• The Journal of Advanced Prosthodontics
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• 제9권5호
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• pp.358-363
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• 2017

PURPOSE. The purpose of this study was to evaluate the reliability of computer-aided replica technique (CART) by calculating its agreement with the replica technique (RT), using statistical agreement analysis. MATERIALS AND METHODS. A prepared metal die and a metal crown were fabricated. The gap between the restoration and abutment was replicated using silicone indicator paste (n = 25). Gap measurements differed in the control (RT) and experimental (CART) groups. In the RT group, the silicone replica was manually sectioned, and the marginal and occlusal gaps were measured using a microscope. In the CART group, the gap was digitized using optical scanning and image superimposition, and the gaps were measured using a software program. The agreement between the measurement techniques was evaluated by using the 95% Bland-Altman limits of agreement and concordance correlation coefficients (CCC). The least acceptable CCC was 0.90. RESULTS. The RT and CART groups showed linear association, with a strong positive correlation in gap measurements, but without significant differences. The 95% limits of agreement between the paired gap measurements were 3.84% and 7.08% of the mean. The lower 95% confidence limits of CCC were 0.9676 and 0.9188 for the marginal and occlusal gap measurements, respectively, and the values were greater than the allowed limit. CONCLUSION. The CART is a reliable digital approach for evaluating the fit accuracy of fixed dental prostheses.

• 대한치과보철학회지
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• 제58권2호
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• pp.145-152
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• 2020

심미와 기능이 조화를 이루는 총의치 제작을 위해서는 상하악 관계를 정확히 기록하는 것이 필수적이다. 고딕아치 묘기법은 하악의 운동을 시각적으로 보여주며, 정확하고 반복재현성 있는 중심위를 확립하는데 유용하다. 또한, 고도의 치조제 흡수를 갖는 환자에서는 총의치의 적절한 유지 및 안정을 얻기가 어려운데, 이런 경우 환자의 생리적인 동작으로 변연을 형성하여 의치상연 주위가 가동점막으로 봉쇄되도록 하는 폐구 인상법이 유용할 수 있다. 본 증례에서는 우측 하악과두골절 병력과 고도의 하악 치조제 흡수를 보이는 환자에서 폐구인상법과 고딕아치 묘기법을 이용한 총의치로 수복하였고 만족할 만한 결과를 얻어 보고하는 바이다.

• Archives of Plastic Surgery
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• 제44권6호
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• pp.496-501
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• 2017

Background Various surgical methods for repairing medial orbital wall fractures have been introduced. The conventional technique requires total separation of the displaced orbital bones from the orbital soft tissues. However, subperiosteal dissection around the fracture can cause additional damage. The aim of the present study is to introduce a method of reconstructing medial orbital wall fractures without subperiosteal dissection named the "push-out" technique. Methods Six patients with post-traumatic enophthalmos resulting from an old medial orbital wall fracture and 10 patients with an acute medial orbital wall fracture were included. All were treated with the push-out technique. Postoperative computed tomography (CT) was performed to assess the correct positioning of the implants. The Hertel scale and a comparison between preoperative and postoperative orbital volume were used to assess the surgical results. Results Restoration of the normal orbital cavity shape was confirmed by examining the postoperative CT scans. In the old fracture group, the median orbital volume of the fractured side was $29.22cm^3$ preoperatively, and significantly improved postoperatively to a value of $25.13cm^3$. In the acute fracture group, the median orbital volume of the fractured side was $28.73cm^3$ preoperatively, and significantly improved postoperatively to a value of $24.90cm^3$. Differences on the Hertel scale also improved, from 2.13 mm preoperatively to 0.25 mm postoperatively in the old fracture group and from 1.67 mm preoperatively to 0.33 mm postoperatively in the acute fracture group. Conclusions The push-out technique can be considered a good alternative choice for old medial orbital wall fractures with posttraumatic enophthalmos, acute medial orbital wall fractures including large fractured bone segments, and single-hinged greenstick fractures.

