• Title/Summary/Keyword: available bone

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ALVEOLAR CLEFT GRAFT (치조열 골이식)

  • Jun, Sang-Ho;Padwa, Bonnie L.;Jung, Young-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.3
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    • pp.267-272
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    • 2009
  • Bone grafting the alveolar cleft allows for stability and continuity of the dental arch, provides bone for eruption of permanent teeth or placement of dental implants, and gives support to the lateral ala of the nose. Closure of residual oronasal fistula can occur simultaneously. Repair of alveolar clefts can occur at a variety of stages defined as primary, early secondary, secondary, and late. Most centers perform this surgery as secondary bone grafting. Autogenous bone provides osteogenesis, osteoinduction and conduction and is recommended for grafting to the cleft alveolus and several donor sites are available. The surgeon should select the best flap design considering the amount of mucosa available, blood supply and tension-free closure, and the extent of the oronasal communication. The authors provide a comprehensive understanding of alveolar clefts and their repair by reviewing the historical perspective, objectives for treatment, timing, source of graft, presurgical orthodontics, surgical techniques, postoperative care, and complications.

FABRICATION OF NEO-OSSEOUS FLAP USING DEMINERALIZED ALLOGENEIC BONE (탈회동종골을 이용한 신혈류화골판 형성에 관한 연구)

  • Lee, Jong-Ho;Kim, Hyeon-Tae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.3
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    • pp.253-263
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    • 1995
  • Microsurgical vascularized bone transfer has the disadvantages of limitation of available donor sites, loss of donor function, and the possibility of donor site defects or deformity. To overcome these shortage of current microsurgical tissue transfer, the method of creating the neovascularized free flap has been introduced. Potentially, this technique must be an innovation in providing the free vascularized bone grafts that are not limited by natural vascular anatomy. But, as could be imagined technique resulted in unavoidable donor bone defect and additional operation for harvesting the autologous bone. The purpose of this study was to evaluate the efficacy of demineralized allogeneic bone as a possible substitute for autologous bone in fabricating the neo-osseous flap. By histologic, microangiographic and radioisotope method, the viability and vascularity of neo-osseous flap, which has been fabricated using allogeneic bone or autologous bone, was assessed in rat model. After 6 weeks, demineralized allogeneic bone showed consistent bone formation and neovascularization. The clinical and microscopic findings of demineralized allogeneic bone group were inferior to those of autogenous bone with regard to bone regeneration. The amount of bone blood floow per dry weight of demineralized allogeneic bone group was significantly higher than that of autogenous bone, even higher that of control intact iliac bone. In conclusion, findings supported that allogeneic bone could be the potential substitute for autologous bone source in creating a prefabricated neo-osseous flap.

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Taurine in Bone Formation and Alleviation of Its Diseases (타우린의 뼈 형성 작용과 관련질환의 경감)

  • ;Ramesh C. Gupta
    • Biomolecules & Therapeutics
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    • v.10 no.3
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    • pp.137-141
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    • 2002
  • Taurine, amino acid, chemically known as 2-amino ethane sulphonic acid was discovered more than two hundred years ago from ox bile. it is widely distributed in both mammals and nonmammals. It is found in considerably high amount in hUl11an: a normal adult of 70 kgs contains about 70 grams of taurine. Taurine with this much concentration, is involved in almost all life processes. Its deficiency causes several abnormalities in major organs like brain, eye and heart. Taurine-bone interaction is latest addition to its long list of actions. In bone cells, taurine is also found in high concentration. Taurine is found to help in enhancing the bone tissue formation which is evidenced by increased matrix formation and collagen synthesis. Besides stimulating the bone tissue formation, it also inhibits the bone loss through inhibiting the bone resorption and osteoclast formation. Thus, taurine acts as a double agent. In addition to these two major actions of taurine in bone, it also has beneficial effect in wound healing mld bone repair. Taurine possess radioprotective properties, too. As it is a naturally available molecule, it can be used as a preventive agent. Taurine has a potential to replace bisphosphonates which are currently in use for the inhibition of bone loss but this needs in depth study. As taurine is involved in bone formation and inhibition of bone loss, a detailed study can make it a single marker of bone metabolism. All these taurine-bone interaction is a symbol of their deep involvement but still require further extension to make taurine as a choice for tile sound bone health.

Assessing Phosphorus Availability in a High pH, Biochar Amended Soil under Inorganic and Organic Fertilization

  • Kahura, Millicent Wanjiku;Min, Hyungi;Kim, Min-Suk;Kim, Jeong-Gyu
    • Ecology and Resilient Infrastructure
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    • v.5 no.1
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    • pp.11-18
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    • 2018
  • Phosphorous remains as one of the most limiting nutrients to plant growth, second only to nitrogen. Research on use of biochar as a soil amendment for available phosphorus in temperate calcareous soils has limited studies compared with to tropical acidic soils. An incubation experiment to assess phosphorous availability in a biochar amended calcareous soil under inorganic (Fused superphosphate, FSP) and organic fertilizer (bone meal, BM) and respectively, at the dose of 40, 80 and $120mg\;P\;kg^{-1}$ was carried out. Soil was incubated at $25^{\circ}C$ for 70 days. Results show that the rate of increase in available P was proportional to the fertilizer application rate with or without biochar amendment. Biochar did not have a significant effect on soils amended with either fertilizeron the values of available P. However, time had a significant effect (p<0.001) on the amount of available P during the incubation period. Inorganic fertilizer treatments had recorded high amount of available P with time compared to organic fertilizer treatments. Organic fertilizer treatment sample were significantly not different from control and for most of the incubation time biochar acted as a soil conditioner. Further research is required to understand the holistic and long-term effect of biochar.

