• 제목/요약/키워드: root coverage

검색결과 122건 처리시간 0.032초

치주판막술시 여분의 결합조직을 이용한 치은퇴축의 회복에 대한 증례보고 (CASE REPORT OF ROOT COVERAGE VIA CONNECTIVE TISSUE DURING UNDISPLACED FLAP OPERATION)

  • 임성빈;정진형;이재현
    • 대한심미치과학회지
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    • 제4권1호
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    • pp.1-5
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    • 1995
  • A mucogingival grafting procedure has been developed to cover denuded root surfaces. This procedures need to connective tissue, so many clinician open the trap door to palatal side of the patient. In this study, where palatal pocketing was present, pocket elimination was performed, and the tissue normally discarded after thinning of the palatal flap was used as a grafting material. The esthetics in recipient site, both color match and tissue contour were acceptable to the patient in this case.

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교정 치료 중인 환자의 치주수술 (Mucogingival surgery for patients under orthodontic treatment)

  • 박신영
    • 대한치과의사협회지
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    • 제55권3호
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    • pp.249-256
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    • 2017
  • Gingival recession is one of the common mucogingival problems during the orthodontic treatment. The causes of the gingival recession are similar to gingival recession in patients with periodontal diseases. Accumulation of bacterial deposits around the natural teeth induces the gingival inflammation and gingival recession occurs in the teeth with the lack of the supporting bone. However, malpositioned teeth which are labially positioned teeth or rotated teeth are more risky for gingival recession. Once root is exposed to oral cavity due to gingival recession, the orthodontic tooth movement is compromised and esthetic problems appeared. In addition, excessive gingival recession over the mucogingival junction jeopardizes the oral hygiene control, which has a risk of further gingival recession and bone loss around the tooth. To cover exposed root or to prevent further gingival recession, mucogingival surgery with gingival graft is recommended for the patients under orthodontic treatment. This case report aimed to present the mucogingival treatments of gingival recession observed during orthodontic treatment. Case I had had initial slight gingival recession before the orthodontic treatment. However, during the retraction phases, the gingival recession progressed and the periodontal treatment was referred. In case II, miller Class III gingival recession was occurred after correction of rotation. Both cases were treated by coronally advanced flap with free gingival grafts and recovered to the level of adjacent teeth despite of complete root coverage was not achieved in Case II. After periodontal treatment, orthodontic treatment was successfully completed. In conclusion, mucogingival surgery during the orthodontic treatment is recommended for the successful orthodontic treatment as well as periodontal health.

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ART의 위상정보를 이용한 회전각도 추정 방법 (A Rotation Angle Estimation Method Based on Phase of ART)

  • 이종민;김회율
    • 방송공학회논문지
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    • 제17권1호
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    • pp.81-94
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    • 2012
  • 본 논문에서는 두 영상간의 회전각도를 추정하는 방법들 중에서, 정확도에서 높은 성능을 제공하는 저니키 모멘트의 위상을 이용한 방법들의 회전각도 추정 결과의 정확도를 비교하여 제시하고, 기존의 방법들보다 정확하게 각도를 추정하는 angular radial transform(ART) 계수들의 위상성분을 이용한 회전각도 추정방법을 제안한다. 제안하는 방법은 Revaud가 제안한 저니키 모멘트를 이용한 회전각도 추정 방법[1]을 ART로 확장한 방법이다. ART는 저니키 모멘트에 비해서 회전에 의한 영상의 변화를 보다 효과적으로 서술할 수 있는 기저함수의 생성이 가능하기 때문에 저니키 모멘트보다 두 영상간의 회전각도를 정확히 추정하는 것을 가능하게 한다. MPEG-7 데이터셋을 이용한 실험 결과, 제안하는 방법이 제곱평균제곱근오차(root mean square error) 대 커버리지(coverage)를 기준으로한 성능비교에서 가장 우수한 성능을 보였다.

