• Title/Summary/Keyword: Restoration Treatment

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Functional Outcomes of Multiple Sural Nerve Grafts for Facial Nerve Defects after Tumor-Ablative Surgery

  • Lee, Myung Chul;Kim, Dae Hee;Jeon, Yeo Reum;Rah, Dong Kyun;Lew, Dae Hyun;Choi, Eun Chang;Lee, Won Jai
    • Archives of Plastic Surgery
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    • v.42 no.4
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    • pp.461-468
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    • 2015
  • Background Functional restoration of the facial expression is necessary after facial nerve resection to treat head and neck tumors. This study was conducted to evaluate the functional outcomes of patients who underwent facial nerve cable grafting immediately after tumor resection. Methods Patients who underwent cable grafting from April 2007 to August 2011 were reviewed, in which a harvested branch of the sural nerve was grafted onto each facial nerve division. Twelve patients underwent facial nerve cable grafting after radical parotidectomy, total parotidectomy, or schwannoma resection, and the functional facial expression of each patient was evaluated using the Facial Nerve Grading Scale 2.0. The results were analyzed according to patient age, follow-up duration, and the use of postoperative radiation therapy. Results Among the 12 patients who were evaluated, the mean follow-up duration was 21.8 months, the mean age at the time of surgery was 42.8 years, and the mean facial expression score was 14.6 points, indicating moderate dysfunction. Facial expression scores were not influenced by age at the time of surgery, follow-up duration, or the use of postoperative radiation therapy. Conclusions The results of this study indicate that facial nerve cable grafting using the sural nerve can restore facial expression. Although patients were provided with appropriate treatment, the survival rate for salivary gland cancer was poor. We conclude that immediate facial nerve reconstruction is a worthwhile procedure that improves quality of life by allowing the recovery of facial expression, even in patients who are older or may require radiation therapy.

Reinforcement of provisional restoration with cast metal framework: A case report (주조 금속 구조물을 이용하여 강화한 임시보철물 수복 증례)

  • Kim, Hyun-Young;Moon, Yoon-Hee;Lee, Jong-Hyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.1
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    • pp.46-52
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    • 2017
  • Provisional restoration plays an important role in the process of restoration with fixed partial denture by providing protection and restoring function and esthetics of abutment tooth. This is especially true in patients requiring use of provisional prosthesis for a long term. However, such situations may lead to higher possibility of provisional prosthesis fracture, and if expected so, reinforcement of provisional prosthesis should be considered. In this article, a patient requiring prosthetic treatment with increase of vertical dimension of occlusion was introduced. Due to increased vertical dimension of occlusion, the provisional restoration was expected to withstand relatively larger amount of load during a relatively long observation period. In order to minimize possible occurrence of fracture, reinforcement of the provisional restoration was sought by insertion of cast-metal framework and by using bis-acryl resin. The reinforced provisional restoration showed satisfactory results during the observation period of 4 months.

Immediate restoration through gingiva conditioning of maxillary anterior implant installed labially: A case report (순측으로 식립된 상악 우측 측절치 임플란트의 즉시 수복 증례)

  • Sung ji Gong;Jieun Song;Kwidug Yun;Chan Park;Woohyung Jang
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.3
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    • pp.234-242
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    • 2024
  • Immediate implant placement and restoration have the advantage of shortening the treatment period and maintaining aesthetics until final restoration. However, single implant restoration in the maxillary anterior region may be aesthetically difficult, and surgical trauma delivered to soft and hard tissues during implant placement may affect future aesthetic results. In order to obtain predictable results during anterior implant placement and restoration, surgery and restoration plans must consider the height of the interdental bone, characteristics of the gingiva, and morphological characteristics of the patient's teeth. In this case, we attempted to reproduce the emergence profile and stabilized soft tissue through gingiva modification and digital impression of a labially placed maxillary anterior implant in a patient who desired porcelain fused-metal (PFM) restoration due to economic issues.

A Basic Experiment for a Small Sewage Treatment System Using Aquatic Plants and Microbes (소형 식물·미생물 정화조 시스템 개발을 위한 기초 실험)

  • Lee, Eun-Heui;Rhee, In-Sook;Jung, Dong-Sun
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.5 no.4
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    • pp.31-38
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    • 2002
  • The rate of sewage treatment in South Korea was 68% in the late 1999. Sewage treatment is mostly made near big cities such as Seoul and Busan, and it is little in rural areas. Wastewater from households goes to streams directly without treatment in rural areas and pollutes streams. It is necessary to improve the progress for treatment of nutrients such as N and P which cause eutrophication in streams and lakes, because sewage treatment system in South Korea focuses on treatment of basic organic matters. Therefore it will contribute to improve discharged water quality if small sewage treatment systems by aquatic plants and microbes are introduced to rural areas where are not connected to local sewage treatment facility. This experiment was conducted to find out the best way using aquatic plants and microbes to purify wastewater from households through individual sewage treatment system. Phragmites communis, Iris pseudoacorus, Acorus calamus var. angustatus, Typha orientalis and Oenanthe javanica were used for this experiment. BOD, COD, SS, T-N and T-P were analyzed following standard methods for wastewater. The result shows that wastewater was roughly purified through pebbles and sands, and highly purified through aquatic plants and microbes especially in T-N and T-P. Iris pseudoacorus is the most effective in reduction of COD and BOD level. This system will work even in winter when plants die because microbes will be still working.

