• Journal of Periodontal and Implant Science
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• 제52권2호
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• pp.91-115
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• 2022

Purpose: This systematic review aimed to compare the efficacy, defined in terms of the mean percentage of root coverage (mRC), of surgical treatment approaches combined with adhesive restorations of non-carious cervical lesions (NCCLs) to that of root coverage alone in patients with a single gingival recession (GR) and NCCL. Methods: A literature search was conducted to identify longitudinal studies reporting the mRC following treatment for the correction of GR defects associated with NCCLs using a combination of surgical and restorative techniques in systemically and periodontally healthy patients. Results: The search resulted in the retrieval of 12,409 records. Seven publications met the inclusion criteria for the qualitative synthesis of data. The mRCs ranged from 69% to 97%. In the medium term, the gingival margin position was more stable when a connective tissue graft (CTG) was used, independently of whether restoration of teeth with NCCLs was performed. Conclusions: The strength of the evidence was limited by methodological heterogeneity in terms of study design as well as the unit and period of analysis, which precluded a metaanalysis. Although no definitive conclusion could be drawn due to the lack of sufficient evidence to estimate the effectiveness of the interventions, CTG-based procedures contributed to gingival margin stability regardless of the performance of restoration to treat NCCLs.

• Imaging Science in Dentistry
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• 제53권1호
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• pp.1-9
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• 2023

Purpose: The aim of this study was to evaluate 3-dimensional cone-beam computed tomography (CBCT) images of alveolar bone changes in patients who underwent minimally invasive periodontal surgery-namely, the pinhole surgical technique (PST). Materials and Methods: Alveolar bone height was measured and compared on CBCT images of 254 teeth from 23 consecutive patients with Miller class I, II, or III recession who had undergone PST. No patient with active periodontal disease was selected for surgery. Two different methods were used to assess the alveolar bone changes postoperatively. In both methods, the distance between the apex of the tooth and the mid-buccal alveolar crestal bone on pre- and post-surgical CBCT studies was measured. Results: An average alveolar bone gain >0.5 mm following PST was identified using CBCT(P=0.05). None of the demographic variables, including sex, age, and time since surgery, had any significant effect on bone gain during follow-up, which ranged from 8 months to 3 years. Conclusion: PST appears to be a promising treatment modality for recession that results in stable clinical outcomes and may lead to some level of resolution on the bone level. More long-term studies must be done to evaluate the impact of this novel technique on bone remodeling and to assess sustained bone levels within a larger study population.

• 대한토목학회논문집
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• 제35권1호
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• pp.203-215
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• 2015

본 연구는 농촌지역의 쇠퇴도를 진단하고, 농촌생활권의 기초단위인 읍 면 지역에 대한 공간적 쇠퇴 특성과 유형을 도출하는데 목적을 두고 있다. 이를 위해, 충청권 27개 시 군을 대상으로 거시적 차원의 쇠퇴수준과 잠재수준을 분석하여 도시차원의 쇠퇴현상을 진단한다. 다음으로 공간단위를 세분화하여 충청권의 274개 읍 면지역을 대상으로 쇠퇴수준을 분석하고, K-평균군집분석을 적용하여 쇠퇴유형 및 쇠퇴특성을 도출한다. 충청권 시 군 별 쇠퇴수준 및 잠재수준 분석결과, 충남지역의 청양군, 서천군, 태안군이 높은 쇠퇴도를 보이고 있으며, 충북지역의 전통적 낙후지역인 남부 3군(보은, 옥천, 영동)과 단양군, 괴산군의 쇠퇴도가 높게 나타나고 있다. 또한, 충청권의 읍 면지역 중 쇠퇴의 경향을 보이는 166개 읍 면지역에 대한 군집분석 결과 인구 및 주택 노후화지역(29), 경제기반 취약지역(16), 중심지접근성 취약지역(42), 주거환경 열악지역(51), 노령인구 취약지역(28)의 5개 군집유형의 쇠퇴특성이 도출되었다. 충청권 농촌지역의 쇠퇴특성과 유형화를 시도한 본 연구는 농촌지역 활성화 정책 수립에 있어 기초자료로 활용될 것으로 기대되며, 향후 연구에서는 읍 면지역 차원을 넘어 농촌정체성의 기초단위가 되는 농촌마을을 대상으로 종합적인 진단과 맞춤형 정책발굴 연구가 이어질 것으로 기대된다.

