• The Journal of Korean Academy of Prosthodontics
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• v.48 no.1
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• pp.41-47
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• 2010

Purpose: The purpose of this study was to compare the functional abilities of the low bulb obturators with those of high bulb obturators in terms of patients' evaluation. Material and methods: This study included 11 maxillectomy patients who underwent postoperative prosthodontic rehabilitations. Two obturators of the same design except for different bulb heights, were fabricated for each of the maxillectomy patient. After two months of alternate use, the functions of the obturators were measured by investigating the patients' subjective evaluations in terms of convenience, speech, nasality, leakage, and mastication and identifying their preferred prostheses. Wilcoxon signed rank test was used as a statistical method (P < .05). Results: There were no significant differences in patient evaluations of low and high bulb obturators (P >.05). And patients' preferences varied. Conclusion: In extreme situation such as in mouth opening limitation, the use of low bulb obturators can be recommended and result in comparable speech function to that of obturators with high lateral walls.

• Proceedings of the Korea Institute of Fire Science and Engineering Conference
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• 2010.04a
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• pp.333-339
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• 2010

본 연구는 제연구역 출입문의 자동폐쇄장치를 개발하기 위한 기초 연구로서, 자동폐쇄장치의 프로세스와 자동폐쇄조절장치의 기구학적 메커니즘 정립 및 기구 모델링을 바탕으로 자동폐쇄장치의 해석이론을 정립하였고, 해석이론을 바탕으로 한 운동해석 시뮬레이션을 통해 폐쇄력 장치를 선정하고 자동폐쇄조절장치의 각 요소를 개발할 수 있는 엔지니어링 데이터 구축과 원천기술을 확립하였다. 자동폐쇄장치의 개발에 유연성과 탄력성을 줄 수 있고, 자동폐쇄장치의 개발로 인해 연기의 제어수단과 기술적 대책마련과 제연시스템의 높은 신뢰성과 안정성을 확보할 수 있을 것으로 본다.

• Fire Science and Engineering
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• v.24 no.3
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• pp.106-112
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• 2010

This study carried out the motion analysis of auto closing systems as basis study for development of auto closing systems for door in smoke control zone. This study established process of auto closing systems and analysis theory based on kinematics mechanism thesis and mechanism modelling of auto closing control units. And this study established engineering data construction and a source technology that can design each element of auto closing control units that choose closing force units through motion analysis simulation based on analysis theory. Therefore, it can give flexibility and elasticity of auto closing units development from this study. Also, it sees that can ready control means and technological countermeasure of smoke by development of auto closing units and secure high reliancity and stability of smoke control systems.

• Journal of Dental Rehabilitation and Applied Science
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• v.34 no.4
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• pp.331-337
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• 2018

Prosthetic rehabilitation of an edentulous patient who has a maxillary defect is difficult to achieve for many clinicians. The maxillary defect causes leakage of air during pronunciation and compromises denture stability, support and retention by reducing denture-bearing area and breaking peripheral seal. In these patients, the sizes and shapes of defects are very important factors which attribute to prognosis of maxillary obturators. This case report shows the prosthetic rehabilitation of the patient who had maxillectomy on the right maxillary sinus because of squamous cell carcinoma. The patient had a stepwise treatment protocol which started with pre-operative dental examination and followed by surgical, interim and definitive obturation phase. In this case, an acceptable level of retention could be obtained due to well-defined static defects and the preserved premaxillae and the patient was satisfied with the result of the treatment in the aspect of function and esthetics.

• The Journal of Korean Academy of Prosthodontics
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• v.55 no.1
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• pp.88-93
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• 2017

Most patients with acquired maxillary surgical defects have difficulties such as functional impairments of mastication, speech, and deglutition as well as various degrees of facial deformity. The purpose of a prosthetic approach is to restore function and appearance with an obturator as normal as possible. This goal can be achieved when there is thoughful preoperative communication between a prosthodontist and a surgeon regarding a rehabilitation. In this case report, prosthetic rehabilitation was planned before the surgery for the patient diagnosed with squamous cell carcinoma in the right maxillary sinus with careful oral examination. Four months after maxillectomy, a definitive obturator was fabricated following the surgical and interim obturation phase. The objective of this case report is to describe the satisfactory results of the patient with improved rehabilitation of mastication, speech, deglutition, and appearance.

