• 대한치과의사협회지
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• 제53권8호
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• pp.545-557
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• 2015

The modified ridge splitting/expansion technique combined with guided bone regeneration (GBR) for implant surgery is used to expand the narrow and atrophied edentulous alveolar ridge. Also, the simultaneous implant placement after ridge splitting/expansion technique can reduce the treatment and healing time. This case report includes three patients with a narrow edentulous alveolar ridge of the 2 to 4mm. All three patients underwent a fracture of thin buccal cortical bone plate, and these defects were corrected by the use of the guided bone regeneration (GBR). After 7 to 18 months, all surgical area was stable, and all implant showed a good healing state on the clinical and radiographic examination. In conclusion, though this surgical method is technique sensitive, the modified ridge splitting/expansion technique combined with GBR for implant surgery is recommended for a horizontal augmentation in the narrow edentulous alveolar ridge.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제19권2호
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• pp.149-155
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• 1997

Ridge expansion osteotomy(REO) technique is a simple and more conservation method to widen a narrow alveolar ridge in the maxilla. This method is superior to drilling method in soft and narrow maxillary alveolar ridge and allows the surgeon to widen the ridge in routine office procedure. Therefore, it is the treatment of choice to implant the maxilla with narrow alveolar ridge. This article presents clinical cases and discusses the advantages, rationale and surgical protocol of REO technique.

• 대한치과의사협회지
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• 제34권3호통권322호
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• pp.215-222
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• 1996

Ridge expansion osteotomy(REO) procedure is used to widen the narrow ridge in locations that are too thin to permit the use of standard implant drills. The objective of this technique is to maintain, if possible, all of the existing maxillary bone by pushing the bone aside with minimal trauma. The author has used tis procedure on five patients who had narrow ridge in their soft maxillary bone. Fifteen implants were placed in sites needing ridge expansion using REO. The satisfactory results were obtained. The REO procedure is thought to be a safer and more conservative method of widening a narrow ridge. And this procedure is heatless, offers excellent tactile sensitivity, control, visibility, and takes advantage of available bone.

• 한국작물학회지
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• 제40권5호
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• pp.548-555
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• 1995

보리의 재배양식을 협폭파, 드릴파, 휴립광산파의 3양식으로 하여 이들 재배양식별 유효분얼의 생태반응과 수량성에 대하여 비교시험을 수행하였던 바 얻어진 결과는 다음과 같다. 1. 출아율은 드릴파 > 협폭파 > 휴립광산파의 순위였으나 m$^2$당 입모본수는 휴립광산파가 334본/m 으로 가장 많았고 다음으로, 협폭파, 드릴파의 순이었다. 2. 유효개화한 분얼은 3재배양식 모두 주간, 1차분얼의 1, 2 이고 2차분얼의 11은 휴립광산파에서만 유효경화하였다. 얼자별 유효경율은 주간은 3처리 모두 100%이나 1차분얼의 1과 2는 드릴파 > 휴립광산파 > 협폭파의 순으로 많았다. 3. 평균1수 영화수는 드릴파가 39.5립으로 가장 많았고 다음으로 휴립광산파, 협폭파의 순이었고 얼자별로는 주간 > 1 > 2 > 11이었다. 1수 임실율은 드릴파 > 휴립광산파 > 협폭파의 순으로 높았다. 4. 평균1수임실립수는 드릴파 > 휴립광산파 > 협폭파의 순이었고 평균 1수 완성립수도 같은 경향이었다. 그러나 천립중은 재배양식 또는 분얼경간에 크게 차이가 없었다. 5. 1수당 자실량은 드릴파가 가장 무거웠고 다음으로 휴립광산파, 협폭파의 순이었으며 분얼시험의 m 당 자실량은 협폭파 679.8g에 비하여 드릴파 874.7g, 휴립광산파 794.3g로 각각 29%와 17%가 증수되었다. 6. 실제평예조사시험의 유효경율은 46.2~54.1%로, 드릴파재배구가 가장 높았고 협폭파재배구에서 가장 낮았다. 7. 평예조사자실중은 협폭파 567.6kg에 비하여 드릴파 31%, 휴립광산파 15%가 각각 증수하였다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제37권3호
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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.

