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Analysis of dental hygiene assessment data of recall patients (mainly 20s age)

  • Choi, Hye-Jung;Woo, Hee-Sun
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.6
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    • pp.131-137
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    • 2022
  • As the age increases, the oral cavity, that is, the teeth and periodontium, also begin to age, and accordingly, a preparation process is required. The preparation process is an important period for oral health management to start continuously with oral health education consisting of knowledge, attitude, and behavior from the 20s. Therefore, to design a clinical dental hygiene course for patients who visited a dental clinic in Gyeonggi-do and received continuous care in an oral health care room after treatment, we tried to analyze the data of the dental hygiene assessment. As a dental hygiene assessment tool, based on personal information and general medical history, dental visit experience, bleeding on probing(BOP), bad breath measurement, phase contrast microscopy, and O'Leary index were performed. The number of subjects who had dental visits was 75.4% and those without experience were 24.6%, and as a result of the periodontal examination, generally bleeding was found in 76.3%. In preventive oral care, the stage of dental hygiene assessment in the 20s is an important first step. From this point on, it is an important time to be systematically habituated so that you can take responsibility for your own oral condition. Therefore, in this study, the results of dental hygiene assessment through oral examinations of subjects in their 20s are derived and presented as basic data for the development of dental hygiene performance competency of dental hygienists during the clinical dental hygiene process in oral health education and oral health management.

Factors Affecting the unexamined Oral Examination in Cancer Patients - The 7th Korea national health and nutrition examination survey

  • Jung, Yu Yeon;Chung, Kyung-Yi
    • Journal of the Korea Society of Computer and Information
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    • v.27 no.6
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    • pp.87-93
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    • 2022
  • This study was conducted to use as basic data to increase the oral examination rate by analyzing Whether to undergo oral examination and the Factors Affecting the unexamined Oral Examination in Cancer Patients. These factors were analyzed using the results from 376 cancer patients in 7th Korea national health and nutrition examination survey. The data were analyzed complex sample frequency analysis and chi-square analysis, multiple logistic regression by using SPSS/WIN 26.0 program. 38% of cancer patients had oral examination and 62% did not. The Factors Affecting the unexamined Oral Examination increased by 3.641 times in over 70 years of age and by 3.928 times in graduating less than elementary school, by 3.740 times in the low-income group, 2.050 times in less than 2 brushing times a day, by 2.533 times in the chewing-problems group, by 2.746 times in speech problems group. The study results show that the oral examination rate of cancer patients was very low. It is necessary to to expand education on the importance of oral care and oral examination in consideration of oral complications and to actively introduce a customized oral health management program for cancer patients.

Effects of parallel undercrossing shield tunnels on river embankment: Field monitoring and numerical analysis

  • Li'ang Chen;Lingwei Lu;Zhiyang Tang;Shixuan Yi;Qingkai Wang;Zhibo Chen
    • Geomechanics and Engineering
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    • v.35 no.1
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    • pp.29-39
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    • 2023
  • As the intensity of urban underground space development increases, more and more tunnels are planned and constructed, and sometimes it is inevitable to encounter situations where tunnels have to underpass the river embankments. Most previous studies involved tunnels passing river embankments perpendicularly or with large intersection angle. In this study, a project case where two EPB shield tunnels with 8.82 m diameter run parallelly underneath a river embankment was reported. The parallel length is 380 m and tunnel were mainly buried in the moderate / slightly weathered clastic rock layer. The field monitoring result was presented and discussed. Three-dimensional back-analysis were then carried out to gain a better understanding the interaction mechanisms between shield tunnel and embankment and further to predict the ultimate settlement of embankment due to twin-tunnel excavation. Parametrical studies considering effect of tunnel face pressure, tail grouting pressure and volume loss were also conducted. The measured embankment settlement after the single tunnel excavation was 4.53 mm ~ 7.43 mm. Neither new crack on the pavement or cavity under the roadbed was observed. It is found that the more degree of weathering of the rock around the tunnel, the greater the embankment settlement and wider the settlement trough. Besides, the latter tunnel excavation might cause larger deformation than the former tunnel excavation if the mobilized plastic zone overlapped. With given geometry and stratigraphic condition in this study, the safety or serviceability of the river embankment would hardly be affected since the ultimate settlement of the embankment after the twin-tunnel excavation is within the allowable limit. Reasonable tunnel face pressure and tail grouting pressure can to some extent suppress the settlement of the embankment. The recommended tunnel face pressure and tail grouting pressure are 300 kPa and 550 kPa in this study, respectively. However, the volume loss plays the crucial role in the tunnel-embankment interaction. Controlling and compensating the tunneling induced volume loss is the most effective measure for river embankment protection. Additionally, reinforcing the embankment with cement mixing pile in advance is an alternative option in case the predicted settlement exceeds allowable limit.

