• 제목/요약/키워드: Arch support

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A root submergence technique for pontic site development in fixed dental prostheses in the maxillary anterior esthetic zone

  • Choi, Sunyoung;Yeo, In-Sung;Kim, Sung-Hun;Lee, Jai-Bong;Cheong, Chan Wook;Han, Jung-Suk
    • Journal of Periodontal and Implant Science
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    • v.45 no.4
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    • pp.152-155
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    • 2015
  • Purpose: This case report discusses the effect of a root submergence technique on preserving the periodontal tissue at the pontic site of fixed dental prostheses in the maxillary anterior aesthetic zone. Methods: Teeth with less than ideal structural support for fixed retainer abutments were decoronated at the crestal bone level. After soft tissue closure, the final fixed dental prostheses were placed with the pontics over the submerged root area. Radiographic and clinical observations at the pontic sites were documented. Results: The submerged roots at the pontic sites preserved the surrounding periodontium without any periapical pathology. The gingival contour at the pontic site was maintained in harmony with those of the adjacent teeth, as well as the overall form of the arch. Conclusions: The results of this clinical report indicate that a root submergence technique can be successfully applied in pontic site development with fixed dental prostheses, especially in the maxillary anterior esthetic zone.

User Needs of Women with Pes Planus in Their 50s and 60s for Compression Pants Development (50~60대 평발 여성의 컴프레션 팬츠 개발을 위한 착용자 필요 조사)

  • Lee, Sojung;Kim, Dong-Eun
    • Journal of the Korean Society of Clothing and Textiles
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    • v.41 no.3
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    • pp.420-432
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    • 2017
  • This study examined user needs for compression pant development for women with pes planus in their 50s and 60s. A total of 355 women aged 50 to 69 participated in the survey and interview. Questions were asked if they had pes planus, the using condition of foot orthotic, inconveniences during gait, and wearing condition of compression pants. The results showed that 42 (11.8%) women had pes planus. Orthotic insole and arch support were used most frequently. The most uncomfortable aspect of foot orthotic (n=146) was that it was difficult to use unless they were going outside. Participants with pes planus responded that they felt discomfort on the inner area of propodium, metatarsus, ankle, and knee during gait. The purchase and wearing rate of compression pants were not high; however, compression pants were purchased with specific needs and purposes. Respondents mainly wore the compression pants for sports activities. M size was the most frequently worn size. They preferred high waist type leggings and there was a need to increase the compression strength of the waist, thigh, knee and ankle. Additionally, the ease of donning and doffing were discussed.

Development of a Temporary Pole Supporting System to Protect the Plastic Greenhouses from Heavy Snow Damage (플라스틱 온실의 폭설피해 방지를 위한 가지주 장치 개발)

  • Nam, Sang-Woon
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.44 no.4
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    • pp.107-113
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    • 2002
  • The pipe framed and arch shape plastic greenhouse, which is the most popular greenhouse in Korea, is relatively weak in snowdrift. Reinforcement of rigid frame or column is required to reduce the damage from heavy snow in this type. But additional rigid frames or columns decrease light transmissivity or workability, and increase construction cost. So it is desirable to prepare some temporary poles and to install them when the warning of heavy snow is announced. This study was carried out to develop the temporary pole supporting system using galvanized steel pipes for plastic housing and to evaluate the safe snow load on a temporary pole. A pipe connector, which is inserted in the top of pipe used in the temporary pole and supports the center purline, was designed and manufactured to be able to carry the upper loads safely. And a bearing plate was safely designed and manufactured in order to carry the loads acting on it to the ground. When temporary poles of ${\phi}$ 25 pipe are installed at 2.4m interval, it shows that the single span plastic greenhouses with 5~7 m width are able to support the additional snow depth of 13.9~25.3 cm beyond the snow load supported by main frame.

TREATMENT OF PERMANENT FIRST MOLAR BY MODIFIED HALTERMAN APPLIANCE (Modified Halterman Appliance를 이용한 제 1대구치 이소맹출의 치험례)

  • Kim, Young-Jae;Kim, Chong-Chul;Shon, Dong-Soo
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.4
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    • pp.771-775
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    • 1997
  • Ectopic eruption is defined as abnormal eruption and results in malpositioned teeth and abnormal root resorption of adjacent teeth. Ectopic eruption, first reported by Chapman, occurs in 3% of the population and that mostly in the maxilla. Etiologic factors include narrow maxilla, large maxillary teeth, retarded calcification of the first molar, inclined eruption path of the first molar and retruded position of the maxilla. Impaction of the second molar is rare and occurs mostly in the mandible. Major causes are large teeth and insufficient arch length. Halterman has devised a method of distalizing a ectopically erupting first molar by cementing a band on the second deciduous molar with a hook soldered and a button bonded to the occlusal surface of the first permanent molar. Ectopically erupted posterior teeth should be treated early to maintain normal development of the dentition, harmony of facial growth and occlusal support, a failure to do so could result in severe malocclusion, periodontal damage and continued root resorption of the adjacent teeth. Early detection and treatment is thus vital. The author is submitting this report as he has obtained favorable results in treating a patient who came to the SNUDH Dept. of Pediatric Dentistry complaining of the first molar by using a modified Halterman appliance.

