• 제목/요약/키워드: Skeletal shape

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Maxillary protraction using customized mini-plates for anchorage in an adolescent girl with skeletal Class III malocclusion

  • Liang, Shuran;Xie, Xianju;Wang, Fan;Chang, Qiao;Wang, Hongmei;Bai, Yuxing
    • 대한치과교정학회지
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    • 제50권5호
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    • pp.346-355
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    • 2020
  • The treatment of skeletal Class III malocclusion in adolescents is challenging. Maxillary protraction, particularly that using bone anchorage, has been proven to be an effective method for the stimulation of maxillary growth. However, the conventional procedure, which involves the surgical implantation of mini-plates, is traumatic and associated with a high risk. Three-dimensional (3D) digital technology offers the possibility of individualized treatment. Customized mini-plates can be designed according to the shape of the maxillary surface and the positions of the roots on cone-beam computed tomography scans; this reduces both the surgical risk and patient trauma. Here we report a case involving a 12-year-old adolescent girl with skeletal Class III malocclusion and midface deficiency that was treated in two phases. In phase 1, rapid maxillary expansion and protraction were performed using 3D-printed mini-plates for anchorage. The mini-plates exhibited better adaptation to the bone contour, and titanium screw implantation was safer because of the customized design. The orthopedic force applied to each mini-plate was approximately 400-500 g, and the plates remained stable during the maxillary protraction process, which exhibited efficacious orthopedic effects and significantly improved the facial profile and esthetics. In phase 2, fixed appliances were used for alignment and leveling of the maxillary and mandibular dentitions. The complete two-phase treatment lasted for 24 months. After 48 months of retention, the treatment outcomes remained stable.

인간공학적 키보드의 수행도 및 자세 평가에 관한 연구 (Performance and Posture Evaluation of Ergonomic Keyboard)

  • 최정화;양성환;박범
    • 한국안전학회지
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    • 제14권4호
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    • pp.168-175
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    • 1999
  • The objective of this research is to review the ergonomic keyboard developed to prevent musculo-skeletal disorders from being occurred during keyboard work. It was studied by comparing it with the traditional keyboard after analyzing and comparing the typing performance and work advantages both the two keyboards. Twelve male subjects with no history of musculo-skeletal disorders participated in the experiment. The quantitative data such as typing speed, accuracy, performance time, and the number of typing errors were obtained from the HTT software that was adjusted for this experiment. RULA worksheet and the degrees of extension and ulnar deviation on right and left wrist were used to analyze the upper body postures. The experiment results showed that the typing performance of the ergonomic keyboard decreased a little, but no significant difference statistically, compared with that of the traditional keyboard. On the work posture, the ulnar deviation during typing decreased in case of the ergonomic keyboard. But, the wrist extension was increased unexpectedly. Therefore, it can be regarded as these results occur due to the shape of wrist rest and the overall height of keyboard on a table. As a result, the reconsideration and redesign on the ergonomic keyboard are requested.

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골융합 임플란트 개발을 위한 동물임상실험;비글견 경골 적용 (Clinical animal test for development of osseointegration implant;application for beagle tibia)

  • 최경주;김신기;문무성;안재용
    • 대한기계학회:학술대회논문집
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    • 대한기계학회 2003년도 추계학술대회
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    • pp.1373-1377
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    • 2003
  • Current prostheses for amputees are generally extrinsic wearing socket type that the coupling between body stump and appliance wraps the soft tissue and this structure causes several problems :applying direct weight to soft tissue such as skin and muscle, skin trouble of contacting area and pain. In this study, osseointegration implant is a method to directly connect prosthesis to the residual stump skeletal tissue of arm, finger and leg through surgical operation. Technology presented in this paper essentially solves the problems of pain and abnormal weight transfer system indicated above and recovers the functions of the amputated arm and leg. In this paper, implant shape was designed for the first step for the development of osseointegration implant and then we studied the possibility to apply this osseointegration implant to human body by performing implant insertion operation to beagle tibia for the clinical animal test and normal beagle's gait analysis was executed in order to quantitatively verify the beagle's skeletal functions after the implant insertion.

