• 제목/요약/키워드: Proximal surface

검색결과 182건 처리시간 0.024초

매복치의 교정적 견인 후 치주적 평가 (PERIODONTAL EVALUATION OF IMPACTED TEETH AFTER ORTHODONTIC TRACTION)

  • 김현진;이난영;이상호
    • 대한소아치과학회지
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    • 제33권4호
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    • pp.686-692
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    • 2006
  • 본 연구는 1998년부터 2004년까지 조선대 소아치과에 내원한 환자 중 상악 중절치와 상악 견치의 편측성 매복으로 진단되어 closed-eruption technique을 이용한 외과적 노출 후 교정 적 견인을 시행하고 치료가 끝난 24명 (상악 중절치 10명, 상악 견치 14명)의 환자를 대상으로 하여 정상적으로 맹출한 인접 및 반대측 치아와 매복치의 치주적인 상태를 비교 분석하여 다음과 같은 결과를 얻었다. 1. 치주적인 평가에서 gingival index와 plaque index, pocket depth와 부착 치은의 비교시 견인을 시행한 상악 중절치, 견치 모두 대조군과 비교하여 유의할 만한 차이가 나타나지 않았다(P>0.05). 2. 상악 중절치의 골지지도 평가에서 근심부간과 윈심부간에 인접 중절치와 비교하여 유의할 만한 차이가 나타났다(P<0.05). 3. 상악 견치의 골지지도 평가시 견인치와 정상 맹출 치아간에 유의차를 보이지 않았다(P>0.05). 이상의 결과를 종합하여 볼 때 임상에서 closed-eruption technique을 이용한 외과적 노출 후 교정적인 견인을 이용한 매복치의 치료가 치은조직의 재생에 긍정적인 영향을 주고, 심미적으로 보다 안정적임을 알 수 있었으며, 상악 중절치 치료 시 견인의 방향과 힘 적용에 있어 정상 치조골의 양상을 유지하는지 관찰하여야 할 것으로 사료된다.

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인접면 초기 우식 병소의 깊이에 따른 therapeutic sealing의 유효성 평가 (EVALUATION OF THE EFFECTIVENESS OF THERAPEUTIC SEALING ACCORDING TO THE LESION DEPTHS OF PROXIMAL EARLY CARIES)

  • 이금랑;안명기;정태성;김신
    • 대한소아치과학회지
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    • 제36권3호
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    • pp.394-403
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    • 2009
  • 인접면 초기 우식병소에 대하여 레진 접착제를 도포하는 최소 침습적 개념의 therapeutic sealing은 치질 삭제가 불필요하다는 점에서 의미있는 술식으로 인정된다. 그러나 이 방법이 초기 우식병소의 법랑질 내 침투 깊이와 무관하게 여전히 유효할 것인지에 대해 의문이 들어 이번 연구는 그 유효성을 평가해 보기 위해 시도되었다. 인접면에 초기 우식병소를 보이는 발거된 소구치 21개를 대상으로 하고, micro-CT 촬영을 통해 병소의 깊이에 따라 분류하였다. 전체 시편을 병소가 법랑질 외층에 국한된 시편의 표면 절반에 접착제를 도포한 1군과 하지 않은 2군, 병소가 법랑질 내층까지 진행된 시편의 표면 절반에 접착제를 도포한 3군과 하지 않은 4군, 비와동성 초기 병소가 법랑-상아 경계까지 진행된 시편의 표면 절반에 접착제를 도포한 5군과 하지 않은 6군으로 분류하였다. 열순환 후 2주간 인공 우식을 유발하고 분류과정과 동일한 평면을 찾아 micro-CT를 촬영하고 병소의 방사선 밀도 변화를 관찰하여 다음과 같은 결과를 얻었다. 1. 인접면 초기 우식병소의 침투 깊이가 증가할수록 병소 본체의 방사선 밀도는 낮아지는 것이 관찰되었다. 2. 병소의 깊이에 무관하게, 레진 접착제를 도포한 모든 실험군에서 처리하지 않은 대조군에 비하여 인공 우식 처리 전후의 방사선 밀도 변화 가 작게 나타났다(p<0.05). 3. 병소가 법랑-상아 경계에 도달한 5군에서도 레진 접착제를 도포하고 인공 우식 처리시, 실험 전후의 유의한 방사선 밀도 변화가 나타나지 않았다(p<0.05).

