• Title/Summary/Keyword: Bone level

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Finite Element Approach to Investigate the Influence of the Jaw Bone Dimension on the Stress Around the Root Analogue Dental Implant (악골폭경이 치근형 임플란트 인접골에서의 응력에 미치는 영향에 대한 유한요소해석적 연구)

  • Jang, Ji-Man;Lee, Kyu-bok;Lee, Cheong-Hee;Jo, Kwang-Hun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.1
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    • pp.37-53
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    • 2006
  • Purpose: The purpose of this study was to investigate the influences of the jaw dimension on the bone stress. Materials and Methods: Root analogue implant of Frialit-2 Synchro model in the jaw bone of various thickness from 8mm to 13mm were modelled axisymmetrically for a series of finite element analyses. As load conditions, non-axisymmetric lateral load of 20N and an oblique load of 50N, as well as an axisymmetric vertical load of 50N were taken into consideration. Results: The cervical area of implant under the axisymmetric load and the base cortical bone under the non axisymmetric load condition were the areas of main concern where the higher level of stress were likely to be obtained. Conclusion: The results indicated that at the two concerned areas drastically different stress distribution could take place as a function of the load conditions. Under the vertical load, the lower level of stress was observed for the narrow jaw bone at the cervical cortical bone whereas stress at the base cortical bone remained virtually unchanged. Under the non axisymmetric load condition, however, the stress at the base cortical bone increased very rapidly as the jaw bone width increased without inducing any significant change in the stress level at the cervical area.

ALVEOLAR BONE LOSS & BONE DENSITY CHANCES DURING THE FIRST YEAR A COMPARATIVE STUDY ON FOUR TYPES OF ROOT-FORM ENDOSSEOUS DENTAL IMPLANT SYSTEMS (치근형 골내 임플란트의 초기 1년간 치조골 소실 및 골 밀도 변화에 관한 연구)

  • Jung Young-Chul;Han Chong-Hyun;Lee Keun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.3
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    • pp.455-469
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    • 1994
  • Regular radiographic examination has been considered an essential diagnositic method for osseointegrated dental implantation. This study investigated marginal bone loss through the measurement on periapical radiographs and changes in bone density through digital subtraction image radiographic method around 88 endoseous root-form dental implants in 43 human subjects. Four types of endosseous dental implants were investigated : Standard series, Mini series and Hex-lock system of Steri-Oss Dental implant system, and $Br{\aa}nemark$-type implant from 3i dental implant system, in a 3 month interval for a total period of 12 months. The results were as follows : 1. Rapid bone loss occurred in the first 3 months in all 4 groups, and the bone level stabilized at the first thread of the implant fixtures. Amount of bone loss for 12 months showed correlation with the length of the polished neck portion. 2. Most of the implant systems showed resorption of alveolar bone up to the polished neck portion although a long polished neck could delay the resolution. 3. Alveolar bone loss apical to the polished neck portion stabilized at the first thread of the fixtures with no correlation to either the time of exposure of the polished neck or types of implant systems. 4. No changes in bone density around the implant threads were observed throughout the experimental period. Bone density decreased at the marginal bone, and increased at the newly-formed alveolar crest. These results indicate that most of the alveolar bone loss occur within the first 12 months after installation of endosseous root-form dental implants resulting in the exposure of polished neck portions, and the bone level stabilizes thereafter at the first thread portions of the implant fixtures. The experimental period of 12 months seems insufficient for observing changes in bone density, and a long-term observation should be needed.

