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Full mouth rehabilitation with vertical dimension increase in patient with severly worn dentition (과도한 치아 마모를 보이는 환자에서 수직고경 증가를 동반한 전악 구강 회복 증례)

  • Jo, Wi-Sang;Kim, Seong-A;Kim, Sung-Yong;Bang, Joo-Hyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.1
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    • pp.107-115
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    • 2021
  • Excessive pathological attrition over the entire dentition can cause decreased masticatory function, and pathological problems of the temporomandibular joint and the muscular nervous system. In this case, 71 year-old male patient with severe attrition and fracture across the entire tooth was treated by full mouth rehabilitation for regaining space of restoration. In order to determine the appropriate vertical dimension of the patient's occlusion, facial appearance, aesthetics, restoration space were evaluated, and provisional restoration of the raised vertical dimension was made. After 4 months of evaluation, the entire restoration of monolithic zirconia crown using CAD-CAM was completed. Through the above process, satisfactory aesthetic and functional results were obtained.

Cryptococcosis with Mediastinal Lymph Node and Lung Involvement in an Immunocompetent Adolescent: A Case Report (정상 면역체계를 가진 청소년에서 발생한 종격동 림프절과 폐 크립토코쿠스증 1예)

  • Lee, Jiyeon;Cho, Chang-Min;Cho, Hyun-Hae;Park, Heae Surng;Kim, Kyung-Hyo
    • Pediatric Infection and Vaccine
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    • v.28 no.2
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    • pp.124-131
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    • 2021
  • Cryptococcus neoformans is a fungus that primarily causes opportunistic infections in immunocompromised hosts. It can also cause various infections in immunocompetent patients. Pulmonary cryptococcosis involving the lymph node is relatively rare in immunocompetent patients. In this report, a previously healthy 17-year-old girl presented with high-grade fever and persistent cough. Chest X-ray and computed tomography (CT) scan revealed an anterior mediastinal conglomerate mass that expanded to the right supraclavicular area. Ultrasound-guided gun biopsy revealed histological evidence of cryptococcosis. Immunological screening tests did not identify immunodeficiency. She recovered completely with a combination therapy of amphotericin B and flucytosine for 2 weeks, followed by fluconazole for 8 months. The characteristics of cryptococcosis involving the mediastinal lymph node and the lung should be understood, and the possibility of cryptococcosis even in immunocompetent hosts should be considered.

Percutaneous Screw Fixation in a Displaced Pubic Fracture: Technical Note (전위성 치골 골절의 경피적 고정술: 술기보고)

  • Kong, Gyu Min;Kim, Seung Chul
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.4
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    • pp.361-365
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    • 2021
  • Pelvic fractures are high-energy injuries, often accompanied by damage to the adjacent tissues and organs. For patients with pelvic trauma, active treatment is required early in the injury, because mortality can increase if appropriate treatment is not provided. In most cases, however, minimally invasive surgery is considered because extensive surgery cannot be performed due to the patient's condition. Percutaneous fixation of the pubis has been introduced because it can be applied easily to achieve the stability of the anterior part of the pelvis. Although many studies introduced percutaneous fixation of pubic bone fractures, most describe screw fixation for nondisplaced fractures. When treating displaced fractures with percutaneous screw fixation, it is difficult for the guide pin or drill bit to avoid the joint surface. Using a bent guide pin could allow easy insertion of the cannulated screw while avoiding the articular surface.

Effects of Mat Pilates Exercise and Kinesio Taping on Head Angle and Muscle Activity in Their 20s with F orward Head Posture (매트 필라테스와 키네지오 테이핑이 전방 머리 자세를 가진 20대 성인의 머리각도와 근활성도에 미치는 영향 )