• Clinics in Shoulder and Elbow
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• 제20권3호
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• pp.138-146
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• 2017

Background: Arthroscopic fixations for large and comminuted bony Bankart lesions are technically difficult. We developed an arthroscopic multiple pulled suture (MPS) technique to restore large and comminuted bony Bankart lesions. Methods: Ten patients (mean age, 49.8 years; range, 31-79 years) underwent bony Bankart repair using the illustrated MPS technique and were then followed for a mean of 27.3 months. A plain radiograph series and three-dimensional computed tomography scans were taken at the initial clinical evaluation and 3 months postoperatively. Outcome measurements included the American Shoulder and Elbow Surgeons (ASES) score, Rowe score, University of California at Los Angeles (UCLA) score, and subjective patient satisfaction, along with surgical complications. Results: Union of an osseous fragment with the glenoid rim was confirmed in all patients on a computed tomography scan 3 months after operation. The osseous fragment was restored to proper articular congruence and reduction. The affected shoulder was stable in nine of the 10 patients. One patient presented with a redislocation after a sports injury 3 years postoperatively. The ASES, Rowe, and UCLA scores improved at the final evaluation, and median patient satisfaction at the final follow-up was 9 of 10 points (range, 6-10 points). Conclusions: The arthroscopic MPS technique for bony Bankart lesions with large or comminuted osseous fragments was a relatively easy and safe method for stable fixation of the osseous fragment. Therefore, the arthroscopic MPS technique resulted in good restoration of stability with high patient satisfaction and low complication rates.

• 정보처리학회논문지:컴퓨터 및 통신 시스템
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• 제5권3호
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• pp.55-70
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• 2016

MANET(Mobile Ad-hoc Network) 환경에서 가장 중요시되는 것은 여러 장비간의 신뢰성 있는 통신이다. 이를 위해 다양한 멀티 홉 라우팅 프로토콜 연구가 진행되어 왔다. 하지만 기존의 Link State Routing 기법은 사용채널의 변화가 존재하는 CR(Cognitive Radio) 환경과 다수의 인터페이스를 사용하는 MIMC(Multi-Interface Multi-Channel) 환경에서 제어 메시지 오버헤드를 증가시키는 단점 및 노드가 이동할 때 안정적이지 않은 문제점이 있다. 본 논문은 Control Message Overhead를 감소시키기 위한 방안으로 On-demand Hello를 사용한 기법, Broadcast Interface의 최적화를 이용한 기법을 제시한다. 또한 노드가 이동할 때 안정적인 통신을 위한 방안으로 노드의 이동성을 고려한 MPR 선정기법, 위치정보를 활용한 빠른 경로 복구기법을 제시한다. 제시한 라우팅 프로토콜과 OPNET 기반의 시뮬레이터 결과는 관련 분야 연구에 비교 대상으로 활용할 수 있을 것으로 기대한다.

• 대한치과기공학회지
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• 제31권1호
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• pp.23-36
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• 2009

The goal of esthetic restoration is to achieve morphologic, optical, and biologic acceptance. Creation of a natural looking ceramic restoration, which blends harmoniously with surrounding dentition, is not always achieved. A successful color match is an important aspect of any esthetic dental restoration. Since natural enamel has inherent translucency, it is important that ceramic restorations reproduce the translucency and color of the natural teeth. However, the final color match of porcelain crowns to adjacent natural dentition remains some problem. Difficulties related to color matching arise from the structural differences that exist between metal ceramic crowns and natural teeth, the limited range of available ceramic shades, inadequate shade guides, different types of metal alloys, repeated firing, the condensation technique, and varying compositions of ceramic materials. Many factors contribute to the esthetic success of dental restoration: optical properties such as color and its elements of hue, value, and chroma; translucency and opacity; light transmission and scattering; and metamerism and fluorescence. The purpose of this study was to determine the color changes of metal-ceramic system with different veneering porcelain powder after repeated firing. The objectives of this in vitro study were to measure the lightness($L^*$), chromaticity($a^*$), chromaticity($b^*$), chroma($C^*$), hue(h), reflectance(%), color difference(${\Delta}E$). The following conclusions were obtained: 1. An increase in the number of firings resulted in decrease in lightness($L^*$) but increase in chromacticity($a^*$) with all porcelain. After the second sintering resulted in decrease in chromacticity($b^*$) with opaque-dentin porcelain and dentin porcelain but in increase with enamel porcelain and translucency porcelain. And after the second sintering resulted in decrease in chroma($C^*$) with opaque-dentin porcelain and dentin porcelain, but on the whole side in decrease with enamel porcelain and translucency porcelain. 2. After the second firing, a increase in the number of firings resulted in decrease reflectance(%) in all wavelength. 3. There were noticeable color differences(${\Delta}E$) between first sintering and multiple firings(dentin porcelain: 5.29~8.15, opaque-dentin porcelain: 4.83~8.2, enamel porcelain: 8.93~13.15, translucency porcelain: 9.37~12.91), but the color difference(${\Delta}E$) after second sintering were down to 4.87 in all porcelain. 4. Given the NBS Criteria, a 'trace' was not found this study but a 'slight' was found 2-3, 3-5 in dentin porcelain, 2-3 in opaque-dentin porcelain, 3-5, 5-10 in enamel porcelain and translucency porcelain, a 'noticeable' was 2-5, 3-10, 5-10 in dentin porcelain and opaque-dentin porcelain, 2-3, 2-5, 3-10 in enamel porcelain 2-3, 3-10 in translucency porcelain, an 'appreciable' was 1-2, 1-3, 2-10 in dentin porcelain 1-2, 1-3, 2-10, 3-10 in opaque-dentin porcelain, 2-10 in enamel porcelain, 2-5, 2-10 in translucency porcelain, a 'much' was 1-5, 1-10 in dentin porcelain and opaque-dentin porcelain, 1-2, 1-3, 1-5 in enamel porcelain 1-2, 1-3, 1-5, 1-10 in translucency porcelain, a 'very much' was 1-10 in enamel porcelain.

