• Title/Summary/Keyword: Wear loss

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Approaching Knowledge, Attitudes, and Practices Model for Elderly with Dementia Who are Suspected to Have Hearing Impairment in Korea

  • You, Sunghwa;Han, Woojae
    • Journal of Audiology & Otology
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    • v.24 no.1
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    • pp.40-47
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    • 2020
  • Because the psychophysical symptoms of hearing loss and dementia in the elderly are very similar, untrained healthcare professionals in dementia facilities can easily overlook a severity of hearing loss in their patients. The present study identifies their knowledge, attitudes, and practices (KAP) on hearing loss using a survey whether they may help hearing problem of the patients with dementia. A total of 29 health-care professionals responded to the KAP survey. Also, 2 family members participated. The results showed that most of the nurses and caregivers in elderly medical welfare facilities who worked with dementia patients did not have knowledge of their hearing loss. Even the facility managers did not know how to conduct hearing tests for their patients although they did recognize that some of their patients had a hearing loss. Eventually, actual practice was not possible at this moment by the professionals. However, our respondents did have a positive attitude toward screening for hearing loss and help their patients with dementia wear hearing aids if a clinical guideline was provided. We suggest to develop clear and precise clinical guidelines of the hearing screening test for the dementia patients due to the interrelationship between dementia and hearing loss. When these guidelines apply to elderly residents in a medical welfare facility, early diagnosis and treatment of their sensory loss will help alleviate their dementia as well.

Approaching Knowledge, Attitudes, and Practices Model for Elderly with Dementia Who are Suspected to Have Hearing Impairment in Korea

  • You, Sunghwa;Han, Woojae
    • Korean Journal of Audiology
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    • v.24 no.1
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    • pp.40-47
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    • 2020
  • Because the psychophysical symptoms of hearing loss and dementia in the elderly are very similar, untrained healthcare professionals in dementia facilities can easily overlook a severity of hearing loss in their patients. The present study identifies their knowledge, attitudes, and practices (KAP) on hearing loss using a survey whether they may help hearing problem of the patients with dementia. A total of 29 health-care professionals responded to the KAP survey. Also, 2 family members participated. The results showed that most of the nurses and caregivers in elderly medical welfare facilities who worked with dementia patients did not have knowledge of their hearing loss. Even the facility managers did not know how to conduct hearing tests for their patients although they did recognize that some of their patients had a hearing loss. Eventually, actual practice was not possible at this moment by the professionals. However, our respondents did have a positive attitude toward screening for hearing loss and help their patients with dementia wear hearing aids if a clinical guideline was provided. We suggest to develop clear and precise clinical guidelines of the hearing screening test for the dementia patients due to the interrelationship between dementia and hearing loss. When these guidelines apply to elderly residents in a medical welfare facility, early diagnosis and treatment of their sensory loss will help alleviate their dementia as well.

Full mouth rehabilitation in patient with loss of vertical dimension and deep bite due to tooth wear (치아 마모로 인한 수직고경감소와 과개교합을 가진 환자의 완전 구강 회복 증례)

  • Chae, Hyun-Seok;Jeon, Bo-Seul;Lee, Jung-Jin;Ahn, Seung-Geun;Seo, Jae-Min
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.405-415
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    • 2019
  • Excessive tooth wear can cause irreversible damage to the occlusal surface and can alter the anterior occlusal relationship by destroying the structure of the anterior teeth needed for esthetics and proper anterior guidance. The anterior deep bite is not a morbid occlusion by itself, but it may cause problems such as soft tissue trauma, opposing tooth eruption, tooth wear, and occlusal trauma if there are no stable occlusal contacts between the lower incisal edge against its upper lingual surface. The most important goal of treatment is to form stable occlusal contact in centric relation. In this case report, patients with decrease in vertical dimension and anterior deep bite due to maxillary posterior tooth loss and excessive tooth wear were treated full mouth rehabilitation with increased vertical dimension to regain the space for restoration and improve anterior occlusal relationship and esthetics. The functional and aesthetic problems of the patient could be solved by the equal intensity contact of all the teeth in centic relation (CR), anterior guidance in harmony with the functional movement, and restoration of the wear surface beyond the enamel range.

