• Title/Summary/Keyword: direct to implant

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Experimental study on the effect of direct microcurrent to periodontal regeneration in class III furcation defects (3급 치근분지부 골결손에서 미세전류자극이 치주조직의 재생에 미치는 영향에 관한 실험적 연구)

  • Kim, Young-Jun;Chung, Hyun-Ju
    • Journal of Periodontal and Implant Science
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    • v.27 no.4
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    • pp.845-866
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    • 1997
  • Several experimental studies showed that the application of small amounts of electric current to bone stimulated osteogenesis at the site of the cathode and suggests that the application of electrical currents to periodontal defects could promote bone and cementum formation. The purpose of this study was to determine the effect of direct microcurrent to the periodontal regeneration of class III furcation defects in dogs. Class III furcation defects were surgically created on the third and the fourth premolars bilaterally in the mandibles of nine mongrel dogs. Experimental periodontitis were induced by placing small cotton pellets into the created defects for 3 weeks. The experimental sites were divided into three groups according to the treatment modalities: Group I-surgical debridement only; Group II-allogenic demineralized freeze dried bone grafting; Group III-allogenic demineralized freeze dried bone grafting and electrical stimulation. For fluorescence microscopic evaluation, calcein, oxytetracycline HCI and alizarin red were injected 2, 4 and 8 weeksfS days prior to sacrifice) after surgery. The animals were sacrificed in the 1st, 2nd, 4th and 8th week after periodontal surgery and the decalcified and undecalcified specimens were prepared for histological and histometrical examination. After the first and the second weeks, gingival recession was more severe in group I than groups II and III. After the fourth and the eighth weeks, there was no difference in the width of junctional epithelium and connective tissue attachment among the three groups, but the width of connective tissue attachment increased in group II at the eighth week, compared to the fourth week. The amount of bone repair in new attachment was significantly greater in group III, compared to groups I and II. New attachment formation was significantly greater in group III, compared to groups I and group II. These results suggest that electrical stimulation using microcurrent generator could be a useful tool for periodontal regenerative therapy in class III furcation defect.

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The convergence study on the use of dental impression materials (치과용 인상재의 사용 실태에 대한 융합 연구)

  • Jang, Sun-Ok;Choi, Eun-Mi;Kang, Min-Kyung;Shim, Youn-Soo;Cho, Yoon-Jeong;Oh, Sang-Hwan;Choi, Yu-Ri
    • Journal of Digital Convergence
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    • v.16 no.4
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    • pp.195-203
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    • 2018
  • This study was conducted to investigate the types and methods of dental impression materials used in dental clinics in south Korea, the questionnaire was surveyed by a self-administered method for one dentist in a one dental clinic, the collected data were statistically analyzed using SPSS 20. The most frequently used addition silicone impression materials were used in most dental treatment. It was confirmed that the method of taking impression materials having different flow properties(light body and heavy body) was most preferred at one time, also, the implant impression taking method was the most preferred for two rubber impression materials with different flow properties, both direct and indirect. There were statistically significant differences in age and clinical experience between the methods of impression taking of casting restorations and prosthetic according to general characteristics. These results are expected to be helpful for the development of theoretical and practical work based on the basic data for impression material development and research and the preference of impression materials required for dental professional in clinical practice.

Establishment of Validation Methods to Test the Biocompatibility of Titanium Dioxide

  • Kim, Mi-Ju;Lim, Hee-Joung;Lee, Byung Gun;Kim, Jong-Hoon;Choi, Jinsub;Kang, Hee-Gyoo
    • Bulletin of the Korean Chemical Society
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    • v.34 no.6
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    • pp.1857-1863
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    • 2013
  • Most of biomaterials come in direct contact with the body, making standardized methods of evaluation and validation of biocompatibility an important aspect to biomaterial development. However, biomaterial validation guidelines have not been fully established, until now. This study was to compare the in vitro behavior of osteoblasts cultured on nanomaterial $TiO_2$ surfaces to osteoblast behavior on culture plates. Comparisons were also made to cells grown in conditioned media (CM) that creates an environment similar to the in vivo environment. Comparisons were made between the different growth conditions for osteoblast adhesion, proliferation, differentiation, and functionality. We found that the in vivo-like system of growing cells in concentrated CM provided a good validation method for biomaterial development and in vivo implant therapy. The $TiO_2$ materials were biocompatible, showing similar behavior to that observed in vivo. This study provided valuable information that would aid in the creation of guidelines into standardization and evaluation of biocompatibility in $TiO_2$ biomaterials.

