• Journal of Dental Rehabilitation and Applied Science
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• v.39 no.4
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• pp.204-213
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• 2023

Invasive or non-invasive reduction of fractures could be conducted as treatments of traumatic maxillofacial bone fractures. But when suboptimal reduction or malunion of maxillofacial bone fracture occurs, malocclusion could occur as a result of the lost relationship of the mandible and midface. This malocclusion is called post-traumatic malocclusion and orthognathic surgery, orthodontic treatment, selective grinding and prosthetic reconstruction are suggested as treatments for post-traumatic malocclusion after securement of stable TMJ. Stable TMJ is essential for occlusal rehabilitation to prevent occlusal change and relapse of malocclusion. Centric relation and adapted centric posture are suggested as start points of occlusal rehabilitation because they are most stable TMJ position. This case report presents a case in which post-traumatic malocclusion occurred after reduction of panfacial fracture. To rehabilitate full mouth occlusion, selective grinding and prosthetic reconstruction of implant supported fixed prostheses were conducted in centric relation and showed satisfying results in functional and occlusal aspects.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.29 no.6
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• pp.421-429
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• 2003

Purpose : Neoadjuvant chemotherapy is commonly used to treat cancer patients as adjunct treatment, but if the microvascular tissue transfer is performed simulataneously with cancer resection surgery, the induction chemotherapy might affect the survival rate of vascularized free flap. Our study will focus on the effect of induction chemotherapy on the free flaps which were made on white rat abdomen after injection of 5-FU. Materials and Methods: The experimental rat groups were divided into three groups (total 24 rats) as a normal control group, 24 hrs group after 5-FU injection, 3 days group after 5-FU injection. Inferior abdominal island flaps of 8 Sprague Dawley rats on each group were made and immediately were induced into an ischemic state by clamping the supplying inferior epigastric artery and vein with microvascular clamp for a hour to induce a similiar free flap circumstance, then the inferior abdominal skin flaps were reperfused by releasing the clamps. The flaps on abdomen were repositioned and sutured. The experimental data for flap survival rate was collected by digital photo taking, analysed by computer image program to compare with the flap luminosity. The rats were sacrificed at 3 days, 5 days, 7 days after flap preparation and specimens of the flap were taken and stained with H-E staining. The microscopic finding was made under magnification of 200 and 400. Results: 1. Gross findings on each groups showed the healing condition was good as following sequences; normal, 24 hrs group after chemotherapy, 3 days group after chemotherpy. 2. The values of flap luminosity for evaluation of flap survival rate also showed the same sequences as gross findings of healing state. 3. The microscopic findings of epidermis necrosis, inflammation state, dermis fibrosis, vessel change, fatty tissue layer thinning were compared with each group. The 3 days group after chemotherapy showed remarkably poor healing condition compared to other groups. Conclusion: Chemotherapy agents affected the healing process of free flap, but healing condition was recovered spontaneously as post-injection periods passed out. In opposite to our expectation, 3 days group showed the bad flap condition in comparing with 24 hours group which was considered as immatured body circulation state of chemotherapy agent. It showed that 3 weeks in human being after chemotherapy was not proper as timing of microvascular tissue transfer if 3 days group in rat was considered as same healing period of 3 weeks in human being. More delayed healing timing than 3 weeks might be required in clinical application of free tissue transfer.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.20 no.3
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• pp.256-262
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• 1998

The aim of this study was to evaluate treatment plan and treatment procedure such as bone graft material, timing of bone graft and orthodontic treatment in 31 alveolar cleft bone graft patients treated at the Department of Oral and Maxillofacial Surgery of Chonnam University Hospital from Jan. 1992 to Dec. 1996. Results obtained were as follows : In total 31 patients of alveolar bone grafts, males(64.5%) were more than females(35.5%). The patients' age ranged between 2 - 33 years of age. Secondary bone grafting was the highest incidence(58.1%) when procedures were undertaken in patients between 6 - 16 years of age. In distribution of cleft side, unilateral clefts(93.5%) were the major part with the left side was larger than the right side. The Missing teeth were found most in lateral incisor, the supernumary teeth were found most between lateral incisor and canine. The most common occlusion before operation was class III malocclusion and anterior cross-bite(65.1%), orthodontic treatment was performed similarly between before and after the bone graft. The most common combined operation with alveolar bone graft was secondary cheiloplasty. The complications were 6 cases of bone defect, a case of oronasal fistula, 3 cases of dehiscence. PMCB and DFDB were used bone graft materials. In marginal bone height after operation, PMCB grafts were higher than DFDB grafts and marginal bone level was increased in the PMCB group but not in the DFDB group.