• Journal of Periodontal and Implant Science
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• 제32권3호
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• pp.555-584
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• 2002

Exposed root surfaces can cause esthetic problems, hypersensitivity, and root caries. Numerous efforts have been tried to cover the recessed root surfaces, and various techniques have been developed and introduced. Among these, subepithelial connective tissue graft which shows high coverage rate in various researches, has the advantage of good color match, less discomfort to the donor site, rich vascularity, and high predictability. Following results were obtained after investigating 6 and 18 months post operatively, 98 cases of subepithelial connective tissue graft from 48 patients who underwent subepithelial connective tissue graft procedure in the department of periodontology, college of dentistry, Yonsei university. 1. The total average root coverage of Miller class I, II & III were 76.2?24% at 6 months follow-up and 75?25.2% at 18 months follow-up with no statistically significant difference between the follow-up periods.(p<0.05) 2. The percentage of teeth showing complete coverage were 41.9% at 6 months follow-up and 39.2% at 18 months follow-up. 3. At 6 months follow-up, Miller classification I showed 84.9?20.7%, class II showed 82.5?17.7%, and class III showed 62.3?24.5% of coverage. In class III recession, statistically significantly less root coverage was observed compared to class I & II. (p(0.05) 4. At 18 months follow-up, Miller classification I showed 92.2?13.5%, class II showed 84.3?17.4%, and class III showed 59.5?24.5% of coverage. In class III recession, statistically significantly less root coverage was observed compared to class I & II. (p<0.05) In conclusion, subepithelial connective tissue graft for class I and II recession can be used as a clinically predictable treatment modality for root coverage.

• Journal of Periodontal and Implant Science
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• 제30권2호
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• pp.305-324
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• 2000

This study compared the short-term(4 months) clinical results of regenerative therapy with bioabsorbable membranes($BioMesh^{(R)}$) and bone allograft for the treatment of periodontal(intrabony and furcation) defects in smokers and nonsmokers.(16 smokers) 32 subjects with 92 defects participated in the study(46 in smokers and 46 in non-smokers). This study also evaluated a bioresorbable barrier with and without decalcified freeze-dried bone allograft(DFDBA). The 92 periodontal defects were randomly treated with either the resorbable barrier alone or resorbable barrier in combination with DFDBA following thorough defect debridement and root preparation with tetracycline. Each patient received both types of treatment modalities. Clinical examinations(probing depth, gingival recession, clinical attachment level, plaque index and gingival index) were carried out immediately before and 4 months after surgery. Significant(p<0.001) gains in mean attachment level were observed for both smokers(2.93mm) and non-smokers(3.30mm) but there were not significant difference between two groups. Similarly, significant reductions in mean probing depthshowed for smokers(4.52mm) and non-smokers(4.26mm). However, when comparing gingival recession, smokers were found to exhibit significantly poorer treatment results(1.59mm vs 0.96mm, p<0.05). Using the split-mouth-design, no statistically significant difference between the two modalities could be detected with regard to pocket depth reduction, gingival recession, or attachment gain. These results illustrate that the attachment gain is better in the non-smoker and the best in the non-smoker with the combination therapy of resorbable barrier and DFDBA than with resorbable barrier alone but smoking had no significant effect on clinical treatment outcome, even though smokers show more significant gingival recession. In addition, both treatments, either resorbable barrier plus DFDBA or resorbable barrier alone, promoted significant resolution of periodontal defects but the addition of DFDBA with a bioabsorbable membrane appears to add no extra benefit to the only membrane treatment.

