• Title/Summary/Keyword: Ridge height

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Treatment concepts for the posterior maxilla and mandible: short implants versus long implants in augmented bone

  • Thoma, Daniel Stefan;Cha, Jae-Kook;Jung, Ui-Won
    • Journal of Periodontal and Implant Science
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    • v.47 no.1
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    • pp.2-12
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    • 2017
  • The aim of this narrative review is to describe treatment options for the posterior regions of the mandible and the maxilla, comparing short implants vs. longer implants in an augmented bone. The dental literature was screened for treatment options enabling the placement of dental implants in posterior sites with a reduced vertical bone height in the maxilla and the mandible. Short dental implants have been increasingly used recently, providing a number of advantages including reduced patient morbidity, shorter treatment time, and lower costs. In the posterior maxilla, sinus elevation procedures were for long considered to be the gold standard using various bone substitute materials and rendering high implant survival rates. More recently, implants were even placed without any further use of bone substitute materials, but the long-term outcomes have yet to be documented. Vertical bone augmentation procedures in the mandible require a relatively high level of surgical skill and allow the placement of standard-length dental implants by the use of autogenous bone blocks. Both treatment options, short dental implants, and standard-length implants in combination with vertical bone augmentation procedures, appear to result in predictable outcomes in terms of implant survival rates. According to recent clinical studies comparing the therapeutic options of short implants vs. long implants in augmented bone, the use of short dental implants leads to a number of advantages for the patients and the clinician.

Predictability of simultaneous implant placement with sinus floor elevation in the severely atrophic posterior maxillae ; Comparison of lateral and trans-crestal approaches (지상보수교육강좌 1 - 상악동저 거상술을 동반한 임프란트 동시 식립의 예지성 평가; 측방접근술과 치조정접근술의 비교)

  • Kim, Yeong-Wook;Keum, Yoon-Seon;Son, Hyo-Jeong;Lee, Jang-Yeol;Kim, Hyoun-Chull;Lee, Sang-Chull
    • The Journal of the Korean dental association
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    • v.48 no.3
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    • pp.205-217
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    • 2010
  • Purpose The aim of this study is to evaluate the survival rates and analyze the stability of lateral approach and trans-crestal approach for maxillary sinus floor elevation of simultaneous implant placement. Materials and method 407 patients who have been treated in LivingWell dental hospital between 2003 to 2009 were selected. Lateral window technique, osteotome technique and sinus drill technique were used for sinus floor elevation procedure. A total of 714 implants-MP-1 HA coated implant(Tapered Screw $Vent^{TM}$, $Spline^{TM}$, Zimmer, USA), FBR surfaced implant(Pitt-$Easy^{TM}$, Oraltronics, Germany)-were placed in grafted maxillary sinus simultaneously. The autogenous bone or a combination with the allograft or alloplast was grafted into sinus. Sinus floor elevation was combined with vertical/horizontal onlay bone grafts to reconstruct the defect of alveolar ridge. Results The average preoperative height of the maxillary alveolar bone was 5.78mm(range: 0.4mm~12.5mm). 14 implants failed during the healing period(lateral approach: 4, trans-crestal approach: 10) and 3 implant failed after prosthetic loading(lateral approach: 2, trans-crestal approach: 1). The cumulative survival rate of implants after 6 years was 97.6%. Trans-crestal approach(97.4%) and lateral approach(97.9%) had similar survival rates. Conclusion The results indicate that the trans-crestal approach and lateral approach for maxillary sinus elevation is a acceptable method at atrophic maxillary posterior area.

Finite Element Analysis of Gabled Hyperbolic Paraboloid Shells (모임지붕형 쌍곡포물선 쉘구조의 유한요소해석)

  • Kim, Seung-Nam;Yu, Eun-Jong;Rha, Chang-Soon
    • Journal of Korean Association for Spatial Structures
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    • v.12 no.1
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    • pp.87-98
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    • 2012
  • In this study, mechanical role of edge beams in the gabled hyperbolic paraboloid shells was investigated through the comparisons of Finite element(FE) analysis results between the shells structures with and without edge beams. In addition, the effects of roof slope was studied. FE analysis showed that roof loads was directly transferred to the supports at corners by the arch action in the diagonal direction of the shells, thus, less member forces in the edge and ridge beams but higher stresses near supports were estimated than those from the membrane theory. When the edge beams were removed, stress concentration in the shells near the supports and the deflections along the shell edge were increased. Such phenomenon were intensified as the roof slope decrease. Thus, in gable hyperbolic paraboloid shell, the thickness of the shell near supports needs to be increased and careful investigation should be made in the cases when the roof height is low and/or the edge beams are removed.

