• Title/Summary/Keyword: root coverage

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Balanced Simultaneous Confidence Intervals in Logistic Regression Models

  • Lee, Kee-Won
    • Journal of the Korean Statistical Society
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    • v.21 no.2
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    • pp.139-151
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    • 1992
  • Simultaneous confidence intervals for the parameters in the logistic regression models with random regressors are considered. A method based on the bootstrap and its stochastic approximation will be developed. A key idea in using the bootstrap method to construct simultaneous confidence intervals is the concept of prepivoting which uses the transformation of a root by its estimated cumulative distribution function. Repeated use of prepivoting makes the overall coverage probability asymptotically correct and the coverage probabilities of the individual confidence statement asymptotically equal. This method is compared with ordinary asymptotic methods based on Scheffe's and Bonferroni's through Monte Carlo simulation.

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Treatment of multiple gingival recessions with xenogeneic acellular dermal matrix compared to connective tissue graft: a randomized split-mouth clinical trial

  • Vincent-Bugnas, Severine;Laurent, Jonathan;Naman, Eve;Charbit, Mathieu;Borie, Gwenael
    • Journal of Periodontal and Implant Science
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    • v.51 no.2
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    • pp.77-87
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    • 2021
  • Purpose: The aim of this study was to compare the efficacy of the tunnel technique for root coverage using a new xenogeneic acellular dermal matrix vs. connective tissue grafting (CTG) for the treatment of multiple maxillary adjacent recessions (recession type 1) at 12 months postoperatively. Methods: This study enrolled 12 patients with at least 3 contiguous, bilateral, symmetrical maxillary gingival recessions (i.e., at least 6 recessions per patient). In total, 74 recessions were treated using the modified coronally advanced tunnel (MCAT) technique combined with a novel porcine-derived acellular dermal matrix (PADM) at 37 test sites or CTG at 37 control sites. The following clinical parameters were measured: recession height, clinical attachment level, width of keratinized tissue, probing depth, recession width, gingival thickness, mean root coverage (MRC), and complete root coverage (CRC). Comparisons between test and control groups were made for pain visual analog scale scores at 14 days. Results: At 12 months, the MCAT with PADM (test) yielded a statistically significant improvement in all clinical parameters studied. MRC was significantly higher on the control sides (80.6%±23.7%) than on the test sides (68.8%±23.4%). Similarly, CRC was 48.7%±6.8% on the control sides (CTG), in contrast to 24.3%±8.2% on the test sides (PADM). Statistically significant differences were observed in favor of the control sides for all clinical parameters studied. Nevertheless, the MCAT in adjunction with PADM was clearly superior at reducing mean and maximum patient-reported postoperative pain intensity and pain duration in the first week after surgery. Conclusions: The use of PADM to treat multiple recessions improved clinical parameters at 12 months, but these outcomes were nevertheless poorer than those observed for CTG. However, PADM reduced morbidity, particularly the pain experienced by patients.

Management Guidelines of Natural Monuments Old Trees through an Ananlysis of Growing Environments II -A Focus on Seoul, Incheon and Gyeonggi provinces- (생육환경 분석을 통한 천연기념물 노거수의 관리방안 II -서울·인천·경기지역을 중심으로-)