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한국인에 대한 새로운 관절주위 잠김금속판의 해부학적 적합성: 사체를 이용한 연구 (Anatomic Conformity of New Periarticular Locking Plates for Koreans: A Biomechanical Cadaveric Study)

  • 윤용철;오종건;김영우;김학준;문홍주;김남렬
    • Journal of Trauma and Injury
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    • 제26권3호
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    • pp.163-169
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    • 2013
  • Purpose: This study was conducted to confirm the anatomic conformity of the new periarticular locking plates designed by Zimmer on Korean adult bones and to identify the structures at risk during the application of these implants. Methods: The study was performed on the humerus, radius, and tibia of 10 adult cadavers(6 males and 4 females) procured from the cadaveric lab of our hospital. Anteroposterior (AP) and lateral X-rays were taken to confirm that the cadavers were free of any unusual lesions or anatomic variations. We used the 3.5-mm proximal humerus plate, 2.7-mm distal radius plate, 3.5- and 5.0-mm proximal tibia plates, and 3.5-mm distal tibia plate developed by Zimmer, Inc. (Zimmer periarticular locking plate). The longest plate from each group was used to confirm anatomical conformity. Standard approaches were used for each area, and soft tissue was retracted in order to pass the plate beneath the muscle. The position of the plate was confirmed using standard AP and lateral view X-rays. After this procedure had been completed, the region was dissected along the length of the implant to determine the conformity of the implant to bone and the penetrations of screws into the articular surface or violations of any vital structures, such as nerves, blood vessels, or tendons. Results: Excellent anatomical conformity was observed with Zimmer periarticular locking plates for Korean adults. The tibial nerve and the posterior tibial artery were found to be structures at risk when applying a distal tibial plate. Conclusion: Additional posterolateral fixation is recommended when dealing with cases of tibial plateau fracture when the fracture line extends to the posterolateral cortex. We recommend taking proper views using 10~15 degrees of internal rotation to ensure correct screw length and, thus, avoid penetration of vital structures and tendons.

A simple technique for repositioning of the mandible by a surgical guide prepared using a three-dimensional model after segmental mandibulectomy

  • Funayama, Akinori;Kojima, Taku;Yoshizawa, Michiko;Mikami, Toshihiko;Kanemaru, Shohei;Niimi, Kanae;Oda, Yohei;Kato, Yusuke;Kobayashi, Tadaharu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제39권
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    • pp.16.1-16.6
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    • 2017
  • Background: Mandibular reconstruction is performed after segmental mandibulectomy, and precise repositioning of the condylar head in the temporomandibular fossa is essential for maintaining preoperative occlusion. Methods: In cases without involvement of soft tissue around the mandibular bone, the autopolymer resin in a soft state is pressed against the lower border of the mandible and buccal and lingual sides of the 3D model on the excised side. After hardening, it is shaved with a carbide bar to make the proximal and distal parts parallel to the resected surface in order to determine the direction of mandibular resection. On the other hand, in cases that require resection of soft tissue around the mandible such as cases of a malignant tumor, right and left mandibular rami of the 3D model are connected with the autopolymer resin to keep the preoperative position between proximal and distal segments before surgical simulation. The device is made to fit the lower border of the anterior mandible and the posterior border of the mandibular ramus. The device has a U-shaped handle so that adaptation of the device will not interfere with the soft tissue to be removed and has holes to be fixed on the mandible with screws. Results: We successfully performed the planned accurate segmental mandibulectomy and the precise repositioning of the condylar head by the device. Conclusions: The present technique and device that we developed proved to be simple and useful for restoring the preoperative condylar head positioning in the temporomandibular fossa and the precise resection of the mandible.

