• Title/Summary/Keyword: Internal adaptation

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How adjustment could affect internal and marginal adaptation of CAD/CAM crowns made with different materials

  • Hasanzade, Mahya;Moharrami, Mohammad;Alikhasi, Marzieh
    • The Journal of Advanced Prosthodontics
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    • v.12 no.6
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    • pp.344-350
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    • 2020
  • PURPOSE. Recently introduced hybrid and reinforced glass ceramic computer-aided design/computer-aided manufacturing (CAD/CAM) materials have been used for full-coverage restorations. However; the effect of adjustment and type of materials on internal and marginal adaptation are unknown. This study aimed to evaluate and compare the marginal and internal adaptations of crowns made of three different CAD/CAM materials before and after adjustment. MATERIALS AND METHODS. One acrylic resin maxillary first molar was prepared and served as the master die. Thirty-six restorations were fabricated using CAD/CAM system (CEREC Omnicam, MCXL) with three materials including lithium disilicate (IPS e.max CAD), zirconia-reinforced lithium silicate (Suprinity), and hybrid ceramic (Enamic). Internal and marginal adaptations were evaluated with the reference point matching technique before and after adjustment. The data were analyzed using mixed ANOVA considering α=.05 as the significance level. RESULTS. The effect of adjustment and its interaction with the restoration material were significant for marginal, absolute marginal, and occlusal discrepancies (P<.05). Before adjustment, Suprinity had lower marginal discrepancies than IPS e.max CAD (P=.18) and Enamic (P=.021); though no significant differences existed after adjustment. CONCLUSION. Within the limitations of this study, crowns fabricated from IPS e.max CAD and Suprinity resulted in slightly better adaptation compared with Enamic crowns before adjustment. However, marginal, axial, and occlusal discrepancies were similar among all materials after the adjustment.

In-vitro evaluation of marginal and internal fit of 3-unit monolithic zirconia restorations fabricated using digital scanning technologies

  • Ozal, Cise;Ulusoy, Mutahhar
    • The Journal of Advanced Prosthodontics
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    • v.13 no.6
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    • pp.373-384
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    • 2021
  • PURPOSE. This study aimed to compare the marginal and internal fit of 3-unit monolithic zirconia restorations that were designed by using the data obtained with the aid of intraoral and laboratory scanners. MATERIALS AND METHODS. For the fabrication of 3-unit monolithic zirconia restorations using impressions taken from the maxillary master cast, plaster cast was created and scanned in laboratory scanners (InEos X5 and D900L). The main cast was also scanned with different intraoral scanners (Omnicam [OMNI], Primescan [PS], Trios 3 [T3], Trios 4 [T4]) (n = 12 per group). Zirconia fixed partial dentures were virtually designed, produced from presintered block, and subsequently sintered. Marginal and internal discrepancy values (in ㎛) were measured by using silicone replica method under stereomicroscope. Data were statistically analyzed by using 1-way ANOVA and Kruskal Wallis tests (P<.05). RESULTS. In terms of marginal adaptation, the measurements on the canine tooth indicated better performance with intraoral scanners than those in laboratory scanners, but there was no difference among intraoral scanners (P<.05). In the premolar tooth, PS had the lowest marginal (86.9 ± 19.2 ㎛) and axial (92.4 ± 14.8 ㎛), and T4 had the lowest axio-occlusal (89.4 ± 15.6 ㎛) and occlusal (89.1 ± 13.9 ㎛) discrepancy value. In both canine and premolar teeth, the D900L was found to be the most marginally and internally inconsistent scanner. CONCLUSION. Within the limits of the study, marginal and internal discrepancy values were generally lower in intraoral scanners than in laboratory scanners. Marginal discrepancy values of scanners were clinically acceptable (< 120 ㎛), except D900L.

Reliability and Validity of the Korean Version of the Coping and Adaptation Processing Scale-Short-Form in Cancer Patients