A Study on the Growing State of Taxus cuspidata in Baekwoonsan the High 1 Ski Slope Construction Area in Jeungsun-gun, Gangwon-do (강원도 정선군 백운산 High 1 스키장 슬로프 개발 지역의 주목 생육현황 조사)

  • Kim, Gab-Tae;Um, Tae-Won;Kim, Hoi-Jin
    • Korean Journal of Environment and Ecology
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    • v.23 no.4
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    • pp.302-308
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    • 2009
  • For the proper tree management of Taxus cuspidata, distributed in the High 1 Ski Slope construction area in Baekwoonsan, Jeungsun-gun, Kangwon-do, the growing states of 323 trees(including transplanted 57trees) are investigated. Tree height, rootcollar diameter, D.B.H., stem condition, apical shoot, dead branch, needle growth condition, 2-year-old needle loss, root condition, tree form are investigated. Taxus cuspidata are mainly growing at the sites, high elevated mountain ridge or slopes facing north. Growing states of Taxus cuspidata, distributed in Baekwoonsan are relatively better than those of Taxus cuspidata and Abies koreana at other subalpine zone in Korea. Damaged trees are mainly due to root-removal through transplanting, root-damages by raising the ground level and digging. Several methods of Taxus cuspidata conservation were suggested.

Evaluation of Air Ion According to Vegetation Types in Valleys and Slopes - Focused on Tangeumdae Park in ChungJu - (계곡·사면부의 식생유형에 따른 공기이온 평가 - 충주시 탄금대 공원을 대상으로 -)

  • Yoon, Young-Han;Lee, Sang-Hoon;Kim, Jeong-Ho
    • Journal of Environmental Science International
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    • v.29 no.5
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    • pp.519-529
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    • 2020
  • The purpose of this study was to provide basic health care data for the climate aspects of park re-cultivation by evaluating air ions according to the type of vegetation in the valley and upper slopes of the mountain park. Simple negative or positive air ions were expected to show the same tendencies, so they were analyzed in terms of correcting the air ion index. By analyzing the air ions according to the topography, it was found that valley > slope in terms of the air ion index. When analyzing air ions according to tree species, we found that evergreen conifers in the valley > the deciduous broad-leaved trees in the valley > the evergreen conifers in the slope = the deciduous broad-leaved trees in the slope. For DBH(Diameter at breast height), the valley large pole > slope large pole > slope medium hard wood, while crown density was analyzed as valley dense > slope dense> valley proper > slope proper. Layered structure analysis showed that the multi-layer structure of the valley > multi-layer structure of the slope = the single-layer structure of the valley > the single-layer structure of the slope. The correlation coefficient was determined according to vegetation type and air ion index in the order of DBH > crown density > layer structure > geomorphic structure. In this study, limits exist except for ridge line, valley, and slopes in urban mountain parks. Therefore, analysis should be made considering both topographical structure and various vegetation types in future studies of air ions.

Comparison of anterior maxillary and mandibular alveolar parameters in African American and Caucasian women: A retrospective pilot study