수종(數種) 근관(根管) 충전재(充塡材)에 의(依)한 치아(齒牙) 내부(內部) 변색효과(變色效果)에 관(關)한 실험적(實驗的) 연구(硏究) (AN EXPERIMENTAL STUDY ON THE EFFECT OF INTERNAL DISCOLORATION OF TEETH BY ENDODONTIC SEALERS)

  • 김인걸;조재오
    • Restorative Dentistry and Endodontics
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    • 제12권2호
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    • pp.65-72
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    • 1987
  • The purpose of this study was to examine the influence of several root canal sealers on the discoloration of internal surface after root canal obstruction. Twenty four sound human premolars, extracted for orthodontic or prosthodontic purposes, were randomly selected and divided into eight groups. Extracted premolars were prepared, and the following seven materials were introduced into the pulp cavities: AH 26, Fuji ionomer (Type I) cement, N2, Oxypara "Murakami", Kerr sealer, PCA sealer, and G-C's Propac ZOE cement. After 7 weeks of incubation; the discolored tooth crowns were hemisectioned, and the internal staining patterns were examined. Then, with an association of observed values the mean intensity scores and percentage of coverage scores of the internal staining patterns in teeth attained by two observers using for Chisquare test were analyzed. The results were as follows: 1. All the experimental premolar's crown showed various ranged discoloration of internal surface. 2. There was no significance between the association scores of two observers participated into this experiments:% coverage scores (P > 0.05) and intensity (P > 0.05) 3. The crowns filled with PCA sealer, AH 26, and Fuji ionomer cement was visible within a depth of one third of dentin. (P> 0.05) 4. For N2, Kerr sealer, and G-C's Propac cement, A slight dentinal staining was recorded, which penetrated up to half way into the dentin. (P> 0.05) 5. It was noticed that the teeth filled with Oxypara "Murakami" were discolored more than two thirds of the dentinal layer. 6. On the control group, there was no discoloration.

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산성배수 비탈면의 생태적 녹화를 위한 산성배수 중화기법 연구 (A Study on the Acid Drainage Neutralizing System for Ecological Vegetation on the Acid Drainage Slope)

  • 조성록;심상렬;김재환
    • 한국지반환경공학회 논문집
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    • 제20권1호
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    • pp.27-33
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    • 2019
  • 산성배수가 발생하는 비탈면에서 생태적 녹화를 위한 산성배수 중화기법을 알아보기 위한 연구를 진행하였다. 산성배수중화기법을 위한 4가지 유형의(무처리, 석회고토 처리, 인산염 처리, 석회고토 + 인산염 처리) 시험구를 조성하였다. 실험결과 산도(pH), 피복율(%), 고사율(%), 식물뿌리상태 등에서 중화기법에 따른 유의차가 발생하는 것을 알 수 있었다. 중화기법에 따른 연구결과 (첫 번째 : 석회고토 + 인산염 처리, 두 번째 : 인산염 처리, 세 번째 : 석회고토 처리, 네 번째 : 무처리) 순서로 산도 중화 및 식물생장에 효과적이었다. 산성배수 비탈면에서 석회고토 처리와 인산염 처리는 토양산도 중화와 식물생장에 효과적이었으나, 석회고토 처리에 비해 인산염 처리가 더 효과적이었으며, 인산염 처리가 황화광물의 코팅 효과 때문에 토양산도 중화와 식물 생장에 더 효과적이라는 것을 알 수 있었다.

Treatment efficacy of gingival recession defects associated with non-carious cervical lesions: a systematic review

  • Oliveira, Livia Maria Lopes de;Souza, Camila Agra;Cunha, Sinara;Siqueira, Rafael;Vajgel, Bruna de Carvalho Farias;Cimoes, Renata
    • Journal of Periodontal and Implant Science
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    • 제52권2호
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    • pp.91-115
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    • 2022
  • Purpose: This systematic review aimed to compare the efficacy, defined in terms of the mean percentage of root coverage (mRC), of surgical treatment approaches combined with adhesive restorations of non-carious cervical lesions (NCCLs) to that of root coverage alone in patients with a single gingival recession (GR) and NCCL. Methods: A literature search was conducted to identify longitudinal studies reporting the mRC following treatment for the correction of GR defects associated with NCCLs using a combination of surgical and restorative techniques in systemically and periodontally healthy patients. Results: The search resulted in the retrieval of 12,409 records. Seven publications met the inclusion criteria for the qualitative synthesis of data. The mRCs ranged from 69% to 97%. In the medium term, the gingival margin position was more stable when a connective tissue graft (CTG) was used, independently of whether restoration of teeth with NCCLs was performed. Conclusions: The strength of the evidence was limited by methodological heterogeneity in terms of study design as well as the unit and period of analysis, which precluded a metaanalysis. Although no definitive conclusion could be drawn due to the lack of sufficient evidence to estimate the effectiveness of the interventions, CTG-based procedures contributed to gingival margin stability regardless of the performance of restoration to treat NCCLs.