  • Song, Chi Eun;Kim, Hye Young;So, Hyang Sook;Kim, Hyun Kyung
    • Journal of Korean Academy of Nursing
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    • v.48 no.3
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    • pp.375-388
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    • 2018
  • Purpose: This study was conducted to assess the reliability and validity of the Korean version of the Coping and Adaptation Processing Scale-Short- Form in patients with cancer. Methods: The original scale was translated into Korean using Brislin's translation model. The Korean Short-Form and the Functional Assessment Cancer Therapy-General were administered to 164 Korean patients with cancer using convenience sampling method. The collected data were analyzed using SPSS 23.0 and AMOS 23.0. Construct validity, criterion validity, test-retest reliability, and internal consistency reliability of the Korean Coping and Adaptation Processing Scale-Short-Form were evaluated. Results: Exploratory factor analysis supported the construct validity with a four-factor solution that explained 60.6% of the total variance. Factor loadings of the 15 items on the four subscales ranged .52~.86. The four-subscale model was validated by confirmatory factor analysis (Normed ${\chi}^2=1.38$ (p=.013), GFI=.92, SRMR=.02, RMSEA=.05, TLI=.94, and CFI=.95), and criterion validity was demonstrated with the Functional Assessment Cancer Therapy-General. Cronbach's alpha for internal consistency of the total scale was .83 and ranged .68~.81 for all subscales, demonstrating sufficient test-retest reliability. Conclusion: The Korean version showed satisfactory construct and criterion validity, as well as internal consistency and test-retest reliability.

A Study on The Importance of Self-directed Learning on Career-preparation Behavior of Department of Dental Technology Students (치기공과 학생들의 진로준비행동에 대한 자기주도학습의 중요성에 관한 연구)

  • Nah, Jung-Sook
    • Journal of Technologic Dentistry
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    • v.41 no.3
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    • pp.233-244
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    • 2019
  • Purpose: The purpose of the study is to learn the importance of self-directed learning about career-preparation behavior of department of dental technology students. Methods: Using the questionnaire, the department of dental technology in Gyeongnam Province conducted a survey of students of department of dental technology at A and B college for one month from May 15, 2019 through June 15, 2019, and finally 204 students were surveyed for Self-esteem, Self-determination, Self-efficacy, Internal control, College life adaptation, Self-directed learning, and Career-preparation behavior. Results: Self-esteem among students has been shown to improve self-directed learning by increasing the stress of college life, and self-efficacy has only a direct effect on self-directed learning. In addition, self-determination and internal control of department of dental technology students were found to be variables that have a common positive effect on college life adaptation and self-directed learning. In addition, college life adaptation gives direct positive effect to self-directed learning, but indirect effect through self-directed learning was found to be stronger than direct effect on career-preparation behavior, and the career-preparation behavior of students was further strengthened through self-directed learning. Conclusion: The changes in college restructuring and various policies also suggest that students should actively seek ways to instill certainty about their major's vision and career path within the college rather than deciding their future through extreme measures such as academic secession at a time when anxiety and uncertainty about their career is strong.

Comparison of three-dimensional adaptation as per the rinsing time of temporary crown manufactured using a digital light processing printer (디지털 광 조명 방식으로 제작한 임시 크라운의 세척 시간에 따른 3차원 적합도 평가)

  • Lee, Beom-Il;You, Seung-Gyu;You, Seung-Min;Kim, Ji-Hwan
    • Journal of Technologic Dentistry
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    • v.42 no.4
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    • pp.334-340
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    • 2020
  • Purpose: This study aimed to compare three-dimensional adaptation with the rinsing time of the temporary crown produced using the digital light processing method. Methods: The maxillary right first molar abutment was scanned with a dental scanner. A temporary crown was designed with the scanned abutment. The designed crown was made of 10 temporary crowns using a digital light processing printer. The crowns were divided into the 5-minute and 10-minute rinsing groups; 5 temporary crown washes were performed for each group. In order to obtain the internal data, each group was scanned for a temporary crown. The three-dimensional fit was measured by superimposing the scanned internal surface data and the abutment data. The average comparison of three-dimensional adaptation was analyzed using the Mann-Whitney U test. Results: The 5-minute rinsing group showed a significantly higher adaptation of 71.42±3.08 ㎛ as compared to the 10-minute rinsing group (67.52±0.92 ㎛) (p<0.05). Conclusion: When making a temporary crown with a digital light processing method, a rinsing time of 10 minutes is appropriate.

Development of a Structural Equation Model for Children's Adaptation in Divorced Families (회복력 요인 중심의 이혼가정 아동 적응모형)

  • Shin, Sung-Hee
    • Journal of Korean Academy of Nursing
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    • v.40 no.1
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    • pp.127-138
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    • 2010
  • Purpose: This study was designed to develop and test a structural model for children's adaptation in divorced families. The hypothetical model was constructed based on the Family Resilience Model by McCubbin and McCubbin. Methods: Data were collected using self-report questionnaires from 219 children (3-6th grade) in divorced families. The children attended one of 22 community agencies, 8 after-school programs, 3 elementary schools in three cities in South Korea. The collected data were analyzed using LISREL program to test the hypothetical model. Results: The modified model was constructed by deleting four paths in accordance with the statistical and theoretical criteria. Compared to the hypothetical model, the revised one had a better fit to the data. Self-esteem, and beliefs about parental divorce had direct effects, and family communication and internal control had indirect effects on children's adaptation in divorced families. These variables explained 56% of the variance in children's adaptation. Conclusion: The modified model was supported by empirical data. This model could be applied to family nursing interventions with divorced families or any other suffering family transition. When working with children experiencing parental divorce, it is important for nurses to enhance children's self-esteem, family communication and to decrease children's negative beliefs about parental divorce to help in their adaptation.

