• 제목/요약/키워드: Proper posterior

검색결과 175건 처리시간 0.027초

치아 상실과 심한 마모를 보이는 골다공증 환자에서의 완전구강 회복 증례 (Full mouth rehabilitation in osteoporosis patient with loss of teeth and excessive wear)

  • 김현탁;김명주;임영준;권호범
    • 대한치과보철학회지
    • /
    • 제60권1호
    • /
    • pp.63-70
    • /
    • 2022
  • 구치부 치아 상실을 동반한 치아 마모는 불규칙한 교합평면, 과도한 전치부 마모와 같은 특징적인 양상을 보인다. 적절한 구치부 지지를 부여하고 조화로운 전방유도와 교합평면을 설정하는 치료 방법이 추천된다. 본 증례 보고의 환자는 치아의 병적인 마모가 관찰되고 하악 구치부 치아가 상실되었다. 또한, 골다공증 병력과 Ibandronate 주사 치료와 관련된 골괴사증의 위험성을 인지하고 수술적 치료를 거부하였다. 본 증례에서는 마모된 잔존치를 수복 공간 확보를 위해 수직 고경 거상을 동반한 완전구강회복술로 수복하고, 하악 무치악부는 양측성 후방연장 국소의치로 수복하였다. 면밀한 진단을 통해 수복 계획을 수립하고, 이를 바탕으로 지대치 형성 후 임시 보철물 상태로 적응 기간을 거쳐 최종 보철물 제작하였다. 심미적, 기능적으로 만족할 만한 결과를 얻을 수 있었고, 구강 위생관리 및 교합 안정성을 확인하기 위해 정기적으로 내원하도록 하였다.

한국환자에 매식된 ITI 임플란트에 관한 조사 (An analysis of ITI implants placed in korean patients)

  • 장문택
    • Journal of Periodontal and Implant Science
    • /
    • 제32권2호
    • /
    • pp.361-370
    • /
    • 2002
  • The aim of this study was to analyze various data of 120 non-submerged ITI implants placed in 64 korean adults. The data were retrieved from patients' charts and registered in the computer and coded for a statistical analysis. The results revealed that the most common type of edentulism was a distal extension case, and the largest number of implants were placed in the mandibular first molar position. Implants were placed more frequently in mandibular, posterior position than maxillary, anterior position, respectively. With respect to the implant diameter and length, an implant with 4.1mm in diameter and more than 10mm in length was the most common. Since a molar position was the most prevalent position for implant placement in korean patients, clinicians should be careful about implant diameter which can resist a strong occlusal force expected in the molar position. In addition, the distance to the mandibular canal and the floor of maxillary sinus should be considered to avoid possible damages, such as nerve injury and sinus perforation in selecting a proper implant length.

Reverse Latissimus Dorsi Muscle Flap for an Extensive Soft Tissue Defect Accompanied by Infectious Spondylitis

  • Yoo, Chai Min;Kang, Dong Ho;Hwang, Soo Hyun;Park, Kyung Bum
    • Journal of Korean Neurosurgical Society
    • /
    • 제52권4호
    • /
    • pp.423-426
    • /
    • 2012
  • Spinal infection is an inflammatory process around the vertebral body, and it can extend to the epidural space, posterior elements and paravertebral soft tissues. Infectious spondylitis is a rare infectious disorder, which is often associated with significant neurologic deficits and mortality. When an extensive soft tissue defect is accompanied by infectious spondylitis, effective infection control and proper coverage of soft tissue are directly connected to successful outcomes. However, it is not simple to choose the appropriate treatment methods for infectious spondylitis accompanied by a soft tissue defect. Herein, we report a case of severe infectious spondylitis that was accompanied by an extensive soft tissue defect which was closed with a reverse latissimus muscle flap after traumatic spinal epidural hemorrhage.

적출술에 의한 함출성 낭종의 치험예

  • 최목균;이봉원;한기설
    • 대한치과의사협회지
    • /
    • 제18권2호통권131호
    • /
    • pp.103-108
    • /
    • 1980
  • The occurrence of odontogenic epithelium in the well of a dentigerous cyst is a well known entity. This epithelium usually remains inactive and does not have clinical significance. However, these small inactive islands of epithelium may be stimulated, resulting in an ameloblastoma. Therefore correct diagnosis and proper treatment are very important. A 15 year-old boy came to the outpatient clinic on August 13, 1979. The Chief complaint was pain, difficulty in mouth opening and swelling of the right mandible of 1 month's durations. With the X-ray filming, it was revealed that dentigerous cyst had been originated from the third molar, occurred in posterior region of the right mandible involving the 1st and the and molar and the portion just beneath the sigmoid notch area. Pus discharged from the gingival sulcus distal to the 2nd molar and it was sure that the cyst had been infected. Enucleation performed with careful excision of all cyst wall was successfully carried out, and recovery and heading were rapid and uncomplicated.

  • PDF

Constrained Bayes and Empirical Bayes Estimator Applications in Insurance Pricing

  • Kim, Myung Joon;Kim, Yeong-Hwa
    • Communications for Statistical Applications and Methods
    • /
    • 제20권4호
    • /
    • pp.321-327
    • /
    • 2013
  • Bayesian and empirical Bayesian methods have become quite popular in the theory and practice of statistics. However, the objective is to often produce an ensemble of parameter estimates as well as to produce the histogram of the estimates. For example, in insurance pricing, the accurate point estimates of risk for each group is necessary and also proper dispersion estimation should be considered. Well-known Bayes estimates (which is the posterior means under quadratic loss) are underdispersed as an estimate of the histogram of parameters. The adjustment of Bayes estimates to correct this problem is known as constrained Bayes estimators, which are matching the first two empirical moments. In this paper, we propose a way to apply the constrained Bayes estimators in insurance pricing, which is required to estimate accurately both location and dispersion. Also, the benefit of the constrained Bayes estimates will be discussed by analyzing real insurance accident data.

