• 한국산학기술학회논문지
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• 제21권11호
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• pp.693-700
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• 2020

본 연구의 목적은 전통적인 인상채득방식으로 제작된 석고모형과 구강 디지털 인상법을 이용하여 제작된 폴리우레탄 모형의 각 계측지점을 비교함으로써 첨단 제조기술로 제작된 모형의 정확성을 검증하는 것이다. 유치악 아크릴릭 구강모형을 선정하여 기존에 사용하던 방식의 석고모형과 최신경향의 방식으로 모형을 각 10개씩 제작하였다. 계측지점은 총 6곳을 지정한 후, 2인의 검사자가 2회로 나누어 버니어 캘리퍼스를 이용하여 측정하였다. 제작방법에 따른 모형의 각 계측치의 평균, 표준편차, 계측치 차이의 평균 등의 기술 통계량으로 제시하였고, 정확성 검정을 위해 윌콕슨 부호순위 검정을 시행하였으며, 검사자 내, 검사자 간, 제작방법 간의 신뢰성 분석은 급내 상관계수 분석과 측정오차를 구하였다. 실험결과 신뢰성은 급내 상관계수의 범위는 0.76에서 0.99의 값이 나타나 높은 신뢰도를 보였으며, 모형 제작방법에 따른 정확성은 모든 계측지점 간의 거리를 비교하였을 때 폴리우레탄 모형이 작게 계측되었으며 0.09~0.20mm의 범위로 선행연구의 결과에 의해 임상적으로 오차범위를 허용할 수 있는 것으로 나타났다. 구강 디지털 인상법의 사용으로 제작된 모형은 임상적으로 적절한 것으로 판단되지만, 향후 보다 정밀하고 사용하기 편리한 치과용 모형을 제작하기 위한 연구들이 추가적으로 이루어져야 할 것이며, 다양한 임상 데이터를 활용한 평가가 이루어져야 할 것으로 사료된다.

• 한국산학기술학회논문지
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• 제19권4호
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• pp.197-202
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• 2018

본 연구는 치과분야에서 가장 큰 변화를 가져온 자동화 시스템의 보급화로 CAD/CAM이 사용됨에 따라, 로스트왁스 테크닉 기법 시스템을 대체 하고 있다. 이에 따라 인상재를 이용하여 구강을 채득하는 방법에서 구강스캐너를 활용하여 디지털 데이터로 치과보철물을 제작하고 있다. 그러나 구강스캐너의 스캐닝 방법에 따라 디지털 데이터의 정밀도가 많을 영향을 받고 있는 실정이다. 이에 본 연구의 목적은 구강스캐너 (Intraoral scanner)의 스캔 작업 방법에 따라 나타날 수 있는 왜곡현상 및 데이터 정확도를 평가하고자 한다. 데스탑 3D 모형 스캐너로 임상에서 사용된 석고 모델을 이용하여 표준 스캔 데이터를 만들고 동일한 모델을 사용하여 구강스캐너로 세 가지 다른 방법의(AS그룹, ZS그룹, OS그룹) 스캔 방법으로 구분하여 각 5회씩 그룹별로 스캔 데이터를 만들었고, ZS그룹에서 0.121mm, AS그룹 0.172mm, OS그룹 0.423mm 정확도를 보여 ZS그룹에서 가장 높은 정확도를 보였고, 최대오차 값은 ZS그룹 0.113mm, AS그룹 0.169mm, OS그룹 0.246으로 최대 오차는 ZS그룹이 가장 낮고 OS그룹이 가장 높게 측정되었다. 세 가지의 스캔 방법은 정확도나 재현성에 있어 확실한 차이를 보였으며 임상에서도 역시 의미 있는 결과로 보였다.

