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발치 후 즉시 매식된 서로 다른 두종의 RBM표면 처리된 임플란트에 대한 다기관 후향적 임상연구
박홍주,국민석,김수관,김영균,조용석,최갑림,오영학,오희균,Park, Hong-Ju,Kook, Min-Suk,Kim, Su-Gwan,Kim, Young-Kyun,Cho, Yong-Seok,Choi, Gab-Lim,Oh, Young-Hak,Oh, Hee-Kyun 대한악안면성형재건외과학회 2008 Maxillofacial Plastic Reconstructive Surgery Vol.30 No.3
Purpose. This multicenter retrospective study was performed to evaluate the survival and success rates of immediate placement of USII and SSII Osstem implant (Osstem implant Co, Korea) on the maxillary and mandibular anterior and premolar areas. Materials and methods. Dental records were obtained in 37 patients who were treated with immediate implantation on the maxillary and mandibular anterior and premolar areas in 6 different clinics. The 98 implants were evaluated both clinically and radiographically using predefined success criteria. Results. There was no failed implant in all patients. The mean follow up period was 24.7 months (ranged from 12 to 58 months), and 25.1 months (ranged from 16 to 35 months) in USII and SSII implants, respectively. The crestal bone loss was 3 mm in 3 USII implants during 41 months, and in 1 SSII implant during 22 months. The overall success rate was 94.2% and 97.7% in USII and SSII implants, respectively. The age, gender, diameter, or length of implants, and type of surgery were not influenced to the success rate of immediate implantation. Conclusion. These results suggest that USII and SSII Osstem implant can be used successfully in immediate implantation on the maxillary and mandibular anterior and premolar areas.
상악동저 거상술 후 Osstem Implant (US II / SS II)의 다기관 후향적 임상연구
국민석(Min-Suk Kook),박홍주(Hong-Ju Park),김수관(Su-Gwan Kim),김영균(Young-Kyun Kim),조용석(Yong-Seok Cho),최갑림(Gab-Lim Choi),오영학(Young-Hak Oh),오희균(Hee-Kyun Oh) 대한구강악안면외과학회 2008 대한구강악안면외과학회지 Vol.34 No.3
Purpose: The purpose of this study was to evaluate the Osstem implants (US II/SS II implants) through the retrospective study for the clinical success rate during the installation of the Osstem implants (US II/SS II implants) by using of the procedures of maxillary sinus floor elevation. Materials and methods: The current study was researched in the 6 medical institutions: Chonnam National University, Chosun University, Pusan DaeDong Hospital, Bundang Seoul National University Hospital, Ap-Seon Clinic, and All Clinic. Based on the total number of 116 patients whose treatment was the installation of the US II/SS II implants with the procedures of the maxillary sinus floor elevation, they were conferred on the dental records of the patients under the joint consultation of the 6 medical institutions. On the dental recording charts, there were included in as the following; the name of the institutions, gender, age, with or without smoking or drinking, with or without the generalized diseases, the height of the alveolar bone on the operational sites, elapsed edentulous state period, the state of the opposed or adjacent teeth, the methods of the maxillary sinus floor elevation, secondary time period for surgery, the lengths, types, and diameters of implants, with or without bone transplantation or the types of bone, postoperative current bone height, current adjacent soft tissue state of the implants, with or without the success of the installations of the implants. We have done our survey with the clinical and radiolographical examinations and dental questionaries. The success and survival rate of the implants was evaluated. Results 1. Total number of the patients with the installation of the US II implants were 62. The 252 numbers of US II implants were installed on the 89 maxillary sinuses. The patient s mean age was 54.1 years old and there were 36 men and 27 women. 2. Total number of patients with the installation of SS II implant were 57. The 165 numbers of SS II implants were planted on the 80 maxillary sinuses. Their mean age was 48.7 years old and there were 37 men and 20 women. 3. The follow-up period was 30.7 months(21-49 mon) on average. The vertical bone loss of installed implants after the procedures of the maxillary sinus elevation was 1.1 mm on average in SS II and 1.3 mm on average in US II. There existed no statistical significance on each group. The mean enlarged bone height after the maxillary sinus floor elevation was 8.2 mm. 4. For the procedures of the maxillary sinus elevation, the Lateral approach technique occupied 87.1%, which was the most used one. In addition, the most frequently used transplanted bone was autogenous bone only which was 72.7% during the maxillary sinus floor elevation. 5. The complication of maxillary sinus floor elevation were perforation of sinus membrane, disesthesia on doner site, exposure of cover screw and exposure of maxillar bone. 6. The survival rate of US II and SS II after maxillary sinus floor elevation was 99.2% and 95.8%, respectively. And the success rate of US II and SS II after maxillary sinus floor elevation was 97.6% and 89.7%, respectively. Conclusion : On the evaluation of the analysis of our study, both US II and SS II implants showed the excellent clinical results by use of the procedures of maxillary sinus floor elevation.