PREVALENCE OF GINGIVAL RECESSION AND CERVICAL ABRASION (치은퇴축과 치경부마모의 연령군에 따른 유병률)

  • Han, Soo-Boo;Cheong, Hee-Sun;Moon, Hyock-Soo;Hwang, Kwang-Se
    • Journal of Periodontal and Implant Science
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    • v.25 no.3
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    • pp.459-469
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    • 1995
  • The objectives of this study were to examine the prevalence of gingival recession (GR)and cervical abrasion(CA) and to relate some considered factors to them. We selected 308 subjects, consisting of male 174 and female 134, who had 14 teeth at least. As age increased, the prevalence rates of GR & CA was increased. And both the rates of GR & CA were higher in male than in female. Interestingly, the effect of alcohol consumption was the highest in GR and smoking affected CA highly among several variables. However, we could not prove the direct relationship between drinking & smoking and GR & CA. Only we assumed poor oral hygiene due to drinking & smoking as one of predisposing factors. The result of this study did not show the obvious factor which affected GR and CA greatly. The present study suggested that GR & CA should be related to a number of factors.

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THE EFFECTS OF CHLORHEXIDINE ON THE ATTACHMENT AND GROWTH OF CULTURED HUMAN GINGIVAL FIBROBLASTS IN VITRO (인체 치은 섬유아세포의 성장과 부착에 관한 Chlorhexidine의 효과)

  • Lee, Ho;Lee, In-Kyu;Kim, Hyung-Seop
    • Journal of Periodontal and Implant Science
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    • v.23 no.3
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    • pp.507-516
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    • 1993
  • The Chlorhexidine(CHX) has been a widely used adjunt in periodontal therapy due to its bactericidal effect. In spite of the effects of CHX exhibits cytotoxic to human cells and delays granulation tissue formation. Therefore, understanding the effects of CHX on fibroblast attachment and cell growth will provide the rationale for its use during healing phase of periodontal surgery. This study was undertaken to examine the effects of standardized CHX-pretreated dentin slices and direct CHX exposure on human gingival fibroblasts. The results were as follow : 1. In experiment 1, there was a significant reduction in the number of fibroblast attachment in 0.12, 1%-pretreated groups relative to the control, 0.05%-pretreated groups(P<0.05). 2. In experiment 1, the control, 0.05%-pretreated groups showed considerable attachment and typical fibroblastic morphology, but 0.12, 1%-pretreated groups showed irregular, round-up (unattached) fibroblastic morphology. 3. In experiment 2, it appeared that all experimental groups exhibits significant inhibition of cell growth when compared with the control group.

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Treatment of periodontal lesion caused by palatogingival groove in maxillary lateral incisor: case reports (상악 측절치에서 발견되는 구개치은구로 인한 치주 병소의 치료 : 증례 보고)

  • Kim, Sun-Ha;Park, Jin-Woo;Suh, Jo-Young;Lee, Jae-Mok
    • Journal of Periodontal and Implant Science
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    • v.39 no.4
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    • pp.425-429
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    • 2009
  • Purpose: The palatogingival groove is a developmental anomaly of the incisor teeth, which often presents severe localized periodontal disease. The purpose of this study was to evaluate the clinical outcome of palatogingival groove-associated periodontal lesion following flap operation with glass ionomer filling. Methods: Four patients with periodontal lesion associated with the palatogingival groove were chosen for this case study. Clinical indices were taken and radiographic exam was performed at the baseline of the study and four patients were treated by flap operation with GI filling. Post-surgical visits were scheduled at regular intervals to check clinical and radiographic changes. Results: Symptoms and signs of periodontal lesion were almost completely resolved with improvement of periodontal indices. Conclusions: Flap operation with direct glass ionomer restoration is thought to be an acceptable method which can produce favorable results in the treatment of periodontal lesion caused by palatogingival groove on the maxillary lateral incisor.

Histomorphometric evaluation of bone healing with natural calcium carbonate-derived bone substitutes in rat calvarial defect (백서두개골 결손부에서 천연물유래 탄산칼슘염 골대체의 골치유에 관한 조직계측학적 평가)

  • Lee, Chung-Ho;Jang, Je-Hee;Lee, Jae-Mok;Suh, Jo-Young;Park, Jin-Woo
    • Journal of Periodontal and Implant Science
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    • v.38 no.1
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    • pp.83-90
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    • 2008
  • Purpose: This study investigated the osteoconductivity of natural calcium carbonate-derived bone substitutes, hen eggshell (ES), and compared with those of commercial bone substitutes. Materials and Methods: Osseous defects created in the rat calvaria were filled with particulated ES(ES-1), ES with calcium-deficient hydroxyapatite surface layer (ES-2), Biocoral(Inoteb, France), and Bio-Oss(Geistlich Pharma, Wolhusen, Switzerland). After 4 and 8 weeks of healing, histomorphometic analysis was performed to evaluate the amount of newly formed mineralized bone area (NB%). Results: Histologic and histomorphometric analysis showed new bone formation and direct bony contact with the grafted materials in all groups. At 4 weeks, Biocoral group showed greater NB% compared to Bio-Oss and ES-1 groups (P<0.05). At 8 weeks, Biocoral and ES-2 groups showed significantly greater NB% compared to Bio-Oss group (P<0.05). Conclusion: These results indicate that natural calcium carbonate-derived bone substitutes with microporous calcium-deficient hydroxyapatite surface layer may be an effective materials treating osseous defects.

