• Title/Summary/Keyword: 재유착

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Investigation of osseointegration according to the healing time after having iatrogenic mobility of implant fixtures (임플란트 고정체의 인위적 비틀림 후 시간 경과에 따른 골재유착 반응에 관한 연구)

  • Hwang, Yun-Jin;Cho, Jin-Hyun;Lee, Cheong-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.48 no.4
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    • pp.308-314
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    • 2010
  • Purpose: The purpose of this study is to analyze the change in re-osseointegration over time and bone reaction at the interface between implant fixture and the surface of the bone, after destroying re-osseointegration by distorting the bone-implant interface artificially. Materials and methods: Experimental implant fixtures (cp titanium, ${\phi}3.75\;mm{\times}4\;mm$) which didn't have surface treatment were produced. Two or three fixtures were implanted on both tibias of twelve female rabbits (New Zealand white, more than 3.5 kg). Then after six weeks, removal torque (RT) was measured and the results were recorded as the first measurement values. The fixtures were submerged again to get reosseointegration between the bone and fixture. To identify the change in re-osseointegration of submerged fixtures over time, six groups had the healing time for four days (group I), one week (group II), two weeks (group III), three weeks (group IV), four weeks (group V) and five weeks (group VI), and then the secondary removal torque was measured for each group. To identify the bone formation under fluorescent light, tetracycline (15 mg/kg, IM) were treated on the rabbits of each group. After the second measurement, the rabbits were sacrificed, and 16 slides were made, two or three for each group. The slides were observed under the fluorescent light with light microscope. To find out the change in the secondary removal torque over the primary removal torque in progress of time, the averages of the increase rate of the primary and secondary torque removal force were calculated. Then, to find out if there were any critical differences between the primary removal torque and the secondary removal torque in each group and among the groups, the results were analyzed statistically by paired t- test, one-way ANOVA, and Duncan's Multiple Range Test. Results: In group I and II, secondary removal torque decreased, especially in group I. In group III, IV, V, and VI, secondary removal torque increased critically. Comparing the differences among the groups, the critical difference was shown between group I, II and group III, IV, V, VI. Mineralization at the interface between the bone and implant fixture was identified from the first week, and bone formation was shown more clearly from the second week. Conclusion: If the implant fixture remains unforced for a certain period of time after the fixture has had iatrogenic mobility, re-osseointegration occurs at the surface of the fixture, and for tibias of rabbits, higher re-osseointegration was obtained within two weeks.

Stress dissipation characteristics of four implant thread designs evaluated by 3D finite element modeling (4종 임플란트 나사산 디자인의 응력분산 특성에 대한 3차원 유한요소해석 연구)

  • Nam, Ok-Hyun;Yu, Won-Jae;Kyung, Hee-Moon
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.2
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    • pp.120-127
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    • 2015
  • Purpose: The aim was to investigate the effect of implant thread designs on the stress dissipation of the implant. Materials and methods: The threads evaluated in this study included the V-shaped, buttress, reverse buttress, and square-shaped threads, which were of the same size (depth). Building four different implant/bone complexes each consisting of an implant with one of the 4 different threads on its cylindrical body ($4.1mm{\times}10mm$), a force of 100 N was applied onto the top of implant abutment at $30^{\circ}$ with the implant axis. In order to simulate different osseointegration stages at the implant/bone interfaces, a nonlinear contact condition was used to simulate immature osseointegration and a bonding condition for mature osseointegration states. Results: Stress distribution pattern around the implant differed depending on the osseointegration states. Stress levels as well as the differences in the stress between the analysis models (with different threads) were higher in the case of the immature osseointegration state. Both the stress levels and the differences between analysis models became lower at the completely osseointegrated state. Stress dissipation characteristics of the V-shape thread was in the middle of the four threads in both the immature and mature states of osseointegration. These results indicated that implant thread design may have biomechanical impact on the implant bed bone until the osseointegration process has been finished. Conclusion: The stress dissipation characteristics of V-shape thread was in the middle of the four threads in both the immature and mature states of osseointegration.

