• Title/Summary/Keyword: root coverage technique

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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.

The laterally closed tunnel for the treatment of mandibular gingival recession in thin biotype patients: case report (얇은 치주 생체형 환자에서 교정 치료 후 발생한 하악 전치부 치은 퇴축에 대한 laterally closed tunnel procedure의 처치: 증례보고)

  • Kim, Hyun-Joo;Kwon, Eun-Young;Lee, Ju-Youn;Joo, Ji-Young
    • Journal of Dental Rehabilitation and Applied Science
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    • v.35 no.4
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    • pp.253-259
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    • 2019
  • In this case report, gingival recession of the mandibular anterior teeth was treated with a laterally closed tunnel technique. Two patients had altered the inclination of mandibular anterior tooth during past orthodontic treatment and had periodontal thin biotype. The recipient site was formed by tunneling method, and the connective tissue graft obtained from the palatal side was placed in the tunnel, and the margins of flap were gathered at the center of the root and sutured. Despite the thin periodontal biotype, the root coverage was successfully obtained, keratinized gingiva was increased, and aesthetics were achieved by harmonizing with surrounding tissues in terms of shape and color.

Confidence Interval for Sensitive Binomial Attribute : Direct Question Method and Indirect Question Method (민감한 이항특성에 대한 신뢰구간 : 직접질문법과 간접질문법)

  • Ryu, Jea-Bok
    • The Korean Journal of Applied Statistics
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    • v.28 no.1
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    • pp.75-82
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    • 2015
  • We discuss confidence intervals for sensitive binomial attributes obtained by a direct question method and indirect question method. The Randomized Response Technique(RRT) by Warner (1965) is an indirect question method that uses a randomization device to reduce the response burden of respondents. We used the mean coverage probability (MCP), root mean squared error (RMSE), and mean expected width (MEW) to compare the confidence intervals by the two methods. The numerical comparisons indicated found that the MEW of RRT is too large and the RRT is so conservative that the MCP exceeds a nominal level(${\alpha}$); therefore, it is necessary to complement these problem in order to increase the utility of the indirect question method.

Estimating Indoor Radio Environment Maps with Mobile Robots and Machine Learning

  • Taewoong Hwang;Mario R. Camana Acosta;Carla E. Garcia Moreta;Insoo Koo
    • International journal of advanced smart convergence
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    • v.12 no.1
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    • pp.92-100
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    • 2023
  • Wireless communication technology is becoming increasingly prevalent in smart factories, but the rise in the number of wireless devices can lead to interference in the ISM band and obstacles like metal blocks within the factory can weaken communication signals, creating radio shadow areas that impede information exchange. Consequently, accurately determining the radio communication coverage range is crucial. To address this issue, a Radio Environment Map (REM) can be used to provide information about the radio environment in a specific area. In this paper, a technique for estimating an indoor REM usinga mobile robot and machine learning methods is introduced. The mobile robot first collects and processes data, including the Received Signal Strength Indicator (RSSI) and location estimation. This data is then used to implement the REM through machine learning regression algorithms such as Extra Tree Regressor, Random Forest Regressor, and Decision Tree Regressor. Furthermore, the numerical and visual performance of REM for each model can be assessed in terms of R2 and Root Mean Square Error (RMSE).

Periodontal Wound Healing of the Experimental Subepithelial Connective Tissue Graft in Dogs (성견의 실험적 상피하 결합조직 이식시의 치주조직의 치유)

  • Jung, Hyun-Chul;Choi, Seong-Ho;Cho, Kyoo-Sung;Chai, Jung-Kyi;Kim, Chong-Kwan
    • Journal of Periodontal and Implant Science
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    • v.27 no.2
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    • pp.379-394
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    • 1997
  • Several methods have been used for regeneration of tissue lost by periodontal disease. Subepithelial connective tissue graft technique, one of the technniques of mucogingival surgery, is used for the regeneration in esthetic problems such as recession, and denuded root coverage. This study is performed to evaluate the healing process and the regeneration and reattachment of periodontal tissue, including the reconstruction of junctional epithelium, and connective tissue. Alveolar defects in five adult dogs were treated with periodontal surgery and were attained by removing the marginal alveolar bone by $4{\time}3mm$ from CEJ in the labial side of incisors, and root surfaces were planed. The experimental sites were divided into two groups as follows. 1. root planing alone(control group) 2. with connective tissue graft (Experimental Group) In the two groups flaps were positioned and sutured tightly, the healing processes were observed and were histologically compared with each other after 2days, 4days, 1week, 2weeks, 4weeks. The results were obtained as follows : 1. In the two groups blood clots were observed as early as 2 and 4 days, and were resorbed at 1 week. 2. In the two groups moderate inflammation was observed as early as 2 and 4 days, decreased at 1 and 2 weeks, and disappeared at 4 weeks. 3. Junctional Epithelium migration was more significant in the control group, and was restrained by graft materials in the experimental group. 4. Features of connective tissue fiber attachment partially showed the parallel pattern in the two groups from 2 weeks, and entirely from 4weeks. 5. Anastomosis, between graft and connective tissue, appeared from 4 days in the experimental group and the border between them was not discriminated at 4weeks.