Full mouth rehabilitation of a patient with excessive worn dentition by increasing vertical dimension of occlusion: a case report (과도한 치아 마모 환자에서 교합수직고경 증가를 동반한 완전구강회복 증례)

  • Jong Seok Lee;Ji Suk Shim;Jae Jun Ryu
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.3
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    • pp.234-244
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    • 2023
  • Tooth wear refers to the loss of dental hard tissue caused by various physiological and pathological causes, and excessive pathological wear can cause complications such as pathological changes in dimensions, occlusal disharmony, loss of function, and aesthetic problems. The cause of tooth wear can be caused by attrition, abrasion, corrosion and abfraction, and it is known to act in a multifactorial etiology in interocclusal activity. In patients with excessive pathological wear, it is important to determine whether or not the vertical dimension of occlusion is reduced, and complete oral rehabilitation should be achieved with the adaptation of the neuromuscular and temporomandibular joint through accurate diagnosis and analysis. The patient in this case was a 63-year-old male patient, who presented discomfort to cold beverage due to severe tooth wear. After analysis of the patient's vertical dimension of occlusion, a full mouth rehabilitation was performed with increasing vertical dimension of occlusion. The goal of treatment was to improve the occlusal plane with the equal-intensity contact of all teeth, harmonious anterior guidance and immediate disclusion of all posterior contacts. After rehabilitation, the patient was satisfied with function and esthetic appearance.

Evaluation of the Railroad Track Life Cycle Based on the Metro Rail Wear Data Regression Analysis (지하철 마모 데이터 회귀분석을 통한 궤도 수명 평가)

  • Jeong, Min-Chul;Kim, Jung-Hoon;Lee, Jee-Ha;Kang, Yun-Suk;Kong, Jung-Sik
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.14 no.4
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    • pp.86-93
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    • 2010
  • The wear of railway track affects loss of rough ride, noise or vibration of train and traveling safety. Moreover as the track is worn away, this promotes destruction of structural mechanism of rail track which can bring about increasing of rail track maintenance cost drastically. For this reason, it is very important and interested research subject to design railway track structure and to analyse train movement mechanism based on systematic analysis of the reasons causing rail wear possible in real field. In this research, for the efficient maintenance, Life Cycle Performance of rail track and maintenance characteristics are computed considering some track components such as track type, contracting type, sleeper type and roadbed type. Time - Wear probabilistic distribution relationship as well as multiple regression analysis based on time, curvature and wear data are computed to predict the service life remainder of railway track and to be adapted to safety assessment.

Microstructural and Wear Properties of WC-based and Cr3C2-based Cermet Coating Materials Manufactured with High Velocity Oxygen Fuel Process (고속 화염 용사 공정으로 제조된 WC계 및 Cr3C2계 Cermet 코팅 소재의 미세조직 및 마모 특성)

  • Kang, Yeon-Ji;Ham, Gi-Su;Kim, Hyung-Jun;Yoon, Sang-Hoon;Lee, Kee-Ahn
    • Journal of Powder Materials
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    • v.25 no.5
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    • pp.408-414
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    • 2018
  • This study investigates the microstructure and wear properties of cermet (ceramic + metal) coating materials manufactured using high velocity oxygen fuel (HVOF) process. Three types of HVOF coating layers are formed by depositing WC-12Co, WC-20Cr-7Ni, and Cr3C2-20NiCr (wt.%) powders on S45C steel substrate. The porosities of the coating layers are $1{\pm}0.5%$ for all three specimens. Microstructural analysis confirms the formation of second carbide phases of $W_2C$, $Co_6W_6C$, and $Cr_7C_3$ owing to decarburizing of WC phases on WC-based coating layers. In the case of WC-12Co coating, which has a high ratio of $W_2C$ phase with high brittleness, the interface property between the carbide and the metal binder slightly decreases. In the $Cr_3C_2-20CrNi$ coating layer, decarburizing almost does not occur, but fine cavities exist between the splats. The wear loss occurs in the descending order of $Cr_3C_2-20NiCr$, WC-12Co, and WC-20Cr-7Ni, where WC-20Cr-7Ni achieves the highest wear resistance property. It can be inferred that the ratio of the carbide and the binding properties between carbide-binder and binder-binder in a cermet coating material manufactured with HVOF as the primary factors determine the wear properties of the cermet coating material.