Healing Following Transplantation of Periodontitis-Affected Roots with Calcium Sulfate in the Extraction Socket (Calcium Sulfate가 성견 발치와내에서 치주질환이환 치근이식과 치조골 재생에 미치는 영향)

  • Chai, Jung- Kiu;Kim, Chong-Kwan;Cho, Kyoo- Sung;Moon, Ik-Sang;Kim, Jin;Han, Soo-Boo;Choi, Sang-Mook
    • Journal of Periodontal and Implant Science
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    • v.26 no.3
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    • pp.579-589
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    • 1996
  • 이 연구의 목적은 치주질환에 이환된 성견의 치근을 활택술 후 발치와에 이식하였을 때 calcium sulfate 골이식이 치근흡수와 치근유착을 지연시키는가를 알아보고자 하는 것이다.성견의 제2, 제3 소구치 주위의 치조골을 제거하여 분지부를 노출시키고, 8주간 교정사를 결찰하여 실험적 만성치주염을 유발하였다. 치관을 제거하고, 치근을 반분하고, 활택한 후 발치하였다. 발치된 치근을 둘로 나누어 각각을 우측에는 calcium sulfate와 함께, 좌측에는 이식재 없이 이식하였다. 12주간의 치유 후 조직학적으로 관찰하였다. 대조군에서는 흠의 치관쪽으로 치근흡수와 치근유착이 일어났고, 실험군에서는 성견 결합조직과 calcium sulfate가 위치하였던 공간이 관찰 되었고 치근흡수는 지연되었다. 이 연구에 나타난 바에 의하면, 치근 이식시 calcium sulfate 의 사용은 치조골로부터의 육아조직을 배제하고 치근흡수와 치근유착을 지연할 수 있는 것으로 생각된다.

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Prevention of Abdominal Re-adhesions by Sodium Carboxymethylcellulose in Dogs with Abdominal Adhesions (개에서 복강유착시 Sodium Carboxymethylcellulose를 이용한 재유착의 예방)

  • 정종태;이경갑;장광호
    • Journal of Veterinary Clinics
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    • v.14 no.2
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    • pp.161-167
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    • 1997
  • This study was carried out to prevent the abdominal re-adhesions in dogs. Two randomized groups of dogs were subjected to scratch the ileal serosa. Routine abdominal closure was performed on two groups. Second laparotomy was performed one month later for the scoring of the abhesion formation. The adhesions were separated physically after the scoring of the adhesions. In control goup saline was instilled into abdomen and in treated group 1% sodium carboxymethylcellulose(SCMC) solution was instilled into abdomen before the abdominal closure. Third laparotomy was performed another month later to evaulate the adhesions. Reduced adhesion formation following the instillation of 1% SCMC was reported. 1% SCMC is recommended to prevent the re-adhesions as well as adhesions.

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Pleurodesis with Autologous Blood Plus Sclerosing Agents (자가혈과 늑막유착제를 이용한 늑막유착술 -치험 2례 보고-)

  • 송종필;이종호;김병열;이정호;강경민
    • Journal of Chest Surgery
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    • v.32 no.1
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    • pp.92-95
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    • 1999
  • The patients with prolonged air leak after lung resection surgery were generally treated by pleurodesis with sclerosing agents such as talc, tetracyclin, doxycyclin, bleomycin, vibramycin, and OK432. However, for the case like dead space resulted by incomplete reexpansion of the remaining lung, chemical pleurodesis has shown to be not as effective as expected. If the patients keep the chest tube for long period of time, the risk of thoracic empyema would increase. Most thoracic surgeons have experienced prolonged airleak which developed after lung resection. Pleurodesis with autoblood was reported as an effective method in treatment of patients with prolonged airleak. The mechanism of blood pleurodesis may be direct obliteration of BPF and reduction of dead space by clot. Therefore we successfully treated the two patients with prolonged airleak using the autoblood plus OK432 or vibramycin.