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4 cases of laryngotracheal stenosis treated with end-to-end anastomosis (단단문합술로 치료한 후두기관 협착 4례)

  • Tae, Kyung;Hong, Dong-Kyun;Lee, Hyung-Seok;Park, Chul-Won
    • Korean Journal of Bronchoesophagology
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    • v.7 no.1
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    • pp.40-45
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    • 2001
  • Management of laryngotracheal stenosis remains one of the most challenging problems facing the otolaryngologist. The key to success is to obtain adequate rigid circular support with normal mucosal lining. Four Patients with laryngotracheal stenosis were surgically treated in our institution in 2000. All the patients were male adults. The cause of stenosis were longterm or repeated endotracheal intubation and tracheostomy in our patients. All patients were successfully decannulated following segmental resection of the stenotic portion including the anterior arch of the cricoid cartilage and end-to-end anastomosis after suprahyoid laryngeal release. The time between treatment and decannulation was just one day in three patients. These results suggest the Possibility of early decannulation even if the cricoid cartilage was partially resected. It is better to prevent laryngotracheal stenosis rather than to treat it once it has occurred.

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TOOTH MOVEMENTS TO THE SITE OF ALVEOLAR BONE GRAFT (구순구개열 환아에서의 치조골이식)

  • Cho, Hae-Sung;Park, Jae-Hong;Kim, Gwang-Chul;Choi, Seong-Chul;Lee, Keung-Ho;Choi, Yeung-Chul
    • Journal of the korean academy of Pediatric Dentistry
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    • v.34 no.1
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    • pp.140-149
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    • 2007
  • Cleft lip and palate are congenital craniofacial malformation. Reconstruction of dental arch in patient with alveolo-palatal clefts is very important, because they have many problems in functions and esthetics. Malnutrition, poor oral hygiene, respiratory infections, speech malfunctions, maxillofacial deformity, and psychological problems may be occured without proper treatment during the long period of management of the cleft lip and palate. So the treatment should be managed with a multidisciplinary approach. Bone grafting is a consequential step in the dental rehabilitation of the cleft lip and palate patient A complete alveolar arch should be achieyed of the teeth to erupt in and to form a stable dentition. And the presence of the cleft complicate the orthodontic treatment. Therefore bone grafting in patients with cleft lip and palate is a widely adopted surgical procedure. Grafted bone stabilizes the alveolar process and allows the canine or incisor to move into the graft site. After the bone grafting, orthodontic closure of the maxillary arch has become a common practice for achieving dental reconstruction without any prosthodontic treatment. Various grafting materials have been used in alveolar clefts. Iliac bone is most widely fovoured, but tibia, rib, cranial bone, mandible have also been used. And according to its time of occurrence, the bone graft may be divided into primary, early secondary, secondary, late secondary. Bone grafting is called secondary when performed later, at the end of the mixed dentition. It is the most accepted procedure and has become part of treatment of protocol A secondary bone graft is performed preferably before the eruption of the permanent canine in order to provide adequate periodontal support for the eruption and preservation of the teeth adjacent to the cleft. In this report, we report here on a patient with unilateral cleft lip and palate, who underwent iliac bone graft. The cleft was fully obliterated by grafted bone in the region of the alveolar process. The presence of bone permitted physiologic tooth movement and the orthodontic movement of adjacent tooth into the former cleft area. Satisfactory arch alignment could be achieved in by subsequent orthodontic treatment.

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Evaluation of the Structural Performance of Tetragonal Lattice Girders (사각 격자지보의 구조 성능 평가)

  • Kim, Seung-Jun;Han, Keum-Ho;Won, Deok-Hee;Baek, Jung-Sik;Kang, Young-Jong
    • Journal of Korean Society of Steel Construction
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    • v.24 no.3
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    • pp.267-278
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    • 2012
  • In general, the H-shaped steel ribs or triangular lattice girders have been mostly used in constructing tunnels through the NATM construction method. The H-shaped steel rib has higher flexural and axial strength than the triangular lattice girder, but many unexpected gaps can occur in the concrete lining system after shotcreting if the H-shaped steel rib is used as the support system. To achieve better shotcreting quality, the triangular lattice girder was developed. However, in general, the triangle lattice girder has low flexural and axial strength. Likewise, the triangular lattice girder, which has circular sectional members, has so many fractures from welded points at the joints between the members. Finally, the new type of tetragonal lattice girder was developed to overcome those problems. In this study, the structural performance of the tetragonal lattice girders was evaluated through analytical and experimental studies. In the analytical studies, the four-point bending analysis, the traditional evaluation method to determine the flexural strength of the lattice girder, was performed. Moreover, the linear-elastic analysis and stability analysis of the arch structure made by the lattice girders were performed to measure structural performance. Experiments were likewise performed to compare the structural performances of the tetragonal girder with traditional triangular lattice girders.

