• Maxillofacial Plastic and Reconstructive Surgery
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• 제41권
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• pp.4.1-4.10
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• 2019

Background: The mandibular third molar (M3) is typically the last permanent tooth to erupt because of insufficient space and thick soft tissues covering its surface. Problems such as alveolar bone loss, development of a periodontal pocket, exposure of cementum, gingival recession, and dental caries can be found in the adjacent second molars (M2) following M3 extraction. The specific aims of the study were to assess the amount and rate of bone regeneration on the distal surface of M2 and to evaluate the aspects of bone regeneration in terms of varying degree of impaction. Methods: Four series of panoramic radiographic images were obtained from the selected cases, including images from the first visit, immediately after extraction, 6 weeks, and 6 months after extraction. ImageJ software^® (NIH, USA) was used to measure linear distance from the region of interest to the distal root of the adjacent M2. Radiographic infrabony defect (RID) values were calculated from the measured radiographic bone height and cementoenamel junction with distortion compensation. Repeated measures of analysis of variance and one-way analysis of variance were conducted to analyze the statistical significant difference between RID and time, and a Spearman correlation test was conducted to assess the relationship between Pederson's difficulty index (DI) and RID. Results: A large RID (> 6 mm) can be reduced gradually and consistently over time. More than half of the samples recovered nearly to their normal healthy condition (RID ≤ 3 mm) by the 6-month follow-up. DI affected the first 6 weeks of post-extraction period and only showed a significant positive correlation with respect to the difference between baseline and final RID. Conclusions: Additional treatments on M2 for a minimum of 6 months after an M3 extraction could be recommended. Although DI may affect bone regeneration during the early healing period, further study is required to elucidate any possible factors associated with the healing process. The DI does not cause any long-term adverse effects on bone regeneration after surgical extraction.

• Journal of Oral Medicine and Pain
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• 제25권4호
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• pp.415-425
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• 2000

In order to obtain the basic data concerning the optimal lasing conditions in using Nd:YAG laser as an adjunctive modality of periodontal therapy of root planing without irreversible structural deterioration of cervical cementum, the author selected 36 human teeth having no cervical abrasion and caries (; 12 anteriors, 12 premolars. 12 molars) extracted due to periodontal diseases, and divided them into 4 groups as Group I, II, III and IV (; each group of 3 anteriors, 3 premolars, 3 molars), and prepared a cementum specimen with thickness of $1.0mm{\pm}0.2mm$ sectioned longitudinally at the middle of mesio-distal thickness (; Group I) or horizontally at 1mm-2mm below the cemento-enamel junction (; Group II, III, IV) from each tooth of each group by low speed diamond wheel saw, and treated them with 0.5 M ethylene diamine tetraacetic acid (; EDTA, pH=7.4) for 2 minutes for elimination of remnants during tooth-sectioning. And the author applied the laser energy from a fiberoptic delivered, free running, pulsed Nd:YAG laser (; wavelength 1064nm. pulse duration $120{\mu}sec$, fiber diameter $320{{\mu}m}$) to cementum surfaces in triplicates of one experiment under the following lasing conditions: 1. stationary mode of fiber in contact to cementum surfaces without air-spray (; Group I )/with air-spray (; Group II), 2. unidirectional moving mode of fiber in contact to cementum surfaces under speed of 3mm-4mm/sec without air-spray (; Group III)/with air-spray (; Group IV), 3. energy per pulse (mJ/pulse) [; energy density ($J/cm^{2}$)] in order of 1.0W/10Hz (100J/pulse); $124J/cm^{2}$, 0.5W/10Hz (50mJ/pulse); $62J/cm^{2}$, 0.4W/10Hz (40mJ/pulse); $50J/cm^{2}$, 0.3W/10Hz (30mJ/pulse); $37J/cm^{2}$, 4. exposure time of 1 second. And the author applied the platinum coating on surfaces of cementum specimens, and evaluated the characteristics of ultrastructural change on surfaces of cementum using the scanning electron microscopy. In general the ultrastructural loss of cervical cementum irradiated under the same lasing condition of laser energy density occurred least in specimens of Group IV. And especially, the ultrastructural loss of cervical cementum irradiated under the laser energy density of $37J/cm^{2}$ almost did not occur in specimens of Group IV. Therefore, it is considered that the pulsed Nd:YAG laser should be applied with the lasing conditions of unidirectional moving mode of fiber in contact to cementum surfaces under speed of 3mm-4mm/sec with air-spray and of laser energy density within $37J/cm^{2}$ as an adjunctive modality of periodontal therapy of root planing without irreversible structural deterioration of cervical cementum.

