• Title/Summary/Keyword: 상악골

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THE LITERATURE REVIEW ON THE SINUS BONE GRAFT USING DEPROTEINIZED BOVINE BONE MINERAL WITH LATERAL APPROACH (탈단백 우골 (Deproteinized Bovine Bone Mineral)을 이용한 상악동 골이식술: 측면 접근법의 문헌 고찰)

  • Hong, Soon-Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.32 no.5
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    • pp.482-487
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    • 2006
  • As the uses of dental implants are prevailing, the need for sinus bone graft is increasing. Deproteinized bovine bone mineral (DBBM) was not mentioned in 1996 Sinus Bone Graft because of the deficit of the available data. Since then, many clinical and laboratory reports support the use of DBBM in the sinus bone graft procedure. In this report, the histological and clinical successes of sinus bone grafting with DBBM is discussed with available literatures. After sinus bone grafts with DBBM, the proportion of new bone formed was similar or superior to natural maxillary posterior alveolar bone after healing period of 6 months to 1 year. It seems that the grafted DBBM is not be either resorbed nor replaced with bone, but this may not disturb the osseointegration of dental implants installed into it. The clinical survival rates of dental implants installed on the sinus grafted with DBBM was similar to those installed on the ungrafted posterior maxillary alveolar ridge or grafted with autogenous bone. So, it can be concluded that DBBM can be used successfully in the sinus bone graft.

First Record of the Deep-sea Ophidiid Fish, Tauredophidium hextii (Pisces : Ophidiiformes) from the Pacific Ocean (태평양산 Tauredophidium속 어류 1 미기록종 T. hextii)

  • Machida, Yoshihiko;Lee, Chung-Lyul;Ohta, Suguru
    • Korean Journal of Ichthyology
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    • v.9 no.2
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    • pp.174-177
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    • 1997
  • Nine speciments of the deep-sea ophidiid fish, Tauredophidium hexii, hitherto known only from two localities in the Indian Ocean are recorded for the first time the Pacific Ocean. Although slight differences were found in the counts of caudal vertebrae, the anal fin origins in relation to vertebral number and the length of the maxilla, there were no differences between the Pacific Ocean and the Indian Ocean specimens at the species level. This species inhabits abyssal floors in the Pacific and Indian Ocean at depths of about 1500 to 2400 m.

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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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Maxillary Anterior Implant Placement with Various Bone Agumentation on Atrophic Thin Ridge : Case Reports (다양한 골증대술을 동반한 상악전치부 임플란트 식립 증례)

  • Chee, Young-Deok;Jo, I-Su
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.2
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    • pp.145-155
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    • 2007
  • The advent of osseointegration and advances in biomaterials and techniques have contributed to increased application of dental implants in the restoration of maxillary partial edentulous patients. Often, in these patients, soft and hard tissue defects result from a variety of causes, such as infection, trauma, and tooth loss. These create an anatomically less favorable foundation for ideal implant placement. Reconstruction of the atrophic maxillary alveolar bone through a variety of regenerative surgical procedures has become predictable; it may be necessary prior to implant placement or simultaneously at the time of implant surgery to provide a restoration with a good long-term prognosis. Regenerative procedures are used for horizontal and vertical ridge augmentation. Many different techniques exist for effective bone augmentation. The approach is largely dependent on the extent of the defect and specific procedures to be performed for the implant reconstruction. It is most appropriate to use an evidenced-based approach when a treatment plan is being developed for bone augmentation cases. The cases presented in this article clinically demonstrate the efficacy of using a autogenous block graft, guided bone regeneration, ridge split, immediated implant placement technique on the atrophic maxillary area.

Maxillary Anterior Segmental Distraction with Rigid External Device: Case Report (구순구개열환자의 상악 전방분절 골신장술식을 이용한 교정 치험례)

  • Yoo, Seong-Hun;Choi, Hye-Young;Yu, Hyung-Seog;Baik, Hyoung-Seon;Cha, Jung-Yul
    • Korean Journal of Cleft Lip And Palate
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    • v.14 no.1_2
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    • pp.19-28
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    • 2011
  • Maxillary anterior segmental distraction osteogenesis (DO) has been the alternative treatment option for patients with midfacial retrusion. The patient showed unilateral cleft lip and palate, and premaxillary distraction with rigid external device (RED) was planned to solve midface deficiency and to create alveolar space. Significant advancement of A point was observed, but relapse of A point was detected during consolidation period. The vertical position of the ANS was found to have moved downward. Axis of upper incisor decreased after DO. Maxillary anterior segmental DO is effective for treatment of patient with cleft lip and palate. The alveolar space is regained successfully, and the facial profile is improved without velopharyngeal problems.

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Fixed Prosthodontic Restorations after Forced Eruption of Traumatised Anterior Teeth (치아 정출술을 이용한 고정성 보철 수복)

  • Kim, Dae-Gon;Cho, Lee-Ra;Park, Chan-Jin
    • Journal of Dental Rehabilitation and Applied Science
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    • v.24 no.3
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    • pp.243-251
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    • 2008
  • A subgingival crown-root fracture presents a restorative problem to the clinician because restoration is complicated by the need to maintain the sound tooth structures. Forced eruption offers a method of treatment of teeth fractured close to the alveolar crest. Extrusion of such teeth allows elevating the fracture line above the epitherial attachment and so the proper finishing margins can be prepared. The purpose of this case is to report successful tooth restoration using forced eruption in case of crown-root fractures.

