• Restorative Dentistry and Endodontics
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• v.44 no.2
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• pp.15.1-15.8
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• 2019

Objectives: The aim of this study was to investigate whether the diameter and direction of the plunger and simulation of the periodontal ligament (PDL) affected the stress distribution in endodontically treated premolars. Methods: A fracture strength test was simulated via finite element analysis. A base model was set up, and the following parameters were modified: plunger diameter (3 mm vs. 6 mm), plunger direction (vertical vs. $135^{\circ}$ angular to the central fossa), and PDL simulation. The analysis was conducted using the CosmosWorks structural analysis program, and the results are presented in terms of von Mises stresses. Results: The smaller plunger increased the stresses at the contact area of the crown, but the plunger diameter had no effect on the stress distribution within the root. An angular plunger direction increased stresses within the root, as well as at the buccal cusp of the crown, compared with the vertical direction. Simulation of the PDL caused higher stress accumulation, especially in the cervical region of the root. Conclusions: The plunger diameter had no effect on the stress distribution in the roots, whereas the plunger direction and PDL simulation did affect the stress distribution. More stringent standards can be established by taking such parameters into account when performing fracture testing in future studies.

• Archives of Plastic Surgery
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• v.50 no.5
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• pp.523-528
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• 2023

The Gustilo IIIB tibiofibular fractures often result in long bone loss and extensive soft tissue defects. Reconstruction of these complex wounds is very challenging, especially when it includes long bone grafts, because the donor site is limited. We describe our experience using a set of chimeric ipsilateral vascularized fibula grafts with a thoracodorsal artery perforator free flap to reconstruct the traumatic tibia defects. A 66-year-old male suffered a severe comminuted tibia fracture and segmented fibula fracture with large soft tissue defects as a result of a traffic accident. He also had an open calcaneal fracture with soft tissue defects on the ipsilateral side. All the main vessels of the lower extremity were intact, and the cortical bone defect of the tibia was almost as large as the fractured fibula segment. We used an ipsilateral vascularized fibula graft to reconstruct the tibia and a thoracodorsal artery perforator flap to resurface the soft tissue, using the distal ends of peroneal vessels as named into sequential chimeric flaps. After 3 weeks, the calcaneal defect was reconstructed with second thoracodorsal artery perforator free flap. Reconstruction was successful and allowed rapid rehabilitation because of reduced donor site morbidity.

• Journal of Korean Medicine Rehabilitation
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• v.31 no.1
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• pp.1-16
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• 2021

Objectives This study was designed to evaluate the effects of Danggwisu-san (Dangguixu-san, DG) on bone repair from femur fracture in mice. Methods Mice were randomly divided into 4 groups (normal, control, positive control and DG 300 mg/kg-treated group). In order to investigate the effects of DG on gene expressions in experimental animals with fracture, we measured the levels of bone morphogenetic protein-2 (BMP2), cyclooxygenase-2 (COX2), Sox9, collagen type II alpha 1 chain (Col2a1), runt-related transcription factor 2 (Runx2), osterix genes. After the cytotoxicity test, we analyzed the levels of expression of osteocalcin and Runx2, and tumor necrosis factor-α (TNF-α), a pro-inflammatory cytokine. The process of fusion in the fracture was also investigated by gross examination. Results Through in vivo BMP2, COX2 gene expression significantly decreased. Sox9 significantly increased. Col2a1, Runx2, osterix gene expression also increased as well, but there was no statistical significance. The degree of unilateral fracture fusion investigated by gross examination was significantly faster than those of the other groups. Through in vitro the level of TNF-α in macrophages was increased by DG in a dose-dependent mannerand and 250 and 500 ㎍/mL showed statistical significance. Osteocalcin and Runx2 genes expressions increased when DG was treated in osteoblasts. Conclusions DG promotes the healing of the fracture through the expression of bone repair-related genes and TNF-α production. This study may set the foundation for the clinical application of DG to the patients with bone fractures.