Epistaxis in dental and maxillofacial practice: a comprehensive review

  • Psillas, George;Dimas, Grigorios Georgios;Papaioannou, Despoina;Savopoulos, Christos;Constantinidis, Jiannis
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.1
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    • pp.13-20
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    • 2022
  • The lifetime incidence of epistaxis in dental and maxillofacial practice has been reported to be as high as 60% and can be caused by dental implant placement, Le Fort I osteotomy, intranasal supernumerary tooth, odontogenic tumors, blood disorders and maxillofacial trauma. Most epistaxis cases are minor and easily managed with direct compression on the nares for 10 minutes. For more significant or recurrent epistaxis, other techniques might include electrocautery, anterior or posterior nasal packing, or Foley catheter balloon. For patients with refractory epistaxis, cauterization of the sphenopalatine artery under endonasal endoscopy or embolization of the internal maxillary artery should be performed. Epistaxis control is required in patients diagnosed with inherited or acquired bleeding disorders or with drug-induced coagulopathies during dental procedures. In these cases, hemostatic system adjustment and hemostasis achieved by local and adjunctive methods are required. Dentists and maxillofacial surgeons must be aware that the nasal cavity is a potential source of perioperative hemorrhage. Depending on the invasiveness of the dental intervention, preoperative involvement of the hematologist and cardiologist is usually necessary to reverse anticoagulation or to cease anticoagulant therapy.

A study of the mandibular canal in digital panoramic radiographic images of a selected Korean population (한국인의 디지털파노라마 방사선영상에서 하악관에 관한 연구)

  • Kim, Jae-Duk;Kim, Jin-Soo
    • Imaging Science in Dentistry
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    • v.37 no.1
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    • pp.9-14
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    • 2007
  • Purpose : To determine the more valuable information to detect the mandibular canal and the mental foramen in panoramic radiographs of a selected Korean population for the implant. Materials and Methods : This study analysed 288 panoramic radiographic images of patients taken at the Dental hospital of Chosun University retrospectively. Indirect digital panoramic X-ray machine (ProlineXC, PLANMECA, Finland) with processing by using Directview $CR950^@$ (Kodak, U.S.A.) and Direct digital panoramic X-ray machine (Promax, PLANMECA, Finland) were used for all exposures. All images were converted into Dicom format. Results : The common position of the mental foramen was in line with the longitudinal axis of the second premolar (68.1%). The mental foramen was symmetrical in 81.8% of cases. The mandibular canal was not identified at anterior portion and discontinued with the mental foramen in 27.8% of all cases, in 42.4% identified with lower border line continued with the mental foramen, in 14.6% with both upper and lower border lines, and in 15.3% unilaterally identified with lower border line. Conclusion : Clinicians can estimate the upper border line of the mandibular canal from the confirmation of the mental foramen and the lower border line of the mandibular canal symmetrically on the panoramic radiography taken in adjusted midsaggital plane of patient's head.

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Metastatic Lung Carcinoma Involving the Periodontium : Report of a case (폐암이 치주 조직에 전이된 증례보고)

  • Shin, Ji-Yearn;Han, Soo-Boo;Hwang, Kwang-Se;Kye, Seung-Beom
    • Journal of Periodontal and Implant Science
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    • v.27 no.1
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    • pp.111-116
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    • 1997
  • The oral cavity is easily accessible for direct exposure of a malignant disease. 1 percent of the oral malignant tumors are of metastatic origin and approximately 10 percent to 25 percent of the 1 percent fraction originate from the lungs. A case of metastatic lung carcinoma to the gingiva in a 88-year-old male is reported. He complained of pain and swelling between right maxillary 1st premolar and 2nd molar. Although surgical excision of the lesion has been done, the gingival lesion developed as a quickly growing mass and recurred 2 weeks after surgical excision. The gingival mass was histopathologically diagnosed as an undifferentiated carcinoma. Epithelial layer was continuous without ulceration and it seems that the cancer cells are originated from primary tumor. Infiltrated cancer cells were pleomorphic and dyskeratotic. The cells had 2 or more nuclei, not showing squamous or glandular differentiation. Immunohistochemical study revealed the cells originated from the epithelial cells. The prognosis is poor, because prognosis depends on surgical elimination of the primary tumor.

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