• 제목/요약/키워드: Implant distribution

검색결과 366건 처리시간 0.031초

한국인 성인성 치주염 환자에서 16S rRNA 분석을 이용한 치은연하치태 세균 분포도 조사 (The detection of subgingival plaque microflora using 16S rRNA analysis in Korean adult periodontitis)

  • 박성희;김소영;최성호;채중규;김종관;조규성
    • Journal of Periodontal and Implant Science
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    • 제28권4호
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    • pp.691-703
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    • 1998
  • The 16S rRNA analyzing method is a bacterial identification method that is useful in identifying bacteria which is difficult to do by other means. The following 7 types of bacteria which are Treponema, A. actinomycetemcomitans, P. gingivalis, Fusobacterium, B. forsythus, P. intermedia, P. micros were evaluated in order to study their distribution among patients with adult periodontitis. The 16S rRNA analyzing method was used to compare bacterial distribution among 3 groups. Subgingival plaque acquired from the affected sites(pocket depth ${\geq}6mm$) of 29 patients with adult periodontitis were grouped as the experimental group while plaque from the non-affected sites(pocket depth ${\leq}3mm$) were grouped as control 2 and finally plaque acquired from students with healthy periodontal tissues were grouped as control 1. The results are as follows ; 1. The distribution of Treponema was 12.5% for control 1, 21.4% for control 2 and 75.4% for the experimental group. For A. actinomycetemcomitans the distribution was 0.5%, 19.0%, 44.4% in respect to the order of groups mentioned above. P.gingivalis showed 10.5%, 43.1%, 94.0% distribution, Fusobacterium 33.0%, 48.3%, 81.0% distribution, B. forsythus 9.5%, 17.2%, 65.9% distribution, P. intermedia 1.0%, 12.1%, 26.3% distribution and finally P. micros 5.0%, 19.0%, 48.7% respectively. In all 7 types of bacteria, the experimental group showed higher bacterial distribution compared to the other two groups with statistically significant difference. 2. In the case of Treponema, A. actinomycetemcomitans, gingivalis,Fusobacterium, B. forsythus, P. intermedia, P. micros showed significant difference between control 1 and 2. These results suggest that the 16S rRNA analyzing method which was applied on Koreans for the first time could be utilized and useful in finding potential pathogens of periodontal disease.

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스프린팅이 하악 구치부 임플랜트 보철물의 응력분산에 미치는 영향에 관한 삼차원 유한요소분석 연구 (A three-dimensional finite-element analysis of influence of splinting in mandibular posterior implants)

