• Title/Summary/Keyword: 인접성 장애

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Optimization of orthodontic microimplant thread design (교정용 마이크로 임플란트의 나사산 디자인 최적화)

  • Kim, Kwang-Duk;Yu, Won-Jae;Park, Hyo-Sang;Kyung, Hee-Moon;Kwon, Oh-Won
    • The korean journal of orthodontics
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    • v.41 no.1
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    • pp.25-35
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    • 2011
  • Objective: The purpose of this study was to optimize the thread pattern of orthodontic microimplants. Methods: In search of an optimal thread for orthodontic microimplants, an objective function stability quotient (SQ) was built and solved which will help increase the stability and torsional strength of microimplants while reducing the bone damage during insertion. Selecting the AbsoAnchor SH1312-7 microimplant (Dentos Inc., Daegu, Korea) as a control, and using the thread height (h) and pitch (p) as design parameters, new thread designs with optimal combination of hand p combination were developed. Design soundness of the new threads were examined through insertion strain analyses using 3D finite element simulation, torque test, and clinical test. Results: Solving the function SQ, four new models with optimized thread designs were developed (h200p6, h225p7, h250p8, and h275p8). Finite element analysis has shown that these new designs may cause less bone damage during insertion. The torsional strength of two models h200p6 and h225p7 were significantly higher than the control. On the other hand, clinical test of models h200p6 and h250p8 had similar success rates when compared to the control. Conclusion: Overall, the new thread designs exhibited better performance than the control which indicated that the optimization methodology may be a useful tool when designing orthodontic microimplant threads.

Personalized Speech Classification Scheme for the Smart Speaker Accessibility Improvement of the Speech-Impaired people (언어장애인의 스마트스피커 접근성 향상을 위한 개인화된 음성 분류 기법)

  • SeungKwon Lee;U-Jin Choe;Gwangil Jeon
    • Smart Media Journal
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    • v.11 no.11
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    • pp.17-24
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    • 2022
  • With the spread of smart speakers based on voice recognition technology and deep learning technology, not only non-disabled people, but also the blind or physically handicapped can easily control home appliances such as lights and TVs through voice by linking home network services. This has greatly improved the quality of life. However, in the case of speech-impaired people, it is impossible to use the useful services of the smart speaker because they have inaccurate pronunciation due to articulation or speech disorders. In this paper, we propose a personalized voice classification technique for the speech-impaired to use for some of the functions provided by the smart speaker. The goal of this paper is to increase the recognition rate and accuracy of sentences spoken by speech-impaired people even with a small amount of data and a short learning time so that the service provided by the smart speaker can be actually used. In this paper, data augmentation and one cycle learning rate optimization technique were applied while fine-tuning ResNet18 model. Through an experiment, after recording 10 times for each 30 smart speaker commands, and learning within 3 minutes, the speech classification recognition rate was about 95.2%.

BILATERAL SUPERNUMERARY TEETH IN THE MANDIBULAR INCISOR REGION; A CASE REPORT (하악 전치부에 발생한 과잉치)

  • Kim, Sung-Hee;Park, Jong-Ha;Yang, Yeon-Mi;Baik, Byeong-Ju;Kim, Jae-Gon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.1
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    • pp.52-58
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    • 2004
  • Supernumerary tooth describes an excess of tooth number, which are found in primary dentition with 0.3-0.8%, permanent dentition with 1.0-3.5% prevalence. Their frequency is about 2:1 (male vs female) and 9:1 (maxilla vs mandible). However, occurrence is very rare in the incisor region of the mandible. We need a early diagnosis and appropriate treatment plan because of possibility of diastema, eruption failure, displacement, rotation of the associated permanent teeth, root resorption, dentigerous cyst with presence of the supernumerary teeth. This is a case report about two impacted supernumerary teeth found in madibular anterior region of 6 years old girl. One was extracted and another was retained because of fusion with permanent central incisor on the labial surface.

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CASES REPORT OF CLEFT ALVEOLUS REPAIR WITH PMCB GRAFT (치조골 파열환자의 자가망상골 이식을 이용한 치험례)

  • Lee, Dong-Keun;Choi, Seong-Hoon;Chung, Hyung-Bai
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.9-15
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    • 1991
  • The cleft alveolus occurs about 75% of cleft lip and palate patients. The purpose of bone grafting is improve the maxillary growth, rehabilitation of continuty of maxillary arch and providing bone for periodontal support for unerupted teeth. The bone grafting for alveolar cleft defect repair are classsified; primary bone grafting, early secondary bone grafting secondary bone grafting and late secondary bone grafting. In this article, we reported the cases of PMCB grafts for repair of the alveolar clefts showed potential benifit to the patient to induce a normal maxillary growth and providing bone foor periodontal support of unerupted teeth.

