• Title/Summary/Keyword: Jawbone

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Risk indicators related to periimplant disease: an observational retrospective cohort study

  • Poli, Pier Paolo;Beretta, Mario;Grossi, Giovanni Battista;Maiorana, Carlo
    • Journal of Periodontal and Implant Science
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    • v.46 no.4
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    • pp.266-276
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    • 2016
  • Purpose: The aim of the present study was to retrospectively investigate the influence of potential risk indicators on the development of peri-implant disease. Methods: Overall, 103 patients referred for implant treatment from 2000 to 2012 were randomly enrolled. The study sample consisted of 421 conventional-length (>6 mm) non-turned titanium implants that were evaluated clinically and radiographically according to preestablished clinical and patient-related parameters by a single investigator. A non-parametric Mann-Whitney U test or Kruskal-Wallis rank test and a logistic regression model were used for the statistical analysis of the recorded data at the implant level. Results: The diagnosis of peri-implant mucositis and peri-implantitis was made for 173 (41.1%) and 19 (4.5%) implants, respectively. Age (${\geq}65$ years), patient adherence (professional hygiene recalls <2/year) and the presence of plaque were associated with higher peri-implant probing-depth values and bleeding-on-probing scores. The logistic regression analysis indicated that age (P=0.001), patient adherence (P=0.03), the absence of keratinized tissue (P=0.03), implants placed in pristine bone (P=0.04), and the presence of peri-implant soft-tissue recession (P=0.000) were strongly associated with the event of peri-implantitis. Conclusions: Within the limitations of this study, patients aged ${\geq}65$ years and non-adherent subjects were more prone to develop peri-implant disease. Therefore, early diagnosis and a systematic maintenance-care program are essential for maintaining peri-implant tissue health, especially in older patients.

Biochemical bone markers of bisphosphonate-related osteonecrosis of the jaw (BRONJ) and nonbisphosphonate drugs in osteonecrosis of the jaw (임상가를 위한 특집 2 - Bisphosphonate-related osteonecrosis of the jaw(BRONJ)에 대한 biochemical bone markers와 악골괴사와 연관된 nonbisphosphonate drugs)

  • Lee, Deok-Won;Lee, Hyun-Woo;Kwon, Yong-Dae
    • The Journal of the Korean dental association
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    • v.52 no.4
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    • pp.203-217
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    • 2014
  • Bisphosphonates are widely used in the treatment of many medical conditions, such as osteoporosis, multiple myeloma, Paget's disease, etc. However, side effect has been documented in the published data during the past years, osteonecrosis of the jaw in patients receiving long-term bisphosphonate therapy. Although pathogenesis of BRONJ(bisphophonate-related osteonecrosis of the jaw) is not yet fully understood, it is currently known to be a disease associated with suppressed bone turnover by bisphopbonate. Recent literature has indicated a similar association with nonbisphosphonate drugs used in cancer therapy including monoclonal antibodies denosumab and bevacizumab and multikinase inhibitor sunitinib. Accordingly, many studies have been carried out on the biochemical markers examination to assess the risk for BRONJ. The treatment of BRONI is reported with a review of the relevant literature. However, there is still a controversial discussion about the adequate treatment. It is necessary to accumulate further studies in order to establish more useful biochemical markers and effective treatment for BRONJ.

Identification of Skeletal Deformities in Far Eastern Catfish, Silurus asotus under Indoor Aquaculture Condition

  • Yang, Won Seok;Gil, Hyun Woo;Yoo, Gwang Yeol;Park, In-Seok
    • Development and Reproduction
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    • v.19 no.3
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    • pp.153-161
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    • 2015
  • For the 2 years of farming, at the indoor circulating aquaculture system, four kinds of skeletal deformities were found among 60 Far Eastern catfish, Silurus asotus. Deformities saw jawbone's luxation, abnormality of upper lip and malocclusion. Spinal deformity was most fatal deformities with low weight and small length. Jawbone's luxation had 1 maxilla and 2 mandibles. Abnormality of upper lip had just lip was back over. Malocclusion's left maxilla and right maxilla were not balanced. This experiment was any deformities in this species through the deformity can grasp how it affects.

