• Title/Summary/Keyword: 기능계획

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Implant treatment on anterior cross-bite of a patient who had orthognathic surgery 20 years ago (20년전 악교정수술을 받았던 환자의 심한 전치부 반대교합의 해결을 위한 임플란트 치료 증례)

  • Park, Kwang Man;Leesungbok, Richard;Lee, Suk Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.245-253
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    • 2019
  • Orthognathic surgery of skeletal Class III malocclusion improves oral function and facial appearance. The greater amount of skeletal discrepancy, the greater amount of teeth movement required for decompensation, and this often causes pathological changes in periodontal tissue especially in lower anterior dentition. We made a Top-Down treatment plan with personalized analysis using Face Hunter, Plane System and ARCUS Digma II, in order to resolve severe mobility and cross-bite of lower anterior teeth for 49-year-old female patient who had undergone orthognathic surgery 20 years ago due to skeletal Class III malocclusion and mandibular prognathism. Lower anterior teeth were extracted and alveoloplasty was done. After healing of the wound, immediate loading was conducted immediately after implant placement. Final restorations were fabricated Zirconia using CAD/CAM, and inserted intraorally screw-retained type. During 6-month follow-up, no abnormal episodes of restorations were observed, and obtained satisfactorily both of functional and esthetic outcomes.

Flapless implant placement with digital 3D imaging and planning system in fully edentulous patient: A case report and 5-year follow-up (완전무치악 환자에서 디지털 가이드 수술 방식을 이용한 무피판절개 임플란트 식립증례: 증례보고 및 5년 추적관찰)

  • Shin, Mi-sun;Paek, Janghyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.312-320
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    • 2019
  • One of the fastest growing segments of implant dentistry is the utilization of computed tomography (CT) scan data and treatment planning software in conjunction with guided surgery for implant reconstruction cases. Computer assisted planning systems and associated surgical templates have established a predictable, esthetic, functional technique for placing and restoring implants. Especially, a philosophy of restoratively driven implant placement has been generally adopted. Recently, a variety of commercial dental fields have released their scanning and fabricating protocols and methods for restorations. This process is still being investigated and developed for the most precise and predictable outcome. This case report describes a female patient who wanted dental implants in fully edentulous areas. Restoratively driven implant placements were performed with surgical guide and the patient was fully satisfied with the clinical results, and at 5-year post restorative follow-up assessment, both implant and prosthesis were proved clinical success.

헤이안쿄[平安京]의 변용과 중세 초기 정권도시

  • 오노 마사토시
    • Korean Journal of Heritage: History & Science
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    • v.46 no.1
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    • pp.4-31
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    • 2013
  • 본고는 중세도시연구의 관점에서 도성 헤이안쿄(平安京)가 중세 교토(京都)로 변화하는 계기와 그 의미, 그것이 새로운 무가(武家) 정권도시(政權都市)에 어떤 영향을 미쳤는지에 대하여 논하였다. 율령제 마지막 도성인 헤이안쿄는 천황을 절대적 정점으로 한 중앙집권이 동심원구조로 구현된 '왕성(王城)의 땅'이었으나, 10세기 후반 이후 도성의 구심점이었던 내리(內裏)가 헤이안큐(平安宮) 밖으로 나오는 등의 변화가 시작되었고, 도성의 이념과 틀이 급속하게 해체 변용되었다. 또 고대왕권을 대신하여 새로운 형태로 왕권과 여러 권력을 담당한 원(院)과 롱관가(瀧關家), 대두하는 무가권력 등이 그 본거지에 권력의 개성과 시대성을 반영한 새로운 경관과 공간원리를 생성하였다. 그것은 다음과 같은 공통점을 갖는다. (1) 큰 정토정원을 갖는 御堂(사찰)과 세트를 이룬 御所(천황의 거소). (2)황통(천황가 내의 계통)과 가족의 상징으로서 조상을 모신 분묘를 중심으로 한 도시형성. (3) 내리를 기점으로 남북으로 주축을 갖는 고대도성과 달리, 어당과 어소가 동서로 배열된 동서가로를 주축으로 한 도시계획. (4) 수도와 외부를 잇는 교통의 결절점에 입지하였고, 특히 하천변을 향해 적극적으로 확장된 도시. 일본 중세는 무가정권의 시대를 맞이하여 도고쿠(東國) 초기 무가정권의 본거지 히라이즈미(平泉)와 최초의 막부가 열린 가마쿠라(鎌倉)가 모델로 한 것은 '도성 헤이안큐'가 아니라 헤이안큐 수도 밖 신도시의 경관과 공간원리였다. 특히 히라이즈미와 가마쿠라 등이 가정기관(家政機關)과 조상의 묘를 중심으로 한 '가족 원리'에 따른 정권도시를 적극적으로 수용한 것은 단순한 도시의 모방이 아니라 주종관계를 축으로 의제적인 '집(家) 원리'로 권력이 형성된 무가에는 더욱 어울리는 논리이며, 또 고대와는 다른 새로운 시대의 논리였기 때문이다. 그 한편으로 무가의 대들보로서 무사들에 의해 추대된 초기 무가정권은 도시의 논리와 경관을 도입하였을 뿐 아니라 그들과 공통의 가치관을 표현하는 것도 중요한 요소였다. 그것이 최신의 도시를 모방한 어당과, 그것과는 대조적인 도고쿠 무가의 전통적인 어소의 병립이라는 종교공간과 정치 일상공간에서의 권위표상의 의식적인 분리에 의해 표현되었다. 히라이즈미와 가마쿠라에서는 유통, 상공업 등의 도시기능과 도시적인 경관이 정비되기까지 약 50년의 시간이 경과할 필요가 있었다. 12세기 일본의 무가정권은 스스로의 거점으로서 도시를 기획, 형성하는 의식과 실현하는 능력을 얼마나 가지고 있었는가 검토가 필요하다. 명확한 동아시아모델의 도성을 실현함으로써 왕권의 존재를 드러낸 고대 율령정권과의 차이점은 매우 크다. 이후 무가가 권력의 의도를 도시구조로서 명확하게 드러낸 것은 15세기 후반의 전국시대 다이묘(大名)의 죠카마치(城下町)로부터이다. 특히 16세기 후반부터 천하통일을 실현한 오다 노부나가, 도요토미 히데요시의 연합정권에서는 구체적인 성(城)과, 그 성을 중심으로 한 계층성을 명시한 죠카마치의 공간설계가 있었다. 여기서는 다시금 '도시의 경관'이 명확한 권력의 상징으로서 기능하게 된 것이다.

