• Title/Summary/Keyword: Resorbable

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The comparative study between Dura mater and $Guidor^{(R)}$ in the healing of the classIII furcation defects in dogs (성견 3급 분지부 병소에서 Dura mater와 $Guidor^{(R)}$사용후 치주조직 치유의 비교 연구)

  • Choi, Seong-Ho;Koo, Hyun-Seo;Jung, Hyun-Chul;Cho, Kyoo-Sung;Chai, Jung-Kiu;Kim, Chong-Kwan
    • Journal of Periodontal and Implant Science
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    • v.27 no.3
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    • pp.479-493
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    • 1997
  • There are various treatment methods including barrier membranes in attaining periodontal regeneration and regaining the function of destructed periodontal tissues due to periodontal disease. Barrier membranes consist of non-Resorbable and resorbable types such as Dura mater and $Guidor^{(R)}$ used in the treatment of intrabony defects and classII furcation defects have been shown to be effectively increased the amount of new bone and cementum.In our study we used premolars with class III furcation defects created by removing the bone 4mm apically from CEJ in adult dogs and placed resorbable membrane Dura mater and $Guidor^{(R)}$ for the test group and flap operation was carried out for the control groups. The effect of membrane on junctional epithelium, alveloar bone, cementum, and gingival connective tisssue in the regeneration and healing potential of periodontal tissues was evaluated and healing results were evaluated histologically and histometrically 8 weeks following the surgical procedure. 1. In the clinical observation, there was no exposure of furcation defects in the control group, whereas slight membrane exposure was noted in the test group. 2. New bone was formed up to the level of the notch in the control group, whereas in the test group new bone formation was observed above the level of the notch. 3. New cementum was formed in both groups of the experiment. 4. The connective tissue observed between the new cementum and new bone in the test group were functionally orientated, compared to the irregular formation of connective tissues found in the control group. 5. Root resorption or ankylosis was not observed in any of the groups 6. The mean and median of the control group were 4.31% and 2.23% and for the Dura mater group were 27.85% and 15.57% respectively. There was no significant difference between Dura mater and the control group. 7. The mean and median of the control group were 4.31% and 2.23% and for the $Guidor^{(R)}$ group were 37.27% and 37.19% respectively. There was a significant difference in these two groups(P$Guidor^{(R)}$ were 37.27% and 37.19%. There was no significant difference between the two test groups. Thus, by using Dura mater and Guidor in classIII furcation defects, the predictable amount of periodontal ligament and alveolar bone regeneration may result.

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Short-Term Retrospective Clinical Study of Resorbable Blasting Media Surface Tapered Implants (RBM 표면 테이퍼형태 임프란트의 단기간 후향적 임상 평가)

  • Kim, Soo-Yeon;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.2
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    • pp.149-153
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    • 2011
  • Purpose: The aim of the present study was to evaluate the clinical outcome of resorbable blasting media surface tapered implant. Methods: 169 Osstem$^{(R)}$ GS III dental implants in 73 patients who received implant treatments at Seoul National University Bundang Hospital, were included in this study. The incidence of biological and prosthetical complications has been carefully analysed for each implant. Results: The short-term implant survival rate was 97.63%, success rate 94.7%. The prevalence of biological complications was 15.38% and the prevalence of prosthetic complications was 13.04%. The mean value of crestal bone loss was $0.28{\pm}0.57$ mm. The relationship between loading periods and marginal bone loss was small and not statistically significant. In mandible, marginal bone loss was larger than in maxilla, no statistically significant. Also, length and diameter of implant had no relationship with marginal bone loss. Conclusion: We suggest that this implant system could achieve successful and stable results.

Comparative study on long-term stability in mandibular sagittal split ramus osteotomy: hydroxyapatite/poly-ʟ-lactide mesh versus titanium miniplate

  • Park, Young-Wook;Kang, Hyun-Sik;Lee, Jang-Ha
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.41
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    • pp.8.1-8.6
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    • 2019
  • Background: Resorbable devices have recently been adopted in the field of orthognathic surgery with controversies about their postoperative skeletal stability. Hence, we determined the long-term skeletal stability of unsintered hydroxyapatite/poly-ʟ-lactic acid (HA/PLLA) mesh for osteofixation of mandibular sagittal split ramus osteotomy (SSRO), and compared it with that of titanium miniplate. Methods: Patients were divided into resorbable mesh and titanium miniplate fixation groups. A comparative study of the change in the mandibular position was performed with preoperative, 1-day, 6-month, and 2-year postoperative lateral cephalograms. Results: At postoperative 6 months-compared with postoperative 1 day, point B (supra-mentale) was significantly displaced anteriorly in the titanium-fixation group. Moreover, at postoperative 2 years-compared with postoperative 6 months, point B was significantly displaced inferiorly in the titanium-fixation. However, the HA/PLLA mesh-fixation group did not show any significant change with respect to point B postoperatively. Conclusions: The HA/PLLA mesh-fixation group demonstrated superior long-term skeletal stability with respect to the position of mandible, when compared with the titanium-fixation group.

