• Title/Summary/Keyword: fracture repair

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Postoperative malocclusion after maxillofacial fracture management: a retrospective case study

  • Kim, Sang-Yun;Choi, Yong-Hoon;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.40
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    • pp.27.1-27.8
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    • 2018
  • Purpose: Various complications occur when a maxillofacial fracture is malunionized or improperly resolved. Malocclusion is the most common complication, followed by facial deformity, temporomandibular joint disorder (TMD), and neurological symptoms. The purpose of this study was to evaluate the dental treatment of postoperative complications after maxillofacial fracture. Materials and methods: In this study, nine patients with a postoperative complication after maxillofacial fracture who had been performed the initial operation from other units and were referred to the authors' department had been included. Of the nine patients, six had mandibular fractures, one had maxillary fractures, one had maxillary and mandibular complex fractures, and one had multiple facial fractures. All the patients had tooth fractures, dislocations, displacements, and alveolar bone fractures at the time of trauma, but complications occurred because none of the patients underwent preoperative and postoperative dental treatment. Malocclusion and TMD are the most common complications, followed by dental problems (pulp necrosis, tooth extrusion, osteomyelitis, etc.) due to improper treatment of teeth and alveolar bone injuries. The patients were referred to the department of dentistry to undergo treatment for the complications. One of the nine patients underwent orthognathic surgery for a severe open bite. Another patient underwent bone reconstruction using an iliac bone graft and vestibuloplasty with extensive bone loss. The other patients, who complained of moderate occlusal abnormalities and TMDs such as mouth-opening limitation, underwent occlusal treatment by prosthodontic repair and temporomandibular joint treatment instead of surgery. Results: One patient who underwent orthognathic surgery had complete loss of open bite and TMD after surgery. One patient who underwent reconstruction using an iliac bone graft had a good healing process. Other patients were treated with splint, injection, and physical therapy for mouth-opening limitation and temporomandibular joint pain. After treatment, the TMDs were resolved, but the remaining occlusal abnormalities were resolved with prosthetic restoration. Conclusions: Considering the severity of malocclusion and TMJ symptom and the feasibillity of reoperation, nonsurgical methods such as orthodontic and prosthodontic treatments and splint therapy can be used to manage the dental and TMD complication after the trauma surgery. However, reoperation needs to be strongly considered for severe malocclusion and TMD problem.

Clinical evaluation of tooth replantation and transplantation of old patients (노인 환자에 있어서 치아 재식술 및 이식술의 임상적 고찰)

  • Ha, Jung-Hong;Jin, Myoung Uk
    • The Journal of the Korean dental association
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    • v.50 no.8
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    • pp.507-515
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    • 2012
  • The purpose of this article is to discuss the effect of aging on the treatment of replantation and transplantation of teeth in old patients. I case of replantation and 2 cases of transplantations in old patients are reported in this article. Patients aged 65 and over are included. They had several problems such as periapical lesion, crack or foot fractures. In those cases, the replantation and transplantation were treatment of choice. White ProRoot MTA was used in apical retrograde filling and perforation repair. After replantation and transplantation of teeth, follow-up visits showed signs of healing in 3 cases. Considerations and indications for replantation and transplantation are not much affected by age. Old patients are aware that replantation and transplantation can be performed comfortably and that age is not a factor in prediction success.

Development of the Smart Concrete Using Electric Resistance (전기 저항을 이용한 스마트 콘크리트의 개발)

  • 김화중;김이성;김형준
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2004.04a
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    • pp.447-453
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    • 2004
  • Various structural materials have been used in construction projects using stones, connotes, and steels materials. Among of these projects, concretes may use widely because concretes have high compressive strength, and comparatively easy maintenance and management. Reinforced concrete Buildings will be deteriorated as time passed. These problems will be accelerated by propagation of cracks. In order to manage such cracks, time, efforts and expense are required. In this study, leakages of fluorescence and adhesive material were investigated using glass sensors that were embedded in a model beam and column. In addition, currents in glass pipe sensor were observed to find leakage of liquid in glass pipes. Progressive cracks were generated by fracture of glass me sensor. In this investigation, a reinforcement clothing system was wrapped for a glass pipe sensor, The glass pipe sensor that can make control and reinforce cracks simultaneously.

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Development of the Wireless-Diagnosis Smart Concrete using PZT for Damage (압전소자를 이용한 무선 손상자현 스마트 콘크리트의 개발)

  • Kim Ie-Sung;Lee Soo-Gon;Kim Wha-Jung
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2005.04a
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    • pp.416-421
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    • 2005
  • Concrete are brittle materials and they are which come to brittle fracture rapidly by progress of cracks. Therefore, what the time for repairing the damage portion is understands importantly by such cracks. When they happened the glass pipe similar to concrete was used. Such a glass pipe can insert repair material in an inside, or can use it by switch. They are interested in the crack monitoring of structure using FM radio sensor and PZT sensor. In this study, the monitoring to a crack was studied using FM radio sensor and PZT sensor. Therefore, the purpose of this study is the fundamental research which detects damages of main members using the compound sensor which consisted of the radio sensors of resistance, PZT, and FM system.

