• Restorative Dentistry and Endodontics
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• 제34권1호
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• pp.1-7
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• 2009

이 연구의 목적은 3차원 유한요소 모형 분석을 이용하여 삼각 대칭형과 5형태의 단면 및 변형된 사각 형태인 장방형 단면으로 분류되는 네 종류의 니켈티타늄 파일이 만곡 근관 적용 시의 응력 분포를 비교하는 것이다. 삼각 대칭형 단면 구조의 ProFile #30 / .06과 Heroshaper #30 / .06, 장방형 단면구조의 Mtwo #30 / .05와 NRT #30/ .06 파일을 마이크로컴퓨터 단층촬영을 하고 reverse engineering을 통하여 파일의 구조를 얻고 삼차원 유한요소모형을 제작하였다. 모형 근관 내에서 파일이 근관장끝까지 진입하여 회전할 때 발생하는von Mises 응력 분포 및 파일의 제거후의 잔류 음력의 분포양상을 ABAQUS 프로그램을 이용하여 비교하였다. 근관 내 회전 시에 발생하는 응력을 관찰하였을 때 NRT 파일에서 가장 큰 응력을 나타냈으며, 각 파일에서의 최고 응력과 최저 응력을 비교하였을 때 Mtwo파일에서 가장 큰 차이가 나타났다. 응력의 내부 분포 경향을 보았을 때 장방형 구조의 단면을 가진 Mtwo 및 NRT 파일에서 불연속적인 응력의 집중 부위가 관찰되었으며, 근관 외부로 파일을 제거하여 탄성 회복이 일어난 후의 잔류 응력도 NRT 파일에서 가장 높게 나타났다. 이상의 결과로 유추할 때, 삼각대칭 단면 구조를 가진 파일보다 S-형태의 단면과 변형된 사각 형태의 단면 등의 장방형 단면 구조의 파일이 파절의 위험성이 더 클 것으로 사료된다.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2008년도 Spring Scientific Meeting(the 129th) of Korean Academy if Conservative Dentistry
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• pp.198-203
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• 2008

본 연구의 목적은 동적하중 하에서 네 종류의 근관치료용 임시충전재의 밀폐효과를 비교하는 것이다. 44개의 건전한 인간 대구치에 표준화된 근관와동을 형성한 후 Caviton, MD-Temp, IRM 및 ZOE를 이용하여 충전하였다. 이 후, 1% 메틸렌블루 용액에 담근 상태에서 반복하중기를 이용하여 1 Hz의 속도로 98 N의 하중을 기능교두에 1,000번 가한 다음 시편을 양분해 미세누출을 평가하고 one-way ANOVA (p = 0.05)와 사후 검정으로 Duncan's multiple range tests로 통계분석 하였다. Caviton 군과 MD-Temp군이 IRM군과 ZOE군보다 통계적으로 적은 미세누출을 보였으며 (p < 0.05), 본 실험결과로 볼 때 Caviton과 MD-Temp가 IRM과 ZOE보다 동적하중 하에서 근관와동 밀폐효과가 우수하다고 사료된다.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2008년도 Spring Scientific Meeting(the 129th) of Korean Academy if Conservative Dentistry
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• pp.204-212
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• 2008

본 연구의 목적은 Resilon을 이용한 근관충전시 methacrylate-based root canal sealer와 자기-접착 레진시멘트의 사용에 따른 치근단 미세누출을 비교해 보는 것이다. 70개 단근치를 ProFile NiTi rotary instrument와 GG drill을 이용해 근관성형 하였다. 치근을 4개의 실험군 (n = 15)과 2개의 대조군 (n = 5)으로 분류하여 측방가압법으로 충전하였다 <1군: GP + AH-26, 2군: Resilon + RealSeal primer&sealant, 3군: Resilon + Rely-X Unicem, 4군: Resilon + Biscem> 7일간 1% 메틸렌블루 용액에 침적 후 수직절단하여 치근첨부터 색소의 침투도를 측정하였다. 1 군에서 가장 적은 미세누출값이 측정되었고, 2, 3, 4군간의 통계적 유의성은 없었다. 이번 연구의 결과에 따르면, 자가-접착 레진시멘트는 Resilon을 이용한 근관충전시 sealer로 사용이 가능하리라 생각된다.

