• Title/Summary/Keyword: Marginal location

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A Retrospective Clinical Study of Survival Rate for a Single Implant in Posterior Teeth (구치부 단일 임플란트의 생존율에 대한 후향적 연구)

  • Han, Sung-Il;Lee, Jae-Hoon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.3
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    • pp.186-199
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    • 2012
  • Purpose: Single implants, of which screw loosening has been observed frequently, presents problems such as fixtures fractures, marginal bone loss, and inflammation of the soft tissue around the implant. However, the single implant is more conservative, cost effective, and predictable compared to the 3 unit bridge with respect to the long-term outcome. This study evaluated the survival rate as well as future methods aimed at increasing the survival rate in single implants in posterior teeth. Methods: Among the implants placed in the Dankook University Dental Hospital department of Oral & Maxillofacial surgery from January 2001 to June 2008, 599 implants placed in the maxillar and mandibular posterior were evaluated retrospectively. Survival rates were investigated according to implant location, cause of tooth loss, gender, age, general disease, fixture diameter and length, surface texture, implant type and shape, presence of bone graft, surgery stage, surgeons, bone quality and opposite teeth. Results: Out of 599 single implants in posterior teeth, 580 implants survived and the survival rate was 96.8%. The difference in survival rate was statistically significant according to the implant location. The survival rate was low (84.2%) in implants exhibiting a wide diameter (${\geq}5.1mm$) and the surface treated by the acid etching group demonstrated a significantly lower survival rate (91.1%). One stage surgical procedure, which implemented a relatively better bone quality survival rate (100%), was higher than the two stage surgical procedure (96.1%). The survival rate of type IV bone quality (75%) was significantly lower than the other bone quality. Conclusion: Single posterior teeth implant treatments should use an improved surface finishing fixture as well as careful and safe procedures when performing implant surgery in the maxilla premolar and molar regions since bone quality is poor.

Prognostic Factors of Soft Tissue Sarcomas - analysis of 205 cases - (연부 육종의 예후 인자 - 205례 분석 -)

  • Lee, Jong-Seok;Jeon, Dae-Geun;Lee, Soo-Yong;Kim, Sug-Jun;Jung, Dong-Whan;Park, Hyun-Soo
    • The Journal of the Korean bone and joint tumor society
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    • v.3 no.2
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    • pp.89-97
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    • 1997
  • Twenty hundred and five out of 266 patients who were registered in Korea Cancer Center Hospital from Mar. 1985 to Jan. 1994, were analyzed in the aspect of survival and local recurrence. Fifty one patients were excluded due to inadequate data and follow up. Prognostic factors for survival were evaluated statistically. One hundred and four cases were male, 101 female. Average age was 39.7(range 1 to 77) year with a peak incidence around 4th decade. The most frequent diagnosis was malignant fibrous histiocytoma(MFH)(24.1%). Liposarcoma, synovial sarcoma, rhabdomyosarcoma, malignant peripheral nerve sheath tumor and fibrosarcoma were relatively common diagnostic entities, in decreasing order. In location, extremity was 179(87.3%) and trunk 26(12.7%). Average follow up period was 7.5 years(6 months to 10 years). Actuarial 5 years and 10 years survival rate were 64.0% and 40.8% respectively. In univariate analysis with log-lank test, significant differences in survival rate were noted in histopathological diagnosis, size(10 cm), stage and metastasis. Age, sex, tumor location, tumor depth and local recurrence didn't affect the survival rate. Adjuvant chemotherapy and/or radiotherapy did not affect overall survival rate, but lowered the local recurrence rate when compared with surgery only. Surgical margin did not affect the survival rate, but local recurrence rate was different according to each margin; 5.7% in more than wide; 39.5% in marginal; and 60.0% in intralesional excision. In multivariate analysis for results of univariate analysis with Cox's propotional model, metastasis was a meaningful factor for survival of soft tissue sarcoma.