• 한국식물병리학회지
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• 제14권3호
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• pp.253-259
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• 1998

Effects of soil disinfection, fungicide application, and narrow ridge cultivation on ginger rhizome rot development were examined in two naturally-infested fields at Seosan, Choongnam province. Soil disinfection treatments were assigned to main plots, and fungicide and ridge treatments to sub-plots in a split plot design with three replications. The rhizome rot started in late July, and progressed rapidly until late September with the peak incidence in mid-august to early September. Soil disinfection by dazomet application showed the most prominent inhibition effects in both fields, where the disease was reduced by the treatment from 17.5% to 4.8% in one field, and from 51.0% to 2.2% in the other field. Three to five applications of fungicide metalaxyl-copper during the growing season inhibited the disease by 89.7% in one field, but less effectively in the other field. Narrow ridge cultivation reduced the disease effectively by 78.1% and 63.9%, compared to the unridged control plots in each field, respectively. Germination rate of seed-rhizomes and growth of ginger plants were similar between treatments, except when the plots received improper aeration after applying dazomet, and then the germination rate was significantly reduced. The greatest yields were obtained in the disinfected plots, regardless of rhizome rot incidence, except one control plot with very little disease. Ginger yield was negatively correlated with disease severity. However, the yield of ridge plots averaged 58∼59% compared to those of the unridged plots, due mainly to the half planting rate of the ridge plots. In spatial progress, the disease in the disinfected plots started from a single focus of the inoculum, and spread into the adjacent areas only, whereas in the untreated plots, the disease started from many foci that were distributed over the plot, and rapidly progressed to make an epidemic during the season. The soil density of P. myriotylum in the disinfected plots was not changed or, if not, increased slightly during the season. However, in the untreated plots it increased rapidly to reach the density 3 to 5 times greater by the end of the season.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제40권5호
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• pp.233-239
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• 2014

Implants are typically placed after performing ridge expansion by inserting screws of gradually increasing thickness and good clinical outcomes are often obtained. We placed 11 implants in 6 patients, and one implant failed during osseointegration but it was replaced immediately after removal and successful prosthetic treatments were completed. During these surgeries, buccal cortical plate complete fractures do not occur. Inserting screws for ridge expansion is a successful and predictable technique for implant placement in narrow alveolar bone.

• 대한치과의사협회지
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• 제40권9호통권400호
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• pp.709-715
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• 2002

Two patients with sufficient vertical bone height but insufficient bone width in the anterior mandibular edentulous area, less than 6mm in the buccolingual aspect, for implant placement were chosen for treatment with a ridge splitting procedure. The surgical technique involving greenstick fracture is described. This ridge splitting procedure could be simple placement of implants into ideal restorable positions in severely atrophic, knife-edged ridges and predictable for narrow edentulous alveolar ridge augmentation associated with implant placement. We experienced two cases to place implant with insufficient bone width in the anterior mandibular edentulous area for overdenture be ridge splitting technique. Thus, we will report two cases and review of the literature.

• 구강회복응용과학지
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• 제27권1호
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• pp.109-115
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• 2011

점차적으로 폭경이 증가하는 나사들을 이용하여 치조능확장술을 시행하고 임프란트를 식립하였다. 임상적으로 양호한 결과를 얻었으며 수술 중 협측 피질골판 골절은 발생하지 않았다. 임프란트 주변 결손부와 협측 피질골판 상방에 자가치아골이식재를 이식함으로써 부가적인 치조능 확장 효과와 동시에 협측 피질골판 흡수를 보상하였다. 치조능 폭경이 협소한 부위에 임프란트를 식립할 때 나사를 이용한 확장술은 성공적이고 예측 가능한 술식이며 자가치아골이식재는 치조능증대술과 골유도재생술을 위해 사용될 수 있다.

• 구강회복응용과학지
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• 제28권3호
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• pp.277-290
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• 2012

최근 치과 임플란트는 구강 내 무치악 부위의 보편적인 수복 방법으로 임상가 뿐만 아니라 환자들에게도 널리 인식되어 있다. 외상, 만성 치주염 등 다양한 원인에 의해 상악 전치부는 발치 후 급속한 순측 골흡수가 진행될 수 있다. 그로 인해 협소한 순구개 폭경을 가진 상악 전치부 치조제 상에 임프란트 식립 시 열개 및 천공형 골결손이 발생할 수 있다. 이 경우 골유도 재생술을 사용하여 상악 전치부 치조제를 증강시킬 수 있다. 골유도 재생술시 골이식재에 조직 접착제를 혼합하여 기계적 및 생물학적 이점을 얻을 수 있다. 본 증례에서는 순설 폭경이 얇은 상악 전치부 치조제 상에 임플란트 식립에 의한 열개 및 천공형 골결손 발생시 자가골을 제외한 동종골, 이종골, 그리고 합성골 입자형 골이식재 등을 다양하게 조합한 후 조직 접착제와 혼합하여 골유도 재생술을 진행하였다. 모든 증례에서 양호한 치조제 증강을 보였음에 보고하는 바이다.