• Title/Summary/Keyword: Complete occlusion

Search Result 270, Processing Time 0.028 seconds

Surgical Experience of the Ruptured Distal Anterior Cerebral Artery Aneurysms

  • Lee, Jong-Young;Kim, Moon-Kyu;Cho, Byung-Moon;Park, Se-Hyuck;Oh, Sae-Moon
    • Journal of Korean Neurosurgical Society
    • /
    • v.42 no.4
    • /
    • pp.281-285
    • /
    • 2007
  • Objective : Distal anterior cerebral artery (DACA) aneurysms are fragile and known to have high risks for intraoperative premature rupture and a relatively high associated morbidity. To improve surgical outcomes of DACA aneurysms, we reviewed our surgical strategy and its results postoperatively. Methods : A total of 845 patients with ruptured cerebral aneurysms were operated in our hospital from January 1991 to December 2005. Twenty-three of 845 patients had ruptured DACA aneurysms which were operated on according to our surgical strategy. Our surgical strategy was as follows; early surgery, appropriate releasing of CSF, appropriate surgical approach, using neuronavigating system, securing the bridging veins, using temporary clipping and/or tentative clipping, meticulous manipulation of aneurysm, and using micro-Doppler flow probe. Twenty of 23 patients who had complete medical records were studied retrospectively. We observed the postoperative radiographic findings and checked Glasgow Outcome Scale score sixth months after the operation. Results : Nineteen DACA aneurysms were clipped through a unilateral interhemispheric approach and one DACA aneurysm was clipped through a pterional approach. Postoperative radiographic findings revealed complete clipping of aneurysmal neck without stenosis or occlusion of parent arteries. In two patients, a residual neck of aneurysm was visualized. Seventeen patients showed good recovery, one patient resulted in moderate disability, while 2 patients died. Conclusion : With our surgical strategy it was possible to achieve acceptable surgical morbidity and mortality rates in patients with DACA aneurysms. Appropriate use of tentative clipping, temporary clipping and neuro-navigating systems can give great help for safe approach and clipping of DACA aneurysm.

A Study on the Position of the Maxillary Anterior Teeth and Orientation of Occlusal Plane in Dentulous Korean Adults (한국 성인 유치악자의 상악전치 및 교합평면에 관한 연구)

  • Lee, Joon-Seok
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.23 no.3
    • /
    • pp.197-203
    • /
    • 2007
  • Statement of problem: It is very important to establish the suitable position for artificial maxillary anterior teeth and the orientation of occlusal plane in fabrication of the complete dentures. Incisive papilla has been considered the most useful anatomic landmark in the arranging of a maxillary anterior artificial teeth. Purpose: To determine correct position of upper anterior artificial teeth in complete denture patients, relationship of incisive papilla, intercanine line, occlusal plane were evaluated in Korean adults. Materials and Method: Maxillary casts were made in 60 Korean dentate subjects. Each cast was mounted in Hanau modular articulator using Hanau spring bow. Then, anatomic landmarks were determined in each cast. Distance from central incisor to incisive papilla, distance from incisive papilla to intercanine line and discrepancies between frankfurt plane and occlusal plane were measured and analysed. Results: 1. The mean distance between the posterior point of incisive papilla and the incisal edge of central incisor was 11.20 mm (in male 11.77 mm, in female 10.55 mm) and there was no significant difference in measured values between male and female 2. The mean distance between the posterior point of incisive papilla and intercanine line was 2.52 mm (Male 2.57 mm, Female 2.35 mm) and there were no significant differencies in measured values between male and female 3. The mean discripancy between the Frankfurt plane and the occlusal plane were 9. 75 degree (Male 9.81 degree, Female 9.55 degree), and there was no significant difference in measured values between left and right sides.

Study of transmission of Candida albicans in denture by dental polishing lathe (의치에서 치과기공용 연마기를 통한 캔디다균의 전염성에 대한 연구)

  • Lee, Gi-Ho;Song, Young-Gyun
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.30 no.3
    • /
    • pp.199-205
    • /
    • 2014
  • Purpose: The purpose of this study was to evaluate the transmission of candida in denture by dental polishing lathe. Materials and Methods: Maxillary complete dentures made from the same model were infected with Candida albicans. The infected dentures were polished by dental polishing lathe with sterile pumice and distilled water. And then sterile maxillary complete dentures were polished with same method. Polishing surface was wiped with a cotton swab and the sample was checked for Candida albicans. The polishing wheel at room temperature was checked for Candida albicans every 24 hours for 3 days. Results: A considerable number of Candida was found on the polished sterile dentures. And the Candida albicans in polishing wheel was detected at up to two days. Conclusion: An anti-infection measure is urgently needed when dental polishing lathe is used for denture polishing, because of the possibility of fungal infection.