Construction Claims Prediction and Decision Awareness Framework using Artificial Neural Networks and Backward Optimization

  • Hosny, Ossama A.;Elbarkouky, Mohamed M.G.;Elhakeem, Ahmed
    • Journal of Construction Engineering and Project Management
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    • v.5 no.1
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    • pp.11-19
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    • 2015
  • This paper presents optimized artificial neural networks (ANNs) claims prediction and decision awareness framework that guides owner organizations in their pre-bid construction project decisions to minimize claims. The framework is composed of two genetic optimization ANNs models: a Claims Impact Prediction Model (CIPM), and a Decision Awareness Model (DAM). The CIPM is composed of three separate ANNs that predict the cost and time impacts of the possible claims that may arise in a project. The models also predict the expected types of relationship between the owner and the contractor based on their behavioral and technical decisions during the bidding phase of the project. The framework is implemented using actual data from international projects in the Middle East and Egypt (projects owned by either public or private local organizations who hired international prime contractors to deliver the projects). Literature review, interviews with pertinent experts in the Middle East, and lessons learned from several international construction projects in Egypt determined the input decision variables of the CIPM. The ANNs training, which has been implemented in a spreadsheet environment, was optimized using genetic algorithm (GA). Different weights were assigned as variables to the different layers of each ANN and the total square error was used as the objective function to be minimized. Data was collected from thirty-two international construction projects in order to train and test the ANNs of the CIPM, which predicted cost overruns, schedule delays, and relationships between contracting parties. A genetic optimization backward analysis technique was then applied to develop the Decision Awareness Model (DAM). The DAM combined the three artificial neural networks of the CIPM to assist project owners in setting optimum values for their behavioral and technical decision variables. It implements an intelligent user-friendly input interface which helps project owners in visualizing the impact of their decisions on the project's total cost, original duration, and expected owner-contractor relationship. The framework presents a unique and transparent hybrid genetic algorithm-ANNs training and testing method. It has been implemented in a spreadsheet environment using MS Excel$^{(R)}$ and EVOLVERTM V.5.5. It provides projects' owners of a decision-support tool that raises their awareness regarding their pre-bid decisions for a construction project.

Use of digital scan data for evaluation of edentulous ridge relationship: A case report for removable prosthesis with unilateral cross bite (디지털 스캔 데이터를 활용한 무치악 치조제 관계의 평가와 인공치 선택: 편측 교차교합의 가철성 의치 수복 증례)

  • Kim, Jeong-Hoon;Kim, Jong-Eun;Park, Young-Bum;Lee, Keun-Woo
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.304-311
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    • 2019
  • After the teeth were extracted, maxillary and mandibular alveolar ridges show the opposite resorption pattern and as a result, the mandibular arch is enlarged than maxillary arch relatively. In this situation, we should evaluate both alveolar ridge relationship and arrange the artificial teeth properly for stability of removable prosthesis. This case is a 77 years old male patient who wishes to make removable prosthesis and has atrophic alveolar ridge. By use of model scanner and CAD software, the angle between interalveolar crest line and occlusal plane was easily measured. Depending on the measurement, the artificial teeth are arranged in unilateral cross bite and after completion, patient was satisfied with the denture which showed proper stability, retention, support.

Complete denture rehabilitation of edentulous patient using mandibular suction denture: a clinical report (완전 무치악 환자에서 하악 흡착 의치를 통한 총의치 수복 증례)

  • Lim, Seo-Ryeon;Seo, Yoon-Hee;Kim, Hyun-Young;Song, Young-Gyun;Lee, Joon-Seok
    • The Journal of Korean Academy of Prosthodontics
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    • v.52 no.4
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    • pp.346-351
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    • 2014
  • Suction dentures enhance retention and support by forming negative pressure temporarily at the internal surface of denture base at times of swallowing and chewing because the areas surrounding the denture flanges are sealed by mobile mucosa. In this case, an 81-year-old male visited for new dentures. Considering the high expectations for retention and masticatory efficiency of dentures, fabricating complete dentures with suction dentures was planned. Preliminary impression was taken without applying pressure on retromolar pad area and diagnostic cast was fabricated. Afterwards, individual tray was made and final impression was taken, at the same time, gothic arch tracing was done to acquire centric relation and vertical dimension. Then, anatomic teeth were placed on maxilla and non-anatomic teeth were placed on mandible forming lingualized occlusion. Consequently, restoring a complete edentulous patient with complete dentures using mandibular suction denture resulted in recovering satisfying retention and function.