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Analysis on the Effects of Sunshine Environment by Overpass Structure in Urban Areas (도시부 고가구조물에 의한 일조환경 영향분석)

  • Kum, Ki-Jung;Kim, Jong-Bo;Choi, Yong-Gil;Kim, Young-Jun
    • International Journal of Highway Engineering
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    • v.11 no.4
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    • pp.49-58
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    • 2009
  • Current sunshine regulations of our country, focused on common houses and general construction, are failing to reflect adequately the characteristics of roads and elevated structures. Besides, researches are chiefly being conducted on a pitch between common houses and its diverse effects, neglecting clearance between a road or elevated structure and a residential area, environmental elements brought on by structures, such as sunshine difficulty, and their resultant factors Therefore, this study, focused on the sunshine environment of elevated structures adjacent to a residential district, as part of all roads and elevated structures, looked over currently used clearance adequacy level and analyzed the characteristics of structures in relation to an angle of direction. Then, clearance ratio by heights was calculated through a pitch by characteristics of a structure. With a view to minimize the sunshine difficulty that might occur in the future construction, it aims to propose the basic data needed for calculating the minimum clearance, while emphasizing the necessity for institutional alignment on structures.

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EARLY CARIES DETECTION WITH DIGITAL IMAGING FIBER-OPTIC TRANS-ILLUMINATION (Digital Imaging Fiber-Optic Trans-Illumination을 이용한 초기우식의 탐지)

  • Lee, Jun-Seok;Kim, Jong-Soo;Yoo, Seung-Hoon
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.3 no.2
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    • pp.87-90
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    • 2007
  • It's important that detect early caries of deciduous and permanent teeth to prevent dental caries and prevserve teeth, especially on proximal surface of deciduous teeth. The reason is that their prominent pulp horn lead to pulp treatment easily due to rapid caries progression. There are conventional exploring, visual inspection and radiographic exam for early caries detection. But, the standard method for diagnosing dental caries is subject and cavitation may be accelerated during exploring procedure. Caries can be diagnosed up to 40% mineral loss with radiograph. $DIFOTI^{(R)}$ (Digital Imaging Fiber-Optic TransIllumination) is diagnostic imaging system for early caries detection using fiber-optic illumination. It is possible that remineralize the tooth surface without tooth preparation and conserve the tooth structure by using $DIFOTI^{(R)}$.

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CASE REPORTS OF TREATMENT OF ERUPTION-DISTURBED MX. FIRST MOLAR BY SURGICAL EXPOSURE (맹출 장애를 가진 상악 제1대구치의 외과적 노출을 이용한 치험례)

  • Seok, Choong-Ki;Nam, Dong-Woo;Kim, Hyun-Jung;Kim, Young-Jin;Nam, Soon-Hyeun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.1
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    • pp.11-18
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    • 2004
  • The eruption of permanent teeth represents the movement in the alveolar bone before appearance in oral cavity, to the occlusal plane after appearance in oral cavity, and additive movement after reaching th the occlusal plane. Tooth eruption is mostly controlled by genetic signals. The eruption stage is divided to preeruptive alveolar stage, alveolar bone stage, mucosal stage according to the process of growth and development. If the disturbance is occured in any stage of eruption, tooth does not erupt. The cause of eruption disturbance are ectopic position of the tooth germ, obstruction of the eruption path and defects in the follicle or PDL. In the treatment of eruption disturbance, surgical procedures are commonly used. There are three kind of surgical procedure ; surgical exposure, surgical repositioning, surgical exposure and traction Surgical exposure is basic procedure. This involves removal of mucosa, bone, lesion that are surrounding the teeth, dental sac when necessary to maintain a patent channel between the crown and the normal eruptive path into the oral cavity. To ensure this patency, many techniques including cementation of a celluloid crown, packing with gutta-percha or zinc oxide-eugenol, or a surgical pack, are used. When surgical exposure is conducted, operators should not expose any part of cervical root cement and not injure periodontium or root of adjunct tooth. After surgical exposure, tooth should be surrounded by keratinized gingiva. There is direct relationship between the extent of development of pathophysiologic aberrations and the intensity of the manipulative injury inflicted on the tooth by surgical treatment, so operator should consider this thing. In these cases, surgical exposure is conducted on Maxillary 1st milars that have a eruption disturbance and improve the eruption disturbance effectively.

