• 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.

• 구강회복응용과학지
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• 제39권4호
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• pp.214-221
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• 2023

잔존 치조제의 흡수가 심하게 진행된 환자에서 안정된 의치를 제작하기 위해서는 여러가지 요소를 고려해야 한다. 그 중 하나는 중립대(Neutral zone)로, 기능하는 동안 구강 안에서 밖으로 향하는 혀의 압력과 밖에서 안으로 향하는 볼과 입술의 압력이 평형을 이루는 잠재적인 영역으로 정의된다. 만약 치조제의 흡수가 심한 경우에 통상적으로 잔존 치조제 상방에 치아를 배열한다면 치아는 기존 위치보다 설측에 위치하게 된다. 따라서 혀의 기능공간을 침범하게 되어 혀가 후방으로 위치하게 되고, 설측 변연의 봉쇄가 깨져 의치를 탈락시키는 요인으로 작용하게 된다. 또한 상·하악의 치조제를 잇는 치조정간선을 상정하고 저작력을 치조정간선에 일치시키도록 상·하악 인공치를 배열하는 것 또한 의치의 안정에 중요하다. 따라서 불량한 잔존 치조제를 지닌 환자에게 중립대 인상 및 치조제 관계 분석을 이용해 의치를 제작하여 좋은 임상 결과를 얻었기에 보고하는 바이다.

• 대한치과보철학회지
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• 제29권1호
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• pp.73-89
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• 1991

Impression ragistration is an improtant and difficult phase of prosthodontic treatment procedures and a tray of appropriate size and shape is essential to obtain the accurate impression. Particularly, in edentulous patients, the size and forms of their residual alveolar ridges are different from one another. Therefore, in this study, various measurements were taken on the edentulous models. And the measurements were analyzed and compared with one another. The results were as follows ; 1. The mean of denture bearing area was $32.86cm^2$ in the upper jaws, $24.20cm^2$ in the lower jaws and the variation of denture bearing area was greater in the upper than in the lower jaws and in males than in females. 2. The mean of A-P(anteroposterior) ridge length was 48.72mm in the upper jaws, 53.05mm in the lower jaws and that of males was longer than that of females. 3. The mean of most posterior ridge width was 47.23mm in the upper jaws, 58.03mm in the lower jaws and the difference of that between males and females was least in both jaws. 4. In the upper jaws, the mean of ridge width was 29.66mm on anterior 1/4, 42.79mm on middle, 48.95mm on posterior 1/4 line and the mean of palatal height was 4.56mm on anterior 1/4, 10.01mm on middle, 10.84mm on posterior 1/4 line. 5. In the lower jaws, the mean of ridge width was 33.24mm on anterior 1/4, 50.19mm on middle, 59.16mm on posterior 1/4 line and the mean of lingual ridge height was 5.49mm on anterior 1/4, 9.16mm on middle, 16.72mm on posterior 1/4 line. 6. The correlation coefficient(=r) between denture bearing area and A-P ridge length was 0.83 in the upper jaws and 0.75 in the lower jaws. The corelation between denture bearing area and AP ridge length was statistically significant, but, between denture bearing area and A-P ridge length and between A-P ridge length and the most posterior ridge width was not statistically significant in both jaws. 7. Alveolar ridge forms were classified into three(ovoid, "u" shape, and "v"shape) categories. In the upper jaws, ovoid was 66%, "u" shape was 24%, and "v" shape was 10%, in the lower jaws, ovoid was 66.7%, "u" shape was 20%, and "v" shape was 13.3%.

