• Title/Summary/Keyword: 직하방

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A CASE REPORT OF DENTINOGENESIS IMPERFECTA (상아질 형성 부전증에 대한 증례보고)

  • Kim, Jae-Gon;Lee, Doo-Cheol;Lee, Seung-Young;Lee, Seung-Ik;Baik, Byeoung-Ju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.1
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    • pp.1-6
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    • 2000
  • Dentinogenesis imperfecta is an inherited disorder of dentin formation, usually exhibiting an autosomal dominant mode of transmission. Type I dentinogenesis imperfecta occurs in patients afflicted with osteogenesis imperfecta. Type II dentinogenesis imperfecta is not associated with osteogenesis imperfecta. Type III dentinogenesis imperfecta (Brandywine type) occurs in a racial isolate area in the state of Maryland. In all three types, teeth of both dentitions are affected with variable clinical appearances. The teeth are opalescent with the color ranging from bluish-gray to brown to yellowish. The dentin is abnormally soft, providing inadequate functional support to the overlying enamel. Although the enamel is normal, it fractures or chips away easily, exposing the occlusal and incisal dentin. The exposed soft dentin often undergoes rapid and severe functional attrition. The teeth exhibit bulb-shaped crowns with constricted cementoenamel junctions and thin roots. The teeth will exhibit varying stages of obliteration of the coronal and root pulpal chambers. The cementum, periodontal ligament and supporting alveolar bone appear normal. The enamel is normal. The mantle dentin remains nearly normal, whereas the remaining dentin is severely dysplastic. The dentinal tubules are disoriented, irregular, widely spaced, and usually larger than normal.

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ERUPTING GUIDANCE OF IMPACTED MAXILLARY PERMANENT INCISOR WITH APICALLY REPOSITIONED FLAP (근단 변위 판막술을 이용한 상악 영구 절치의 맹출 유도)

  • Im, Ye-Jin;Kim, Young-Jin;Kim, Hyun-Jung;Nam, Soon-Hyun
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.4
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    • pp.512-518
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    • 2010
  • The impaction of the maxillary permanent incisor is a common clinical problem and is mostly found at the "labial to the alveolar process." Surgical exposure and orthodontic treatment with fixed orthodontic appliances can be considered if normal eruption of the labillay impacted tooth is not expected. Surgical exposure of the impacted tooth, that is usually under the attached gingiva or is surrounded by alveolar bone through gingivectomy and removal of alveolar bone, may give a rise to complications such as diminution in the width of the attached gingiva, inflammation of the gingiva, and the loss of marginal alveolar bone. Therefore, closed eruption technique, which includes surgical exposure and orthodontic treatment with fixed orthodontic appliances followed by repositioning of surgical flap, is preferred. However, apically repositioned flap of the impacted tooth, which is beneath the movable submucosal area or is above the alveolar crestal area, can prevent unwanted exposures and facilitate successful tooth eruption. In this report, we described esthetic results of three patients with unerupted maxillary permanent incisor who were performed with an apically positioned flap without the loss of attached gingiva.

An Efficient Interferometric Radar Altimeter (IRA) Signal Processing to Extract Precise Three-dimensional Ground Coordinates (정밀 3차원 지상좌표 추출을 위한 IRA의 효율적인 신호처리 기법)

  • Lee, Dong-Taek;Jung, Hyung-Sup;Yoon, Geun-Won
    • Korean Journal of Remote Sensing
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    • v.27 no.5
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    • pp.507-520
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    • 2011
  • Conventional radar altimeter system measured directly the distance between the satellite and the ocean surface and frequently used by aircraft for approach and landing. The radar altimeter is good at flat surface like sea whereas it is difficult to determine precise three dimensional ground coordinates because the ground surface, unlike ocean, is very indented. To overcome this drawback of the radar altimeter, we have developed and validated the interferometric radar altimeter signal processing which is combined with new synthetic aperture and interferometric signal processing algorithm to extract precise three-dimensional ground coordinates. The proposed algorithm can accurately measure the three dimensional ground coordinates using three antennas. In a set of 70 simulations, the averages of errors in x, y and z directions were approximately -0.40 m, -0.02 m and 4.22 m, respectively and the RMSEs were about 3.40 m, 0.30 m and 6.20 m, respectively. The overall results represent that the proposed algorithm is effective for accurate three dimensional ground positioning.

