• Title/Summary/Keyword: 고정 실패

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Complication and Failure Analysis of Fixed Restorations (고정성 보철물과 연관된 합병증과 실패에 관한 조사)

  • Yun, Mi-Jung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.27 no.2
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    • pp.149-159
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    • 2011
  • Restoring and replacing teeth with fixed prostheses commonly used in dental practice. Because of improper oral hygiene care and inaccurate laboratory procedure, complication of fixed prostheses was found in the mouth of patient. Although many efforts have been continually made to obtain the data of long term prognosis of fixed prostheses, it was difficult to do it. The purpose of this study was to evaluate the clinical status of fixed prostheses to improve the quality of dental care. In order to assess the clinical status of fixed prostheses, a total of 154 individuals (aged 22-82, 88 women and 66 men loaded with 578 unit of fixed prostheses, and 423 abutments) who visited the Department of Prosthodontics, Pusan National University Hospital, between January 2009 to December 2009 and removed old fixed prostheses were examined. The results of this study were as follows: 1. Length of service of fixed prostheses was $10.3{\pm}05.5$ years (mean), 10.0 years (median). 2. Location of fixed prostheses was found to have statistically significant influence on longevity of fixed prostheses (P<.05). The longevity of fixed prostheses was high in anterior-posterior combination region (mean:13.1, median:13.5) than anterior and posterior region. 3. Longevity of fixed prostheses made of metal was longest (mean:13.3, median:12.3). 4. Number of units in fixed prostheses was found to have no statistically significant influence on longevity of fixed prostheses (P>.05). 5. Condition of opposing dentition was found to have statistically significant influence on longevity of fixed prostheses (P>.05). The fixed prostheses lasted longest when opposed by complete denture (mean:17.1, median:19.7), removable partial denture, fixed prosthesis and natural dentition trailing behind (P<.05) 6. Periodontal disease (37.5%), dental caries (19.0%), defective margin (18.4%) were frequent complications. In 33.1% of the cases, abutment state after removing fixed prostheses was needed to be extracted.

Analysis of Biomechanical Responses for the Anterior Cervical Plate Fixation in relation to Bone Mineral Density (골밀도에 따른 전방 내고정 장치 시술 후 경추부의 생체역학적 거동에 대한 분석)

  • Shin, T. J.;Lee, S. J.;Shin, J. W.;Chang, H.
    • Journal of Biomedical Engineering Research
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    • v.22 no.1
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    • pp.69-80
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    • 2001
  • 본 연구에서는 환자의 골다공증 유무에 따른 내고정 장치 시술 직후 및 융합 후의 안정성을 평가하기 위해 다양한 하중 모드에서 C5-C6 운동분절의 생체역학적 거동을 분석하였다. 이러한 목적으로 먼저, C5-C6 경추부의 유한요소 모델을 구현하여 검증하였다. 모델의 결과는 기존 실험치와 유사하여 신뢰성이 부여되었다. 검증된 모델은 Smith-Robinson 방식으로 골이식물을 삽입한 후 전방 내고정 장치를 적용한 시술 상황을 재현하기 위해 수정되었다. 수정된 모델은 두 종류로 구현되었다. (1) 첫 번째 모델에서는, 시술 직후의 상황을 재현하기 위해 골이식물과 종판의 경계면에 접촉요소를 사용하였다. (2)두 번째 모델에서는 완전히 융합된 상황을 나타내기 위해 골이식물을 종판에 고정하였다. 골다공증의 효과를 예측하기 위하여 두 모델의 해면골에 대한 탄성계수를 변화시켰다(정상: 100MPa, 골다공증: 40MPa). 각 모델의 C5 주체의 상위면에 73.6N의 압축 하중을 가한 후에 108Nm의 굴곡/신전, 굽힘, 비틀림 하중을 가하였으며, C6 추체의 하단면은 모든 방향에 대하여 구속하였다. 전체적인 결과에 있어서 상대적 회전운동, 미끄럼운동, 골이식물 내에서의 von Mises 응력의 경우 정상 모델에 비해 골다공증 모델에서 증가함을 보였으며, 특히 시술 직후의 모델에서 비틀림 하중이 가해진 경우, 상대적 회전운동 및 미끄럼 운동이 가장 높게 예측되었다. 이는 골다공증환자에게 전방 내고정 장치를 시술한 경우 골이식물의 파단 및 유합의 실패가 비틀림 하중에서 발생할 수 있음을 나타낸다. 해면골의 von Mises 응력은 시술 직후에 골다공증 모델의 모든 하중 모드에서, 유합 후에는 굽힘 하중 외의 모든 하중에서 ultimate strength를 초과하는 것으로 나타나 골다공증 환자에게 screw의 해리가 발생할 가능성이 높은 것으로 예측되었다. 따라서 골다공증 환자에게 과도한 운동이 발생하지 않도록 하기 위해서 시술 후 세심한 주의와 halo 같은 견고한 정형술이 필요할 것으로 사료된다.