• Journal of Korean Dental Science
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• 제14권1호
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• pp.1-11
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• 2021

Purpose: The alveolar ridge preservation (ARP) is widely conducted for implant placement. However, experimental results using deproteinized porcine bone mineral (DPBM) have been scarce. This retrospective study evaluated factors affecting the primary stability of implants in an area where ARP was performed using DPBM. Materials and Methods: Thirty-eight patients were divided into two groups based on the primary stability, with torque value of 30 Ncm as borderline. To determine the factors that affect the primary stability of implants, we collected data from patients' medical records including age, sex, reentry time, socket location, remaining bone wall at the time of extraction, and type of collagen membrane, as well as from radiographs and histomorphometric analysis. Result: The results showed statistically significant difference for the remaining extraction socket wall (P=0.014), residual graft (P=0.029), and fibrovascular tissue (P=0.02) between the two groups. There was an insignificant tendency toward the time of reentry surgery (P=0.052) and location (P=0.077). All implants placed in sites using DPBM functioned well up to 3 years. Conclusion: Within the limitations of the present study, extraction socket wall, residual graft, and fibrovascular tissue can affect the primary stability at the time of implant placement on grafted sites using DPBM and collagen membranes. In addition, reentry time and locations can be considered. In future studies, comparative experiments in quantified models will be required to supporting the findings.

• 대한치과보철학회지
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• 제36권1호
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• pp.18-25
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• 1998

The purpose of this study was to determine how to use soft relining material by observing an amount of denture displacement according to the different base area of residual ridge and thickness of soft relining material under masticatory force. Stone models that simulated residual ridge were made with different amount of denture base area and denture was fabricated by conventional heat curing resin with usual manner on the model and relined by silicone type soft relining material with different thickness. Specimen was examined the amount of denture displacement by Instron within range of normal occlusal force. The results were as following : 1. The increasing rate of denture displacement was higher than that of soft relining material thickness. 2. The amount of denture displacement decreased 1.7 times when base area became double at same thickness of soft relining material 3. The increasing rate of denture displacement was higher than that of occlusal force

• 대한치과기공학회지
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• 제6권1호
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• pp.15-18
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• 1984

A denture that shifts easily in response to latterally applied forces can cause a disruption in the border seal or prevent the denture base from Correctly relating to the supporting tissue. The factors that Contribute to stability include ridge height and conformation, base adaptation, residual ridge relationships, occlusion harmony, and Muscle control. These factors can be condensed into the following categories; 1. The relationship of the denture base to the underlying tissue. 2. The relationship of occlusal harmony. 3. The relationship of the denture surface and border to the surrounding muscle. 4. The location of artificial tooth.

• Imaging Science in Dentistry
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• 제39권1호
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• pp.19-25
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• 2009

Purpose: To longitudinally observe the healing process of extracted socket and the alterations of the residual ridge in healthy adult dogs using cone beam CT (CBCT). Materials and Methods: The mandibular premolars of two beagle dogs were removed and the extraction sites were covered with the gingival tissue. CBCTs (3D X-ray CT scanner, Alphard vega, Asahi Co.) were taken at baseline and at 1 week interval for 12 weeks. Radiographic density of extracted wounds was measured on normalized images with a custom-made image analysis program. The amount of alveolar crestal resorption after the teeth extraction was measured with a reformatted three-dimensional image using CBCT. Bony healing pattern of extracted wound of each group was also longitudinally observed and analyzed. Results: Dimensional changes occurred during the first 6 weeks following the extraction of dogs' mandibular premolars. The reduction of the height of residual ridge was more pronounced at the buccal than at the lingual aspect of the extraction socket. Radiographic density of extracted wounds increased by week 4, but the change in density stabilized after week 6. New bone formation was observed at the floor and the peripheral side of extracted socket from week 1. The entrance of extracted socket was sealed by a hard-tissue bridge at week 5. Conclusion: The healing process of extracted wound involved a series of events including new bone formation and residual ridge resorption.

