• Journal of Periodontal and Implant Science
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• 제48권1호
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• pp.3-11
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• 2018

Purpose: This study utilized a strong quasi-experimental design to test the hypothesis that the implementation of a policy to expand dental care services resulted in an increase in the usage of dental outpatient services. Methods: A total of 45,650,000 subjects with diagnoses of gingivitis or advanced periodontitis who received dental scaling were selected and examined, utilizing National Health Insurance claims data from July 2010 through November 2015. We performed a segmented regression analysis of the interrupted time-series to analyze the time-series trend in dental costs before and after the policy implementation, and assessed immediate changes in dental costs. Results: After the policy change was implemented, a statistically significant 18% increase occurred in the observed total dental cost per patient, after adjustment for age, sex, and residence area. In addition, the dental costs of outpatient gingivitis treatment increased immediately by almost 47%, compared with a 15% increase in treatment costs for advanced periodontitis outpatients. This policy effect appears to be sustainable. Conclusions: The introduction of the new policy positively impacted the immediate and long-term outpatient utilization of dental scaling treatment in South Korea. While the policy was intended to entice patients to prevent periodontal disease, thus benefiting the insurance system, our results showed that the policy also increased treatment accessibility for potential periodontal disease patients and may improve long-term periodontal health in the South Korean population.

• 한국연초학회지
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• 제13권2호
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• pp.59-65
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• 1991

There was no a difference of genetic analysis among methods(means, joint scaling test, 3 Parameter model) . The magnitude of additive effects generally paralleled the magnitude of difference between parental means and appeared to be more independent from non-allelic interaction than did dominance effects, whereas the magnitude of dominance effects were inflated by non-allelic interaction. Additive effects were significant for all characteristics observed and it was a major effects in inheritance of number of leaves. Dominance effects were higher than additive effects for plant height, days to flower, flesh leaf weight per plant, curing rate, total alkaloid and total nitrogen.

• Journal of Periodontal and Implant Science
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• 제52권2호
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• pp.116-126
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• 2022

Purpose: This study evaluated the efficacy of treating periodontitis using subgingival nano-hydroxyapatite powder with an air abrasion device (NHAPA) combined with scaling and root planing (SRP). Methods: A total of 28 patients with stage III periodontitis (grade B) were included in this study, although 1 was lost during follow-up and 3 used antibiotics. The patients were divided into a test group and a control group. All patients first received whole-mouth SRP using hand instruments, and a split-mouth approach was used for the second treatment. In the test group, the teeth were treated with NHAPA for 15 seconds at 70% power per pocket. Subgingival plaque samples were obtained from the 2 deepest pockets at the test and control sites before treatment (baseline) and 3 months after treatment. The full-mouth plaque index (PI), gingival index (GI), papillary bleeding index (PBI), bleeding on probing (BOP), probing depth (PD) and clinical attachment level (CAL) were recorded at baseline and at 1- and 3-month post-treatment. Real-time polymerase chain reaction was used to determine the colonisation of Treponema denticola (Td), Porphyromonas gingivalis (Pg), and Aggregatibacter actinomycetemcomitans in the subgingival plaque. Results: From baseline to the first month, the test group showed significantly larger changes in BOP and CAL (43.705%±27.495% and 1.160±0.747 mm, respectively) than the control group (36.311%±27.599% and 0.947±0.635 mm, respectively). Periodontal parameters had improved in both groups at 3 months. The reductions of PI, GI, BOP, PD, and CAL in the test group at 3 months were greater and statistically significant. The total bacterial count and Td and Pg species had decreased significantly by the third month in both groups (P<0.05). Conclusions: Applying NHAPA in addition to SRP improves clinical periodontal parameters more than SRP alone. Subgingival NHAPA may encourage clot adhesion to tooth surfaces by increasing surface wettability.

• 한국도로학회논문집
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• 제17권2호
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• pp.1-11
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• 2015

PURPOSES : This study set out to investigate the fundamental properties of alkali-activated concrete (AAC) using modified slag as the pavement maintenance material. METHODS: The material properties of modified slag based alkali-activated concrete (MSAAC) were analyzed and evaluated against those of alkali-activated slag concrete (AASC). Several mix formulations were considered, including one MSACC and four AASCs. The main variables considered in the study were slump, air content, compressive strength, rapid chloride permeability test, scaling resistance, freeze-thaw test, XRD, SEM, and EDS. RESULTS: MSAAC exhibits a compressive strength in excess of 21 MPa six hours after curing. Also, the charge passed of the MSACC was found to be less than 2000 coulombs after seven days and about 1000 coulombs after 28 days. The weight loss determined from a scaling test did not exceed $1kg/cm^2$ in the case of the MSACC, but that of the AASCs had already exceeded $1kg/cm^2$ at the 10th cycle. Based on the results of the freeze-thaw test, the relative dynamic modulus of every mix was found to be in excess of 90%. An energy dispersive spectroscopy(EDS) analysis found that the weight rate percentage of the calcium and aluminum in the MSAAC mix is twice that of the AASC mixes. CONCLUSIONS : It was found that the MSAAC mix exhibits significantly better performance than AASC mixes, based on various fundamental properties.

