• Title/Summary/Keyword: 관절체

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Finite Element Stress Analysis in Supporting Bone according to Crest Module Shape of Fixture in Internal Connection System (내측연결 시스템에서 임플란트 고정체의 경부 형태에 따른 지지골에서의 유한요소 응력분석)

  • Park, Young-Nam;Kim, Hee-Jung;Oh, Sang-Ho;Chung, Chae-Heon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.22 no.1
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    • pp.55-74
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    • 2006
  • The external contour of an implant can have significant effects on the load transfer characteristics and may result in different bone failure rates for different implant system. The purpose of this study was to investigate the effects of crest module shape and occlusal load direction on bone failure modes of five commercially available dental implant systems. Five different implant systems with internal connection; ITI (Model 1), Astra (Model 2), Bicon (Model 3), Friadent (Model 4), and Paragon (Model 5), comparable in size, but different in thread profile and cest module shapes, were compared using the finite element method. Conclusively, in the internal connection system of the implant-abutment connection methods, the stress-induced pattern at the supporting bone according to the abutment connection form had differenence among them, and implants with narrowing crestal module cross-sections at the top of the cortical bone created more favorable load transfer characteristics in this region. But it is considered that the future study is necessary about how this difference in the magnitude of the stress have an effect on the practical clinic.

Multiple Glomus Tumor in Brachial Plexus: A Case Report (상완 신경총에 발생한 다발성 사구종: 증례 보고)

  • Han, Chung-Soo;Chung, Duke-Whan;Park, Kwang-Hee;Kim, Hwan-Jin
    • The Journal of the Korean bone and joint tumor society
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    • v.18 no.1
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    • pp.41-44
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    • 2012
  • Glomus tumor is a kind of vascular tumor that arises from the glomus body, which regulates skin temperature and is placed in the skin and the subcutaneous area. It is a benign tumor that usually presents in the subungal area. It is relatively common in areas other than the fingers, but its occurrence in peripheral nerves is known to be comparatively rare. We report our experience with a case of glomus tumor arising from the brachial plexus, a rare site of occurrence for glomus tumors.

Evaluation of the stability of sandblasted, large-grit, acid-etched implants with tapered straight body design (테이퍼드 직선형 SLA 임플란트의 안정성 평가)

  • Kim, Yong-Gun;Lee, Kyu-Bok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.2
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    • pp.80-88
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    • 2018
  • Purpose: Implant surface modification and implant design are the principle targets for achieving successful primary stability. The aim of this study was to measure implant stability quotient (ISQ) values of sandblasted, large-grit, acid-etched (SLA) implants with tapered straight body design during the healing period, and to determine the various factors affecting implant stability. Materials and Methods: To measure implant stability, resonance frequency analysis (RFA) was performed in 26 patients (13 women and 13 men) with 44 SLA implants with tapered straight body design. Implant stability (ISQ values) was evaluated at baseline and healing abutment connection (12 weeks), and the correlations between RFA and insertion torque (IT), bone quality, and jawbone were determined. Results: The mean ISQ value of the implants was $69.4{\pm}10.2$ at the time of implant placement (baseline) and $81.4{\pm}6.9$ at the time of healing abutment connection (P < 0.05). Significant differences were found between RFA and bone quality and between RFA and jawbone (P < 0.05). No significant differences were found between RFA and IT, insertion area, fixture diameter, and implant length (P > 0.05). Conclusion: ISQ values of SLA implants with tapered straight body design were high at baseline and healing abutment connection. It was concluded that SLA implants with tapered straight body design show improved primary and secondary stability, and that immediate or early loading may be applicable.

Three Dimensional Comparative Study On The Accuracy Of Impression Technique Using New Impression Coping (새로운 인상용 코핑을 이용한 임플란트 인상법의 정확성에 대한 3차원적 비교 연구)

  • Kim, Se-Ra;Kim, In-Soo;Park, Sung-Jae;Lee, Byung-Ok;Ko, Sok-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.3
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    • pp.323-337
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    • 2010
  • The objective of this study was to examine the availability of the new impression coping by comparing with conventional coping in implant pick-up impression technique. Five implant fixtures were installed on #14, 21, 23, 25, 27 in acrylic resin model. That model with 5 fixtures was standard model, which was divided 3 groups; using new flag type impression coping, conventional impression coping splinted with self-curing resin, conventional impression coping without splinting. We made metal circular cones for calculation 3-dimensional coordinates by attaching to implant fixtures or analogs. Three-dimensional relationships of each model were calculated. Data was analyzed by multiple ANOVA and Bonferroni. The accuracy of impression between using new flag type impression coping and conventional impression coping did not show differences in 3 - dimensional analysis.Within limitations of this study, the new flag type impression coping is available in implant pick-up impression technique.

