• Title/Summary/Keyword: bone resorption

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Tilted implants for implant-supported fixed hybrid prostheses: retrospective review

  • Woo-Hyun Seok;Pil-Young Yun;Na-Hee Chang;Young-Kyun Kim
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.49 no.5
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    • pp.278-286
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    • 2023
  • Objectives: This review assessed the performance of implant-supported fixed hybrid prostheses in 21 patients who received a total of 137 implants between 2003 and 2010. The implants were evaluated for marginal bone resorption, complications, success rate, and survival rate based on their vertical angularity, type of bone graft, and measured implant stability. Materials and Methods: One-way ANOVA and chi-square tests were used to analyze the relationships among long-term evaluation factors and these variables. The mean initial bone resorption in the implant group with a vertical angle of more than 20° was 0.33 mm and mean final bone resorption was 0.76 mm. In contrast, the mean initial bone resorption in the implant group with a vertical angle of less than 10° was 1.19 mm and mean final bone resorption was 2.17 mm. Results: The results showed that mean bone resorption decreased with an increase in the vertical placement angle of the implants used in fixed hybrid prostheses, as well as in the group without additional bone grafts and those with high implant stability. The success rate of implants placed after bone grafting was found to be higher than those placed simultaneously. Conclusion: These results suggest that implant-supported fixed hybrid prostheses may be an effective treatment option for edentulous patients, and intentionally placing implants with high angularity may improve outcomes.

ORTHOPANTOMOGRAPH STUDY OF THE ALVEOLAR BONE LEVEL ON PERIODONTAL DISEASE. (ORTHOPANTOMOGRAPH에 의한 치주병환자의 치조골흡수에 관한 연구)

  • Lee Ki Sik
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.2 no.1
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    • pp.41-46
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    • 1972
  • The author had measured the alveolar bone level of periodontal disease on 50 cases of orthopantomogram to detect the degree of alveolar bone resorption of both sexes of Korean. The results were obtained as follows; 1. Alveolar bone resorption of mesial and distal portion was similiar in same patient. 2. The order of alveolar bone resorption was mandibular anterior region, posterior region, canine and premolar region of both jaws. 3. The degree of alveolar bone destruction was severe in shorter root length than longer. 4. The degree of alveolar bone resorption was severe in forth decades.

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Elevated extracellular calcium ions promote proliferation and migration of mesenchymal stem cells via increasing osteopontin expression

  • Lee, Mi Nam;Hwang, Hee-Su;Oh, Sin-Hye;Roshanzadeh, Amir;Kim, Jung-Woo;Song, Ju Han;Kim, Eung-Sam;Koh, Jeong-Tae
    • Experimental and Molecular Medicine
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    • v.50 no.11
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    • pp.2.1-2.16
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    • 2018
  • Supplementation of mesenchymal stem cells (MSCs) at sites of bone resorption is required for bone homeostasis because of the non-proliferation and short lifespan properties of the osteoblasts. Calcium ions ($Ca^{2+}$) are released from the bone surfaces during osteoclast-mediated bone resorption. However, how elevated extracellular $Ca^{2+}$ concentrations would alter MSCs behavior in the proximal sites of bone resorption is largely unknown. In this study, we investigated the effect of extracellular $Ca^{2+}$ on MSCs phenotype depending on $Ca^{2+}$ concentrations. We found that the elevated extracellular $Ca^{2+}$ promoted cell proliferation and matrix mineralization of MSCs. In addition, MSCs induced the expression and secretion of osteopontin (OPN), which enhanced MSCs migration under the elevated extracellular $Ca^{2+}$ conditions. We developed in vitro osteoclast-mediated bone resorption conditions using mouse calvaria bone slices and demonstrated $Ca^{2+}$ is released from bone resorption surfaces. We also showed that the MSCs phenotype, including cell proliferation and migration, changed when the cells were treated with a bone resorption-conditioned medium. These findings suggest that the dynamic changes in $Ca^{2+}$ concentrations in the microenvironments of bone remodeling surfaces modulate MSCs phenotype and thereby contribute to bone regeneration.

