• Journal of Periodontal and Implant Science
• /
• 제50권6호
• /
• pp.368-378
• /
• 2020

Purpose: Vitamin D deficiency may cause bone loss and increased inflammation, which are well-known symptoms of periodontal disease. This study investigated whether serum 25-hydroxyvitamin D (25(OH)D) levels are associated with periodontal disease status and tooth loss. Methods: Cross-sectional data from 5,405 individuals aged ≥50 years (2,253 males and 3,152 females) were obtained from the 2008-2010 Dong-gu study, a prospective cohort study of risk factors for chronic diseases. Periodontal examinations were conducted to evaluate the number of remaining teeth, the periodontal probing depth (PPD), the clinical attachment level (CAL), and bleeding on probing. The percentages of sites with PPD ≥4 mm and CAL ≥4 mm were recorded for each participant. The severity of periodontitis was classified using the Centers for Disease Control and Prevention and the American Academy of Periodontology case definitions. Serum 25(OH)D levels were classified as reflecting severe deficiency, deficiency, insufficiency, or sufficiency. Multivariate linear regression analysis was performed to assess the associations of serum 25(OH)D levels with periodontal parameters and the number of remaining teeth after adjusting for confounders including age, smoking status, alcohol consumption status, month of blood collection, and physical activity. Multivariate logistic regression was used to evaluate the association between serum vitamin D levels and severe periodontitis. An overall statistical analysis and a stratified analysis by sex were performed. Results: Overall, the rates of severe deficiency, deficiency, insufficiency, and sufficiency were 6.5%, 67.9%, 22.4%, and 3.2%, respectively. After adjustment for confounders, vitamin D levels were directly associated with the number of remaining teeth, an association that was significant in males, but not in females. Sufficient serum 25(OH)D was associated with a low frequency of severe periodontitis. Conclusions: This population-based cross-sectional study indicates that low serum 25(OH) D is significantly associated with tooth loss and severe periodontitis in Koreans aged 50 years and older.

• 대한치과보철학회지
• /
• 제60권1호
• /
• pp.71-79
• /
• 2022

부분 무치악 환자에 있어 심한 골소실으로 인해 치관부 수직높이가 과도해질 우려가 있는 경우에는 임플란트 식립 후 고정성 보철물로 수복시 임플란트 주변 골의 응력 증가 및 나사 풀림이 발생할 가능성이 증가할 수 있다. 이러한 경우에 milled bar 및 가철성 보철물로 수복할 수 있는데, milled bar는 단일 임플란트 간의 일차적인 스플린팅 효과와 안정성을 부여할 수 있다. 또한 milled bar 사용 시 Advanced Dental Device-Treatment Of Choice(ADD-TOC), 자석 부착장치 같은 부가적인 부착장치 사용을 통해 임플란트 피개의치의 추가 유지력을 부여할 수 있다. 본 증례의 환자는 하악 좌측 구치부 평활근육종으로 인한 절제술 후 심한 골소실 및 다수 치아를 상실한 부분 무치악 환자로 장기간의 하악 구치부 상실로 인한 대합치는 정출된 상태였다. 상악 좌측 대구치는 교정적 압하를 통해 교합평면을 회복하였고, 하악 좌측 대구치 부위는 임플란트 식립 후 milled bar에 부가적인 부착장치인 ADD-TOC, 자석 부가장치를 이용하여 임플란트 피개의치로 수복하였다. 이를 통해 장기적으로 기능적, 심미적인 만족할 만한 결과를 얻었기에 보고하는 바이다.

• 한국정보과학회논문지:정보통신
• /
• 제34권2호
• /
• pp.110-119
• /
• 2007

Mobile IPv6(MIPv6)는 이동 호스트(mobile node: MN)가 인터넷의 연결 지점을 변경하더라도 임의의 호스트(correspondent node: CN)와 계속 통신을 유지할 수 있도록 하는 기술이다. 기존의 MIPv6 프로토콜에서는 핸드오버 기간 동안 CN이 MN으로 전송하는 트래픽은 손실된다. 이를 방지하기 위하여 HMIPv6 및 FMIPv6와 같은 여러 메커니즘들이 제안되었다. 그렇지만, 이들 메커니즘도 역시 패킷 손실이나 패킷의 순서 어긋남으로 인한 상위 계층의 성능 저하 문제가 발생한다. 본 논문에서는 패킷 손실과 순서 어긋남 문제를 해결할 수 있는 I-FHM1IPv6 를 제안한다. I-FHMIPv6에서는 홈 에이전트(home agent: HA) 또는 CN에게 MN의 바인딩 캐쉬 엔트리가 갱신된다는 것을 알려주는 Flush 메시지를 새로 정의했다. 이 메시지를 수신한 MN은 이전의 경로를 통한 패킷 전송이 종료된다는 것을 알 수 있으며, 이를 통하여 패킷의 순서 어긋남 문제를 해결할 수 있다. 또한 제안된 알고리즘은 효율적으로 FMIPv6 와 HMIIPv6 를 통합함으로써 패킷 손실을 최소화할 수 있다. 모의실험을 통해 제안된 알고리즘의 성능을 분석하였으며, I-FHMIIPv6의 성능이 기존 FMIPv6나 HMIIPv6보다 우수함을 알 수 있었다.

