• 제목/요약/키워드: Fracture defect

검색결과 272건 처리시간 0.028초

홍화씨 추출물의 국소투여가 백서 두개골 결손부 재생에 미치는 영향 (Effects of Locally Applicated Safflower Seeds Extract on Bone Regeneration of Rat Calvarial Defects)

  • 김덕규;홍성우;유경태;서재진;김흥식;유형근;신형식
    • Journal of Periodontal and Implant Science
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    • 제29권2호
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    • pp.297-313
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    • 1999
  • The ultimate goal of periodontal treatment is the regeneration of periodontal tissues which have been lost due to periodontal disease. Recently, many natural medicines have been studied for their potential of anti-bacterial, anti-inflammatory and regenerative effects in periodontal tissues. Safflower seeds have been traditionally used as a drug for treatment of fracture and blood stasis in oriental medicine. The objective of the present study is to examine the biologic effects of safflower seeds extract on bone formation and regeneration of rat calvarial defects. The calvarial defects were made with 8mm trephine bur and extract of safflower seeds were placed directly at these defects. 24 rats were divided into control and experimental groups, and each group was sacrificed at 1 week, 4 weeks and 8 weeks. To study a histopathology related to bone regeneration, Goldner's Masson Trichrome stain and histomorphologic measuring was done at each weeks. In the early phase of bone healing, less inflammatory infiltration and capillary proliferation was found in experimental group compared to control. Dense bony tissues and matured bone structures in defect areas were found in experimental groups. And area of new bone formation was significantly increased at 8 weeks in experimental group. These results indicate that direct local application of safflower seeds extract reduces the early inflammatory response and promotes the regeneration of new bone in calvarial defects of rats.

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골반변위와 대퇴골두 높이차이에 대한 상관성 비교 - Gonstead's Technique을 중심으로 - (Ananlysis of Correlation between Functional Leg Length Discrepancy caused by Pelvic tilting and Femur head height difference)

  • 이경윤;서진우;박쾌환;박민정
    • 대한추나의학회지
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    • 제5권1호
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    • pp.213-222
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    • 2004
  • Objectives : To investigate contributing degree of other factors except pelvic tilting to F.L.L.D by analizing with Gonstead technique on the correlation between femur head height discrepancy on the standing pelvic AP view and F.L.L.D caused by pelvic tilting. Method : We analysed standing pelvis AP X-ray of 70 patients who had visited at the department acupunture and moxibustion in Conmaul oriental medical hospital, during May, 1st, 2004 - July, 30th, 2004, with low back pain or lower extremity pain. We excluded the person with any past history of polio, genetic defect, malunited fracture, growth plate injury, infection and overgrowth attributable to hemangioma, or arteriovenous fistula. Results & Conclusion : The functional leg length discrepancy caused by pelvic tilting and femur head height difference had no statistical difference(p=0.132) but poorly correlated(Pearson ${\nu}=0.05$). In the 94.28% of subjects, the femur head height difference wasn't in accord with F.L.L.D. caused by pelvic tilting. In 47.14% of subjects were expected to have over $3^{mm}$ of leg length discrepancy after pelvic adjustment. The mean of measurement difference between two methods was $3.76{\pm}3.12^{mm}$ and the range was $0{\sim}11.4^{mm}$. Consequently, we must consider not only functional leg length discrepancy caused by pelvic tilting but also anatomical leg length discrepancy, misalignment of ankle, knee or hip joint etc.

