• Title/Summary/Keyword: restoration treatment

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All-on-4 implant restoration with full-digital system preserving existing occlusion: A case report (완전 디지털 시스템으로 기존 교합을 보전한 All-on-4 임플란트 수복증례)

  • Kim, Kyoung Hee;Jeong, Seung-Mi;Lee, Ye Chan;An, Xue Yin;Choi, Byung-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.4
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    • pp.330-337
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    • 2018
  • In edentulous patients, implant - supported fixed prosthesis treatment has been proved to be useful, but involves complex treatment process. On the other hand, in the modern dentistry, digital technology has been developed day by day and it has expanded its range to the implant restoration of edentulous patients. In this case, a digital system was used for all stages of diagnosis, surgery, design and fabrication of provisional implants fixed prosthesis restoration in 66-year-old mandibular edentulous patients. In the preoperative diagnosis stage, a provisional restoration was designed based on the mucosal scan using the intraoral scanner and the stable occlusion of prefabricated complete denture of the patient. After flapless implant surgery using the surgical guide, the prefabricated interim restoration was connected to the implant and used as immediate provisional restoration. The final restoration was designed and fabricated by transferring the vertical dimension and the centric relation of the provisional restoration with stable occlusion using digital technology. We report a simple protocol of implant treatment in edentulous patients by using digital techniques to preserve the patient's vertical dimension and occlusion.

The Treatment of Trochanteric Pressure Sore Using Superior or Inferior Gluteal Artery Perforator Flap (상.하둔동맥 천공지피판을 이용한 대전자부 욕창의 치료)

  • Tark, Woo-Hyun;Lee, Won-Jai;Yun, In-Sik;Rah, Dong-Kyun
    • Archives of Plastic Surgery
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    • v.38 no.3
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    • pp.235-240
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    • 2011
  • Purpose: Management of pressure sores has been improved, along with development of musculocutaneous flaps and perforator flaps. Nowadays, the treatment of pressure sore with perforator flaps has shown several advantages, including minimal donor site morbidity, relatively versatile flap design not only in primary cases but also in recurred cases and minimized anatomical rearrangement of regional muscle position. In this study, we report our clinical experience of gluteal perforator flap used in the treatment of a greater trochanteric pressure sore. Methods: A clinical study was performed on 7 patients who underwent total 10 operations. 1 superior gluteal artery perforator flap and 9 inferior gluteal artery perforator flaps were used to reconstruct the defect, followed by the mean observation duration of 22 months. Results: There were no total flap loss. We treated 2 cases of partial flap loss with debridement and primary repair. 2 recurred cases were successfully treated using the same method. Donor sites were all primarily repaired. Conclusion: The gluteal perforator flap could be considered as a safe and favorable alternative in the treatment of soft tissue defects in the greater trochanteric area. The advantages of the flap include low donor site morbidity and the possibility of versatile flap design not only in primary cases but also in recurred cases.

Full Mouth Rehabilitation in Severely Worn Dentition (심한 교모증 환자의 완전 구강 회복)

  • Jung, Jae-Hyun;Choi, Min-Ho;Park, Young-Rok;Kim, Chang-Heon;Kang, Dong-Wan
    • Journal of Dental Rehabilitation and Applied Science
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    • v.19 no.3
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    • pp.247-256
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    • 2003
  • The patient had bruxism and epilepsy tendency. Inadequate or unstable posterior support was identified due to severe anterior attrition and decreased occlusal vertical dimension. Prematurities of posterior occlusal and wear facets increased the function of anterior teeth, resulting in severe wear. Wear facets displayed sharply defined peripheries, which are matched on articulated diagnostic casts. Also the patient showed C III malocclusion tendency, and lost some facial contour with drooping corners on the mouth. In this case, the alteration of OVD (Occlusal Vertical Dimention) may provide a biologically compatible adjunct to the treatment such as dentofacial esthetics, improved visual proportion in facial heightand mechanical solutions to the force-management of the masticatory system. The patient requires extensive restorative treatment to regain appropriate function, esthetics and comfort. According to the report by Farhad Fays, the average vertical distance from the maxillary to the mandibular mucolabial reflection in the region of the central incisors is approximately 34mm. However, the vertical distance of this patient was found to be 32mm, which was necessary to add gauge 20-sheets to apply vertical dimension. A removable occlusal overlay splint, which restores OVD to the estimated optimalposition, is the general first trial. The patient was observed periodically for 6 weeks, while appropriate adjustments were made vertical dimension to function. When patient felt comfortable with the splint, the teeth were prepared, and provisional restorations are placed for 3 months. The provisional restoration was fabricated by a diagnostic wax-up. When the patient felt comfortable with the provisional restoration, the final restoration mimics OVD, function, and esthetics that have been developed in the treatment restorations. Restoration of the extremely worn dentition presents a substantial challenge to thedentists. Therefore, careful evaluation of the etiology, history, and factors associated with occlusal vertical dimension should be preceded prior to the appropriate treatment planning.