• 한국전문물리치료학회지
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• 제15권2호
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• pp.11-19
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• 2008

Studies of attentional focus effects, have shown that the performer's attentional focus plays an important role in the performance and learning of motor tasks. We examined the influence of attentional focus on the performance of dual tasks (a postural task and a suprapostural task) and used electromyography (EMG) to examine whether the differences between external and internal focus were also manifest at the neuromuscular level. The subjects (n=40) stood on a balance board (postural task) and held a bar horizontally (suprapostural task). All of the subjects performed under different attentional focus conditions: external (balancer on balance board) or internal (feet) focus on the postural task, and external (balancer on bar) or internal (hand) focus on the suprapostural task. The mean displacement velocity of the bar and the percent reference voluntary contraction (%RVC) of the biceps brachii were reduced when the subjects adopted an external focus on the suprapostural task (p<.05). In addition, the mean displacement velocity of the balance board and %RVC of the tibialis anterior were reduced when the subjects adopted an external focus on the postural task (p<.05). When the subjects adopted an external focus on the suprapostural task, the mean displacement velocity of the balance board and %RVC of the tibialis anterior were also reduced (p<.05). When the subjects' attentional focus was on the postural task, there were no differences in the mean displacement and %RVC of the biceps brachii between attentional focuses. The performance of each task was enhanced when subjects focused on the respective task. The suprapostural task goals had a stronger influence on postural control than vice versa. These results reflect the propensity of the motor system to optimize control processes based on the environmental outcome, or movement effect, that the performer wants to achieve.

• 콘크리트학회논문집
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• 제19권3호
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• pp.323-331
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• 2007

본 연구에서 수행된 GFRP 보강근의 인발실험 결과로부터 보강근의 정착길이에 관한 설계식을 제안하였다. 총 48개의 인발실험 및 수정 인발실험을 완료하였다. 실험 변수는 묻힘길이 (L=10, 15, 20, $30d_b$), 수직 배근 및 수평 배근, 보강근의 높이 (H=100, 300mm) 및 피복두께 $(C=2{\sim}5d_b)$이었다. 실험에는 우리나라에서 개발된 D13 GFRP 보강근을 사용하였다. 수직배근된 모든 보강근 인발실험의 결과 평균부착강도는 6.39 MPa, 5% 분위수는 4.63 MPa이었다. 이 결과로부터 도출된 기본 정착길이에 관한 식은 2003년도 ACI 440 위원회에서 제시한 식과 일치하였다. 그러나 본 연구의 수정 인발실험의 결과는 이 식이 비보수적일 수 있다는 결론을 제시하였으므로, 보수적으로 기본 정착길이를 약11% 상향 조정하였다. 또한, 상부근 효과 및 피복두께의 정착길이에 관한 영향을 실험 결과로부터 결정하였고, 정착길이 식 제안에 포함시켰다. 본 연구에서 제안한 식은 압축강도 $20{\sim}24MPa$의 저강도 내지 보통강도 콘크리트 만을 대상으로 한 제약점이 있으나 콘크리트 강도가 증가함에 따라서 정착길이는 감소하므로, 이 식을 보다 높은 강도 콘크리트에 적용하는 경우 안전한 결과를 갖는 것으로 판단된다.

• 전자공학회논문지
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• 제49권12호
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• pp.113-123
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• 2012

최근 지능형 교통 시스템을 다양한 상황 및 환경에 적용하려는 시도가 증가함에 따라, 다수의 지능형 교통 시스템에서 사용되고 있는 차량 번호판 인식 과정이 입력영상 내 차량의 위치 및 촬영 각도와 관계없이 정확하게 이루어질 필요성이 있다. 본 논문에서는 현행 번호판의 규격정보를 활용하여 오검출된 번호판 후보 영역의 제거 및 번호판 내 글자추출을 수행하고, 한글 특성을 고려한 글자인식을 수행하는 차량 번호판 인식 시스템을 제안한다. 제안하는 시스템은 입력영상에서 검출한 번호판 후보 영역들에 대해서 기울기 보정을 수행한 후, 후보 영역 내 글자로 판명되는 객체의 위치 및 형태 정보를 번호판 규격정보와 비교 검증하는 과정을 거쳐 오검출된 번호판 영역을 제거한다. 또한 글자추출 단계에서는 영역 내 밝기 변화를 고려한 이진화를 수행한 뒤, 번호판 규격정보 및 번호판 영역의 종횡비, 배경색, 투영정보 등을 종합적으로 활용하여 번호판 영역 내 글자를 정확하게 추출한다. 그리고 번호판 영역 내 글자들 중 오인식률이 높은 한글의 인식에 있어서, 형태적 유사성으로 그룹을 나눈 뒤, 주요 특징점들을 토대로 계층을 좁혀 나가는 super-class 개념을 적용하여 한글 인식을 수행한다. 성능 검증을 위해 다양한 배경에서 촬영된 영상에 대해서 실험을 수행한 결과 제안하는 번호판 인식 시스템이 영상 내 차량의 위치 및 촬영 각도의 변화에 강인한 것을 확인할 수 있었다.