  • Bayarbayasgalan Dolgion;Beom-Cheol Jeong;Kyung-Tae Yoo
    • Journal of the Korean Society of Physical Medicine
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    • v.18 no.1
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    • pp.25-35
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    • 2023
  • PURPOSE: This study examined the effects of applying mat Pilates and kinesio taping on the craniovertebral angle and muscle activity of adults in their 20s with a forward head posture. METHODS: The subjects were 20 adults in their 20s with a forward head posture: 10 from the Mat Pilates group (MPG) and 10 from the Kinesio taping group (KTG). Each group received the intervention for four weeks. The craniovertebral angle and muscle activity were measured before and after the intervention. Statistical analysis of this study was performed using SPSS Ver. 23.0 for Windows was used, and the statistical significance level was set to α = .05. RESULTS: The change in the craniovertebral angle within each group was decreased significantly after the intervention for both MPG and KTG (p < .05), but there was no significant difference in the comparison result of the difference in the amount of change between each group (p > .05). The change in muscle activity within each group did not show any significant change before and after the intervention in all the MPG and KTG muscles (p > .05), and there was no significant difference in all variables for the difference in the amount of change between each group (p > .05). CONCLUSION: Mat Pilates effectively reduced the CVA, but neither intervention significantly affected muscle activity.

Using dental virtual patients with dynamic occlusion in esthetic restoration of anterior teeth: case reports (동적 교합을 나타내는 가상 환자의 형성을 통한 심미적인 전치부 보철 수복 증례)

  • Phil-Joon Koo;Yu-Sung Choi;Jong-Hyuk Lee;Seung-Ryong Ha
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.4
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    • pp.328-343
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    • 2023
  • Recently, a method of fabricating an esthetic anterior fixed prosthesis by integrating data such as three-dimensional facial scan and jaw motion to form a virtual patient with dynamic occlusion has been introduced. This enables smooth communication with patients during the diagnosis process, improves the predictability of esthetic prosthetic treatment, and lowers the possibility of occlusal adjustment. In this case report, a virtual patient with dynamic occlusion was created in which the results of the treatment were simulated, and esthetic maxillary anterior fixed prosthesis was fabricated. With the aid of the virtual patient, the final restorations were satisfactory both in terms of esthetic and function.

Design of Acoustic Source Array Using the Concept of Holography Based on the Inverse Boundary Element Method (역 경계요소법에 기초한 음향 홀로그래피 개념에 따른 음원 어레이 설계)

  • Cho, Wan-Ho;Ih, Jeong-Guon
    • The Journal of the Acoustical Society of Korea
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    • v.28 no.3
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    • pp.260-267
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    • 2009
  • It is very difficult to form a desired complex sound field at a designated region precisely as an application of acoustic arrays, which is one of important objects of array systems. To solve the problem, a filter design method was suggested, which employed the concept of an inverse method using the acoustical holography based on the boundary element method. In the acoustical holography used for the source identification, the measured field data are employed to reconstruct the vibro-acoustic parameters on the source surface. In the analogous problem of source array design, the desired field data at some specific points in the sound field was set as constraints and the volume velocity at the surface points of the source plane became the source signal to satisfy the desired sound field. In the filter design, the constraints for the desired sound field are set, first. The array source and given space are modelled by the boundary elements. Then, the desired source parameters are inversely calculated in a way similar to the holographic source identification method. As a test example, a target field comprised of a quiet region and a plane wave propagation region was simultaneously realized by using the array with 16 loudspeakers.

Prosthetic full mouth rehabilitation of patient with mandibular prognathism and asymmetry: a case report (하악의 전돌 및 비대칭을 가진 환자에서 보철적 전악 구강회복 증례)

  • Jaeyeong Lim;Hwa-Jeong Lee;Jong-Eun Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.28-37
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    • 2024
  • Severe cases of mandibular prognathism can be treated with orthodontic therapy or surgical correction, but there are situations where only prosthetic improvement is possible. An understanding of class III patients is needed, including a vertical chewing pattern and the absence of anterior guidance. Additionally, it is relatively easy to increase occlusal vertical dimension to correct the anterior crossbite, but this approach can sometimes lead to unfavorable results, necessitating careful diagnosis and treatment planning. In this case report, oral rehabilitation was conducted in a patient with mandibular prognathism and asymmetry, utilizing implants and fixed dental prosthesis. Through a step-by-step treatment approach, the existing occlusal vertical dimension was maintained, and the final fixed dental prosthesis restoration was completed. Accordingly, it shows functional and aesthetically appropriate results, and reports on the patient's diagnosis and treatment process.