치아의 순(협)설 경사도 변화에 따라 파노라마 방사선 사진에 나타난 치아 길이 및 각도 변화
최갑림,임성훈,김광원,김재덕 대한치과교정학회 2007 대한치과교정학회지 Vol.37 No.2
파노라마 방사선 사진은 치아 및 주위 조직에 대한 많은 정보를 제공해 주며 교정치료 동안에도 치근의 근원심 경사도나 길이 평가를 위해 흔히 이용되고 있지만 파노라마 방사선 사진에서 보이는 치아의 근원심 각도와 길이는 순(협)설 경사도에 의해 영향을 받는 것으로 알려져 있다. 따라서 본 연구에서는 치아의 근원심 경사도를 정상교합자의 평균 근원심 각도로 유지하면서 순(협)설 경사도만 변화시킬 때 파노라마 방사선 사진에서 각 치아의 근원심 경사도와 길이가 어떻게 변화되는지 알아보고자 하였다. 성인 정상 교합자 30명의 평균 악궁을 기초로 하여 아크릴 모델을 제작한 후 치아를 대신하는 와이어를 정상 근원심 및 순(협)설 경사도(I°)로 식립하고 여기에 순(협)설 경사도만 I-15°에서 I+15°까지 5°씩 변화시켜 파노라마 방사선 사진을 촬영한 후 방사선 사진에 나타난 와이어의 길이와 각도를 각각 계측하였다. 와이어를 정상 근원심 및 순(협)설 각도로 식립했을 때 방사선 사진에서 계측된 길이는 중절치, 측절치, 견치의 경우 실제 길이의 111% ~ 117%의 확대율을 보였고, 소구치와 대구치에서는 121% ~ 125%의 확대율을 보였다. 이 때 근원심 경사도는 그대로 유지하면서 순(협)설 경사도만 I-15°(순측경사)에서 I+15°(설측경사)로 변화시킨 경우 중절치 (p < 0.01)와 측절치 (p < 0.05)에서만 유의한 확대율 증가를 보였다. 파노라마 방사선 사진에서 치아의 경사도는 대부분 실제 근원심 경사도보다 더 크게 즉 원심경사된 것으로 계측되었고, 이러한 원심경사 경향은 측절치와 견치에서 가장 크게 나타났으며, 제1, 2소구치의 I+10°, I+15° 그룹과 제1, 2대구치의 I+15° 그룹에서만 실제 근원심 각도보다 더 작게, 즉 근심 경사된 것으로 계측되었다. 또한 순(협)설 경사도의 변화에 따라 파노라마 방사선 사진에서 모든 치아의 근원심 각도가 유의한 변화를 보였는데, 순(협)설 경사도가 작아질수록, 즉 순(협)측 경사될수록 파노라마 방사선 사진에서 더 원심경사되어 나타났다. 따라서 파노라마 방사선 사진에서 중절치와 측절치의 치아 길이와 모든 치아의 근원심 경사도를 평가할 때 치아의 순(협)설 경사도에 따라 영향을 받기 때문에 이를 고려해야 할 것이다. Objective: The purpose of this study was to examine how the mesio-distal angulation and the length of each tooth changes on panoramic radiograph at different bucco-lingual inclinations. Methods: After constructing an acrylic model based on the mean arch of 30 adults with normal occlusion, the wire was placed in the center of the teeth on the acrylic model. First, the wire was implanted in normal angulation and inclination and a panoramic radiograph taken. After changing the inclination from I-15° to I+15° by 5°, a panoramic radiograph was taken again and the mesio-distal angle and wire length on the panoramic radiograph were assessed. Results: When the wire was implanted at the normal angulation and inclination, the length measured in the panoramic radiograph was magnified 111 ~ 117% from the original length in the anterior region and 121 ~ 125% in the posterior region. Only the central and lateral incisors showed significant length differences when the inclination was changed from I-15° to I+15° at fixed