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Comparison of Mechanical Stability between Fibular Free Flap Reconstruction versus Locking Mandibular Reconstruction Plate Fixation

  • Chung, Jae-Hyun;Yoon, Eul-Sik;Park, Seung-Ha;Lee, Byung-Il;Kim, Hyon-Surk;You, Hi-Jin
    • Archives of Craniofacial Surgery
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    • v.15 no.2
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    • pp.75-81
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    • 2014
  • Background: The fibular free flap has been used as the standard methods of segmental mandibular reconstruction. The objective of mandibular reconstruction not only includes restored continuity of the mandible but also the recovery of optimal function. This paper emphasizes the advantage of the fibular free flap reconstruction over that of locking mandibular reconstruction plate fixation. Methods: The hospital charts of all patients (n=20) who had a mandibular reconstruction between 1994 and 2013 were retrospectively reviewed. Eight patients had plateonly fixation of the mandible, and the remaining 12 had vascularized fibular free flap reconstruction. Complications and outcomes were reviewed and compared between the 2 groups via statistical analysis. Results: Overall complication rates were significantly lower in the fibular flap group (8.3%) than in the plate fixation group (87.5%; p =0.001). Most (7/8) patients in the plate fixation group had experienced plate-related late complications, including plate fracture or exposure. In the fibular flap group, no complications were observed, except for a single case of donor-site wound dehiscence (1/12). Conclusion: The fibular free flap provides a more stable support and additional soft tissue support for the plate, thereby minimizing the risk of plate-related complications. Fibular free flap is the most reliable option for mandibular reconstruction, and we believe that the flap should be performed primarily whenever possible.

Microstructures and Mechanical Properties of $Al_2O_3$-$ZrO_2$ Ceramics Prepared by a Precipitation Method (침전법으로 제조한 $Al_2O_3$-$ZrO_2$계 세라믹스의 미세구조 및 기계적 특성)

  • 홍기곤;이홍림
    • Journal of the Korean Ceramic Society
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    • v.27 no.8
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    • pp.991-1003
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    • 1990
  • A precipitation method, one of the most effective liquid phase reaction methods, was adopted in order to prepare high-tech Al2O3/ZrO2 composite ceramics. Al2(SO4)3.18H2O, ZrOCl2.8H2O and YCl3.6H2O were used as starting materials and NH4OH as a precipitation agent, various types of metal hydroxides were obtained by single precipitation(series A) and co-precipitation(series B) method at the pH condition between 7 and 11. Fine Al2O3-ZrO2 powders were prepared at optimum calcination condition and the effects of ZrO2 on microstructures and mechanical properties of Al2O3 were investigated. The composition of Al2O3/ZrO2 composites wax fixed as Al2O3-15 v/o ZrO2(+3m/o Y2O3). ZrO2 limited the grain growth of Al2O3 and increased grain size homogeneity of Al2O3 more effectively than MgO.Flexural strength values in Al2O3 and Al2O3/ZrO2 composites were 340-430 MPa and 540-820 MPa, respectively, and the effect of strength improvement showed 20-50% by adding ZrO2 to Al2O3. Fracture toughness of Al2O3/ZrO2 composites was improved by stress-induced phase transformation of tetragonal ZrO2 and toughening effect by microcrack was not observed. Also, ZrO2 particles located at Al2O3 grain junction contributed to toughening, while spherical ZrO2 particles located within Al2O3 grain did not contribute to toughening. Weibull moduli of Al2O3 ceramics and Al2O3/ZrO2 composites of series A and series B were 4.34, 5.17 and 9.06, respectively. Above 0.5 of failure probability, strength values in Al2O3 ceramics and Al2O3/ZrO3 composites of series A and series B were above 400 MPa, 700 MPa and 650 MPa, respectively.

