• Title/Summary/Keyword: anterior zone

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The Use of Ovate Pontics in the Maxillary Anterior Esthetic Zone: A Clinical Report (Ovate Pontic을 이용한 상악 전치부 심미수복)

  • Choi, Mee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.1
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    • pp.23-29
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    • 2009
  • The ovate pontic was first described by Dewey and Zugsmith in 1933, but used clinically as a clinical alternative for esthetics in the late 1990s. The ovate pontic has been suggested as a more accurate duplication of emergence profile for natural teeth to provide an esthetic, cleanable prosthesis. If the resin temporary prosthesis with the ovate pontic is used during the healing period after the tooth extraction, it is possible to preserve the interdental papilla and eliminate or minimize the black triangle between the teeth. Ultimately it can become a esthetic final restoration without saliva leakage and phonetic discomfort. In this case we tried to treat the maxillary anterior area by the use of the ovate pontic and minimize the loss of the interdental papilla via duplicate the emergence profile of the natural tooth.

DISTRIBUTION IN FIBRONECTIN OF THE RABBIT TEMPOROMANDIBULAR JOINT TISSUES FOLLOWING SURGICAL INDUCTION OF ANTERIOR DISK DISPLACEMENT : IMMUNOHISTOCHEMICAL STUDY (악관절원판의 인위적 전방변위술시행후 악관절구성조직에서 Fibronectin의 분포변화)

  • Kim, Uk-Kyu;Chung, In-Kyo;Park, Bong-Soo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.25 no.4
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    • pp.337-349
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    • 1999
  • The extracellular matrix(ECM) is a complex network of different combination of collagens, glycosaminoglycans, laminin, fibronectin, and many other glycoproteins including proteolytic enzymes. The composition and organization of the ECM contributes to the uniques physical or biomechanical properties of a tissue. Fibronectins(FN) are dimeric glycoproteins located on cell surfaces, in the matrix of connective tissue, and in blood. Fibronectins mediate cell attachment to collagen substratum and have been implicated in a variety of important biological processes, including embryogenesis and cell differentiation. The purpose of this study was to determine the effects of surgical induction of anterior disk displacement(ADD) on distribution of fibronectin in the rabbit temporomandibular joint(TMJ) tissues included the articular cartilage, disc, retrodiscal tissue, articular eminence using an immunohistochemical technique. The left TMJ was exposed surgically, and all discal attachments were severed except for the posterior attachment. The disk was then repositioned anteriorly and sutured to the zygomatic arch. The right TMJ served as a shamoperated control. Normal joints were used as a nonoperated control. Fourty-five rabbits were used for experiments in total. For fibronectin immunohistochemical study, eighteen rabbits (one normal group and 5 experimental groups, each group consists of 3 rabbits) were used. The experimental rabbits were sacrified after operation period of 2, 3, 4, 6 and 8 weeks on fibronectin. The obtained results were as follows ; 1. Fibronectin immunoreaction on all TMJ tissues(mandibular condyle, articular disc, retrodiscal tissue, articular eminence) in the normal rabbit was observed. Especially the reverse cell layer and proliferation zone of articular cartilage of condyle show strong positive reaction. 2. Depletion of fibronectin in the all TMJ tissues except hypertrophic zone of articular cartilage occurred at 2 weeks following induction of ADD. 3. The restoration of immunoreaction at 4 weeks was observed and a progressive increasing reaction at 6 weeks, 8 weeks also was found. Our study generally showed degenerative changes in TMJ tissues after ADD although TMJ tissues adapted or degenerated to abnormal loads and stress distribution according to the remodeling capacity of TMJ tissues.

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Comparative esthetic evaluation of anterior zone with immediate, early, and delay implantation (전치부 영역 임플란트의 식립 시기에 따른 심미적 평가)

  • Kim, Jung-Hwa;Seo, Seong-Yong;Kim, Na-Hong;Yu, Jung-Hyun;Lee, Dong -Woon
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.26 no.1
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    • pp.17-23
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    • 2017
  • Purpose: This retrospective study is to evaluate whether the timing of implant placement and the result of esthetic outcomes are related. Materials and Methods: Among the patients who had undergone single implant surgery on anterior area from 2010 to 2013 in Veterans Health Service Medical Center, 34 implants in 27 patients (24 male and 3 female) were selected and categorized into 3 groups according to the timing of placement, which are group D (Delay), group E (Early) and group I (Immediate). Aesthetic indices used included the Pink Esthetic Score (PES). It has 7 variables scores, such as mesial papilla, distal papilla, a level of soft-tissue margin, soft-tissue contour, alveolar process, soft-tissue color, and soft-tissue texture. Each variable ranges from 0 to 2, therefore total 14 points are highest. All patients were received by regular follow-up at least 1-year. One examiner measured PES on the intraoral photos. Each patient was considered as a statistical unit for statistical analysis. Statistical analyses were performed using a commercially available statistical software (SPSS Statistics 21.0, IBM Corp., Armonk, NY, USA). Kruskal-Wallis test was used for inter-group comparisons. Statistical significance was set at P<0.05. Result: Mean score in Group D, Group I, and Group E were $11.5{\pm}1.5$, $11.4{\pm}1.8$, and $11.3{\pm}1.8$ respectively. In Kruskal-Wallis test, there are no differences (P=0.989). Conclusion: In this limited study suggests that clinical aesthetic results can be achieved with all treatment protocols. Finally, various factors can be considered to produce the esthetic results.