The Effect of the Axial Plane on Measurement of Available Bone Height for Dental Implant in Computed Tomography of the Mandible (하악의 전산화 단층사진에서 횡단면이 임플랜트를 위한 가용골 높이의 결정에 미치는 영향)

  • Jhin, Min-Ju
    • Journal of Periodontal and Implant Science
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    • v.32 no.2
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    • pp.379-388
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    • 2002
  • For the success of dental implant, accurate radiographic evaluation is prerequisite for planning the location of the osseointegrated implants and avoiding injury to vital structures. CT/MPR(computed tomography/multiplanar reformation) shows improved visualization of inferior alveolar canal. In order to obtain cross-sectional images parallel to the teeth, the occlusal plane is used to orientate for the axial plane. If the direction of axial plane is not parallel to the occlusal plane, the reformatted cross-sectional scans will be oblique to the planned fixture direction and will not show the actual dimension of the planned fixture's location. If the available bone height which measured in the cross-sectional view is much greater than the actual available bone height, penetration of canal may occur. The aim of this study is to assess the effect of the axial plane to measurement of available bone height for dental implant in computed tomography of the mandible. 40 patients who had made radiographic stents and had taken CT were selected. The sites that were included in the study were 45 molar regions. In the central panoramic scan, the length from alveolar crest to superior border of inferior alveolar canal(available bone height, ABH) was measured in direction of reformatted cross-sectional plane(uncorrected ABH). Then, length from alveolar crest to superior border of canal was measured in direction of stent(corrected ABH). The angle between uncorrected ABH and corrected ABH was measured. From each ABH, available fixture length was decided by $Br{{\aa}}nemark$ system. The results were following ; the difference between two ABHs was statistically significant in both first and second molar(p< 0.01). The percentage of difference more than 1 mm was 8.7% in first molar and 15.5% in second molar. The percentage of difference more than 2 mm was 2.0% in first molar and 6.6% in second molar. The maximum value of difference was 2.5 mm in first molar and 2.2 mm in second molar. The correlations between difference of 2 ABHs and angle was positive correlations in both first and second molar. The correlation coefficient was 0.534 in first molar and 0.728 in second molar. The second molar has a stronger positive correlation. The percentage of disagreement between 2 fixture lengths from two ABHs was 24.4% in first molar and 28.9% in second molar.

THE CLINICAL STUDY FOR AVAILABLE VOLUME OF ANTERIOR PART OF ASCENDING RAMUS AS A DONOR SITE IN ORAL AND MAXILLOFACIAL REGION (공여부로서의 하악 상행지 전방부의 가용 용적에 관한 임상적 연구)

  • Jung, Sung-Uk;Lee, Eui-Seok;Yun, Jung-Ju;Lee, Sung-Jae;Jang, Hyun-Seok;Kwon, Jong-Jin;Rim, Jae-Suk
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.31 no.2
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    • pp.130-136
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    • 2005
  • Bone grafts are widely used in the reconstruction of osseous defects in the oral and maxillofacial region. Autogenous bone grafts are considered the gold standard in grafting of the oral and maxillofacial region, because of its osteoconductive and osteoinductive properties. Mandibular symphysis & ascending ramus bone graft have been used more frequently because of easy surgical access, reduced operative time, and following minimal morbidity. However, even though the frequent use of the anterior part of ascending ramus and the different regions of mandible, rare of the reports provide information about the quantity of bone available in this donor site. So this study was taken to evaluate & quantify the amount of bone graft material in the anterior ascending ramus regions. This study was made on 36 samples of CT image. In 3D volume image, imaginary osteotomy & segmentation were done and the dimensions and volume of the bone grafts were measured and evaluated. the average volume of the graft materials obtained from the ascending ramus was $3656.83{\pm}108.19mm^3$, and the average dimensions of graft materials were $(33.68{\pm}0.48){\times}(34.92{\pm}0.51){\times}(15.96{\pm}0.27){\times}(9.05{\pm}0.27)mm$.