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Thermal Shock Behavior of $Al_2O_3$-$ZrO_2$ Ceramics Prepared by a Precipitation Method (침전법으로 제조한 $Al_2O_3$-$ZrO_2$계 세라믹스의 열충격 거동)

  • 홍기곤;이홍림
    • Journal of the Korean Ceramic Society
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    • v.28 no.1
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    • pp.11-18
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    • 1991
  • A precipitation method, one of the most effective liquid phase reaction methods, was adopted in order to prepare high-tech Al2O3/ZrO2 composite ceramics, and the effects of stress-induced phase transformation of ZrO2 on thermal shock behavior of Al2O3-ZrO2 ceramics were investigated. Al2(SO4)3.18H2O, ZrOCl2.8H2O and YCl3.6H2O were used as starting materials and NH4OH as a precipitation agent. Metal hydroxides were obtained by single precipitation(process A) and co-precipitation(process B) method at the condition of pH=7, and the composition of Al2O3-ZrO2 composites was fixed as Al2O3-15v/o ZrO2(+3m/o Y2O3). Critical temperature difference showing rapid strength degradation by thermal shock showed higher value in Al2O3/ZrO2 composites(process A : 20$0^{\circ}C$, process B : 215$^{\circ}C$) than in Al2O3(175$^{\circ}C$). The improvement of thermal shock property for Al2O3/ZrO2 composites was mainly due to the increase of strength at room temperature by adding ZrO2. The strength degradation was more severe for the sample with higher strength at room temperature. Crack initiation energies by thermal shock showed higher values in Al2O3/ZrO2 composites than in Al2O3 ceramics due to increase of fracture toughness by ZrO2.

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Evaluation of SHCC on Direct Tensile Load using Acoustic Emission Technique (음향방출기법을 이용한 혼입되는 섬유의 종류에 따른 SHCC의 직접인장거동특성 평가)

  • Kim, Yun-Su;Yun, Hyun-Do;Jeon, Esther;Park, Wan-Shin
    • Proceedings of the Korea Concrete Institute Conference
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    • 2008.04a
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    • pp.177-180
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    • 2008
  • SHCC shows the high energy tolerance capacity due to the interfacial bonding of the fibers to the cement matrix. For effective material design and application of SHCC, it is needed to investigate the damage process and micro-fracture mechanism of cement matrix reinforced with different types of fibers. The objective of this paper is to investigate the direct tensile response of cement composites reinforced with single and hybrid fibers using acoustic emission(AE) technique. In this study, the correlations between AE signal and result of the direct tensile response of SHCC. For these purposes, three kinds of fibers were used: PET1.5%, PET1.0+PE0.5%, PET1.0%+PVA0.5%. The result of the direct tensile response of SHCC, for the same volume fraction of fibers, ultimate strength of PET-PE specimen was 2.7 times higher than specimens with PET fibers. And from AE signal value, AE event numbers and cumulative energy were different according to kind of fiber because of the different material properties of reinforced fiber.

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Static Performance Test for New Wave Dissipating Block Reinforced with FRP (FRP로 보강된 신형 소파블록의 정적 성능 실험)

  • Paik, In-Yeol;Oh, Young-Min
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.23 no.4
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    • pp.285-291
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    • 2011
  • In this study the mechanical performance of the new wave dissipating block is evaluated through experiment and numerical analysis. Also, by selecting adequate reinforcement, the improvement of the structural performance is examined. The reinforcement is designed by predicting the amount of tensile force and the location where the tensile stress develops in the new wave dissipating block through numerical analysis. The new wave dissipating block is reinforced with the ordinary steel bars and the fiber reinforced plastic(FRP) bars which have advantages in ocean environment in terms of corrosion and fatigue. The test result shows that the fracture resistance of the un-reinforced concrete block is 350 kN which is about 6.2 times that of the weight of the block. All the test blocks which are reinforced by either steel of FRP bars show strength capacity of over 900 kN which is the maximum load of the test equipment. Although the single reinforcement with larger-diameter bars has advantage in terms of construction convenience, it is recommended to use multiple number of smaller-diameter bars in order to reduce the crack width.

