• Title/Summary/Keyword: APEX

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A Long-term Follow-Up Case of Enucleation of Dentigerous Cyst in the Maxilla: Case Report (상악골에 발생한 거대 함치성낭종의 적출술 후 장기치료 결과: 증례보고)

  • Lee, Eun-Young;Kim, Kyoung-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.1
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    • pp.77-82
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    • 2011
  • A long-term follow-up study of a case of impacted teeth associated with a large dentigerous cyst in the left maxilla is presented. The patient was a 30-year-old man who had a large dentigerous cyst in the premaxilla and left posterior maxilla, which impacted the canine and supernumerary tooth. This is one of the most prevalent types of odontogenic cysts associated with an erupted or developing tooth, particularly the mandibular third molars. The other teeth commonly affected in order of frequency are the maxillary canines, maxillary third molars and rarely, the central incisor. Radiographically, the cyst appears as huge ovoid well-demarcated unilocular radiolucency with a sclerotic border and causes ectopic displacement of the inferior border of the maxillary sinus without destruction. Dentigerous cysts may grow unnoticed to such extensive sizes as to occupy a considerable portion of the maxillary sinus. These cysts appear to be associated with a supernumerary tooth in the maxillary anterior incisors region called the mesiodens and impacted canine. The present case report describes the surgical enucleation of a dentigerous cyst involving the permanent maxillary left canine and mesioden. After surgery, left maxillary sinus recovered their normal size and apposition of bone was observed around the apex of the posterior teeth. During the subsequent years, there was no recurrence of the cystic lesion but the inflammation was evoked in the anterior maxilla after 42 months. This complication appeared to have correlated with bony healing in the enucleation site of the cyst. We report the healing status of a huge dentigerous cyst in the maxilla for 5 years with a review of the relevant literature.

A COMPARISON OF POST AND CORE TECHNIQUES WITH FINITE ELEMENT ANALYSIS (유한요소법에 의한 Post와 Core 형성법의 비교)

  • Cheong, Yong-Kee;Hur, Bock;Lee, Hee-Joo
    • Restorative Dentistry and Endodontics
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    • v.21 no.1
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    • pp.70-86
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    • 1996
  • The purpose of this study was to analyze the stress distribution in mandibular second premolars restored with different post and core techniques. Sixteen two-dimensional finite element model of mandibular second premolars restored with post and core and complete crown were developed according to the diameter, length, and material of post and core. Vertical force, 10N in magnitude, was applied first to the central fossa and then $45^{\circ}$ oblique force of same magnitude was applied to the buccal contact surface of buccal cusp. The obtained results were as follows : 1. Stress distribution within the dentin 1) Regardless of the material of the post and core and the diameter and length of the post, the pattern of stress distribution within the dentin was similar. 2) Maximum dentinal stress was observed on the lingual root surface of alveolar crest level with oblique loading and on lingual side of root dentin at the crown margin on vertical loading. 3) Cast post and cores produced the lowest dentinal stress concentrations and the highest stress concentration was observed in composite resin post and cores. 2. Stress distribution within the post and core 1) Within the amalgam and composite resin post and core, the patterns and maximum values of stress were similar. Maximum stress located at the central fossa of core portion on vertical loading and at the lingual junction of post and core with oblique loading. 2) Among the all post and cores, the cast post and core registered the highest stress concentration and maximum stress value within the post. Maximum stress located at the post apex on vertical loading and at lingual half of the post surface with oblique loading. 3) In case of Para-post and amalgam core, maximum stress located at the central fossa of core portion and lingual tip of the post head on vertical loading. With oblique loading, maximum stress located at the lingual half of the post surface.

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IN VIVO EVALUATION OF ACCURACY OF TWO ELECTRONIC APEX LOCATORS (전자근관장 측정기의 정확도에 관한 연구)

  • Kim, Hee-Jung;Hong, Chan-Ui
    • Restorative Dentistry and Endodontics
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    • v.21 no.1
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    • pp.289-299
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    • 1996
  • It is necessary to measure the length of a root canal in order to attain a satisfactory prognosis after root canal therapy. There are several methods for determining root canal length, such as tactile sensation by the dental practitioner, the utilization of x-ray film, and electronic root canal measurement. Among these, the electrical measurement methods, in which the impedence between the oral mucous membrane and periodontal membrane is determined, have advantages of simplicity and accuracy. During root canal treatment, the root canal contains a solution of high electrical conductivity such as pus, blood, sodium hypochlorite and so on. Recently a new electronic root canal measurement device of frequency-dependent type has been developed, which is capable of measuring the length of root canal under moist conditions. Endex and Root ZX, which are frequency-dependent type, were evaluated for accuracy of measuring root canal length in vivo by stereomicroscope. The result were as follows ; 1. 82.5% of Endex and 87.5% of Root ZX measured in the range of ${\pm}0.5$ mm from the apical foramen and both showed 57.5 % in the range of 0.1 mm to 0.5 mm. 2. Endex showed significantly higher accuracy in vital teeth than nonvital teeth(p<0.05). But in case of Root ZX, there was no significant difference between vital and nonvital teeth. 3. As a result of this study, there was no significant difference in accuracy between Endex and Root ZX, and both devices showed file passes the apical foramen in more than half of the cases, and it is thought that this must be considered clinically.