Case of making maxillary palatal augmentation complete denture for patient with dysphagia after partial glossectomy (부분 혀 절제술로 인해 연하 장애가 있는 환자에서 상악 구개 증대 총의치 제작 증례)

  • Kim, Hyung-Seok;Park, Ji-Young;Yim, Sun-Young;Heo, Yu-Ri;Son, Mee-Kyoung
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.34 no.3
    • /
    • pp.239-245
    • /
    • 2018
  • If complication arises after glossectomy which leads to trouble in forming food bolus or transfer of the food, it is possible that either food bolus may block the airway or dysphagia may occur as the food bolus goes down into the airway. To solve the issue, palatal augmentation prosthesis could be used. In this case, the patient with an oral cancer is having difficulties swallowing food after glossectomy. Through taking impressions of polishing surface of his denture referring his tongue movement, the complete denture for the upper jaw was created using the concept of palatal augmentation prosthesis. This new upper denture increases the palatal-tongue contact pressure, allowing the patient to perform better swallowing and better pronunciation.

Various Techniques of Stent-Assisted Coil Embolization of Wide-Necked or Fusiform Middle Cerebral Artery Aneurysms : Initial and Mid-Term Results

  • Won, Yu Sam;Rho, Myung Ho;Kim, Byung Moon;Park, Hee Jin;Kwag, Hyon Ju;Chung, Eun Chul
    • Journal of Korean Neurosurgical Society
    • /
    • v.53 no.5
    • /
    • pp.274-280
    • /
    • 2013
  • Objective : To evaluate the feasibility and clinical and angiographic outcomes of stent-assisted embolization for complex middle cerebral artery (MCA) aneurysms. Methods : The records of 23 consecutive patients with 24 MCA aneurysms, who underwent stent-assisted embolization of the aneurysm, were retrospectively evaluated. Results : Fifteen aneurysms were treated with one stent and 8 were treated using more than two stents (5 a stent-within-a-stent, 1 triple stents, and two Y-stent). Angiographically, complete or near complete occlusion was achieved in 15 aneurysms (65.2%), residual neck in five (21.7%), and residual aneurysm in three (13.1%). Five aneurysms demonstrated thrombosis within the stent during the procedure and hospitalization, and were resolved by intraarterial and intravenous Tirofiban injection. Symptomatic thromboembolic complications were developed in five patients and permanent deficits demonstrated in two patients with modified Rankin Scale 1 and 2, respectively. Treatment-related permanent morbidity and mortality rates were 8.3% and 0% with relatively high complication rate. Angiographic follow-up was available in 17 aneurysms at 6-31 months (mean, 13.2 months) and showed stable or improved in 15 (88.2%) and major and minor recurrence in one, respectively. Conclusion : Complex MCA aneurysms could be treated by stent-assisted coiling and showed lower recanalization rate during mid-term follow-up by effective flow diversion due to various stent-assisted techniques. Our results warrant further study with a longer follow-up period in a larger sample.

Implant overdenture treatment using Locator attachment system on edentulous patient (무치악 환자에서 로케이터 부착장치를 이용한 임플란트 피개의치 수복 증례)

  • Kim, Soo-Yeop;Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.30 no.2
    • /
    • pp.176-183
    • /
    • 2014
  • Severely absorbed edentulous ridge cannot bear mechanical stress, causes undesired transformation of oral environment and makes patients difficult to adapt to dentures. Nowadays implant overdenture can be a treatment of choice in order to relieve patients' discomfort and improve stability and retention of the denture. Placement of implant on maxilla is difficult because of its bone quality and anatomic structure. It also has wide supportive tissue and convenience of border sealing, which provides sufficient support and stabilization with conventional complete denture. Mandible, on the other hand, is difficult to obtain sufficient support, retention and stabilization with conventional complete denture. Therefore, implant overdenture is recommended on mandible. Locator attachment has been improved for convenience of use and male parts of various retention enabled it to replace ball type attachment clinically. In this study, we restored maxillary arch with conventional denture, and mandibular arch with implant and tissue-supported overdenture and Locator attachment system.