• 대한소아치과학회지
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• 제46권4호
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• pp.382-391
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• 2019

와동 형성이 시작된 우식병소에는 병소 본체 주변으로 탈회가 진행 중인 초기 병소가 혼재한다. 이 연구에서는 법랑질에 국한된 우식 와동을 복합레진으로 수복 시 레진침투법을 병행하는 기법이 치질 보존 측면에서 의미를 갖는지를 평가하고자 하였다. 인접면 우식병소가 있는 탈락된 유구치를 이용, 레진침투(I, Infiltration), 치아삭제(P, preparation), 복합레진 수복(F, filling)의 적용 순서를 달리하여 IPF군과 PFI군으로 나누었다. 수복 범위, 레진침투 양상, 변연부 미세누출의 관점에서 수복물을 평가하였다. 치질 삭제범위는 수복 전후에 micro-CT를 이용하여 평가하였고, 두 실험군 모두에서 치료 전 병소의 크기보다 복합레진 수복물의 크기가 작았다. 공초점 레이저 주사현미경을 이용한 레진침투 양상 평가 결과 두 실험군 모두 복합레진 수복물 주변에서 침투레진이 확인되었으며, 인공 탈회 유발 후에도 침투레진은 대부분 유지되었다. 수복물 변연부 미세누출은 micro-CT로 확인하였고, PFI군에서 더 빈번하게 확인되었다. 복합레진 수복과 레진침투법의 병용은 치질 보존 측면에서 의미를 가지며, 접착 향상을 위하여 레진침투-와동 형성-복합레진 수복의 순으로 진행하는 것이 추천된다.

• Restorative Dentistry and Endodontics
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• 제26권1호
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• pp.16-22
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• 2001

The purpose of this study was to evaluate the marginal microleakage of condensable composite resin restorations according to flowable resin lining of internal cavity wall. The eighty extracted human molar teeth without caries and/or restorations are used The experimental teeth were randomly assigned into four groups of ten teeth each. Eighty caries-free extracted human molars were used in this study. The conventional class II cavities (box-shaped on mesial and distal surface, faciolingual width : 3mm, gingival wall depth : 1.5mm) were prepared 1mm below cementoenamel junction with a # 701 carbide bur. The teeth were divided into four groups, and then each group were subdivided into A & B group according to flowable resin & compomer lining ; Group 1-A : Tetric Ceram filling, Group 1-B : Tetric Flow lining and Tetric Ceram filling, Group 2-A Ariston pHc filling, Group 2-B : Tetric Flow lining and Ariston pHc filing, Group 3-A SureFil filling, Group 3-B : Dyract Flow lining and SureFil filling, Group 4-A : Pyramid filling, Group 4-B : Aeliteflo lining and Pyramid filling. To simulate as closely as possible the clinical situation during retoration placement, a "restoration template" was fabricated, and the condensable resin was filled using a three-sited light-curing incremental technique. All the materials used were applied according to the manufacturers' instructions. The specimens were stored in the 100% humidity for 7 days prior to thermocycling (100 thermal cycles of 5~55$^{\circ}C$ water with a 30-second dwell time) The specimens were immersed in 2% metyleneblue dye for 24 hours, and then embedded in transparent acrylic resin and sectioned mesiodistally with diamond wheel saw. The degree of marginal leakage was scored under stereomicroscope ($\times$20) and the data were analyzed by Kruskal-Wallis test and Wilcoxon signed ranks test. The results were as follows : 1. In the gingival margins of all the group, microleakage of subgroup B was less than subgroup A. 2. In the group 1, 2, 4, there was significant differences between subgroup A and B (p<0.05), but in the group 3, there was not significant different between group 3-A (SureFil) and group 3-B (Dyract flow/SureFil) (p>0.05). 3. In the subgroup A and B, there was significant different between all group except group 4 of subgroup A. From the results above, it was suggested that the cavity lining of flowable resin and flowable compomer in condensable resin restoration decrease microleakage at gingival margin, and does improve their ability to seal the gingival margin of class II preparation.