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Aesthetic Correction of a Protrusive Forehead through Repositioning of the Anterior Wall of the Frontal Sinus

  • Han, Daniel Seungyoul;Park, Jin Hyung
    • 대한두개안면성형외과학회지
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    • 제15권3호
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    • pp.129-132
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    • 2014
  • Facial skeletal remodeling was revolutionized more than 30 years ago, by the work of Tessier and other craniofacial surgeons. However, the need to correct the skeleton in the upper third of the face is not frequently diagnosed or treated in aesthetic facial surgery. Here, we report on the aesthetic correction of a protrusive forehead. A patient visited our hospital for aesthetic contouring with a prominent forehead. The anterior wall of the frontal sinus was removed with a craniotome via the bicoronal approach. After the excised bone was repositioned, it was fixed with a titanium mesh plate and screws. An electric burr was used to contour the supraorbital rim and frontal bone. Once the desired shape was achieved, the periosteum was replaced, and the wound was closed in layers. When performed properly, frontal sinus contouring could significantly improve the appearance in patients with a prominent forehead. Plastic surgeons must carefully evaluate patients with a prominent forehead for skeletal remodeling that involves the accurate and safe repositioning of the anterior wall of the frontal sinus.

한국 성인에서 이하 두정 방사선 계측사진 분석 (Submentovertex cephalometrics in korean adults)

  • 남동석;서정훈;양원식;장영일
    • 대한치과교정학회지
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    • 제30권1호
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    • pp.1-7
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    • 2000
  • 교정 치료계획을 세우기 전에 부정교합에 기여하는 안면 비대칭의 정도를 정확히 평가하는 것은 무엇보다도 중요하다. 안면 비대칭의 진단은 주로 정모, 이하 두정, 두정 이하 방사선 사진이 이용되고 있다. 이중 이하 두정 방사선 사진은 반복재현성이 벌어지고 연구자료와 적절한 분석방법이 없다는 이유로 많이 사용되지 않고 있다. 이에 이 연구의 목적은 교정환자나 악교정 수술을 요하는 환자의 치료를 위하여 임상적으로 이용할 수 있는 이하 두정 방사선 계측사진의 분석방법을 개발하고 한국 성인에서의 정상치를 얻는데 있다. 연구 대상은 조화를 이루고 균형 잡힌 안모를 가진 교정치료 경험이 없는 40명의 성인을 대상으로 하였으며, 이하 두정 방사선 사진을 촬영하여 2개의 각도계측 항목과 9개의 선 계측항목을 측정하였다. 이하 두정 방사선 사진 분석에서 정상인에서 하악체의 길이는 좌, 우측 차이를 발견할 수 없었으나 정모, 측모 방사선사진의 계측 값과는 큰 차이를 보여, 비대칭의 절대적 양의 측정에는 어느 정도 한계가 있다. 기준선에 대한 좌, 우측 비교는 기준선을 설정하는 방법에 따라 큰 차이를 보였다. 과두의 위치 평가는 f. spinosum을 연결한 선의 수직이등분선을 정중선으로 사용하는 것이 가장 작은 편차를 보였으며, 상, 하악의 skeletal midline과 dental midline의 일치 여부 등을 판단할 때는 crista gli와 anterior process of atlas와 같이 midsagittal line 상에 위치하는 구조물을 이용하여 정중선을 설정하는 것이 가장 작은 편차를 보였다. 그리고 하악 과두 및 하악체의 형태이상을 관찰하는데는 매우 높은 진단적 가치를 가지고 있다. 그러므로 이하 두정방사선사진의 한계를 정확히 이해하고 정모, 측모 두부방사선사진과 함께 비대칭 분석에 이용한다면 보다 정확하게 비대칭 부위와 정도를 측정하는데 도움이 될 것이다.