A Biomechanical Comparison among Three Surgical Methods in Bilateral Subaxial Cervical Facet Dislocation

  • Byun, Jae-Sung;Kim, Sung-Min;Choi, Sun-Kil;Lim, T. Jesse;Kim, Daniel H.
    • Journal of Korean Neurosurgical Society
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    • v.37 no.2
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    • pp.89-95
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    • 2005
  • Objective: The biomechanical stabilities between the anterior plate fixation after anterior discectomy and fusion (ACDFP) and the posterior transpedicular fixation after ACDF(ACDFTP) have not been compared using human cadaver in bilateral cervical facet dislocation. The purpose of this study is to compare the stability of ACDFP, a posterior wiring procedure after ACDFP(ACDFPW), and ACDFTP for treatment of bilateral cervical facet dislocation. Methods: Ten human spines (C3-T1) were tested in the following sequence: the intact state, after ACDFP(Group 1), ACDFPW(Group 2), and ACDFTP(Group 3). Intervertebral motions were measured by a video-based motion capture system. The range of motion(ROM) and neutral zone(NZ) were compared for each loading mode to a maximum of 2.0Nm. Results: ROMs for Group 1 were below that of the intact spine in all loading modes, with statistical significance in flexion and extension, but NZs were decreased in flexion and extension and slightly increased in bending and axial rotation without significances. Group 2 produced additional stability in axial rotation of ROM and in flexion of NZ than Group 1 with significance. Group 3 provided better stability than Group 1 in bending and axial rotation, and better stability than Group 2 in bending of both ROM and NZ. There was no significant difference in extension modes for the three Groups. Conclusion: ACDFTP(Group 3) demonstrates the most effective stabilization followed by ACDFPW(Group 2), and ACDFP(Group 1). ACDFP provides sufficient strength in most loading modes, ACDFP can provide an effective stabilization for bilateral cervical facet dislocation with a brace.

Image Analysis of Computer Aided Diagnosis using Gray Level Co-occurrence Matrix in the Ultrasonography for Benign Prostate Hyperplasia (전립선비대증 초음파 영상에서 GLCM을 이용한 컴퓨터보조진단의 영상분석)

  • Cho, Jin-Young;Kim, Chang-Soo;Kang, Se-Sik;Ko, Seong-Jin;Ye, Soo-Young
    • The Journal of the Korea Contents Association
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    • v.15 no.3
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    • pp.184-191
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    • 2015
  • Prostate ultrasound is used to diagnose prostate cancer, BPH, prostatitis and biopsy of prostate cancer to determine the size of prostate. BPH is one of the common disease in elderly men. Prostate is divided into 4 blocks, peripheral zone, central zone, transition zone, anterior fibromuscular stroma. BPH is histologically transition zone urethra accompanying excessive nodular hyperplasia causes a lower urinary tract symptoms(LUTS) caused by urethral closure as causing the hyperplastic nodule characterized finding progressive ambient. Therefore, in this study normal transition zone image for hyperplasia prostate and normal transition zone image is analyzed quantitatively using a computer algorithm. We applied texture features of GLCM to set normal tissue 60 cases and BPH tissue 60cases setting analysis area $50{\times}50pixels$ which was analyzed by comparing the six parameters for each partial image. Consequently, Disease recognition detection efficiency of Autocorrelation, Cluster prominence, entropy, Sum average, parameter were high as 92~98%.This could be confirmed by quantitative image analysis to nodular hyperplasia change transition zone of the prostate. This is expected secondary means to diagnose BPH and the data base will be considered in various prostate examination.

A Modified Approach of Percutaneous Endoscopic Lumbar Discectomy (PELD) for Far Lateral Disc Herniation at L5-S1 with Foot Drop

  • Chun, Eun Hee;Park, Hahck Soo
    • The Korean Journal of Pain
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    • v.29 no.1
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    • pp.57-61
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    • 2016
  • Foraminal or extraforaminal Far Lateral Disc Herniations (FLDH) extending into or beyond the foraminal zone have been recognized as between 7-12% of all lumbosacral disc herniations. Conventional posterior laminectomy may not provide good access to a herniation that lies far lateral to the lateral margin of the pedicle. Use of the endoscopic technique through a percutaneous approach to treat such FLDH patients can decrease the surgical morbidity while achieving better outcomes. We made an effort to utilize the advantages of percutaneous endoscopic lumbar discectomy (PELD) and to determine the appropriate approach for FLDH at the level between the 5th Lumbar and first Sacral vertebrae(L5-S1). The authors present a case of an endoscopically resected lumbar extruded disc of the left extraforaminal zone with superior foraminal migration at the level of L5-S1, which had led to foot drop, while placing the endoscope in the anterior epidural space without facetectomy.

