Clinical Evaluation of Simultaneous Implants Placement Following Augmentation of the Maxillary Sinus with Deproteinized Bovine Bone

Morphometrics of alveolar process and anatomical structures around inferior maxillary sinus for maxillary implantation / 대한치과보철학회지

STATEMENT OF PROBLEM: Following tooth loss, the edentulous alveolar process of maxilla is affected by irreversible reabsorption process, with progressive sinus pneumatization leads to leaving inadquate bone height for placement of endosseous implants. Grafting the floor of maxillary sinus by sinus lifting surgery and augmentation of autologous bone or alternative bone material is a method of attaining sufficient bone height for maxillary implants placement and has proven to be a highty successful. PURPOSE: This study was undertaken to clarify the morphometric characteristics of inferior maxillary sinus and alveolar process for installation of implants. MATERIAL AND METHOD: Nineteen skulls (37 sinuses, 10M / 9F) obtained from the collection of the department of anatomy and cell biology of Hanyang medical school were studied. The mean age of the deceased was 69.9 years (range 44 to 88 years). The distance between alveolar border and inferior sinus margin at each tooth, the height of alveolar process and the thickness of cortical bone of the outer and inner table of alveolar process and the inferior wall of maxillary sinus were measured. RESULTS AND CONCLUSION: 1. The septum of inferior maxillary sinus were observe 28 sides (76.%) and located at the third molar (52.6%) and the second molar (26.3%). The deepest points of inferior border of maxillary sinus were located the first or second molar. The distance between alveolar margin and the deepest point of inferior maxillary sinus is 9.7 +/- 4.9 mm. 2. The length of the outer table of alveolar process were 4.9-28.2 mm and the shortest point was between the first and the second molors. The thickness of them were 0.9-3.2 mm. The length of the inner table of alveolar process were 7.4-25.8 mm and the shortest point was between the first and the second molars. The thickness of the were 0.9-4.6 mm. The results of this study are useful anatomical data for installing of maxillary implants.

Histologic Evaluation Of Peri-Implant Defects With Particulate Dentin-Plaster Of Paris Combination And Bioresorbable Membrane Barriers

A clinical study of maxillary sinus lift for dental implant

THREE-DIMENSIONAL FINI6E ELEMENT ANALYSIS OF THE ENDOSSEOUS IMPLANT DESIGNS / 대한치과보철학회지

The stress distribution generated in the surrounding bone was calculated and compared for various geometry of the dental implants by means of the finite element methods. The models were designed to represent the screw type endosseous implants (varing the size, shape, direction of the screw thread and the angle of the body) with supporting bone and the cylinder type endosseous implants (varing the lower portion-Round type, tapered type) with supporting bone. Static mean bite forces were applied 100N vertically and 25N horizontally on the center of the implant and three dimensional finite analysis was undertaken using software ANSYS 5.1 Version. The result demonstrated that different implant shape leads to significant variations in stress distribution in the bone. In the case of variation of the screw size, direction and shape the implant model with normally directional and triangular screw implied lower stress than with upper directional or lower directional and quadrangular screw but among models a different screw size, within a variation of 0.2mm there was no meaningful difference in maximum stress. In the case of variation of angle of body the straight implied lower stress than the tapered. As a result of analysis of cylinder type, the implants with larger radius of curvature of the round form and larger diameter of the tapered form implied lower stress.

Finite element analysis of the stress induced by an endodontic endosseous implant placed through a centeral incisor with periodontal compromises / 实用口腔医学杂志

Objective: To study the stress in bone implant interface, dentin and periodontal ligament while an endodontic endosseous implant is placed through a centeral incisor with periodontal compromises. Methods: Two dimension finite element analysis method was used and finite element analysis (FEA) model of the Chinese adult central incisor with II degree looseness according the data from literature was established. A load of 100 N was applied vertically or at 45?to vertical. The stress in bone implant interface, dentin and periodontal ligament was measured and analysed with Super sap(1991 edition) FEA software in a IBM PC(PIII 550).Results: The mobility of the tooth was decreased by endodontic endosseous implant with periodontal compromises, and lower stress was observed at the alveolar crest and periodontal membrane after implantation with inclined load. High stress concentration on the implant/bone interface was produced below the canal orifice and implant apex, and at root apex within dentin.Conclusion: Endodontic endosseous implant can be used to stabilize the tooth with periodontal compromises, and to improve the stress distribution around the root.