A STUDY ON THE DENTAL RADIOGRAPHIC MANIFESTATIONS OF END-STAGE RENAL DISEASE (말기신장질환에서의 치과방사선학적 양상에 관한 연구)

  • Kim Eun Kyung;Park Tae Won
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.13 no.1
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    • pp.97-105
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    • 1983
  • For the assessment of changes in the bone architecture of the maxilla and mandible in renal osteodystrophy, 31 chronic renal failure patients who were undergoing hemodialysis therapy were selected. They were evaluated through clinical oral examination, radiographic and biochemical examination. The results were as follows: 1. In 17 cases (54.8%), there were evidences of bony change in jawbone. 2. The most common dental radiographic finding was decreased bone density (14 cases, 45.2%). 3. The second most common dental radiographic finding was total or partial loss of lamina alveolar dura (11 cases, 35.5%). 4. The third most common dental radiographic finding was total or partial loss of inferior canal wall (8 cases, 25.8%). 5 cases showed evidences of bony change only in jawbone, and 5 cases only in hand, and 12 cases in both. 6. Serum creatinine, urea nitrogen and alkaline phosphatase values in hemodialysis group were much higher than in control group. 7. There were statistically significant correlation between bone density and lamina dura, and inferior alveolar canal wall.

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Automatic Detection of the Middle Tooth Crown Part for Full Automatic Tooth Segmentation in Dental CT Images

  • Lee, Chan-Woo;Chae, Ok-Sam
    • Journal of the Korea Society of Computer and Information
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    • v.23 no.3
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    • pp.17-23
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    • 2018
  • In this paper, we propose the automatic detection method which find the middle part of tooth crown to start individual tooth segmentation. There have been many studies on the automation of individual tooth segmentation, but there are still many problems for full automation. Detection of middle part of tooth crown used as initial information for individual tooth segmentation is closely related to performance, but most studies are based on the assumption that they are already known or they can be represented by using a straight line. In this study, we have found that the jawbone curve is similar to the tooth alignment curve by spatially analyzing the CT image, and propose a method to automatically detect the middle part of tooth crown. The proposed method successfully uses the jawbone curves to successfully create a tooth alignment curve that is difficult to detect. As the middle part of tooth crown is in the form of a tooth alignment curve, the proposed method detects the middle part of tooth crown successfully. It has also been verified by experiments that the proposed method works well on real dental CT images.

Cone-beam computed tomographic imaging of central giant cell granuloma: A comprehensive review

  • Tahmasbi-Arashlow, Mehrnaz;Patel, Paras B.;Nair, Madhu K.;Liang, Hui;Cheng, Yi-Shing Lisa
    • Imaging Science in Dentistry
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    • v.52 no.2
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    • pp.123-131
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    • 2022
  • Purpose: The aim of this study was to characterize the cone-beam computed tomographic (CBCT) imaging features of central giant cell granuloma (CGCG) of the jawbone. Materials and Methods: This study retrospectively reviewed 26 CBCT studies of histologically proven cases of CGCG during a period of 20 years, from 1999 to 2019. Patients' demographic data were recorded, and radiographic features were assessed (location, border, cortication, appearance of the internal structure, locularity, septation, expansion, cortical perforation, effects on surrounding tissue, whether the lesion crossed the midline, and lesion volume). Results: In this study, CGCGs were seen almost twice as often in the mandible than in the maxilla, and 64.7% of mandibular lesions involved the anterior region. Only 26.9% of lesions crossed the midline, a feature that was considered characteristic of CGCG. Furthermore, 65.4% of lesions were unilocular and 34.6% were multilocular. The correlation between a lesion's size and its locularity was statistically significant, and larger lesions showed a multilocular appearance. The mean volume of multilocular lesions was greater than that of unilocular lesions. Conclusion: CGCGs showed variable radiographic features on CBCT, and this imaging modality is highly effective at demonstrating the radiographic spectrum and lesional extent of CGCGs in the jawbone.

