• 대한심미치과학회지
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• 제11권2호
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• pp.9-13
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• 2002

In the last decade, the replacement of old PFM restorations has been a common dental procedure, especially on the anterior regions. Gingiva conditions in most re-treatment cases are not healthy with the old restorations due to ill-fitting margin, improper tooth reduction and poor oral hygiene. Practitioners must carefully evaluate and manage periabutmental gingiva for final restorations. The role of provisional restoration became a major clinical concern at this point. Well-fabricated provisional restorations with precise-fit margin and proper anatomy are critical for achieving good gingival health. Thus, the key of success in replacing old PFM crown depends on the proper tissue management by precise provisional restorations.

• 대한치과의사협회지
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• 제54권2호
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• pp.155-162
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• 2016

Radiographs can help in the diagnosis and treatment planning, but the exposure to ionizing radiation may elevate the risk of developing cancer in a person's lifetime. The objective of this review is to briefly summarize 1) radiation risk, especially cancer risks associated with diagnostic imaging, 2) linear, non-threshold (LNT) hypothesis, 3) the risks of radiation exposure to a fetus, and 4) the campaign of Image Gently. The individual risk of radiation-related cancer from any single medical imaging procedure is extremely small and it is not likely to be cancer risk at doses lower than 100 mGy, but patients may be harmed by avoiding diagnostic imaging due to fear of radiation hazard. Dentists need to understand the radiation doses delivered by various radiographic techniques and the acceptable exposure thresholds to effectively advise the patient and to reduce the unnecessary radiation

• Journal of Mechanical Science and Technology
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• 제15권7호
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• pp.974-981
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• 2001

One approach to reconstructing a damaged mandibular condyle is to replace it with a rib graft. This procedure requires removal of the lateral pterygoid muscle. The rib graft has significantly different shape and mechanical properties than the original condyle. These three factors can be expected to alter mandible (jaw) mechanics. We used voxel-based finite element methods to analysis both normal and a simulated reconstructed mandible using data from the US NIH Visible Human Female. Results demonstrated significant differences between normal and reconstructed mandible mechanics. The reconstructed mandible displaced more than the normal mandible. Stresses in the rib graft were 3 to 4 times higher than in a normal mandibular condyle. Stresses in the rest of the mandible were also higher in the reconstructed case. Further analyses are required to determine how each of the alterations in the reconstructed mandible contributes to the difference in reconstructed mandible mechanics.

• 대한한방소아과학회지
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• 제23권3호
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• pp.233-240
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• 2009

Objectives To evaluate that Okwada affected which factors for treatment of lung fibrosis. Methods Bleomycin induced lung fibrosis model made in mice. After Okwada lyophilized, power sample obtained and melt in distilled water. Okwada solution administered mice through oral route on 21 days after bleomycin instillation and this procedure performed once a day for 7 days. We divided by three groups; normal (control), bleomycin induced lung fibrosis without treatment (experimental), bleomycin induced lung fibrosis with treatment (treatment). On six weeks after bleomycin instillation, mice sacrificed and removed lung. Weperformed Western blot analysis for TGF-beta, phosphodiesterase 5A, interleukin (4,5,13) and compared therapeutic effects of Okwada. Results On western blot analysis, all normal and experimental mice detected TGF-beta, phosphodiesterase 5A, interleukin 4,5,13. The amount of band of TGF-beta, phosphodiesterase 5A, interleukin 5 in experimental and treatment group was similar. However, interleukin 4,13 of treatment group decreased compared with experimental group. Conclusions Okwada would be effected the lung fibrosis through suppression of interleukin 4,13.

• 대한치과의사협회지
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• 제15권8호
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• pp.607-610
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• 1977

When micrognathia (Small jaw) and glossoptosis (Falling backward of the tongue) occur in the newborn, there is a grave danger of upper airway obstruction. These deformities are frequently associated with an incomplete cleft of the palate, and the entity has been referred to as the Pierre Robin Syndrome. This is to report a case of Pierre Robin Syndrome of 40 day old Korean male infant, whose birth weight was about 3.6kg, and gestation period was 39 weeks. From birth, dyspnea and feeding difficulty were developed. The authors treated the patient by surgical procedure (glossopexy). The post operative course was uneventful.

