• Title/Summary/Keyword: Ridge Height

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EFFECTS OF OSSEOINTEGRATION ACCORDING TO IMPLANT PLACEMENT TIMING IN THE DISTRACTED ALVEOLAR BONE OF DOGS (치조골 신연 후 임프란트 매식 시기에 따른 골유착 효과)

  • Jung, Hyun;Oh, Hee-Kyun;Ryu, Sun-Youl
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.3
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    • pp.238-244
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    • 2000
  • The present study was aimed to investigate the effect of osseointegration according to implant placement timing in the distracted alveolar bone using intraoral distraction device. Six adult mongrel dogs of either sex, weighing about 15kg, were used. The animals were divided into 4-week and 8-week groups according to the timing of implant installation. The left upper and lower premolars and first molars were extracted and an alveoloplasty was performed to simulate an atrophic ridge. After 12 weeks of healing, a segmental osteotomy was made and an intraoral distraction device which was designed for augmentation of vertical height of the edentulous ridge was applied. Latency period was allowed for 5 days and then distraction was made at a rate of 1.2mm/day for 8 days. Four or eight weeks after distraction, implants were installed. Twelve weeks after implant installation, the animals were sacrificed. Macroscopic, radiographic, and histologic examinations of distracted alveolar ridge were performed. No significant abnormalities such as infection and dehiscence of overlying soft tissue were observed. Radiographically, there was slight bone resorption around the medial and distal edges of the alveolar bone segment, and a new bone deposition was observed in the neighboring alveolar crest area in the both groups. The satisfactory osseointegration was achieved in the distracted gap of the both groups, but fibrous tissue appeared on the buccal side of implant in the distracted gap in 4-week group. These results suggest that proper timing of implant installation is 8 weeks rather than 4 weeks after distraction when dental implant is to be placed onto the distracted bone.

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Alveolar socket preservation with demineralised bovine bone mineral and a collagen matrix

  • Maiorana, Carlo;Poli, Pier Paolo;Deflorian, Matteo;Testori, Tiziano;Mandelli, Federico;Nagursky, Heiner;Vinci, Raffaele
    • Journal of Periodontal and Implant Science
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    • v.47 no.4
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    • pp.194-210
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    • 2017
  • Purpose: The aim of the present study was to evaluate the healing of post-extraction sockets following alveolar ridge preservation clinically, radiologically, and histologically. Methods: Overall, 7 extraction sockets in 7 patients were grafted with demineralised bovine bone mineral and covered with a porcine-derived non-crosslinked collagen matrix (CM). Soft tissue healing was clinically evaluated on the basis of a specific healing index. Horizontal and vertical ridge dimensional changes were assessed clinically and radiographically at baseline and 6 months after implant placement. For histological and histomorphometric analysis, bone biopsies were harvested from the augmented sites during implant surgery 6 months after the socket preservation procedure. Results: Clinically, healing proceeded uneventfully in all the sockets. A trend towards reduced horizontal and vertical socket dimensions was observed from baseline to the final examination. The mean width and height of resorption were 1.21 mm (P=0.005) and 0.46 mm (P=0.004), respectively. Histologically, residual xenograft particles ($31.97%{\pm}3.52%$) were surrounded by either newly formed bone ($16.02%{\pm}7.06%$) or connective tissue ($50.67%{\pm}8.42%$) without fibrous encapsulation. The CM underwent a physiological substitution process in favour of well-vascularised collagen-rich connective tissue. Conclusions: Socket preservation using demineralised bovine bone mineral in combination with CM provided stable dimensional changes of the alveolar ridge associated with good reepithelialisation of the soft tissues during a 6-month healing period.

Radiologic study of the healing process of the extracted socket of beagle dogs using cone beam CT (Cone beam CT를 이용한 비글견 발치창 치유과정에 대한 방사선학적 연구)

  • Choi, Dong-Hoon;Lee, Wan;Kim, De-Sok;Lee, Byung-Do
    • Imaging Science in Dentistry
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    • v.39 no.1
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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.

