• 한국치위생학회지
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• 제18권6호
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• pp.969-977
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• 2018

Objectives: The purpose of this study was to determine the importance of oral health care in the control of diabetes mellitus. Methods: The raw data of the National Health and Nutrition Examination Survey were utilized and 4,445 adults aged 19 and over were surveyed and examined. Complex samples crosstabs and general linear model analysis were carried out. Results: In total, 69.6 percent of the subjects were normal, 21.4 percent had impaired fasting glucose, and 9.0 percent had diabetes. By sex, 25.8 percent of the men had impaired fasting glucose and 10.8 percent had diabetes. Women with impaired fasting glucose accounted for 17.2 percent and 7.2 percent of women had diabetes. Impaired fasting glucose and diabetes were more common among men. Fasting glucose values were higher in the respondents who were male, were younger, whose monthly mean household income was lower, and who were less educated. Fasting glucose values were higher when the frequency of toothbrushing was lower and when dental floss and a dental brush were not in use. Fasting glucose was lower when there was no periodontal disease, when there was less difficulty in mastication, and when there were no implants in the upper and lower jaws. Conclusions: Oral health care workers should develop a variety of programs to motivate patients to take care of their own oral health actively and responsibly.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2016년도 추계학술대회
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• pp.904-906
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• 2016

본 논문에서는 광고 홍보 서비스를 제공하기 위해 Kincet를 이용한 표정인식 및 미디어제어 시스템을 구현한다. 기존에는 소비자에게 일방적으로 광고를 전달하는 방식 이였다면, 현재는 인터렉티브 광고를 지향한다. 즉, 양방향 커뮤니케이션이 가능한 양방향 광고 서비스를 의미한다. 제안한 시스템은 Kincet를 활용하여 표정인식을 하였고, 눈썹, 눈, 입, 턱으로 얼굴을 인식 한다. 현재 사용한 Kinect버전은 표정인식이 불안정하여 눈썹, 눈, 턱의 3가지의 부분을 정확히 구분하기가 어려워 제일 구분이 쉬운 입모양만을 활용하여 웃음, 무표정을 구분하여 미디어 제어서비스를 제공한다. 또, 소비자들의 표정인식을 하여 미디어제어와 동시에 SNS(Social Network Service)를 이용한 사진전송을 통해 소비자들에게 광고에 대한 각인을 시켜줌으로써 광고의 효율적인 효과가 나타날 것으로 기대된다.

• Journal of Periodontal and Implant Science
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• 제51권3호
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• pp.189-198
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• 2021

Purpose: This study was conducted to determine how the distance of the near insertion points in a vertical mattress suture from the wound margin influences the pattern of primary closure in an in vitro experimental model. Methods: Pairs of 180 porcine gingival and alveolar mucosa samples were harvested from 90 pig jaws and fixed to a specially designed model. A vertical mattress suture was performed with the near insertion point at 3 different distances from the wound margin (1-, 3-, and 5-mm) on both the gingival and mucosal samples (6 groups; n=30 for each group). The margin discrepancy and the presence of epithelium between the wound margins were measured on histologic slides. Results: The margin discrepancy decreased significantly as the near insertion point became closer to the wound margin both in mucosal tissue (0.241±0.169 mm, 0.945±0.497 mm, and 1.306±0.773 mm for the 1-, 3-, and 5-mm groups, respectively) and in gingival tissue (0.373±0.304 mm, 0.698±0.431 mm, and 0.713±0.691 mm, respectively). The frequency of complications of wound margin adaptation reduced as the distance of the near insertion point from the wound margin decreased both in the mucosal and gingival tissues. Conclusions: Placing the near insertion point close to the wound margin enhances the precision of wound margin approximation/adaptation using a vertical mattress suture.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제47권1호
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• pp.20-24
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• 2021

Objectives: The aim of this study was to evaluate the profile of patients on antiresorptive therapies for cancer treatment and assess presence of oral lesions, oral hygiene status, and knowledge regarding medication-related osteonecrosis of the jaw (MRONJ). Materials and Methods: This was an observational cross-sectional study that evaluated patients treated with antiresorptive medication at a single cancer hospital. Clinical data were collected and oral examination was performed to assess patient oral health. Results: From July 2017 to December 2018, 90 patients were assessed; 64 were female and 26 were male, and the mean age was 61 years. The most common drug was an intravenous bisphosphonate, zoledronic acid. Among the 90 patients, 47 presented with some type of oral disease, isolated or associated. Among these 47 patients, 9 patients (10%) developed osteonecrosis. Oral hygiene was evaluated, and most patients, with or without MRONJ, presented with regular to poor condition. Regarding patient knowledge of the risks of MRONJ and the risks associated with dental surgery, 60% stated that they were not aware of the risks. Conclusion: Identifying the profile of patients and their needs facilitates not only the preventive process, but also the emergence of new therapeutic options. Our study shows that most patients are weakened both by metastatic disease and antineoplastic treatment as well as by issues associated with aging because most were over 60 years of age. Collectively, this information should be considered for management of preventive and therapeutic measures.