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EFFECT OF IMMEDIATE RUBBER DRAINAGE ON THE DENTAL APICOECTOMY IN GERIATRIC CANCER PATIENTS : REPORT OF CASES (악성종양 노인환자에서 치근단 절제술 시 즉시 고무배농법의 효과 : 증례보고)

  • Yoo, Jae-Ha;Han, Sang-Kwon;Chung, Won-Gyun;Noh, Hie-Jin;Kim, Young-Nam;Jang, Sun-Ok;Jeon, Hyun-Sun;Kim, Jong-Bae;Nam, Ki-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.30 no.6
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    • pp.536-539
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    • 2004
  • The apicoectomy is an operation in which the root apex is removed and the adjacent periapical pathologic tissue is curetted. In this operation, there are several factors that may lead to the surgical wound infection, such as, local, systemic, environmental, endogenous and surgical factor. The systemic medical and surgical factor that may compromise patients defense are more important cause of the wound infection. The postoperative infection is likely to occur owing to poor systemic condition(especially geriatric cancer patient with operation, radiotherapy and chemotherapy), postoperative accumulation of hematoma & seroma and other contaminated factors. So, the authors established the immediate rubber drainage into the sutured wound of dental apicoectomy for the prevention of postoperative infection. The results are more favorable without the wound infection in total 31 cases of the dentistry of Dong San Medical Center & Wonju Christian Hospital.

Complete A-V Block 3 Months after Total Correction of Tetralogy of Fallot (활로 4징증의 근치수술후의 원격 방실전도 차단)

  • 송요준
    • Journal of Chest Surgery
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    • v.11 no.3
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    • pp.326-332
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    • 1978
  • There appears some conduction defects frequently after total correction of Tetralogy of Fallot. Common defect is right bundle branch block due to surgical intervention. We experienced complete A-V block which occured 3 months later after total correction of Tetralogy of Fallot in a 8 year old boy. The patient was completely free of any A-V block after the operation for 3 months, and sudden onset of A-V block with coupled premature ventricular contractions resulted him in shock state during the attack of severe bronchopneumonia for 4 days prior to the second visit. Emergency implantation of Cordis demand type temporary pacemaker was necessary to control the complete heart block with bradyarrhythmia and frequent ventricular fibrillation. Permanent cardiac pacemaker was implanted two weeks later as indicated with Cordis Stanicor lambda demand pacemaker, and the patient was discharged uneventfully on the 8th post implantation day with the heart rate of 72/min. Another 3 months after the implantation, the patient was transported to this hospital as dead on arrival after an accidental fall from a 2 meter height, and all possible cardiopulmonary resuscitation was performed for 60 minutes at the emergency room in vain. Autopsy was done to find out the cause of sudden death and the etiology of complete heart block. Microscopic focal infarctions with scar formation were noted along the course of conduction system in the interventricular septum, which might be the main cause of complete heart block during the attack of severe bronchopneumonia complicated with acute bacterial endocarditis. The tip of the pacemaker wire was slipped from the granulation scar at the apex of the right ventricular cavity, and this might be the direct cause of pacing failure and death.

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Modified Starnes Operation for Neonatal Stenotic Ebstein Anomaly (신생아 폐쇄성 엡스타인 기형에 대한 변형 Starnes 술식)

  • Lee Seung Hyun;Yun Tae-Jin
    • Journal of Chest Surgery
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    • v.38 no.9 s.254
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    • pp.633-636
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    • 2005
  • Sixteen-day-old baby with severe Ebstein anomaly underwent emergency operation to relieve progressive hypoxia and congestive heart failure. Operative findings showed huge right atrium and atrialized right ventricle (aRV) with very small functional RV by distal displacemcent of tricuspid valve mechanism. We elected to perform modified Starness operation because biventricular repair was deemed unattainable. After pulmonary and tricuspid valves were primarily closed, aRV was obliterated with multiple sutures from RV apex to the base. Then a PTFE (Gore-Tex, USA) vascular graft was interposed between innominate artery and main pulmonary artery for systemic to pulmonary shunt. The patient was discharged uneventfully, and received bi-directional cavopulmonary shunt 6 months later.

