• Title/Summary/Keyword: CREST

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ESTHETIC RECONSTRUCTION OF ILIAC CREST DONOR DEFECT WITH TWO TITANIUM PLATES AFTER HARVESTING A DCIA COMPOSITE FREE FLAP (장골의 복합유리피판 이식 후 두 개의 타이타늄 금속판을 이용한 공여부의 심미적 재건)

  • Kim, Soung-Min;In, Yeon-Soo;Kim, Ji-Hyuck;Park, Young-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.6
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    • pp.586-589
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    • 2006
  • Deep circumflex iliac artery (DCIA) flap can be harvested as a composite free flap and is often used to adequately reconstruct wide mandibular defects. However, the harvesting of this DCIA flap can result in severe osseous defect of the donor site causing a morphologic defect in the iliac crest. To reconstruct this defect of the iliac donor site, several innovative techniques using bioactive ceramic spacers, autogenous rib bone, polylactic acid mesh, or titanium plates have been introduced. Nonetheless, these methods have not been widely used due to high cost, secondary donor site morbidity, difficulty of use, and postoperative dissatisfaction. We used two titanium plates to reconstruct the donor iliac site defect at the harvesting time of primary DCIA flap surgery in the 30-year old female with an ameloblastoma in the left mandible. Postoperatively, both iliac sites were relatively balanced and there were few complications. At the 2 years follow-up, there were no specific abnormal radiographic findings and the patient was very satisfied with her esthetic iliac contouring. In our report, we evaluate the effect of two titanium plates on the reconstruction of the iliac donor site in the aspects of esthetics and usefulness. This technique has many advantages, such as reduced cost, simplicity, decreased postoperative pain or discomfort, and improved bilateral balance of both anterior iliac crest contours, especially in young female patients.

Location of maxillary intraosseous vascular anastomosis based on the tooth position and height of the residual alveolar bone: computed tomographic analysis

  • Yang, Seung-Min;Kye, Seung-Beom
    • Journal of Periodontal and Implant Science
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    • v.44 no.2
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    • pp.50-56
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    • 2014
  • Purpose: The aims of this study were to measure the distance of the intraosseous vascular anastomosis in the anterolateral wall of the maxillary sinus from different reference points, and to correlate the location of the intraosseous vascular anastomosis with the tooth position and the residual bone height of the maxilla. Methods: Computed tomography (CT) images were taken from 283 patients undergoing dental implants placement in the posterior maxilla. Three horizontal lines were drawn at the ridge crest, maxillary sinus floor, and the position of the anastomosis. A vertical second line at the center of each tooth was drawn perpendicular to the horizontal lines. The distance from the ridge crest to the maxillary sinus floor and the distance from the maxillary sinus floor to the bony canal were measured from the intersections of the horizontal and vertical lines. The residual alveolar bone height was used to categorize three groups: group 1,<4 mm; group 2, between 4 and 8 mm; and group 3, >8 mm. Results: The residual bone height values of different tooth positions were significantly different (P=0.0002). The distance from the maxillary sinus floor to the intraosseous vascular anastomosis was significantly different between groups 1 and 3 (P=0.0039). At the molar sites, a moderate negative correlation was found between the residual bone height and the distance from the maxillary sinus floor to the intraosseous anastomosis. The distances of the alveolar ridge crest and the maxillary sinus from the intraosseous vascular anastomosis were not significantly different between sexes. Conclusions: Within the limitations of this study, sites with a higher residual bone height in the molar regions were at a relatively high risk of artery damage during window osteotomy preparation; therefore, we recommend taking more precautions when using a lateral approach for sinus elevation.