Three-dimensional cone-beam computed tomography based comparison of condylar position and morphology according to the vertical skeletal pattern

  • Park, In-Young;Kim, Ji-Hyun;Park, Yang-Ho
    • 대한치과교정학회지
    • /
    • 제45권2호
    • /
    • pp.66-73
    • /
    • 2015
  • Objective: To compare condylar position and morphology among different vertical skeletal patterns. Methods: Diagnostic cone-beam computed tomography images of 60 adult patients (120 temporomandibular joints) who visited the orthodontic clinic of Hallym University Sacred Heart Hospital were reviewed. The subjects were divided into three equal groups according to the mandibular plane angle: hypodivergent, normodivergent, and hyperdivergent groups. Morphology of the condyle and mandibular fossa and condylar position were compared among the groups. Results: The hypodivergent and hyperdivergent groups showed significant differences in superior joint spaces, antero-posterior condyle width, medio-lateral condyle width, condyle head angle, and condylar shapes. Conclusions: Condylar position and morphology vary according to vertical facial morphology. This relationship should be considered for predicting and establishing a proper treatment plan for temporomandibular diseases during orthodontic treatment.

Objective Bayesian inference based on upper record values from Rayleigh distribution

  • Seo, Jung In;Kim, Yongku
    • Communications for Statistical Applications and Methods
    • /
    • 제25권4호
    • /
    • pp.411-430
    • /
    • 2018
  • The Bayesian approach is a suitable alternative in constructing appropriate models for observed record values because the number of these values is small. This paper provides an objective Bayesian analysis method for upper record values arising from the Rayleigh distribution. For the objective Bayesian analysis, the Fisher information matrix for unknown parameters is derived in terms of the second derivative of the log-likelihood function by using Leibniz's rule; subsequently, objective priors are provided, resulting in proper posterior distributions. We examine if these priors are the PMPs. In a simulation study, inference results under the provided priors are compared through Monte Carlo simulations. Through real data analysis, we reveal a limitation of the appropriate confidence interval based on the maximum likelihood estimator for the scale parameter and evaluate the models under the provided priors.

노인의 연령, 체중, 신장과 안정성한계의 상관관계 (The Relationship between age, height, weight and Limit of Stability on the Elderly)

  • 신상철;김진상
    • The Journal of Korean Physical Therapy
    • /
    • 제12권2호
    • /
    • pp.153-163
    • /
    • 2000
  • This study was conducted to examine the relationship between limit of stability and age, height and weight. 83 healthy elderly(male 40, female 43) were measured the limit of stability and demographic characteristics. The results were as follows. 1. Left-right limit of stability was correlated with age in the elderly. 2. Left-right limit of stability was not correlated with the height, weight in the elderly. 3. Anterior-posterior limit of stability was correlated with age. height and weight in the elderly. So it is recommended that high risk groups - more aged people. of elderly should be offered the exercise program for increasing the limit of stability and well-designed studies of proper exercise program for musculoskeletal function and muscle power elevation should be performed.

  • PDF

Noninformative priors for linear function of parameters in the lognormal distribution

  • Lee, Woo Dong;Kim, Dal Ho;Kang, Sang Gil
    • Journal of the Korean Data and Information Science Society
    • /
    • 제27권4호
    • /
    • pp.1091-1100
    • /
    • 2016
  • This paper considers the noninformative priors for the linear function of parameters in the lognormal distribution. The lognormal distribution is applied in the various areas, such as occupational health research, environmental science, monetary units, etc. The linear function of parameters in the lognormal distribution includes the expectation, median and mode of the lognormal distribution. Thus we derive the probability matching priors and the reference priors for the linear function of parameters. Then we reveal that the derived reference priors do not satisfy a first order matching criterion. Under the general priors including the derived noninformative priors, we check the proper condition of the posterior distribution. Some numerical study under the developed priors is performed and real examples are illustrated.

임상가를 위한 특집 1 - 치과심미수복용 세라믹의 최신 특성평가 (Recent characteristics of dental esthetic restorative ceramics)

  • 오승한
    • 대한치과의사협회지
    • /
    • 제51권1호
    • /
    • pp.6-11
    • /
    • 2013
  • Dental ceramics is well known to have excellent esthetics, biocompatibility as well as high compressive strength. However, the fragility of ceramics against tensile and shear loads leading to the delayed fracture of micro crack on ceramic surface and the backwardness of ceramic fabrication technique limit the usage of ceramic materials in dentistry. Among all ceramic materials, zirconia has been introduced to overcome the drawback of conventional dental ceramics in the field of dentistry due to the nature of zirconia featuring proper opalescence and high fracture toughness. Also, novel manufacturing techniques enable ceramic materials to prepare high esthetic anterior and posterior all ceramic system. In this paper, it is introduced and discussed that novel techniques characterizing the bond strength between zirconia core and veneering ceramics and analyzing the fluorescence of dental ceramics in order to overcome the gap between the results of basic research and the feasibility of the results in the field of dental clinics.