• Journal of Periodontal and Implant Science
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• 제52권4호
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• pp.261-281
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• 2022

Purpose: Short implants are a potential alternative to long implants for use with bone augmentation in atrophic jaws. This meta-analysis investigated the survival rate and marginal bone level (MBL) of surface-modified short vs. long implants. Methods: Electronic and manual searches were performed for articles published between January 2010 and June 2021. Twenty-two randomized controlled trials (RCTs) comparing surface-modified short and long implants that reported the survival rate with at least 1 year of follow-up were selected. Two reviewers independently extracted the data, and the risk of bias and quality of evidence were evaluated. A quantitative meta-analysis was performed regarding survival rate and MBL. Results: The failure rates of surface-modified short and long implants differed significantly (risk ratio, 2.28; 95% confidence interval [CI], 1.46, 3.57; P<0.000). Long implants exhibited a higher survival rate than short implants (mean follow-up, 1-10 years). A significant difference was observed in mean MBL (mean difference=-0.43, 95% CI, -0.63, -0.23; P<0.000), favoring the short implants. Regarding the impact of surface treatment in short and long implants, for hydrophilic sandblasted acid-etched (P=0.020) and titanium oxide fluoride-modified (P=0.050) surfaces, the survival rate differed significantly between short and long implants. The MBL differences for novel nanostructured calcium-incorporated, hydrophilic sandblasted acid-etched, and dual acid-etched with nanometer-scale calcium phosphate crystal surfaces (P=0.050, P=0.020, and P<0.000, respectively) differed significantly for short vs. long implants. Conclusions: Short surface-modified implants are a potential alternative to longer implants in atrophic ridges. Long fluoride-modified and hydrophilic sandblasted acid-etched implants have higher survival rates than short implants. Short implants with novel nanostructured calcium-incorporated titanium surfaces, hydrophilic sandblasted acid-etched surfaces, and dual acid-etched surfaces with nanometer-scale calcium phosphate crystals showed less marginal bone loss than longer implants. Due to high heterogeneity, the MBL results should be interpreted cautiously, and better-designed RCTs should be assessed in the future.

• The Journal of Advanced Prosthodontics
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• 제14권6호
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• pp.379-387
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• 2022

PURPOSE. The aim of this study is to compare the casts obtained by using conventional techniques and liquid crystal display (LCD) three-dimensional (3D) print techniques in the All-on-4 treatment concept of the edentulous mandibular jaw. MATERIALS AND METHODS. In this study, a completely edentulous mandibular acrylic cast (typodont) with bone-level implants placed with the Allon-4 technique served as a reference cast. In this typodont, impressions were taken with the conventional technique and dental stone casts were obtained. In addition, after scanning the acrylic cast in a dental laboratory scanner and obtaining the Standard Tessellation Language (STL) data, 3D printed casts were manufactured with a 3D printing device based on the design. The stone and 3D printed casts were scanned in the laboratory scanner and STL data were obtained, and then the interimplant distances were measured using Geomagic Control X v2020 (3D Systems, Rock Hill, SC, USA) analysis software (n = 60). The obtained data were statistically evaluated with one-way analysis of variance (ANOVA) and Tukey's pairwise comparison tests. RESULTS. As a result of the one-way ANOVA test, it was determined that the stone casts, 3D printed casts, and reference cast values in all distance intervals conformed to the normal distribution and these values had a significant difference among them in all distance intervals. In Tukey pairwise comparison test, significant differences were found between casts at all distance intervals. In all analyses, the level of significance was determined as .05. CONCLUSION. 3D printed casts obtained with a 3D LCD printing device can be an alternative to stone casts when implants are placed in edentulous jaws. [J Adv Prosthodont 2022;14:379-87]

• The Journal of Advanced Prosthodontics
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• 제14권6호
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• pp.369-378
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• 2022

PURPOSE. The purpose of this in vitro study was to assess whether scanning strategies of virtual interocclusal record (VIR) affect the accuracy of VIR during intraoral scanning. MATERIALS AND METHODS. Five pairs of reference cubes were added to the digital upper and lower dentitions of a volunteer, which were printed into resin casts. Subsequently, the resin casts were articulated in the maximal intercuspal position in a mechanical articulator and scanned with an industrial computed tomography system, of which the VIR was served as a reference VIR. The investigated VIR of the upper and lower jaws of the resin master cast were recorded with an intraoral scanner according to 9 designed scanning strategies. Then, the deviation between the investigated VIRs and reference VIR were analyzed, which were measured by the deviation of the distances of six selected reference points on the upper reference cubes in each digital cast to the XY-plane between the investigated VIRs and reference VIR. RESULTS. For the deviation in the right posterior dentitions, RP group (only scanning of right posterior dentitions) showed the smallest deviation. Besides, BP group (scanning of bilateral posterior dentitions) showed the smallest deviation in the left posterior dentitions. Moreover, LP group (scanning of left posterior dentitions) showed the smallest deviation in the anterior dentitions. For the deviation of full dental arches, BP group showed the smallest deviation. CONCLUSION. Different scanning strategies of VIR can influence the accuracy of alignment of virtual dental casts. Appropriate scanning strategies of VIR should be selected for different regions of interest and edentulous situations.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제49권2호
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• pp.68-74
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• 2023