  • 백상현;허성주;장익태;곽재영;김성균
    • 대한치과보철학회지
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    • 제46권2호
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    • pp.157-168
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    • 2008
  • 연구목적: 골유착성 임플랜트를 이용한 치료가 초기의 완전 무치악 증례에 도입된 이후 장기간의 임상 관찰 결과 높은 성공률이 보고되고 있으며, 점차 부분 무치악 및 단일치 상실 증례 등의 다양한 영역으로 확대되고 있다. 하지만 이러한 임플랜트에 가해지는 저작압은 임플랜트와 주위 골에 축 방향 힘 (axial force)과 다양한 측방 모멘트 (bending moments)를 일으키는데 이러한 응력의 적절한 분산이 치료의 성공에 큰 영향을 미치게 한다. 이번 연구의 목적은 하악 구치부가 부분 무치악일 때 외측연결 방식과 내측연결 방식의 임플랜트로 수복함에 있어 상부 보철물의 연결 (splinting)이 임플랜트와 주위 골로의 응력분산에 미치는 영향을 삼차원 유한요소 분석을 통해 비교해보고자 하였다. 연구재료 및 방법: 외측연결 방식과 내측연결 방식의 대표적인 2종의 임플랜트를 선정하였고 각각 8.5mm와 13mm 길이에 대하여 실험하였다. 임플랜트는 외측연결 방식을 대표하는 브레네막 시스템을, 내부연결 방식을 대표하는 ITI 임플랜트를 연구재료로 선택하였다. 각각의 임플랜트는 구치부에서 골양이 허용되는 한 추천되는 넓은 직경 (wide diameter)의 임플랜트 (4.8-5.3mm)를 이용하였다. 이러한 4종류의 임플랜트 모형에서 제1대구치와 제2대구치 금관의 연결 여부에 따라 총 8개의 실험 군으로 분류하였다. 하중은 수직하중 및 수평하중을 각각 100N씩 하악 제1대구치 임플랜트 보철부위 (금관부)에 가하였고 금관의 연결여부에 따라 임플랜트와 주위골에 응력이 분산되는 양상을 관찰하였다. 삼차원 유한요소분석을 위한 하악골모형 제작에는 Hypermesh (Altair Engineering Inc., Troy, MI, USA)를 사용하였고 응력해석을 위해서는 PAM-CRASH 2G version 2005 (ESI, France), 포스트프로세싱을 위해서는 PAM-VIEW version 2005 (ESI, France)을 이용하였다. 여러 응력값 중에서 대표적인 등가응력 (von Mises stress)을 이용하여서 응력분포를 비교분석하였다. 연구결과: 내부연결방식과 외부연결방식 모두 상부의 금관을 연결함에 따라 임플랜트와 주위골로 전해지는 응력값이 감소하였다. 그리고 응력값이 감소하는 정도는 외부연결방식에서 더 크게 나타났다. 하지만 두 방식 모두 금관연결에 따른 응력 감소 효과는 임플랜트 길이 증가에 의해 영향 받지는 않았다. 이번 실험에서 상부 보철물이 연결되지 않은 상태에서 제1대구치 부위에 수직방향 또는 수평방향의 하중을 가했을 때 외부연결방식에서 더 많은 양의 응력이 주변 피질골의 상부 좁은 부위로 전달되었다. 하지만 상부 보철물을 연결한 상태에서 하중을 가한 경우에는 외부연결방식에서 하중 측인 제1대구치 부위에서 나타나던 상부 피질골에서의 응력 집중이 많이 감소한 것을 보여주었다. 또 한 비하중 측인 제 2대구치 부위에서의 응력분산도 외부연결방식에서 더 많은 것으로 나타났다. 이에 비해 내부연결방식에서는 하중 측인 제 1대구치 부위에서 지대주 나사를 따라 높게 나타나던 응력값의 중등도 감소 효과를 나타내었고 연결된 제2대구치 부위로의 응력분산 효과도 작았다. 결론: 하악 구치부가 결손한 하악골에 내부연결방식과 외부연결방식을 대표하는 두 가지 종류의 임플랜트를 선택하여 상부 금관의 연결이 임플랜트와 주위 골의 응력 분산에 미치는 영향에 대하여 삼차원 유한요소분석을 하였다. 이러한 실험 결과를 통하여 다음과 같은 결과를 얻었다. 1. 8.5mm와 13mm에 대해서 응력 분포는 거의 동일하게 나타나고, von Mises stress 최대값 또한 거의 유사하였다. 2. 수직하중에서는 근심측에서 응력이 집중되었고 수평하중에서는 근, 원심측이 비슷한 크기의 응력을 보였다. 3. 내부연결방식에서는 지대주 나사의 벽면을 따라서 응력이 분산되는 양상을 보였으나 외부연결방식에서는 지대주에 눌리는 임플랜트 상부 부위에 응력이 집중되었다. 4. 금관을 연결함에 따라 임플랜트와 주위골로 전달되는 응력 값은 두 방식 모두 감소하는 모습을 보였으나 응력 값이 감소하는 정도는 내부연결방식에 비해 외부연결방식에서 더 크게 나타났다.

