• 제목/요약/키워드: Jaw body

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Volumetric stability of autogenous bone graft with mandibular body bone: cone-beam computed tomography and three-dimensional reconstruction analysis

  • Lee, Hyeong-Geun;Kim, Yong-Deok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제41권5호
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    • pp.232-239
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    • 2015
  • Objectives: The purpose of this study was to estimate the volumetric change of augmented autobone harvested from mandibular body cortical bone, using cone-beam computed tomography (CBCT) and three-dimensional reconstruction. In addition, the clinical success of dental implants placed 4 to 6 months after bone grafting was also evaluated. Materials and Methods: Ninety-five patients (48 men and 47 women) aged 19 to 72 years were included in this study. A total of 128 graft sites were evaluated. The graft sites were divided into three parts: anterior and both posterior regions of one jaw. All patients included in the study were scheduled for an onlay graft and implantation using a two-stage procedure. The dental implants were inserted 4 to 6 months after the bone graft. Volumetric stability was evaluated by serial CBCT images. Results: No major complications were observed for the donor sites. A total of 128 block bones were used to augment severely resorbed alveolar bone. Only 1 of the 128 bone grafts was resorbed by more than half, and that was due to infection. In total, the average amount of residual grafted bone after resorption at the recipient sites was $74.6%{\pm}8.4%$. Conclusion: Volumetric stability of mandibular body autogenous block grafts is predictable. The procedure is satisfactory for patients who want dental implants regardless of atrophic alveolar bone.

낭종성 법랑아세포종으로 변위된 매복치의 외과적-교정적 치료 (Surgical-Orthodontic Treatment of Impacted Teeth displaced by Unicystic Ameloblastoma)

  • 황현식;김현혜;김종철
    • 대한치과교정학회지
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    • 제27권3호
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    • pp.515-521
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    • 1997
  • 하악 좌측 부위 부종을 주소로 내원한 10세 남환이 낭종성 법랑아세포종으로 진단되었다. 외과적 술식으로 조대술을 시행한 후 근심 매복되었던 제1대구치는 helical spring으로 인위적 맹출을 시행한 반면, 심하게 하방 변위되었던 제2소구치는 자연적 맹출을 기대하였다. 비교적 간단한 교정치료와 교합유도에 의해 양호한 영구치 교합이 확립되었다.

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수종의 Hydroxyapatite coated 골유착성 임프란트의 임상적 연구 (CLINICAL STUDY OF ENDOSSEOUS HYDROXYAPATITE COATED IMPLANTS)

  • 한종현;김성현;정영철
    • 대한치과보철학회지
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    • 제38권5호
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    • pp.631-639
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    • 2000
  • Root-form endosseous implants which are in use today have a variety of materials, designs and surface characteristics. Among them, pure titanium surface implants and titanium matrix coated with HA are popular as well as are available in many studies. Rate of clinical success is obviously lower in jaw with cancellous bone than dense bone. In order to increase the rate of success in poor bone quality. More advanced techniques of implant surgery and surface treatment of implant fixture body have been developed. As a successful result, the installation of HA coated implant in bone quality type III or IV became highly successful. Since most clinical studies were performed without knowing the characteristics of HA coated implants, it has been impossible to come up with proper clinical data. Therefore the characterization of HA coated implants is essential to understand long term clinical performance and the predictability of HA coated implant system Our results showed that HA coated implants had the success rate at 93.7% in bone quality type III, IV for 3.8 years, and the fixture of Steri-Oss showed more stability with time.

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Osteological development of wild-captured larvae and a juvenile Sebastes koreanus (Pisces, Scorpaenoidei) from the Yellow Sea

