• Restorative Dentistry and Endodontics
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• 제43권2호
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• pp.16.1-16.9
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• 2018

Objectives: Understanding the reason for an unsuccessful non-surgical endodontic treatment outcome, as well as the complex anatomy of the root canal system, is very important. This study examined the cross-sectional root canal structure of mandibular first molars confirmed to have failed non-surgical root canal treatment using digital images obtained during intentional replantation surgery, as well as the causative factors of the failed conventional endodontic treatments. Materials and Methods: This study evaluated 115 mandibular first molars. Digital photographic images of the resected surface were taken at the apical 3 mm level and examined. The discolored dentin area around the root canal was investigated by measuring the total surface area, the treated areas as determined by the endodontic filling material, and the discolored dentin area. Results: Forty 2-rooted teeth showed discolored root dentin in both the mesial and distal roots. Compared to the original filled area, significant expansion of root dentin discoloration was observed. Moreover, the mesial roots were significantly more discolored than the distal roots. Of the 115 molars, 92 had 2 roots. Among the mesial roots of the 2-rooted teeth, 95.7% of the roots had 2 canals and 79.4% had partial/complete isthmuses and/or accessory canals. Conclusions: Dentin discoloration that was not visible on periapical radiographs and cone-beam computed tomography was frequently found in mandibular first molars that failed endodontic treatment. The complex anatomy of the mesial roots of the mandibular first molars is another reason for the failure of conventional endodontic treatment.

• 대한족부족관절학회지
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• 제27권3호
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• pp.87-92
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• 2023

Purpose: Concomitant ankle injuries associated with tibial shaft fractures can affect postoperative ankle joint pain and various postoperative ankle complications. This study compared the clinical outcomes between surgical treatment and conservative treatment of concomitant ankle injuries associated with tibial shaft fractures. Materials and Methods: From January 2015 to June 2020, a retrospective study was conducted on 118 tibia shaft fractures at the orthopedics department of the hospital. Associated ankle injuries were analyzed using plain radiographs, computed tomography (CT), magnetic resonance imaging (MRI), and intraoperative stress exams. The clinical outcomes were compared using the pain visual analog scale (pain VAS), American Orthopaedic Foot and Ankle Society Ankle-Hindfoot score (AOFAS score), and Karlsson-Peterson ankle score (KP score). Results: Seventy-two (61.02%) of the 118 cases were diagnosed with associated ankle injuries. Fifty-six cases underwent surgery for the ankle injury, and 16 cases underwent conservative treatment. The clinical results (according to the pain VAS score, AOFAS score, the KP score) were 1.79±1.26, 94.48±4.03, and 94.57±3.60, respectively, in the surgical treatment group, and 3.00±1.03, 91.06±3.02, and 91.25±3.31, respectively, in the conservative treatment group. Conclusion: Surgical treatment showed better clinical outcomes than conservative treatment in concomitant ankle injury in tibia fractures. Therefore, surgical treatment produces better clinical outcomes than conservative treatment in concomitant ankle injuries in tibia fractures. Hence to improve the clinical outcomes, more attention is needed on ankle joint injury in tibial shaft fractures for selecting suitable surgical treatments for those patients.

• 척추신경추나의학회지
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• 제3권1호
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• pp.19-28
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• 2008

Objectives : The object of this study is to report a clinical effect of oriental medical treatments with chuna for foot drop caused by herniated intervertbral lumbar disc. Methods : The patient was diagnosed as lumbar bulging disc, and was treated by lumbar traction technique with other conservative treatments including acupunture herbal mixture. And we measured Visual Analog Score(VAS), Modified Bathel Index(MBI), Nurick's Classification, Range of movement of ankle joint. Results : After treatments, Visual Analog Score, Modified Bathel Index, Nurick's Classification, Range of movement of ankle joint were improved in case. Conclusion : Oriental medical treatments with Chuna manual therapy were associated with improvement of foot drop by herniated intervertbral lumbar disc.

• Restorative Dentistry and Endodontics
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• 제17권2호
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• pp.421-430
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• 1992

The purpose of this study was to evaluate the bond strength between the composite resin and light - cured glass ionomer cement base / liners treated by the several methods. The light - cured glass ionomer cement(Vitrebond / Cavalite) were injected into cavites prepared in acrylic plates. One hundred and twenty specimens were uniformly prepared and devided into 3 groups. For the first group, primer was not applied to glass ionomer cement. For the second group, no application of primer was undertaken and light - curing procedure to uncured glass ionomer cement surface which was covered by bonding agent was undertaken. After bonding composite resin to light - cured glass ionomer surface, the specimens, were stored in $37^{\circ}C$, 100% humidity for 1 hour. The following results were obtained : 1. The omission of application of a primer did not produce a significantly poorer bond strength. 2. Light - curing technique to uncured glass ionomer cement which was covered by bonding agent did not produce a significantly poorer bonding strength. 3. The bond strength of Cavalite to composite resin was significantly higher than that of Vitrebond. 4. There was no significant difference between two different types of composite materials(Silux-Plus / Herculite XR) when it was applied to bond to glass ionomer cement.