• 한국발생생물학회지:발생과생식
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• 제13권3호
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• pp.183-190
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• 2009

In mammals, puberty is a dynamic transition process from infertile immature state to fertile adult state. The neuroendocrine aspect of puberty is started with functional activation of hypothalamus-pituitary-gonadal hormone axis. The timing of puberty can be altered by many factors including hormones and/or hormone-like materials, social cues and metabolic signals. For a long time, attainment of a particular body weight or percentage of body fat has been thought as crucial determinant of puberty onset. However, the precise effect of high-fat (HF) diet on the regulation of hypothalamic GnRH neuron during prepubertal period has not been fully elucidated yet. The present study was undertaken to test the effect of a HF diet on the puberty onset and hypothalamic gene expressions in immature female rats. The HF diet (45% energy from fat, HF group) was applied to female rats from weaning to around puberty onset (postnatal days, PND 22-40). Body weight and vaginal opening (VO) were checked daily during the entire feeding period. In the second experiment, all animals were sacrificed on PND 36 to measure the weights of reproductive tissues. Histological studies were performed to assess the effect of HF diet feeding on the structural alterations in the reproductive tissues. To determine the transcriptional changes of reproductive hormone-related genes in hypothalamus, total RNAs were extracted and applied to the semi-quantitative reverse transcription polymerase chain reaction (RT-PCR). Body weights of HF group animals tend to be higher than those of control animals between PND 22 and PND 31, and significant differences were observed PND 32, PND 34, PND 35 and PND 36 (p<0.05). Advanced VO was shown in the HF group (PND $32.8{\pm}0.37$ p<0.001) compared to the control (PND $38.25{\pm}0.25$). The weight of ovaries (p<0.01) and uteri (p<0.05) from HF group animals significantly increased when compared to those from control animals. Corpora lutea were observed in the ovaries from the HF group animals but not in control ovaries. Similarly, hypertrophy of luminal and glandular uterine epithelia was found only in the HF group animals. In the semi-quantitative RT-PCR studies, the transcriptional activities of KiSS-1 in HF group animals were significantly higher than those from the control animals (p<0.001). Likewise, the mRNA levels of GnRH (p<0.05) were significantly elevated in HF group animals. The present study indicated that the feeding HF diet during the post-weaning period activates the upstream modulators of gonadotropin such as GnRH and KiSS-1 in hypothalamus, resulting early onset of puberty in immature female rats.

• Archives of Reconstructive Microsurgery
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• 제13권1호
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• pp.43-50
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• 2004

One of the major advantages of microsurgical reconstruction for defects of the hand is that these techniques allow for selection of the most ideal tissue to reconstruct a particular defect, thus optimizing the functional and aesthetic outcome. The dorsalis pedis free flap is an excellent reconstructive tool for various hand reconstructions. It has a reliable vasculature with vessels that are relative large on a long pedicle. It provides thin pliable tissue and be innervated by deep peroneal nerve. Coupled with its thinness and pliability, it is ideal for innervated cover of critically sensitive area, especially such as the hand. Thus it can be used as a cutaneotendinous flap, or an osteocutaneous flap. Otherwise, the major criticism with this flap is related to its uncertain vascularity and the donor defect. It is the purpose of this paper to outline our technique of flap elevation and donor site closure and to indicate our current use of this flap in hand reconstruction. We have treated 10 cases (6 burn scar contracture cases, 4 acute hand trauma cases) of hand reconstruction from Dec. 3, 1997 to Mar. 4, 2004 using dorsalis pedis free flap. The key points for sucess in terms of a viable flap and acceptable donor site are the preservation of the critical dorsalis pedis-first dorsal metatarsal vascular axis and the creation of a viable bed for grafting. In addition, we substituted preserved superficial fat skin graft for split thickness skin graft and wet environment was offered for good graft take. Preserved superficial fat skin is defined as composite graft containing epidermis, dermis and superficial fat layer. With sufficient care in flap elevation and donor site closure, a good graft take of preserved superficial fat skin under wet environment can be achieved with no functional disability and minimal cosmetic deformity in donor site. This flap has proved itself to be a best choice for hand reconstruction.