상악 및 하악골에 식립된 치근형 골내매식체와 주위골조직의 반응에 관한 조직학적 비교연구 ('A COMPARATIVE HISTOLOGIC STUDY OF BONE-IMPLANT INTERFACE TO THE TITANTIUM ROOT FORMED IMPLANTS IN THE Mx, Mn')

  • 이재황;허성주;조인호
    • 대한치과보철학회지
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    • 제29권2호
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    • pp.35-48
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    • 1991
  • Installation periods of implants in Mx. and Mn., is related to pattern of bone formation. The purpose of this study was to observe histologic response in osseointegration at root formed implant-tissue interface at Mx. and Mn., the other is comparison of osseointegration level between Mx. and Mn. at 8 weeks. In this study, unilateral upper & lower molars were extracted in dog. After allowing to heal for 4 months, two kinds of osseointegrated implants Swedevents, Corevents-were inserted in dog. The specimens were treated by conventional method. The interface zones between bone and implant were investiigated using X-rays, light microscope. The following results were obtained from this study. 1. Around titanium implants that were installed in Ma and Mn., Radio lucencies don't exist 2. There are not inflammation and mobility of titanium implants that were installed in Mx. and Mn. Most of implant surface are covered by bony tissued partly by bone-marrow tissues. 3. Titanium implants installed in Mx, in contrast to same implants in Mn., shows more coverage by bone marrow tissue and lack of apposition lamellar bone, which lead to the assumption that bone formation in Mn. is faster than in Mx.

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자연림 복원을 위한 모듈군락식재 실험연구 (Experimental Study on Modular Community Planting for Natural Forest Restoration)

  • 한용희;박석곤
    • 한국환경생태학회지
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    • 제36권3호
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    • pp.338-349
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    • 2022
  • 다양한 수종의 묘목을 고밀도로 심는 모듈군락식재가 기존의 성목식재보다 자연림 복원 효과성이 뛰어난지 알고자 야외 실험을 했다. 또 모듈군락식재의 식재밀도 차이에 따라 생장이 촉진되는지, 또 식피율이 높아지는지를 알아보았다. 큰나무를 넓게 띄어 심는 성목식재구(대조구)와 다종의 묘목을 고밀도로 심는 모듈군락식재구(처리구)로 구분했고, 다시 식재밀도에 따른 3주/m2와 1주/m2 모듈군락식재구로 나눠 실험을 설계했다. 2019년 5월부터 26개월간 공시재료의 생존율, 생장량(수고, 수관폭, 근원직경), 식피율을 측정했고, 측정 수고값을 활용하여 장래 수고생장을 예측했다. 모듈군락식재구의 생존율과 상대생장량이 성목식재구보다 높았다. 모듈군락식재구의 식피율은 23개월 이전에 지표면을 완전히 덮었지만, 성목식재구는 이식스트레스로 인해 오히려 식피율이 낮아졌다. 고밀도로 심은 모듈군락식재구의 묘목이 자라서 식재 후 5~6.5년 만에 성목식재구보다 더 높이 자랄 것으로 예측됐다. 이런 결과를 이끈 원인은 다종(多種)·묘목·고밀도 식재와 토양개량·멀칭 등의 식재기반 개선 때문이라 본다. 즉, 모듈군락식재구에 심은 묘목은 큰나무를 심은 성목식재구보다 식재 후 환경 적응력이 뛰어나 생존율이 높고, 초기 생장량이 많았을 것이다. 다양한 자생수종의 고밀도 혼식은 상호보완적 환경압을 완화하는 동시에 개체간 경쟁을 유발해 생장 촉진을 이끌었다. 더불어, 식재기반 개선은 묘목의 활착율 상승과 생장량 증가에 유효했다고 본다. 식재밀도가 높을수록 식피율이 급격히 늘어나, 제초 등의 사후관리비 절감 효과가 있을 것이다. 모듈군락식재구(3주/m2, 1주/m2)의 식재밀도가 높았을 때 수고생장이 촉진되었고, 수관폭·근원직경은 식재밀도가 낮았을 때 높아지는 경향을 보였지만, 통계적 차이가 없었다.

