• Title/Summary/Keyword: loss of attachment

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PERIODONTAL RESPONSE FOLLOWING APPLICATION OF INTRUSIVE FORCES TO THE INCISORS WITH BONE LOSS AND PERIODONTAL DISEASE IN ADULT DOGS (골결손과 치주질환 유도 후 성견 절치의 실험적 함입이동시 치주조직의 반응)

  • Hwang, Hyeon-Shik;Park, Yang-Soo;Choi, Hong-Ran
    • The korean journal of orthodontics
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    • v.28 no.3 s.68
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    • pp.431-440
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    • 1998
  • While periodontal disease results in the extrusion of upper incisors with interdental spacing in adult patient, the intrusive movement should be executed for the rehabilitation in terms of esthetics and function. The present study was peformed to investigate the periodontal response following orthodontic intrusion of teeth with infrabony pocket. Bone defect and periodontal disease were produced adjacent to the both maxillary second lateral incisors in four adult dogs. Four weeks later, a flap operation was performed to eliminate inflammation and a reference notch was made on the root surface at the level of bottom of each defect. Two weeks after periodontal surgery, 4 weeks of intrusion and subsequent another 4 weeks of retention was executed on the right side of incisors while left incisors served as the control. Through the histologic analysis, following results were obtained. 1. Histologic section of control side showed the reduction of pocket depth after flap operation. However, the status of long junctional epithelium was observed while new connective tissue attachment occurred in a small area adjacent newly formed cementum 2. Epithelial attachment was less around the intruded incisor while new connective tissue attachment was much more compared to the control side. 3. Plenty of cells were observed in the connective tissue around the reference notch of the intruded incisor and the degree of the new cementum formation was higher in the intruded incisor than the control. The results of the present study suggested that an orthodontic intrusion of periodontally involved and extruded incisors could be carried out with a desirable periodontal response, provided that inflammation is under control.

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A COMPARATIVE STUDY OF THE PROBING ATTACHMENT LEVEL, RADIOGRAPHIC AND SURGICAL MEASUREMENT ACCORDING TO GINGIVAL INFLAMMATORY CONDITION (치은 염증 상태에 따른 치주낭 측정 깊이와 방사선학적 측정 깊이, 외과적 측정 깊이의 비교 연구)

  • Baik, Dong-Hoon;Chai, Jung-Kiu;Cho, Kyoo-Sung;Kim, Chong-Kwan
    • Journal of Periodontal and Implant Science
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    • v.24 no.2
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    • pp.261-270
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    • 1994
  • The purpose of this study was to evaluate relationship of probing attachment levels, radiographic measurements and surgical measurements according to gingival inflammatory condition. Patients with incipient to moderate periodontitis were selected. Upper and lower premolar and molar teeth excluding third molars were measured. At first visit, gingival index and bleeding on probing were taken, and subjects were grouped into 4 categories as follows : Experimental group I : gingival index 1 and no bleeding on probing. Experimental group II : gingival index 2 and no bleeding on probing absent. Experimental group III : gingival index 1 and bleeding on probing present. Experimental group IV : gingival index 2 and bleeding on probing present. Probing attachment levels were measured with manual probe on mesial and distal surfaces from cementoenamel junctions to terminal ends of probe. Radiographic measurements were made to assess bone loss by measuring the distance from cementoenamel junction to the alveolar crest. After thorough scating, a flap was raised exposing the alveolar bone and surgical measurements were made from cementoenamel junction to alveolar bone. The results were as follows: 1. Differences between probing attachment level and radiographic measurements showed $1.01{\pm}0.73mm$ for experimental group I, $0.98{\pm}0.48mm$ for experimental group II, $0.59{\pm}0.66mm$ for experimental group III, $0.98{\pm}0.38mm$ for experimental group IV and with no significant difference between groups. 2. Differences between probing attachment level and surgical measurements showed $1.36{\pm}0.80mm$ for experimental group I, $1.47{\pm}0.54mm$ for experimental group II, $1.06{\pm}0.39mm$ for experimental group III, $1.41{\pm}0.40mm$ for experimental group IV and with no significant difference between groups. 3. Differences between surgical and radiographic measurements showed $0.36{\pm}0.48mm$ for experimental group I, $0.51{\pm}0.54mm$ for experimental group II, $0.57{\pm}0.72mm$ for experimental group III, $0.41{\pm}0.49mm$ for experimental group IV and with significant difference between experimental group I and experimental group II, III, IV(P<0.05).