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The interface effects on polarization dependence of waveguide and the design of polarization independent 2 dimensional waveguide on InP for arrayed waveguide grating (도파로의 편광 의존성에 경계면이 미치는 효과와 편광 독립적인 InP형 배열 도파로 회절 격자 소자를 위한 2차원 광 도파로의 설계)

  • 김동철;최정훈;유건호;김형문;주흥로;김홍만
    • Korean Journal of Optics and Photonics
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    • v.9 no.5
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    • pp.307-314
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    • 1998
  • We have studied the effects of interface on polarization dependence of waveguide and designed the polarization independent 2-dimensional waveguides on InP for arrayed waveguide grating. To figure out the effects of interface on polarization dependence, we have solved the 1-dimensional wave equation using a transfer matrix method. It is shown that the birefringence becomes stronger as the number of interfaces increases. In order to design polarization independent 2-dimensional waveguides, we have used effective index method. The structures considered are ridge type, raised strip type, and buried type waveguide. In the cases of ridge and raised strip type, conventional effective index method was used. In the case of buried type corrected effective index method was used. We have determined the height and width of waveguides such that the waveguides become polarization independent.

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Localization of mandibular canal and assessment of the remaining alveolar bone in posterior segment of the mandible with single missing tooth using cone-beam computed tomography: a cross sectional comparative study

  • Alrahaimi, Saif Fahad;Venkatesh, Elluru
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.2
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    • pp.100-105
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    • 2017
  • Objectives: Localization of the mandibular canal (MC) and measurement of the height and width of the available alveolar bone at the proposed implant site in the posterior segment of the mandible using cone-beam computed tomography (CBCT) in patients with a single missing tooth. Materials and Methods: A cross-sectional study was performed where CBCT scans of the patients with a single missing tooth in the posterior segment of the mandible-premolar, I (1st) molar, and II (2nd) molar were used. The scans were assessed using OnDemand3D software (version 1.0; CyberMed Inc., Seoul, Korea) for localization of the MC asnd remaining alveolar bone both vertically (from the superior position of the MC to the crest of the alveolar ridge) and horizontally (buccolingual, 3 mm below the crest of the alveolar ridge). The findings were statistically analyzed using independent t-test. Results: A total of 120 mandibular sites (40 sites for each of the three missing premolar, I molar, and II molar) from 91 CBCT scans were analyzed. The average heights (from the alveolar crest to the superior margin of the MC) at the premolar, I molar, and II molar areas were $15.19{\pm}2.12mm$, $14.53{\pm}2.34mm$, and $14.21{\pm}2.23mm$, respectively. The average widths, measured 3 mm below the crest of the alveolar ridge, at the premolar, I molar, and II molar areas were $6.22{\pm}1.96mm$, $6.51{\pm}1.75mm$, and $7.60{\pm}2.08mm$, respectively. There was no statistically significant difference between males and females regarding the vertical and horizontal measurements of the alveolar ridges. Conclusion: In the study, the measurements were averaged separately for each of the single missing teeth (premolar, I molar, or II molar), giving more accurate information for dental implant placement.

Development of Multi-span Plastic Greenhouse for Tomato Cultivation (토마토 재배용 연동 플라스틱 온실 개발)

  • Yu, In Ho;Lee, Eung Ho;Cho, Myeong Whan;Ryu, Hee Ryong;Kim, Young Chul
    • Journal of Bio-Environment Control
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    • v.21 no.4
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    • pp.428-436
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    • 2012
  • This study aimed to develop the multi-span plastic greenhouse which is suitable for tomato cultivation and is safe against climatic disasters such as typhoon or heavy snow. The width and heights of eaves and ridge of newly developed tomato greenhouse are 7, 4.5 and 6.5 m, respectively. The width is the same but the eaves and ridge heights are 1.8 and 2 m higher than conventional 1-2 W greenhouses, respectively. Cross beam has been designed as a truss structure so it can sustain loads of tomato and equipment. Tomato greenhouse has been designed according to climatic disaster preventing design standard maintaining the high height. In other words, the material dimensions and interval of materials including column and rafter have been set to stand against $40m{\cdot}s^{-1}$ of wind and 40 cm of snow. Tomato greenhouse has been equipped with rack-pinion type roof vents which have been used in glass greenhouse in order to prevent excessive rise in air temperature. This vent type is different from that of 1-2 W type greenhouse which is made by rolling up and down the vinyl at upper part of column. Roof vents are installed at ridge, and thus external air inflow and natural ventilation are maximized. As the height increases, heating cost increase as well and, therefore, tomato greenhouse has been equipped with multi-layered thermal curtain, of which thermo-keeping is excellent, to prevent heat from escaping.