Deep Learning-based Object Detection of Panels Door Open in Underground Utility Tunnel (딥러닝 기반 지하공동구 제어반 문열림 인식)

  • Gyunghwan Kim;Jieun Kim;Woosug Jung
    • Journal of the Society of Disaster Information
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    • v.19 no.3
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    • pp.665-672
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    • 2023
  • Purpose: Underground utility tunnel is facility that is jointly house infrastructure such as electricity, water and gas in city, causing condensation problems due to lack of airflow. This paper aims to prevent electricity leakage fires caused by condensation by detecting whether the control panel door in the underground utility tunnel is open using a deep learning model. Method: YOLO, a deep learning object recognition model, is trained to recognize the opening and closing of the control panel door using video data taken by a robot patrolling the underground utility tunnel. To improve the recognition rate, image augmentation is used. Result: Among the image enhancement techniques, we compared the performance of the YOLO model trained using mosaic with that of the YOLO model without mosaic, and found that the mosaic technique performed better. The mAP for all classes were 0.994, which is high evaluation result. Conclusion: It was able to detect the control panel even when there were lights off or other objects in the underground cavity. This allows you to effectively manage the underground utility tunnel and prevent disasters.

Prediction of the Damage Zone Induced by Rock Blasting Using a Radial Crack Model (방사균열 모델을 적용한 암반 발파에 의한 손상 영역 예측)

  • Sim, Young-Jong;Cho, Gye-Chun;Kim, Hong-Taek
    • Journal of the Korean Geotechnical Society
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    • v.22 no.11
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    • pp.55-64
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    • 2006
  • It is very Important to predict the damage zone of a rock mass induced by blasting for the excavation of an underground cavity such as a tunnel, as the damage zones incur mechanical and hydraulic instability of the rock mass potentially. Complicated blasting processes that can hinder the proper characterization of the damage zone can be effectively represented by two loading mechanisms. The first mechanism is the dynamic impulsive load-generating stress waves that radiate outwards immediately after detonation. This load creates a crushed annulus along with cracks around the blasthole. The second is the gas pressure that remains for an extended time after detonation. As the gas pressure reopens some arrested cracks and extends these, it contributes to the final structure of the damage zone induced by the blasting. This paper presents a simple method to evaluate the damage zone induced by gas pressure during rock blasting. The damage zone is characterized by analyzing crack propagations from the blasthole. To do this, a model of a blasthole with a number of radial cracks that are equal in length in a homogeneous infinite elastic plane is considered. In this model, crack propagation is simulated through the use of only two conditions: a crack propagation criterion and the mass conservation of the gas. The results show that the stress intensity factor of a crack decreases as the crack propagates from the blasthole, which determines the crack length. In addition, it was found that the blasthole pressure continues to decrease during crack propagation.