• 대한치과보철학회지
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• 제43권1호
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• pp.52-60
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• 2005

Purpose. The intent of this study was to evaluate the effects of curing conditions on self-curing denture base resins to find out proper condition in self-curing resin polymerization. Materials and methods, In this study, 3 commercial self-curing denture base resins are used Vertex SC, Tokuso Rebase and Jet Denture Repair Acrylic. After mixing the self curing resin, it was placed in a stainless steel mold(3$\times$6$\times$60mm). The mold containing the resin was placed under the following conditions: in air at 23$^{\circ}C$; or in water at 23$^{\circ}C$; or in water at 23$^{\circ}C$ under pressure(20psi); or in water at 37$^{\circ}C$ under pressure(20psi) or in water at 50$^{\circ}C$ under pressure(20psi) , or in water at 65$^{\circ}C$ under pressure(20psi), respectively. Also heat-curing denture base resin is polymerized according to manufactures' instructions as control. Fracture toughness was measured by a single edge notched beam(SENB) method. Notch about 3mm deep was carved at the center of the long axis of the specimen using a dental diamond disk driven by a dental micro engine. The flexural test was carried out at a crosshead speed 0.5mm/min and fracture surface were observed under measuring microscope. Results and conclusion . The results obtained were summarized as follows : 1. The fracture toughness value of self-curing denture base resins were relatively lower than that of heat-curing denture base resin. 2. In Vertex SC and Jet Denture Repair Acrylic, higher fracture toughness value was observed in the curing environment with pressure but in Tokuso Rebase, low fracture toughness value was observed but there was no statistical difference. 3. Higher fracture toughness value was observed in the curing environment with water than air but there was no statistical difference. 4. Raising the temperature in water showed the increase of fracture toughness.

• 대한치과보철학회지
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• 제37권4호
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• pp.454-464
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• 1999

The metal ceramic crown is currently the most popular complete veneer restoration in dentistry, but in many cases, the metal cervical collar at the facial margin is unesthetic and unacceptable. Facial porcelain margin has been used in place of it. But this dose not solve the problems, such as dark gingival discoloration and cervical opaque reflection of porcelain veneer. Recently, metal copings which were designed to terminate its labio-cervical end on the axial walls coronal to the shoulder have been clinically used to solve the esthetic problem of metal ceramic crown. But in this design, porcelain veneer of labio-cervical area which is not supported by metal may not be able to resist the stress during cementation and mastication. The purpose of this study was to evaluate fracture strength and fractured appearance of crowns according to different coping designs. A resin maxillary left central incisor analogue was prepared for a metal ceramic crown, and metal dies were made with duplication mold. Metal copings were made and assigned to one of four groups based on facial framework designs: group 1, coping with 0.5mm metal collar; group 2, metal extended to the shoulder; group 3, metal extended to 1mm coronal tn the shoulder: group 4, metal extended to 2mm coronal to the shoulder. Copings and crowns were adjusted to be same size and thickness, and cemented to metal dies with zinc phosphate cement by finger pressure. Fracture strength was measured with Instron Universal Testing Machine. Metal dies were anchored in Three-way-vice at 3mm below finish line and at $130^{\circ}$ inclined to the long axis of the crown. Load was directed lingually at 2mm below midincisal edge. Load value at initial crack and at catastrophic fracture was recorded. The results obtained were as follows : 1. Fracture strength values at initial crack were higher in groups 1, 2 than in groups 3, 4 but this difference was not statistically significant(P<0.05). 2. Conventional metal collared crown had greater catastrophic fracture strength than any other collarless crowns. 3. The greater the labial metal coping reduction, the lower the catastrophic fracture strength of crowns but when more than 1mm of labial metal reduction was done, the difference in strengths was not statistically significant(p<0.05). 4. The strongest collarless coping design was group 2.