• The Journal of Korean Academy of Prosthodontics
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• v.51 no.4
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• pp.353-360
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• 2013

Cleft lip and palate is congenital deformity in oral and maxillofacial area. Normal soft palate has velopharyngeal closure action by connecting oral cavity and nasal cavity at rest and moving upward at swallowing and specific pronunciation. Cleft palate patients with velopharyngeal insufficiency have difficulty in mastication, swallowing and pronunciation because velopharyngeal closure is incomplete. At this time, a prosthetic device used to cover palate defects is called a palatal obturator. A palatal obturator separates oral cavity and nasal cavity and recovers pronunciation, mastication, swallowing and esthetic function. The purpose of this case study is to report the results because it reaches a satisfactory result in functional and esthetic aspects through functional impression procedures using modeling compound and tissue conditioner for restoration of a cleft palate patient with velopharyngeal insufficiency.

• The Journal of Korean Academy of Prosthodontics
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• v.49 no.3
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• pp.222-228
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• 2011

Purpose: The purposes of this study were to evaluate the stress distributions and the displacements of obturator for edentulous maxillectomy patients and to compare them with those of complete denture using three-dimensional finite element analysis. Materials and methods: Based on the CT image of edentulous patient, three-dimensional finite element model of edentulous maxillae was constructed. Three-dimensional finite element model of edentulous maxillae with palatal defect was also fabricated. On each model, complete denture and obturator prosthesis were created. Vertical static force of 200 N was applied on the left maxillary premolar and molar region. The von Mises stress values and the displacements of models were analyzed using three-dimensional finite element analysis. Results: Maximum von Mises stress values were recorded in the cortical bones of both models. The von Mises stress value in the complete denture model was 2.73 MPa and 2.69 MPa in the obturator model. High von Mises stress values were also observed on the tissue surface of prosthesis. The maximum value of the displacement in the obturator was higher than that of complete denture. Conclusion: The obturator showed a worse result in terms of stress distribution and displacement than complete denture. In the prosthodontic rehabilitation of edentulous maxillectomy patient accurate impression procedure based on patients'anatomy and application of prosthodontic principle should be considered.

• The Journal of Korean Academy of Prosthodontics
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• v.54 no.2
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• pp.167-171
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• 2016

Patients undergone partial maxillectomy experience post-operative masticatory, phonetic, and swallowing difficulties. They also encounter social and psychological challenges due to changes in their facial appearances. Thus, functional and esthetic recovery through maxillofacial prosthesis becomes significant for these patients. The objective of an appropriate obturator is to restore palate and improve phonetic and swallowing ability by separating the oral cavity, nasal cavity, maxillary sinus, and nasopharynx. In this case report, an obturator was fabricated for a patient who had partial resection from the maxillary posterior region to the pharynx due to squamous cell carcinoma. The purpose of this case study is to describe the results because the patient was successfully improved both functionally and esthetically.

• Journal of Dental Rehabilitation and Applied Science
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• v.32 no.4
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• pp.351-357
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• 2016

Rehabilitation of maxillectomy patients is challenging. The maxillary defects need to functional restoration because of mastication, speech, swallowing problems. The goal of making obturator is to restore maxillary defects and give patients comfortable, esthetic prosthesis. This case report presents acquired masticatory and esthetic results and improved retention resulting from the pharyngeal obturator prosthesis using implant.

• Proceedings of the Korea Institute of Fire Science and Engineering Conference
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• 2010.10a
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• pp.12-16
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• 2010

본 연구에서는 건설현장의 특별 피난계단 출입문 크기와 구조의 다양성을 고려한 자동폐쇄장치의 설계방안을 제시하였다. 이를 위해서 급기가압실의 방연풍속, 누설량 그리고 송풍기의 용량이 일정한 경우 출입문이 폐쇄되기 위한 힘의 상관관계를 회전각도와 회전속도의 변화에 따라서 분석하였으며, 방화문의 폭이 1,100 mm, 1,300 mm 인 경우 각각에 대해서 개방력과 폐쇄력을 측정하였다. 그 결과 현장 조건을 만족할 수 있는 자동폐쇄장치에 의한 방화문의 폐쇄조건 및 회전각도와 회전속도의 변화를 고려한 개방력과 폐쇄력의 최적 설계범위가 존재함을 확인하였다.