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THE INFLUENCING FACTORS OF $PERIOTEST^(R)$ VALUE AND IMPLANT STABILITY QUOTIENT ($Periotest^(R)$ Value와 Implant Stability Quotient에 영향을 미치는 요소)

  • Yi Young-Ah;Cha In-Ho;Lee Ho-Yong;Han Dong-Hoo
    • The Journal of Korean Academy of Prosthodontics
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    • v.44 no.1
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    • pp.40-50
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    • 2006
  • Statement of problem: $Periotest^(R)\;and\;Osstell^{TM}$ were known as the most objective and quantitative mobility tests available for evaluating stability of implant in vivo. Although a correlation between PTV widely used and ISQ recently introduced exist, a PTV was corresponded to various ISQ. A correct evaluation of implant stability could be obtained only after one has a thorough understanding of the limitations of devices and factors that affect measurements. Purpose: The purpose of this study was to investigate the causes of variables in the values obtained with these two tests. Material and method: A total of 333 implants 134 $Br{\aa}nemark$, 5 Silhouette and 194 ITI implants were investigated. Result: 1. There was a correlation between PTV and ISQ (Spearman correlation =0.39, p<0.0001) 2. The factors that affected ISQ were diameter of implant future, location of implant and implant system (submerged type vs non-submerged type). 3. The factors that affected W were dimeter of implant future, location of implant, and elapsed time after implant placement. 4. There was no significant difference between different surface treatments of RBM, smooth surface and ti-unite on PTY and ISQ. 5. In radiographic finding, no saucerization or bone resorption has been detected in implants with ISQ values that were above the average level of each PTV. These higher values had higher bone densities around the implant fixture. Saucerization was observed in the most impants with ISQ values that were below the average level of each PTV. Conclusion: There was a correlation between ISQ and PTV. However, each measuring methods had factors influencing the measured values. PTV were less sensitive to marginal bone resorption and influenced with the striking point on an implant to the level of bone. With ISQ, the height of implant from bone level to transducer should be considered.

The cumulative survival rate of sandblasted, large-grit, acid-etched dental implants: a retrospective analysis

  • Haeji Yum;Hee-seung Han;Kitae Kim;Sungtae Kim;Young-Dan Cho
    • Journal of Periodontal and Implant Science
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    • v.54 no.2
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    • pp.122-135
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    • 2024
  • Purpose: This retrospective study aimed to assess the long-term cumulative survival rate of titanium, sandblasted, large-grit, acid-etched implants over a 10-year follow-up period and investigate the factors affecting the survival rate and change in marginal bone loss (MBL). Methods: The study included 400 patients who underwent dental implant placement at the Department of Periodontology of Seoul National University Dental Hospital (SNUDH) between 2005 and 2015. Panoramic radiographic images and dental records of patients were collected and examined using Kaplan-Meier analysis, Cox proportional hazards regression analysis, and multiple regression analysis to determine the survival rates and identify any factors related to implant failure and MBL. Results: A total of 782 implants were placed with a follow-up period ranging from 0 to 16 years (mean: 8.21±3.75 years). Overall, 25 implants were lost, resulting in a cumulative survival rate of 96.8%. Comparisons of the research variables regarding cumulative survival rate mostly yielded insignificant results. The mean mesial and distal MBLs were 1.85±2.31 mm and 1.59±2.03 mm, respectively. Factors influencing these values included age, diabetes mellitus (DM), jaw location, implant diameter, bone augmentation surgery, and prosthetic unit. Conclusions: This study found that the implant survival rates at SNUDH fell within the acceptable published criteria. The patients' sex, age, DM status, implant location, implant design, implant size, surgical type, bone augmentation, and prosthetic unit had no discernible influence on long-term implant survival. Sandblasted, large-grit, acid-etched implants might offer advantages in terms of implant longevity and consistent clinical outcomes.