• Journal of Periodontal and Implant Science
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• 제39권2호
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• pp.111-118
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• 2009

Purpose: The integrity of interproximal hard/soft tissue has been widely accepted as the key determinant for success or degree of root coverage following the connective tissue graft. However, we reason that the gingival biotype of an individual, defined as the distance from the interproximal papilla to gingiva margin, may be the key determinant that influence the extent of root coverage regardless of traditional classification of gingival recession. Hence, the present study was performed with an aim to verify that individual gingival scalloping pattern inherent from biotype influence the level of gingival margin following the connective tissue graft for root coverage. Methods: Test group consisted of 43 single-rooted teeth from 21 patients (5 male and 16 female patients, mean age: 36.6 years) with varying degrees of gingival recession requiring connective tissue graft; 20 teeth of Miller class I and 23 teeth of Miller class III gingival recession, respectively. The control group consisted of contralateral teeth which did not demonstrate apparent gingival recession, and thus not requiring root coverage. For a biotype determination, an imaginary line connecting two adjacent papillae of a test tooth was drawn. The distance from this line to gingival margin at mid-buccal point and this distance (P-M distance) was designated as "gingival biotype" for a given individual. The distance was measured at baseline and 3 to 6 months examinations postoperatively both in test and control groups. The differences in the distance between Miller class I and III were subject to statistical analysis by using Student.s t-test while those between the test and control groups within a given patient were by using paired t-test. Results: The P-M distance at 3 to 6 months postoperatively was not significantly different between Miller class I and Miller class III. It was not significantly different between the test and control group in a given patient, either, both in Miller class I and III. Conclusions: The amount of root coverage following the connective tissue graft was not dependent on Miller's classification, but rather was dependent on P-M distance, strongly implying that the gingival biotype of a given patient may play a critical impact on the level of gingival margin following connective tissue graft.

• 동남아시아연구
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• 제28권4호
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• pp.77-114
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• 2018

본 연구의 목적은 최근 태국과 필리핀에서 관찰된 정치변동의 본질이 민주화 이행과정에서 일시적으로 나타난 "민주화의 후퇴" 현상인지, 아니면 권위주의체제로 회귀하여 "재권위주의화"되고 있는 것인지에 대한 답을 찾고자 하는 것이다. 이를 위하여 정치변동 관련 기존연구들에 기초한 세 가지의 가설을 추출하였다. 민주적 절차와 제도 및 민간우위의 원칙을 통한 자유민주주의체제 특성을 확인할 <가설 1>, 개인의 자유과 권리 통제, 권력의 집중현상, 법치주의를 위협하는 포퓰리즘의 통치행태 등 권위주의체제 특성을 확인할 <가설 2>, 그리고 민주화 이행과정에서 민주적인 제도와 대중적 인식 사이의 일치 또는 부조화를 확인할 수 있는 <가설 3> 등이다. 가설들을 통하여 분석한 결과 태국과 필리핀에서 관찰되는 최근의 정치변동은 일시적인 "민주화의 후퇴"보다는 "재권위주의화"로 규정하는 것이 더 타당할 것으로 판단된다. 이러한 결론의 함의는 경쟁적 선거와 평화적 정권교체라는 민주적인 제도나 절차의 변화만으로는 자유민주주의체제로 성공적인 이행이 보장되지 못한다는 사실이다. 아울러 대중들의 인식과 신념의 변화 및 민주적 실행이 수반되지 않는 경우 반쪽자리 민주주의로 그 생명력이 오래 지속될 수 없음도 두 사례를 통하여 확인할 수 있었다.

• Journal of Periodontal and Implant Science
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• 제8권1호
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• pp.26-26
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• 1978

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 1994년도 수공학연구발표회논문집
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• pp.367-374
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• 1994

• Journal of Periodontal and Implant Science
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• 제21권1호
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• pp.181-181
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• 1991