Actionbacillus actinomycetemcomitans의 임상분리 혈청형에 따른 유전자 지문 양상에 관한 연구 (DNA FINGERPRINTING AND SEROTYPING OF ACTINOBACILLUS ACTINOMYCETEMCOMITANS ISOLATED FROM PERIODONTAL PATIENTS)

  • 허경기;김성조;최점일
    • Journal of Periodontal and Implant Science
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    • 제25권1호
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    • pp.153-166
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    • 1995
  • 54 clinical isolates of Actinobacillus actinomycetemcomitans showed distinct hybrdization patern(DAN fingerprinting patterns) when the bacterial DNA were hybridized with randomly cloned 4.7 - kb DNA probe. The frequency of the genotypic distribution demonstrated that type C was the most prevalent genotype, the next being D, NT, A, B, and E in the descending order. The most prevalent serotype was serotype c, the next being a, nd, and b in the descending order. It was noted that the one serotype can represent more than two different genotypes and that multiple genotypic variants can also exist in the periodontal pockets within the sam subject.

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Micromechanical시험법과 Acoustic Emission을 이용한 Implant용 생흡수성 복합재료의 계면물성과 미세파괴 분해메카니즘 (Interfacial Properties and Microfailure Degradation Mechanisms of Bioabsorbable Composites for Implant Materials using Micromechanical Technique and Acoustic Emission)

  • Kim, Dae-Sik;Park, Joung-Man;Kim, Sung-Ryong
    • 한국복합재료학회:학술대회논문집
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    • 한국복합재료학회 2001년도 춘계학술발표대회 논문집
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    • pp.263-267
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    • 2001
  • The changes of interfacial properties and microfailure degradation mechanisms of bioabsorbable composites with hydrolysis were investigated using micromechanical test and acoustic emission (AE). As hydrolysis time increased, the tensile strength, the modulus and the elongation of PEA and bioactive glass fibers decreased, whereas those of chitosan fiber changed little. Interfacial shear strength (IFSS) of bioactive glass fiber/poly-L-lactide (PLLA) composite was significantly higher than that two other systems. The decreasing rate of IFSS was the fastest in bioactive glass fiber/PLLA composite, whereas that of chitosan fiber/PLLA composite was the slowest. With increasing hydrolysis time, distribution of AE amplitude was narrow, and AE energy decreased gradually.

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Networked Robots in the Informative Spaces

  • Kim, Bong-Keun;Ohara, Kenichi;Ohba, Kohtaro;Tanikawa, Tamio;Hirai, Shigeoki;Tanie, Kazuo
    • 제어로봇시스템학회:학술대회논문집
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    • 제어로봇시스템학회 2005년도 ICCAS
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    • pp.714-719
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    • 2005
  • In this paper, the informative space is proposed to implant ubiquitous functions into physical spaces. We merge physical and virtual spaces through the space structurization using an RFID system, and solve the space localization and mapping problem for a robot to navigate through the distribution and synthesis of information and knowledge. To distribute knowledge flexibly and reliably to changing environment and also to develop a system which allows a robot to invoke and merge the distributed knowledge more freely, we employ a novel approach of knowledge management based on Web services. The proposed method is verified by building a physical space with two kinds of RFID tags and a virtual space with knowledge database based on Web services.

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방사선 이리디움(Ir-192) 근접치료의 임상적 응용 (The Clinical Application of Radioactive Iridium (Ir-192) Brachytherapy)

  • 유성열
    • 대한방사선치료학회지
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    • 제3권1호
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    • pp.11-18
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    • 1989
  • Brachytherapy is known to be a good modality to achieve local control as a boost treatment following limited external irradiation, which may reduce the external beam related complication particularly in head and neck cancer. The authors developed iridium-192 ribbons recently to replace the radium needles in the field of brachytherapy. Total of 48 cases of head and neck and pelvic-perineal cancer patients had been treated with Ir-192 ribbons during last two years from October 1986 to September 1988, and the results were analyzed to assess the applicability of the fabricated sources. The conclusion is as follows; 1. Iridium implant resulted excellent tumor control effect in clinical application. 2. Iridium is superior than radium and cecium in brachytherapy because of easier to use and lesser exposure to the personnel. 3. Afterloading technique is useful to modify dose distribution, to expand treatment site and method, and to develop interstitial hyperthermia.

