• Title/Summary/Keyword: 기능적 지지

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Full mouth rehabilitation with vertical increase in patient with severe tooth wear using monolithic zirconia prosthetic restoration (과도한 치아마모를 보이는 환자에서 수직교합고경의 증가를 동반한 단일구조 지르코니아 보철물 전악수복)

  • Bang, Ji Won;Kim, Seong-A;Lim, Sun Yong;Lee, Yong-Sang
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.4
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    • pp.369-377
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    • 2020
  • Gradual teeth wear is normal physiological progress, severe tooth wear can causes dysfunction, occlusal plane disharmony and esthetic problems. If additional space is needed for prosthetic restoration due to severe attrition, full mouth rehabilitation with increase of occlusal vertical dimension may be considered. In this case, 72 year old male patient with severe worn dentition, irregular gingival zenith and deep anterior bite was treated by full mouth rehabilitation for regaining the space for restoration, improving relationship and esthetic of anterior teeth. Provisional restoration obtained by systemic analysis, diagnosis and re-evaluation for a sufficient time was replicated to final restorations through double scanning technique using monolithic zirconia blocks. Satisfactory functional and esthetic outcomes were obtained.

Development of a roller supported piston type loading platen reducing the frictional restraint along the interfaces between the specimen and platens under the biaxial loading condition (이축압축 조건에서 실험체/재하판 경계면상의 마찰저항 감소를 위한 롤러 지지된 피스톤 형태의 하중재하판의 개발)

  • SaGong, Myung;Kim, Se-Chyul;Lee, J.S.;Park, Du-Hee
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.10 no.3
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    • pp.303-312
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    • 2008
  • Multi-axial compression tests have been frequently adopted for the evaluation of material properties of rock cores and rock fracture model tests. Special care has to be applied on the boundary condition between the specimen and loading platen to draw the precise test results of the multi-axial compression tests. With the use of dry steel platen, the stress rotation will occur, due to the frictional restraint from the boundary between the specimen and loading platen. The restraint will deviate the expected test results under the conditions of the given external pressures. Various methods have been applied to reduce the side restraint along the specimen/loading platen interface. The steel brush type loading platen is one example of the attempts. In this paper, a new type of loading platen is introduced to overcome the limitation caused by the use of the brush type loading platen, which requires some internal space for the installation of the brushes. The new type of loading platen, roller supported steel piston type loading platen. is constituted of shot steel pistons which have sufficient stiffness to deliver the external pressure and the shaft type roller installed at the rear of the pistons. The pistons are designed to follow the local deformation of the specimens. In this paper, structural details of the loading platen are presented and frictional and biaxial compression tests results are shown to verify the required functions of the loading platen. Furthermore, calibration process is followed by a comparison between the test results and numerical analyses.

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Literature review and case report of prosthetic rehabilitation with telescopic denture (이중관 의치에 관한 문헌 고찰 및 증례 보고)

  • Sung, Han-Gyul;Jo, Eun-Hye;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.308-316
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    • 2018
  • Telescopic denture has advantages such as transfer the occlusal force to the long axis of the abutment, easiness of oral hygiene management, increase of retention and stability, splint effect due to secondary fixation between abutments and have been reported a higher success rates than conventional removable partial denture (RPD). However, there are disadvantages such as complex laboratory procedures, long treatment periods and high costs, and high incidence of complications. This clinical report describes two cases, a 4-point supported telescopic denture using telescopic crown and a 2-point supported telescopic denture using conical crown with functionally satisfactory results. Frequent complications of telescopic denture, which are reported in various literature were reviewed. Clinical and laboratory procedures were performed in consideration of complications that reported.

Double Processing Obturator for the Hemi-maxillectomy Treated Patient (Hemi-Maxillectomy 환자에서 이중온성법을 이용한 폐색장치의 제작)

  • Hong, Jun-won;Song, Kwang-yeob;Park, Mi-hee;Jeong, Soo-yang;Kim, Kyoung-il;Ahn, Seung-geun;Park, Ju-mi
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.4
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    • pp.329-336
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    • 2009
  • In the case of congenital malformation, acquired trauma, or maxillectomy by neoplasm, the defect in maxilla is combined with nasal cavity, maxillary sinus and oral cavity. This results in abnormal function in pronunciation, mastication, and swallowing. In this situation, the purposes of prosthodontics are also applied. The purposes of obturator for acquired maxillary deficiency patients are restoring pronunciation, mastication, and swallowing, and make patients comfortable and esthetic satisfaction. Reducing weight of the obturator makes edentulous ridge heathy and functional. It also improves patients' comfort. Hollow obturator also reduces unnecessary stress because improves physiologic function, as it weights less than 6.55-33.06% compare to usual one. This case presents the double-processing method for maxillary obturator in the patient treated hemi-maxillectomy due to malignancy neoplasm. We report this case because the patient acquired functional and esthetic satisfaction from double-processing obturator.