Numerical Analysis on the Stress Behaviours Due to Geometry Effects of the Membrane Corrugation (멤브레인의 주름 형상이 응력거동에 미치는 영향에 관한 수치적 해석)

  • Kim Chung-Kyun;Lee Young-Suck;Cha Baeg-Soon;Kim Young-Gyu;Yoon In Soo;Hong Seong Ho
    • Journal of the Korean Institute of Gas
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    • v.1 no.1
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    • pp.21-26
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    • 1997
  • This paper presents the numerical results of six corrugation models which compute the stress behaviours and stress levels of the membrane structure under the hydrostatic pressure of cryogenic liquids and thermal loadings using a non -linear finite element analysis program. A three-dimensional analysis of various corrugation geometries was performed on the maximum mean normal stress distributions along the upper surface of the membrane sheet. Comparisons of the FEM results for various geometry models of the corrugation are presented, which shows that the corrugated configuration of the ring knot model can be effectively performed for the combined forces such as the hydrostatic pressure and thermal loading in comparison with the Technigaz type corrugation which has small comer and apex curvatures. The FEM results show that the ring knot corrugation can be used for the deepest depth, 180m of the LNG storage tank in comparison with other corrugation models.

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A Study on Minimizing Position Error in Hyperbolic Fix Determination. (쌍곡면항법에 있어서 편위오차이 최소화에 관한 연구)

  • 김우숙;김동일;정세모
    • Journal of the Korean Institute of Navigation
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    • v.14 no.2
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    • pp.1-14
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    • 1990
  • The Radio Navigation System(R. N. S.) has been progressed consistantly with the development of electric-electronic engineering techniques since the R. D. E had been developed in 1910. The R. N. S. mostly depends on either Hyperbolic Navigation System(H. N. S.) or Spherical Navigation System(S. N. S.) in the ocean, and on Rectangular Navigation System (R. N. S.) in the air near the airport or an a combinations of the above systems in both area. Another effective R. N. S may be the Ellipse-Hyperbola Navigation System(E-H N. S.), which is proposed and named such in this paper. The equations calculating GDOP are derived and the GDOP values are calculated in the case of H. N. S., S. N. S, and E-H. N. S., respectively, for the specified case that four transmitting stations are arranged on the apex of a square, Then the GDOP diagrams of above navigation systems are presented for qualitative comparison in this paper. To measure the distances from the receiver to the stations in S. N. S., and/or the sum of distances to two stations in E-H N. S., the time synchronization between the transmitter clocks and the receiver clock is a major premise. The author has proposed the algorithm for getting this synchronmization utilizing the by S. N. S. or E-H N. S while GDOPs of those are relatively good. Even though clock synchronization error is a voidable due to the fix error used, the simulated results shows that the position accuracy of S. N. S. and E-H N. S. by the proposed method is far upgraded compared with that determined by H. N. S. directly, as far as the outer region of transmitter arrangement is concerned.

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Optimal Height of Shielding Plate of Radiation in Posteroanterior Chest Radiography for Pregnant Women on Korea (한국인 임산부의 흉부 후-전 방향 방사선검사 시 적절한 차폐막 높이)

  • Joo, Young-Cheol;Kim, Gyoo-Hyung
    • Journal of radiological science and technology
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    • v.41 no.2
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    • pp.97-102
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    • 2018
  • The purpose of this study is to provide the basic data for reducing unnecessary radiation dose to the abdomen and fetus of pregnant women by presenting proper height of shielding protector for efficient abdominal shielding in chest PA examination of Korean pregnant women. The subjects of this study were 288 persons who were eligible for this study among 798 pregnant women who had chest PA examination from January 1, 2015 to December 31, 2016 Retrospective study was performed. Measurements was performed from the apex of the right and left lungs to costophrenic angle of the right and left lungs and to the lowest costophrenic angle among the right and left lungs at the top of the image(this line called Joo's line in this study). The mean of the right and left lung height of pregnant women were 259.09 mm and 263.57 mm, respectively. Also, the average height of the Joo's line designed by the researcher for proper abdominal radiation protection was 322.15 mm. For proper and efficient abdominal radiation protection for pregnant women, it is necessary to adjust the shielding according to the height of the pregnant woman. It is appropriate that the height of the shielding protector should be adjusted so that the upper part of the shield is located at 342.30 mm below from upper part of the detector.

Descriptions of Four New and An unknown Species of Predatory Nematodes (Mononchida) from Korea (한국산 포식선충(Mononchida:Nematoda)의 4신종 및 1미기록종 기재)

  • Khan Zakaullah
    • The Korean Journal of Soil Zoology
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    • v.5 no.2
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    • pp.71-83
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    • 2000
  • Mylonchulus jinjuensis n. sp. is 1.8-2.2 mm long, spicules 58-$67{\mu}textrm{m}$ long and is distinguishable by basally situated subventral teeth, presence of hypodermal glands and ventural body pores. Mylonchulus taeguensis n. sp. is 1.3-1.8 mm long, spicules 52-$64{\mu}textrm{m}$ long and is characterized by having small denticle on dorsal wall of buccal cavity at the level of dorsal tooth apex, and two each pre- and post-vulval papillae. Mylonchulus polynicus is reported here for the first time from Korea, is described and illustrated. Princhulus pachydermis n. sp. is 2-2.3 mm long and is distinctive in having very thick body cuticle and absence of caudal glands and spinneret. Prionchulus koriensis n. sp. is 1.7-2.0 mm long and is characterized by having elongate-conoid tail with sharply pointed terminus and presence of caudal glands.

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