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Glass strengthening and coloring using PIIID technology

  • Han, Seung-Hee;An, Se-Hoon;Lee, Geun-Hyuk;Jang, Seong-Woo;Whang, Se-Hoon;Yoon, Jung-Hyeon
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2016년도 제50회 동계 정기학술대회 초록집
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    • pp.178-178
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    • 2016
  • Every display is equipped with a cover glass to protect the underneath displaying devices from mechanical and environmental impact during its use. The strengthened glass such as Gorilla glass.$^{TM}$ has been exclusively adopted as a cover glass in many displays. Conventionally, the strengthened glass has been manufactured via ion-exchange process in wet salt bath at high temperature of around $500^{\circ}C$ for hours of treatment time. During ion-exchange process, Na ions with smaller diameter are substituted with larger-diameter K ions, resulting in high compressive stress in near-surface region and making the treated glass very resistant to scratch or impact during its use. In this study, PIIID (plasma immersion ion implantation and deposition) technique was used to implant metal ions into the glass surface for strengthening. In addition, due to the plasmonic effect of the implanted metal ions, the metal-ion implanted glass samples got colored. To implant metal ions, plasma immersion ion implantation technique combined with HiPIMS method was adopted. The HiPIMS pulse voltage of up to 1.4 kV was applied to the 3" magnetron sputtering targets (Cu, Ag, Au, Al). At the same time, the sample stage with glass samples was synchronously pulse-biased via -50 kV high voltage pulse modulator. The frequency and pulse width of 100 Hz and 15 usec, respectively, were used during metal ion implantation. In addition, nitrogen ions were implanted to study the strengthening effect of gas ion implantation. The mechanical and optical properties of implanted glass samples were investigated using micro-hardness tester and UV-Vis spectrometer. The implanted ion distribution and the chemical states along depth was studied with XPS (X-ray photo-electron spectroscopy). A cross-sectional TEM study was also conducted to investigate the nature of implanted metal ions. The ion-implanted glass samples showed increased hardness of ~1.5 times at short implantation times. However, with increasing the implantation time, the surface hardness was decreased due to the accumulation of implantation damage.

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Hydroxylapatite 및 Titanium Plasma Spray 피복임프란트와 골조직 계면의 조직학적 비교 연구 (HISTOLOGIC COMPARATIVE STUDY ON THE BONE-IMPLANT INTERFACE OF HYDROXYLAPATITE AND TITANIUM PLASMA SPRAY COATED IMPLANTS)

  • 조주온;송광엽;박찬운
    • 대한치과보철학회지
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    • 제33권3호
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    • pp.492-516
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    • 1995
  • This study evaluated the responses of mandibular bones of mongrel dogs to loaded hydro xylapatite(HA) and titanium plasma spray(TPS) coated endosseous dental implants, using unloaded ones as the control group. after HA and TPS coated implants were implanted, their bone reactions with vital bones have been observed with light and scanning electron microscope(SEM) at the three periods of the 4th, 12th and 20th week. These reactions have been also compared in a histomorphometric method. The elemental distribution state of implants and the interface neighboring bone tissues have been measured with the energy dispersive analysis of X-rays(EDAX). The following results were obtained ; 1. The light microscopic analysis showed osseointegration in both the control group and the occlusal force loaded group ; Its degree was shown to be higher in the long-maintained and occlusal force groups. 2. The SEM analysis showed that both groups had osseointegration, In the case of TPS-coated implants, the coated layer was divided on the bone interface. In the case of HA-coated implants, there appeared a division between the metal and coated interface. 3. In the histomorphometric analysis, the measured ratio contaction bone of TPS-coated implants was $70{\pm}19$% in the case of no occlusal force ; it was $84{\pm}13$% in the case of occlusal force. The measured ratio contacting bone of HA-coated implants was $75{\pm}18$% in the case of no occlusal force ; it was $94{\pm}9$% in the case of occlusal force. However, there was no significant difference statistically(p>0.05). 4. Both groups showed that the ratio of calcium and phosphorous increased more in the bone tissues than on the bone to implant interface.