두더지 (Talpa micrura coreana) 위장관 점막의 구조에 대한 광학 및 주사전자현미경적 연구 (Light and Scanning Electron Microscopic Study on the Structure of the Gastrointestinal Mucosa of the Mole, Talpa micrura coreana)

  • 권흥식;정진웅;천명훈;김진;차정호;맹승희
    • Applied Microscopy
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    • 제15권2호
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    • pp.111-129
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    • 1985
  • The morphology and histology of the gastrointestinal mucosa of the mole, Talpa micrura coreana (Thomas), were studied using light and scanning electron microscopes. Tissue specimens were taken from body and pyloric portions of the stomach, and from the initial, proximal, middle, distal and terminal portions of the intestine. For light microscopy, tissue blocks were fixed in 10% buffered neutral formalin, embedded in paraffin wax, and sectioned at a thickness of $5{\mu}m$. These sections were stained with hematoxylin-eosin. For scanning electron microscopy, tissue blocks were fixed in 1% glutaraldehyde-1.5% paraformaldehyde, and postfixed in 1% osmium tetroxide, dehydrated in graded alcohol, transferred to isoamylacetate and dried by the critical point drier(Polaron E 3000). Subsequently, specimens were coated with gold and observed with a JSM-35C scanning electron microscope. The results were as follows: The mucous membrane of the body portion of the stomach had numerous irregular folds and the pyloric mucosa formed the strawberry-shaped folds, and general histological structures of each portion were similar to those of man. The intestine could not be differentiated macroscopically and microscopically into small and large intestines. There was no cecum, appendix, taenia coli, haustra coli or appendices epiploicae. In the initial portion (4 mm long), conical or tongue-shaped villi with the height of $143.3{\pm}10.7{\mu}m$ were present, and large mucous glands were seen in the submucosa. In the proximal, middle and distal portions, wavy folds composed of the epithelium and lamina propria were densely and transversely arranged, and their heights were $440.4{\pm}45.5{\mu}m,\;454.4{\pm}19.9{\mu}m\;and\;205.2{\pm}33.5{\mu}m$, respectively. The mucosa of the terminal portion (3 cm long) formed several longitudinal folds, and the intestinal glands were directly opened on the smooth surface of the folds. Aggregated lymphoid follicles were observed in the major portions of the intestine except the initial and terminal portions. There was no circular or semilunar fold throughout the intestine.

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Effect of Mobile Bag and Sample Sizes on Intestinal Digestibility of Forage in Sheep

  • Yayota, M.;Kouketsu, T.;Karashima, J.;Nakano, M.;Ohtani, S.
    • Asian-Australasian Journal of Animal Sciences
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    • 제22권12호
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    • pp.1620-1624
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    • 2009
  • This study aimed to clarify the effect of mobile bag size and ratio of sample size to bag surface area on intestinal digestibility of forage in sheep. Four Suffolk ewes fitted with ruminal and proximal duodenal cannulae were fed second-cut Italian ryegrass (Lolium multiflorum Lam.) hay twice daily, and the same forage was used to measure intestinal digestibility. The forage samples were incubated in the rumen for 16 h and then in pepsin-HCl solution for 3 h before intestinal incubation. The incubated forage samples were placed in a nylon mobile bag. The bag sizes used were either 20 mm${\times}$20 mm (small bag size; SBS) or 30 mm${\times}$30 mm (large bag size; LBS) and the ratio of the sample size to the surface area of the bag was either 5.5 $mg/cm^{2}$ (low ratio; LR) or 11.0 $mg/cm^{2}$ (high ratio; HR) resulting in four different treatment conditions: SBS-LR, SBS-HR, LBS-LR and LBS-HR. Eight bags per animal were inserted through the duodenal cannulae at 15-min intervals and were subsequently collected from the feces of the animal. The mean intestinal bag transition time did not differ significantly between animals, but ranged from 23.2 to 27.0 h. The intestinal digestibility of dry matter (IDDM) ranged from 0.162${\pm}$0.019 g/g in the SBS-HR treatment group to 0.195${\pm}$0.018 g/g in the SBS-LR treatment. The intestinal digestibility of crude protein (IDCP) ranged from 0.610${\pm}$0.031 g/g in the LBS-LR treatment to 0.693${\pm}$0.018 g/g in the SBS-LR treatment. There was no difference in the IDDM and IDCP between different treatments. It was therefore concluded that the size of the mobile bag and the ratio of the sample size to the bag surface area did not influence the intestinal digestibility of forage. Future studies should use bags with high ratios of sample size to surface area in order to obtain sufficient residue for further analysis.