• 대한치과보철학회지
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• 제35권2호
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• pp.277-295
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• 1997

After clinical adjustment of dental casting restoration, re-polishing procedure is recommanded because the smooth gold sureface is lost. But there is the possibility to get more loose contact than that intended by loss of gold alloy according to the kinds of polishing materials and polishing time. Therefore in this study I polished type II gold alloy with 390gm force, 20,000rpm speed, and 8 kinds of gold alloy polishing materials, fabricated by 4 companies and then measured the amount of loss of gold alloy with Surfcorder SEF-30D and observed alloy surfaces polished by 3 brown rubber points with SEM. The amount of loss of gold alloys polished with 8 kinds of polishing materials and the degree of smoothness of gold alloys according to polishing time and polishing materials were compared. The following results were obtained : 1. When the amount of loss of gold alloys polished with 3 kinds of brown rubber point was compared, Alphalex brown point had the most amount of alloy loss, followed in decreasing order by Shofu brown point and Eveflex brown point. There was statistically significant difference in the amount of alloy loss according to polishing materials. 2. When the amount of loss of gold alloys polished with 5 kinds of green rubber point was compared, Shofu green point had the most amount of alloy loss, followed in decreasing order by Alphaflex green point, Dedeco green clasp polisher, and Eveflex green point. There was statistically significant difference in the amount of alloy loss according to polishing materials except Alphaflex green point and Dedeco green clasp polisher. 3. When the amount of loss of gold alloys polished with all kinds of rubber point was compared, there was no significant difference in Eveflex brown point, Alphaflex green point, and Dedeco green clasp polisher. 4. When average amount of alloy loss per 1 revolution by polishing materials was compared, Alphalex brown point had the greatest value as $0.329{\mu}m$ and Shofu supergreen point had the lowest value as $0.022{\mu}m$. 5. When the degree of sureface smoothness of gold alloy polished with 3 kinds of brown rubber point was compared, In Alphalex brown point surface roughness was completely lost after 20 seconds polishing time, in Shofu brown point 30 seconds, in Eveflex brown point 40 seconds. But in every gold alloys fine scratch formed by rubber points was observed. Based on the results of this study, as rubber polishing materials used in polishing of dental casting restoration after clinical adjustment influenced on the tightness of occlusal or proximal contact, we should make dental casting restoration with minimum error through careful laboratory procedure and form very smooth surface of restoration with tripoli and rouge after use of silicone polishing materials.

• 구강회복응용과학지
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• 제35권4호
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• pp.220-227
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• 2019

목적: 이 연구의 목적은 세 가지 자가 평가 방법에 따라 치의학전문대학원 학생들의 치아 삭제 능력의 향상 정도를 비교하는 것이다. 연구 재료 및 방법: 경북대학교 치의학전문대학원의 2학년 48명 학생을 대상으로 3개의 실험 그룹으로 나누었다. 금관(gold crown)제작을 위한 좌측 하악 제1대구치의 치아삭제를 수행하였다. 세 가지 자가 평가 방법(시각적, 디지털, putty index 자가 평가 그룹)을 사용하여 자가 평가를 수행하고, 치아 삭제를 다시 수행했다. 구강 스캐너를 사용하여 각 치아(삭제된 치아 및 삭제되지 않은 치아)를 스캔하고 standard tessellation language (STL) 파일 형식으로 데이터를 저장하였다. 삭제된 치아와 삭제되지 않은 치아의 STL 파일은 3 차원 분석 소프트웨어(Geomagic control X)를 사용하여 중첩되었다. 그리고 삭제량을 측정했다. 통계적 분석에서, 삭제량의 모든 값은 Wilcoxon signed rank 및 Kruskal-Wallis 테스트로 분석하였다(α = 0.05). 결과: 세 가지 자체 평가 방법은 통계적으로 유의한 차이를 나타냈다(P < 0.001). putty index 자가 평가 그룹은 디지털 자가 평가 방법보다 교육 후 오차의 감소가 더 컸다. 결론: 이 연구의 한계 내에서, 학생들은 세 가지 자기 평가 방법에 따라 치아 삭제 능력의 개선에 유의한 차이가 있음을 보였다.