The Accuracy of Master Cast for Implant Prosthesis According to the Types of Impression Tray and Splinting Methods of Impression Copings (인상용 트레이의 종류와 인상용 코핑의 연결고정이 임플랜트 주모형의 정확성에 미치는 영향)

  • Lee, Jee-Hyuk;Choi, Yu-Sung;Cho, In-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.26 no.4
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    • pp.433-445
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    • 2010
  • The aim of this study was to evaluate the fixation effect by connecting impression copings and to compare the three types of impression trays which were used in open tray impression technique. Experimental groups used 3 types of impression trays which are custom tray, plastic metal combination tray and polycarbonate stock tray. These three groups were subdivided into splinted and non-splinted impression copings group. The total number of experimental groups was six. 10 specimens were made for each group. We used 1-screw test, observing the specimen on which only one side abutment of reference framework was fixated with 20 Ncm. The gap between implant analogue and abutment of the other side was observed by stereo microscope. It was measured at 6 points in each specimen. Measuring value was selected when same result was revealed 3 times. Recorded data were statistically analyzed. Whether impression copings were splinted or not, there was no significant difference among custom tray group, plastic metal combination tray group, and polycarbonate stock tray group. Significant statistical difference in vertical fit discrepancy was found between splinted and non-splinted impression copings group with custom tray, plastic metal combination tray and polycarbonate stock tray (p<0.05).

Effects of Shiitake mushroom extract on antimicrobial activity against periodontopathogens and inflammatory condition of human gingival fibroblast (치주 질환관련 세균의 항균 및 세포 염증에 대한 표고버섯 추출물의 효과)

  • Jeon, Yeol-Mae
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.2
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    • pp.90-96
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    • 2022
  • Purpose: The purpose of this study was to investigate antimicrobial activity of extracts from shiitake mushroom against periodontopathogens and its cytotoxicity for human gingival fibroblast. Materials and Methods: Shiitake mushroom was soaked in water and acetone, and the supernatant was dried to collect its extract. The susceptibility of periodontopathogens for the extracts was investigated. Human gingival fibroblast was treated with the extracts, and the cell viability was measured CCK-8 solution. Results: The water extract from shiitake mushroom significantly reduced the growth of periodontopathogens at 2.5 mg/ml (P < 0.05). The acetone extract significantly inhibited the growth of Porphyromonas gingivalis and Tannerella forsythia at 0.32 mg/ml and Treponema denticola growth at 0.64 mg/ml (P < 0.05). The cytotoxicity of the extract was shown at a concentration of 2.5 mg/ml. The extracts with a concentration of 1.25 mg/ml appeared to be reduce cell viability after 4 h. Conclusion: The extracts of shiitake mushroom have antimicrobial activity against periodontitis-causing bacteria and relieving inflammation. Therefore, the extracts may be a candidate for preventing and treating periodontal disease.

An Immune-Electron Microscopic Study for Cluster Designation on the Phagocytic Synovial Cells in the Knee Joint of the Human (인체 무릎관절 윤활포식세포 cluster designation 표지에 관한 면역전자현미경적 연구)

  • Lim, Hyoung-Soo;Cho, Kook-Hyeung;Kim, Yong-Wook;Park, Kyeong-Han;Hwang, Young-Il;Chang, Ka-Young;Hwang, Douk-Ho
    • Applied Microscopy
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    • v.30 no.2
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    • pp.173-183
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    • 2000
  • This study was designed to observe the ultrastructural localization of synoviocytes, which are concerned with the function of phagocytic synovial cells (type A synoviocytes, macrophage-like synoviocytes), in the knee joint of the human for CD14 and CD105 by cryo-immune-electron microscopic technique. The synovium were dissected and fixed for two hours (in 4% paraformaldehyde and 0.1% glutaraldehyde mixture), and were immerged in 2.3 M sucrose and 20% PVP solution. Finally, they were cut with the cryoultramicrotome and labelled with primary antibodies (monoclonal mouse anti-human CD14, monoclonal mouse anti-human CD105 (endoglin) and secondary (donkey anti-mouse IgG) tagged with 6 nm colloidal gold particles. The tissues were observed under transmission electron microscope. This study was resulted as follows. 1. In the synovium of the human knee joint, CD14+ cells were identified. These cells showed phagocytic synovial cell's features. In the phagocytic synoviocyte, the distributions of CD14 were marked in the cytoplasm, around vacuoles, and in cytoplasmic process, but not detected inside of vacuoles. 2. In the synovium of the human knee joint, CD105+ cells were identified. These cells were recognized endothelial cells and phagocytic synovial cells. In the phagocytic synovial cells, the distributions of CD105 (endoglin) were marked in cytoplasic process, around vacuoles, and in cell membrane, but not detected inside of vacuoles. On the basis of above findings, it is obvious that phagocytic synovial cells were marked at CD 14 and CD 105, and might be play the role of activated macrophages or phagocytes in the synovial membrane.