  • Kang, Hyun-Kyung;Lee, Seung-Je
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.7 no.2
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    • pp.36-45
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    • 2004
  • This study was conducted to formulate management guidelines for monumental old trees in Korea through analysis of growing environments. A total of 20 old trees designated as natural monuments in Seoul, Incheon, and Gyeonggi provinces were surveyed for biological characteristics, surrounding environments, root collar conditions, tree health, and soil characteristics. Relationships among root collar conditions, tree health, and soil characteristics were analyzed by correlation. The old solitary trees designated as natural monuments included Pinus bungeana(4 trees), Juniperus chinensis(3 trees), Ginkgo biloba(3 trees), Poncirus trifoliata(2 trees), Actinidia arguta, Wisteria floribunda, Thuja orientalis, Quercus variabilis, Sophora japonica, Fraxinus rhynchophylla, Zelkova serrata, and Pinus densiflora. The tree height ranged from 3.56 to 67m, and root collar diameter ranged from 1.01 to 15.2m. The monumental old trees were growing on the various sites ranging from gardens, historical sites, open agricultural fields, mountain hills, to near the ocean beaches and streams. The coverage of bald land ranged from 50 to 100%, and depth of filled soil around the root collar ranged from 0 to 50cm. Tree health was expressed as the amount of branch dieback, cavity development, detachment of cambial tissue, infliction by diseases and insects. The branch dieback ranged from 5 to 20%, cavity development ranged from 10 to 100$cm^3$, detachment of cambial tissue ranged from 5 to 45%, and infliction by diseases and insects ranged from 5 to 20%. Soil pH ranged from 5.9 to 8.3, organic matter contents from 12 to 56%, phosphorus contents from 104 to 618ppm, while soil compaction ranged from 7 to 28mm. Results of correlation analysis showed that coverage of bald land was the most serious factor to deteriorate the cavity development and detachment of cambial tissue. In addition, chemical properties of soils seemed to be related to the health of the trees.

Selection of Kentucky Bluegrass(Poa pratensis L.) Cultivar for Golf Courses in Korea (골프장에 적합한 켄터키 블루그래스 품종 선발)

  • Kim, Kyung-Duck;Tae, Hyun-Sook;Kim, Jong-Bo;Jang, Jae-Il;Oh, Sung-Bae
    • Journal of the Korean Institute of Landscape Architecture
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    • v.35 no.1 s.120
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    • pp.88-93
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    • 2007
  • Since the 1990s, the application of Kentucky bluegrass cultivars has increased in newly-constructed Korean golf courses as opposed to the previously-used zoysiagrass. However, there have been few reports studying the selection and characterization of these Kentucky bluegrass cultivars under Korean weather conditions. A total of 12 Kentucky bluegrass cultivars were tested for their adaptability in environmental stresses during summer conditions in Korea in order to select the best Kentucky bluegrass cultivars for use in Korean golf courses. This study found that two Kentucky bluegrass cultivars ('Midnight' and 'Bluestone') maintained their green throughout the summer season and had a high degree of root density, as compared to the other cultivars tested. These two cultivars also had a good rate of coverage in the early growth period. These characteristics make them suitable for application on sports fields and golf courses, which receive many divots and the frequent replacement of turfgrass sod caused by both biotic and abiotic stress. Two other cultivars, the 'Ginney' and 'Nuglade', also displayed good visual quality and high rate of coverage under summer conditions. In conclusion, the 'Midnight' and 'Bluestone' cultivars performed well in areas including the maintenance of their green color, the number of roots and the rate of coverage during the summer months. These characteristics are necessary for golf courses sports fields, which receive many divots and requirethe frequent replacement of turfgrass. further research on a range of Kentucky bluegrass cultivars, including a sensitivity test for many pathogens and recovery rates from a variety of stresses, is required in the near future.

Effects of localised liquid fertilization of N, P, K and Ca on root development in Zoysia matrella, Cynodon dactylon and Stenotaphrum secundatum

  • Ow, Lai Fern;Yusof, Mohamed Lokman Mohd
    • Weed & Turfgrass Science
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    • v.7 no.1
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    • pp.76-86
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    • 2018
  • Turfgrass species were evaluated for their rooting and foliar characteristics, and their interaction with the soil. The rooting system was divided into three compartments, one above another, such that the top and bottom compartments of the root system could be supplied with a nutrient deprived solution. Exposure of parts of the roots to nitrate deprivation caused a localised retardation of root initiation and extension, compared with zones receiving the full supply of nutrients. This resulted in considerable modification to root form, coupled with a significant depression in foliar growth. The extension of roots was the least affected by the deprivation of potassium. Phosphate and calcium deprivations gave rise to similar responses in root and foliar formation. Results from this study showed that external concentrations of nitrogen, phosphorus, potassium and calcium are required by the root system in varying amounts for optimal growth of roots. Turfgrass coverage and turf quality ratings further reinforced these findings. No significant difference was observed between the different grasses examined here. All three species responded similarly to the deprivation of the various nutrients. Results from this study confirmed that targeted fertilization programs are beneficial and can help reduce cost, chemical usage and prevent leachate and contamination.