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XLPE 케이블의 전기적 열화 패턴 분석 (Electrical Degradation Pattern Analysis according to XLPE Cable)

  • 민치현;곽동순;천현권;최진욱;김영석;김선구;김상현
    • 조명전기설비학회논문지
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    • 제22권4호
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    • pp.114-120
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    • 2008
  • 일반적으로 22.9[kV] 이하의 케이블은 가교폴리에틸렌(XLPE)을 절연체로 사용하고 있다. XLPE내부의 결함으로 인한 사고로 경제적 및 인명피해가 발생한다. 이러한 사고에 대한 처리 기준이 마련이 되어 있지 않아 사고처리의 체계화가 시급히 필요한 실정이다. 본 연구에서는 XLPE 케이블의 사고 요인이 되는 전기적 열화현상에 대한 자료구축을 위하여 XLPE에 곡율반경이 $10[{\mu}m]$인 침천극을 삽입하여 절연파괴, 트리형상 및 연면방전 시료를 제작하였다. 단시간 파괴는 AC 60[Hz]의 전압을 1[kV/sec] 상승하였으며, 장기과전의 경우 AC 60[Hz]의 전압을 12[kV] 및 17[kV]를 인가하여 전기적 열화 특성에 대하여 실험을 하였다.

Silicone Implant 삽입 후에 발생한 안와내 거대 낭종 (Large Intraorbital Cyst after Silicone Implant Insertion: A Case Report)

  • 하상욱;이혜경;유원민;탁관철
    • Archives of Plastic Surgery
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    • 제33권5호
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    • pp.659-662
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    • 2006
  • Purpose: Alloplastic implants, such as methylmethacrylate, Teflon, silicone, Supramid are commonly used to cover the floor defect and to prevent reherniation of the displaced orbital tissue in orbital floor fracture. Silicone implant has been used for reconstruction of orbital wall defects because of pliability, advantage of carving and chemically inert nature. However, silicone implant also has complications including infection, extrusion, pain, dystopia and tissue reaction. Cyst formation around the silicone implant is a very rare complication. According to many reports, cysts around alloplastic implant in an orbital area are mostly hemorrhagic cysts consisted of blood breakdown product with fibrous capsule cell in histologic examination. Methods: The authors report atypical case and successful treatment of intraorbital hemorrhagic cyst around silicone implant of a 37-year-old male patient. Results: Preoperative symptoms of diplopia, exophthalmos, proptosis, vertical dystopia and ectropion of lower eyelid were resolved after surgical removal of implants with surrounding capsule. Conclusion: Clinical suspicion of plastic surgeon is important in diagnosis of intraorbital cyst of patients who have history of silicone implantation and computed tomography is the standard tool of diagnosis. During the operation, caution must be taken on delivering the whole capsule of intraorbital cyst along with silicone implant to prevent recurrence of the cyst.

치과보철물의 평균수명에 관한 연구 (A Study on the Life Expectancy of the Dental Prosthetic Restorations)

  • Young-Ku Kim
    • Journal of Oral Medicine and Pain
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    • 제20권2호
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    • pp.317-325
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    • 1995
  • This study was performed to investigate the mean life expectancy of dental prosthetic restorations. The author has examined 352 dental prosthesis clinically and radiologically, and decided the success(survival) and failure(mortality) of the dental prosthesis. The dental prosthesis which had been treated in the Seoul National University Dental Hospital, two private clinics in Seoul, one university dental hospital, and two private clinics in local province were included in this study. The survival analysis using product limit estimator was used and the mean life expectancy of each type of dental prosthesis was calculated. The results were as follows : 1. The life expectancies were 10.5 years in gold crown and bridge, 8.5 years in porcelain fused to metal crown and bridge, 8.3 years in nonprecious metal crown and bridge, 8.1 years in removal partial denture, and 7.7 years in full denture. 2. The causes of mortality were in the order of dental caries(24.6%), fracture of dental prosthesis(19.2%), periodontal problems(18.6%), chronic chewing difficulty and dysfunction due to dental prosthesis(15.0%), excessive exposure of abutments due to the marginal defect of dental prosthesis(14.4%), abnormal occlusion due to severe attrition of artificial teeth in dentures(3.0%), periapical problems(2.4%), perforation of dental prosthesis(1.8%), and loose contacts with neighboring tooth(1.2%). 3. Among survival cases, 66.5% showed normal chewing ability and 31.9% showed partial chewing ability. However, 1.6% of them complained loss of chewing ability. 4. Among failure cases, 6.6% showed normal chewing ability and 38.9% showed partial chewing ability. However, 54.5% of them complained loss of chewing ability.