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ERUPTION DISTURBANCE ASSOCIATED WITH A SMALL ODONTOMA (작은 치아종으로 인한 맹출 장애)

  • Song, Ji-Hyun;Lee, Kwang-Hee;Ra, Ji-Young;Lee, Dong-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.3
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    • pp.490-497
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    • 2007
  • Odontoma is defined as a benign odontogenic tumor containing enamel, dentin as well as cementum and constitued 22% of all odontogenic tumors. Although the lesions are commonly asymptomatic, they may be discovered routine radiographic examination. Odontomas often cause disturbances in the eruption of teeth such as, impaction or delayed eruption, retention of primary teeth, or abnomalities in the position of the teeth such as tipping or displacement of adjacent teeth. Radiologically, odontomas manifest as a dense radiopaque lesion surrounded by a thin radiotransparent halo. However, in some cases, radiopacity was not quite clear and images of the teeth shadowed very tiny odontomas. And at early development stages of odontoma, calcification remains immature and is difficult to diagnose on radiographs. This suggests that when delayed eruption of the teeth is found, periapical radiographs should be taken to clarify whether any small area of radiopaque material exists. This case report shows tiny odontomas involving an impacted tooth and crowding and we remove the tiny odontoma surgically.

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Finite Element Analysis of Bone Stress Caused by Horizontal Misfit of Implant Supported Three-Unit Fixed Prosthodontics (3차원 유한요소법에 의한 임플란트 지지 3본 고정성 가공 의치의 부적합도가 인접골 응력에 미치는 영향 분석)

  • Lee, Seung-Hwan;Jo, Kwang-Hun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.28 no.2
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    • pp.147-161
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    • 2012
  • This study is to assess the effect of horizontal misfit of an implant supported 3-unit fixed prosthodontics on the stress development at the marginal cortical bone surrounding implant neck. Two finite element models consisting of a three unit fixed prosthodontics and an implant/bone complex were constructed on a three dimensional basis. The three unit fixed prosthodontics were designed either shorter (d=17.8mm model) or longer (d=18.0mm model) by 0.1mm than the span of two implants placed at the mandibular second premolar and second molar areas 17.9mm apart. Fitting of the fixed prosthodontics onto the implant abutments was simulated by a total of 6 steps, that is to say, 0.1mm displacement per each step, using DEFORM 3D (ver 6.1, SFTC, Columbus, OH, USA) program. Stresses in the fixed prosthodontics and implants were evaluated using von-Mises stress, maximum compressive stress, and radial stress as necessary. The d=17.8mm model assembled successfully on to the implant abutments while d=18.0mm model did not. Regardless if the fixed prosthodontics fitted onto the abutments or not, excessively higher stresses developed during the course of assembly trial and thereafter. On the marginal cortical bone around implants during the assembly, the peak tensile and compressive stresses were as high as 186.9MPa and 114.1MPa, respectively, even after the final sitting of the fixed prosthodontics (for d=17.8mm model). For this case, the area of marginal bone subject to compressive stresses above 55MPa, equivalent of the $4,000{\mu}{\varepsilon}$, i.e. the reported threshold strain to inhibit physiological remodeling of human cortical bone, extended up to 2mm away from implant during the assembly. Horizontal misfit of 0.1mm can produce excessively high stresses on the marginal cortical bone not only during the fixed prosthodontics assembly but also thereafter.

Bare-Metal Stent in Dysfunctional Hemodialysis Access: An Assessment of Circuit Patency according to Access Type and Stent Location (혈액투석 접근로 기능부전에서의 비피복형 스텐트: 접근로 종류와 스텐트 위치에 따른 개통률 평가)

  • Kyungmin Lee;Je Hwan Won;Yohan Kwon;Su Hyung Lee;Jun Bae Bang;Jinoo Kim
    • Journal of the Korean Society of Radiology
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    • v.84 no.1
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    • pp.197-211
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    • 2023
  • Purpose To evaluate the circuit patency after nitinol bare-metal stent (BMS) placement according to the type of access and location of the stent in dysfunctional hemodialysis access. Materials and Methods Between January 2017 and December 2019, 159 patients (mean age, 64.1 ± 13.2 years) underwent nitinol BMS placement for dysfunctional access. The location of stents was as follows: 18 brachiocephalic vein, 51 cephalic arch, 40 upper arm vein, 10 juxta-anastomotic vein, 7 arteriovenous (AV) anastomosis, and 33 graft-vein (GV) anastomosis. Circuit patency was evaluated by the Kaplan-Meier method, and cox regression model. Results A total of 159 stents were successfully deployed in 103 AV fistula (AVF) and 56 AV graft (AVG). AVG showed lower primary and secondary patency at 12-months compared with AVF (primary patency; 25.0% vs. 44.7%; p = 0.005, secondary patency; 76.8% vs. 92.2%; p = 0.014). Cox regression model demonstrated poorer primary patency at 12 months after stenting in the cephalic arch and GV anastomosis compared with the other sites. Conclusion AVF showed better primary and secondary circuit patency at 12 months following the placement of BMS compared with AVG. Stents in the cephalic arch and GV anastomosis were associated with poorer primary patency at 12 months compared to those in other locations.