An Analysis on the Status of Barrier Free Design Certifications in Center for Elderly (경로당 건축물의 장애물 없는 생활환경 인증실태 분석)

  • Lee, Jeong-Soo;Oh, Young-Sook;Eun, Dong-Shin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.12
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    • pp.313-320
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    • 2018
  • The purposes of this study were to verify the status of Barrier Free Design Certification in the center for the elderly. To achieve these purposes, the architectural characteristics of the center for elderly and the status of Barrier Free Design Certification was analyzed. The results of this study were as follows. (1) The functional composition of centers for the elderly are similar regardless of the location, but the area and shape of the plot are very different according to the location. (2) According to an analysis on the status of Barrier Free Design Certification in centers for elderly, the sanitation and intermediate facilities are necessarily considerable adjustment. (3) For the accessability and conveniences of Barrier Free Design Certification in a small building, such as centers for the elderly, they are necessary to simplify the self-assessment documents, minimize the period for judging, and reducing the fees for certification.

Analysis of Power System Stability by Deployment of Renewable Energy Resources (재생에너지원 보급에 따른 전력계통 안정도 분석)

  • Kwak, Eun-Sup;Moon, Chae-Joo
    • The Journal of the Korea institute of electronic communication sciences
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    • v.16 no.4
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    • pp.633-642
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    • 2021
  • Growing demand for electricity, when combined with the need to limit carbon emissions, drives a huge increase in renewable energy industry. In the electric power system, electricity supply always needs to be balanced with electricity demand and network losses to maintain safe, dependable, and stable system operation. There are three broad challenges when it comes to a power system with a high penetration of renewable energy: transient stability, small signal stability, and frequency stability. Transient stability analyze the system response to disturbances such as the loss of generation, line-switching operations, faults, and sudden load changes in the first several seconds following the disturbance. Small signal stability refers to the system's ability to maintain synchronization between generators and steady voltages when it is subjected to small perturbations such as incremental changes in system load. Frequency stability refers to the ability of a power system to maintain steady frequency following a severe system upset resulting in significant imbalance between generation and load. In this paper, we discusses these stability using system simulation by renewable energy deployment plan, and also analyses the influence of the renewable energy sources to the grid stability.

Implementation of a citizen-driven smart city living lab community platform to improve pedestrian environment of school zone (스쿨존 보행환경 개선을 위한 시민참여형 스마트시티 리빙랩 커뮤니티 플랫폼 구현)

  • Jang, Sun-Young;Kim, Dusik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.415-423
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    • 2021
  • Citizen participation and Living Lab are attracting interest as one of the major strategies for the success of smart cities. In a Living Lab, citizens, who are the end-users of technology, participate in the search for alternatives to define and solve problems and repeat experiments to verify alternatives in a circular process. The purpose of this research was to present an operating model of a citizen-participating online community platform to improve urban problems, implement and test it, and show its applicability. To this end, an operation model of a citizen-participating online community platform was proposed to improve urban problems. An online platform was designed and implemented to reflect the functions pursued by the operation model. Finally, a pilot test for the function was performed using the Oma Elementary School case located in Ilsan, Goyang-si, Gyeonggi-do. The operating model was designed with the city's pedestrian environment and children. As a result, the sharing and communicating process of urban issues among community members worked appropriately according to the designed intention. The Living Lab coordinator could visualize and view urban issues posted by users on a map based on location information. Visualizing the urban problem as a heat map confirmed that urban problems were concentrated in a specific area.

