• 제목/요약/키워드: Location of root fracture

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미성숙 영구치의 치근 파절 시, 치수 및 치근 치유에 영향 미치는 요인들에 대한 분석 (Factors Affecting the Pulp and Root Healing of Root Fractures in Immature Permanent Teeth)

  • 이제식;김현정;남순현
    • 대한소아치과학회지
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    • 제45권1호
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    • pp.10-20
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    • 2018
  • 본 연구는 미성숙 영구치에서 치근 파절 시 치수와 치근 치유에 영향을 주는 요인을 평가하기 위해 치근 파절위치, 치근단공의 크기, 파절편 간격을 측정하였고, 치수와 치근 치유 양상과의 연관성을 통계적으로 분석하여 치근 파절시 예후를 알아보고자 하였다. 51개의 상악 전치부 치근 파절 증례를 대상으로 치근 파절위치, 치근단공의 크기, 파절편 간격을 방사선 사진에서 길이를 측정하였다. 측정된 수치는 독립 T검증, 로지스틱 회귀분석을 통해 평가하였다. 본 연구의 결과, 치근 파절의 위치에 따른 치수 치유의 예후의 차이는 없었다. 그러나 치근 파절의 위치가 치근단에 위치할수록 치근 치유는 잘 일어났으며(p < 0.05), 정복 후 파절편 간격이 좁을수록 치수 치유가 잘 일어남을 확인하였다(p < 0.05).

지상보수교육강좌 1 - 피로 치근파절 치아의 분석 (Analysis of teeth with a fatigue root fracture)

  • 이학철;류인철
    • 대한치과의사협회지
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    • 제48권2호
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    • pp.140-145
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    • 2010
  • True vertical root fracture (VRF) in nonendodontically treated teeth confined to the root surface (fatigue root fracture; FRF) is apparently uncommon, the few documented reports being Chinese. The aim of this study is to analyze the cases of a fatigue root fracture and to find out the characteristic features of teeth with a FRF. A total of 21 consecutive cases of fatigue root fracture occurring in 16 patients were reviewed. In terms of the occlusion, the presence of restorations, the location, the age and gender, each tooth and patient were analyzed. The prevalent age was in those over 50 years of age (75%) and FRFs were more frequent in male patients (69%). Fatigue root fractures occurred most frequently in the mandibular molars (61.9%; 42.9% in first molar, 19% in second molar). Fatigue root fractures were observed most frequently in the teeth with no restorations (85.7%) and in the patients with occlusal problems (94%). FRFs seem to occur frequently and may represent an undiagnosed clinical entity deserving of our attention.

미성숙 영구치의 치근파절에 관한 증례보고 (TRAUMATIC ROOT FRACTURE IN YOUNG PERMANENT TOOTH : THREE CASE REPORTS)

  • 김수연;최병재;최형준;손흥규
    • 대한소아치과학회지
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    • 제24권3호
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    • pp.562-567
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    • 1997
  • During the eruption of permanent teeth, Traumatic root fractures in young permanent incisors are rare. They occur most commonly in the maxillary central incisors of male patient and are frequently seen in the coronal third of the root. Permanent incisors are very important in terms of esthetics as well as of function, and so conservative treatment is advisable. It is important to maintain vitality of pulp to achieve better result. Location of the fracture line determines the Prognosis. No clinical change were seen in this three case. A case of central incisor with apparent healing of a root fracture without any tratment is presented in this paper. Long term clinical observation is required periodically.

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심하게 변위된 유전치 치근파절의 보존적 접근 (CONSERVATIVE APPROACH ON THE SEVERELY DISPLACED ROOT FRACTURE OF PRIMARY INCISORS : CASE REPORT)