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Fixed prosthetic treatment for the patient with delayed eruption disorder (맹출 지연 장애환자의 고정성 보철치료)

  • Lee, Su-Yeon;Kim, Hee-Jung;Kang, Sung-Nam
    • Journal of Dental Rehabilitation and Applied Science
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    • v.33 no.2
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    • pp.127-134
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    • 2017
  • Delayed eruption disorders caused by systemic or local conditions are mostly found during childhood and can be treated with orthodontic forced eruption. When the disorder is not found nor treated during childhood, however, orthodontic eruption might become a difficult option while prosthodontic restoration can be considered as an another option. Considerations for the prosthodontic treatment plan include the extent of tooth loss, interdental mesio-distal space and interarch space, and age of the patient. In this case report, oral rehabilitation of the patient with delayed eruption disorder through zirconia partial fixed prostheses for both maxilla and mandible was performed.

An Efficient Election Protocol in a Mobile Computing Environment (이동 컴퓨팅 환경에서 효율적인 선출 프로토콜)

  • Park, Sung-Hoon
    • Journal of KIISE:Information Networking
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    • v.28 no.3
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    • pp.289-296
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    • 2001
  • The Election protocol can be used as a building block in many practical problems such as group communication, atomic commit and replicated data management where a protocol coordinator might be useful. The problem has been widely studied in the research community since one reason for this wide interest is that many distributed protocols need an election protocol. However, despite its usefulness, to our knowledge there is no work that has been devoted to this problem in a mobile computing environment. Mobile systems are more prone to failures than conventional distributed system. Solving election in such an environment requires from a set of mobile hosts to choose a mobile host or a fixed host based on the their priority despite failures of both mobile computing and/or fixed hosts. In this paper, we describe a solution to the election problem from mobile computing systems. This solution is based on the Garcia Molina\\`s Bully algorithm.

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Fracture Resistance of Low Invasive Fixed Partial Dentures (수종 저 침습 고정성 국소의치의 수직하중에 대한 저항)

  • Choi, Jong-In;Kim, Yu-Lee;Shin, Chang-Yong;Dong, Jin-Keun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.3
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    • pp.241-251
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    • 2010
  • This study aims at contributing to the restorative dentistry by examining results in the vertical load test of four different low invasive fixed partial dentures. Based on a hypothesis on the right upper first molar is missing, three units of FPDs were made for the second premolar and the second molar abutment. that is, twelve metal dies and FPDs were made for resin bonded FPD and Two Key Bridges and Human Bridge without occlusal rest and Human Bridge with occlusal rest. By using universal test machine, the numerical maximum value were recorded during the vertical load test of each FPDs after the bonding process treated by Maxcem which is resin cement. The failure process and its result of prosthesis were also observed. The maximum load was 7,295 N, 4,729 N, 2,190 N, 3,073 N from groups of resin bonded FPD, Two Key Bridge, Human Bridge without occlusal rest and Human Bridge with occlusal rest respectively. There was a statistical significance among the groups of resin bonded FPD, Two Key Bridge and Human Brides. However, there was no significant difference between Human Bridge without occlusal rest and Human Bridge with occlusal rest. Regarding the failure of prosthesis, the groups of Resin Bonded FPD and Two Key Bridge showed that one of the abutment teeth in the both side of retention part was highly failed earlier than the other one (83.2% and 66.6% respectively). While, Human Bridge without occlusal rest and Human Bridge with occlusal rest showed high percentage of failure in the abutment teeth in the both side of retention part at the same time (91.6% and 58.3% respectively). This study demonstrates that the group of Human Bridges has low resistance to the vertical loads of low invasive FPDs in comparison with the groups of resin bonded FPD and Two Key Bridge. Nevertheless, the maximum occlusal load of the restorative position, resistance to diverse restoration failure, amount of tooth reduction and patients' cooperation should be considered when they are applied in the clinic in order to choose an appropriate restoration for each patient.