Perforator-Based Propeller Flap for Lower Extremity Reconstruction (천공지기저 프로펠러 피판술을 이용한 하지 재건)

  • Huh, Sung-Woo;Bae, Jae-Ho;Song, Joo-Hyoun;Lee, Joo-Yup
    • Archives of Reconstructive Microsurgery
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    • v.21 no.2
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    • pp.111-117
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    • 2012
  • Purpose: To report the clinical results of the perforated-based propeller flap for lower extremity soft tissue reconstruction. Materials and Methods: Between January 2010 and June 2012, a total of 16 defects in the lower extremities were covered with perforator-based propeller flaps. Retrospective data for location and size of the defect, flap dimension, pedicle artery, pedicle rotation, complications were obtained. Results: Peroneal artery-based perforator flap were used in eleven cases, posterior tibial artery-based perforator flap in two cases, anterior tibial artery-based perforator flap in one case and medial plantar artery-based perforator flap in two cases. The average size of the flaps was $63cm^2$. The marginal skin necrosis of the flaps as a complication was developed in two cases, one of which was covered with split-thickness skin graft. There were no functional deficits from the donor site. Conclusion: For the reconstruction of lower extremities, the perforator-based propeller flap could be a reasonable alternative as it is a simple, safe and versatile technique.

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Promotion of Agricultural Technology Innovations for the Poor Smallholders in Marginal Rural Areas of Bangladesh: An Innovative Business Model Approach

  • Mohammad, Ikhtiar;Malek, Mohammad Abdul
    • Asian Journal of Innovation and Policy
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    • v.6 no.1
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    • pp.58-84
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    • 2017
  • This article aims at demonstrating location specific approach for agricultural technology promotion and adoption in improving the livelihood of the small farmers in the haor basin and coastal belt of Bangladesh. Innovative technologies that have potentials are initially screened by ex-ante investigation and instrumented by the business model canvas, which is used as a bottom-up approach for sustainability of the adoption of proposed technology innovations. Village-level extension farmers, sub-district extension officers and farmers' cooperative are the unique and central features to the business models and forward linkages. Extension service, power tiller, low-lift pump, sunflower, shallow tube well, quality seed, forward linkage for farmed duck eggs, live ducks and open catch fish etc. are the suggested potential technology innovations for the small farmers. The technology adoption business model can be reinvented for different locations within or beyond the country considering the local agricultural problems and prospects for greater sustainability.

The helminthic parasites of greenling, hexagrammos otakii Jordan et Starks, from the Korean southern sea (한국 남해안산 쥐노래미에 기생하는 연충류)

  • Kim, Ki-Hong;Huh, Sung-Hoi;Ji, Bo-Young
    • Journal of fish pathology
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    • v.10 no.2
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    • pp.137-142
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    • 1997
  • A monogenean gill parasite, Prosomicrocotyla gotoi, and a digenean intestinal fluke. Opecoelus sphaericus, were found from greenilngs (Hexagrammos otakii) captured at the Korean southern sea. P. gotoi was characterized by having two separated frills of opisthaptor and distinguished from P. chirii in testis and clamp numbers. O. sphaericus had three pairs of finger-like marginal appendages on the ventral sucker and the parasite was distinguished from O. nipponicus in the location pattern of testes. These two helminth species were the first recording species in Korea.

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Mineral Status of Soils and Forages in Southwestern Punjab-Pakistan: Micro-minerals