The survey on foreign body ingestion and aspiration during the dental prosthetic treatment (치과 보철치료 과정에서 발생하는 이물질의 삼킴과 흡인에 대한 실태 조사)

  • Gi-Tae, Bang;Han-Sol, Jeon;Seon-Ki, Lee;Jae-In, Lee;Jin-Han, Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.4
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    • pp.222-232
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    • 2022
  • Purpose: This study was to investigate the dentists' experience and awareness of foreign body ingestion and aspiration during dental prosthetic treatment. Materials and Methods: A survey of 157 dentists working at 108 dental institutions in Daejeon and Chungcheong provinces was carried out and frequency analysis was conducted. Chi-square test was conducted to find out the difference between the sociodemographic data and experience of foreign body ingestion and aspiration of patients and independent sample t-test was conducted to find out the difference in awareness depending on whether receiving related education. Results: The percentage of dentists experiencing dropping foreign body into patients' oral cavity was 99.4% and the percentage of dentists experiencing foreign body ingestion and aspiration of patients was 53.5%. There were more dentists who experienced foreign body ingestion and aspiration of patients in male than female, longer working career, and general practitioners than specialists (P < .05). 50.3% of the respondents received related education. When they receive related education, they had low degree of concern, high confidence in coping with situations, and low willingness to receive education in the future (P < .05). Conclusion: The percentage of foreign body dropping was 16% higher in prosthetic treatment than general treatment. The percentage of dentists with experience of foreign body ingestion and aspiration of patients was 53.5%. Among them, 92.9% experienced foreign body ingestion of patients and 7.1% of them experienced foreign body aspiration of patients.

Determination of Maximum Shear Modulus of Sandy Soil Using Pressuremeter Tests (프레셔미터 시험을 이용한 사질토 지반의 최대 전단탄성계수 결정)

  • Kwon, Hyung Min;Jang, Soon Ho;Chung, Choong Ki
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.28 no.3C
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    • pp.179-186
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    • 2008
  • Pressuremeter test estimates the deformational properties of soil from the relationship between applied pressure and the displacement of cavity wall. It is general to utilize the reloading curve for the estimation of deformational properties of soil because the initial loading curve can be affected by the disturbance caused by boring. On the other hand, the instrumental resolution or the variation of measured data makes it hard to estimate the maximum shear modulus from pressuremeter test results. This study suggested the methodology estimating the maximum shear modulus from pressuremeter test directly, based on the curve fitting of reloading curve. In addition, the difference was taken into account between the stress state around the probe in reloading and that of the in-situ state. Pressuremeter tests were conducted for 15 cases using a large calibration chamber, together with a number of reference tests. The maximum shear moduli taken from suggested method were compared with those from empirical correlation and bender element test.

Strategies for Managing Dementia Patients through Improving Oral Health and Occlusal Rehabilitation: A Review and Meta-analysis

  • Yeon-Hee Lee;Sung-Woo Lee;Hak Young Rhee;Min Kyu Sim;Su-Jin Jeong;Chang Won Won
    • Journal of Korean Dental Science
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    • v.16 no.2
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    • pp.128-148
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    • 2023
  • Dementia is an umbrella term that describes the loss of thinking, memory, attention, logical reasoning, and other mental abilities to the extent that it interferes with the activities of daily living. More than 50 million individuals worldwide live with dementia, which is expected to increase to 131 million by 2050. Recent research has shown that poor oral health increases the risk of dementia, while oral health declines with cognitive decline. In this narrative review, the literature was based on the "hypothesis" that dementia and oral health have a close relationship, and appropriate oral health and occlusal rehabilitation treatment can improve the quality of life of patients with dementia and prevent progression. We conducted a literature search in PubMed and Google Scholar databases, using the search terms "dementia," "major neurocognitive disorder," "dentition," "occlusion," "tooth loss," "dental prosthesis," "dental implant," and "occlusal rehabilitation" in the title field over the past 30 years. A total of 131 studies that scientifically addressed dementia, oral health, and/or oral rehabilitation were included. In a meta-analysis, the random effect model demonstrated significant tooth loss increasing the dementia risk 3.64-fold (pooled odds ratio=3.64, 95% confidence interval [2.50~5.32], P-value=0.0348). Tooth loss can be an important indicator of cognitive function decline. As the number of missing teeth increases, the risk of dementia increases. Loss of teeth can lead to a decrease in the ascending information to the brain and reduced masticatory ability, cerebral blood flow, and psychological atrophy. Oral microbiome dysbiosis and migration of key bacterial species to the brain can also cause dementia. Additionally, inflammation in the oral cavity affects the inflammatory response of the brain and the complete body. Conversely, proper oral hygiene management, the placement of dental implants or prostheses to replace lost teeth, and the restoration of masticatory function can inhibit symptom progression in patients with dementia. Therefore, improving oral health can prevent dementia progression and improve the quality of life of patients.

