Purpose: The purpose of this study was to compare the differences in clinical signs and symptoms, and psychological profiles of temporomandibular joint osteoarthritis (TMJ OA) between juvenile and adult patients. Methods: Two-hundred eighty-three TMJ OA patients who visited the Orofacial Pain Clinic of Seoul National University Dental Hospital were classified by juvenile (153 patients; mean age $14.2{\pm}1.7$ years, range 9-16 years) and adult (130 patients; mean age $34.0{\pm}2.8$ years, range 30-40 years) groups, and compared the clinical symptoms based on the Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) axis I guidelines including Graded Chronic Pain (GCP) scale, mandibular range of motion, and the associated symptoms. Psychological profiles were also evaluated using the Symptom Checklist 90-Revision (SCL-90-R). Results: Juvenile patients reported lower pain intensity and a lower prevalence of headache and clenching than adult patients. Their mandibular range of motion was also higher than adult patients. Juvenile patients showed a lower percentage of patients with T-score above 50 in somatization (SOM), obsessive-compulsive (O-C), interpersonal sensitivity (I-S), and paranoid ideation (PAR) than adults. Based on the GCP scale, the percentage of the high disability group was lower in juveniles. Conclusions: Juvenile TMJ OA patients generally showed milder clinical symptoms than adults. Adult patients showed higher prevalence of psychological problems and higher disability than juvenile patients. Age should be considered in evaluation and treatment of TMJ OA patients to achieve better treatment results and understanding its pathophysiology.
PURPOSE. The purpose of this study was to evaluate the effects of abutment screw length and cyclic loading on the removal torque (RTV) in external hex (EH) and internal hex (IH) implants. MATERIALS AND METHODS. Forty screw-retained single crowns were connected to external and internal hex implants. The prepared titanium abutment screws were classified into 8 groups based on the number of threads (n = 5 per group): EH 12.5, 6.5, 3.5, 2.5 and IH 6.5, 5, 3.5, 2.5 threads. The abutment screws were tightened with 20 Ncm torque twice with 10-minute intervals. After 5 minutes, the initial RTVs of the abutment screws were measured with a digital torque gauge (MGT12). A customized jig was constructed to apply a load along the implant long axis at the central fossa of the maxillary first molar. The post-loading RTVs were measured after 16,000 cycles of mechanical loading with 50 N at a 1-Hz frequency. Statistical analysis included one-way analysis of variance and paired t-tests. RESULTS. The post-loading RTVs were significantly lower than the initial RTVs in the EH 2.5 thread and IH 2.5 thread groups (P<.05). The initial RTVs exhibited no significant differences among the 8 groups, whereas the post-loading RTVs of the EH 6.5 and EH 3.5 thread groups were higher than those of the IH 3.5 thread group (P<.05). CONCLUSION. Within the limitations of this study, the external hex implants with short screw lengths were more advantageous than internal hex implants with short screw lengths in torque maintenance after cyclic loading.
Garcia-Roncero, Herminio;Caballe-Serrano, Jordi;Cano-Batalla, Jordi;Cabratosa-Termes, Josep;Figueras-Alvarez, Oscar
The Journal of Advanced Prosthodontics
/
v.7
no.2
/
pp.160-165
/
2015
PURPOSE. In this study, a temporal abutment fixation screw, designed to fracture in a controlled way upon application of an occlusal force sufficient to produce critical micromotion was developed. The purpose of the screw was to protect the osseointegration of immediate loaded single implants. MATERIALS AND METHODS. Seven different screw prototypes were examined by fixing titanium abutments to 112 Mozo-Grau external hexagon implants (MG Osseous$^{(R)}$; Mozo-Grau, S.A., Valladolid, Spain). Fracture strength was tested at $30^{\circ}$ in two subgroups per screw: one under dynamic loading and the other without prior dynamic loading. Dynamic loading was performed in a single-axis chewing simulator using 150,000 load cycles at 50 N. After normal distribution of obtained data was verified by Kolmogorov-Smirnov test, fracture resistance between samples submitted and not submitted to dynamic loading was compared by the use of Student's t-test. Comparison of fracture resistance among different screw designs was performed by the use of one-way analysis of variance. Confidence interval was set at 95%. RESULTS. Fractures occurred in all screws, allowing easy retrieval. Screw Prototypes 2, 5 and 6 failed during dynamic loading and exhibited statistically significant differences from the other prototypes. CONCLUSION. Prototypes 2, 5 and 6 may offer a useful protective mechanism during occlusal overload in immediate loaded implants.
