• 대한치과교정학회지
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• 제47권2호
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• pp.130-141
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• 2017

The aim of this case report was to describe an innovative orthodontic treatment method that combined surgical and orthodontic techniques. The novel method was used to achieve a positive result in a case of moderate crowding by employing a computer-guided piezocision procedure followed by the use of clear aligners. A 23-year-old woman had a malocclusion with moderate crowding. Her periodontal indices, oral health-related quality of life (OHRQoL), and treatment time were evaluated. The treatment included interproximal corticotomy cuts extending through the entire thickness of the cortical layer, without a full-thickness flap reflection. This was achieved with a three-dimensionally printed surgical guide using computer-aided design and computer-aided manufacturing. Orthodontic force was applied to the teeth immediately after surgery by using clear appliances for better control of tooth movement. The total treatment time was 8 months. The periodontal indices improved after crowding correction, but the oral health impact profile showed a slight deterioration of OHRQoL during the 3 days following surgery. At the 2-year retention follow-up, the stability of treatment was excellent. The reduction in surgical time and patient discomfort, increased periodontal safety and patient acceptability, and accurate control of orthodontic movement without the risk of losing anchorage may encourage the use of this combined technique in appropriate cases.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제34권5호
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• pp.337-342
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• 2012

The osseous or osteocutaneous free fibula flap has become the gold standard for most mandibular reconstructions because of its favorable osseous characteristics. However, disadvantages, such as the time-consuming reconstructive step, difficulty in performing the osteotomies to precisely recreate the shape of the missing segment of mandible and poor bone-to-bone contact play a role in making the surgeons look for alternative flaps. With the advent of computerized design software, which accurately plans complex 3-dimensional reconstructions, has become a process that is more efficient and precise. However, the ability to transfer the computerized plan into the surgical field with stereolithographic models and guides has been a significant development in advancing reconstruction in the maxillofacial regions. The ability to "pre-plan" the case, mirror and superimpose natural structures into diseased and deformed areas, as well as the ability to reproduce these plans with good surgical precision has decreased overall operative time, and has helped facilitate functional and esthetic reconstruction. We describe a complex case treated with this technique, showing the power and elegance of computer assisted maxillofacial reconstruction from the University of Michigan, Oral and Maxillofacial Surgery.

• Archives of Plastic Surgery
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• 제40권2호
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• pp.109-115
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• 2013

Background Breast reconstruction refers to the rebuilding of a woman's breast using autologous tissue or prosthetic material to form a natural-looking breast. It is increasingly offered to women undergoing mastectomy for breast cancer. However, there is no systematic analysis available for the expanding area of research on breast reconstruction. Methods A bibliometric method was used to obtain a view of the scientific production about breast reconstruction by data extracted from the Institute for Scientific Information (ISI). Specific parameters were retrieved from the ISI. Articles about breast reconstruction were analyzed to obtain a view of the topic's structure, history, and document relationships using HistCite software. Trends in the most influential publications and authors were analyzed. Results The number of articles was constantly increasing. Most highly cited articles described the methods of flap construction in the surgery. Other highly cited articles discussed the psychological or emotional aspects of breast reconstruction, skin sparing mastectomy, and breast reconstruction in the irradiated breast. Conclusions This was the first breast reconstruction scientometric analysis, representing the characteristics of papers and the trends of scientific production. A constant increase in the number of breast reconstruction papers and also the increasing number of citations shows that there is an increasing interest in this area of medical science. It seems that most of the research in this field is focused on the technical aspects of surgery.

• Archives of Plastic Surgery
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• 제41권4호
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• pp.407-413
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• 2014

Background Implant malposition can produce unsatisfactory aesthetic results after breast augmentation. The goal of this article is to identify aspects of the preoperative surgical planning and intraoperative flap fixation that can prevent implant malposition. Methods This study examined 36 patients who underwent primary dual plane breast augmentation through an inframammary incision between September 1, 2012 and January 31, 2013. Before the surgery, preoperative evaluation and design using the Randquist formula were performed. Each patient was evaluated retrospectively for nipple position relative to the breast implant and breast contour, using standardized preoperative and postoperative photographs. The average follow-up period was 10 months. Results Seven of 72 breasts were identified as having implant malposition. These malpositions were divided into two groups. In relation to the new breast mound, six breasts had an inferiorly positioned and one breast had a superiorly positioned nipple-areolar complex. Two of these seven breasts were accompanied with an unsatisfactory breast contour. Conclusions We identified two main causes of implant malposition after inframammary augmentation mammaplasty. One cause was an incorrect preoperatively designed nipple to inframammary fold (N-IMF) distance. The breast skin and parenchyma quality, such as an extremely tight envelope, should be considered. If an extremely tight envelope is found, the preoperatively designed new N-IMF distance should be increased. The other main cause of malposition is failure of the fascial suture from Scarpa's fascia to the perichondrium through an inframammary incision. As well, when this fixation is performed, it should be performed directly downward to the perichondrium, rather than slanted in a cranial or caudal direction.

