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Full mouth rehabilitation of an oligodontia patient with intellectual disability based on shortened dental arch concept: a case report (2급 지적 장애를 가진 환자의 SDA 개념을 적용한 전악 수복 증례)

  • You, Jae-Wook;Heo, Seong-Joo;Kim, Seong-Kyun;Koak, Jai-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.4
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    • pp.330-335
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    • 2012
  • Shortened dental arch (SDA) as a treatment goal is the concept that stable occlusion and enough masticatory force can be achieved by restoration to the second premolars when the situation is not favorable. SDA could be applied both natural teeth and implant supported fixed prostheses. This case dealt with a patient who has grade 2 intellectual disability and a lot of missing teeth. Because of intellectual disability, patient cooperation during treatment could not be expected. Therefore every treatment should be done under general anesthesia. In addition to that, ridge resorption around molar area was severe and there were maxillary sinus pneumatization and maxillary sinusitis which increased failure probability. SDA concept was adopted to reduce risk factor and minimize general anesthesia. After the treatment, functional and esthetic improvement was achieved and oral hygiene was fortified by periodic recall check and education.

Orthodontic and orthopedic treatment for a growing patient with Tessier number 0 cleft

  • Baek, Seung-Hak;Park, Yoon-Hee;Chung, Jee Hyeok;Kim, Sukwha;Choi, Jin-Young
    • The korean journal of orthodontics
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    • v.48 no.2
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    • pp.113-124
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    • 2018
  • The purpose of this case report was to introduce the concept of orthodontic and orthopedic treatment for a growing patient with Tessier number 0 cleft. A 5-year-old boy patient with Tessier number 0 cleft presented congenitally missing maxillary central incisors (MXCI), a bony defect at the premaxilla, a constricted maxillary arch, an anterior openbite, and maxillary hypoplasia. His treatment was divided into three stages: management of the bony defect at the premaxilla and the congenitally missing MXCIs using a fan-type expansion plate, iliac bone grafting, and eruption guidance of the maxillary lateral incisors into the graft area for substitution of MXCIs; management of the maxillary hypoplasia using sequential facemask therapy with conventional and skeletal anchorage; and management of the remaining occlusal problems using fixed orthodontic treatment. The total treatment duration was 15 years and 10 months. Class I canine and Class II molar relationships and normal overbite and overjet were achieved at the end of treatment. Although the long-term use of facemask therapy resulted in significant protraction of the retrusive maxilla, the patient exhibited Class III profile because of continued mandibular growth. However, the treatment result was well maintained after 2 years of retention. The findings from this case suggest that interdisciplinary and customized approaches are mandatory for successful management of maxillary hypoplasia, bony defect, and dental problems in Tessier number 0 cleft. Moreover, considering the potential of orthognathic surgery or distraction osteogenesis, meticulous monitoring of mandibular growth until growth completion is important.

Teaching Proportional Reasoning in Elementary School Mathematics (초등학교에서 비례 추론 지도에 관한 논의)

  • Chong, Yeong Ok
    • Journal of Educational Research in Mathematics
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    • v.25 no.1
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    • pp.21-58
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    • 2015
  • The aim of this study is to look into the didactical background for teaching proportional reasoning in elementary school mathematics and offer suggestions to improve teaching proportional reasoning in the future. In order to attain these purposes, this study extracted and examined key ideas with respect to the didactical background on teaching proportional reasoning through a theoretical consideration regarding various studies on proportional reasoning. Based on such examination, this study compared and analyzed textbooks used in the United States, the United Kingdom, and South Korea. In the light of such theoretical consideration and analytical results, this study provided suggestions for improving teaching proportional reasoning in elementary schools in Korea as follows: giving much weight on proportional reasoning, emphasizing multiplicative comparison and discerning between additive comparison and multiplicative comparison, underlining the ratio concept as an equivalent relation, balancing between comparisons tasks and missing value tasks inclusive of quantitative and qualitative, algebraic and geometrical aspects, emphasizing informal strategies of students before teaching cross-product method, and utilizing informal and pre-formal models actively.