PURPOSE. The aims of this pilot study were to introduce implant loading devices designed for animal study and to evaluate the validity of the load transmission ability of the loading devices. MATERIALS AND METHODS. Implant loading devices were specially designed and fabricated with two implant abutments and cast metal bars, and orthodontic expansion screw. In six Beagles, all premolars were extracted and two implants were placed in each side of the mandibles. The loading device was inserted two weeks after the implant placement. According to the loading protocol, the load was applied to the implants with different time and method, simulating early, progressive, and delayed loading. The implants were clinically evaluated and the loading devices were removed and replaced to the master cast, followed by stress-strain analysis. Descriptive statistics of remained strain (${\mu}{\varepsilon}$) was evaluated after repeating three cycles of the loading device activation. Statistic analysis was performed using nonparametric, independent t-test with 5% significance level and Friedman's test was also used for verification. RESULTS. The loading devices were in good action. However, four implants in three Beagles showed loss of osseointegration. In stress-strain analysis, loading devices showed similar amount of increase in the remained strain after applying 1-unit load for three times. CONCLUSION. Specialized design of the implant loading device was introduced. The loading device applied similar amount of loads near the implant after each 1-unit loading. However, the direction of the loads was not parallel to the long axis of the implants as predicted before the study.
Journal of Dental Rehabilitation and Applied Science
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v.16
no.2
/
pp.93-104
/
2000
Orthodontic treatment in conjunction with second-molar extraction has been a controversial issue among orthodontists over many decades. The aim of this study was to investigate the treatment effects of upper second molar extraction cases. The sample included 19 upper second molar extraction orthodontic cases(ten Angle's Class I's and nine Class II's, average age=13Y 6M) cared at Kyung-Hee University Department of Orthodontics. Lateral cephalometric radiographs were taken before and immediately after treatment. Seventy-nine points were digitized on each cephalogram and 38 cephalometric parameters were computed comprising 22 angular measurements, 13 linear measurements, and 3 facial proportions. The data obtained from each malocclusion group were analyzed by paired t-test. The statistical results disclosed that there was no significant change in skeletal pattern after treatment except for that accountable by growth while there was statistically significant change in dentoalveolar and soft tissue patterns. There were no significant changes in Bjork sum, posterior facial height /anterior facial height and lower anterior facial height /anterior facial height. No significant changes in anteroposterior position of maxilla and palatal plane were manifested. Although facial axis and lower facial height was slightly increased and the mandible was rotated backward and downward, there was no remarkable change in the mandibular plane. There were statistically significant changes in distal movement of upper first molar, molar key correction and overjet reduction while there was no change in the occlusal plane. The upper lip was slightly retracted simultaneously with slight increase in nasolabial angle. These results signify that distalization of upper dentition with the second molar extraction does change occlusal relationship without gross modifications in the craniofacial skeletal configurationson. Henceforth the second molar extracted would be recommended to treat severe anterior crowding and protrusion with minor skeletal discrepancy.
In the strong wind shutdown state, the blade position significantly affects the streaming behavior and stability performance of wind turbine towers. By selecting the 3M horizontal axis wind turbine independently developed by Nanjing University of Aeronautics and Astronautics as the research object, the CFD method was adopted to simulate the flow field of the tower-blade system at eight shutdown positions within a single rotation period of blades. The effectiveness of the simulation method was validated by comparing the simulation results with standard curves. In addition, the dynamic property, aerostatic response, buckling stability and ultimate bearing capacity of the wind turbine system at different shutdown positions were calculated by using the finite element method. On this basis, the influence regularity of blade shutdown position on the wind-induced response and stability performance of wind turbine systems was derived, with the most unfavorable working conditions of wind-induced buckling failure of this type of wind turbines concluded. The research results implied that within a rotation period of the wind turbine blade, when the blade completely overlaps the tower (Working condition 1), the aerodynamic performance of the system is the poorest while the aerostatic response is relatively small. Since the influence of the structure's geometrical nonlinearity on the system wind-induced response is small, the maximum displacement only has a discrepancy of 0.04. With the blade rotating clockwise, its wind-induced stability performance presents a variation tendency of first-increase-then-decrease. Under Working condition 3, the critical instability wind speed reaches its maximum value, while the critical instability wind speed under Working condition 6 is the smallest. At the same time, the coupling effect between tower and blade leads to a reverse effect which can significantly improve the ultimate bearing capacity of the system. With the reduction of the area of tower shielded by blades, this reverse effect becomes more obvious.
Work-related musculoskeletal disorder has been associated with long hours of computer work and prolonged periods of static posture. In clinical settings, postural correction is a common treatment approach for individuals with neck, shoulder, and back pain. This study was designed to identify the effect of Forward Head Posture Correctional Device during computer work. Twelve healthy adults (mean age, 27.4 yrs; mean height, 165.0cm mean weight, 65.8 kg) participated in the study. They had no medical history of neurological or surgical problems with their upper extremity. The subjects were asked to perform Head Forward Posture under the guidance of physical therapists and the measured angles were analyzed using a 3-D motion analysis system. Markers were placed on the C7 spinous process, tragus of the ear and forward head angle was between the line from the tragus to the C7 line and the Y-axis at the C7. The statistical significance of difference between, "without" and "with" correctional device was tested by paired t-test. A level of significance was set at ${\alpha}$=.05. In comparison of the computer work between "without" and "with" correctional device, Forward Head Angle was showed significant difference (p<.05). In conclusion, the range of Forward Head Angle was significantly decreased during computer work with the correctional device. Further research is needed to understand the nature of motor control problems in deep muscles in patients with neck, shoulder, and back pain.