• 패션비즈니스
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• 제2권3호
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• pp.55-72
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• 1998

The purpose of this study is for consideration of the flapper fashion (1924-1928) in Jazz Age (1919-1929) of America and the influences of it on modern fashion. This study is started from the latest fashion trend which is pursuing it's inspiration into the Jazz Age, the 20s. The etimology of 'flapper' was based on mines is 'flap' such as 'flutter of skirt hemline', 'hands', 'arms', 'wings' and a slang which was applied to young women from 1830. In 20th century it has meant not only new American women but also their fashion and attitude. The designs of flapper fashion were expressed by simplicity, functionality, nudity and rhythm. Simplicity was the best value of this time and the simple image was considered the smartest. Functionality was represented by straight boyish style and loose baggy silhouette that was related to free dome. Nudity was expressed by revealing of legs, arms, backs in shapes and see-through by materials. It was related to sexual attraction and point to youth. Rhythm of flapper fashion expressed optical effect of movement. Using of light material was deep related to freedom of flappers, speed, rhythmical Jazz and dancing. The influences of flapper fashion were giving an opportunity that changed fashion leader from high class to young popular group and simple design of flapper fashion effected to modernization and popularization of American apparel business. And it influenced American casual fashion which was known as brightness, youth and openhearted mood. So flapper fashion can be reganded as the starting point of the street fashion of the 20th century.

• 해양환경안전학회지
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• 제11권1호
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• pp.23-28
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• 2005

선박 횡동요는 물적 손실을 초래할 뿐만 아니라, 승선자의 거주성, 안전성 및 작업능률을 저하시키는 가장 큰 요인이 된다. 횡동요억제를 위한 많은 연구는 다양한 형태의 장치개발이라는 결과를 가져왔으며 상당한 효과를 얻고 있다. 지금까지 개발 된 대부분의 장치는 그 성능을 고려하지 야더라도 특수한 목적의 선박을 대상으로 설치$\cdot$운영되고 있으며, 고가이고 복잡하여 설치 상에도 많은 문제점을 안고 있다. 따라서 본 논문에서는 선박의 선미측에 설치한 플랩을 이용하여 운항중인 선박의 횡동요 억제에 관해 고찰하고 있다. 본 장치는 중$\cdot$소형의 선박에도 쉽게 설치하여 운용이 용이할 뿐만 아니라, 적절한 제어시스템 구축으로 피칭운동도 제어할 수 있는 장점이 있다. 본 논문에서는 이러한 장치를 설치한 선박에 대해 실험적 기법을 이용하여 모델링을 행하고 시뮬레이션을 통해 장치의 횡동요 억제효과를 검증하고 있다.

• 대한심미치과학회지
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• 제28권2호
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• pp.64-73
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• 2019

심한 치조골의 위축과 흡수로 인한 형태학적 변화는 임플란트의 성공적인 식립과 임플란트의 골유착에 영향을 미친다. 이를 극복하기 위한 다양한 골증대술 중 치조제분할술은 좁은 치조골 폭을 성공적으로 증대시키는 수술방법으로 보고되었다. 또한 다양하게 개발되는 임플란트 디자인과 치조제 팽창 기구 등은 심하게 흡수된 위축된 하악부위에서도 협측골 파절을 최소화할 수 있다. 가철성 부분의치의 사용으로 심하게 흡수된 하악 구치부에 치조제 분할술과 최소 크기의 블록형 골이식술을 이용해 한개의 스크류로 수용부의 고정을 획득한 후 동시적 접근법을 이용한 골이식 증례를 보고 하고자 한다. 보철과와 치주과의 협업으로 환자의 기능과 심미를 회복해준 증례로 사료된다.