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Retrospective Clinical Study on Marginal Bone Loss of Implants with Guided Bone Regeneration (골유도재생술과 동시에 식립한 임플란트의 변연골 흡수량에 대한 후향적 고찰)

  • Park, Seul-Ji;Seon, Hwa-Gyeong;Koh, Se-Wook;Chee, Young-Deok
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.6
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    • pp.440-448
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    • 2012
  • Purpose: The purpose of this study was to evaluate marginal bone loss of the alveolar crest on implants with or without guided bone regeneration and variables that have influenced. Methods: The clinical evaluation were performed for survival rate and marginal bone loss of 161 endosseous implants installed with guided bone regeneration (GBR) in 83 patients from September 2009 to October 2010 in relation to sex and age of patients, position of implant, implant system, length and diameter of implant. Study group (n=42) implant with GBR procedure, control group (n=41) implant without GBR technique. Simultaneous GBR approach using resorbable membranes combined with autogenous bone graft or freeze-dried bone allograft or combination. Radiographic examinations were conducted at healing abutment connection and latest visit. Marginal bone level was measured. Results: Mean marginal bone loss was 0.73 mm in study group, 0.63 mm in control group. Implants in maxillary anterior area (1.21 mm) were statistically significant in study group (P<0.05), maxillary posterior area (0.81 mm) in control group (P<0.05). Mean marginal bone loss 1.47 mm for implants with diameter 3.4 mm, 0.83 mm for implants of control group with diameter 4.0 mm (P<0.05). Some graft materials showed an increased marginal bone loss but no statistically significant influence of sex, implant type or length. Conclusion: According to these findings, this study demonstrated the amount of marginal bone loss around implant has maintained a relative stable during follow-up periods. We conclude that implants with GBR had similar survival rate and crestal bone level compared with implants in native bone.

Discriminating Factors of Stages of Change in Bone Mass Promoting Behaviors after Bone Mineral Densitometry (골밀도 검사를 받은 여성의 골량증진행위 변화단계 판별요인)

  • Lee, Eun Nam;Son, Haeng Mi
    • Korean Journal of Adult Nursing
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    • v.19 no.3
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    • pp.389-400
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    • 2007
  • Purposes: This study was designed to explore the stage distribution of subjects according to stage of change for calcium intake and for exercise, and to identify factors that could discriminate among subjects in various stages. Methods: The sample consisted of 142 subjects who had taken bone mineral densitometry tests. The instruments used in this study were the Stage Placement Instrument for Calcium Intake and Exercise, the Osteoporosis Health Belief Scale and the Osteoporosis Knowledge Test, and the Osteoporosis Self Efficacy Scale. Data were analyzed using chi square, ANOVA, and discriminant analysis by using the SPSS 12.0 program. Results: For calcium stages, economic level, calcium knowledge, positive social norms for calcium intake, & educational level showed high standardized canonical discriminant function coefficients. For exercise stages, exercise efficacy, susceptibility, exercise benefit, educational level, positive social norm to exercise, educational level, and exercise barrier showed high standardized canonical discriminant function coefficients. Conclusion: This study implies that bone mass promoting program incorporating a stages of change model can be applied as useful nursing intervention.

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EFFECT OF AGE ON THE LEVEL OF SERUM ALKALINE PHOSPHATASE ACTIVITY OF JAPANESE BLACK STEERS

  • Sekine, J.;Udagawa, K.;Morita, Z.;Oura, R.
    • Asian-Australasian Journal of Animal Sciences
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    • v.2 no.2
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    • pp.99-102
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    • 1989
  • The level of serum alkaline phosphatase activity was determined in 7 Japanese Black steers at different ages. The isoenzyme activity of non-bone origin was estimated using a heat-inactivation technique. The activity of serum alkaline phosphatase (SALP, K-A unit) decreased as age (AGE, mo.) increased: SALP = 14.15 - 0.17 (${\pm}\;0.03$) AGE, r = -0.81, P<0.01, $S.E.\;{\pm}\;0.28$. The variation of the activity was greater in younger age than the older. The temperature of $58^{\circ}C$ for the treatment of heat inactivation of bovine serum appeared to be suitable. The percentage of heat inactivated enzyme activity negatively correlated with age and positively with the level of serum alkaline phosphatase activity. The activity of SALP of non-bone origin was inferred to stay at about constant level irrespective of age and that of bone origin decreased with age.

