• Title/Summary/Keyword: 교합안정

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Retrospective Study of GS II Implant(Osstem) with an Internal Connection with Microthreads (Micro thread를 포함한 GSII RBM임플란트(Osstem)의 후향적 임상연구)

  • Chee, Young-Deok;Lee, Jae-Hwan;Oh, Sang-Chun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.4
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    • pp.417-429
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    • 2009
  • Since the introduction of the concept of osseointegration in dental implants, high long-term success rates have been achieved and accepted as viable option for the treatment of fully and partially edentulous patients. Although the use of domestic implants have increased dramatically, there are few studies on domestic implants with clinical and objective long-term data. 96 endosseous implants placed in 31 patients at Wonkwang University Sanbon Dental Hospital were examined to determine the effect of various factors on implant survival rate and marginal bone loss, through clinical and radiographic results. The design of endosseous implant used to this study is straight with the microthread.(GS II RBM Fixture) 1. 3 fixtures were lost, resulting in 96.9% cumulative survival rate. 2. Survival rate in fifties was significantly lower (93.6%) and no significant difference in marginal bone loss was found according to gender. 3. Survival rates were 95.6% in the maxillary molar area and 97.3% in the mandible molar area. 4. No significant difference in survival rate was found according to presence of bone grafts, type of prostheses, implant position, and length and diameter of implant. 5. A factor influencing marginal bone loss was presence of type of prostheses, while facters such a length, diameter of fixture and bone grafts had no statistically significant effect on crestal bone loss. This study indicates the amount of marginal bone loss around implant has maintained a relative stable during follow-up periods.

365 nm LED laser treatment on beagle for gingival whitening without gum dermabrasion (잇몸 박피술 없는 치은 미백을 위한 비글에서 365 nm LED 레이저 치료)

  • Lee, Sung-Ho;Kim, Ryun Kyung;Seo, Na-Ri;Lim, Ho-Kyung;Byun, Soo-Hwan;Lim, Young-Joon;Kim, Soung-Min;Lee, Jong-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.2
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    • pp.117-122
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    • 2016
  • Purpose: Gingival whitening is one of dental treatment purposes which is close to treating aesthetic disorders. Initial gingival whitening treatment was done by dermabrasion using a high power Diode Laser. However, this treatment method cannot be free from any infection or pain after the treatment. Therefore, we have decided to progress gingival whitening treatment using a low power LED laser. Materials and Methods: The laser was irradiated on pork meat then the safety of output power, temperature change and skin denaturalization was measured. Bison 365 nm LED laser was irradiated on oral mucosal pigment of a 15 - 20 kg beagle for 15 min for 1 - 2 weeks, one or two times each. Any pigment loss was checked through Hematoxyline-Eosin staining. Results: The melanin pigments at the area of 365 nm LED Laser irradiation were decreased. Conclusion: The 365 nm LED Laser proposed in this study is considered to compensate the bleaching effect achieved by either using Diode laser or surgical methods.

Strategic Approaches for Integrated Water Resources Management (통합수자원관리 추진방안)