The Effect of Cyclic Load on Different Femoral Fixation Techniques in Anterior Cruciate Ligament Reconstruction (전방십자인대 재건시 이식건의 대퇴골측 고정에 대한 주기성인장부하의 효과)

  • Song Eun-Kyoo;Kim Jong Seok
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.2 no.1
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    • pp.28-36
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    • 2003
  • Purpose: To determine and to compare the effects of cyclic loading on the fixation strength of different femoral fixation methods in ACL reconstruction. Materials and Methods: Biomechanical test using an Instron(R) machine (Model No.5569. Mass, U.S.A) were carried out to compare the pull out strength of six different femoral fixation techniques after a cyclic loading in 72 Yorkshire pig knees. The graft-bone complex was cyclically loaded between 30N and 150N at 50 mm/min rate for 1000 cycles and maximal tensile testing was performed. A preload of 30N was applied to the graft along the axis of the tunnel 15 minutes. ANOVA and the Duncan multiple comparison test was used for the statistical analysis. Results: The mean maximum tensile strength of femoral fixation before and after the cyclic loading test were 1003.4$\pm$145N and 601.1$\pm$154N in hamstring-LA screw(R) group, 595.5$\pm$104N and 360.7$\pm$56N in hamstring-Bioscrew(R) group, 1431.7$\pm$135N and 710.7$\pm$114N in hamstring-Semifix(R) group, 603.6$\pm$54N and 459.1$\pm$46N in hamstring-Endobutton(R) fixation group, 1067.4$\pm$145 and 601.8$\pm$134N in the BPTB-Titanium interference screw group, and 987.1$\pm$168N and 588.7$\pm$124N in the BPTB-Bioscrew(R) group. And these data illustrated that cyclic loading reduces the maximum tensile strength by 40 $\%$, 39 $\%$, 50 $\%$, 24 $\%$, 44 $\%$, 40 $\%$ respectively. Conclusions: With the results of these experiments it should be emphasized that rehabilitation exercises after anterior cruciate ligament reconstruction should be executed with precaution as the repetitive flexion and extension of the knee would compromise the maximum tensile strength of the graft tendon.

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A Study on Deketalization of Rigid ${\beta}$-Aminoketones (형태가 고정된 ${\beta}$-아미노케톤의 탈케탈화 (반응) 의 연구)

  • Jack C. Kim;Yong Tae Lee;Ung Chan Yoon;In-Seop Cho;Sung Hwan Moon;Sun Hong Han
    • Journal of the Korean Chemical Society
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    • v.32 no.6
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    • pp.557-566
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    • 1988
  • The causes of failure in the deketalization of rigid ${\beta}$-aminoketals were separately investigated by examining the deketalization of 3 ketals, 2-ethylenedioxy-l-acenaphthenylamine (2), N-(2-ethylenedioxy-l-acenaphthenyl)acetamide(13) and trimethyl-2-ethylenedioxy-1-acenaphthenylammonium iodide(14), and by examining the deketalization of non-rigid ${\beta}$-aminoketal, 2-amino-l-ethylenedioxyacetophenone(19) and non-rigid aliphatic acetals, dimethylaminoformaldehyde dimethylacetal (20) and 2-aminoactaldehyde dimethyl acetal(21). While compounds 2 and 14 were not able to be hydrolyzed in the various acidic conditions 13 was easily deketalized. The result indicated the importance of electrostatic repulsion in the possible dicationic intermediates as a factor of failure in the deketalization. The observations of easy deketalization of compounds 19, 20 and 21 indicated that the structural characters of rigid $\beta-aminoketals$ are also important factors in the hydrolysis of ${\beta}$-aminoketals.

