• Journal of the korean academy of Pediatric Dentistry
• /
• v.37 no.4
• /
• pp.512-518
• /
• 2010

The impaction of the maxillary permanent incisor is a common clinical problem and is mostly found at the "labial to the alveolar process." Surgical exposure and orthodontic treatment with fixed orthodontic appliances can be considered if normal eruption of the labillay impacted tooth is not expected. Surgical exposure of the impacted tooth, that is usually under the attached gingiva or is surrounded by alveolar bone through gingivectomy and removal of alveolar bone, may give a rise to complications such as diminution in the width of the attached gingiva, inflammation of the gingiva, and the loss of marginal alveolar bone. Therefore, closed eruption technique, which includes surgical exposure and orthodontic treatment with fixed orthodontic appliances followed by repositioning of surgical flap, is preferred. However, apically repositioned flap of the impacted tooth, which is beneath the movable submucosal area or is above the alveolar crestal area, can prevent unwanted exposures and facilitate successful tooth eruption. In this report, we described esthetic results of three patients with unerupted maxillary permanent incisor who were performed with an apically positioned flap without the loss of attached gingiva.

• The korean journal of orthodontics
• /
• v.28 no.3 s.68
• /
• pp.431-440
• /
• 1998

While periodontal disease results in the extrusion of upper incisors with interdental spacing in adult patient, the intrusive movement should be executed for the rehabilitation in terms of esthetics and function. The present study was peformed to investigate the periodontal response following orthodontic intrusion of teeth with infrabony pocket. Bone defect and periodontal disease were produced adjacent to the both maxillary second lateral incisors in four adult dogs. Four weeks later, a flap operation was performed to eliminate inflammation and a reference notch was made on the root surface at the level of bottom of each defect. Two weeks after periodontal surgery, 4 weeks of intrusion and subsequent another 4 weeks of retention was executed on the right side of incisors while left incisors served as the control. Through the histologic analysis, following results were obtained. 1. Histologic section of control side showed the reduction of pocket depth after flap operation. However, the status of long junctional epithelium was observed while new connective tissue attachment occurred in a small area adjacent newly formed cementum 2. Epithelial attachment was less around the intruded incisor while new connective tissue attachment was much more compared to the control side. 3. Plenty of cells were observed in the connective tissue around the reference notch of the intruded incisor and the degree of the new cementum formation was higher in the intruded incisor than the control. The results of the present study suggested that an orthodontic intrusion of periodontally involved and extruded incisors could be carried out with a desirable periodontal response, provided that inflammation is under control.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2009.05a
• /
• pp.302-307
• /
• 2009

물리적인 조류제어 기술에 해당하는 수류 차단막(이후 차단막)은 유입하천의 수류를 차단 또는 우회시켜 영양염류가 저수지의 유광층으로 공급되는 것을 차단하고 본류 수역으로의 조류 확산을 방지하는 기능이 있어 일본에서는 저수지 녹조제어 대책으로 자주 활용된 바 있다. 그러나 이러한 차단막은 국내 저수지와 같이 홍수시 유입 유속이 크고 수위변동이 심한 환경에서는 설치효과가 검증되지 않아 현장적용에 앞서 수치모의를 통한 효과 검증이 선행되어야 하며, 최적 규모와 위치 선정도 필요하다. 본 연구에서는 수위변동이 심한 국내 저수지 특성을 고려하여 차단막이 수위변화에 따라 상하로 이동할 수 있도록 기존 CE-QUAL-W2(이후W2) 모델의 알고리즘을 수정하고, 대청호에서 다양한 수리 수문조건에서 차단막의 기작과 효과를 예측하기 위해 가뭄년(2001년)과 평수년(2004, 2006년)을 대상으로 각각 모델을 적용하였다. 차단막 설치 예정지점은 소옥천 하류(7 m 깊이)와 댐으로부터 각각 14.9 km, 27.4 km 상류에 위치한 회남대교 아래 지점(10 m 깊이)과 대정리(10 m 깊이)로 가정하고, 모의 시나리오는 차단막을 설치하지 않은 경우(S-1), 소옥천 하류에 단독으로 설치한 경우(S-2), 소옥천과 대정리에 설치한 경우(S-3), 모든 지점에 설치한 경우(S-4)를 비교하였다. 차단막 설치에 따른 수문년 및 계절별 수질개선 효과(S-1에 대한 S-4 농도 저감 비)를 비교한 결과, 대청호에서 녹조문제가 가장 심각했던 2001년 6월$^{\sim}$8월 기간 동안 차단막은 봄-여름에 걸쳐 모든 비교 지점(회남, 댐, 추동, 문의수역)에서 Chl-a 농도를 최저(문의수역) 30%에서 최고(회남수역) 70% 정도 저감하는 효과를나타냈다. 평수년인 2004년과 2006년에는 강우사상에 따라 차단막 설치에 따른 Chl-a의 농도 저감 효과가 지점별로 다르게 나타났으며, 큰 강우사상이 6월, 7월, 8월에 걸쳐 골고루 발생한 2004년에 비해 7월 한 달 동안 집중된 2006년에 설치효과가 크게 나타났다. 수역별로 차단막의 설치효과를 비교해 보면, 유입수의 영향을 직접 받는 회남수역과 추동수역이 댐 앞과 문의수역에 비해 차단막 설치에 따른 Chl-a 농도의 저감 효과가 큰 것으로 나타났다. 그러나, 큰 홍수가 유입할 때 차단막 상류부에 집적된 조류의 일부가 수류의 포획(Entrainment) 기작에 의해 저수지 내부로 유입되는 것으로 확인되어 차단막 효과를 극대화하기 위해서는 홍수 전 차단막 상류부에 집적된 조류의 처리대책이 필요할 것으로 판단된다.