암컬 등척성 운동 시 상완이두근에서의 EMG 전극 위치에 따른 근 활성 검증 (Surface EMG Verification according to the Electrode Location in Biceps Brachii during Arm Curl Isometric Exercise)

  • Park, Hyo Eun;Hong, Ah Reum;So, Jae Moo
    • 한국운동역학회지
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    • 제30권1호
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    • pp.103-109
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    • 2020
  • Objective: The purpose of this study is to compare the muscle activity by electrode location in the biceps brachii during the arm curl isometric exercise and to provide the basic data needed to develop the proper electrode location of the biceps brachii based on the study results comparing the muscle activity by the angle of the elbow joint. Method: 17 adult males (Age: 21.50±4.63 yrs, height: 175.29±5.97 cm, weight: 63.79±15.31 kg, upper-arm length: 30.10±1.22 cm) participated in the study. In the arm curls isometric exercise, the experiment was divided into 1st and 2nd steps to compare muscle activity according to electrode location in the biceps brachii and muscle activity according to elbow angle change. In the first experiment, the surface electrode was attached at one-third point on the line from medial acromion to cubital fossa, according to the measurement method indicated by SENIAM. The elbow angle was set to 90°. In the second experiment, according to the proposed method of this study, the electrodes were separated at one finger's width in the left and right direction at one-third point on the line from medial acromion to cubital fossa, attached at the long head and short head. From the long head electrode, in about a width of two fingers in proximal direction, a total of three electrodes were attached at the myotendinal junction of the long head. The elbow angles were set as 70°, 90°, and 110°, and the isometric exercise (100% MVC) for 5 seconds was maintained with keeping the forearm and the rope to be 90° for the first and second experiments. Results: During the arm curl isometric exercise, there was no significant difference in SH and SENIAM proposition location proposed by this researcher. LH was shown to be lower than the muscle activity of the location proposed by SENIAM and there were significant (p<.01) differences. MJ appeared lower than the muscle activity of the location proposed by SENIAM and there were significant (p<.001) differences. The muscle activity by the elbow joint angle of SH in the biceps brachii was shown in large order of 70°<90°<110°, but there was no significant difference. The muscle activity by the elbow joint angle of LH was shown in large order of 90°<70°<110°, but there was no significant difference. The muscle activity by the elbow joint angle of MJ was shown in large order of 110°<90°<70°, but there was no significant difference. Conclusion: During the arm curl isometric exercise of the biceps brachii, it is judged appropriate to attach surface electrodes to the location proposed by SENIAM.

금합금 연마재 종류에 따른 금합금 소실량과 연마 정도 (THE AMOUT OF LOSS AND THE DEGREE OF SURFACE SMOOTHNESS OF GOLD ALLOY BY GOLD ALLOY POLISHING RUBBER POINT MATERIALS)

  • 김명화;임순호;정문규
    • 대한치과보철학회지
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    • 제35권2호
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    • pp.277-295
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    • 1997
  • After clinical adjustment of dental casting restoration, re-polishing procedure is recommanded because the smooth gold sureface is lost. But there is the possibility to get more loose contact than that intended by loss of gold alloy according to the kinds of polishing materials and polishing time. Therefore in this study I polished type II gold alloy with 390gm force, 20,000rpm speed, and 8 kinds of gold alloy polishing materials, fabricated by 4 companies and then measured the amount of loss of gold alloy with Surfcorder SEF-30D and observed alloy surfaces polished by 3 brown rubber points with SEM. The amount of loss of gold alloys polished with 8 kinds of polishing materials and the degree of smoothness of gold alloys according to polishing time and polishing materials were compared. The following results were obtained : 1. When the amount of loss of gold alloys polished with 3 kinds of brown rubber point was compared, Alphalex brown point had the most amount of alloy loss, followed in decreasing order by Shofu brown point and Eveflex brown point. There was statistically significant difference in the amount of alloy loss according to polishing materials. 2. When the amount of loss of gold alloys polished with 5 kinds of green rubber point was compared, Shofu green point had the most amount of alloy loss, followed in decreasing order by Alphaflex green point, Dedeco green clasp polisher, and Eveflex green point. There was statistically significant difference in the amount of alloy loss according to polishing materials except Alphaflex green point and Dedeco green clasp polisher. 3. When the amount of loss of gold alloys polished with all kinds of rubber point was compared, there was no significant difference in Eveflex brown point, Alphaflex green point, and Dedeco green clasp polisher. 4. When average amount of alloy loss per 1 revolution by polishing materials was compared, Alphalex brown point had the greatest value as $0.329{\mu}m$ and Shofu supergreen point had the lowest value as $0.022{\mu}m$. 5. When the degree of sureface smoothness of gold alloy polished with 3 kinds of brown rubber point was compared, In Alphalex brown point surface roughness was completely lost after 20 seconds polishing time, in Shofu brown point 30 seconds, in Eveflex brown point 40 seconds. But in every gold alloys fine scratch formed by rubber points was observed. Based on the results of this study, as rubber polishing materials used in polishing of dental casting restoration after clinical adjustment influenced on the tightness of occlusal or proximal contact, we should make dental casting restoration with minimum error through careful laboratory procedure and form very smooth surface of restoration with tripoli and rouge after use of silicone polishing materials.