Effects of Bronchoscopic Nd-YAG Laser Therapy in Tuberclous Tracheobronchial Fibrostenosis (기관 및 기관지결핵에 의한 반흔성 기도협착에 대한 기관지경적 Nd-YAG 레이저 치료의 효과)

  • Park, Jae-Yong;Jung, Tae-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.5
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    • pp.494-503
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    • 1994
  • Background: Fibrostenosis of large airway due to tuberculosis is one of the most perplexing clinical problems not only because it can lead to respiratory failure but also because of difficulty in the management. No one technique, such as balloon dilatation or insertion of self expandable metallic stent, has proved totally satisfactory in the management of fibrostenosis. We evaluated the effect of laser therapy in patient with severe fibrostenosis due to tuberculosis. Method: We classified the fibrostenosis to three types by bronchoscopic finding - the diaphragm type: stenosed by fibrous diaphragm, sparing the tracheobronchial wall, the collapse type: stenosed by collapse of the wall due to destruction of the cartilage, and the combined type: stenosed by nonspecific inflammatory scar tissue within internal lumen with collapse of the wall. We have treated 10 patients complaining dyspnea due to with severe fibrostenosis of the diaphargm or the combined type using a neodymiumyttrium aluminum garnet(Nd-Y AG) laser through a flexible bronchoscopy. Results: Eight of the 10 cases improved after laser therapy and maintained during a follow up period of average 31.9 months. All of the cases undergoing laser therapy showed no serious complication to need the therapy. Conclusion: The results of our present study indicate that the Nd-YAG laser therapy is an effective and safe method for the management of selective tuberculous fibrostenosis.

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Prediction of frontal soft tissue changes after mandibular surgery in facial asymmetry individuals (안면비대칭자의 하악골 악교정수술 후 정면 연조직 변화 예측을 위한 연구)

  • Hwang, Hyeon-Shik;Lee, Jessica J.;Hwang, Chung-Hyon;Choi, Hak-Hee;Lim, Hoi-Jeong
    • The korean journal of orthodontics
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    • v.38 no.4
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    • pp.252-264
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    • 2008
  • Objective: To aid the development of a frontal image simulating program, we evaluated the soft tissue frontal changes in relationship to movement of hard tissue with orthognathic surgery of facial asymmetry patients. Methods: Preoperative and postoperative frontal cephalograms and frontal view photographs of 45 mandibular surgery patients with facial asymmetry were obtained in a standardized manner. Vertical and horizontal changes of hard tissue and soft tissue were measured from cephalograms and photographs, respectively. Soft tissue change in result to hard tissue change was then analyzed. Results: Both vertical and horizontal correlation analysis showed a weak relationship between the changes. Hard tissue points that were picked for 1 : 1 mean ratio with soft tissue points did not show any significant relevance. For each soft tissue change, regressive equation was formulated by stepwise multiple regression analysis, and the equation for soft tissue Menton was most reliable in predicting changes. Both vertical and horizontal hard tissue changes were used together in prediction of vertical or horizontal soft tissue change. Conclusions: The results suggest that computerized image simulation using regression analysis may be of help for prediction of soft tissue change, while 1:1 mean ratio method is not useful.

POSTNATAL DEVELOPMENT OF CGRP-IMMUNOREACTIVE NERVE DISTRIBUTION OF RAT CIRCUMVALLATE PAPILLA (출생후 성장발육에 따른 흰쥐 유곽유두의 CGRP 면역양성 신경분포변화)

  • Lee, Jae-Mun;Kim, Hyun-Jung;Bae, Yong-Chul;Kim, Young-Jin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.2
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    • pp.339-351
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    • 1997
  • The purpose of this study was to investigate the distribution of nerves in the rat circumvallate papilla by each developing stage. The distribution of nerves in the rat circumvallate papilla were investigated by means of immunohistochemistry for detection of calcitonin gene-related peptide(CGRP). The results were as follows : CGRP-immunoreactive(IR) nerve fibers entered the base of the papilla laterally to form a subepithelial plexus. On the 1st postnatal day, the bead-like appearance, typical appearance of CGRP-IR nerve fiber, was seen, but from the 5th postnatal day the bead-like appearance was seen less clearly and nerve fibers looking like a line were often observed. Mature taste buds having taste pores were first seen at the 10th postnatal day and then, increased markedly after this stage. CGRP-IR nerve fibers entering the epithelium were rarely seen on the 5th postnatal day but they increased in number on the 10th postnatal day when mature taste buds having taste pores were firstly observed and then on the 15th postnatal day, they were observed abundantly throughout entire epithelium. But from the 20th postnatal day, the nerve fibers in the lower two-third of the trench wall in which taste buds exist decreased but on the top surface and upper one-third of the trench wall the nerve fibers were observed limitedly.