• 융합신호처리학회논문지
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• 제21권2호
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• pp.61-66
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• 2020

최근 치과 시술을 위한 국소마취 시 시술자의 피로감을 줄이고 수동 마취기의 단점을 보완한 다양한 전동형 마취액 주입기가 개발되어 임상에서 사용되고 있다. 이러한 전동형 마취액 주입기기에서는 약물 주입을 위한 압력을 정확하고 일정하게 전달하는 것이 매우 중요한 성능 요소이다. 이러한 전달 압력의 정확성을 평가하기 위하여 로드셀을 이용한 소형의 압력계가 많이 사용되는데, 로드셀 내부의 탄성체가 충분한 변위를 수용할 수 없는 경우가 있어 압력 성능 평가 시 오차를 발생시킬 수도 있다. 이에 본 연구에서는 로드셀 방식의 압력측정기를 이용하여 압력 제어형 압력 인가 장치의 성능을 평가할 때 사용 가능한 비교적 큰 변위 수용이 가능한 실리콘-크롬강(Si-Cr강) 스프링 지그를 제안하였으며 유효성을 평가하였다. 제안된 스프링 지그의 압력 전달률과 상용의 치과용 마취액 주입장치를 이용한 반복 측정 결과, 스프링 지그 사용 시 보다 안정적인 결과를 얻을 수 있었으며, 비정상적으로 높게 측정되는 빈도가 줄어드는 것을 확인할 수 있었다.

• 대한치과교정학회지
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• 제54권1호
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• pp.48-58
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• 2024

Objective: To quantify the effects of midline-related landmark identification on midline deviation measurements in posteroanterior (PA) cephalograms using a cascaded convolutional neural network (CNN). Methods: A total of 2,903 PA cephalogram images obtained from 9 university hospitals were divided into training, internal validation, and test sets (n = 2,150, 376, and 377). As the gold standard, 2 orthodontic professors marked the bilateral landmarks, including the frontozygomatic suture point and latero-orbitale (LO), and the midline landmarks, including the crista galli, anterior nasal spine (ANS), upper dental midpoint (UDM), lower dental midpoint (LDM), and menton (Me). For the test, Examiner-1 and Examiner-2 (3-year and 1-year orthodontic residents) and the Cascaded-CNN models marked the landmarks. After point-to-point errors of landmark identification, the successful detection rate (SDR) and distance and direction of the midline landmark deviation from the midsagittal line (ANS-mid, UDM-mid, LDM-mid, and Me-mid) were measured, and statistical analysis was performed. Results: The cascaded-CNN algorithm showed a clinically acceptable level of point-to-point error (1.26 mm vs. 1.57 mm in Examiner-1 and 1.75 mm in Examiner-2). The average SDR within the 2 mm range was 83.2%, with high accuracy at the LO (right, 96.9%; left, 97.1%), and UDM (96.9%). The absolute measurement errors were less than 1 mm for ANS-mid, UDM-mid, and LDM-mid compared with the gold standard. Conclusions: The cascaded-CNN model may be considered an effective tool for the auto-identification of midline landmarks and quantification of midline deviation in PA cephalograms of adult patients, regardless of variations in the image acquisition method.

• The Journal of Advanced Prosthodontics
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• 제9권6호
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• pp.409-415
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• 2017

PURPOSE. Accurate information is essential in dentistry. The image information of missing teeth is used in optically based medical equipment in prosthodontic treatment. To evaluate oral scanners, the standardized model was examined from cases of image recognition errors of linear discriminant analysis (LDA), and a model that combines the variables with reference to ISO 12836:2015 was designed. MATERIALS AND METHODS. The basic model was fabricated by applying 4 factors to the tooth profile (chamfer, groove, curve, and square) and the bottom surface. Photo-type and video-type scanners were used to analyze 3D images after image capture. The scans were performed several times according to the prescribed sequence to distinguish the model from the one that did not form, and the results confirmed it to be the best. RESULTS. In the case of the initial basic model, a 3D shape could not be obtained by scanning even if several shots were taken. Subsequently, the recognition rate of the image was improved with every variable factor, and the difference depends on the tooth profile and the pattern of the floor surface. CONCLUSION. Based on the recognition error of the LDA, the recognition rate decreases when the model has a similar pattern. Therefore, to obtain the accurate 3D data, the difference of each class needs to be provided when developing a standardized model.

