• 제목/요약/키워드: Hand instrumentation

검색결과 101건 처리시간 0.022초

NiTi Rotary Instrumentation이 근관만곡도 변화에 미치는 영향 (THE EFFECT OF NiTi ROTARY INSTRUMENTATION ON THE CHANGE OF APICAL ROOT CANAL CURVATURE)

  • 임형태;홍찬의;조용범
    • Restorative Dentistry and Endodontics
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    • 제23권1호
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    • pp.257-268
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    • 1998
  • During cleaning and shaping of narrow and curved canals, it is very difficult or nearly impossible to maintain the original canal shape. Procedural accidents such as, ledge, zipping, perforation, and instrument breakage are frequently occurred and even may lead to failure of endodontic therapy. To prevent these kinds of accidents, various instrumentation techniques and materials have been introduced. Recently some nickel titanium (NiTi) files are introduced and it is reported that These NiTi files created rounder preparations with less transportation than conventional instruments in curved canals. This study compared the change of the canal curvature and procedural accidents after instrumentation produced by stainless steel K-flexo file, and NiTi rotary files (Profile 29 and Quantec 2000). Thirty narrow and curved canals (25-45 degree) of extracted human molars were randomly divided into three groups. In group 1, canals were instrumented using a step-back and watch-winding/pull motion with K-flexo files. In group 2, canals were prepared with Profile 29. Group 3, canals were prepared with Quantec 2000 files. Before and after preparation of canals, periapical radiographs were taken and scanned. The change of canal curvature were measured using Photoshop 4.0 program and the incidence of procedural accidents were also evaluated. The results were as follows: 1. All group showed some loss of canal curvature after instrumentation. 2. Average loss of canal curvature was $6.70{\pm}5.31$ degree for group 1, $3.80{\pm}2.57$ degree for group 2, and $5.40{\pm}4.83$ degree for group 3. All group There was significant change in curvature between before and after instrumentation (p<0.05). But there was no statistical difference amoung 3 groups. 3. In group I, there were no procedural accidents, such as ledging, perforation, or instrument fracture. In group 2, two cases of ledge and one case of instrument fracture were produced Goup 3, each one case of ledge, perforation and instrument fracture were occurred. Whthin the limits of above results, It seems that NiTi rotary instrumentation is not All Mighty and if we use uncarefully, it is more dangerous to produce some procedural accidents than conventional hand files. But more studies should be taken to evaluate the exact effects of NiTi rotary instrumentations.

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경량 동적 코드 변환을 이용한 커널 수준 소프트웨어 계측에 관한 연구 (Kernel-level Software instrumentation via Light-weight Dynamic Binary Translation)

  • 이동우;김지홍;엄영익
    • 인터넷정보학회논문지
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    • 제12권5호
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    • pp.63-72
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    • 2011
  • 코드변환 기법은 특정 명령어 집합 구조에서 작성된 프로그램 코드를 다른 구조에서 실행할 수 있도록 변환하는 일종의 에뮬레이션 기법이다. 이 기법은 주로 구형 시스템에서 동작하는 응용프로그램을 새로운 시스템에서 동작시키기 위해 사용되었다. 코드를 변환하는 과정에서 동적으로 코드를 삽입하는 것이 가능하기 때문에 소스코드의 수정 없이 기존 응용프로그램을 계측할 수 있다. 이미 응용프로그램 분야에서는 동적코드분석과 가상머신에서 이러한 기법이 널리 활용되고 있다. 반면에 운영체제의 커널은 일반적인 유저 수준의 응용프로그램과는 다른 특성을 지니기 때문에 커널 수준에서 이러한 코드변환 기법을 사용하려면 시스템 성능, 메모리 관리, 특권 명령어 처리 및 동기화와 관련된 문제가 다루어져야 한다. 본 논문에서는 커널 수준의 동적코드변환 기법을 설계하고 코드삽입을 통한 소프트웨어 계측을 제안한다. 제안기법을 리눅스 커널에 적용하여 실험을 수행하고 그 결과를 통해 본 제안기법이 커널수준에서 소프트웨어 계측에 적은 성능 부하만을 야기함을 확인하였다.