  • Kim, Sung;Lee, Mi-Yeon;Jang, Su-Hwan;Lee, Sung-Hack;Kang, Jae-Won
    • Proceedings of the Korea Water Resources Association Conference
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    • 2007.05a
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    • pp.1650-1654
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    • 2007
  • 홍수와 가뭄의 증가, 수질악화, 물부족 등 물 문제 해결을 위한 대안으로 통합수자원관리에 대한 논의가 국제사회에서 활발하게 진행되고 있다. 국내에서도 많은 학자들이 수자원관리를 위한 새로운 대안으로 통합수자원관리를 주장하고 있지만, 추상적인 설명이 대부분이다. 따라서 본 연구는 통합수자원관리에 대한 정의, 원칙, 추진전략 등을 정리하여 통합수자원관리에 대한 종합적이고 체계적인 정보를 제공하고자 한다. 본 연구는 다음과 같은 흐름을 갖는다. 첫째, 수자원관리를 위한 새로운 대안으로 통합수자원관리가 등장하게 된 배경을 살펴보았다. 물문제를 해결하기 위해서는 연속적이고 상호작용하는 하나의 '시스템(係)'으로 수자원을 인식하고 관리해야 한다는 주장이 확산되고 있으며, 통합수자원관리가 그러한 인식을 갖고 있는 대안으로 등장하였다. 둘째, 통합수자원관리의 정의, 원칙 등을 조사하였다. 통합수자원관리는 자연의 지속가능성을 훼손하지 않으면서 경제적, 사회적 복지를 최대화하기 위하여 물, 토지 및 관련 자원의 조화로운 개발을 위한 과정으로 정의된다. 이러한 통합수자원관리를 위한 원칙으로는 지속가능한 수자원의 개발, 이용 및 관리원칙, 물순환 체계 고려 및 유역관리원칙, 이해당사자 참여 및 조정의 원칙, 비용부담 및 편익 균형배분의 원칙 등이 있다. 셋째, 통합수자원관리를 위한 추진방안을 제시하였다. 법제도 정비 및 부문별 통합관리강화, 수자원 관련 자료의 신뢰도 제고 및 의사결정 체계 구축, 관련계획과의 연계, 계획-실행-평가의 순환구축, 물관리 비용부담체계 구축 등이 통합수자원관리의 실행을 앞당길 수 있을 것이다. 본 연구는 통합수자원관리에 대하여 종합적인 정보를 제공하고 개선을 위한 추진방안을 제시하여 국내 수자원관리의 문제해결을 위한 기반을 구축하는 데에 기여할 것으로 기대된다. 범람범위의 1차적인 정보에서 수립할 수 있었던 계획이 가질 수 있었던 한계점을 좀 더 향상된 정보를 이용하여 극복함으로써 효율적이고 체계적인 치수 방재 계획수립이 가능할 것으로 판단된다.group) 67개, 속(family) 161개로 분류되었으며, 가장 저차단위인 통(series)이 390개 분류되었다. 또한 작물이용측면에서 실용적 분류를 실시하였는데, 논토양의 경우 보통논, 미숙논, 사질논, 습논, 염해논, 특이산성논으로 분류할 경우 각각의 분포면적이 31.9%, 23.0%, 31.9%, 9.1%, 3.9%, 0.2%이었다. 밭토양의 경우에도 보통밭, 사질밭, 미숙밭, 중점밭, 고원밭, 화산회밭으로 6개 유형으로 분류할 경우 각각의 분포면적은 41.9%, 23.3%, 17.5%, 13.9%, 1.1. 2.2% 이었다. 도시화 및 도로확대 등 다양한 토지이용 및 지형개변으로 과거의 토양정보가 많이 변경되었다. 그래서, 앞으로는 인공위성자료 및 항공사진을 이용하여 빠르고 쉽게 활용할 수 있는 토양조사 방법개발과 기 구축된 토양도의 수정, 보완 작업이 필요한 절실히 요구되고 있는 현실이다.브로 출시에 따른 마케팅 및 고객관리와 관련된 시사점을 논의한다.는 교합면에서 2, 3, 4군이 1군에 비해 변연적합도가 높았으며 (p < 0.05), 인접면과 치은면에서는 군간 유의차를 보이지 않았다 이번 연구를 통하여 복합레진을 간헐적 광중합시킴으로써 변연적합도가 향상될 수 있음을 알 수 있었다.시장에 비해 주가가 비교적 안정적인 수준을 유지해 왔다고 볼 수 있다.36.4%)와 외식을 선호(29.1%)${\lrcorner}$ 하기 때문에 패스트푸드를 이용하게 된 것으로 응답 하였으며, 남 여 대학생간에는 유의한 차이(p<0.05)가 인정되었다. 응답자의 체형은 ${\

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Three-dimensional finite element analysis for influence of marginal bone resorption on stress distribution in internal conical joint type implant fixture (변연골 흡수가 내측연결 임플란트 매식체의 응력분포에 미치는 영향)

  • Yun, Mi-Jung;Yoon, Min-Chul;Eom, Tae-Gwan;Huh, Jung-Bo;Jeong, Chang-Mo
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.2
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    • pp.99-105
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    • 2012
  • Purpose: The change of the marginal bone around dental implants have significance not only for the functional maintenance but also for the esthetic success of the implant. The purpose of this study was to investigate the load transfer of internal conical joint type implant according to marginal bone resorption by using the three-dimensional finite element analysis model. Materials and methods: The internal conical joint type system was selected as an experimental model. Finite element models of bone/implant/prosthesis complex were constructed. A load of 300 N was applied vertically beside 3 mm of implant axis. Results: The pattern of stress distribution according to marginal bone resorption was similar. The maximum equivalent stress of implant was increase according to marginal bone resorption and the largest maximum equivalent stress was shown at model of 1 mm marginal bone resorption. Although marginal bone loss more than 1mm was occurred increasing of stress, the width of the stress increase was decreasing. Conclusion: According to these results, the exposure of thin neck portion of internal conical joint type implant is most important factor in stress increasing.

