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검색결과 32건 처리시간 0.024초

치근이개부 II급 병변에서 조직유도재생술의 임상적 치유양상의 비교 (A Comparative Study of Clinical Healing Aspects in GTR Treatment on Class II Furcation Defects)

  • 문선영;이재목;서조영
    • Journal of Periodontal and Implant Science
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    • 제29권3호
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    • pp.519-540
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    • 1999
  • The purpose of this study is to compare the healing aspects of the use of ePTFE membrane alone versus combination treatment of ePTFE membrane and bone grafts on class II furcation defects. Seventeen defects were applied ePTFE membrane alone on mxillary molar buccal class II furcation defects as Group I, seventeen defects were applied ePTFE membrane and bone grafts on maxillary molar buccal class II furcation defects as Group II, twenty-three defects were applied ePTFE membrane alone on mandibular molar buccal class II furcation defects as Group III, twenty defects were applied ePTFE membrane and bone grafts on mandibular molar buccal class II furcation defects as Group IV . Measurements were made to determine clinical attachment level, probing depth, gingival depth, SBI, mobility at baseline, 3, 6, 12 months postoperatively. Additional measurements were made to determine membrane exposure level at surgery, 1, 2, 6 weeks postoperatively. And then healing patterns and postoperative complications were evaluated. The result as follows : There were statistically significant differences in probing depth reduction, clinical attachment gain, mobility reduction at values of 3, 6, 12 months postoperatively compared to values of baseline(p<0.05), whereas no significant differences in SBI and gingival recession. In group II, membrane exposure level was increased at 1, 2, 6 weeks postoperatively compared to value of baseline(p<0.05). There were statistically significant differences in changes of probing depth at 3, 6, 12 months postoperatively in combination groups of ePTFE membrane and bone graft compared to groups of ePTFE membrane alone(p<0.05). The vast majority of cases fall into typical healing and delayed healing response when membranes were removed in all groups. Pain and swelling were common postoperative complications. In conclusion, this study was showed more effective healing aspects in combination treatment of ePTFE membrane and bone graft than ePTFE membrane alone and on mandibular molar class II furcation defects than maxillary molar.

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임플란트 치은열구내 red complex의 분포 (The distribution of red complex of implant sulcus)

  • 손고운;권영혁;박준봉;허익;정종혁
    • Journal of Periodontal and Implant Science
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    • 제36권1호
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    • pp.211-221
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    • 2006
  • The aim of present study was to evaluate the influence of periodontal status of adjacent tooth and loading time to the prevalence of red complex of implant sulcus. In 97 patients, partially edentulous subjects with endosseous root-form implants were selected. All subjects were medically healthy and had not taken systemic antibiotics and professional plaque control 3 months before sampling. The number was as follows: clinically healthy implants:161, clinically unhealthy implants:22, clinically healthy adjacent teeth:73, clinically unhealthy adjacent teeth:38. All teeth and implants of each patient were examined probing depth(PD), modified sulcus bleeding index(mSBI), and modified plaque index(mPI), and samples of subgingival plaque were obtained at each site with sterile curet or fine paper points, then the plaque transferred to PBS. Obtained samples were examined for the presence of P. gingivalis, T. forsythensis, and T. denticola by the polymerase chain reaction (PCR). The relationship among clinical parameters and the colonizations by the 3 bacterial species from adjacent teeth and implants region were analyzed by student t-test (p<0.05). The results of this study were as follows: 1. mPI and mSBI of implant increased with increasing of same indices of adjacent tooth(p=0.03,0.001), but not in the PD . 2. The mPI, mBI, PD of implants was higher when red complex exist. 3. The prevalence of red complex was higher when the periodontal condition is unhealthy. 4. The prevalence of red complex of implants has no significant relation to the probing depth of adjacent tooth. 5. Prevalence of P. gingivalis, T. forsythensis of implants increased with loading time. (p=0.02,0.018) These results shows the importance of oral hygiene and supportive periodontal therapy.