  • 김지영;이광희;김대업;라지영;이동진
    • 대한소아치과학회지
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    • 제35권3호
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    • pp.571-577
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    • 2008
  • 유치열에서의 치근파절은 유치열의 손상 유형 중 $2{\sim}7%$ 정도를 차지하고 생리적 치근흡수가 시작하는 $3{\sim}4$세 쯤 흔히 나타난다. 파절선의 위치에 따라 치근단 1/3, 중간 1/3, 치경부 1/3으로 분류되며 치경부 1/3에서의 치근파절이 예후가 가장 불량하다. 유치의 치근파절이 발생한 경우 파절편의 변위가 적고 감염의 소견이 없으면 영구치의 경우와 같이 $2{\sim}3$개월의 선부자고정으로 치료할 수 있으나, 파절편의 동요 및 변위가 심하거나 선부자고정을 할 수 없을 때에는 치관부 파절편은 제거하고 영구치배의 안전을 위해 치근부 파절편은 잔존시킨다. 본 증례는 유전치의 치근파절이 발생하여 치관부 파절편의 변위가 심한 경우에서 발치하지 않고 정복 후 선부자 고정을 $1{\sim}3$개월 간 시행하고, 파절편의 동요, 동통, 치수괴사, 감염 등의 증상없이 치유되는 양호한 결과를 얻었기에 보고하고자 한다.

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유한요소법과 초음파 메카트로닉스 시스템에 의한 강도적 불균질 이음부의 노치위치에 따른 균열발생 한계 조건 (Evaluation of Notch Location Effect on Ductile Crack Initiation at Strength Mismatched Joints by Finite Element Method and Ultrasonic-Mechatronics System)

  • 안규백;방한서;풍전정남
    • Journal of Welding and Joining
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    • 제23권6호
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    • pp.87-92
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    • 2005
  • It has been well hewn that ductile fracture of steels is accelerated by triaxial stresses. The characteristics of ductile crack initiation in steels are evaluated quantitatively using a two-parameters criterion based on equivalent plastic strain and stress triaxiality. The present study focuses on the effects of strength mismatch, which can elevate plastic constraint due to heterogeneous plastic straining, on the critical condition for ductile fracture initiation usinga two-parameter criterion. Fracture initiation testing has been conducted under static loading using notched round bar specimens which had different notch locations. This study provides the fundamental clarification of the effect of strength mismatching and effect of notch location on the critical condition to ductile crack initiation from notch root using fuite element method and ultrasonic-mechatronics system. The critical condition of ductile crack initiation from notch root of strength mismatched tensile specimens under static loading appeared to be almost the same as those of homogeneous tensile specimens with circumferential sharp notch specimen. Also, the effect of notch location in mismatched specimens was estimated using finite element(FE) analyses.

노치위치의 변화에 따른 강도적 불균질재의 연성크랙 발생 거동 (The ductile crack initiation behavior of strength mismatch by a location of notch root)

  • 안규백;대전충;방한서;풍전 정남
    • 대한용접접합학회:학술대회논문집
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    • 대한용접접합학회 2005년도 춘계학술발표대회 개요집
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    • pp.253-255
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    • 2005
  • It has been well known that ductile fracture of steels are accelerated by triaxial stresses. The characteristics of ductile crack initiation in steels are evaluated quantitatively using two-parameters criterion based on equivalent plastic strain and stress triaxiality. The present study focuses on the effects of strength mismatching, which can elevate plastic constraint due to heterogeneous plastic straining, on critical condition to initiate ductile crack from notch root using equivalent plastic strain and stress triaxiality. In this study evaluate the criterion for ductile crack initiation in strength mismatch specimen effect of location of notch root.

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Clinical Follow-up on Sagittal Fracture at the Temporal Root of the Zygomatic Arch: Does It Need Open Reduction?

  • Cheon, Ji Seon;Seo, Bin Na;Yang, Jeong Yeol;Son, Kyung Min
    • Archives of Plastic Surgery
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    • 제40권5호
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    • pp.546-552
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    • 2013
  • Background The zygoma is a major portion of the midfacial contour. When deformity occurs in this area, a reduction should be conducted to correct it. If a sagittal fracture at the temporal root of the zygomatic arch occurs, this also requires reduction, but it is difficult to approach due to its anatomical location, and the possibility of fixation is also limited. Thus, the authors attempted the reduction of sagittal fracture by two- or three-point fixation and the Gillies approach without direct manipulation. The preoperative and postoperative results of the patients were evaluated. Follow-up was performed to establish a treatment guideline. Methods A retrospective study was done with 40 patients who had sagittal fractures at the temporal root of the zygomatic arch from March 2009 to June 2012. Only two- or three-point fixation was performed for the accompanying zygomatic-orbital-maxillary fracture. The Gillies approach was used for complex fractures of the zygomatic arch, while the temporal root of the zygomatic arch was only observed without reduction. Preoperative and postoperative computed tomography and X-ray scans were performed to examine the results. Results The result of the paired t-test on preoperative and postoperative bone gap differences, the depression level, and the degree of temporal protrusion showed a marked decrease in the mean difference at a 95% confidence interval. The results were acceptable. Conclusions In the treatment of sagittal fractures at the temporal root of the zygomatic arch, it is acceptable to use indirect reduction and non-fixation methods. This leads to a satisfactory aesthetic and functional outcome.