  • Renaud, Lauren;Gandhi, Vaibhav;West, Cailynn;Gudhimella, Sudha;Janakiraman, Nandakumar
    • Imaging Science in Dentistry
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    • v.51 no.2
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    • pp.175-185
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    • 2021
  • Purpose: The primary objective of this study was to analyze the thickness and height of alveolar bone around the maxillary and mandibular incisors. Additionally, this study aimed to compare bone parameters between Caucasian (CC) and African American (AA) female patients. Materials and Methods: In this retrospective pilot study, 50 female subjects(25 CC and 25 AA) were included. The inclusion criteria were AA or CC women between the ages of 18 and 50 with a normo-divergent facial pattern and Angle's class I, end-on class II, or mild class III malocclusion. The distance from the cementoenamel junction (CEJ) to the buccal and lingual alveolar crest; the alveolar ridge thickness at the mid-root and apex; and the buccal and lingual bone thickness at 3, 6, and 9mm from the CEJ were measured. Results: No significant difference was found (P>0.05) in the cortical bone thickness at 3mm, 6mm, or 9mm from the alveolar crest between CC and AA populations for most measurements. A significant difference in bone thickness was found (P<0.05) for the lingual surface of the central incisor, with maxillary bone thickness found to be higher than mandibular bone thickness. The measurements of lingual thickness were larger than those of buccal thickness for both races. Conclusion: There were no differences in maxillomandibular anterior alveolar bone measurements between normo-divergent adult AA and CC women, except for a few parameters at varying locations. However, future studies can be planned based the current pilot study data, which may provide valuable information.

Effect of Epidermal Growth Factor with Collagen Matrix on Increasing Gingival Thickness: A Pilot Preclinical Investigation

  • Hyun-Chang Lim;Yeek Herr;Jong-Hyuk Chung;Seung-Yun Shin;Seung-Il Shin;Ji-Youn Hong
    • Journal of Korean Dental Science
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    • v.16 no.2
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    • pp.172-181
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    • 2023
  • Purpose: To investigate the effect of epidermal growth factor (EGF) with collagen matrix (CM) for increasing gingival thickness. Materials and Methods: In five mongrel dogs, bilateral gingival defects were surgically made on the maxillary canines. After two months, either a subepithelial connective tissue graft (group SCTG) or CM with EGF (0.1 ug/ml, group EGF) was grafted, and the flap was coronally positioned to cover the graft materials. The animals were sacrificed after three months. Intraoral scanning was performed for soft tissue analysis. Histologic and histomorphometric analyses were performed. Result: Two animals exhibited wound dehiscence during the healing phase, leaving three for analysis. No statistically significant difference was found in soft tissue changes (P>0.05). The level of gingival margin (GM) increased in both groups (1.02±0.74 mm in group SCTG vs. 1.24±0.83 mm in group EGF). Linear increases at the GM pre-augmentation in the soft tissue profile were 1.08±0.58 mm in group SCTG and 0.96±0.73 mm in group EGF. Histomorphometric parameters (keratinized tissue height, tissue thickness, and rete peg density) were not significantly different between the groups (P>0.05). Conclusion: EGF loaded onto CM led to comparable gingival phenotype enhancement to SCTG.

Development of Rain Shelter for Chinese Cabbage Rainproof Cultivation (배추재배용 비가림하우스 개발)

  • Yu, In Ho;Lee, Eung Ho;Cho, Myeong Whan;Ryu, Hee Ryong;Moon, Doo Gyung
    • Journal of Bio-Environment Control
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    • v.23 no.4
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    • pp.293-302
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    • 2014
  • This study was carried out to develop rain shelter which can make an appropriate size and environment for Chinese cabbage rainproof cultivation. Fifty three farms with chinese cabbage rainproof cultivation system have been investigated to set up width and height of rain shelter. Mostly the width of 6m was desired for rain shelter and the height of 1.6m for their eaves, so these values were chosen as the dimensions for rain shelter. After an analysis of their structural safety and installation costs by the specifications of the rafter pipe, Ø$25.4{\times}1.5t$ and 90cm have been set as the size of rafter that such size costs the least. This size is stable with $27m{\cdot}s^{-1}$ of wind velocity and 17cm of snow depth. Therefore it is difficult to apply this dimension to area with higher climate load. In order to sort out such problem, the rain shelter has been designed to avoid damage on frame by opening plastic film to the ridge. Once greenhouse band is loosen by turning the manual switch at the both sides of rain shelter and open button of controller is pushed then switch motor rises up along the guide pipe and plastic film is opened to the ridge. Chinese cabbage can be damaged by insects if rain shelter is opened completely as revealed a field. To prevent this, farmers can install an insect-proof net. Further, the greenhouse can be damaged by typhoon while growing Chinese cabbage therefore the effect of an insect-proof net on structural safety has been analyzed. And then structural safety has been analyzed through using flow-structure interaction method at the wind condition of $40m{\cdot}s^{-1}$. And it assumed that wind applied perpendicular to side of the rain shelter which was covered by insect-proof net. The results indicated that plastic film was directly affected by wind therefore high pressure occurred on the surface. But wind load on insect-proof net was smaller than on plastic film and pressure distribution was also uniform. The results of structural analysis by applying pressure data extracted from flow analysis indicated that the maximum stress occurred at the end of pipe which is the ground part and the value has been 54.6MPa. The allowable stress of pipe in the standard of structural safety must be 215 MPa or more therefore structural safety of this rain shelter is satisfied.