Stress analysis of anterior cantilever bridge

  • Yang, Hong-So;Ku, Chul-Whoi
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.3
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    • pp.283-290
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    • 2000
  • State ment of Problems. Although some clinicians report long-term success with fixed partial denture (FPD) that contain cantilever pontic, the use of cantilever FPDs may be hazardous because of unfavorable leverages during mastication. Purpose of Study. This study aims to compare the stress induced in the periodontium with normal and reduced bone support, and to analyze the stress distribution patterns of anterior cantilevered FPDs using the finite element method. Results. Cantilever bridge with a reduced bone level generated the highest peak stresses in the periodontium. In the models of reduced bone support, a cantilever bridge exhibited the great-est mobility and a 3-unit fixed restorations induced the smallest mobility of canine. The highest peak stress level of a 3-unit bridge in the periodontium is similar to the unrestored situation. But stress distribution in the bone is modified. Conclusion. In reduced bone support, a cantilever bridge exhibited the greatest mobility and stress.

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Stress Analysis on the Supporting Bone around the Implant According to the Vertical Bone Level (치조골 높이가 다른 임프란트 주위 지지골 응력분석)

  • Boo, Soo-Boong;Jeung, Jei-Ok;Lee, Seung-Hoon;Kim, Chang-Hyun;Lee, Seung-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.23 no.1
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    • pp.55-68
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    • 2007
  • The purpose of this study was to analyze the distribution of stress in the surrounding bone around implant placed in the first and second molar region. Two different three-dimensional finite element model were designed according to vertical bone level around fixture ($4.0mm{\times}11.5mm$) on the second molar region. A mandibular segment containing two implant-abutments and a two-unit bridge system was molded as a cancellous core surrounded by a 2mm cortical layer. The mesial and distal section planes of the model were not covered by cortical bone and were constrained in all directions at the nodes. Two vertical loads and oblique loads of 200 N were applied at the center of occlusal surface (load A) or at a position of 2mm apart buccally from the center (load B). Von-Mises stresses were analyzed in the supporting bone. The results were as follows; 1. With the vertical load at the center of occlusal surface, the stress pattern on the cortical and cancellous bones around the implant on model 1 and 2 was changed, while the stress pattern on the cancellous bone with oblique load was not. 2. With the vertical load at the center of occlusal surface, the maximum von-Mises stress appeared in the outer distal side of the cortical bone on Model 1 and 2, while the maximum von-Mises stress appeared in the distal and lingual distal side of the cortical bone with oblique load. 3. With the vertical load at a position of 2 mm apart buccally from the center, there was the distribution of stress on the upper portion of the implant-bone interface and the cortical bone except for the cancellous bone, while there was a distribution of stress on the cancellous bones at the apical and lingual sides around the fixture and on the cortical bone with oblique load. 4. With the changes of the supporting bone on the second molar area, the stress pattern on the upper part of the cortical bone between two implants was changed, while the stress pattern on the cancellous bone was not. The results of this study suggest that establishing the optimum occlusal contact considering the direction and position of the load from the standpoint of stress distribution of surrounding bone will be clinically useful.

Bone Health Awareness, Knowledge and Bone Mass Improve Behaviors among Female Nursing College Students (간호대학 여학생의 골 건강 인지, 골 건강 지식 및 골질량 증진행위에 관한 연구)

  • Shin, Kyoung-Sook;Kim, Hye-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.8
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    • pp.277-286
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    • 2020
  • This study aimed to examine bone health awareness and knowledge and the bone mass-improving behaviors of female nursing college students. The subjects were 172 nursing students attending nursing colleges. The data were collected from March 16 to April 4, 2020, by using bone health awareness, bone health knowledge, and bone mass-promoting behavior assessment tools. Descriptive statistics are presented, and t-tests, ANOVA, Pearson's correlation, and multi-regressions were used for data analysis. Students' bone health awareness was 1.79, bone health knowledge was 8.86, and bone mass-promoting behavior level was 2.78. There were significant negative correlations between bone mass-promoting behavior level and age of menarche (r = 0.21, p = .004) and sun exposure (r = 0.44, p < .000). Also, bone mass-promoting behavior level and knowledge of bone health were negatively correlated (r = 0.21, p = .005). Regression analysis showed that knowledge of bone health (β = 0.21, p = .005), age of menarche (β = 0.20, p = .005), and sun exposure (β = 0.38, p < .000) were significant predictors of bone mass-promoting behaviors and their variance explanation power was 20.6%. Based on these results, education to improve knowledge of bone health will help to improve bone health and increase bone mass-promoting behaviors among young women.