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실험적으로 기니픽에 유발시킨 렙토스피라병에 대한 미생물학적 및 병리학적 연구 (Microbiological and Pathological Features of Experimentally Induced Leptospirosis in Guinea Pigs)

  • 장우현;김익상;이우곤;박경희;이재호;지제근;이정빈
    • 대한미생물학회지
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    • 제21권2호
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    • pp.211-226
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    • 1986
  • To understand the pathogenesis of anicteric leptospirosis with severe pulmonary hemorrhage occured in Korea, the microbiological and pathological features were observed in the experimentally induced leptospirosis in guinea pigs infected with a virulent strain of Leptospira interrogans isolated from the patient at Wonju, Korea, and the results are summarized as follows. 1. The main pathological features were widespread hemorrhages, especially affecting lung, skeletal muscles, retroperitoneal and perirenal adipose tissues. The hemorrhages accompanied inflammatory process especially of vasculitic pattern as well as occasional coagulation necrosis in the liver, skeletal muscle, and myocardium. The main inflammatory cells were of plasma cell even in the fairly early stage of the infection. 2. Those pathologic changes were more exaggerated in the inoculation site. 3. Within 144 hours of infection, the longer the infection time, the more antigens were observed in the tissues, and the severer the pathologic changes. 4. Leptospiral antigens were detected at first by indirect immunofluorescent and immunoperoxidase technics. As the infection time extended, the antigens were observed in all of the tissues examined except in the skeletal muscle. The shape of the antigens was spiral or thread-like within 72 hours of infection. As the infection progressed, they became fragmented and granular. 5. Leptospires were detected in the blood within 144 hours of infection by darkfield microscopic examination. Thereafter, none was observed. 6. Antibody to leptospires were detected as early as 72 hours of infection. In summary, the virulent strain of L. interrogans used in this experiment induced widespread hemorrhages with inflammatory reaction especially in lung, skeletal muscles, and retroperitoneal adipose tissue. With these findings, it is suggested that the direct toxic effect of leptospires might playa great role in the pathogenesis of this infection.

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한국산 연어속 어류의 형태학적 연구-V. 연어 (Oncorhynchus keta), 산천어 (O. masou) 및 무지개송어 (O. mykiss)의 골격 비교 (Morphological Study of Oncorhynchus spp. in Korea-V. Comparison of Skeletal Characters of Chum Salmon O. keta, Masu Salmon O. masou and Rainbow Trout O. mykiss)

  • 명정구;김용억
    • 한국수산과학회지
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    • 제29권2호
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    • pp.208-229
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    • 1996
  • 한국산 연어속에 속하는 연어, 산천어 및 무지개송어 3종의 골격학적 비교 연구를 하였다. 연어속 어류인 연어, 산천어, 무지개송어의 골격을 비교한 결과 두개골과 현수골의 형태나 결합 형태에서 3종간 차이를 나타내었다. 두부 골격중에서는 인설골, 상사골, 부설골, 서골의 형태에서 종간 차이가 뚜렸하였고 계통 분류학적 특징을 잘 나타내었다. 연어의 인설골은 산천어, 무지개 송어에 비하여 가늘고 길며, 끝이 뾰족한 특징을 가졌다. 상사골은 연어가 거의 정삼각형의 모양을 가지고 있으나 산천어나 무지개송어는 가늘고 길며 날개를 가진 형태였다. 본 연구에 나타난 골격 형질 분석 결과 알려져 있는 분류 형질외에 부설골의 형태, 전새개골, 설악골의 형태 및 미추골수 등이 새로운 분류 형질로 나타났으며, 산천어는 연어와 무지개송어의 중간 형질을 가지고 있는 종으로 나타났다.