Restoration of implant-supported fixed dental prosthesis using the automatic abutment superimposition function of the intraoral scanner in partially edentulous patients (부분무치악 환자에서 구강스캐너의 지대주 자동중첩기능을 이용한 임플란트 고정성 보철물 수복 증례)

  • Park, Keun-Woo;Park, Ji-Man;Lee, Keun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.1
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    • pp.79-87
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    • 2021
  • The digital workflow of optical impressions by the intraoral scanner and CADCAM manufacture of dental prostheses is actively developing. The complex process of traditional impression taking, definite cast fabrication, wax pattern making, and casting has been shortened, and the number of patient's visits can also be reduced. Advances in intraoral scanner technology have increased the precision and accuracy of optical impression, and its indication is progressively widened toward the long span fixed dental prosthesis. This case report describes the long span implant case, and the operator fully utilized digital workflow such as computer-guided implant surgical template and CAD-CAM produced restoration after the digital impression. The provisional restoration and customized abutments were prepared with the optical impression taken on the same day of implant surgery. Moreover, the final prosthesis was fabricated with the digital scan while utilizing the same customized abutment from the provisional restoration. During the data acquisition step, stl data of customized abutments, previously scanned at the time of provisional restoration delivery, were imported and automatically aligned with digital impression data using an 'A.I. abutment matching algorithm' the intraoral scanner software. By using this algorithm, it was possible to obtain the subgingival margin without the gingival retraction or abutment removal. Using the digital intraoral scanner's advanced functions, the operator could shorten the total treatment time. So that both the patient and the clinician could experience convenient and effective treatment, and it was possible to manufacture a prosthesis with predictability.

Implant-assisted overdenture using milled bar and ADD-TOC in edentulous maxilla: A case report (상악 무치악 환자에서 Milled Bar와 ADD-TOC을 이용한 임플란트 피개의치 수복 증례)

  • Jo, Yong-Bum;Jeong, Chang-Mo;Huh, Jung-Bo;Yun, Mi-Jung;Lee, So-Hyoun;Kim, Min-Jung
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.2
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    • pp.160-167
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    • 2022
  • One of the treatment options for edentulous state patients with residual ridge resorption is implant overdenture using milled bar and attachment. It not only provides improved retention and stability but can also reduce the coverage of palatal surface. In addition, when a small number of implants are used, milled bar has the effect of being splinted between implant fixtures, which makes it mechanically advantageous under functions such as mastication. The patient in this case was a maxillary edentulous state patient with a considerable amount of residual alveolar bone resorption after removing the existing failed implants. Three implants were planted on both sides and an implant overdenture was fabricated using milled bar and ADD-TOC attachment.

Full-mouth rehabilitation of a patient with loss of posterior support and collapsed occlusion utilizing dental CAD-CAM system (구치부 지지 소실 및 무너진 교합관계를 보이는 환자에서 Dental CAD-CAM system을 활용한 완전 구강 회복 증례)

  • Jung, Jiwon;Heo, Seong-Joo;Kim, Seong-Kyun;Koak, Jai-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.44-54
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    • 2022
  • Without proper treatment on the multiple tooth missing area, the lack of posterior support and the supra-eruption of the teeth cause many severe complications of occlusion, vertical dimension and masticatory function. This report is a case of full-mouth rehabilitation of a patient with loss of posterior support and collapsed occlusion due to missing teeth area left untreated for a long time. The patient who is 68-year old male patient had some teeth fallen out while removing his old maxillary denture and was complaining about pain in the region of anterior teeth due to traumatic contact. The vertical dimension was corrected by 4 mm from the top cervical point of the canine through various evaluations and the edentulous area was treated with the implant fixed prostheses through computer guided implant surgery based on the diagnosis and treatment plan for definitive prostheses supported by computed tomography (CT) data analysis and CAD-CAM (Computer-aided design/computer-aided manufacturing) technique. After full mouth rehabilitation, the patient was very satisfied with remarkable improvements in mastication, function, and aesthetics.

Digital workflow for prosthetic restoration in the pan facial fracture patient: A case report (다발성 안면 골절 환자의 보철 수복을 위한 디지털 워크플로우: 증례보고)

  • Kim, Seung-Wan;Park, Geun-Taek;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra;Ko, Kyung-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.4
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    • pp.395-403
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    • 2022
  • In the fracture operation of pan facial fracture, there are many cases where the shape and position of the occlusal and oral structures are abnormally changed because the index for repositioning to the original position is insufficient. And trismus and gag reflex in patients with pan facial fractures increase the difficulty of dental treatment, and the difference in the position of the jaw bone makes it difficult to restore aesthetically and functionally. In this case, digital workflows for minimal intraoral work could be selected to reduce patient discomfort and the difficulty of dental treatment. This case is using a digital workflow from implant planning to final prosthesis production in a patient with acquired skeletal grade III, trismus, and gag reflex due to pan facial fracture 15 years ago. In this case report, the use of digital workflow in a patient who has difficulty in dental treatment was able to minimize patient discomfort and obtain esthetic and functionally appropriate results.