Effect of Spatholobus Suberectus Extract (SSE) on RANKL-treated RAW264.7 and LPS-induced Bone Loss (계혈등 에탄올 추출물의 RANKL 처리 RAW264.7 세포의 분화와 염증성 골 손실에 미치는 영향)

  • Dae Joong Lee;Jong Hyun Hwang;Do Hwi Park;Ki Sung Kang;Chan Yong Jeon;Gwi Seo Hwang
    • The Journal of Internal Korean Medicine
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    • v.43 no.6
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    • pp.1134-1148
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    • 2022
  • Purpose: We evaluated whether Spatholobus suberectus extract (SSE) can be used as a means of preventing and treating osteoporosis by measuring its effect on osteoclast differentiation, gene expression, and bone resorption. Methods: SSE was used to examine the effect on RAW 264.7 cells stimulated with RANKL to induce bone resorption. The inhibitory effect of TRAP formation and the expression of the bone resorption factors TRAP, cathepsin K, and MMP-9 during differentiation were measured. The effects on the differentiation-related factors NFATc and TRAIL and on the expression of OC-STAMP, DC-STAMP, ATP6v0d2, MITF, c-Fos, and inflammation-related factors were also evaluated. The effect on bone resorption was evaluated by culturing RANKL-treated osteoclasts on artificial bone fragments and observing the resulting resorption traces. The effect on bone damage in experimental animals was also measured. Results: SSE inhibited the differentiation of RANKL-stimulated osteoclasts into osteoclasts and suppressed the expression of cathepsin K, TRAP, MMP-9, NFATc1, TRAIL, MITF, OC-STAMP, DC-STAMP, ATP6v0d2, and c-Fos genes. Bone pore formation due to osteoclast action was also inhibited, and LPS-induced bone loss was suppressed in animal experiments. Conclusions: SSE could be useful for the prevention or treatment of osteoporosis by inhibiting osteoclast differentiation and bone resorption and suppressing bone loss induced in experimental animals. However, studies of larger populations are required.

Effects of Hansu-Daebowon (HDW) on RANKL-induced Osteoclast Differentiation and Bone Loss in Mammal Model (한수대보원이 포유동물인 생쥐 모델에서 골 손실 및 RANKL 유도 파골세포 분화에 미치는 영향)

  • Jang, Si-sung;Ryu, Hong-sun;Jeon, Chan-yong;Hwang, Gwi-seo
    • The Journal of Internal Korean Medicine
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    • v.40 no.1
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    • pp.58-69
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    • 2019
  • Objective: This study investigated the effects of Hansu-Daebowon (HDW) on bone resorption in vitro and bone loss in vivo. Methods: Osteoclast differentiation was measured by counting TRAP (+) MNC formed from RAW 264.7 in the presence of RANKL. Bone pit formation was determined in an artificial bone slice loaded with RANKL-stimulated osteoclasts. To elucidate the mechanisms of the inhibitory effects of HDW on bone resorption and osteoclast differentiation, osteoclastogenic genes (i.e. TRAP, MMP-9, NFATc1, c-Fos, and Cathepsin K) were measured using real time PCR. Furthermore, bone loss was observed using micro-CT in an LPS-treated mammal model. Results: HDW inhibited the bone pit formation in vitro and inhibited bone loss in vivo. Moreover, HDW decreased the number of TRAP (+) MNCs in the presence of RANKL, and HDW inhibited the expressions of cathepsin K, MMP-9, TRAP, NFATc1, and c-Fos in the osteoclasts. Conclusion: HDW exerts inhibitory effects on bone loss and bone resorption resulting from the inhibitions of osteoclast differentiation and osteoclastogenic gene expression.

Evaluation of Crestal Bone Resorption of the TiUnite(R) Anodized Implant System

  • Kim, Young-Kyun;Ahn, Min-Seok;Lee, Yang-Jin;Yun, Pil-Young
    • Journal of Korean Dental Science
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    • v.1 no.1
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    • pp.4-9
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    • 2008
  • Purpose : This study sought to examine the aspects of crestal bone resorption and to evaluate the clinical outcomes of the TiUnite$^{(R)}$ (Nobel Biocare, Sweden) anodized implant system. Materials and Methods : Among the 67 patients (211 fixtures) who were treated using TiUnite(r) implants at Seoul National University Bundang Hospital between March 2004 and January 2007, 26 (91 fixtures) were considered in this study. Initial and secondary stabilities were measured using Periotest$^{(R)}$ and Ostell(tm) Mentor. The radiographic evaluation of crestal bone resorption was carried out by measuring the change in crestal bone level at the time of surgery compared to that 1 year after loading. Panoramic radiograph and periapical radiograph were used. Based on the radiographic findings, the shapes of crestal bone resorption were classified. Results : The average amount of crestal bone resorption after 1 year of functional implant loading was 0.30 mm. There was no saucerization in 40 implant fixtures (43.9%), although more than 1 thread were exposed in 51 implant fixtures (56.6%). The success rate of the implants was 94.5%, and the survival rate was 100%. Conclusions : Good clinical outcomes and minor crestal bone resorption were noted in this study. Saucerization for the establishment of biological width was not a general finding in the TiUnite$^{(R)}$ anodized implant system.