CONSERVATIVE TREATMENT OF A UPPER CENTRAL INCISOR WITH POOR PROGNOSIS (예후가 불량한 상악 중절치의 유지)

  • Lee, Doo-Young;Kim, Seung-Hye;Choi, Hyung-Jun;Choi, Byung-Jai;Lee, Jae-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.3
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    • pp.368-373
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    • 2010
  • The incisors function as instruments for biting and cutting food during mastication. They also support the lips and face and maintain vertical dimension. In addition, they contribute to overall normal arch appearance. They play important role during the articulation of speech and assist in guiding jaw closure. Extraction and space maintenance are the most common treatment for a tooth with poor prognosis. However, in the mixed dentition, extraction of the upper permanent incisors results in many complications, such as resorption of alveolar bone, poor esthetics, pronunciation, and mastication. Considering these various roles of incisors in oral cavity, approach for traumatized incisors, even the ones with poor prognosis, should be considered first prior to simple extraction. The dentist must take into account the age of the patient, growth potential, occlusion, oral hygiene status, economic status and motivation towards dental health in addition to patient compliance. In this case, although the prognosis was predicted to be unfavorable due to short root and mobility, we could save the central incisor using conservative treatment, reposition by orthodontic appliance instead of extraction.

A Study of Conservative Treatment for Patients with Osteoarthritis of the TMJ (측두하악골관절염 환자의 보존적 치료에 관한 연구)

  • Son, Dae-Eun;Ok, Seung-Joon;Ko, Myung-Yun;Ahn, Yong-Woo
    • Journal of Oral Medicine and Pain
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    • v.32 no.2
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    • pp.227-239
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    • 2007
  • To evaluate the treatment outcome after conservative treatment in patients with osteoarthritis of the TMJ(OA), the subjects were chosen among the patients who presented to the Department of Oral Medicine of Pusan National University Hospital, diagnosed as osteoarthritis of the TMJ, and treated with conservative methods from 1994 to 2006. 101 patients with diagnosis of osteoarthritis of the TMJ were selected as the experimental group and 74 patients with diagnosis of masticatory muscle disorders(MMD) were selected as the control group. Subjective symptoms and clinical findings were investigated to evaluate and compare the subject's status at the first and the last visit. The results were as follows : 1. In the OA group, satisfactory treatment outcome was obtained with conservative methods. But, at the last visit, the symptoms of the OA group were not improved enough compared with those of the MMD group. 2. In the OA group, radiographic findings of panorama view and transcranial projection were positive by about 60 percent. But, computed tomography and single photon emission computed tomography were positive by more than 90 percent. 3. At the last visit of the OA group, the joint noise was reduced significantly. 4. In the majority of the OA group, satisfactory treatment outcome was obtained with conservative methods such as medication, physical therapy, and occlusal stabilization appliance. In the majority of the MMD group, satisfactory outcome was obtained with medication and physical therapy. 5. It took the OA group from 6 months to 2 years to be cured well while the MMD group within 6 months.6. The OA group needed more than 10 times' treatment for satisfactory outcome while the MMD group needed less than 10 times' treatment.

Prognosis of Recurred TMD Patients According to Conservative Therapy (측두하악장애 재발환자의 보존적 처치에 따른 예후)

  • Ko, Myung-Yun;Kim, Ik-Hwan;Ok, Seung-Joon;Ahn, Yong-Woo
    • Journal of Oral Medicine and Pain
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    • v.32 no.2
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    • pp.241-250
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    • 2007
  • We examined 104 patients(primary group, controlled group) who had visited PNUH from 1994 to 2002, having been diagnosed as temporomandibular disorders(TMDs) and treated in conservative ways such as Behavior modification, medications, physical therapies and splint therapies. We also examined 54 patients(recurred group, experimental group) who had visited PNUH from 1991 to 2001, having been diagnosed as TMDs and experienced recurrence after conservatively treated. To find out the symptoms of Recurred TMD patients and their results of conservative treatments, we compared these two groups mentioned above. The obtained results were as follows: 1. Both primary and recurred groups have showed great improvements with conservative treatments. 2. Both primary and recurred groups have showed no differences in pain, LOM, MCO in their first visits but the noise were louder in primary group. 3. Both primary and recurred groups have showed no differences in pain, LOM, MCO when the treatments were over but the noise were louder in recurred group. 4. Treatments modalities, diagnosis, sex, kind of disease had not affected the results of treatment in either of groups. 5. It has come out that much better results were achieved when the patients in primary group had treated for over 6 months and for more than 10 times.

