• Title/Summary/Keyword: Medical appliance

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Assessment of Treatment Outcome after Using Temporary Mandibular Advancement Devices in Obstructive Sleep Apnea Patients (폐쇄성 수면 무호흡 환자에서 임시 하악 전방 이동 장치를 이용한 치료결과 분석)

  • Park, Joon-Hyung;Oh, Suseok;Hong, Jongrak;Kim, Chang-Soo;Paeng, Jun-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.34 no.6
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    • pp.426-431
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    • 2012
  • Purpose: The aim of this study was to evaluate the effect of temporary mandibular advancement devices (MAD) in obstructive sleep apnea (OSA) patients Methods: 28 patients (male 21, female 7) undergoing temporary mandibular advancement device treatment for OSA were selected from 2011.01. to 2012.02. in the department of Oral & Maxillofacial Surgery at SamsungMedicalCenter. Treatment efficacy was determined by polysomnography (PSG) at baseline & after MAD delivery. The response group was defined as >50% Apnea-Hypopnea Index (AHI) reduction plus post-MAD AHI <10, and the non-response group was defined as <50% AHI reduction. The lateral cephalogram was analysed including SNA, SNB, UL, MPH, PAS, PASU, and PAST using V-ceph$^{TM}$ (Cybermed, USA). Results: The responsers were 23 patients, and non-responsers were 5 patients. The AHI was significantly reduced with temporary MAD ($8.08{\pm}7.93$) compared with baseline ($28.51{\pm}20.56$) in the response group (n=23). No significant difference was observed between pre MAD and post MAD except SNB on cephalometric analysis. Among 11 patients successfully treated with the temporary device, 9 patients said that using permanent device brings better effect too. Conclusion: These results indicate that the Temporary MAD could not be the only effective tools on OSA but also be used to predict patient's reactivity about permanent appliance treatment. Further studies are warranted to evaluate the relations between temporary MAD and permanent MAD.

One Case of Gait disturbance Managed by appliance of FCST (원인 불명의 보행장애 환자에 대한 FCST 활용 1례보고)

  • Kim, Yong Hyuk;Lee, Young Jun;Jo, Hyun Kyung;Kim, Yoon Sik;Seol, In Chan;Yoo, Ho Ryong
    • Journal of Haehwa Medicine
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    • v.21 no.2
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    • pp.121-125
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    • 2013
  • Objectives : The report intended to estimate effect taken by using FCST(functional cerebrospinal technique) on the patient with one gait disturbance case. Methods : A gait disturbance one case with 2 weeks of duration was managed by the Balance Appliance on temporomandibular joint (TMJ), combined with acupuncture and herbl medicine. Results : After being treates for 2 weeks, the patint's 10mWT were improved. Assessment was made by self assessment of subjective symptoms and clinical observation. Conclusions : An impressive effect was observed and further clinical and biological research on FCST is expected.

Recurrent or Habitual Type TMJ Dislocation Case Managed with Yinyang Balance Appliance of FCST, a TMJ Therapy for the Balance of the Meridian and Neurological System (FCST의 음양균형장치를 활용한 만성 재발성 턱관절 탈구의 증례 보고)

  • Lee, Young-Jun;Lee, Sang-bae;Choi, Jae-min
    • Journal of TMJ Balancing Medicine
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    • v.4 no.1
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    • pp.21-26
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    • 2014
  • Therapeutic effect of Yinyang Balancing Appliance of functional cerebrospinal therapy (FCST) for meridian and neurologic yinyang balance was observed in recurrent or habitual type temporomandibular joint (TMJ) dislocation. One Recurrent or habitual type TMJ dislocation case was managed with the Yinyang Balancing Appliance on TMJ, combined with acupuncture. Clinical outcome measurement was based on subjective measures and clinical observations. The patient showed positive changes even after the initial treatment and this effect maintained over the follow-up period. Although it is not clear the effect is sustaining or temporary in its nature, a positive effect was observed and further clinical and biological research on FCST is expected.