Improved dentin disinfection by combining different-geometry rotary nickel-titanium files in preparing root canals

  • Bedier, Marwa M.;Hashem, Ahmed Abdel Rahman;Hassan, Yosra M.
    • Restorative Dentistry and Endodontics
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    • 제43권4호
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    • pp.46.1-46.10
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    • 2018
  • Objectives: This study was to evaluate the antibacterial effect of different instrumentation and irrigation techniques using confocal laser scanning microscopy (CLSM) after root canal inoculation with Enterococcus faecalis (E. faecalis). Materials and Methods: Mesiobuccal and mesiolingual canals of extracted mandibular molars were apically enlarged up to a size 25 hand K-file, then autoclaved and inoculated with E. faecalis. The samples were randomly divided into 4 main groups according to the system of instrumentation and irrigation: an XP-endo Shaper (XPS) combined with conventional irrigation (XPS/C) or an XP-endo Finisher (XPF) (XPS/XPF), and iRaCe combined with conventional irrigation (iRaCe/C) or combined with an XPF (iRaCe/XPF). A middle-third sample was taken from each group, and then the bacterial reduction was evaluated using CLSM at a depth of $50{\mu}m$ inside the dentinal tubules. The ratio of red fluorescence (dead cells) to green-and-red fluorescence (live and dead cells) represented the percentage of bacterial reduction. The data were then statistically analyzed using the Kruskal-Wallis test for comparisons across the groups and the Dunn test was used for pairwise comparisons. Results: The instrumentation and irrigation techniques had a significant effect on bacterial reduction (p < 0.05). The iRaCe/XPF group showed the strongest effect, followed by the XPS/XPF and XPS/C group, while the iRaCe/C group had the weakest effect. Conclusions: Combining iRaCe with XPF improved its bacterial reduction effect, while combining XPS with XPF did not yield a significant improvement in its ability to reduce bacteria at a depth of $50{\mu}m$ in the dentinal tubules.

일부 치위생과 학생들의 치면세마교과목 만족도에 관한 연구 (A study on the oral prophylaxis subject satisfaction of the dental hygiene department students in some area)

  • 심형순;이향님
    • 한국치위생학회지
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    • 제9권1호
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    • pp.15-26
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    • 2009
  • The purpose of this study was to prepare improved education guideline by grasping parts and items felt difficult to apply instruments by the students of the dental hygiene department in the practice of oral prophylaxis using manikin and analyzing factors influencing the satisfaction at the oral prophylaxis subject. To achieve this purpose, 285 senior students of the dental hygiene department located in the Kwangju. Jeonnam area who took theory and practice courses of oral prophylaxis but only practiced the manikin from the second semester of 1st year were selected as the subjects. The following results were obtained. 1. In the manikin, the most difficult part was maxillary anterior lingual in the use of explorer, sickle scaler, and universal curet, and maxillary right posterior lingual was in the use of gracey curet. In the dentiform, the most difficult item was instrument stroke in the use of explorer, sickle scaler, universal curet and gracey curet. 2. The highest stressor was the lack of knowledge and skill in practice of oral prophylaxis, followed by the lack of confidence, and difference between theory and practice in oral prophylaxis. The overall practice satisfaction was 3.23 at oral prophylaxis. The highest satisfaction was found in patient and operator position(3.51), followed by basic skill(3.34), the way to use hand instrumentation(3.16), and the way to use oral examination instrumentation(3.01). 3. According to school records, satisfaction at oral prophylaxis practice satisfaction was 3.36 of good, 3.24 of fair, and 3.06 of poor, suggesting significant difference(p<0.05). Students who participated just in practice during a school term showed 3.47 of satisfaction. The highest satisfaction was found in a full-time professor as a professor in charge(3.24) and there was significant difference(p<0.05). 4. The highest correlated factor between oral prophylaxis theory and practice satisfaction was curriculum satisfaction. The use of hand instrumentation was found to have the greatest effect on the practice satisfaction at oral prophylaxis, followed by basic skill, the way of basic instrumentation, and position. There was statistically significant difference(p<0.01).

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Chemical cleansing as an adjunct to subgingival instrumentation with ultrasonic and hand devices in deep periodontal pockets: a randomized controlled study

