• The Journal of Korean Academy of Prosthodontics
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• v.55 no.1
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• pp.1-8
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• 2017

Purpose: The purpose of this study is to compare the accuracy of the CT guided implant template that was produced by using an intraoral scanner according to the edentulous distance. Materials and methods: Five maxillary casts were fabricated using radiopaque acrylic resin with the second premolars, first molars, and second molars missing. Then a virtual cast was acquired by scanning each resin cast. Implant treatment was planned on the missing sites by superimposing the presurgical CT DICOM file and the virtual cast. Then the implants were placed using a surgical template followed by postsurgical CT scan. The distance and angle of the platform and apex between the presurgical implant and postsurgical implant were measured using the X, Y, and Z axis of the superimposed presurgical CT and postsurgical CT via software followed by statistical analysis using Kruskall-Wallis test and Mann-Whitney test. Results: The implant placement angle error increased towards the second molars but there was no statistically significant difference. The implant placement distance error at the platform and apex also increased towards the second molars and there was a statistically significant error at the second molars. Conclusion: Although the placement angle had no statistically significant difference between the presurgical implant and postsurgical implant, the placement distance at the platform and apex showed a larger error and a statistically significant difference at the second molar implant.

• The Journal of Korean Academy of Prosthodontics
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• v.60 no.4
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• pp.431-441
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• 2022

The digital facebow device records the trajectory of the mandibular movement where it is then reflected on the computer-aided design software, leading to an improvement on treatment outcomes of prosthetic restorations. In this clinical case, using a digital technology, an implant placement and prosthetic restoration were done in a patient who has lost maxillary and mandibular molars. Following an intraoral scan, a surgical stent for implant surgery was fabricated based on digital diagnostic wax-up, and implants were installed. After six months of sufficient osseointegration, customized abutments and the first temporary prostheses were delivered. Then two months later, at an abutment level, an intraoral scan and digital facebow transfer device were used to mount the intraoral scan data on a virtual articulator, and record the mandibular movements. Once the second temporary prostheses were fabricated and delivered on a basis of the mandibular movement, the definitive zirconia prostheses were designed and delivered based on a stabilized occlusion that was duplicated via double scan technique.

• Journal of Dental Rehabilitation and Applied Science
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• v.38 no.4
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• pp.249-256
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• 2022

The implant prosthesis of anterior maxilla requires careful consideration in planning. In order to satisfy both esthetic and functional needs of a patient, fusion of intra-oral scan in Cone-beam computed tomography (CBCT) and facial scan can be considered. Bony structures and soft tissues captured in CBCT and occlusal surfaces of intra oral scan were incorporated into personal characteristics from facial scan. The patient had insufficient buccal bone on maxillary anterior area. The maxillary implants could not be placed on the most ideal position. However, the "top down" approach completed by computer-generated arranging of teeth in implant planning and surgery with surgical guide resulted in esthetically and functionally satisfying result regardless of the limitation. Careful diagnosis with digital technique and the usage of surgical guide resulted in successful surgery and esthetic restoration. The temporary fixed prostheses were designed, restored and evaluated. The patient was not satisfied with the first design of temporary prosthesis, which showed uneven space distribution between teeth due to the position of maxillary implant. The design was modified by changing proximal emergence contours and line angle to alter the perceived since of incisors. The patient was satisfied with the new design of provisional restoration. A digital occlusion analyzer (Arcus Digma II, KaVo, Leutkirch, Germany) was used to measure inherent condylar guidance and anterior guidance of a patient to provide a definitive prosthesis.

• Journal of Digital Convergence
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• v.10 no.9
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• pp.333-338
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• 2012

This paper is related to a skinny smudge blending method using the arbitrary-shaped master adhered closely to the contour shape. The smudge tool is the popular graphic tool embedded in Adobe Photoshop CS6. The smudge tool is used to smear paint on your canvas. The effect is much like finger painting. We can use the smudge tool by selecting its icon on the toolbox of Adobe Photoshop CS6 and dragging in the direction you want to smudge while holding the mouse button down on the image. As the smudge tool blends all the pixels within a radius of the master to generate the result image, its disadvantages are to smudge even the pixels in the undesired region. In this paper to reduce the disadvantage, the skinny smudge blending method using arbitrary-shaped master is proposed. The proposed blending method has the advantage of applying the smudge effect to the desired regions regardless of the background as the arbitrary-shaped master adhered closely to the contour shape is extracted by color image segmentation.