• 대한치과의사협회지
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• 제53권9호
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• pp.628-643
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• 2015

Purpose: The aim of this retrospective study was to compare marginal bone loss and survival rates of double short implants(multiple implant) which had been installed and restored in severely atrophic maxillary molar site without a grafting procedure. Material and Method: The subjects were patients (90 patients, 180 implants) who had been installed double short implants in severely atrophic maxillary single molar site without bone augmentation procedure from 2006 to 2014 in dental clinic in Chuncheon city. Following data were collected from dental records and radiographic panoramic views: patient's age, gender, smoking status, implant site, timing of implant installation, residual ridge height. The correlation between those factors and survival rate and marginal bone loss were analyzed. Statistical analysis was performed using Chi-square test, Student's t- test and ANOVA. Result: Eleven implants in 6 patients failed and the cumulative survival rate was 93.9%. No significant differences were found in relation to the following factors: patient's age, gender, implant site, timing of implant installation (P> .05). There were significant differences in smoking status and residual ridge height(P< .05). The average follow-up time was $45{\pm}14.7months$. The mean marginal bone loss of survived 169 implants was $0.08{\pm}0.59mm$. Conclusion: Despite the short term outcomes, the survival rate of double short implants was comparable to normal length implants. This study demonstrated that placement of double short implants without the use of bone grafting procedure for severely atrophic posterior maxilla is a simple and predictable treatment procedure.

• Journal of Periodontal and Implant Science
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• 제47권6호
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• pp.381-387
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• 2017

Purpose: The aim of this study was to evaluate volumetric and histologic changes in edentulous alveolar ridge areas after ridge preservation using basic fibroblast growth factor-2 (bFGF-2) in combination with collagenated biphasic calcium phosphate (BCP). Methods: The experiments were performed in 6 adult male beagle dogs. The following 3 groups were created: 1) ridge preservation with bFGF-2 and collagenated BCP (experimental group), 2) ridge preservation with collagenated BCP (positive control group), and 3) a negative control group in which no ridge preservation procedure was performed. Volumetric change analysis was performed using an optical scanner and casts. Histological observations were made using light microscopy. Results: After the initial swelling subsided, the magnitude of the volumetric change in the experimental group and positive control group was smaller than in the negative control group. In the experimental group, a distinct trend was observed for the resorption of residual bone and collagen fibers at 4 weeks and for more mature bone and faster healing at 12 weeks. Conclusions: Based on the findings of the present study, bFGF-2 may be considered for use as a therapeutic molecule in ridge preservation procedures.

• Journal of Korean Dental Science
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• 제4권2호
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• pp.59-66
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• 2011

Purpose: This research sought to determine the resorption rate of bone grafted to the maxillary sinus according to the grafted material's type, patient's age, systemic disease, implant size, site of implant placement, and residual ridge height. Materials and Methods: This research targeted 24 patients who had immediate Osstem$^{(R)}$ implant (US Plus$^{(R)}$) placement after bone graft. The panorama was taken before the surgery, after the surgery, and 6 months after the surgery. Vertical height change and resorption rate of the grafted bone were measured with the same X-rays and compared. The influence of the following factors on the grafted bone material's resorption rate was evaluated: grafted material type, patient's age, systemic disease, implant size, site of implant placement, and residual ridge height. Results: Patients in their 40s had $34.0{\pm}21.1%$ resorption rate, which was significantly higher compared to the other age groups (P<0.05). There was no significant relationship between systemic disease and grafted bone resorption. There was no significant relationship between implant size (diameter, length) and grafted bone resorption. There was no significant relationship between the site of implant placement and grafted bone resorption. The ramal bone-grafted site was significantly more resorbed than the ramal bone/Bio-Oss$^{(R)}$-grafted site, maxillary tuberosity bone/Bio-Oss$^{(R)}$-grafted site, and ramal bone/maxillary tuberosity bone/Bio-Oss$^{(R)}$-grafted site (P<0.05). There was no significant difference in the grafted bone resorption rate in the sinus between more than 4 mm and less than 4 mm residual ridge heights. After an average of 6 months, a second surgery was done; given an average follow-up of 1.9 years, the success rate and survival rate of the implant were 96.9% and 98.4%, respectively. Conclusion: These results indicate that the bone resorption rate of grafted bone among patients in their 40s is higher compared to patients in their 50s and over, and that only autogenous bone (ramus) shows higher resorption rate than the mixed graft of autogenous bone and xenogenous graft (Bio-oss) after maxillary sinus graft.