Root canal therapy of anterior teeth with dens invaginatus (치내치를 동반한 상악 전치의 근관치료)

  • Ji-Soo Kim;Kkot-Byeol Bae;Yun-Chan Hwang;Won-Mann Oh;Bin-Na Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.40 no.1
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    • pp.31-38
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    • 2024
  • Dens in dente is a developmental anomaly resulting from infolding of the enamel organ into dental papilla prior to calcification of dental tissue. The pulpal tissue of the tooth can be vulnerable for bacterial invasion through direct exposure to the oral cavity or through defective enamel and dentin of the infolding part, thereby increasing the possibility of pulpal necrosis and subsequent apical periodontitis. Treatment planning of teeth with dens invaginatus may be difficult due to the complex root canal morphology. Therefore, thorough knowledge of anatomical variations of dens invaginatus is of great importance for proper treatment planning. The focus of this case report is on Oehler's type II and III dens invaginatus. The infolding of type III dens invaginatus extends beyond the crown and CEJ. Bacterial invasion through the infolding can easily cause inflammation of the pulpal and periradicular tissue. This case report presents endodontic treatment of type II and III dens invaginatus with the aid of CBCT.

Novel Resectable Myocardial Model Using Hybrid Three-Dimensional Printing and Silicone Molding for Mock Myectomy for Apical Hypertrophic Cardiomyopathy

  • Wooil Kim;Minje Lim;You Joung Jang;Hyun Jung Koo;Joon-Won Kang;Sung-Ho Jung;Dong Hyun Yang
    • Korean Journal of Radiology
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    • v.22 no.7
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    • pp.1054-1065
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    • 2021
  • Objective: We implemented a novel resectable myocardial model for mock myectomy using a hybrid method of three-dimensional (3D) printing and silicone molding for patients with apical hypertrophic cardiomyopathy (ApHCM). Materials and Methods: From January 2019 through May 2020, 3D models from three patients with ApHCM were generated using the end-diastolic cardiac CT phase image. After computer-aided designing of measures to prevent structural deformation during silicone injection into molding, 3D printing was performed to reproduce anatomic details and molds for the left ventricular (LV) myocardial mass. We compared the myocardial thickness of each cardiac segment and the LV myocardial mass and cavity volumes between the myocardial model images and cardiac CT images. The surgeon performed mock surgery, and we compared the volume and weight of the resected silicone and myocardium. Results: During the mock surgery, the surgeon could determine an ideal site for the incision and the optimal extent of myocardial resection. The mean differences in the measured myocardial thickness of the model (0.3, 1.0, 6.9, and 7.3 mm in the basal, midventricular, apical segments, and apex, respectively) and volume of the LV myocardial mass and chamber (36.9 mL and 14.8 mL, 2.9 mL and -9.4 mL, and 6.0 mL and -3.0 mL in basal, mid-ventricular and apical segments, respectively) were consistent with cardiac CT. The volume and weight of the resected silicone were similar to those of the resected myocardium (6 mL [6.2 g] of silicone and 5 mL [5.3 g] of the myocardium in patient 2; 12 mL [12.5 g] of silicone and 11.2 mL [11.8 g] of the myocardium in patient 3). Conclusion: Our 3D model created using hybrid 3D printing and silicone molding may be useful for determining the extent of surgery and planning surgery guided by a rehearsal platform for ApHCM.