• The korean journal of orthodontics
• /
• v.30 no.5 s.82
• /
• pp.553-563
• /
• 2000

Horseshoe Expander is one of Slow Maxillary Expansion(SME) which aims to accommodate the contra- lateral expansion and midpalatal suture expansion or the palate. The appliance consists of skeleton type strew embedded in split Horseshoe appliance. It is the objectives of the presentation to manifest the changes in dental & craniofacial components subsequent to the application of Horseshoe Expander. The subjects for this study consisted of 32 patients (mean age : 12.7). frontal, lateral cephalometric headfilm were taken and study casts were fabricated before and after expansion. 24 items were measured, compared preexpansion with postexpansion. Especially, palatal volume was measured by means of 'Hydro-measurement method'. Tooth axis measurement on the dental casts were made with Universal bevel protractor, and Horseshoe Expander group were compared with RME group. This study of changes to maxillary expansion with Horseshoe Expander revealed the following significant results. 1. Triangular-shaped expansion pattern appeared in frontal cephalometric headfilm. 2. Palatal plane, occlusal plane, mandibular plane and upper incisor to FH increased in lateral cephalometrir headfilm. 3. Palatal volume increased significantly. A slight bite opening, reduction of occlusal contact points showed in dental casts. 4. A 2.2:1 ratio of the amount of intermolar width in maxilla(orthodontic movement) to maxillary width (orthopedic movement) was determined. 5. Horseshoe Expander group has less buccal tipping tendency than RME group, by taking high correlation coefficients in the upper second premolar and first molar. It was suggested that Horseshoe Expander showed less orthodontic changes, less buccal tipping tendency. In addition, it was effective in maxillary expansion.

• KOREAN JOURNAL OF CROP SCIENCE
• /
• v.41 no.1
• /
• pp.68-76
• /
• 1996

To elucidate the optimum fertilizer level and application method for band application under puddled-soil drill seeding in Jeonbuk series of fluvio-marine alluvial soil at National Honam Agricultural Experiment Station in 1995, using Dongjinbyeo, slow releasing compound fertilizer of 100％ and 80％ to conventional application level was applied totally as basal fertilizer simultaneously with seeding under 3cm and 5cm depth from soil surface in a distance of 4cm from the seeded row. Plant height was taller and tiller number was higher in band application than conventional application but ratio of effective tiller was vice versa. Panicle number was more but ratio of effective tiller ratio was lower in 100％ than 80％ level of band application and they were higher in 3cm than 5cm depth from soil surface. Leaf area index and dry weight was higher in conventional application at early growth stage but was vice versa after maximum tillering stage, and they were higher in 3cm depth at early growth stage but 5cm depth after maximum tillering stage. NH$_4$-N in soil was higher in conventional application at 25 days after seeding but, thereafter was lower than band application and it was higher in 3cm than 5cm depth till 40 days after seeding but was versa, thereafter. Lodging degree was slightly higher in band application, 100％ level and 5cm depth than in their counterparts. Panicle number and grain number per $m^2$ was lower in conventional application than 80％ or 100％ level of band application without significant difference between band application levels or application methods. Yield was higher at 80％ level of band application under 3cm depth than conventional application, but no significantly different among other application methods. Therefore, 80％ level of band application under 3cm depth of soil surface was more effective for puddled-soil drill seeding on the basis of the reduction of application efforts, better plant growth and higher yield in rice.

