• Title/Summary/Keyword: 고정실패

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Evaluation of clinical status of fixed prosthesis (고정성 보철물의 임상적 상태에 대한 평가)

  • Yun, Mi-Jung;Jeon, Young-Chan;Jeong, Chang-Mo
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.2
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    • pp.99-107
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    • 2009
  • Statement of problem: Restoring and replacing teeth with fixed prostheses commonly used in dental practice. Because of improper oral hygiene care and inaccurate laboratory procedure, complications of fixed prostheses were found in the mouth of patients. Although many efforts have been continually made to obtain the data of long term prognosis of fixed prostheses, it was difficult to do it. Purpose: The purpose of this study was to evaluate the clinical status of fixed prostheses. Material and methods: In order to assess the clinical status of fixed prostheses, a total of 161 individuals(aged 17-85, 99 women and 62 men with 1596 unit of fixed prostheses, and 1169 abutments) who first visited the Department of Prosthodontics, Pusan National University Hospital, between April to September, in 2007 were examined. Results and conclusion: The results of this study were as follows: 1. Length of service of fixed prostheses was $8.6{\pm}0.6$ years(mean), 10.0 years(median). 2. Location of fixed prostheses was found to have no statistically significant influence on longevity of fixed prostheses(P>.05). But, the success rate was high in posterior region and in mandible where the failure rate was high in combination(P<.05). 3. Longevity of fixed prostheses made of metal was longest(mean: $13.0{\pm}9.3$, median: 14.0), gold, precious ceramic, non-precious ceramic trailing behind(P<.05). 4. Number of units in fixed prostheses was found to have no statistically significant influence on longevity of fixed prostheses(P>.05). But, the success rate was high in Single-unit and the failure rate was high in over 3-unit(P<.05). 5. Condition of opposing dentition was found to have no statistically significant influence on longevity of fixed prostheses(P>.05). But, the success rate was high in natural dentition(P<.05). 6. Defective margin(28.2%), dental caries(23.0%), periodontal disease(19.3%), periapical disease(16.9%) were frequent complications. In 30.1% of the cases, abutment state after removing fixed prostheses was needed to be extracted.

Rehabilitation of a patient by converting poorly maintained fixed implant prosthesis into implant overdenture: a case report (기존 임플란트 보철물의 불량한 유지관리를 개선하기 위해 임플란트 피개의치로의 상부 보철물 전환 증례)

  • Kim, Yeong-Kyu;Jeong, Chang-Mo;Yun, Mi-Jung;Lee, So-Hyoun;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.127-134
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    • 2022
  • Among many contributing factors of implant failure, excessive loading and inflammation contribute mainly to increasing implant failure rate. Especially, poor oral hygiene around implants is one of the most common reasons for implant failure. When implant prosthesis fails to function, the clinician should re-diagnose and plan treatment using the remaining implants. Additional implantation may be needed to make a new type of prosthesis or either implant-assisted RPD and implant overdenture treatment may be performed using the remaining implants. In this article, a patient whose fixed implant prosthesis in the maxilla had failed of poor oral hygiene maintenance was reported to be recovered with removable implant overdenture by using remaining implant abutments and a milled bar with additional retentive elements. Through this treatment, the clinical results were satisfactory in terms of esthetics, masticatory function recovery and oral hygiene management.

고정논단-러시아의 음식과 빵 문화, 시장 전망

  • Kim, Gye-Sik
    • 베이커리
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    • no.9 s.338
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    • pp.68-71
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    • 1996
  • 유럽에서 아시아에 이르는 광활한 국토를 갖고 있는 러시아는 몇 년 전까지만 하더라도 우리에겐 미지의 땅이었다. 인류 최대의 실험작인 사회주의가 일단 실패로 종결되면서 러시아는 우리에게 모습을 드러냈고, 억눌렀던 호기심은 제철을 만난 듯 발동이 걸려 한때 러시아 진출이 붐을 이루기도 했다. 호기심중의 하나가 러시아 빵 문화가 아닐까 한다. 이에 지난 3년간 수차례 러시아를 방문, 러시아 빵 문화를 돌아본 우디라인(구 코티즌 컨설팅)의 김계식 사장의 도움으로 그 호기심을 채워 본다. <편집자 주>