Anterior esthetic restoration using DSD (digital smile design) for a patient with congenital missing tooth of maxillary central incisor (선천적 상악 우측 중절치 결손 환자에서 DSD (digital smile design)를 이용한 전치부 수복 증례)

  • Park, Hye Jeong;Lee, Joon-Seok
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.3
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    • pp.170-179
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    • 2019
  • The prosthodontic treatments in maxillary anterior teeth focus on achieving esthetic appearances. It is possible to improve the esthetic appearance by adjusting the shape, arrangement, and color of the maxillary anterior teeth. For anterior teeth restoration, it is necessary to evaluate the relationship of teeth, lip and gingival architecture with the facial profile of patient. Also, clinician needs to fully understand what the patient wants to. DSD (digital smile design) concept can be applied as a tool to improve communication with the clinician, technician and patient. In addition, DSD can help to meet the needs of the patient. In this case, it was impossible to achieve symmetry due to congenital missing of maxillary central incisor. The definitive treatment goal was to get the harmony of maxillary anterior teeth, lip and the patient's face. This case report describes that the patient and clinician got the satisfying esthetic outcome by using DSD.

Design and Implementation of Supporting System of a Self-Directed Learning using Virtual Document Concept (가상문서를 개념을 활용한자기 주도적 학습지원 시스템의 설계 및 구현)

  • Noh, Jin-Soon;Lee, Yong-Bae;Myaeng, Sung-Hyon
    • Journal of The Korean Association of Information Education
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    • v.6 no.2
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    • pp.234-245
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    • 2002
  • A new era has come where high quality educational materials can be acquired easily through the World Wide Web. These materials, however, need to be refined and streamlined to maximize their effect on education. In order to provide such a streamlined flow, we need to be able to re-organize documents, which exist independent of each other on the Web, in a way that maintains their appropriate order in the right context to satisfy educational purposes. In addition, we should be able to provide supplementary explanations or missing information to the organized materials for smooth connections among them. In order to meet the requirements, we employed the virtual document concept that allows us to reuse existing documents for educational purposes. By providing a retrieval engine for virtual documents, we attempt to induce self-directed learning based on document retrieval, suitable for the level and purpose of students.

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SB-locking method for keeping implant restorations mechanically in place using fiber post: A case report (Fiber post를 이용하여 임플란트 지대주에 보철물을 결합하는 SB-locking method: A case report)

  • Chung, Min Ah;Leesungbok, Richard;Lee, Suk Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.4
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    • pp.356-362
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    • 2020
  • All the faculties at the prosthodontic department in Kyung Hee University Dental Hospital at Gangdong, have been implementing the Top-Down concept of treatment approach since 2006 in which the outcomes of the last prosthetic treatment are predicted in advance during the treatment planning stage of patients with dental tissue defects. Based on the Top-Down concept, this report is also an example of how the final prosthetic treatment was performed in advance before going into implant surgery for the missing teeth. Among the various methods of connecting implant fixture and restoration, the cement-retained method is relatively simple to manufacture restoration without being constrained by the angle of the implants placed, but difficult to remove remaining subgingival excess cement completely, and to detach it being when necessary. In the report, SB-locking method will be introduced which enables an aesthetic implant restoration without either a screw hole or residual excess cement.

The Study of Effect of Educational Value and Barrier's Factors on Developmental activity of the marine sports in a middle school teachers in Pusan (부산지역 중학교 교사의 교육적 가치와 장애요인이 해양스포츠 계발활동에 미치는 영향에 관한 연구)

  • Ji, Sam-Up;Mun, Sun-Ho;Lee, Jae-Bin;Kim, Nam-Young
    • Journal of Fisheries and Marine Sciences Education
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    • v.20 no.2
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    • pp.147-155
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    • 2008
  • The purpose of this study was to identify the causal relationship developmental activity of the marine sports among the educational value and barrier's factors in a middle school teachers in Busan. Responses were collected from 352 questionnaires which participated in the survey chosen by convenient sampling from the middle school teachers who working the area of Busan. A total of 338 responses were used in data analysis; 14 questionnaires were excluded form data analysis because of incomplete or missing data. To conduct this study the multiple regression analysis was used by SPSS 10.0. The result of this study disclosed; first, The factors of educational value such as self-concept development, collaboration, human relationship, and emotional development were statistically causal relationship with the developmental activity of the marine sports. The other factors of creativity, leisure activity, and health were not statistically causal relationship with the development activity of the marine sports. Second, the barrier's factors of facility and weather were statistically causal relationship with the developmental activity of the marine sports. The other barrier's factors of safety accident, program, and participation expense were not statistically causal relationship with the developmental activity of the marine sports.