A Study on Morphology and Size of Clinical Crown of Permanent Maxillary Molar in Korean Adult (한국 성인의 상악 대구치 임상치관의 형태와 크기에 관한 연구)

  • Cha, Kwon-Sil;Oh, Sang-Chun;Dong, Jin-Keum
    • Journal of Dental Rehabilitation and Applied Science
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    • v.16 no.2
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    • pp.79-92
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    • 2000
  • The purpose of this study was to estimate the morphology and the size of permanent maxillary molar in Korean Adult. The 100 dental college students with a normal dentition and without any dental prosthesis and severe caries were selected for this study. The subjects were taken impression to make study model. On the study model, authour three times measured those sizes and estimated morphological structures with a calipers, a Boley gauge and a protractor. The results were as follows; 1. In the maxilary first molar's clinical crown height, mesiolingual cusp height was 6.34mm, mesiobuccal cusp height was 6.05mm, distobuccal cusp height was 5.20mm. And in the maxillary second molar's clinical crown height, mesiobuccal cusp height was 5.85mm, mesiolingual cusp height was 5.71mm, distobuccal cusp height was 5.51mm, distolingual cusp height was 3.53mm. This result considered that the maxillary first molar inclined to distobuccal, and the maxillary second molar more upright than the maxillary first molar. 2. In the width of clinical crown, the maxillary first molar was 10.43mm, the maxillary second molar was 10.20mm, and the difference between the first molar's width and the second molar's width was 0.23mm. 3. The crown thickness was measured divided into mesial buccolingual half and distal buccolingual half. The mesial buccolingual half was 11.14mm, and distal buccolingual half was 10.35mm in the maxillary first molar, and in the maxilary second molar, mesial buccolingual half was 11.25mm, and distal buccolingual half was 9.72mm. This result considered that height of convergency located in mesial half of crown. 4. In the buccal groove length, total length and ratio, the maxillary first molar was 52.5%, the maxillary second molar was 50%. And the development of buccal groove in the maxillary first molar was 59% in case of the well developed buccal groove and 41% in case of the weak developed one. And frequency of buccal pit of the maxillary first molar was 12.5%. Whereas, the frequency of buccal of the well developed buccal groove in the maxillary second molar was 37% and that of the weak developed one was 63%. And frequency of buccal pit of the maxillary second molar was not seen. 5. The 3 cusp type tooth cannot be found in the maxillary first molar and the frequency of 3 cusp type tooth in the maxillary second molar was as small as 6% 6. In the case of 4 cusp type tooth, the size of distal lingual cusp molar was difference between in the maxillary first molar and in the maxillary second molar by about 1mm. 7. The intercuspal distance was similar in the maxillary first premolar and second molar. And intercuspal distanc of mesial half of the maxillary first molar and the maxillary second molar was silmillar, too. 8. The an measurement of occlusal surface in 4 cusp type tooth showed that the angle of occlusal surface between the distobuccal and mesiolingual was an obtuse angle, and the angle of occlusal surface between mesiobuccal and distolingual was an acute angle in the both cases of maxillary first and second molar. 9. The measurements of the development of Carabelli cusp showed that the frequency of the well developed one was 7% and that of the weak developed one was 56% in the maxillary first molar. And there cannot be found the well developed one and can be found 2.5% only in the case of the weak developed one in the maxillary second molar. 10. The well developed oblique ridge in the maxillary first molar showed the 100% frequency and that in the maxillary second molar showed the 85.5% frequency. The frequency of mesiomarginal ridge tubercle in the maxillary first molar was 82% and that in the maxillary second molar was 30.5%. And the frequency of distal accessory tubercle in the maxillary first molar can be seen about 19% and that in the maxillary second molar can be seen about 12%.

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THE STUDY ON THE BONE RESORPTION RATE AFTER VERTICAL ALVEOLAR RIDGE AUGMENTATION (수직적 치조제 증강술후 발생하는 골흡수량에 관한 연구)

  • Jeon, Ha-Ryong;Kim, Jong-Won;Kwon, Ho-Beom;Lee, Dong-Hwan;Hong, Jong-Rak;Kim, Chang-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.3
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    • pp.230-234
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    • 2006
  • Purpose: This study presents radiographic and laboratory analysis and comparison of bone resorption rate of grafted endochondral bone and intramembranous bone on the aspect of height and volumetric change. Patients and Methods: 18 partially edentulous patients who needed alveolar ridge augmentation for implant placement during the years 2002 to 2004 were selected for this study. Group A consisted of 5 males & 3 females who were treated with intraoral(intramembranous) bone and Group B consisted of 8 males & 2 females who were treated with iliac(endochondral) bone. Non-standard periapical X-ray was taken at day 1, 2 month, 4 months, 8 months after the surgery. Resorption rate of grafted bone were measured on these X-rays and compared. Also we calculated volume of grafted bone with models which was fabricated at 1.5 months, 6 months. Results: There was bone resorption in both groups. Group B showed more bone resorption than Group A. In Group A, the resorption rate according to the radiographic measurements was 9.81 %, and resorption rate according to volumetric measurement was 16.5 %. In group B, the resorption rate according to the radiographic measurements was 15.9 %, and resorption rate according to volumetric measurement was 30.6 %. Significant difference is on radiographic resorption of post-op 2, 4, 8 months on two groups (P < 0.05). Also significant difference is on volume resorption on two groups (P < 0.05). Conclusion: We found that more bone resorption occurred with iliac(endochondral) bone and when we use intraoral bone, that bone can maintain their vitality for alveolar ridge augmentation.