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Analysis of the flood alleviation effect by the gate control of washland (천변 저류지 수문운영에 따른 홍수저감효과 분석)

  • Park, Jung-Heu;Park, Cheong-Hoon;Ryu, Kwan-Hyung;Kim, Joong-Hoon
    • Proceedings of the Korea Water Resources Association Conference
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    • 2011.05a
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    • pp.31-31
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    • 2011
  • 해마다 반복되는 수해를 대비하여 배수펌프장을 설치하고, 취수보를 철거하는 방법으로 수해예방시스템을 고도화 시키고 있지만, 증가하는 홍수량에 대한 대비책으로는 역부족이다. 따라서, 홍수 피해에 대한 선제적 대응방안으로 강변저류지를 설치하여 상습 침수구역에 대한 대비가 진행되고 있다. 강변저류지 설치를 통해 유역의 홍수량을 분담하고 인접지역의 침수피해를 예방하는 역할을 기대할 수 있다. 국내에서도 영월군의 상습침수구역에 대한 대비책 중 하나로 국토해양부 및 강원도가 함께 영월강변저류지 조성공사를 추진하고 있다. 영월군은 지난 2002년과 2003년에 태풍 '루사'와 '매미'로 인해 심각한 피해를 입었으며, 2006년 집중호우시에도 현재 저류지 예정지역인 방절리 일대와 영월읍 시가지, 북쌍리 등이 대규모로 침수피해를 입은 바 있다. 해당 저류지의 총 넓이는 68만 8천 $m^2$로 물 290만 $m^3$을 가두어 둘 수 있는 규모이다. 하지만, 영월 강변저류지의 저류용량이 290만 $m^3$에 불과해 홍수예방 효과가 미흡하다는 지적이 잇따르고 있다. 따라서, 적절한 수문운영을 통해 홍수저감량과 저류효과를 증대시키는 홍수예방 방안을 제안하고자 한다. 본 연구에서는 유전알고리즘의 적용을 통하여 강변저류지에 설치된 수문의 운영 방법을 개선함으로써 홍수저감량을 최대화하고자 하였다. 수리 수문학적 모형인 HEC-RAS, HEC-I 모형을 연계 운용하여 평창강 유역을 대상으로 수문분석, 홍수유출량 분석, 하류 하천의 홍수영향 분석 결과를 도출하였다. 강변저류지 설치로 인하여 저류지 직하류부를 기준으로 약 $131\;m^3/s$의 첨두홍수량 저감 효과가 발생하는 것으로 검토되었지만, 본 연구에서 제안된 최적화 기법이 적용된 수문운영 방법을 병행하여 운영한다면 추가적으로 $24\;m^3/s$를 저감하는 효과를 얻을 수 있다. 효율적으로 저류지를 운영하여 홍수피해를 사전에 방지하고 나아가 다른 저류지 유역에도 본 연구를 적용하여 홍수피해를 줄이고 합리적으로 용수를 이용하는데 기여할 수 있을 것으로 사료된다.

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Photoelastic stress analysis of the mandibular unilateral free-end removable partial dentures according to the design (하악 편측 유리단 가철성 국소의치의 설계에 따른 광탄성 응력 분석)

  • Park, Cheol-Woo;Kay, Kee-Sung
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.2
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    • pp.206-214
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    • 2009
  • Statement of problem: There are common clinical cases in which the mandibular first and second molars are missing unilaterally. Purpose: This study was designed to compare and evaluate the magnitude and distribution of stress produced by four kinds of mandibular unilateral free-end removable partial dentures that could be applied clinically in Kennedy class II cases. Material and methods: Four unilateral free-end removable partial dentures using clasp, Konus crown, resilient attachment, and flexible resin were fabricated on the photoelastic models of the Kennedy class II cases. The vertical load of 6㎏ was applied on the central fossa of the first molar of every removable partial denture in the stress freezing furnace and the photoelastic models were frozen according to the stress freezing cycle. After these models were sliced mesio-distally to a thickness of 6mm, the photoelastic isochromatic white and black lines of the sliced specimens were examined with the transparent photoelastic experiment device and photographs were taken with a digital camera. The fringe order numbers at eight measuring points in the photograph were measured with the naked eye. Results: The maximum fringe order number of each sliced specimen and the fringe order number at the residual ridge just below the loading point were in the decreasing order of the unilateral removable partial dentures using flexible resin followed by clasp, resilient attachment, and Konus crown. The fringe order number at the root apex of the second premolar was in the decreasing order of the unilateral removable partial dentures using clasp followed by flexible resin, Konus crown, and resilient attachment. Conclusion: The removable partial denture using Konus crown showed the most equalized stress distribution to the supporting alveolar bone of abutment teeth and residual ridge under the vertical loads. The removable partial denture using flexible resin can be applied to the case that has a better state of residual ridge than abutment teeth.