Description of Two Oxytrichid Ciliates (Ciliophora: Sporadotrichida: Oxytrichidae) Newly Reported from Korea

  • Kwon, Choon-Bong;Shin, Mann-Kyoon
    • Animal Systematics, Evolution and Diversity
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    • v.26 no.3
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    • pp.307-316
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    • 2010
  • To investigate the Korean ciliate fauna, two oxytrichid ciliates, Laurentiella strenua (Dingfelder, 1962) and Notohymena australis (Foissner and O'Donoghue, 1990) were collected from the Taehwa River in Ulsan, South Korea. These two ciliates are reported for the first time in Korea. Descriptions were based on the observation of live and silver stained specimens. Diagnoses of these species are as follows: Laurentiella strenua: body is approximately $320{\times}170\;{\mu}m$ in size, an inverted triangular shape. Cytoplasmic globules are present in both anterior and posterior margins, transparent and sized $10-15\;{\mu}m$ in live specimens. Adoral zone of membranelles is covering about 50% of body length. Frontoventral-transverse cirri are arranged diagonally into 5 rows. Transverse cirri are arranged almost longitudinally and varied 4-6 in number. Dorsal kineties are 11 rows with multiple fragmentations. Macronuclei are 4-5 in number. Notohymena australis: body is approximately $170{\times}50\;{\mu}m$ in live specimens, slender and long ellipsoidal shape. Yellowish green cortical granules are present as pairs or rows which composed of 3-6 granules. Adoral zone of membranelles is covering about 36% of the body length, composed of 39-50 adoral membranelles. Dorsal kineties is 6 rows. Macronuclei are 2 in number.

A Case of Hemifacial Spasm Caused by an Artery Passing Through the Facial Nerve

  • Oh, Chang Hyun;Shim, Yu Shik;Park, Hyeonseon;Kim, Eun-Young
    • Journal of Korean Neurosurgical Society
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    • v.57 no.3
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    • pp.221-224
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    • 2015
  • Hemifacial spasm (HFS) is a clinical syndrome characterized by unilateral facial nerve dysfunction. The usual cause involves vascular compression of the seventh cranial nerve, but compression by an artery passing through the facial nerve is very unusual. A 20-year-old man presented with left facial spasm that had persisted for 4 years. Compression of the left facial nerve root exit zone by the anterior inferior cerebellar artery (AICA) was revealed on magnetic resonance angiography. During microvascular decompression surgery, penetration of the distal portion of the facial nerve root exit zone by the AICA was observed. At the penetrating site, the artery was found to have compressed the facial nerve and to be immobilized. The penetrated seventh cranial nerve was longitudinally split about 2 mm. The compressing artery was moved away from the penetrating site and the decompression was secured by inserting Teflon at the operative site. Although the facial spasm disappeared in the immediate postoperative period, the patient continued to show moderate facial weakness. At postoperative 12 months, the facial weakness had improved to a mild degree. Prior to performing microvascular decompression of HFS, surgeons should be aware of a possibility for rare complex anatomy, such as compression by an artery passing through the facial nerve, which cannot be observed by modern imaging techniques.

Kinematic Analysis of Badminton Smashing Between the Skilled and the Unskilled (숙련자와 미숙련자의 배드민턴 스매시 동작의 운동학적 비교 분석)

  • Ryew, Che-Cheong;Kim, Ik-Sang
    • Korean Journal of Applied Biomechanics
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    • v.13 no.2
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    • pp.139-160
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    • 2003
  • The purpose of this study was to suggest the guideline for scientific and quantitative skill acquisition methods of badminton smashing so that the novice could learn the motions of badminton smashing efficiently. The subject participated consisted of total 6 middle school students of the stilled(3) and the unskilled(3). The cinematographical experimental & Analysis equipments used in the study were composed of two Model D-5100 Video Cameras, a control point, a synchronization timer and Kwon3d motion analysis system. The conclusions obtained were as follows, 1. It was necessary for the unskilled to learn the smashing impact phase in situation of max. velocity of COG in order to minimize the timing loss phase. 2. Particularly. The power from segments of Power Zone must participate in utilization in sequence of order of trunk-upper arm- forearm-hand-racket segment in both the skilled and the unskilled.. 3. Therefore it was necessary for the unskilled to do smashing practice for cumulated sum of absolute & relative velocity transfer into shuttle cock after adjusting anterior-posterior tilting angle and max timing, in sequence of segment recruited.

Fabrication of complete dentures for a patient with odontogenic myxoma: A case report (치성 점액종 환자의 총의치 수복증례)

  • Jeong, Da-Woon;Kim, Hyun-Hee;Bae, Jung-Yoon
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.64-69
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    • 2018
  • Odontogenic myxoma of the jaws is a rare benign odontogenic tumor. In this case, a 61-year-old male patient had a chief complaint about maxillary anterior gingival mass and excisional biopsy result confirmed odontogenic myxoma. The clear acrylic resin custom tray was designed to minimize displacement of flabby tissue which remained after the surgery. Neutral zone and external impression technique could provide satisfactory result in terms of denture stability and retention during jaw relation record and wax denture try-in procedure. This clinical report describes fabrication of complete dentures for a patient with odontogenic myxoma in regard to flabby tissue and neutral zone.