• Journal of Periodontal and Implant Science
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• 제40권4호
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• pp.164-171
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• 2010

Purpose: This study compared the total antioxidant status (TAS) and superoxide dismutase (SOD) activity in the saliva of periodontally compromised patients before and after scaling and root planing (SRP) to assess their diagnostic utility. Methods: Severe chronic periodontitis patient (test group) and subjects with no attachment loss, sites showing a 3 mm or more probing depth and a sulcus bleeding index < 10% (control group) were enrolled in this study. Saliva sampling and clinical examination were performed at one week, one month and 3 months after SRP. The TAS and SOD activity in each patient's saliva was measured for the comparative analysis between the groups. Results: In the test group, the TAS decreased directly after SRP. With time, it increased slightly and was relatively unchanged compared to the baseline. In the control group, the TAS also decreased immediately after SRP but increased gradually with time until 3 months. The SOD activity in the test and control subjects decreased immediately after SRP until 1 month. At 3 months, the SOD activity had increased. Both groups had a similar profile of SOD activity. However, the SOD activity of the control group was significantly higher than that of the test group at each point in time (P < 0.05). Conclusions: There was a significant difference in the total salivary antioxidant level between the periodontitis and healthy or gingivitis (control) group during the experiment period. The total antioxidant level in the saliva was higher in the patients with severe chronic periodontitis than the healthy or gingivitis control before SRP. The SOD activity of the periodontitis patients was lower than the control at each time point. These findings conclusively reveal the possible use of saliva as a diagnostic tool for periodontal health.

• 한국치위생학회지
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• 제10권6호
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• pp.1083-1093
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• 2010

Objective : The purpose of this study was to examine the relationship of the oral health behavior of oral prophylaxis clients and some residents in a community to their simplified oral environment index. Methods : The subjects in this study were 520 people who had their teeth cleaned in the oral prophylaxis practice lab in the department of dental hygiene at J health college. A survey was conducted from March 23 to June 3, 2010, by way of the self-reported questionnaire. The data materials are analyzed by general characteristics frequency and ratio, the relationship of oral health behavior and sex, age, scaling experience, simplified oral hygiene index $x^{2}$ test analysis. Results : 1. Concerning links between gender and oral health behavior including daily toothbrushing frequency, the largest group of the respondents brushed their teeth three times a day(p<0.05). As to educational experiences on toothbrushing method and the use of oral hygiene supplies, the women had more educational experiences than the men(p<0.05). 2. Regarding connections between age and oral health behavior involving daily toothbrushing frequency, the largest number of the respondents brushed their teeth three times a day in every age group (p <0.001). As for educational experiences on toothbrushing method, those who were in their 50s and up(64.7%) learned about that, and they had more educational experiences with age(p<0.05). As for scaling experiences, the older respondents had their teeth scaled more often (p<0.001). 3. As to relationship between scaling experiences and oral health behavior, there were differences in toothbrushing frequency according to scaling experiences(p <0.05). Regarding educational experiences on toothbrushing method, those who had their teeth cleaned received more toothbrushing education(p<0.001). Concerning smoking, the nonsmokers had more experiences to get their teeth cleaned (p<0.001). 4. As for links between simplified oral environment index and oral health behavior including a time for toothbrushing, the respondents who did toothbrushing after every meal(80.4%) had good simplified oral environment indexes(p<0.05). 5. In regard to relationship between simplified oral environment index and oral health behavior, oral environment index had a positive correlation to the use of oral hygiene supplies( r=0.129**), toothbrushing time(r=0.116**) and educational experiences on toothbrushing method (r=0.099**). Smoking(r=-0.092**) had a negative correlation to that. Conclusion : The above-mentioned findings illustrate that oral health behavior is one of crucial factors to affect oral health status and oral environment care. Therefore oral prophylaxis practice lab visitors should receive education on the right toothbrushing method and the use of oral hygiene supplies to promote their oral health, and an incremental oral health care system that involves regular scaling should be introduced.