• Clinics in Shoulder and Elbow
• /
• v.2 no.2
• /
• pp.178-186
• /
• 1999

Twenty-three patients with chronic shoulder pain beyond 6 months after the fracture of the greater tuberosity underwent arthroscopic treatment and were retrospectively assessed after an average of 29 months(range, 22 to 40 months). There were 18 men and 5 women with the average age of 39 years(range, 24 to 61 years). Fourteen were isolated fractures and nine were related to acute anterior instability episode. The average displacement of the fracture was 2.3mm(range, 0 to 4mm) on the anteroposterior view of the plane radiographs. At the time of arthroscopy, all patients had partial thickness rotator cuff tears in the articular surface. The cuff tears were located on the tuberosity fracture area and were an Ellman's grade I to n in depth. With the arthroscopic debridement or repair of the tear depending on the condition of the tear itself, as well as the subacromial decompression, the UCLA score revealed good to excellent results in 20 and fair in 3 patients. Nineteen of the patients had returned to the previous level of activities. The patient with a higher activity demand revealed a lower level of activity return(p=0.034). The partial thickness rotator cuff tear should be considered in patients with chronic shoulder pain after the minimally displaced fracture of the greater tuberosity, and arthroscopic debridement or repair is an appropriate procedure.

• Journal of Periodontal and Implant Science
• /
• v.35 no.2
• /
• pp.413-426
• /
• 2005

수직 치근파절은 특이성을 나타내지 않기 때문에 치과의사가 정확한 진단을 하기 어렵다. 따라서 수직 치근파절의 임상적 특징, 진단적 증상을 파악하여 향후 근관치료된 치아나 치료되지 않은 치아에서 수직 치근파절의 유발인자와의 관련성 및 고찰을 통해 수직 치근파절의 예방 및 치료에 응용할 수 있을 것으로 생각된다. 연구대상은 조선대학교 부속치과병원 치주과에 내원한 환자 중 최근 2년간 144명의 환자에서 근관치료를 받았거나 받지 않았던 치아 중 임상적 및 방사선학적으로 수직 치근파절로 진단된 156개의 증례를 대상으로 하였다. 모든 불확실한 증례에서 수직 지근파절의 최종 진단은 외과적 탐지를 통해 이루어졌고, 금이 간 치아와 관련될 수 있는 치근파절의 증례의 경우는 제외되었다. 근관치료된 치아와 치료되지 않은 치아, 환자의 나이와 성별, 치아종류 및 파절된 치근부위, 자각증상의 유무를 기준으로 각각의 수치와 백분율로 분류하였다. 수직 치근파절의 증상과 증후별로 분류하였으며, 진단방법에 의한 분류, 치료방법에 따른 분류, 근관 치료 후 수직 치근파절이 발생한 기간에 따른 분류를 시행하고 통계분석을 하여 다음과 같은 결과를 얻었다. 1. 근관치료를 받지 않았던 치아의 수직 치근파절의 발생율은 58%였다. 2. 성별에 따른 발생률에 있어서 남성의 호발양상을 나타내었다. 3. 근관치료된 치아에 있어서 치료되지 않은 치아에 비해 호발연령이 낮았다. 4. 전치부의 수직 치근파절은 관찰되지 않았으며 특히, 강한 교합력을 필요로 히는 구치부에서의 높은 발생율을 나타냈다. 5. 수직 치근파절의 가장 주된 증상 및 증후는 깊은 치주낭 깊이였다. 6. 근관 치료 후 수직 치근파절이 발생한 기간은 평균 5.7년이었다. 7. 다수 증례에 있어서 3개 이하의 결손치를 가졌고, 자각증상이 나타났다. 이상의 결괴에서 한국인에 있어서 근관치료를 받지 않은 치아의 수직 치근파절은 드문 현상이 아님을 알 수 있었고 남성과 구치부에 있어서의 높은 발생율을 알 수 있었다. 그 이유로는 강한 교합력, 딱딱한 음식의 저작습관, 치조골 흡수에 따른 낮은 저항성, 골 유연성의 저하 등으로 여겨진다. 그러나, 수직 치근파절은 아직까지 정확한 진단을 내리기는 여전히 어려운 상태이며, 이를 위한 다양한 진단방법 및 더 나은 연구가 필수적이라 하겠다. 그리고, 향후 보다 많은 증례에 대한 분석, 치주질환에 이환되지 않은 경우의 분석, 치료 후 생존 기간에 대한 고찰 등도 필요하리라 사료된다.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.26 no.2
• /
• pp.248-261
• /
• 1999