  • Yu, Hyo Jae;Kim, Jin-Koo
    • Fisheries and Aquatic Sciences
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    • 제19권4호
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    • pp.20.1-20.12
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    • 2016
  • The osteological development in Sebastes koreanus is described and illustrated on the basis of 32 larvae [6.11-11.10 mm body length (BL)] and a single juvenile (18.60 mm BL) collected from the Yellow Sea. The first-ossified skeletal elements, which are related to feeding, swimming, and respiration, appear in larvae of 6.27 mm BL; these include the jaw bones, palatine, opercular, hyoid arch, and pectoral girdle. All skeletal elements are fully ossified in the juvenile observed in the study. Ossification of the neurocranium started in the frontal, pterotic, and parietal regions at 6.27 mm BL, and then in the parasphenoid and basioccipital regions at 8.17 mm BL. The vertebrae had started to ossify at ~7.17 mm BL, and their ossification was nearly complete at 11.10 mm BL. In the juvenile, although ossification of the pectoral girdle was fully complete, the fusion of the scapula and uppermost radial had not yet occurred. Thus, the scapula and uppermost radial fuse during or after the juvenile stage. The five hypurals in the caudal skeleton were also fused to form three hypural elements. The osteological results are discussed from a functional viewpoint and in terms of the comparative osteological development in related species.

다발성 골수종 (MULTIPLE MYELOMA)

  • 손정익;하춘호;최갑식
    • 치과방사선
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    • 제24권1호
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    • pp.173-177
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    • 1994
  • Multiple myeloma is a malignant plasma cell tumor that is thought to originate proliferation of a single clone of abnormal plasma cell resulting production of a whole monoclonal paraprotein. The authors experienced a case of multiple myeloma with severe mandibular osteolytic lesions in 46-year-old female. As a result of careful analysis of clinical, radiological, histopathological features, and laboratory findings, we diagnosed it as multiple myeloma, and the following results were obtained ; 1. Main clinical symptoms were intermittent dull pain on the mandibular body area, abnormal sensation of lip and pain due to the fracture on the right clavicle. 2. Laboratory findings revealed M-spike, reversed serum albumin-globulin ratio, markedly elevated ESR and hypercalcemia. 3. Radiographically, multiple osteolytic punched-out radiolucencies were evident on the skull, zygoma, jaw bones, ribs, clavicle and upper extremities. Enlarged liver and increased uptakes on the lesional sites in RN scan were also observed. 4. Histopathologically, markedly hypercellular marrow with sheets of plasmoblasts and megakaryocytes were also observed.

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한국산 학치과(농어목) 어류 1 미기록종, Aspasma minima (First Record of a Clingfish, Aspasma minima (Perciformes: Gobiesocidae) from Korea)

  • 한송헌;김맹진;김병엽;최찬문;송춘복
    • 한국어류학회지
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    • 제20권3호
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    • pp.224-227
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    • 2008
  • 학치과(Family Gobiesocidae)에 속하는 Aspasma minima 1개체가 제주도 조천읍 함덕리 연안에서 처음 채집되어 형태형질을 조사하였다. 이 종은 등지느러미 기조수 6~9개, 뒷지느러미 기조수 5~9개, 가슴지느러미 기조수 20~24개, 그리고 몸과 머리에는 많은 붉은 점이 산재하고, 위턱의 뒤 가장자리가 눈의 앞부분까지 도달하지 않는 특징을 갖고 있다. 이 미기록종의 신한국명을 "꼬마학치"라고 명명하였다.

Comprehensive orthodontic treatment of a young girl with an odontogenic keratocyst and impacted teeth in the mandible

  • Baik, Won-Kyeong;Baik, Hyoung-Seon;Choi, Sung-Hwan
    • 대한치과교정학회지
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    • 제50권1호
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    • pp.63-71
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    • 2020
  • Odontogenic keratocysts (OKCs) are one of the most aggressive cysts in the oral and maxillofacial area because of their high recurrence rate and infiltrative behavior. In growing patients with OKCs, a radical treatment approach might cause numerous complications, including the disturbance of jaw growth and loss of the involved tooth. This case report describes successful comprehensive orthodontic treatment combined with marsupialization of the cyst in a young girl who exhibited an OKC with impacted teeth. The 10-year-old girl presented with an OKC extending from the mandibular symphysis through the left mandibular body, with ectopic impaction of the mandibular left canine and first premolar, as well as congenitally missing bilateral mandibular second premolars. Interestingly, spontaneous improvement of the positions of the ectopic impacted teeth, along with a reduction in the size of the cyst, occurred during marsupialization. The sequential use of removable and fixed appliances enabled orthodontic traction of the impacted teeth. The treatment outcome was stable at 2.5 years after the end of the treatment. We speculate that comprehensive orthodontic treatment combined with marsupialization can be an effective treatment strategy for patients with OKCs, especially when they are encountered in young, growing patients with impacted teeth.