• 대한임베디드공학회논문지
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• 제15권5호
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• pp.205-214
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• 2020

With the recent development of hardware and software technology, interest in the development of wearable devices is increasing. In particular, wearable devices require algorithms suitable for low-power and low-capacity embedded devices. Among them, there is an increasing demand for a signal compression algorithm that reduces communication overhead, in order to increase the efficiency of storage and transmission of electrocardiogram (ECG) signals requiring long-time measurement. Because normal beats occupy most of the signal with similar shapes, a high rate of signal compression is possible if normal beats are represented by a template. In this paper, we propose an algorithm for determining the normal beat template using the template cluster and Pearson similarity. Also, the template is expressed effectively as a few vertices through linear approximation algorithm. In experiment of Datum 234 of MIT-BIH arrhythmia database (MIT-BIH ADB) provided by Physionet, a compression ratio was 33.44:1, and an average distribution of root mean square error (RMSE) was 1.55%.

• Communications for Statistical Applications and Methods
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• 제30권1호
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• pp.65-73
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• 2023

Contemporary biomedical data often involve an ill-posed problem owing to small sample size and large number of multi-collinear variables. Partial least squares (PLS) method could be a plausible alternative to an ill-conditioned ordinary least squares. However, in the case of a PLS model that includes a random-effect, how to deal with a random-effect or mixed effects remains a widely open question worth further investigation. In the present study, we propose a modified multivariate PLS method implementing mixed-effect model (PLSM). The advantage of PLSM is its versatility in handling serial longitudinal data or its ability for taking a randomeffect into account. We conduct simulations to investigate statistical properties of PLSM, and showcase its real clinical application to predict treatment outcome of esthetic surgical procedures of human faces. The proposed PLSM seemed to be particularly beneficial 1) when random-effect is conspicuous; 2) the number of predictors is relatively large compared to the sample size; 3) the multicollinearity is weak or moderate; and/or 4) the random error is considerable.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제33권3호
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• pp.233-240
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• 2011

Purpose: To apply a computer assisted navigation system to orthognathic surgery, a simple and efficient measuring algorithm calculation based on affine transformation was designed. A method of improving accuracy and reducing errors in orthognathic surgery by use of an optical tracking camera was studied. Methods: A total of 5 points on one surgical splint were measured and tracked by the Polaris $Vicra^{(R)}$ (Northern Digital Inc Co., Ontario, Canada) optical tracking system in two cases. The first case was to apply the transformation matrix at pre- and postoperative situations, and the second case was to apply an affine transformation only after the postoperative situation. In each situation, the predictive measuring value was changed to the final measuring value via an affine transformation algorithm and the expected coordinates calculated from the model were compared with those of the patient in the operation room. Results: The mean measuring error was $1.027{\pm}0.587$ using the affine transformation at pre- and postoperative situations and the average value after the postoperative situation was $0.928{\pm}0.549$. The farther a coordinate region was from the reference coordinates which constitutes the transform matrixes, the bigger the measuring error was found which was calculated from an affine transformation algorithm. Conclusion: Most difference errors were brought from mainly measuring process and lack of reproducibility, the affine transformation algorithm formula from postoperative measuring values by using of optic tracking system between those of model surgery and those of patient surgery can be selected as minimizing the difference error. To reduce coordinate calculation errors, minimum transformation matrices must be used and reference points which determine an affine transformation must be close to the area where coordinates are measured and calculated, as well as the reference points need to be scattered.