A THREE DIMENSIONAL FINITE ELEMENT STRESS ANALYSIS ON THE FORCE DISTRIBUTION BY DISTAL EXTENSION PARTIAL DENTURES EMPLOYING ATTACHMENTS (Attachment를 이용한 후방연장 국소의치에 의한 압력분산에 관한 3차원 유한요소분석)

  • Shin, Sang-Wan;Ahn, Won-Jun;Jung, Yeon-Jin;Lee, Young-Soo;Shim, Kwang-Sup;Yoo, Kwang-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.36 no.6
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    • pp.878-887
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    • 1998
  • Although attachments have been utilized for a retainer of removable prostheses during several decades, there is little information on the force distribution by the attachments. This study was undertaken to evaluate the stress patterns developed by partial dentures employing rigid attachments on the supporting structures. Four types of the mandibular removable partial dentures were designed depending upon the position of the rigid attachment and the existency of lingual bracing. Under 100N of vertical and 25N of lateral loads on the 1st and 2nd lower molar of partial denture, stress distribution patterns and displacement were analysed with three dimensional finite element method by ANSYS version 5.3. 1. The highest stresses were concentrated on the distal alveolar crest of posterior abutment and the second stresses on the apical region of posterior abutment in the models. 2. The greatest displacement were shown on the distal alveolar crest of posterior abutment and the second displacement on the distal alveolar crest of anterior abutment in the models. 3. There was little difference between the models with intraoral attachment and those with extracoronal attachment. 4. There was little difference between the models with and without the lingual bracing.

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THE USEFULNESS OF IMMEDIATE IMPLANTATION USING $BIO-OSS^{(R)}$ AND $BIO-GIDE^{(R)}$. IN $ITI^{(R)}$. IMPLANT SYSTEM ($ITI^{(R)}$ implant system에 있어서 $Bio-Oss^{(R)}$$Bio-Gide^{(R)}$를 이용한 발치 후 즉시 임플란트의 유용성)

  • Park, Kwan-Soo;Yoon, Kyu-Ho;Cheong, Jeong-Kwon;Shin, Jae-Myung;Hong, Sung-Chul;Jeon, In-Seong
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.1
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    • pp.58-67
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    • 2006
  • In the recent studies, many authors have reported that the success rate of immediate implantation has no difference compared to conventional staged implantation. Although the immediate implantation has many advantages over conventional approach, many clinicians don't seem to practice because they think that most of the extraction sockets will have some bony gab with defects around implant and that this situation makes the result of immediate implantation unpredictable. We clinically analyzed 23 implanted sites of 18 patients treated with immediate implantation in our hospital from September 2003 to January 2004. The $ITI^{(R)}$. dental implant system was used and GBR procedure with $Bio-Oss^{(R)}$. and $Bio-Gide^{(R)}$. was done simultaneously. The pre & post-op. measurements were recorded such as alveolar crest-adjacent tooth CEJ distance, gingival crest-adjacent tooth CEJ distance, existence of periapical lesion, vertical defect around the extraction socket, horizontal defect around the extraction socket, probing depth, radiologic change of alveolar crest height. We report a positive outcome about immediate implantation with review of literatures.

Adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model

  • Le, My Huy Thuc;Lau, Seng Fong;Ibrahim, Norliza;Hayaty, Abu Kasim Noor;Radzi, Zamri Bin
    • The korean journal of orthodontics
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    • v.48 no.2
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    • pp.98-106
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    • 2018
  • Objective: This study aimed to explore the usefulness of adjunctive buccal and palatal corticotomy for adult maxillary expansion in an animal model using cone-beam computed tomography (CBCT). Methods: Twelve adult sheep were randomly divided into two groups (each n = 6): a control group, where no treatment was administered, and a treatment group, where buccal and palatal corticotomy-assisted maxillary expansion was performed. CBCT scans were taken before (T1) and after (T2) treatment. Differences in all transverse dental and alveolar dimensions, alveolar width at crest level, hard palate level, horizontal bone loss, interdental cusp width and inter-root apex were assessed using Wilcoxon signed-rank and Mann-Whitney U-tests. Kruskal-Wallis tests and pairwise comparisons were used to detect the significance of differences among the inter-premolar and inter-molar widths. Results: CBCT data revealed significant changes in all transverse dental and alveolar dimensions. The mean interpremolar alveolar width showed an increase of 2.29 to 3.62 mm at the hard palate level, 3.89 to 4.38 mm at the alveolar crest level, and 9.17 to 10.42 mm at the buccal cusp level. Dental changes in the vertical dimension were not significant. Conclusions: Our findings based on an adult animal model suggest that adjunctive buccal and palatal corticotomy can allow for both skeletal and dental expansion, with the amount of dental expansion exceeding that of skeletal expansion at alveolar crest and hard palate levels by two and three folds, respectively. Therefore, this treatment modality is potential to enhance the outcomes of maxillary expansion in adults.