Full mouth rehabilitation of a patient with tooth wear and insufficient restorative space due to loss of posterior teeth support: a case report (구치부 지지 상실로 인해 치아 마모와 부족한 수복 공간을 보이는 환자에서의 완전구강회복 증례)

  • Hyunsub Kim;Young-Jun Lim;Ho-Beom Kwon;Myung-Joo Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.1
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    • pp.72-81
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    • 2024
  • To rehabilitate a patient with inappropriate occlusion due to posterior support loss, it is necessary to achieve an appropriate occlusal vertical dimension and create prostheses that demonstrate stable occlusion at the centric relation for full mouth restoration. This case shows full mouth rehabilitation in a patient with missing posterior teeth and tooth wear, achieved through implant-supported prostheses and zirconia full-veneer crowns. To assess adaptation to the increased occlusal vertical dimension, an occlusal splint and temporary restorations were secured. By fabricating the definitive restorations based on the anterior guidance of the temporary restorations, stable occlusal rehabilitation was successfully achieved.

A study on treatment effects of different activator types in Angle's Class II div.1 malocclusion patients (2급 1류 부정교합 환자에서 activator유형에 따른 치료 효과에 관한 연구)

  • Kim, Duk-Sang;Lee, Jin-Woo;Cha, Kyung-Suk
    • The korean journal of orthodontics
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    • v.27 no.3 s.62
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    • pp.431-444
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    • 1997
  • This research was carried out to compares the treatment effects of Horizontal and Vertical type activators in Angle's Class II div. 1 maloccusion patients with mandibular retrusion dand to find out whether different treatment effects or growth pattern were observed between sexes in each study groups. The results were as follows: 1. In Horizontal activator group, forward positioning of mandible and vertical increase in anteror face as examplified by increase of LAFH and AEM were observed when pre and post-treatment datas were evaluated. 2. Males samples in Horizontal activator group showed increase in mandiular length accmpanied by posterior positioning of maxilla, wheras female samples in Horizontal activator group showed increase in mandibular body length, labial inclination of mandibular incisors and increase in lower anterior facial height .3. In vertical activator group, increase in AFH, LAFH, PFH and LPFH were observed when pre and post treatment datas were evaluated. 4. Male samples in Vertical activator group showed increase in mandibular body length and anterior and posterior facial heights, whereas females samples of Vertical activator group showed mainly increase in anterior facial height. 5. When pre and post treatment datas of Horizontal and Vertical activator groups were compared, skeletal difference were mainly observed in pretreatment datas but dental difference were observed in post treatment datas ,indicating that two actiators differ only in their effects to dental variables. 6. Difference between sexes were noted after treatment although no difference were observed between sexs in each groups before treatmentt. This indicates that inherent growth effects in each sex exerts more influence 1km appliances used for treatment.

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Arthroscopic Findings of Biceps pulley in Shoulder Pathology (견관절 병변과 관련된 이두박건 활차의 관절경적 소견)

  • Choi Chang-Hyuk;Kim Shin-Kun;Jang Woo-Chang;Lee Sung-Jin
    • Journal of the Korean Arthroscopy Society
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    • v.6 no.2
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    • pp.136-141
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    • 2002
  • Purpose : The role of biceps pulley is stabilizing sling for the long head of the biceps tendon against anterior shearing stress in the rotator interval. The purpose of this study was to classify arthroscopic findings of biceps pulley and to evaluate the relationship with shoulder pathology. Materials and Methods : From January 2002 through July 2002, we observed biceps pulley in 49 cases of shoulder pathology treated with arthroscopically. There were 22 cases of anterior instability, 12 cases of rotator cuff tear, 5 of impingement syndrome, 6 of frozen shoulder, 2 of superior labral injury and 1 of each scapulothoracic bursitis and biceps dislocation. We classified biceps pulley as four types according to the arthroscopic appearance. Type I its stretched type. type II as sling type, type III at detached sling type, and type IV as concealed type. Results : We observed stretched type in 24 cases $(49\%)$, sling type in 5 cases $(10\%)$, detached sling type in 2 cases, concealed type in 1 case, and unidentified cases in 17 cases $(35\%)$. Conclusion : Development and variation of biceps pulley may have symptomatic correlation according to the degree of shoulder motion or pathologic status.

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