A Literature Review on Nano-Modified Implant Surfaces (나노구조 표면에 관한 문헌고찰)

  • Park, Go-Woon;Cha, Min-Sang;Kim, Dae-Gon;Park, Chan-Jin;Cho, Lee-Ra
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.2
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    • pp.141-151
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    • 2013
  • The nano-surface modification techniques could be classified; internal modifications which enhance surface roughness and porosity in nano level and external modifications as nano particle coating. Nano-modified implant surface has various morphograpies such as nanotube, nanopit, nanonodule and polymorphic structures. Creating surface depends upon preparation method and material, however, there is no standard preparation technique not yet. The nano-modified surfacet is electrochemically stable comparing with the surface modified in micron level. Nano-modified surface has little cytotoxicity, stimulates osteoblast proliferation and differentiation. Moreover, it decreases soft tissue intervention by interrupting the proliferation of fibroblast. Nanostructure has similar size and shape with cells and proteins, consequently leads to good biocompatibility and enhanced osseointegration. However, the actual effect in vivo is limited, due to the distance of effect. Even if nano-modified surface has antibiotic property due to photocatalysis, short duration time makes clinical application questionable. Further investigations should focus on the optimal nano-modified surface, which has many potentials.

Patient-reported outcome measures on intake of nutrition drink for nutritional supplements after periodontal surgery (외과적 치주 치료 후 식이보충을 위한 영양음료 섭취에 관한 patient-reported outcome measures (PROMs) 조사)

  • Kim, Hyeong-Seok;Cho, In-Woo;Shin, Hyun-Seung;Park, Jung-Chul
    • Journal of Dental Rehabilitation and Applied Science
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    • v.32 no.3
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    • pp.176-183
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    • 2016
  • Purpose: Patients usually suffer from pain and discomfort after oral surgery and their consumption of food is severely affected. Accordingly, the patients' quality of life reduce significantly. The aim of this study was to analyze patient satisfaction on the nutritional supplement drinks following periodontal surgery. Materials and Methods: Total 90 patients who underwent periodontal surgery were recruited and commercially available nutritional drinks were provided. Group I received two bottles per each meal for 2 days, Group II had one bottle per each meal for 3 days, and Group III had no drinks. The survey for the patient-reported outcome measures (PROMs) were given at the next visit for the removal of sutures. Results: The result of PROMs showed the nutrition drink was easy to intake, appeared to help the healing and can be a satisfying supplement for the meals. Conclusion: Nutritional drinks appeared to help the healing after periodontal surgeries and supported the food intake. Also, it was helpful for the patients in nutritional supply and psychological stability.

Fabrication of suction denture by using the individual tray duplicated an existing denture through scan and milling process: A case report (스캔 및 밀링을 통해 기존 의치를 복제한 개인트레이를 이용한 흡착식 의치 제작 증례)

  • Park, Minhyuk;Kee, Wonjin;Yang, Hongso;Park, Sang-Won;Yun, Kwi-Dug;Park, Chan
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.3
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    • pp.221-227
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    • 2020
  • In the case of complete edentulous patients, as the mandibular alveolar bone absorption progresses, the maintenance and stability of the existing dentures, which had satisfactory functions in the past, are deteriorated. Despite of the need to fabricate new dentures, they often hesitate due to physical burdens on the duration and intensity of future treatment progress due to the effects of aging and systemic diseases. In the case of these completely edentulous patients, it is necessary to consider the treatment goals that can reduce the number of visits and the adaptation period for new dentures before starting the treatment. This case is a case of producing complete dentures of elderly patients with deteriorated physical ability. In addition to producing suction dentures through preliminary and definitive closed mouth functional impression suggested by Sato, CAD / CAM technique was used to transfer occlusal functional information of existing dentures to facilitate adaptation to new dentures.