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Short-Term Results of Subpectoral Tenodesis of the Proximal Biceps Tendon Using by Interference Screw (간섭나사를 이용한 흉근하 상완 이두근 건 고정술의 단기 추시 결과)

  • Kim, Jeong-Woo;Kang, Hong-Je
    • Clinics in Shoulder and Elbow
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    • v.13 no.1
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    • pp.7-13
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    • 2010
  • Purpose: Our purpose was to retrospectively analyze clinical results of subpectoral tenodesis of the proximal biceps tendon using an interference screw. Materials and Methods: We reviewed 23 cases of patients receiving tenodesis of the proximal biceps tendon between January 2008 and January 2009 for whom we had follow-up data for at least 1 year. Twenty-three cases were operated on using subpectoral tenodesis; 16 of these cases had a rotator cuff tear. The results were judged using a visual analog scale (VAS), ASES, tenderness on the biceps groove, fixation failure and the degree of deformity (BAD). Results: VAS and ASES scores were significantly improved in all patients by the time of the final observation. There were no significant complications or fixation failures. The patients without a tear of the rotator cuff had a better result than patients with a tear of the rotator cuff, but the difference between the two groups was not significant (p>0.05). Conclusion: In patients with pathology of the long head of the biceps brachii, benefits of subpectoral interference screw tenodesis include pain relief, maintenance of functional biceps, muscle strength, and cosmesis. Subpectoral biceps tenodesis using interference screw fixation appears to be a promising, reproducible, reliable technique for addressing anterior shoulder pain related to pathology of the long head of the biceps brachii.

Clinical Results of Arthroscopic Biceps Long Head Tenodesis Above the Pectoralis Major Using an Interference Screw (간섭나사를 이용한 관절경적 상완 이두건 대흉근 상부 건 고정술의 임상적 결과)

  • Choi, Sang Su;Kang, Hong Je;Kim, Jeong Woo;Kim, Jong Yun;Kim, Dong Moon;Kim, Kwang Mee
    • Clinics in Shoulder and Elbow
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    • v.16 no.2
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    • pp.94-99
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    • 2013
  • Purpose: The purpose of this study is to evaluate the clinical results of arthroscopic biceps long head suprapectoral tenodesis using an interference screw. Materials and Methods: We reviewed the cases of 30 patients who underwent arthroscopic biceps long head suprapectoral tenodesis using an interference screw between January 2008 and January 2010. The minimum follow up period was one year. Twenty patients had rotator cuff tears. The results were analyzed by VAS, ASES, tenderness in the bicipital groove, fixation failure, and the degree of deformity. Results: VAS, ASES scores showed a statistically significant increase during the final observation in all patients, compared with those before surgery. However, five patients (17%) had anterior shoulder pain and tenderness in the biceps groove, and three patients (10%) had Popeye deformity. Better results were achieved in patients without rotator cuff tear than in patients with rotator cuff tear (p<0.05). Conclusion: Arthroscopic biceps long head tenodesis above the pectoralis major using an interference screw in patients with a pathologic lesion of the proximal biceps tendon showed good results at the last follow up. However, further study for tenderness in the biceps groove in 17% of patients is needed.

A conversion to implant assisted removable partial denture in failed fixed implant prosthesis of mandible: A case report (실패한 고정성 임플란트 보철물을 제거 후 임플란트 융합 가철성 국소의치로 전환 치료한 증례)

  • Jin, Seung-Lee;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo;Lee, Hyeon-Jong;Lee, So-Hyoun
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.161-168
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    • 2020
  • Failure of fixed implant supported prosthesis is caused by biomechanical factors such as excessive occlusal stress and biological factors such as bacterial infections and inflammation. Implants with severe bone resorption that have worsened without being resolved due to implant complications should be removed and then new treatments should be planned, taking into account remaining teeth, remaining implants, and residual alveolar. The patient of this case removed some of fixed implant prosthesis of mandible. The condition of the remaining alveolar bone was reassessed for further implant replacement and a few implants were placed. Then implant assisted removable partial denture (IAPRD) treatment is performed using implant surveyed bridge as abutment. Through this treatment, the clinical results were satisfactory on aspect of masticatory function recovery and oral hygiene management.

