• Title/Summary/Keyword: Tooth Impact

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Impact of Periodontal Treatment and Demographic and Socioeconomic Factors on Tooth Loss in Persons with Disabilities: An Analysis of Korean National Health Insurance Claims Data

  • Bo-Ra Kim
    • Journal of dental hygiene science
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    • v.23 no.3
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    • pp.225-235
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    • 2023
  • Background: This study aimed to analyze the effects of periodontal treatment and individual- and tooth-related factors on tooth extraction in people with disabilities. Methods: The Korea National Health Insurance claims data of individuals with disabilities aged 40~64 years with chronic periodontitis in 2008 were obtained. Of these, data on the disabled who underwent scaling/root plaining, subgingival curettage/periodontal surgery, or non-periodontal treatments, and data on their teeth were selected. The extraction of 716,688 teeth from 39,097 patients was tracked until 2018, and the patient- and tooth-level factors related to tooth loss were identified using a mixed-effect logistic regression analysis. Results: Data from approximately 17% of the teeth were extracted during a follow-up period of approximately 11 years. Among the tooth-level variables, scaling/root planing treatment at baseline and periodontal treatment during the follow-up period were associated with a lower risk of tooth loss (odds ratio=0.692 and 0.769, respectively, p<0.001). Non-vital teeth increased the risk of tooth loss by 3.159 times (p<0.001). Among the patient-level variables, females were less likely to have lost their teeth than males, and those with orthopedic impairment or brain lesions/mental disabilities, a higher age group, lower income level, or residents in medium/small cities or rural areas were more likely to have lost their teeth (p<0.001). Conclusion: Through approximately 11 years of follow-up, scaling or root planing, experience with periodontal treatment at least once, female sex, older age, lower income, smaller residential areas, type of disability, and pulp vitality were found to be associated with tooth loss in individuals with disabilities aged 40~64 years with chronic periodontitis. To prevent tooth loss in individuals with disabilities, it is necessary to establish a dental treatment plan that considers the timing of periodontal treatment and the characteristics of the patient and teeth.

Optimizing the design factors of the head-feed type combine(II) -Threshing characteristics of the head-feed threshing teeth- (자탈형 콤바인 탈곡부 설계요인(設計要因)의 적정화(適正化)를 위한 연구(硏究)(II) -탈곡치의 탈곡특성-)

  • Nam, S.I.;Chung, C.J.
    • Journal of Biosystems Engineering
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    • v.13 no.4
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    • pp.9-19
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    • 1988
  • The threshing of head-feed combine may be accomplished mainly by the action of impact between threshing teeth and rice. In this study, it was attempted to assess threshing performance characteristics of head-feed threshing teeth. And the characteristics of threshing teeth will be applied to the method which could analyze the time and order of impact between teeth and the rice, which was used as a basis for predicting the threshing performance and determining the optimum design parameters. The results of the study are summarized as follows: 1. About 50% of threshed material were threshed by the beginning 7 impacts on the rice bundle. Threshing torque decreased until 25 impacts and did not change thereafter. 2. There was significant difference in the threshability according to the shape of threshing teeth. The triangular-shaped tooth was the most efficient in threshability ratio and the semicircle-shaped tooth was the lowest. There was no significant difference in specific energy requirement for the varied teeth design. Torn-head ratio being generated by the semicircle-shaped and the triangular-shaped teeth in series was less than that by a single tooth with the triangular-shaped and the double setting of the triangular-shaped. Chaff generation ratio by the triangular-shaped and the semicircle-shaped teeth was less than the others tried. 3. The triangular-shaped teeth in series, which was newly designed for this study, showed an intermediate characteristics between the double setting of the triangular-shaped and the semicircle- shaped teeth. Threshability ratio of the triangular-shaped teeth in series was higher than that of the semicircle and lower than the double setting of the triangular-shaped tooth. Torn-head generation ratio for it was about same as that of the semicircle. Chaff being generated by the triangular-shaped teeth in series was about same as the double setting of the triangular-shaped teeth. 4. About 40% of threshed grains which passed through concave were concentrated under the threshing tooth and the rest of grains displayed a skew distribution toward the inlet of threshing chamber.

