• Title/Summary/Keyword: Proper posterior

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Full mouth rehabilitation through re-establishment of occlusal plane in partially edentulous patient with reduced vertical dimension accompanied by loss of posterior occlusal support (구치부 교합지지 상실과 수직고경 감소를 동반한 부분 무치악 환자에서 교합평면 회복을 통한 완전구강회복 증례)

  • Cho, Young Eun;Leesungbok, Richard;Lee, Suk Won;Choi, Joseph June Sirk
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.3
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    • pp.263-275
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    • 2022
  • The loss of posterior occlusal support leads to further complications such as collapsed occlusal plane and reduced vertical dimension, and it may cause problems such as facial appearance change, reduced chewing efficiency, and temporomandibular joint disorders. In such case, it is necessary to re-establish occlusal plane and vertical dimension properly through accurate diagnosis and predictable treatment plan. This case report presents a 71-year-old female, whose occlusal plane was collapsed and posterior restorative space was insufficient. To perform a patient-friendly full mouth rehabilitation, proper vertical dimension and occlusal plane were decided by evaluation of interocclusal space at her physiologic mandibular rest position, swallowing, pronunciation, facial appearance, and the average length of anterior teeth. And then, the fixed provisional restorations were fabricated with the new occlusal position, and evaluated for 5 months with checking adaptation of masticatory muscles and any kind of clinical symptoms occurs or not. After confirmation of functional stability and esthetic satisfaction with the newly established occlusion, final definitive restorations were fabricated and inserted in the mouth. Through the above process, the treatment result was functionally and aesthetically satisfactory.

Full mouth rehabilitation in osteoporosis patient with loss of teeth and excessive wear (치아 상실과 심한 마모를 보이는 골다공증 환자에서의 완전구강 회복 증례)

  • Kim, Hyun-Tack;Kim, Myung-Joo;Lim, Young-Jun;Kwon, Ho-Beom
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.63-70
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    • 2022
  • Teeth wear with loss of posterior support often leads to symptoms such as irregular occlusal plane and excessive wear of anterior teeth. In such environment, establishing proper posterior support and harmonious anterior guidance and occlusal plane is recommended. In this case, the patient had excessively worn dentition with loss of posterior support, while denying surgical treatment due to her(his) history of osteoporosis, ibandronate injection, and risk of medication-related osteonecrosis of the jaw (MRONJ). To recover the vertical space needed for prosthetic restoration, full mouth rehabilitation with vertical dimension increase of remaining teeth was decided. Missing teeth in the posterior area were restored with mandibular removable partial denture. The treatment plan was determined through careful diagnosis, and every step of procedures including tooth preparation, provisional phase with the increased vertical dimension, and definitive prosthetic phase were carried out accordingly. Once the treatment was completed, the patient was satisfied functionally and esthetically. Periodic examination of oral hygiene, occlusal stability was conducted.

An analysis of ITI implants placed in korean patients (한국환자에 매식된 ITI 임플란트에 관한 조사)

  • Chang, Moon-Taek
    • Journal of Periodontal and Implant Science
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    • v.32 no.2
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    • pp.361-370
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    • 2002
  • The aim of this study was to analyze various data of 120 non-submerged ITI implants placed in 64 korean adults. The data were retrieved from patients' charts and registered in the computer and coded for a statistical analysis. The results revealed that the most common type of edentulism was a distal extension case, and the largest number of implants were placed in the mandibular first molar position. Implants were placed more frequently in mandibular, posterior position than maxillary, anterior position, respectively. With respect to the implant diameter and length, an implant with 4.1mm in diameter and more than 10mm in length was the most common. Since a molar position was the most prevalent position for implant placement in korean patients, clinicians should be careful about implant diameter which can resist a strong occlusal force expected in the molar position. In addition, the distance to the mandibular canal and the floor of maxillary sinus should be considered to avoid possible damages, such as nerve injury and sinus perforation in selecting a proper implant length.

Reverse Latissimus Dorsi Muscle Flap for an Extensive Soft Tissue Defect Accompanied by Infectious Spondylitis

  • Yoo, Chai Min;Kang, Dong Ho;Hwang, Soo Hyun;Park, Kyung Bum
    • Journal of Korean Neurosurgical Society
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    • v.52 no.4
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    • pp.423-426
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    • 2012
  • Spinal infection is an inflammatory process around the vertebral body, and it can extend to the epidural space, posterior elements and paravertebral soft tissues. Infectious spondylitis is a rare infectious disorder, which is often associated with significant neurologic deficits and mortality. When an extensive soft tissue defect is accompanied by infectious spondylitis, effective infection control and proper coverage of soft tissue are directly connected to successful outcomes. However, it is not simple to choose the appropriate treatment methods for infectious spondylitis accompanied by a soft tissue defect. Herein, we report a case of severe infectious spondylitis that was accompanied by an extensive soft tissue defect which was closed with a reverse latissimus muscle flap after traumatic spinal epidural hemorrhage.