In order to define a current set of Korean children norm with mixed dentition, following study was done. The subjects were 102 healthy dentition contestants(48boys, 54girls). Standardized lateral head roentgenograms were taken, and Ricketts analysis was done. Results were as follows: 1. Length of anterior cranial base, posterior facial height, corpus length were longer in male than in female(p<0.05), and Porion was located posteriorly in male than in female(p<0.01). 2. Through facial depth, Pogonion of male was more forwardly positioned(p<0.05), mandible was significantly steeper in female, and maxillary anterior teeth were significantly tipped forward in male(p<0.05). 3. Variables such as length of anterior cranial base, upper molar position(p<0.01) and corpus length(p<0.05) were significantly changed by age. 4. Maxillary height, facial depth, mandibular plane angle, convexity were changed by age, but not significantly(p>0.05).

• The Journal of the Korean bone and joint tumor society
• /
• v.18 no.2
• /
• pp.72-77
• /
• 2012

Purpose: Unplanned excision of a soft tissue sarcoma is defined as the operation performed for gross removal of a soft tissue sarcoma without regard for preoperative imaging or the necessity to removal a margin of normal tissue covering the cancer. We report our experience of treating primary soft tissue sarcoma after an unplanned excision. Materials and Methods: We retrospectively reviewed 31 patients referred to our hospital after unplanned excision at other hospitals for treatment of a STS. The clinical information was reviewed with a focus on the patient's age, gender, tumor location, tumor size, tumor depth, presumptive diagnoses at the previous surgery, refer hospital, definitive diagnosis, interval between the initial and additional surgery and local recurrence. Results: There were 19 males and 12 females with a median age of 48 years (range, 17-75 years) at the time of referral. Seventeen patients (54.8%) had tumors in their lower limb, 6 (19.4%) had tumors in their upper limb, and 8 (25.8%) had tumors in their trunk. Tumor depth could be determined for 8 patients (25.8%), with superficial and 22 deep tumors (71%). The medial interval between unplanned excision to re-excision ranged from 2 weeks to 1 year (median, 5 weeks). Local recurrence was detected in 2 patients. All patients were alive without metastasis at last follow up. Conclusion: Even in upper class general hospital, many unplanned excision had been performed, which is considered to be avoided. When the relatively huge mass located in deeper layer it requires enough preoperative imaging studies and biopsy.

• Journal of Dental Rehabilitation and Applied Science
• /
• v.28 no.1
• /
• pp.15-25
• /
• 2012

The relationship between occlusion and periodontal health has been extensively studied. However, reports on the effects of passive eruption using occlusal reduction has not been sufficient. The purpose of the present randomized clinical trial was to assess the influence of passive eruption using occlusal reduction on the clinical periodontal parameters consisting of attachment level, pocket depth, tooth mobility, width of keratinized gingiva and osseous defect. The study was performed on 40 teeth of 16 subjects who have been treated for the moderate periodontitis at the Department of Periodontology, Pusan National University Hospital. At the baseline examination, after hygienic-phase and after 6 month from passive eruption using occlusal reduction, clinical parameters were monitored and radiographs were taken. The 20 teeth in the test group received passive eruption using occlusal reduction while the 20 control teeth did not receive any occlusal reduction. The results were as follows; 1) Degree of inflammation of periodontium was improved by initial therapy 2) Teeth received passive eruption using occlusal reduction demonstrated significantly greater reduction in pocket depth, tooth mobility and amount of bone loss, and increase in the width of keratinized gingiva, but no significant changes in the attachment level compared to the control teeth 3) There was significantly greater reduction in pocket depth, mobility, amount of bone loss and attachment level in the test teeth after initial hygienic phase when compared with baseline data. Taken together, these results suggest that the passive eruption using occlusal reduction would be helpful to improve periodontal health.