• 한국지구과학회지
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• 제34권1호
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• pp.1-12
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• 2013

채프에코는 기상레이더 영상에서 강수에코로 자주 오인된다. 본 연구에서는 채프에코를 효과적으로 제거하기 위하여 국립기상연구소 X-밴드 이중편파레이더에서 관측한 자료를 활용하여 채프에코의 반사도와 각각의 이중편파변수의 관계성을 분석하였다. 특히 본 연구는 채프에코 사례의 입체관측자료 영상에서 채프에코가 발생한 영역만을 선별하여 이중편파변수 자료들을 수집하였다. 전반적으로 이중편파변수(반사도, 차등반사도, 교차상관계수, 차등반사도 표준편차와 비차등위상차)에 대해 채프에코의 변수 값이 강수에코보다 넓은 범위를 차지하며, 채프 섬유의 공간적 배치는 레이더빔에 대해 수평적으로 놓여있는 경향이 나타났다. 일부 강수에코의 교차상관계수는 0.8 이하의 값을 갖고 있기 때문에 채프에코 값과 상당한 중첩이 나타났다. 일반적으로 교차상관계수는 강수에코와 채프에코를 효과적으로 분리하는데 좋은 변수로 고려되고 있지만, 이 연구는 교차상관계수만을 이용하여 채프에코를 제거할 경우에 일부 강수에코가 제거될 가능성이 있음을 시사한다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제27권1호
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• pp.46-53
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• 2001

The prevalence of supernumerary teeth is between $1{\sim}3%$. Of these, $90{\sim}98%$ occur in the maxilla with particular predilection for the premaxilla, preceded by mandibular third premolars, mandibular forth molars and maxillary paramolars. The most common ones occur in the maxillary anterior region, they may occur singly between the central incisors(mesiodens), or they may be double(mesiodentes). Maxillary anterior supernumeraries may erupt into the oral cavity or remain unerupted. It is found that approximately 25% are erupted, while the rest are unerupted. They are usually a small tooth with a cone-shaped crown and a short root. They may cause delayed eruption, median diastema, bodily displacement or rotation of the adjacent permanent teeth. Occasionally they may lead to the developement of dentigerous cyst or primordial cyst, or eruption into nasal cavity. In this study, 109 supernumeraries surgically extracted from premaxilla in 84 patients are analysed. The results are as follows : 1. Sex distribution of male and female is 2.2 : 1. 2. Almost cases are in pediatric age from 5 to 12 years old (87%). 3. Problems with supernumeraries are tooth malpositon, diastema, delayed eruption, eruption to nasal cavity and cyst formation. 4. Of 109 supernumeraries, 16(15%) are erupted into oral cavity, 92(84%) are impacted, and 1(1%) is erupted into nasal cavity. 5. Of 84 patients, 59(70%) have one supernumeray while 25(30%) have two supernumeraries. 6. Of 109 supernumeraries, 96(88%) are found within the region of the central incisors. 7. Of 109 supernumeraries, 94(86%) are vertically impacted, 11(10%) are horizontally impacted, 3(3%) are labiopalatally impacted and 1(1%) is impacted in nasal cavity. 8. Of 84 patients, we used palatal flap in 67(80%), labial flap in 6(7%), both flaps in 4(5%) and no flap in 7(8%). And incisive nerve was cut in 33(49%) of 67 palatal flaps. 9. Extration with ostectomy was done in 72 supernumeraries(66%), without ostectomy in 37 teeth(34%). 10. Extraction with tooth sectioning was done in 21 supernumeraries(19%), without tooth sectioning was done in 88 teeth(81%). 11. We used local anesthesia in 70 patients(83%) and general anesthesia in 14 ones(17%).