• Restorative Dentistry and Endodontics
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• 제39권1호
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• pp.68-73
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• 2014

When a tooth shows discoloration and does not respond to the cold test or electric pulp test (EPT) after a traumatic injury, its diagnosis can be even more difficult due to the lack of proper diagnostic methods to evaluate its vitality. In these case reports, we hope to demonstrate that ultrasound Doppler might be successfully used to evaluate the vitality of the tooth after trauma, and help reduce unnecessary endodontic treatments. In all three of the present cases, the teeth were discolored after traumatic injuries and showed negative responses to the cold test and EPT. However, they showed distinctive vital reactions in the ultrasound Doppler test during the whole observation period. In the first case, the tooth color returned to normal, and the tooth showed a positive response to the cold test and EPT at 10 wk after the injury. In the second case, the tooth color had returned to its normal shade at 10 wk after the traumatic injury but remained insensitive to the cold test and EPT. In the third case, the discoloration was successfully treated with vital tooth bleaching.

• Restorative Dentistry and Endodontics
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• 제17권1호
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• pp.126-133
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• 1992

Tooth colored resin restorative materials are widely used in anterior teeth restorations. The color instability of resin was the main cause of failure in resin restorations. The purpose of this study was to investigate color stability and microhardness of serval visible light curing resins. Colorimetric measurements(Tokyo Denshoku Co., Japan) and microhardness tests(Matusuzawa, MXT 70, Japan) were made on six composite resins before and after controlled immersion treatments. The six composite resins were BIS - FILM(BISCO, USA), Durafill(Kulzer, Germany), Helioprogess(VIVADENT, Germany), Palfique(TOKUYAMA SODA, Japan), Silux(3M, USA), Photoclearfil(KURARAY, Japen). Six light curing resins showed significant color change after 2 weeks. Palfique exhibited the hightest $dE^*$ values and Helio progress presented the lowest $dE^*$ values. Photoclearfil showed the highest microhardness value. Durafill and Helio progress showed lower microhardness values. Microhardness values were decreased after 8 weeks in Bisfil, Palfique light, and Photoclearfil.

• 대한물리의학회지
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• 제5권3호
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• pp.331-339
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• 2010

Purpose : Cervical spondylotic myelopathy is a varied clinical syndromes and the most serious condition of cervical spondylosis. Spinal cord dysfunction is often caused by the compression on spinal cord. The purpose of this report was to describe physical examination and the process of disorders on cervical spondylotic myelopathy(CSM). Methods : Three cases with cervical myelopathy were presented with magnetic resonance image(MRI), Nurick's grade and Japanese Orthopaedic Association(JOA) score. Results : This studies showed a variable clinical course with gradual neurological deterioration in two cases. but one case was improved by operation and a regular aerobic exercise. MRI, Nurick's grade, JOA score are a useful adjunct for CSM evaluation. Conclusion : The state of CSM is variable, which may affect conservative treatments and surgery. It is needed to be a carefull approach and studies for a conservative treatment and management on CSM.

• 대한족부족관절학회지
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• 제15권3호
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• pp.115-118
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• 2011

족관절 내 히알루론산 주사 후 효과에 대한 참고 자료를 살펴 본 결과 대부분의 연구들이 족관절 내 히알루론산 주사에 대한 효과와 안전에 대해 긍정적으로 보고하고 있지만, 아직까지는 결론을 짓기는 어렵다고 하겠다. 추후 많은 환자를 대상으로 한 무작위 이중맹검 위약대조군 연구(randomized double-blind placebo-controlled trials)를 통해 그 결과를 평가해야 할 것으로 사료되며, 또한 장기 추시를 통해 효과 발현 시기 및 지속 기간을 평가해야 할 것이다.

• 대한족부족관절학회지
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• 제17권1호
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• pp.1-10
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• 2013

The bunionette, or a 'tailor's bunion', is a lateral bony prominence of the fifth metatarsal head. A bony deformity itself rarely causes symptom but if a painful inflammation of the overlying soft tissue is accompanied, it needs treatment. Conservative care using a shoe modification, padding, or orthosis is effective in most cases. Surgical management is indicated when the conservative methods have failed to improve symptoms, and the techniques include exostectomy, metatarsal osteotomies (distal, diaphyseal, or proximal), metatarsal head resection or fifth ray resection. We reviewed the etiology, clinical features, radiographic classification, nonoperative and operative treatments of the bunionette.

• 혜화의학회지
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• 제15권2호
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• pp.201-205
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• 2006

Vulvodynia is the term used to describe unexplained vulvar pain, sexual dysfunction, and the resultant psychological disability. Vulvodynia may cause physical disabilities, psychological or emotional distress, sexual dysfunction and limitation of daily activities. But its etiologies and treatments are not defined yet. In vulvodynia, the first method of treatment is conservative treatment. surgery is carried out on patients who have failed consevative therapy. In conservative therapy, the rate of improvements is low, 30-40%Surgical procedures are effective in almost patients, but the efficacy is not known in patients with the riskiness. This study is designed to find best way of evaluation about the vulvodynia.