Evaluation of Adhesion Property of Epoxy Adhesive with Different Surface Roughness of GFRC (유리섬유강화 복합재료의 표면거칠기에 따른 에폭시 접착제의 접착강도 평가)

  • Kim, Jong-Hyun;Shin, Pyeong-Su;Lee, Sang-Il;Park, Joung-Man
    • Journal of Adhesion and Interface
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    • v.21 no.1
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    • pp.27-33
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    • 2020
  • Adhesion property of epoxy adhesive was evaluated with different surface roughness of glass fiber reinforced composite (GFRC) and optimized condition of surface roughness was confirmed. Different sizes of alumina (Al2O3) particles were blasted to GFRC to control surface roughness of GFRC using sand blasting method. The surface roughness was measured and quantified via surface roughness tester. Contact angle was measured using four types of different solvents. Surface energies and work of adhesion between epoxy adhesive and GFRCs were calculated with different surface roughness of GFRC. Adhesion property between epoxy adhesive and GFRCs was evaluated using single lap shear test and adhesion property increased with surface roughness of GFRC. The fracture surface of GFRCs was observed to evaluate adhesion property. Finally, the optimized roughness condition of GFRCs was confirmed.

FINITE ELEMENT STRESS ANALYSIS OF A TOOTH RESTORED WITH CAD/CAM CERAMIC INLAY (CAD/CAM 세라믹 인레이로 수복한 치아의 응력분포에 관한 유한요소법적 연구)

  • 송보경;엄정문
    • Restorative Dentistry and Endodontics
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    • v.26 no.6
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    • pp.464-484
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    • 2001
  • When restoring a tooth, the dentist tries to choose the ideal material for existing situation. One criterion that is considered is its suitability for restoring coronal strength. As more tooth structure is removed, the cusps are weakened and susceptible to fracture. Further, this increased deformation may cause the formation of intermittent gaps at the margin between the hard tissue and the restoration, facilitating marginal leakage. The improvements in ceramic materials now make it possible for alternatives to amalgams, composites, and cast metal to be of offered for posterior teeth. Of the materials used, ceramics most closely approximates the properties of enamel. The introduction of computer-aided design/computer-aided manufacture(CAD/CAM) systems to restorative dentistry represents a major technological breakthrough. It is possible to design and fabricate ceramic restorations at a single appointment. Additionally, CAD/CAM systems eliminate certain errors and inaccuracies that are inherent to the indirect method and provide an esthetic restoration. The aim of this investigation was to study the loading characteristics of CAD/CAM ceramic inlay and to compare the stress distribution and displacement associated with different designs of cavity(the isthmus width and cavity depth). A human maxillary left first premolar was prepared with standard mesio-occlusal cavity preparation, as recommended by the manufacturer Ceramic inlay was fabricated with CEREC 2 CAD/CIM equipment and cemented into the prepared cavity. Three dimensional model was made by the serial photographic method. The cavity width was varied $\frac{1}{3}$, $\frac{1}{2}$ and $\frac{2}{3}$ of intercuspal distance between buccal and lingual cusp tip. The cavity depth was varied 1.5mm and 2.3mm. So six models were constructed to simulate six conditions. A point load of 500N was applied vertically onto the first node of the lingual slope from the buccal cusp tip. The stress distribution and displacement were solved using ANSYS finite element program(Swanson Analysis System). (omitted)

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Distribution and evolution of residual voids in longwall old goaf

  • Wang, Changxiang;Jiang, Ning;Shen, Baotang;Sun, Xizhen;Zhang, Buchu;Lu, Yao;Li, Yangyang
    • Geomechanics and Engineering
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    • v.19 no.2
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    • pp.105-114
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    • 2019
  • In this paper, simulation tests were conducted with similar materials to study the distribution of residual voids in longwall goaf. Short-time step loading was used to simulate the obvious deformation period in the later stage of arch breeding. Long-time constant loading was used to simulate the rheological stage of the arch forming. The results show that the irregular caving zone is the key area of old goaf for the subsidence control. The evolution process of the stress arch and fracture arch in stope can be divided into two stages: arch breeding stage and arch forming stage. In the arch breeding stage, broken rocks are initially caved and accumulated in the goaf, followed by the step deformation. Arch forming stage is the rheological deformation period of broken rocks. In addition, under the certain loads, the broken rock mass undergoes single sliding deformation and composite crushing deformation. The void of broken rock mass decreases gradually in short-time step loading stage. Under the water lubrication, a secondary sliding deformation occurs, leading to the acceleration of the broken rock mass deformation. Based on above research, the concept of equivalent height of residual voids was proposed, and whose calculation equations were developed. Finally, the conceptual model was verified by the field measurement data.

