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컴퓨터 영상을 이용한 임플란트 식립부위의 골밀도와 조직학적 연구
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  • 컴퓨터 영상을 이용한 임플란트 식립부위의 골밀도와 조직학적 연구
저자명
손장호,최병환,박수원,조영철,성일용,이지호,변기정,Son. Jang-Ho,Choi. Byung-Hwan,Park. Soo-Won,Cho. Yeong-Cheol,Sung. Iel-Yong,Lee. Ji-Ho,Byun. Ki-Jung
간행물명
대한악안면성형재건외과학회지
권/호정보
2009년|31권 2호|pp.136-142 (7 pages)
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대한악안면성형재건외과학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Bone density in the recipient implant site seems to be an important factor for long term success of endosseous implants. Preoperative evaluation of bone density is very helpful to assist the clinician with the treatment planning of implant therapy. Accurate information on bone density will help the surgeon identify suitable implant sites, thereby improving the success rate of the procedure. Purpose; The aim of this study was to evaluate a correlation between bone density measured preoperatively with computerized tomography and histologically measured bone density by bone biopsy. Patients and methods; Twenty seven patients were selected. All the patients were in good health, with no systemic disorder and additional bone graft. Preoperatively the patients underwent CT scanning to evaluate Houmsfield Unit(HU). Each patients wore a surgical template for implant placement. During surgery 2mm in diameter and 6mm in length specimens were taken. Histomorphometric analysis was performed using digitalized image analysis software Axiovision 4.3. Also, the Resonance frequency analysis(RFA) and insertion torque values were recorded. Results; The highest histomorphometric values was found in the posterior mandible $32.3{pm}3.8$, followed by $29.9{pm}2.6$ for the posterior maxilla, $29.4{pm}2.6$ for the anterior maxilla, $28.6{pm}2.3$ for the anterior mandible(p=0.214). The hounsfield unit was $989.2{pm}258.1$ in the posterior mandible, $845.0{pm}241.5$ in the anterior maxilla, $744.5{pm}92.6$ in the anterior mandible, $697.3{pm}136.9$ in the posterior maxilla(p=0.045). This results may suggest that there are strong correlation between the histomorphometric values and hounsfield unit(r=0.760, p<0.05). The RF measurements were $81.9{pm}2.4$ ISQ in the posterior mandible, $79.0{pm}1.4$ ISQ in the anterior mandible, $78.3{pm}4.6$ ISQ in the posterior maxilla, $76.5{pm}5.0$ ISQ in the anterior maxilla(p=0.048). The insertion torque values was $43.2{pm}4.2;Ncm$ in the posterior mandible, $42.0{pm}0.0;Ncm$ in the anterior mandible, $41.3{pm}4.1;Ncm$ in the posterior maxilla, $40.8{pm}3.8;Ncm$ in the anterior maxilla(p=0.612). This results may suggest that there are statistical significance between the hounsfield unit and the insertion torque values(r=0.494, p<0.05), the histomorphometric values and the insertion torque values(r=0.689, p<0.05). But there was no correlation between histomorphometric values and ISQ. There was no statistical significance in age and gender effect on parameters. Conclusions; There was significant correlations between bone density and implant stability parameters. The bone density measurements using preoperative CT may help clinicians to predict primary stability before implant insertion, which is associated with implant survival rates.