• Imaging Science in Dentistry
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• 제32권2호
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• pp.107-111
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• 2002

Purpose : To compare the accuracy of digital subtraction images acquired by two different methods different in positioning four reference points for geometrical standardization. Materials and Methods : A total of 36 digital radiographic images of 6 volunteers were taken at the areas of the incisor, premolar, and molar of both the maxilla and mandible using the Digora system. Each image was moved 4 mm vertically and horizontally. Four oral and maxillofacial radiologists performed digital subtraction radiography between the paired images before and after movement using Emago (Oral Diagnostic Systems, Amsterdam, The Netherlands) and Sunny (Biomedisys Co., Seoul, Korea). The standard deviation of the internal gray value in Region of Interest (ROI) was statistically analyzed between the two programs using the paired t-test. Results : The standard deviation of pixel gray values from the digital subtraction images using the Sunny program were lower than that of the Emago program (p<0.05). All observers showed significant differences between each other when the Sunny program was used (p<0.05), but one observer showed a significantly higher score than other observers when they used Emago (p<0.05). The standard deviations of premolar area from both Sunny and Emago programs were significantly higher than those of anterior and molar regions (p<0.05). Conclusion: The subtracted images using the Sunny program were more accurate and sensitive than those taken using the Emago program.

• 한방재활의학과학회지
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• 제23권4호
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• pp.185-194
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• 2013

Objectives The aim of this study was to evaluate the efficacy and safety of micro current taping therapy (MTT) on patients with chronic low back pain (CLBP). Methods We included 50 participants who met the inclusion criteria and 5 participants dropped out during the sessions due to the following reasons: 3 participants were personal reasons, 1 participant was taking medication, 1 participant was fore arm fracture. We attached "I" shaped 40 cm, 2 tapes along the erector muscles of the spine starting from both iliac crest and another "I" shaped 30 cm, 1 tape on the painful site horizontally. This procedure was done 8 times and participants visited a total of 9 times including a final visit for evaluation. We measured visual analog scale (VAS), range of motion (ROM) and schober's test on every visit. Participants completed a questionnaire of oswestry disability index (ODI) and Beck's depression inventory (BDI) on the first and last visits. Results In VAS for pain intensity and bothersomeness, there were significant decreases after 1st, 6th treatments. In range of extension, there was significant increase after 3rd treatment at first. In range of flexion, there was significant increase after 2nd treatment at first. In range of left flexion, there was significant increase after 4th treatment at first. In range of right flexion, there was significant increase after 3rd treatment at first. in schober's test, there was significant increase after 2nd treatment at first. In VAS, ROM, schober's test, BDI, ODI, there were significant improvement after all treatments had done. Conclusions There was a significant effect of MTT on CLBP. And there was no adverse effect.

• 대한치과보철학회지
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• 제47권1호
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• pp.70-81
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• 2009

연구목적: 캔틸레버의 위치와 길이는 임플란트와 보철물 또한 주위 골조직의 응력분포에 중요한 영향을 미친다. 하악 무치악의 경우 기존에는 양측 이공사이에 4-6개의 임플란트를 식립하고 상부보철물을 캔틸레버형으로 제작해왔는데 캔틸레버 부위에 무리한 하중이 작용하게 되면 응력의 집중과 굽힘 현상으로 인하여 최후방 임플란트 부위의 지지골 파괴와 임플란트 및 상부 보철물의 파절을 초래했다. 이러한 캔틸레버의 약점을 보완하기 위해 1992년 McCartney가 Rest implant 개념을 2003년에는 $Mal{\acute{o}}$ 등이 All-on-Four implant 개념을 소개하여 기존 보철물의 캔틸레버 길이를 줄이려고 노력하였다. 재료 및 방법: 기존의 캔틸레버형 보철물과 rest implant, All-on-Four implant 시스템을 삼차원 모델링하여 하중을 제 1대구치 부위에 수직으로 300 N, 수평으로 설측에서 협측으로 75 N을 가하여 지지골과 임플란트, 상부보철물에 발생하는 응력의 크기와 분포 및 분산양상을 유한요소 해석 프로그램인 ANSYS (Ver. 10.0, Swanson Analysis System Inc., USA)를 이용하여 분석하였다. 결과: 1. 레스트 임플란트 및 All-on-Four 임플란트법은 기존 방법에 비해 하악골과 상부 보철물의 응력 분산에 크게 영향을 미치는 것으로 나타났다. 2. 지지골, 임플란트, 상부 보철물에서의 응력분산은 레스트 임플란트가 가장 우수한 것으로 나타났다. 3. 같은 개수의 임플란트인 경우 후방 임플란트를 경사시켜 캔틸레버의 양을 줄이는 것이 기존 방식에 비해 저작압 분산에 유리하다.