• Journal of Dental Anesthesia and Pain Medicine
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• v.20 no.2
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• pp.83-87
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• 2020

Foreign body (FB) ingestion is commonly seen in the ear nose and throat (ENT) field, with different presentations and sequelae. FBs can arrest in the upper aerodigestive tract or continue further down into either the airway tract to the bronchus or the digestive tract to the intestines. The pathway of an FB depends on the size and shape of the FB and how sharp its edges are. Since the 20th century, the use of disposable stainless-steel needles in the oral cavity has proven to be an effective and safe method for performing various intraoral procedures like dental infiltration or a root canal wash. Complications from their use are rare. Generally, dental needle breakages are caused by patients biting the needle, incorrect injection techniques, or inadequate preventative measures. The sudden movement of a patient during a procedure is one of the most common causes of breakage. Occasionally, needles are swallowed during dental procedures such as a root canal. Here, we report a case of a patient that swallowed a broken needle during a dental procedure. A few days later, the patient presented with neck pain, swelling, and a FB sensation. When the patient presented, she claimed that her symptoms had onset after consuming a meal containing duck meat. Initially, the patient was diagnosed as having ingested a duck bone. However, intraoperatively, the FB was discovered to be an injection needle that had migrated from the throat to the neck.

• 한국HCI학회:학술대회논문집
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• 2009.02a
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• pp.111-115
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• 2009

This paper is related to a skinny smudge tool based on the image segmentation for a master shape. The smudge tool is the popular graphic tool embedded in Adobe Photoshop. The smudge tool is used to smear paint on your canvas. The effect is much like finger painting. You can use the smudge tool by clicking on the smudge icon and clicking on the canvas and while holding the mouse button down, dragging in the direction you want to smudge. A disadvantage of previous smudge tool is to also smear pixels in the undesired region according to generating the target image as blending all pixels in a diameter of the master. In this paper to reduce the disadvantage, the skinny smudge tool based on the image segmentation for a master shape is proposed. The proposed skinny smudge tool has the advantage of applying the smudge effect to the desired regions regardless of the background as the master shape adhered closely to the contour shape is extracted by color image segmentation.

• Korean Journal of Computational Design and Engineering
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• v.18 no.6
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• pp.385-398
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• 2013

Opening wedge high tibial osteotomy (OWHTO) is widely used to treat unicompartmental osteoarthritis of the knee caused by degenerative deformations of the anatomical axes of the leg. However, since it is difficult to accurately plan the surgical degrees of adjustment such as coronal correction angle and tibial posterior slope angle to align the axes before the actual procedure, a number of studies have proposed analytical models to solve this problem. While previous analytical models for OWHTO were limited to specific cases, this study proposes an analytical osteotomy model (AOM) and a surgical planning system (SPS) that are suitable for a wide range of tibial morphologies and tibia conditions. The validity and generality of the model were verified in a total of 60 OWHTO cases. Results of the test showed that, as predicted, surgical degrees are affected quite significantly by tibia shape and slope of the resected surface. Comparison of the required surgical degrees and the degrees estimated from virtual surgery simulations using AOM showed a very small average difference of $0.118^{\circ}$. SPS, based on AOM, allows the operating surgeon to easily calculate surgical parameters needed to treat a patient.

