• Title/Summary/Keyword: Recession

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Subepithelial connective tissue graft in combination with enamel matrix derivative for root coverage within different case of gingival recession: Case report (법랑기질유도체와 결합조직이식술을 이용한 치근피개술: 치은퇴축과 관련된 다양한 증례)

  • Lee, Jae-Hong
    • The Journal of the Korean dental association
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    • v.55 no.3
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    • pp.230-239
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    • 2017
  • Root coverage can be an efficacious treatment not only in aspect of dental symptoms like root caries and hypersensitivity, but also in aspect of esthetic problem. There are several predictable methods for gaining a connective tissue attachment to an exposed root surface. Among them, this case report will deal with three cases using enamel matrix derivative and connective tissue graft to recover esthetic and physiological periodontal environment and its form. This case report deals with three patients with gingival recession which has occurred by different causes. They were treated with de-epithelialized graft accompanied by application of enamel matrix derivative. 6-12 months later, all three patients showed considerable root coverage and clinically stable condition of healing. In conclusion, within the limitation of this study, de-epithelialized connective tissue graft accompanied by application of enamel matrix derivative shows stable and clinical acceptable results in aspect of root coverage.

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A 2-Year Longitudinal Study of Untreated Periodontal Disease in Young Adults (20대의 치주염 진행에 대한 2년간의 종적연구)

  • Um, Heung-Sik
    • Journal of Periodontal and Implant Science
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    • v.28 no.3
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    • pp.523-531
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    • 1998
  • The purpose of this investigation was to examine the pattern of progression of periodontitis and the change in the extent and severity of the periodontal condition in young adults. Fourteen subjects with periodontitis, 11 males and 3 females in the age range 22-26, participated in the study. Following a baseline examination, the subjects were monitored for gingival index, probing pocket depth, gingival recession, probing attachment level and radiogrphic crestal bone height for 24 months without therapy. Re-examination were performed after 12 and 24 months. Gingival index, probing pocket depth, gingival recession and probing attachment level were assesed at 6 locations per tooth, and crestal bone height was assessed by subtraction radiography. The results from the follow-up examination revealed that the subjects underwent minor changes with respect to a series of different clinical parameters. The mean values of gingival index was improved, however, the mean values of probing pocket depth, gingival recession, probing attchment level and crestal bone height showed no significant change between baseline and the re-examination after 1 and 2 years.

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Sustainable Healthcare System Needs to be Rebuilt (지속 가능한 의료시스템 재건이 필요하다)

  • Lee, Sun-Hee
    • Health Policy and Management
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    • v.32 no.3
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    • pp.245-246
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    • 2022
  • Concerns about a global economic recession are rising following the coronavirus disease 2019 (COVID-19) pandemic. Accordingly, government entities, which are committed to overcome two barriers to severe inflation and economic recession, are showing high interest in spending management so as not to undermine fiscal soundness. Since the health care sector especially accounts for a large proportion of fiscal expenditure, it should be managed in a manner that the expense is appropriately spent. The National Health Insurance System and Healthcare System have secured international competitiveness and reliability by effectively responding to the COVID-19 pandemic. Likewise, considerable efforts should be made to reorganize the welfare and healthcare systems so that they can be sustainable during the post-COVID-19 era and the recession.

Combustion Characteristics of CH4 Nonpremixed Flame with Recession Distance (메탄 비예혼합 화염의 후퇴거리에 따른 연소특성)

  • Kim, Jun-Hee;Ku, Kun-Woo;Hong, Jung-Goo;Lee, Choong-Won;Kim, In-Su;Cheong, In-Mo
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.36 no.3
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    • pp.285-291
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    • 2012
  • A lot of research on the stability of nonpremixed flames has focused on the fuel-nozzle and quarl geometries. Of the work carried out, only a small amount has focused on the stability of the nonpremixed flame according to the recession distance and air-nozzle geometry. Therefore, in this study, a coaxial-diffusion-type gas burner with a swirler is designed for the systematic investigation of the combustion characteristics of a $CH_4$ flame depending on the recession distance and secondary air-nozzle geometry. 1st air is flowed through the swirler, and 2nd air is flowed through each nozzle. It is shown that the secondary air velocity greatly influences the flame length and shape. There is an optimum recession distance for each nozzle for the best combustion efficiency. In this study, it is shown that the optimized recession distance is nearly half the outer diameter of the air-supply nozzle.

PERIODONTAL DISEASE CAUSED BY TRAUMA FROM OCCLUSION IN A CHILD (외상성 교합으로 인한 어린이의 치주질환)

  • Choi, Byung-Jai;Ko, Dong-Hyun;Kim, Seong-Oh;Lee, Jae-Ho;Son, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.3
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    • pp.448-452
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    • 2004
  • Trauma from occlusion(TFO) is injury to the periodontal tissue as a result of occlusal forces. Mobility is a common clinical sign of occlusal trauma. In acute occlusal trauma, this may be accomanied by pain, tenderness to percussion, thermal sensitivity, and pathologic tooth migration. Chronic occlusal trauma may be marked by excessive wear and gingival recession. Radiographic finding include a widened periodontal ligament space, radiolucence and condensation of the alveolar bone and root resorption. TFO is related to the pathogenesis of periodontal disease. It can cause increased tooth mobility TFO itself does not initate or aggravate marginal gingivitis or initiate periodontal pockets. Active trauma can accelerate bone loss, pocket formation and gingival recession depending on the presence of local irritants and inflammation. Gingival recession associated with occlusal forces includes traumatic crescent, McCall's festoon and Stillman's cleft. TFO plays a minor role in the pathogenesis of early to moderate periodontitis. A 5-year-old male visited Yonsei University Pedodontics clinic with a chief complaint about gingival recession. Mobility, excessive wear, gingival recession were detected by clinical exam on the both mandibular deciduous ca nine. On the radiographic view, vertical alveolar bone loss was observed on both mandibular deciduous canine.