  • Zafar, Fahad;Romano, Federica;Citterio, Filippo;Ferrarotti, Francesco;Dellavia, Claudia;Chang, Moontaek;Aimetti, Mario
    • Journal of Periodontal and Implant Science
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    • 제51권4호
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    • pp.276-284
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    • 2021
  • Purpose: The aim of this randomized clinical trial was to assess whether chemical cleansing using a sulfonic/sulfuric acid gel solution (HBX) as an adjunct to scaling and root planing (SRP) resulted in a decrease in residual plaque and calculus in deep periodontal pockets compared to SRP alone. Methods: Fifty-six patients with 56 hopeless posterior teeth, scheduled for extraction due to severe periodontitis, were enrolled in this study. Each tooth was randomly assigned to 1 of the 2 experimental procedures. The test teeth were subjected to the irrigation of the subgingival area with HBX for 2 minutes, followed by SRP with hand and ultrasonic instruments for 14 minutes, and then extracted. The control teeth received only mechanical instrumentation before extraction. Residual biofilm was evaluated on photographs and measured as total area and percentage of root surface covered by remaining plaque (RP) or calculus (RC) after treatment. Results: The initial pocket depth (PD) and total subgingival root surface area were similar between the 2 treatment groups. After treatment, the total subgingival root area covered by RP and RC was statistically significantly larger (P<0.001) in the control group than in the test group. The test teeth showed a lower percentage of RP, but a higher percentage of RC than the control teeth (both P<0.001). Complete calculus removal was achieved in 42% of the control teeth surfaces and in 25% of the test teeth surfaces for a PD of 4 mm. Conclusions: The additional chemical cleansing with HBX resulted in a statistically significant improvement in bacterial plaque removal during SRP of deep pockets, but it was not effective in reducing calculus deposits.

Variability of Practice Effects in Transfer of Photoelectric Rotary Pursuit Task

  • Jeon, Hye-Seon
    • 한국전문물리치료학회지
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    • 제12권4호
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    • pp.7-11
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    • 2005
  • The purposes of this study were to investigate the effects of variability of training on the acquisition of motor skill of closed loop type tracking task using Rotary Pursuit, and to determine if there was a bilateral transfer effect to the non-dominant hand following practice with the dominant hand. Twelve healthy volunteer students (5 males and 7 females, aged 25 to 37) were randomly divided into a constant practice group and a variable practice group. A photoelectric rotary pursuit apparatus with stop clock and repeat cycle timer by Lafayette Instrumentation Co. was used for this study. Rotary pursuit is a closed loop task in which a subject attempts to keep a photoelectric stylus on a lighted target in motion. Subjects performed the clockwise circular pursuit task while standing. Experimental procedure was divided into three sessions, namely, pre-test, training, and post-test. The constant group practiced all 60 trials at 30 rpm. Variable practice group did a varied practice session with 15 trials at speeds of 20 rpm, 26 rpm, 34 rpm, and 46 rpm. No one in either group practiced with their non-dominant arm. A Mann-Whitney test and a Wilcoxon Signed Ranks test were used for statistical analyses. The results of this study showed no different training effect between groups on the post-test with the dominant hand. However, bilateral transfer effect of rotary pursuit task between hands was demonstrated. Possible mechanisms are discussed.

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조기 위암의 최신 치료 방법 : 복강경 원위부 위절제술, Hand-Assisted 복강경 원위부 위절제술과 소개복 원위부 위절제술의 비교 (Modern Treatment of Early Gastric Cancer: Comparison between Laparoscope Assisted vs Hand-Assisted Laparoscopic Distal Gastrectomy vs Open Distal Gastrectomy)

  • 윤기영;;이상호
    • Journal of Gastric Cancer
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    • 제4권2호
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    • pp.75-81
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    • 2004
  • Recently detection of early gastric cancer (EGC) has been increasing and the treatment strategies for gastric cancer have been changing. The purpose of this study was to compare clinical outcomes between laparoscopically assisted (LADG) and hand-assisted laparoscopic gastrectomy (HALDG) and open distal gastrectomy for early gastric cancer. This review is directed toward providing gastric surgeons with recent advances in the treatment of EGC. We investigated the English language literature for the past 12 years through computer searches which focused on : 1) Patient demographics, 2) Operation time, 3) Intra-operative blood loss, 4) Depth of invasion, 5) CBC, 6)Weight loss, 7) Analgesic requirement, 8)Time NPO, 9) Length of hospital stay, 10) Tumor stage, 11) Lymph node (LN) dissection, 12) Position of LN resected, 13) Complications. Improved operative techniques and surgical instrumentation have facilitated the development of minimally invasive gastric cancer surgery. The short-term benefits of laparoscopic gastrectomy included less surgical trauma, less pain, rapid return of gastrointestinal function, and shorter hospital stay, with no change in operative outcome. Laparoscopic gastrectomy was better accepted by the patients as a good procedure and promptly brought the patients back to their previous lifestyle and activities of daily living. But the advantages of HALDG for gastric cancer, extended lymph node dissection and intracorporeal anastomosis are feasible and easier with the presence of the internal hand. The hand-assisted laparoscopic (HALDG) method reported the best results in lymph node dissection.This method is an alternative to total laparoscopic radical gastrectomy. LADG and HALDG, when compared with conventional open gastrectomy, have several advantages. When performed by a skilled surgeon, LADG and HALDG are safe and useful techniques for patients with early-stage gastric cancer. Their appropriateness for gastric cancer surgery require further study.