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Effects of orthodontic mini-implant position in the dragon helix appliance on tooth displacement and stress distribution: a three-dimensional finite element analysis (교정용 미니임플랜트 식립 위치에 따른 dragon helix의 효과에 대한 유한요소해석)

  • Kim, Min-Ji;Park, Sun-Hyung;Kim, Hyeon-Seong;Mo, Sung-Seo;Sung, Sang-Jin;Jang, Gang-Won;Chun, Youn-Sic
    • The korean journal of orthodontics
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    • v.41 no.3
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    • pp.191-199
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    • 2011
  • Objective: The purpose of this study was to investigate the stress distribution on the orthodontic mini-implant (OMI) surface and periodontal ligament of the maxillary first and second molars as well as the tooth displacement according to the OMI position in the dragon helix appliance during scissors-bite correction. Methods: OMIs were placed at two maxillary positions, between the first and the second premolars (group 1) and between the second premolar and the first molar (group 2). The stress distribution area (SDA) was analyzed by three-dimensional finite element analysis. Results: The maximal SDA of the OMI did not differ between the groups. It was located at the cervical area and palatal root apex of the maxillary first molar in groups 1 and 2, respectively, indicating less tipping in group 2. The minimal SDA was located at the root and furcation area of the maxillary second molar in groups 1 and 2, respectively, indicating greater palatal crown displacement in group 2. Conclusions: Placement of the OMI between the maxillary second premolar and the maxillary first molar to serve as an indirect anchor in the dragon helix appliance minimizes anchorage loss while maximizing the effect on scissors-bite correction.

Evaluation of growth changes induced by functional appliances in children with Class II malocclusion: Superimposition of lateral cephalograms on stable structures

  • Oh, Eunhye;Ahn, Sug-Joon;Sonnesen, Liselotte
    • The korean journal of orthodontics
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    • v.50 no.3
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    • pp.170-180
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    • 2020
  • Objective: To compare short- and long-term dentoalveolar, skeletal, and rotational changes evaluated by Björk's structural method of superimposition between children with Class II malocclusion treated by functional appliances and untreated matched controls. Methods: Seventy-nine prepubertal or pubertal children (mean age, 11.57 ± 1.40 years) with Class II malocclusion were included. Thirty-four children were treated using an activator with a high-pull headgear (Z-activator), while 28 were treated using an activator without a headgear (E-activator). Seventeen untreated children were included as controls. Lateral cephalograms were obtained before treatment (T1), after functional appliance treatment (T2), and after retention in the postpubertal phase (T3). Changes from T1 to T2 and T1 to T3 were compared between the treated groups and control group using multiple linear regression analysis. Results: Relative to the findings in the control group at T2, the sagittal jaw relationship (subspinale-nasion-pogonion, p < 0.001), maxillary prognathism (sella-nasion-subspinale, p < 0.05), and condylar growth (p < 0.001) exhibited significant improvements in the Z- and E-activator groups, which also showed a significantly increased maxillary incisor retraction (p < 0.001) and decreased overjet (p < 0.001). Only the E-activator group exhibited significant backward rotation of the maxilla at T2 (p < 0.01). The improvements in the sagittal jaw relationship (p < 0.01) and dental relationship (p < 0.001) remained significant at T3. Condylar growth and jaw rotations were not significant at T3. Conclusions: Functional appliance treatment in children with Class II malocclusion can significantly improve the sagittal jaw relationship and dental relationships in the long term.

Two Cases of Spasmodic Torticollis Managed by Yinyang balance appliance of FCST for the Meridian and Neurologic Balance (FCST의 음양균형장치를 활용한 경련성 사경증 증례보고)

  • Shon In-Cheol;Ahn Kyu-Suk;Sohn Kyung-Seok;Koh Gi-Wan;Yin Chang-Shik;Ha Sung-Joon;Lee Young-Jun
    • Korean Journal of Acupuncture
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    • v.23 no.4
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    • pp.111-122
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    • 2006
  • Objectives : Therapeutic effect of Balance Appliance of functional crebrospinal technique (FCST for meridian and neurologic yinyang balance was observed in two refractory torticollis cases. Methods : A unidentified severe torticollis two cases with several months of duration was managed by the Balance Appliance on temporomandibular joint (TMJ), combined with acupuncture and manual medicine. Results : Assessment was made by self assessment of subjective symptoms and clinical observation. The patient reported over-90% remission and returned to ordinary daily life after $3{\sim}5$ months of therapy, which effect was reported to maintain for 6 months. Conclusions : An impressive effect was observed and further clinical and biological research on FCST is expected.