A Novel CFR Algorithm using Histogram-based Code Domain Compensation Process for WCDMA Basestation (히스토그램 기반 코드 영역 보상 기법을 적용한 W-CDMA 기지국용 CFR 알고리즘)

  • Chang, Hyung-Min;Lee, Won-Cheol
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.32 no.12C
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    • pp.1175-1187
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    • 2007
  • This paper proposes a novel crest factor reduction (CFR) algorithm to be deployed on WCDMA basestation. Generally speaking, it is well described that the reduction of peak-to-average ratio (PAR) yields the possibility of using low cost power amplifier such that the basesation becomes economic However, the simple reduction of PAR could degrade the signal quality measured by either peak code domain error (PCDE) or error vector measurement (EVM), and the level of channel interference constrained by adjacent channel leakage ratio (ACLR). Regarding these imperfections, this paper introduces an effective CFR algorithm in which the function of filter-dependent CFR (FDCFR) incorporated with the histogram-based waterfilling code domain compensation (HBWCDC) carries out. To verify the performance of the proposed CFR technique, substantial simulations including comparative works are conducted with obeying W-CDMA basestation verification specification. To exploit the superiority, the performance of the proposed method is tentatively compared with that associated to the simple memoryless clipping method and the memory-required filter-dependent clipping method.

Spatial Distribution of Wave Overtopping along Vertical Structure due to Obliquely Incident Waves (경사입사파에 의한 직립구조물에서 월파의 공간적 분포)

  • Kim, Young-Taek;Lee, Jong-In;Cho, Yong-Sik
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.23 no.6
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    • pp.414-421
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    • 2011
  • In determination of the crest height of a vertical structure against attacking of obliquely incident waves, most of existing studies have suggested to use the overtopping reduction factor due to incident angles. However, they have not considered the amplification of wave heights and the spatial distribution of wave overtopping. In this study, a spatial distribution of overtopping due to the amplification of wave heights along a vertical structure is investigated experimentally. It is recommended that the crest height can be determined by the same manner as that for normally incident waves up to 3 significant wave lengths from the one end of the structure. However, the rest part of the structure can be done by employing the overtopping reduction factor with considering the amplification of wave heights and the spatial distribution of wave overtopping.

Behavior of Failure on Agricultural Reservoirs Embankment by Riprap Reinforcement Method (Riprap으로 보강된 농업용 저수지 제체의 붕괴거동)