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Development of Isolation and Cultivation Method for Outer Root Sheath Cells from Human Hair Follicle and Construction of Bioartificial Skin

  • Sin, Yeon-Ho;Seo, Yeong-Gwon;Lee, Du-Hun;Yu, Bo-Yeong;Song, Gye-Yong;Seo, Seong-Jun;Hwang, Seong-Ju;Kim, Yeong-Jin;Yang, Eun-Gyeong;Park, Jang-Seo;Jang, Lee-Seop;Park, Jeong-Geuk
    • 한국생물공학회:학술대회논문집
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    • 2003.04a
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    • pp.302-305
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    • 2003
  • It is difficult to obtain sufficient healthy skin for coverage of a wide area of skin wound. In the skin, an additional population of living epithelial cells is located in the outer root sheath (ORS) of hair $follicles.^{1),2)}$ ORS cells should be a good source of epithelium because they are easily obtainable and patients do not have to suffer from scar formation at donor sites. We modified ordinary primary culture technique for the purpose of solving such problem that epithelial cells have a low propagation and easy aging during culture periods. First of all, we improved primary cultivation methods. In the ordinary primary culture, average yield of human ORS cells was $2\;{\times}\;10^3$ cells/follicle by direct incubation with trypsin (0.1%)/EDTA (0.02%) solution for 15 min at $37^{\circ}C$ but we could obtain about $6.5\;{\times}\;10^3$ cells/follicle by two step enzyme digestion method with dispase (1.2 U/ml) and trypsin (0.1%)/EDTA (0.02%) solution. So we could achieve three times higher primary cultured ORS cell yield. Secondly, we could obtain total $2\;{\times}\;10^7$ cells in serum free medium and even more total $6\;{\times}\;10^7$ cells in modified E-medium with mitomycin C-treated feeder cells during 17 days. Using the cultured ORS cells, and we could make bioartificial skin equivalent in vitro and concluded that ORS cells were progenitor cells for skin epithelial cell.

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On-site Demonstration of Topographic Surveying Techniques at Open-pit Mines using a Fixed-wing Unmanned Aerial Vehicle (Drone) (고정익 무인항공기(드론)를 이용한 노천광산 지형측량 기술의 현장실증)

  • Lee, Sungjae;Choi, Yosoon
    • Tunnel and Underground Space
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    • v.25 no.6
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    • pp.527-533
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    • 2015
  • This study performed an on-site demonstration of the topographic surveying technique at a large-scale open-pit limestone mine in Korea using a fixed-wing unmanned aerial vehicle (UAV, Drone, SenseFly eBee). 288 sheets of aerial photos were taken by an automatic flight for 30 minutes under conditions of 300 m altitude and 12 m/s speed. Except for 37 aerial photos in which no keypoint was detected, 251 aerial photos were utilized for data processing including correction and matching, then an orthomosaic image and digital surface model with 7 cm grid spacing could be generated. A comparison of the X, Y, Z-coordinates of 4 ground control points measured by differential global positioning system and those determined by fixed-wing UAV photogrammetry revealed that the root mean squared errors were around 15 cm. Because the fixed-wing UAV has relatively longer flight time and larger coverage area than rotary-wing UAVs, it can be effectively utilized in large-scale open-pit mines as a topographic surveying tool.

Evaluation of Stability and Deterioration Characteristics for the Rock-carved Standing Buddha Triad in Gyeongju Seoak-dong, Korea (경주 서악동 마애여래삼존입상의 손상특성 및 안정성 평가)

  • Lee, Chan Hee;Choie, Myoungju
    • Economic and Environmental Geology
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    • v.54 no.1
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    • pp.137-150
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    • 2021
  • The rock-carved standing Buddha triad in Seoak-dong is a large stone Buddha statue of the Unified Silla era (AD 676 to 935) in ancient Korea, built near the top of the southeastern side of mountain Seondosan in Gyeongju, is characterized by its locational importance, the powerful Amitabha and the gentle sculptural technique of the Bodhisattva. In particular, Amitabha Buddha in andesite rock slope with biotite granite pedestal and two Bodhisattva parallel made by alkali granites seems to express the dignity through the color and texture of the stones. In the Amitabha Buddha, deterioration characteristics are accelerating due to the combination of various joint systems, instability of the slopes and relaxation by the root pressure of plants occurring at the top. In addition, physical properties have deteriorated owing to the increase of discontinuous surfaces as joints, cracks and scalings, and the coverage of algae and lichen is also high. Therefore, deterioration degree in Buddha triad is accelerated due to the physical weathering characteristics from natural rock mass and various biological invasion.