The Influence of Middle-aged and Elderly Adult Learning on the Happiness of Adaptation to College Life (중고령 성인학습자의 대학생활적응이 행복감에 미치는 영향)

  • An, Geun-Pil;Kim, Moon-seup;Kim, Jin-Sook
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.3
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    • pp.255-260
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    • 2021
  • This study tried to investigate the effects of the adaptation of middle-aged and elderly adult learners to college life on happiness. For this purpose, a questionnaire survey and analysis were conducted on 321 middle-aged and older adults studying at two-year and four-year colleges in Daegu and Gyeongbuk Province, and the results are as follows. First, college life adaptation according to the general characteristics of middle-aged and elderly learners are higher for those in their 50s and 2nd grade in good health condition. Happiness was the highest women, 60s and those in the form of households where only couples live. Second, there is a static correlation between the adaptation of middle-aged and elderly adult learners to college life and happiness, and the correlation between satisfaction with internal growth and satisfaction with meaning was the highest. Third, it was found that middle-aged and elderly adults' adaptation to college life influenced happiness, and the adaptation to adult student relationships, which is the lower part of the adaptation to college life, had the greatest impact on happiness. The above research results suggest that the various positive experiences experienced in university life can affect happiness by easing student relationships, psychological stability, and physical tension, and improving one's own satisfaction with internal growth.

THE INFLUENCE OF IMPLANT FIXTURE-ABUTMENT CONNECTION DESIGN ON SCREW LOOSENING (임플랜트 지대주에 따른 나사 풀림의 연구)

  • Mun Yang-Suk;Park Sang-Won;Vang Mong-Sook;Yang Hong-So;Park Ha-Ok
    • The Journal of Korean Academy of Prosthodontics
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    • v.44 no.2
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    • pp.174-184
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    • 2006
  • Purpose: Current trend in implant dentistry is changing from external connection to internal connection. To evaluate the splinting of external and internal connection implant on screw loosening, 2-units prosthesis was fabricated with BioPlant $System^(R)$ of external connection type and Lifecore STAGE-1 Single Stage Implant $System^(R)$ of internal connection type. Material and Method: Experimental group is classified into three groups. 1) $G_1-EE$: 2-units prosthesis was fabricated with two Bioplant $System^(R)$ of external connection type. 2) $G_1-EI$: 2-units prosthesis was fabricated with one BioPlant $System^(R)$ of external connection type and one Lifecore STAGE-1 Single Stage Implant $System^(R)$ of internal connection type. 3) $G_1-II$: 2-units prosthesis was fabricated with two Lifecore STAGE-1 Single Stage Implant $System^(R)$ of internal connection type. In fabricating 2-units prosthesis, two hexed abutments are recommended when two implants are installed parallel, otherwise one hexed abutment is used on major occlusal force area and one nonhexed abutment is used on the other area. Since it is rare to find two implants being parallel, it is hard to fabricate prosthesis with passive adaptation using two hexed abutments. It is much more difficult to acquire passive adaptation when using hex abutment compared to nonhex abutment. To evaluate the influence of hexed and nonhexed abutment on screw loosening, 2-units prosthesis was fabricated with hexed and nonhexed abutment. Experimental group is classified into three groups. 1) $G_2-HH$: 2-units prosthesis was fabricated with two hexed abutments. 2) $G_2-HN$: 2-units prosthesis was fabricated with one hexed abutment and one nonhexed abutment. 3) $G_2-NN$: 2-units prosthesis was fabricated with two nonhexed abutments. Result: The results of comparing the detorque value after loading on a each prosthesis periodically are as follows. 1. In splinting group of external and internal connection implant, $G_1-II$ group demonstrated the biggest detorque value, followed by $G_1-EI$ group and $G_1-EE$ group. 2. There is no notable significance between external connection implant of $G_1-EI$ group and $G_1-EE$ group and also no significance between internal connection implant of $G_1-EI$ group and $G_1-II$ group. 3. $G_2-HH$ group showed higher detorque value than $G_2-HN\;and\;G_2-NN$ group. From the results, we can concluded that using both external connection and internal connection implant together is clinically acceptable and in order to acquire a good passive adaptation in fabricating 2-units implant prosthesis we can use two nonhexed abutments.