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Development of an Advanced Oil Deflector Used in Thermoelectric Power Plant (화력발전소에 사용되는 개선된 오일 디플렉터 개발)

  • Choi, Yong Hoon;Kwak, Hyo Seo;Lee, Chang Ryeol;Kim, Chul
    • Journal of the Korean Society for Precision Engineering
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    • v.33 no.8
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    • pp.661-668
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    • 2016
  • Oil deflector prevents oil leakage that occurs in thermoelectric power plant at operating lubricant facilities. Vibration of rotating rotor-induced wear of aluminum tooth in existing oil deflector leads to oil leakage as well as life shortening of the tooth. In this study, an advanced oil deflector was developed for shock absorption and prevention of wear by decreasing clearance (from 0.5 mm to 0.2 mm) between rotor and tooth to minimize oil leakage, and by replacing 2 aluminum teeth in outmost of the oil deflector with hi-performance seal made of engineering plastic. The CFD results were compared between advanced vs. existing oil deflector to determine the amount of oil loss. Structural safety was verified through impact analyses according to the three kinds of engineering plastics, considering cost efficiency, and optimal material of hi-performance seal was chosen.

Tooth bleaching effect by light activation on the tooth surface and intra-pulpal temperature: an in vitro study (광활성 유무가 치아미백과 치아표면 및 치수 내 온도에 미치는 영향)

  • Shim, Youn-Soo;Woo, Hee-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.4
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    • pp.585-591
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    • 2014
  • Objectives : The purpose of this study was to investigate of the color change, tooth surface and intra-pulpal temperature of tooth bleaching by light activation Methods : Forty-eight extracted bovine teeth were immersed into a tea solution for 24 hours. The specimens were randomly divided into four groups(n=15):(G1) 15% HP + without light activation, (G2) 15% HP + light activation, (G3) 25% HP + without light activation, (G4) 25% HP + light activation. All specimens were bleached for 15 minutes three times. The spectrophotometer (CM-2600d, Konica Minolta, Osaka, Japan) was used including before bleaching, immediately after bleaching, 1 week, 1 and 3 months after the end of bleaching. The temperature rise were measured in the pulpal chamber and tooth surface with a digital thermocouple thermometer(Termopar Digital Multimeter, Tektronix DMM916, USA). Between the tested time points, the specimens were stored in distilled water. The data were analyzed by ANOVA, t-test and Tukey's post hoc test set at 0.05. Results : There was no significant color change by the use of light after the bleaching treatment(p>0.05). The dental bleaching treatments of teeth with 15% HP and 25% HP did not seem to be more effective when light source was used. There was no difference in color stability between groups within three month(p>0.05). There was an increase in tooth surface and pulp temperature, but it was not sufficient to cause damage to the pulp. Conclusions :The use of light activation has no obvious effective impact on the tooth bleaching effect.

Impact of piezocision on orthodontic tooth movement

  • Papadopoulos, Nikolaos;Beindorff, Nicola;Hoffmann, Stefan;Jost-Brinkmann, Paul-Georg;Prager, Thomas Michael
    • The korean journal of orthodontics
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    • v.51 no.6
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    • pp.366-374
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    • 2021
  • Objective: This study investigated the impact of a single piezocision in the maxillary alveolar process on the speed of tooth movement. The null hypothesis was that the speed of tooth movement will be equal with and without piezocision. Methods: All maxillary molars on one side were moved against the combined incisors in 10 ten-week-old male Wistar rats. Under general anesthesia, a force of 25 cN was applied on either side using a Sentalloy closed coil spring. After placing the orthodontic appliance, vertical corticision was performed using a piezotome under local anesthesia, 2 mm mesial from the mesial root of the first molar on a randomly selected side; the other side served as the control. At the beginning of the treatment, and 2 and 4 weeks later, skull micro-computed tomography was performed. After image reconstruction, the distance between the mesial root of the first molar and the incisive canal, and the length of the mesial root of the first maxillary molar were measured. Moreover, the root resorption score was determined as described by Lu et al. Results: Significantly higher speed of tooth movement was observed on the corticision side; thus, the null hypothesis was rejected. The loss of root length and root resorption score were significantly more pronounced after piezocision than before. A strong correlation was observed between the speed of tooth movement and root resorption on the surgical side, but the control side only showed a weak correlation. Conclusions: Piezocision accelerates orthodontic tooth movement and causes increased root resorption.