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A Longing for Attachment and Revelation of Separation Anxiety (애착의 갈망과 분리불안의 발현 - <하진양문록> 진세백의 경우 -)

  • Jang, SiGwang
    • (The)Study of the Eastern Classic
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    • no.66
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    • pp.193-226
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    • 2017
  • This writing establishes identity of JinSeBaek, a male protagonist from a classical novel Hajinyangmunrok, through examining his relationship with a female character named HaOkJu. The character JinSeBaek was analyzed with attachment theory. JinSeBaek is a type of character who openly expresses his emotions. The evidence that JinSaeBaek falls in love with HaOkJu at a first sight was mainly shown through his physical affection with her. After the breakup, JinSeBaek expresses sadness, depression, and anger, as well as sheds tears. Although JinSeBaek repeatedly breaks up and gets back together with HaOkJu, JinSaeBaek consistently shows his desire to be with HaOkJu. Expressing true emotions was not ideal characteristic for men in this era. JinSaeBaek develops attachment to HaOkJu after he loses his parents, whom he has previously developed attachment to, but repeated break ups with HaOkJu leads to separation anxiety. Although his separation anxiety is caused by HaOkJu, it is also HaOkJu who can resolve the anxiety. The fact that JinSaeBaek honestly expresses his emotions and develops abnormal attachment to woman makes JinSaeBaek unique from other male protagonists. A character like JinSaeBaek is not common in other fictional novels or romance novels as well. Thus, JinSaebaek is claimed to be extraordinary character in literature.

Clinical evaluation of implant retained overdentures using two implant and Locator attachments in the fully edentulous mandibles (Locator attachment를 이용한 하악 임플란트 유지형 피개의치의 임상적 평가)

  • Lee, Ju-Hyoung;Sohn, Dong-Seok
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.4
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    • pp.283-290
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    • 2011
  • Purpose: This study compared the marginal bone loss around dental implant that were placed in the canine areas of the mandibles and finded the survival rate of implants, marginal bone loss around implants and prosthetic complications in 10 patients treated with overdentures retained with Locator attachments. Materials and methods: Ten patients who had received implant retained overdentures in the mandibules using two implants and Locator attachments at Daegu Catholic University Medical Center from 2004 to 2010 were included in this study. Evaluations of the survival rate of implants, marginal bone loss and prosthetic complications were performed. Results: Implants placed in this study showed a 100% survival rate and the average annual bone loss was 1.03 mm ${\pm}$ 0.20 mm in the first year. The patients have verbally indicated that they are comfortable and that their overdentures function well. But, implant retained overdentures had various prosthetic complications such as male change, relining, rebasing and denture fracture. Conclusion: Implant retained overdentures using two implant and Locator attachments in the fully edentulous mandibles is considered as a stable way for long terms because of minimal invasive operation, simple prosthetic process and easy repair.

Implant and root supported overdentures - a literature review and some data on bone loss in edentulous jaws

  • Carlsson, Gunnar E.
    • The Journal of Advanced Prosthodontics
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    • v.6 no.4
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    • pp.245-252
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    • 2014
  • PURPOSE. To present a literature review on implant overdentures after a brief survey of bone loss after extraction of all teeth. MATERIALS AND METHODS. Papers on alveolar bone loss and implant overdentures have been studied for a narrative review. RESULTS. Bone loss of the alveolar process after tooth extraction occurs with great individual variation, impossible to predict at the time of extraction. The simplest way to prevent bone loss is to avoid extraction of all teeth. To keep a few teeth and use them or their roots for a tooth or root-supported overdenture substantially reduces bone loss. Jaws with implant-supported prostheses show less bone loss than jaws with conventional dentures. Mandibular 2-implant overdentures provide patients with better outcomes than do conventional dentures, regarding satisfaction, chewing ability and oral-health-related quality of life. There is no strong evidence for the superiority of one overdenture retention-system over the others regarding patient satisfaction, survival, peri-implant bone loss and relevant clinical factors. Mandibular single midline implant overdentures have shown promising results but long-term results are not yet available. For a maxillary overdenture 4 to 6 implants splinted with a bar provide high survival both for implants and overdenture. CONCLUSION. In edentulous mandibles, 2-implant overdentures provide excellent long-term success and survival, including patient satisfaction and improved oral functions. To further reduce the costs a single midline implant overdenture can be a promising option. In the maxilla, overdentures supported on 4 to 6 implants splinted with a bar have demonstrated good functional results.