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집중유도형 교류전위차법에 의한 표면결함 및 이면결함의 평가에 관한 연구 (Evaluation of Surface Crack and Blind Crack by Induced Current Focusing Potential Drop(ICFPD) Technique)

  • 김훈
    • 비파괴검사학회지
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    • 제16권2호
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    • pp.86-94
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    • 1996
  • 파괴역학을 기초로 한 구조물의 수명 관리와 안전성 평가에 있어서, 결함의 크기는 매우 중요한 변수인자이다. 집중유도형 교류전위차법(ICFPD)은 구조물 부재의 표면, 이면 및 내면에 존재하는 결함을 검출하고, 그 크기를 측정하기 위하여 개발하였다. 본 비파괴법의 원리는 교류 전류가 흐르는 하나의 도선에 의하여 국부적인 영역에 전류를 집중적으로 유도하는 것을 이용하였다. 도선에 흐르는 전류는 일정 크기와 주파수를 갖는다. 금속표면에 유도된 전위는 탐촉자에 설치된 전위측정용 단자(potential pick-up pins)로 측정한다. 본 논문은 집중유도형 교류전위차법을 이용하여 평판 시험편에 도입한 표면결함과 이면결함을 평가하였다. 표면결함의 경우, 전위차 분포는 결함의 경사도에 따라 변화하고, 결함부와 결함단부의 전위차는 결함의 경사도 및 깊이에 따라 변화한다. 이면결함의 경우, 전위차 분포는 표면결함의 전위차 분포와 구분이 되며, 결함부에서의 전위차는 결함의 깊이에 따라 변화한다.

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최근 5년간 유리 피판술을 이용한 하지재건의 분석 (Analysis of the Lower Extremity Reconstruction with Free Tissue Transfer in Recent 5 Years)

  • 백승준;허찬영;오갑성
    • Archives of Reconstructive Microsurgery
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    • 제8권2호
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    • pp.130-138
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    • 1999
  • The lower extremity injuries are extremely increasing with the development of industrial & transportational technology. For the lower extremity injuries that result from high-energy forces, particularly those in which soft tissue and large segments of bone have been destroyed and there is some degree of vascular compromise, the problems in reconstruction are major and more complex. In such cases local muscle coverage is probably unsuccessful, because adjacent muscles are destroyed much more than one can initially expect. Reconstruction of the lower extremity has been planned by dividing the lower leg into three parts traditionally The flaps available in each of the three parts are gastrocnemius flap for proximal one third, soleus flap for middle one third and free flap transfer for lower one third. Microvascular surgery can provide the necessary soft tissue coverage from the remote donnor area by free flap transfer into the defect. Correct selection of the appropriate recipient vessels is difficult and remains the most important factor in successful free flap transfer. Vascular anastomosis to recipient vessels distal to the zone of injury has been advocated and retrograde flow flaps are well established in island flaps. Retrograde flow anastomosis could not interrupt the major blood vessels which were essential for survival of the distal limb, the compromise of fracture or wound healing might be prevented. During 5 years, from March 1993 to Feb. 1998, we have done 68 free flap transfers in 61 patients to reconstruct the lower extremity. From analysis of the cases, we concluded that for the reconstruction of the lower extremity, free flap transfer yields a more esthetic and functional results.

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개에서 $Osteoset^{(R)}$의 요골 결손부 충진에 대한 색도플러초음파검사의 유용성 평가 (Color Doppler Ultrasonographic Evaluation in Observing the Affects of $Osteoset^{(R)}$ on Radial Defects in Beagle Dogs)

