• 제목/요약/키워드: impaction

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가천의대 길병원 교정과에 내원한 매복치 환자의 특성과 치료기간 및 방법에 관한 연구(2005년~2008년) (Research on characteristics and treatment duration and method of patients with tooth impaction who visited Gachon University Gil Hospital Orthodontic Department (year 2005-2008))

  • 문철현;강현욱;최진휴
    • 대한치과의사협회지
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    • 제49권4호
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    • pp.211-218
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    • 2011
  • Purpose: An impacted tooth is defined as a tooth that shows delayed eruption and is expected to erupt incompletely by clinical and radiograph examination despite it reaching its expected time of eruption. The aims of this study were to investigate the clinical and radiological characteristics and treatment duration and method of impacted teeth in Korean patients. Materials and Methods: For this study we used clinical records, study models, panoramic radiographs and intraoral photographs of patients who attended Gachon University Gil Hospital Orthodontic Department between 2005 and 2008. There were 164 patients with a total number of 202 impacted teeth. Results: Male patients shows a little more prevalence than female patients (1.13:1). The under 12 age group had the highest prevalence of tooth impaction, and the over 19 age group showed the least prevalence of tooth impaction. The ratio of tooth impaction between the left to right ratio was 1.73:1 and maxilla and mandible was 1.84:1. The impacted teeth were most commonly positioned buccally (76 cases, 41.5%). Full nap closure technique (108 cases, 81.2%)was most frequently used for attachment of surgical traction hooks. Maxillary canine impaction was most commonly encountered both in male and female patients. The mean treatment period was 12.2 months and the success rate of treatment was 90.3%. The canine tooth shows the longest treatment time and highest failure rate. The ankylosis was the major cause of failure. Conclusion: Impacted teeth most commonly show in left side maxilla in the under 12 age group. And it is most commonly positioned buccally. The mean treatment period was 12.2 months, and the success rate of treatment was 90.3%.

Clinical Characteristics of Children Needing Inpatient Treatment after Failed Outpatient Treatment for Fecal Impaction

  • Sinha, Amrita;Mhanna, Maroun;Gulati, Reema
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제21권3호
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    • pp.196-202
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    • 2018
  • Purpose: Treatment of chronic constipation and fecal impaction is usually outpatient and requires high or frequent doses of laxatives. However, there are children who fail outpatient treatments, sometimes repeatedly, and are ultimately hospitalized. We sought to compare the characteristics of the children who failed outpatient treatment and needed inpatient treatment vs those who achieved success with outpatient treatment, in an effort to identify attributes that might be associated with a higher likelihood towards hospitalization. Methods: In this retrospective cohort study, we reviewed the medical records of all patients aged 0 to 21 years, with chronic functional constipation and fecal impaction seen in the pediatric gastroenterology clinic over a period of 2 years. Results: Total of 188 patients met inclusion criteria. While 69.2% were successfully treated outpatient (referred to as the outpatient group), 30.9% failed outpatient treatment and were hospitalized (referred to as the inpatient group). The characteristics of the inpatient group including age at onset of $3.6{\pm}3.6years$ (p=0.02); black ethnicity (odds ratio [OR] 4.31, 95% confidence interval [95% CI] 2.04-9.09); p<0.001); prematurity (OR 2.39, 95% CI 1.09-5.26; p=0.02]; developmental delay (OR 2.20, 95% CI 1.12-4.33; p=0.02); overflow incontinence (OR 2.26, 95% CI 1.12-4.53, p=0.02); picky eating habits (OR 2.02, 95% CI 1.00-4.08; p=0.04); number of ROME III criteria met: median 4, interquartile range 3-5 (p=0.04) and $13{\pm}13.7$ constipation related prior encounters (p=0.001), were significantly different from the outpatient group. Conclusion: Identification of these characteristics may be helpful in anticipating challenges and potential barriers to effective outpatient treatment.

Three-dimensional analysis of impacted maxillary third molars: A cone-beam computed tomographic study of the position and depth of impaction