Does mini-implant-supported rapid maxillary expansion cause less root resorption than traditional approaches? A micro-computed tomography study

  • Alcin, Rukiye;Malkoc, Siddik
    • The korean journal of orthodontics
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    • v.51 no.4
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    • pp.241-249
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    • 2021
  • Objective: This study aimed to evaluate the volume, amount, and localization of root resorption in the maxillary first premolars using micro-computed tomography (micro-CT) after expansion with four different rapid maxillary expansion (RME) appliances. Methods: In total, 20 patients who required RME and extraction of the maxillary first premolars were recruited for this study. The patients were divided into four groups according to the appliance used: mini-implant-supported hybrid RME appliance, hyrax RME appliance, acrylic-bonded RME appliance, and full-coverage RME appliance. The same activation protocol (one activation daily) was implemented in all groups. For each group, the left and right maxillary first premolars were scanned using micro-CT, and each root were divided into six regions. Resorption craters in the six regions were analyzed using special CTAn software for direct volumetric measurements. Data were statistically analyzed using Kruskal-Wallis one-way analysis of variance and Mann-Whitney U test with Bonferroni adjustment. Results: The hybrid expansion appliance resulted in the lowest volume of root resorption and the smallest number of craters (p < 0.001). In terms of overall root resorption, no significant difference was found among the other groups (p > 0.05). Resorption was greater on the buccal surface than on the lingual surface in all groups except the hybrid appliance group (p < 0.05). Conclusions: The findings of this study suggest that all expansion appliances cause root resorption, with resorption craters generally concentrated on the buccal surface. However, the mini-implant-supported hybrid RME appliance causes lesser root resorption than do other conventional appliances.

Periodontal biotype modification using a volume-stable collagen matrix and autogenous subepithelial connective tissue graft for the treatment of gingival recession: a case series

  • Kim, Hyun Ju;Chang, Hyeyoon;Kim, Sungtae;Seol, Yang-Jo;Kim, Hyeong-Il
    • Journal of Periodontal and Implant Science
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    • v.48 no.6
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    • pp.395-404
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    • 2018
  • Purpose: The purpose of this study was to propose a technique for periodontal biotype modification through thickening of the entire facial aspect using a volume-stable collagen matrix and autogenous subepithelial connective tissue graft (CTG) for the treatment of gingival recession. Methods: Four systemically healthy patients showing Miller class I or class II gingival recession in the mandibular incisor area were included in this study. Full-mouth scaling and root planing procedures were performed at least 4 weeks prior to periodontal plastic surgery. A split-thickness flap with a horizontal intrasulcular incision and 2 vertical incisions was used in cases 1-3, and the modified tunnel technique was used in case 4 for coronal advancement of the mucogingival complex. After the exposed root surfaces were debrided thoroughly, double-layered volume-stable collagen matrix was placed on the apical part of the recession and a subepithelial CTG harvested from the palatal area was placed on the coronal part. The amount of root coverage at 3 months postoperatively was evaluated in cases 1-3, and facio-lingual volumetric changes were analyzed in cases 1 and 2. Results: Healing was uneventful in all 4 cases and complete root coverage was shown in cases 1-3. In case 4, reduction of gingival recession was observed at 3 months after surgery. In cases 1 and 2, a comparison of stereolithographic files from the preoperative and postoperative time points demonstrated that the entire facio-lingual volume had increased. Conclusions: The surgical technique suggested herein, using a volume-stable collagen matrix and autogenous subepithelial CTG, may be an effective method for periodontal biotype modification through thickening of the entire facial aspect for the treatment of gingival recession.