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Mandibular shape prediction using cephalometric analysis: applications in craniofacial analysis, forensic anthropology and archaeological reconstruction

  • Omran, Ahmed;Wertheim, David;Smith, Kathryn;Liu, Ching Yiu Jessica;Naini, Farhad B.
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제42권
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    • pp.37.1-37.13
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    • 2020
  • Background: The human mandible is variable in shape, size and position and any deviation from normal can affect the facial appearance and dental occlusion. Objectives: The objectives of this study were to determine whether the Sassouni cephalometric analysis could help predict two-dimensional mandibular shape in humans using cephalometric planes and landmarks. Materials and methods: A retrospective computerised analysis of 100 lateral cephalometric radiographs taken at Kingston Hospital Orthodontic Department was carried out. Results: Results showed that the Euclidean straight-line mean difference between the estimated position of gonion and traced position of gonion was 7.89 mm and the Euclidean straight-line mean difference between the estimated position of pogonion and the traced position of pogonion was 11.15 mm. The length of the anterior cranial base as measured by sella-nasion was positively correlated with the length of the mandibular body gonion-menton, r = 0.381 and regression analysis showed the length of the anterior cranial base sella-nasion could be predictive of the length of the mandibular body gonion-menton by the equation 22.65 + 0.5426x, where x = length of the anterior cranial base (SN). There was a significant association with convex shaped palates and oblique shaped mandibles, p = 0.0004. Conclusions: The method described in this study can be used to help estimate the position of cephalometric points gonion and pogonion and thereby sagittal mandibular length. This method is more accurate in skeletal class I cases and therefore has potential applications in craniofacial anthropology and the 'missing mandible' problem in forensic and archaeological reconstruction.

Pediculated Fibrous Dysplasia in Maxillary Sinus: A Case Report

  • Kim, Jung Ho;Lee, Baek Soo;Kwon, Yong Dae;Choi, Byung Joon;Lee, Jung Woo;Lee, Hyun Woo;Kim, Do Seop;Ohe, Joo Young
    • Journal of Korean Dental Science
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    • 제8권1호
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    • pp.36-40
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    • 2015
  • Fibrous dysplasia is a bone disorder characterized by progressive replacement of normal bone by fibrous bone tissue. Common involving sites of fibrous dysplasia are the skeletal system including long bones, ribs, craniofacial bones and the pelvis. If maxilla were affected by fibrous dysplasia, antrum is almost always involved. And fibrous dyplasia in maxillary sinus were followed the shape of bone. In our case, the lesion involves antrum but, its shape was different from typical fibrous dysplasia pattern of maxillary sinus. Therefore we report a case of monostotic pediculated fibrous dysplasia in the maxillary sinus with a review of literature.

A New Sponge, Antho (Acarnia) seogwipoensis (Poecilosclerida: Microcionidae) from Korea

  • Kim, Hyung June;Sim, Chung Ja
    • Animal Systematics, Evolution and Diversity
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    • 제31권3호
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    • pp.141-145
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    • 2015
  • A new marine sponge, Antho (Acarnia) seogwipoensis n. sp., of the family Microcionidae, was collected from Seogwipo-si, Jeju-do, Korea, about 100 m in depth using a gill net on 1969. The genus Antho Gray, 1867 including Demospongiae, Poecilosclerida, Microcionidae, is a large group of sponges. About 100 species in Antho were reported from worldwide. The genus Antho contains five subgenera: Antho, Acarnia, Isopenectya, Jia, and Plocamia. Among them, about 30 species in Acarnia were described in world sponge. A new sponge's body shape is branching, size up to 124 mm wide, 213 mm high, 3-8 mm thick in branch and 7-9 mm thick in stalk. Antho (Acarnia) seogwipoensis n. sp. is similar to A. (A.) novizelanicum Ridley and Duncan, 1881 based on their spicules type and skeletal structure, but differs in the spicules dimension and growth form. This new species is branched growth form and have three kinds of toxa.