Monolithic zirconia crowns: effect of thickness reduction on fatigue behavior and failure load

  • Prott, Lea Sophia;Spitznagel, Frank Akito;Bonfante, Estevam Augusto;Malassa, Meike Anne;Gierthmuehlen, Petra Christine
    • The Journal of Advanced Prosthodontics
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    • v.13 no.5
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    • pp.269-280
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    • 2021
  • PURPOSE. The objective of this study was to evaluate the effect of thickness reduction and fatigue on the failure load of monolithic zirconia crowns. MATERIALS AND METHODS. 140 CAD-CAM fabricated crowns (3Y-TZP, inCorisTZI, Dentsply-Sirona) with different ceramic thicknesses (2.0, 1.5, 1.0, 0.8, 0.5 mm, respectively, named G2, G1.5, G1, G0.8, and G0.5) were investigated. Dies of a mandibular first molar were made of composite resin. The zirconia crowns were luted with a resin composite cement (RelyX Unicem 2 Automix, 3M ESPE). Half of the specimens (n = 14 per group) were mouth-motion-fatigued (1.2 million cycles, 1.6 Hz, 200 N/ 5 - 55℃, groups named G2-F, G1.5-F, G1-F, G0.8-F, and G0.5-F). Single-load to failure was performed using a universal testing-machine. Fracture modes were analyzed. Data were statistically analyzed using a Weibull 2-parameter distribution (90% CI) to determine the characteristic strength and Weibull modulus differences among the groups. RESULTS. Three crowns (21%) of G0.8 and five crowns (36%) of G0.5 showed cracks after fatigue. Characteristic strength was the highest for G2, followed by G1.5. Intermediate values were observed for G1 and G1-F, followed by significantly lower values for G0.8, G0.8-F, and G0.5, and the lowest for G0.5-F. Weibull modulus was the lowest for G0.8, intermediate for G0.8-F and G0.5, and significantly higher for the remaining groups. Fatigue only affected G0.5-F. CONCLUSION. Reduced crown thickness lead to reduced characteristic strength, even under failure loads that exceed physiological chewing forces. Fatigue significantly reduced the failure load of 0.5 mm monolithic 3Y-TZP crowns.

Learning Curve and Complications Experience of Oblique Lateral Interbody Fusion : A Single-Center 143 Consecutive Cases

  • Oh, Bu Kwang;Son, Dong Wuk;Lee, Su Hun;Lee, Jun Seok;Sung, Soon Ki;Lee, Sang Weon;Song, Geun Sung
    • Journal of Korean Neurosurgical Society
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    • v.64 no.3
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    • pp.447-459
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    • 2021
  • Objective : Oblique lateral interbody fusion (OLIF) is becoming the preferred treatment for degenerative lumbar diseases. As beginners, we performed 143 surgeries over 19 months. In these consecutive cases, we analyzed the learning curve and reviewed the complications in our experience. Methods : This was a retrospective study; however, complications that were well known in the previous literature were strictly recorded prospectively. We followed up the changes in estimated blood loss (EBL), operation time, and transient psoas paresis according to case accumulation to analyze the learning curve. Results : Complication-free patients accounted for 43.6% (12.9%, early stage 70 patients and 74.3%, late stage 70 patients). The most common complication was transient psoas paresis (n=52). Most of these complications occurred in the early stages of learning. C-reactive protein normalization was delayed in seven patients (4.89%). The operation time showed a decreasing trend with the cases; however, EBL did not show any significant change. Notable operation-induced complications were cage malposition, vertebral body fracture, injury to the ureter, and injury to the lumbar vein. Conclusion : According to the learning curve, the operation time and psoas paresis decreased. It is important to select an appropriately sized cage along with clear dissection of the anterior border of the psoas muscle to prevent OLIF-specific complications.