• 구강회복응용과학지
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• 제33권3호
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• pp.223-229
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• 2017

단일 치아의 인상채득을 위해서는 바이트 트레이를 이용한 폐구인상법이 선호된다. 그러나 임플란트 인상채득을 위해서는 단일치와 다수치 구분 없이 편악 트레이를 이용한 개구인상법이 주로 사용되고 있다. 바이트 트레이를 이용하는 폐구인상법은 시간이 절약되고 재료가 적게 들며, 모형의 교합기 부착 시 상하악 악간 위치 관계 오차 발생 확률이 적다. 본 증례에서는 2 가지 종류의 폐구인상용 코핑을 이용해 바이트 트레이로 인상채득 후 단일 임플란트 고정성 보철물을 제작함에 있어 만족할 만한 결과를 얻어 보고하고자 한다.

• 대한치과의사협회지
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• 제38권8호통권375호
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• pp.773-779
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• 2000

• Journal of Oral Medicine and Pain
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• 제23권4호
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• pp.379-385
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• 1998

A patient with TMJ osteoarthritis and anterior open bite was treated with an intermaxillary traction device. Pretreatment examination revelaed a pain in both TMJ during mouth opening, moderate tendernesso f left sternocleidomastoid and right trapezius muscles. Anterior open Bite was aobserved with interincisal distance of 2mm. Tomograms and MRI showed anterior disc displacement withouit reductoin of both temporomandibular joints, and the condyles were flattened and slightly eroded. A pair of full-coverage occlusal appliances was made on both maxillary and mandibular dentition, with pivoting fulcrum on the site of the second moalr. Traction force was gained by the intermaxillary orthodontic elastics which were hooked by orthodontic brackets on the labial surfaces of the upper and lower anterior and premolar teeth. After 8 weeks of traction treatment, the joint pain was subsided completely and the anterior open bite was closed to get an edge to edge relationship of anterior teeth.

• Journal of Oral Medicine and Pain
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• 제23권4호
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• pp.369-377
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• 1998

A patient with TMJ osteoarthritis and anterior open bite was treated with an intermaxillary traction device. Pretreatment examination revelaed a pain in both TMJ during mouth opening, moderate tendernesso f left sternocleidomastoid and right trapezius muscles. Anterior open Bite was aobserved with interincisal distance of 2mm. Tomograms and MRI showed anterior disc displacement withouit reductoin of both temporomandibular joints, and the condyles were flattened and slightly eroded. A pair of full-coverage occlusal appliances was made on both maxillary and mandibular dentition, with pivoting fulcrum on the site of the second moalr. Traction force was gained by the intermaxillary orthodontic elastics which were hooked by orthodontic brackets on the labial surfaces of the upper and lower anterior and premolar teeth. After 8 weeks of traction treatment, the joint pain was subsided completely and the anterior open bite was closed to get an edge to edge relationship of anterior teeth.

• 대한치과교정학회지
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• 제34권1호
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• pp.13-21
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• 2004

본 연구에서는 전치부의 개방교합을 동반한 환자 5명의 증례를 분석하여 (1) 성인에서의 상악 구치 함입을 통한 개방교합의 치료의 가능성과 (2) 이때 고정원으로서의 정중구개부 미니스크류의 유용성 여부와 (3) 치료에 의한 골격성, 치아-치조골의 변화에 대해 알아보고자 하였다. 상악구치부를 스플린트한 후 정중구개부에 두개의 미니스크류를 삽입하고 구개횡선 아치로 상악제 일대구치를 연결한 뒤, 탄성 재를 이용하여 상악 제일대구치에 함입력을 적용하였다. 측면 두개방사선상의 변화에 대한 분석 결과 다음과 같은 결과를 얻었다. 1. 모든 환자에서 상악 제1대구치의 실질적인 압하가 일어났고, 이때 평균 압하량은 $3.4mm(1.5mm\~5.0mm)$였다. 2. 상악 구치의 압하를 시행하는 동안 임상적으로 정중구개부의 미니스크류의 안정성이 유지되었다. 3. 하악이 반시계방향으로의 회전되었으며, 하악평면각, 교합평면각의 감소가 관찰되었다.

• Archives of Plastic Surgery
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• 제38권1호
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• pp.121-126
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• 2011

Purpose: Vaccum-assisted closure (VAC) has rapidly evolved into a widely accepted treatment of contaminated wounds, envenomations, infiltrations, and wound complications. This results in a sealed, moist environment where tissue is given the opportunity to survive as edema is removed and perfusion is increased. Many plastic surgeons now place a VAC device directly over the fasciotomy site at the time of the initial procedure. Large amounts of the fluid are withdrawn, and fasciotomies can be closed primarily sooner. This study was designed to observe the effect of VAC in preventing complications in snake bitten hands. Methods: In our study of three cases of snake bite, three of them underwent the VAC treatment & fasciotomy of the wound in the hand. This cases, the posterior compartment of the hand was bitten for a few days, releasing incisions were made of the posterior hand and 125 mmHg of continuous vacuum was applied to fasciomy incision site and the biting wound. The dressings were changed three times per week. Results: Our study examining the effects of applied vacuum in preventing snake bite wounds showed that the incidence of tissue necrosis and compartment syndrome was significantly lower for vacuum-treated wounds than for conservative wounds. Serum myoglobin, CK-MB, and CPK levels measured after fasciotomy incision were significantly decreased. We obtained satisfactory results from early dorsal fasciotomy, drainage of the edema with the VAC system, and then primary closure. The postoperative course was uneventful. Conclusion: Envenomation is a term implying that sufficient venom has been introduced into the body to cause either local signs at the site of the bite and/or systemic signs. Use of the vacuum-assisted closure device in snake bite can result in a decreased rate of tissue necrosis, lymphatic fluid collection, hemolytic fluid collection, and edema. Early fasciotomy of the dorsal hand and VAC apply is the alternative treatment of the snake bite.