• Journal of Periodontal and Implant Science
• /
• 제51권2호
• /
• pp.124-134
• /
• 2021

Purpose: The aim of this study was to assess the association between the clinical status of rheumatoid arthritis (RA) and periodontitis (PD) in patients diagnosed with PD and to evaluate the impact of RA treatment on the severity of PD. Methods: The study included 148 participants with PD, of whom 64 were also diagnosed with RA (PD+RA group), while 84 age-matched participants were rheumatologically healthy (PD-only group). PD severity was assessed by the following periodontal parameters: clinical attachment loss, probing pocket depth (PPD), bleeding on probing (BOP), alveolar bone loss, and number of missing teeth. RA disease characteristics and impact of disease were evaluated by the Disease Activity Score 28 using C-reactive protein, disease duration, RA treatment, the RA Impact of Disease tool, and the Health Assessment Questionnaire. Outcome variables were compared using parametric and non-parametric tests and associations were evaluated using regression analysis with the calculation of odds ratios (ORs). Results: Participants in the PD+RA group had higher mean PPD values (2.81 ± 0.59 mm vs. 2.58 ± 0.49 mm, P=0.009) and number of missing teeth (6.27±4.79 vs. 3.93±4.08, P=0.001) than those in the PD-only group. A significant association was found between mean PPD and RA (OR, 2.22; 95% CI, 1.16-4.31; P=0.016). Within the PD+RA group, moderate to severe periodontal disease was significantly more prevalent among participants with higher RA disease activity (P=0.042). The use of biologic disease-modifying antirheumatic drugs (bDMARDs) was associated with a lower BOP percentage (P=0.016). Conclusions: In patients with PD, RA was associated with a higher mean PPD and number of missing teeth. The severity of PD was affected by the RA disease clinical activity and by treatment with bDMARDs, which were associated with a significantly lower mean BOP percentage.

• 대한치과의사협회지
• /
• 제55권1호
• /
• pp.30-41
• /
• 2017

Inadequate keratinized mucosa around dental implants can lead to more plaque accumulation, tissue inflammation, marginal recession and attachment loss. We evaluated the effects of free gingival and extracellular matrix membrane grafts performed to increase the insufficient width of keratinized tissue around dental implants in the posterior mandible. A 47-year-old female patient presented with discomfort due to swelling of the lower right second premolar area. Due to severe destruction of alveolar bone, the tooth was extracted. After 3 months, a guided bone regeneration (GBR) procedure was performed and then a dental implant was placed 6 months later. During the second-stage implant surgery, free gingival grafting was performed to increase the width of the keratinized tissue. After 12 months, a clinical evaluation was performed. A 64-year-old female patient had a missing tooth area of bilateral lower molar region with narrow zone of keratinized gingiva and horizontal alveolar bone loss. Simultaneous implant placement and GBR were performed. Five months after the first-stage implant surgery, a gingival augmentation procedure was performed with an extracellular matrix membrane graft to improve the width of the keratinized tissue in the second-stage implant surgery. After 12 months, a clinical evaluation was performed. In these two clinical cases, 12 months of follow-up, revealed that the increased width of the keratinized tissue and the deepened oral vestibule was well maintained. A patient showed a good oral hygiene status. In conclusion, increased width of keratinized tissue around dental implants could improve oral hygiene and could have positive effects on the long-term stability and survival rate of dental implants. When planning a keratinized tissue augmentation procedure, clinicians should consider patient-reported outcomes.

• Journal of Periodontal and Implant Science
• /
• 제51권4호
• /
• pp.254-263
• /
• 2021

Purpose: Periodontitis is associated with a dysbiosis of periodontopathic bacteria, which stimulate the interleukin (IL)-23/IL-17 axis that plays an essential role in the immunopathogenesis of this disease, leading to alveolar bone destruction through receptor activator of nuclear factor κB ligand (RANKL). IL-23 receptor mRNA (IL-23R) has been identified in periodontitis, and IL-17 receptor A mRNA (IL-17RA) and its protein have not yet been evaluated in patients with periodontitis. In this study was measure IL-23R and IL-17RA in gingival tissue (GT) from patients with generalized chronic periodontitis (GCP) and generalized aggressive periodontitis (GAP) and to explore correlations with clinical parameters. Methods: We included 16 healthy subjects (HS), 18 patients with GCP, and 14 with GAP. GT samples were collected during periodontal surgery. Both IL-23R and IL-17RA were detected by enzyme-linked immunosorbent assay. Results: The results were analyzed with Mann-Whitney U test and Spearman' rank correlation coefficients using SPSS version 25.0. We found lower IL-23R levels in patients with GCP and GAP than in HS. Contrarily, we observed higher IL-17RA levels in GCP and GAP patients than in HS. Moreover, we found negative correlations between IL-23R in GT and probing depth and clinical attachment loss (CAL). Likewise, a positive correlation of IL-17RA in GT with CAL was found. Conclusions: The results of these findings suggest that the reverse behavior between IL-23R and IL-17RA in periodontitis patients may also be involved with the activation of RANKL, which promotes alveolar bone loss.