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TOOTH REPLANTATION AFTER TRAUMATIC AVULSION: A 8-YEAR FOLLOW UP. (재식된 상악 중절치의 장기간에 걸친 추적례)

  • Lee, Dong-Woo;Kwak, Ji-Youn;Kim, Sung-Oh;Choi, Byung-Jai;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.4
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    • pp.729-733
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    • 2004
  • Tooth avulsion usually causes inflammatory root resorption and ankylosis, and ankylosis cause severe functional and esthetic problems, especially in childhood. A 7-year-old female visited the Dept. of Pediatric Dentistry, Yonsei University with the chief complaint of avulsive trauma to the upper right incisor which was left dry for 40 minutes. Tooth was irrigated with saline and replanted immediately and splinted. Anti bacterial agent and anti inflammatory agent were prescribed. After 4 months of replantation slight external root resorption and apical radiolucency was seen at radiographic examination, therfore pulp extirpation and calcium hydroxide($Vitapex^{TM}$) canal filling were carried out. After 16 months, root canal was filled with gutta-percha, and bleaching treatment was done. Treatment results were satisfactory both esthetically and functionally for 8 years and 5 months.

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Study of the re-osseointegration of implant fixture after mechanical unscrewing (임플란트 고정체의 의원성 동요 후 골 유착 반응에 관한 연구)

  • Jang, Ji-Hoon;Cho, Jin-Hyun;Lee, Cheong-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.48 no.3
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    • pp.209-214
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    • 2010
  • Purpose: The purpose of this study was to investigate whether the re-osseointegration of the implants that had mechanical unscrewing possibly occurred or not. Furthermore, if it happened, the degree of re-osseointegration was evaluated by comparing with previous osseointegration. Materials and methods: The smooth implant (commercial pure titanium 99%) specimens, whose diameter and length was 3.75 mm, 4 mm, respectively were produced. Two implants were inserted into each tibia of 7 New Zealand female white rabbits weighing at least 3.0 kg. The torque removal force for each implant after 6 weeks of implants placement was measured and included in group I. The torque removal forces were assessed after the fixtures were re-screwed to original position and the subjects were allowed to have 4 more weeks for healing and included in group II. One rabbit was sacrificed after first measurement and produced 4 slide specimens in group I, and two rabbits were sacrificed after 2nd measurement, 7 slide specimens, in group II for histomorphologic investigations. All slide specimens were assessed based on the proportion of BIC (bone-implant contact) as well as CBa (Bone area in the cortical passage) value produced by counting the screw threads embedded in the compact bones under the optical microscopic analysis (${\times}20$). Statistical analysis was conducted to evaluate the torque removal force, BIC and CBa between group I and II. Results: As for the torque removal force, the result was $10.8{\pm}3.6$ Ncm for group I and $20.2{\pm}9.7$ Ncm for group II. Furthermore, the torque removal force of group II increased by 98.1% in average compared to group I (P<.05). On the other hand, histomorphologic analysis displayed that there was no statistical significance in BIC and CBa values between group I and the group II (P>.05), and RT/BIC and RT/CBa between group I and group II were statistically significant (P<.05). Conclusion: It is possible to obtain more substantial re-osseointegration within shorter periods than the period needed for the initial osseointegration in case of iatrogenically unscrewed implants.

Reduction of Postsurgical Adhesion Formation of Reproductive Tract with Sodium Carboxymethylcellulose in Korean Black Goats (Sodium Carboxymethylcellulose가 개복 수술한 한국흑염소의 생식기 유착 방지에 미치는 영향 평가)