적출술에 의한 함출성 낭종의 치험예

  • Choie, Mok-Kyun;Lee, Bong-Won;Han, Ki-Sul
    • The Journal of the Korean dental association
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    • v.18 no.2 s.131
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    • pp.103-108
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    • 1980
  • The occurrence of odontogenic epithelium in the well of a dentigerous cyst is a well known entity. This epithelium usually remains inactive and does not have clinical significance. However, these small inactive islands of epithelium may be stimulated, resulting in an ameloblastoma. Therefore correct diagnosis and proper treatment are very important. A 15 year-old boy came to the outpatient clinic on August 13, 1979. The Chief complaint was pain, difficulty in mouth opening and swelling of the right mandible of 1 month's durations. With the X-ray filming, it was revealed that dentigerous cyst had been originated from the third molar, occurred in posterior region of the right mandible involving the 1st and the and molar and the portion just beneath the sigmoid notch area. Pus discharged from the gingival sulcus distal to the 2nd molar and it was sure that the cyst had been infected. Enucleation performed with careful excision of all cyst wall was successfully carried out, and recovery and heading were rapid and uncomplicated.

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Constrained Bayes and Empirical Bayes Estimator Applications in Insurance Pricing

  • Kim, Myung Joon;Kim, Yeong-Hwa
    • Communications for Statistical Applications and Methods
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    • v.20 no.4
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    • pp.321-327
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    • 2013
  • Bayesian and empirical Bayesian methods have become quite popular in the theory and practice of statistics. However, the objective is to often produce an ensemble of parameter estimates as well as to produce the histogram of the estimates. For example, in insurance pricing, the accurate point estimates of risk for each group is necessary and also proper dispersion estimation should be considered. Well-known Bayes estimates (which is the posterior means under quadratic loss) are underdispersed as an estimate of the histogram of parameters. The adjustment of Bayes estimates to correct this problem is known as constrained Bayes estimators, which are matching the first two empirical moments. In this paper, we propose a way to apply the constrained Bayes estimators in insurance pricing, which is required to estimate accurately both location and dispersion. Also, the benefit of the constrained Bayes estimates will be discussed by analyzing real insurance accident data.

Three-dimensional cone-beam computed tomography based comparison of condylar position and morphology according to the vertical skeletal pattern

  • Park, In-Young;Kim, Ji-Hyun;Park, Yang-Ho
    • The korean journal of orthodontics
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    • v.45 no.2
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    • pp.66-73
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    • 2015
  • Objective: To compare condylar position and morphology among different vertical skeletal patterns. Methods: Diagnostic cone-beam computed tomography images of 60 adult patients (120 temporomandibular joints) who visited the orthodontic clinic of Hallym University Sacred Heart Hospital were reviewed. The subjects were divided into three equal groups according to the mandibular plane angle: hypodivergent, normodivergent, and hyperdivergent groups. Morphology of the condyle and mandibular fossa and condylar position were compared among the groups. Results: The hypodivergent and hyperdivergent groups showed significant differences in superior joint spaces, antero-posterior condyle width, medio-lateral condyle width, condyle head angle, and condylar shapes. Conclusions: Condylar position and morphology vary according to vertical facial morphology. This relationship should be considered for predicting and establishing a proper treatment plan for temporomandibular diseases during orthodontic treatment.

Objective Bayesian inference based on upper record values from Rayleigh distribution

  • Seo, Jung In;Kim, Yongku
    • Communications for Statistical Applications and Methods
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    • v.25 no.4
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    • pp.411-430
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    • 2018
  • The Bayesian approach is a suitable alternative in constructing appropriate models for observed record values because the number of these values is small. This paper provides an objective Bayesian analysis method for upper record values arising from the Rayleigh distribution. For the objective Bayesian analysis, the Fisher information matrix for unknown parameters is derived in terms of the second derivative of the log-likelihood function by using Leibniz's rule; subsequently, objective priors are provided, resulting in proper posterior distributions. We examine if these priors are the PMPs. In a simulation study, inference results under the provided priors are compared through Monte Carlo simulations. Through real data analysis, we reveal a limitation of the appropriate confidence interval based on the maximum likelihood estimator for the scale parameter and evaluate the models under the provided priors.

The Relationship between age, height, weight and Limit of Stability on the Elderly (노인의 연령, 체중, 신장과 안정성한계의 상관관계)

  • Shin Sang-Cheol;Kim Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.12 no.2
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    • pp.153-163
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    • 2000
  • This study was conducted to examine the relationship between limit of stability and age, height and weight. 83 healthy elderly(male 40, female 43) were measured the limit of stability and demographic characteristics. The results were as follows. 1. Left-right limit of stability was correlated with age in the elderly. 2. Left-right limit of stability was not correlated with the height, weight in the elderly. 3. Anterior-posterior limit of stability was correlated with age. height and weight in the elderly. So it is recommended that high risk groups - more aged people. of elderly should be offered the exercise program for increasing the limit of stability and well-designed studies of proper exercise program for musculoskeletal function and muscle power elevation should be performed.

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Noninformative priors for linear function of parameters in the lognormal distribution

  • Lee, Woo Dong;Kim, Dal Ho;Kang, Sang Gil
    • Journal of the Korean Data and Information Science Society
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    • v.27 no.4
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    • pp.1091-1100
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    • 2016
  • This paper considers the noninformative priors for the linear function of parameters in the lognormal distribution. The lognormal distribution is applied in the various areas, such as occupational health research, environmental science, monetary units, etc. The linear function of parameters in the lognormal distribution includes the expectation, median and mode of the lognormal distribution. Thus we derive the probability matching priors and the reference priors for the linear function of parameters. Then we reveal that the derived reference priors do not satisfy a first order matching criterion. Under the general priors including the derived noninformative priors, we check the proper condition of the posterior distribution. Some numerical study under the developed priors is performed and real examples are illustrated.