A Comparison Study on Curriculum Contents between FAO Technical Guidelines and Korean Fisheries Management (FAO 수산 가이드라인과 국내 수산경영학 교과와 내용 구성의 비교 연구)

  • Lee, Dong-Ho
    • The Journal of Fisheries Business Administration
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    • v.47 no.3
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    • pp.93-110
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    • 2016
  • Most of the changes that make paradigm shift have been involved international level problems related to environment, resource and structure problems in these days. Resolving those common issues the United Nations Food and Agriculture Organization(UN FAO) has played most important role in fisheries with publishing the series of the technical guidelines for responsible fisheries papers. The guidelines for responsible fisheries have introduced for applying the concept of sustainable development with considering overall changes in fisheries domains. And also have objectives that establishing the discipline of fisheries worlds. Although these papers are remarkable, there is still few research or education contents of them in Korea. Fisheries business administration is a kind of social science that influenced by environmental, social changes so called paradigm shift. So one of the most important thing that has the education of sustainable development is accommodation or adaptation of them with grasping the phenomenon continuously. The aims of this study are exploring the FAO's the technical guidelines for responsible fisheries documents and contents of college's fisheries business administration and finding out the overall systematic topics and themes of fisheries business administration education. The result of this study shows that the contents of fisheries business administration did not including the concept of responsible fisheries even were out of date in using statistical data. And there is some missing issues that including fisheries policy, resource management, and related law should be enhanced. This study suggests the framework of fisheries business administration with comparing analysis on FAO's document and college's course of study in Korea. The proposed framework of major topics of fisheries business administration that still needed to be improved should be a milestone of understanding and debating the core factors of fisheries business administration education and research.

A Verification Strategy for the Origin of Electronic Records (전자기록의 출처확인 지원전략)

  • Song, Byoungho
    • The Korean Journal of Archival Studies
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    • no.25
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    • pp.47-89
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    • 2010
  • The target of managing electronic records should be the trusted record services to the end-users. The natural characteristics of electronic records yields the drawback in the authenticity aspect and in the integrity aspect, and current standards and methodologies have beed developed to treat this drawback. However the authenticity and the integrity concepts is hardly separated each other and too completed, so alternative "source" concept is introduced and a verification strategy for the origin of electronic records is discussed in this paper. According to this concept, current standards and methodologies may be criticized for the negligence of necessary information organizing/verification, the doubtful long-term verification, and the missing counter-strategy for the verification-failed records. To solve this, needed facters for origin verification is described, new preservation format divided into temporally-fluctuating (variable) part and immutable (fixed) part is proposed, and a strategy to prevent, avoidance, and detection/recovery important records is suggested.

A CLINICAL STUDY OF MAXILLARY SINUS GRAFT FOR IMPLANT PLACEMENT (임프란트 식립시 상악동점막거상술후 예후에 관한 임상적 연구)

  • Park, Lae-yeun;Lee, Jong-han;Kim, O-hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.20 no.2
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    • pp.166-172
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    • 1998
  • Missing of the upper posterior dentition can cause alveolar bone resorption & pneumatization of Maxillary sinus wall, which makes traditional implant placement impossible, The solution includes various methods to the posterior maxilla to provide adequate bone support for implant installation and long-term survival. -- sinus floor elevation, sinus-lift graft, inlay graft using LeFort I osteotomy, onlay graft, This is a clinical Sr. retrospective study on implant surgery & prosthodontic restoration with upper edentulous posterior jaw from Jan. 1990. to Jun. 1997 at implant clinic of Chonbuk National University Hospital. The results obtained were as follows: 1. Six hundred ninety-nine implants were placed on upper posterior jaw of two hundred seventeen patients, among them one hundred sixty-five implants were placed in forty-four patients with sinus lift. 2. The height of the remained alveolar bone was classified on the base of Misch's concept. This included seventy-nine SA-1s, ninety-seven SA-2s, sixty-five SA-3s and sixty SA-4s. 3. Ninety percent of implants were successfully integrated in non-grafted area and eighty-seven percent of implants were successully integrated in sinus lift area.

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