A conversion to implant overdenture in failed fixed implant prosthesis of edentulous maxilla: A case report (상악 고정성 임플란트 보철물 실패 환자에서 임플란트 피개의치로 전환한 치료 증례)

  • Kim, Joon-Soo;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.393-400
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    • 2016
  • Fixed implant prosthesis and removable implant overdenture are the main treatment options for treating edentulous maxilla with implants. If clinicians select one of the treatment options without accurate diagnosis and evaluation, this may lead to unfavorable treatment result and one would not be able to guarantee successful long term prognosis. In this case, 69 year-old female presented with failed fixed implant prosthesis that was treated in private dental clinic. Since the patient did not want additional insertion of implants and considering factors such as oral hygiene maintenance, splinting effect, and esthetics, the patient was treated with removable implant bar type overdenture using pre-existing implants. The clinical results were satisfactory in the aspect of esthetics and masticatory function, oral hygiene maintenance.

The implant overdenture on the edentulous mandible using CAD/CAM system: A case report (CAD/CAM system을 이용한 하악 임플란트 피개의치 수복증례)

  • Lee, Si-Eun;Lee, So-Hyoun;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.66-73
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    • 2015
  • Alveolar bone loss and deformation can be a risk factor in removable prosthetic restoration treatment for partially or fully edentulous patients. The use of implants to solve this problem could improve the support, retention and stability of removable restoration. Attachments used in implant overdenture are versatile. The attachment should be selected according to the patients' conditions. Milled bar has been chosen when readymade bar could not be used because of the narrow distance between implants or firm stability and support of supra-structure were needed. Milled bar design is able to provide cross arch stabilization and comfortability to patients. However, it needs skilled laboratory procedures. Recently, the fabrication of milled bar has become simple and its suitability has been improved through the development of CAD/CAM system. In a 67-year-old female Alzheimer's disease patient with 8 implant fixtures on the fully edentulous site of mandible, implant overdenture with using milled bar and magnet attachment was planned. As rapid treatment was required, CAD/CAM system was used to make a simple laboratory procedure instead of a traditional fabrication process. With this system, implant overdenture with milled bar can be fabricated esthetically and functionally.

An explanatory model for Health Promoting Behaviors in Korean High School Students: An ecological approach (고등학교 청소년의 건강증진행위 설명모형:생태학적 접근)

  • Kang, Na-Gyeung
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.6
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    • pp.1405-1422
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    • 2021
  • This study aimed to construct and test a hypothetical model to explain health-promoting behaviors among high school students in Korea. Data were collected from a self-administered questionnaire of 395 first-year to third-year students at a high school in Gyeonggi-do area. The exogenous variables of this study were family function, friend support, school life environment, and social capital of the local community, and endogenous variables were self-efficacy, self-regulation, and health-promoting behaviors. Data were analyzed by SPSS 21.0 and AMOS 22.0. The final model with 13 of the 9 analyzed paths showed a good fit to the empirical data: χ2/df=1.96, GFI=.90, AGFI=.88, CFI=.94, TLI=.93, RMSEA=.05, SRMR=.06. The variables included in these paths were family function (β=.57), self-efficacy (β=.29), self-regulation(β=.14), the social capital of local community (β=.14), and friend support (β=.13). The variables included in the nine significant paths explained 86% of variance in the explain model. Thus, it is necessary to build up a social support system for dysfunctional families and health-promoting behaviors of adolescents in the families and develop a program for creating the environment of the local community including schools.