  • Shin, H.G.;Choi, Y.S.;Lee, S.J.;Lee, D.S.;Cho, J.K.;Shin, S.T.
    • Journal of Embryo Transfer
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    • v.22 no.1
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    • pp.63-67
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    • 2007
  • This study was performed to evaluate the efficacy of sodium carboxymethylcellulose (SCMC) for the prevention of postoperative uterus and ovary adhesion formation in the Korean black goats. Twenty adult female Korean black goats randomly were divided into five groups with four animals in each group. After the routine laparotomy, catheter for injection was inserted into the abdomen. Before abdominal closure, saline, 1% SCMC, 2% SCMC or 0.4% HA solution (50ml/10kg of body weight/head) were injected in the abdominal cavity in each group. Three weeks after surgery, second laparotomy was performed and the adhesions were scored on a scale of 0 to 10 according to their vascularity and adhesion size in uterus and ovary. This trial was repeated the four times with the interval of three weeks. In the first and second trial, the group treated with 2% SCMC significantly reduced the adhesion formation than other treatment groups (P<0.05). In the third trial, the adhesion formation was significantly reduced in 2% SCMC and 1% SCMC (P<0.05). In the fourth trial, 2% SCMC reduced the adhesion formation. However, there was no significant difference among other groups. This study showed that the 2% SCMC administered at the end of the surgery reduced the adhesion formation in the Korean black goats.

Clinical Results of Silicone Oil Injection following Vitrectomy as a Primary Procedure in Retinal Detachment (망막박리에서 일차수술로 유리체절제술과 실리콘 주입술에 대한 임상결과 분석)

  • Gyeong, Gil-Hyeon;Lee, Moo-Sik;Hwang, Hye-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.12
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    • pp.3919-3924
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    • 2009
  • To evaluate clinical results of silicone oil injection for retinal detachment. The 45 eyes of 44 patients underwent vitrectomy and silicone oil injection from 1999 to 2002. 1.There were no history of previous retinal surgery and ocular trauma. In 24 of the 45 eyes(53%) visual acuity increased and stabilized in 18 of the 45 eyes(40%). 2. 1 of 16 eyes(6.3%) had recurred retinal detachment after silicone oil removal. 3. Final retinal reattachment was achieved in 44 eyes(97%). Postoperative complications were cataract(16 eyes), glaucoma(10 eyes), emulsification of silicone oil(5 eyes), keratopathy(2 eyes) and recurrent retinal detachment(1 eye). These results show that silicone oil injection for primary retinal detachment yields a high rate of anatomic success and the good visual outcome

Clinical Results of Silicone Oil Injection following Vitrectomy as a Primary Procedure in Retinal Detachment Patients (망막박리(網膜剝離)에서 일차수술(一次手術)로 유리체절제술(節制術)과 실리콘기름 주입술(注入術)을 시행한 환자(患者)의 임상결과(臨床結果))

  • Gyeong, Gil-Hyeon;Lee, Moo-Sik;Na, Bak-Ju;Kim, Chul-Woung;Hwang, Hye-Jeong
    • Proceedings of the KAIS Fall Conference
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    • 2009.05a
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    • pp.612-615
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    • 2009
  • 본 연구는 망막수술의 기왕력이 없고 고식적인 수술방법으로는 예후가 나쁠 것으로 예상되는 망막박리에서 유리체절제술과 일차적으로 실리콘 기름을 사용했을 경우의 초기적용의 유용성 및 합병증을 알아보고자 망막박리로 유리체절제술과 실리콘기름주입술을 시행하고 6개월 이상 추적관찰이 가능한 환자 44명을 대상으로 연구하였다. 결과는 다음과 같다. 1. 유리체절제술 후 시력이 두 줄 이상 호전된 경우는 45안 중 24안(53%)이었으며, 18안(40%)에서는 시력의 변화가 없었다. 2. 실리콘기름주입술 후 16안에서 평균 6.9개월에 실리콘기름을 제거하였으며 그 중 1안에서 망막박리가 재발되어 실리콘기름 재주입술을 시행하여 망막재유착을 이루었다. 3. 재수술을 포함하여 해부학적인 재유착은 45안 중 44안(97%)에서 이루었다. 4. 실리콘기름주입 후 발생한 합병증은 백내장(16안), 녹내장(10안), 실리콘기름의 유화(5안), 각막병증(2안), 재발성 망막박리 (1안)이었다.

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