  • Khan, Zafar Iqbal;Hussain, A.;Ashraf, M.;McDowell, L.R.
    • Asian-Australasian Journal of Animal Sciences
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    • v.19 no.8
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    • pp.1139-1147
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    • 2006
  • This study was conducted to evaluate the trace elemental nutritive values of soil and forages collected from southwestern part of the province of Punjab, Pakistan. Soil and forage samples were collected fortnightly for two seasons. The concentrations of some trace minerals varied greatly among seasons and sampling periods. Seasonal effects were found in all soil micro-minerals except zinc, while forage iron, zinc, and selenium were affected by seasonal changes. Sampling periods effects were observed in all soil minerals and in forage copper, iron, zinc, and manganese only. All soil mineral levels except cobalt and selenium were sufficiently high to meet the requirements of plants for normal growth during both seasons. In contrast, soil Co and Se levels were severely deficient during both seasons and considered inadequate for plant growth. Soil Fe, Zn, Co, and Se levels were higher, and Cu and Mn lower during winter than those during summer. Forage Zn levels during summer were at marginal deficient levels, and in contrast, all other forage micro-minerals were within the required range for ruminants during both seasons. Although forage mico-minerals were within the range required by the ruminants, they were not sufficiently high to prevent the predisposition to various diseases caused by nutrient deficiency. Consequently, grazing animals at this location need continued mineral supplementation of these elements with a mixtures of high bio-availability rather than of high micro-mineral contents to support optimum ruminant productivity.

Splinted and non-splinted implant-supported restorations : prosthetic considerations for restoring multiple adjacent teeth (Splinted or Non-splinted: 다수의 인접한 치아 결손부 수복을 위한 임플란트 보철)

  • Yoon, Hyung-In
    • The Journal of the Korean dental association
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    • v.54 no.3
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    • pp.198-205
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    • 2016
  • The purpose of this paper was to investigate the significance of splinted and non-splinted implant-supported restorations with an internal connection for multiple consecutively missing teeth. Upon examination of the effects of fixture-abutment connection, the distribution of occlusal load was favorable in splinted implant-prosthesis with an external connection, but effect of strain distribution was not significant in splinted implant-prosthesis with an internal connection. In splinted implant-prostheses for short implants, strain distribution was not affected by the method of retention. For cement-retained prostheses, the effect of strain distribution due to splinting was not significant. In clinical studies, non-splinted prostheses with an internal connection for multiple consecutively missing teeth showed high survival rate, mild marginal bone loss, and stable periodontal condition. However, failure to achieve optimal proximal contact between single-unit prostheses may lead to food impaction, and veneer fracture may be inevitable when the framework provides inadequate support in the proximal region. In conclusion, splinted implant-prosthesis is not an indication in all cases, and clinical consideration of its use should be based on the patient's oral condition, such as location and number of implants, formation of proximal contact, canine guidance, existence of parafunctional habit, and oral hygiene, when multiple consecutively missing teeth are replaced by internal connection type implant.

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MARGINAL LEAKAGE OF CLASS 2 GLASS-IONOMER CEMENT RESTORATIONS NOT INVOLVING OCCLUSAL SURFACE (교합면을 포함하지 않는 2급 글래스 아이오노머 시멘트 수복물의 변연누출)

  • Lee, Young-Ran;Hur, Bock;Lee, Hee-Joo
    • Restorative Dentistry and Endodontics
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    • v.23 no.1
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    • pp.288-295
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    • 1998
  • The microleakage of direct-access Class 2 restorations was evaluated. Cavities were prepared at mesial and distal proximal enamel surfaces of 20 extracted human molars through buccal window. Prepared cavities were filled with Ketac-Fil, Ketac-Silver, and Fuji II LC, following manufacturer's instructions. 4 specimens of each restorations were made through sectioning 1/4 of bucco-lingual length mesio-distally after thermocycling between $5^{\circ}C$ and $60^{\circ}C$ and imerging 0.5% basic-fuchsin dye solution. Leakage at both occlusal and gingival margin of each specimen was scored 0 to 3 with stereomicroscope. The results were as follows: 1. At occlusal margin, leakage in Ketac-Fil group was more than Ketac-Silver and Fuji II LC group (ANOVA p<0.05) and there was no significant difference between Ketac-Silver and Fuji II LC group(p>0.05), and at gingival margin, there was no significant difference amang materials (p>0.05). 2. Occlusal margin leaked more than gingival margin in Ketac-Silver and Fuji II LC group (t-test p<0.05). 3. Leakage was different according to bucco-lingual location in Ketac-Fil and Fuji II LC group, and lingaul specimen exhibited more leakage(ANOVA p<0.05).

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