A Study of Husband's Stress, Communication, Family Cohesion and Adaptation in Families Living Apart and Living Together (가구주분리가족과 일반가족의 가구주스트레스, 의사소통, 가족응집성.적응성의 비교연구)

  • Hong, Sang-Ook;Bae, Ok-Hyun
    • Korean Journal of Human Ecology
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    • v.7 no.1
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    • pp.11-24
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    • 1998
  • This study aims to compare the husband's stress, communication, family cohesion and adaptation which contribute to the internal structure of conjugal understanding between families living apart from one another and those living together. The data for analysis was derived from questionnaires. 172 husbands from families living apart and 185 husbands who live with their families. The data was treated by spss pc+ program and the methods of analysis were frequency, t-test and one-way ANOVA. The results of this study were as follows : 1. Husband's stress in conjugal understanding in families living apart was higher than those who live with their families. 2. Between the husbands whose families are living apart and those who are living together, there were no significant differences in effort levels to overcome stress, family cohesion, family adaptation and communication needs for conjugal understanding. 3. Husbands who live with their families communicate differently according to the degree of their stress levels. 4. Low stress levels led to high family cohesion and family adaptation in both cases. 5. High communication levels led to high family cohesion and family adaptation in both cases.

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Feasibility of Application of Roy's Adaptation Model to Family Health Assessment (로이적응모델의 가족건강사정에의 적용가능성)

  • Jang Sun-Ok
    • Journal of Korean Public Health Nursing
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    • v.8 no.2
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    • pp.35-56
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    • 1994
  • This article was intended to survey whether Roy' Adapation model ('Roy Model') can be applied to family health assessment and to study whether application of the Roy Model to a Korean family is feasible. under the Roy Model, a family is viewed as an adaptation system having a series of process of input. process, feedback, and output. Further, the Roy Model indicates that a family contains Physiolosical, self-concept. role function and interdependent mode in respect of internal or external stimuli. In the event where the family health assessed, the adaptation mode of that family must be assess at the first stage. Then, the focal, contextual, residual stimuli affecting the family must be assessed. In 1984 Hanson suggested four types of family adaptation mode based upon the Roy Model and thereby enhanced the possibility for family health assessment. In order survey whether the Roy Model can be applied to the Korean family, the author of this article contracted adults of 169 who live in 'A' city to make open questions regarding family and then analyzed responses from them by utilizing Roy model. This study categorized family Adaptation mode based upon the' four types of family adaptation mode developed by Hanson. As a result of this study, family adaptation mode was categorized into 117 concepts. Those 117 concepts are consisted or Physiolosical mode of 47. self­concept mode of 56, role function mode of 9 and interdependent mode of 5. Further. stimuli affecting family were classified based upon Roy's definition as to three types of stimuli. Stimuli on a family are comprised focal stimuli concept of 19, contextual stimuli concepts of 19, one residual stimuli concept. this result implies that the Roy's Model can be applied to Korean family. Physiological mode shows meaning of survival. while self-concept mode reflects meaning of growth and emphasizes harmony among the family based on the familism. The role function mode shows continuity rather control of family member. By contrast, interdependent mode shows interaction with community to which the family belongs. but the degree of interaction does not appear too high. The analysis of family stimuli led this study to conclude that troubles within a family. changes in family structure and diease of family member generate stimuli. However, an application of the Roy Model contains the following problems: First, Roy argued that the family adaptation mode should be assessed at the first level family health assessment and then stimuli affecting family adaptation should be adaptation assessed at the second stage. To the belief of the author of this article. however, for checking family adaptation level. focal, contextual, residual stimuli should be confirmed by assessing stimuli at first stage. Then, the family adaptation mode in respect of such stimuli should be assessed. The rationale for this is that the family adaptation level is determined depending on degree of strength of focal. contextual. residual stimuli. Second. Whall (1991) raised a question 'Does one assess family adaptation mode and intervene in the stimuli?' 'Likewise, assessment of the family adaptation should be made in the following manner in order for family health to be enhanced. Third. Roy believes that additional stimuli (such as contextual and residual) are same as internal process (including nurturance. support, and socialization). However, the basis for this Roy's belief is not too clear. In spite of these problems which the author indicated above, it can be concluded that the Roy Model can serve as a good device for an assessment of family health and that the Roy Model can be applied to a Korean family. Finally, further research of family adaptation theory and family nursing theory is required for a development of these theories.

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