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A STUDY OF BONE RESORPTION AT THE POSTERIOR BORDER OF DISTAL SEGMENT AFTER BILATERAL SAGITTAL SPLIT RAMUS OSTEOTOMY OF MANIBULAR PROGNATHIC PATIENTS (하악전돌환자의 하악지시상분할골절단술 후의 원심골편의 후방경계의 골흡수에 대한 연구)

  • Lee, Yong-In;Lim, Jong-Hwan;Noh, Kwang-Seob;Hong, Jong-Rak;Jun, Ju-Hong;Kim, Chang-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.31 no.1
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    • pp.55-59
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    • 2005
  • Purpose : This study is to predict the changes of the distal segment by investing the resorption of the excessive distal segment regarding the amount of setback after BSSRO. Material and Methods : 20 patients with Mandible prognathism treated by Obwegeser-Dal Pont method during the years 2000 to 2002 were selected for this study. Group A consisted of 5 males & 5 females with a setback amount of 10mm and above(Mean $10.80mm{\pm}1.03$, n=20) and Group B consisted of 2 males & 8 females with a setback amount of below 10mm.(Mean $6.10mm{\pm}1.10$, n=20) Panorama X-ray was taken at day 1, 1month, 3months, 6months, and 12months after the surgery. Resorption areas of excessive distal segment were measured on these panorama X-rays and compared. Results : There was bone resorption in both groups. Group A showed more bone resorption than Group B. Group B showed slightly higher resorption rate than Group A. However, there was no statistically significant difference between the resorption rates of Group A and Group B. (P>0.05). Conclusion : More bone resorption occurred with a larger amount of setback and about one third of the excessive distal segment underwent resorption, irrespective of the amount of setback.

Effects of Gardeniae Jasminoides on RANKL-induced Osteoclastogenesis and Bone Resorption (치자 추출물이 RANKL 유도 파골세포 형성 및 골 흡수에 미치는 영향)

  • Choi, You-kyung;Hwang, Gwi-seo
    • The Journal of Internal Korean Medicine
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    • v.38 no.6
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    • pp.1035-1048
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    • 2017
  • Objectives: This study was performed to investigate the effects of Gardenia jasminoides extract (GJ) on osteoclast differentiation and bone resorption in vitro. Methods: To investigate the effect of GJ on osteoclast differentiation, the mouse leukemic myeloid cell line RAW 264.7 was stimulated by RANKL (receptor activator of nuclear factor kB ligand). Osteoclast differentiation was measured by counting TRAP (+) MNC in the presence of RANKL. To elucidate the mechanism of the inhibitory effect of GJ on osteoclast differentiation, gene expression of TRAP, Cathepsin K, MMP-9, NFATc1, c-Fos, MITF, DC-STAMP, CTR, OC-STAMP and Atp6v0d2 was measured using reverse transcription-PCR (RT-PCR). Bone resorption was measured using the bone pit formation assay. Results: GJ decreased the number of TRAP (+) MNCs in the presence of RANKL. GJ inhibited the expression of cathepsin K, MMP-9, TRAP, MITF, NFATc1, c-Fos, iNON, OC-STAMP, Atp6v0d2, and DC-STAMP in the osteoclast, and inhibited bone pit formation in vitro. Conclusions: The results suggest that GJ has inhibitory effects on bone resorption resulting from inhibition of osteoclast differentiation and gene expression.

AN ELECTRON MICROSCOPIC STUDY ON THE ALVEOLAR BONE REMODELLING IN PRESSURE ZONES OF RAT MOLAR PERIODONTIUM ASSOCIATED WITH ORTHODONTIC TOOTH MOVEMENT (백서구치의 교정적 치아이동중 압박측 치조골의 골개조에 관한 연구)

  • Soun, Yo Sun;Lee, Ki Soo
    • The korean journal of orthodontics
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    • v.19 no.2
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    • pp.37-55
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    • 1989
  • The tissue reactions concerned in alveolar bone remodelling at the pressure zones of rat molar periodontium associated with the application of force (15 gm) to the maxillary first molar teeth of the albino rats were studied by the transmission electron microscopy. Osteoclasts referrable to bone resorption were observed thereafter 3 hour survival period and undermining resorption was generated thenceforth 2 day survival period. Bone resorption, reversal zone and new bone formation were simultaneously observed adjacent to the zone of undermining resorption in the 7 day survival period. Osteoclasts with well developed primary lysosome, ruffled border, clear zone, granules and Golgi apparatus were detected at the zone of the bone resorption, and dark and bright cells adjacent to the osteoclasts as well. Mononuclear cells and perpendicularly arranged collagenous fibers were observed in the reversal zone and, on the other hand, osteoblasts with well developed Golgi apparatus and rough endoplasmic reticulum were detected at the zone of bone formation.

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