• Restorative Dentistry and Endodontics
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• v.46 no.2
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• pp.28.1-28.10
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• 2021

Objectives: This study evaluated the effect of repeated uses and autoclaving in the instrumented area, fracture resistance, and time of instrumentation of thermally treated nickel-titanium reciprocating systems. Materials and Methods: Two hundred simulated canals were instrumented using Reciproc Blue and WaveOne Gold. Each file was used up to 10 times or until fracture. The instrumented area was measured in pre- and post-operative images, using ImageJ software. Kaplan-Meier survival analysis evaluated the number of uses of instruments before fracture. Instrumented area and time of instrumentation were analyzed by Mann-Whitney U test and Kruskal-Wallis. Correlations among the number of uses and instrumented area were measured. The level of statistical significance was set at p < 0.05. Results: Reciproc Blue presented a higher estimated number of uses in comparison with WaveOne Gold (p = 0.026), but autoclaving did not affect the resistance to fracture of instruments (p > 0.05). The instrumented area was different among the evaluated groups (p = 0.039), and the instrumented area along the uses of both tested instruments was reduced. With the time of instrumentation, there was also a significant difference among the evaluated groups; the groups without sterilization cycles were faster, in comparison to those submitted to autoclaving (p = 0.010). Conclusions: Reciproc Blue was more resistant than WaveOne Gold, suffering later fracture. Additionally, the sterilization cycles did not influence the estimated number of uses of thermally treated reciprocating instruments, but the instrumented area of root canals was reduced along with the repeated uses of both instruments.

• Structural Engineering and Mechanics
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• v.87 no.3
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• pp.243-254
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• 2023

Engineering structures usually suffer from cracks. The crack geometry has an influence on the structural mechanical properties and subsequent crack propagations. However, as an extensively utilized method in fracture analysis, the extended finite element method provided by Abaqus fails to output the specific location and dimensions of fractures. In this study, a technique to capture the crack geometry is proposed. The technique is based on the invariant level set method (I-LSM), which can avoid updating the level set function during crack development. The solution is achieved by an open-source plug-in programmed by Python. Three examples were performed to verify the effectiveness and robustness of the program. The result shows that the developed program can accurately output the crack geometry in both the 2D and 3D models. The open-source plug-in codes are included as supplementary material.

• International Journal of Highway Engineering
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• v.16 no.2
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• pp.91-98
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• 2014

PURPOSES : The objective of this study is to investigate the effect of asphalt and geotextile interlayer on the fracture behavior of unbonded concrete overlay through a laboratory composite beam test. METHODS : In order to evaluate the effect of interlayer materials on the fracture behavior of unbonded concrete overlay, a laboratory test of composite beam was conducted with different types of interlayer. The test results of the composite beam using two types of geotextile interlayer with different thicknesses were compared to the test results of the composite beam using the tradition type of asphalt interlayer. The unbonded concrete overlay on the existing concrete pavement without interlayer was set for the control condition. RESULTS AND CONCLUSION : Overall, the laboratory composite beam test results did show the effect of asphalt and geotextile interlayer on the fracture behavior of composite concrete beams. The three-layer geotextile interlayer and HMA layer both increase the peak load when the first macrocrack occurs in the top concrete beam, while the HMA interlayer causes the smallest load drop percentage after the first macrocrack. The three-layer geotextile did show better performance than the single-layer geotextile through the greater peak load and smaller load drop percentage. It indicates that the thickness of geotextile interlayer will affect the fracture behavior of unbonded concrete overlay and the thicker geotextile interlayer is recommended.

• Tunnel and Underground Space
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• v.25 no.4
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• pp.359-372
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• 2015

Rock masses include various rock discontinuities such as faults, joints, and bedding planes. These discontinuities appear as complex structures in geometry. In this study, growth patterns of fractures between two stepping shear fracture tips are numerically modeled using PFC2D (Particle Flow Code). The numerical model showed not only incipient growth of fractures at the tips of preexisting fractures but also subsequent growth of the new fractures. It is observed from all of the experiments that the incipient fractures are tensile cracks developed at $30{\sim}57^{\circ}$ to the preexisting fractures and the subsequent growth of these fractures were at low angles to the preexisting fractures this study.