  • de Andrade, Priscila Ferreira;Silva, Jesca Neftali Nogueira;Sotto-Maior, Bruno Salles;Ribeiro, Cleide Gisele;Devito, Karina Lopes;Assis, Neuza Maria Souza Picorelli
    • Imaging Science in Dentistry
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    • 제47권3호
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    • pp.149-155
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    • 2017
  • Purpose: The classification of impacted maxillary third molars(IMTMs) facilitates interdisciplinary communication and helps estimate the degree of surgical difficulty. Thus, this study aimed to develop a 3-dimensional classification of the position and depth of impaction of IMTMs and to estimate their prevalence with respect to gender and age. Materials and Methods: This cross-sectional retrospective study analyzed images in sagittal and coronal cone-beam computed tomography (CBCT) sections of 300 maxillary third molars. The proposed classification was based on 3 criteria: buccolingual position (buccal, lingual, or central), mesial-distal position (mesioangular, vertical, or distoangular), and depth of impaction (low, medium, or high). CBCT images of IMTMs were classified, and the associations of the classifications with gender and age were examined using analysis of variance with the Scheffe post-hoc test. To determine the associations among the 3 classifications, the chi-square test was used (P<.05). Results: No significant association of the classifications with gender was observed. Age showed a significant relationship with depth of impaction (P=.0001) and mesial-distal position (P=.005). The most common positions were buccal(n=222), vertical(n=184), and low (n=124). Significant associations among the 3 tested classifications were observed. Conclusion: CBCT enabled the evaluation of IMTMs in a 3-dimensional format, and we developed a proposal for a new classification of the position and depth of impaction of IMTMs.

Nasal airway function after Le Fort I osteotomy with maxillary impaction: A prospective study using the Nasal Obstruction Symptom Evaluation scale

  • Kim, Hyo Seong;Son, Ji Hwan;Chung, Jee Hyeok;Kim, Kyung Sik;Choi, Joon;Yang, Jeong Yeol
    • Archives of Plastic Surgery
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    • 제48권1호
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    • pp.61-68
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    • 2021
  • Background This study evaluated changes in nasal airway function following Le Fort I osteotomy with maxillary impaction according to the Nasal Obstruction Symptom Evaluation (NOSE) scale. Methods This cohort study included 13 patients who underwent Le Fort I osteotomy with maxillary impaction. Nasal airway function was evaluated based on the NOSE scale preoperatively and at 3 months postoperatively. The change in the NOSE score was calculated as the preoperative score minus the postoperative score. If the normality assumptions for changes in the NOSE score were not met, a nonparametric test (the Wilcoxon signed-rank test) was used. Differences in NOSE score changes according to patient characteristics and surgical factors were evaluated using the Kruskal-Wallis test and the Mann-Whitney test. Results Patients ranged in age from 18 to 29 years (mean ±standard deviation [SD], 23.00±3.87 years). Three were men and 10 were women. Eleven patients (84%) had an acquired dentofacial deformity with skeletal class III malocclusion. The preoperative NOSE scores ranged from 40 to 90 (mean±SD, 68.92±16.68), and the postoperative NOSE scores ranged from 25 to 80 (53.84±18.83). The cohort as a whole showed significant improvement in nasal airway function following maxillary impaction (P=0.028). Eleven patients (84%) had either improved (n=8) or unchanged (n=3) postoperative NOSE scores. However, nasal airway function deteriorated in two patients. Patient characteristics and surgical factors were not correlated with preoperative or postoperative NOSE scores. Conclusions Nasal airway function as evaluated using the NOSE scale improved after maxillary impaction.

Ruminal impaction with an indigestible foreign body in long-tailed goral (Naemorhedus caudatus)

  • Sangjin Ahn;Woojin Shin;Yujin Han;Sohwon Bae;Chea-Un Cho;Sooyoung Choi;Yeonsu Oh;Jong-Taek Kim
    • 한국동물위생학회지
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    • 제46권2호
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    • pp.161-165
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    • 2023
  • A 6-year-old female long-tailed goral (Naemorhedus caudatus, goral) was admitted to the Gangwon wildlife medical rescue center due to severe starvation and hypothermia. The goral displayed clinical signs of severe weight loss, dehydration, lethargy, regurgitation, hypothermia, and bloating, with blood tests showing a decrease in albumin, calcium, glucose, and sodium. Supportive care was given through heating, oxygen supply, and fluid therapy, but the goral's condition worsened, and the goral died three days after admission. Radiographic and computed tomography scans revealed the presence of an indigestible foreign body (IFB) in the rumen, which was confirmed during the necropsy. The cause of goral's death was identified as chronic rumen impaction caused by the IFB (a ball of string), with other pathological findings including bloating, the presence of serous ascites, and congestion of digestive organs. Blood biochemical changes, clinical signs, and veterinary medical imaging diagnosis can be helpful in diagnosing ruminal impaction. This case report can provide valuable information for the diagnosis and treatment of ruminal impaction caused by IFB in endangered gorals, which may include rumenotomy or other surgical procedures.

