• 한국CDE학회논문집
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• 제20권4호
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• pp.348-356
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• 2015

It is important to devise methods for assisting dentists to consistently determine implant positions and directions and to accurately perform drilling tasks during dental implant surgery. In this paper, we propose a novel approach to tooth implant placement planning which deals with the determination of the positions and directions of multiple implant fixtures for a set of missing mandibular teeth and suggests the selection of the sizes and types of the implant fixtures. We combine Korean standard data in the sizes and positions of human teeth with the patient specific 3D models of mandibular jawbones, nerve curves, and neighboring teeth around the missing teeth in order to determine the positions and directions of the implant fixtures for the missing teeth. Using the geometric and spatial information of the jawbones, the teeth and the implant fixtures, we can construct the 3D models of surgical guide stents which are crucial to perform drilling tasks with ease and accuracy. Adopted in 3D simulation of dental implant placement, the approach can provide surgeon students with good educational contents. We also expect that, with further work, the approach can be used as a useful tool to plan for dental implant surgery.

• Journal of Periodontal and Implant Science
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• 제51권4호
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• pp.285-295
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• 2021

Purpose: The aims of the present study were 1) to quantitatively evaluate the extent of sinus pneumatization and 2) to determine the factors affecting sinus pneumatization. Methods: Based on implant treatment records, a list of patients who underwent implant placement on the posterior maxilla was obtained. Among them, patients with pre-extraction and post-extraction (before implant placement) panoramic radiographs were selected. After excluding radiographs with low resolution and image distortion, the radiographs before and after extraction were superimposed using computer software. Subsequently, the extent of sinus pneumatization (the vertical change of the sinus floor) was measured. Simple and multiple mixed models were used to determine the factors affecting sinus pneumatization. Results: A total of 145 patients were eligible for the present investigation. The average extent of sinus pneumatization was 1.56±3.93 mm at 176 tooth sites. Male sex, single tooth extraction, extraction of an endodontically compromised tooth, a class I root-sinus relationship, and sinus membrane thickening >10 mm favored pneumatization, but without statistical significance. The maxillary second molar presented the greatest pneumatization (2.25±4.39 mm) compared with other tooth types. This finding was confirmed in the multiple mixed model, which demonstrated a statistically significant impact of the extraction of a second molar compared with the extraction of a first premolar. Conclusions: Maxillary sinus pneumatization was 1.56±3.93 mm on average. The extraction of a second molar led to the greatest extent of pneumatization, which should be considered in the treatment plan for this tooth site.

• Journal of Dental Anesthesia and Pain Medicine
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• 제19권4호
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• pp.239-244
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• 2019

The effectiveness of dental implants in patients with disability, who are non-compliant during treatment, is controversial because of their poor oral health. Thus, oral health-care and management in such patients is concerning. Moreover, limited information is available on prognosis after implant placement. Herein, we describe a patient with schizophrenia who underwent dental implantation under multiple inductions of general anesthesia (5 times) and required conservative treatment and tooth extraction for multiple dental caries and retained roots because of inadequate oral health-care. Postoperatively, fracture of the prosthodontics and progression of dental caries were observed, and with 3 additional inductions of general anesthesia, conservative treatment, implant surgery, and prosthesis implantation were conducted. Postoperative 12-month follow-up since the last prosthesis implantation showed successful results. For patients with schizophrenia, multiple implantation can reduce horizontal bone loss and achieve aesthetic results compared to treatment with removable prosthodontics and could serve as an alternative treatment modality.

• 대한치과보철학회지
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• 제54권1호
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• pp.14-20
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• 2016

목적: 본 연구의 목적은 임플란트와 대합되는 부분의 상태에 따라서 임플란트 주위 골조직 변화에 차이가 있는지 알아보기 위함이다. 대상 및 방법: 원광대학교 대전치과병원에서 임플란트 식립을 받은 51명의 환자를 대상으로 하였고 총 51개의 임플란트가 분석에 사용되었다. 임플란트는 성별, 나이, 악골 위치, 환자의 대합되는 부위에 따라서 분류되었고 대합되는 부위는 자연치, 임플란트, 가공치, 무치악의 네 집단으로 나뉘었다. 프랙탈 분석을 위해 임플란트 식립 직후의 치근단 사진과 보철 수복 이후 10주 이상이 지난 치근단 사진이 사용되었다. 분석은 Image J를 이용하여 시행하였다. 통계학적 분석은 one-way ANOVA를 이용하여 시행하였고 Tukey multiple comparison test로 사후검정을 실시하였다. 결과: 임플란트의 보철수복 전후 프랙탈 값 차이의 평균은 자연치가 대합되는 경우 $0.009{\pm}0.048$이었으며 임플란트의 경우 $0.026{\pm}0.080$, 가공치의 경우에 $-0.025{\pm}0.068$이었으며 무치악은 $-0.093{\pm}0.171$으로 나타났다. 대합되는 부위가 무치악일 때와 임플란트일 때에 통계학적으로 유의한 차이가 나타났으며 나이와 성별, 악골 위치에 따른 프랙탈 수치 변화 차이는 통계적으로 유의하지 않았다. 결론: 임플란트 식립 후 대합되는 부위가 무치악일 때를 제외한 세 집단간 프랙탈 수치 변화 차이는 유의하게 나타나지 않았으며, 대합되는 부위가 무치악일 때와 임플란트일 때 유의한 차이가 나타났다. 그리고 환자의 나이와 성별, 악골의 위치에 따른 프랙탈 수치 변화 차이는 유의한 차이를 나타내지 않았다.