• 대한소아치과학회지
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• 제28권2호
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• pp.323-328
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• 2001

전치부 개교합은 상 하악 전치부가 폐구 시 절단 기능에 필수적인 수직피개가 결여되어 있는 상태를 말한다. 일반적인 원인으로는 손가락 빨기, 혀 내밀기, 유아성 연하, 비호흡 부전, 골격성장의 이상 또는 이들이 복합적으로 작용되어 나타날 수 있으며, 어떤 종류의 부정교합과도 함께 나타날 수 있다. 전치부 개교합을 위한 치료 방법은 다양하지만, Rolf Fr$\"{a}$nkel에 의해 고안된 Fr$\"{a}$nkel appliance(FR-4)는 골격성 I급 혹은 II급 부정교합과 함께 나타난 개교합의 치료에 특히 효과적인 것으로 알려져 있다. 서양인에서는 골격성 II급 부정교합이 높은 빈도로 나타나고, 개교합도 이와 함께 나타나는 경우가 많다. 그러나 동양인에서는 골격성 III급 부정교합의 빈도가 높고, 개교합 또한 이와 같은 골격형태와 함께 나타나는 경우가 흔히 있다. 이러한 문제점을 갖는 환자에 있어서 전통적인 FR-4의 사용이 개교합의 교정에 도움이 되었을지라도, 골격성 III급 부정교합을 악화시키는 것으로 나타났다. 두 가지 문제점을 동시에 교정하기 위하여, labial bow를 하악 전치부에, labial pads를 상악 전치부에 위치시킨 modified FR-4를 고안하게 되었다. 다음의 임상례는 전치부 개교합을 동반한 골격성 III급 부정교합을 보이는 환자를 대상으로, 전통적인 FR-4와 modified FR-4를 이용하여 치료한 결과를 비교한 것이다. 첫 번째 임상례는 전통적인 FR-4를 사용한 경우로서, 전치부 개교합은 개선되었으나 골격성 III급 부정교합의 형태가 심해졌다. 그러나 두 번째와 세 번째 임상례에서는 modified FR-4를 사용한 결과, 전치부 개교합과 III급 부정교합이 동시에 개선된 것으로 나타났다.

• Journal of Chest Surgery
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• 제16권1호
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• pp.121-126
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• 1983

8 cases of the esophageal perforations were treated at the department of thoracic surgery, Chungnam National University Hospital during the period from July, 1980 to Dec., 1982. The causes of the perforation were various; swallowed a piece of glass, stocking pin, coiled wire, compressed air blow, strenuous vomiting, dog bite, tiller accident, and endoscopic procedure. The perforation sites were cervical esophagus in 3 cases, upper thoracic in 2 cases and lower thoracic in remains. We have performed following surgical procedure; Incision and drainage for cervical abscess, closed thoracostomy, thoracotomy and debridement, esophagoscopy and gastrostomy. Two cases were died. The causes of death were massive bleeding and sepsis.

• Journal of Yeungnam Medical Science
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• 제19권2호
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• pp.144-150
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• 2002

영남대학교 의과대학 부속병원 치과학교실에서는 악기능 장치를 이용하여 비관혈적 정복술을 시행한 하악 과두 골절 1례에서 양호한 치료 경과를 보였기에 문헌 고찰과 함께 보고하는 바이다. 추후 본 증례에 기초한 다수 증례의 연구가 필요할 것으로 사료된다.

• 대한치과의사협회지
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• 제12권9호
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• pp.691-694
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• 1974

The trends of restoration on abrased teethis mostly based on gnathology or on practical experience. This study was performed on plaster models from 60 young men whose teeth and occlusion are clinically normal. A pair, upper and lower models, were mounted on HANAU articulator. Iron ball bearing 0.2mm 0.5mm 0.7mm and 1.0mm in diameter was attached on mesiobuccal cusp of upper first molar. [table I] Long ribbon shape of cold cure resin was inserted and jaw was closed gently so as not to move disturb original position of iron ball. The resin bite registration was measured minimun thickness from each lingual cusps of upper jaw and buccal cusps of lower jaw by means of Bowley gauge. The results were as follows (graph). 1) The distance from upper lingual cusps and lower buccal cusps: backward cusps showed smaller than standard cusp (upper mesio-buccal cusp) and forward cusps showed longer than standard. 2) The measurements from upper lingual cusps are not coincide with lower buccal cusps.