Comparison of the Mid-term Changes at the Remnant Distal Aorta after Aortic Arch Replacement or Ascending Aortic Replacement for Treating Type A Aortic Dissection (A형 급성대동맥박리증에서 대동맥궁치환술과 상행대동맥치환술 후 잔존 원위부 대동맥의 변화에 대한 중기 관찰 비교)

  • Cho, Kwang-Jo;Woo, Jong-Su;Bang, Jung-Hee;Choi, Pill-Jo
    • Journal of Chest Surgery
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    • v.40 no.6 s.275
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    • pp.414-419
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    • 2007
  • Background: Replacing the ascending aorta is a standard surgical option for treating acute type A aortic dissection. But replacing the aortic arch has recently been reported as an acceptable procedure for this disease. We compared the effects of aortic arch replacement for treating acute type A aortic dissection with the effects of ascending aortic replacement. Material and Method: From 2002 to 2006, 25 patients undewent surgical treatment for acute type A aortic dissection, 12 patients undewent ascending aortic replacement and 13 patients underwent aortic arch replacement. Among the aortic arch group, an additional distal stent-graft was inserted during the operation in 5 patients. 19 patients (11 arch replaced patients and 8 ascending aortic replaced patients) were followed up at the out patient clinic for an average of $756{\pm}373$ days. All the patients undewent CT scanning and we analyzed their distal aortic segments. Result: 4 patients who underwent ascending aortic replacement died, so the overall mortality rate was 16%. Among the 11 long term followed-up arch replacement patients, 2 patients (18.1 %) developed distal aortic dilatation and one of them underwent thoracoabdominal aortic replacement later on. However, among the 8 the ascending aortic replaced patients, 5 patients (62.5%) developed distal aortic dilatation. Conclusion: Aortic arch replacement is one of the safe options for treating acute type A aortic dissection. Aortic arch replacement for treating acute type A aortic dissection could contribute to a reduced distal aortic dilatation rate and fewer secondary aortic procedures.

Comparison of the effect of removing artificial dental plaque depending on various interdental cleaning products on the interdental surface of zirconia crowns (치간 세정 용품에 따른 지르코니아 크라운 인접면의 인공 치면 세균막 제거 효과)

  • Kim, Hyun-Wook;Song, Ha-Kyung;Park, Eun-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.3
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    • pp.291-298
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    • 2021
  • Purpose. The purpose of this study is to compare five interdental cleansing products' effectiveness on removing artificial dental plaque on the interdental space of zirconia crowns. Materials and methods. A model with abutments on the right mandibular second premolar and first molar were prepared. 10 zirconia crowns for each abutment were fabricated. After applying artificial dental plaque between the zirconia crowns, a single clinician attempted to remove the plaque with five products: interdental toothbrush, end-tuft toothbrush, dental floss, Easypick, Water pik. They were conducted 10 times per group. The aspect and area of removed surfaces were analyzed using images taken with a digital camera. One factor analysis of variance was performed as a statistical analysis, and a post-hoc test was performed using the Scheffé method (P < .05). Results. There were differences in the area and the pattern according to the characteristics of the products. The largest area, including the marginal portion, was removed in the dental floss group. Interdental toothbrush group was the most effective in removing the dental plaque at the marginal portion. Easypick was less effective than the interdental toothbrush. The end-tuft toothbrush showed better results than other products in cleansing mesiobuccal and distobuccal area, but could not cleanse the area directly below the contact point. In Water pik group, artificial dental plaque was scarcely removed. The removal rate of artificial dental plaque was in the order of floss (69.47%), end-tuft toothbrush (49.36%), interdental toothbrush (44.20%), Easy pick (13.04%), and Water pik (0.59%). Conclusion. Dental floss showed the highest removal rate in the interdental space restored with zirconia crowns, while interdental toothbrush was the most effective in removing the dental plaque at the marginal portion.