• The korean journal of orthodontics
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• v.36 no.4
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• pp.263-274
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• 2006

Objective: The purpose of this study was to evaluate clinical and microbiological changes in periodontal tissue around the banded molars after debanding. Methods: This study included 17 young adult patients treated with fixed orthodontic appliances including bands on the last molars more than 1 years. Probing depth and bleeding frequency were measured and plaque samples were collected from the last banded molars in all quadrants of each patient. All the data were collected immediately after debanding and 4 weeks after debanding. Results: Using polymerase chain reaction based on 16S rDNA, the presence of Porphyromonas gingivalis, Tannerella forsythia and Treponema denticola was detected. After debanding, probing depth, bleeding frequency, and prevalance of periodontopathogens were reduced. Probing depth and bleeding frequency were most decreased in the buccal site of the mandibular left molar and were least decreased in the lingual site of the maxillary right molar. Conclusion: The results of this study indicated that proper management of oral hygiene after debanding can recuperate unfavorable periodontal condition caused by orthodontic treatment.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.13 no.2
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• pp.86-90
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• 2017

Hydrocephalus is characterized by accumulation of cerebrospinal fluid in the ventricles of the brain causing progressive ventricular dilatation. Accumulation of cerebrospinal fluid typically causes increased pressure inside the skull, this may result in headaches, vomiting, nausea, seizures, sleepiness and mental impairment. Patients with hydrocephalus may have dental manifestations such as changes in the occlusion and greater accumulation of plaque. The prevalence of dental caries is high due to the difficulty of oral care. The purpose of this case report is to describe the dental care for an uncooperative child with hydrocephalus under general anesthesia.

• Journal of the korean academy of Pediatric Dentistry
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• v.43 no.4
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• pp.374-381
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• 2016

The purpose of this study is to compare the effectiveness of sonic and manual toothbrushes using the $L{\ddot{o}}e$ and Silness plaque index (PI). This was an examiner-blind, randomized study with a cross-over design. A total of 34 children (17 males and 17 females) aged 3-6 years were included. Subjects were randomly assigned to two groups: one group used the sonic brush for two weeks before using the manual brush for two weeks, while the other group used the manual brush for two weeks followed by the sonic brush. During each dental visit, plaque indices were recorded and compared to baseline. The results were analyzed using a paired t-test or Pearson correlation test (${\alpha}=0.05$). Thirty children (mean age 4.37 years) complied with the protocol and completed the study. The PI score was 0.09 lower compared to baseline after using a manual toothbrush and 0.26 lower after using the sonic brush. The reduction was statistically significantly greater in the sonic group (p < 0.05). In conclusion, the sonic toothbrush is more effective for reducing plaque than a manual toothbrush.

• Journal of Dental Rehabilitation and Applied Science
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• v.31 no.4
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• pp.301-309
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• 2015

Purpose: When the edentulous area is restored by implant prostheses, the opposing hypofunctioned teeth will receive physiologic mechanical stimuli. This study evaluated the bone changes around the maxillary teeth opposing an implant restoration installed in the mandibular posterior area. Materials and Methods: Radiographs of the opposing teeth were taken at prostheses delivery (baseline), 3 and 6 months later. A customized film holding device was fabricated to standardize the projection geometry for the serial radiographs of the opposing teeth. The gray values of the region of interest of each digital image were compared according to time. Repeated measured analysis of variance was performed at the 95% significance level. Results: The gray values of the alveolar bone around the antagonist teeth of implants increased with time. The changes in gray values of the middle area were greater than those of the crestal area. However, the gray values of the mesial and distal areas were not different. The changes in gray values were different according to the unloaded time. Conclusion: A change in bone tissue will occur if a proper physiologic load is again applied to the bone tissues around a hypofunctioned tooth.

• Journal of Dental Rehabilitation and Applied Science
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• v.31 no.4
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• pp.316-328
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• 2015

Purpose: The objects of this study was to evaluate the accuracy of the dental stone casts made from alginate impressions according to storage condition and stone pouring time. Materials and Methods: Each of upper and lower impressions of dental model was taken. The dental stone models were made immediately, 10, 30, 60, 180, 360 minutes after the impressions were taken at each storage condition. 3D models were constructed by scanning the stone model using 3D laser scanner. With Reference points, positioned on digital models, linear measurements of the dimensional change were compared by 3D metrology software, 3D average models were made and superimposition to identify the specific site of dimensional change and to measure surface deviation (mm). Results: Dental stone models which were made immediately after taking the impression showed the smallest linear dimensional change. As the stone pouring time was prolonged, the linear dimensional change was increased. More than 180 minutes after impression taking, linear dimensional change and surface distortion increased in the posterior molar region, regardless of the storage condition. Conclusion: For the optimum accuracy of the dental stone casts, alginate impression should be poured as soon as possible. If there were a need for storing, a humidor with 100% relative humidity must be used and be stored less than 180 minutes to fabricate the accurate dental model.