Kim, Jae-Hwa;Cho, Duck-Yun;Yoon, Hyung-Ku;Shin, Dong-Eun;Lee, Jae-Man
Journal of Korean Foot and Ankle Society
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v.6
no.2
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pp.139-143
/
2002
Purpose: We analyzed the Metatarso-Phalangeal Oblique Angle(MPOA) of Diabetic foot. Materials and methods: We studied retrospectively 60 cases of diabetic foot in 52 patients, for the evaluation of the correlations between clinical outcomes and radiologic findings in the conservative management group (Group A; 36 cases) and the major operation group (Group B; 24 cases). We measured MPOA on AP view. The MPOA was defined as the intersection angle of the Metatarso-Phalangeal Break Line (a line passing from the second to fifth metatarsal heads) and the long axis of foot in sagittal plane. We performed the statistical analysis between MPOA and clinical outcomes. by independent t-test. Results: The mean of MPOA in group B, $70.79^{\circ}$ (range: $62.8^{\circ}-81.3^{\circ}$), was significantly higher than that in group A, $68.04^{\circ}$ (range: $62.0^{\circ}-76.4^{\circ}$). The mean of MPOA in patients of fore foot lesions(30 cases), $71.30^{\circ}$ (range: $62.0^{\circ}-71.5^{\circ}$), was significantly higher than that in patients of hind foot lesions(30 cases), $66.97^{\circ}$(range: $62.8^{\circ}-81.3^{\circ}$). Conclusions: We recognized the MPOA might be useful simple parameter in assessing the diabetic foot.
Perovskite oxide materials are very important for the electronics industry, because they exhibit promising properties. With an interest in the obvious applications, significant effort has been invested in the growth of highly crystalline epitaxial perovskite oxide thin films in our laboratory. And the desired structure of films was formed to achieve excellent properties. $Y_1Ba_2Cu_3O_{7-x}$ (YBCO) superconducting thin films were simultaneously deposited on both sides of 3 inch wafer by inverted cylindrical sputtering. Values of microwave surface resistance R$_2$ (75 K, 145 GHz, 0 T) smaller than 100 m$\Omega$ were reached over the whole area of YBCO thin films by pre-seeded a self-template layer. For implementation of voltage tunable high-quality varactor, A tri-layer structured SrTiO$_3$ (STO) thin films with different tetragonal distortion degree was prepared in order to simultaneously achieve a large relative capacitance change and a small dielectric loss. Highly a-axis textured $Ba_{0.65}Sr_{0.35}TiO_3$ (BST65/35) thin films was grown on Pt/Ti/SiO$_2$/Si substrate for monolithic bolometers by introducing $Ba_{0.65}Sr_{0.35}RuO_3$ (BSR65/35) thin films as buffer layer. With the buffer layer, the leakage current density of BST65/35 thin films were greatly reduced, and the pyroelectric coefficient of $7.6\times10_{-7}$ C $cm^{-2}$$K^{-1}$ was achieved at 6 V/$\mu$m bias and room temperature.
Journal of the Korean Society of Environmental Restoration Technology
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v.12
no.3
/
pp.142-163
/
2009
Taebaek city is located in the mountainous plateau area therefore the major industry was coal industry. According to dramatically declining of the major industry, Taebaek city is need to alternative industry which associated with considering the geographical characteristics of natural tourism resources for increasing the local economy. On the basis of these reasons, this study can be suggested ecological planning and mitigation of deterioration technique about the these study site. That is the reserved area for mountainous experience theme park. As the results of environmental ecology assessment are following as; The natural ecosystem areas, multi-layer structure forest such as forest of Pinus densiflora, forest of Quercus mongolica and deciduous forest have a high value of nature, diversity and potential. In addition, wild bird habitats were important area as a inhabitation, breeding, feeding and hiding. Therefore, on these areas should be preserved. Also, it needs to conserve on there such as more than three types of wild bird inhabitate areas, the fringe of high biological diversity, the wetland that have got good vegetation condition and the function of amphibia, reptiles crossing. In addition, inhabitation, the waterway of wetland form that have got wide waterside width needs to conserve. In conclusion, on the basis of analysis results such as conditions of plan, environment, ecological assessments, survey informations are able to suggest the connectivity of the axis of forest and management plan. Moreover, in the part of forest restoration plan, we suggest the plan of transplant for a compensation of damaged forest by land use.
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