자일리톨과 불화나트륨을 함유한 저작성 정제가 교정환자의 구강위생에 미치는 영향에 관한 임상시험 (Effects of chewable tablet containing sodium fluoride and xylitol on the oral hygiene state in the orthodontic patients)

  • 유상훈;안석준;이신재;백승학;김태우;장영일;남동석
    • 대한치과교정학회지
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    • 제33권2호
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    • pp.113-120
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    • 2003
  • 본 연구는 불화나트륨과 자일리톨 성분으로 구성된 구강 청정용 저작성 정제 (덴포정, 하미 즐, 부천, 경기 )가 교정치료 중인 환자의 구강위생 상태에 미치는 영향을 알아보기 위해 시행되었다. 교정치료 중인 18세 이상의 성인 환자 30명을 대상으로 약제사용 전, 2주 후, 4주 후에 피험자의 상악과 하악 전치 부위 및 구치 부위에서 각각 치은 지수, 치은 출혈 지수, 치태 지수를 측정하여 다음과 같은 결과를 얻었다. 1. 상하악 전치부와 구치부 모두에서 치태 지수가 약제사용 전에 비해 사용 2주 후와 4주 후 유의성 있게 감소하였다. (p<0.05).또한, 적용 2주 후와 4주 후의 지수를 비교하였을 때 4주 후에 좀 더 개선된 경향을 보였으나, 통계적 유의성은 나타나지 않았다(p>0.05). 2. 치은 지수, 치은 출혈 지수도 상하악 전치부와 구치부 모두에서 적용 전에 비하여 2주 후와 4주 후 유의성 있게 감소하였다(p<0.05).적용 2주 후와 4주 후의 지수의 비교 검증에서 통계학적으로 유의할 만한 차이는 보이지 않아 구강위생 상태의 개선이 계속 유지됨을 보였다. 본 연구의 결과는 치태 지수, 치은 지수, 치은 출혈 지수가 실험 정제 적용 후에 감소하여 구강위생 상태가 개선되었음을 보였다. 이러한 결과를 통해 덴포정을 교정치료 중인 한자에서 부가적으로 사용하였을 경우 치주조직의 건강을 증진시키는데 도움을 줄 수 있으리라고 생각된다.

Efficacy of sonic-powered toothbrushes for plaque removal in patients with peri-implant mucositis

  • Lee, Jungwon;Lim, Jong Heun;Lee, Jungeun;Kim, Sungtae;Koo, Ki-Tae;Seol, Yang-Jo;Ku, Young;Lee, Yong-Moo;Rhyu, In-Chul
    • Journal of Periodontal and Implant Science
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    • 제45권2호
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    • pp.56-61
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    • 2015
  • Purpose: The aim of this study was to evaluate the effectiveness of powered toothbrushes for plaque control in patients with peri-implant mucositis, in comparison with manual toothbrushes. Methods: This randomized, prospective, controlled, clinical parallel study compared the efficacy of manual and powered toothbrushes for plaque control in implant restorations. Patients with bleeding on probing, no residual pocket depth (as indicated by a pocket probing depth ${\geq}5mm$), and no radiological peri-implant bone loss were eligible for this study. Patients were requested to complete a questionnaire describing their oral hygiene habits. The duration and frequency of tooth brushing were recorded by subjects in order to assess their compliance. Clinical parameters, including the modified plaque index (mPI), the modified sulcus bleeding index (mSBI), and clinical photographs (buccal and lingual views) were recorded at baseline and at one-month and two-month follow-up visits. Results: Statistically significant differences between patients who used manual toothbrushes and those who used powered toothbrushes were found regarding the frequency of tooth brushing per day and the duration of brushing at one-month and two-month follow-up visits, while no statistically significant differences were found relating to other oral hygiene habits. A statistically significant difference in patient compliance for tooth brushing was found at one month, while no difference was found at two months. Statistically significant decreases in the mPI and the mSBI were observed in both groups from baseline to the one- and two-month follow-ups. The overall reduction of these parameters was not significantly different between the two groups, except for mPI reduction between baseline and one month of follow-up. Conclusions: Sonic-powered toothbrushes may be a useful device for plaque control in patients with peri-implant mucositis.