• Journal of Periodontal and Implant Science
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• 제52권2호
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• pp.91-115
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• 2022

Purpose: This systematic review aimed to compare the efficacy, defined in terms of the mean percentage of root coverage (mRC), of surgical treatment approaches combined with adhesive restorations of non-carious cervical lesions (NCCLs) to that of root coverage alone in patients with a single gingival recession (GR) and NCCL. Methods: A literature search was conducted to identify longitudinal studies reporting the mRC following treatment for the correction of GR defects associated with NCCLs using a combination of surgical and restorative techniques in systemically and periodontally healthy patients. Results: The search resulted in the retrieval of 12,409 records. Seven publications met the inclusion criteria for the qualitative synthesis of data. The mRCs ranged from 69% to 97%. In the medium term, the gingival margin position was more stable when a connective tissue graft (CTG) was used, independently of whether restoration of teeth with NCCLs was performed. Conclusions: The strength of the evidence was limited by methodological heterogeneity in terms of study design as well as the unit and period of analysis, which precluded a metaanalysis. Although no definitive conclusion could be drawn due to the lack of sufficient evidence to estimate the effectiveness of the interventions, CTG-based procedures contributed to gingival margin stability regardless of the performance of restoration to treat NCCLs.

• 한국항행학회논문지
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• 제18권3호
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• pp.215-222
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• 2014

본 논문은 패러포일 투하 시스템을 설계하고 분석하는데 있다. 패러포일 시스템의 6-자유도(6-DOF) 모델을 새우고, 비선형 모델 예측 제어와 PID 제어 방법이 펄럭 편 요각을 제어하기 위해 각각 적용되었다. 펄럭 편 요각의 오버슈트 시간 및 세팅 시간의 결과를 비교하면서 PID제어 방법을 사용하는 것으로부터 펄럭 편 요각이 좀 더 안정화 되는 것을 확인하였다. 그런 다음 MATLAB에 의해 수행된 궤적 추종 효과의 시뮬레이션 결과에 의해 궤적 추종 제어기가 설계되었다. 패러포일 궤적의 측 방향 오차가 그것의 측 방향 편차 제어 방법에 의해 제거 될 수 있었다. 참고로 측 방향 편차는 현재 경로계획의 보간법에 의해 얻어졌다. 그리고 설계된 궤적을 사용하면서, 풍 외란을 추가하는 것으로부터 궤적 추종 시스템이 시뮬레이션 되었다. 시뮬레이션 결과는 풍외란이 PID로 제어되는 펄럭 편 요각 변화에 의해 제거됨으로써 설계된 궤적에 아주 만족하였다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제33권6호
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• pp.684-689
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• 2007

The aim of this study is to examine the change of the osteoclastic activity in the surrounding bone with or without tooth movement after corticotomy by histologic study. Eighteen male Sprague Dawley rats with an average body weight of 300 g(range 250-350 g) were used. The rats were divided into three groups of six animals. They were operated corticotomy-assisted tooth movement and killed after 1 week, 2 weeks, and 3 weeks after tooth movement. Corticotomy was done in the surrounding of the both upper first molar. A split mouth design was used by referring to the contralateral side as control. After flap suturing, the upper left first molar was moved anteriorly by closed coil spring. The force applied was 1 N. The average of tooth movement of the 1 week group was $0.24{\pm}0.09mm,\;0.20{\pm}0.26mm$ in 2 weeks group and $0.41{\pm}0.39mm$ in 3 weeks group, respectively. The difference between the 1 week and the 2 weeks groups was very small to compare with the 3 weeks group. In the treatment group, the average numbers of cells that positively reacted to TRAP were 14.5 in the 1 week group, 12.0 in the 2 weeks group, and 6.0 in the 3 weeks group. In the control group, the numbers were 8.3 in the 1 week group, 12.8 in the 2 week group, and 1.5 in the 3 week group, respectively. The amount of tooth movement of the 3 week group was about twice as large as those of the 1 week and 2 week groups. From the standpoint of histology, the average number of cells that positively reacted to TRAP was initially larger in the treatment group than in the control group, similar in both group in 2 weeks, and became less in the treatment group in 3 weeks. Additionally, in the control group, their activity of osteoclast was higher in 2 weeks than in 1 week, and decreased rapidly in 3 weeks.