Complete denture rehabilitation of edentulous patient with severe alveolar bone resorption using mandibular suction denture with closed mouth technique: a clinical report (치조골 흡수가 심한 완전 무치악 환자에서 폐구인상법을 이용한 총의치 수복 증례)

  • Ko, Chang Woo;Min, Byungkwee;Yang, Hong-so;Lim, Hyun-Pil;Yun, Kwidug;Shin, Jin-Ho
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.34 no.1
    • /
    • pp.56-62
    • /
    • 2018
  • When it comes to treat patient with loss of vestibule, conventional denture impression have limitation which can cause problems of excessive border extension. Suction denture with closed mouth technique which was introduced to solve this problem, forms negative pressure being sealed denture flanges by mobile mucosa when the patient swallows and chews. Also, it can decrease patient's visiting time by taking impression and gothic arch tracing at once. In this case, considering patient's chief complain which is a loose fit of present lower denture, suction dentures with closed mouth technique was planned.

Maxillary complete denture and mandibular All-on-4 implant restoration considering maintenance: a case report (유지 관리를 고려한 상악 총의치와 하악 All-on-4 임플란트 보철 수복 증례)

  • Kim, So-Yeun;Kwon, Eun-Young;Jung, Kyoung-Hwa;Jeon, Hye-Mi;Kang, Eun-Sook;Yun, Mi-Jung
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.35 no.1
    • /
    • pp.37-45
    • /
    • 2019
  • In the case of edentulous patients, the total amount of occlusal force is dispersed by the keratinized gingiva during mastication, in result, causing lower masticatory and chewing efficiency. In particular, the mandibular area has more side effects such as pain than the maxilla has. It gets worse when the patient has more absorption of alveolar bone, but the implant treatment is often interrupted due to the existence of the inferior alveolar nerve. In this case, a patient treated with the all-on-4 method by placing the implant in the anterior part of mandible and with the conventional complete denture for the maxilla has maintained without complications and was satisfied with the restoration both functionally and esthetically.

Fabrication of complete dentures made with monolithic discs through CAD/CAM using facial scan data and individual tray duplicating temporary denture: a case report (안면스캔 데이터와 임시의치를 복제한 개인 트레이를 활용하여 CAD/CAM을 통한 monolithic disc로 제작한 총의치 수복: 증례 보고)

  • Ju Hyun Kim;Soo-Yeon Shin
    • Journal of Dental Rehabilitation and Applied Science
    • /
    • v.39 no.3
    • /
    • pp.158-167
    • /
    • 2023
  • As digital technology has advanced in the field of dentistry, the use of computer-aided design/computer-aided manufacturing (CAD/CAM) has brought changes to the stages of dental treatment. The use of CAD/CAM technology in dental restoration offers clinical efficiency and convenience by reducing production time and appointment intervals, while also simplifying the fabrication process to reduce errors. In this case, digital replication and printing of temporary teeth were used to aid a patient with complex medical histories and physical disabilities. The final impression obtained with silicone impression material included information on the vertical dimension, centric relation, and the angle and length of the anterior teeth, which shortened the production time and appointment intervals and increased patient satisfaction. The final restoration was fabricated using milling and monolithic disc techniques, demonstrating appropriate stability, retention, and support, resulting in functional and aesthetic satisfaction.

A New Object Region Detection and Classification Method using Multiple Sensors on the Driving Environment (다중 센서를 사용한 주행 환경에서의 객체 검출 및 분류 방법)

  • Kim, Jung-Un;Kang, Hang-Bong
    • Journal of Korea Multimedia Society
    • /
    • v.20 no.8
    • /
    • pp.1271-1281
    • /
    • 2017
  • It is essential to collect and analyze target information around the vehicle for autonomous driving of the vehicle. Based on the analysis, environmental information such as location and direction should be analyzed in real time to control the vehicle. In particular, obstruction or cutting of objects in the image must be handled to provide accurate information about the vehicle environment and to facilitate safe operation. In this paper, we propose a method to simultaneously generate 2D and 3D bounding box proposals using LiDAR Edge generated by filtering LiDAR sensor information. We classify the classes of each proposal by connecting them with Region-based Fully-Covolutional Networks (R-FCN), which is an object classifier based on Deep Learning, which uses two-dimensional images as inputs. Each 3D box is rearranged by using the class label and the subcategory information of each class to finally complete the 3D bounding box corresponding to the object. Because 3D bounding boxes are created in 3D space, object information such as space coordinates and object size can be obtained at once, and 2D bounding boxes associated with 3D boxes do not have problems such as occlusion.