하악에 발생한 법랑아세포 섬유육종의 치험례 (A CASE REPORT OF AMELOBLASTIC FIBROSARCOMA IN THE MANDIBLE)

  • 윤병욱;이백수;오정환
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제29권5호
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    • pp.439-443
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    • 2007
  • Ameloblastic fibrosarcoma(AFS) is a rare malignant odontogenic tumor presented as painful swelling and intraosseous mass with occasional ulceration. The most frequent site is the mandible body. AFS of the jaw generally occurs in all ages($3{\sim}83$ years old), with the average age of 27.3. AFS was associated with high local recurrence rate of 37% in the areas of gingiva, floor of mouth and neck. Although metastasis is not a special feature of this lesion, 20% have died within 3 months to 19 years, due to locally aggressive tumor growth. This report describes an ameloblastic fibrosarcoma occurring in the mandible of a twenty-five year old male. The tumor was treated by partial mandibulectomy and reconstructed with a fibular flap. The patient has shown no signs of recurrence or complications during 18 months postoperatively. In this study, we report our case with a review of literatures.

수종 치조제 이물성형재의 조직반응에 관한 연구 (A STUDY ON TISSUE RESPONSES OF VARIOUS ALLOPLASTIC MATERIALS FOR RIDGE AUGMENTATION)

  • 이재호;김영수
    • 대한치과보철학회지
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    • 제27권1호
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    • pp.181-192
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    • 1989
  • Loss of teeth causes the inevitable reduction of residual ridge. Among the various methods solving this problem, hydroxyapatite proved to be useful for correction of ridge defect and irregularity. The purpose of this study is to evaluate the tissue responses of two types Of hydroxyapatites and resin polymer. Calcitite 2040 (Calcitek Inc.), Interpore 200 (Interpore Int.), and HTR polymer (HTR Sciences) were implanted into the jaw of an adult dog. The procedure was designed to obtain the results of 1 week, 2 week, 4 week, and 12 week-intervals. And after 12 weeks from the first operation day, the dog was sacrificed and evaluated histologically by light microscope. The results were as follows : 1. The mucosa was healed after two weeks. 2. After 1 week, there were acute inflammatory cells, but diminished after 2 weeks and were not seen after 12 weeks. 3. The hydroxyapatites implanted in soft tissues were surrounded by fibrous connective tissue. And some foreign body giant cells were found. 4. Calcitite and Interpore particles implanted subperiosteally were surrounded by newly formed bone after 12 months. And direct contact between bone and particles was noted. 5. The HTR particles implanted in soft tissues were encapsulated by fibrous connective tissues. The sample where the particles contacted directly to bone could not obtained by some probable insufficiencies of surgical technique or care of the animal. And the residue of HTR particles was digested by macrophage.

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양식산 참조기(Larimichthys polyactis) (민어과) 자치어의 상대성장과 비늘 형성 (Relative Growth and Squamation in Larvae and Juvenile of Cultured Larimichthys polyactis (Sciaenidae))

  • 김수빈;조정현;김진구
    • 한국수산과학회지
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    • 제56권3호
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    • pp.324-330
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    • 2023
  • We investigated the relative growth and squamation of larvae and juveniles of cultured Larimichthys polyactis. Analysis of the relative growth of larvae and juveniles showed that their preanal length, head length, eye diameter, body depth, and snout length increased with growth. There was no significant chage in the relative growth. The ratio of preanus length to standard length (SL) increased rapidly until SL was approximately 12 mm, and then increased gradually. Cycloid scales first appeared on the lateral line, progressed to the abdominal cavity at 15.13 mm SL, and expanded to the occipital region, base of pectoral fin, and ventral region of the eye at 17.82 mm SL. At 18.03 mm SL, scales formed on the cheek, and those at the base of pectoral fin and in the abdominal cavity were connected to each other. At 19.06 mm SL, major part of the head was covered by scales, except near the lower jaw. Cycloid scales on the lateral line changed to ctenoid scales at the range of 31.71-32.24 mm SL, and those on the nape changed at the range of 69.02-70.84 mm SL. Our results may help to establish conservation and management strategy for Larimichthys polyactis aquaculture.