A Study on the Impact of Continuous Antagonist Strengthening and Evjenth-Hamberg Stretching on the Cervical Mobility in Forward Head Posture Subjects

  • Park, Joo Hyun
    • 국제물리치료학회지
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    • 제4권2호
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    • pp.633-639
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    • 2013
  • This study aims to reveal the impact of continuous antagonist strengthening(CAS) and Evjenth-Hamberg stretching(EHS) on the cervical mobility in the university students with abnormal transformation of forward head posture(FHP). Our experiment was conducted 3 times a week for 6 weeks in a total of 20 individuals : continuous antagonist strengthening(CAS) group(n=10) & Evjenth-Hamberg stretching(EHS) group(n=10). In a pre and post comparison, both CAS group and EHS group appeared significantly in mSBI and SBA(p<.05) and the two-group comparison showed a significant difference(p<.05) : CAS group showed better effects. Thus, it is considered that the combined use with continuous antagonist strengthening(CAS) had better effects for cervical mobility than Evjenth-Hamberg stretching(EHS) alone.

조선업의 작업환경측정결과를 이용한 노출평가의 문제점과 해결방향 - 유사노출군을 중심으로 - (Recommendation and current status in exposure assessment using monitoring data in ship building industry - focused on the similar exposure group(SEG))

  • 노영만;임현우;김석일;박효만;정재열;박숙경;김현욱;정치경;이원철;김정만;김수근;고상백;;김은아;최정근
    • 한국산업보건학회지
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    • 제11권2호
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    • pp.126-134
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    • 2001
  • Statistical approaches for analysis of data from the limited number of samples in ship building industry(SBI) collected by an industrial hygienist for checking compliance to an occupational standard were considered. Sampling for compliance usually has been guided by judgment selection, rather than true randomness, resulting in the creation of compliance samples which approximate a censored sample from the upper tail of the exposure distribution. Similar exposure groups(SEGs) including welding and painting process were established to assess representative values in each groups after reviewing the whole production line in SBI. For the convenient statistical approaches, the code has assigned to each SEGs. The descriptive statistics and probability plotting were used to yield the representative values in each SEGs. In the first step, SEGs of 558 were established from 5 ship building companies. The 38 SEGs showed the uncertainty are divided into each 5 companies and assessed the representative values again. The 44 SEGs in each companies was not showed the normal and lognormal distribution was analyzed each data. And also, recommendation was suggested to resolve the uncertainty in each groups.

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GENERATION OF AN IMPERVIOUS MAP BY APPLYING TASSELED-CAP ENHANCEMENT USING KOMPSAT-2 IMAGE

  • Koh, Chang-Hwan;Ha, Sung-Ryong
    • 대한원격탐사학회:학술대회논문집
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    • 대한원격탐사학회 2008년도 International Symposium on Remote Sensing
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    • pp.378-381
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    • 2008
  • The regulating and relaxing targets in the Land Use Regulation and Total Maximum Daily Loads are influenced by Land cover information. For the providing more accurate land information, this study attempted to generate an impervious surface map using KOMPSAT-2 image which a Korea manufactured high resolution satellite image. The classification progress of this study carried out by tasseled-cap spectral enhancement through each class extraction technique neither existing classification method. KOMPSAT-2 image of this study is enhanced by Soil Brightness Index(SBI), Green vegetation Index(GVI), None-Such wetness Index(NWI). Then ranges of extracted each index in enhanced image are determined. And then, Confidence Interval of classes was determined through the calculating Non-exceedance Probability. Spectral distributions of each class are changed according to changing of Control coefficient(${\alpha}$) at the calculated Non-exceedance Probability. Previously, Land cover classification map was generated based on established ranges of classes, and then, pervious and impervious surface was reclassified. Finally, impervious ratio of reclassified impervious surface map was calculated with blocks in the study area.

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저출력 레이저 조사가 치은염증에 미치는 영향에 관한 연구 (Study on the Effect of Low Density Power Laser Radiation in Treating Gingival Inflammation - Clinical, Microbiological, Histological Study -)

  • 이창우;김기석
    • Journal of Oral Medicine and Pain
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    • 제12권1호
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    • pp.5-16
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    • 1987
  • 레이저의 의학적 이용은 고출력 레이저의 외과적 이용과 더불어 많은 진전을 하게 되었다. 근래에는 인체에 손상을 주는 고출력 레이저 외에도 조직의 파괴없이 인체조직에 유용한 효과를 줄 수 있는 저출력 레이저에 대한 연구가 적극적으로 시도되고 있다. 본 연구는 치은염을 가진 13명의 대상에 대해 Split-mouth design으로 대조군 및 실험군을 설정하여 실험군의 치은에 저출력 레이저(Biotherapy dental Laser 3DL)를 격일로 4회 조사한 후 plaque index, pocket depth, sulcus bleeding index, supragingival과 subgingival plaque의 bacterial morphotype의 비율 및 광학현미경을 통한 조직학적 염증 침윤상을 측정 평가하여 다음과 같은 결과를 얻었다. 1) 레이저 조사후 SBI(p<0.01)는 감소하였으나 PI는 별다른 변화가 없었다. 2) 레이저 조사에 따라 spirochetes(p<0.01)를 포함하여 motiles(p<0.05, p<0.01)은 감소된 반면 nommotiles(p<0.05, p<0.01) 증가하였다. 3) 레이저 조사 치은에서는 염증세포 침윤이 Dental(p<0.05) 및 oral(p<0.01) 양측 모두 감소되었다.