• 한국도로학회논문집
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• 제19권5호
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• pp.13-20
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• 2017

PURPOSES : This research was a laboratory study for evaluating the Reclaimed Asphalt Pavement (RAP) mixture added developed rejuvenator for warm mix recycling. Waste asphalt mixtures occupy about 18.2% of construction wastes in Korea. Moreover, most rejuvenators were imported from Europe or the U.S. Therefore, improving usage of RAP with a developed rejuvenator material provides environmental protection at a reduced cost. METHODS : The specimen used for this experiment was performed by only using RAP. A suitable rejuvenator for Target PG was then added. In addition, a conventional rejuvenator was selected to compare performance and specimens introduced with the same procedure as the developed rejuvenator was prepared. In order to evaluate rutting resistance and water susceptibility, we conducted a deformation strength test, a tensile strength ratio test, and a dynamic immersion test with the prepared mixtures. RESULTS :Laboratory test results indicated that both the developed additive and conventional additive improved performance of the recycled asphalt mixtures compared to mixtures without the rejuvenator. In addition, the deformation strength test and TSR test results satisfied standards for domestic recycling asphalt mixtures. The dynamic immersion test showed that the developed rejuvenator has superior scaling resistance than the conventional rejuvenator. CONCLUSIONS : In terms of rutting resistance and moisture susceptibility, the warm mix recycled asphalt mixtures with the developed rejuvenator appeared to effectively recovered performance.

• Journal of Periodontal and Implant Science
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• 제48권5호
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• pp.295-304
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• 2018

Purpose: This study was undertaken to evaluate the clinical and microbiological effects of an erythritol powder air-polishing device (EPAP) as a supplement to scaling and root planing (SRP) therapy in patients with moderate chronic periodontitis. Methods: Clinical and microbiological evaluations were performed at 21 sites treated with SRP (control) and 21 sites treated with SRP+EPAP (test). All examinations were performed before treatment, 1 month after treatment, and 3 months after treatment. Results: There were no significant clinical differences between the test group and the control group. Microbiological analysis revealed that the relative expression level of Porphyromonas gingivalis was significantly lower in the test group than in the control group at 1 month after treatment. Clinical and microbiological results showed improvements at 1 month compared to baseline; in contrast, the results at 3 months after treatment were worse than those at 1 month after treatment. Conclusions: In this study, both SRP and SRP+EPAP were clinically and microbiologically effective as non-surgical periodontal treatments. In particular, the SRP+EPAP group showed an antimicrobial effect on P. gingivalis, a keystone bacterium associated with the onset of chronic periodontitis, in a short-term period. Periodic periodontal therapy, at intervals of at least every 3 months, is important for sustaining the microbiological effects of this treatment.

• 한국도로학회논문집
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• 제19권6호
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• pp.129-137
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• 2017

PURPOSES : The purpose of this study is to develop bridge deck concrete materials based on ordinary Portland cement concrete, and to evaluate the applicability of the developed materials through material properties tests. METHODS : For field implementation, raw material (cement, fine aggregate, and coarse aggregate) properties, fresh concrete properties (slump and air content), strength (compressive, flexural and bond strength) gain, and durability (freeze-thaw resistance, scaling resistance, and rapid chloride penetrating resistance) performance were evaluated in the laboratory. RESULTS : For the selected binder content of $410kg/m^3$, W/B = 0.42, and S/a = 0.48, the following material performance results were obtained. Considering the capacity of the deck finisher, a minimum slump of 150 mm was required. At least 6 % of air content was obtained to resist freeze-thaw damage. In terms of strength, 51.28 MPa of compressive strength, 7.41 MPa of flexural strength, and 2.56 MPa of bond strength at 28 days after construction were obtained. A total of 94.9 % of the relative dynamic modulus of elasticity after 300 cycles of freeze-thaw resistance testing and $0.0056kg/m^2$ of weight loss in a scaling resistance test were measured. However, in a chloride ion penetration resistance test, the result of 3,356 Coulomb, which exceeds the threshold value of the standard specification (1000 Coulomb at 56 days) was observed. CONCLUSIONS : Instead of using high-performance modified bridge deck materials such as latex or silica fume, we developed an optimum mix design based on ordinary Portland cement concrete. A test construction was carried out at ramp bridge B (bridge length = 111 m) in Gim Jai City. Immediately after the concrete was poured, the curing compound was applied, and then wet mat curing was applied for 28 days. Considering the fact that cracks did not occur during the monitoring period, the applicability of the developed material is considered to be high.

• 한국유체기계학회 논문집
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• 제17권6호
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• pp.89-94
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• 2014

The 4th generation SFR is being designed with a milestone of construction by 2028. It is important to understand the subchannel flow characteristics in fuel assembly through the experimental investigations and to estimate the calculation uncertainties for insuring the confidence of the design code calculation results. The friction coefficient and the mixing coefficient are selected as primary parameters. The two parameters are related to the flow distribution and diffusion. To identify the flow distribution, an iso-kinetic method was developed based on the previous study. For the mixing parameters, a wire mesh system and a laser induced fluorescence methods were developed in parallel. The measuring systems were adopted on 37 rod bundle test geometry, which was developed based on the Euler number scaling. A scaling method for a design of experimental facility and the experimental identification techniques for the flow distribution and mixing parameters were developed based on the measurement requirement.