치근 피개 술식시 치근에 도포된 테트라사이클린의 효과에 관한 임상적 연구 (Clinical Study of Tetracycline HCl Conditioning in the Treatment of Gingival Recession. A Comparative Study)

  • 김종애;정진형;임성빈
    • Journal of Periodontal and Implant Science
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    • 제30권1호
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    • pp.133-146
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    • 2000
  • Histological studies indicate a tetracycline HCl similar to citric acid to induce connetive tissue repair in animals. When tetracycline HCl was used as a root conditioning agent in humans, there was a trend toward more connective tissue attachment than in root planing alone. The purpose of this study was to evaluate clinical effect of tetracycline HCl in the treatment of gingival recession. 44 teeth in 12 patients with bilaterally gingival recession & Miller classification I, II gingival recession were selected and 22 teeth were treated with 125mg/ml tetracycline HCl , the others was not treated with tetracycline HCl. Gingival recession, pocket depth, clinical attachment level, width of keratinized gingiva were observed at baseline, postoperative 4, 12, 20weeks. Both groups were statistically analyzed by Wilcoxon signed Ranks Test & Wilcoxon's rank sum test(Mann-whitney test) using SPSS program.(5% significance level) The results were as follows: 1........The change of gingival recession, clinical attachment level, keratinized gingiva in both groups were increased significantly at 4, 12, 20 weeks. 2.......The pocket depth exhibited no marked changes throughout the entire investigation in both groups. 3........The change of gingival recession in tetracycline group was increased significantly than control group at 4, 12, 20 weeks and the percentage of root coverage was 93% in tetracycline group and 83% in control group. 4........The change of clinical attachment level, pocket depth, keratinized tissue from baseline to 4, 12, 20 weeks was not differ significanltly in both group.

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근관세정 방법에 따른 수산화칼슘 제재의 제거 효율 비교 (A COMPARISON OF THE IRRIGATION SYSTEMS IN CALCIUM HYDROXIDE REMOVAL)

  • 은재승;박세희;조경모;김진우
    • Restorative Dentistry and Endodontics
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    • 제34권6호
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    • pp.508-514
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    • 2009
  • 이 실험의 목적은 근관 내에 충전된 수산화칼슘의 제거 시 치근단 1/3에서 기존의 근관세정법과 $EndoActivator^{(R)}$, $EndoVac^{(R)}$ system의 세정 효율을 비교하고, 근관 세정 중 치근단공 개방 확인의 영향에 대해 평가하고자 함이다. 60개의 단근치를 사용하였고 ISO #35까지 근관성형 후 수산화칼슘을 충전하였다. 근관 세정법과 치근단공 개방 확인 유무에 따라 6개 실험군으로 나누어 세정하였다. 실험 치아를 양분하여 치근단 3 mm에서 근관 면적에 대한 잔존 수산화칼슘 면적의 백분율을 측정하였다. 실험결과 $EndoActivator^{(R)}$, $EndoVac^{(R)}$군이 기존의 근관 세정법 군에 비해 유의하게 높은 제거효율을 나타냈으며 (p<0.05), 치근단공 개방 확인 유무에 따른 유의한 차이는 나타나지 않았다. 이 실험 결과에 따르면 기존의 근관세정법으로 효과적인 세정이 불가능했던 근관의 치근단 1/3부위에서 $EndoActivator^{(R)}$, $EndoVac^{(R)}$ system과 같은 근관 세정법이 효과적인 대안이 될 수 있다는 결론을 얻었다.