery. Immediate provisional restoration was delivered two days after the surgery, and the definitive metal-ceramic restoration was placed about six months later after reproducing the emergence profile from the provisional restoration. This case presents satisfying result esthetically and functionally upto two years after the placement of prosthesis with the harmonious gingival line and no loss of marginal bone.

The Effect of Clarified Mapping Strategy and Placement of Analog on Middle School Students' Conceptual Understanding in Science (대응 명료화 전략 및 비유물의 제시 시기가 중학생들의 과학 개념 이해에 미치는 효과)

  • Noh, Tae-Hee;Kim, Chang-Min;Kwon, Hyeok-Soon
    • Journal of The Korean Association For Science Education
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    • v.19 no.1
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    • pp.107-116
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    • 1999
  • The effects of clarified mapping strategy and placement of analog on middle school students' conceptual understanding were investigated. According to the usage of clarified mapping strategy and the sequence in presenting analogy, four types of learning materials were developed and pilot tested. Prior to the treatment, the field dependence-independence test was administered and a previous achievement test scores were obtained. The scores were used as blocking variables. The learning materials were read by randomly assigned middle school students (N=111), and the conceptions test was administered immediately and four weeks later. In the recall problems of immediate and retention test, there were no significant differences. In the application problems of immediate and retention test, however, the students learned with clarified mapping strategy scored significantly higher than those with analog-only. Field-independent students learned with clarified mapping strategy scored significantly higher in the immediate application than those with analog-only, and higher-level students learned with clarified mapping strategy scored significantly higher in the retention application than those with analog-only. In the immediate application, higher-level students learned analog first with clarified mapping strategy scored significantly higher in the immediate application than those learned target concept first with clarified mapping strategy. However, lower-level students learned target concept first with clarified mapping strategy scored significantly higher than those learned analog first with clarified mapping strategy.

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The Effects of Steel Fibers on the Behavior of Slab-Column System (강섬유를 보강한 슬래브-기둥 시스템의 거동에 관한 연구)

  • 최응규;강경수;김묵한
    • Proceedings of the Korea Concrete Institute Conference
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    • 1998.04b
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    • pp.553-558
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    • 1998
  • Two-way slab-column specimens were tested under monotonic loading increased up to punching shear failure to investigate the beneficial effects of fiber-reinforced concrete. The parameters for experiments are the placement of fibers within the immediate column region, the placement on the entire surface of the slab, and no placement of fibers. The effects of these parameters on the punching shear capacity, negative moment cracking. and stiffness of the two-way slab specimens were studied. According to the results the addition of steel fibers in the slab around the column results in a significant improvement in the performance including the increase of punching shear resistance, greater post-cracking stiffness and smaller crack width at service load levels.

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Autogenous fresh demineralized tooth graft prepared at chairside for dental implant

  • Kim, Eun-Seok
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.37
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    • pp.8.1-8.6
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    • 2015
  • Background: This study aimed to evaluate the clinical usefulness of autogenous fresh demineralized tooth (auto-FDT) graft prepared at the chairside for alveolar bone grafting during dental implant surgery. Methods: In total, 38 patients requiring both tooth extraction (for endodontic or periodontal reasons or third molar extraction) and alveolar bone regeneration for dental implant placement were included. Within 2 h after clean extraction, the teeth were prepared at the chairside to serve as bone graft material. In the same sitting, blocks or chips of this graft material were used to reconstruct defects at the osteotomy site simultaneously with or before implant placement. Twelve months after prosthesis fabrication and placement, the clinical findings and implant success rates were evaluated. Histological studies were randomly conducted for selected cases. Results: Clinical evaluation showed favorable wound healing with minimal complications and good bone support for the implants. No implant was lost after 12 months of function following prosthetic rehabilitation. Histological examination revealed new bone formation induced by the graft material. Conclusions: Chairside preparation of autogenous fresh demineralized teeth after extraction can be a useful alternative to the use of autogenous bone or other graft materials for the immediate reconstruction of alveolar bone defects to facilitate subsequent implant placement.

Ridge split for implant placement in very thin alveolar ridge (매우 얇은 치조골에서 치조능 분할 확장술을 통한 임플란트 치료)

  • Kim, Sin-Guen;Lee, Hee-Sung;Park, Jong-Wook;Nam, Jong-Hoon;Bok, Sung-Cheol;Park, Ki-Nam;Choi, Dong-Ju
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.3
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    • pp.229-233
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    • 2011
  • For implant treatment there must be sufficient bone to house the implant body. At least 5mm wide residual bone is needed and usually a 6mm width is preferred by clinicians. However, surgeons sometimes find patients with a narrow ridge, which makes it difficult to place an implant. Therefore, many clinicians perform bone graft or a ridge splitting technique to overcome these poor conditions. The time and cost can be reduced using the ridge splitting technique with immediate implant placement. Recently, many studies reported reliable consequences of ridge splitting technique. This paper reports a successful of implant placement with a ridge splitting technique in a very thin alveolar ridge.

Long-Term Outcomes of Placement of a Single Transverse Stent through the Anterior Communicating Artery via the Nondominant A1 in Coil Embolization of Wide-Necked Anterior Communicating Artery Aneurysms

  • Ban, Seung Pil;Kwon, O-Ki;Kim, Young Deok
    • Journal of Korean Neurosurgical Society
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    • v.65 no.1
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    • pp.40-48
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    • 2022
  • Objective : Placement of a single transverse stent via the nondominant A1 across the anterior communicating artery (AComA) into the contralateral A2 can provide sufficient neck coverage for wide-necked bifurcation AComA aneurysms. The authors described the feasibility, safety and long-term outcomes of this technique. Methods : Between January 2015 and February 2018, placement of a single transverse stent via the nondominant A1 was attempted in 17 wide-necked bifurcation AComA aneurysms. The authors reviewed the medical records and radiological studies. Results : The technical success rate was 94.1% (16/17). Periprocedural thromboembolic complications occurred in one patient (6.3%) without permanent neurological deficits. The mean clinical follow-up duration was 39.9±9.8 months. No deaths or delayed thromboembolic complications occurred. The mean angiographic follow-up duration was 38.9±9.8 months. The immediate and final follow-up complete occlusion rates were 87.4 and 93.7%, respectively. There was no recanalization during the follow-up period. Conclusion : Placement of a single transverse stent via the nondominant A1 across the AComA into the contralateral A2 is a feasible and relatively safe endovascular technique for the treatment of wide-necked bifurcation AComA aneurysms, with good long-term occlusion rates and a reasonable complication rate, if only the nondominant A1 is applicable.

IMMEDIATE PROVISIONALIZATION USING ONE-PIECE NARROW DIAMETER IMPLANTS FOR RESTORATION OF EDENTULOUS NARROW SPACES: CASE REPORTS (좁은 결손부위에 One-piece narrow diameter implant를 이용한 즉시보철: 증례보고)

  • Bae, Min-Su;Heo, Jeong-Uk;Park, Jun-Sub;Yea, Sun-Hae;An, Kyung-Mi;Sohn, Dong-Seok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.4
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    • pp.276-279
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    • 2009
  • The aim of this case study was to report the clinical outcome of immediate provisionalization using one-piece narrow diameter (3.0mm) implants in missing maxillary lateral or mandibular incisors. The present study included 36 patients who were treated with 62 one-piece narrow diameter implants. After implant placement, immediate provisional restorations were delivered. All implants showed favorable osseointegration and after progressive loading from 3 months to 9 months (average of 5 months), final restorations were completed without failure in all cases. A survival rate of 100 % (62 of 62) was observed up to 23 months of observation (average of 12.6 months).