  • 전종훈;성윤상;엄기동;김재훈;장광호
    • 한국임상수의학회지
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    • 제25권1호
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    • pp.1-8
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    • 2008
  • This study is conducted to compare ultrasonographs with plain radiographs in monitoring bone regeneration during reconstruction of critical sized radial defects in dogs. A 15 mm bony defect was taken on each of the eight dog's radius using an electrical saw and an external fixator was applied. The experimental groups were divided into non-treated group(group 1) and $Osteoset^{(R)}$-treated group(group 2). Each fracture site was evaluated using plain radiography and ultrasonography. Radiographic callus formation occurred after $11.50{\pm}1.12$ days in group 1 and $11.50{\pm}0.5$ days in group 2. Neovascularized flow signal could be seen $6.50{\pm}1.5$ days and the vascular signal disappeared after $45.00{\pm}6.16$ days after operation in group 1. Neovascularized flow signal was observed $6.75{\pm}1.78$ days and vascular signal disappeared $23.25{\pm}3.03$ days after surgery which was caused by acoustic shadowing in group 2. Early stages of regeneration were observed more clearly with color Doppler ultrasonography than with plain radiography. Also from the results it is concluded that color Doppler ultrasonography are useful in observing initial stages of bone repair.

하악 제2유구치 치수 절단술시 치아 및 충전재에 미치는 응력에 관한 유한 요소법적 분석 (FINITE ELEMENT ANALYSIS OF STRESS TRANSMITTED TO THE PULPOTOMIZED PRIMARY MOLARS TREATED BY VARIOUS TEMPORARY FILLING LOADED AT DIFFERENT CONDITION)

  • 김동수;김종수;김용기
    • 대한소아치과학회지
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    • 제23권4호
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    • pp.818-839
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    • 1996
  • The strain gage, holographic and photoelastic analysis etc. have been used for stress analysis of prosthesis, orthodontic or orthopedic appliances and filling materials. But these methods has some limitation in analyzing the internal stress. The Finite Element Analysis has been proved to compensate this defect and widely used in this area. The purpose of this study was to compare the stress distributions of the various temporary filling methods being used in pulpotomy procedure. Three different models were designed according to temporary filling material and method: amalgam filling with ZOE base(Model I), amalgam filling with ZPC sub-base and ZOE(Model II), IRM filling only(Model III). The results of the experiment were as follows: 1. In model I under the load case 6 and 1, the significant stress was shown to be concentrated on the buccal portion of crown. 2. Model II showed the similar pattern of stress distribution to Model I. 3. In model III under load case 2, the stress was mainly distributed on the buccal cusp tip and buccal margin of filling material. In same model under the load case 3, the stress was distributed on the lingual cusp tip. 4. Based on the above data, IRM can be assumed to have advantage over the other tested materials in reducing the incidence of crown fracture by localized the stress within the filling materials.

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심미적 영역에서 즉시 임플란트 식립 및 임시 수복을 통한 단일치의 수복에 대한 증례 보고 (Immediate implant placement and provisionalization of single implant in the esthetic region : Cases report)

  • 이성배;박유선;김병헌;이보아;최성호;김영택
    • 대한치과의사협회지
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    • 제58권2호
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    • pp.83-92
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    • 2020
  • In the anterior maxillary area, dental implants for tooth replacement are challenging due to the need to satisfy high esthetic level as well as functionality. Immediate implant placement and provisionalization can dramatically reduce the edentulous period, and then fulfill patient's demand for esthetics. The aim of present case report is to demonstrate two cases that successfully restored single tooth with immediate implant placement and provisionalization in the anterior maxillary area. A 47 years old female was scheduled to replace her maxillary right central incisor due to crown-root fracture by trauma. Another 54-year-old female was planned to place dental implant following tooth extraction of maxillary right lateral incisor owing to continuous pus discharge despite repetitive treatments including apicoectomy. In these two cases, surgical and prosthetic procedures progressed in a similar way. After minimal flap elevation, atraumatic tooth extraction was performed. Implant was placed in proper 3-dimensional position and angulation with primary stability. Bone graft or guided bone regeneration for peri-implant bone defect was conducted simultaneously. Provisionalization without occlusal loading was carried out at the same day. Each definitive crown was delivered at 7 and 5 months after the surgery. Two cases have been followed uneventfully for 2 to 5 years of loading time. In conclusion, Immediate implant placement and provisionalization could lead to esthetic outcome for single tooth replacement with dental implant under proper case selection.

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