A study of the clinical effects of various bone graft materials (다양한 골 이식재의 임상 효과에 대한 고찰)

  • Lee, Seung-Bum;Yon, Je-Young;Chae, Gyung-Joon;Jung, Ui-Won;Kim, Chang-Sung;Lee, Yong-Geun;Cho, Kyoo-Sung;Chai, Jung-Kiu;Kim, Chong-Kwan;Choi, Seong-Ho
    • Journal of Periodontal and Implant Science
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    • v.37 no.4
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    • pp.719-732
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    • 2007
  • Purpose: Various bone graft materials are being used for periodontal tissue regeneration. Th materials are being developed continuously for ideal clinical effects. Therefore, it is necessary to identify the clinical characteristics of each bone graft material through comparing the various bone graft materials statistically and in doing so, proposing a more efficient bone graft material. In this study, the following results were attained through comparing the clinical effects among the bone graft materials, using the statistical method based on the clinical studies published at the department of periodontology of Yonsei hospital. Materials and Method: 6 selected studies of department of Periodontology at Yonsei University Hospital were based on clinical study of bone grafting in intrabony defects. It was compared the clinical parameters among the 6 clinical studies, using the statistical META analysis. Result: When comparing the probing depth reduction, there was a relatively great amount of decease when using the xenograft, Anorganic Bovine Derived Hydroxapatite Bone Matrix/Cell Binding Peptide(ABM/P-15: PepGen $P-15^{(R)}$) and the autogenous bone and absorbable membrane, d, 1-alctide/glycolide copolymer(GC: $Biomesh^{(R)}$). The allogfrafts showed a relatively low decrease in the probing depth and clinical attachment change. It also showed a slight decrease in the bone probing depth. The allografts showed various results according to different bone graft materials. When comparing the ABM/P-15 and bovine bone $powder(BBP^{(R)})$, ABM/P-15 showed a relatively high clinical attachment level and the bovine bone powder showed a relatively high clinical attachment level. The probing depth change and gingival recession change showed a lower value than the mean value between the two bone graft materials. The synthetic bone showed a relatively high decrease in clinical attachment level and periodontal probing depth change. There was a relatively larger amount of gingival recession when using Bioactive Glass(BG) but a relatively low bone regeneration effect was seen. Conclusion: Good restorative results of the periodontal tissue can be attained by applying the various bone graft materials being used today after identifying the accurate clinical effects.

Influence of Lifetime Sports Activity Based on a Ground Reaction Force on Bone Mineral Density in Korean Adults (지면반력에 근거한 과거 신체활동정도가 골밀도에 미치는 영향 -아이오와에 거주하는 한인을 대상으로-)

  • Lee Eun Nam;Clark Mary Kathleen
    • Journal of Korean Academy of Nursing
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    • v.35 no.3
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    • pp.621-630
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    • 2005
  • Purpose: The purpose of this study was to -retrospectively describe the childhood sports activity level of Korean adult men and women and to determine whether a higher level of childhood sports activity was positively associated with adult bone mineral density. Methods: A cross-sectional study of 100 Korean men (n=40) and women (n=60) was completed. Participants completed a detailed lifetime sports activity questionnaire and had their bone mineral density of the femur and lumbar spine measured using dual energy x-ray densitometry (DEXA). All sports activities were classified into four categories of peak strain score on the basis of ground reaction forces (GRF). Results: During the age of high school, women and men who participated in a high intensity sports activity demonstrated higher bone density in the femur site after adjustment for the effects of body weight, fat body mass, lean body mass, the level of calcium intake, and breast feeding period than those who did not participate in sports activity at all. Conclusion: These results highlight the need to participate in high intensity sports activity during high school age as a means of increasing peak bone mass in the femur site.