성견에서 치조골 신장술을 이용한 수직적 골 증강에 관한 연구
A STUDY ON THE VERTICAL AUGMENTATION OF THE ALVEOLAR RIDGE BY DISTRACTION OSTEOGENESIS IN DOGS
이주호, 조인호, 임주환,
소속 상세정보
이주호 ( Lee Joo-Ho ) - 단국대학교 치과대학 보철학교실
조인호 ( Cho In-Ho ) - 단국대학교 치과대학 치과보철학교실
임주환 ( Lim Ju-Hwan ) - 단국대학교 치과대학 치과보철학교실
KMID : 0362420070450010107
Abstract
Statement of problem: Implant-type distractor uses a removable distraction device that has an appearance similar to that of a dental implant and utilizes many of the same techniques for placement as are used for dental implants.
Material and method: In this study, 48 implant type titanium distractors were inserted into the osteotomized alveolar bone of 12 beagle dogs. After a 7-day latency period, the alveolar bone was augmented by 5mm vertically at a rate of 1.0 mm/day. The dogs were sacrificed after 4weeks, 8weeks and 12 weeks for radiographic, histologic, and histomorphometric analysis.
Result: Copper equivalent value showed significant difference between 4 weeks and the other weeks(8, 12 weeks)(p<0.05). But there was no significant difference between maxillary and mandibular groups. In the bone to metal contact analysis, there was a significant difference between 4 weeks and 12 weeks(p<0.05). On the contrary, there was no significant difference between maxilla and mandible. The bone area showed significantly higher values in 12 weeks compared to 4 weeks(p<0.05). Histologically mineralization began at the host bone margins. At 12 weeks, increasing accumulation of Ca^{++} element was confirmed.
Conclusion: From the results above, the new bone formation was increased according to consolidation period. Especially there was significant difference between 4 weeks and 12 weeks(p<0.05). Implant type distractors used in this study to augment vertical ridge defect may prove to be a clinically useful treatment option in selected cases.
키워드
Distraction Osteogenesis;Bone formation
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