Effect of Mn-Addition on the Sliding Wear Resistance and the Cavitation Erosion Resistance of Fe-base Hardfacing Alloy (Mn 첨가가 경면처리용 Fe계 신합금의 캐비테이션 에로젼과 슬라이딩 마모저항성에 미치는 영향)

  • Kim, Yoon-Kap;Oh, Young-Min;Kim, Seon-Jin
    • Korean Journal of Materials Research
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    • v.12 no.7
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    • pp.550-554
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    • 2002
  • The effect of Mn on cavitation erosion resistance and the sliding wear resistance of Fe-base hardfacing NewAlloy was investigated. Mn is known to decrease stacking fault energy and enhance the formation of $\varepsilon$-martensite. Cavitation erosion resistance for 50 hours and sliding wear resistance for 100 cycles were evaluated by weight loss. Fe-base hardfacing NewAlloy showed more excellent cavitation erosion resistance than Mn-added NewAlloys. $\Upsilon-\alpha$' phase transformation that can enhance erosion resistance by matrix hardening occurred in every specimens. But, only in Mn free Fe-base hardfacing NewAlloy, the hardened matrix could repress the propagation of cracks that was initialed at the matrix-carbides interfaces more effectively than Mn-added NewAlloy The Mn free Fe-base hardfacing NewAlloy showed better sliding wear resistance than Mn-added alloys. Mn-addition up to 5wt.% couldn't increase the sliding wear and cavitation erosion resistance of Fe-base hardfacing alloy because it didn't make $\Upsilon\to\varepsilon$ martensite phase transformation. Therefore, it is considered that the cavitation erosion and the sliding wear resistance can be improved due to $\Upsilon\to\varepsilon$ martensite phase transformation when Mn is added more than 5wt.% in Fe-base hardfacing alloys.

AN EVALUATION OF WEAR CHARACTERISTICS OF LIGHT-CURED RESTORATIVE COMPOSITES ON ENAMEL SURFACE (광중합형 복합레진과 법랑질간의 마모특성 평가)

  • Baik, Byeong-Ju;Lee, Seung-Young;Lee, Doo-Cheol;Kim, Jae-Gon
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.2
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    • pp.261-270
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    • 2001
  • This study was performed to evaluate wear characteristics of light-cured composites when opposed by human enamel. Seven light-cured restorative composites were selected and enamel cusps sectioned from premolars. All samples were stored in distilled water at $37^{\circ}C$ for 10 days. 68.6 N of weight was loaded during the test. The measurements of vertical loss of enamel cusps, weight loss and volume loss of composites, and SEM observations of the polished and abraded surfaces were made after 30,000 cycles. The results obtained were summarized as follows; 1. The highest hardness value of 70.4 was observed in the Spectrum group and the lowest value of 19.8 was observed in the Heliomolar group. Results of Tukey test showed that an overall significant difference was indicated except the Spectrum, Z100 and Clearfil AP-X groups(p<0.05). 2. Enamel showed the good abrasion resistance against the Heliomolar group of microfilled composite and the Palpique Toughwell group containing the submicron hybrid type spherical fillers. 3. The abrasive wear resistance of hybrid composites was improved with the decrease of mean particle size and hybrid of submicron particle fillers. 4. SEM observation of worn surfaces revealed the protrusion, attrition and missing of fillers, cracks developing and delamination in the matrix.

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Full mouth rehabilitation in osteoporosis patient with loss of teeth and excessive wear (치아 상실과 심한 마모를 보이는 골다공증 환자에서의 완전구강 회복 증례)

  • Kim, Hyun-Tack;Kim, Myung-Joo;Lim, Young-Jun;Kwon, Ho-Beom
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.63-70
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    • 2022
  • Teeth wear with loss of posterior support often leads to symptoms such as irregular occlusal plane and excessive wear of anterior teeth. In such environment, establishing proper posterior support and harmonious anterior guidance and occlusal plane is recommended. In this case, the patient had excessively worn dentition with loss of posterior support, while denying surgical treatment due to her(his) history of osteoporosis, ibandronate injection, and risk of medication-related osteonecrosis of the jaw (MRONJ). To recover the vertical space needed for prosthetic restoration, full mouth rehabilitation with vertical dimension increase of remaining teeth was decided. Missing teeth in the posterior area were restored with mandibular removable partial denture. The treatment plan was determined through careful diagnosis, and every step of procedures including tooth preparation, provisional phase with the increased vertical dimension, and definitive prosthetic phase were carried out accordingly. Once the treatment was completed, the patient was satisfied functionally and esthetically. Periodic examination of oral hygiene, occlusal stability was conducted.