Cervical Esophageal Cancer (경부식도암)

  • 노영수;김진환
    • Korean Journal of Bronchoesophagology
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    • v.9 no.1
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    • pp.30-38
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    • 2003
  • Cancers of the cervical esophagus occur uncommonly, but treatment is remaining a challenging problem and surgery demands special knowledge of abdominal, thoracic, and neck surgery. The primary risk factor is chronic heartburn, leading to a sequence of esophagitis, Barrett's esophagus, reflux esophagitis and etc. Among the various treatment modalities, Surgery is still a mainstay of treatment. The main aim of surgery is not only oncologically adequate resection but also preservation or restoration of physiologic functions, such as deglutition and phonation. Surgical treatment of cervical esophageal cancer is influenced by special problems arising from tumor factors, patient factors and surgeon factors. Complete clearance of loco-regional disease and prevention of postoperative complications are of particular importance for the improvement of long-term survival in patients with these cancers. So the cervical and thoracic extension of these tumors usually required an extensive lymphadenectomy with primary resection. Radical resection of the primary site almostly include sacrifice of the larynx, but the voice could be rehabilitated with various methods, such as tracheoesophageal prosthesis or tracheoesophageal shunts, etc. Restoration of the esophageal conduit can be performed using gastric or colon interposition, radial forearm free flap or jejunum free flap, etc. Recently, the advances of radiation therapy and chemotherapy will enable less extended resections with greater rates of laryngeal preservation. At initial presentation, up to 50% to 70% of patients will have advanced locoregional or distant disease with virtually no chance for cure. Patients with advanced but potentially resectable esophageal cancer are generally treated by surgery with some form of neoadjuvant chemotherapy, radiotherapy, or both, with 5-year survivals in the 20% to 30% range. So the significant adverse factors affecting survival should be taken into account to select the candidates for surgery.

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A Conservation Treatment for the Seated Iron Buddha Statue of Dopian Temple, Cheolwon (철원 도피안사 철조비로자나불상의 보존처리)

  • Hong, Jong-Ouk;Hwang, Jin-Ju;Choi, Joon-Hyun;Shin, Hee-Nai;Lee, Yo-Han;Han, Byung-Il;Le, Oh-Hee
    • 보존과학연구
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    • s.30
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    • pp.171-187
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    • 2009
  • The Seated iron Vairocana Buddha statue of Dopiansa Temple, Cheolwon was designated National treasure No. 63, it is very important to rearch about Korean Buddha statue because it has an inscription on the back indicates that it was made in 865 A.D., the fifth year of the reign of King Gyeongmun(861-875) of Unified Silla(668-935), through the devoted faith of some 1,500 Buddhist followers of the Cheorwon-gun area. In this conservation treatment, for the Seated iron Vairocana Buddha statue of Dopiansa Temple, Cheolwon plating layer and cashew paint layer of the iron pedestal were removed and for the paint the Body of the Buddha, fake metal layer and plaster layer were removed, stabilizing treatment and coating treatment were done, and removal and restoration of earlobe which had been damaged and later was restored with plaster in the regilding in 1988, and the white hair on forehead was replaced with material of rock crystal, and conch-shaped hair damaged was restored on 35 spots.

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MOLAR RESTORATION WITH AN ORTHODONTIC BAND (교정용 밴드를 이용한 구치부 수복)

  • Lee, Suk-Woo;Lee, Jae-Ho;Choi, Hyung-Jun;Sohn, Hyung-Kyu;Kim, Seong-Oh;Choi, Byung-Jai
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.1
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    • pp.91-95
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    • 2009
  • The use of stainless steel crowns are indicated for restoration of primary or permanent molars with proximal dental caries, extensive dental caries, or previous pulp treatment with increased danger of tooth fracture. Stainless steel crowns were introduced by Humphrey in 1950. For their improved durability, longevity, and success rate, they have been strongly considered for restoring extensive and multi-surfaced dental caries of molars in pediatric dentistry. However, they also have shortcomings, such as possibility of pulpal exposure or damaging proximal surface of adjacent teeth. In addition, when oversized stainless steel crowns are used, eruption of the adjacent permanent teeth may be disturbed by their prominent margin. As a means to compensate the shortcomings of stainless steel crowns, use of orthodontics bands may be considered. It is an alternative restoration method, where an orthodontic band is placed on a tooth first and cavity is restored with filling material, such as composite resin, glass ionomer, or amalgam. The use of an orthodontic band is indicated for molar restoration with cervical dental caries, extensive dental caries, enamel hypoplasia, or previous pulp treatment. Because it requires shorter chair time compared to stainless steel crown, its application is very useful for children with poor behavior. However, restoration using an orthodontic band requires good oral hygiene after its application. This case report illustrates the conservative restoration of primary molars and permanent molars with extensive dental caries using orthodontic bands.