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Root coverage using a coronally advanced flap with or without acellular dermal matrix: a meta-analysis

  • Guan, Wei;Liao, Haiqing;Guo, Li;Wang, Changning;Cao, Zhengguo
    • Journal of Periodontal and Implant Science
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    • v.46 no.1
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    • pp.22-34
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    • 2016
  • Purpose: Gingival recession is a major esthetic concern and may lead to root sensitivity during periodontal treatment. Coronally advanced flaps (CAFs) with and without acellular dermal matrix (ADM) are widely used in root coverage procedures. The aim of this study was to analyze the efficacy of CAF in combination with ADM in the treatment of gingival recession. Methods: PubMed, The Cochrane Library, and Embase were used to identify relevant articles. The articles were screened, data were extracted, and the quality of the studies was assessed by three reviewers with expertise in clinical practice, trials, statistics, and biomedical editing. The clinical endpoints of interest included changes in recession, probing depth (PD), clinical attachment level (CAL), and keratinized tissue (KT). Results: Ten randomized controlled trials were identified, including six studies that compared CAFs with ADM and CAFs using connective tissue grafting (CTG) and four studies that compared CAFs with or without ADM. No statistically significant differences were found between the use of ADM and CTG, whereas statistically significant differences were found between groups in which ADM and CAF were combined and groups that underwent CAF alone with regard to recession coverage, CAL, and KT. The combination of CAF with an ADM allograft achieved more favorable recession coverage and recovery of CAL and KT than CAF alone. Conclusions: The results from the ADM and CTG groups suggest that both procedures may be equally effective in clinical practice. Given the limitations of this study, further investigation is needed to clarify the effectiveness of ADM and CAF in clinical practice.

Geomorphological Processes and Changes of Waterfalls formed by Channel Avulsion (하도 변위에 의한 폭포의 형성과 변화)

  • Lee, Gwang-Ryul
    • Journal of the Korean Geographical Society
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    • v.48 no.5
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    • pp.615-628
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    • 2013
  • The waterfall can be formed by difference between the height of up and down part in new channel, is formed by channel avulsion that rapidly changing of river channel course. This study described types and processes of waterfalls by channel avulsion, and analyzed rates and factors of waterfall recession, on object to 7 waterfalls in South Korea. Bulyeong falls at Uljin-gun, Yongchu falls at Yeongdeok-gun, Jikyeon falls at Yanggu-gun and Gwangpum falls at Uljin-gun are formed by natural incised meander cutoff. Samhyeongje falls at Taebaek-si and Guryong falls are formed by river capture processes, and Palbong falls at Chungju-si is formed by artificial channel cutting for farm land secured. The locations of waterfalls gradually moved to upstream over time by head erosion. The recession rates were measured by 3~4m/ka on Bulyeong falls, Yongchu falls, Jikyeon falls and Samhyeongje falls, to estimate of formation age. Recession rates of these 4 waterfalls were analyzed that have clearly positive correlations with drainage area, precipitation, corrosion and weathering capability of bedrock, and initial height of waterfall.

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Connective tissue graft for root coverage (결합조직이식을 이용한 노출된 치근피개)

  • Park, Jae-Young;Kim, Wan-Su;Yun, Woo-Hyuk;Kim, Yun-Sang;You, Hyung-Keun;Shin, Hyung-Shik;Pi, Sung-Hee
    • Journal of Periodontal and Implant Science
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    • v.38 no.2
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    • pp.231-236
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    • 2008
  • Purpose: The treatment of gingival recessions is needed to reduce root sensitivity and improve esthetical satisfaction. Several surgical techniques have been proposed to achieve these goals. The use of connective tissue grafts has made esthetic root coverage a predictable procedure. Numerous clinical studies have represented that using connective tissue grafts to cover exposed root surface showed high success rates. This is a case report which demonstrates the technique to obtain root coverage of a buccal recession defect. Materials and Methods: A 35-year-old patient with a high level of oral hygiene was selected for the study. This patient had one Class I Miller recession defect in the mandible. A coronally advanced flap in combination with the connective tissue graft was chosen for the treatment. After surgery, the patient was told to visit the hospital once a week for his oral management and professional prophylaxis. The depth of initial recession was 4.0 mm. Result: After three months, it reduced to 0.0 mm, and the average recession reduction was 4.0 mm. The average root coverage was 100%. Conclusion: The connective tissue graft is both effective and predictable way to produce root coverage in increasing the width of CAL and KT of various adjacent gingival recessions.