  • Lee, Dal Won;Noh, Jae Jin
    • Journal of The Korean Society of Agricultural Engineers
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    • v.56 no.6
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    • pp.63-73
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    • 2014
  • In this study, the large scale test was performed to investigate the behavior of failure on the embankment and spillway transitional zone by overtopping. The pore water pressure, earth pressure, settlement and failure behaviors according to several reinforcing method were compared and analyzed. The pore water pressure showed a small change in the spillway transition zone and core, indicating that the riprap and geotextile efficiently reinforced the embankment, but non-reinforcement showed a largely change in pore water pressure. The earth pressure by riprap and geotextile at upstream slope and bottom core increased rapidly with the infiltration of the pore water by overtopping. And the earth pressure at crest showed a smally change due to effect of the inclined core. A settlement by riprap showed a small change and the geotextile decreased a rapidly due to failure of crest. The width of failure by riprap at intermediate stage (50 min) showed a largely due to sliding of crest. But, the width and depth of the seepage erosion after the intermediate overtopping period (100 min) were very small due to the effect of riprap than geotextile and non-reinforcement which delayed failure. It has the effect that protect reservoir embankment from erosion in the central part. The pore water pressure at the spillway transition zone due to overtopping increased a rapidly in the case of non-reinforcement, but the reinforced methods by geotextile and riprap showed a smally change. Therefore, the reinforced method by riprap and geotextile was a very effective method to protect permanently and the emergency an embankment due to overtopping, respectively.

Pspice Simulation for Nonlinear Components and Surge Suppression Circuits (비선형 소자 및 서지억제회로의 Pspice 시뮬레이션)

  • Lee, Bok-Hui;Gong, Yeong-Eun;Choe, Won-Gyu;Jeon, Deok-Gyu
    • The Transactions of the Korean Institute of Electrical Engineers C
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    • v.49 no.8
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    • pp.477-486
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    • 2000
  • This paper presents Pspice modeling methods for spark gaps and ZnO varistors and describes the application for the two-stage surge suppression circuit which was composed of the nonlinear components. The simulation modelings of nonlinear components were conducted on the basis of the voltage and current curves measured by the impulse current with the time-to-crest of $1~50 \mus$ and the impulse voltage with the rate of the time-to-crest of 10, 100 and 1000 V/\mus$. The firing voltages of the spark gap increased with increasing the rate of the time-to-crest of impulse voltage and the measured data were in good agreement with the simulated data. The I-V curves of the ZnO varistor were measured by applying the impulse currents of which time-to-crests range from 1 to $50 \mus$ and peak amplitudes from 10 A to 2 kA. The simulation modeling was based on the I-V curves replotted by taking away the inductive effects of the test circuit and leads. The meximum difference between the measured and calculated data was of the order of 3%. Also the two-stage surge suppression circuit made of the spark gap and the ZnO varistor was investigated with the impulse voltage of $10/1000\mus$$mutextrm{s}$ wave shape. The overall agreement between the theoretical and experimental results seems to be acceptable. As a consequence, it was known that the proposed simulation techniques could effectively be used to design the surge suppression circuits combined with nonlinear components.

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Buccal cortical bone thickness on CBCT for mini-implant (치과용 콘빔CT영상에서 미니임플란트를 위한 협측피질골 두께)

  • Goo, Jong-Gook;Lim, Sung-Hoon;Lee, Byoung-Jin;Kim, Jae-Duk
    • Imaging Science in Dentistry
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    • v.40 no.4
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    • pp.179-185
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    • 2010
  • Purpose : Cortical bone thickness is one of the important factor in mini-implant stability. This study was performed to investigate the buccal cortical bone thickness at every interdental area as an aid in planning mini-implant placement. Materials and Methods : Two-dimensional slices at every interdental area were selected from the cone-beam computed tomography scans of 20 patients in third decade. Buccal cortical bone thickness was measured at 2, 4, and 6 mm levels from the alveolar crest in the interdental bones of posterior regions of both jaws using the plot profile function of $Ez3D2009^{TM}$ (Vatech, Yongin, Korea). The results were analyzed using by Mann-Whitney test. Results : Buccal cortical bone was thicker in the mandible than in the maxilla. The thickness increased with further distance from the alveolar crest in the maxilla and with coming from the posterior to anterior region in the mandible (p<0.01). The maximum CT value showed an increasing tendency with further distance from the alveolar crest and with coming from posterior to anterior region in both jaws. Conclusion : Interdental buccal cortical bone thickness varied in both jaws, however our study showed a distinct tendency. We expect that these results could be helpful for the selection and preparation of mini-implant sites.