The Study of Hydrothermal Vent and Ocean Crustal Structure of Northeastern Lau Basin Using Deep-tow and Surface-tow Magnetic Data (심해 및 표층 지자기 자료를 이용한 라우분지 북동부의 열수 분출구 및 해저 지각 구조 연구)

  • Kwak, Joon-Young;Won, Joong-Sun;Park, Chan-Hong;Kim, Chang-Hwan;Ko, Young-Tak
    • Economic and Environmental Geology
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    • v.41 no.1
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    • pp.81-92
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    • 2008
  • Fonualei Rift and Spreading Center(FRSC) and Mangatolu Triple function(MTJ) caldera are located in northeastern part of Lau basin which is the active back-arc basin. Deep-tow and surface-tow magnetic surveys are carried out in FRSC. In deep-tow magnetic survey, to compensate for influence of uneven distance between bathymetry and sensor height, magnetic anomaly is continued upward to a level plane by using the Guspi method. We calculate crustal magnetization using Parker and Huestis's inversion algorithm, and try to find the hydrothermal vent and understand the structure of ocean floor crust. The result of deep-tow magnetic survey at FRSC showed that Central Anomaly Magnetization High(CAMH) recorded the max value of 4.5 A/m which is associated with active ridge. The direction of SSW-NNE corresponds with the direction of the principal spreading ridge in Lau basin. The low crustal magnetizaton$(174^{\circ}35.1'W,\;16^{\circ}38.4'S)$ of -4.0 A/m is supposed to correlate with submarine hydrothermal vent. Surface-tow magnetic data were collected in MTJ caldera$(174^{\circ}00'W,\;15^{\circ}20'S)$. The prevailing SSW-NNE direction of collapsing walls and the presence of CAMH at the center of caldera strongly indicate the existence of active spreading ridge in ancient times.

Simultaneous implant placement with sinus augmentation using a modified lateral approach in the pneumatized posterior maxilla: A Case Report (함기화된 상악 구치부에서 변형 측방 접근법을 이용한 상악동 거상술과 임플란트 동시식립에 대한 증례보고)

  • Sun, Yoo-Kyung;Cha, Jae-Kook;Lee, Jung-Seok;Jung, Ui-Won
    • The Journal of the Korean dental association
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    • v.56 no.3
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    • pp.142-150
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    • 2018
  • In the posterior maxillary area, due to resorption of the ridge after extraction and pneumatization of the maxillary sinus, the height of the alveolar ridge may not be sufficient for placement of implants. To solve this problem, sinus augmentation using both crestal and lateral approaches have been widely used. Jung et al. (2010) introduced the modified lateral approach technique, which is a simplified technique that combines the advantages of crestal and lateral approaches. The purpose of this case report is to report two cases in the posterior maxilla in which simultaneous implant placement with maxillary sinus augmentation has been performed using the modified lateral approach technique. In two female patients, 67 and 74 years old, respectively, simultaneous implant placement was performed using the modified lateral approach technique on the left maxillary second premolar and the first molar. In both patients, the residual bone height on the distal side of the maxillary second premolar was measured to be approximately 5 mm, and the residual bone height of the first molar was measured to be 2-3 mm. After flap elevation, osteotomy of the lateral window was performed in the form of a mesiodistally extended slot above the sinus floor and the Schneiderian membrane was elevated. Sequenced drilling was performed while protecting the membrane with a periosteal elevator. Bone graft and implant placement was performed after preparation of the implant site. Sufficient primary stability was achieved for each implant and sinus membrane was not perforated. After four and five months respectively, implant second surgery was performed. Clinically, the implants were observed to be stable. Implants and surrounding peri-implant mucosa were well maintained after prosthodontic treatment. In conclusion, the modified lateral approach could be a predictable and efficient technique for implant placement in the atrophied posterior maxilla.

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