• Journal of Periodontal and Implant Science
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• 제42권5호
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• pp.173-178
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• 2012

Purpose: The main purpose of this study was to investigate bone thickness on the buccal and palatal aspects of the maxillary canine and premolars using cone-beam computed tomography (CBCT). The differences between left- and right-side measurements and between males and females were also analyzed. Methods: The sample consisted of 20 subjects (9 males and 11 females; mean age, $21.9{\pm}3.0$) selected from the normal occlusion sample data in the Department of Orthodontics, The Catholic University of Korea. The thickness of the buccal and palatal bone walls, perpendicular to the long axis of the root were evaluated at 3 mm and 5 mm apical to cemento-enamel junction (CEJ) and at root apex. Results: At the canines and first premolars regions, mean buccal bone thickness of at 3 mm and 5 mm apical to CEJ were less than 2 mm. In contrast, at the second premolar region, mean buccal bone thickness at 3 mm and 5 mm apical from CEJ were greater than 2 mm. Frequency of thick bone wall (${\geq}2mm$) increased from the canine to the second premolar. Conclusions: This result should be considered before tooth extraction and planning of rehabilitation in the canine and premolar area of maxilla. Careful preoperative analysis with CBCT may be beneficial to assess local risk factors and to achieve high predictability of success in implant therapy.

• 대한소아치과학회지
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• 제32권4호
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• pp.670-674
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• 2005

과잉치는 치배 형성기에 정상 치판의 과도한 증식의 결과로 발생하며 산발적일 수도 있고 유전적일 수도 있다 발생 빈도는 $1{\sim}3%$이며, 2:1의 비율로 남아에게 호발한다. 주로 상악 전방부에서 많이 발견되며 매복, 영구치의 위치 이상, 정중부 이개, 낭종, 비강으로의 맹출 등과 같은 다양한 합병증을 나타낼 수도 있다. 상악 전방부에서 발견되어지는 과잉치는 치축방향에 따라 위치가 결정되며 상악 전방부 과잉치의 1/3정도는 역위 매복되어 맹출의 가능성이 없지만, 치낭의 치관 부위가 정상적인 관계로 존재하는 한 과잉치의 이동이 일어날 수 있다. 치아의 이동은 경구개, 소구치 부위, 비강까지도 일어날 수 있다. 또한 전상악 수직고경의 성장으로 시간이 지남에 따라 외과적 접근이 어려워질 수 있다. 이에 본 두 증례에서는 역위 매복된 상악 전방부의 과잉치가 구개 측 중앙부까지 이동된 것을 발견하여 외과적으로 제거하였다.

• 구강회복응용과학지
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• 제25권2호
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• pp.95-107
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• 2009

본 연구의 목적은 전통적인 소결 방법과 마이크로 웨이브 소결 방법에 의해 제작된 지르코니아 코아의 내부 및 변연 적합도를 알아보는 것이다. 본 실험은 기존의 소결로를 이용하는 $3M^{(R)}$의 Lava(LAV), $Kavo^{(R)}$사의 Everest(EVE), $Cerasys^{(R)}$ CAD/CAM 시스템(CER)과 마이크로웨이브 소결로를 이용하는 Dent. $solution^{(R)}$사의 CAD/CAM 시스템(DEN)에서 시스템별로 12개씩의 코아를 제작하고 실리콘 접착제를 이용하여 금속 다이에 부착시켰다. $Skyscan^{(R)}$ 1076 미세 단층 촬영기를 이용해 각각의 시편을 촬영한 후 재구성하였다. 각 시편에 대해 B-L상, M-D상 절단면 및 치아 장축에 대한 횡단면을 구해내고 각각의 단면에 대해 변연 간격, 축면 간격, 교합면 간격을 측정하였다. 실험에 대한 결과는 다음과 같다. 1. 변연 간격은 EVE가 $36.20{\mu}m$로 가장 작았고, LAV는 $47.67{\mu}m$, DEN는 $52.47{\mu}m$, CER은 $54.63{\mu}m$를 나타내었다. 2. 축면 간격은 EVE가 $63.49{\mu}m$로 가장 큰 값을 나타내었으나 네군간에는 유의차는 없었다. 3. 교합면 간격은 DEN이 $77.06{\mu}m$으로 가장 작은 값을 나타내었으며, EVE와 CER은 $100{\mu}m$를 넘는 값으로 다른 두군과 유의차를 보였다. 본 연구에서 마이크로웨이브 소결을 통해 제작된 CAD/CAM 지르코니아 코아는 임상적으로 허용할 만한 변연 간격 및 축면 간격, 교합면 간격을 보여 주었다.