Report of two cases of osteopetrosis with maxillary osteomyelitis in siblings (상악 골수염을 동반한 골화석증의 증례보고)

  • Lee, Byung-Do;Park, Yong-Chan;Kang, Seung-Hwan;Kim, Bo-Guk;Kwon, Kyung-Hwan;Lee, Seoung-Hoon
    • Imaging Science in Dentistry
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    • v.40 no.4
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    • pp.197-201
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    • 2010
  • Osteopetrosis is a rare bone disease characterized by systemic osteosclerosis due to an osteoclast dysfunction that decreases bone resorption. This report demonstrates two cases of adult osteopetrosis with secondary osteomyelitis of the maxilla, in siblings who are 43-year old female and 55-year old, male respectively. The common radiographic features of these cases were increased radiopacity in skull, rib and vertebra. The radiographic features that differed between these two cases were the osteosclerotic pattern of the jaw bones, that is, diffuse patterns in the female case, while the male case showed nodular patterns that were confined to the root apices. The diagnosis of osteopetrosis may be complicated due to the varying degree of osteosclerosis on panoramic radiograph. Additional radiographs such as the chest and skull radiograph may be helpful for the diagnosis of osteopetrosis.

CONSERVING THE CENTRIC RELATION POSITION OF CONDYLAR HEAD WITH MINI-HOFFMANN SETS IN VERTICAL RAMUS OSTEOTOMY (하악골 수직골절단술시 MINI-HOFFMANN SETS을 이용한 하악 과두의 중심위의 보존)

  • Jeong, Inn-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.95-99
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    • 1991
  • Several authors have proposed techniques and devices by which the correct position of the proximal segment can be maintained both during fixation and postoperatively. Schendel, Epker, Lake, Worms, Ive and Poulton have been discussed the problem of condylar distration in mandibular orthognathic surgery. This study described have showed the some advantages forward repositioning of the condyle head in vertical ramus osteotomy which used with the Mini-Hoffmann sets in external skeletal pin fixation extraorally in 19 cases.

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A clinico-statistical study of soft tissue changes of upper lip & nose following Le Fort I maxillary movement (Le Fort I 상악골이동술 후 상순과 비부의 연조직 변화에 대한 임상통계학적 연구)

  • Park, Jong-Oh;Lee, Sang-Chull
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.3
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    • pp.310-318
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    • 2000
  • The purpose of this study was to assess the soft tissue changes of upper lip & nose using 38 patients who treated with Le Fort I osteotomy for the correction of dentofacial deformities. Patients were devided into three groups. One was advancement group of maxilla(Group I, N=14), another was impaction group of maxilla(Group II, N=12) and the other was combination group(advancement & impaction)(Group III, N=12). Preop. and 1 month postop. (T1), preop. and 6 months postop.(T2) were analyzed and compared. The results obtained were as follows : 1. The upper lip thickness(UL-VP) moved anteriorly approximately 62% of the horizontal maxillary change and this was significant in the advancement group(Group I) 2. The upper lip length(Stm-Sn) and the lower border of upper lip(Stm) moved superiorly 25%, 40% of the maxillary impaction group(Group II) (P<0.05) 3. There was significancy in the upper lip thicness(UL-VP) approximately 56% of the combination group(Group III) (P<0.05) 4. The nasolabial angle decreased in all groups, but there were no significancy.

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A DOUBLE LAYERS TECHNIQUE FOR MAXILLARY SINUS AUGMENTATION WITH DEMINERALIZED AND MINERALIZED BONE GRAFT MATERIALS (탈회골과 비탈회골을 이용하여 2층 구조로 이식한 상악동골이식술)

  • Lee, Eun-Young;Kim, Kyoung-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.1
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    • pp.46-52
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    • 2009
  • The maxillary posterior edentulous region presents unique and challenging conditions in implant dentistry. The height of the posterior maxilla is reduced greatly as a result of dual resorption from the crest of the ridge and pneumatization of the maxillary sinus after the loss of teeth. Materials previously used for sinus floor grafting include autogenous bone, allogeneic bone, xenogenic bone and alloplastic materials. Autogenous bone is the material of choice, but its use is limited by donor-site morbidity, complications, sparse availability, uncontrolled resorption and marked volume loss. One way to overcome this problem would be to use bone substitutes alone as a osteoconductive scaffold for bone regeneration from the residual bone or in combination with allogeneic bone, which also has osteoinductive properties. The purpose of this article is to describe a double layers technique of demineralized and mineralized bone graft materials instead of autogenous bone in sinus floor augmentation of deficient posterior maxillary alveolar process and to report our experience with this technique. Our results show that maxillary sinus augmentation using mineralized and demineralized bone materials, when installed simultaneously with the implant or not, is good results for bone healing.