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소도시 거주 미취학 아동의 치아우식 실태조사 (A SURVEY ON THE CARIES PREVALENCE OF PRESCHOOL CHILDREN IN A SMALL CITY)

  • 박창현;정태성;김신
    • 대한소아치과학회지
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    • 제28권2호
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    • pp.300-309
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    • 2001
  • 소도시에 거주하는 미취학 아동을 대상으로 하여, 유치열의 우식 발생 빈도와 양상을 조사하였다. 밀양시에 거주하는 624 명의 유치원 아동을 대상으로 dmf index를 사용하여 개개 치아와 치면별로 우식 발생 양상을 조사한 결과, 아래와 같은 결론을 얻었다. 1. 유치우식경험자율(dmf rate)은 3세에서 74.0%, 4세에서 83.8%, 5세에서는 90.6%였으며, 우식경험유치지수(dmft index)는 3세에서 3.47개, 4세에서 5.41개, 5세에서는 6.01개로 나타났다. 2. 5세 아동에 있어서 우식 경험률은, 하악 제2유구치, 하악 제1유구치, 상악 제2유구치, 상악 유중절치, 상악 제1유구치의 순으로 나타났다. 3. 3세 아동의 경우, 상악 유중절치의 우식이 가장 높은 빈도로 나타났으나, 연령증가와 함께 유구치 우식이 현저하게 증가하여, 5세 아동에서는 유구치 우식이 가장 높은 빈도로 나타났다. 4. 유전치와 유구치는 우식 발생 양상에 있어서 차이를 보였는데, 유전치의 경우에는 인접면 우식이 호발한 반면, 유구치에서는 교합면 우식이 더 높은 빈도로 나타났다.

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Comparative Analysis of Histological Changes in Ussurian Bullhead, Leiocassis ussuriensis, and Korean Bullhead, Pseudobagrus fulvidraco, in the Early Period of Growth

  • In Bon, Goo;Hyun Woo, Gil;In-Seok, Park
    • 한국발생생물학회지:발생과생식
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    • 제17권4호
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    • pp.427-434
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    • 2013
  • The histological changes in the Ussurian bullhead, Leiocassis ussuriensis, and the Korean bullhead, Pseudobagrus fulvidraco, were observed during the early period of growth. The retinas size of both species increased in the 9 days post-hatching (DPH) (p<0.05). In the just-hatched Ussurian bullhead, the retina already consisted of six layers: the epithelial layer, ganglion cell layer, inner nuclear layer, inner plexiform layer, outer limiting membrane layer, and rod and cone layer. The Korean bullhead had the same components. At 50 DPH, the thickness of the retina was $538.0{\pm}7.19{\mu}m$ in the Ussurian bullhead and $558.9{\pm}9.44{\mu}m$ in the Korean bullhead. The relative thickness of each layer of the retina did not differ significantly in the two species. Although the growth of the Korean bullhead's retina was faster, the relative thickness of each layer in the retina did not change during early development. After hatching, some parts of the tissue gradually became denser. Immediately after hatching, the kidney and midgut epithelium of the Ussurian bullhead and Korean bullhead were already formed and grew gradually thereafter. From 0 DPH to 30 DPH, the nuclear height in the midgut epithelium did not differ significantly between the two species, but at 50 DPH, it was $11.4{\pm}2.45{\mu}m$ in the Korean bullhead and $9.9{\pm}2.13{\mu}m$ in the Ussurian bullhead. During the experimental period, the major axes, minor axes, surface areas, and volumes of the proximal tubule cells in the kidney did not differ significantly between the two species. Thus, the early histological development of the Ussurian bullhead is similar to that of the Korean bullhead.