Prognosis of closure of large sinus membrane perforations using pedicled buccal fat pads and a resorbable collagen membrane: case series study

  • Kim, Young-Kyun;Yun, Pil-Young;Oh, Ji-Su;Kim, Su-Gwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.4
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    • pp.188-194
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    • 2014
  • For large membrane perforations that develop during sinus-bone grafting, we performed repairs using a pedicled buccal fat pad and a resorbable collagen membrane simultaneously with the bone graft. This study included eight patients. Postoperative maxillary sinusitis developed in two patients, which we managed with incision and drainage, and antibiotics. Ultimately, six patients received 12 implants, three of which failed (75% success). Implant replacement was performed after the removal of the failed replacement, at which point the prosthetic treatment was considered complete. In all of the six cases that we were able to follow-up with, the sinus-bone graft was healing favorably. We observed that the sinus bone height decreased gradually with time. Based on these case series, we conclude that our procedure of repairing large sinus-membrane perforations with a pedicled buccal fat pad and a collagen membrane is a reliable technique.

New bone formation in the maxillary sinus without bone grafts:Covering of lateral window with non-resorbable membrane or bony window (골이식재를 사용하지 않은 상악동 거상술:골창의 패쇄방법에 따른 치험례)

  • Son, Dong-Seok;Lee, Ji-Su;An, Mi-Ra;Sin, Hong-In
    • The Journal of the Korean dental association
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    • v.46 no.4
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    • pp.222-231
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    • 2008
  • Various maxillary sinus floor augmentation techniques were common performed and in the most cases, many kinds of bone graft materials were used. The graft materials are autogenous bone or other biomaterials of human, animal or synthetic origin. But these cases report describes a new surgical technique by which dental implants are inserted in a void space created by elevating the sinus membrane without additional graft material in atrophic posterior maxilla. We created lateral bony window using piezoelectric device and elevated the schneiderian membrane in five patients and was repositioned with bony window in five patients, without any bone graft. From the clinical and histological results, it is found there is potential capacity for bone formation and placement of implants in the maxillary sinus without the use of bone grafts or bone substitutes.

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Histologic analysis of resorbable blasting media surface implants retrieved from humans: a report of two cases

  • Jeong, Kyung-In;Kim, Young-Kyun;Moon, Sang-Woon;Kim, Su-Gwan;Lim, Sung-Chul;Yun, Pil-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.1
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    • pp.38-42
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    • 2016
  • The purpose of this study is to evaluate the degree of osseointegration of resorbable blasting media (RBM) surface implants retrieved from humans. Three implants in the mandibular molar region that were surface-treated with RBM were retrieved from two patients. The implants were used to manufacture specimens in order to measure the bone-implant contact (BIC) ratio. The BIC ratios of the three implants were found to be an average of $69.0%{\pm}9.1%$. In conclusion, that RBM surface implants are integrated into the host environment with histological significance and the BIC ratio of the RBM surface-treated implant was not significantly different from that of other surface-treated implants.

A study on the biological characteristics of modified titanium surface (매식체 표면처리에 따른 생물학적 특성에 대한 연구)

  • Kim, Jae-Hyuk;Chung, Chin-Hyung;Lim, Sung-Bin;Hong, Ki-Seok
    • Journal of Periodontal and Implant Science
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    • v.38 no.3
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    • pp.453-466
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    • 2008
  • Purpose: The purpose of this research is to study about initial adhesion, proliferation and activation of osteoblast to titanium surface treated with machined, hydroxyapatite coating, resorbable blast material blasting and anodizing method. Material and Methods: After treating the titanium surface of each block with machined, impurities were removed and sterilized. The number of cells attached from cultured osteoblast of respective experimental groups were measured at 1, 4, 7, and 14day and alkaline phosphatase, calcium, and inorganic phosphate concentration of cultured solution was measured. Result: Anodizing group showed the highest rate of cell attachment and proliferation activity. RBM treated group showed the highest increasing on their alkaline phosphatase activity, on the calcium apposition, on inorganic phosphate apposition of 1 and 4 days in cultured osteoblast to compare with other groups. Conclusion: On the basis of these findings, we conclude that surface modification of titanium was profoundly effected on the attachment, proliferation and activation of osteoblast in initial stage osseointegration.