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Precise Diagnosis and Conservation Treatment of the Twin-lion Stone Lantern from the Godalsa Temple Site, Yeoju (여주 고달사지 쌍사자 석등의 정밀진단 및 보존처리)

  • National Museum of Korea Conservation Science Division;Damwon Cultural Heritage Inc.;Man Gyeong Corp.
    • Conservation Science in Museum
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    • v.31
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    • pp.71-103
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    • 2024
  • The National Museum of Korea Conservation science division conducted a precise diagnosis and a non-destructive investigation to comprehensively assess the overall damage of the Twin-lion stone lantern from the Godalsa Temple site, Yeoju to be placed on display in the museum's outdoor stone garden, then reviewed the relevant conservation and management plan and applied conservation treatment to the artifact. The museum carried out the treatment in the following order: precise diagnosis; dismantling of the previously-restored part of the roof stone; reinforcement and restoration of the roof structure with new stone; restoration of the previously-restored part of the lantern's support stone (jungseok); surface texture treatment to the restored area; cleaning (basic, laser); and color matching. The previously-restored part of the roof stone was removed and restored with new stone material, based on the results of a safety diagnosis regarding the separation at the said part. Granite from the Sangju area was selected as the material for the restoration in consideration of the results of mineral analysis as well as the surface color and particle size. The new stone was divided into three pieces based on the descending edges of the octagonal roof structure and joined together using epoxy resin. The structure was further strengthened by inserting titanium rods. It is expected that the status diagnosis and conservation treatment of the twin-lion stone lantern from the Godalsa Temple site in Yeoju will be used as a reference for the future conservation and management of outdoor displays of stone cultural heritage.

A Study on Seed Germination and Seedling Growth of Cornus kousa Treated with Livestock Manure (가축분뇨 처리에 의한 산딸나무 종자발아 및 유묘생육에 관한 연구)

  • Lee, Chang-Heon;Kang, Hag-Mo;Kim, Mi-Ja
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.18 no.2
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    • pp.105-118
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    • 2015
  • This study was conducted to obtain proper amount of solid swine manure and poultry manure in the beginning phase of Cornus kousa growth by investigating the initial germination, seedling growth increment, dry weight, chlorophyll content change, body nutrient uptake and chemical changes of soil according to the concentration of solid swine manure and poultry manure fertilization. When treated with solid swine manure and poultry manure, seed germination rate was the highest in the control. However germination rate showed a tendency to decrease when treated with high concentration of swine manure and poultry manure. The survey results of the growth increment were all higher than that of the control. At the 1.0% treatment of both swine and poultry manure, the seedling height growth was highest. Poultry manure treatment made higher result than swine manure treatment at each treatment. Dry weight was the highest at the 1.0% treatment by both swine and poultry manure. Dry amount declined sharply at the 2.0% treatment. Poultry manure was higher in weight than swine manure at every treatment. Chlorophyll content was the highest at the 1.0% treatment by both swine and poultry manure, but declined sharply at the 2.0% treatment. The survey content was higer than that of the control. The amount of nutrients absorbed in the seedling body was generally high at the 1.0% treatment of swine manure and poultry manure. For the planting soil of Cornus kousa the higher concentration of swine manure and poultry manure was, the lower pH became. However, nitrogen, got higher. available phosphoric acid, exchangeable K, Na, and Mg got higher.

Iatrogenic subcutaneous cervicofacial emphysema with pneumomediastinum after class V restoration

  • Lee, Sang-Woon;Huh, Yoon-Hyuk;Cha, Min-Sang
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.1
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    • pp.49-52
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    • 2017
  • Subcutaneous facial emphysema after dental treatment is an uncommon complication caused by the invasion of high-pressure air; in severe cases, it can spread to the neck, mediastinum, and thorax, resulting in cervical emphysema, pneumomediastinum, and pneumothorax. The present case showed subcutaneous cervicofacial emphysema with pneumomediastinum after class V restoration. The patient was fully recovered after eight days of conservative treatment. The cause of this case was the penetration of high-pressure air through the gingival sulcus, which had a weakened gingival attachment. This case indicated that dentists should be careful to prevent subcutaneous emphysema during common dental treatments using a high-speed hand piece and gingival retraction cord.