Hormone & Osteoporosis (홀몬과 골다공증)

  • Han, In-Kwon
    • 대한근관절건강학회:학술대회논문집
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    • 1996.04a
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    • pp.110-121
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    • 1996
  • It is well defined that osteoporosis is an age related disorder and associated with decreased bone mass. It is one of the most important disease lacing the aging population because of its association with fracture of the hip, vertebrae and distal radius. The disease provoke a significant economic burden and major public health problem of an elderly. The life-time risk of hip fracture in white women is approximately 15% which is equal to the combined risk of breast, uterine, and ovarian cancer. Despite its deleterious effect on women's health, knowledge of the epidemiology of osteoporosis in Korea is only beginning. 1970 in Korea has non as the crossover period between the chronic and an Infectious diseases. As the result, the infant mortality declined and an elderly population in Korea increased significantly in the past decade, The average life expectancy of women in Korea is now about 75 years. Thus, the majority of Korean women will spend approximately one-third of their life in the postmenopause state. Therefore, better understanding of bone metabolism and fracture incidence in Korean population is a great interest for the medical community as well as for public health. Currently, no population based epidemiologic data are available to support the incidence of osteoporotic fractures in Korea. However, available data suggest that significant declining of bone mineral density (BMD [g/$cm^2$]) has been occurring in Korean women after menopause. In same population, peak BMD was observed around 33-39 years of age and continue to decline thereafter. An accelerated bone losses occur after the menopause and the average loss is approximately 13% within 15 years from the menopause. The incidence of fracture was highly correlated with an age and bone mineral density. The mean age of menopause in Korean women was 47 years and this age appears to getting younger when analyzed by the birth cohort. An earlier menopausal age and increase life expectancy place Korean women at increase risk for osteoporosis and bone fracture. Korean or Asian women are no longer protected from the risk of bone fracture. Therefore, an early prevention or intervention schemes are essential before the outbreak of osteoporosis and/or fracture occurs in Korean or Asian women.

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5 Cases of Bone Scan with Sr-85 (Sr-85를 이용(利用)한 골(骨) 스캔 5례(例))

  • Yoo, H.S.;Park, C.Y.;Choi, B.S.
    • The Korean Journal of Nuclear Medicine
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    • v.7 no.2
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    • pp.37-41
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    • 1973
  • Bone scanning was attempted in the five representative cases in various diseases such as primary bone tumor, inflammatory or traumatic changes, secondary metastatic bone tumor and changes in the hematopoietic system with Sr-85 which is available at this time. Each findings were correlated to the X-ray findings. Scan findings were more appreciable than the X-ray findings in elucidation of extent of bone pathology in cases of primary bone tumor and fracture cases. Especially, increased radioactivity was noted on the clinically suspected region which were not demonstrated on the plain X-rays.

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Cementifying Fibroma of the Frontal Bone in Children - A Case Report - (소아의 전두골에 발생한 백아질형성 섬유종 - 증 례 보 고 -)

  • Kang, Myung Ki;Leem, Sin Gil;Leem, Jun Seep;Leu, Seong Keun;Kim, Kyung Soo;Oh, Min Suk
    • Journal of Korean Neurosurgical Society
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    • v.29 no.4
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    • pp.559-563
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    • 2000
  • Cementifyng fibroma is one of the fibro-osseous lesions. All fibro-osseous lesions containing cementum are considered to be of periodontal membrance origin and is most common in the maxilla and mandible. Rarely, cementifying fibromas are seen in other craniofacial bone except jaw lesion. A diligent search in the available world literature show only two documentation of cementifying fibroma in the fronto-orbital bone. This case is third case but first in the frontal bone beyond orbit. The authors report a case of cementifying fibroma of the frontal bone in 12-year-old female patient.

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Porcine study on the efficacy of autogenous tooth bone in the maxillary sinus

  • Lee, Du Han;Yang, Keun Yong;Lee, Jeong Keun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.39 no.3
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    • pp.120-126
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    • 2013
  • Objectives: This study sought to elucidate the effect of autogenous tooth bone material by experimenting on minipig's maxillary sinus and performing histological and histomorphometric analyses. Materials and Methods: Five 18-24 month-old male minipigs were selected, and right maxillary sinuses were grafted with bone graft material made of their respective autogenous teeth extracted eight weeks earlier. The left sides were grafted with synthetic hydroxyapatite as control groups. All minipigs were sacrificed at 12 weeks after bone graft, which was known to be 1 sigma (${\sigma}$) period for pigs. Specimens were evaluated histologically under a light microscope after haematoxylin-eosin staining followed by semi-quantitative study via histomorphometric analysis. The ratio of new bone to total area was evaluated using digital software for calculation of area. Results: All specimens were available, except one on the right side (experimental group), which was missing during specimen preparation. This study demonstrated new bone at the periphery of the existing bone in both groups, showing evidence of bone remodeling, however, encroachment of new bone on the central part of the graft at the 1 ${\sigma}$ period was observed only in the autogenous tooth bone group (experimental group). Histomorphometric analysis showed more new bone formation in the experimental group compared to the control group. Although the difference was not statistically significant (P>0.05), the mean percentage area for new bone for the experimental and control groups were $57.19%{\pm}11.16%$ and $34.07%{\pm}13.09%$, respectively. Conclusion: The novel bone graft material using autogenous tooth is a good alternative to autogenous bone, comparable to autogenous bone, and outperforming synthetic hydroxyapatite bone graft materials in terms of bone regeneration capacity. Augmentation with autogenous tooth bone materials will reduce donor site morbidity without hampering the safety of the autogenous bone graft.