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CLINICAL STUDY ON ORTHOGNATHIC SURGERY FOR 8 YEARS IN OUR DEPARTMENT (최근 8년간 본교실에서 시행한 악교정수술의 임상적 검토)

  • Kwon, Tae-Geon;Lee, Sang-Han
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.1
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    • pp.1-9
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    • 1995
  • We observed 117 orthognathic surgery cases with dentofacial deformity for 8 years from Jan. 1986 to Dec. 1993. The ratio of male female was 1 : 1.4 and the mean age was 23.0 years ranged from 16 to 35 years. The most dominant group was related to mandibular prognathism (75.0%). Surgery method were divided into 88 cases of mandible surgery, 6 cases of maxilla surgery and 23 cases of two jaw surgery. Sagittal split osteotomy were performed on 84 cases (71.8%). Rigid fixation was increased after 1989 and total percent of rigid fixation was 66%. We used autotransfusion method from 1992 to all orthognathic surgery patient. Lower lip numbness caused by Inferior alveolar nerve injury is the most common problem after operation, and it was 63 cases (53.8%) of total operation cases. In our clinic, we performed 5 cases of re-operation because of segment malalignment, condylar sag, and fixation instability.

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Implant-supported fixed prosthesis in patient with severe defects using staged GBR via 2-step augmentations: A case report (심한 결손부의 단계적 골증대술을 통한 임플란트 지지 고정성 보철 수복 증례 보고)

  • Oh, SaeEun;Jun, Ji Hoon;Park, YoungBum
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.4
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    • pp.382-394
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    • 2022
  • The treatment of patients with severe periodontitis should be proceeded step-bystep through an accurate diagnosis of each patients' individual tooth and with a strategic treatment plan. Implant-supported fixed prosthetic restoration has the advantage of high patient satisfaction and stable vertical dimension compared to the removable partial denture. However, multiple teeth defect areas lacking hard tissue may be disadvantageous in aesthetic failure and longer treatment time. In addition, it takes a certain period of time to manufacture and install a conventional fixed prosthesis, and during this process, the provisional prosthesis must satisfy the mechanical, biological, and aesthetic requirements of teeth. The purpose of this article is to describe the fabrication of implant-supported fixed prosthesis through a step-by-step approach in a partially edentulous patient.

Hard Handover by the Adaptive Time-to-trigger Scheme based on Adaptive Hysteresis considering the Load Difference between Cells in 3GPP LTE System (3GPP LTE 시스템에서 셀 간 부하 차이를 고려하는 적응 히스테리시스 기반의 적응 타임-투-트리거 방법에 의한 하드 핸드오버)

  • Jeong, Un-Ho;Kim, Dong-Hoi
    • Journal of Broadcast Engineering
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    • v.15 no.4
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    • pp.487-497
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    • 2010
  • In this paper, we propose a hard handover scheme which adaptively decides important handover parameters such as hysteresis and time-to-trigger values considering the load difference between the target and serving cells. First of all, the hysteresis value can be automatically adjusted according to the load difference, thus it is used to decide the handover trigger time. As a result, through the adaptive hysteresis scheme, handover drop rate is improved. However, this adaptive hysteresis scheme has a problem that the ping-pong effect, which occurs due to the frequent movement of mobile stations at the cell boundary, is increased. Therefore, to solve this problem, we propose a novel adaptive time-to-trigger scheme with the time-to-trigger which is in inverse proportion to the hysteresis value already established by the adaptive hysteresis scheme which adapts to the changing load difference between the target and serving cells. The simulation results show that the proposed adaptive time-to-trigger scheme based on the adaptive hysteresis is better than existing schemes in terms of handover drop rate and ping-pong generation.