An Efficient Micro Mobility Support Scheme using PIM-SM in IPv6 Network (IPv6망에서의 PIM-SM을 이용한 마이크로 이동성 제공 방안)

  • 유연주;우미애
    • Proceedings of the IEEK Conference
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    • 2002.06a
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    • pp.275-278
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    • 2002
  • This paper proposes an efficient micro mobility scheme to support user mobility inside an access network which employs Ipv6. The proposed scheme, namely SMM(Sparse-mode Multicast for mobility), utilizes a class of multicast protocol, PIM-SM, in the visited access network to reduce signaling to the home agent as well as to the correspondent node and to minimize packet loss during the handoff when mobile user changes its point of attachment frequently. Through the simulation, the performance of the proposed SMM is analyzed and compared with those of Mobile nv6 and for the case which adpots PIM-DM. The result shows that SMM provides significantly better performance in terms of packet loss that is invariant to transmission rate and packet size.

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Relationship between maternal periodontal disease and Apgar score of newborns

  • Shirmohammadi, Adileh;Abdollahifard, Sedigeh;Chitsazi, Mohammad-Taghi;Behlooli, Sepideh
    • Journal of Periodontal and Implant Science
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    • v.42 no.6
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    • pp.212-216
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    • 2012
  • Purpose: The aim of this study was to evaluate the relationship between maternal periodontal disease and the health status of newborns using Apgar scores. Methods: One hundred pregnant women with periodontal disease were included in the case series and 100 pregnant women without periodontal disease were placed in the control group, respectively. The periodontal parameters of bleeding on probing (BOP), clinical attachment loss (CAL), probing depth (PD), birth weight, and Apgar scores were recorded in both groups. T-tests and Pearson's correlation coefficient were used to determine the birth weight odds ratio to analyze the relationship between the periodontal parameters of BOP, CAL, and PD on the one hand and an Apgar score of less than 7. An unpaired Student's t-test was used to analyze differences in means between the case and control groups using SPSS ver. 13. Results: The means of the ages, periodontal pocket depths, attachment loss, areas with BOP, Apgar score in the first 5 minutes and infant birth weight exhibited statistically significant differences between the case and control groups. The ratio of an Apgar score of <7 to periodontal disease was 3.14; the ratio of low birth weight risk in mothers with periodontal disease to that in mothers without periodontal disease was 2.74. Pearson's correlation coefficient revealed a significant correlation between the infant birth weight and BOP, CAL, and PD of the mother. In addition, there was a significant correlation between the Apgar score and BOP, CAL, and PD and also between the Apgar score and infant birth weight. Conclusions: The results of this study showed a significant relationship between periodontal disease and infant birth weight; in addition, there was a significant relationship between the periodontal indexes of BOP, CAL, and PD on the one hand and the Apgar score on the other.

THE CLINICAL AND MICROBIOLOGICAL EFFECTS OF MINOCYCLINE-LOADED POLYCAPROLACTONE STRIP ON PERIODONTAL DISEASE (치주질환치료에서 국소약물 송달제재의 임상 및 세균학적 효과)

  • Choi, Sung-Jae;Lee, Man-Sup;Kwon, Young-Huk
    • Journal of Periodontal and Implant Science
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    • v.23 no.1
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    • pp.170-182
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    • 1993
  • The purpose of this study was to evaluate the clinical and microbiological effects of minocycline-loaded polycaprolactone strip on periodontal disease. Ten patients with probing depth (deeper than 5mm) were tested. Of the two periodontal pockets selected from each patient, one randomly selected pocket was treated by the insertion of 30% minocycline-loaded polycaprolactone sttip as the experimental group and the other with a minocycline-free polycaprolactone strip as the control group. All groups were examined by clinical and microbiological methods. 1. Plaque index scores, gingival index scores and sulcular bleeding index scores in both group were significantly reduced from the baseline to 2 weeks. Plaque index scores of experimental group and sulcular bleeding index scores of control group tended to be progressively reduced in all experimental periods. 2. Probing depth amounts in both group were significantly reduced from 4 weeks to 8 weeks. 3. Attachment loss amounts in both group shows no singnificant differences in time. Attachment loss amounts in experimental group tended to be less than those in control group. 4. The number of cocci in both groups were significantly increased in all experimental periods, but that of the non-motile rods were significantly reduced from 2 weeks in experimental group, and from 4 weeks in control group, that of the motile rods were reduced from 4 weeks in experimental group and from 1 week in control group. The number of spirochetes were reduced from I week during all experimental period in experimental group, but there was no changes in control group.

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