Development of Web based PSI/ISI Information Management System for Virtual Nuclear Power Plant (Web 기반의 가상원전 PSI/ISI 정보관리 시스템 개발)

  • Shin, Jin-Ho;Lee, Bong-Jae;Song, Jae-Ju;Jang, Mun-Jong
    • Proceedings of the KIEE Conference
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    • 2002.07d
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    • pp.2761-2763
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    • 2002
  • 원자력발전소에서는 건설완료 단계에서 기기, 배관 및 각종 지지구조물에 대하여 PSI(Pre-Service Inspection)를 실시하여 시공된 설비의 건전성을 점검하고, 운영중에는 주기적으로 시간의 경과에 따른 취약화 정도를 비과괴검사로 감시 및 평가하는 ISI (In-Service Inspection)를 실시하여 안전성 관련 설비의 건전성을 점검하고 있다. 이 과정에서 방대한 양의 검사데이터가 생산되며 원전 가동년수가 증가함에 따라 검사자원을 체계적으로 관리하고 자동화 할 수 있는 시스템 개발이 필요하게 되었다. 본 논문에서는 PSI/ISI 검사결과 정보관리를 비롯하여 검사 기초자료 관리 및 검사계획 수립, 파괴역학 분식 기능 등을 포함한 Web 기반의 Application 개발 사례를 소개한다. 또한 가상현실 기법을 적용하여 기존의 2차원적 DB 운영을 3차원 가상공간에서 운영할 수 있는 'Touch & Tell' 기법을 개발하고 그 구현방법을 제시한다.

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접이식 팽창형 안테나 고찰

  • Lee, Ju-Hun;Sim, Eun-Seop
    • The Bulletin of The Korean Astronomical Society
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    • v.37 no.2
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    • pp.192.1-192.1
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    • 2012
  • 영상레이더 (SAR: Synthetic Aperture Radar) 혹은 통신 안테나/탑재체를 장착한 위성은 원하는 주파수 대역의 운용을 위해 대형 안테나 구조물 장착이 필수적이다. 이러한 대형 구조물은 일체형으로 제작되어 위성체에 접속되었을 때, 요구 무게 및 점유하는 부피가 매우 큰 특징을 지닌다. 따라서, 대형 안테나 구조물의 중량으로 인해 발사비 증가가 불가피하며, 페어링 내부의 허용된 공간에 안테나 크기는 큰 제약적 요인이 된다. 그리고, 전개식이어도, 전개후 질량 관성이 큰 구조물이 된다. 위성체의 발사 비용과 직결되는 안테나의 경량화를 위한 많은 기술이 연구되고 있다. 특히, 접이식 팽창형 안테나는 반사체의 유연한 메쉬 구조 및 경량 지지구조물로 안테나의 무게를 줄이고 수납 효율을 향상시킨다. 또한, 전개 후 안테나의 목적한 기능을 충분히 보장함과 동시에 질량 관성이 작은 구조물에 의한 위성의 기동성을 극대화할 수 있다. 국내에서도 전천후 지상관측감시 및 통신 안테나의 필요성 증대에 따라 초경량 전개형 안테나 개발의 필요성이 크게 대두되고 있으나, 현재까지는 관련 기술개발 사례가 전무한 실정으로 국내 독자적 기술 확보가 시급한 실정이다.

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Prosthetic rehabilitation of partially edentulous patient after hemimandiblectomy: Case report (하악골 부분절제술 시행한 부분 무치악 환자에서 보철 수복 증례)

  • Lee, Dong-Hun;Yoo, Dong-Soo;Lee, Jong-Hyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.39-45
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    • 2015
  • Loss of continuity of the mandible destroys the balance and symmetry of mandibular function, leading to altered mandibular movements and deviation of the residual fragment towards the resected side. Apart from deviation, other dysfunctions include difficulty in swallowing, speech, mandibular movements, mastication, and respiration are accompanied. In general, surgical reconstruction is considered first then proceeds to the prosthetic restorations. However, patients with systemic disease such as BRONJ (Bisphosphonate related osteonecrosis of the Jaw), surgical reconstruction may be limited. Thus, the prosthetic restoration remains as the only resort. Numerous prosthetic methods are employed to minimize deviation and to improve masticatory efficiency, function and esthetics. If a removable partial denture is the selected treatment modality, maximum stability of the partial denture base may be accomplished with a functional impression procedure by means of eliminating lateral and horizontal forces caused by the functional movements of the lips, cheeks and tongue. Also, Twin occlusion is used to obtain a favorable occlusal relationship and check support for esthetics. The purpose of this case report is to demonstrate how neutral zone impression technique and twin occlusion scheme were applied to restore a hemi-mandiblectomy patient with BRONJ syndrome to achieve satisfactory results in functional and esthetic aspects.