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MULTISPECTRAL IMAGING APPLICATION FOR FOOD INSPECTION

  • Park, Bosoon;Y.R.Chen
    • 한국농업기계학회:학술대회논문집
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    • 한국농업기계학회 1996년도 International Conference on Agricultural Machinery Engineering Proceedings
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    • pp.755-764
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    • 1996
  • A multispectral imaging system with selected wavelength optical filter was demonstrated feasible for food safety inspection. Intensified multispectral images of carcasses were obtained with visible/near-infrared optical filters(542-847 nm wavelengths) and analyzed. The analysis of textural features based on co-occurrence matrices was conducted to determine the feasibility of a multispectral image analyses for discriminating unwholesome poultry carcasses from wholesome carcasses. The mean angular second moment of the wholesome carcasses scanned at 542 nm wavelength was lower than that of septicemic (P$\leq$0.0005) and cadaver(P$\leq$0.0005) carcasses. On the other hand, for the carcasses scanned at 700nm wavelength , the feature values of septicemic and cadaver carcasses were significantly (P$\leq$0.0005) different from wholesome carcasses. The discriminant functions for classifying poultry carcasses into three classes (wholesome, septicemic , cadaver) were developed using linear and quadr tic covariance matrix analysis method. The accuracy of the quadratic discriminant models, expressed in rates of correct classification, were over 90% for the classification of wholesome, septicemic, and cadaver carcasses when textural features from the spectral images scanned at the wavelength of 542 and 700nm were utilized.

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K-File과 초음파기구의 근관확대 및 세척효과에 대한 비교연구 (A COMPARATIVE STUDY OF THE EFFECT K - FILE AND ULTRASONIC INSTRUMENT IN CLEANING AND SHAPING ROOT CANAL)

  • 김상섭;임미경
    • Restorative Dentistry and Endodontics
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    • 제17권2호
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    • pp.413-420
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    • 1992
  • The purpose of this study was to compare the effectiveness of hand instrumentation with K - file and ultrasonic instrumentation and irrigation system in removing pulpal debris and canal wall planing. 20 mandibular molar teeth were instrumented to size 30 K - file and 20 teeth were instrumented with ultrasonic Suprasson. And Normal Saline and 2.5% NaOCl were used as irrigation solution. All specimens were viewed at the coronal, middle, and apical third of the root canals for the evaluation of the cleaning effect under the multiview microscope. The result were as follows : 1. All of the technique and irrigation solution was effecient in the debris removal and canal wall planing at the cervical and middle thirds of the root canal. 2. All of the techniques and irrigation solutions was less efficient in the debris removal and canal planing at the apical third of the root canal. 3. The debris removal and canal wall planing was depended more on the anatomical variations of the root canal than on the techniques and irrigation solutions.

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직렬 입력 병렬 출력 연결된 LLC 컨버터를 갖는 비엔나 정류기의 DC 링크 전압 평형 제어에 관한 연구 (A Study on the Affected of DC-Link Voltage Balance Control of the Vienna Rectifier Linked With the Input Series Output Parallel LLC Converter)

  • 백승우;김학원;조관열
    • 전력전자학회논문지
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    • 제26권3호
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    • pp.205-213
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    • 2021
  • Due to the advantage of reducing the voltage applied to the switch semiconductor, the input series and output parallel combination is widely used in systems with high input voltage and large output current. On the other hand, the LLC converter is widely used as a high-efficiency power converter, and when connected by ISOP combination, there is a possibility that input voltage imbalance may occur due to a mismatch of passive devices. To avoid damaging the switching device, this study analyzed the DC-link voltage imbalance of a high-capacity supply using an ISOP LLC converter. In addition, the case where DC-link unbalance control was applied and the case not applied was analyzed respectively. Based on this analysis, an initial start-up algorithm was proposed to prevent input power semiconductor device damage due to DC-link over-voltage. The effectiveness of the proposed algorithm has been verified through simulations and experiments.