Factors Affecting College Students' Teeth Whitening Preference

  • Seon-Rye Kim
    • Journal of the Korea Society of Computer and Information
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    • v.28 no.10
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    • pp.179-186
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    • 2023
  • This study investigated tooth whitening preferences among college students, evaluating their knowledge, satisfaction, aesthetic criteria, and preferences, while identifying influencing factors. Using a 28-item questionnaire covering general, tooth whitening knowledge, satisfaction, aesthetic criteria, and preference questions, 175 participants surveyed from June 7th to 10th, 2022, underwent analysis. Descriptive statistics, t-tests, analysis of variance, and regression analysis were applied. Results showed tooth whitening knowledge scored 2.90 out of 5 points, satisfaction 2.97, aesthetic criteria 3.59, and preferences 3.28. Tooth whitening knowledge was higher among female and health-related major students, while satisfaction was greater among males, non-health-related majors, and those without cosmetic procedures. Aesthetic criteria were stronger in participants with higher allowances and cosmetic procedures experience. No significant tooth whitening preference differences were found based on general characteristics. Regression analysis revealed significant impact of aesthetic criteria on tooth whitening preferences (β=0.252).

CBCT assessment of alveolar bone wall morphology and its correlation with tooth angulation in the anterior mandible: a new classification for immediate implant placement

  • Nur Hafizah Kamar Affendi;Jumanah Babiker;Mohd Yusmiaidil Putera Mohd Yusof
    • Journal of Periodontal and Implant Science
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    • v.53 no.6
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    • pp.453-466
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    • 2023
  • Purpose: This study aimed to quantify alveolar bone morphology, demonstrate the relationship between tooth angulation and alveolar bone thickness, and introduce a new classification for anterior mandibular teeth related to immediate implant placement (IIP). Methods: Cone-beam computed tomography (CBCT) images of 211 anterior mandibular teeth were analyzed in sagittal slices to measure the thickness of the facial alveolar bone crest (FAB1) and apex (FAB2), and the lingual alveolar bone crest (LAB1) and apex (LAB2). Tooth angulation was classified as 1°-10°, 11°-20°, and >20° according to the tooth's long axis and alveolar bone wall. Spearman correlation coefficients were used to evaluate correlations between the variables. Results: FAB1 and LAB1 were predominantly thin (<1 mm) (84.4% and 73.4%, respectively), with the lateral incisors being thinnest. At the apical level, FAB2 and LAB2 were thick in 99.5% and 99.1% of cases, respectively. Significant differences were documented in FAB2 (P=0.004), LAB1 (P=0.001), and LAB2 (P=0.001) of all mandibular teeth. At all apical levels of the inspected teeth, a significant negative correlation existed between TA and FAB2. Meanwhile, TA showed a significant positive correlation with LAB2 of the lateral incisors and canines. These patterns were then divided into class I (thick facial and lingual alveolar bone), class II (facially inclined teeth) with subtype A (1°-10°) and subtype B (11°-20°), and class III (lingually inclined teeth) with subtype A (1°-10°) and subtype B (11°-20°). Conclusions: Mandibular anterior teeth have predominantly thin facial and lingual crests, making the lingual bone apical thickness crucial for IIP. Although anchorage can be obtained from lingual bone, tooth angulation and tooth types had an impact on IIP planning. Hence, the new classification based on TA and alveolar bone wall may enable rational clinical planning for IIP treatment.