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Strength Evaluation and Life Prediction of the Multistage Degraded Materials (다단계 모의 열화재의 재료강도 평가와 수명예측)

  • 권재도;진영준;장순식
    • Transactions of the Korean Society of Mechanical Engineers
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    • v.17 no.9
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    • pp.2271-2279
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    • 1993
  • In the case of life prediction on the structures and machines after long service, it is natural to consider a degradation problems. Most of degradation data form practical structures are isolated data obtained at the time of periodical inspection or repair. From such data, it may be difficult to obtain the degradation curve available and necessary for life prediction. In this paper, for the purpose of obtaining a degradation curves, developed the simulate degradation method and fatigue test and Charpy impact test were conducted on the degraded, simulate degraded and recovered materials. Fatigue life prediction were conducted by using the relationship between fracture transition temperature (DBTT : vTrs) obtained from the Charpy impact test through the degradation process and fatigue crack growth constants of m and C obtained from the fatigue test.

Repair of Fractured Tusk in an Asian Elephant By Pulp Capping (치수충진술에 의한 아시아 코끼리의 상아골절 치료)

  • 황범태;권수완;이기환;정희경;신남식;최종호;권오경;이흥식
    • Journal of Veterinary Clinics
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    • v.13 no.2
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    • pp.208-211
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    • 1996
  • The left tusk of Asian elephant (Elephas maximus) was splitted longitudinally and its middle portion avulsed by slip. The pulp was exposed and bled. A loosened tusk fragment continued to irritate its sulcus. We performed a partial pulpotomy and pulp capping. We filled the wide space between the loosened tusk fragment and the counterpart with zinc oxide eugenol and zine phophate cement but it was failed, and then we fastened the loosened tusk fragment to the counterpart by gauze and plaster. The ollsened tusk fragment grew to drop 100 days after the insult and main portion with pulp capping was healthy.

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Design Optimization on End Coupling as a Power Transmission Component for Aluminum Hot Rolling Process (알루미늄 열간 압연공정의 동력 전달용 커플링에 대한 최적화 설계)

  • Lee, Hyun-Seung;Lee, Young-Shin
    • Korean Journal of Computational Design and Engineering
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    • v.17 no.1
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    • pp.1-6
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    • 2012
  • The End Coupling is main component of the aluminum hot roll process. The End Coupling is used for transmission of rotational power with heavy-duty load. Fracture of the End Coupling cause serious economic losses because an End Coupling is a very expensive component and it takes a long time to repair it. Therefore, preventing the destruction of the End Coupling is essential for ensuring a long mechanical life cycle. In this paper, the parametric study on the End Coupling was performed in order to minimize maximum stress under operation loads. To verify the interference of spindle assembly with modified End Coupling, kinematics simulation was performed by applying the various combination type and dynamic boundary condition of the spindle assembly. The interference of optimized model was not occurred during combination process and driving process. As a result of an optimum design for life extension on End Coupling, the maximum stress of modified End Coupling was lower than that of the initial model by 26%.

Orbital Floor Fracture

  • Kim, Hyo Seong;Jeong, Eui Cheol
    • Archives of Craniofacial Surgery
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    • v.17 no.3
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    • pp.111-118
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    • 2016
  • The medial wall and floor of the bony orbit are frequently fractured because of the delicate anatomy. To optimize functional and aesthetic results, reconstructive surgeons should understand the anatomy and pathophysiology of orbital fractures. Appropriate treatment involves optimal timing of intervention, proper indications for operative repair, incision and dissection, release of herniated tissue, implant material and placement, and wound closure. The following review will discuss the management of orbital floor fractures, with the operative method preferred by the author. Special considerations in operation technique and the complication are also present in this article.

Development of Self-Diagnosis Function Concrete for Damage (자기손상자현 기능성 콘크리트 개발)

  • 장주영;김이성;김화중
    • Proceedings of the Korea Concrete Institute Conference
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    • 2003.11a
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    • pp.198-201
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    • 2003
  • The R.C Building will be superannuated as time passes. This program is generated by propagation of cracks. In order to manage such cracks, time and efforts, expense, etc. are required. In this study, glass sensors were embedding in a model beam and column and leakage of fluorescence and adhesive material was investigated. Further, currents in glass pipe were observed to find the leakage of liquid in glass pipes. Progressive cracks generated by cause the fracture of glass pipes. Therefore, the liquid become to flow and electric current stops, and the cracked part of the member can be found easily. Moreover, the adhesive delays progressive cracking system that responds in air, and the life of a structure can be made to extend. The purpose of this research is to develop of low price sensors that can perform of self-diagnosis in addition to ability of concrete repair concrete to damage.

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The Behavior between Steel fiber Reinforced Concrete Both Simple and Continuous Beams (강섬유 보강 철근 콘크리트 단순보와 연속보의 거동)

  • 곽계환;김원태;김기순;장화섭
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2003.04a
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    • pp.167-174
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    • 2003
  • It is absolutely natural to be interested in durability and safety of the structure under shear behavior. To fulfill this desire, a comparison on the shear behavior between steel fiber reinforced concrete both simple and continuous beams is done to use in the field working. Several operations are conducted : First of all, plan for optimal combination is standardized. Second, resistance for shear has been generalized in that it is decided by combination of individual elements. Third, as the fracture of tensile bar leads to destruction of specimen, shear behavior of whole specimen is decided by stress working on tensile bar. It should be generalized for other specimens also. Forth, evidence of the softness of steel fiber reinforced concrete beam by experiment lead to application in the fields. Finally, numeral values of the steel fiber reinforced concrete are analyzed and the result is compared to those of experiments. With these consequences, this study was done for the application to dynamic structures such as bridges and the repair and rehabilitation.

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