A Study on the Original Form and Authenticity of the Stone Cultural Heritage according to the Conservation Treatment - With Focus on the Stupa of State Preceptor Jigwang from Wonju Beopcheonsa Temple to the Conservation Treatment - (석조문화재 보존처리에 따른 원형보존과 진정성 고찰 - 원주 법천사지 지광국사탑 보존처리 사례를 중심으로 -)

  • Lee, Tae Jong;Cho, Ha Jin;Park, Hee Jeong;Kang, San Ha
    • Journal of Conservation Science
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    • v.35 no.3
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    • pp.259-268
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    • 2019
  • Stone cultural heritage will either be damaged by composite damage or will lose its original historical authenticity starting with the moment it is created. Various artificial interventions to restore them to their original state have been described, centering on the conservation treatment case of the Stupa of State Preceptor Jigwang from the Wonju Beopcheonsa Temple Site. Restoration of the Jigwang stone pagoda was carried out after securing all scientific and technological means for the research and protection of the cultural heritage in question. Since its restoration was promoted to retain its aesthetic and historical value and was based on a careful understanding of the original materials and prototypes, extensive restoration was sought, which contributed to the restoration of the original form, resulting in both preservation and authenticity.

A Study on Revegetation Measures with Recycling Root-stock of Native Tree(I) (자생 수목 그루터기를 이용한 자연식생복원 녹화공법 연구(I))

  • Oh, Koo-Kyoon;Kwon, Tae-Ho;Bae, Jung-Nam;Park, Seok-Gon
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.6 no.5
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    • pp.28-39
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    • 2003
  • This study was carried out to elucidate effective restoration measures for natural forest with recycling native tree un site from November 2001 to October 2002 to obtain a basic information for revegetation measure, eight experimental treatment was done and the length of stump, root-ball size of stump, antisepsis treatment of trunk cut, Planting season and contents of organic matter in soil were effective on regrowth of root-stock. Thirteen tree species including Quercus acutissima among twenty tree species showed outstanding sprout and survival rate(over 90 percent), Planting in November and combinated planting with 5 trees and 9 shrubs of root-stock per 100$m^2$ plot showed a good growth. And 10 percent of organic matter plot showed a good crown coverage.

Traditional approach with ceramic (임상가를 위한 특집 2 - 심미 수복 - 같은 결과, 다른 접근 세라믹을 이용한 전통적인 접근법)

  • Lee, Seung-Kyu
    • The Journal of the Korean dental association
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    • v.51 no.11
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    • pp.595-603
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    • 2013
  • The requirements for the successful treatment of all-ceramic restorations are not so different from the ones of conventional restorations. "The provisional restoration followed by an adequate tooth reduction and the accurately fitting prostheses with corresponding to final impression" can be the examples of them. Nevertheless, the one which all-ceramic restorations are distinguished from conventional restorations is the additional procedure of so called "bonding". In addition to the application of resin cement between "inner surface of restoration and outer surface of abutment", bonding technology can be also applied to the treatment process of "Post and Core" in particular if the abutments are non-vital teeth. Core build-up for all-ceramic crown is conducted with fiber post and tooth colored composite by considering the properties of the restorations transmitting light. We know well that a vital abutment is easier than a non-vital one to get the targeted goals for clinical success in connection with esthetics and structure. The creation of "Post and Core" with bonding technique is a decisive factor for a long-term success if the abutment is non-vital tooth with dentinal collapse. I would like to share my clinical experience about "post & core build-up and all-ceramic restoration bonding" out of several success strategies of all-ceramic crown with this presentation.

Restoration of the Cut-slopes by Native Plant Seeding -Application on the Rock Exposed Cut-slopes at East Valley Country Club- (자생수목의 종자를 이용한 절개지의 복원 -THE EAST VALLEY C.C 사례를 중심으로-)

  • Kim, Jae-Jun;Lee, Jae-Keun
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.5 no.4
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    • pp.70-79
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    • 2002
  • This study was conducted to develop environmental restoration methods for the ecological restoration of the rock exposed steep cut-slopes using native woody plants seeds by the hydro-seeding with artificial soil media. The main results are summarized as follows; 1. Quercus spp. seeded after seed treatment germinated over 80% and most of them grew well until one year. So, Quercus spp. can grow at the extremely dry rock exposed slopes revegetated by hydro-seeding with soil-fertilizer-seed mixed media. 2. The germinated seedlings grew well at the slopes oriented southeast. But in case of the survival ratio of the germinated seedlings, northwestward slopes was the best. 3. In case of the using pot seedlings of the Miscanthus sinensis var. purpurascens, it shows more beautiful scenery than the area using cool-season grasses. 4. As the results of the experiment, Albizzia julibrissin, Quercus spp. and Lespedeza crytobotrya can be useful at the restoration and revegatation of the cut-slopes. 5. At the results of the seed mixture experiment, cool-season grasses covered the ground quickly, but slowly germinated Quercus spp. and Lespedeza crytobotrya formed under story vegetation. Also, Albizzia julibrissin formed upper story vegetation will be replaced by Quercus spp. slowly.

