• 대한치과의사협회지
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• 제55권3호
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• pp.230-239
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• 2017

Root coverage can be an efficacious treatment not only in aspect of dental symptoms like root caries and hypersensitivity, but also in aspect of esthetic problem. There are several predictable methods for gaining a connective tissue attachment to an exposed root surface. Among them, this case report will deal with three cases using enamel matrix derivative and connective tissue graft to recover esthetic and physiological periodontal environment and its form. This case report deals with three patients with gingival recession which has occurred by different causes. They were treated with de-epithelialized graft accompanied by application of enamel matrix derivative. 6-12 months later, all three patients showed considerable root coverage and clinically stable condition of healing. In conclusion, within the limitation of this study, de-epithelialized connective tissue graft accompanied by application of enamel matrix derivative shows stable and clinical acceptable results in aspect of root coverage.

• Journal of Periodontal and Implant Science
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• 제28권3호
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• pp.523-531
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• 1998

The purpose of this investigation was to examine the pattern of progression of periodontitis and the change in the extent and severity of the periodontal condition in young adults. Fourteen subjects with periodontitis, 11 males and 3 females in the age range 22-26, participated in the study. Following a baseline examination, the subjects were monitored for gingival index, probing pocket depth, gingival recession, probing attachment level and radiogrphic crestal bone height for 24 months without therapy. Re-examination were performed after 12 and 24 months. Gingival index, probing pocket depth, gingival recession and probing attachment level were assesed at 6 locations per tooth, and crestal bone height was assessed by subtraction radiography. The results from the follow-up examination revealed that the subjects underwent minor changes with respect to a series of different clinical parameters. The mean values of gingival index was improved, however, the mean values of probing pocket depth, gingival recession, probing attchment level and crestal bone height showed no significant change between baseline and the re-examination after 1 and 2 years.

• 보건행정학회지
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• 제32권3호
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• pp.245-246
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• 2022

Concerns about a global economic recession are rising following the coronavirus disease 2019 (COVID-19) pandemic. Accordingly, government entities, which are committed to overcome two barriers to severe inflation and economic recession, are showing high interest in spending management so as not to undermine fiscal soundness. Since the health care sector especially accounts for a large proportion of fiscal expenditure, it should be managed in a manner that the expense is appropriately spent. The National Health Insurance System and Healthcare System have secured international competitiveness and reliability by effectively responding to the COVID-19 pandemic. Likewise, considerable efforts should be made to reorganize the welfare and healthcare systems so that they can be sustainable during the post-COVID-19 era and the recession.

• 대한기계학회논문집B
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• 제36권3호
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• pp.285-291
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• 2012

비예혼합 화염의 안정성에 관한 종래의 연구는 연료노즐이나 퀄의 형상에 초점을 많은 맞추어 왔으나 화염안정화에 중요한 연료의 후퇴거리 및 공기노즐의 홀 형상에 대한 연구는 상대적으로 부족하여 이에 관한 연구가 절실한 실정이다. 따라서, 본 연구에서는 메탄 분류 후퇴거리 및 2 차 공기의 홀 형상에 따른 연소특성을 관찰하기 위해 동축 삼중관 형태의 버너를 설계하였다. 1 차 공기는 스월러를 통하여 분류하였고, 2 차 공기는 홀 형상 및 슬릿 형상의 각 노즐로부터 분류되었다. 본 연구에 사용된 실험실 스케일 버너로부터 2 차 공기의 유속은 화염의 형태에 영향을 끼치는 것을 알 수 있었다. 후퇴거리의 경우 공급관외경의 절반에 해당하는 거리로 설정했을 때 화염이 안정적으로 존재하고, 휘도는 더욱 높아짐을 알 수 있었다.

• 대한소아치과학회지
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• 제31권3호
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• pp.448-452
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• 2004

외상성 교합은 교합력의 결과로서 치주조직에 가해지는 손상이다. 주된 증상은 치아의 동요도이고, 통증, 타진에 민감, 열에 민감한 증상이 동반될 수 있으며 교합력에 의해 치아가 이동을 할 수도 있다. 만성으로 진행시 치아의 과도한 교모가 나타나며 방사선학적으로 치근막 공간의 비후, 치조백선의 비후, 치조골의 방사선 투과성 치근흡수 등이 나타날 수 있다. 외상성 교합은 치주질환의 원인과 관련되어 있다. 증가된 치아동요도를 야기하며 외상성 교합 자체는 치은염과 치주낭을 발생시키지 않으나 국소적 치태와 염증이 존재하고 있는 하에서 골소실, 치주낭이 발생할 수 있다. 치은퇴축은 외상성 반월, 맥콜스 팽윤, 스틸만 균열의 형태로 나타난다. 본 증례는 하악 유견치 부위의 치주질환을 주소로 내원한 5세 남아로서 상하악 유견치의 조기 접촉에 의해 하악 좌우측 유견치의 중증도의 동요도, 교합마모, 치은 퇴축, 치조골 파괴의 증상이 나타났기에 보고하는 바이다.