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Alveolar bone height according to the anatomical relationship between the maxillary molar and sinus

  • Choi, Yoon Joo;Kim, Young Hyun;Han, Sang-Sun;Jung, Ui-Won;Lee, Chena;Lee, Ari;Jeon, Kug Jin
    • Journal of Periodontal and Implant Science
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    • 제50권1호
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    • pp.38-47
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    • 2020
  • Purpose: The aim of this study was to investigate the available alveolar bone height between the maxillary molars and the sinus floor according to their anatomical relationship using cone-beam computed tomographic (CBCT) images. Methods: A total of 752 maxillary first (M1) and second molars (M2) on CBCT scans of 188 patients were selected. First, each maxillary molar was categorized as type 1, 2, 3, or 4 according to the relationship of the molar root with the maxillary sinus floor. The frequency distribution of each type was analyzed. Second, the shortest vertical distance (VD) of each molar was measured from the furcation midpoints of the roots to the lowest point of the sinus floor by 2 observers. Intraclass correlation coefficients and the t-test were calculated for the VD measurements. Results: For M1, type 3 was the most frequent, followed by type 2. For M2, type 3 was the most common, followed by type 1. The VD measurements of type 1 were 9.51±3.68 mm and 8.07±2.73 mm for M1 and M2, and those of type 3 were 3.70±1.52 mm and 4.03±1.53 mm for M1 and M2, respectively. The VD measurements of M2 were significantly higher in female patients than in male patients. Conclusions: Type 3 was the most frequent anatomical relationship in the maxillary molars, and showed the lowest alveolar bone height. This information will help clinicians to prevent complications related to the maxillary sinus during maxillary molar treatment and to predict the available bone height for immediate implant planning.

Orbital floor fracture repair with implants: a retrospective study

  • Lee, Yong Jig
    • 대한두개안면성형외과학회지
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    • 제22권4호
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    • pp.177-182
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    • 2021
  • Background: Although prompt surgery after an orbital fracture is preferable, the actual timing of surgery in real-world settings varies. Therefore, this study investigated the outcomes of implant surgery for inferior orbital wall fractures by comparing three groups according to the time interval between the injury and surgery. Methods: A retrospective review was conducted of patients' medical charts and initial computed tomography images from 2009 to 2020. The time to treatment was chosen by patients or their guardians based on the patients' comorbidities and the physician's explanation. The patients were divided into three groups according to the time of surgery (group 1: 3-7 days, group 2: 8-14 days, group 3: 15 or more days). Data were collected on age, the time interval until surgery, the dimensions of the defect, the operation time, the follow-up period, and the postoperative paresthesia score (ranging from 0 to 10). The outcomes were evaluated using a 4-point scale: 4=good (no complications), 3=fair (no subjective symptoms), 2=poor (remaining paresthesia), and 1=very poor (strabismus and/or enophthalmos). Results: The study included 85 patients with unilateral fractures who underwent surgery from 3 to 93 days after injury. The overall score distribution of the surgical outcomes was as follows: good=63, fair=7, poor=6, and very poor=9. The three groups showed no significant differences in the transverse dimension of the injury (p=0.110) or the anteroposterior dimension (p=0.144). In groups 1, 2, and 3, the postoperative outcome scores were 3.84±0.37, 3.63±0.87, and 2.93±1.33 (p=0.083), and the percentage of patients with good outcomes was 84%, 81.25%, and 57.14%, respectively. Conclusion: Performing surgery using an artificial implant within 2 weeks of the injury showed better outcomes and fewer postoperative complications than when treatment was delayed.