• 수산해양기술연구
• /
• 제52권4호
• /
• pp.290-298
• /
• 2016

This study aims to reduce the force exerted to the buoy of the gillnet by wave and current. Five buoy models were selected for experiments and their rope tensions under wave and current action were compared. Five models were EL (ellipsoid), EL-H (ellipsoid-hole), SL (streamlined body), SP (sphere) and CL (cylinder, traditional type). In the first experiment, the Five models were tested without any attachment. In the second experiment, a flagpole was attached to each model. As a result, in the condition without flagpole, the tensions of four models with the exception of the CL were about a half of that of the CL. In the condition with flagpole, the tension of all models was twice larger than that without flagpole. Thus, a new model was suggested to improve the problem, which has a combined body that of a flagpole and a buoy Three new models of CL-L (long and thin cylinder), LF (leaf shape) and LF-F (leaf shape with fin) were designed. Also a cylinder type (CLD) with a flagpole as a control was included in the experiment. As a result, the LF-F had the smallest tension and a half tension of the CLD. Therefore, it is supposed that the flagpole and buoy combined model could reduce the tension on buoy rope and contribute to improve the gillnet loss problem.

• Imaging Science in Dentistry
• /
• 제41권3호
• /
• pp.115-121
• /
• 2011

Purpose : This article is to describe a modified device for intraoral radiography which was developed to obtain reproducible radiographic images for assessment of distal osseous defects of the mandibular second molar (2 Mm) after impacted third molar (3 Mm) surgery. Materials and Methods : A commercial available alignment system for posterior region was modified by adding a reference gauge pin (millimetric) and threading a hollow acrylic cylinder at the ring of the radiographic positioner to attach the X-ray collimator. The design included customized resin acrylic stent for the occlusal surface of the 2Mm in maximum intercuspal position, individualizing the biteblock positioner. Periapical radiographs were taken before and after surgical extraction of 3 Mm, employing the radiographic technique of parallelism described by Kugelberg (1986) with this modified film holder and inserting the gauge pin on the deepest bone probing depth point. Results : This technique permitted to obtain standardized periapical radiographs with a moderate to high resolution, repeatability, and accuracy. There was no difference between the measurements on the pre- and post-operative radiographs. This technique allowed better maintenance of the same geometric position compared with conventional one. The insertion of the gauge pin provided the same reference point and localized the deepest osseous defect on the two-dimensional radiographs. Conclusion : This technique allowed better reproducibility in posterior radiographic records (distal surface of 2 Mm) and more accurate measurements of radiographic bone level by the use of a millimetric pin.

• 문화기술의 융합
• /
• 제8권6호
• /
• pp.243-250
• /
• 2022

본 연구는 성인여성의 주양육자인 어머니와의 사별에 대한 정서경험(emotional experience)의 본질적 의미를 탐구하고자 하였다. 이를 위해 어머니와 사별경험이 있는 성인여성 3명을 대상으로 삶의 경험과 그 의미를 심층면접방법으로 진행하였다. 수집된 자료의 분석은 Colaizzi의 현상학적 연구방법으로 적용하여 분석하였다. 연구결과를 도출하는 방법으로 어머니를 사별한 성인여성이 겪은 정서경험에 대한 본질과 자신과 가족들의 삶에 미치는 영향에 대한 연구를 실시하여 '사별경험', '정서경험', '관계경험', '성장경험' 4개의 범주가 도출되었다. 본 연구는 애착대상인 어머니의 죽음으로 인하여 고통과 상실의 외상을 겪었음에도 시간의 경과와 극복의지에 따라 긍정적인 삶의 변화로 치유해감으로써 회복과 성장 도모에 기여한 점에 의의가 있다.

• 한국환경과학회지
• /
• 제15권10호
• /
• pp.945-949
• /
• 2006

For a membrane bio-reactor, it is possible to fillet and separate activated sludge and effluent by head loss of centimeters, if non-woven fabric material is used as titration media. However, if non-woven fabric material is used to thicken high-concentration sludge, excessive sludge attachment causes the rapid decrease of flux. Mesh with fore sizes of $100{\mu}m,\;150{\mu}m,\;and\;200{\mu}m$ allows for easy separation of attached sludge. This study examined the possibility of mesh as filtration media. Existing close-flow filtration process, which requires maintaining sludge movement, makes It difficult to obtain high thickening rate. With a view of complementing this weakness, this study has made an experimental examination on how high-concentration sludge (about 3,000mg/L to 10,000mg/L) will be filtered and thickened when mesh module is submersed in the bio-reactor. Effluent flowed from the bottom of the bio-reactor by head loss of 65cm. In case of pore size of $100{\mu}m$, SS showed high recovery of 80% to 96%; therefore, it has been decided that mesh can be used as filtration media. Filtration lasted for more than 9 hours, until sludge with 9,000mg/L in MLSS concentration was thickened 9 times as dense. In the range from 3,610mg/L to 9,060mg/L in MLSS concentration, it was possible to obtain effluent with less than 2mg/L in MLSS concentration within 10 minutes.