• 한국광물학회지
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• 제30권4호
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• pp.179-186
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• 2017

본 연구는 남한산성 한봉성 여장에 사춤으로 사용된 석회 모르타르를 분석하여 조선시대에 사용된 석회의 광물학적 특성을 파악하고자 하였다. 편광현미경 관찰 결과 여장의 모르타르는 기질에 석영, 장석, 운모, 휘석과 불투명 광물을 함유하고 있으며 XRD 분석을 통해 점토 광물인 녹니석, 카올린을 추가로 확인하였다. 입도 분석 결과 시료의 입도 분포가 넓고 크기가 균일하지 않으며 입도의 60%가 모래영역에 해당되었다. XRF 분석 결과 석회의 주성분인 Ca은 8.71-11.18%로 나타났으며 토양에서 확인되는 $SiO_2$, $Al_2O_3$, $Fe_2O_3$가 주요 성분으로 확인되었다. TG-DTA 분석 결과 약 $750^{\circ}C$ 부근에서 탄산칼슘의 탈탄산반응으로 인한 흡열피크와 약 10%의 중량감소율을 확인하였으며, SEM을 통한 미세조직 관찰 결과 조밀하게 응집된 비정질, 능면상의 방해석 결정이 관찰되었다. 이를 바탕으로 여장의 사춤재는 석회와 토양이 혼합된 모르타르이며 여장의 위치나 사용부위에 따른 광물 조성 차이는 보이지 않으므로 당시 한봉성 여장은 동일한 재료와 기법을 사용하여 개축된 것으로 판단된다.

• 헤리티지:역사와 과학
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• 제49권4호
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• pp.114-125
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• 2016

옻은 동아시아 지역에서 신석기시대부터 널리 사용되어 온 대표적인 천연수지이다. 옻은 주로 옻칠 공예품의 재료로서 방수, 방충, 방부 등의 내구성과 내마모성이 있어 도료로 널리 사용되어 왔다. 옻은 중국과 일본의 칠기유물 출토현황을 근거로 신석기시대에 출현한 것으로 보고 있으나 우리나라에서는 청동기시대 이후 발굴조사를 통해 칠기 유물이 출토되고 있다. 옻의 초기 용도는 접착제로 추정되고 있으며 문헌을 통해 옻이 역청, 교, 난백과 함께 접착제로 사용되어 왔음이 확인되었다. 특히 평택 대추리 출토 옹관편의 복원에 칠과 대마가 사용된 것으로 분석되어 원삼국시대에 이미 접착제로서 사용되어 왔으며 이후 파손된 도자기의 접합 복원에 칠을 사용하였고 조선시대에는 그 위에 금분 등으로 장식하는 사례가 한동안 지속되었다. 현재도 옻칠 개금, 나전칠기, 건축물 보수공사 등에서 옻은 접착제로서 사용되고 있다. 문화재 보존처리에서 접착제의 주요 선택 기준의 하나인 가역성의 문제로 옻은 문화재 복원에 거의 사용되고 있지 않지만, 고대부터 접착제로 사용되어 온 전통재료로서 옻은 강한 접착강도와 내구성 등의 장점을 보유하고 있다. 최근 합성수지 접착제에서 방출되는 유해한 휘발성 유기화합물의 존재와 환경에 의한 열화문제 등이 대두되고 있어 천연수지인 옻이 주목받고 있다. 특히 옻과 교의 배합으로 제조한 접착제를 통해 화학적 변용과 활용의 가능성이 확인된 바 있다. 중국과 일본에서도 옻을 현대적 도료 및 기능성 재료로 활용하는 연구가 지속되고 있다. 추후 옻의 분자수준의 화학적 연구가 진전되어 기능성 재료로 실용화하고 현대적으로 활용할 수 있는 연구가 활성화 되어야 할 것으로 생각한다.