Alveolar socket preservation with demineralised bovine bone mineral and a collagen matrix

  • Maiorana, Carlo;Poli, Pier Paolo;Deflorian, Matteo;Testori, Tiziano;Mandelli, Federico;Nagursky, Heiner;Vinci, Raffaele
    • Journal of Periodontal and Implant Science
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    • v.47 no.4
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    • pp.194-210
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    • 2017
  • Purpose: The aim of the present study was to evaluate the healing of post-extraction sockets following alveolar ridge preservation clinically, radiologically, and histologically. Methods: Overall, 7 extraction sockets in 7 patients were grafted with demineralised bovine bone mineral and covered with a porcine-derived non-crosslinked collagen matrix (CM). Soft tissue healing was clinically evaluated on the basis of a specific healing index. Horizontal and vertical ridge dimensional changes were assessed clinically and radiographically at baseline and 6 months after implant placement. For histological and histomorphometric analysis, bone biopsies were harvested from the augmented sites during implant surgery 6 months after the socket preservation procedure. Results: Clinically, healing proceeded uneventfully in all the sockets. A trend towards reduced horizontal and vertical socket dimensions was observed from baseline to the final examination. The mean width and height of resorption were 1.21 mm (P=0.005) and 0.46 mm (P=0.004), respectively. Histologically, residual xenograft particles ($31.97%{\pm}3.52%$) were surrounded by either newly formed bone ($16.02%{\pm}7.06%$) or connective tissue ($50.67%{\pm}8.42%$) without fibrous encapsulation. The CM underwent a physiological substitution process in favour of well-vascularised collagen-rich connective tissue. Conclusions: Socket preservation using demineralised bovine bone mineral in combination with CM provided stable dimensional changes of the alveolar ridge associated with good reepithelialisation of the soft tissues during a 6-month healing period.

Design Evaluation of Expandable Implants by the Finite Element Method (유한요소법에 의한 근단부 팽창형 임프란트 모델의 설계평가)

  • Park, Sang-Seok;Chae, Soo-Won;Kwon, Jong-Jin
    • Proceedings of the KSME Conference
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    • 2001.11a
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    • pp.406-411
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    • 2001
  • The expandable implant employs an inner expansion screw in order to expand several legs of implant. Compressive stresses are produced at the bone tissue surrounding the implant, and the contact area between the implant and the bone tissue is increased, which result in increased resistance to horizontal and vertical pressure loads. The stress distribution in implant is also an important factor. Three types of implant models including an existing one have been investigated by using the Finite Element Method, and an improved design model has been suggested.

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Biomechanical Property of Dental Implants due to Chewing Force and Bone Properties. (저작력과 골질에 따른 치과용 임프란트의 생체 역학적 특성)

  • 손준희;채수원;권종진;한석환
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2003.06a
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    • pp.1316-1319
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    • 2003
  • The micromovements and stress distributions of cancellous bone in dental implant system play important roles in evaluating chewing function of an implant system. The micromovements and stress distributions in dental implant system generally depend on the chewing force and bone properties. Three dimensional nonlinear finite element analysis has been employed to investigate this issue quantitatively. Chewing forces and bone properties are classified into several groups and three types of implants involving one classical cylindrical type and two expandable implants are investigated in this paper.

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Fabrication of a sport mouse guard for performance and comfortable wearing (스포츠 마우스가드의 기능성과 안정적인 착용감을 위한 제작 증례)

  • Im, Joong-Jae
    • Journal of Technologic Dentistry
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    • v.42 no.3
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    • pp.298-305
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    • 2020
  • Here, we studied the sports mouse guard as an oral device system, to minimize the sports related facial and dental injuries, jawbone fracture and brain injury, and by layering the hardened sheets for improving the activity performance and stable wearing. By pressuring and layering 2 soft- and 1 hard-layers of ethylene vinyl acetate (EVA) thermoplastic materials, for a category of martial art, record sports and leports, here we introduce a methodology for thickness control of layers to protect the teeth and oral structure. A personally customized mouse guard optimized for sports by layering a mixture of soft and hardened sheets is not easily detached during the sporting activity, easy to breathe through, comforts to wear, and also improves the sporting record. A designed EVA thermoplastic material for individual sports is used as the mouth guard, which is stably attached, easily removed, and convenient for breathing through the mouth.