• Proceedings of the Korean Society of Broadcast Engineers Conference
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• 2003.11a
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• pp.23-26
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• 2003

3차원 Polygonal Mesh는 그래픽스, 에니메이션, 게임에서 3차원 객체에 대한 표현에 사용되고, 이러한 3차원 모델에 대한 IndexedFaceSet 노드에 3차원 정전정보와 연결정보를 압축하는데 MPEG-4 3DMC를 사용한다. 이러한 연결정보는 다각형의 Mesh 형태로 3차원 모델을 구성하는 정보를 갖는데, 이는 Tepological Surgery 라고 하는 방법을 통해서 2차원의 스트립 단위의 데이터로 분해된다. 이러한 3D 데이터는 방송환경과 같은 재전송이 불가능한 네트워크의 환경에서 유무선 네트워크 상에서 채널문제로 인해서 데이터의 손실이 있게 되면, 복호화 된 데이터는 데이터의 손상이 발생하게 된다. 이러한 현상은 3D 모델의 좌표의 연결정보에 손상을 주게 되고, 여기서 복호화 된 데이터는 스트립 단위로 손상이 발생하게 된다. 이러한 현상은 3차원 모델의 좌표의 연결정보에 손상을 주게 된다. 본 논문은 이러한 3차원 정보의 손상을 효과적으로 복원하기 위한 연구에 관한 것이며, Mesh의 면을 이루는 각 꼭지점의 좌표들의 연결 정보가 손실되지 않는 스트립에서는 약간의 차이는 있을 수 있으나, 완벽한 복원을 하였고, 두 개 이상의 스트립이 붙어서 손상된 경우나, 좌표의 연결 정보가 없는 경우에는 조건에 따라 현저히 좋은 격과를 얻을 수 있었다.

• The Journal of Advanced Prosthodontics
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• v.15 no.1
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• pp.1-10
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• 2023

PURPOSE. Accuracy of image matching between resting and smiling facial models is affected by the stability of the reference surfaces. This study aimed to investigate the morphometric variations in subdivided facial units during resting, posed and spontaneous smiling. MATERIALS AND METHODS. The posed and spontaneous smiling faces of 33 adults were digitized and registered to the resting faces. The morphological changes of subdivided facial units at the forehead (upper and lower central, upper and lower lateral, and temple), nasal (dorsum, tip, lateral wall, and alar lobules), and chin (central and lateral) regions were assessed by measuring the 3D mesh deviations between the smiling and resting facial models. The one-way analysis of variance, Duncan post hoc tests, and Student's t-test were used to determine the differences among the groups (α = .05). RESULTS. The smallest morphometric changes were observed at the upper and central forehead and nasal dorsum; meanwhile, the largest deviation was found at the nasal alar lobules in both the posed and spontaneous smiles (P < .001). The spontaneous smile generally resulted in larger facial unit changes than the posed smile, and significant difference was observed at the alar lobules, central chin, and lateral chin units (P < .001). CONCLUSION. The upper and central forehead and nasal dorsum are reliable areas for image matching between resting and smiling 3D facial images. The central chin area can be considered an additional reference area for posed smiles; however, special cautions should be taken when selecting this area as references for spontaneous smiles.

• Journal of Korean Neurosurgical Society
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• v.66 no.6
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• pp.632-641
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• 2023

Central nervous system tumors are identified as tumors of the brain and spinal cord. The associated morbidity and mortality of cerebrospinal tumors are disproportionately high compared to other malignancies. While minimally invasive techniques have initiated a revolution in neurosurgery, artificial intelligence (AI) is expediting it. Our study aims to analyze AI's role in the neurosurgical management of cerebrospinal tumors. We conducted a scoping review using the Arksey and O'Malley framework. Upon screening, data extraction and analysis were focused on exploring all potential implications of AI, classification of these implications in the management of cerebrospinal tumors. AI has enhanced the precision of diagnosis of these tumors, enables surgeons to excise the tumor margins completely, thereby reducing the risk of recurrence, and helps to make a more accurate prediction of the patient's prognosis than the conventional methods. AI also offers real-time training to neurosurgeons using virtual and 3D simulation, thereby increasing their confidence and skills during procedures. In addition, robotics is integrated into neurosurgery and identified to increase patient outcomes by making surgery less invasive. AI, including machine learning, is rigorously considered for its applications in the neurosurgical management of cerebrospinal tumors. This field requires further research focused on areas clinically essential in improving the outcome that is also economically feasible for clinical use. The authors suggest that data analysts and neurosurgeons collaborate to explore the full potential of AI.