• Proceedings of the Korean Society for Agricultural Machinery Conference
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• 2017.04a
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• pp.71-71
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• 2017

농용트랙터의 운전자는 작업, 주행으로 인한 유해한 저주파 진동에 장시간 노출된다. 이에 따라 운전자에게 전달되는 노면 진동을 감소시켜주기 위한 전방차축 현가장치의 역할이 커지고 있다. 트랙터의 전방차축 현가장치는 주로 유압식으로 설계되어 있으며 이를 구성하는 유압요소 선정이 현가장치의 성능에 중요한 영향을 미친다. 하지만, 실제와 유사한 조건에서 트랙터 차체 무게만큼 큰 부하를 제공하여 유압회로의 성능을 실험하는 것은 비용과 시간 측면에서 비효율적이다. 본 연구에서는 이를 대체하기 위하여 개별 유압요소의 성능을 테스트 할 수 있는 현가장치 유압회로 요인 시험기를 설계제작 하였다. 이를 이용하여 개별 부품의 성능곡선을 센서를 이용 측정하였고 얻은 특성값을, 구성한 유압 시뮬레이션 모델에 반영하여 실제조건의 유압특성을 얻을 수 있는 유효한 시뮬레이션 모델 개발에 활용하였다. 또한, 실험실 환경에서 유압식 현가장치를 간소화 시킨 형태로 유압회로의 성능을 예비시험해 볼 수 있도록 다양한 센서를 장착 데이터를 취득할 수 있도록 하였다. 개발한 요인 시험기는 하부에 설치된 가진 실린더를 이용하여 상부에 설치된 현가장치 실린더의 스트로크 변위와 속도에 따른 힘을 측정할 수 있도록 구성하였다. 이를 위해 현가장치 실린더의 헤드부와 로드부에 각각 압력센서를 설치하였으며 헤드부, 로드부의 압력 차이와 로드셀을 이용해 측정한 가진 실린더의 힘의 관계를 확인하였다. 상부의 현가 실린더 장치는 복동 형태로 제작되어 헤드부, 로드부 양쪽 방향으로 유량이 흐를 수 있도록 설계되었다. 이를 이용해 헤드부와 로드부 사이에 어큐뮬레이터, 가변 오리피스, 릴리프 밸브 등으로 유압회로를 구성하였으며 어큐뮬레이터 용량에 따른 힘의 변화, 가변 오리피스의 개도량에 따라서 전달되는 힘의 크기 등을 측정하였다. 하부의 가진 실린더는 사인파, 삼각파, 계단 입력, DC 레벨 등의 신호를 발생시킬 수 있도록 제작되었다. 신호의 주파수는 0~4Hz, 범위에서 사용자가 조절할 수 있도록 설정되었으며 계단응답 성능 측정 시험을 평가한 결과 정상상태오차는 0.470mm~0.536mm, 입상시간은 0.194초~0.202초, 정착시간은 0.230초~0.421초로 나타났다.

• The korean journal of orthodontics
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• v.33 no.5 s.100
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• pp.371-380
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• 2003

The purpose of this study was to evaluate the force degradation rate of synthetic elastomeric chains during space closing phase of orthodontic treatment. Two kinds of synthetic elastomeric chains(RMO, 3M) were selected which were commonly used In clinics. All of the samples were extended and tested for 4 weeks under the simulated intraoral condition. The results can be summarized as follows : 1. Time related residual force showed typical logarithm function. Residual force after 4 weeks was $41.2\~64.6\%$ of original force, and difference between two kinds of elastomeric chain existed. 2. Elastic force decreased greatly during first 10 minutes, so $20\~25\%$ of original force disappeared. After that, this decreasing tendency was diminished significantly, average rate of elastic force after 1 week to 4 weeks were $1.5\%$ demonstrating rather constant force. 3. Even though the same brand of elastomeric chiain was used, as extension rate of elastomeric chain increased, force degradation rate increased by decreasing of residual force.