Objectives: Drug holidays are suggested to reduce the formation of osteonecrosis in patients under intravenous (IV) bisphosphonates (BPs) therapy. The objectives of this study are to evaluate the incidence of medication-related osteonecrosis of the jaw (MRONJ) following tooth extraction in cancer patients using IV BP, and to assess the effect of drug holiday on the development of MRONJ. Patients and Methods: A manuel search of the patient folders of Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hacettepe University was undertaken to identify cancer patients who used IV BPs and had at least one tooth extraction between 2012 and 2022. Patents' age, sex, systemic condition, the type of BP used, duration of BP used, number of tooth extraction, duration of drug holiday, localization of tooth extraction and incidence of MRONJ were recorded. Results: One hundred nine teeth were removed from 57 jaws in 51 patients. All tooth extractions were performed under perioperative antibiotic prophylaxis and with primary wound closure. The incidence of MRONJ was 5.3%. Stage 1 MRONJ developed in 3 patients (only one had a drug holiday). The median duration of drug holiday was 2 months. No significant difference between the patients with and without a drug holiday and MRONJ development was found (P=0.315). The mean age of patients developed MRONJ was 40.33±8.08 years. A statistically significant difference was found between age and MRONJ development (P=0.002). Conclusion: The effect of a short-term drug holiday on the development of MRONJ may be limited because BPs remain in bone tissue for a long time. Drug holidays should be applied with the approval of an oncologist with other preventive measurements.

• 대한치과교정학회지
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• 제53권3호
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• pp.185-193
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• 2023

Objective: The growth and development of the mandible strongly depend on modeling changes occurring at its ramus. Here, we investigated covariance patterns between the morphology of the ramus and the rest of the face. Methods: Lateral cephalograms of 159 adults (55 males and 104 females) with no history of orthodontic treatment were collected. Geometric morphometrics with sliding semi-landmarks was used. The covariance between the ramus and face was investigated using a two-block partial least squares analysis (PLS). Sexual dimorphism and allometry were also assessed. Results: Differences in the divergence of the face and anteroposterior relationship of the jaws accounted for 24.1% and 21.6% of shape variation in the sample, respectively. Shape variation was greater in the sagittal plane for males than for females (30.7% vs. 17.4%), whereas variation in the vertical plane was similar for both sexes (23.7% for males and 25.4% for females). Size-related allometric differences between the sexes accounted for the shape variation to a maximum of 6% regarding the face. Regarding the covariation between the shapes of the ramus and the rest of the face, wider and shorter rami were associated with a decreased lower anterior facial height as well as a prognathic mandible and maxilla (PLS 1, 45.5% of the covariance). Additionally, a more posteriorly inclined ramus in the lower region was correlated with a Class II pattern and flat mandibular plane. Conclusions: The width, height, and inclination of the ramus were correlated with facial shape changes in the vertical and sagittal planes.

• 원예과학기술지
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• 제30권6호
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• pp.700-708
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• 2012

배추의 조직감 측정 방법을 확립하기 위하여 4종류의 탐침을 사용하여 '노랑봄' 배추의 엽서별 중륵의 경도를 비교 측정하였다. 이중에서 volodkevich bite jaws 탐침으로부터 엽서와 경도의 상관이 가장 높은 유의성이 나타났다($r^2=0.85$). 배추 중륵의 조직감은 단위두께당 조직파쇄에 소요되는 힘으로 나타냈다. 배추의 작형과 생태형을 고려하여 16 품종의 엽서별 중륵 부위의 경도를 측정하였다. 중륵의 두께 분포는 외엽부 수개의 잎에서 증가하다가 내엽으로 갈수록 감소하였으며, 중륵의 평균두께는 'CR-싱싱'이 7.74mm로 가장 얇고, '노랑여름' 배추는 9.28mm로 가장 두꺼웠다. 잎두께의 변이는 '치힐리'가 23.6%로 가장 높았으며, '불암' 배추는 5.8%로 가장 적었다. 중륵의 조직감은 모든 품종에서 외엽에서 일시적으로 감소하다가 내엽으로 갈수록 증가하는 2차 함수적인 관계를 보였고, 결정계수는 16품종 중 13품종에서 0.75 이상이었다. 'CR-그린'은 0.23으로 가장 낮았고, '치힐리' 배추는 0.96으로 적합성이 가장 높았다. 수확한 배추의 조직감을 신속하게 평가하기 위하여는 제10번 또는 제11번 잎의 중륵의 경도를 측정하는 방법을 제시하였으며, 16품종의 평균결정계수는 0.81이었다. 중륵의 건물중과 경도는 정의 상관($r=0.70^{**}$)을 보였고, 세포벽 함량과 경도와의 상관은 다소 낮았지만 유의성이 있었다($r=0.58^*$). 본 연구에서 얻어진 배추의 조직감 측정기술은 원료배추와 김치의 조직감의 관계를 구명하거나 조직감이 우수한 배추품종을 육성하는 데 활용할 수 있다고 사료되었다.