• Journal of Periodontal and Implant Science
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• v.52 no.6
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• pp.466-478
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• 2022

Purpose: Coronally advanced split-or full-thickness (CAST or CAFT) flaps in combination with subepithelial connective tissue grafts (SCTGs) are commonly used in root-coverage procedures despite postoperative pain and bleeding from the graft donor site. Therefore, the modified vestibular incision subperiosteal tunnel access procedure (VISTAX) uses a novel collagen matrix (VCMX) instead of autogenous tissue to address the limitations associated with autogenous tissue grafting. This retrospective study compared the clinical outcomes of VISTAX to the results obtained after using a CAST or CAFT flap in combination with SCTG for root coverage. Methods: Patients with single or multiple adjacent recession I/II defects were included, with 10 subjects each in the VISTAX, CAFT, and CAST groups. Defect coverage, keratinized tissue width, esthetic scores, and patients' perceived pain and dentinal hypersensitivity (visual analogue scale [VAS]) were assessed at baseline, 3 months, and 6 months. Results: All surgical techniques significantly reduced gingival recession (P<0.0001). Defect coverage, esthetic appearance, and the reduction in dentinal hypersensitivity were comparable. However, the VAS scores for pain were significantly lower in the VISTAX group than in the CAFT and CAST groups, which had similar scores (P<0.05). Furthermore, the clinical results of VISTAX and CAFT/CAST generally remained stable at 6 months. Conclusions: The clinical outcomes of VISTAX, CAFT, and CAST were comparable. However, patients perceived significantly less pain after VISTAX, indicating a potentially higher patient acceptance of the procedure. A prospective trial with a longer follow-up period and a larger sample size should therefore evaluate VISTAX further.

• Nuclear Engineering and Technology
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• v.51 no.7
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• pp.1749-1757
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• 2019

Predicting lower flammability limits (LFL) of hydrogen has become an ever-important task for safety of nuclear industry. While numerous experimental studies have been conducted, LFL results applicable for the harsh environment are still lack of information. Our aim is to develop a calculated non-adiabatic flame temperature (CNAFT) model to better predict LFL of hydrogen mixtures in nuclear power plant. The developed model is unique for incorporating radiative heat loss during flame propagation using the CNAFT coefficient derived through previous studies of flame propagation. Our new model is more consistent with the experimental results for various mixtures compared to the previous model, which relied on calculated adiabatic flame temperature (CAFT) to predict the LFL without any consideration of heat loss. Limitation of the previous model could be explained clearly based on the CNAFT coefficient magnitude. The prediction accuracy for hydrogen mixtures at elevated initial temperatures and high helium content was improved substantially. The model reliability was confirmed for $H_2-air$ mixtures up to $300^{\circ}C$ and $H_2-air-He$ mixtures up to 50 vol % helium concentration. Therefore, the CNAFT model developed based on radiation heat loss is expected as the practical method for predicting LFL in hydrogen risk analysis.