소형펀치 시험법에 의한 초전도 마그넷 구조용강 TIG 용접부의 극저온 파괴특성 평가 (Evaluation of Cryogenic Fracture Characteristics on TIG Weldments of Superconducting Magnets Structural Steel by Small Punch Testing Method)

  • 권일현;;정세희
    • Journal of Welding and Joining
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    • 제14권5호
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    • pp.122-133
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    • 1996
  • In order to evaluate the cryogenic fracture characteristics of structural steels for superconducting magnets of fusion reactor, small punch (SP) testing was performed on austenitic stainless steel (JN1 base metal) and its TIG weldments at 293K, 77K and 4K. The mechanical properties with respect to the extracted location of the weld metal, on the effects of welding heat cycle about base metal near fusion line in TIG weldments were investigated. The mechanical property of the weld metal in TIG weldments depends on distance from welding root, root region of weldments having the lowest mechanical property. The base metal near fusion line showed degradation of mechanical property caused by cyclic heating during the TIG welding. Based on the test results, HAZ was found to be up to 5mm from the fusion line. It is shown that SP testing is a useful tool to evaluate the mechanical properties with respect to the microstructures changes such as HAZ as well as weld metal in TIG weldments at cryogenic temperature.

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Discrepancy of the location of depression on the soft tissue and the bone in isolated zygomatic arch fracture

  • Yong Jig Lee;Dong Gil Han;Se Hun Kim;Jeong Su Shim;Sung-Eun Kim
    • 대한두개안면성형외과학회지
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    • 제24권1호
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    • pp.18-23
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    • 2023
  • Background: When performing reduction of zygomatic arch fractures, locating the inward portion of the fracture can be difficult. Therefore, this study investigated the discrepancy between the locations of the depression on the soft tissue and bone and sought to identify how to determine the inward portion of the fracture on the patient's face. Methods: We conducted a retrospective review of chart with isolated zygomatic arch fractures of type V in the Nam and Jung classification from March 2013 to February 2022. For consistent measurements, a reference point (RP), at the intersection between a vertical line passing through the end point of the root of the ear helix in the patient's side-view photograph and a transverse line passing through the longest horizontal axis of the external meatus opening, was established. We then measured the distance between the RP and the soft tissue depression in a portrait and the bone depression on a computed tomography (CT) scan. The discrepancy between these distances was quantified. Results: Among the patients with isolated zygomatic arch fractures, only those with a fully visible ear on a side-view photograph were included. Twenty-four patients met the inclusion criteria. There were four types of discrepancies in the location of the soft tissue depression compared to the bone depression: type I, forward and upward discrepancy (7.45 and 3.28 mm), type II, backward and upward (4.29 and 4.21 mm), type III, forward and downward (10.06 and 5.15 mm), and type IV, backward and downward (2.61 and 3.27 mm). Conclusion: This study showed that discrepancy between the locations of the depressions on the soft tissue and bone exists in various directions. Therefore, applying the transverse and vertical distances measured from a bone image of the CT scan onto the patient's face at the indicated RP will be helpful for predicting the reduction location.

Unusual Anterior Arch Fracture of C1 - 증 례 보 고 - (Unusual Anterior Arch Fracture of C1 - Case Report -)

  • 김상진;손찬영;김태홍;신형식;황용순;박상근
    • Journal of Korean Neurosurgical Society
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    • 제30권4호
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    • pp.537-540
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    • 2001
  • Fractures of C1 are not uncommon, constituting only 10% of all cervical spine injuries. There is a high prevalence of concomitant fractures of the second and first cervical vertebral complex. Surgical treatment is controversal. Mainstay of treatment is various combination of traction and cervical orthosis according to degree of displacement and location of fracture. We experienced unusual type of fracture, anterior arch fracture of C1 who had a history of total laminectomy of C1,2 due to cervical cord tumor(neurilemmoma arising from C2 root). We performed C1,2 lateral mass screw fixation with posterior fusion with good postoperative outcome.

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