• The Journal of Advanced Prosthodontics
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• v.7 no.1
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• pp.27-31
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• 2015

PURPOSE. The purpose of this report was to evaluate the effect of the fabrication method and material type on the fracture strength of provisional crowns. MATERIALS AND METHODS. A master model with one crown (maxillary left second premolar) was manufactured from Cr-Co alloy. The master model was scanned, and the data set was transferred to a CAD/CAM unit (Yenamak D50, Yenadent Ltd, Istanbul, Turkey) for the Cercon Base group. For the other groups, temporary crowns were produced by direct fabrication methods (Imident, Temdent, Structur Premium, Takilon, Systemp c&b II, and Acrytemp). The specimens were subjected to water storage at $37^{\circ}C$ for 24 hours, and then they were thermocycled (TC, $5000{\times}$, $5-55^{\circ}C$) (n=10). The maximum force at fracture (Fmax) was measured in a universal test machine at 1 mm/min. Data was analyzed by non-parametric statistics (${\alpha}$=.05). RESULTS. Fmax values varied between 711.09-1392.1 N. In the PMMA groups, Takilon showed the lowest values (711.09 N), and Cercon Base showed the highest values (959.59 N). In the composite groups, Structur Premium showed the highest values (1392.1 N), and Acrytemp showed the lowest values (910.05 N). The composite groups showed significantly higher values than the PMMA groups (P=.01). CONCLUSION. Composite-based materials showed significantly higher fracture strengths than PMMA-based materials. The CADCAM technique offers more advantages than the direct technique.

• Archives of Plastic Surgery
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• v.34 no.2
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• pp.186-190
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• 2007

Purpose: Plate systems have been used for osteosynthesis of cranial and oromaxillofacial fracture. However, there is no consensus on the need for routine removal of plate and the question about indications of removal. Therefore, we present the retrospective study to clarify the indications and consensus of removal. Methods: The medical records of patients who were treated with rigid internal fixation using plates after craniofacial trauma were reviewed. Study variables included age, gender, type of fracture, type of plate, seniority of the operator, causes of removal, and time between insertion and removal. All results amendable to statistics were analyzed using SPSS 10.0 to determine which set of variables might affect the fate of the plates. Results: For a period of 10 years (March 1, 1994 through July 31, 2004), total of 41 plates(6.7%) were removed among 609 plates inserted into 419 patients; 27 plates were removed from 15 patients for infection, which is the most common cause of removal accounting for 65.8%. Mean time between insertion and removal is 35.2 months and mean age is 41.4 years. Most plates were removed from combined fracture(14.92%) and facial fracture(8.47%) and these were statistically significant. The age, gender, seniority of the operator and other variables were not statistically associated with plate removal. Conclusion: This retrospective study shows that routine removal does not appear to be clinically indicated due to respectively low removal rate and that the commonest indications for removal were infection.

• Journal of Physiology & Pathology in Korean Medicine
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• v.26 no.1
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• pp.98-104
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• 2012

The objective of this study is to report the effectiveness of active postoperative rehabilitation on clavicular fracture by oriental medical interventions and to suggest the importance of proper rehabilitation after operation. A female patient, 43 years old, who had operation for right distal clavicular fracture was treated by oriental medical rehabilitation. We evaluated the consequence by checking numeric rating scale(NRS), shoulder range of motion and shoulder pain and disability index(SPADI). The pain of the patient was decreased and the shoulder range of motion was advanced. SPADI score was decreased. Postoperative-oriental medical rehabilitation can be effectively used for a patient on postoperative state of clavicular fracture. Further studies are needed to set up a rehabilitation protocol with oriental medical interventions after operation.