임팩션 다공성 Plate가 결합된 Hybrid 집진 시스템의 특성 (Characteristics of Hybrid Precipitator Combined With Impaction Porous Plate)

  • 조용수;여석준
    • 한국대기환경학회:학술대회논문집
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    • 한국대기환경학회 2003년도 춘계학술대회 논문집
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    • pp.395-396
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    • 2003
  • 최근, 고효율 집진장치로 새롭게 부각되고 있는 hybrid 집진 시스템은 2가지 이상의 집진 메카니즘을 1기의 단일 시스템에 결합시킴으로써, 시스템의 고성능화와 장치의 규모 및 설치비를 줄일 수 있는 중요한 장점을 지니고 있다. 본 연구에서는 전기력, 원심력 및 impaction 메카니즘(시스템 내부에 임팩션 효과를 유발시키는 impaction porous plate의 설치)을 결합하여 99% 이상의 집진효율을 기대할 수 있는 hybrid 집진 시스템의 특성을 연구하였다. 이는 99%의 고효율을 유지하는 기존 여과집진장치의 문제점인 낮은 여과속도(즉, 장치의 대형화), filter의 유지ㆍ관리 및 탈진 공정에 의한 연속 조업의 어려움 등을 동시에 해결할 수 있는 집진 시스템으로 이에 대한 연구가 수행되면 기존 가장 광범위하게 사용되지만, 많은 문제점을 지니고 있는 여과집진기를 대체할 수 있는 새로운 개념의 집진 시스템이 개발될 수 있을 것으로 생각된다. (중략)

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디젤분무의 새로운 벽면충돌모델 (New Wall Impaction Model for Diesel Spray)

  • 박권하
    • 한국전산유체공학회지
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    • 제2권2호
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    • pp.80-88
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    • 1997
  • A new wall impaction model for diesel spray is described in this paper. The gas phase is modelled in terms of the Eulerian continuum conservation equations of mass, momentum, energy and fuel vapour fraction. The liquid phase is modelled following the discrete droplet model approach. The droplet parcel contains many thousands of drops assumed to have the same size, temperature and velocity components. The droplet parcel equations of trajectory, momentum, mass and energy are written in Lagrangian form. The new drop-wall interaction model is proposed, which is based on experimental investigations on individual drops, and it is applied for the general non-orthogonal grid. The model is then assessed through comparison with experiments over a wide range of test conditions of sprays. The results are in good agreement with experimental data.

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새로운 충돌모델을 이용한 신형식 디젤연소실 분석 (Analysis of New DI Diesel Combustion Chamber System using New Spray Wall Impaction Model)

  • 장원석;김덕줄;박권하
    • 한국전산유체공학회지
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    • 제2권1호
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    • pp.54-65
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    • 1997
  • Wall wetting in diesel engines has been considered as a bad phenomenon because of fuel deposition which makes fuel/air mixing and evaporation worse. In order to avoid the problem, many research works have been carried out. One of the studies is on new combustion chamber systems which are using spray impacting on a wall. In this study a new type of chamber system is analysed using wall impaction model introduced and assessed in the coupled paper. The gas phase is modelled in terms of the Eulerian continuum conservation equations of mass, momentum, energy and fuel vapour fraction, The liquid phase is modelled following the discrete droplet model approach in Lagrangian form. With various conditions the spray distribution, vapor contour and gas flows are analyzed, and then design factors of those combustion systems are recommended.

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분사압력변화가 충돌분무특성에 미치는 영향에 관한 수치적 고찰 (Numerical Analysis of the Effect of Injection Pressure Variation on Impaction Spray Characteristics)

  • 김승철
    • Journal of Advanced Marine Engineering and Technology
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    • 제23권1호
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    • pp.47-53
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    • 1999
  • Small compression-ignition direct injection engines have been developed as a measure to improve a fuel efficiency and reduce harmful exhaust gases. Those small engines generally employ high injection pressure increase on the spray impacting on a wall is discussed in this paper. The gas phase is modelled by the Eulerian continuum conservation equations of mass momentum energy and fuel vapour fraction. The liquid phases is modelled following the discrete droplet model approach in Lagrangian form and the droplet wall interaction is modelled as a func-tion of the velocity normal to impaction lands. The droplet distributions vapor fractions and gas flows are analyzed in various injection pres-sure cases. The penetrations of wall spray and vapor increase and the Sauter mean diameter decreases with increasing injection pressure.

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벽면충돌분무 계산에서 확장충돌모델의 적용범위에 관한 고찰 (A Study on Areas of Application of a Extended Collision Model in a Wall Impaction Spray Calculation)

  • 박권하;정창화
    • 대한기계학회논문집B
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    • 제25권8호
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    • pp.1013-1020
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    • 2001
  • This paper addresses to the area where the extended collision model is applied. In order to find the optimum shape of wall sprays, the extended model is applied to the nearest cells of just over the impaction wall, spray core or over all. The droplet distribution, wall spray radii, heights and gas flows are shown in all the cases. Those results show that the best spray shape represents in the case applying the extended model just on the impinging wall.