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One Case of Neck pain Managed by Yinyang balance appliance of FCST for the Meridian and Neurologic Balance (FCST의 음양균형장치를 활용한 경항통 증례보고)

  • Jo, Chang-Hwan;Lee, Young-Jun;Kim, Jung-Hyun;An, Joung-Jo;Jo, Hyun-Kyung;Kim, Yoon-Sik;Seol, In-Chan;Yoo, Ho-Rhyong
    • The Journal of the Society of Stroke on Korean Medicine
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    • v.12 no.1
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    • pp.68-72
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    • 2011
  • Objective : Therapeutic effect of Balance Appliance of functional cerebrospinal technique (FCST) for meridian and neurologic yinyang balance was observed in one neck pain case. Method : A neck pain one case with 3 months of duration was managed by the Balance Appliance on temporomandibular joint (TMJ), combined with acupuncture and manual medicine. Results : Assessment was made by self assessment of subjective symptoms and clinical observation. The patient reported over-90% remission and returned to ordinary daily life after 1 months of therapy. Conclusions : An impressive effect was observed and further clinical and biological research on FCST is expected.

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A Study on the Development of Abnormal Power Source Generator to Evaluate Electronic Appliances (시험용 이상전원(異狀電源) 발생장치의 개발에 관한 연구)

  • Park, Chan-Won;Rho, Jea-Kwan
    • Journal of Industrial Technology
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    • v.24 no.A
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    • pp.83-90
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    • 2004
  • Generally, electronic appliances are used on the basis of normal power source supply. The power source inevitably includes the abnormal condition, such as, sudden voltage sagging, power interrupt, and induced noises. As the electronic appliances which include micro-controller-based circuits are being increased recently, the controller circuit sometimes malfunctions by the abnormal condition of the power source. This situation causes serious problems such as hitch of electric appliance, fire and medical instrument glitch, which produces serious situations. In this paper, development of power interrupt tester which is highly suitable for an endurance test device under abnormal power source to microprocessor-based circuits is proposed 89C2051 microcontroller is performed to make power interrupt signal, and software controls peripheral hardwares and built-in functions. Experimental results of this study will offer a good application to electronic appliance maker as a test device of hardware and software debugging use.

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A STUDY ON THE EFFECT OF TREATMENT IN THE SKELETAL CLASS III MALOCCLUSION PATIENT WITH ANTERIOR CROSSBITE (전치부 반대 교합을 동반한 골격성 3급 부정교합 환자의 치료에 관한 연구)

  • Moon, Yoon-Shik
    • The korean journal of orthodontics
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    • v.23 no.4 s.43
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    • pp.475-483
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    • 1993
  • The purpose of this study was to investigate the treatment effects on anterior crossbite patients using chin cap and labiolingual arch appliance. In the present study, I statistically evaluated measurement values on a cephalogram before and after treatment form twenty anterior crossbite cases. The results were as follows: 1. In the craniofacial patterns, cranial base increased after treatment. 2. In the maxillo-mandibular relationship, ANB and Facial convexity significantly increased. 3. In the denture patterns, occlusal plane, Ul to FH and Overjet significantly increased. On the contrary overbite decreased significantly. Lower incisors inclined lingually. 4. In the soft tissue profile changes, lower lip protrusion was signifacantly improved.

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A cephalometric study in patients with obstructive sleep apnea after use of oral appliance (폐쇄성 수면 무호흡 환자에 있어서 구내장치 반응성에 대한 두부 방사선적 연구)

  • Kyung, Seung-hyun;Park, Young-Chel
    • The korean journal of orthodontics
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    • v.30 no.3 s.80
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    • pp.287-296
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    • 2000
  • It is well known that oral appliance could improve respiratory difficulty in patients with obstructive sleep apnea (OSA). To evaluate the effect of oral appliance, polysomnography and cephalometry were performed in OSA patients before and after oral appliance was used. Twenty four OSA patients were included in this study. Respiratory difficulty index (RDI) was obtained from polysomnography and the movement of soft palate, tongue, posterior pharygeal wall, hyoid bone, and mandible and the variables of the facial pattern were measured on the cephalogram. The changes of cephalometric parameters were compared to the RDI changes and the correlation was tested. After oral appliance was used, RDI decreased from 46.8 to 13.3. There was significant relationship between RDI improvement and the anterior movement of the mandible and superior movement of the hyoid bone. In 8 patients whose RDI was most improved, RDI improvement rate was correlated with the anterior movement of the tongue and anterior-posterior (AP) diameter of the airway at the levels between the lower portion of the soft palate and epiglottis. These results could conclude that anterior movement of the tongue and superior movement of the hyoid bone would be favorable cephalometric parameters for the improvement of OSA.

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