Changes in occlusion of indirect restorations according to universal adhesives (범용 상아질 접착제에 따른 간접 수복물의 교합 변화)

  • Byun, Ji-Eun
    • Journal of Korean Academy of Dental Administration
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    • v.9 no.1
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    • pp.7-13
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    • 2021
  • The present randomized controlled trial aimed to evaluate changes in occlusion of indirect restorations before and after attachment using resin cement according to universal adhesives. This study included patients who underwent indirect restoration treatment at the Yonsei University Dental Hospital between April and October 2016. Universal adhesives requiring light curing and those not requiring light curing were used in this study. Changes in occlusion before and after adhesion of the indirect restoration were evaluated using articulating paper and shimstock as well as through the discomfort felt by the patients. To analyze the differences between the universal adhesive, Fisher's exact tests were performed using SPSS ver. 22.0 software. Of the 39 cases of indirect restoration, 29 were included in the study. A change in occlusion after adhesion of the indirect restoration was observed in only one case of universal adhesive that required light curing. The patient felt that the occlusion increased after the attachment of the restoration, and it was observed that the occlusion point was different from that before attachment. However, the results of the analysis were not statistically significant. Based on the findings, the universal adhesives did not affect the occlusion before and after indirect adhesion restoration using RelyX Ultimate.

Use of Visible Storage for Display and Conservation Treatment of a Large-sized Jar Coffin (대형 옹관의 보존처리 과정과 이를 활용한 개방형 수장고의 운용)

  • Kwak, Eungyung;Lee, Hyejin;Yu, Sohyun
    • Conservation Science in Museum
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    • v.19
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    • pp.41-52
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    • 2018
  • This paper describes the restoration and display of a large jar coffin at the Naju National Museum. Excavated from Tomb No. 3 at Bokam-ri, Naju, the large jar is 194 cm in height and its rim diameter is 108 cm. The jar had been broken into approximately forty fragments prior to its restoration, and a supporting structure was installed to ensure the safety of the relic during the restoration process. The restoration was conducted inside a visible storage for large jar coffins for approximately three weeks from February 5 to February 27, 2018. Over two weeks during this period, the restoration efforts inside the storage were visible to the public in the permanent exhibition space so that visitors could observe the process in person. This was planned to help visitors understand and arouse their interest in large-sized relics such as jar coffins and the restoration process. This study also investigates the practices of overseas institutions in order to suggest plans for raising public awareness of conservation treatment at conservation science centers.

A New Approach to the Whole Body Intervention Program(General Coordinative Manipulation Program) of Nonspecific Back Disorder

  • Moon Sang-Eun
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.112-128
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    • 2003
  • Since areas of pain and dysfunction of musculoskeletal typically suffered by the patients with back disorders spread all over the body, WBIP(GCM Program) for the primary treatment and management is required. The purpose of this study is to analyze if WBIP(GCM Program) based on the hyper/hypomobility pattern of Four Body Types can identify the effective treatment of back disorders and the effect on the postural balanced restoration of the spine and extremities. Non-specific back disorder is still a major reason for sick leave. And moreover, its been reported that there was often recurrence to the patients whose symptom had been diminished. As a WBIP(GCM Program) based on kinematic chain patterns of Four Body Types, this study gave a new information on the effective diagnosis, treatment and management of non-specific back disorders. 337 patients above the twenty-five years old with the non-specific back disorders at the hospital and oriental medical clinics at Kyungnam and Busan areas in South Korea from August 24th, 2000 to Feb 23rd, 2001 have randomly been assigned to four experimental groups such as Whole Body Intervention Program Group, Physical Therapy Group like modality treatments, Acupuncture-Treatment Group, and Placebo Control Group. According to intervention program applied to the each four group for three times per week(twelve times per 4weeks), as the time-series methods, we compared and evaluated the body status of the pretest with that of post treatment completion of four week, three month, and six month, respectively. As the analytical method of measurement, our researchers used the Moire Interferometry Unit and Postural Kit that could measure the postural balance of spine and extremities. The collection of data was performed in the designated hospital and oriental medical clinics. For the analysis of the data, the SPSS 10.0 package program was used. X2-test has been taken in order to compare and analyze characteristics and GPES of the patients in four experimental groups. Repeated Measure ANOVA and Tukey post hoc test has been adopted in order to compare the effects of the balanced restoration of the spine and extremities among four Groups categorized for this study. Statistical significance was accepted at the 0.05 level of confidence The effect of the balanced restoration on the spine and extremities of the patients with non-specific back disorders has been proved in all of the Groups. As for the restoration degree, however, WBIP(GCM Program) Group produced the highest effectiveness in terms of the fact that it had a dense moire in comparison with the other three Groups and that the Moires of both sides had the same level by the time(p<0.01). WBIP(GCM Program) based on four tilting types of scapular and ilium and hyper/hypomobility pattern took a higher effect on the balanced restoration of the spine and extremities through a whole body as well as the treatment of back disorders than the other three Groups which the usual remedy without classification of body type had been applied to.

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