angulation. When the inclination was changed from I-15° to I+15°, the angulation of most teeth on panoramic radiograph appeared to be more disto-angulated than in reality, and the lateral incisor and canine showed the largest difference. Only I-15°, I+15° groups of premolars and I+15° group of molars showed more mesio-angulation than in reality. As the labio(bucco)lingual inclination of all teeth were decreased, tooth angulation in the panoramic radiograph appeared to be more disto-angulated. Conclusion: The labio-liugual inclination of teeth should be considered because it affects panoramic image of teeth, such as length of incisors and angulation of other teeth.
상순과 턱의 수직 비율(vertical lip-chin ration)에 대한 선호도 조사
권성준,최갑림,임성훈,김광원 대한치과교정학회 2004 대한치과교정학회지 Vol.34 No.5
일반인들이 선호하는 상순과 턱의 수직 비율(Sn-Stm/Stm-Me')을 알아보기 위해 남녀 각 2명의 연조직 측모(profile)를 상순과 턱의 수직비율에 따라 상악의 변화없이 하악만을 변화시켜 1/1.8, 1/1.9, 1/2.0, 1/2.1, 1/2.2 비율의 5개의 측모 사진을 만들어 치과의사 44명(남자 22명. 여자 22명)과 일반인 430명(남자 303명, 여자 127명)을 대상으로 하여 설문조사를 통하여 선호도를 조사하여 다음과 같은 결과를 얻었다. 대상의 가장 선호하는 안모에 대한 성별간의 선호도 차이는 통계적으로 유의하지 않았다. 대상의 가장 선호하는 안모에 대한 치과의사와 일반인 집단간의 선호도 차이는 통계적으로 유의하지 않았다. 남녀 측모 모두에서 가장 선호하는 측모의 상순과 턱의 비율은 1/1.9이었으며 가장 선호하지 않는 비율은 1/2.2 로 나타났다. 이상의 결과를 종합하여 볼 때, 이전의 연구 비해 상순과 턱의 수직비율에서 턱의 비율이 다소 작은 측모, 즉 상순과 턱의 수직 비율이 1/1.9인 안모를 가장 선호하는 것으로 나타났다. The purpose of this study was to investigate the preference of Vertical Lip-Chin Ratio (= Sn-Stm /Stm-Me' hereafter VLCR) in Koreans. The assessors consisted of 44 dentists (male 22, female 22) and 430 lay persons (male 303, female 127). The survey was performed using a questionnaire asking the order of preference. The profiles presented in the questionnaire were based on the profiles of two males and two females, each morphed according to the VLCRs of 1/1.8, 1/1.9, 1/2.0, 1/2.1, 1/2.2. The results were as follows: The difference between males and females, and the difference between dentists and lay persons in the preference of VLCR were not statistically apparent. The most preferred VLCR was 1/1.9, and the least preferred VLCR was 1/2.2. These results indicate that the preferred VLCR is smaller than the previously reported VLCR ratios based, on the cephalometric evaluation of samples with favorable facial esthetics.