Clinical Study on the Survival Rate and Marginal Bone Resorption of Short Implants (짧은 임플란트의 생존율과 변연골 흡수량에 관한 임상적 연구)

  • Myung, Tae-Soo;Jung, Seung-Hyun;Kim, Tae-Young;Kim, Yu-Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.1
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    • pp.1-13
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    • 2012
  • Short implants are used in parts which have anatomical structures like maxillary sinus, inferior alveolar nerve and limited alveolar height due to severe alveolar bone resorption. In these case, there are no need of additional bone augmentation so there are advantages like reduced entire treatment time, reduced patient's discomfort and protection of important anatomical structures. The aim of this study is, in implants whose length is less than 10mm, to analyze the impact of implant length, diameter, location of implant placement, presence of bone graft, presence of prosthesis splinting on survival rates and marginal bone resorption. The samples used in this study were 227 implants, less than 10mm, placed in 137 patients in Wonkwang university dental hospital implant center. From dental charts the information about implant length, diameter, location of implant placement, presence of bone graft, presence of prosthesis splinting were obtained. Emago advanced v5.6(Oral diagnostic systems, Amsterdam, The Netherlands)program was used to measure the amount of marginal bone resorption. Out of total 227 implants, resulting in 96.5 % of survival rate. There was a tendency toward higher failure rates for the maxilla and bone graft site. No significant difference in marginal bone resorption was found associated with length of implants(p>0.05) and neither with the diameter of implants. Among the risk factors examined, more failure rates of short implants can be attributed to poor bone quality in the maxilla and presence of bone graft. At implants under 10mm, length, diameter, location of implant placement, bone graft and splinting of prosthesis didn't affect marginal bone loss.

The design of SIMIP for the continuous session between a static host and a mobile host in client-server environment (클라이언트 서버 환경에서 이동호스트와 고정호스트간 지속적인 세션을 지원하는 SIMIP 설계)

  • Gwon, Eun-Gyeong;Jo, Yong-Gu;Chae, Gi-Jun
    • The Transactions of the Korea Information Processing Society
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    • v.5 no.3
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    • pp.763-773
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    • 1998
  • 본논문은 TCP/IP를 사용하는 기존의 LAN상에 이동 호스트들이 셀의 형태로 덧붙여진 환경에서 이동 호스트와 고정 호스트간의 지속적인 세션을 지원하는 개선된 IP 체계인 SIMIP을 제안하였다. 이동형 프로토콜 설계시 라우팅 최적화가 매우 중요한 항목이고 이는 이동 호스트의 위치정보 관리방법과 직접적인 관계가 있다. 기존의 아이비엠과 마쓰시다 제안은 이를 집중화하였으며 콜롬비아와 소니제안은 이를 분산화하였다. MH 위치정보를 집중화하면 트라이앵글 문제로 인해 최적의 라우팅 경로를 지원할 수 없으며 집중화된 라우터의 실패 발생시는 위험도가 매우 크다. 반면에 분산화하면 위의 문제들은 해결되지만 캡슐화되는 주소를 찾기위해 CACH 또는 AMT와 같은 복잡한 기법이 요구된다. SIMIP은 MH위치정보를 DMR에 집중화하였으나 DMR 실패 발생시는 복수의 GMR중에서 하나가 자동적으로 DMR로 대체되어 위험도를 최소화시켰고, 'DMR 경로변경'에 의해 최적의 라우팅 경로를 지원하였다는 점에서 다른 제안들과 차이가 있다. 이동에 따른 주소변경을 해결하기 위해 가상네트워크 기법을 적용하였고, 이동 호스트로의 데이터 송신시 디폴트 라우팅 개념을 이용하였고, 이동라우터간 터널링에 IPIP 캡슐화를 사용하였다. SIMIP은 다른 제안에 비해 실용성있고, 신뢰성이 강하며, 구현이 용이하므로 산업계에서 활용가치가 있으리라본다.

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