• 대한치과의사협회지
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• 제45권3호통권454호
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• pp.169-181
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• 2007

In this second part of series report on evidence-based dentistry, the level of evidence and the methods for critical appraisal are discussed. The epidemiologic studies, namely clinical studies have some bias per se, and the degree of bias is somewhat predetermined by the study design. The level of evidence can be defined as the reliability of the clinical study and it is dependent on the degree of bias. Thus, it is important to determine the type of the study and to understand its structure before critically appraising them. Systematic reviews of primary studies, randomized controlled trials, nonrandomized clinical trials, cohort studies, case-control studies, and case reports / series constitute the clinical studies and the level of evidence follows the order of the studies listed above. Critical appraisal is the most important procedure in evidence-based dentistry. It is done to determine the credibility of research papers and their usefulness in the clinician s own practice. Critical appraisal is consisted of multiple questions that are helpful for evaluating validity and usefulness of the studies concerning therapy, diagnosis, prognosis, and causation.

• 대한치과의사협회지
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• 제54권12호
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• pp.996-1023
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• 2016

There are many kinds of maintenance care services for removable denture patient. Adjustment of the denture base and occlusion should be performed regularly not only for pain relief but also for maintaining the denture function. Direct and indirect relining are needed frequently in specific cases including mandibular distal extension case or non-symmetric residual teeth situation. Surface treatments for metal and resin are essential in the relining procedure. Clinical process for the denture repair is similar to indirect relining which needs inter-occlusal registration. Especially, the peridontal maintenance care and caries prevention are most important way to preserve the abutment teeth in partial edentulism. Moreover, the caring method for the denture and the tissue should be instructed to the denture patient.

• Restorative Dentistry and Endodontics
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• 제45권1호
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• pp.9.1-9.7
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• 2020

The restorative procedure in posterior teeth involves clinical steps related to professional skill, especially when using the incremental technique, which may fail in the long term. A recent alternative is bulk-fill resins, which can reduce polymerization shrinkage, decreasing clinical problems such as marginal leakage, secondary caries, and fracture. This scientific study aims to report a clinical case using bulk-fill resin with an occlusal matrix. As determined in the treatment plan, an acrylic resin matrix was produced to establish an improved oral and aesthetic rehabilitation of the right mandibular first molar, which presented a carious lesion with dentin involvement. The occlusal matrix is a simple technique that maintains the original dental anatomy, showing satisfactory results regarding function and aesthetic rehabilitation.

• The Journal of Advanced Prosthodontics
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• 제4권3호
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• pp.170-173
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• 2012

Correct occlusal relationships are part of the successful prosthetic treatment for edentulous patients. Fabrication of complete dentures comprises of clinical and laboratory procedures that should be executed accurately for achieving success with fabricated dentures. Errors occurring during the clinical and laboratory procedures of a denture may subsequently lead to the occlusal errors in the final prosthesis. These occlusal errors can be corrected in two ways: i) in patient's mouth ii) by recording new centric relation and remounting dentures on an articulator. The latter method is more feasible because the mobility of denture base on the mucosa in oral cavity does not permit the identification of premature contacts in centric occlusion and tooth guided eccentric excursions. This article describes a modest and effective clinical chair-side remount procedure using customized mounting platforms.

• 말소리와 음성과학
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• 제3권3호
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• pp.141-148
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• 2011

There are many factors that affect speech intelligibility and speech acceptability. Structural anomalies and neuromotor pathologies are known for the reasons of abnormal speech sounds. And there are minor variations related to oral mechanism. Speaking with restricted mouth opening related to therapeutic procedure or habitual speech pattern might affect the quality of speech sounds. So this study compared speech intelligibility and speech acceptability of recorded 24 words in two conditions (restricted mouth opening condition and normal mouth opening condition) by 30 normal hearing adults. The results showed that speech intelligibility and speech acceptability were significantly lower in restricted mouth opening condition. And speech acceptability was significantly lower than speech intelligibility in restricted mouth opening condition. Speech acceptability in restricted mouth opening condition was significantly lower especially in open vowel. These findings indicated that the mouth opening condition could affect vowel shape and could be an adverse effect on speech intelligibility and speech acceptability.