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한국 성인형 치주염 환자의 치주낭 내 세균분포에 관한 암시야현미경적 연구 (Darkfield microscopic study of the bacterial morphotypes in the periodontal pockets of Korean adult periodontitis patients)

  • 박정민;남기윤;이인경;엄흥식;장범석
    • Journal of Periodontal and Implant Science
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    • 제33권2호
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    • pp.247-257
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    • 2003
  • The purpose of this study was to evaluate the difference of subgingival bacterial compositions between periodontally healthy and diseased sites. Subgingival plaque samples were obtained from 100 sites in 20 untreated adult periodontitis patients(experimental group), and 100 sites in healthy individuals(contro1 group). Before sampling, probing pocket depth(PPD) and clinical level of attachment(CAL), Plaque Index(PI), and Sulcus Bleeding Index(SBI) were recorded for each sampled sites. Microbial samples were collected from the bases of gingival sulci or periodontal pockets with sterile curettes. The samples were examined under darkfield microscope(${\times}$400). At least 150 bacteria were evaluated and categorized on the basis of bacterial morphology and motility, i.e. cocci, non-motile rods, motile rods, and spirochetes. In control group, subgingival microbial flora consisted of 73.7% of cocci, 20.0% of non-motile rods, 4.3% of motile rods, and 2.0% of spirochetes. The microbial samples from experimental group consisted of 51.5% of cocci, 19.4% of non-motile rods, 17.6% of motile rods, and 11.6% of spirochetes. The proportion of cocci was higher in control group than in experimental group. Proportions of motile rods and spirochetes were higher in experimental group than in control group. The proportion of nonmotile rods in experimental group and control group was not significantly different. Sulcus Bleeding Index and Plaque Index showed high correlation with the bacterial composition. These findings suggests that examination of subgingival bacterial proportion may serve as more sensitive mirror of the local periodontal status than clinical parameters.

Classification of tree species using high-resolution QuickBird-2 satellite images in the valley of Ui-dong in Bukhansan National Park

  • Choi, Hye-Mi;Yang, Keum-Chul
    • Journal of Ecology and Environment
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    • 제35권2호
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    • pp.91-98
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    • 2012
  • This study was performed in order to suggest the possibility of tree species classification using high-resolution QuickBird-2 images spectral characteristics comparison(digital numbers [DNs]) of tree species, tree species classification, and accuracy verification. In October 2010, the tree species of three conifers and eight broad-leaved trees were examined in the areas studied. The spectral characteristics of each species were observed, and the study area was classified by image classification. The results were as follows: Panchromatic and multi-spectral band 4 was found to be useful for tree species classification. DNs values of conifers were lower than broad-leaved trees. Vegetation indices such as normalized difference vegetation index (NDVI), soil brightness index (SBI), green vegetation index (GVI) and Biband showed similar patterns to band 4 and panchromatic (PAN); Tukey's multiple comparison test was significant among tree species. However, tree species within the same genus, such as $Pinus$ $densiflora-P.$ $rigida$ and $Quercus$ $mongolica-Q.$ $serrata$, showed similar DNs patterns and, therefore, supervised classification results were difficult to distinguish within the same genus; Random selection of validation pixels showed an overall classification accuracy of 74.1% and Kappa coefficient was 70.6%. The classification accuracy of $Pterocarya$ $stenoptera$, 89.5%, was found to be the highest. The classification accuracy of broad-leaved trees was lower than expected, ranging from 47.9% to 88.9%. $P.$ $densiflora-P.$ $rigida$ and $Q.$ $mongolica-Q.$ $serrata$ were classified as the same species because they did not show significant differences in terms of spectral patterns.