• Journal of Periodontal and Implant Science
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• 제46권1호
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• pp.22-34
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• 2016

Purpose: Gingival recession is a major esthetic concern and may lead to root sensitivity during periodontal treatment. Coronally advanced flaps (CAFs) with and without acellular dermal matrix (ADM) are widely used in root coverage procedures. The aim of this study was to analyze the efficacy of CAF in combination with ADM in the treatment of gingival recession. Methods: PubMed, The Cochrane Library, and Embase were used to identify relevant articles. The articles were screened, data were extracted, and the quality of the studies was assessed by three reviewers with expertise in clinical practice, trials, statistics, and biomedical editing. The clinical endpoints of interest included changes in recession, probing depth (PD), clinical attachment level (CAL), and keratinized tissue (KT). Results: Ten randomized controlled trials were identified, including six studies that compared CAFs with ADM and CAFs using connective tissue grafting (CTG) and four studies that compared CAFs with or without ADM. No statistically significant differences were found between the use of ADM and CTG, whereas statistically significant differences were found between groups in which ADM and CAF were combined and groups that underwent CAF alone with regard to recession coverage, CAL, and KT. The combination of CAF with an ADM allograft achieved more favorable recession coverage and recovery of CAL and KT than CAF alone. Conclusions: The results from the ADM and CTG groups suggest that both procedures may be equally effective in clinical practice. Given the limitations of this study, further investigation is needed to clarify the effectiveness of ADM and CAF in clinical practice.

• 한국임상수의학회:학술대회논문집
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• 한국임상수의학회 2006년도 추계학술대회 및 정기총회
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• pp.83-83
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• 2006

• 대한치주과학회:학술대회논문집
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• 대한치주과학회 2005년도 제45회 종합학술대회 연제초록
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• pp.17-18
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• 2005

• 대한지리학회지
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• 제48권5호
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• pp.615-628
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• 2013

하천의 유로가 급격하게 변경되는 하도 변위로 형성된 신하도에서는 상 하류간의 고도차로 인해 폭포 가 발생될 수 있다. 본 연구는 우리나라의 7개 폭포를 대상으로 하여, 하도 변위에 의한 폭포의 형성 유형과 과정을 설명하고, 폭포의 후퇴 속도와 영향 요인을 분석하였다. 울진군 불영 폭포, 영덕군 용추 폭포, 양구군 직연 폭포, 울진군 광품 폭포는 자연적인 감입 곡류 절단에 의해 형성되었다. 태백시 삼형제 폭포, 남원시 구룡 폭포는 하천 쟁탈의 과정에서 형성된 것이고, 충주시 팔봉 폭포는 농경지 확보를 위한 인위적인 하도 절단으로 형성되었다. 폭포는 두부 침식으로 인해 시간이 갈수록 위치가 상류 쪽으로 이동하였는데, 폭포의 형성 시기를 추정할 수 있는, 불영, 용추, 직연, 삼형제 폭포의 후퇴 속도는 3~4m/ka로 측정되었다. 이들 4개 폭포의 후퇴 속도는 유역 면적, 강수량, 기반암의 용식 및 풍화 가능성, 초기 폭포의 높이와 뚜렷한 양의 상관관계를 갖는 것으로 분석되었다.

• Journal of Periodontal and Implant Science
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• 제38권2호
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• pp.231-236
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• 2008

Purpose: The treatment of gingival recessions is needed to reduce root sensitivity and improve esthetical satisfaction. Several surgical techniques have been proposed to achieve these goals. The use of connective tissue grafts has made esthetic root coverage a predictable procedure. Numerous clinical studies have represented that using connective tissue grafts to cover exposed root surface showed high success rates. This is a case report which demonstrates the technique to obtain root coverage of a buccal recession defect. Materials and Methods: A 35-year-old patient with a high level of oral hygiene was selected for the study. This patient had one Class I Miller recession defect in the mandible. A coronally advanced flap in combination with the connective tissue graft was chosen for the treatment. After surgery, the patient was told to visit the hospital once a week for his oral management and professional prophylaxis. The depth of initial recession was 4.0 mm. Result: After three months, it reduced to 0.0 mm, and the average recession reduction was 4.0 mm. The average root coverage was 100%. Conclusion: The connective tissue graft is both effective and predictable way to produce root coverage in increasing the width of CAL and KT of various adjacent gingival recessions.