Correlation between magnetic resonance imaging and cone-beam computed tomography for maxillary sinus graft assessment

  • Laurino, Fernando Antonio Reis;Choi, Isabela Goulart Gil;Kim, Jun Ho;Gialain, Ivan Onone;Ferraco, Renato;Haetinger, Rainer Guilherme;Pinhata-Baptista, Otavio Henrique;Abdala-Junior, Reinaldo;Costa, Claudio;Cortes, Arthur Rodriguez Gonzalez
    • Imaging Science in Dentistry
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    • v.50 no.2
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    • pp.93-98
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    • 2020
  • Purpose: Little is known regarding the accuracy of clinical magnetic resonance imaging (MRI) protocols with acceptable scan times in sinus graft assessment. The aim of this study was to evaluate the correlations between MRI and cone-beam computed tomographic (CBCT) measurements of maxillary sinus grafts using 2 different clinical MRI imaging protocols. Materials and Methods: A total of 15 patients who underwent unilateral sinus lift surgery with biphasic calcium phosphate were included in this study. CBCT, T1-weighted MRI, and T2-weighted MRI scans were taken 6 months after sinus lift surgery. Linear measurements of the maximum height and buccolingual width in coronal images, as well as the maximum anteroposterior depth in sagittal images, were performed by 2 trained observers using CBCT and MRI Digital Imaging and Communication in Medicine files. Micro-computed tomography (micro-CT) was also performed to confirm the presence of bone tissue in the grafted area. Correlations between MRI and CBCT measurements were assessed with the Pearson test. Results: Significant correlations between CBCT and MRI were found for sinus graft height (T1-weighted, r=0.711 and P<0.05; T2-weighted, r=0.713 and P<0.05), buccolingual width (T1-weighted, r=0.892 and P<0.05; T2-weighted, r=0.956 and P<0.05), and anteroposterior depth (T1-weighted, r=0.731 and P<0.05; T2-weighted, r=0.873 and P<0.05). The presence of bone tissue in the grafted areas was confirmed via micro-CT. Conclusion: Both MRI pulse sequences tested can be used for sinus graft measurements, as strong correlations with CBCT were found. However, correlations between T2-weighted MRI and CBCT were slightly higher than those between T1-weighted MRI and CBCT.

Characterisitcs of Hail Occurred in the Korea Peninsular (우리 나라 우박 발생일의 특성)

  • Im, Eun-Ha;Jeong, Yeong-Seon;Nam, Jae-Cheol
    • Journal of Korea Water Resources Association
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    • v.33 no.2
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    • pp.229-235
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    • 2000
  • Characteristics of hail occurred during 1989-1998 is studied. Hail is observed mainly at west coast, southwest inland, and Taegwallyong. Average diameter of hailstone is 0.6 cm, and 70% of the occurrence frequency of hail is observed at west coast. During winter and spring, the wet -bulb zero height (WBZ) is low enough to prevent the melting process of hail. But the lack of available low-level moisture (mean mixing ratio in lowest 100 hPa) makes the size of hail small. As a result, smaller size hail is observed frequently over west coast. On the contrary, WBZ is higher during summer, it means that hail is melted before it reaches ground, but the size of hail is bigger. Thus the larger hail is observed mainly Taegwallyong during summer. Hail is observed from 1100 LST to 1500 LST over west coast and around 1800 LST over Taegwallyong. It suggest that thermally driven mesoscale circulations such as land-sea breeze and mountain ridge-valley circulation aid in the formation of hail. Upper and surface air temperature is related to formation of hailstorm. Before formation of hailstorm in November 1998, the upper air temperature decreases. And hails is observed in the spot of strong temperature and dew point temperature gradient coincidently.

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