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Sliding Knots and the Effect of Additional Half-Hitch Knots on Optimal Knot-Holding Capacity (체이동 매듭과 추가적인 반 매듭 증가에 따른 매듭의 장력 변화와 최적 유지력)

  • Hur, Chang-Yong;Kim, Seung-Ho;Kim, Byung-Kwan;Yoo, Jae-Chul
    • Journal of the Korean Arthroscopy Society
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    • v.8 no.1
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    • pp.37-44
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    • 2004
  • Purpose: To evaluate the optimal number of additional half hitches for achieving an optimal knot-holding capacity (KHC) of Lockable sliding knots. Methods: Four configurations of arthroscopic knots (Duncan loop, Field knot, Giant knot, and SMC knot) were tested for their knot-holding capacity. For each knot configuration, 6 sequential knots were made including the initial sliding knot and additional 5 knots by incrementing one half hitches at a time. Each added half-hitch were in reversing half-hitches with alternate posts (RHAPs) fashion. For each sequential knot configuration, 12 knots were made by No. 2 braided sutures. On the servo-hydraulic material testing system (Instron 8511, MTS, Minneapolis, MN), cyclic loading, load to clinical failure (3-mm displacement), load to ultimate failure, and mode of failure were measured. Results: Most of the initial loop without additional half-hitch showed dynamic failure with cyclic loading. The mean displacement after the end of cyclic loading decreased with each additional half-hitches. SMC and Giant knot reached plateau to 0.1 mm or less displacement after one additional half-hitch, shereas Field and Duncan loop needed 3 additional half-hitches. The SMC and Duncan knots needed 1 additional half-hitch to reach greater than 80N at clinical failure, whefeas the other 2 knots needed2 additional half-hitches. For the load exceeding 100N for clinical failure, the SMC knot required 3 additional half-hitches and the other three knots needed 4 additional half-hitches. As the number of additional half-hitches incremented, the mode of failure switched from pure loop failure (slippage) to material failure (breakage). Duncan loop showed poor loop security in that even with 5 additional half-hitches, some failed by slippage (17%). On the other hand, after 3 additional half-hitches, the 3 other knots showed greater than 75% of failure by material breakage mode (SMC and Field 92%, Giant 75%). Conclusion: Even with its own locking mechanism, lockable sliding knot alone does not withstand the initial dynamic cyclic load. For all tested variables, SMC knot requires a minimum of 2 additional half-hitches. Duncan knot may need more than 3 additional half-hitches for optimal security. All knots showed a mear plateau in knot security with 3 or more additional half-hitches.

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A clinical study of systemic lupus erythematosus in children (소아에서 전신성 낭창의 임상적 고찰)

  • Kim, Ji Tae;Nam, Young Mee;Lee, Jae Seung;Kim, Dong Soo
    • Clinical and Experimental Pediatrics
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    • v.50 no.1
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    • pp.74-78
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    • 2007
  • Purpose : Systemic lupus erythematosus (SLE) is a chronic multisystemic autoimmune disease with complex clinical manifestations. It probably involves genetic, environmental and immunologic factors. In this study, we investigated the clinical manifestations, laboratory findings and prognosis of pediatric SLE to aid clinical care of pediatric SLE. Methods : The data of 45 patients who were diagnosed as pediatric SLE in Severance Children's Hospital from Jan. 1996 to Dec. 2005 were analysed retrospectively. Results : The mean age at diagnosis was 10.8 (0-15) years old. And the ratio of male to female patients was 1:4. The initial manifestations were facial edema (51.1 percent), malar rash (44.4 percent), and fever (28.9 percent). The ANA (97.8 percent), anti-ds DNA antibody (82.2 percent), lupus nephritis (71.1 percent), malar rash (71.1 percent), and cytopenia (66.7 percent) were the most common findings among the classification criteria by ACR (American College of Rhematology, 1997). Conclusion : Clinical manifestations and prognosis are various in pediatric SLE. Intensive studies of SLE in children should be continued for more effective treatment.

Kinematical Analysis of Swing Motion with Golf Iron Clubs Used by Elite Golfers (우수 골퍼의 아이언 클럽 스윙동작에 대한 운동학적 분석)

  • Kim, Kab-Sun
    • Korean Journal of Applied Biomechanics
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    • v.18 no.2
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    • pp.85-94
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    • 2008
  • The purpose of this study is to provide basic materials for amateur golf players or golf maniacs to learn desirable iron swing motions. This study compared and analyzed the swing motions of iron clubs(3, 6, 9) by using 3-D in three elite golf players. 1. There was no a great difference in the total of swing time by club and the time by phase was nearly similar. 2. There was no a difference in the change in a head location at address and impact by club. 3. The angle change in a right knee joint was similar by club except the difference according to the length of the club. 4. There was a subtle difference in hip rotation angle by club. 5. In each club, the same rotation angle of shoulder joint at address and impact motions contributed to accurate swing, and the maintenance of more than $90^{\circ}$ of shoulder rotation angle in top swing increased swing rotation. 6. Although subtle, the forward angle of upper body was increased with a shorter club. $30-36^{\circ}$ of forward angle of upper body was maintained at address, top swing, and impact motions.