Periodontal healing following non-surgical repair of an old perforation with pocket formation and oral communication

  • Asgary, Saeed;Verma, Prashant;Nosrat, Ali
    • Restorative Dentistry and Endodontics
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    • v.43 no.2
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    • pp.17.1-17.7
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    • 2018
  • Iatrogenic perforations negatively impact the outcome of endodontic treatments. Studies on prognostic factors showed that perforations in the coronal third of the root with periodontal pocket formation have an unfavorable prognosis. A 36-year-old female was referred for endodontic evaluation of tooth #13 with a history of an iatrogenic perforation, happened 3 years ago. There was a sinus tract associated with perforation, 10 mm probing on the mesial and mesio-palatal, bleeding on probing, radiolucent lesion adjacent to the perforation and complete resorption of the interdental bone between teeth #13 and #12. After the treatment options were discussed, she chose to save the tooth. The tooth was accessed under rubber dam isolation, the perforation site was cleaned and disinfected using 0.5% sodium hypochlorite and sealed with calcium-enriched mixture cement. Eighteen months after treatment the tooth was functional and asymptomatic. The probing depths were normal without bleeding on probing. Radiographically, the interdental crestal bone formed between teeth #13 and #12. Despite all negative prognostic factors in this case (i.e., perforations in the coronal third, pocket formation, and radiolucent lesion), healing was unexpectedly achieved via non-surgical repair of the perforation. Further research on biological aspects of healing in the periodontium following iatrogenic perforations are recommended.

Dynamic Response Analysis of 2.5MW Wind Turbine Gearbox with Flexible Pins (유연핀을 적용한 2.5MW급 풍력발전기용 기어박스의 동응답 해석)

  • Cho, Jin-Rae;Jeong, Ki-Yong
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.29 no.1
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    • pp.37-44
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    • 2016
  • This study is concerned with the numerical investigation of dynamic characteristics of 2.5MW-class wind turbine gearbox in which the misalignment improvement of plenary gear shafts by the flexible pins and the dynamic impact response are analyzed by the finite element method. The tooth contact between gears is modelled using the line element having the equivalent tooth stiffness and the contact ratio to accurately and effectively reflect the load transmission in the internal complex gear system. The equivalent tooth stiffness is calculated by utilizing the tooth deformation analysis and the impulse torque is applied to the input shaft for the dynamics response characteristic analysis. Through the numerical experiments, the equivalent tooth stiffness model was validated and the misalignment improvement of planetary gear shafts was confirmed from the comparison with the cases of fixed shafts at one and both ends.

Impact of oral health behaviors on the presence or absence of periodontal diseases and missing tooth (당뇨환자의 구강건강행태가 치주질환 및 상실치 유무에 미치는 영향)

  • Ju, On-Ju
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.4
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    • pp.511-522
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    • 2011
  • Objectives : The purpose of this study was to provide some information on the development of oral health care programs geared toward diabetics and ways of promoting their oral health. Methods : The subjects in this study were 586 diabetics who were selected from the 2009 third-year raw data of the 4th(2007~2009) National Health & Nutrition Survey. The data were analyzed with the statistical package SPSS 12.0 to grasp the influence of their sociodemographic characteristics and oral health behaviors on the presence or absence of periodontal diseases and missing tooth. Results : 1. Periodontal diseases were twofold more prevalent among the men than the women(p<0.01). By age, those who were in their 60s had 1.11-fold more periodontal diseases than those who were in their 70s and up(p<0.05). 2. The men and women were similar to each other in the number of missing tooth. By age, the number of missing tooth got smaller in proportion to decrease in age. By income, the number of missing tooth was 1.48-fold larger among the patients who earned an income of one million won or less than those who earned an income of two million won or more(p<0.01). Conclusions : The above-mentioned findings suggest that prospective cohort studies should be implemented to present prediction models of periodontal diseases and diabetes instead of merely sticking to cross-sectional studies. And oral health programs should be developed based on the findings of cohort studies to encourage diabetics to care about their oral health, and in which way they should be helped to promote their oral health should carefully be considered.